Media Wiki - User contributions [en]

Empower Parents

2020-05-15T19:57:29Z

Billb:

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Return to [https://www.safeproject.us/noshame-mental-health-addiction/ Safe Solutions]

Return to  [[ZOOM_MAP_-_Improve_Protective_Factors_to_Reduce_SUDs|Zoom Map - Improve Protective Factors to Reduce SUDs]]

Parents are one of the main influencers on whether or not their kids misuse drugs.  But, parenting is not easy.  Communities can take advantage of a wide variety of tools and programs to help parents be more effective in buiding the developmental assets that reduce the likelihood that kids use drugs.  While good parenting (however that is defined) is certainly no guarantee that kids won't use drugs, and the use of drugs by kids does not mean that the parenting was bad, it still makes sense to try to help parents be more effective in helping their kids to grow in a good, supportive environment and for the parents to have as good of influence as they can on their kids' choices regarding use of drugs or alcohol. 
<div class="mw-parser-output">
= Background =

== Parents have a large role in prevention and recovery ==

Parental influence is one of the most powerful tools for any community prevention efforts. A youths parents have the ability to instill powerful values and create positive safety nets to help lessen the risk factors that youth face everyday throughout their lives. A study from the Journal of Adolescent Health “Through early childhood education, increasing early parental involvement and expectations can alter life-course outcomes by providing children with foundation for positive behaviors" <ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808405/</ref>   This holds true for any youth who is going through the recovery process as well, parental involvement is a key factor in that process. An article by Recovery First a American Addiction Center treatment facility states that “ Parents play an instrumental role in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab center report that it is often the mother or father who initiates treatment for their minor.” <ref>https://www.recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>  Parents also have the opportunity to provide valuable support to any youth going through treatment.  Parents can play a very crucial role and potentially life saving role in the recovery process. 

== Parents have a big influence on youth behavior ==

Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents (4.3 percent versus 31 percent). <sup class="reference"><ref>[1]Results from the 2012 National Survey on Drug Use .pdf. (n.d.). Retrieved from https://www.samhsa.gov/data/sites/default/files/NSDUHresults2012/NSDUHresults2012.pdf
</ref></sup>

When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.<ref> [2]Hazelden Publishing Releases Opioid Toolkit. (n.d.). Retrieved December 3, 2019, from https://www.hazeldenbettyford.org/about-us/news-media/press-release/2014-hazelden-publishing-release-heroin-prescription-toolkit
</ref><br/>  

== Parents Influence Use of Opioid Pain Medication ==

In many cases, doctors, dentists and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents may not realize the risks. Helping educate parents may result in some parents working with medical care providers to reduces the prescription of opioid pain medication and pursue other options. This resource is targeting [http://masstapp.edc.org/rx-student-athlete parents of student athletes].

 
</div>
= Tools and Resources =

== SAMHSA National Hotline ==

[https://www.samhsa.gov/find-help/national-helpline The SAMHSA national hotline]  is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.

== Parent Resources: ==
<div class="mw-parser-output">
=== [https://teens.drugabuse.gov/parents https://teens.drugabuse.gov/parents] ===

This resource has many links on how to prevent teen drug use starting from home.
</div> <div class="mw-parser-output">
=== [https://drugfree.org/article/get-one-on-one-help/ Drugfree.org] ===

This is a hotline that allows parents to speak to other trained parents about substance abuse issues.

 
</div>
= Promising Programs =

== Safe Homes Network and App ==

Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.

  To become a Safe Homes member, you must:<br/>   1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/>   2. Parents' contact information is entered into the Safe Homes Network database.<br/>   3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.

  Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.

 [[More_information_on_Safe_Homes_Network|More information on Safe Homes Network]]<br/>  

== Gobi ==
<div class="mw-parser-output">
Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.

[https://www.gobi.support/ Gobi] is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).

Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.

Teens Using Gobi Report: (Get source)

*Improved relationship with their parents
*A decrease in their use of drugs and alcohol
*Better ability to manage stress
*Increased awareness of their choices

[https://www.gobi.support/get-started Signing up for Gobi] is free to use by both parents and youth.<br/> [[More_information_on_adopting_the_Gobi_program|More information on adopting the Gobi program]]

 
</div>
== Drug Prevention Resources ==

[https://drugfreegeneration.org/ Drug Prevention Resources] has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/>  

== Fathers' Uplift ==

[http://fathersuplift.org/fathers/ Fathers' Uplift] empowers fathers to overcome barriers and become positively engaged in their children's lives.<sup class="reference"><ref>[5]Front Page | Fathers Uplift. (n.d.). Retrieved December 3, 2019, from http://fathersuplift.org/fathers/
</ref></sup>

= Parent Education =
<div class="mw-parser-output">
== DEA Books ==

The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in [[TR_-_Empower_&_Strengthen_Parents|Tools & Resources]].
</div> <div class="mw-parser-output">
== Family Life's Art of Parenting ==

FamilyLife’s [https://www.familylife.com/parenting Art of Parenting] FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.
</div>
= Tools & Resources =

[[TR_-_Empower_&_Strengthen_Parents|TR - Empower & Strengthen Parents]]
<div class="mw-parser-output">
<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>
</div>
{| class="wiki_table"
|-
| '''Reviewer'''
| '''Date'''
| '''Comments'''
|-
|  
|  
|  
|}
<div class="mw-parser-output"><div class="mw-parser-output">
= Sources =

 
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
[[Category:SAFE-Full Spectrum Prevention]]

Empower Parents

2020-05-15T19:54:19Z

Billb:

<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"><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"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">
Return to [https://www.safeproject.us/noshame-mental-health-addiction/ Safe Solutions]

Return to  [[ZOOM_MAP_-_Improve_Protective_Factors_to_Reduce_SUDs|Zoom Map - Improve Protective Factors to Reduce SUDs]]

Parents are one of the main influencers on whether or not their kids misuse drugs.  But, parenting is not easy.  Communities can take advantage of a wide variety of tools and programs to help parents be more effective in buiding the developmental assets that reduce the likelihood that kids use drugs.  While good parenting (however that is defined) is certainly no guarantee that kids won't use drugs, and the use of drugs by kids does not mean that the parenting was bad, it still makes sense to try to help parents be more effective in helping their kids to grow in a good, supportive environment and for the parents to have as good of influence as they can on their kids' choices regarding use of drugs or alcohol. 
<div class="mw-parser-output">
= Background =

== Parents have a large role in prevention and recovery ==

Parental influence is one of the most powerful tools for any community prevention efforts. A youths parents have the ability to instill powerful values and create positive safety nets to help lessen the risk factors that youth face everyday throughout their lives. A study from the Journal of Adolescent Health “Through early childhood education, increasing early parental involvement and expectations can alter life-course outcomes by providing children with foundation for positive behaviors" <ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808405/</ref>   This holds true for any youth who is going through the recovery process as well, parental involvement is a key factor in that process. An article by Recovery First a American Addiction Center treatment facility states that “ Parents play an instrumental role in the drug addiction treatment or alcohol rehab of their dependent child. In fact, most rehab center report that it is often the mother or father who initiates treatment for their minor.” <ref>https://www.recoveryfirst.org/blog/the-role-of-parents-in-addiction-recovery/</ref>  Parents also have the opportunity to provide valuable support to any youth going through treatment.  Parents can play a very crucial role and potentially life saving role in the recovery process. 

== Parents have a big influence on youth behavior ==

Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents (4.3 percent versus 31 percent). <sup class="reference"><ref>[1]Results from the 2012 National Survey on Drug Use .pdf. (n.d.). Retrieved from https://www.samhsa.gov/data/sites/default/files/NSDUHresults2012/NSDUHresults2012.pdf
</ref></sup>

When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people.<ref> [2]Hazelden Publishing Releases Opioid Toolkit. (n.d.). Retrieved December 3, 2019, from https://www.hazeldenbettyford.org/about-us/news-media/press-release/2014-hazelden-publishing-release-heroin-prescription-toolkit
</ref><br/>  

== Parents Influence Use of Opioid Pain Medication ==

In many cases, doctors, dentists and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents may not realize the risks. Helping educate parents may result in some parents working with medical care providers to reduces the prescription of opioid pain medication and pursue other options. This resource is targeting [http://masstapp.edc.org/rx-student-athlete parents of student athletes].

 
</div>
= Tools and Resources =

== SAMHSA National Hotline ==

[https://www.samhsa.gov/find-help/national-helpline The SAMHSA national hotline]  is a confidential, free, 24 hour a day 365 day a year, information service, in English and Spanish, for individuals and family members facing men and/or substance use disorders. They also provide many links with helpful information to help families and individuals answer important questions about drug abuse and recovery.

== Parent Resources: ==
<div class="mw-parser-output">
=== [https://teens.drugabuse.gov/parents https://teens.drugabuse.gov/parents] ===

This resource has many links on how to prevent teen drug use starting from home.
</div> <div class="mw-parser-output">
=== [https://drugfree.org/article/get-one-on-one-help/ Drugfree.org] ===

This is a hotline that allows parents to speak to other trained parents about substance abuse issues.

 
</div>
= Promising Programs =

== Safe Homes Network and App ==

Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs.

  To become a Safe Homes member, you must:<br/>   1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/>   2. Parents' contact information is entered into the Safe Homes Network database.<br/>   3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.

  Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.

 [[More_information_on_Safe_Homes_Network|More information on Safe Homes Network]]<br/>  

== Gobi ==
<div class="mw-parser-output">
Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.

[https://www.gobi.support/ Gobi] is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).

Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.

Teens Using Gobi Report: (Get source)

*Improved relationship with their parents
*A decrease in their use of drugs and alcohol
*Better ability to manage stress
*Increased awareness of their choices

[https://www.gobi.support/get-started Signing up for Gobi] is free to use by both parents and youth.<br/> [[More_information_on_adopting_the_Gobi_program|More information on adopting the Gobi program]]

 
</div>
== Drug Prevention Resources ==

[https://drugfreegeneration.org/ Drug Prevention Resources] has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/>  

== Fathers' Uplift ==

[http://fathersuplift.org/fathers/ Fathers' Uplift] empowers fathers to overcome barriers and become positively engaged in their children's lives.<sup class="reference"><ref>[5]Front Page | Fathers Uplift. (n.d.). Retrieved December 3, 2019, from http://fathersuplift.org/fathers/
</ref></sup>

= Parent Education =
<div class="mw-parser-output">
== DEA Books ==

The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in [[TR_-_Empower_&_Strengthen_Parents|Tools & Resources]].
</div> <div class="mw-parser-output">
== Family Life's Art of Parenting ==

FamilyLife’s [https://www.familylife.com/parenting Art of Parenting] FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.
</div>
= Tools & Resources =

[[TR_-_Empower_&_Strengthen_Parents|TR - Empower & Strengthen Parents]]
<div class="mw-parser-output">
<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>
</div>
{| class="wiki_table"
|-
| '''Reviewer'''
| '''Date'''
| '''Comments'''
|-
|  
|  
|  
|}
<div class="mw-parser-output"><div class="mw-parser-output">
= Sources =

 
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
[[Category:SAFE-Full Spectrum Prevention]]

PM - Improve Access to Contraception

2020-05-14T18:37:09Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
= PM - Improve Access to Contraception =

Return to [[Increase_Access_to_Contraception|Increase Access to Contraception]]<br/> Go to [[PO_-_Improve_Access_to_Contraception|Objective Details]]

= <span style="background-color: #ffffff; color: #ff0000">As you add potential measures, please include a description, calculations for the measure and possible data sources.</span> =

== <span style="background-color: #ffffff">Potential Measures</span> ==

{| border="1" class="wiki_table"
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| style="text-align: center" | '''Measure'''
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| style="text-align: center" | '''Description'''
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| style="text-align: center" | '''Calculations'''
|  
| style="text-align: center" | '''Data Source'''
|-
| TBD  % of women who reported difficulties in accessing contraception before they become pregnant
|  
| This would best be collected in some sort of survey by organizations that worked with women who are pregnant and giving brith.  Explore the best options for getting a good sample size and not counting the same women multiple times. 
|  
| Likely based on a sample size in a survey
|  
| Work with community partners who either might be collecting this type of data, or consider adding a new data collection tool. 
|-
| # of women who were assisted in getting access to contraception.
|  
| This would track the progress of specific programs that either already existed or that get launched as a part of this strategy to monitor the number of women who are being helped. 
|  
| Ideally the sum of the # of women assisted by several different programs that are helping women get access to contraception. 
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| Potentially collect data from differnet programs involved with this, ideally sharing the types of contraception provided. 
|-
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= <br/>   =
</div> </div> </div>

PM - Expand Steps to Minimize Opioid Use During Pregnancy

2020-05-14T18:30:21Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to <u>[[Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_During_Opioid_Use|Expand Steps to Minimize Opioid Use During Pregnancy]]</u><br/>  

= Potential Measures =

<br/> <span style="color: #ff0000">As you add potential measures, please include a description, calculations for the measure and possible data sources.</span>

{| border="1" class="wiki_table"
|-
| Measure
| Description
| Calculations
| Data Sources
|-
| % of women using precribed opioids while pregnant
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= Potential Data Sources =

{| class="wiki_table"
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</div> </div> </div>

Public Libraries

2020-04-05T16:56:13Z

Billb: Created page with " Return to Partner_Roles Describe here some of the roles that Public Libraries can play.   == Examples and Case Studies == Add more here."

Return to [[Partner_Roles]]

Describe here some of the roles that Public Libraries can play.

 

== Examples and Case Studies ==

Add more here.

TR - Expand Programs Similar to the Angel Program

2020-03-15T14:19:54Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to <u style="font-size: 13px;">[[Expand_Programs_Similar_to_the_Angel_Program|Expand Programs Similar to the Angel Program]]</u>
<div class="mw-parser-output">
= Websites with Resources =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
| [https://paariusa.org/ The Police Assisted Addiction and Recovery Initiative]
| Website
| PAARI
| This non-profit was established to support the expansion of original Glouchester, MA "Angel Initiative" for Police Assisted programs around the U.S. 
|  
|-
| [https://paariusa.org/documents/ Resources from PAARI]
| Resources
| PAARI
| This page has many resources for "Angel Initiatives" developed by PAARI
|  
|-
| [https://www.michigan.gov/msp/0,4643,7-123-72297_34040_75044_97040---,00.html Michigan State Police Angel Progam]
| Example and Resources
| Michigan Government
| This example of ths state police organization also includes forms and resources that can be replicated
|  
|-
| [https://www.familiesagainstnarcotics.org/hopenothandcuffs Hope Not Handcuffs]
| Non-profit
| Families Against Narcotics
| This Michigan Non-profit has helped expand Angel Initiatives across Michigan, and they have resources and experience to share
| Page on "[https://www.familiesagainstnarcotics.org/hopenothandcuffs-angel Becoming an Angel]"
|-
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</div>
= Research Materials =

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TR - Expand Programs Similar to the Angel Program

2020-03-15T13:31:51Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to <u style="font-size: 13px;">[[Expand_Programs_Similar_to_the_Angel_Program|Expand Programs Similar to the Angel Program]]</u>

<div class="mw-parser-output">
= Websites with Resources =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
| [https://paariusa.org/ The Police Assisted Addiction and Recovery Initiative]
| Website
| PAARI
| This non-profit was established to support the expansion of original Glouchester, MA "Angel Initiative" for Police Assisted programs around the U.S. 
|  
|-
| [https://paariusa.org/documents/ Resources from PAARI]
| Resources
| PAARI
| This page has many resources for "Angel Initiatives" developed by PAARI
|  
|-
| [https://www.michigan.gov/msp/0,4643,7-123-72297_34040_75044_97040---,00.html Michigan State Police Angel Progam]
| Example and Resources
| Michigan Government
| This example of ths state police organization also includes forms and resources that can be replicated
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| [https://www.familiesagainstnarcotics.org/hopenothandcuffs Hope Not Handcuffs]
| Non-profit
| Families Against Narcotics
| This Michigan Non-profit has helped expand Angel Initiatives across Michigan, and they have resources and experience to share
| Page on "[https://www.familiesagainstnarcotics.org/hopenothandcuffs-angel Becoming an Angel]"
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</div> </div> </div> </div>

TR - Expand Programs Similar to the Angel Program

2020-03-15T13:31:14Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to <u style="font-size: 13px;">[[Expand_Programs_Similar_to_the_Angel_Program|Expand Programs Similar to the Angel Program]]</u>

= [Title] =

{| border="1" class="wiki_table"
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| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
| [https://paariusa.org/ The Police Assisted Addiction and Recovery Initiative]
| Website
| PAARI
| This non-profit was established to support the expansion of original Glouchester, MA "Angel Initiative" for Police Assisted programs around the U.S. 
|  
|-
| [https://paariusa.org/documents/ Resources from PAARI]
| Resources
| PAARI
| This page has many resources for "Angel Initiatives" developed by PAARI
|  
|-
| [https://www.michigan.gov/msp/0,4643,7-123-72297_34040_75044_97040---,00.html Michigan State Police Angel Progam]
| Example and Resources
| Michigan Government
| This example of ths state police organization also includes forms and resources that can be replicated
|  
|-
| [https://www.familiesagainstnarcotics.org/hopenothandcuffs Hope Not Handcuffs]
| Non-profit
| Families Against Narcotics
| This Michigan Non-profit has helped expand Angel Initiatives across Michigan, and they have resources and experience to share
| Page on "[https://www.familiesagainstnarcotics.org/hopenothandcuffs-angel Becoming an Angel]"
|-
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</div> </div> </div> </div>

Expand Harm Reduction Practices

2020-01-23T02:30:43Z

Billb:

<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"><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"><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="wiki" id="content_view" style="display: block">
''Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]''

----
The details for the strategies related to harm reduction are organized under the specific topics that are described in the [[ZOOM_MAP_-_Expand_Harm_Reduction_Practices|Zoom Map -- Expand Harm Reduction Practices]]</div> <div class="wiki" style="display: block"> </div>
= Overview on Harm Reduction =

Link to a national organization focusing on Harm Reduction: [http://harmreduction.org/ Harm Reduction Coalition]
<div class="mw-parser-output">
= Scorecard Building  =
<div class="wiki" style="display: block">Potential Objective Details(Under Construction) <br/> Potential Measures and Data Sources(Under Construction) </div> <div class="wiki" style="display: block"> </div> </div>
= Resources to Investigate =
<div class="wiki" style="display: block">[[RTI_-_Expand_Harm_Reduction_Practices|More RTI on <span style="font-family: Helvetica; font-size: 10pt">Expand Harm Reduction Practices</span>]]<br/> <br/>  </div> <div class="wiki" style="display: block"><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></div> <div class="wiki" style="display: block">
{| border="1" cellpadding="1" cellspacing="1" style="width: 500px;"
|-
| style="text-align: center;" | '''Reviewer'''
| style="width: 2px; text-align: center;" |  
| style="width: 93px; text-align: center;" | '''Date'''
| style="width: 2px; text-align: center;" |  
| style="width: 205px; text-align: center;" | '''Comments'''
|-
|  
| style="width: 2px;" |  
| style="width: 93px;" |  
| style="width: 2px;" |  
| style="width: 205px;" |  
|-
|  
| style="width: 2px;" |  
| style="width: 93px;" |  
| style="width: 2px;" |  
| style="width: 205px;" |  
|}

 
</div>
= Sources =
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
[[Category:SAFE-Full Spectrum Prevention]] [[Category:SAFE-Law Enforcement and Criminal Justice]]

Expand Harm Reduction Practices

2020-01-23T02:29:19Z

Billb:

