Difference between revisions of "Reduce Substance Misuse"

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<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">''Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]''
__NOTOC__ Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]
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<div id="toc">
 
= Table of Contents =
 
<div style="margin-left: 1em">[[#Background|Background]]</div> <div style="margin-left: 1em">[[#Tools_.2B_Resources|Tools + Resources]]</div> <div style="margin-left: 1em">[[#Scorecard_Building|Scorecard Building]]</div> <div style="margin-left: 1em">[[#Resources_to_Investigate|Resources to Investigate]]</div> <div style="margin-left: 1em">[[#Sources|Sources]]</div> </div>
 
= Background =
 
  
The misuse of opioids has reached epidemic levels in the United States. The Center for Disease Control and Prevention (CDC) reports that between 1999 and 2014, prescription opioid sales in the U.S. have nearly quadrupled. They also estimate that 1 in 5 patients with non-cancer pain are prescribed opioids. <sup class="reference">[1]</sup> In 2015, there were about 300 million pain prescriptions written. <sup class="reference">[2]</sup> The prevalence of opioid use is so great that in 2015, 97.5 million (36.4%) Americans used prescription pain relievers.<sup class="reference">[3]</sup> Americans, who make up about 5% of the worlds population, consume about 80% of the global opioid supply. <sup class="reference">[4]</sup> High prescription and use rates lead to frightening statistics on the epidemic problem of misuse:
+
Although the rise in opioid use and the harm it has placed on society&nbsp;has rightfully recieved the greatest amount of attention in recent years, addiction to other drugs continues to make up a significant portion&nbsp;of America's overall&nbsp;epidemic.&nbsp; Many other substances, including stimulants and alcohol, continue to cause suffering and take the lives of thousands&nbsp;each year.&nbsp; More recently, opioids have been combined with other drugs with greater frequency, making it even more critical&nbsp;that we address substance misuse and substance use disorder accross all substances.
  
 
&nbsp;
 
&nbsp;
  
*Approximately 21% - 29% of prescription opioid users misuse <sup class="reference">[5]</sup>
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= Background =
*In 2012, over 5% of the U.S. population aged 12 and above misused opioid pain relievers <sup class="reference">[6]</sup>
 
*In 2012, there were 16,007 deaths involving prescription opioid misuse and 5,925 involving heroin <sup class="reference">[7]</sup>
 
*Between 1999 and 2012, the rate of drug-poisoning deaths due to prescription opioids more than tripled, from<br/> 1.4 deaths per 100,000 in 1999 to 5.1 in 2012 <sup class="reference">[8]</sup>
 
*From 2005 to 2012, the number of past-year heroin users in the U.S. nearly doubled from 380,000 to 670,000 <sup class="reference">[9]</sup>
 
*Between 1999 and 2012, the rate of drug-poisoning deaths due to heroin nearly tripled, from 0.7 deaths per 100,000 in 1999 to 1.9 in 2012 <sup class="reference">[10]</sup>
 
*From 2004 to 2008, the number of emergency department visits related to prescribed opioids increased by 111%. This rate continues to rise <sup class="reference">[11]</sup>
 
*Estimates show that misuse of opioid pain relievers costs insurance companies $72.5 billion annually for health-care costs <sup class="reference">[12]</sup>
 
  
= Tools + Resources =
+
== Opioids ==
 +
The misuse of opioids has reached epidemic levels in the United States. The Center for Disease Control and Prevention (CDC) reports that between 1999 and 2014, prescription opioid sales in the U.S. have nearly quadrupled. They also estimate that 1 in 5 patients with non-cancer pain are prescribed opioids. <ref>https://www.cdc.gov/drugoverdose/data/prescribing.html</ref>&nbsp;In 2015, there were about 300 million pain prescriptions written. <ref>http://www.cnbc.com/2016/04/27/americans-consume-almost-all-of-the-global-opioid-supply.html</ref>&nbsp;The prevalence of opioid use is so great that in 2015, 97.5 million (36.4%) Americans used prescription pain relievers.<ref>https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR2-2015/NSDUH-FFR2-2015.htm</ref>&nbsp;Americans, who make up about 5% of the worlds population, consume about 80% of the global opioid supply. <ref>http://www.painphysicianjournal.com/current/pdf?article=OTgz&journal=42</ref>&nbsp;High prescription and use rates lead to frightening statistics on the epidemic problem of misuse:</div>
 +
*Approximately 21% - 29% of prescription opioid users misuse <ref>https://www.ncbi.nlm.nih.gov/pubmed/25785523</ref>
 +
*In 2012, over 5% of the U.S. population aged 12 and above misused opioid pain relievers <ref>https://archives.drugabuse.gov/testimonies/2014/americas-addiction-to-opioids-heroin-prescription-drug-abuse</ref>
 +
*In 2012, there were 16,007 deaths involving prescription opioid misuse and 5,925 involving heroin <ref>https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm</ref>
 +
*Between 1999 and 2012, the rate of drug-poisoning deaths due to prescription opioids more than tripled, from<br/> 1.4 deaths per 100,000 in 1999 to 5.1 in 2012 <ref>https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm</ref>
 +
*From 2005 to 2012, the number of past-year heroin users in the U.S. nearly doubled from 380,000 to 670,000 <ref>https://archives.drugabuse.gov/testimonies/2014/americas-addiction-to-opioids-heroin-prescription-drug-abuse</ref>
 +
*Between 1999 and 2012, the rate of drug-poisoning deaths due to heroin nearly tripled, from 0.7 deaths per 100,000 in 1999 to 1.9 in 2012 <ref>https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm</ref>
 +
*From 2004 to 2008, the number of emergency department visits related to prescribed opioids increased by 111%. This rate continues to rise&nbsp;<ref>http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf</ref>
 +
*Estimates show that misuse of opioid pain relievers costs insurance companies $72.5 billion annually for health-care costs <sup class="reference"><ref>[https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm</ref></sup>
  
