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A Brief Overview and Forecast of the Prescription Drug Abuse Problem in Indiana*

A Brief Overview and Forecast of the Prescription Drug Abuse Problem in Indiana*. Eric R. Wright, PhD Director, Center for Health Policy Professor and Chair, Department of Health Policy and Management IU Richard M. Fairbanks School of Public Health at IUPUI Email: ewright@iupui.edu.

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A Brief Overview and Forecast of the Prescription Drug Abuse Problem in Indiana*

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  1. A Brief Overview and Forecast of the Prescription Drug Abuse Problem in Indiana* Eric R. Wright, PhDDirector, Center for Health PolicyProfessor and Chair, Department of Health Policy and Management IU Richard M. Fairbanks School of Public Health at IUPUI Email: ewright@iupui.edu * Panel Presentation for “Indiana’s Prescription Drug Abuse Epidemic” with the Honorable Greg Zoeller, Indiana Attorney General and Members of the State’s Prescription Drug Abuse Task Force Panel; Annual Meeting of the Indiana Rural Health Association Conference, August 8, 2013.

  2. A BRIEF OVERVIEW OF THE PROBLEM

  3. Stable trend over past 8 years in general population. Past-Year Nonmedical Prescription Pain Reliever Use, Ages 12+, Indiana and U.S., 2004-2011, NSDUH Source: Substance Abuse and Mental Health Services Administration, 2013

  4. Highest Rx prevalence for opioids. Nonmedical Use of Prescription Psychotherapeutics, General Population Ages 12+, Indiana and U.S., National Survey on Drug Use & Health (NSDUH) Note: U.S. rates are based on 2011 NSDUH results. Indiana rates are estimated based on annual NSDUH averages from 2002-2004; this is the most recent estimate, since these rates are not continuously computed at the state level. Source: Substance Abuse and Mental Health Services Administration, 2013

  5. Past-Year Nonmedical Prescription Pain Reliever Use, by Age Group, in Indiana, 2004-2011, NSDUH Most use among those ages 18-25. Source: Substance Abuse and Mental Health Services Administration, Office of Applied Studies, 2013

  6. Lifetime misuse among Hoosier high school students is 21%. Lifetime Prescription Drug Use without a Doctor’s Prescription, 2011, Youth Risk Behavior Survey (YRBS) Source: CDC, 2011 Youth Risk Behavior Survey.

  7. Most misuse among those who have no prescription. Percentage of Indiana College Students Reporting Use of Prescription Drugs in the Past Year, 2012, Indiana College Substance Use Survey Statistically significant differences between groups: *p < .05, **p < .01, ***p < .001 Source: Indiana Collegiate Action Network, 2012

  8. Controlled Substances, Schedules II-V,Dispensed in Indiana, 2008-2011, INSPECT Majority of legally dispensed drugs are opioids. • Source: Indiana Professional Licensing Agency, Board of Pharmacy. INSPECT 2008-2011.

  9. FORCASTING THE IMPACT OF RX ABUSE ON INDIANA

  10. Percentage of Indiana Treatment Episodes with Heroin Use and Nonmedical Opioid Use Reported at Admission (TEDS, 2001-2010) Source: Substance Abuse and Mental Health Data Archive, 2010

  11. Possession more than doubled; sale more than tripled. Number of Arrests for Possession and Sale/ Manufacture of “Other Drugs” (Barbiturates & Benzedrine) in Indiana, 1999–2010, Uniform Crime Reports (UCR) Source: National Archive of Criminal Justice Data, Inter-university Consortium for Political and Social Research, University of Michigan, 1999-2010 UCR

  12. Arrests peaked in 2006 and have been declining. Number of Arrests for Possession and Sale/ Manufacture of Cocaine & Opiates in Indiana, 1999–2010, UCR Source: National Archive of Criminal Justice Data, Inter-university Consortium for Political and Social Research, University of Michigan, 1999-2010 UCR

  13. Percentage of Indiana and U.S. Treatment Episodes with Nonmedical Prescription Drug Use Reported at Admission, 2000–2010, Treatment Episode Data Set (TEDS) Upward trend over the years. Source: Substance Abuse and Mental Health Data Archive, 2000-2010 TEDS

  14. Drug Overdose Deaths by Intent, U.S., 1999-2010 Source: National Vital Statistics System. 1999-2010

  15. Number of Drug Overdose Deaths Involving Opioid Pain Relievers and Other DrugsU.S., 1999-2010 Any opioid analgesic Specified drug(s) other than opioid analgesic Only non-specified drug(s) Source: CDC/NCHS, National Vital Statistics System

  16. Deaths with a Contributing Cause of Poisoning by Narcotics and Hallucinogens in Indiana, 2008-2011, Indiana State Department of Health (ISDH) Mortality Data Set A 63% increase in deaths for ‘other opioids’ Source: Indiana State Department of Health, Epidemiology Resource Center, Data Analysis Team, 2013

  17. CONCLUSIONS • Prescription drug abuse has emerged as a major iatrogenic epidemic both in Indiana and across the United States. • The demand for addiction treatment will increase significantly over the next few years due both to increasing rates of abuse and expanding efforts to identify and screen individuals in need of care. • To slow or reverse these trends, we will need to develop and implement a comprehensive state-wide plan that addresses both the demand and supply for prescription drugs.

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