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May 8, 2013

SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv


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May 8, 2013 (PDF version)
 


Featured Articles
 
NJ Issues 'Best Practice' Recommendations for Pharmacy Security
New Jersey Today
May 1, 2013

Following an extensive dialogue with representatives of the pharmacy industry and law enforcement, the New Jersey Division of Consumer Affairs and State Board of Pharmacy published a five-page set of "Best Practices for Pharmacy Security" to help prevent the loss of Controlled Dangerous Substances due to robbery, burglary, and employee theft. The practices will also help identify and curb doctor shopping and fraudulent use of forged, altered, and stolen prescriptions. In 2012, 2,128 New Jersey pharmacies reported 9 armed robberies, 7 break ins or customer thefts, and 24 thefts by pharmacy employees.

Read more:
http://njtoday.net/2013/05/01/nj-issues-best-practice-recommendations-for-pharmacy-security or
http://www.njconsumeraffairs.gov/press/05012013.pdf
 
Attention-Deficit Drugs Face New Campus Rules
The New York Times
April 30, 2013

California State University, Fresno, is one of dozens of colleges tightening rules on attention deficit hyperactivity disorder (ADHD) diagnoses and prescription medications like Adderall. The school no longer makes ADHD diagnoses, and students with an outside diagnosis can fill prescriptions at the Student Health Center only after providing documentation of a thorough evaluation, including neuropsychological testing by a qualified mental health provider. Students are required to sign a contract promising to submit to drug testing, to see a mental health professional every month, and to not share the pills. Fresno State does not allow early refills to replace lost or stolen medication. Urine tests can be required if a university clinician suspects a student is not taking pills as prescribed. The University of Alabama and Marist College require students to sign contracts promising not to misuse pills or share them with classmates. Some schools, like William & Mary, forbid clinicians from prescribing stimulants. Marquette requires students to sign releases allowing clinicians to call their parents for full medical histories and to verify symptoms. North Carolina State, Georgia Tech, and Penn State no longer handle the volume of requests to make ADHD diagnoses.

Read more:
http://www.nytimes.com/2013/05/01/us/colleges-tackle-illicit-use-of-adhd-pills.html?ref=us&_r=1&
 
Journal Articles

C.S. Davis, D. Webb, and S.C. Burris. 2013. "Changing Law from Barrier to Facilitator of Opioid Overdose Prevention." Social Science Research Network.

Evidence shows that overdose bystanders are willing and able to safely administer naloxone in an overdose situation. However, bystanders don't typically have the drug in hand and will often refrain from calling 911 because they fear arrest and prosecution. When first responders are summoned, it is often too late. Laws can be modified to reduce disincentives for calling 911, while sustaining their original intent, and doing so presents a major opportunity to save lives.

Read more:
http://papers.ssrn.com/sol3/papers.cfm?abstract_id=2252624
 
B.A. Liang, T.K. Mackey, and K.M. Lovett. 2013. "Illegal 'No Prescription' Internet Access to Narrow Therapeutic Index Drugs." Clinical Therapeutics. doi:10.1016/j.clinthera.2013.03.019.

Researchers assessed no-prescription online availability of narrow therapeutic index (NTI) drugs in a published list (core NTI drugs). Using the search term "buy DRUG no prescription" on Google, they reviewed the first five search result pages for marketing of no-prescription NTI drugs. They also assessed if National Association of Boards of Pharmacy (NABP) Not Recommended vendors were marketing NTI drugs. Searches were conducted from November 3, 2012, to January 3, 2013. For core NTI drugs, they discovered 13 of 14 NTI drugs (92 percent) marketed as available without prescription, all from NABP Not Recommended vendors. Based on these initial findings they expanded their core list to 12 additional NTI drugs--11 of which (92 percent) were available from no-prescription Web sites. Overall, 24 of 26 NTI drugs (92 percent) were illegally marketed as available online without the need for a prescription. Suspect online NTI drug access from no-prescription vendors represents a significant patient safety risk because of potential patient drug switching and counterfeit versions.

Read more:
http://www.clinicaltherapeutics.com/article/S0149-2918(13)00167-7/abstract
 
B.S.G. Molina, S.P. Hinshaw, L.E. Arnold, J.M. Swanson, W.E. Pelham, L. Hechtman, B. Hoza, J.N. Epstein, et al. "Adolescent Substance Use in the Multimodal Treatment Study of Attention-Deficit/Hyperactivity Disorder (ADHD) (MTA) as a Function of Childhood ADHD, Random Assignment to Childhood Treatments, and Subsequent Medication." Journal of the American Academy of Child & Adolescent Psychiatry 52(3):250-63. doi:10.1016/j.jaac.2012.12.014.

