Medication Abuse Resource Guide

Medication Abuse Resource
Guide
An interactive guide for combating
prescription and Over-the-Counter
(OTC) drug abuse for Prevention
Professionals
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This guide has been created as a resource for
combating prescription and OTC drug abuse
in Michigan communities.
There have been many resources developed
to address the nationwide increase in
medicine abuse.
This easy-to-use guide of available resources
was developed by the Prevention
Subcommittee of the Michigan State
Methamphetamine Task Force.
Click to continue
The guide has been split into four main categories:
1. Target audiences - populations of interest
because data suggests they may be at
higher risk for medicine abuse.
2. Community partners - groups in a position
to influence the target audiences and
support the prevention field in an effort to
reduce medicine abuse.
3. General resources - addresses the needs
of multiple audiences, or provides general
information.
Click to continue
The purpose of this guide is to place as many resources
that are available in an easy to use tool.
The majority of the guide has been split into two main
categories: target audiences and community partners.
The target audiences are groups we feel need direct
contact and support. The community partners are groups
we can utilize to obtain access to the target audiences.
Each audience tab contains reasons why that group has
been selected and resources for that specific group.
Resources that fit into multiple audiences have been
placed under the General Resources section of the guide.
Click to continue
Participating members of the Michigan Methamphetamine Task
Force, Prevention Subcommittee:
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Heidi Bertschinger, Allegan County Community Mental Health Services
Ken Bobo, Van Buren County Prosecuting Attorney’s Office
Claudine Damaske, Pharmacist
Sarah Derwin, Ottawa County Health Dept.
Nate Hill, Berrien County Health Dept.
Liz Lenz, Barry County Substance Abuse Services
Tracy Johnson, Cass Van Buren District Health Dept.
Tracy Malinowski, Kent County Health Dept.
Therese Maupin-Moore, Barry County Substance Abuse Services
Carol Meyer-Niedzwiecki, Substance Abuse Council, Calhoun County
E.J. McAndrew, Cass Van Buren District Health Dept.
Karen Pelon, Kent County Health Dept.
Brenda Stoneburner, Michigan Office of Drug Control Policy
Stephanie VanDerKooi, Ottawa County Health Dept.
Kori White-Bissot, Lakeshore Coordinating Council
Click to continue
• Use the arrows, buttons and tabs on the bottom
of each page to navigate the guide.
• When you see blue underlined text you can click
on the text and your web browser will take you to
the information on the internet (you must have
an internet connection for this feature to work)
• To leave the guide, press the Esc (escape) key.
• If you need help, you can select the question
mark button (?) to view the help menu.
Click to continue
• User Note – When opening .pdf files from
the resource guide, it may be necessary to
open the task bar to view them.
• If you click on a .pdf file and nothing
seems to happen, press the windows key
on your keyboard to open the task bar and
then you will be able to open your internet
browser from the internet explorer tab.
All links are working and valid as of 3/15/09.
To report broken links email [email protected].
General Resources
Table of Contents - Home
Please select the tab you would like to view.
Athletes and Coaches
Care Givers
Youth 12-17
Drug Companies
Law Enforcement
Young Adult 18-25
Medical Professionals
Older Adult 55+
Parents
Realtors
Retailers
School Personnel
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• Being a younger and more naive group,
youth aged 12-17 are more at risk
• Availability from many sources
• “Legal = Safe” attitude
• “It won’t happen to me…” attitude
• Not worth the risk
– Overdose dangers
– Possibility of addiction
– Overall short and long-term health problems
– Legal consequences
• Interactions with other chemicals
– Alcohol
– Other medications OTC, prescription
• Short-Term
– Increased perception of risk
– Decreased access
• Long-Term
– Reduced use rates
– Delay the onset of experimentation or use
– Reduced treatment admissions
– Reduced hospital admissions due to overdose
•
Freevibe.com (www.freevibe.com)
Freevibe.com was created for
the National Youth Anti-Drug
Media Campaign, a program of
the Office of National Drug
Control Policy. Freevibe’s goal
is to provide teens with the
knowledge and personal
empowerment to reject drug
use and other risky behaviors.
Freevibe.com is updated
regularly with the latest
national statistics on teen drug
abuse and other relevant
trends, and also incorporates
insights and feedback from site
visitors.
