ea 5 peterson perry
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Education & Advocacy: Parents and Naloxone - Joanne Peterson and Karen PerryTRANSCRIPT
Educa&on & Advocacy Track: Parents and Naloxone
Joanne Peterson, Founder and Execu2ve Director,
Learn to Cope
Karen H. Perry, Co-‐Founder and Execu2ve Director,
NOPE Task Force
Moderator: Jackie L. Steele Jr., JD,
Commonwealth of Kentucky AKorney, 27th Judicial Circuit
Disclosures
Joanne Peterson has no financial relationships with proprietary entities that produce health care goods and services.
Karen H. Perry has no financial relationships with proprietary entities that produce health care goods and services.
Learning Objec2ves 1. Describe the current misperceptions of prescription
drug abuse among parents and teenagers. 2. Outline strategies for educating the community
about the dangers, and solutions. 3. Analyze the efficacy and best practices for
distributing nasal naloxone in an effort to reduce overdose deaths from prescription drug abuse.
Joanne Peterson, Founder and Executive Director
“Never doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has.”
Margaret Mead
Parents and Naloxone
What is Learn to Cope? Peer-‐led solutions based network for families dealing with addiction; mainly those affected by the opioid prescription and heroin epidemic.
Offers support, education, resources and HOPE. Pilot site for MA DPH Nasal Naloxone (Narcan) training and distribution program First parent network in the country to have trained and certified parents distributing nasal naloxone to peers.
Education to staff, families and overall communities to recognize signs, symptoms, and risk factors of drug use
Advocacy
Overview Support network for parents and other family members whose loved ones are using drugs.
Founded in 2004 “TEN YEARS AND STILL GOING STRONG”
Expanded to 12 weekly meetings in communities across Massachusetts
Over 5,100 online registered members locally and nationally
Overdose education and naloxone kits provided at every meeting in Massachusetts
Mission of Learn to Cope Support, Educa&on, Resources, Hope
Provide a safe space for families to share their experiences and receive support.
Provide education for families about addiction with kindness, compassion and care.
Provide hope and resources for families.
Totals in the Life of the Private Family Discussion Forum Since November of 2008, the private family discussion board has had…..
5,124 members register 10,764 topics created 87,796 posts made 1,835,123 views *Prior to November 2008 statistics from former website were not taken.
New Registra&ons March 2013 to March 2014
**Stats based on info up to March 22, 2014
Avg. of 4-‐5 registrations per day**
New Topics March 2013 to March 2014
**Stats based on info up to March 22, 2014
Number of Posts March 2013 to March 2014
* **Stats based on info up to March 22, 2014
Views to Topics Created March 2013-‐March 2014
**Stats based on info up to March 22, 2014
MA Opioid Overdose Preven2on Pilot 2007: MDPH starts an Opioid Overdose Prevention Pilot via standing order
2009: Expansion to more community based organizations and outreach
2010: First responders – police and fire 2011: Learn to Cope
2012: Legislature passed Good Samaritan 911 and limited liability protection
Enrollments and Rescues: 2006-‐2013(first half)
Enrollments >21,000 individuals >12 per day
Rescues >2,500 reported >1 per day
• AIDS Ac2on CommiKee • AIDS Project Worcester • AIDS Support Group of Cape Cod • Brockton Area Mul2-‐Services Inc. (BAMSI)
• Bay State Community Services • Boston Public Health Commission • Greater Lawrence Family Health Center • Holyoke Health Center • Learn to Cope • Lowell House/ Lowell Community Health
Center • Manet Community Health Center • Northeast Behavioral Health • Seven Hills Behavioral Health • Tapestry Health • SPHERE
Data from people with location reported: Users:11,654 Non-Users: 5,677
Program data
Enrollment Loca&ons: 2008-‐2013(first half)
Mo2va2ons for Family Members to Receive Overdose Educa2on and Naloxone Rescue Kits
N (%)
Total 93
Wanted to have kit in house 67(72%)
Encouraged by education provided at Learn to Cope
56 (60%)
Heard about benefits from Learn to Cope members
53 (57%)
Wanted more information about overdose
24 (26%)
Wanted kit for someone else 18 (19%)
Previously witnessed overdose 17 (18%)
Experienced death of loved one 1 (1%)
Benefits of Overdose Educa2on for Family Members
N (%)
Total 92
Greater sense of security 68 (74%)
Improved confidence to manage overdose
57 (62%)
Greater understanding of overdose education than they have already had
55 (60%)
Able to education others 30 (33%)
Able to reverse an overdose 27 (29%)
Parents and Naloxone Karen H. Perry Co-‐Founder
Execu&ve Director NOPE Task Force
Karen Perry has no financial rela2onships with proprietary
en22es that produce health care goods and services.
Disclosure Statement
Richard Perry Age 21
Orange County Fire & Rescue
Consent to Treatment
Release Orders
Richard Perry Age 21
Extensive Research
NOPE Task Force supports and promotes the use of Naloxone by, first responders being trained emergency medical technicians and Law Enforcement Officers.
In addi2on, NOPE is cau2ous in the promo2on of other promising Naloxone distribu2on models un2l Data is provided that third party distribu2on would not have uninten2onal nega2ve effects on communi2es such as increase the number of first 2me users and/or increase current use and decrease the number of people who seek treatment.
