Use and Misuse of Opioid Drugs Fact Sheet Student-Athlete and Parent/Guardian Sign-Off

ln accordance with N.J.S.A. 18A:40-41.10, public school districts, approved privateschools for students with disabilities, and nonpublic schools participating in an

interscholastic sports prog ram must distribute this Opioid Use ond MisuseEducotionol Foct Sheetto all student-athletes and cheerleaders. ln addition , schoolsand districts must obtain a signed acknowledgement of receipt of the fact sheetfrom each student-athlete and cheerleader, and for students under age 18, theparent or guardian must also sign.

This sign-off sheet is due to Mr. Reagan in the athletic office by February 27,201,8

and annually thereafter prior to the student-athlete's or cheerleader's first officialpractice of the school year.

Union Catholic High SchoolScotch Plains, New Jersey

l/We acknowledge that we received and reviewed the Educational Fact Sheet on

the Use and Misuse of Opioid Drugs.

Student Signature:

Date:

Parent/Guardian Signature (also needed if student is under age 18):

STATE OF NEW JERSEY

DEPARTMENT OF EDUCATIOI{Date

To:

Route To:

Fro m:

January 9, 2018

Chief School Administrators, Charter School and Renaissance School Project Leads,

Administrators of Approved Private Schools for Students with Disabilities, Nonpublic SchoolAdministrators

Principals, School Nurses, Athletic Directors, Athletic Trainers, Coaches

Peggy McDonald, Acting Assistant CommissionerDivision of Learning Supports and Specialized Services

March 2, 2018D ead line

Opioid Use and Misuse Fact Sheet and Sign-Off Sheet

ln accordance with the law, the fact sheet must be distributed and a sign-off sheet completed and collected foreach student-athlete or cheerleader prior to the first official practice session of the spring 2018 athletic season(March 2, as designated by the New Jersey State lnterscholastic Athletic Association), and annually thereafterprior to the student's first official practice of the school year. For the convenience of school officials, the NewJersey Department of Education (NJDOE) has designed a template siEn-off form. This sign-offform cannot be

combined with any other sign-off sheets that students or parents are required to complete.

These forms, as well as a text-only version of the Opioid Use and Misuse Fact Sheet, can be found on theNJ0OE's Alcohol, Tobacco and other Oru g Use webpage

Backgroundln July 20t7, Governor Christie signed into law P.[. 20U, c.167, which requires the NJ DOE to develop a factsheet containing information on the use and misuse of opioid drugs in the event that a health care providerprescribes a student-athlete or cheerleader an opioid for a sports-related injury. The law also requires student-athletes (and their parents, if the student is under age 18) to annually sign an acknowledgement of receipt ofthe fact sheet. The fact sheet was developed by the NJDOE in consultation with the New Jersey Department ofHealth, the New Jersey State lnterscholastic Athletic Association, and Karan Chauhan, a student at ParsippanyHills High School who serves as the student representative to the State Board of Education.

Members, State Board of EducationKlmberley Harrington, CommissionerNJDOE StaffStatewide Parent Advocacy NetworkGarden State Coalition of SchoolsNJ LEE Group

c

A Memo fiom the NewJerey Deporlm.nto[ Educqtion

ln accordance with N.J.5.A. 18A:40-41.10, public school districts, approved private schools for students withdisabilities, and nonpublic schools participating in an interscholastic sports program must distribute the OrioldUse ond Misuse Educationol Fact Sheet to all student-athletes and cheerleaders. ln addition, schools and districtsmust obtain a signed acknowledgement of receipt of the fact sheet from each student-athlete and cheerleader,and for students under age 18, the parent or guardian must also sign.

Contact lnformationQuestions may be directed to heel!by!9h9qlgful9e.!!q!S.OlU!.

OPIOID USE AND MISUSEK&UCRTX*IilRI $.&CT SHEETKeeping Student-Athtetes Safe

Schoolathletics can serve an integral role in students' development. lnadditiontoprovidinghealthyformsofexercise,srh0olathleticsfoster friendships and camaraderie, promote sportsmanship and fair play, and instillthe value of competition.

Unfortunately, sports activities may also lead t0 injury and, in rare cases, result in pain that is severe or long-lasting enough to require a

prescription opioid painkiller.l lt is important to understand that overdoses from opioids are on the rise and are killing Americans of allages and batkgrounds. Families and communities across the country are coping with the health, emotional and e(onomic effects ofthis epidemi(.'7

This educational fact sheet, created by the New Jersey Department ot Education as required by state law (l/.J.5./. 18A:40-41.10),provides information (oncerning the use and misuse of opioid drugs in the event that a health care provider presdibes a student'athlete or cheerleader an opioid for a sports+elated inJUry. Sludent.athletes and cheerleaders partiripating in an intersch0lastir sports

program (and their parent or guardian, if the student is under age 18)must provide their xhool distrid written a&nowledgment of

their receipt of this fact sheet.

ln some cases, student-athletes are prescribed these medications. According to research, about a third of young people studied

obtained pills {rom their own previous prescriptions (i.e., an unfinished prescription used outside of a physicianS supervision),

and 83 percent of adolescents had unsupervised access to their prescription medi(ations.3 lt is importantfor parentslo

ulllelgtand the possible hazard of h-aving unsecured pres(ription medi(a-tions in their households. Parents shqUl..d also

uirdeista'nd the importance of proirer.itorage and disposal of medicati0i'ii;,avdn if they believe their child would not engage in

non.medical use or diversion of prescription medications.

