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The following PowerPoint slides were obtained from presentations on Rx abuse prevention from the National Association of Drug Diversion Investigators (NADDI), the National Council on Patient Information and Education (NCPIE) and CADCA. Coalitions should feel free to adapt these slides into their education and outreach activities. Here’s what you’ll find:
About this presentation
1. The Teen – Rx Abuse Connection
2. Facts & Stats
3. Teen & Adult Attitudes About Rx Abuse
4. Outreach to Teens, Parents, Families &
Community
5. Want to Learn More?We have placed relevant source information in the notes section of each slide
RX ABUSE PREVENTION TOOLKIT - from awareness to action
Rx Medications are All Around Us…and Teens Notice
The Teen – Rx Abuse Connection
Patients leave the doctor’s office with a
prescription in hand in 7 out of 10 visits.
Direct-to-consumer advertising on TV and
in magazines is pervasive.
Many people don’t know how to safely use
these medications or ignore their doctor’s
instructions.
RX ABUSE PREVENTION TOOLKIT - from awareness to action
Rx drugs are part of teen culture. Teens:
As a result…
Normalize this form of drug abuse.
Take these meds for legitimate reasons –
with or without a prescription – to stay
awake, remain alert or to go to sleep.
Purposely abuse these drugs to get high.
They participate in “pharming” and
“bowling” parties.
Are often unaware that these activities
can lead to disastrous results.
RX ABUSE PREVENTION TOOLKIT - from awareness to action
that abusing Rx drugs can:Teenagers don’t know
Increase blood pressure or heart rate.
Damage the brain and other organs.
Lead to accidental overdose / poisonings.
Cause physical dependency and / or
addiction.
Disrupt breathing (respiratory
depression).
Lead to risks associated with mixing
multiple drugs or combining with alcohol.
Cause seizures and even death.
RX ABUSE PREVENTION TOOLKIT - from awareness to action
Facts & Stats
While Rx drugs serve an
important purpose when used
under a doctor’s care, the
misuse of Rx drugs is a growing,
under-recognized problem that
puts young lives at risk.
RX ABUSE PREVENTION TOOLKIT - from awareness to action
Did you know?
Next to marijuana, the most common illegal
drugs teens are abusing are prescription
medications.
Twenty percent of U.S. high school students say
they have taken Rx drugs without consulting a
doctor.
1 in 5 teens has abused Rx drugs.
1 in 3 teens say there is “nothing wrong” with
abusing Rx medications “every once in a while.”
Every day, almost 2,500 teens abuse an Rx
medication for the first time.
RX ABUSE PREVENTION TOOLKIT - from awareness to action
Teens’ Rx Drugs of Choice For Abuse
How they work Abused by teens to:
Drug names
Strong pain relievers
Used to relieve moderate-to-severe pain, these medications block pain signals to the brain
Get high, increase feelings of well being by affecting the brain regions that mediate pleasure
Vicodin, OxyContin,Percocet, Lorcet, Lortab, Actiq, Darvon, codeine, morphine,methadone
Stimulants Primarily used to treat ADHD type symptoms, these speed up brain activity causing increased alertness, attention, and energy that comes with elevated blood pressure, increased heart rate and breathing
Feel alert, focused and full of energy—perhaps around final exams or to manage coursework, lose weight
Adderall, Dexedrine, Ritalin, Concerta
Sedatives or tranquilizers
Used to slow down or “depress” the functions of the brain and central nervous system pressure, increased heart rate and breathing
Feel calm, reduce stress, sleep
Valium, Xanax, Ativan, Klonopin, Restoril, Ambien, Lunesta, Mebaral, Nembutal, Soma
RX ABUSE PREVENTION TOOLKIT - from awareness to action
RX ABUSE PREVENTION TOOLKIT - from awareness to action
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
attitudes about Rx abuseTeens & Adult
MIXING OVER-THE-COUNTER COLD MEDICATION
and someone else's prescription painkillers CAUSED
THE DEATH OF MY SON…I could get my hands on
prescription medicines AS FAST AS I COULD BUY A
PIZZA…the problem IS AS CLOSE AS YOUR
MEDICINE CABINET…PART OF ME DIED THAT DAY
when my daughter was taken away on a gurney…
TEEN RX ABUSE is more than an emerging problem.
RX ABUSE PREVENTION TOOLKIT - from awareness to action
Teens say that…
RX ABUSE PREVENTION TOOLKIT - from awareness to action
Agree strongly/somewhat %
Rx drugs, even if they are not prescribed by a doctor, are much safer to use than illegal drugs.
