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January 2, 2013

SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv

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January 2, 2013  (PDF version)
Journal Articles 
C. Blanco, R. Secades-Villa, O. García-Rodríguez, M. Labrador-Mendez, S. Wang, and R.P. Schwartz. 2013. "Probability and Predictors of Remission From Life-Time Prescription Drug Use Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions." Journal of Psychiatric Research 47(1):42-9. doi:10.1016/j.jpsychires.2012.08.019.

Researchers tried to estimate cumulative probability of remission from prescription drug use disorders (PDUDs) involving sedatives, tranquilizers, opioids, and stimulants, and to identify predictors of remission. They found that only abuse or dependence on some prescription drugs decreased the likelihood of remission from other PDUDs, whereas other drug disorders did not predict remission. A significant number of people with PDUDs achieve remission at some point in their lifetimes.

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C.L. Currie and T.C. Wild. 2012. "Adolescent Use of Prescription Drugs to Get High in Canada." Canadian Journal of Psychiatry 57(12):745-51.

Throughout Canada, 5.9 percent of adolescents in grades 7 to 12 reported using prescription drugs in 2008-09 to get high. Females were likelier to report use of pain relievers, sedatives, or tranquilizers to get high, while males were likelier to report use of prescription stimulants for the same purpose. Using prescription drugs to get high was more prevalent among older youths, those living in British Columbia, and those who identified as First Nations, Métis, or Inuit. School connectedness was associated with a reduction in this form of prescription drug misuse; it was particularly strong for Aboriginal youths.

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J. Ford and L. Blumenstein. 2013. "Self-Control and Substance Use Among College Students." Journal of Drug Issues 43(1):56-68.

This study examined the generality of self-control across several forms of substance use: binge drinking, marijuana use, prescription drug misuse, and other illicit drug use. Findings indicated students with low self-control were at greater risk for reporting certain substance abuse. The study also showed the influence of self-control on substance use was moderated by opportunity and peer influence.

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A. Young, S.E. McCabe, J.A. Cranford, P. Ross-Durow, and C.J. Boyd. 2012. "Nonmedical Use of Prescription Opioids Among Adolescents: Subtypes Based on Motivation for Use." Journal of Addictive Diseases 31(4): 332-41. doi:10.1080/10550887.2012.735564.

Researchers conducted a Web-based, self-administered survey that was completed by 2,597 students in the 7th to 12th grades. Sensation-seeking nonmedical users were best characterized by rule breaking and aggressive behaviors and possible substance dependence. Medical users and nonmedical self-treating users were best characterized by somatic complaints, anxiety and depressive symptoms, and a history of sexual victimization.

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News and Reports

Medicine Cabinets Can Enable Teen Prescription Drug Abuse
Addiction Treatment Magazine
December 18, 2012

The article talks about growing prescription drug abuse trends. Ruth Gassman, executive director of the Indiana Prevention Resource Center, suggests what parents can do to protect their children from Rx drug abuse.

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My Turn: Another Drug Crisis in Juneau
Juneau Empire
December 21, 2012

This opinion piece discusses how OxyContin has affected Juneau, Alaska, and other communities throughout the country. The authors express their concern about Canada's decision to approve a generic version of the drug.

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2012 Students Support Card
Indian Valley Character Counts! Coalition
Accessed December 27, 2012

The Indian Valley Character Counts! Coalition conducted a survey of 8th, 10th, and 12th grade students at Souderton Area School District in Pennsylvania's Montgomery County. They found the majority of youths do not regularly drink alcohol, misuse prescription medicine, or use marijuana (70 percent, 87 percent, and 87 percent, respectively, in a prior 30-day period). The data were derived from a 156-question survey called the "Profiles of Student Life: Attitudes and Behaviors."

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Related Article
Principal, Study Look at Teen Drug Use Among Souderton Area Students
Montgomery Media
December 22, 2012

The article discusses a 2010-12 survey of 8th, 10th, and 12th grade students from Souderton Area High School, Indian Valley Middle School, and Indian Crest Middle School. According to the survey, 77 percent of youths said it was easy to get alcohol. Sixty-seven percent said it was easy to access prescription drugs.

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Status Report of Prescription Drug Abuse Problem in Indiana
Indiana Attorney General
December 19, 2012

Eric R. Wright and Richard M. Fairbanks, health policy specialists at Indiana University-Purdue University Indianapolis, conducted a presentation for the Third Annual Prescription Drug Abuse Symposium: "Targeting Strategies to Curb the Epidemic in Indiana."

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Guard Your Rx Meds This Holiday Season
The Fix
December 24, 2012

This article features an interview with Tanya Roberts, project coordinator at Operation Medicine Cabinet in North Carolina, and includes her top tips on keeping everyone's medications safe.

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Disposal of Controlled Substances
Federal Register
December 21, 2012

The public has until Feb. 19, 2013, to read and comment on the Drug Enforcement Administration's (DEA's) proposed rule for disposing controlled substances. The regulations would continue to allow law enforcement agencies to voluntarily conduct take-back events, administer mail-back programs, and maintain collection boxes; allow authorized manufacturers, distributors, reverse distributors, and retail pharmacies to voluntarily administer mail-back programs and maintain collection boxes; and allow authorized retail pharmacies to voluntarily maintain collection boxes at long-term care facilities.

