Transcript
Page 1: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Safe

Med

icin

e D

ispo

sal f

or M

E:

2010

Upd

ate,

Rev

iew

of

Cur

rent

Ope

rati

ons,

and

F

utur

e P

lans

Pre

sent

atio

n at

the

2010

In

tern

atio

nal S

ympo

sium

on

Safe

Med

icin

e

Jenn

ifer

Cri

tten

den,

MS

W, S

afe

Med

icin

e D

ispo

sal f

or M

E P

rogr

am M

anag

er, U

Mai

ne

Cen

ter

on A

ging

Roy

E. M

cKin

ney,

Dir

ecto

r, M

aine

Dru

g E

nfor

cem

ent A

genc

y

Fund

ed b

y th

e U

.S. E

PA (

Gra

nt #

CH

-833

3600

1-0)

and

an

allo

cati

on f

rom

a F

und

for

Hea

lthy

Mai

ne

Page 2: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Dis

clo

sure

Dis

clo

sure

••T

he p

rese

nter

s D

O N

OT

hav

e an

inte

rest

T

he p

rese

nter

s D

O N

OT

hav

e an

inte

rest

in

sel

ling

a te

chno

logy

, pro

gram

, pro

duct

, in

sel

ling

a te

chno

logy

, pro

gram

, pro

duct

, an

d/or

ser

vice

to C

ME

/CE

pro

fess

iona

ls.

and/

or s

ervi

ce to

CM

E/C

E p

rofe

ssio

nals

.

Page 3: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Pro

gra

m O

verv

iew

Pro

gra

m O

verv

iew

��S

tate

wid

e dr

ug m

ailb

ack

prog

ram

in M

aine

S

tate

wid

e dr

ug m

ailb

ack

prog

ram

in M

aine

��

Fun

ded

by th

e U

.S. E

nviro

nmen

tal

Fun

ded

by th

e U

.S. E

nviro

nmen

tal

Pro

tect

ion

Age

ncy

(EP

A)

and

an a

lloca

tion

Pro

tect

ion

Age

ncy

(EP

A)

and

an a

lloca

tion

from

the

Fun

d fo

r a

Hea

lthy

Mai

nefr

om th

e F

und

for

a H

ealth

y M

aine

��P

hase

s I a

nd II

est

ablis

hed

a w

orki

ng

Pha

ses

I and

II e

stab

lishe

d a

wor

king

pr

otot

ype

for

stat

e an

d be

yond

pr

otot

ype

for

stat

e an

d be

yond

(c

onsi

dere

d ou

r pi

lot p

hase

s)(c

onsi

dere

d ou

r pi

lot p

hase

s)

