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John R. Kasich, Governor Orman Hall, Director

John R. Kasich, Governor Orman Hall, Director. “Little Pill, Big Problem: Ohio’s Opiate Story” for The Opiate Epidemic Across the Lifespan: Impact and Interventions September 28, 2012. John R. Kasich, Governor Orman Hall, Director. NATURE OF THE PROBLEM. Tolerance Euphoria

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John R. Kasich, Governor Orman Hall, Director

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  1. John R. Kasich, Governor Orman Hall, Director “Little Pill, Big Problem: Ohio’s Opiate Story” for The Opiate Epidemic Across the Lifespan: Impact and Interventions September 28, 2012

  2. John R. Kasich, Governor Orman Hall, Director NATURE OF THE PROBLEM • Tolerance • Euphoria • Withdrawal

  3. John R. Kasich, Governor THE SCOPE OF THE PROBLEM

  4. NATIONAL DATA

  5. NATIONAL DATA: Public Health Impact of Opioid Overdose Sources: SAMHSA Treatment Episode Data Set (TEDS); Drug Abuse Warning Network (DAWN); National Survey of Drug Use in Households (NSDUH)

  6. NATIONAL DATA: Unintentional and Undetermined Intent Drug Overdose Death rates by State, 2007 Source: National Vital Statistics System. http://www.wonder.cdc.gov

  7. NATIONAL DATA: Past Month Users – Opioid Analgesics Source: National Survey on Drug Use and Health, 2009. http://www.oas.samhsa.gov

  8. NATIONAL DATA: Opioid Analgesics – Sources for Nonmedical Users United States, 2009 Source: National Survey on Drug Use and Health, 2009. http://www.oas.samhsa.gov

  9. John R. Kasich, Governor 1997 Ohio Per Capita Dosage: 7 Pills

  10. John R. Kasich, Governor 2010 Ohio Per Capita Dosage: 67 Pills

  11. Ohio Counties Doses Per Capita, 2010

  12. Prescription Opiate Doses Per Capita Change 2010 - 2011 Change Over Time -15.2%-0% 0.1%-18.1% 12

  13. John R. Kasich, Governor Orman Hall, Director CUYAHOGA COUNTY, OHIO Total Opiate Doses Prescribed 2011: 66,084,457 Cuyahoga County Population: 1,280,122 2008: 51.8 doses/capita 2009: 49.7 doses/capita 2010: 51.1 doses/capita 2011: 51.6 doses/capita 13

  14. John R. Kasich, Governor Orman Hall, Director OHIO OVERDOSES/UNINTENTIONAL POISONINGS 2010 = 1,544 (high point) Ohio Avg. = 12.2/100,000 CUYAHOGA COUNTY OVERDOSE DEATHS 2006 = 168 2007 = 134 2008 = 144 2009 = 144 2010 = 159 Cuyahoga County Avg. = 11.6/100,000 Ohio Dept. of Health: http://www.healthyohioprogram.org/vipp/drug/dpoison.aspx 16

  15. Percentage of ODADAS Clients with an Opiate Diagnosis, SFY 2001 through SFY 2012* Percentage Year 22

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  18. Opiate as Drug of Choice by Gender SFY 2001 Opiate as Drug of Choice by Gender SFY 2009

  19. Opiate as Drug of Choice by Age SFY 2001 Opiate as Drug of Choice by Age SFY 2009

  20. Opiate as Drug of Choice by Race SFY 2001 Opiate as Drug of Choice by Race SFY 2009

  21. John R. Kasich, Governor OPIATE ADDICTION AND CRIME

  22. Treatment Admissions per 100,000 population Property crimes arrests as a percentage of total population

  23. Fairfield County- Jail Days 44,725 10,022 35,591 35,768 13,108

  24. Fairfield County - Jail Days By Age and Opiate Status-2008

  25. John R. Kasich, Governor GOVERNOR’S CABINET OPIATE ACTION TEAM • Treatment Workgroup • Professional Education Workgroup • Enforcement Workgroup • Public Education Workgroup • Recovery Supports Workgroup

  26. PRESCRIBER GUIDELINES John R. Kasich, Governor • Emergency Departments (EDs) are a major source of opiates at 39 percent of all opioids prescribedor administered. • Nationally, opioid prescribing for pain-related ED visits increased from 23 percent in 1993 to 37 percent in 2005. • In Ohio, 16 percent of fatal overdose victims in 2008 had a history of “doctor shopping.” • The prescribing guidelines are a general approach to prescribing but are not intended to take the place of clinical judgment. • They include reminders to clinicians on what drugs to avoid routinely prescribing, and considerations when deciding on treatment options. • Endorsed by: Ohio State Medical Association; Ohio Osteopathic Association;  Ohio Chapter American College of Emergency Physicians; Ohio Hospital Association; Ohio Pharmacists Association; Urgent Care College of Physicians; Ohio Bureau of Workers Compensation; Ohio Physician Assistants Association; and Ohio Association of Health Plans.

  27. Opiate-Related Projects Underway • Medication-Assisted Treatment Protocol • “Recovery 2 Work” Initiative • Community Opiate Task Forces • Opiate Impact Studies: Medicaid & BWC • Criminal Justice & Behavioral Health Initiative • Southern Ohio Addiction Treatment Center • Inter-State Opiate Alliance • “Don’t Get Me Started” Campaign • Statewide SOLACE Family Engagement Network

  28. Medication-Assisted Treatment John R. Kasich, Governor Orman Hall, Director PHILOSOPHY: Medication-assisted treatment for opiate dependence refers to the use of buprenorphine, methadone or naltrexone to treat opiate dependence, in combination with counseling and recovery support services…. National Conference of State Legislatures, 2008

  29. John R. Kasich, Governor OPIATE PAINKILLER MISUSE, ABUSE & ADDICTION “It's something that a lot of people don't understand. They don't even know that it's out there. But it is as significant and dangerous as heroin addiction.” -- Ohio Governor John R. Kasich

  30. John R. Kasich, Governor Orman Hall, Director CONTACT: Orman Hall, Director Ohio Department of Alcohol and Drug Addiction Services 30 West Spring Street, 6th Floor Columbus, OH 43215 614.644.8452 Orman.Hall@ada.ohio.gov

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