Over-the-Counter and Prescription Drugs
Over-the-Counter and Prescription Drugs
Over-the-Counter and Prescription Drugs
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>Over</strong>-<strong>the</strong>-<strong>Counter</strong> <strong>and</strong><br />
<strong>Prescription</strong> <strong>Drugs</strong><br />
Community Service<br />
Programs, Inc.<br />
PProject j PATH<br />
Positive Action Toward Health<br />
Project funded by County of Irene Orange Health Umipig| Care Agency‐ iumipig@cspinc.org<br />
Alcohol <strong>and</strong> Drug Education <strong>and</strong> Prevention Team<br />
Community Service Programs<br />
Project PATH<br />
(Positive Action Towards Health)<br />
� A non‐profit organization<br />
that is committed to<br />
creating a safe <strong>and</strong> healthy<br />
Orange g County y by y<br />
eliminating problems<br />
associated with alcohol,<br />
tobacco, <strong>and</strong> o<strong>the</strong>r drug<br />
use through education,<br />
training <strong>and</strong> technical<br />
assistance.<br />
Alcohol <strong>and</strong> Drug Education Prevention Team<br />
(ADEPT)<br />
<strong>Prescription</strong> for Prevention<br />
� A department within <strong>the</strong><br />
Orange County Health<br />
Care Agency that provides<br />
leadership, p, funding g <strong>and</strong><br />
technical support to<br />
community groups,<br />
agencies, organizations<br />
<strong>and</strong> institutions to prevent<br />
alcohol <strong>and</strong> o<strong>the</strong>r drug‐<br />
related problems in<br />
Orange County.<br />
Two men are st<strong>and</strong>ing on a<br />
river's edge….<br />
Suddenly, one man spots an infant floating in <strong>the</strong><br />
middle of <strong>the</strong> current. Both dive in from <strong>the</strong> beach<br />
<strong>and</strong> rescue <strong>the</strong> infant.<br />
St<strong>and</strong>ing g on <strong>the</strong> bank, , <strong>the</strong>y y suddenly y spot p ano<strong>the</strong>r<br />
child, <strong>and</strong> <strong>the</strong> process is repeated.<br />
Again <strong>and</strong> again, diving into <strong>the</strong> swift current, <strong>the</strong>y<br />
recover child after child when suddenly one of <strong>the</strong> men<br />
starts running up <strong>the</strong> bank.<br />
"Don't leave!" implores <strong>the</strong> second man. "I need help to<br />
save <strong>the</strong>se children. “Where are you going?“<br />
1
The man yells as he races upstream,<br />
"I'm Im going to stop whoever is<br />
throwing <strong>the</strong>m in!"<br />
WHO?<br />
•A story shared by Julian Bond, chairman emeritus of <strong>the</strong> NAACP<br />
Adolescents 12‐13<br />
Female Teens<br />
Young Adults 18‐24<br />
�Who:<br />
� Population at risk, contributing populations<br />
�What:<br />
� Scope of <strong>the</strong> epidemic<br />
�When:<br />
�� Access to Rx Rx, risk factors<br />
�Where:<br />
� Environmental conditions<br />
�Why:<br />
� Perception, availability, cultural trends*<br />
Media’s Who? Face to <strong>the</strong> Problem<br />
2
National Findings<br />
Specific Drug Used When Initiating Illicit Drug Use among Past Year<br />
Initiates of Illicit <strong>Drugs</strong> Aged 12 or Older: 2007<br />
National Survey on Drug Use <strong>and</strong> Health: 2007<br />
OC Coroner’s Data<br />
Rx/OTC & Illicit Drug <strong>Over</strong>doses for 12‐25 year olds<br />
2005‐2007<br />
Rx.OTC <strong>Over</strong>dose<br />
Illicit Drug <strong>Over</strong>dose<br />
North Central South<br />
9<br />
9<br />
16<br />
16<br />
17<br />
12<br />
% Students witth<br />
Lifetime Use<br />
What?<br />
Emergency Department Visits<br />
Orange County versus California<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
11.6<br />
10<br />
2<br />
3<br />
3.9 4<br />
25.9<br />
Rx/OTC Drug<br />
17<br />
8.7<br />
6<br />
4.3 4<br />
CSS<br />
CHKS<br />
3
40.00%<br />
30.00%<br />
20.00%<br />
10.00%<br />
0.00%<br />
How Does My School Compare?<br />