• ProjectALERT.com
(http://www.projectalert.best.org)
The Project ALERT two-year
Core Curriculum consists of 11
lessons that are most effective
when taught once a week
during the first year, plus 3
booster lessons that should be
delivered the following year.
Project ALERT complements
other curricula and can be
implemented in conjunction
with lessons from sex
education, health, physical
education, science and social
studies.
• painfullyobvious.com
(www.painfullyobvious.com)
Painfully Obvious is
an interactive website
where youth or
caregivers can
access information
about the dangers of
prescription drug
abuse.
•
Theantidrug.com (www.theantidrug.com)
TheAntiDrug.com was created by the
National Youth Anti-Drug Media
Campaign to equip parents and other
adult caregivers with the tools they need
to raise drug-free kids. Working with the
nation's leading experts in the fields of
parenting and substance abuse
prevention, TheAntiDrug.com serves as a
drug prevention information center, and a
supportive community for parents to
interact and learn from each other.
The site provides parents and other adult
caregivers access to:
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Helpful articles and advice from experts in
the fields of parenting and substance
abuse prevention;
Science-based drug prevention
information, news and studies;
Support from other parents striving to
keep their children drug-free;
Teen perspectives and views.
• Myspace.com or Facebook.com
– Internet communities where people meet and share ideas,
pictures, music, and much more.
– Prevention professionals could use the site to create a
place for youth to view positive online messages.
– Parents and teens should be aware of the possible
predators that may exist on such sites and how to protect
themselves.
http://www1.myspace.com/misc/safetyTips.html
• http://kidshealth.org/te
en/drug_alcohol/drug
s/prescription_drug_a
buse.html
A resource for use
when talking with
teens and youth
about prescription
drug abuse.
• College population is more likely to misuse
stimulants to attempt to:
– Increase academic performance
– Stay awake
– Enhance concentration
– Recreation
• Risks of use
– Addiction
– Illegal
– Overall health complications
– Negative interaction with alcohol
• If you're concerned, help a friend…
• Where can you get help?
• Short-Term
– Increased perceived risk
– Decreased availability
– Increased healthy coping mechanisms
• Long-Term
– Decreased treatment admissions
– Decreased hospital admissions for overdose
– Decreased use rates
• Myspace.com or Facebook.com
– Internet communities where people meet and
share ideas, pictures, music, and much more.
– Prevention professionals could use the site to
create a place for young adults to view
positive online messages.
– Use the web services as a place to share
ideas and ways to help with addiction
– http://www.myspace.com
– http://www.facebook.com
• Prescription Drug Abuse in the Media
http://abcnews.go.com/WN/story?id=4262424
News story from the American Broadcast Company
(abc).
Includes information on how to find help.
• The Camp Recovery
Center
http://www.camprecovery.com/
prescription.php
Information on
prescription drug abuse
and recovery.
• Go to SAMHSA treatment
finder to find local
treatment centers
http://findtreatment.samh
sa.gov/
• Small population that accounts for the
largest consumers of prescription drugs ,
according to NIDA
• At risk for
– Fraud, theft, safety issues, health-risk,
confusion (especially in the elder population)
• Talk to their doctor and pharmacist about
possible medication interactions and the
importance of proper dosage
• Do not share prescriptions
• Advocate for their own protection
• Control and monitor their medications
• Short-Term
– Increased medication management
– Reduced theft/fraud
• Long-Term
– Decreased related hospital admissions
– Decreased related mortality
• Center for Disease
Control and
Prevention
http://www.cdc.gov/aging/
Starting point for
gathering
information related
to the older adult
population.
• FDA Overview of “Brown Bag” meetings with
older adults. Click link to learn more
http://www.fda.gov/fdac/features/2006/406_older
adults.html
A guide for common issues with the older adult
population and medication misuse.
• Get Connected: Curriculum designed to
educate older adults, about the risks of
medication misuse.
