november 29, 2010 (cashman)

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Prescription drug Prescription drug diversion, abuse and diversion, abuse and distribution… distribution… Maine’s very own epidemic Maine’s very own epidemic

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This presentation was created by SS/A Kevin CashmanMaine Drug Enforcement Agency, Cumberland District Task Force for the 11/29/10 CADCA town hall meeting.

TRANSCRIPT

  • 1. Prescription drug diversion, abuse and distribution Maines very own epidemic

2. Who in the world is MDEA?

  • Maines statewide drug task force.
  • Investigate domestic, interstate and international drug offenses.
  • All agents are assigned by local, county and state agencies to one of MDEAs 8 district task forces.

3. Classes of Prescription Drugs

  • Opioids
    • Treatment of pain
  • CNS depressants
    • Treatment for anxiety and sleep disorders
  • Stimulants
    • Treatment for attention-deficit hyperactivity disorder (ADHD), Narcolepsy and obesity

4. Most Commonly Abused

  • Methadone
  • Suboxone
  • Oxycodone
    • OxyContin / Tylox / Percocet
  • Propoxyphene
    • Darvon / Darvocet
  • Hydrocodone
    • Vicodin
  • Hydromorphone
    • Dilaudid

5. MDEA Statistics

  • 2005: 5,853 pills with 167 arrests (27%)
  • 2006: 6,258 pills with 148 arrests (26%)
  • 2007: 8,605 pills with 149 arrests (25%)
  • 2008: 10,605 pills with 259 arrests (39%)
  • 2009: 21,661 pills with 351 arrests (42%)
  • YTD 2010: 34,603 pills with 294 arrests (43%)

6. Hardest Hit

  • Problem took root in the mid 1990s in Down East Maine specifically Washington County
  • Migrated first into Aroostook County and has progressively worked south from there to have a significant impact throughout Maine

7. Methods of ingestion

  • Crush and snort
  • Dilute and inject intravenously
  • Smoke

8. How it gets to the street

  • Pharmacy Diversion
  • Internet sales
  • Doctor Shopping
  • Southern New England
  • Maine/Canada Border
  • * Florida pain clinics

9. Headlines

  • Pain-clinic crackdown gains traction
  • October 26, 2010 12:05 AM
  • DAYTONA BEACH -- As tough South Florida laws push more pain-management clinics into this part of the state, a governmental advisory group is beginning a movement to get Volusia County's cities to toughen local laws so the clinics don't get out of control here.

10. More Headlines

  • Physician with Jacksonville clinic sentenced to 9 years over prescription drugs
  • Prosecutors lay out case against brothers who run cash-only pain clinics
  • Florida's New Pill Mill Law Now In Effect

11. OxyContin Prices $100 to $120 80 mg $50 - $60 40 mg $30 20 mg Street Price Strength 12. Maine Law

  • Acquiring by deception (1108 and Title 32)
  • Stealing drugs
  • Possession (felony for some)
  • Furnishing
  • Trafficking
  • Aggravated Trafficking

13. DRUG ENDANGERED CHILDREN 14. DHHS REFERRALS

  • MDEA Agents are making referrals to DHHS child protective services at least once per week, on average.
  • Safety of children
  • Neglect and abuse are far too common

15. Initiatives

  • Communication and collaboration with prevention groups
  • Cost sharing for prevention / education
  • Communication with providers
  • Public Health and Public Safety Initiative
    • Congressional funding for 2 years
    • Integration and communication

16. Mail Back - Program Model Program Participants Secure delivery to Maine Drug Enforcement Agency Envelopes received, logged, catalogued and destroyed under MDEA custody 17. Program success

  • 20,000 mailers available through statewide network of participating pharmacies and partnering sites (approx. 150 sites)
  • Program open to individuals of all ages
  • Funding in place through 2011
  • No expansion or new sites at this point in time
  • >9,500 mailers and 4,500 pounds collected YTD since October 2009.

18. National Drug Take Back

  • State Pounds
  • Connecticut 5050
  • Massachusetts 8550
  • Maine 7820
  • New Hampshire 2479
  • Rhode Island 784
  • Vermont 1127
  • Totals 25,810

19. Community

  • Change in attitude regarding prescription drugs vs. illicit drugs
  • Provider peer pressure and support