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Page 1: John R. Kasich, Governor Orman Hall, Director 1. John R. Kasich, Governor Orman Hall, Director 2  Tolerance  Euphoria  Withdrawal.

John R. Kasich, GovernorOrman Hall, Director

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“Little Pill, Big Problem: Ohio’s Opiate Story”

for

The Opiate Epidemic Across the Lifespan:

Impact and Interventions

September 28, 2012

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NATURE OF THE PROBLEM

John R. Kasich, GovernorOrman Hall, Director

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Tolerance Euphoria

Withdrawal

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THE SCOPE OF THE PROBLEM

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John R. Kasich, Governor

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NATIONAL DATA

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NATIONAL DATA: Public Health Impact of Opioid Overdose

Sources: SAMHSA Treatment Episode Data Set (TEDS); Drug Abuse Warning Network (DAWN); National Survey of Drug Use in Households (NSDUH)

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NATIONAL DATA: Unintentional and Undetermined IntentDrug Overdose Death rates by State, 2007

Source: National Vital Statistics System. http://www.wonder.cdc.gov

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NATIONAL DATA: Past Month Users – Opioid Analgesics

Source: National Survey on Drug Use and Health, 2009. http://www.oas.samhsa.gov

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NATIONAL DATA: Opioid Analgesics – Sources for Nonmedical Users United States, 2009

Source: National Survey on Drug Use and Health, 2009. http://www.oas.samhsa.gov

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1997 Ohio Per Capita Dosage: 7 Pills

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John R. Kasich, Governor

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2010 Ohio Per Capita Dosage: 67 Pills

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John R. Kasich, Governor

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Ohio Counties Doses Per Capita, 2010

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Prescription Opiate Doses Per Capita Change

2010 - 2011

Change Over Time

-15.2%-0%

0.1%-18.1%

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CUYAHOGA COUNTY, OHIOTotal Opiate Doses Prescribed 2011:

66,084,457Cuyahoga County Population:

1,280,122

2008: 51.8 doses/capita

2009: 49.7 doses/capita

2010: 51.1 doses/capita

2011: 51.6 doses/capita

John R. Kasich, GovernorOrman Hall, Director

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OHIO OVERDOSES/UNINTENTIONAL POISONINGS

2010 = 1,544 (high point)

Ohio Avg. = 12.2/100,000

CUYAHOGA COUNTY OVERDOSE DEATHS

2006 = 168 2007 = 1342008 = 1442009 = 1442010 = 159

John R. Kasich, GovernorOrman Hall, Director

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Ohio Dept. of Health: http://www.healthyohioprogram.org/vipp/drug/dpoison.aspx

Cuyahoga County Avg. = 11.6/100,000

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2222

Perc

en

tag

e

Year

Percentage of ODADAS Clients with an Opiate Diagnosis, SFY 2001 through SFY 2012*

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2323

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2424

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Opiate as Drug of

Choice by Gender SFY

2001

Opiate as Drug of

Choice by Gender SFY

2009

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Opiate as Drug of

Choice by Age SFY 2001

Opiate as Drug of

Choice by Age SFY 2009

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Opiate as Drug of

Choice by Race

SFY 2001

Opiate as Drug of

Choice by Race SFY

2009

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OPIATE ADDICTION AND CRIME

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John R. Kasich, Governor

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Treatment Admissions per 100,000 population

Property crimes arrests as a percentage of total population

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Fairfield County- Jail Days

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13,108

35,768

10,022

44,725

35,591

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No

Opiates Opiates

  Present Present

Age Group    

18 - 25 40.4% 53.6%

26 - 35 38.3% 25.0%

36 - 45 11.7% 16.1%

46 - 55 7.4% 5.4%

56 -65 2.1% 0.0%

   100%  100%

Fairfield County - Jail DaysBy Age and Opiate Status-

2008

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GOVERNOR’S CABINET OPIATE ACTION TEAM

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Treatment Workgroup

Professional Education Workgroup

Enforcement Workgroup

Public Education Workgroup

Recovery Supports Workgroup

John R. Kasich, Governor

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PRESCRIBER GUIDELINES

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Emergency Departments (EDs) are a major source of opiates at 39 percent of all opioids prescribed or administered.

Nationally, opioid prescribing for pain-related ED visits increased from 23 percent in 1993 to 37 percent in 2005.

In Ohio, 16 percent of fatal overdose victims in 2008 had a history of “doctor shopping.”

The prescribing guidelines are a general approach to prescribing but are not intended to take the place of clinical judgment.

They include reminders to clinicians on what drugs to avoid routinely prescribing, and considerations when deciding on treatment options.

Endorsed by: Ohio State Medical Association; Ohio Osteopathic Association; Ohio Chapter American College of Emergency Physicians; Ohio Hospital Association; Ohio Pharmacists Association; Urgent Care College of Physicians; Ohio Bureau of Workers Compensation; Ohio Physician Assistants Association; and Ohio Association of Health Plans.

John R. Kasich, Governor

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Opiate-Related Projects Underway Medication-Assisted Treatment Protocol “Recovery 2 Work” Initiative Community Opiate Task Forces Opiate Impact Studies: Medicaid & BWC Criminal Justice & Behavioral Health

Initiative Southern Ohio Addiction Treatment

Center Inter-State Opiate Alliance “Don’t Get Me Started” Campaign Statewide SOLACE Family Engagement

Network

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PHILOSOPHY:

Medication-assisted treatment for opiate dependence refers to the use of buprenorphine, methadone or naltrexone to treat opiate dependence, in combination with counseling and recovery support services….

National Conference of State Legislatures, 2008

Medication-Assisted Treatment

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John R. Kasich, GovernorOrman Hall, Director

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“It's something that a lot of people don't understand. They don't even know that it's out there. But it is as significant and dangerous as heroin addiction.” -- Ohio Governor John R. Kasich

OPIATE PAINKILLER MISUSE, ABUSE & ADDICTION

John R. Kasich, Governor

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CONTACT:

John R. Kasich, GovernorOrman Hall, Director

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Orman Hall, Director Ohio Department of Alcohol and Drug Addiction Services

30 West Spring Street, 6th FloorColumbus, OH 43215

[email protected]


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