• Click link to preview tool kit :
http://www.samhsa.gov/Aging/docs/GetCo
nnectedToolkit.pdf
• Order free kit here :
https://ncadistore.samhsa.gov/catalog/pro
ductDetails.aspx?ProductID=16523
• Role models; athletes and coaches lead
by example
• Coaching relationship with athletes
– Able to spot changes in youth
– Vested interest in athletes well-being
• Ability to enforce rules on drug use
• Drug free is in the best interest of the
athlete and the team
• Role model positive choices
• Health education; effects of drugs on
performance
• Code of conduct; implementation and
enforcement
• Outlook on life
– Healthy body, healthy mind
•
http://www.americanathleticinstitute.org/ (American Athletic Institute)
“The American Athletic Institute’s primary focus is the education of athletes on the
dangers of drugs and alcohol. Our presenters are substance abuse professionals
who were also once professional and world class athletes. It is this combination of
experience coupled with our own scientific research that makes us unique in the
prevention/education field and the world of sport. We understand athletes, the
dangers of drugs and the volatile mix the two present when combined.
The American Athletic Institute is a Sport Consulting Firm
that is committed to helping people both in and out of
sport. We provide programs and services that are
designed to help the athlete and non-athlete
alike. Whether it is in a proactive capacity or in response
to a specific problem or incident the American Athletic
Institute can offer valuable insight, education and
strategies to administrators, coaches and athletes on a
vast array of issues ranging from Drug and Alcohol
Abuse, Hazing and Sportsmanship to Youth Sport and
Childhood Obesity. ”
- AAI 2008
• ATLAS – Curriculum to address substance abuse among
male athletes
– http://www.samhsa.gov/SAMHSA_News/VolumeXI_1/article6.htm
– http://www.ohsu.edu/hpsm/atlas.cfm
• ATLAS Results
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Decreased new alcohol & drug use
Reduced steroid use
Reduced supplement use
Fewer drinking and driving occurrences
Improved nutrition & exercise practices
Students believed they were better athletes
Greater ability to refuse drugs
• ATHENA - Curriculum to address substance abuse
among female athletes
– http://www.ohsu.edu/hpsm/athena.cfm
• ATHENA Results
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Reduced use of diet pills
Reduced use of steroids, amphetamines and sport supplements
Improved nutrition
Reduced riding in a car with a drinking driver
Reduced new sexual activity
Reduced number of injuries
Reduced long-term use of diet pills, alcohol and marijuana
•
The Michigan Association for Health,
Physical Education, Recreation and
Dance (MAHPERD) is a professional
organization committed to providing
professional development, advocacy,
educational programs and services to
a membership dedicated to enhancing
the quality of life by preparing students
(pre-K-12, university/college) to be fit,
healthy and ready to learn.
http://www.mimahperd.org/
•
The American Alliance for Health, Physical
Education, Recreation and Dance
(AAHPERD) is the largest organization of
professionals supporting and assisting those
involved in physical education, leisure,
fitness, dance, health promotion, and
education and all specialties related to
achieving a healthy lifestyle.
AAHPERD is an alliance of five national
associations and six district associations
and is designed to provide members with a
comprehensive and coordinated array of
resources, support, and programs to help
practitioners improve their skills and so
further the health and well-being of the
American public.
http://www.aahperd.org/
• Healthy Competition
http://www.healthycompetitiontn.org
A guide for Teens, Coaches and Parents
about the effects, signs, symptoms and
dangers of PEDs (Performance Enhancing
Drugs).
• Also see the General Resources Links for
other helpful medication abuse related
links and documents
General Resources
Caregivers can include; child care, elder
care, home health aides, hospice, etc…
• Access to: children, elderly, parents
• Identify problems
• Often manage medications
• Educate and monitor people in their care
• Increase awareness among professional
peers
• Increase frequency of referrals and
information sharing when problems arise
• Identify local resources to provide support
to caregivers such as:
– Senior Centers
– Area Agencies on Aging
– Extended care facilities
– Cooperative extension agencies
– Head start programs
– Treatment centers
– Health Departments
• Also see the General Resources Links for
other helpful medication abuse related
links and documents
General Resources
• Primary source of medicines
• Ability to effect distribution and pricing
• Marketing and advertising opportunities
• Use of resources to properly educate the
public
• Educate medical professionals
• Positive messaging through marketing eg.
www.painfullyobvious.com
• painfullyobvious.com
(www.painfullyobvious.com)
– Painfully Obvious is an
interactive website
where youth or adults
can access
information about the
dangers of prescription
drug abuse.
• http://www.turntohelp.com/ A website designed
to help people locate assistance dealing with
opioid drug addiction.