This article examined long-term effects of alternative attention deficit hyperactivity disorder (ADHD) treatment strategies on substance abuse. Researchers used mixed-effects regression models with planned contrasts for all tests except the cumulative stimulant treatment question, which used propensity score matching analysis. The originally randomized treatment groups did not differ significantly in substance use/substance use disorder (SUD) by the 8-year follow-up or before (mean age=17 years). Neither medication at follow-up (mostly stimulants) nor cumulative stimulant treatment was associated with adolescent substance use/SUD. Substance use at all time points, including use of two or more substances and SUD, was greater in ADHD than in non-ADHD samples, regardless of sex. ADHD medication did not protect from, or contribute to, visible risk of substance use or SUD by adolescence, whether analyzed as randomized treatment assignment in childhood, medication at follow-up, or cumulative stimulant treatment over an 8-year follow-up from childhood.

Read more:
http://www.jaacap.com/article/S0890-8567(12)01000-3/abstract
 
E.M. Wachman, M.J. Hayes, M.S. Brown, J. Paul, K. Harvey-Wilkes, N. Terrin, G.S. Huggins, et al. 2013. "Association of OPRM1 and COMT Single-Nucleotide Polymorphisms with Hospital Length of Stay and Treatment of Neonatal Abstinence Syndrome." The Journal of the American Medical Association 309(17):1821-27. doi:10.1001/jama.2013.3411.

Researchers looked at 86 mother-child pairs from July 2011 to July 2012. Babies were exposed to the addiction treatments methadone or buprenorphine while in the womb and all had their DNA analyzed. Researchers discovered that infants with a variation of the μ-opioid receptor (OPRM1) gene were in the hospital 8.5 fewer days than those who didn't have the variation. These infants also had a better chance of not needing treatment. Those with a variation of the catechol-o-methyltransferase gene stayed about 10.8 fewer days in the hospital and required less treatment. Both genes in their common form without variations are associated with a higher risk of opioid addiction in adults.

Read more:
http://jama.jamanetwork.com/article.aspx?articleid=1682942
 
P.C. Webster. 2013. "Indigenous Canadians Confront Prescription Opioid Misuse." The Lancet 381(9876):1447-48. doi:10.1016/S0140-6736(13)60913-7.

This article discusses a nurse practitioner's efforts to solve the opioid addiction crisis in the Aboriginal community. After several months of an experimental treatment, Mae Katts observed substantial success with teenage patients who participated in a 30-day program that gradually reduced suboxone dosage. Starting in February 2011, 50 students entered treatment; many completed 12 to 15 months of maintenance and were weaned off suboxone. In addition, Katts conducted a pilot study with 22 adults addicted to prescription opioids in a small Aboriginal community in Northwestern Ontario. The participants, who had misused prescription opioids for 3 to 7 years, received increasing amounts of suboxone daily on an outpatient basis. Suboxone tapering began 8 days later. Each patient was individually assessed for a personalized treatment after-care plan, including the potential need for continued low-dose suboxone maintenance. Only one participant was comfortable completely tapering off of suboxone after the 30-day tapering-down phase.

Read more:
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60913-7/fulltext?rss=yes
 
News and Reports
 
College Students and Prescription Drug Misuse
ABC40
May 1, 2013

This article and video (1:48 minute) discuss Adderall abuse among students at the University of Massachusetts Amherst. The university has a strict policy for prescribing this medication to students. Students must sign a contract and meet with university health services or mental health personnel every 2 to 3 months. Prescriptions cannot be refilled on weekends or late nights.

Read more:
http://www.wggb.com/2013/05/01/college-students-and-prescription-drug-misuse
 
DEA: Public Response to National Prescription Take-Back Day Keeps Growing
Atascocita Observer
May 2, 2013

The Drug Enforcement Administration collected 742,497 pounds (371 tons) of prescription medication from more than 5,829 locations during its sixth National Prescription Drug Take-Back Day--50 percent more pills than amassed at the last event. When added to collections from the previous five Take-Back events, more than 2.8 million pounds (1,409 tons) of prescription medication has been removed from circulation.

Read more:
http://www.yourhoustonnews.com/atascocita/news/dea-public-response-to-national-prescription-take-back-day-keeps/article_74cda234-b34a-11e2-b622-0019bb2963f4.html
 
Related Local Articles
Sixth Prescription Drug Take Back Day a Success in Alexandria
Alexandria News
April 29, 2013

The Alexandria Police Department and Alexandria Sheriff's Office of Virginia collected 196 pounds of prescription drugs on National Prescription Drug Take-Back Day. Last year, they collected 165 pounds of prescription medication.