<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"><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"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
''Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]''

----
The details for the strategies related to harm reduction are organized under the specific topics that are described in the [[ZOOM_MAP_-_Expand_Harm_Reduction_Practices|Zoom Map -- Expand Harm Reduction Practices]]</div> <div class="wiki" style="display: block"> </div>
= Overview on Harm Reduction =

Link to a national organization focusing on Harm Reduction: [http://harmreduction.org/ Harm Reduction Coalition]

=   =
<div class="mw-parser-output">
= Scorecard Building  =
<div class="wiki" style="display: block">Potential Objective Details(Under Construction) <br/> Potential Measures and Data Sources(Under Construction) </div> <div class="wiki" style="display: block"> </div> </div>
= Resources to Investigate =
<div class="wiki" style="display: block">[[RTI_-_Expand_Harm_Reduction_Practices|More RTI on <span style="font-family: Helvetica; font-size: 10pt">Expand Harm Reduction Practices</span>]]<br/> <br/>  </div> <div class="wiki" style="display: block"><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></div> <div class="wiki" style="display: block">
{| border="1" cellpadding="1" cellspacing="1" style="width: 500px;"
|-
| style="text-align: center;" | '''Reviewer'''
| style="width: 2px; text-align: center;" |  
| style="width: 93px; text-align: center;" | '''Date'''
| style="width: 2px; text-align: center;" |  
| style="width: 205px; text-align: center;" | '''Comments'''
|-
|  
| style="width: 2px;" |  
| style="width: 93px;" |  
| style="width: 2px;" |  
| style="width: 205px;" |  
|-
|  
| style="width: 2px;" |  
| style="width: 93px;" |  
| style="width: 2px;" |  
| style="width: 205px;" |  
|}

 
</div>
= Sources =
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
[[Category:SAFE-Full Spectrum Prevention]] [[Category:SAFE-Law Enforcement and Criminal Justice]]

Expand Early Intervention in Communities for Substance Use Disorder

2020-01-23T02:14:08Z

Billb:

<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"><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"><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|Top-Level Strategy Map]]''

----

<span id="docs-internal-guid-baf91879-7fff-d447-92b3-943abd0f34fa" style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">The goals of early intervention are to reduce the harms associated with substance use, to reduce risk behaviors before they lead to injury, to improve health and social function, and to prevent progression to a disorder and subsequent need for specialty substance use disorder services. Early intervention consists of providing information about substance use risks, normal or safe levels of use, and strategies to quit or cut down on use and use-related risk behaviors, and facilitating patient initiation and engagement in treatment when needed. Early intervention services may be considered the bridge between prevention and treatment services. For individuals with more serious substance misuse, intervention in these settings can serve as a mechanism to engage them into treatment.<ref name="Facing Addiction in America: The Surgeon General's Spotlight on Opioids">https://addiction.surgeongeneral.gov/sites/default/files/OC_SpotlightOnOpioids.pdf</ref></span>

= Background =

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">The 2018 National Survey on Drug Use and Healt</span><span style="font-size: 11pt; font-family: Arial; color: rgb(0, 0, 0); font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap">h<ref>https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf</ref></span><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">reported on the continued use of substances across the U.S. </span>
<ul style="margin-top:0;margin-bottom:0;">
<li><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">In 2018, approximately 20.3 million people aged 12 or older had a substance use disorder (SUD) related to their use of alcohol or illicit drugs in the past year, including 14.8 million people who had an alcohol use disorder and 8.1 million people who had an illicit drug use disorder. </span></li>
<li><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">The most common illicit drug use disorder was marijuana use disorder (4.4 million people). An estimated 2.0 million 1.7 million people with a prescription pain reliever use disorder and 0.5 million people with a heroin use disorder.<ref>https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf</ref></span></li>
</ul>

== <span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Goals of Early Intervention</span> ==

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Early intervention reduces the harm associated with substance use, reduces risk behaviors before they lead to injury, improves health and social function, and prevents progression to a disorder and subsequent need for specialty substances use disorder services. Early intervention consists of providing information about substance use risks, normal or safe levels of use, and strategies to quit or cut down on use and use-related risk behaviors, and facilitating patient initiation and engagement in treatment when needed.  </span>

== <span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Prevention vs. Early Intervention</span> ==

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Early intervention differs from Prevention efforts, especially when it comes to general and at-risk populations. </span><span style="font-size:10pt; font-family:Verdana; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Prevention targets the general population with a universal need to understand the risks of substance use disorder.  While Early Intervention efforts can also engage the general population, it focuses on age groups, individuals, or families at risk for particular disorders like substance use, or those who may have just started experimenting or using substances.</span>

== <span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Early Intervention in a Community Setting</span> ==
<ul style="margin-top:0;margin-bottom:0;">
<li><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Early intervention can be provided when an individual presents for another medical condition or social service need and is not seeking treatment for a substance use disorder.</span></li>
<li><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Community intervention can involve multi-sector partnerships, community leaders and  members, and/or deliver services in community settings such as clinics, schools, jails, workplaces, emergency rooms, social services, senior citizen centers, or campuses.<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440941/
</ref></span></li>
</ul>

== <span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">At-Risk Populations Who Should Receive Early Intervention</span> ==

<span style="font-size:10pt; font-family:Verdana; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">While the entire community can benefit from early intervention resources, there are populations that have been identified at a high risk for substance use.</span>

*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Adolescents or adults at risk or who show signs of substance use or are experimenting with substances.</span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Individuals who have suffered childhood trauma.</span><ref>https://www.acesconnection.com/
</ref>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Binge drinkers: In 2018, about 139.8 million Americans aged 12 or older were past month alcohol users, 67.1 million were binge drinkers in the past month. About 2.2 million adolescents aged 12 to 17 drank alcohol in the past month, and 1.2 million of these adolescents binge drank in that period.</span><span style="font-size: 11pt; font-family: Arial; color: rgb(0, 0, 0); font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap"><ref>https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf</ref></span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">People who use substances while driving.</span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Expectant mothers who use substances while pregnant. </span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Senior citizens.</span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Ethnic minorities who may not be receiving culturally relevant care</span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Individuals with co-occurring substance use and mental disorders</span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Homeless population.</span>
<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">
== <span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Components of Early Intervention:</span> ==

*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Screening, Brief Intervention and Referral to Treatment, or SBIRT  <ref>http://ifi-wikis.com/IFI-OpioidCrisis/Expand_SBIRT_Program</ref></span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Screen for risk factors for substance use such as childhood trauma and ACEs</span><ref>https://www.acesconnection.com/</ref>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Reduce Stigma in Community </span><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap"><ref>http://ifi-wikis.com/IFI-OpioidCrisis/Reduce_Stigma</ref></span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Pre-Arrest Diversion Programs <ref>https://ptaccollaborative.org/wp-content/uploads/2019/06/SAFE-Pre-Arrest-Guide_Final-.pdf
</ref></span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">“Reachable Moments”,  such as providing patient education when prescribing opioids for chronic pain.<ref>https://news.ohsu.edu/2018/04/25/hospital-staff-experience-sea-change-in-addressing-substance-use-disorder</ref></span>
*<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Utilize Prescription Drug Monitoring Programs (PDMPs)<ref>https://www.asam.org/resources/publications/magazine/public-policy-statements/2018/04/24/prescription-drug-monitoring-programs-(pdmps)</ref> which are state-controlled electronic databases to track controlled substance prescriptions within a state. PDMPs  also provide prescribing and patient behavior information to prescribers and other authorities who are granted access to the information.</span>
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= Promising Programs =

== Project Engage - Delaware ==

<span id="docs-internal-guid-857cae61-7fff-0c74-fce2-ae34a5c60b91" style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Project Engage - Delaware<ref> https://christianacare.org/services/behavioralhealth/project-engage/
</ref></span>

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">ChristianaCare is a Delaware-based health system, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs.  Designed to help hospital patients who may be struggling with alcohol or drug use, Project Engage provides early intervention and referrals to substance use disorder treatment. Project Engage integrates peers in recovery, who are called engagement specialists, into the clinical setting in the hospital to meet with patients at their bedside about their alcohol or drug use. Project Engage collaborates with hospital staff to identify and connect patients with community-based substance use disorder treatment programs and other resources. Project Engage has also formed a partnership with the construction industry to offer recovery support to employees from participating construction companies.</span>

== <span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">OhioSTART (Sobriety, Treatment, and Reducing Trauma)<ref>https://ohiostart.org/ https://www.pcsao.org/programs/ohio-star
</ref></span> ==

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">The state of Ohio developed OhioSTART to help families dealing with substance use disorder avoid disruptive and costly out-of-home placements and helps keep families together. For parents who have lost custody of their children to foster care or another government-approved living arrangement,  the goal is to ultimately reunify and stabilize these families. The intervention program provides specialized victim services, such as intensive trauma counseling, to children who have suffered victimization with substance use of a parent being the primary risk factor. Additionally, the program assists those parents of those children with mentors who have firsthand experience with substance use disorder. </span>

== <span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Project IMPACT, Portland, OR<ref>https://news.ohsu.edu/2018/04/25/hospital-staff-experience-sea-change-in-addressing-substance-use-disorder
</ref></span> ==

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Oregon Health and Science University (OHSU) and its partners conducted a needs assessment to map patient and system needs to critical intervention components and develop a business case. Using their findings, the group identified issues address in addiction treatment and intervention:</span>

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">1. Hospitalization is a “reachable” moment: A survey of hospitalized adults conducted by OHSU revealed that 68% of high-risk drug users reported wanting to cut back or quit. Many patients also reported that they wanted to initiate medication-assisted treatment (MAT) while hospitalized, and that they wanted providers that understand addiction.</span>

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">2. Lack of usual pathways to treatment: OHSU Hospital lacked established referral pathways to outpatient addiction care, and wait times were often long.  </span>

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Their findings resulted in an innovative intervention program: Project IMPACT, or the Improving Addiction Care Team</span><span style="font-size:13.999999999999998pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">. </span><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">IMPACT includes two complementary components: First, an inpatient consult service giving patients a safe place to share their stories, while improving patient engagement and trust while expanding inpatient treatment options.  Second, partnerships with community providers to create rapid access pathways to treatment and create a smooth transition to MAT.</span>

 
<div class="mw-parser-output"> </div> </div> </div> <div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">
= Tools + Resources =

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">The Police, Treatment, and Community Collaborative (PTACC)<ref>https://ptaccollaborative.org/</ref> </span><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">is an alliance of practitioners in law enforcement, behavioral health, community, advocacy, research, and public policy, whose mission is to strategically widen community behavioral health and social service options available through law enforcement diversion. Their focus educates law enforcement and communities on pre-diversion for those who have committed nonviolent misdemeanors away from the criminal justice system and towards appropriate treatment or services can support these individuals, helping them avoid falling into the revolving door of the criminal justice system.  Pre-arrest diversion provides law enforcement with an effective alternative through referral to community-based intervention</span><span style="font-size:13pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">.</span><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap"><ref>https://ptaccollaborative.org/wp-content/uploads/2019/06/SAFE-Pre-Arrest-Guide_Final-.pdf</ref></span>

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Facing Addiction in America: The Surgeon General’s Spotlight on Opioids,</span><span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">  “Importance  of Prevention, Screening, Early Intervention, and Treatment<ref>https://addiction.surgeongeneral.gov/sites/default/files/OC_SpotlightOnOpioids.pdf</ref></span>

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:400; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">“Evidence-based interventions to prevent substance use, misuse and addiction target risk factors and enhance protective factors. Such interventions need to begin early in life to delay or prevent initiation of substance use and continue throughout the lifespan. For example, childhood trauma like adverse childhood experiences (ACEs) have been repeatedly linked to substance misuse. Primary prevention can also begin in the healthcare setting with prescribers using effective strategies to reduce overdoses involving prescription opioids such as safe prescribing practices. Currently, few primary care providers screen for or treat substance use disorders. Additionally, it is common for people who misuse opioids to misuse other substances or to have multiple substance use disorders, childhood trauma, or co-occurring physical and mental disorders. This highlights the need for full clinical assessment and comprehensive treatment services that are matched to an individual’s needs.”  </span>

'''Community Catalyst: Expanding Substance Use Prevention and Early Intervention in Schools''':<ref>https://www.communitycatalyst.org/resources/tools/sbirt-resources</ref>  This online toolkit provides information and resources to mobilize communities to expand school-based services for substance use prevention and early intervention.  Other resources describe a key set of tools for SBIRT early intervention plus strategies to implement and fund this intervention in schools and clinics.

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Principles of Substance Abuse Prevention for Early Childhood, SAMHSA <ref>https://www.drugabuse.gov/publications/principles-substance-abuse-prevention-early-childhood/table-contents</ref></span>

<span style="font-size:11pt; font-family:Arial; color:#000000; background-color:transparent; font-weight:700; font-style:normal; font-variant:normal; text-decoration:none; vertical-align:baseline; white-space:pre; white-space:pre-wrap">Best Practices and Barriers to Engaging People with Substance Use Disorders in Treatment, HHS Office of the Assistant Secretary for Planning and Evaluation, March 2019 <ref>https://aspe.hhs.gov/pdf-report/best-practices-and-barriers-engaging-people-substance-use-disorders-treatment</ref></span>
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'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': <span style="color: #ff0000">[fill out table below]</span>

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= Sources =

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[[Category:SAFE-Full Spectrum Prevention]] [[Category:SAFE-Prescriptions and Medical Response]]

PO - Improve Protective Factors to Reduce SUDs

2020-01-23T02:05:57Z

Billb:

<div class="mw-parser-output">''Return to [[Improve_Protective_Factors_to_Reduce_SUDs#Scorecard_Building|Improve Protective Factors to Reduce SUDs]]'' __NOTOC__
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Brief Page Description

= Examples of a Description for this Objective =

A prevention strategy should include many things that help improve protective factors that make it less likely that youth will experiment with substances and develop and addiction.

= Examples of a From-To Gap =

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| There is little community understanding of the importance of protective factors for youth and how they reduce the odds of kids undertaking high-risk behaviors like substance misuse. 
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| There is broad understanding of protective factors, and there is a growing understanding of how they can be increased to help kids thrive and not use drugs or engage in other high-risk activity. 
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PO - Reduce Access to Opioids for Misuse

2020-01-23T01:59:10Z

Billb:

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''Return to <u>[[Reduce_Access_to_Opioids_for_Misuse#Scorecard_Building|Reduce Access to Opioids]]</u>''<br/> ''Go to [[PM_-_Reduce_Access_to_Opioids_for_Misuse|Possible Measures]]''

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<div class="mw-parser-output">
= Examples of a Description for this Objective =

The focus of this Objective is to reduce the ease of people getting opioids for non-medical use.  If a community wants to reduce the devastation and death due to opioid addiction, access to opioids needs to be reduced at several levels:

#Reduce easy access to free opioid pills that can be used for pain (in a non-prescribed manner), or for self-medication or for recreation.    This reduces the number of people starting down the path to developing an Opioid Use Disorder.
#Make it more difficult for people to buy opioid pills that they were not prescribed (but were diverted from legitimate prescriptions).  It has been seen many times that this can lead to more people switching to heroin and fentanyl to avoid withdrawal or in search of the high, but reducing the illegal sale of diverted prescription drugs is an important part of a comprehensive strategy that also takes strong steps to help people choose treatment or other help rather than making the switch to heroin and/or fentanyl.
#Minimize availability of fake prescription drugs.  One of the most dangerous forms of opioids are fake prescription drugs that are often laced with fentanyl.  It takes a focused strategy to address this particular source of illegal opioids.  
#Reduce access to heroin and/or illegal synthetic opioids.   This is an important part of addressing the overall problem, because if it is more difficult to get heroin or synthetic opioids, some people may choose to stop misusing opioids and get other help.  Or, for the approximately 20% of heroin users who don't start with prescription drugs but rather shift to heroin through a path of other forms of substance abuse, this extraordinarily addictive option will be less available. 
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= Examples of a From-To Gap =

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| Many people are still able to get opioid pills from friends and relatives either for free or by buying them.  
| When a person seeks to get pain medications from a friend or relative, that person no longer has unused medications available, so giving them (or even selling them) is not an option.  Also, the person who is approached by a friend or relative seeking to get pain pills takes steps that help the seeker better deal with their pain, access help for trauma or mental health issues, and better understand the risks of using opioids in ways that are not under careful medical guidance. 
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| Many people, especially seniors, keep extra medications after they are no longer needed, and they are not safely stored.  As a result, they can be easily stolen, or the person is susceptible to being persuaded to give them to a friend or relative who seems to be in desparate pain.
| People, especially seniors, understand the risks of harming others by either giving (or selling) them prescription medications, so they quickly and safely dispose of medications they are not appropriately using.  They also make sure that the medications that they do use are safely stored.  If someone seeking to get pills tries to make the case about how much they need the pain medication, the person being asked is able to help the seeker get more appropriate help for pain or other underlying issues.  
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PM - Reduce Access to Opioids for Misuse

2020-01-23T01:57:16Z

Billb:

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''Return to [[Reduce_Access_to_Opioids_for_Misuse#Scorecard_Building|Reduce Access to Opioids for Misuse]]''
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= Potential Measures =

<span style="color: #ff0000">As you add potential measures, please include a description, calculations for the measure and possible data sources.</span>

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| Ease of Accessing Opioids Rating (1-10)
| How difficult is it to access opioids? This rating is the average from a series of focus groups and surveys done twice a year to rate how easy it is to:<br/> 1) get prescriptions (when not really needed),<br/> 2) get or steal prescription opioids,<br/> 3) buy prescription opioids on the street,<br/> 4) buy heroin, or<br/> 5) buy synthetic opioids (fentanyl, etc.)
| This would be a weighted (probably weighted equally) average of five ratings on a scale of 1 to 10. The data would be collected twice a year with a diverse group from different populations being asked to provide the rating for each of the categories. Even if the measures are not super-accurate, they would likely show insights such as major changes in the availability of stealing prescription drugs (hopefully resulting from the combination of strategies being implemented.)
| Work needs to be done on the best way to get these ratings, but people who have recently started recovery or entered a program like an Angel program or who are part of a harm reduction program would be examples of people who might give reliable information. Their input could be combined with that of law enforcement and healthcare officials or students or others to come up with the rating for each type of opioid. A clearly defined rubric would help improve the accuracy of the data.
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| Change in the Ease of Accessing Opioids
| This would be a 7-point scale where 1 is "Much Easier", 4 is "Unchanged" and 7 is "Much Harder"  This could be compared to 1 year ago, and 5 years ago. 
| This could be done in the same poll as the above measure.
| Same as above.   The key is to get up-to-date information from a mix of people who are involved in various stages of mis-use or addiction.  It would be relatively simple to provide a data gathering tool that could be used in a mix of situations where people who responded would be able to provide responses that would be comparable over time.   One possibility is to gather data twice a year for 2 months each time. 
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Become a Trauma-Informed Community

2020-01-23T01:42:13Z

Billb:

<div class="mw-parser-output">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[ZOOM_MAP_-_Minimize_Desire_to_Misuse_Opioids|the Zoom Map (Minimize Desire to Misuse Opioids)]] or [[ZOOM_Map-Become_a_Trauma_Informed_Community|ZOOM MAP - Become a Trauma-Informed Community]]  
= Become a Trauma-Informed Community =