• http://www.naabt.org/ The National Alliance of Advocates for
Buprenorphine Treatment mission:
– Educate the public about the disease of opioid addiction and the
buprenorphine treatment option.
– Help reduce the stigma and discrimination associated with patients with
addiction disorders.
– Serve as a conduit connecting patients in need of treatment to qualified
treatment providers.
• Also see the General Resources Links for
other helpful medication abuse related
links and documents.
General Resources
• Prescription drug abuse is linked with
other illegal activities (eg. fraud/theft)
• Able to influence availability
• Able to influence local policy
• Consistant enforcement
• Training of Officers
– Identifying users
– Awareness of the law
• Encourage responsible retailers
• National Drug
Intelligence Council
http://www.usdoj.gov/
ndic/pubs1/1765/1765
p.pdf
Good information for
law enforcement
officials.
• Streetdrugs.org
Excellent resource for
all groups interested
in substance abuse.
The chart to the right
can be located at
http://www.streetdrug
s.org/eShop/10Expan
d.asp?ProductCode=
3000
• Also see the General Resources Links for
other helpful medication abuse related
links and documents.
General Resources
Ph.D, M.D., R.N., Pharmacists etc…
• Able to identify users at risk for abuse
• Prescribe medications
• Professional opinion
– Ability to influence medical decisions
• Ensure medication management
– Through proper prescribing practices
• Encourage non-pharmaceutical options
(exercise, diet, etc…)
• Educate patients
– Proper use of medications
– Proper disposal of medications
• American Council for Drug Education
http://www.acde.org/health/Default.htm
• Facts for Health
Professionals is intended to
support the efforts that
doctors, nurses, therapists,
counselors and other
members of the health care
community make to help
individuals and families
wrestle with substance use,
abuse and dependence.
• Michigan Department of Community
Health, Office of Drug Control Policy
http://www.michigan.gov/odcp
A source to stay current on all Michigan health initiatives.
• American Medical
Association
http://www.amaassn.org/
Resource for current
medical issues for
physicians and other
medical
professionals.
• Searchable policies from the American
Academy of Pediatrics
http://aappolicy.aappublications.org/
• Also see the General Resources Links for
other helpful medication abuse related
links and documents.
General Resources
• Involved in lives of children/teens
• Contact with other parents
• Responsible for health and well-being of
their child
• Most influential people in their children’s
lives
• Influence child/teen attitude toward drugs
• Medication rules and storage/disposal at
home
• Personal medication attitudes and actions
• Model appropriate behavior
• Family consequences
• Five Moms http://www.fivemoms.com/
Five moms is a website consisting of a pediatric nurse practitioner,
an accountant, a D.A.R.E. officer, an educator, and an author—from
different backgrounds and from all over the country. They have
come together with a common concern: teenagers abusing cough
medicine to get high.
• FDA United States
Food and Drug
Administration
www.fda.gov/medsin
myhome
Interactive education
for parents wanting to
learn more about
prescription drug
abuse.
• Also see the General Resources Links for
other helpful medication abuse related
links and documents.
General Resources
• Ability to influence an avenue of drug
availability
• Escort other people into homes where
medicine may be available for theft
• Eliminate access to prescription drugs
during open houses via education of home
sellers
• Monitor people coming in and out of home
• Resources specific to this group are
limited
• Prevention Professionals are the best
resource for this group:
– Educate realtors about the dangers of Open
Houses in relation to drug theft
• Hide or remove all prescription medications from
the house before opening it to the public
– The Owners can take the medication with them or lock
them in a safe, at minimum place them in an area where
they can not easily be stolen
• A guide to selling your home includes
prescription drug information
http://realestate.msn.com/selling/article.aspx?cp-documentid=510890
• Also see the General Resources Links for
other helpful medication abuse related
links and documents.
General Resources
• They can offer insight and experience to
local substance abuse coalitions
• They can provide information to law
enforcement, and report suspicious activity
– Observing purchasing patterns
• Access to substances
– Minors/Adults purchasing or stealing OTC
medications
– Fraudulent prescriptions
• Education to pharmacists and clerks
• Encourage responsible retail
practices/policies
• American Pharmacists Association
http://www.pharmacist.com/am/template.cf
m?Section=Home2
• Also see the General Resources Links for
other helpful medication abuse related
links and documents.