[[TR_-_Reduce_Opioid_Drug_Misuse|TR - Reduce Opioid Drug Misuse]]
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&nbsp;
  
= Scorecard Building =
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&nbsp;
 
 
[[PO_-_Reduce_Opioid_Drug_Misuse|Potential Objective Details]]<br/> [[PM_-_Reduce_Opioid_Drug_Misuse|Potential Measures and Data Sources]]<br/> [[PA_-_Reduce_Opioid_Drug_Misuse|Potential Actions and Partners]]
 
  
= Resources to Investigate =
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<br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span>
  
[[More_RTI_on_Opioid_Drug_Misuse|More RTI on Opioid Drug Misuse]]<br/> <br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span>
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{| border="1" class="wiki_table"
 
 
{| class="wiki_table"
 
 
|-
 
|-
 
| '''Reviewer'''
 
| '''Reviewer'''
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= Sources =
 
= Sources =
 
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</div> </div> </div> </div> </div> </div>
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#[https://www.cdc.gov/drugoverdose/data/prescribing.html https://www.cdc.gov/drugoverdose/data/prescribing.html [1]]
 
#[http://www.cnbc.com/2016/04/27/americans-consume-almost-all-of-the-global-opioid-supply.html http://www.cnbc.com/2016/04/27/americans-consume-almost-all-of-the-global-opioid-supply.html [2]]
 
#[https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR2-2015/NSDUH-FFR2-2015.htm https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR2-2015/NSDUH-FFR2-2015.htm [3]]
 
#[http://www.painphysicianjournal.com/current/pdf?article=OTgz&journal=42 http://www.painphysicianjournal.com/current/pdf?article=OTgz&journal=42 [4]]
 
#[https://www.ncbi.nlm.nih.gov/pubmed/25785523 https://www.ncbi.nlm.nih.gov/pubmed/25785523 [5]]
 
#[https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse&nbsp;[6]]
 
#[https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm[7]]
 
#[https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm [1]]&nbsp;&nbsp;[https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm [8]]
 
#[https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse&nbsp; [9]]
 
#[https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm [2]] [https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm [10]]
 
#[http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf [3]]&nbsp;&nbsp;[http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf [11]]
 
#[https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse&nbsp; [12]]
 
</div> </div> </div> </div> </div></div>
 

Latest revision as of 02:24, 27 May 2020

Return to Opioid Top-Level Strategy Map

Although the rise in opioid use and the harm it has placed on society has rightfully recieved the greatest amount of attention in recent years, addiction to other drugs continues to make up a significant portion of America's overall epidemic.  Many other substances, including stimulants and alcohol, continue to cause suffering and take the lives of thousands each year.  More recently, opioids have been combined with other drugs with greater frequency, making it even more critical that we address substance misuse and substance use disorder accross all substances.

 

Background

Opioids

The misuse of opioids has reached epidemic levels in the United States. The Center for Disease Control and Prevention (CDC) reports that between 1999 and 2014, prescription opioid sales in the U.S. have nearly quadrupled. They also estimate that 1 in 5 patients with non-cancer pain are prescribed opioids. [1] In 2015, there were about 300 million pain prescriptions written. [2] The prevalence of opioid use is so great that in 2015, 97.5 million (36.4%) Americans used prescription pain relievers.[3] Americans, who make up about 5% of the worlds population, consume about 80% of the global opioid supply. [4] High prescription and use rates lead to frightening statistics on the epidemic problem of misuse:
  • Approximately 21% - 29% of prescription opioid users misuse [5]
  • In 2012, over 5% of the U.S. population aged 12 and above misused opioid pain relievers [6]
  • In 2012, there were 16,007 deaths involving prescription opioid misuse and 5,925 involving heroin [7]
  • Between 1999 and 2012, the rate of drug-poisoning deaths due to prescription opioids more than tripled, from
    1.4 deaths per 100,000 in 1999 to 5.1 in 2012 [8]
  • From 2005 to 2012, the number of past-year heroin users in the U.S. nearly doubled from 380,000 to 670,000 [9]
  • Between 1999 and 2012, the rate of drug-poisoning deaths due to heroin nearly tripled, from 0.7 deaths per 100,000 in 1999 to 1.9 in 2012 [10]
  • From 2004 to 2008, the number of emergency department visits related to prescribed opioids increased by 111%. This rate continues to rise [11]
  • Estimates show that misuse of opioid pain relievers costs insurance companies $72.5 billion annually for health-care costs [12]

 

 


PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]

Reviewer   Date   Comments
         

Sources