To become “Trauma Informed,” it’s necessary for any community to first understand the root causes of trauma. Trauma is an emotional response to a terrible event like an accident, rape or natural disaster. Immediately after the event, shock and denial are typical, but may also become delayed or long term reactions include unpredictable emotions, flashbacks, or even physical symptoms like headaches or nausea. The Wilson Foundation of Rochester, NY describes the concept of trauma informed community as “...a strategic approach linking all community sectors together around the effects of trauma, while preventing gaps in services for clients. It is coordinated and collaborative; recognizes that the diversity of the population requires individual responses; uses a common language, measurements and accountability.”<ref>[1]</ref>

== Root Causes of Trauma ==

Trauma is especially common in the lives of people with behavioral and/or substance use disorders, according to SAMHSA.<ref>[2]</ref> For this reason, the need to address trauma is increasingly viewed as a critical component of behavioral health care and part of the healing and recovery process. To become “Trauma Informed”, it’s necessary for any community to first understand the root causes of trauma.  The American Psychological Association defines trauma “..as an emotional response to a terrible event like an accident, rape or natural disaster. Immediately after the event, shock and denial are typical. Longer term reactions include unpredictable emotions, flashbacks, strained relationships and even physical symptoms like headaches or nausea. While these feelings are normal, some people have difficulty moving on with their lives.”<ref>[3]</ref> Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood (0-17 years).<ref>[4]</ref> The survey measures 10 types of childhood trauma; five are personal: physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect; five are related to other family members: a parent who’s an alcoholic, a mother who’s a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and the disappearance of a parent through divorce, death or abandonment. Each type of trauma counts as one. The higher the ACES score, the higher the risk of social and health issues -- including substance use disorder. Using the ACES survey as a foundation, communities can see how trauma can result from racism and discrimination, intergenerational poverty, lack of job opportunities, exposure to violence, substandard housing and education, and lack of access to key services.<ref>[5]</ref> Some communities have developed expanded versions of the ACES survey to address issues specific to their issues. For example, the city of Philadelphia’s Expanded ACE subscale has respondents answer six questions specific to experiences in their communities: witnessing violence, experiencing discrimination, food insecurity, experiencing racism, living in an unsafe neighborhood, being bullied, or living in foster care.<ref>[6]</ref>

== What Is a Trauma Informed Community? ==

The Wilson Foundation of Rochester, NY describes the concept of trauma informed community as “...a strategic approach linking all community sectors together around the effects of trauma, while preventing gaps in services for clients. It is coordinated and collaborative; recognizes that the diversity of the population requires individual responses; uses a common language, measurements and accountability.”<ref>[7]</ref> If a community works to identify the specific drivers of trauma in its own backyard, it can also identify the factors that influence substance use disorder, allowing them to create the appropriate community supports for behavioral health care plus healing and recovery.<ref>[8]</ref>  

== Trauma-Informed Systems ==

The National Child Traumatic Stress Network describes a trauma-informed service system as  one where all agencies, programs, and service providers have a trauma-informed perspective: <ref>[9]</ref> *Routinely screen for trauma exposure and related symptoms. *Use evidence-based, culturally responsive assessment and treatment for traumatic stress and associated mental health symptoms. *Make resources available to children, families, and providers on trauma exposure, its impact, and treatment. *Engage in efforts to strengthen the resilience and protective factors of children and families impacted by and vulnerable to trauma. *Address parent and caregiver trauma and its impact on the family system. *Emphasize continuity of care and collaboration across child-service systems.  *Maintain an environment of care for staff that addresses, minimizes, and treats secondary traumatic stress, and that increases staff wellness.

=== Child Welfare ===

Substance use disorders can affect parents’ ability to effectively care for their children, and is sometimes linked to rises in foster care placement and mistreatment cases. These parents are also particularly vulnerable population, and benefit from a family-based approach to care, ensuring that community services are tailored to children’s needs and are provided in tandem with those delivered to the whole family. <ref>[10]</ref>

=== School Systems ===

For any community, schools and educators may be the first resource for students coping with traumatic events. And it’s not just teachers in the classroom - it includes administrators, staff, and parents. This environment supports all children to feel safe physically, socially, emotionally, and academically.  When interviewed for a Washington State resource guide for creating trauma informed school settings, one teacher described the issue succinctly: Students who try to focus on academics while struggling with trauma is like “trying to play chess in a hurricane."<ref>[11]</ref>  

=== Healthcare ===

Individuals who have experienced trauma are at an elevated risk for substance use disorders, including use and dependence. A trauma-informed healthcare system understands and considers the pervasive nature of trauma and promotes environments of healing and recovery rather than practices and services that may inadvertently re-traumatize those seeking help.<ref>[12]</ref>

=== Justice ===

In a law enforcement setting, a trauma-informed approach starts with the same premise:  understand the physical, social, and emotional impact of trauma on the individual involved in that system. It also requires the understanding that both police officers and other professionals may also be traumatized by a particular event or long-term history of or exposure to violence.<ref>[13]</ref>

=== Ensuring Diversity in Trauma Informed Settings ===

ACEs Connection's Diversity, Equity & Inclusion Tool helps communities organize their stakeholders and other contacts to make sure that every part of the community is included, from education to law enforcement to the faith-based community.<ref>[14]</ref>

== Successful City Initiatives ==

=== Tarpon City, Florida: Peace4Tarpon ===

Tarpon City, on Central Florida’s Gulf Coast, was the first city in the US to declare itself a trauma-informed community.  Trauma-informed practices have been implemented in small and large ways in a variety of organizations, including an elementary school, an ex-offender re-entry program and the local housing authority.<ref>[15]</ref>

=== Washington State: Compassionate Schools ===

This Compassionate Schools program has a universal focus - it helps Washington teachers understand fundamental brain development and function, correctly interpret behaviors, while engaging students, families, and the community. It simultaneously uses  strategies that touch students daily -- whether it’s mindfulness activities into everyday teaching and learning, creating a contract with a student for conflict resolution, or creating culture that supports learning.   The program resulted in dropping absenteeism rates, a decrease in disciplinary referrals, plus improved engagement and achievement among students.<ref>[16]</ref>  

= Tools & Resources =

'''ACEs Connection: '''Main information exchange and resources for local, state, and and national ACEs initiatives.[https://www.acesconnection.com/ https://www.acesconnection.com/] '''Adverse Community Experiences and Resilince: A Framework for Addressing and Preventing Community Trauma, Prevention Institute (2015) '''-[https://www.preventioninstitute.org/publications/adverse-community-experiences-and-resilience-framework-addressing-and-preventing https://www.preventioninstitute.org/publications/adverse-community-experiences-and-resilience-framework-addressing-and-preventing] '''Compassionate Schools,Washington State Office of Superintendent of Public Instruction ('''OSPI)  -- The Heart of Learning and Teaching: Compassion, Resiliency, and Academic Success [https://www.k12.wa.us/sites/default/files/public/compassionateschools/pubdocs/theheartoflearningandteaching.pdf https://www.k12.wa.us/sites/default/files/public/compassionateschools/pubdocs/theheartoflearningandteaching.pdf] '''National Child Traumatic Stress Network Learning Center: '''Registering for this free online learning center provides access to several archived sessions of interest to education professionals. The Schools and Trauma Speaker Series has five archived sessions: (1) Trauma-informed IEPs(2)Evidence-based practices(3) Sudden death on a school campus(4) Trauma-informed understanding of bullying (5) School/mental health partnerships. More resources available.  [http://learn.nctsn.org/ http://learn.nctsn.org/] '''National Institutes of Health:''' Trauma-Informed Care in Behavioral Health Services, Treatment Improvement Protocol (TIP) Series, No. 57, SAMHSA: [https://www.ncbi.nlm.nih.gov/books/NBK207201/ https://www.ncbi.nlm.nih.gov/books/NBK207201/] '''Trauma Informed Schools Resource Guide, Wilson Foundation'''  [http://wilsonfdn.org/wp/wp-content/uploads/2015/03/Trauma-Informed-Schools-Resource-Guide.pdf http://wilsonfdn.org/wp/wp-content/uploads/2015/03/Trauma-Informed-Schools-Resource-Guide.pdf]
</div>
[[Category:SAFE-Public Awareness]] [[Category:SAFE-Full Spectrum Prevention]]

RTI - Reduce Crime, Law Enforcement & Corrections Costs

2020-01-23T01:34:26Z

Billb:

<div class="mw-parser-output">''Return to <u>[[Reduce_Crime,_Law_Enforcement_&_Corrections_Costs#Scorecard_Building|Reduce Crime due to Opioid Misuse & Law Enforcement Costs]]</u>'' __NOTOC__
----

The purpose of this page is to have a place to put articles on this topic when you find them so that someone can review the article, extract any valuable new information an put it in the appropriate part of the wiki (with a footnote for the source), and then note that the key points have been extracted.<br/> <br/> <span style="color: #f00d28">*Please turn links into active links that open in a new window.*</span><br/>  

= Resources =

{| border="1" class="wiki_table"
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=== '''Article Topic and URL''' ===

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=== '''Date Reviewed''' ===

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=== '''Comments''' ===

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Article has examples of criminal justice costs due to opioid misuse [http://www.asam.org/docs/advocacy/societal-costs-of-prescription-opioid-abuse-dependence-and-misuse-in-the-united-states.pdf [1]]

| 01/24/17
| Colette C.
| Information added to 'Background' under 'Reduce Crime & Law Enforcement Costs'
|-
|
[https://www.npr.org/sections/health-shots/2015/12/03/458220614/is-prescription-opioid-abuse-a-crime-problem-or-a-health-problem https://www.npr.org/sections/health-shots/2015/12/03/458220614/is-prescription-opioid-abuse-a-crime-problem-or-a-health-problem]

| 01/24/2017
| Colette C.
| Information added to 'Shift form Punishment to Treatment Approach'
|-
|
PREVENTION OF DRUG-RELATED CRIME REPORT - 2015<br/> [http://www.unodc.org/documents/ungass2016//Contributions/Civil/ICPC/Rapport_FINAL_ENG_2015.pdf [3]]

| 01/23/17
| Colette C.
| Reviewed and information added to 'Reduce Crime due to Opioid Misuse & Law Enforcement Costs'
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PM - Reduce Crime, Law Enforcement & Corrections Costs

2020-01-23T01:32:33Z

Billb:

<div class="mw-parser-output">''Return to <u>[[Reduce_Crime,_Law_Enforcement_&_Corrections_Costs#Scorecard_Building|Reduce Crime due to Opioid Misuse & Law Enforcement Costs]]</u>'' __NOTOC__
----

 

= Measures Concerning Costs of Opioid Abuse =

<span style="color: #ff0000">As you add potential measures, please include a description, calculations for the measure and possible data sources.</span>

== Potential Measures ==

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=== '''Measure''' ===

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=== '''Calculations''' ===

| style="text-align: center" |
=== '''Data Source''' ===

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| style="width: 710px;" | These should be meaures that can be used by local coalitions to be able to show the impact of their strategy on these types of costs.
| style="width: 64px;" |  
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= <br/>   =
</div>
[[Category:Pages with broken file links]]

PO - Reduce Crime, Law Enforcement & Corrections Costs

2020-01-23T01:29:47Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">''Return to [[Reduce_Crime,_Law_Enforcement_&_Corrections_Costs#Scorecard_Building|Reduce Crime, Law Enforcement & Corrections Costs]]''
----

__NOTOC__

Each Outcome Objective should be clarified with a concise description of the change that is intended by this objective.   The combination of the objective description and the From-To Gap should provide added clarity in what the Objective is focused on achieving.  Neither the Outcome Objective's description nor its From-To Gaps should include the measures or target, and they should not include the strategies or actions for accomplishing the change.  Those are covered in other objectives in the strategy map (and the scorecard that will be based on the strategy map structure). 

== '''Example of a Description of Objective''' ==

Success in strategies to reduce the misuse of opioids should lead to measurable reductions in crime due to opioid misuse, less stress and cost on law enforcement departments, and lower costs relating to justice services and incarceration.   <br/>  
<div class="mw-parser-output">
== '''Example From-To Gap Regarding Crime Due to Opioid Misuse & Law Enforcement Costs''' ==

{| border="1" class="wiki_table"
|-
| style="width: 671px;" |
=== '''Current State''' ===

|
=== '''Desired State''' ===

|-
| style="width: 671px;" | People with an OUD are often actively involved in crimes as a way of getting money to pay for their addiction.
| Providing MAT should dramatically reduce the need for people with an OUD to commit crimes that would otherwise be committed.  This makes communities safer.
|-
| style="width: 671px;" | Communities and individuals suffer from three types of crimes: alcohol and substance-defined, alcohol and drug-related, and lifestyle.<sup class="reference">   </sup>Current efforts often focus on trying to deter these types of crime with the threat of punishment, which is largely ineffective.  
|
Adopting evidence-based strategies has led to the reduction in all three types of crimes. 

*A combination of prevention, treatment and pre-arrest diversion has significantly reduced substance-defined crimes. 
*A combintion of MAT and support for jobs during recovery has greatly reduced crime by people struggling with an OUD.
*Helping people move from active addiction to supported recovery has reduced lifestyle crimes. 

|-
| style="width: 671px;" | High law enforcement costs due to accidental overdoses and the previously mentioned types of crime. 
| Reduction in law enforcement costs have been realized and communicated.  This helps build the return on investment case for spending money on prevention, treatment and recovery supports. 
|-
| style="width: 671px;" |  
|  
|-
| style="width: 671px;" |  
|  
|}
</div> </div> </div> </div>

PO - Reduce Crime, Law Enforcement & Corrections Costs

2020-01-23T01:20:37Z

Billb:

<div class="mw-parser-output">''Return to [[Reduce_Crime,_Law_Enforcement_&_Corrections_Costs#Scorecard_Building|Reduce Crime, Law Enforcement & Corrections Costs]]''
----

Each Outcome Objective should be clarified with a concise description of the change that is intended by this objective.   The combination of the objective description and the From-To Gap should provide added clarity in what the Objective is focused on achieving.  Neither the Outcome Objective's description nor its From-To Gaps should include the measures or target, and they should not include the strategies or actions for accomplishing the change.  Those are covered in other objectives in the strategy map (and the scorecard that will be based on the strategy map structure). 

= Description of Objective =

Success in strategies to reduce the misuse of opioids should lead to measurable reductions in crime due to opioid misuse, less stress and cost on law enforcement departments, and lower costs relating to justice services and incarceration.   <br/>  
<div class="mw-parser-output">
== '''From-To Gap Regarding Crime Due to Opioid Misuse & Law Enforcement Costs''' ==

{| border="1" class="wiki_table"
|-
| style="width: 671px;" |
=== '''Current State''' ===

|
=== '''Desired State''' ===

|-
| style="width: 671px;" | People with an OUD are often actively involved in crimes as a way of getting money to pay for their addiction.
| Providing MAT should dramatically reduce the need for people with an OUD to commit crimes that would otherwise be committed.  This makes communities safer.
|-
| style="width: 671px;" | Communities and individuals suffer from three types of crimes: alcohol and substance-defined, alcohol and drug-related, and lifestyle.<sup class="reference">   </sup>Current efforts often focus on trying to deter these types of crime with the threat of punishment, which is largely ineffective.  
|
Adopting evidence-based strategies has led to the reduction in all three types of crimes. 

*A combination of prevention, treatment and pre-arrest diversion has significantly reduced substance-defined crimes. 
*A combintion of MAT and support for jobs during recovery has greatly reduced crime by people struggling with an OUD.
*Helping people move from active addiction to supported recovery has reduced lifestyle crimes. 

|-
| style="width: 671px;" | High law enforcement costs due to accidental overdoses and the previously mentioned types of crime. <sup class="reference">[3]</sup>
| Reduction in law enforcement costs have been realized and communicated.  This helps build the return on investment case for spending money on prevention, treatment and recovery supports. 
|-
| style="width: 671px;" |  
|  
|-
| style="width: 671px;" |  
|  
|}
</div> </div>

PO - Reduce Crime, Law Enforcement & Corrections Costs

2020-01-23T01:16:56Z

Billb:

<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"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">''Return to [[Reduce_Crime,_Law_Enforcement_&_Corrections_Costs#Scorecard_Building|Reduce Crime, Law Enforcement & Corrections Costs]]''
----

Each Outcome Objective should be clarified with a concise description of the change that is intended by this objective.   The combination of the objective description and the From-To Gap should provide added clarity in what the Objective is focused on achieving.  Neither the Outcome Objective's description nor its From-To Gaps should include the measures or target, and they should not include the strategies or actions for accomplishing the change.  Those are covered in other objectives in the strategy map (and the scorecard that will be based on the strategy map structure). 

= Description of Objective =

Success in strategies to reduce the misuse of opioids should lead to measurable reductions in crime due to opioid misuse, less stress and cost on law enforcement departments, and lower costs relating to justice services and incarceration.   <br/>  

<div class="mw-parser-output">
== '''From-To Gap Regarding Crime Due to Opioid Misuse & Law Enforcement Costs''' ==

{| border="1" class="wiki_table"
|-
| style="width: 671px;" |
=== '''Current State''' ===

|
=== '''Desired State''' ===

|-
| style="width: 671px;" | People with an OUD are often actively involved in crimes as a way of getting money to pay for their addiction.
| Providing MAT should dramatically reduce the need for people with an OUD to commit crimes that would otherwise be committed.  This makes communities safer.
|-
| style="width: 671px;" | Communities and individuals suffer from three types of crimes: alcohol and substance-defined, alcohol and drug-related, and lifestyle.<sup class="reference">   </sup>Current efforts often focus on trying to deter these types of crime with the threat of punishment, which is largely ineffective.  
|
Adopting evidence-based strategies has led to the reduction in all three types of crimes. 

*A combination of prevention, treatment and pre-arrest diversion has significantly reduced substance-defined crimes. 
*A combintion of MAT and support for jobs during recovery has greatly reduced crime by people struggling with an OUD.
*Helping people move from active addiction to supported recovery has reduced lifestyle crimes. 

|-
| style="width: 671px;" | High law enforcement costs due to accidental overdoses and the previously mentioned types of crime. <sup class="reference">[3]</sup>
| Reduction in law enforcement costs have been realized and communicated.  This helps build the return on investment case for spending money on prevention, treatment and recovery supports. 
|-
| style="width: 671px;" |  
|  
|-
| style="width: 671px;" |  
|  
|}

  </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
</div>

PO - Reduce Crime, Law Enforcement & Corrections Costs

2020-01-23T01:16:32Z

Billb: Undo revision 19511 by Billb (talk)

<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"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">''Return to [[Reduce_Crime,_Law_Enforcement_&_Corrections_Costs#Scorecard_Building|Reduce Crime, Law Enforcement & Corrections Costs]]''
----

Each Outcome Objective should be clarified with a concise description of the change that is intended by this objective.   The combination of the objective description and the From-To Gap should provide added clarity in what the Objective is focused on achieving.  Neither the Outcome Objective's description nor its From-To Gaps should include the measures or target, and they should not include the strategies or actions for accomplishing the change.  Those are covered in other objectives in the strategy map (and the scorecard that will be based on the strategy map structure). 

= Description of Objective =

Success in strategies to reduce the misuse of opioids should lead to measurable reductions in crime due to opioid misuse, less stress and cost on law enforcement departments, and lower costs relating to justice services and incarceration.   <br/>  

== '''From-To Gap Regarding Crime Due to Opioid Misuse & Law Enforcement Costs''' ==

{| border="1" class="wiki_table"
|-
| style="width: 671px;" |
=== '''Current State''' ===

|
=== '''Desired State''' ===

|-
| style="width: 671px;" | People with an OUD are often actively involved in crimes as a way of getting money to pay for their addiction.
| Providing MAT should dramatically reduce the need for people with an OUD to commit crimes that would otherwise be committed.  This makes communities safer.
|-
| style="width: 671px;" | Communities and individuals suffer from three types of crimes: alcohol and substance-defined, alcohol and drug-related, and lifestyle.<sup class="reference">   </sup>Current efforts often focus on trying to deter these types of crime with the threat of punishment, which is largely ineffective.  
|
Adopting evidence-based strategies has led to the reduction in all three types of crimes. 