Read more:
http://www.alexandrianews.org/sixth-prescription-drug-take-back-day-a-success-in-alexandria
 
Hoover Police Collect Nearly 700 Pounds of Unwanted Prescription Drugs in Two Saturdays
Alabama Media Group
April 29, 2013

The Hoover Police Department of Alabama collected 693 pounds of prescription medication over two consecutive Saturdays.

Read more:
http://blog.al.com/spotnews/2013/04/hoover_police_collect_nearly_7.html
 
Prescription Drug Take-Back on Staten Island Yields Almost 400 Pounds of Unwanted Meds, Officials Say
Staten Island Advance
April 30, 2013

Staten Island, New York, collected nearly 384 pounds of prescription medication during the Take-Back event--more than double the 190 pounds turned in last October. In May 2012, Staten Island collected 407 pounds. Queens and Manhattan collected roughly 709 and 507 pounds, compared with 577 and 280 pounds in October. The Bronx and Brooklyn collected roughly 109 and 122 pounds, compared with 214 and 444 pounds at the last event. Communities statewide collected more than 53,000 pounds, compared with 38,400 pounds in May 2012.

Read more:
http://www.silive.com/news/index.ssf/2013/04/rx_drug_take-back_on_staten_is.html
 
Volunteers Collect 6,710 Pounds of Drugs
Lower South Hampton Patch
April 28, 2013

Bucks County, Pennsylvania, dropped off 6,710 pounds of prescription medication for the Drug Enforcement Administration's National Prescription Drug Take-Back Day. Six months ago, the community collected 5,304 pounds of medication.

Read more:
http://lowersouthampton.patch.com/articles/volunteers-collect-6-710-tons-of-drugs
 
Los Alamos Police Collect 332 lbs. of Prescription Drugs at Take-Back Event Saturday
Los Alamos Daily Press
April 30, 2013

The Los Alamos Police Department of New Mexico collected 332 pounds of prescription medication during National Drug Take-Back Day.

Read more:
http://www.ladailypost.com/content/los-alamos-police-collect-332-lbs-prescription-drugs-take-back-event-Saturday
 
ND Program Destroys 700 Pounds of Drugs
Daily News
April 29, 2013

North Dakota destroyed 700 pounds of drugs through its Take-Back program over the past 4 months.

Read more:
http://www.wahpetondailynews.com/article_cc682df0-af41-11e2-a0d9-001a4bcf887a.html
 
Juneau Officials Report Record Drug Disposal
Daily News-Mariner
April 29, 2013

Juneau, Alaska, collected 432 pounds of prescription medication for National Prescription Drug Take-Back Day, including 170 pounds of out-of-date trial medication that one man turned in from his workplace. Last year, the community collected 317 pounds for two national events. In 2010, the first year it participated, officials received 115 pounds.

Read more:
http://www.newsminer.com/news/alaska_news/juneau-officials-report-record-drug-disposal/article_c8432762-b0fd-11e2-997f-001a4bcf6878.html
 
Deputies Collect More Than 1,500 Pounds of Unwanted Prescriptions
WTSP
April 27, 2013

The Pinellas County Sheriff's Office of Florida collected more than 1,500 pounds of prescription medication during Operation Medicine Cabinet.

Read more:
http://www.wtsp.com/news/local/article/313621/8/Deputies-collect-more-than-1500-pounds-of-unwanted-prescriptions
 
AG Schmidt: Kansans Turned in 5 Tons of Medications
Gardner Edge
May 1, 2013

Kansas law officials collected 10,193 pounds of medication during Drug Take-Back Day, which has accumulated more than 17 tons of medication since 2010.

Read more:
http://www.gardneredge.com/news/2013/05/01/7037-ag-schmidt-kansans-turned-in-5-tons-of-medications
 
Concerns Over Drinking Water Motivate Drug Take-Back Participation
KBIA
April 30, 2013

The Boone County Sheriff's Department of Missouri collected almost 650 pounds of prescription drugs for Take-Back Day. More people cited environmental concerns for dropping off drugs this year.

Read more:
http://kbia.org/post/concerns-over-drinking-water-motivate-drug-take-back-participation
 
1,200 Pounds of Drugs Collected During National Take-Back Day
Harlan Daily Enterprise
April 30, 2013

Operation UNITE, the Kentucky State Police, and local law enforcement agencies collected 1,171.2 pounds of medication during Drug Take-Back Day. The program has placed permanent drop boxes at 34 locations throughout Southern and Eastern Kentucky. Since October 2012, the drop boxes have collected 1,673.2 pounds of medication.

