Embed Size (px)
Citation preview
John R. Kasich, GovernorOrman Hall, Director
1
“Little Pill, Big Problem: Ohio’s Opiate Story”
for
The Opiate Epidemic Across the Lifespan:
Impact and Interventions
September 28, 2012
NATURE OF THE PROBLEM
John R. Kasich, GovernorOrman Hall, Director
2
Tolerance Euphoria
Withdrawal
THE SCOPE OF THE PROBLEM
3
John R. Kasich, Governor
4
NATIONAL DATA
5
NATIONAL DATA: Public Health Impact of Opioid Overdose
Sources: SAMHSA Treatment Episode Data Set (TEDS); Drug Abuse Warning Network (DAWN); National Survey of Drug Use in Households (NSDUH)
6
NATIONAL DATA: Unintentional and Undetermined IntentDrug Overdose Death rates by State, 2007
Source: National Vital Statistics System. http://www.wonder.cdc.gov
7
NATIONAL DATA: Past Month Users – Opioid Analgesics
Source: National Survey on Drug Use and Health, 2009. http://www.oas.samhsa.gov
8
NATIONAL DATA: Opioid Analgesics – Sources for Nonmedical Users United States, 2009
Source: National Survey on Drug Use and Health, 2009. http://www.oas.samhsa.gov
1997 Ohio Per Capita Dosage: 7 Pills
9
John R. Kasich, Governor
2010 Ohio Per Capita Dosage: 67 Pills
10
John R. Kasich, Governor
11
Ohio Counties Doses Per Capita, 2010
1212
Prescription Opiate Doses Per Capita Change
2010 - 2011
Change Over Time
-15.2%-0%
0.1%-18.1%
CUYAHOGA COUNTY, OHIOTotal Opiate Doses Prescribed 2011:
66,084,457Cuyahoga County Population:
1,280,122
2008: 51.8 doses/capita
2009: 49.7 doses/capita
2010: 51.1 doses/capita
2011: 51.6 doses/capita
John R. Kasich, GovernorOrman Hall, Director
13
14
15
OHIO OVERDOSES/UNINTENTIONAL POISONINGS
2010 = 1,544 (high point)
Ohio Avg. = 12.2/100,000
CUYAHOGA COUNTY OVERDOSE DEATHS
2006 = 168 2007 = 1342008 = 1442009 = 1442010 = 159
John R. Kasich, GovernorOrman Hall, Director
16
Ohio Dept. of Health: http://www.healthyohioprogram.org/vipp/drug/dpoison.aspx
Cuyahoga County Avg. = 11.6/100,000
17
18
19
20
21
2222
Perc
en
tag
e
Year
Percentage of ODADAS Clients with an Opiate Diagnosis, SFY 2001 through SFY 2012*
2323
2424
25
Opiate as Drug of
Choice by Gender SFY
2001
Opiate as Drug of
Choice by Gender SFY
2009
26
Opiate as Drug of
Choice by Age SFY 2001
Opiate as Drug of
Choice by Age SFY 2009
27
Opiate as Drug of
Choice by Race
SFY 2001
Opiate as Drug of
Choice by Race SFY
2009
28
29
30
OPIATE ADDICTION AND CRIME
31
John R. Kasich, Governor
32
Treatment Admissions per 100,000 population
Property crimes arrests as a percentage of total population
Fairfield County- Jail Days
33
13,108
35,768
10,022
44,725
35,591
No
Opiates Opiates
Present Present
Age Group
18 - 25 40.4% 53.6%
26 - 35 38.3% 25.0%
36 - 45 11.7% 16.1%
46 - 55 7.4% 5.4%
56 -65 2.1% 0.0%
100% 100%
Fairfield County - Jail DaysBy Age and Opiate Status-
2008
34
GOVERNOR’S CABINET OPIATE ACTION TEAM
35
Treatment Workgroup
Professional Education Workgroup
Enforcement Workgroup
Public Education Workgroup
Recovery Supports Workgroup
John R. Kasich, Governor
PRESCRIBER GUIDELINES
36
Emergency Departments (EDs) are a major source of opiates at 39 percent of all opioids prescribed or administered.
Nationally, opioid prescribing for pain-related ED visits increased from 23 percent in 1993 to 37 percent in 2005.
In Ohio, 16 percent of fatal overdose victims in 2008 had a history of “doctor shopping.”
The prescribing guidelines are a general approach to prescribing but are not intended to take the place of clinical judgment.
They include reminders to clinicians on what drugs to avoid routinely prescribing, and considerations when deciding on treatment options.
Endorsed by: Ohio State Medical Association; Ohio Osteopathic Association; Ohio Chapter American College of Emergency Physicians; Ohio Hospital Association; Ohio Pharmacists Association; Urgent Care College of Physicians; Ohio Bureau of Workers Compensation; Ohio Physician Assistants Association; and Ohio Association of Health Plans.
John R. Kasich, Governor
37
Opiate-Related Projects Underway Medication-Assisted Treatment Protocol “Recovery 2 Work” Initiative Community Opiate Task Forces Opiate Impact Studies: Medicaid & BWC Criminal Justice & Behavioral Health
Initiative Southern Ohio Addiction Treatment
Center Inter-State Opiate Alliance “Don’t Get Me Started” Campaign Statewide SOLACE Family Engagement
Network
PHILOSOPHY:
Medication-assisted treatment for opiate dependence refers to the use of buprenorphine, methadone or naltrexone to treat opiate dependence, in combination with counseling and recovery support services….
National Conference of State Legislatures, 2008
Medication-Assisted Treatment
38
John R. Kasich, GovernorOrman Hall, Director
39
“It's something that a lot of people don't understand. They don't even know that it's out there. But it is as significant and dangerous as heroin addiction.” -- Ohio Governor John R. Kasich
OPIATE PAINKILLER MISUSE, ABUSE & ADDICTION
John R. Kasich, Governor
CONTACT:
John R. Kasich, GovernorOrman Hall, Director
40
Orman Hall, Director Ohio Department of Alcohol and Drug Addiction Services
30 West Spring Street, 6th FloorColumbus, OH 43215
