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). 

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). 

What is the world’s most dangerous leftovers?

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). 

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). 

NC Center for Health Statistics http://www.schs.state.nc.us/data/

North Carolina Controlled Substances Reporting System http://www.ncdhhs.gov/divisions/mhddsa/ncdcu/csrs-utilization-by-county http://www.ncdhhs.gov/divisions/mhddsas/ncdcu/prescription-rates-by-county

Opioids Opioids can be prescribed by doctors to treat moderate to severe pain. Common types of opioids are: Oxycodone (OxyContin) Hydrocodone (Vicodin) Morphine Methadone. https://www.cdc.gov/drugoverdose/opioids/ 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). 

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 https://www.cdc.gov/drugoverdose/opioids/prescribed.html (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). 

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). 

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). 

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). 

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). 

https://www.youtube.com/watch?v=6SeqZs4tURI Source: Police and Communities Together (PACT) 360, 2017

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). 

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). 

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 1-800-688-4232. They provide free information and referral to alcohol and drug treatment. Visit http://alcoholdrughelp.org/ for 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). 

Works Cited Did you know? (n.d.). Retrieved February 03, 2017, from http://www.lockyourmeds.org/nc/ Opioid basics. (2016, December 14). Retrieved February 03, 2017, from https://www.cdc.gov/drugoverdose/opioids/ Parents360 rx action toolkit. (n.d.). Retrieved February 03, 2017, from http://pact360.org/programs/parents360rx

Contact Information Chelsea Bullins NC Partnership for Success Grant Insight Human Services Prevention Services   336-634-3309 Office 336-978-4997-Cell Phone Email cbullins@insightnc.org 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   919-715-2432 Office 919-508-0988 Fax Email Melinda.Pankratz@dhhs.nc.gov