Read more:
http://www.harlandaily.com/view/full_story/22423446/article-1-200-pounds-of-drugs-collected-during-National-Take-Back-Day
 
Drug Take-Back Event Collects More Than 1,000 Pounds of Pills
The Columbian
April 29, 2013

The Clark County Sheriff's Office of Washington, the PREVENT! Coalition, Clark College, the Clark County Juvenile Justice Program, Clark County Environmental Services, and the Vancouver Public Schools' medical magnet program collected 1029.8 pounds of prescription medication for the Drug Take-Back event--23 percent more than last year.

Read more:
http://www.columbian.com/news/2013/apr/29/prescription-drug-take-back-collects-pounds-pills
 
Caddo S.O. Collects More Than 400 Pounds of Old Prescriptions
Shreveport Times
April 27, 2013

The Caddo Parish Sheriff's Office and Shreveport Police of Louisiana collected more than 400 pounds of prescription drugs for the Drug Enforcement Administration's National Prescription Drug Take-Back Day.

Read more:
http://www.shreveporttimes.com/article/20130427/NEWS01/304270018/Caddo-S-O-collects-more-than-400-pounds-old-prescriptions?gcheck=1&nclick_check=1
 
900 Pounds of Medicine Collected
Journal Review
April 29, 2013

The Montgomery County Sheriff's Department of Indiana collected 900 pounds of prescription drugs at a Franciscan St. Elizabeth Health-Crawfordsville event and through permanent medicine collection containers at the Crawfordsville Police Station.

Read more:
http://www.journalreview.com/news/article_09f64986-b050-11e2-99bb-001a4bcf887a.html
 
State Police Collect More Than 700 Pounds of Prescription Drugs
FOX 17
May 2, 2013

The Michigan State Police collected 709 pounds of prescription drugs at its 29 posts on National Prescription Drug Take-Back Day.

Read more:
http://fox17online.com/2013/05/02/state-police-collect-more-than-700-pounds-of-prescription-drugs/#axzz2SAJuR2Uu
 
About 7,400 Pounds of Unused Drugs Collected
Lincoln Journal Star
May 2, 2013

Nebraska collected nearly 7,400 pounds of prescription medication during Take-Back Day. The state has accumulated more than 28,000 pounds since 2011.

Read more:
http://journalstar.com/news/local/about-pounds-of-unused-drugs-collected/article_5320e18a-5f45-5302-aee1-dbe8a49b5a94.html
 
Beverly Hills Police Net 52 Pounds of Old Prescription Drugs
Los Angeles Times
April 27, 2013

Beverly Hills, California, police and the Drug Enforcement Administration collected 52 pounds of prescription medication for National Prescription Drug Take-Back Day.

Read more:
http://www.latimes.com/local/lanow/la-me-ln-beverly-hills-drug-take-back-20130427,0,5239379.story
 
Take-Back Day Nets 350 lbs. of Prescription Drugs
The Medina-Gazette
April 30, 2013

Medina County, Ohio, collected more than 350 pounds of prescription drugs on Take-Back Day.

Read more:
http://medinagazette.northcoastnow.com/2013/04/30/take-back-day-nets-350-lbs-of-precription-drugs
 
Preston Incinerator Destroys 4 Tons of Prescription Drugs
Norwich Bulletin
April 30, 2013

The Covanta Energy-from-Waste facilities destroyed 4 tons of prescription drugs collected on Take-Back Day, according to a company operator.

Read more:
http://www.norwichbulletin.com/news/x2062759083/Preston-incinerator-destroys-4-tons-of-prescription-drugs#axzz2Rz0gkpU4
 
DEA Collects 3 Tons of Rx-Drugs in Latest Take-Back Day
Orlando Sentinel
May 2, 2013

Florida collected roughly 14 tons of prescription drugs on Take-Back Day. The state disposed of roughly 46 tons of unwanted or expired prescription drugs at previous Drug Enforcement Administration events.

Read more:
http://www.orlandosentinel.com/news/local/breakingnews/os-prescription-drug-takeback-results-20130502,0,2218806.story
 
Stark Collects Record Haul of Prescription Meds
The Repository
April 27, 2013

Stark County, Ohio, collected 5,582 pounds of prescription medication for the national Take-Back program. Last year, the county collected 6,700 pounds for two events.

Read more:
http://www.cantonrep.com/topstories/x63473470/Stark-collects-record-haul-of-prescription-meds
 
Agencies Collect 144 Pounds of Prescription Drugs
Savannah Morning News
April 29, 2013

The Chatham Sheriff's Office and Chatham-Savannah Counter Narcotics Team of Georgia collected 144 pounds of prescription drugs during the national Take-Back event.

