Adolescents and Prescription Drug Abuse. Rodgers M. Wilson, M.D.,CHCQM Arizona Department of Health Service Division of Behavioral Health Services. Prescription Drugs in Adolescence.
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Rodgers M. Wilson, M.D.,CHCQM
Arizona Department of Health Service Division of Behavioral Health Services
(Monitoring the Future Study, The University of Michigan,2006)
Sample of 18,678 with focus on ages 12-17
Opioids were the most frequently misused class
(Schepis, and Krishnan-Sarin,2008)
1. Understanding Family Dynamics and Culture
2. Understanding Growth and Development
3. Understanding Sexual and Physical Abuse
4. Assessing co-morbid diagnoses
5. Psychopharmacological Interventions
6. Cognitive and Learning Disorders
7. Legal matters and issues of consent
8. Use of Community Resources
11.Living Environment (rural vs. urban)
12. Pattern of use and Relapse Prevention
13. Medical and Detoxification Needs
1. Prevention programs should enhance protective factors and reverse or reduce risk factors.
2. Prevention should address all forms of drug abuse, alone, or in combination.
3. Prevention should address the type of abuse in the local community.
4. Prevention should address the specific population.
5. Prevention should address family bonding and parenting
6. Prevention should be design to address early risk factors (i.e., aggression, poor social skills, academic difficulties)
7. Prevention should work with educational systems with a focus on skill development (i.e.,self-control,emotional awareness, communication, problem-solving, academic support)
8. Middle and high school intervention to increase academic and social competence.
9. Prevention should be aimed at general populations at key transition points( e.g., middle school)
10.Prevention should seek to combine effective programs (i.e., family-based and school-based programs)
11. Prevention should focus on reaching populations in multiple settings
12. Research-based elements of prevention must be maintained during cultural adaptation.
13. Prevention should be long-term with repeated interventions
14. Prevention should involve teacher training
15. Prevention should be interactive( i.e., peer discussion, parent role playing)
1. Monitor adolescents on-line
2. Be Observant of over-the-counter drug usage in Adolescents
3. Discard old and unused medications
4. Keep track of the quantities of prescription drugs in the Medicine Cabinet
5. Educate Parents on Talking to Teens
17% of substance abusers obtain drugs by presenting pain to multiple physicians(SAMSHA,2006)
A. Individuals who refill five prescriptions with five or more pharmacists in one month( schedules II, III, IV). APMP will notify the prescriber.
B. Doctors will be able to query the databank with a username and password.
Initial implementation September ‘08 with full implementation by March 2009.
1. Prevention education with School Systems on the use of prescription drugs.
2. Increasing emphasis on coordination care between PCPs and Behavioral Health
Medical Providers related to opiates.
3. Prescription Monitoring Program and participation by providers
4. Evidence-Based Practice Detoxification Protocols for Adolescents
5. Arizona Substance Abuse Partnership Collaboration