Scioto County Heath Commissioner Ohio Drug Task Force

SEOW

SEOW

SEOW

SEOW

10 treatment admissions for abuse 32 emergency department visits for

misuse or abuse 130 people who abuse or are dependent 825 people who take prescription

painkillers for non medical use

CDC

Enough prescription painkillers were prescribed in 2010 to medicate every American Adult around-the-clock for one month.

2 million people reported using prescription painkillers nonmedically for the first time in 2010- nearly 5,500 people a day

CDC

9.7 million doses of prescription painkillers were dispensed in Scioto County last year 123 doses for each of the 79,000 men, women

and children in the county Between 1999 and 2008, there was a 360%

increase in accidental over-dose deaths in Scioto County; 92% of these deaths are due to prescription medication

Oxycodone toxicity deaths in Scioto County have quadrupled in the past 3 years.

85% of substance abuse treatment requests at the Scioto County Counseling Center are now for opiate addiction, marking a 300% increase in just the past 3 years. State Medical Board of Ohio

Time Period 10/1/2008 through 3/31/2009

Oxycodone dispensers (In Grams)

CDC

CDC

CDC

Other Source 7.1% Got from drug

dealer or stranger 4.4%

Took from friend or relative without asking 4.8%

Bought from friend or relative 11.4%

Prescribed by one doctor 17.3%

Obtained free from friend or relative 55%

Bloom3 Theft1 Defrauding creditors1 Identity theft

Brush Creek1 Identity theft

Clay1 Burglary1 Theft

Green1 Theft

Harrison1 Criminal damaging1 Burglary1 Breaking and entering1 Criminal simulation1Disorderly conduct1 Domestic Violence

Jefferson1 Breaking and entering1 Theft1 Cruelty to animals

Morgan1 Telecommunications Harassment1 Domestic violence

Porter1 Criminal Trespass1 Theft1 Telecommunications fraud1 Forgery2 Domestic violence1 Violate protection order

Rarden1 Theft

Rush1 Breaking and entering

466 OVI arrested in Scioto County alone in 2011 Compared to 325 in Lawrence County 220 in Jackson County 118 in Pike County 64 in Adams County.

“Part way through the year, at one point, we [Scioto County] were in the top 5 counties in the state for OVI arrests,” – Lt Karla Taulbee OSHP Drugs are also included in these OVI arrest statistics

There were 13,799 OVI-related crashes on Ohio roadways, killing 401 and injuring 8,517

Portsmouth Daily Times March 9, 2012

Chicago doctor who operated pill mills in Portsmouth and Chillicothe Ohio

Sentenced for illegally prescribing and dispensing pain pills outside the scope of a legitimate medical practice that resulted in deaths of 4 people from 2003-2005

Convicted May 10, 2011 on 4 counts of illegal drug distribution that resulted in death Life sentence for each count

Also sentenced on 13 other counts that resulted in prison sentences from 10-20 years

UPDATE: Many Speak Out as Pill Mill Doctor Sentenced to Four Life Terms

The New York Times

NPR

Men’s Health

John Terrett is a Washington DC based correspondent for al Jazeera English.

…...

36 states have operational Prescription Drug Monitoring Programs.

House Bill 93 Scioto County

Shut down 12 “pill mills”Prevention not Permission Syringe

ExchangeSOLACEHigh Intensity Drug Trafficking Area (HIDTA)

Goal of safer, healthier and drug-free communities

More than 5,000 community anti-drug coalitions in the US and abroad

Nonprofit status in the US Collaboration among groups or sectors

of a community with common goals All Scioto County schools signed MOU

with health department to participate in drug free community alliance grant application

Preliminary projections from Ohio Department of Alcohol and Drug Addiction Services (ODADAS) nearly 1.5 million fewer opiates were dispensed in Scioto County in 2011

In 2010 there were 9,713,494 opiates dispensed in Scioto County In 2011 a 20% decrease- 8,234,516 the

biggest change in the state

Jan-June 2011

SEOW

According to Scioto County Coroner, Dr. Darren Adams In 2010 there were 24 deaths directly

related to drugs and 19 deaths that were drug-related

In 2011 there were 20 deaths directly related to drugs and 11 deaths that were drug-related

In operation since July 13,2011 Serving clients who have relationships

withScioto County Court of Common PleasPortsmouth Municipal CourtScioto County Jail

Clients must have no less than 15 separate legal charges prior to admission

Mean potential jail or prison day total for each client is 250

25 out of 28 clients completed the program thus far

70% of clients who complete residential alcohol and drug treatment do not re-enter the court systems

Some main recipients of community serviceSalvation ArmyAmerican Red CrossMain Street PortsmouthGod’s Pantry (Church food pantry)

Experience work-like activities in preparation for actual employment

Individualized vocational services are provided after brief stabilization period

Clients are educated and assisted in job readiness InterviewingResume buildingCold callingProfessionalism

Jobs that are “black money” or “under the table” are not permitted

Based on 70% of not re-offending in the future6 month estimate savings $401,625-$580,12512 month estimate savings $803,250-

$1,160,25018 month estimate savings $1,204,875-

$1,740,375Depending on jail per diem being $45-$65/day

Conducting prescription drug abuse education and awareness pilot projects in high-risk areasTwo projects funded: Montgomery and Scioto

CountiesFunding period: 2010-2013 (4 years)

Coalition building Media campaign

Results seen already1.5 million fewer pills prescribed in Scioto

County in 2011, as compared to 2010

Webpage: http://www.healthyohioprogram.org/poison

Ohio’s first Naloxone Distribution ProgramNaloxone distribution programs (NDPs)

provide overdose training and take-home doses of Naloxone, to be administered nasally or by muscular injection, to those who are deemed high-risk for an overdose

Since 1996, more than 53,000 individuals have been trained by NDPs resulting in more than 10,000 overdose reversals using Naloxone

Developing a white paper for best practices

Opioid prescribing in the Emergency Departments

Why Emergency Departments?The ED is the largest ambulatory source for opioid analgesics with 39% of all opioids prescribed, administered, or continued in the U.S. coming from EDs. This may be an even higher percentage in OhioNationally, opioid prescribing for pain-related ED visits increased from 23% in 1993 to 37% in 2005ED treatment of pain is frequently indicated without the benefit of an established doctor-patient relationship and often in an environment of limited resourcesClosure of “pill mills” may result in increased drug seeking behavior (e.g. doctor shopping) at ED

In Ohio, 16% of 2008 fatal overdose victims had a history of doctor shopping