*A combination of prevention, treatment and re-arrest diversion has significantly reduced substance-defined crimes. 
*A combintion of MAT and support for jobs during recovery has greatly reduced crime by people struggling with an OUD.
*Helping people move from active addiction to supported recovery has reduced lifestyle crimes. 

|-
| style="width: 671px;" | High law enforcement costs due to accidental overdoses and the previously mentioned types of crime. <sup class="reference">[3]</sup>
| Reduction in law enforcement costs have been realized and communicated.  This helps build the return on investment case for spending money on prevention, treatment and recovery supports. 
|-
| style="width: 671px;" |  
|  
|-
| style="width: 671px;" |  
|  
|}

 
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>

PO - Reduce Crime, Law Enforcement & Corrections Costs

2020-01-23T01:14:15Z

Billb:

<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"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">''Return to [[Reduce_Crime,_Law_Enforcement_&_Corrections_Costs#Scorecard_Building|Reduce Crime, Law Enforcement & Corrections Costs]]''
----

Each Outcome Objective should be clarified with a concise description of the change that is intended by this objective.   The combination of the objective description and the From-To Gap should provide added clarity in what the Objective is focused on achieving.  Neither the Outcome Objective's description nor its From-To Gaps should include the measures or target, and they should not include the strategies or actions for accomplishing the change.  Those are covered in other objectives in the strategy map (and the scorecard that will be based on the strategy map structure). 

= Description of Objective =

Success in strategies to reduce the misuse of opioids should lead to measurable reductions in crime due to opioid misuse, less stress and cost on law enforcement departments, and lower costs relating to justice services and incarceration.   <br/>  

== '''From-To Gap Regarding Crime Due to Opioid Misuse & Law Enforcement Costs''' ==

{| border="1" class="wiki_table"
|-
| style="width: 671px;" |
=== '''Current State''' ===

|
<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">
=== '''Desired State''' ===

People with an OUD are often actively involved in crimes as a way of getting money to pay for their addiction. | Providing MAT should dramatically reduce the need for people with an OUD to commit crimes that would otherwise be committed.  This makes communities safer. |- | style="width: 671px;" | Communities and individuals suffer from three types of crimes: alcohol and substance-defined, alcohol and drug-related, and lifestyle.<sup class="reference">   </sup>Current efforts often focus on trying to deter these types of crime with the threat of punishment, which is largely ineffective.   | Adopting evidence-based strategies has led to the reduction in all three types of crimes. 

*A combination of prevention, treatment and pre-arrest diversion has significantly reduced substance-defined crimes. 
*A combintion of MAT and support for jobs during recovery has greatly reduced crime by people struggling with an OUD.
*Helping people move from active addiction to supported recovery has reduced lifestyle crimes. 

High law enforcement costs due to accidental overdoses and the previously mentioned types of crime. <sup class="reference">[3]</sup> | Reduction in law enforcement costs have been realized and communicated.  This helps build the return on investment case for spending money on prevention, treatment and recovery supports.
</div> </div>
 
</div>

TR - Expand Prescription Drug Take-back & Disposal Programs

2019-12-13T22:39:25Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output">Return to <u style="font-size: 13px;">[[Expand_Prescription_Drug_Take-back_&_Disposal_Program|Expand Prescription Drug Take-Back & Disposal Program]]</u>
__NOTOC__

= Promoting Drug Take-Back Days and Programs =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
|
[http://www.productstewardship.us/?1078 Starting a Drug Take-Back Program]

| VideoSeries
|
[http://www.productstewardship.us/ Product Stewardship Institute]

| '''AUDIENCE:'''<br/> Law enforcement, Coalitions<br/> <br/> This video series outlines six elements of putting together a successful Take-Back event:<br/> Put a team together, finding a location, work plans and permits, outreach, the event, after the collection
|  
|-
|
[https://www.dea.gov/take-back/takeback-day_2016_oct.html Materials to promote National Prescription Drug Take-Back Day]

| Promotional Media Materials
|
[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law enforcement, Coalitions<br/> <br/> Customizable posters, pamphlets, digital billboards, print billboards, bus ads, site location banners, web buttons
| Offers spanish versions
|-
|
[https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/policies/proper-drug-disposal-programs Supportiung research and additional resources]

| Website
| [https://www.countyhealthrankings.org/take-action-to-improve-health County Health Rankings & Roadmaps]
|  
|  
|-
|
[https://www.deadiversion.usdoj.gov/drug_disposal/takeback/ National Take-back Day information]

| Website
|
[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law Enforcement, general public<br/> <br/> Information for general public and law enforcement agencies about holding an event.
|  
|-
|  
|  
|  
|  
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|-
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|  
|  
|  
|  
|}

= Permanent Disposal Site =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
|
[https://awarerx.pharmacy/dispose-safely/set-up-a-drug-disposal-site Set Up Permanent Drug Disposal Site]

| How to Website
| AwareRx
| '''AUDIENCE:'''<br/> Law enforcement, pharmacies, long term care facilities<br/> <br/> Site includes information on how to set up a permanent drug disposal site at pharmacies, long term care facilities and law enforcement sites.
|
The site also includes a [https://awarerx.pharmacy/dispose-safely/disposal-sites drug disposal site locator].

|-
| Disposal at Law Enforcement Agency<br/> '''[http://www.medreturn.com/ MedReturn Drug Collection Unit]''' <div class="objectEmbed">[[File/view/MedReturn_Spec_Sheet_2016.pdf/602269258/MedReturn_Spec_Sheet_2016.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png MedReturn Spec Sheet 2016.pdf]]] <div>[[File/view/MedReturn_Spec_Sheet_2016.pdf/602269258/MedReturn_Spec_Sheet_2016.pdf|MedReturn Spec Sheet 2016.pdf]]
*[[File/detail/MedReturn_Spec_Sheet_2016.pdf|Details]]
*[[File/view/MedReturn_Spec_Sheet_2016.pdf/602269258/MedReturn_Spec_Sheet_2016.pdf|Download]]
*1 MB
</div> </div>
| Product Specifications
| MedReturn
| '''AUDIENCE:'''<br/> Law enforcement<br/> <br/> These units are designed for safe and secure disposal of medications at law enforcement agencies. There are two types of units, one priced at $695 and one at $995. Below is a list of unit and order specifications
|  
|-
|
[http://www.rxdrugdropbox.org/ National Association of Drug Diversion Investigators Prescription Drug Drop Box Website]

| Informational Website
|
[http://naddi.org/ NADDI]

| '''AUDIENCE:'''<br/> Disposal Collectors<br/> <br/> Site includes information about buying a drop box, applying for grants, and adding your drop box to a locator map.
|  
|-
|  
|  
|  
|  
|  
|-
|  
|  
|  
|  
|  
|}

= Drug Disposal Information =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
|
[https://drugfree.org/article/secure-dispose-of-medicine-properly/ Guide to Proper Disposal]

| Website
| Medicine Abuse Project
| '''AUDIENCE:'''<br/> Parents<br/> <br/> A quick three part guide on how to monitor and safely dispose of potentially habit forming and addictive prescription drugs.
| <div class="objectEmbed">[[File/view/MAP-Safe-Drug-Disposal-Guide.pdf/615024851/MAP-Safe-Drug-Disposal-Guide.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png MAP-Safe-Drug-Disposal-Guide.pdf]]] <div>[[File/view/MAP-Safe-Drug-Disposal-Guide.pdf/615024851/MAP-Safe-Drug-Disposal-Guide.pdf|MAP-Safe-Drug-Disposal-Guide.pdf]]
*[[File/detail/MAP-Safe-Drug-Disposal-Guide.pdf|Details]]
*[[File/view/MAP-Safe-Drug-Disposal-Guide.pdf/615024851/MAP-Safe-Drug-Disposal-Guide.pdf|Download]]
*361 KB
</div> </div>
|-
|
[http://www.countyhealthrankings.org/policies/proper-drug-disposal-programs Proper Drug Disposal Programs Policy Assessment]

| Policy Assessment
| County Health Rankings & Roadmaps
| '''AUDIENCE:'''<br/> General Public<br/> <br/> Proper Drug Disposal Programs are rated as Expert Opinion by County Health Rankings & Roadmaps. Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
|  
|-
|
[https://www.deadiversion.usdoj.gov/drug_disposal/index.html DEA disposal resources]

| Website
|
[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law Enforcement, general public, coalitions<br/> <br/> Information about safe disposal, registering for disposal, disposal rules.
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[https://www.deadiversion.usdoj.gov/21cfr/cfr/2117cfrt.htm Federal Disposal Regulations]

| Legal Document
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[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Disposal Collectors, law enforcement
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= Rx Disposal Tools =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
| DisposeRx General Information Sheet <div class="objectEmbed">[[File/view/DisposeRx_General_Informational_Sheet.pdf/622048605/DisposeRx_General_Informational_Sheet.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png DisposeRx General Informational Sheet.pdf]]] <div>[[File/view/DisposeRx_General_Informational_Sheet.pdf/622048605/DisposeRx_General_Informational_Sheet.pdf|DisposeRx General Informational Sheet.pdf]]
*[[File/detail/DisposeRx_General_Informational_Sheet.pdf|Details]]
*[[File/view/DisposeRx_General_Informational_Sheet.pdf/622048605/DisposeRx_General_Informational_Sheet.pdf|Download]]
*5 MB
</div> </div>
| Fact Sheet
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[http://disposerx.com/ DisposeRx]

| Overview of Dispose Rx, it's use, benefits, and mission.
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| DisposeRx and the Opioid Epidemic <div class="objectEmbed">[[File/view/DisposeRx_and_the_Opioid_Epidemic_.pdf/622048651/DisposeRx_and_the_Opioid_Epidemic_.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png DisposeRx and the Opioid Epidemic .pdf]]] <div>[[File/view/DisposeRx_and_the_Opioid_Epidemic_.pdf/622048651/DisposeRx_and_the_Opioid_Epidemic_.pdf|DisposeRx and the Opioid Epidemic .pdf]]
*[[File/detail/DisposeRx_and_the_Opioid_Epidemic_.pdf|Details]]
*[[File/view/DisposeRx_and_the_Opioid_Epidemic_.pdf/622048651/DisposeRx_and_the_Opioid_Epidemic_.pdf|Download]]
*644 KB
</div> </div>
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[http://disposerx.com/ DisposeRx]

| Overview of the Opioid epidemic, scope of the issue, solution, and how to obtain packets.
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| DisposeRx Opioid Epidemic Paper - Sept 2017 <div class="objectEmbed">[[File/view/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf/622048639/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png DisposeRx US Opioid Epidemic Paper_September 2017.pdf]]] <div>[[File/view/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf/622048639/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|DisposeRx US Opioid Epidemic Paper_September 2017.pdf]]
*[[File/detail/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|Details]]
*[[File/view/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf/622048639/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|Download]]
*9 MB
</div> </div>
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[http://disposerx.com/ DisposeRx]

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[https://www.youtube.com/watch?v=E8hZvkRjKgk Dispose Rx How to Use Video] (1:37 min)

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[http://disposerx.com/ DisposeRx]

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= Rx Disposal Campaign =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
| Social Media Kit for Rx Disposal Campaign <div class="objectEmbed">[[File/view/Rx_Disposal_Social_Media_Kit.pdf/621077187/Rx_Disposal_Social_Media_Kit.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png Rx Disposal Social Media Kit.pdf]]] <div>[[File/view/Rx_Disposal_Social_Media_Kit.pdf/621077187/Rx_Disposal_Social_Media_Kit.pdf|Rx Disposal Social Media Kit.pdf]]
*[[File/detail/Rx_Disposal_Social_Media_Kit.pdf|Details]]
*[[File/view/Rx_Disposal_Social_Media_Kit.pdf/621077187/Rx_Disposal_Social_Media_Kit.pdf|Download]]
*858 KB
</div> </div>
| Social Media prompts
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[http://www.addictionpolicy.org/ Addiction Policy Forum]

| '''AUDIENCE''': Everyone<br/> <br/> Designed to build off of the momentum of daylight savings, these prompts hope to build the habit of Rx disposal as easily as we change our clocks for daylight savings. The kit has facebook, twitter, and graphic examples that can be easily adopted by community coalitions.
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| Four Ways to Dispose of Your Old and Unused Prescription Drugs <div class="objectEmbed">[[File/view/WaystoDispose.pdf/621078109/WaystoDispose.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png WaystoDispose.pdf]]] <div>[[File/view/WaystoDispose.pdf/621078109/WaystoDispose.pdf|WaystoDispose.pdf]]
*[[File/detail/WaystoDispose.pdf|Details]]
*[[File/view/WaystoDispose.pdf/621078109/WaystoDispose.pdf|Download]]
*8 MB
</div> </div>
| Handout
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[http://www.addictionpolicy.org/ Addiction Policy Forum]

| '''AUDIENCE''': Everyone<br/> <br/> Fact sheet describing four ways to properly dispose of prescription drugs.
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| Facts and Figures <div class="objectEmbed">[[File/view/FactsandFigures_RxAbuse.pdf/621079201/FactsandFigures_RxAbuse.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png FactsandFigures_RxAbuse.pdf]]] <div>[[File/view/FactsandFigures_RxAbuse.pdf/621079201/FactsandFigures_RxAbuse.pdf|FactsandFigures_RxAbuse.pdf]]
*[[File/detail/FactsandFigures_RxAbuse.pdf|Details]]
*[[File/view/FactsandFigures_RxAbuse.pdf/621079201/FactsandFigures_RxAbuse.pdf|Download]]
*5 MB
</div> </div>
| Handout
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[http://www.addictionpolicy.org/ Addiction Policy Forum]

| '''AUDIENCE''': Everyone<br/> <br/> Key facts for prescription drug misuse, distribution, and proper storage.
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</div> </div>
</div>
</div>

Expand Prescription Drug Take-back & Disposal Program

2019-12-13T19:24:05Z

Billb:

<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 [[ZOOM_MAP_-_Reduce_Diversion_of_Prescription_Drugs|Reduce Diversion of Prescription Drugs]]''

----

Most opioid abuse prevention strategies include some sort of prescription drug take-back or disposal program.  This is a step in the right direction, but most communities have significant opportunities to expand and enhance these efforts to reach more people and reduce the ability of people to misuse these medications or give them to others who may misuse them.  This objective focuses on practical ways to make improvements to existing efforts and to add new options that communities may not yet be doing. 

= Background =

== Why Safe Disposal is Important ==

'''Intentional Misuse''':

*A majority of abused prescription drugs are obtained from family and friends, including from the home medicine cabinet.<sup class="reference">[2]</sup>
*SAMHSA’s 2009 National Survey on Drug Use and Health found that over 70 percent of people who used prescription pain relievers non-medically got them from friends or relatives, while approximately 5 percent got them from a drug dealer or from the Internet.
*Getting hooked on prescription opioids is directly responsible for over 60% of subsequent heroin addictions as addicts turn to this less expensive alternative.
*Prescription drugs involved in overdoses are almost all originally prescribed by physicians but were used by others who were not prescribed those drugs. (Get sources for this.) 

'''Accidental Exposure''':

*When medicines are no longer needed or have expired, it is important to properly dispose of them to reduce harm from accidental exposure or intentional misuse.<sup class="reference">[1]</sup> Throwing drugs in the garbage also is a bad idea, because they can accidentally be taken by kids or pets.

'''Environmental Concerns''':

*Some people propose flushing or pouring unused medications down the drain, however medications flushed into the waste stream can end up in water supplies.<sup class="reference">[3]</sup>
*Since the drugs in take-back programs are incinerated, take-back programs are the safest way to get rid of the chemicals and to stop them from getting into drinking water and watersheds as well as in the hands of those at risk.
*Innovative mail-back options provide a convenient way for people to have excess medications disposed of through incineration. (Details further down on this page.)

== Costs and Benefits of Safe Disposal Options ==

This fact sheet from the Product Stewardship Institute provides a good summary of the costs and benefits of different drug take-back and disposal options. 

[https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/gotoguide/drug_take-back_costs_fact_sh.pdf https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/gotoguide/drug_take-back_costs_fact_sh.pdf]
</div> <div class="mw-parser-output">
== To Flush or Not to Flush ==

If no take-back programs are readily available, it is still important to dispose of the medications quickly and appropriately. Some prescriptions include instructions on how to dispose of the drug.<sup class="reference">[5]</sup> The [https://www.fda.gov U.S. Food & Drug Administration (FDA)] provides the safest ways of disposing of these medications at home [http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm here]. The FDA also recommends that certain drugs be flushed immediately such as fentanyl patches, Oxycontin, and Percocet. A full list can be found on [http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm#Flush_List this ]page.  Others experts strongly recommend <u>'''not'''</u> flushing medications down the toilet.<ref>Minnesota Pollution Control Agency https://www.pca.state.mn.us/featured/dont-flush-medicines-down-drain</ref>

The bottom line is that the best options are bringing your medications to a take-back day, putting them into a drug disposal kiosk, or using a mail-based program to send in the medications for proper disposal.  But, if you don't have access to these options, flushing unused medications that are on the "flush list" is better than keeping them around. <br/>  
</div>
= Special Populations =

== Senior Citizens ==

Senior citizens have a disproportionate number of medications in their homes. Helping seniors understand how to properly dispose of medications can make a big difference in the success of your program.  The Colorado Consortium for Prescription Drug Abuse Prevention has developed a successful program for reachng people age 65+ called "You're the Solution." This campaign has techniques and materials that can be used around the country. 

Learn more about [[You're_the_Solution|You're_the_Solution]] 

 

== Nursing Homes ==

Individual patients aside, one study estimated the nation’s nursing homes discard anywhere from $73 million to $378 million worth of drugs a year. Some are incinerated, but many are flushed.<sup class="reference">[6]   </sup>

Nursing homes could be provided with information and tools (or services) for more appropriate disposal options that are better for the environemnt and that minimize the likelihood of diversion of these medications.

