Over-the-Counter and Prescription Drugs

cce.csus.edu

Over-the-Counter and Prescription Drugs

Over-the-Counter and

Prescription Drugs

Community Service

Programs, Inc.

PProject j PATH

Positive Action Toward Health

Project funded by County of Irene Orange Health Umipig| Care Agency‐ iumipig@cspinc.org

Alcohol and Drug Education and Prevention Team

Community Service Programs

Project PATH

(Positive Action Towards Health)

� A non‐profit organization

that is committed to

creating a safe and healthy

Orange g County y by y

eliminating problems

associated with alcohol,

tobacco, and other drug

use through education,

training and technical

assistance.

Alcohol and Drug Education Prevention Team

(ADEPT)

Prescription for Prevention

� A department within the

Orange County Health

Care Agency that provides

leadership, p, funding g and

technical support to

community groups,

agencies, organizations

and institutions to prevent

alcohol and other drug‐

related problems in

Orange County.

Two men are standing on a

river's edge….

Suddenly, one man spots an infant floating in the

middle of the current. Both dive in from the beach

and rescue the infant.

Standing g on the bank, , they y suddenly y spot p another

child, and the process is repeated.

Again and again, diving into the swift current, they

recover child after child when suddenly one of the men

starts running up the bank.

"Don't leave!" implores the second man. "I need help to

save these children. “Where are you going?“

1


The man yells as he races upstream,

"I'm Im going to stop whoever is

throwing them in!"

WHO?

•A story shared by Julian Bond, chairman emeritus of the NAACP

Adolescents 12‐13

Female Teens

Young Adults 18‐24

�Who:

� Population at risk, contributing populations

�What:

� Scope of the epidemic

�When:

�� Access to Rx Rx, risk factors

�Where:

� Environmental conditions

�Why:

� Perception, availability, cultural trends*

Media’s Who? Face to the Problem

2


National Findings

Specific Drug Used When Initiating Illicit Drug Use among Past Year

Initiates of Illicit Drugs Aged 12 or Older: 2007

National Survey on Drug Use and Health: 2007

OC Coroner’s Data

Rx/OTC & Illicit Drug Overdoses for 12‐25 year olds

2005‐2007

Rx.OTC Overdose

Illicit Drug Overdose

North Central South

9

9

16

16

17

12

% Students witth

Lifetime Use

What?

Emergency Department Visits

Orange County versus California

30

25

20

15

10

5

0

11.6

10

2

3

3.9 4

25.9

Rx/OTC Drug

17

8.7

6

4.3 4

CSS

CHKS

3


40.00%

30.00%

20.00%

10.00%

0.00%

How Does My School Compare?

Lifetime use of cough and cold medicine to get high

(1 or more times)

Fullerton Joint Union School District

Orange

County Fullerton JU

9th Grade 11th Grade NT

California Healthy Kids Survey (CHKS), WestEd

Fall 2007 secondary technical report

50%

40%

30%

20%

10%

0%

9 th

grade

%

11 th

grade

%

NT

%

Orange

County 10 17 35

Fullerton 19 22 33

How Does My School Compare?

Lifetime use of prescription painkillers

(1 or more times)

Capistrano Unified School District

California Orange

County Capistrano

9th Grade 11th Grade NT

California Healthy Kids Survey (CHKS), WestEd

Fall 2008 secondary technical report

9th grade

%

11 th

grade

% %

NT

%

California 12 20 32

Orange

County 10 17 35

Capistrano 10 27 44

40.00%

30.00%

20.00%

10.00%

0.00%

How Does My School Compare?

Lifetime use of cough and cold medicine to get high

(1 or more times)

Orange Unified School District

Orange County

OUSD

9th Grade 11th Grade2 NT

California Healthy Kids Survey (CHKS), WestEd

Spring 2008 secondary technical report

40%

30%

20%

10%

Newport Mesa Unified School District

0%

9 th

grade

%

11 th

grade

%

NT

%

Orange

County

Orange

10 17 35

Unified

School

District

23 23 32

How Does My School Compare?

Lifetime use of prescription painkillers

(1 or more times)

California Orange

County

Newport

Mesa

9th Grade 11th Grade NT

California Healthy Kids Survey (CHKS), WestEd

Fall 2007 secondary technical report

9 th

grade

%

11 th

grade

%

NT

%

California 12 20 32

Orange

County 10 17 35

Newport

Mesa 12 24 28

4


Respondents

Percent of

What?

