CADCA town hall meeting Nov 29,2010

1. Have you become yourteen’s drug dealer? What’s in yourmedicine cabinet? PANEL MEMBERS Kevin Cashman, Maine Drug Enforcement Agency Karen Simone, Northern New England Poison Center Ronni Katz, City of Portland’s Overdose Prevention Project

2. This town hall is part of a prescription drug abuse prevention project sponsored by Community Anti-Drug Coalitions of America (CADCA) and King Pharmaceuticals along with the City of Portland Public Health Division (HHSD) & Portland Public Schools. We thank the Northern New England Poison Control and the Maine Drug Enforcement Agency for participating in this town hall.

3. Abuse of Rx and OTC Medicines Recent studies indicate that the abuse of prescription (Rx) and over-the-counter cough medicines (OTCs) to get high is a concern—particularly among teens.

5. Next to marijuana, the most common illegal drugs teens are abusing are prescription medications.

6. Twenty percent of U.S. high school students say they have taken Rx drugs without consulting a doctor.

7. 1 in 5 teens has abused Rx drugs.

8. 1 in 3 teens say there is “nothing wrong” with abusing Rx medications “every once in a while.”Rx Abuse Prevention Toolkit - from awareness to action

9. Maine Data: Teen Use According to the Maine Integrated Youth Health Survey (MIYHS), in 2009 11.3% of Maine high school students and 6.6% of 7th and 8th graders reported using an Rx drug without a doctor’s prescription one or more times during the past 30 days.

10. Maine Data: # of Prescriptions

11. Local Data: Teen Use In 2009 in the Cumberland Public Health District, 10.9% of high school students and 6.9% of 7th and 8th graders reported using an Rx drug without a doctor’s prescription one or more times during the past 30 days.

14. Local Data: Medication Collection In both 2009 and 2010, the City of Portland’s Public Health Division—in partnership with the Portland Police Department/Maine DEA—held medication collection events in Portland. Here are some data from the 2010 event:

16. From home, by stealing from the medicine cabinet.

17. From friends, by buying them or just asking for them.

18. From strangers, by buying them.

20. Rx Access Points— Friends & Family Source of Concern SAMHSA. (2008). Results from the 2007 National Survey on Drug Use and Health: National Findings (Office of Applied Studies, NSDUH Series: H-34, DHHS Publication No. SMA 08-4343). Rockville, MD. Available at: www.oas.samhsa.gov/nsduh/2k7nsduh/2k7Results.pdf Rx Abuse Prevention Toolkit - from awareness to action

21. Teens say that… Rx Abuse Prevention Toolkit - from awareness to action

23. Rx medicines can be found in homes of family or friends, and parents don’t realize the connection between teen Rx abuse and easy availability.

24. Many parents do not know how to effectively talk with their teens about Rx drug abuse. They often find out about an Rx problem when it is too late.Rx Abuse Prevention Toolkit - from awareness to action

25. What ‘s being done to address this epidemic in Maine? Prescription Monitoring Program (OSA) Goals: Help stop prescription drug overdoses, Educate the public on the dangers of prescription drug misuse, Ensure that those who do need prescription medications still receive them Who has access to the PMP? Prescribers, Dispensers, Licensing Boards, Patients, OSA Staff, Law Enforcement (Attorney General’s office) Overdose Prevention Project (Portland, Waterville, Bangor) Prevent drug overdoses by providing support, advocacy, education and outreach to the community through positive collaborations and partnerships Maine Drug Enforcement Agency Investigate domestic, interstate and international drug offenses Northern New England Poison Center Provides immediate treatment advice for poison emergencies, as well as information about poisons and poison prevention, 24 hours a day, seven days a week.

