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Painkiller addiction Crisis in Oklahoma

Dan Cross, LADC , Executive Director, Absentee Shawnee Counseling Services Chairman, Media & Public Relations Committee Oklahoma Association for the Treatment of Opioid Dependence. Painkiller addiction Crisis in Oklahoma. Tip of the ice berg. We’ve seen a lot

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Painkiller addiction Crisis in Oklahoma

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  1. Dan Cross, LADC, Executive Director, Absentee Shawnee Counseling Services Chairman, Media & Public Relations Committee Oklahoma Association for the Treatment of Opioid Dependence Painkiller addiction Crisis in Oklahoma

  2. Tip of the ice berg • We’ve seen a lot • But the worst is still below the surface.

  3. Opioids numb pain receptors • Cause rebound = hypersensitivity • Affects perception of pain • Physical • Emotional • Tolerance increasing • Tx resistant

  4. Oklahoma Leads Nation • Prescription painkiller addiction. • 6.7% SAMHSA March 2008 • 8.13% SAMHSA March 2011 • Nearly double national prevalence • Oklahoma pulling away from the nation.

  5. How BIG is it? • Estimated 87,000 painkiller addicts in Oklahoma Ok Bureau Narc & Dangerous Drugs • Bureau of Census data for 2006, a pro rata share of addicts per capita would indicate that nearly 13,000opioid addicts reside in Tulsa County, 17,000 in OKC • 8.13% of Oklahomans • Abuse painkillers SAMHSA 3/2011 • > 245,000

  6. How This Statistic Appears 1 of 82.5 abusers seek treatment 1 of 25.8 abusers access ERs However, addiction progressive

  7. A Snapshot in Time 245,000 abusers 100,000 addicted New entrants: Prevention & Supply-side Pipeline Need OTP Demand-side: EFFECTIVE TREATMENT

  8. Who is addicted? • The “typical” addict - cuts across strata • The elderly • Chronic pain • Professionals/Educated • Heath Ledger • Rush Limbaugh • Wife of Oklahoma Co. DA • Young & internet savvy

  9. Shrinking supply • October 2003 FDA & DEA partnered • DEA crackdown March 1, 2004 • prescription-monitoring program to track physicians who prescribe narcotics • reclassifying hydrocodone, unable to refill w/o new prescription • prosecuting doctors for large amounts • 10/08 Ryan HaightOnline Pharmacy Act • Persistent enforcement • Obama’s Plan 4/11 • ONLY supply side

  10. RESULT??? • 100,000 people • Suddenly becoming sick & desperate • What does that look like? • OKC attorney

  11. Requires DIFFERENT Treatment • Traditional substance abuse tx = 8-10% success • SAMHSA evidence-based best practice • Medication Assisted Treatment, TIP 43 • 75%positive outcomes. • 9 times better AND • Can often SKIP INPATIENT DETOX • Bottleneck: 1,000-1,300 waiting list • Keep stabilizing support structure in place.

  12. Heroin: an Alternative Supply • Cheaper, purer, & more prevalent • 20/20 ABC News: The New Face of Heroin Addiction • Associated with criminal activity: • ODMHSAS: 5% substance abuse tx admits • NDIC: 5,000 prisoners (25.6%) & 3,000 probationers & parolees

  13. Progression of Painkiller Addiction Path of SAMHSA Best Practice Medication Assisted Treatment Lose Job Criminal Justice Lose Home Intervention requires matrix of intensive services, NOT cost effective, poor outcomes Lose Family Lose Health

  14. Strategic Community Response: • Early detection & intervention • Inventory OTP programs in your area • http://dpt2.samhsa.gov/treatment/ • Not all OTPs the same • Identify wrap-around services anticipating barriers to tx • Catalog the above services w/access & requirements • Develop pathways to treatment • Get info to 1st tier responders

  15. Our Programs serving native & non-native people Absentee Shawnee Counseling Services OKC 405-672-3033 Keetoowah Cherokee Tx Services Tulsa 918-835-3017

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