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November 20, 2012

SAMHSA Prevention of Prescription Drug Abuse in the Workplace Listserv

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November 20, 2012 (PDF version)
Journal Articles
Choo, Esther K., et al. "Attitudes Toward Technology-Based Health Information Among Adult Emergency Department Patients with Drug or Alcohol Misuse." Journal of Substance Abuse Treatment 43 (2012): 397-401.
This article's findings suggest people who misuse drugs may seek reassurance about the confidentiality of technology-based interactions.
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Somoza, Eugene, et al. "Prescription Drug Abuse as a Public Health Problem in Ohio: A Case Report." Public Health Nursing 29, no. 6 (2012): 553-562.
Ohio is responding to the prescription drug epidemic by developing cross-system collaboration from local public health nurses to the governor's office. Legal and regulatory policies can be implemented relatively quickly, whereas changing substance abuse treatment infrastructure requires significant financial investment.
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Ford, Jason A., and James McCutcheon. "The Misuse of Ambien Among Adolescents: Prevalence and Correlates in a National Sample." Addictive Behaviors 37, no. 12 (2012): 1389-1394.
This study, which looks at data from the 2009 National Survey on Drug Use and Health, shows the prevalence of lifetime Ambien misuse was 1.4 percent in a sample of more than 17,000 adolescents ages 12 to 17. The research identified several significant risk factors for Ambien misuse: age, race, income, religiosity, delinquency, depression, social bonding, peer substance use, attitudes toward substance use, strain, and other substance use.
Read more: 
Goodin, Amie, et al. "Consumer/Patient Encounters with Prescription Drug Monitoring Programs: Evidence from a Medicaid Population." Pain Physician 15 (2012): ES169-75.
More attention to the consumer/patient perspective is warranted in maintaining a balanced approach to decreasing drug abuse and diversion while protecting access to controlled substances in cases of legitimate medical need.
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Joint Commission Resources. "Sentinel Event Alert: New Alert Promotes Safe Use of Opioids in Hospitals." Joint Commission Perspectives 32, no. 11 (2012): 11-15(5).
Research has shown opioids can slow breathing and cause dizziness, nausea, and falls. This Alert describes actions that can be taken to avoid unintended consequences of opioid use in hospitals.
Lankenau, Stephen E., et al. "Initiation into Prescription Drug Misuse: Differences Between Lesbian, Gay, Bisexual, Transgender (LGBT) and Heterosexual High-Risk Young Adults in Los Angeles and New York." Addictive Behaviors 37, no. 11 (2012): 1289-1293.
Identifying factors that contribute to prescription drug misuse initiation is essential for developing interventions that will reduce drug use among young adults.
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Manchikanti, Laximaiah, et al. "American Society of Interventional Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain: Part I--Evidence Assessment." Pain Physician 15 (2012): S1-65.
Some evidence suggests nonmedical use of opioids is extensive; one third of chronic pain patients might not use opioids as prescribed or might abuse them--illicit drug use is significantly higher among these patients. There is also strong evidence that approximately 60 percent of fatalities originate from opioids prescribed within guidelines, with approximately 40 percent of deaths occurring in 10 percent of drug abusers.
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Manchikanti, Laxmaiah, et al. "Opioid Epidemic in the United States." Pain Physician 15 (2012): ES9-38.
This comprehensive review describes the challenges of controlling opioid use in the United States. Obstacles include inappropriate prescribing patterns, which are largely based on a lack of knowledge, perceived safety, and an inaccurate belief of inadequate pain treatment.
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Parran, Theodore V., et al. "Prescription Drug Abuse and Addiction: Clinical Features, Epidemiology, and Contributing Factors." UpToDate (2012).
It has been estimated that more than 6 million people in the United States use prescription drugs nonmedically--a number that has doubled over the past 20 years. Characteristics that determine the abuse potential of prescription drugs include rapidity of onset of action, magnitude of dopamine surge, and route of administration.
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News Articles & Reports