Lifetime use of cough <strong>and</strong> cold medicine to get high<br />
(1 or more times)<br />
Fullerton Joint Union School District<br />
Orange<br />
County Fullerton JU<br />
9th Grade 11th Grade NT<br />
California Healthy Kids Survey (CHKS), WestEd<br />
Fall 2007 secondary technical report<br />
50%<br />
40%<br />
30%<br />
20%<br />
10%<br />
0%<br />
9 th<br />
grade<br />
%<br />
11 th<br />
grade<br />
%<br />
NT<br />
%<br />
Orange<br />
County 10 17 35<br />
Fullerton 19 22 33<br />
How Does My School Compare?<br />
Lifetime use of prescription painkillers<br />
(1 or more times)<br />
Capistrano Unified School District<br />
California Orange<br />
County Capistrano<br />
9th Grade 11th Grade NT<br />
California Healthy Kids Survey (CHKS), WestEd<br />
Fall 2008 secondary technical report<br />
9th grade<br />
%<br />
11 th<br />
grade<br />
% %<br />
NT<br />
%<br />
California 12 20 32<br />
Orange<br />
County 10 17 35<br />
Capistrano 10 27 44<br />
40.00%<br />
30.00%<br />
20.00%<br />
10.00%<br />
0.00%<br />
How Does My School Compare?<br />
Lifetime use of cough <strong>and</strong> cold medicine to get high<br />
(1 or more times)<br />
Orange Unified School District<br />
Orange County<br />
OUSD<br />
9th Grade 11th Grade2 NT<br />
California Healthy Kids Survey (CHKS), WestEd<br />
Spring 2008 secondary technical report<br />
40%<br />
30%<br />
20%<br />
10%<br />
Newport Mesa Unified School District<br />
0%<br />
9 th<br />
grade<br />
%<br />
11 th<br />
grade<br />
%<br />
NT<br />
%<br />
Orange<br />
County<br />
Orange<br />
10 17 35<br />
Unified<br />
School<br />
District<br />
23 23 32<br />
How Does My School Compare?<br />
Lifetime use of prescription painkillers<br />
(1 or more times)<br />
California Orange<br />
County<br />
Newport<br />
Mesa<br />
9th Grade 11th Grade NT<br />
California Healthy Kids Survey (CHKS), WestEd<br />
Fall 2007 secondary technical report<br />
9 th<br />
grade<br />
%<br />
11 th<br />
grade<br />
%<br />
NT<br />
%<br />
California 12 20 32<br />
Orange<br />
County 10 17 35<br />
Newport<br />
Mesa 12 24 28<br />
4
Respondents<br />
Percent of<br />
What?<br />
� Opioids<br />
� Central Nervous System (CNS)<br />
depressants<br />
� Stimulants<br />
•(National Institute on Drug Abuse [NIDA], 2005)<br />
OTC medications misused by teens<br />
Dextromethorphan<br />
Skittles, DXM, Dex, Vitamin D, Robo, Triple C<br />
Cough medicine high is caused by DXM<br />
Dextromethorphan (DXM) is <strong>the</strong> active ingredient<br />
found in cough <strong>and</strong> cold medications<br />
1 out of 10 teens<br />
(12‐17) nationwide<br />
have abused<br />
cough medicines<br />
to get high<br />
Opioids<br />
� Vicodin, OxyContin<br />
5
Central Nervous System<br />
Depressants<br />
� Barbiturates<br />
� Benzodiazepines<br />
� Valium Xanax<br />
� Valium, Xanax<br />
When we we aren’t When? looking….<br />
70% of people age<br />
12 <strong>and</strong> older who<br />
abuse prescription<br />
painkillers say <strong>the</strong>y<br />
get <strong>the</strong>m from<br />
relatives or friends.<br />
• Adderall<br />
• Ritalin<br />
Central Nervous System<br />
Depressants<br />
Where?<br />
� “Pill Mills”<br />
�� OOxyContin, C ti Vicodin, Vi di <strong>and</strong> d<br />
Soma for cash<br />
� South County, Caucasian<br />
middle to upper class, ages<br />
19‐25<br />
6
Why?<br />
� Lack of Parental Awareness<br />
� “Grownups do it”<br />
� Cultural acceptance<br />
� Easy to Obtain<br />
� Access <strong>and</strong> availability<br />
� Easier to buy than alcohol<br />
� Lack of sustainable disposal<br />
� Low Perception of Harm<br />
� “It came from a doctor”<br />
� Faulty belief safe than street<br />
MYTH<br />
Rx/OTC drugs are safer than illicit<br />
(illegal drugs).<br />
R/OTCd Rx/OTC drugs are safer f bbecause<br />
<strong>the</strong>y are prescribed by doctors.<br />
Myths vs. Facts<br />
FACT<br />
Rx/OTC are just as dangerous, if<br />
not more dangerous, than illicit<br />
drugs.<br />