== Hospice Programs or Funeral Home Programs ==

Hospice programs can help family members understand how to properly handle the medications they inherit when a loved one passes away.<sup class="reference">[7]</sup>

Funeral Homes may pass out a brochure to remind people to make sure that any prescription drugs that were being taken by a loved one are properly disposed of.  People in the late stages of life may have been getting prescription opioids to deal with pain.  Hospice and funeral homes could be provided with disposal products (like Seal&Send envelopes)

= Take-back Events =

== DEA National Drug Take-Back Day Initiative ==

<span style="background-color: #ffffff">The National Prescription Drug Take Back Day Initiative addresses a crucial public safety and public health issue by providing an opportunity for Americans to prevent drug addiction and overdose deaths. As of May 2017, the DEA has promoted 13 national take-back days and they continue to collect more and more drugs each time. <sup class="reference">[8]</sup><br/> <br/> <span style="background-color: #ffffff">'''[https://www.deadiversion.usdoj.gov/drug_disposal/takeback/newsrelease.htm Program Successes]'''</span></span>

*<span style="background-color: #ffffff">Over 4,200 law enforcement and community partners and 5,500 sites across the country.</span>
*<span style="background-color: #ffffff">Since September 2010, these events have altogether collected 8,103,363 pounds (4,052 tons) of prescription drugs.</span>
*<span style="background-color: #ffffff">The last National Take-back Day collected more than 900,386 pounds (450 tons).</span>

<span style="background-color: #ffffff"><span style="background-color: #ffffff">To promote your local Rx Take Back Day, the DEA provides a [https://www.dea.gov/take-back/takeback-day_2016_oct.html partnership toolkit] featuring promotional materials for associated partners.<sup class="reference">[9]</sup><br/> <br/> <span style="background-color: #ffffff">'''<span style="font-size: 15.6px">See [[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|Tools & Resources]] for more DEA take-back resources and other ideas on how to implement a local take-back day.</span>'''</span></span></span>

== <span style="background-color: #ffffff"><span style="background-color: #ffffff">State Level Drug Take Back Programs</span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">See below for inspiration and ideas to replicate from current state efforts:</span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.ddap.pa.gov/Prevention/Pages/Drug_Take_Back.aspx#.V07YY_krLcs Pennsylvania]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.in.gov/bitterpill/ Indiana]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.oregon.gov/oha/ph/HealthyEnvironments/DrinkingWater/SourceWater/Pages/takeback.aspx Oregon]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.artakeback.org/index.html Arkansas]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.takebackyourmeds.org/ Washington]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://stoprxabuseinga.org/ Georgia]</span></span>

= <span style="background-color: #ffffff"><span style="background-color: #ffffff">Local Disposal Drop Boxes</span></span> =
<div class="mw-parser-output">
== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Finding Disposal Locations</span></span> ==

=== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Medication Disposal Locators</span></span> ===

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Use the following links to find drug disposal locations</span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://apps.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e1s1 DEA's Disposal Locator] - Find locations in your ZIP code. These collectors are registered with the DEA and pass unused medicine on to the agency to disposed.<sup class="reference">[10]</sup></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://rxdrugdropbox.org/ Rx Drop Box]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposemymeds.org/ Dispose My Meds]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://nabp.pharmacy/initiatives/awarxe/drug-disposal-locator/ National Association of Boards of Pharmacy]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.americanmedicinechest.com/ The American Medicine Chest Challenge]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://walgreens.maps.arcgis.com/apps/MapSeries/index.html?appid=53cf1b54abf34c4bacdec863e5c56391 Walgreens Safe Medication Disposal Program]</span></span>
</div> <div class="mw-parser-output">
== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Increasing the Number of Drug Drop-Boxes in your Community</span></span></span> ==

Since disposing of unneeded medications via a drug drop box is considered the best option, it is important for communities to increase the number of drop boxes that are available and to promote awareness of those drop boxes. 

Ths [https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/pharms_reports_factsheets/160920_PSI_Pharmacy_Guide_vS.pdf How-To Guide for Drug Take-Back] , created by the Product Stewardship Institute, provides detailed guidance for expanding and improving a pharmacy-based collection program. 

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">The [http://www.rxdrugdropbox.org/ NADDI prescription drug dropbox ] website is an important resource to find locations of drop boxes, buy boxes, apply for grants, and other information about drop boxes.</span></span></span>
</div> <div class="mw-parser-output">
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">With the help of the of the [https://www.naddi.org/ National Association of Drug Diversion Investigators], communities can apply for grants to receive a drop box that will hold old opioids to prevent abuse. These boxes have resulted in multiple cities and communities to be safer, and reduce the risk of opioid addiction. Boxes are to be located in close proximity to law enforcement agencies so nothing happens to them. Multiple boxes have been placed in the State of Minnesota, and after reaching out to one town in specific, Fridley<sup class="reference">[11]</sup> , they told us that they have seen a positive response to the drop-box. They have discarded pounds of prescription opioids that came from an at-risk community.</span></span></span>
</div>
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">In-Home Disposal</span></span></span> =

== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Medication Mail-back Envelopes</span></span></span></span> ==

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Stericycle Prescription Drug Seal&Send Pouches</span></span></span></span>'''

Stericyle provides an option for unsed prescription drugs to be mailed to them in an unmarked mailing pouch, and then the pills are incinerated. 

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Learn more at: </span></span></span></span>[https://www.stericycleenvironmental.com/service/pharmaceutical-takeback/ https://www.stericycleenvironmental.com/service/pharmaceutical-takeback/]

 

== In-home disposal pouches & powders ==

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Deterra Drug Disposal System </span></span></span></span>'''

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Minneapolis based company Verde Technologies has created a product called [http://deterrasystem.com/ Deterra®] System which deactivates prescription drugs.</span><br/> <br/> <span style="background-color: #ffffff">Each patented Deterra® pouch contains a water-soluble inner pod containing MAT12® activated carbon. Once the pharmaceuticals are placed in the pouch, warm water is then added, which dissolves the inner pod releasing the activated carbon. The warm water also dissolves prescription pills, patches and liquids, allowing them to be adsorbed by the carbon, rendering them inert and non-retrievable.</span><br/> <br/> <span style="background-color: #ffffff">For more information on how to use Deterra®, view this [https://www.youtube.com/watch?v=lSBwBqpTk2c How-to video]</span></span></span></span></span><br/>  

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Current Efforts to Promote In-Home Disposal</span></span></span></span>'''
<div class="objectEmbed"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Case Studies</span></span></span></span></div>
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">The state of Pennsylvania has a goal of distributing Deterra® Drug Deactivation and Disposal pouches alongside 10% of all opioid prescriptions.</span></span></span></span></span>
<div class="objectEmbed"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Attorney General Shapiro Unveils Plan to Distribute 300,000 Drug Disposal Pouches in 12 counties[5]</span></span></span></span></span></div> <div class="objectEmbed">[https://www.pennlive.com/news/2017/07/drug_deactivation_and_disposal.html https://www.pennlive.com/news/2017/07/drug_deactivation_and_disposal.html]</div>
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Inspira Health Network (New Jersey) distributed the Deterra® pouch throughout their network.</span><br/> <span style="background-color: #ffffff">[http://www.njtvonline.org/news/video/inspira-health-network-battles-opioid-crisis-proper-drug-disposal/ Case Study]</span></span></span></span></span> These pouches render opioids ineffective for misuse and safe for disposal and the environment, are another cost-efficient way to safely dispose of opioids.

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Benefits</span></span></span></span>'''

*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Inexpensive - Costs $7 per pouch</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Can encourage people to connect with law enforcement - People can pick up free (if already given to law enforcement) pouches from station and dispose of them at home and save any potential embarrassment</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Improve overall water quality - with the majority of people flushing unused medication down the toilet, only water treatment facilities remove less than half of the prescription drugs found in sewage</span></span></span></span>

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">DisposeRx</span></span></span></span>'''

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposerx.com/ Dispose Rx] is "a patented (pending) blend of solidifying materials that provides a solution for the safe disposal of unwanted or expired prescription drugs. Dedicated to environmentally friendly and safe non-toxic disposal solutions, DisposeRx is spearheading programs of educating communities with practical and safe medication disposing solutions, thus preventing the cycle of environmental pollution, addiction, overdose, and death." Prescription drugs can be rendered safe for disposal (and impossible to misuse) by adding powder from a packet directly into the pill bottle and shaking the bottle.</span></span></span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Very Inexpensive - Costs about $1.50 per packet (and [https://www.aarp.org/health/drugs-supplements/info-2018/walmart-dispose-painkillers-fd.html Walmart gives the packets away free with a prescription or possibly a request])</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Packets can attached to prescriptions with a rubber band (much like flower fertilizer is attached to fresh-cut flowers)</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Well-suited to campaigns with community partners (like clinics, churches, barbershops or hair salons) to increase distribution to diverse populations.</span></span></span></span>

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">See [[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|Tools & Resources]] for more information.</span></span></span></span></span>

 
</div>
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Funding for Drug Takeback & Disposal</span></span></span></span> =

== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Legislation & Drug Companies</span></span></span></span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Currently several West Coast counties, the city of San Francisco and the state of Massachusetts have issued legislature that require drug companies to fund drug take-back programs.<sup class="reference">[13]</sup> On a national level, however, only 2.5 percent of eligible take-back organizations are participating, according to the Government Accountability Office. <sup class="reference">[14]</sup> The primary barrier seems to be financial: Maintaining the safe-like prescription drop-off container, training staff to follow the relevant regulations, and destroying the returned medication costs money. As a potential solution, writing policy that mandates opioid manufacturers to pay patients for their returned bottles of pills, along with subsidizing drop off location operators, could offset the costs and be what is needed to make returning leftover medication an automatic habit for consumers. <sup class="reference">[15]</sup><br/> <br/> <span style="background-color: #ffffff">The [http://www.productstewardship.us/ Product Stewardship Institute], a nonprofit that supports drug take-back programs, calculated that at least a dozen other local governments around the country are considering similar legislation, including several California counties.</span><br/> <br/> <span style="background-color: #ffffff">In Minnesota, pharmaceutical company [http://www.mallinckrodt.com/ Mallinckrodt] donated 30,000 disposal pouch systems to be distributed.<sup class="reference">[16]</sup></span></span></span></span></span></span>

== State Legislation Requiring Disposal Kits be Given with Prescriptions ==

The Kentucky State Senate passed in March 2018 a bill that requires opioids and other abused drugs to be dispensed along with a method to permanently sequester and dispose of any leftover pills. If passed by the house and signed, it will be the first state passing such a bill.<sup class="reference">[4]  </sup>[http://www.disposerx.com DisposeRx] will be a popular choice to be given out along with prescription.  Other options include the Seal & Send mail-back packages or other options described below.

= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Tools & Resources</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|TR - Expand Prescription Drug Take-back & Disposal Programs]]</span></span></span></span></span></span></span>

= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Scorecard Building</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[PO_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Objective Details]]</span><br/> <span style="background-color: #ffffff">[[PM_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Measures & Data Sources]]</span></span></span></span></span></span></span>
<div class="mw-parser-output">
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Actions to Take</span></span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">There are many actions that can be taken by coalitions, organizations or individuals to improve drug take-back and disposal.  Explore the ideas via the following link:<br/> <span style="background-color: #ffffff">[[PA_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|Potential Actions for Coalitions]]</span></span></span></span></span></span></span>

[[PAI_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Potential Actions for Individuals</span></span></span></span></span></span></span>]]
</div>
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Resources to Investigate</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[RTI_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|More RTI on Drug Take-Back & Disposal Program]]</span><br/> <br/> <span style="background-color: #ffffff"><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></span><br/> <span style="background-color: #ffffff"><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></span></span></span></span></span></span></span>

{| class="wiki_table"
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| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Reviewer'''</span></span></span></span></span></span>
| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Date'''</span></span></span></span></span></span>
| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Comments'''</span></span></span></span></span></span>
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|}

 
<div class="mw-parser-output">
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Sources</span></span></span></span></span></span> =

 

----

 

#[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm [1]]</span></span></span></span></span></span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [2]]</span></span></span></span></span></span>
#[http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts/ http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts/] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts [3]]</span></span></span></span></span></span>
#<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposerx.com/dl/Kentucky_Press_3-15_final.pdf [4]]</span></span></span></span></span></span>
#[https://www.fda.gov/drugs/safe-disposal-medicines/disposal-unused-medicines-what-you-should-know https://www.fda.gov/drugs/safe-disposal-medicines/disposal-unused-medicines-what-you-should-know] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm [5]]</span></span></span></span></span></span>
#[http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.XXVl6ehKhPZ http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.XXVl6ehKhPZ] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.WmEKDd-nGUk [6]]</span></span></span></span></span></span>
#[https://www.dea.gov/press-releases/2017/05/08/dea-brings-record-amount-unused-prescription-drugs-national-prescription https://www.dea.gov/press-releases/2017/05/08/dea-brings-record-amount-unused-prescription-drugs-national-prescription] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.dea.gov/divisions/hq/2017/hq050817a.shtml [7]</span></span></span></span></span>
#[https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0 https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.dea.gov/divisions/hq/2015/hq100115.shtml [8]]</span></span></span></span>
#[https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0 https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm [9]]</span></span></span></span>
#[https://www.hometownsource.com/sun_focus/news/local/drop-off-prescription-drugs-anonymously-at-fridley-pd/article_b07bd27d-1122-55fa-8465-f47ad9a861dc.html https://www.hometownsource.com/sun_focus/news/local/drop-off-prescription-drugs-anonymously-at-fridley-pd/article_b07bd27d-1122-55fa-8465-f47ad9a861dc.html]  <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://focus.mnsun.com/2013/02/19/drop-off-prescription-drugs-anonymously-at-fridley-pd/ [10]]</span></span></span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] <span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [11]]</span></span>
#[https://fortune.com/2016/04/30/big-pharma-drug-take-back/ https://fortune.com/2016/04/30/big-pharma-drug-take-back/] <span style="background-color: #ffffff">[http://fortune.com/2016/04/30/big-pharma-drug-take-back/ [12]]</span>
#[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/ https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/] <span style="background-color: #ffffff">[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/?utm_term=.e9ccd1f56650 [13]]</span>
#[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/ https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/]<span style="background-color: #ffffff">[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/?utm_term=.e9ccd1f56650 [14]]</span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] [http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [15]]
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
  </div> </div> </div> </div> </div> </div>
</div>
[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

TR - Expand Prescription Drug Take-back & Disposal Programs

2019-12-04T21:37:30Z

Billb:

<div class="mw-parser-output">Return to <u style="font-size: 13px;">[[Expand_Prescription_Drug_Take-back_&_Disposal_Program|Expand Prescription Drug Take-Back & Disposal Program]]</u>
__NOTOC__

= Promoting Drug Take-Back Days and Programs =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
|
[http://www.productstewardship.us/?1078 Starting a Drug Take-Back Program]

| VideoSeries
|
[http://www.productstewardship.us/ Product Stewardship Institute]

| '''AUDIENCE:'''<br/> Law enforcement, Coalitions<br/> <br/> This video series outlines six elements of putting together a successful Take-Back event:<br/> Put a team together, finding a location, work plans and permits, outreach, the event, after the collection
|  
|-
|
[https://www.dea.gov/take-back/takeback-day_2016_oct.html Materials to promote National Prescription Drug Take-Back Day]

| Promotional Media Materials
|
[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law enforcement, Coalitions<br/> <br/> Customizable posters, pamphlets, digital billboards, print billboards, bus ads, site location banners, web buttons
| Offers spanish versions
|-
|
[https://www.deadiversion.usdoj.gov/drug_disposal/takeback/poc.htm State DEA POC contact information]

| Contact list
|
[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law enforcement<br/> <br/> This is a list of DEA contacts in each state. Any law enforcement agency looking to host a take-back day needs to call the POC in their area.
|  
|-
|
[https://www.deadiversion.usdoj.gov/drug_disposal/takeback/ National Take-back Day information]

| Website
|
[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law Enforcement, general public<br/> <br/> Information for general public and law enforcement agencies about holding an event.
|  
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= Permanent Disposal Site =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
|
[https://awarerx.pharmacy/dispose-safely/set-up-a-drug-disposal-site Set Up Permanent Drug Disposal Site]

| How to Website
| AwareRx
| '''AUDIENCE:'''<br/> Law enforcement, pharmacies, long term care facilities<br/> <br/> Site includes information on how to set up a permanent drug disposal site at pharmacies, long term care facilities and law enforcement sites.
|
The site also includes a [https://awarerx.pharmacy/dispose-safely/disposal-sites drug disposal site locator].

|-
| Disposal at Law Enforcement Agency<br/> '''[http://www.medreturn.com/ MedReturn Drug Collection Unit]''' <div class="objectEmbed">[[File/view/MedReturn_Spec_Sheet_2016.pdf/602269258/MedReturn_Spec_Sheet_2016.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png MedReturn Spec Sheet 2016.pdf]]] <div>[[File/view/MedReturn_Spec_Sheet_2016.pdf/602269258/MedReturn_Spec_Sheet_2016.pdf|MedReturn Spec Sheet 2016.pdf]]
*[[File/detail/MedReturn_Spec_Sheet_2016.pdf|Details]]
*[[File/view/MedReturn_Spec_Sheet_2016.pdf/602269258/MedReturn_Spec_Sheet_2016.pdf|Download]]
*1 MB
</div> </div>
| Product Specifications
| MedReturn
| '''AUDIENCE:'''<br/> Law enforcement<br/> <br/> These units are designed for safe and secure disposal of medications at law enforcement agencies. There are two types of units, one priced at $695 and one at $995. Below is a list of unit and order specifications
|  
|-
|
[http://www.rxdrugdropbox.org/ National Association of Drug Diversion Investigators Prescription Drug Drop Box Website]

| Informational Website
|
[http://naddi.org/ NADDI]

| '''AUDIENCE:'''<br/> Disposal Collectors<br/> <br/> Site includes information about buying a drop box, applying for grants, and adding your drop box to a locator map.
|  
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= Drug Disposal Information =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
|
[https://drugfree.org/article/secure-dispose-of-medicine-properly/ Guide to Proper Disposal]

| Website
| Medicine Abuse Project
| '''AUDIENCE:'''<br/> Parents<br/> <br/> A quick three part guide on how to monitor and safely dispose of potentially habit forming and addictive prescription drugs.
| <div class="objectEmbed">[[File/view/MAP-Safe-Drug-Disposal-Guide.pdf/615024851/MAP-Safe-Drug-Disposal-Guide.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png MAP-Safe-Drug-Disposal-Guide.pdf]]] <div>[[File/view/MAP-Safe-Drug-Disposal-Guide.pdf/615024851/MAP-Safe-Drug-Disposal-Guide.pdf|MAP-Safe-Drug-Disposal-Guide.pdf]]
*[[File/detail/MAP-Safe-Drug-Disposal-Guide.pdf|Details]]
*[[File/view/MAP-Safe-Drug-Disposal-Guide.pdf/615024851/MAP-Safe-Drug-Disposal-Guide.pdf|Download]]
*361 KB
</div> </div>
|-
|
[http://www.countyhealthrankings.org/policies/proper-drug-disposal-programs Proper Drug Disposal Programs Policy Assessment]

| Policy Assessment
| County Health Rankings & Roadmaps
| '''AUDIENCE:'''<br/> General Public<br/> <br/> Proper Drug Disposal Programs are rated as Expert Opinion by County Health Rankings & Roadmaps. Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
|  
|-
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[https://www.deadiversion.usdoj.gov/drug_disposal/index.html DEA disposal resources]

| Website
|
[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law Enforcement, general public, coalitions<br/> <br/> Information about safe disposal, registering for disposal, disposal rules.
|  
|-
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[https://www.deadiversion.usdoj.gov/21cfr/cfr/2117cfrt.htm Federal Disposal Regulations]

| Legal Document
|
[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Disposal Collectors, law enforcement
|  
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= Rx Disposal Tools =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
| DisposeRx General Information Sheet <div class="objectEmbed">[[File/view/DisposeRx_General_Informational_Sheet.pdf/622048605/DisposeRx_General_Informational_Sheet.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png DisposeRx General Informational Sheet.pdf]]] <div>[[File/view/DisposeRx_General_Informational_Sheet.pdf/622048605/DisposeRx_General_Informational_Sheet.pdf|DisposeRx General Informational Sheet.pdf]]
*[[File/detail/DisposeRx_General_Informational_Sheet.pdf|Details]]
*[[File/view/DisposeRx_General_Informational_Sheet.pdf/622048605/DisposeRx_General_Informational_Sheet.pdf|Download]]
*5 MB
</div> </div>
| Fact Sheet
|
[http://disposerx.com/ DisposeRx]

| Overview of Dispose Rx, it's use, benefits, and mission.
|  
|-
| DisposeRx and the Opioid Epidemic <div class="objectEmbed">[[File/view/DisposeRx_and_the_Opioid_Epidemic_.pdf/622048651/DisposeRx_and_the_Opioid_Epidemic_.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png DisposeRx and the Opioid Epidemic .pdf]]] <div>[[File/view/DisposeRx_and_the_Opioid_Epidemic_.pdf/622048651/DisposeRx_and_the_Opioid_Epidemic_.pdf|DisposeRx and the Opioid Epidemic .pdf]]
*[[File/detail/DisposeRx_and_the_Opioid_Epidemic_.pdf|Details]]
*[[File/view/DisposeRx_and_the_Opioid_Epidemic_.pdf/622048651/DisposeRx_and_the_Opioid_Epidemic_.pdf|Download]]
*644 KB
</div> </div>
|  
|
[http://disposerx.com/ DisposeRx]

| Overview of the Opioid epidemic, scope of the issue, solution, and how to obtain packets.
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|-
| DisposeRx Opioid Epidemic Paper - Sept 2017 <div class="objectEmbed">[[File/view/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf/622048639/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png DisposeRx US Opioid Epidemic Paper_September 2017.pdf]]] <div>[[File/view/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf/622048639/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|DisposeRx US Opioid Epidemic Paper_September 2017.pdf]]
*[[File/detail/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|Details]]
*[[File/view/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf/622048639/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|Download]]
*9 MB
</div> </div>
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[http://disposerx.com/ DisposeRx]