Page 4: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��P

osta

geP

osta

ge--p

aid

med

icin

e re

turn

pa

id m

edic

ine

retu

rn

enve

lope

s ar

e di

strib

uted

to

enve

lope

s ar

e di

strib

uted

to

sele

cted

pha

rmac

ies

and

sele

cted

pha

rmac

ies

and

orga

niza

tions

acr

oss

the

stat

e at

no

orga

niza

tions

acr

oss

the

stat

e at

no

cost

cost

��S

taff

mem

bers

then

giv

e th

e S

taff

mem

bers

then

giv

e th

e en

velo

pes

and

an in

stru

ctio

n en

velo

pes

and

an in

stru

ctio

n pa

cket

to in

tere

sted

par

ticip

ants

pack

et to

inte

rest

ed p

artic

ipan

ts

Pro

gra

m M

od

elP

rog

ram

Mo

del

Page 5: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Pro

gra

m M

od

elP

rog

ram

Mo

del

Pro

gram

Par

ticip

ants Sec

ure

deliv

ery

to M

aine

Dru

g E

nfor

cem

ent A

genc

y

Env

elop

es re

ceiv

ed, l

ogge

d,

cata

logu

ed a

nd d

estr

oyed

un

der

MD

EA

cus

tody

Page 6: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��R

epor

t iss

ued

in A

pril

2010

R

epor

t iss

ued

in A

pril

2010

��

Fin

ding

s fr

om r

esea

rch

cond

ucte

d fr

om M

ay

Fin

ding

s fr

om r

esea

rch

cond

ucte

d fr

om M

ay

2008

2008

--Dec

embe

r 20

10D

ecem

ber

2010

Pilo

t R

epo

rt Is

sued

Pilo

t R

epo

rt Is

sued

Ava

ilabl

e on

line

at

Ava

ilabl

e on

line

at

ww

w.s

afem

eddi

spos

al.c

omw

ww

.saf

emed

disp

osal

.com

Page 7: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��9,

400

enve

lope

s di

strib

uted

sta

tew

ide

9,40

0 en

velo

pes

dist

ribut

ed s

tate

wid

e��

2,37

3 lb

s of

dru

gs c

olle

cted

2,37

3 lb

s of

dru

gs c

olle

cted

��E

stim

ated

Ave

rage

Who

lesa

le P

rice

Est

imat

ed A

vera

ge W

hole

sale

Pric

e (A

WP

) of

med

icin

e co

llect

ed:

(AW

P)

of m

edic

ine

colle

cted

: $5

72,7

72.3

5 $5

72,7

72.3

5 ��

2,07

4 su

rvey

s co

llect

ed a

nd a

naly

zed

2,07

4 su

rvey

s co

llect

ed a

nd a

naly

zed

��2,

777

tele

phon

e ca

lls a

nsw

ered

via

the

2,77

7 te

leph

one

calls

ans

wer

ed v

ia th

e pr

ogra

m h

elpl

ine

prog

ram

hel

plin

e

Su

mm

ary

of

Pilo

t S

um

mar

y o

f P

ilot

Acc

om

plis

hm

ents

Acc

om

plis

hm

ents

Page 8: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Pilo

t P

has

es D

rug

Ret

urn

s D

ata

Pilo

t P

has

es D

rug

Ret

urn

s D

ata

��3,

926

enve

lope

s co

llect

ed

3,92

6 en

velo

pes

colle

cted

��

42%

ret

urn

rate

42%

ret

urn

rate

��2,

123

poun

ds o

f non

2,12

3 po

unds

of n

on--

cont

rolle

d dr

ugs

cont

rolle

d dr

ugs

��25

0 po

unds

of c

ontr

olle

d 25

0 po

unds

of c

ontr

olle

d dr

ugs

drug

s��

Ove

r 38

0,00

0 pi

lls c

olle

cted

Ove

r 38

0,00

0 pi

lls c

olle

cted

��86

% o

f ret

urns

are

86

% o

f ret

urns

are

pr

escr

iptio

n dr

ugs,

12%

ove

r pr

escr

iptio

n dr

ugs,

12%

ove

r th

e co

unte

rth

e co

unte

r��

31%

of r

etur

ns in

clud

ed m

ail

31%

of r

etur

ns in

clud

ed m

ail

orde

r dr

ugs

orde

r dr

ugs

Page 9: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age
Page 10: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Co

nsu

mer

Pro

file

Co

nsu

mer

Pro

file

�A

vera

ge a

ge o

f mai

lbac

k pr

ogra

m u

sers

: 59

yea

rs o

f age

�A

ge r

ange

of u

sers

/thos

e re

turn

ing

med

icin

e th

roug

h th

e m

ailb

ack:

4

year

s –

95 y

ears

of a

ge

�A

vg. a

ge h

as d

ropp

ed c

onsi

dera

bly

from

P

hase

I (a

vg. a

ge =

70)

to P

hase

II (

avg.

ag

e =

59)

.

Page 11: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��20

,000

mai

lers

ava

ilabl

e th

roug

h st

atew

ide

20,0

00 m

aile

rs a

vaila

ble

thro

ugh

stat

ewid

e ne

twor

k of

par

ticip

atin

g ph

arm

acie

s an

d ne

twor

k of

par

ticip

atin

g ph

arm

acie

s an

d pa

rtne

ring

site

s (a

ppro

x. 1

50 s

ites)

part

nerin

g si

tes

(app

rox.

