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Copy of Prescription drug abuse

Prescription drug abuse is a fastly growing problem today.
by

Melanie Pavao

on 16 April 2011

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Transcript of Copy of Prescription drug abuse

Prescription Drug Misuse 1 2 3 4 5 Problem Definition Scope and Correlates Theories Current Policies Proposal Megan Gaw, Brian Mullervy, Melanie Pavao, Lisa Pitta Prediciment of Prescription Misuse Lack of monitoring programs
Misuse
Lack of communication between doctors
Dependence
Opiates/opioids Diversion Doctor shopping
Intentional distribution
Internet sales
Internet Pharmacies
Theft and forgery Effects of Misuse on an Individual Level Unintentional dependence/addiction
Self medication
Mode of self destruction Political Attempts
FDA
DEA
NASPER Severity of Effects
Quality of life
Significant increase of misuse
Healthcare Who is affected?
The individual
-gender differences
Healthcare agencies
Medical professionals
Social service agencies
Government Values and Ethical Dilemas
Easy solutions
Normalization
False Sense of Well Being
Over prescribing
Violation of privacy Who recognizes the problem?
Government
Law enforcement
Medical professionals
Society Individual
-sense of security
-supplement income
Recreational users Who doesn't
recognize the
problem? Increase Rates
of Misuse Oxycontin non medical use has increased by 2,955,800 from 1997-2004 222% increase in opioid prescriptions in a 10 year period Source: Manchikanti, 2006 The Effects of Misuse
Pain increase
Efficiency Reduction Death Rate and Poisoning
Overdose vs. poisoning
Overdose vs. auto accidents

65% increase in poisoning due to
opioid sedative tranquilizers
Monetary Costs of Misuse 181 BILLION DOLLARS 20% of prescription claims are opioids Non-medical users of Oxycontin Population
Elderly
Early adulthood
Medical personnel
Women
What is deviance? Behaviors that are in conflict with social norms. Perspectives of Deviance
Relativistic
Absolutist Different Levels of Deviance
Repentant
Sick
Enemy Legal Models of Deviance
Nullification
Commodity
Commerical
Vice
Medical
Licensing Prescription Drug User
Abuser
Overuser Who determines deviancy?
Religious/Interest groups
Government Advertising Theory How Prescription
Drug Advertising Began Direct-to-Consumer Advertising
1989 - $12 million
1998 - $1.1 billion
2005 - $4.2 billion Scheduling of Prescriptions
Eight criteria
Actual or relative potential for abuse
Scientific evidence of its pharmacological effects
State of current scientific knowledge regarding the substance
History and current pattern of abuse
Scope, duration, and significance of abuse
Risk to the public health
Psychic or physiological dependent liability
Precursor of a controlled substance Schedule I Fentanyl
Schedule II Oxycontin
Schedule III Vicodin
Schedule IV Xanax
Schedule V Robitussin Drug Enforcement Agency
prevention, detection, investigation
Tactical Diversion Squads
increased workload, decreased action Food and Drug Administration
certify medications
regulates shipping
labeling Prescription Drug Monitoring Programs
at State Level
Tracking patterns
Limited availability National All Schedules Prescription
Electronic Reporting (NASPER)
require data entered within 1 week
states maintain a searchable database
reporting of Schedules II-IV Technology
Tamper resistant medications
Internet pharmacies Education
false information
lack of structure Theories Applied to Policies
Deviance Theory
Advertising Theory Costs on Society
Healthcare
Rehabilitation Programs
Counseling
Loss of Work Time
Emergency Care
Law Enforcement Impact of Prescription Drug Advertising
Consumers
Physicians
Pharmacies/Pharmacists/Insurance Companies
Government
Social Welfare Policy
Monitoring of Prescriptions
Flagging/Tracking Prescriptions
Tapering Off Medications
Communication between professionals Nationally Organized Education
Physicians
-prescription misuse
-addictive behavior
Health Insurance Companies
Pharmacists Mandatory CEUs
Seminars
Licensure Renewal
Pharmaceutical Companies Advertising Requirements
Alternatives
Physical Therapy
Psychological Therapy
Stress Management
Psychosocial History Who is eligible?
Physicians
Pharmacists
Medical Professionals
Benefits
Grants
Comprehensive Treatment
Customer Service
Less Liability
Crime/Poverty Reduction
Decreased Loss of Expediture Who would adminster the policy?
Federal Government
FDA
How would the policy be financed?
Defense Budget
Pharmaceutical Companies
Grants/Research Projects
NIDA THE END
Full transcript