26. What can YOU do to address this epidemic in Maine? Educate. Communicate. Safeguard. * Rx Abuse Warning Signs * * Talking to Teens * * Keep Track of Your Meds *

28. Nausea and vomiting

29. Uncontrollable diarrhea

30. Spastic shaking

31. Drowsiness, dizziness and insomnia

32. Loss of consciousness

33. Physical dependence

34. AddictionRx Abuse Prevention Toolkit - from awareness to action

36. Extreme changes in groups of friends or hangout locations.

37. Lying or being deceitful, unaccounted time away from home/missed school days, avoiding eye contact.

38. Losing interest in personal appearance, extracurricular activities or sports.

39. Poor performance at school.

40. Borrowing money or having extra cash.

41. Visiting and even purchasing from pro-drug abuse (illegal) web sites. Rx Abuse Prevention Toolkit - from awareness to action

43. Many teens report that their parents have the greatest influence on their drug use attitudes and decisions.

44. Kids who continue to learn about the risks of drugs at home are up to 50% less likely to use drugs than those who are not taught about these dangers. Rx Abuse Prevention Toolkit - from awareness to action

46. Debunk Common Myths: Rx abuse is just as dangerous as abusing other substances; it can be addictive; and it’s not OK to misuse these drugs even “once in a while.”

47. Provide Clear Guidelines: If you’re a parent, let teens know you will be disappointed if they abuse Rx medications and watch how you use medicines in front of teens.

48. Give Teens Escape Routes: Teach them how to get out of bad situations; and suggest responses they can use so they don’t feel “uncool.”Rx Abuse Prevention Toolkit - from awareness to action

49. SAFEGUARD Keep Track of Your Meds Parents (and other family members) are in the best position to reduce access to Rx drugs by locking up medicines and properly disposing of expired or unused medicines. Monitor all medications in the home – Rx and OTC medicines Safely store medicines out of children’s reach and sight – consider locking them up Get rid of old or unused medicines Rx Abuse Prevention Toolkit - from awareness to action

50. SAFEGUARD Guidelines for Proper Disposal Federal Guidelines: Refer to October 15, 2009 FDA Guidelines for Disposal by Flushing Do not flush down toilet or drain unless accompanying patient information specifically instructs you to do so Dispose of Rx drugs (not labeled to be flushed) through a community drug take-back. If a program is not available, dispose of medications appropriately: Take medication out of its original packaging and place it into a disposable container with a lid or into a sealable bag. Mix drugs with an undesirable substance (e.g., cat litter or used coffeegrounds). Place sealed container with the mixture and original packaging (be sure toremove all personal information from the packaging) in the trash. Office of National Drug Control Policy. Proper Disposal of Prescription Drugs. 2009. Available at: www.whitehousedrugpolicy.gov/publications/pdf/prescrip_disposal.pdf Rx Abuse Prevention Toolkit - from awareness to action

51. Local Treatment Resources Day One: Maine’s leading agency dealing with teen drug and alcohol abusewww.day-one.org Maine Office of Substance Abuse: Providing leadership in substance abuse prevention, intervention and treatment. www.maineosa.org Mercy Recovery Center: The largest substance abuse treatment center in Maine, offering inpatient and outpatient programs for adults. www.mercyrecovery.org SAMHSA’s Treatment Locator: This searchable directory of drug and alcohol treatment programs shows the location of facilities around the country that treat alcoholism, alcohol abuse and drug abuse problems. www.findtreatment.samhsa.gov

52. National Resources Above the Influence www.abovetheinfluence.com American Medicine Chest Challenge(AMCC) www.americanmedicinechest.com Community Anti-Drug Coalitions of America (CADCA) www.cadca.org Five Moms: Stopping Cough Medicine Abuse www.fivemoms.com / www.stopmedicineabuse.org National Council on Patient Information and Education (NCPIE) www.talkaboutrx.org National Association of Drug Diversion Investigators www.naddi.org National Institute on Drug Abuse (NIDA), Rx Drugs www.nida.nih.gov/drugpages/prescription.html The Drug Take-Back Initiative www.takebacknetwork.com The Partnership at DrugFree.org www.drugfree.org White House Office of National Drug Control Policy (ONDCP) www.whitehousedrugpolicy.gov

53. Contact Info Northern New England Poison Center Karen Simone, Director - 662-7221 www.nnepc.org Maine Drug Enforcement Agency Kevin Cashman - 822-0373 www.maine.gov/dps/mdea City of Portland Public Health Division’s Overdose Prevention Project Ronni Katz – 756-8116 http://substanceabuse.portlandmaine.gov www.facebook.com/portlandprevention www.twitter.com/portprevent