Serving our community by improving health

The Addiction CrisisNovember 2014

The Disease of Addiction

– Primary Chronic Disease of Brain Reward, Motivation, Memory and Related Circuitry.

– A neurobiological disease that changes how brain cells organize to process information and mediate behavior.

Valley Health DataOverview

• 5-10x increase in heroin ODs in Valley Health EDs since 2010

• 3x increase in substance exposed newborns at WMC since 2010

• VHS heroin poisoning patients:– 91.1% Caucasian– 75.2 % male– 48.3 % <25 YO

Opiate Overdose DeathsNW Virginia

2011 2012 2013 20140

5

10

15

20

25

30

* Without the use of NARCAN (A drug used to immediately counteract the effects of Opiates) the death toll would be much higher.

Commonly Abused Medications• OPIOIDS: Derived from the opium poppy, or

synthetic versions of it, and used for pain relief.

• BENEZODIAZEPINES: Central nervous system depressants used as sedatives, to induce sleep, prevent seizures, and relieve anxiety.

• AMPHETAMINE LIKE DRUGS: Central nervous system stimulants used to treat Attention Deficit Hyperactivity Disorder (ADHD).

Quick Facts• Prescription Drug Abuse has always been around:

“Grand Daddy Of All Drug Abuse”.• Is the Nation’s fastest growing drug problem and has been

classified as an epidemic. • In 2011, 41,340 unintentional drug overdose deaths occurred

in the United States, increase for 12th consecutive year; one person dies every 12.45 minutes1. 22,810 (55%) were prescription drug overdose deaths, of which opioid pain relievers were involved in 16,917 deaths (74.165 %)1.

• Opioid pain relievers were involved in more overdose deaths than cocaine and heroin combined1.

• Enough prescription pain relievers were prescribed in 2012 to provide every American adult with a bottle of pills1.

61SOURCE: CDC National Center for Health Statistics/National Vital Statistics Report; June 2014 CDC Vital Signs: Opioid Painkiller Prescribing; July 2014

Circle of Addiction

7

Hydrocodone(Vicodin®, Lortab,® Lorcet®)

Oxycodone(Percocet®, Percodan®, Roxicodone®)

OxyContin® OPANA®

ZohydroTM ER

Heroin

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Opioid analgesic 4030 4400 5528 7456 8517 9857 10928 13723 14408 14800 15597 16651 16917

Cocaine 3822 3544 3833 4599 5199 5443 6208 7448 6512 5129 4350 4183 4681

Heroin 1963 1843 1784 2092 2084 1879 2010 2089 2402 3041 3278 3036 4397

1,000

3,000

5,000

7,000

9,000

11,000

13,000

15,000

17,000

Drug Poisoning Deaths Involving Opioid Analgesics, Cocaine, and Heroin: United States, 1999-2011

Note: Not all drug poisoning deaths specify the drug(s) involved, and a death may involve more than one specific substance. The rise in 2005-2006 in opioid deaths is related to non-pharmaceutical fentanyl (see http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5729a.htm). *Heroin includes opium.Source: National Center for Heath Statistics/CDC/ National Vital Statistics Report, Final death data for each calendar year (June 2014).

% CHANGE 2006-11

+ 23%

- 37%

+ 110%

Num

ber o

f Dea

ths

AddictionSelect Initiatives

• Launched a system-wide Emergency Department Pain Treatment Guidelines June 2014

• Enhancing our philosophy around pain management• Educating our staff and medical staff on best practices• Educating our patients and clients on safe medication

management• CME Dinner “Prescription Drug Abuse Crisis” attended by

>200 providers• VH Wide monthly Employee Education- Addiction

Awareness

AddictionSelect Initiatives

• Educational outreach on substance abuse and addiction

• Successfully partnered to expand/market prescription drug “take back” programs

• Increased data sharing to support regional grant applications

AddictionSelect Initiatives

• Collaborating with community partners to:• develop a comprehensive, sustainable and

effective addiction treatment model• to address this growing public health issue

through prevention, education and treatment

Serving our community by improving health

The Addiction CrisisNovember, 2014