150

site

s)

��P

rogr

am o

pen

to in

divi

dual

s of

all

ages

Pro

gram

ope

n to

indi

vidu

als

of a

ll ag

es

��F

undi

ng in

pla

ce th

roug

h 20

11F

undi

ng in

pla

ce th

roug

h 20

11

��N

o ex

pans

ion

or n

ew s

ites

No

expa

nsio

n or

new

site

s at

this

poi

nt in

tim

eat

this

poi

nt in

tim

e

Cu

rren

t O

per

atio

ns

Cu

rren

t O

per

atio

ns

Page 12: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

��O

ur g

reat

est

Our

gre

ates

t ch

alle

nge

and

our

chal

leng

e an

d ou

r gr

eate

st s

ucce

ss…

.gr

eate

st s

ucce

ss…

.

��T

he s

hear

vol

ume

of

The

she

ar v

olum

e of

ou

r re

turn

s:ou

r re

turn

s:��

Cur

rent

ly h

ave

Cur

rent

ly h

ave

2,20

0lbs

rea

dy fo

r 2,

200l

bs r

eady

for

disp

osal

!di

spos

al!

Ch

alle

ng

esC

hal

len

ges

Page 13: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Ch

alle

ng

esC

hal

len

ges

��F

undi

ng

Fun

ding

��

$75,

000/

yr b

udge

t$7

5,00

0/yr

bud

get

��$2

6,00

0 in

don

ated

tim

e du

ring

the

$26,

000

in d

onat

ed ti

me

durin

g th

e pi

lot p

hase

spi

lot p

hase

s

Page 14: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Co

llab

ora

tio

nC

olla

bo

rati

on

��H

usso

n U

nive

rsity

Hus

son

Uni

vers

ity

S

choo

l of P

harm

acy

Sch

ool o

f Pha

rmac

y

��U

nive

rsity

of

Uni

vers

ity o

f N

ew E

ngla

nd

New

Eng

land

C

olle

ge o

f C

olle

ge o

f P

harm

acy

Pha

rmac

y

Pho

to c

redi

ts: B

ango

r D

aily

New

s

Page 15: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Co

llab

ora

tio

nC

olla

bo

rati

on

��Lo

cal p

harm

acie

s Lo

cal p

harm

acie

s in

clud

ing

Mill

er D

rug

incl

udin

g M

iller

Dru

g

��D

onat

ed ti

me

by

Don

ated

tim

e by

co

mm

unity

co

mm

unity

vo

lunt

eers

volu

ntee

rs

Page 16: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Fu

ture

Dir

ecti

on

sF

utu

re D

irec

tio

ns

��E

xplo

ring

fund

ing

oppo

rtun

ities

thro

ugh

Exp

lorin

g fu

ndin

g op

port

uniti

es th

roug

h pr

ivat

e pa

rtne

rshi

ps a

nd r

esea

rch

gran

tspr

ivat

e pa

rtne

rshi

ps a

nd r

esea

rch

gran

ts

��C

ontin

ue p

artn

ersh

ips

with

pha

rmac

y C

ontin

ue p

artn

ersh

ips

with

pha

rmac

y sc

hool

s, c

omm

unity

pha

rmac

ies,

sc

hool

s, c

omm

unity

pha

rmac

ies,

vo

lunt

eers

and

sup

port

take

back

eve

nts

volu

ntee

rs a

nd s

uppo

rt ta

keba

ck e

vent

s w

hen

poss

ible

whe

n po

ssib

le

��A

dditi

onal

$30

,000

in fu

ndin

g fr

om M

DE

A

Add

ition

al $

30,0

00 in

fund

ing

from

MD

EA

Page 17: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��R

ates

of p

resc

riptio

n dr

ug a

buse

in th

e R

ates

of p

resc

riptio

n dr

ug a

buse

in th

e U

.S. a

re in

crea

sing

at a

larm

ing

rate

s, a

s U

.S. a

re in

crea

sing

at a

larm

ing

rate

s, a

s ar

e th

e nu

mbe

r of

acc

iden

tal p

oiso

ning

s ar

e th

e nu

mbe

r of

acc

iden

tal p

oiso

ning

s an

d ov

erdo

ses

due

to th

ese

drug

s.

and

over

dose

s du

e to

thes

e dr

ugs.

