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Wireless Access SSID: cwag2017. Password: cwag17. Prescription Painkiller Abuse in Wisconsin Sharing a Dose of Reality. Brad Schimel Wisconsin Attorney General. Awareness – the Myths. MYTH: Painkillers are completely safe because they are prescribed by a doctor.
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Wireless Access SSID: cwag2017 Password: cwag17
Prescription PainkillerAbuse in WisconsinSharing a Dose of Reality Brad SchimelWisconsin Attorney General
Awareness – the Myths MYTH: Painkillers are completely safe because they are prescribed by a doctor. DOSE OF REALITY: Prescription painkillers are involved with more deaths than heroin and cocaine combined WI DEPARTMENT OF JUSTICE 9/30/2015
Awareness – the Problem in Wisconsin • (Wisconsin Epidemiological Profile on Alcohol & Other Drug Use, 2014) MYTH: Illicit drugs are more dangerous than prescriptions DOSE OF REALITY: Most of the increase in drug-related deaths is due to misuse of prescription drugs rather than illicit drugs • Our experience reflects the national trend WI DEPARTMENT OF JUSTICE 9/30/2015 4
Awareness – Who is being impacted? MYTH: This is just affecting the “bad kids” DOSE OF REALITY: Young people from all walks of life are becoming addicted WI DEPARTMENT OF JUSTICE 9/30/2015 5
Awareness – Sources of Abused Opioids WI DEPARTMENT OF JUSTICE 9/30/2015 MYTH 1: People obtain prescription painkillers “on the street” MYTH 2: Most people abusing painkillers get them legally from a doctor
Awareness – Friends & Family WI DEPARTMENT OF JUSTICE 9/30/2015 • DOSE OF REALITY: • 70.8 % got or took them from friend or relative (NIH: The Science of Drug Abuse 7 Addiction, 2010)
Isn’t Heroin the real problem? MYTH: Illicit drugs are the cause of most of the problem
Prescription painkillers are the root of the problem DOSE OF REALITY: Nearly 4 out of 5 heroin users began by abusing prescription painkillers
Dose of Reality • Very Simple Prevention Message: • Take meds ONLY as prescribed TO YOU by a physician • Store meds safely and SECURELY • DISPOSE of meds properly/promptly
Awareness – “Not in our neighborhood” WI DEPARTMENT OF JUSTICE 9/30/2015 MYTH: Heroin addiction is an urban problem stemming from street drugs
Just an Urban Problem? DOSE OF REALITY: It’s affecting communities of all kinds: urban, suburban and rural
Drug Take Back May ‘15 = Over 39,000 lbs Oct. ‘15 = Over 44,000 lbs Apr. ‘16 = Over 64,000 lbs Oct. ‘16 = nearly 59,000 lbs Apr. ‘17 = nearly 68,000 lbs 275,000 lbs total/15 semis Over 300 Med Return Units
Role of Medical Community • Educating prescribers • Changing conversation w/ patients • Rx guidelines • WI Medical Examining Board • WI Medical Society • WI Hospital Association • WI Dental Examining Board – will be 1st in U.S. • Med. Exam Board - Responsibility for Tx • Med. Examining Board requiring CMEs
Already seeing reductions in prescribing of opioids WI Controlled Substance Board: #of opioid Rx dispensed reduced 11% in 2016 compared to 2015. DEA: Nationwide opioid production reduced 25% = demand down!
WI Medical Community Supported Mandatory PDMP • Simpler prescriber access: 1 click • Shorten time to reporting • Alerts for concerning behaviors • Physician profiles available • Licensing board access to concerning prescriber data
Medical Community actions • Pharm. Soc. WI – Robbery safety training • WI Nursing Assoc. – Addressing danger to traveling nurses • Marquette Dental School classes • Medical assoc. articles and conferences • Increasing availability of MAT
An even bigger storm may be coming…. • As we reduce proliferation of Rx narcotics, addicted users turning faster to heroin and • Fentanyl • 2. Switch to Meth
Actions by other partners • DHS issued standing order for Narcan • DOJ negotiated Narcan rebate/discount • DOJ and DHS collaboration on DOR • DOJ and DOT collaboration on Drugged Driving awareness campaign • DOJ website resources • Law enforcement • Narcan training and use • OD death investigation training
Actions by other partners • Employers embracing early intervention • Wisconsin Eye video for schools • WI Interscholastic Athletic Assoc. • Drug Free Community Coalitions • CJS: TAD in 50 of 72 counties & majority of tribal communities • HOPE Legislation
Wireless Access SSID: cwag2017 Password: cwag17