Safe Communities America Networking Conference August 14 – 15, 2012

1. Safe Communities America Networking Conference August 14 – 15, 2012 Natasha Southworth, MPH, CHES Emory Center for Injury Control Emory University

2. Emory University – Atlanta, GA A safe place to work, teach, study, and live…

3. Our Community • Community: Faculty, Staff, Students (families and visitors) • Leadership Group: Emory Safety Alliance • 25 Departments at Emory University • Chairs: Dr. Debra Houry, Dr. Michael Huey, Ms. Patty Olinger • Meetings: 1x semester • Mission: “to foster a culture of safety for Emory University through a systematic, data-driven, and centralized approach of promoting safety, reducing injuries, and preparing our community for natural and human-generated disasters” • Website: http://www.safetyalliance.emory.edu/ • 20th U.S. Safe Community – Designation April 24th 2012

4. GEORGIA Overdose deaths increased 10% from 2009 – 2010 “Think About It” Campaign – Medical Assoc. of GA Prescription drug monitoring database approved in 2011 GA’s DBHDD: Crisis/Access Line Treatment Services Residential Services Mobile Crisis Services Prescription Drug Abuseopioids, sedatives and tranquilizers, stimulants

5. Emory Faculty & Staff • 3rd largest private employer in metro-Atlanta • 12,949 Employees (2011) • Faculty = 64% male, 75% above 40 yrs. , primarily white • Staff = 66% female, 60% above 40 yrs., white and African American • Faculty Staff Assistance Program (FSAP) • Substance abuse prevention education (panels and workshops) • Physician and nurse specific programs • Individual assessment with employee • Referral Services • Return-to-work conference • Aftercare Substance Abuse Recovery Support Group

6. College Campuses • 1 in 4 college students have illegally used prescription drugs (SAMHSA, 2009) • 18 – 22 yr. olds, full-time college students 2x more likely to use a stimulant for non-medical reasons (SAMSHA, 2009) • 13% of college students report using 1 or more prescription drugs not prescribed to them, in last 12 months (NCHA survey, fall 2011) • Common Beliefs: • Medications are safer than street drugs - FDA approved and prescribed by a doctor • It is the “norm” to share pills

7. Emory Students • 2 Colleges, 7 Graduate Schools • Undergrad + Graduate = 13,893 • Prescription Drug Use: self-report of drugs taken that were not prescribed to individual, NCHA survey, fall 2011, N = 1574 • Stimulants = 5.7% • Antidepressants = 1.9% • Pain Killers = 4.4% • Sedatives = 3.1% • Reasons for Use: self-report to substance abuse counselors • Self –medicating • Self – medicating + partying • Experimenting

8. Emory Students Cont’d • Office of Health Promotion, Alcohol and Other Substance Abuse Prevention Services • Create harm reduction/wellness plan • Increase awareness • Screening and referral services • Safety Education • Visit: • Self-referral • Referral from friends, Psychiatry Dept. • Medical Amnesty Case • Mandated through Student Conduct • Substances: #1: Alcohol, #2: Marijuana, Adderall, Cocaine, Prescription drug abuse very rare

9. Georgia Poison Center • Services: • 24 hr. poison emergency treatment information • Professional and Public Education – Medicine Safety • Resource Center • Educational Materials • Research and Data Collection • Health Fair, Lecture Requests, National Poison Prevention Week • Staff: physicians, toxicologists, nurses, pharmacists • Training Site: toxicology, poisoning epidemiology, poison prevention, toxicological diagnosis and care • Emergency Calls: 115,669 (2009) • Monthly Call Summary: June 2012 • Sedatives/Hypnotics/Antipsychotics • Antidepressants

10. Addressing the Issue Challenges Benefits Several Prescribers Close-knit community Stigma Increase in prescriptions among students Small Size Contained Campus Communications Safe Community

11. Thank You!