40%
There is nothing wrong with using Rx drugs without a doctor’s prescription once in a while. 31%
Rx pain relievers, even if they are not prescribed by a doctor, are not addictive.
29%
beliefs & attitudesParental / Guardian
Many parents aren’t aware of the dangers of Rx
abuse – it’s just not on their radar screen.
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.
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
Watch for Physical Warning Signs Excessive sweating, urination or thirst
Nausea and vomiting
Uncontrollable diarrhea
Spastic shaking
Drowsiness, dizziness and insomnia
Loss of consciousness
Physical dependence
Addiction
EDUCATE
RX ABUSE PREVENTION TOOLKIT - from awareness to action
Watch for Physical Warning Signs Sudden mood changes, including irritability,
negative attitude, personality change.
Extreme changes in groups of friends or hangout
locations.
Lying or being deceitful, unaccounted time away
from home/missed school days, avoiding eye
contact.
Losing interest in personal appearance,
extracurricular activities or sports.
Poor performance at school.
Borrowing money or having extra cash.
Visiting and even purchasing from pro-drug abuse
(illegal) web sites.
EDUCATE
RX ABUSE PREVENTION TOOLKIT - from awareness to action
COMMUNICATE
Talk to teens about Rx abuse Teens learn by example. When they see mom,
dad, a sibling or grandparent taking a pill – even
responsibly – it doesn’t seem so bad.
Many teens report that their parents have the
greatest influence on their drug use attitudes and
decisions.
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
COMMUNICATE
Talking to teens“DENORMALIZE” THE BEHAVIOR While 1 in 5 teens are abusing Rx drugs, 4
in 5 are not.
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.”
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.
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.”
“No, thanks – not into it.”
“Not today.”
“I’m not interested.”
RX ABUSE PREVENTION TOOLKIT - from awareness to action
SAFEGUARD
Keep track of your medsParents (and other family members) are in the best position to reduce
access
to prescription drugs by locking up medicines and properly disposing of
expired
or unused medicines.
Monitor all medications in the home—prescription 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
Guidelines for Rx drug disposalFEDERAL GUIDELINES
Refer to October 15, 2009 FDA Guidelines for Disposal by Flushing.
Do not flush down toilet or drain unless label or accompanying patient
information
specifically instructs you to do so.
Dispose of Rx drugs not labeled to be flushed through community drug
take-back
programs. If a program is not available, dispose of medications
appropriately:
1. Take medication out of its original packaging and place it into a disposablecontainer with a lid or into a sealable bag.
2. Mix drugs with an undesirable substance (e.g., cat litter or used coffeegrounds).
3. Place sealed container with the mixture and original packaging (be sure toremove all personal information from the packaging) in the trash.
SAFEGUARD
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
Guidelines for Rx drug disposalFEDERAL GUIDELINES
Refer to October 15, 2009 FDA Guidelines for Disposal by Flushing.
Do not flush down toilet or drain unless label or accompanying patient
information
specifically instructs you to do so.
Dispose of Rx drugs not labeled to be flushed through community drug
take-back
programs. If a program is not available, dispose of medications
appropriately:
1. Take medication out of its original packaging and place it into a disposablecontainer with a lid or into a sealable bag.
2. Mix drugs with an undesirable substance (e.g., cat litter or used coffeegrounds).
3. Place sealed container with the mixture and original packaging (be sure toremove all personal information from the packaging) in the trash.
SAFEGUARD
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
Want to learn more?ABOVE THE INFLUENCE http://www.abovetheinfluence.com/facts/drugs-prescription-otc.aspx#
COMMUNITY ANTI-DRUG COALITIONS OF AMERICA www.cadca.org
THE DRUG TAKE-BACK NETWORK http://www.takebacknetwork.com/
NATIONAL CONCIL ON PATIENT INFORMATION AND EDUCATION www.talkaboutrx.org
NATIONAL ASSOCIATION OF DRUG DIVERSION INVESTIGATORS www.naddi.org
NATIONAL INSTITUTE ON DRUG ABUSE, PRESCRIPTION DRUGS http://www.nida.nih.gov/drugpages/prescription.html
PARTNERSHIP FOR A DRUG-FREE AMERICA www.drugfree.org
WHITE HOUSE OFFICE OF NATIONAL DRUG CONTROL POLICY, EFFORTS TO REDUCE PRESCRITION DRUG ABUSEhttp://ofsubstance.gov/blogs/pushing_back/archive/2010/07/06/51426.aspx
RX ABUSE PREVENTION TOOLKIT - from awareness to action