��

In th

e U

nite

d S

tate

s,In

the

Uni

ted

Sta

tes,

ther

e ar

e m

ore

ther

e ar

e m

ore

curr

ent n

oncu

rren

t non

--med

ical

use

rs o

f pre

scrip

tion

med

ical

use

rs o

f pre

scrip

tion

cont

rolle

d su

bsta

nces

than

the

num

ber

of

cont

rolle

d su

bsta

nces

than

the

num

ber

of

abus

ers

of c

ocai

ne, h

eroi

n an

d ab

user

s of

coc

aine

, her

oin

and

hallu

cino

gens

(ot

her

than

mar

ijuan

a)

hallu

cino

gens

(ot

her

than

mar

ijuan

a)

com

bine

d.

com

bine

d.

Page 18: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��In

17

stat

es, d

eath

s fr

om d

rugs

In

17

stat

es, d

eath

s fr

om d

rugs

——bo

th

both

pr

escr

iptio

n an

d ill

egal

pr

escr

iptio

n an

d ill

egal

——no

w e

xcee

d no

w e

xcee

d th

ose

from

mot

or v

ehic

le a

ccid

ents

, with

th

ose

from

mot

or v

ehic

le a

ccid

ents

, with

op

iate

pai

nkill

ers

play

ing

a le

adin

g ro

le.

opia

te p

aink

iller

s pl

ayin

g a

lead

ing

role

.

Page 19: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��“W

e’re

see

ing

peop

le d

espe

rate

ly a

nd

“We’

re s

eein

g pe

ople

des

pera

tely

and

ag

gres

sive

ly tr

ying

to g

et th

eir

hand

s on

ag

gres

sive

ly tr

ying

to g

et th

eir

hand

s on

th

ese

pills

,” s

aid

Jane

t T. M

ills,

the

thes

e pi

lls,”

sai

d Ja

net T

. Mill

s, th

e at

torn

ey g

ener

al in

Mai

ne. “

Hom

e at

torn

ey g

ener

al in

Mai

ne. “

Hom

e in

vasi

ons,

rob

berie

s, a

ssau

lts, h

omic

ides

, in

vasi

ons,

rob

berie

s, a

ssau

lts, h

omic

ides

, th

efts

th

efts

——al

l kin

ds o

f crim

es a

re b

eing

al

l kin

ds o

f crim

es a

re b

eing

lin

ked

to p

resc

riptio

n dr

ugs.

”lin

ked

to p

resc

riptio

n dr

ugs.

Page 20: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��1

in 7

teen

s re

port

usi

ng p

ills

to g

et h

igh

in th

e 1

in 7

teen

s re

port

usi

ng p

ills

to g

et h

igh

in th

e pa

st y

ear

and

the

pres

ence

of t

hese

unu

sed

past

yea

r an

d th

e pr

esen

ce o

f the

se u

nuse

d dr

ugs

in th

e ho

useh

old

is li

kely

con

trib

utin

g to

dr

ugs

in th

e ho

useh

old

is li

kely

con

trib

utin

g to

in

crea

sing

rat

es o

f pre

scrip

tion

drug

abu

se

incr

easi

ng r

ates

of p

resc

riptio

n dr

ug a

buse

am

ong

teen

s w

ho b

elie

ve th

ey a

re s

afer

than

am

ong

teen

s w

ho b

elie

ve th

ey a

re s

afer

than

“s

tree

t” d

rugs

.“s

tree

t” d

rugs

.��

Stu

dies

sho

w th

at a

maj

ority

of a

buse

d S

tudi

es s

how

that

a m

ajor

ity o

f abu

sed

pres

crip

tion

drug

s ar

e ob

tain

ed fr

om fa

mily

and

pr

escr

iptio

n dr

ugs

are

obta

ined

from

fam

ily a

nd

frie

nds,

incl

udin

g fr

om th

e ho

me

med

icin

e fr

iend

s, in

clud

ing

from

the

hom

e m

edic

ine

cabi

net.

cabi

net.