ccording to the National Council on Altoholism and Drug Dependen€e, 12 percent of male athletes and 8 percenl of {emale

I athletes had used prescription opioids in the 12-month period studied.s ln the early stages ol abuse, the athlete may exhibitunprovoked nausea and/or vomiting. However, as he or she develops a tolerance t0 the drug, those signs will diminish.Constipation is not uncommon, but may not be reported. 0ne of the most signifi(ant indications of a possible opioid addiction is

an athlete's decrease ln academi( or athletic performance, or a lack of interest in his or her sport. lf these waming signs are

noti(dd, best practices callfor the $ident to be refened to the appropriqle prolesionallor screening,asuch as'provided throughroblematic use, abuse and dependence on illicit drugs (e.9., Screening, Biief

iiiition, and Relenal to TreatmdiitiSBlRT)) offered through the New Department of Health

Misuse Can Be Prevented?Ac(ording to the New Jersey State lnteEcholasticAthleti(Association (l,lJslM)Sports Medical

er0rn

schoolsas

ons such q!rrn0n-labelcarefully take thewhen taking an ovei:the"counter

. lce therapy can be utilized appropriately as an anestheti(.o Always disruss with your physidan exactly what is being pres(ribed ior pain and request to avoid narcoti(s.

. lll extreme cases, su(h as severe tnuma o medi(ation rhould not be p

a time;

ians shou

ions shouI kits like

ensing of pain d keep t

rescribed for more

*

How Do Athletes Obtain

What Are Some'tllays 0pioid .ind

STATE or NEw JERSEY

DEPARTMENT OF EDUCATIO^.

ln (onsultation with

l*llloattt N,sIAASTArE oF NF.lv IERSEYDEPART}{ENT OF HEALTH

NJSIAA SPoRrs MEDICALADvlsoRY CoMMTnEE

KaranChaqlran ,.

P sippany Hills Hith School,Permanent Student RePIesentative

New Jers€y State Board of Education

EE.

l{umber ol lniu des Nationallv in 201underlrom io Popu

2&nong Athleles 19 andlarSport5

IEired 0n drtilom IJ.5. Con5llm.I Podud S.fetyCommissiont' N.don.l tledrc.i. lniury suw€ill. n(. Synem)

.E;3

Even With Properfraining and Plevention,

Sports lnjuries MaY 0ccur

There are two kinds o{ sports injuries..Acute injuries happen suddenly, such as

a sprained ankle or itrained back. Chronic injuries may happen after someone

plays a sport or exeriises over a long period of time, even when applying

overuse-preventative tethniques s

Athletes should be encouraged to speak up about injuries, (oa(hes should be

supported in injury'prevention decisions, and palents and young athletes are

encouraged to betome better educated about sports safety 6

Hali of all sports medicine injuries in children and teens are from overuse. An overuse injury it 9?i:9-t l1i,!:i-.j 1scle,

ligament, or tendon

,rlr.l t.'y iip.r,fr. Ui.r, *itf'ort allorinfiir. tot,t. UoOy to t.al Children and teens are at in(Ieased Iisk for overuse injuries because

;;;;lilir;; ;;, i; resilient to stress Aiso, young athletei may not know that certain symPtoms are signs of overuse'

The best way t0 dealwith sp0rts injuries is to keep them from happening in the first Pla(e Here a re some re(om mendations to (onsider:

USATODAY ettoeh e)Su

or ri5ky activities.

CONDITIONING [,laintain a good litness levelduling the season and

oflseason. Also impodant are ptoper warm-up and cooldown

exercises.

IXAINING lncrease weeklv tra ininq time, mileaqe oI rePetitions no

morethan'lO Dercent peiweek For example, il running l0 milesone

week. increaseto 11 miles the followirq week Athletes shoutd also

(oss{rain and Derform sportspedllcdiills in diffelent ways, such as

runninq in a swimming poolinstead ofonlyrunningon the road

ADTOUATE HYDRATION Keep the body hydrated to helpthe head

iiore easily pump bliiild to rirriides, whieh helps muscleswork

efficiently.

RESI t P Take at least one day off pet week fto m organized activity to

retover ohvsicallv and mendlly Athletes should take a combined

three m'onf,rs off per year lroma specifi( 5pod(may be divided

it roro nout ttre viar iir on+month inctement5). Athletes may remain

pt vrii.ttv ,.tird A, tinq ,.st peliods thlough alternative low-stless

ictivitiesluth as stretchinq, yoqa or walking.

ffi$p_ryWP

-518:.i $' 'F.l'i.i'

"{,

@

irt'! pdatedJ.an. 30, 2018. ::,a,,, ,::ltr'. rllt:l

Ref gi0nCgii rtr."achuiets Teiirniial lrsiiiince eartneiship

for Prevention.r?.Centels for Disease,Control and Preventionrl!

New Jeiiiy Sbte lniirscholastiaAthleti( :l'

Aseii;iion (NJSll\A) spods Medial Aaltisory

Committee{SMAC}

' alhleil( Ma nagem ent, Oavrd Gjllan, athleli(

lrainer, Ewing Hrgh 5chool, NJSIAA Sl!'lAC

5 N;iia;al lnsriiililof Arthriti!'and M;iai,loskeletal

andSkin oiseates. USATODAY, Amdkan A.ademy of Pqdiatrics ,,:,:rl ,::::