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John R. Kasich, Governor Orman Hall, Director. Opiate Addiction: An Ohio Overview LOGAN COUNTY AREA SAFETY COUNCIL April 19, 2012. John R. Kasich, Governor Orman Hall, Director. THE SCOPE OF THE PROBLEM. John R. Kasich, Governor Orman Hall, Director.
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John R. Kasich, Governor Orman Hall, Director Opiate Addiction: An Ohio Overview LOGAN COUNTY AREA SAFETY COUNCIL April 19, 2012
John R. Kasich, Governor Orman Hall, Director THE SCOPE OF THE PROBLEM
John R. Kasich, Governor Orman Hall, Director Prescription Opioid Doses per Capita: January 1, 2010 to December 31, 2010 • Highest Per Capita Dose Rate Jackson County – 133.3 • Lowest Per Capita Dose Rate Holmes County – 18.7 • Ohio’s average per capita rate is 67.3 doses. • Source: Data adapted from the Ohio State Board of Pharmacy. • Map produced February 2012.
John R. Kasich, Governor Orman Hall, Director Prescription Opioid Doses per Capita Change: January 1, 2010 to December 31, 2011 • Greatest Increase in per Capita Consumption Rate: • Wyandot County – 18.1% • Greatest Decrease in per Capita Consumption Rate: • Scioto County – -15.2% • Ohio’s average per capita prescription opioid doses decreased • by 0.8%. • Source: Data adapted from the Ohio State Board of Pharmacy. • Map produced February 2012.
John R. Kasich, Governor Orman Hall, Director PROJECTIONS IN GROWTH OF OPIATE USE
John R. Kasich, Governor Orman Hall, Director 1997 Ohio Per Capita Dosage: 7 Pills
John R. Kasich, Governor Orman Hall, Director 2011 Ohio Per Capita Dosage: 67 Pills
John R. Kasich, Governor Orman Hall, Director 2010 Scioto County Per Capita: 123 Pills 2011: 102 Pills
John R. Kasich, Governor Orman Hall, Director LOGAN COUNTY, OHIO Total Opiate Doses Prescribed 2011: 3,565,760 Logan County Population: 45,858 2008: 84 pills/capita 2009: 76 pills/capita 2010: 76 pills/capita 2011: 78 pills/capita 12
John R. Kasich, Governor Orman Hall, Director THE LINK BETWEEN OPIATE DOSAGE & DEATH
John R. Kasich, Governor Orman Hall, Director STATE of OHIO OVERDOSES/ UNINTENTIONAL POISONINGS 2010 – 1,544 (high point) 2006-2010 = 7,054 LOGAN COUNTY OVERDOSES 2006-2010 = 28 Ohio Dept. of Health: http://www.healthyohioprogram.org/vipp/drug/dpoison.aspx 16
John R. Kasich, Governor Orman Hall, Director CHANGE IN DRUGS OF ABUSE OVER TIME
Percentage of ODADAS Clients with an Opiate Diagnosis, SFY 2001 through SFY 2012* Percentage Year 23
John R. Kasich, Governor Orman Hall, Director Attacking Ohio’s Opiate Epidemic GOVERNOR’S CABINET OPIATE ACTION TEAM 29
Leadership’s Engagement to Attack Opiate Abuse John R. Kasich, Governor Orman Hall, Director • Ohio Cabinet Opiate Action Team • MISSION STATEMENT: • The Opiate Action Team attacks the opiate epidemic on behalf of Ohioans to end opiate abuse by reforming prescribing practices for appropriate pain management, punishing those involved in illegal activity, and • treating those who are addicted to enable them to return to productive lives. • 4 Active Workgroups: • Enforcement • Treatment • Professional Education • Public Education • Recovery Supports – soon to be launched
Professional Education • CABINET LEADS: Ted Wymyslo, ODH • & Bonnie Kantor-Burman, ODA • GOAL: • Expand development & use of best practices among healthcare professionals for pain management. • The Governor’s Cabinet Opiate Action Team Professional Education workgroup is a multi-disciplinary collaboration currently working on statewide implementation of Emergency Department guidelines to address drug-seeking behaviors and opiate pain medication prescribing in the ED. John R. Kasich, Governor Orman Hall, Director 31
Treatment • CABINET LEADS: Orman Hall, ODADAS • & John McCarthy, Medicaid • GOAL: • Increase treatment quality and availability for people in need of opiate addiction treatment, including patient & family support, to reduce opiate addiction and overdose deaths. • The initial focus of this group is the release of a low dose medication-assisted treatment protocol utilizing buprenorphine for opiate addicted clients. John R. Kasich, Governor Orman Hall, Director 32 32
Enforcement • CABINET LEADS: Tom Charles, ODPS • & Steve Buehrer, BWC • GOAL: • Increase law enforcement, investigation & prosecutorial efforts regarding Ohio’s opiate epidemic. • Legislation on hidden compartments is near finalization, and it will focus on intent to transport drugs in Ohio. Signs for the #677 campaign are ready to go up. The Highway Patrol statistics for 2011 show that prescription narcotic seizures were up 46%. John R. Kasich, Governor Orman Hall, Director 33 33 33
Public Education • LEADS: Connie Wehrkamp, Governor’s Communications • & Stacey Frohnapfel-Hasson, ODADAS • GOAL: • Escalate public education and advocacy regarding the opiate problem & how to prevent it. • The group will provide a coordinated effort to promote and support campaigns related to opiate painkiller abuse, starting with the new Don’t Get Me Started campaign on 2-1-12. Members will work on standard information pieces on opiates for shared websites and fact sheets as an early priority. John R. Kasich, Governor Orman Hall, Director 34 34 34
Current Projects Underway • “Recovery 2 Work” Initiative • Inter-State Opiate Alliance • Medicaid Opiate Impact Study • BWC Opiate Impact Study • Criminal Justice & Behavioral Health Initiative • Jackson County Opiate Treatment Center • Medication-Assisted Therapy Clinical Trials Project • Community Opiate Task Forces • Don’t Get Me Started Media Campaign • Statewide SOLACE Network Expansion
John R. Kasich, Governor Orman Hall, Director • Stacey Frohnapfel-Hasson, ODADAS Communications Chief • Stacey.frohnapfel@ada.ohio.gov • 614/644-8456 36 36 36