Rx/OTC drugs, when not taken<br />
properly, can have similar<br />
negative consequences as illicit<br />
drugs.<br />
FACT: More people die from abusing Rx/OTC<br />
drugs than from cocaine, heroin, <strong>and</strong> ecstasy<br />
combined.<br />
� Social with friends<br />
Top reasons for Rx & OTC<br />
drug misuse<br />
� Legal ‐ Widely Available<br />
� Easily Accessible<br />
�� Less shame attached<br />
� Parents “don’t care as much<br />
if you get caught”<br />
� Affordable: Low Cost/Free<br />
� Safe ‐ Prescribed<br />
� Non‐addictive: Medicine<br />
Partnership Attitude Tracking Survey (PAT): Released in April 2006 by The Partnership for a Drug‐Free America<br />
Prevention Efforts<br />
�Education <strong>and</strong> Training<br />
�Increase Parental Awareness<br />
�Increase Knowledge of Prevalence <strong>and</strong><br />
Dangers<br />
�Increase perceived p susceptibility p y<br />
�Capacity Building<br />
�Reduce Access <strong>and</strong> Availability<br />
�Technical Assistance<br />
�Educate community<br />
7
Good Meds. Bad Behavior.<br />
Media Campaign<br />
� Increase awareness of <strong>the</strong><br />
problems associated with<br />
Rx/OTC drug abuse among<br />
youth y (g (ages 12‐17). )<br />
Good Meds. Bad Behavior.<br />
in <strong>the</strong> community<br />
Good Meds. Bad Behavior.<br />
in <strong>the</strong> community<br />
We’re on facebook<br />
Look for us: Good Medicine, Bad Behavior<br />
www.fbook.me/goodmedicinebadbehavior<br />
8
Merchant Education Briefing<br />
� Educate local retailers on<br />
prevalence <strong>and</strong> dangers<br />
associated with misuse of<br />
Rx.OTC drugs<br />
� Gain support from local<br />
retailers to promote<br />
awareness of <strong>the</strong> problem<br />
� Request signage for GMBB<br />
to be placed in local retailer<br />
Orange County <strong>Prescription</strong><br />
Drug Task Force<br />
� Disposal Committee<br />
� Take Back Events<br />
� Curbside, INC.<br />
� Red Ribbon 2010‐2011<br />
Campaign<br />
� Rock N Road Event will feature<br />
a PSA Contest focused on<br />
Rx/OTC abuse<br />
Partners<br />
� OC Health Care Agency<br />
� CSP Project PATH<br />
� Curbside, INC.<br />
� OC Sanitation<br />
� Police Departments/OC<br />
Sheriff’s Department<br />
� Drug Enforcement<br />
Administration<br />
Conduct community<br />
briefings or town hall<br />
meetings to increase public<br />
awareness of <strong>the</strong> prevalence<br />
<strong>and</strong> consequences of Rx/OTC<br />
drug use among youth.<br />
Town Halls<br />
� Fullerton<br />
� California State University‐<br />
Fullerton—42 participants<br />
� Mission Viejo<br />
� Capistrano Valley High School—50<br />
participants<br />
� City Hall—May 6, 2010<br />
� Newport Beach<br />
� Newport Harbor High School—45<br />
participants<br />
� Orange<br />
� Orange High School‐ 126<br />
participants<br />
� Huntington Beach<br />
� Huntington Beach High School—126<br />
participants<br />
<strong>Prescription</strong> <strong>and</strong> <strong>Over</strong>-<strong>the</strong>-<strong>Counter</strong> Drug Abuse<br />
Orange County Comprehensive Report<br />
Launched: July of 2008<br />
Designated five objectives<br />
9
Disposal Programs<br />
Curbside, Inc.<br />
� “Drop‐box” programs<br />
� Incineration of unwanted pharmaceuticals<br />
� Who benefits?<br />
Specifics:<br />
� Home‐Generated Pharmaceuticals<br />
� Residents Only<br />
� No Business Waste<br />
Drop Box Pilot Project<br />
Take Back Events The End!<br />
THANK YOU for participating in our <strong>Over</strong>‐<strong>the</strong><br />
<strong>Counter</strong> <strong>and</strong> <strong>Prescription</strong> <strong>Drugs</strong> workshop!<br />
If you have any fur<strong>the</strong>r questions, please contact:<br />
Irene Umipig<br />
Health Educator<br />
CSP, Inc. Project PATH<br />
714.441.0807<br />
iumipig@cspinc.org<br />
Della Lisi Kerr<br />
Health Educator<br />
OCHA ‐ ADEPT<br />
7714.834.2192<br />
dlisi@ochca.com<br />
10
Change language