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Related Articles

DEA Proposed Rule Covers Disposal of Rx Drugs
Occupational Health and Safety Magazine
December 28, 2012

This article highlights the DEA's proposed "Disposal of Controlled Substances" regulations, which would implement the Secure and Responsible Drug Disposal Act of 2010. The new rule states requirements for securely disposing of controlled substances developed by DEA registrants and what the Act refers to as "ultimate users" of these medications (i.e., patients and animals). Proposed regulations would expand options to collect Rx drugs from ultimate users, including take-back events, mail-back programs, and collection boxes.

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DEA Rule to Implement Permanent Drug Disposal Plan
The State Journal
December 26, 2012

A West Virginia senator voices his support of the DEA's new drug disposal rule and asks the DEA administrator to take further action to help prevent prescription drug abuse.

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NIDA's 2012 Monitoring the Future Survey Shows Rates Stable or Down for Most Drugs
National Institute on Drug Abuse
December 19, 2012

In the "Monitoring the Future Survey," an annual assessment of 8th, 10th, and 12th graders, 12th graders reported nonmedical Vicodin use at a past-year rate of 7.5 percent. Since the survey started measuring use in 2002, rates hovered near 10 percent until 2010, when a modest decline was reported. However, past-year abuse of Adderall has increased over the past few years to 7.6 percent among high school seniors--up from 5.4 percent in 2009. Accompanying this increased use is a decrease in the perceived harm associated with using the drug, which dropped nearly 6 percent in the past year--only 35 percent of 12th graders believe using Adderall occasionally is risky.

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Statehouse Update: Ohio Prescription Drug Abuse
Ohio State Medical Association
December 20, 2012

Ohio's medical community and policymakers have collaborated on several prescription drug abuse prevention initiatives, including adoption of new rules and clinical guidelines, clinical educational programs, and public education campaigns.

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Prescription Painkiller Abuse: Oregon's Love Affair With Vicodin
The Oregonian
December 23, 2012

In a recent 6-month period, more than 610,000 Oregonians received a prescription for an opioid painkiller, according to a state report. More than 1,700 people showed signs of drug-seeking by filling five or more prescriptions at different pharmacies.

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More People in Berks County Are Abusing Painkillers
Berks Community Television
December 25, 2012

This article discusses the rise of prescription drug abuse in Berks County and Reading, Pa. In Berks, 36 people died of prescription drug overdoses in 2011-- the most in 10 years. Reading Hospital's emergency department saw opiate use-related admissions increase from 10 to 18 over the last year, according to Dr. Charles Barbera, head of the department.

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Prescription Drug Abuse
Substance Abuse and Mental Health Services Administration
Accessed December 27, 2012

Browse a list of resources on prescription drug abuse available on the Collaborative for the Application of Prevention Technologies (aka CAPT) Web site.

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Decline in Young Adult Nonmedical Prescription Drug Use
SAMHSA News, Substance Abuse and Mental Health Services Administration
Winter 2013

The number of 18- to 25-year-olds who used prescription drugs for nonmedical purposes in the past month declined from 2 million in 2010 to 1.7 million in 2011, according to SAMHSA's 2011 National Survey on Drug Use and Health.

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Treatment Options Limited for Kentucky Drug Abusers
WLWT Cincinnati
December 25, 2012

A newspaper investigation found that only 40 of Kentucky's 301 treatment and recovery sites offer 24-hour residential care, and these centers are concentrated in just 19 of the state's 120 counties. In addition, six Kentucky counties that rank among the 10 highest for overdose deaths have just one outpatient center or no center at all.

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Save the Date

Drug Enforcement Administration's Sixth National Prescription Drug Take-Back Day
Saturday, April 27, 2013, 10 a.m. to 2 p.m.

This event aims to provide a safe, convenient, and responsible means for prescription drug disposal while educating the general public about the potential for abuse of these medications.

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Please e-mail Rekaya Gibson at rgibson@pire.org with questions or comments about the SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv.  
About PAW and the Listserv
The PAW TA Center addresses prescription drug abuse--a growing public health problem with increasing burdens on workers, workplaces, and our economy. Prescription drug abuse affects workplace productivity and increases employee absenteeism, employee presenteeism, and workers' compensation claims. On a wider scale, overdose deaths linked to prescription opioids tripled from 1999 to 2006, and prescription drug abuse killed more Americans in 2009 than died that year in auto crashes.
Send your request for PAW technical assistance to PAW-TA@pire.org or contact Rekaya Gibson at 504.261.8107 or Deborah Galvin at 240.276.2721. Requests are subject to SAMHSA approval. You will be notified of the status of your request.
We aim to conduct systematic and inclusive searches of professional journals, leading newspapers and magazines, and federal websites, as well as contributions from listserv subscribers (please e-mail suggestions to rgibson@pire.org). We will send links to articles along with brief descriptions of those articles. As we develop the listserv, however, we hope to add commentary and invite feedback from subscribers. Our goal is to expand the listserv to become a widely used and recognized source of the most current and authoritative information on prescription drug abuse--especially in workplaces.

The "SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv" is a service provided by the SAMHSA Preventing Prescription Abuse in the Workplace Technical Assistance Center (PAW) to keep the field abreast of recent news and journal articles to assist in forming policy, research, and programs to reduce prescription drug misuse or abuse. Please note, the materials listed are not reflective of SAMHSA's or PAW's viewpoints or opinions and are not assessed for validity, reliability, or quality. The "SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv" should not be considered an endorsement of the findings. Readers are cautioned not to act on the results of single studies, but rather to seek bodies of evidence. Copyright considerations prevent PAW from providing full-text journal articles. 
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