Drugs, Merica, and bad stuff Flashcards
(4 cards)
1
Q
Epidemic: Responding to America’s prescription drug abuse crisis
A
- President Trump declared the opioid crisis a public health emergency in October 2017
- Opioid drug crisis claimed more than 59,000 lives in 2016
- The White House also recently proposed $13 billion in new funding for treatment with the Department of Health.
2
Q
American society of addiction medicine, 2016
A
- Of the 20.5 million Americans 12 or older that had a substance use disorder in 2015, 2 million had a substance use disorder involving prescription pain relievers and 591,000 had a substance use disorder involving heroin.
- Drug overdose is the leading cause of accidental death in the US, with 52,404 lethal drug overdoses in 2015. Opioid addiction is driving this epidemic, with 20,101 overdose deaths related to prescription pain relievers, and 12,990 overdose deaths related to heroin in 2015
3
Q
Adolescents (12-17)
A
Among those who died from prescription opioid overdose between 1999 and 2014:
• Overdose rates were highest among people aged 25 to 54 years.
• Overdose rates were higher among non-Hispanic whites and American Indian or Alaskan Natives, compared to non-Hispanic blacks and Hispanics.
• Men were more likely to die from overdose, but the mortality gap between men and women is closing
4
Q
Who is at risk for overdose?
A
- People who obtain multiple controlled substance prescriptions from multiple providers (i.e. doctor shopping)
- People who take high daily doses of prescription opioids
- People who misuse multiple abuse-prone prescription drugs
- Low-income people and those living in rural areas
- Medicaid patients are prescribed opioids at twice the rate of non-Medicaid patients and are at 6x the risk of prescription opioid overdose
- People with a psychiatric d/o and those with a h/o SUD
- Bohnert (2011) found opioid OD decedents were more likely to be middle-aged and white, to have chronic or acute pain, SUD, and psychiatric diagnoses (VA sample)
