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Prescription Painkiller Abuse Awareness in Wisconsin

Dispel myths about painkiller safety with facts on prescription drug dangers, impact on all ages, and prevention strategies in Wisconsin. Detailed awareness of opioid abuse problem, impact, and prevention measures through medical community involvement.

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Prescription Painkiller Abuse Awareness in Wisconsin

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  1. Wireless Access SSID: cwag2017 Password: cwag17

  2. Prescription PainkillerAbuse in WisconsinSharing a Dose of Reality Brad SchimelWisconsin Attorney General

  3. Awareness – the Myths MYTH: Painkillers are completely safe because they are prescribed by a doctor. DOSE OF REALITY: Prescription painkillers are involved with more deaths than heroin and cocaine combined WI DEPARTMENT OF JUSTICE 9/30/2015

  4. Awareness – the Problem in Wisconsin • (Wisconsin Epidemiological Profile on Alcohol & Other Drug Use, 2014) MYTH: Illicit drugs are more dangerous than prescriptions DOSE OF REALITY: Most of the increase in drug-related deaths is due to misuse of prescription drugs rather than illicit drugs • Our experience reflects the national trend WI DEPARTMENT OF JUSTICE 9/30/2015 4

  5. Awareness – Who is being impacted? MYTH: This is just affecting the “bad kids” DOSE OF REALITY: Young people from all walks of life are becoming addicted WI DEPARTMENT OF JUSTICE 9/30/2015 5

  6. Awareness – Sources of Abused Opioids WI DEPARTMENT OF JUSTICE 9/30/2015 MYTH 1: People obtain prescription painkillers “on the street” MYTH 2: Most people abusing painkillers get them legally from a doctor

  7. Awareness – Friends & Family WI DEPARTMENT OF JUSTICE 9/30/2015 • DOSE OF REALITY: • 70.8 % got or took them from friend or relative (NIH: The Science of Drug Abuse 7 Addiction, 2010)

  8. Isn’t Heroin the real problem? MYTH: Illicit drugs are the cause of most of the problem

  9. Prescription painkillers are the root of the problem DOSE OF REALITY: Nearly 4 out of 5 heroin users began by abusing prescription painkillers

  10. Dose of Reality • Very Simple Prevention Message: • Take meds ONLY as prescribed TO YOU by a physician • Store meds safely and SECURELY • DISPOSE of meds properly/promptly

  11. Awareness – “Not in our neighborhood” WI DEPARTMENT OF JUSTICE 9/30/2015 MYTH: Heroin addiction is an urban problem stemming from street drugs

  12. Just an Urban Problem? DOSE OF REALITY: It’s affecting communities of all kinds: urban, suburban and rural

  13. In just 8 years:

  14. Drug Take Back May ‘15 = Over 39,000 lbs Oct. ‘15 = Over 44,000 lbs Apr. ‘16 = Over 64,000 lbs Oct. ‘16 = nearly 59,000 lbs Apr. ‘17 = nearly 68,000 lbs 275,000 lbs total/15 semis Over 300 Med Return Units

  15. Role of Medical Community • Educating prescribers • Changing conversation w/ patients • Rx guidelines • WI Medical Examining Board • WI Medical Society • WI Hospital Association • WI Dental Examining Board – will be 1st in U.S. • Med. Exam Board - Responsibility for Tx • Med. Examining Board requiring CMEs

  16. Already seeing reductions in prescribing of opioids WI Controlled Substance Board: #of opioid Rx dispensed reduced 11% in 2016 compared to 2015. DEA: Nationwide opioid production reduced 25% = demand down!

  17. WI Medical Community Supported Mandatory PDMP • Simpler prescriber access: 1 click • Shorten time to reporting • Alerts for concerning behaviors • Physician profiles available • Licensing board access to concerning prescriber data

  18. Medical Community actions • Pharm. Soc. WI – Robbery safety training • WI Nursing Assoc. – Addressing danger to traveling nurses • Marquette Dental School classes • Medical assoc. articles and conferences • Increasing availability of MAT

  19. An even bigger storm may be coming…. • As we reduce proliferation of Rx narcotics, addicted users turning faster to heroin and • Fentanyl • 2. Switch to Meth

  20. Actions by other partners • DHS issued standing order for Narcan • DOJ negotiated Narcan rebate/discount • DOJ and DHS collaboration on DOR • DOJ and DOT collaboration on Drugged Driving awareness campaign • DOJ website resources • Law enforcement • Narcan training and use • OD death investigation training

  21. Actions by other partners • Employers embracing early intervention • Wisconsin Eye video for schools • WI Interscholastic Athletic Assoc. • Drug Free Community Coalitions • CJS: TAD in 50 of 72 counties & majority of tribal communities • HOPE Legislation

  22. Wireless Access SSID: cwag2017 Password: cwag17

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