1. Addressing the issue: Prescription Drug Misuse in North Carolina
NC CAY Regional meetings
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

2. Presentation Objectives
Define Opioids
Describe side effects of Opioid Addiction
Identify current Prescription Drug Misuse Prevention Strategies
Parents360Rx Program
Share NC Referral Source Information
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

3. What is the world’s most dangerous leftovers?

4. Source: Centers for Disease Control and Prevention Injury Prevention & Control, December 2016
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

5. Source: Centers for Disease Control and Prevention Injury Prevention & Control, December 2016
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

8. NC Center for Health Statistics

9. North Carolina Controlled Substances Reporting System

10. Opioids
Opioids can be prescribed by doctors to treat moderate to severe pain.
Common types of opioids are:
Oxycodone (OxyContin)
Hydrocodone (Vicodin)
Morphine
Methadone.
Source: Centers for Disease Control and Prevention Injury Prevention & Control, December 2016
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

11. Side effects of Prescription Opioids
Tolerance—meaning you might need to take more of the medication for the same pain relief
Physical dependence—meaning you have symptoms of withdrawal when the medication is stopped
Increased sensitivity to pain
Constipation
Nausea, vomiting, and dry mouth
(information from above)
Facts from CDC:
Addiction and Overdose
Anyone who takes prescription opioids can become addicted to them. In fact, as many as one in four patients receiving long-term opioid therapy in a primary care setting struggles with opioid addiction.4,5,6 Once addicted, it can be hard to stop. In 2014, nearly two million Americans either abused or were dependent on prescription opioid pain relievers.
Taking too many prescription opioids can stop a person’s breathing—leading to death.
Prescription opioid overdose deaths also often involve benzodiazepines. Benzodiazepines are central nervous system depressants used to sedate, induce sleep, prevent seizures, and relieve anxiety. Examples include alprazolam (Xanax®), diazepam (Valium®), and lorazepam (Ativan®). Avoid taking benzodiazepines while taking prescription opioids whenever possible.
Source: Centers for Disease Control and Prevention Injury Prevention & Control, March 2016
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

12. Side effects of Prescription Opioids
Sleepiness and dizziness
Confusion
Depression
Low levels of testosterone that can result in lower sex drive, energy, and strength
Itching and sweating
Source: Centers for Disease Control and Prevention Injury Prevention & Control, March 2016
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

13. Signs of Prescription Drug Misuse
Stealing, forging or selling prescriptions
Borrowing money or having extra cash
Unaccounted time away from home/missed school days
Taking higher doses than prescribed
Excessive mood swings, hostility, abusive behavior and negative attitude
Engaging in reckless behavior
Source: North Carolina Lock Your Meds, 2016
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

14. Signs of Prescription Drug Misuse
Increase or decrease in sleep
Extreme changes in groups of friends or hangout locations
Appearing to be high, unusually energetic or revved up, or sedated
Losing interest in personal appearance, extracurricular activities or sports
Continually “losing” prescriptions, so more prescriptions must be written
Seeking prescriptions from more than one doctor (“doctor shipping”)
Source: North Carolina Lock Your Meds, 2016
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

15. North Carolina Lock Your Meds Media Campaign
Source: North Carolina Lock Your Meds, 2016
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

16.
Source: Police and Communities Together (PACT) 360, 2017

17. Discussion
In just a few words, what do you think or feel about what you just saw?
What was the most surprising thing that you learned about medicine abuse from the video?
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

18. Take Action Action 1 -- Safeguard Your Home.
Action 2 -- Signs and Symptoms of Use
Action 3 -- Talk to Your Family, Friends and Other Parents
Action 4 -- Share the Information with Others
GenerationRx
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

19. Seeking help in North Carolina
If your child, friend or loved one needs help with prescription medication, heroin or other substances, call the Alcohol Drug Council of North Carolina at They provide free information and referral to alcohol and drug treatment. Visit  more information about the Alcohol Drug Council.
Supported by the NC Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services with funding from SAMHSA,  Strategic Prevention Framework Partnerships for Success State and Tribal Initiative (CFDA #93.243). 

20. Works Cited
Did you know? (n.d.). Retrieved February 03, 2017, from
Opioid basics. (2016, December 14). Retrieved February 03, 2017, from
Parents360 rx action toolkit. (n.d.). Retrieved February 03, 2017, from

21. Contact Information
Chelsea Bullins
NC Partnership for Success Grant
Insight Human Services
Prevention Services
Office
Cell Phone
Melinda Pankratz, M.P.H, Ph.D.
NC Substance Abuse Prevention Block Grant Manager
Division of MH/DD/SAS
Community Wellness, Prevention, and Health Integration Team N.C. Department of Health and Human Services
Office
Fax