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[https://www.youtube.com/watch?v=E8hZvkRjKgk Dispose Rx How to Use Video] (1:37 min)

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[http://disposerx.com/ DisposeRx]

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= Rx Disposal Campaign =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
| Social Media Kit for Rx Disposal Campaign <div class="objectEmbed">[[File/view/Rx_Disposal_Social_Media_Kit.pdf/621077187/Rx_Disposal_Social_Media_Kit.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png Rx Disposal Social Media Kit.pdf]]] <div>[[File/view/Rx_Disposal_Social_Media_Kit.pdf/621077187/Rx_Disposal_Social_Media_Kit.pdf|Rx Disposal Social Media Kit.pdf]]
*[[File/detail/Rx_Disposal_Social_Media_Kit.pdf|Details]]
*[[File/view/Rx_Disposal_Social_Media_Kit.pdf/621077187/Rx_Disposal_Social_Media_Kit.pdf|Download]]
*858 KB
</div> </div>
| Social Media prompts
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[http://www.addictionpolicy.org/ Addiction Policy Forum]

| '''AUDIENCE''': Everyone<br/> <br/> Designed to build off of the momentum of daylight savings, these prompts hope to build the habit of Rx disposal as easily as we change our clocks for daylight savings. The kit has facebook, twitter, and graphic examples that can be easily adopted by community coalitions.
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| Four Ways to Dispose of Your Old and Unused Prescription Drugs <div class="objectEmbed">[[File/view/WaystoDispose.pdf/621078109/WaystoDispose.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png WaystoDispose.pdf]]] <div>[[File/view/WaystoDispose.pdf/621078109/WaystoDispose.pdf|WaystoDispose.pdf]]
*[[File/detail/WaystoDispose.pdf|Details]]
*[[File/view/WaystoDispose.pdf/621078109/WaystoDispose.pdf|Download]]
*8 MB
</div> </div>
| Handout
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[http://www.addictionpolicy.org/ Addiction Policy Forum]

| '''AUDIENCE''': Everyone<br/> <br/> Fact sheet describing four ways to properly dispose of prescription drugs.
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| Facts and Figures <div class="objectEmbed">[[File/view/FactsandFigures_RxAbuse.pdf/621079201/FactsandFigures_RxAbuse.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png FactsandFigures_RxAbuse.pdf]]] <div>[[File/view/FactsandFigures_RxAbuse.pdf/621079201/FactsandFigures_RxAbuse.pdf|FactsandFigures_RxAbuse.pdf]]
*[[File/detail/FactsandFigures_RxAbuse.pdf|Details]]
*[[File/view/FactsandFigures_RxAbuse.pdf/621079201/FactsandFigures_RxAbuse.pdf|Download]]
*5 MB
</div> </div>
| Handout
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[http://www.addictionpolicy.org/ Addiction Policy Forum]

| '''AUDIENCE''': Everyone<br/> <br/> Key facts for prescription drug misuse, distribution, and proper storage.
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</div> </div>
</div>

TR - Expand Prescription Drug Take-back & Disposal Programs

2019-12-04T21:33:10Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
 

Return to <u style="font-size: 13px;">[[Expand_Prescription_Drug_Take-back_&_Disposal_Program|Expand Prescription Drug Take-Back & Disposal Program]]</u>

 [This is a for a page containing toolkits and resources. Use the table below as a general outline for how to organize content. Each table should pertain to a specific topic. See [[TR_-_Train_Youth_in_How_to_Resist_Peer_Pressure_to_Try_Drugs|TR - Train Youth in How to Resist Peer Pressure to Try Drugs]] as a good example. Additional tables should be created if necessary]<br/> <br/> <br/>  

= Drug Take-Back Day =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
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[http://www.productstewardship.us/?1078 Starting a Drug Take-Back Program]

| VideoSeries
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[http://www.productstewardship.us/ Product Stewardship Institute]

| '''AUDIENCE:'''<br/> Law enforcement, Coalitions<br/> <br/> This video series outlines six elements of putting together a successful Take-Back event:<br/> Put a team together, finding a location, work plans and permits, outreach, the event, after the collection
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[https://www.dea.gov/take-back/takeback-day_2016_oct.html Materials to promote National Prescription Drug Take-Back Day]

| Promotional Media Materials
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[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law enforcement, Coalitions<br/> <br/> Customizable posters, pamphlets, digital billboards, print billboards, bus ads, site location banners, web buttons
| Offers spanish versions
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[https://www.deadiversion.usdoj.gov/drug_disposal/takeback/poc.htm State DEA POC contact information]

| Contact list
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[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law enforcement<br/> <br/> This is a list of DEA contacts in each state. Any law enforcement agency looking to host a take-back day needs to call the POC in their area.
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[https://www.deadiversion.usdoj.gov/drug_disposal/takeback/ National Take-back Day information]

| Website
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[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law Enforcement, general public<br/> <br/> Information for general public and law enforcement agencies about holding an event.
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= Permanent Disposal Site =

{| border="1" class="wiki_table"
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| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
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[https://awarerx.pharmacy/dispose-safely/set-up-a-drug-disposal-site Set Up Permanent Drug Disposal Site]

| How to Website
| AwareRx
| '''AUDIENCE:'''<br/> Law enforcement, pharmacies, long term care facilities<br/> <br/> Site includes information on how to set up a permanent drug disposal site at pharmacies, long term care facilities and law enforcement sites.
|
The site also includes a [https://awarerx.pharmacy/dispose-safely/disposal-sites drug disposal site locator].

|-
| Disposal at Law Enforcement Agency<br/> '''[http://www.medreturn.com/ MedReturn Drug Collection Unit]''' <div class="objectEmbed">[[File/view/MedReturn_Spec_Sheet_2016.pdf/602269258/MedReturn_Spec_Sheet_2016.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png MedReturn Spec Sheet 2016.pdf]]] <div>[[File/view/MedReturn_Spec_Sheet_2016.pdf/602269258/MedReturn_Spec_Sheet_2016.pdf|MedReturn Spec Sheet 2016.pdf]]
*[[File/detail/MedReturn_Spec_Sheet_2016.pdf|Details]]
*[[File/view/MedReturn_Spec_Sheet_2016.pdf/602269258/MedReturn_Spec_Sheet_2016.pdf|Download]]
*1 MB
</div> </div>
| Product Specifications
| MedReturn
| '''AUDIENCE:'''<br/> Law enforcement<br/> <br/> These units are designed for safe and secure disposal of medications at law enforcement agencies. There are two types of units, one priced at $695 and one at $995. Below is a list of unit and order specifications
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[http://www.rxdrugdropbox.org/ National Association of Drug Diversion Investigators Prescription Drug Drop Box Website]

| Informational Website
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[http://naddi.org/ NADDI]

| '''AUDIENCE:'''<br/> Disposal Collectors<br/> <br/> Site includes information about buying a drop box, applying for grants, and adding your drop box to a locator map.
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= Drug Disposal Information =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
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[https://drugfree.org/article/secure-dispose-of-medicine-properly/ Guide to Proper Disposal]

| Website
| Medicine Abuse Project
| '''AUDIENCE:'''<br/> Parents<br/> <br/> A quick three part guide on how to monitor and safely dispose of potentially habit forming and addictive prescription drugs.
| <div class="objectEmbed">[[File/view/MAP-Safe-Drug-Disposal-Guide.pdf/615024851/MAP-Safe-Drug-Disposal-Guide.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png MAP-Safe-Drug-Disposal-Guide.pdf]]] <div>[[File/view/MAP-Safe-Drug-Disposal-Guide.pdf/615024851/MAP-Safe-Drug-Disposal-Guide.pdf|MAP-Safe-Drug-Disposal-Guide.pdf]]
*[[File/detail/MAP-Safe-Drug-Disposal-Guide.pdf|Details]]
*[[File/view/MAP-Safe-Drug-Disposal-Guide.pdf/615024851/MAP-Safe-Drug-Disposal-Guide.pdf|Download]]
*361 KB
</div> </div>
|-
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[http://www.countyhealthrankings.org/policies/proper-drug-disposal-programs Proper Drug Disposal Programs Policy Assessment]

| Policy Assessment
| County Health Rankings & Roadmaps
| '''AUDIENCE:'''<br/> General Public<br/> <br/> Proper Drug Disposal Programs are rated as Expert Opinion by County Health Rankings & Roadmaps. Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
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[https://www.deadiversion.usdoj.gov/drug_disposal/index.html DEA disposal resources]

| Website
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[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Law Enforcement, general public, coalitions<br/> <br/> Information about safe disposal, registering for disposal, disposal rules.
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[https://www.deadiversion.usdoj.gov/21cfr/cfr/2117cfrt.htm Federal Disposal Regulations]

| Legal Document
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[https://www.dea.gov DEA]

| '''AUDIENCE:'''<br/> Disposal Collectors, law enforcement
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= Rx Disposal Tools =

{| border="1" class="wiki_table"
|-
| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
| DisposeRx General Information Sheet <div class="objectEmbed">[[File/view/DisposeRx_General_Informational_Sheet.pdf/622048605/DisposeRx_General_Informational_Sheet.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png DisposeRx General Informational Sheet.pdf]]] <div>[[File/view/DisposeRx_General_Informational_Sheet.pdf/622048605/DisposeRx_General_Informational_Sheet.pdf|DisposeRx General Informational Sheet.pdf]]
*[[File/detail/DisposeRx_General_Informational_Sheet.pdf|Details]]
*[[File/view/DisposeRx_General_Informational_Sheet.pdf/622048605/DisposeRx_General_Informational_Sheet.pdf|Download]]
*5 MB
</div> </div>
| Fact Sheet
|
[http://disposerx.com/ DisposeRx]

| Overview of Dispose Rx, it's use, benefits, and mission.
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| DisposeRx and the Opioid Epidemic <div class="objectEmbed">[[File/view/DisposeRx_and_the_Opioid_Epidemic_.pdf/622048651/DisposeRx_and_the_Opioid_Epidemic_.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png DisposeRx and the Opioid Epidemic .pdf]]] <div>[[File/view/DisposeRx_and_the_Opioid_Epidemic_.pdf/622048651/DisposeRx_and_the_Opioid_Epidemic_.pdf|DisposeRx and the Opioid Epidemic .pdf]]
*[[File/detail/DisposeRx_and_the_Opioid_Epidemic_.pdf|Details]]
*[[File/view/DisposeRx_and_the_Opioid_Epidemic_.pdf/622048651/DisposeRx_and_the_Opioid_Epidemic_.pdf|Download]]
*644 KB
</div> </div>
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[http://disposerx.com/ DisposeRx]

| Overview of the Opioid epidemic, scope of the issue, solution, and how to obtain packets.
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| DisposeRx Opioid Epidemic Paper - Sept 2017 <div class="objectEmbed">[[File/view/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf/622048639/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png DisposeRx US Opioid Epidemic Paper_September 2017.pdf]]] <div>[[File/view/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf/622048639/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|DisposeRx US Opioid Epidemic Paper_September 2017.pdf]]
*[[File/detail/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|Details]]
*[[File/view/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf/622048639/DisposeRx_US_Opioid_Epidemic_Paper_September_2017.pdf|Download]]
*9 MB
</div> </div>
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[http://disposerx.com/ DisposeRx]

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[https://www.youtube.com/watch?v=E8hZvkRjKgk Dispose Rx How to Use Video] (1:37 min)

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[http://disposerx.com/ DisposeRx]

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= Rx Disposal Campaign =

{| border="1" class="wiki_table"
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| <span style="display: block; text-align: center">'''Toolkit/Resource'''</span>
| <span style="display: block; text-align: center">'''Type'''</span>
| '''Source'''
| <span style="display: block; text-align: center">'''Description'''</span>
| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
|-
| Social Media Kit for Rx Disposal Campaign <div class="objectEmbed">[[File/view/Rx_Disposal_Social_Media_Kit.pdf/621077187/Rx_Disposal_Social_Media_Kit.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png Rx Disposal Social Media Kit.pdf]]] <div>[[File/view/Rx_Disposal_Social_Media_Kit.pdf/621077187/Rx_Disposal_Social_Media_Kit.pdf|Rx Disposal Social Media Kit.pdf]]
*[[File/detail/Rx_Disposal_Social_Media_Kit.pdf|Details]]
*[[File/view/Rx_Disposal_Social_Media_Kit.pdf/621077187/Rx_Disposal_Social_Media_Kit.pdf|Download]]
*858 KB
</div> </div>
| Social Media prompts
|
[http://www.addictionpolicy.org/ Addiction Policy Forum]

| '''AUDIENCE''': Everyone<br/> <br/> Designed to build off of the momentum of daylight savings, these prompts hope to build the habit of Rx disposal as easily as we change our clocks for daylight savings. The kit has facebook, twitter, and graphic examples that can be easily adopted by community coalitions.
|  
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| Four Ways to Dispose of Your Old and Unused Prescription Drugs <div class="objectEmbed">[[File/view/WaystoDispose.pdf/621078109/WaystoDispose.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png WaystoDispose.pdf]]] <div>[[File/view/WaystoDispose.pdf/621078109/WaystoDispose.pdf|WaystoDispose.pdf]]
*[[File/detail/WaystoDispose.pdf|Details]]
*[[File/view/WaystoDispose.pdf/621078109/WaystoDispose.pdf|Download]]
*8 MB
</div> </div>
| Handout
|
[http://www.addictionpolicy.org/ Addiction Policy Forum]

| '''AUDIENCE''': Everyone<br/> <br/> Fact sheet describing four ways to properly dispose of prescription drugs.
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| Facts and Figures <div class="objectEmbed">[[File/view/FactsandFigures_RxAbuse.pdf/621079201/FactsandFigures_RxAbuse.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png FactsandFigures_RxAbuse.pdf]]] <div>[[File/view/FactsandFigures_RxAbuse.pdf/621079201/FactsandFigures_RxAbuse.pdf|FactsandFigures_RxAbuse.pdf]]
*[[File/detail/FactsandFigures_RxAbuse.pdf|Details]]
*[[File/view/FactsandFigures_RxAbuse.pdf/621079201/FactsandFigures_RxAbuse.pdf|Download]]
*5 MB
</div> </div>
| Handout
|
[http://www.addictionpolicy.org/ Addiction Policy Forum]

| '''AUDIENCE''': Everyone<br/> <br/> Key facts for prescription drug misuse, distribution, and proper storage.
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</div> </div> </div> </div> </div> </div> </div>

Expand Prescription Drug Take-back & Disposal Program

2019-12-04T21:31:30Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">
''Return to [[ZOOM_MAP_-_Reduce_Diversion_of_Prescription_Drugs|Reduce Diversion of Prescription Drugs]]''

----

Most opioid abuse prevention strategies include some sort of prescription drug take-back or disposal program.  This is a step in the right direction, but most communities have significant opportunities to expand and enhance these efforts to reach more people and reduce the ability of people to misuse these medications or give them to others who may misuse them.  This objective focuses on practical ways to make improvements to existing efforts and to add new options that communities may not yet be doing. 

= Background =

== Why Safe Disposal is Important ==

'''Intentional Misuse''':

*A majority of abused prescription drugs are obtained from family and friends, including from the home medicine cabinet.<sup class="reference">[2]</sup>
*SAMHSA’s 2009 National Survey on Drug Use and Health found that over 70 percent of people who used prescription pain relievers non-medically got them from friends or relatives, while approximately 5 percent got them from a drug dealer or from the Internet.
*Getting hooked on prescription opioids is directly responsible for over 60% of subsequent heroin addictions as addicts turn to this less expensive alternative.
*Prescription drugs involved in overdoses are almost all originally prescribed by physicians but were used by others who were not prescribed those drugs. (Get sources for this.) 

'''Accidental Exposure''':

*When medicines are no longer needed or have expired, it is important to properly dispose of them to reduce harm from accidental exposure or intentional misuse.<sup class="reference">[1]</sup> Throwing drugs in the garbage also is a bad idea, because they can accidentally be taken by kids or pets.

'''Environmental Concerns''':

*Some people propose flushing or pouring unused medications down the drain, however medications flushed into the waste stream can end up in water supplies.<sup class="reference">[3]</sup>
*Since the drugs in take-back programs are incinerated, take-back programs are the safest way to get rid of the chemicals and to stop them from getting into drinking water and watersheds as well as in the hands of those at risk.
*Innovative mail-back options provide a convenient way for people to have excess medications disposed of through incineration. (Details further down on this page.)

== Costs and Benefits of Safe Disposal Options ==

This fact sheet from the Product Stewardship Institute provides a good summary of the costs and benefits of different drug take-back and disposal options. 

[https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/gotoguide/drug_take-back_costs_fact_sh.pdf https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/gotoguide/drug_take-back_costs_fact_sh.pdf]
</div> <div class="mw-parser-output">
== To Flush or Not to Flush ==

If no take-back programs are readily available, it is still important to dispose of the medications quickly and appropriately. Some prescriptions include instructions on how to dispose of the drug.<sup class="reference">[5]</sup> The [https://www.fda.gov U.S. Food & Drug Administration (FDA)] provides the safest ways of disposing of these medications at home [http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm here]. The FDA also recommends that certain drugs be flushed immediately such as fentanyl patches, Oxycontin, and Percocet. A full list can be found on [http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm#Flush_List this ]page.  Others experts strongly recommend <u>'''not'''</u> flushing medications down the toilet.<ref>Minnesota Pollution Control Agency https://www.pca.state.mn.us/featured/dont-flush-medicines-down-drain</ref>

The bottom line is that the best options are bringing your medications to a take-back day, putting them into a drug disposal kiosk, or using a mail-based program to send in the medications for proper disposal.  But, if you don't have access to these options, flushing unused medications that are on the "flush list" is better than keeping them around. <br/>  
</div>
= Special Populations =

== Senior Citizens ==

Senior citizens have a disproportionate number of medications in their homes. Helping seniors understand how to properly dispose of medications can make a big difference in the success of your program.  The Colorado Consortium for Prescription Drug Abuse Prevention has developed a successful program for reachng people age 65+ called "You're the Solution." This campaign has techniques and materials that can be used around the country. 

