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PAINKILLER ADDICTION CRISIS
IN OKLAHOMADan Cross, LADC,
Executive Director,
Absentee Shawnee Counseling Services
Chairman, Media & Public Relations Committee
Oklahoma Association for the Treatment of Opioid Dependence
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Tip of the ice berg We’ve seen a lot
But the worst is
still below the surface.
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Opioids numb pain receptors Cause rebound =
hypersensitivity Affects perception of
painPhysicalEmotional
Tolerance increasing Tx resistant
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Oklahoma Leads Nation
Prescription painkiller addiction.
6.7% SAMHSA March 2008 8.13% SAMHSA March 2011 Nearly double national prevalence
Oklahoma pulling away from the nation.
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How BIG is it?
Estimated 87,000 painkiller addicts in Oklahoma Ok Bureau Narc & Dangerous Drugs
Bureau of Census data for 2006, a pro rata share of addicts
per capita would indicate that nearly 13,000 opioid addicts reside in Tulsa County, 17,000 in OKC
8.13% of OklahomansAbuse painkillers SAMHSA 3/2011
> 245,000
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How This Statistic Appears 1 of 82.5 abusersseek treatment
1 of 25.8 abusers access ERs
However, addiction progressive
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A Snapshot in Time
245,000 abusers
100,000 addicted
Pipeline
New entrants:
Prevention &
Supply-side
Demand-side: EFFECTIVE TREATMENT
Need OTP
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Who is addicted?
The “typical” addict - cuts across strata The elderly Chronic pain Professionals/Educated
Heath LedgerRush LimbaughWife of Oklahoma Co. DA
Young & internet savvy
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Shrinking supply October 2003 FDA & DEA partnered DEA crackdown March 1, 2004
prescription-monitoring program to track physicians who prescribe narcotics
reclassifying hydrocodone, unable to refill w/o new prescription
prosecuting doctors for large amounts
10/08 Ryan Haight Online Pharmacy Act Persistent enforcement Obama’s Plan 4/11 ONLY supply side
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RESULT???
100,000 people Suddenly becoming
sick & desperate What does that look
like?OKC attorney
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Requires DIFFERENT Treatment Traditional substance abuse tx = 8-10%
success SAMHSA evidence-based best practice
Medication Assisted Treatment, TIP 4375% positive outcomes.9 times better ANDCan often SKIP INPATIENT DETOX
○ Bottleneck: 1,000-1,300 waiting list○ Keep stabilizing support structure in place.
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Heroin: an Alternative Supply Cheaper, purer, & more prevalent 20/20 ABC News: The New Face of
Heroin Addiction Associated with criminal activity:
ODMHSAS: 5% substance abuse tx admitsNDIC: 5,000 prisoners (25.6%) & 3,000
probationers & parolees
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Progression of Painkiller Addiction
Lose Job
Lose Home
Lose Family
Lose Health
Criminal Justice
Path of SAMHSA Best PracticeMedication Assisted Treatment
Intervention requires matrix of intensive services, NOT cost effective, poor outcomes
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Strategic Community Response: Early detection & intervention Inventory OTP programs in your area
http://dpt2.samhsa.gov/treatment/Not all OTPs the same
Identify wrap-around services anticipating barriers to tx
Catalog the above services w/access & requirements
Develop pathways to treatment Get info to 1st tier responders
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Our Programs serving native & non-native
people
Absentee Shawnee Counseling Services
OKC 405-672-3033
Keetoowah Cherokee Tx Services
Tulsa 918-835-3017