Read more:
http://savannahnow.com/latest-news/2013-04-29/agencies-collect-144-pounds-prescription-drugs
 
In Burbank, 234 Pounds of Prescription Drugs Collected at Saturday Event
The Burbank Leader
April 30, 2013

Burbank, California, police collected 234 pounds of prescription drugs on Take-Back Day--76 more pounds than it collected in September 2012.

Read more:
http://www.burbankleader.com/the818now/tn-818-0430-in-burbank-234-pounds-of-prescription-drugs-collected-at-saturday-event,0,1799096.story
 
West Virginia's 2013 Drug Take Back Event Huge Success
WVNSTV
April 30, 2013

U.S. Attorney Booth Goodwin announced 4,642 pounds of prescription medication were turned in on Drug Take-Back Day. In 2012, West Virginia collected 4,572 pounds of drugs.

Read more:
http://www.wvnstv.com/story/22121000/west-virginias-2013-drug-take-back-event-huge-success
 
Virginia Leaders Want Youth to Get Drug 'SAVVY'
Daily Press
April 27, 2013

Virginia's Facebook campaign--Substance Abuse Awareness Vital for Virginia Youth--provides teens and parents with drug and alcohol information, including facts on prescription abuse. The state's leaders believe educated youth will make better decisions and stay away from drugs.

Read more:
http://www.dailypress.com/news/crime/dp-nws-savvy-0428-20130427,0,1393300.story or
http://www.governor.virginia.gov/news/viewRelease.cfm?id=1474
 
Prescription Drug Abuse
KAVU-TV
April 26, 2013

This article and video (5:34 minutes) discuss prescription drug abuse among teens. A Texas mom talks to a reporter about her two teenage children who abuse prescription medication and what other parents can do to prevent it.

Read more:
http://www.crossroadstoday.com/content/news/story/Prescription-Drug-Abuse/KE6C_TqYp0iKtFljesaBLw.cspx
 
Opioid Abuse and Workers' Comp: How to Tackle a Growing Problem
Business Insurance
2012

This white paper provides background on opioid misuse; offers concrete steps that workers' compensation managers can take before and after opioids are prescribed to prevent harm; and suggests ways to measure effectiveness of the steps taken.

Read more:
http://www.businessinsurance.com/assets/PDF/CB7938452.PDF
 
Painful Side Effects
Modern Healthcare
April 12, 2013

This article focuses on efforts to address fraud in Medicare Part D. It describes the prevalence of prescription drug abuse among Medicare beneficiaries, along with provisions of Part D drug coverage that monitor fraud. Systemic flaws in Medicare Part D are also highlighted.

Read more:
http://www.modernhealthcare.com/article/20130412/MAGAZINE/304139973
 
Unintentional Drug Overdose Deaths in U.S. Continue to Increase; Approaching Motor Vehicle Traffic Accidents as Primary Cause of Unintentional Deaths
CESAR Fax, Center for Substance Abuse Research
April 15, 2013

Unintentional drug overdose deaths continue to increase in the United States, according to data from the Centers for Disease Control and Prevention (see the February 27, 2013, listserv). In 2010, there were 30,006 unintentional drug overdose deaths--nearly three times the deaths in 1999. At the same time, motor vehicle traffic deaths decreased from 44,065 in 2002 to 33,687 in 2010. Unintentional drug overdoses include those resulting from illegal, prescription, and over-the-counter drug misuse, abuse, taking too much for medical reasons, and accidental ingestion (such as by a toddler).

Read more:
http://www.cesar.umd.edu/cesar/cesarfax/vol22/22-15.pdf
 
9 Investigates: Adderall Addiction Becoming Growing Problem
WSOCTV
April 30, 2013

This article and video (2:50 minutes) discuss Adderall use and abuse among North Carolina youth. More than 9 percent of the state's children take Adderall and other medication for attention deficit hyperactivity disorder--the highest rate in the nation, according to the Centers for Disease Control and Prevention. This is nearly double the national average and more than four times higher than California's rate.

Read more:
http://www.wsoctv.com/news/news/special-reports/9-investigates-adderall-addiction-becoming-growing/nXcZT
 
Number of Boomers Addicted to Painkillers Increases
Star News
April 30, 2013

The number of 50- to 59-year-olds who reported using prescription drugs for nonmedical purposes increased from 907,000 in 2002 to more than 2.5 million in 2009, according to a report from the National Institutes of Health. In North Carolina, 1,140 people died from unintentional prescription drug overdoses in 2011; people ages 45 to 64 accounted for 473 of those deaths, most from opioid pain relievers.