Learn more about [[You're_the_Solution|You're_the_Solution]] 

 

== Nursing Homes ==

Individual patients aside, one study estimated the nation’s nursing homes discard anywhere from $73 million to $378 million worth of drugs a year. Some are incinerated, but many are flushed.<sup class="reference">[6]   </sup>

Nursing homes could be provided with information and tools (or services) for more appropriate disposal options that are better for the environemnt and that minimize the likelihood of diversion of these medications.

== Hospice Programs or Funeral Home Programs ==

Hospice programs can help family members understand how to properly handle the medications they inherit when a loved one passes away.<sup class="reference">[7]</sup>

Funeral Homes may pass out a brochure to remind people to make sure that any prescription drugs that were being taken by a loved one are properly disposed of.  People in the late stages of life may have been getting prescription opioids to deal with pain.  Hospice and funeral homes could be provided with disposal products (like Seal&Send envelopes)

= Take-back Events =

== DEA National Drug Take-Back Day Initiative ==

<span style="background-color: #ffffff">The National Prescription Drug Take Back Day Initiative addresses a crucial public safety and public health issue by providing an opportunity for Americans to prevent drug addiction and overdose deaths. As of May 2017, the DEA has promoted 13 national take-back days and they continue to collect more and more drugs each time. <sup class="reference">[8]</sup><br/> <br/> <span style="background-color: #ffffff">'''[https://www.deadiversion.usdoj.gov/drug_disposal/takeback/newsrelease.htm Program Successes]'''</span></span>

*<span style="background-color: #ffffff">Over 4,200 law enforcement and community partners and 5,500 sites across the country.</span>
*<span style="background-color: #ffffff">Since September 2010, these events have altogether collected 8,103,363 pounds (4,052 tons) of prescription drugs.</span>
*<span style="background-color: #ffffff">The last National Take-back Day collected more than 900,386 pounds (450 tons).</span>

<span style="background-color: #ffffff"><span style="background-color: #ffffff">To promote your local Rx Take Back Day, the DEA provides a [https://www.dea.gov/take-back/takeback-day_2016_oct.html partnership toolkit] featuring promotional materials for associated partners.<sup class="reference">[9]</sup><br/> <br/> <span style="background-color: #ffffff">'''<span style="font-size: 15.6px">See [[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|Tools & Resources]] for more DEA take-back resources and other ideas on how to implement a local take-back day.</span>'''</span></span></span>

== <span style="background-color: #ffffff"><span style="background-color: #ffffff">State Level Drug Take Back Programs</span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">See below for inspiration and ideas to replicate from current state efforts:</span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.ddap.pa.gov/Prevention/Pages/Drug_Take_Back.aspx#.V07YY_krLcs Pennsylvania]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.in.gov/bitterpill/ Indiana]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.oregon.gov/oha/ph/HealthyEnvironments/DrinkingWater/SourceWater/Pages/takeback.aspx Oregon]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.artakeback.org/index.html Arkansas]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.takebackyourmeds.org/ Washington]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://stoprxabuseinga.org/ Georgia]</span></span>

= <span style="background-color: #ffffff"><span style="background-color: #ffffff">Local Disposal Drop Boxes</span></span> =
<div class="mw-parser-output">
== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Finding Disposal Locations</span></span> ==

=== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Medication Disposal Locators</span></span> ===

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Use the following links to find drug disposal locations</span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://apps.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e1s1 DEA's Disposal Locator] - Find locations in your ZIP code. These collectors are registered with the DEA and pass unused medicine on to the agency to disposed.<sup class="reference">[10]</sup></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://rxdrugdropbox.org/ Rx Drop Box]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposemymeds.org/ Dispose My Meds]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://nabp.pharmacy/initiatives/awarxe/drug-disposal-locator/ National Association of Boards of Pharmacy]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.americanmedicinechest.com/ The American Medicine Chest Challenge]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://walgreens.maps.arcgis.com/apps/MapSeries/index.html?appid=53cf1b54abf34c4bacdec863e5c56391 Walgreens Safe Medication Disposal Program]</span></span>
</div> <div class="mw-parser-output">
== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Increasing the Number of Drug Drop-Boxes in your Community</span></span></span> ==

Since disposing of unneeded medications via a drug drop box is considered the best option, it is important for communities to increase the number of drop boxes that are available and to promote awareness of those drop boxes. 

Ths [https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/pharms_reports_factsheets/160920_PSI_Pharmacy_Guide_vS.pdf How-To Guide for Drug Take-Back] , created by the Product Stewardship Institute, provides detailed guidance for expanding and improving a pharmacy-based collection program. 

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">The [http://www.rxdrugdropbox.org/ NADDI prescription drug dropbox ] website is an important resource to find locations of drop boxes, buy boxes, apply for grants, and other information about drop boxes.</span></span></span>
</div> <div class="mw-parser-output">
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">With the help of the of the [https://www.naddi.org/ National Association of Drug Diversion Investigators], communities can apply for grants to receive a drop box that will hold old opioids to prevent abuse. These boxes have resulted in multiple cities and communities to be safer, and reduce the risk of opioid addiction. Boxes are to be located in close proximity to law enforcement agencies so nothing happens to them. Multiple boxes have been placed in the State of Minnesota, and after reaching out to one town in specific, Fridley<sup class="reference">[11]</sup> , they told us that they have seen a positive response to the drop-box. They have discarded pounds of prescription opioids that came from an at-risk community.</span></span></span>
</div>
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">In-Home Disposal</span></span></span> =

== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Medication Mail-back Envelopes</span></span></span></span> ==

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Stericycle Prescription Drug Seal&Send Pouches</span></span></span></span>'''

Stericyle provides an option for unsed prescription drugs to be mailed to them in an unmarked mailing pouch, and then the pills are incinerated. 

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Learn more at: </span></span></span></span>[https://www.stericycleenvironmental.com/service/pharmaceutical-takeback/ https://www.stericycleenvironmental.com/service/pharmaceutical-takeback/]

 

== In-home disposal pouches & powders ==

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Deterra Drug Disposal System </span></span></span></span>'''

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Minneapolis based company Verde Technologies has created a product called [http://deterrasystem.com/ Deterra®] System which deactivates prescription drugs.</span><br/> <br/> <span style="background-color: #ffffff">Each patented Deterra® pouch contains a water-soluble inner pod containing MAT12® activated carbon. Once the pharmaceuticals are placed in the pouch, warm water is then added, which dissolves the inner pod releasing the activated carbon. The warm water also dissolves prescription pills, patches and liquids, allowing them to be adsorbed by the carbon, rendering them inert and non-retrievable.</span><br/> <br/> <span style="background-color: #ffffff">For more information on how to use Deterra®, view this [https://www.youtube.com/watch?v=lSBwBqpTk2c How-to video]</span></span></span></span></span><br/>  

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Current Efforts to Promote In-Home Disposal</span></span></span></span>'''
<div class="objectEmbed"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Case Studies</span></span></span></span></div>
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">The state of Pennsylvania has a goal of distributing Deterra® Drug Deactivation and Disposal pouches alongside 10% of all opioid prescriptions.</span></span></span></span></span>
<div class="objectEmbed"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Attorney General Shapiro Unveils Plan to Distribute 300,000 Drug Disposal Pouches in 12 counties[5]</span></span></span></span></span></div> <div class="objectEmbed">[https://www.pennlive.com/news/2017/07/drug_deactivation_and_disposal.html https://www.pennlive.com/news/2017/07/drug_deactivation_and_disposal.html]</div>
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Inspira Health Network (New Jersey) distributed the Deterra® pouch throughout their network.</span><br/> <span style="background-color: #ffffff">[http://www.njtvonline.org/news/video/inspira-health-network-battles-opioid-crisis-proper-drug-disposal/ Case Study]</span></span></span></span></span> These pouches render opioids ineffective for misuse and safe for disposal and the environment, are another cost-efficient way to safely dispose of opioids.

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Benefits</span></span></span></span>'''

*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Inexpensive - Costs $7 per pouch</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Can encourage people to connect with law enforcement - People can pick up free (if already given to law enforcement) pouches from station and dispose of them at home and save any potential embarrassment</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Improve overall water quality - with the majority of people flushing unused medication down the toilet, only water treatment facilities remove less than half of the prescription drugs found in sewage</span></span></span></span>

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">DisposeRx</span></span></span></span>'''

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposerx.com/ Dispose Rx] is "a patented (pending) blend of solidifying materials that provides a solution for the safe disposal of unwanted or expired prescription drugs. Dedicated to environmentally friendly and safe non-toxic disposal solutions, DisposeRx is spearheading programs of educating communities with practical and safe medication disposing solutions, thus preventing the cycle of environmental pollution, addiction, overdose, and death." Prescription drugs can be rendered safe for disposal (and impossible to misuse) by adding powder from a packet directly into the pill bottle and shaking the bottle.</span></span></span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Very Inexpensive - Costs about $1.50 per packet (and [https://www.aarp.org/health/drugs-supplements/info-2018/walmart-dispose-painkillers-fd.html Walmart gives the packets away free with a prescription or possibly a request])</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Packets can attached to prescriptions with a rubber band (much like flower fertilizer is attached to fresh-cut flowers)</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Well-suited to campaigns with community partners (like clinics, churches, barbershops or hair salons) to increase distribution to diverse populations.</span></span></span></span>

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">See [[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|Tools & Resources]] for more information.</span></span></span></span></span>

 
</div>
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Funding for Drug Takeback & Disposal</span></span></span></span> =

== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Legislation & Drug Companies</span></span></span></span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Currently several West Coast counties, the city of San Francisco and the state of Massachusetts have issued legislature that require drug companies to fund drug take-back programs.<sup class="reference">[13]</sup> On a national level, however, only 2.5 percent of eligible take-back organizations are participating, according to the Government Accountability Office. <sup class="reference">[14]</sup> The primary barrier seems to be financial: Maintaining the safe-like prescription drop-off container, training staff to follow the relevant regulations, and destroying the returned medication costs money. As a potential solution, writing policy that mandates opioid manufacturers to pay patients for their returned bottles of pills, along with subsidizing drop off location operators, could offset the costs and be what is needed to make returning leftover medication an automatic habit for consumers. <sup class="reference">[15]</sup><br/> <br/> <span style="background-color: #ffffff">The [http://www.productstewardship.us/ Product Stewardship Institute], a nonprofit that supports drug take-back programs, calculated that at least a dozen other local governments around the country are considering similar legislation, including several California counties.</span><br/> <br/> <span style="background-color: #ffffff">In Minnesota, pharmaceutical company [http://www.mallinckrodt.com/ Mallinckrodt] donated 30,000 disposal pouch systems to be distributed.<sup class="reference">[16]</sup></span></span></span></span></span></span>

== State Legislation Requiring Disposal Kits be Given with Prescriptions ==

== The Kentucky State Senate passed in March 2018 a bill that requires opioids and other abused drugs to be dispensed along with a method to permanently sequester and dispose of any leftover pills. If passed by the house and signed, it will be the first state passing such a bill.<sup class="reference">[4]  </sup>[http://www.disposerx.com DisposeRx] will be a popular choice to be given out along with prescription.  Other options include the Seal & Send mail-back packages or other options described below. ==

= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Tools & Resources</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|TR - Expand Prescription Drug Take-back & Disposal Programs]]</span></span></span></span></span></span></span>

= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Scorecard Building</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[PO_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Objective Details]]</span><br/> <span style="background-color: #ffffff">[[PM_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Measures & Data Sources]]</span></span></span></span></span></span></span>
<div class="mw-parser-output">
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Actions to Take</span></span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">There are many actions that can be taken by coalitions, organizations or individuals to improve drug take-back and disposal.  Explore the ideas via the following link:<br/> <span style="background-color: #ffffff">[[PA_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|Potential Actions for Coalitions]]</span></span></span></span></span></span></span>

[[PAI_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Potential Actions for Individuals</span></span></span></span></span></span></span>]]
</div>
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Resources to Investigate</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[RTI_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|More RTI on Drug Take-Back & Disposal Program]]</span><br/> <br/> <span style="background-color: #ffffff"><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></span><br/> <span style="background-color: #ffffff"><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></span></span></span></span></span></span></span>

{| class="wiki_table"
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| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Reviewer'''</span></span></span></span></span></span>
| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Date'''</span></span></span></span></span></span>
| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Comments'''</span></span></span></span></span></span>
|-
|  
|  
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|}

 
<div class="mw-parser-output">
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Sources</span></span></span></span></span></span> =

 

----

 

#[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm [1]]</span></span></span></span></span></span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [2]]</span></span></span></span></span></span>
#[http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts/ http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts/] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts [3]]</span></span></span></span></span></span>
#<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposerx.com/dl/Kentucky_Press_3-15_final.pdf [4]]</span></span></span></span></span></span>
#[https://www.fda.gov/drugs/safe-disposal-medicines/disposal-unused-medicines-what-you-should-know https://www.fda.gov/drugs/safe-disposal-medicines/disposal-unused-medicines-what-you-should-know] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm [5]]</span></span></span></span></span></span>
#[http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.XXVl6ehKhPZ http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.XXVl6ehKhPZ] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.WmEKDd-nGUk [6]]</span></span></span></span></span></span>
#[https://www.dea.gov/press-releases/2017/05/08/dea-brings-record-amount-unused-prescription-drugs-national-prescription https://www.dea.gov/press-releases/2017/05/08/dea-brings-record-amount-unused-prescription-drugs-national-prescription] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.dea.gov/divisions/hq/2017/hq050817a.shtml [7]</span></span></span></span></span>
#[https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0 https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.dea.gov/divisions/hq/2015/hq100115.shtml [8]]</span></span></span></span>
#[https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0 https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm [9]]</span></span></span></span>
#[https://www.hometownsource.com/sun_focus/news/local/drop-off-prescription-drugs-anonymously-at-fridley-pd/article_b07bd27d-1122-55fa-8465-f47ad9a861dc.html https://www.hometownsource.com/sun_focus/news/local/drop-off-prescription-drugs-anonymously-at-fridley-pd/article_b07bd27d-1122-55fa-8465-f47ad9a861dc.html]  <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://focus.mnsun.com/2013/02/19/drop-off-prescription-drugs-anonymously-at-fridley-pd/ [10]]</span></span></span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] <span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [11]]</span></span>
#[https://fortune.com/2016/04/30/big-pharma-drug-take-back/ https://fortune.com/2016/04/30/big-pharma-drug-take-back/] <span style="background-color: #ffffff">[http://fortune.com/2016/04/30/big-pharma-drug-take-back/ [12]]</span>
#[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/ https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/] <span style="background-color: #ffffff">[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/?utm_term=.e9ccd1f56650 [13]]</span>
#[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/ https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/]<span style="background-color: #ffffff">[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/?utm_term=.e9ccd1f56650 [14]]</span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] [http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [15]]
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[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

Expand Prescription Drug Take-back & Disposal Program

2019-12-04T21:28:58Z

Billb:

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''Return to [[ZOOM_MAP_-_Reduce_Diversion_of_Prescription_Drugs|Reduce Diversion of Prescription Drugs]]''

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Most opioid abuse prevention strategies include some sort of prescription drug take-back or disposal program.  This is a step in the right direction, but most communities have significant opportunities to expand and enhance these efforts to reach more people and reduce the ability of people to misuse these medications or give them to others who may misuse them.  This objective focuses on practical ways to make improvements to existing efforts and to add new options that communities may not yet be doing. 

= Background =

== Why Safe Disposal is Important ==

'''Intentional Misuse''':

*A majority of abused prescription drugs are obtained from family and friends, including from the home medicine cabinet.<sup class="reference">[2]</sup>
*SAMHSA’s 2009 National Survey on Drug Use and Health found that over 70 percent of people who used prescription pain relievers non-medically got them from friends or relatives, while approximately 5 percent got them from a drug dealer or from the Internet.
*Getting hooked on prescription opioids is directly responsible for over 60% of subsequent heroin addictions as addicts turn to this less expensive alternative.
*Prescription drugs involved in overdoses are almost all originally prescribed by physicians but were used by others who were not prescribed those drugs. (Get sources for this.) 

'''Accidental Exposure''':

*When medicines are no longer needed or have expired, it is important to properly dispose of them to reduce harm from accidental exposure or intentional misuse.<sup class="reference">[1]</sup> Throwing drugs in the garbage also is a bad idea, because they can accidentally be taken by kids or pets.

'''Environmental Concerns''':

*Some people propose flushing or pouring unused medications down the drain, however medications flushed into the waste stream can end up in water supplies.<sup class="reference">[3]</sup>
*Since the drugs in take-back programs are incinerated, take-back programs are the safest way to get rid of the chemicals and to stop them from getting into drinking water and watersheds as well as in the hands of those at risk.
*Innovative mail-back options provide a convenient way for people to have excess medications disposed of through incineration. (Details further down on this page.)

== Costs and Benefits of Safe Disposal Options ==

This fact sheet from the Product Stewardship Institute provides a good summary of the costs and benefits of different drug take-back and disposal options. 

[https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/gotoguide/drug_take-back_costs_fact_sh.pdf https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/gotoguide/drug_take-back_costs_fact_sh.pdf]
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== To Flush or Not to Flush ==

If no take-back programs are readily available, it is still important to dispose of the medications quickly and appropriately. Some prescriptions include instructions on how to dispose of the drug.<sup class="reference">[5]</sup> The [https://www.fda.gov U.S. Food & Drug Administration (FDA)] provides the safest ways of disposing of these medications at home [http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm here]. The FDA also recommends that certain drugs be flushed immediately such as fentanyl patches, Oxycontin, and Percocet. A full list can be found on [http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm#Flush_List this ]page.  Others experts strongly recommend <u>'''not'''</u> flushing medications down the toilet.<ref>Minnesota Pollution Control Agency https://www.pca.state.mn.us/featured/dont-flush-medicines-down-drain</ref>

The bottom line is that the best options are bringing your medications to a take-back day, putting them into a drug disposal kiosk, or using a mail-based program to send in the medications for proper disposal.  But, if you don't have access to these options, flushing unused medications that are on the "flush list" is better than keeping them around. <br/>  
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= Special Populations =

== Senior Citizens ==

Senior citizens have a disproportionate number of medications in their homes. Helping seniors understand how to properly dispose of medications can make a big difference in the success of your program.  The Colorado Consortium for Prescription Drug Abuse Prevention has developed a successful program for reachng people age 65+ called "You're the Solution." This campaign has techniques and materials that can be used around the country. 

Learn more about [[You're_the_Solution|You're_the_Solution]] 

 

== Nursing Homes ==

Individual patients aside, one study estimated the nation’s nursing homes discard anywhere from $73 million to $378 million worth of drugs a year. Some are incinerated, but many are flushed.<sup class="reference">[6]   </sup>

Nursing homes could be provided with information and tools (or services) for more appropriate disposal options that are better for the environemnt and that minimize the likelihood of diversion of these medications.