Palm Beach County Sheriff’s Office Quan&ta&ve Research
Collec2ng extensive demographic and circumstan2al data from each overdose death inves2ga2on.
Designing a prac2cal overdose death database.
Exposing overdose correla2ons and trends.
Case Examina&ons
Consent to Treatment
Consent to Treatment
Percep&ons of Alcohol Since 2003, perceived risk of binge drinking on has risen in all grades, at least through 2011. These changes are consistent with changes in actual binge drinking-trends of binge drinking have declined.
We believe, the public service advertising campaigns in the 1980s against drunk driving, as well as the urged use of designated drivers, contributed to the increase in perceived risk of binge drinking generally. Drunk driving by 12th graders declined during that period by an even larger proportion than binge drinking.
Also, we showed that increases in the minimum drinking age during the 1980s were followed by reductions in drinking and increases in perceived risk associated with drinking. Source: Monitoring the Future Survey 2013
Alcohol Use & Percep&on of Risk
Percep&ons of Marijuana The proportion of students seeing great risk from using marijuana regularly fell during the rise in use in the 1990s, making perceived risk a leading indicator of change in use.
The decline in perceived risk halted in 1996 in 8th and 10th grades; the increases in use ended a year or two later, again making perceived risk a leading indicator of use.
Perceived risk did decline some in all grades in 2012 and again in 2013 as use rose in 8th and 10th grades.
Source: Monitoring the Future Survey 2013
Marijuana Use & Percep&on of Risk
Source: A Weekly FAX from the Center for Substance Abuse Research, January 14, 2013, Vol. 22, Issue 2
Percep&ons of Synthe&c Marijuana
All three grades (8th, 10th, and 12th) were asked about whether they associate great risk with trying synthetic marijuana once or twice, and as can be seen on the facing page, there is a quite low level of perceived risk obtained (between 24% and 26%) for experimental use.
Likely the availability of these drugs over the counter has had the effect of communicating to teens that they must be safe, though they are
not. Source: Monitoring the Future Survey 2013
1 in 6 parents (16 percent) believes that using prescription drugs to get high is safer than using street drugs
More than 1 in 4 teens (27 percent) shares the same belief.
1/3 of teens (33 percent) say they believe “it’s okay to use prescription drugs that were not prescribed to them to deal with an injury, illness or physical pain.”
1/4 of teens (25 percent) says there is little or no risk in using prescription pain relievers without a prescription, and more than 1 in 5 teens (22 percent) says the same for Ritalin or Adderall.
Additionally, 1 in 5 teens (20 percent) says pain relievers are not addictive.
Percep&ons on Prescrip&on Drugs
Source: 2012 Partnership Attitude Tracking Study
Source: 2012 Partnership Attitude Tracking Study
Percep&ons on Prescrip&on Drugs
False Sense of Security
Vic2ms must use in presence of Naloxone administrator.
Vic2ms may suffer a subsequent overdose as opiods have longer life span in body than Naloxone.
One dose may not be sufficient for revival.
Naloxone is not a subs2tute for long term treatment for opiod abuse.
Mixed Messaging
Heroin is illegal.
Prescrip2on drug abuse or misuse is illegal.
Asking a third party to par2cipate in a situa2on that is illegal –is dangerous, confusing .
Responsibility
Taking the responsibility of ac2ons, treatment and recovery from the addict and placing it on third party (parent sibling friend)
Enabling may interfere with successful substance abuse treatment plan
NOPE Supports The White House Office of Na&onal Drug Control Policy’s Posi&on on Naloxone Treatment
The Administra2on con2nues to promote the use of Naloxone among those likely to encounter overdose vic2ms, including first responders. As highlighted in the 2013 Na#onal Drug Control Strategy, the Police Department in Quincy, MassachuseKs, has partnered with that State’s health department to train and equip police officers to resuscitate overdose vic2ms using Naloxone. Since October 2010, officers in Quincy have administered Naloxone in approximately 200 overdose events, almost all of them resul2ng in successful overdose reversals. ONDCP is working with health officials and law enforcement leaders in a number of states and locali2es to encourage implementa2on of similar Naloxone distribu2on programs. In addi2on, the Administra2on is working with health care leaders to iden2fy and promote other promising Naloxone distribu2on models.
Extensive Research
NOPE Task Force supports and promotes the use of Naloxone by, first responders being trained emergency medical technicians and Law Enforcement Officers.
In addi2on, NOPE is cau2ous in the promo2on of other promising Naloxone distribu2on models un2l Data is provided that third party distribu2on would not increase the number of first 2me users and/or increase current use and that the program would not decrease the number of people who seek treatment.
Mandatory Follow-‐Up Care
It is impera2ve to compel the vic2m into to detox and treatment. upon receiving the life saving drug Naloxone.
Overdose Preven&on Act
Preven&on and Educa&on
Presenta&ons
Middle & High Schools
Universi2es Parents & Communi2es
Treatment Centers
Correc2onal Ins2tu2ons Health Care Professionals
Advocate for Legisla&on
Be informed of local issues and poten2al bills
Create tool kit for community partners
Inform partners of upcoming bills
