Transcript Document

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
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%
Obtained free
from friend or
relative 55%
Prescribed by one
doctor 17.3%
CDC
Bloom
3 Theft
1 Defrauding creditors
1 Identity theft
Brush Creek
1 Identity theft
Clay
1 Burglary
1 Theft
Green
1 Theft
Harrison
1 Criminal damaging
1 Burglary
1 Breaking and entering
1 Criminal simulation
1Disorderly conduct
1 Domestic Violence
Jefferson
1 Breaking and entering
1 Theft
1 Cruelty to animals
Morgan
1 Telecommunications
Harassment
1 Domestic violence
Porter
1 Criminal Trespass
1 Theft
1 Telecommunications fraud
1 Forgery
2 Domestic violence
1 Violate protection order
Rarden
1 Theft
Rush
1 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
NPR
Men’s Health
The New York Times …
.
.
.
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
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
Shut down 12 “pill mills”
Prevention not Permission Syringe Exchange
SOLACE
High 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
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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 with
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Scioto County Court of Common Pleas
Portsmouth Municipal Court
Scioto 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 service
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Salvation Army
American Red Cross
Main Street Portsmouth
God’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
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Interviewing
Resume building
Cold calling
Professionalism
 Jobs
that are “black money” or “under the
table” are not permitted
 Based
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on 70% of not re-offending in the future
6 month estimate savings $401,625-$580,125
12 month estimate savings $803,250-$1,160,250
18 month estimate savings $1,204,875- $1,740,375
Depending on jail per diem being $45-$65/day
 Conducting
prescription drug abuse education
and awareness pilot projects in high-risk areas
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
Two projects funded: Montgomery and Scioto
Counties
Funding period: 2010-2013 (4 years)
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
Coalition building
Media campaign
 Results

seen already
1.5 million fewer pills prescribed in Scioto County in
2011, as compared to 2010
Webpage:
http://www.healthyohioprogram.org/poison
Ohio’s
first Naloxone Distribution
Program
 Naloxone
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
 Opioid
a white paper for best practices
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 Ohio
 Nationally, opioid prescribing for pain-related ED visits
increased from 23% in 1993 to 37% in 2005
 ED treatment of pain is frequently indicated without
the benefit of an established doctor-patient
relationship and often in an environment of limited
resources
 Closure 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