General Resources
• Direct contact with youth
– Ability to observe behaviors and see changes
in attitudes
– Ability to change and modify education
curriculum
• Indirect and direct contact with parents
• Also see Athletes and Coaches Section
• Policies and rules
– Set zero tolerance policies for medication
abuse
– Prescription drug management for students
who are on medications
– Enforcement of policies
• Observe and make referrals for treatment
and education
• Resources available in the schools
– Individual Education Plans (IEP)
– School Nurse
– School Liaison Police Officer
– Employees who administer the medications
• Guide for setting a
school drug policy
http://www.wiredforhe
alth.gov.uk/PDF/scho
ol_drug_policy_revie
w_04.pdf
From the United
Kingdom.
• An example of
medication policy
from Edina Public
Schools
http://www.edina.k12.
mn.us/support/healths
ervices/medication.ht
m
• American Academy of Pediatrics
guidelines for administering medications to
students for physicians and school
administrators
http://aappolicy.aappublications.org/cgi/co
ntent/full/pediatrics;112/3/697
• Also see the General Resources Links for
other helpful medication abuse related
links and documents.
General Resources
• The resources found in this section of the
guide can be used to increase awareness
of the scope of prescription drug abuse
trends and problems.
• This section contains resources with broad
overviews of the topic that are not
population specific.
• Prescription drug
abuse chart from
NIDA
List of commonly
used and abused
prescription drugs.
Click on picture to
view pdf.
http://www.nida.nih.
gov/PDF/Prescriptio
nDrugs.pdf
• NIDA Research
Report: Anabolic
Steroid Abuse
8 page report from
the National Institute
on Drug Abuse
(NIDA). Click on
picture to view pdf.
• NIDA Info Facts:
Prescription Pain and
Other Medications
8 page report on
different classes of
medications and their
effects. Click on
picture to view pdf.
• NIDA Research
Report: Prescription
Drugs Abuse and
Addiction.
12 page report from
the National Institute
on Drug Abuse. Click
on picture to view pdf.
• ACDE – American
Council for Drug
Education.
http://www.acde.org/c
ommon/Oxy.pdf
Fact Sheet about
Oxycontin.
• American Council for
Drug Education
http://www.acde.org/
Great site for Health
Professionals, Youth,
Parents, College
Students, Educators
and Employers.
• Prescription Drug Abuse
http://www.prescriptiondrug-abuse.org/
Dedicated to the
treatment of addictions,
specifically addiction to
and the abuse of
prescription drugs.
Provides information
and treatment resources
for all types of
addictions.
• United States White
House
http://www.whitehousedrugpoli
cy.gov/drugfact/prescr_drg_ab
use.html
National response
and resources for
prescription drug
abuse prevention.
• National Alliance for Model
State Drug Laws
http://www.natlalliance.org/pre
scription_drug.asp
Since its inception, NAMSDL
has assisted states with
efforts to address the
diversion of, abuse of, misuse
of, and addiction to
prescription drugs. In fiscal
year 2003, the Drug
Enforcement Administration
and the Bureau of Justice
Assistance designated
NAMSDL as the technical
assistance provider for the
Harold Rogers Prescription
Drug Monitoring Program.
• StopMedicineAbuse.org
http://www.stopmedicinea
buse.org/2007/index.php
Developed by the leading
makers of OTC cough
medicines to explain this
substance abuse behavior,
provide tips to prevent it from
happening, and encourage all
parents to safeguard their
medicines.
• Michigan Department of Community
Health, Office of Drug Control Policy
http://www.michigan.gov/odcp
A source to stay current on all Michigan health initiatives.
MEDICATION ABUSE PRESS KIT Example
• Inclusions:
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Press release (for local event)
If relevant, a recent (local) magazine article on the issue
Newsletter article samples
Factual information:
• Brochure(s) from sources referenced previously
• National fact sheet (NSDUH and most current Monitoring the Future results)
– Local fact sheet (statistics, anecdotal data) – adapt from CADCA Toolkit
press release
– NIDA laminated (prescription) drug chart
– Federal Guidelines on Proper Disposal of medicines
– Web resources page, including key websites for further information
• (for media and for the general public reached by this media market, ie,
CHPA, theantidrug, fivemoms, Painfully Obvious, CADCA.)
– Local coalition information - contact/entity name, address, telephone
number(s), fax number, web address, e-mail