Are Your Medications Safe to Use After Hurricane Sandy?
Emax Health
November 4, 2012
In this article, the Food and Drug Administration's Center for Drug Evaluation and Research offers a few recommendations to help people decide whether they should use medication that may have been damaged during a disaster.
More CT Latino Teens Abusing Prescription Drugs
CT Latino News
Despite a spike in abuse 10 years ago, adult Latinos fall far behind whites in the relatively recent national trend of prescription drug abuse, according to Patricia Rehmer, Commissioner of the Connecticut Department of Mental Health & Addiction Services. But use is on the rise among Latino teens, especially those born in the United States.
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Agency for Healthcare Research and Quality
August 2012
This toolkit provides a step-by-step guide to improve the medication reconciliation process. It aims to help organizations review and evaluate their current processes and identify and respond to any gaps.
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Painkillers Not as Addictive as Feared: Study
November 2, 2012
According to a new analysis of past research, less than 5 percent of patients who were prescribed narcotics for chronic pain became addicted to the drugs.
Regulator Group Drafts Model Law on Opioids
Risk and Insurance
October 29, 2012
The International Association of Industrial Accident Boards and Commission has drafted legislation that is "intended to ensure prescription drugs used for the management of pain from a compensable occupational injury are administered safely within accepted medical standards and do not interfere with return to full function."
2012 Preliminary Comparative Results: Pharmacy Survey on Patient Safety Culture
Agency for Healthcare Research and Quality 
September 2012
The report includes results from the 55 U.S. pharmacies that participated in a pilot study of the Agency for Healthcare Research and Quality's Pharmacy Survey on Patient Safety Culture.
Pharmacy Survey on Patient Safety Culture: User's Guide
Agency for Healthcare Research and Quality
October 2012
This guide provides an overview of the issues and major decisions involved in conducting a survey and reporting the results. It includes information on getting started, determining data collection methods, establishing data collection procedures, conducting the survey, preparing and analyzing data, and producing reports.
Black Americans Prescribed Opioids for Cancer Pain, Despite Risks
Pain Medicine News
A new study noted health care practitioners prescribed morphine to African American patients more often than they prescribed the drug to white patients. Oxycodone was prescribed more often to white patients than to black patients.
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School Nurses: Trusted Student Health Professionals and Agents of Substance Abuse Prevention
Office of National Drug Control Policy
November 5, 2012
This article highlights resources provided by the National Association of School Nurses to help school nurses deal with prescription drug abuse.
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Myth vs. Facts: The Dangers of Prescription Medication Abuse
Kentucky Kernel
November 7, 2012
Many myths surround prescription drug abuse, leaving people misinformed about the dangers of these risky practices. This article examines the facts and fiction of Rx drug abuse.
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Hazelden Introduces Anti-Addiction Medications into Recovery for First Time
November 5, 2012
Hazelden will begin providing medication-assisted treatment for people addicted to heroin or opioid painkillers, starting at its Center City, Minn., facility and expanding across treatment networks in five states.
Read more: 
Prescription Drug Abuse Growing in Iowa
The Gazette
November 9, 2012
According to this report, 62 Iowans died of drug-related overdoses involving prescription pain relievers last year--a 59 percent increase from 2010. The report also cited 29 drug-related traffic fatalities in 2011, the highest rate in 5 years.
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Emergency Prescription Assistance Program
U.S. Department of Health & Human Services
November 5, 2012
Emergency Prescription Assistance Program activities support prescription drug claim processing for medication and medical devices for eligible people in federally identified disaster areas.
Read more: 
Getting Medical Care Prescription Drugs in a Disaster or Emergency Area
Centers for Medicare and Medicaid Services 
February 2012
This fact sheet provides information on care and prescription drugs for people who are in a disaster or emergency area.
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Your Medicine: Be Smart, Be Safe 
Agency for Healthcare Research & Quality
The guide answers common questions about getting and taking medicines and provides forms that will help you track information.
Read more: 
Please e-mail Rekaya Gibson at rgibson@pire.org with questions or comments about the SAMHSA Prescription Drug Abuse 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.

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