Read more:
http://www.starnewsonline.com/article/20130430/BETTERLIVING/130439966?Title=Number-of-boomers-addicted-to-painkillers-increases
 
California's Medical Board Backs Some Prescription-Drug-Abuse Reforms
Los Angeles Times
April 29, 2013

The Medical Board of California voted to support proposed legislation that would upgrade the state's prescription drug monitoring system, require coroners to report prescription drug overdose deaths to the board, and give the panel new power to halt a doctor's prescribing in certain cases. The board was concerned about a proposal from state legislators to transfer its investigators to the state attorney general's office. Board members decided not to vote on this matter due to a lack of sufficient information.

Read more:
http://www.latimes.com/news/local/la-me-0427-rx-medical-board-20130427,0,1214025.story
 
Coalition Working on Ballot Measure to Limit Prescription Drug Abuse
Los Angeles Times
May 1, 2013

A coalition of consumer groups and trial lawyers plans to unveil a campaign with a slate of bills aimed at curbing prescription drug abuse and holding doctors more accountable for misconduct. The bills include a proposal to upgrade California's prescription drug monitoring program, allowing physicians to investigate potential doctor shopping. The coalition also wants to lift the cap on pain and suffering damages for medical malpractice. Mandatory drug testing for physicians is under consideration as well. The group has until September to qualify for the November 2014 general election ballot.

Read more:
http://www.latimes.com/news/local/la-me-0502-rx-reform-20130502,0,4479291.story
 
N.J. Senate Find Compromise on 'Good Samaritan' Overdose Bill
The Star-Ledger
April 29, 2013

New Jersey legislators revived the Good Samaritan bill protecting people who call 911 to report a drug overdose from possession arrests. Legislators took portions of the Good Samaritan Emergency Response Act that Governor Chris Christie rejected last fall and merged it with a related bill.
 
Read more:
http://www.nj.com/politics/index.ssf/2013/04/christie_senate_find_compromis.html
 
Senate Passes Measures to Combat Prescription Drug Fraud and Abuse
Long Island Exchange
April 29, 2013

The New York State Senate passed Bills S2940 and S2941 to prevent prescription drug fraud, theft, and abuse. S2940 criminalizes theft and unlawful possession of a blank official New York state prescription form. S2941 makes it a crime for a practitioner or pharmacist to unlawfully dispense controlled substances.

Read more:
http://www.longislandexchange.com/press/2013/04/29/senate-passes-measures-to-combat-presdcription-drug-fraud-and-abuse
 
New Georgia Law Aims to Control 'Pill Mills'
The Wall Street Journal
May 2, 2013

Starting July 1, Georgia pain clinics must be licensed by the state medical board and owned by physicians. Clinics will be required to register every 2 years. If they do not, owners could face felony indictments. Georgia's medical board could also deny licensing to a pain clinic. In 2010, there were 10 state pain clinics; by 2011, there were 140.

Read more:
http://online.wsj.com/article/SB10001424127887324582004578459072216867816.html
 
Stop Urban Outfitters from Selling Products That Promote Prescription Drug Abuse
The Partnership at Drugfree.org
May 1, 2013

Urban Outfitters is selling pint glasses, flasks, and shot glasses that mimic prescription pill bottles--products that make light of prescription drug misuse. The Partnership at Drugfree.org is running a campaign to convince the store to withdraw these products.

Read more:
http://bit.ly/10VKwRs
 
Pain and Consequences for Those Taking Too Much Pain Medication
PBS Newshour
April 30, 2013

A health correspondent talks to an Oklahoma family about their son's football injuries and his overdose of pain medications that were not prescribed to him. The Director of the Centers for Disease Control and Prevention discusses the scope of this nationwide problem. (9:14-minute video and transcript)

Read more:
http://www.pbs.org/newshour/bb/health/jan-june13/drugabuse_04-30.html
 
Related Article
Prescription Drug Abuse: Top 10 Things CDC Says You Should Know
PBS Newshour
April 30, 2013

This companion article discusses prescription drug abuse and overdose deaths. The Centers for Disease Control and Prevention provides a list of 10 things people should know about prescription drug abuse.

Read more:
http://www.pbs.org/newshour/rundown/2013/04/prescription-drug-abuse-top-10-things-cdc-says-you-should-know.html
 
Maryland Families to Get New Tool in Fight Against Drug Overdoses
Baltimore Sun
April 26, 2013

The Maryland General Assembly passed legislation that will create a statewide program for family members of people addicted to drugs to be prescribed and trained in administering naloxone. The state will partner with local jurisdictions to train families in identifying an overdose and administering naloxone.