� Opioids

� Central Nervous System (CNS)

depressants

� Stimulants

•(National Institute on Drug Abuse [NIDA], 2005)

OTC medications misused by teens

Dextromethorphan

Skittles, DXM, Dex, Vitamin D, Robo, Triple C

Cough medicine high is caused by DXM

Dextromethorphan (DXM) is the active ingredient

found in cough and cold medications

1 out of 10 teens

(12‐17) nationwide

have abused

cough medicines

to get high

Opioids

� Vicodin, OxyContin

5


Central Nervous System

Depressants

� Barbiturates

� Benzodiazepines

� Valium Xanax

� Valium, Xanax

When we we aren’t When? looking….

70% of people age

12 and older who

abuse prescription

painkillers say they

get them from

relatives or friends.

• Adderall

• Ritalin

Central Nervous System

Depressants

Where?

� “Pill Mills”

�� OOxyContin, C ti Vicodin, Vi di and d

Soma for cash

� South County, Caucasian

middle to upper class, ages

19‐25

6


Why?

� Lack of Parental Awareness

� “Grownups do it”

� Cultural acceptance

� Easy to Obtain

� Access and availability

� Easier to buy than alcohol

� Lack of sustainable disposal

� Low Perception of Harm

� “It came from a doctor”

� Faulty belief safe than street

MYTH

Rx/OTC drugs are safer than illicit

(illegal drugs).

R/OTCd Rx/OTC drugs are safer f bbecause

they are prescribed by doctors.

Myths vs. Facts

FACT

Rx/OTC are just as dangerous, if

not more dangerous, than illicit

drugs.

Rx/OTC drugs, when not taken

properly, can have similar

negative consequences as illicit

drugs.

FACT: More people die from abusing Rx/OTC

drugs than from cocaine, heroin, and ecstasy

combined.

� Social with friends

Top reasons for Rx & OTC

drug misuse

� Legal ‐ Widely Available

� Easily Accessible

�� Less shame attached

� Parents “don’t care as much

if you get caught”

� Affordable: Low Cost/Free

� Safe ‐ Prescribed

� Non‐addictive: Medicine

Partnership Attitude Tracking Survey (PAT): Released in April 2006 by The Partnership for a Drug‐Free America

Prevention Efforts

�Education and Training

�Increase Parental Awareness

�Increase Knowledge of Prevalence and

Dangers

�Increase perceived p susceptibility p y

�Capacity Building

�Reduce Access and Availability

�Technical Assistance

�Educate community

7


Good Meds. Bad Behavior.

Media Campaign

� Increase awareness of the

problems associated with

Rx/OTC drug abuse among

youth y (g (ages 12‐17). )

Good Meds. Bad Behavior.

in the community

Good Meds. Bad Behavior.

in the community

We’re on facebook

Look for us: Good Medicine, Bad Behavior

www.fbook.me/goodmedicinebadbehavior

8


Merchant Education Briefing

� Educate local retailers on

prevalence and dangers

associated with misuse of

Rx.OTC drugs

� Gain support from local

retailers to promote

awareness of the problem

� Request signage for GMBB

to be placed in local retailer

Orange County Prescription

Drug Task Force

� Disposal Committee

� Take Back Events

� Curbside, INC.

� Red Ribbon 2010‐2011

Campaign

� Rock N Road Event will feature

a PSA Contest focused on

Rx/OTC abuse

Partners

� OC Health Care Agency

� CSP Project PATH

� Curbside, INC.

� OC Sanitation

� Police Departments/OC

Sheriff’s Department

� Drug Enforcement

Administration

Conduct community

briefings or town hall

meetings to increase public

awareness of the prevalence

and consequences of Rx/OTC

drug use among youth.

Town Halls

� Fullerton

� California State University‐

Fullerton—42 participants

� Mission Viejo

� Capistrano Valley High School—50

participants

� City Hall—May 6, 2010

� Newport Beach

� Newport Harbor High School—45

participants

� Orange

� Orange High School‐ 126

participants

� Huntington Beach

� Huntington Beach High School—126

participants

Prescription and Over-the-Counter Drug Abuse

Orange County Comprehensive Report

Launched: July of 2008

Designated five objectives

9


Disposal Programs

Curbside, Inc.

� “Drop‐box” programs

� Incineration of unwanted pharmaceuticals

� Who benefits?

Specifics:

� Home‐Generated Pharmaceuticals

� Residents Only

� No Business Waste

Drop Box Pilot Project

Take Back Events The End!

THANK YOU for participating in our Overthe

Counter and Prescription Drugs workshop!

If you have any further questions, please contact:

Irene Umipig

Health Educator

CSP, Inc. Project PATH

714.441.0807

iumipig@cspinc.org

Della Lisi Kerr

Health Educator

OCHA ‐ ADEPT

7714.834.2192

dlisi@ochca.com

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