Page 21: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��T

his

initi

ativ

e ad

dres

ses

this

vita

l pub

lic s

afet

y T

his

initi

ativ

e ad

dres

ses

this

vita

l pub

lic s

afet

y an

d pu

blic

hea

lth is

sue

as m

edic

ines

that

col

lect

an

d pu

blic

hea

lth is

sue

as m

edic

ines

that

col

lect

in

hom

e ca

bine

ts a

re h

ighl

y su

scep

tible

to

in h

ome

cabi

nets

are

hig

hly

susc

eptib

le to

di

vers

ion,

mis

use,

and

abu

se.

dive

rsio

n, m

isus

e, a

nd a

buse

. ��

Initi

ativ

e w

ill p

reve

nt in

crea

sed

pill

abus

e an

d In

itiat

ive

will

pre

vent

incr

ease

d pi

ll ab

use

and

thef

t by

colle

ctin

g po

tent

ially

dan

gero

us e

xpire

d,

thef

t by

colle

ctin

g po

tent

ially

dan

gero

us e

xpire

d,

unus

ed, a

nd u

nwan

ted

pres

crip

tion

drug

s fo

r un

used

, and

unw

ante

d pr

escr

iptio

n dr

ugs

for

safe

and

lega

l des

truc

tion.

sa

fe a

nd le

gal d

estr

uctio

n.

Page 22: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

LE

Per

spec

tive

LE

Per

spec

tive

��“I

t rai

ses

the

awar

enes

s th

at w

e te

nd to

“I

t rai

ses

the

awar

enes

s th

at w

e te

nd to

ho

ard

thes

e dr

ugs

and

hang

ont

o th

em,”

ho

ard

thes

e dr

ugs

and

hang

ont

o th

em,”

S

teve

Bul

lock

, the

atto

rney

gen

eral

in

Ste

ve B

ullo

ck, t

he a

ttorn

ey g

ener

al in

M

onta

na s

aid.

“A

nd r

aisi

ng th

at a

war

enes

s M

onta

na s

aid.

“A

nd r

aisi

ng th

at a

war

enes

s is

one

mor

e st

ep in

dea

ling

with

the

over

all

is o

ne m

ore

step

in d

ealin

g w

ith th

e ov

eral

l pr

oble

m.”

prob

lem

.”

Page 23: Safe Medicine Disposal for ME: 2010 Update, Review of ...benzos.une.edu/documents/2010/oct11/12_crittendenmckinney.pdf · Avg. age has dropped considerably from Phase I (avg. age

Wan

t to

kn

ow

mo

re a

bo

ut

the

Wan

t to

kn

ow

mo

re a

bo

ut

the

pro

ject

?

pro

ject

?

Dai

ly o

pera

tions

:D

aily

ope

ratio

ns:

Jenn

ifer

Crit

tend

en, M

.S.W

.Je

nnife

r C

ritte

nden

, M.S

.W.

Pro

ject

Dire

ctor

Pro

ject

Dire

ctor

Fis

cal a

nd A

dmin

istr

ativ

e O

ffice

rF

isca

l and

Adm

inis

trat

ive

Offi

cer

UM

aine

Cen

ter

on A

ging

UM

aine

Cen

ter

on A

ging

jenn

ifer.

critt

ende

n@um

it.m

aine

.edu

jenn

ifer.

critt

ende

n@um

it.m

aine

.edu

Pro

ject

adm

inis

trat

ion:

Pro

ject

adm

inis

trat

ion:

Lena

rd K

aye,

D.S

.W./P

h.D

.Le

nard

Kay

e, D

.S.W

./Ph.

D.

Prin

cipa

l Inv

estig

ator

Prin

cipa

l Inv

estig

ator

Dire

ctor

and

Pro

fess

orD

irect

or a

nd P

rofe

ssor

UM

aine

Cen

ter

on A

ging

U

Mai

ne C

ente

r on

Agi

ng

len.

kaye

@um

it.m

aine

.edu

len.

kaye

@um

it.m

aine

.edu

Gen

eral

Pro

ject

Info

rmat

ion:

Gen

eral

Pro

ject

Info

rmat

ion:

Pho

ne:

1-86

6-M

E-R

X-R

ID (

1-86

6-63

7-97

43)

Em

ail:

info

@sa

fem

eddi

spos

al.c

omW

ebsi

te:

Web

site

:http

://w

ww

.saf

emed

disp

osal

.com

/


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