Read more:
http://articles.baltimoresun.com/2013-04-26/news/bs-md-overdose-program-20130425_1_drug-overdoses-drug-addicts-naloxone
 
Steep Rise in Suicides Among Middle-Aged Americans, CDC Says
HealthDay
May 2, 2013

Suicide among people ages 35 to 64 has increased by 28 percent since 1999, according to the Centers for Disease Control and Prevention. One possible explanation is the rise in prescription drug abuse and overdose deaths and associated risk of suicide.

Read more:
http://consumer.healthday.com/Article.asp?AID=676065
 
'Doctor Shopping' Prevention Bills Pass Legislature
Shelby County Reporter
May 2, 2013

The Alabama Senate passed a series of bills to reduce prescription drug abuse. House Bill 150 allows the State Medicaid Agency, physicians, and two designated employees to access a Prescription Drug Monitoring Program database. House Bill 151 allows for the regulation of pain management services and provides the Board of Medical Examiners authority to promulgate rules. In addition, it requires pain management services be provided at locations owned by physicians or registered with the Secretary of State. House Bill 152 allows law enforcement to prosecute instances of doctor shopping.

Read more:
http://www.shelbycountyreporter.com/2013/05/02/doctor-shopping-prevention-bills-pass-legislature
 
Victoria Refuses to Sign on to National Prescription Drug Database
Herald Sun
April 28, 2013

Victoria is the only state in Australia that has not signed up for a prescription medication database. The Victorian government plans to release a National Pharmaceutical Drug Misuse Framework for Action later this year, according to the Health Minister. Government officials are engaging with the Commonwealth to ensure real-time prescription monitoring software fits all states' and territories' purposes.

Read more:
http://www.heraldsun.com.au/news/victoria/victoria-refuses-to-sign-on-to-national-prescription-drug-database/story-e6frf7kx-1226631116449
 
Emergency Room Visits Seen Rising Among Sleeping Pill Users
ABC News
May 1, 2013

This article and video (1:47 minute) discuss the sleep aid Ambien and its adverse effects. Nearly 19,500 people went to emergency rooms in 2010 due to severe reactions to the drug--a 220 percent increase from 2005, according to a study by the Substance Abuse and Mental Health Services Administration. Forty percent took only the sleeping pill. The remaining 60 percent mixed it with other medication and alcohol.

Read more:
http://abcnews.go.com/blogs/health/2013/05/01/emergency-room-visits-seen-rising-among-ambien-users
 
Prescription Drug Abuse Is Killing Us
KSL
April 30, 2013

This article discusses prescription drug abuse in the United States, with a statistical overview of the problem.

Read more:
http://www.ksl.com/?sid=24806719&nid=1010&title=prescription-drug-abuse-is-killing-us&fm=home_page&s_cid=queue-3
 
Eastern Kentucky Pill Mill Owners Admit Illegally Dispensing Oxycodone
Courier-Journal
April 27, 2013

Two Eastern Kentucky pain clinic owners admitted conspiring with doctors to illegally dispense more than 50,000 prescription pills. A former physician at the same clinic pleaded guilty in 2012 to conspiring to distribute and dispense controlled substances without a legitimate medical purpose. Another physician was indicted in August 2012 on charges of conspiracy to distribute controlled substances and operating a drug-involved premise. According to the plea agreement, doctors wrote prescriptions without seeing patients or signed blank prescriptions for office assistants to complete. The owners allegedly paid the doctors as much as $8,500 a week.

Read more:
http://www.courier-journal.com/article/20130426/NEWS10/304260127/Eastern-Kentucky-pill-mill-owners-admit-illegally-dispensing-oxycodone?nclick_check=1
 
Media Advisory/Media Conference--Police, Public Health, Pharmacy Leaders Join Forces to Reduce Ontario's Unwanted, Unused, Expired Prescription Medications
The Wall Street Journal
April 30, 2013

Representatives of the Ontario Association of Chiefs of Police, Ontario Public Health, and Ontario Pharmacists Association of Canada will host a Prescription Drug Drop-Off Day on May 11.

Read more:
http://online.wsj.com/article/PR-CO-20130430-912247.html
 
Prescription Drug Foundation Trying to Raise $500,000
WCJB-TV
April 25, 2013

This article and video (2:47 minutes) highlight fundraising efforts of the Florida Prescription Drug Monitoring Program Foundation to keep the state's database in operation.

Read more:
http://www.wcjb.com/local-news-state-news/2013/04/prescription-drug-foundation-trying-raise-500000
 
Stimulant Drug Abuse Illegal, Potentially Deadly
WNYT
April 29, 2013

This article and video (4:03 minutes) discuss Ritalin and Adderall abuse among young people. It is a felony to abuse or sell someone legally obtained prescription drugs. Students run the risk of having criminal records that could haunt them for life. They may also suffer side effects such as insomnia, nervousness, and hallucinations. Stimulant abuse can severely affect the heart and may even lead to death.

Read more:
http://wnyt.com/article/stories/S3015446.shtml?cat=300
 
Ohio Reports 1,765 Deaths Resulting from Accidental Overdose
WSYX
April 30, 2013

This article and video (2:14) focus on a 2011 report from the Ohio Department of Health and Department of Alcohol and Drug Addiction Services. Statistics show 1,765 people died from accidental drug overdoses, compared with 555 deaths in 2001. The highest concentration was in Scioto County. According to officials, prescription drug abuse and lack of treatment funding are behind the surge in deaths.

Read more:
http://www.abc6onyourside.com/shared/news/features/top-stories/stories/wsyx_ohio-reports-1765-deaths-resulting-accidental-overdose-23515.shtml
 
NCPDP Calls for Standards-Based Approach to PDMP to Tackle Prescription Drug Abuse
Yahoo
April 25, 2013

A white paper written by the National Council for Prescription Drug Programs includes an action plan to better track and deter abuse of prescriptions for controlled substances.

Read more:
http://finance.yahoo.com/news/ncpdp-calls-standards-based-approach-120500091.html
 
Webinar
National Safety Council: Injury Facts Data Highlights
May 16, 2013
11:30 a.m. to 12:30 p.m. (EST)

The National Safety Council released its 2013 edition of Injury Facts®, which compiles the latest safety data and statistics. Ken Kolosh, Manager of Statistics at the National Safety Council, will discuss historic injury trends, the societal cost of unintentional injuries, workplace injury trends, the impact of off-the-job injuries on employers, and the increasing burden of unintentional drug overdoses.

Read more:
http://www.childrenssafetynetwork.org/events/national-safety-council-injury-facts-data-highlights
 
Video
Georgia Prescription Drug Abuse Prevention Initiative--Prescription Drug Disposal
The Council on Alcohol and Drug Abuse
April 29, 2013

The Council on Alcohol and Drugs donated 150 prescription drug drop boxes throughout Georgia for its campaign "Operation Drug Drop Off." (2:37 minutes)

Watch:
http://www.youtube.com/watch?v=hjNHz6fDAmU
 
Grant Announcements

Cardinal Health Foundation Invites Local Non-Profit Organizations to Apply for Grants to Prevent Prescription Drug Abuse
The Wall Street Journal
April 23, 2013
Deadline: May 13, 2013

Read more:
http://online.wsj.com/article/PR-CO-20130423-909978.html?mod=googlenews_wsj or http://bit.ly/15nHx4N
 
Strategic Prevention Framework Partnerships for Success II SEOW Supplements
FY 2013 Grant Request for Applications
Deadline: May 31, 2013

Read more:
http://www.samhsa.gov/grants/2013/sp-13-007.aspx
 
Upcoming Conferences and Workshops
2013 Symposium for Medical Professionals: Kentucky Medical Communities UNITEd
May 11: Bowling Green, Kentucky
June 8: Manchester, Kentucky
http://www.cecentral.com/live/6653
 
National Prevention Week 2013
May 12-18, 2013
Various Locations Nationwide
http://www.samhsa.gov/preventionweek
 
Prescription Drug Training
May 23, 2013
Reading, Pennsylvania
http://www.councilonchemicalabuse.org/training-prescription-drugs.html
 
Pharmacy Diversion Awareness Conference
June 22 and 23: Chicago, Illinois
July 13 and 14: Portland, Oregon
August 3 and 4: Baton Rouge, Louisiana
August 16 and 17: San Diego, California
August 18 and 19: San Jose, California
September 21 and 22: Boston, Massachusetts
http://www.deadiversion.usdoj.gov/mtgs/pharm_awareness
 
The Generation Rx University Conference for Prescription Drug Abuse Prevention and Recovery
August 7-8, 2013
Columbus, Ohio
http://pharmacy.osu.edu/outreach/rxabuseconference
 
2013 National Safety Council Congress and Expo
Congress: September 28-October 4, 2013
Expo: September 30-October 2, 2013
Chicago, Illinois
http://congress.nsc.org/nsc2013/public/enter.aspx
 
 

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.
 
The Injury Control Research Center at West Virginia University (WVU-ICRC) archives past Listserv issues at http://www.hsc.wvu.edu/icrc/Pages/SAMHSA-Prevention-of-Prescription-Drug-Abuse-in-th. The partnership efforts of WVU-ICRC are supported by Grant Number 1 R49 CE002109 from the Centers for Disease Control and Prevention (CDC). The contents of the Listserv archive are solely the responsibility of the authors and do not represent the official views of CDC or SAMHSA.


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