== Hospice Programs or Funeral Home Programs ==

Hospice programs can help family members understand how to properly handle the medications they inherit when a loved one passes away.<sup class="reference">[7]</sup>

Funeral Homes may pass out a brochure to remind people to make sure that any prescription drugs that were being taken by a loved one are properly disposed of.  People in the late stages of life may have been getting prescription opioids to deal with pain.  Hospice and funeral homes could be provided with disposal products (like Seal&Send envelopes)

= Take-back Events =

== DEA National Drug Take-Back Day Initiative ==

<span style="background-color: #ffffff">The National Prescription Drug Take Back Day Initiative addresses a crucial public safety and public health issue by providing an opportunity for Americans to prevent drug addiction and overdose deaths. As of May 2017, the DEA has promoted 13 national take-back days and they continue to collect more and more drugs each time. <sup class="reference">[8]</sup><br/> <br/> <span style="background-color: #ffffff">'''[https://www.deadiversion.usdoj.gov/drug_disposal/takeback/newsrelease.htm Program Successes]'''</span></span>

*<span style="background-color: #ffffff">Over 4,200 law enforcement and community partners and 5,500 sites across the country.</span>
*<span style="background-color: #ffffff">Since September 2010, these events have altogether collected 8,103,363 pounds (4,052 tons) of prescription drugs.</span>
*<span style="background-color: #ffffff">The last National Take-back Day collected more than 900,386 pounds (450 tons).</span>

<span style="background-color: #ffffff"><span style="background-color: #ffffff">To promote your local Rx Take Back Day, the DEA provides a [https://www.dea.gov/take-back/takeback-day_2016_oct.html partnership toolkit] featuring promotional materials for associated partners.<sup class="reference">[9]</sup><br/> <br/> <span style="background-color: #ffffff">'''<span style="font-size: 15.6px">See [[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|Tools & Resources]] for more DEA take-back resources and other ideas on how to implement a local take-back day.</span>'''</span></span></span>

== <span style="background-color: #ffffff"><span style="background-color: #ffffff">State Level Drug Take Back Programs</span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">See below for inspiration and ideas to replicate from current state efforts:</span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.ddap.pa.gov/Prevention/Pages/Drug_Take_Back.aspx#.V07YY_krLcs Pennsylvania]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.in.gov/bitterpill/ Indiana]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.oregon.gov/oha/ph/HealthyEnvironments/DrinkingWater/SourceWater/Pages/takeback.aspx Oregon]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.artakeback.org/index.html Arkansas]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.takebackyourmeds.org/ Washington]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://stoprxabuseinga.org/ Georgia]</span></span>

= <span style="background-color: #ffffff"><span style="background-color: #ffffff">Local Disposal Drop Boxes</span></span> =
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== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Finding Disposal Locations</span></span> ==

=== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Medication Disposal Locators</span></span> ===

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Use the following links to find drug disposal locations</span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://apps.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e1s1 DEA's Disposal Locator] - Find locations in your ZIP code. These collectors are registered with the DEA and pass unused medicine on to the agency to disposed.<sup class="reference">[10]</sup></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://rxdrugdropbox.org/ Rx Drop Box]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposemymeds.org/ Dispose My Meds]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://nabp.pharmacy/initiatives/awarxe/drug-disposal-locator/ National Association of Boards of Pharmacy]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.americanmedicinechest.com/ The American Medicine Chest Challenge]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://walgreens.maps.arcgis.com/apps/MapSeries/index.html?appid=53cf1b54abf34c4bacdec863e5c56391 Walgreens Safe Medication Disposal Program]</span></span>
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== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Increasing the Number of Drug Drop-Boxes in your Community</span></span></span> ==

Since disposing of unneeded medications via a drug drop box is considered the best option, it is important for communities to increase the number of drop boxes that are available and to promote awareness of those drop boxes. 

Ths [https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/pharms_reports_factsheets/160920_PSI_Pharmacy_Guide_vS.pdf How-To Guide for Drug Take-Back] , created by the Product Stewardship Institute, provides detailed guidance for expanding and improving a pharmacy-based collection program. 

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">The [http://www.rxdrugdropbox.org/ NADDI prescription drug dropbox ] website is an important resource to find locations of drop boxes, buy boxes, apply for grants, and other information about drop boxes.</span></span></span>
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== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Grants</span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">With the help of the of the [https://www.naddi.org/ National Association of Drug Diversion Investigators], communities can apply for grants to receive a drop box that will hold old opioids to prevent abuse. These boxes have resulted in multiple cities and communities to be safer, and reduce the risk of opioid addiction. Boxes are to be located in close proximity to law enforcement agencies so nothing happens to them. Multiple boxes have been placed in the State of Minnesota, and after reaching out to one town in specific, Fridley<sup class="reference">[11]</sup> , they told us that they have seen a positive response to the drop-box. They have discarded pounds of prescription opioids that came from an at-risk community.</span></span></span>
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= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">In-Home Disposal</span></span></span> =

== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Medication Mail-back Envelopes</span></span></span></span> ==

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Stericycle Prescription Drug Seal&Send Pouches</span></span></span></span>'''

Stericyle provides an option for unsed prescription drugs to be mailed to them in an unmarked mailing pouch, and then the pills are incinerated. 

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Learn more at: </span></span></span></span>[https://www.stericycleenvironmental.com/service/pharmaceutical-takeback/ https://www.stericycleenvironmental.com/service/pharmaceutical-takeback/]

 

== In-home disposal pouches & powders ==

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Deterra Drug Disposal System </span></span></span></span>'''

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Minneapolis based company Verde Technologies has created a product called [http://deterrasystem.com/ Deterra®] System which deactivates prescription drugs.</span><br/> <br/> <span style="background-color: #ffffff">Each patented Deterra® pouch contains a water-soluble inner pod containing MAT12® activated carbon. Once the pharmaceuticals are placed in the pouch, warm water is then added, which dissolves the inner pod releasing the activated carbon. The warm water also dissolves prescription pills, patches and liquids, allowing them to be adsorbed by the carbon, rendering them inert and non-retrievable.</span><br/> <br/> <span style="background-color: #ffffff">For more information on how to use Deterra®, view this [https://www.youtube.com/watch?v=lSBwBqpTk2c How-to video]</span></span></span></span></span><br/>  

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Current Efforts to Promote In-Home Disposal</span></span></span></span>'''
<div class="objectEmbed"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Case Studies</span></span></span></span></div>
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">The state of Pennsylvania has a goal of distributing Deterra® Drug Deactivation and Disposal pouches alongside 10% of all opioid prescriptions.</span></span></span></span></span>
<div class="objectEmbed"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Attorney General Shapiro Unveils Plan to Distribute 300,000 Drug Disposal Pouches in 12 counties[5]</span></span></span></span></span></div> <div class="objectEmbed">[https://www.pennlive.com/news/2017/07/drug_deactivation_and_disposal.html https://www.pennlive.com/news/2017/07/drug_deactivation_and_disposal.html]</div>
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Inspira Health Network (New Jersey) distributed the Deterra® pouch throughout their network.</span><br/> <span style="background-color: #ffffff">[http://www.njtvonline.org/news/video/inspira-health-network-battles-opioid-crisis-proper-drug-disposal/ Case Study]</span></span></span></span></span> These pouches render opioids ineffective for misuse and safe for disposal and the environment, are another cost-efficient way to safely dispose of opioids.

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Benefits</span></span></span></span>'''

*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Inexpensive - Costs $7 per pouch</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Can encourage people to connect with law enforcement - People can pick up free (if already given to law enforcement) pouches from station and dispose of them at home and save any potential embarrassment</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Improve overall water quality - with the majority of people flushing unused medication down the toilet, only water treatment facilities remove less than half of the prescription drugs found in sewage</span></span></span></span>

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">DisposeRx</span></span></span></span>'''

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposerx.com/ Dispose Rx] is "a patented (pending) blend of solidifying materials that provides a solution for the safe disposal of unwanted or expired prescription drugs. Dedicated to environmentally friendly and safe non-toxic disposal solutions, DisposeRx is spearheading programs of educating communities with practical and safe medication disposing solutions, thus preventing the cycle of environmental pollution, addiction, overdose, and death." Prescription drugs can be rendered safe for disposal (and impossible to misuse) by adding powder from a packet directly into the pill bottle and shaking the bottle.</span></span></span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Very Inexpensive - Costs about $1.50 per packet (and [https://www.aarp.org/health/drugs-supplements/info-2018/walmart-dispose-painkillers-fd.html Walmart gives the packets away free with a prescription or possibly a request])</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Packets can attached to prescriptions with a rubber band (much like flower fertilizer is attached to fresh-cut flowers)</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Well-suited to campaigns with community partners (like clinics, churches, barbershops or hair salons) to increase distribution to diverse populations.</span></span></span></span>

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">See [[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|Tools & Resources]] for more information.</span></span></span></span></span>

 
</div>
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Funding for Drug Takeback & Disposal</span></span></span></span> =

== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Legislation & Drug Companies</span></span></span></span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Currently several West Coast counties, the city of San Francisco and the state of Massachusetts have issued legislature that require drug companies to fund drug take-back programs.<sup class="reference">[13]</sup> On a national level, however, only 2.5 percent of eligible take-back organizations are participating, according to the Government Accountability Office. <sup class="reference">[14]</sup> The primary barrier seems to be financial: Maintaining the safe-like prescription drop-off container, training staff to follow the relevant regulations, and destroying the returned medication costs money. As a potential solution, writing policy that mandates opioid manufacturers to pay patients for their returned bottles of pills, along with subsidizing drop off location operators, could offset the costs and be what is needed to make returning leftover medication an automatic habit for consumers. <sup class="reference">[15]</sup><br/> <br/> <span style="background-color: #ffffff">The [http://www.productstewardship.us/ Product Stewardship Institute], a nonprofit that supports drug take-back programs, calculated that at least a dozen other local governments around the country are considering similar legislation, including several California counties.</span><br/> <br/> <span style="background-color: #ffffff">In Minnesota, pharmaceutical company [http://www.mallinckrodt.com/ Mallinckrodt] donated 30,000 disposal pouch systems to be distributed.<sup class="reference">[16]</sup></span></span></span></span></span></span>

== State Legislation Requiring Disposal Kits be Given with Prescriptions ==

== The Kentucky State Senate passed in March 2018 a bill that requires opioids and other abused drugs to be dispensed along with a method to permanently sequester and dispose of any leftover pills. If passed by the house and signed, it will be the first state passing such a bill.<sup class="reference">[4]  </sup>[http://www.disposerx.com DisposeRx] will be a popular choice to be given out along with prescription.  Other options include the Seal & Send mail-back packages or other options described below. ==

= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Tools & Resources</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|TR - Expand Prescription Drug Take-back & Disposal Programs]]</span></span></span></span></span></span></span>

= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Scorecard Building</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[PO_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Objective Details]]</span><br/> <span style="background-color: #ffffff">[[PM_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Measures & Data Sources]]</span></span></span></span></span></span></span>
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= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Actions to Take</span></span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">There are many actions that can be taken by coalitions, organizations or individuals to improve drug take-back and disposal.  Explore the ideas via the following link:<br/> <span style="background-color: #ffffff">[[PA_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|Potential Actions for Coalitions]]</span></span></span></span></span></span></span>

[[PAI_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Potential Actions for Individuals</span></span></span></span></span></span></span>]]
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= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Resources to Investigate</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[RTI_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|More RTI on Drug Take-Back & Disposal Program]]</span><br/> <br/> <span style="background-color: #ffffff"><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></span><br/> <span style="background-color: #ffffff"><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></span></span></span></span></span></span></span>

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| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Date'''</span></span></span></span></span></span>
| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Comments'''</span></span></span></span></span></span>
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= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Sources</span></span></span></span></span></span> =

 

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#[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm [1]]</span></span></span></span></span></span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [2]]</span></span></span></span></span></span>
#[http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts/ http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts/] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts [3]]</span></span></span></span></span></span>
#<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposerx.com/dl/Kentucky_Press_3-15_final.pdf [4]]</span></span></span></span></span></span>
#[https://www.fda.gov/drugs/safe-disposal-medicines/disposal-unused-medicines-what-you-should-know https://www.fda.gov/drugs/safe-disposal-medicines/disposal-unused-medicines-what-you-should-know] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm [5]]</span></span></span></span></span></span>
#[http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.XXVl6ehKhPZ http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.XXVl6ehKhPZ] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.WmEKDd-nGUk [6]]</span></span></span></span></span></span>
#[https://www.dea.gov/press-releases/2017/05/08/dea-brings-record-amount-unused-prescription-drugs-national-prescription https://www.dea.gov/press-releases/2017/05/08/dea-brings-record-amount-unused-prescription-drugs-national-prescription] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.dea.gov/divisions/hq/2017/hq050817a.shtml [7]</span></span></span></span></span>
#[https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0 https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.dea.gov/divisions/hq/2015/hq100115.shtml [8]]</span></span></span></span>
#[https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0 https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm [9]]</span></span></span></span>
#[https://www.hometownsource.com/sun_focus/news/local/drop-off-prescription-drugs-anonymously-at-fridley-pd/article_b07bd27d-1122-55fa-8465-f47ad9a861dc.html https://www.hometownsource.com/sun_focus/news/local/drop-off-prescription-drugs-anonymously-at-fridley-pd/article_b07bd27d-1122-55fa-8465-f47ad9a861dc.html]  <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://focus.mnsun.com/2013/02/19/drop-off-prescription-drugs-anonymously-at-fridley-pd/ [10]]</span></span></span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] <span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [11]]</span></span>
#[https://fortune.com/2016/04/30/big-pharma-drug-take-back/ https://fortune.com/2016/04/30/big-pharma-drug-take-back/] <span style="background-color: #ffffff">[http://fortune.com/2016/04/30/big-pharma-drug-take-back/ [12]]</span>
#[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/ https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/] <span style="background-color: #ffffff">[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/?utm_term=.e9ccd1f56650 [13]]</span>
#[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/ https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/]<span style="background-color: #ffffff">[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/?utm_term=.e9ccd1f56650 [14]]</span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] [http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [15]]
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[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

Expand Prescription Drug Take-back & Disposal Program

2019-12-04T21:24:57Z

Billb:

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''Return to [[ZOOM_MAP_-_Reduce_Diversion_of_Prescription_Drugs|Reduce Diversion of Prescription Drugs]]''

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Most opioid abuse prevention strategies include some sort of prescription drug take-back or disposal program.  This is a step in the right direction, but most communities have significant opportunities to expand and enhance these efforts to reach more people and reduce the ability of people to misuse these medications or give them to others who may misuse them.  This objective focuses on practical ways to make improvements to existing efforts and to add new options that communities may not yet be doing. 

= Background =

== Why Safe Disposal is Important ==

'''Intentional Misuse''':

*A majority of abused prescription drugs are obtained from family and friends, including from the home medicine cabinet.<sup class="reference">[2]</sup>
*SAMHSA’s 2009 National Survey on Drug Use and Health found that over 70 percent of people who used prescription pain relievers non-medically got them from friends or relatives, while approximately 5 percent got them from a drug dealer or from the Internet.
*Getting hooked on prescription opioids is directly responsible for over 60% of subsequent heroin addictions as addicts turn to this less expensive alternative.
*Prescription drugs involved in overdoses are almost all originally prescribed by physicians but were used by others who were not prescribed those drugs. (Get sources for this.) 

'''Accidental Exposure''':

*When medicines are no longer needed or have expired, it is important to properly dispose of them to reduce harm from accidental exposure or intentional misuse.<sup class="reference">[1]</sup> Throwing drugs in the garbage also is a bad idea, because they can accidentally be taken by kids or pets.

'''Environmental Concerns''':

*Some people propose flushing or pouring unused medications down the drain, however medications flushed into the waste stream can end up in water supplies.<sup class="reference">[3]</sup>
*Since the drugs in take-back programs are incinerated, take-back programs are the safest way to get rid of the chemicals and to stop them from getting into drinking water and watersheds as well as in the hands of those at risk.
*Innovative mail-back options provide a convenient way for people to have excess medications disposed of through incineration. (Details further down on this page.)

== Costs and Benefits of Safe Disposal Options ==

This fact sheet from the Product Stewardship Institute provides a good summary of the costs and benefits of different drug take-back and disposal options. 

[https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/gotoguide/drug_take-back_costs_fact_sh.pdf https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/gotoguide/drug_take-back_costs_fact_sh.pdf]
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== To Flush or Not to Flush ==

If no take-back programs are readily available, it is still important to dispose of the medications quickly and appropriately. Some prescriptions include instructions on how to dispose of the drug.<sup class="reference">[5]</sup> The [https://www.fda.gov U.S. Food & Drug Administration (FDA)] provides the safest ways of disposing of these medications at home [http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm here]. The FDA also recommends that certain drugs be flushed immediately such as fentanyl patches, Oxycontin, and Percocet. A full list can be found on [http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm#Flush_List this ]page.  Others experts strongly recommend <u>'''not'''</u> flushing medications down the toilet.<ref>Minnesota Pollution Control Agency https://www.pca.state.mn.us/featured/dont-flush-medicines-down-drain</ref>

The bottom line is that the best options are bringing your medications to a take-back day, putting them into a drug disposal kiosk, or using a mail-based program to send in the medications for proper disposal.  But, if you don't have access to these options, flushing unused medications that are on the "flush list" is better than keeping them around. <br/>  
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= Special Populations =

== Senior Citizens ==

Senior citizens have a disproportionate number of medications in their homes. Helping seniors understand how to properly dispose of medications can make a big difference in the success of your program.  The Colorado Consortium for Prescription Drug Abuse Prevention has developed a successful program for reachng people age 65+ called "You're the Solution." This campaign has techniques and materials that can be used around the country. 

Learn more about [[You're_the_Solution|You're_the_Solution]] 

 

== Nursing Homes ==

Individual patients aside, one study estimated the nation’s nursing homes discard anywhere from $73 million to $378 million worth of drugs a year. Some are incinerated, but many are flushed.<sup class="reference">[6]   </sup>

Nursing homes could be provided with information and tools (or services) for more appropriate disposal options that are better for the environemnt and that minimize the likelihood of diversion of these medications.

== Hospice Programs or Funeral Home Programs ==

Hospice programs can help family members understand how to properly handle the medications they inherit when a loved one passes away.<sup class="reference">[7]</sup>

Funeral Homes may pass out a brochure to remind people to make sure that any prescription drugs that were being taken by a loved one are properly disposed of.  People in the late stages of life may have been getting prescription opioids to deal with pain.  Hospice and funeral homes could be provided with disposal products (like Seal&Send envelopes)

= Take-back Events =

== DEA National Drug Take-Back Day Initiative ==

<span style="background-color: #ffffff">The National Prescription Drug Take Back Day Initiative addresses a crucial public safety and public health issue by providing an opportunity for Americans to prevent drug addiction and overdose deaths. As of May 2017, the DEA has promoted 13 national take-back days and they continue to collect more and more drugs each time. <sup class="reference">[8]</sup><br/> <br/> <span style="background-color: #ffffff">'''[https://www.deadiversion.usdoj.gov/drug_disposal/takeback/newsrelease.htm Program Successes]'''</span></span>

*<span style="background-color: #ffffff">Over 4,200 law enforcement and community partners and 5,500 sites across the country.</span>
*<span style="background-color: #ffffff">Since September 2010, these events have altogether collected 8,103,363 pounds (4,052 tons) of prescription drugs.</span>
*<span style="background-color: #ffffff">The last National Take-back Day collected more than 900,386 pounds (450 tons).</span>

<span style="background-color: #ffffff"><span style="background-color: #ffffff">To promote your local Rx Take Back Day, the DEA provides a [https://www.dea.gov/take-back/takeback-day_2016_oct.html partnership toolkit] featuring promotional materials for associated partners.<sup class="reference">[9]</sup><br/> <br/> <span style="background-color: #ffffff">'''<span style="font-size: 15.6px">See [[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|Tools & Resources]] for more DEA take-back resources and other ideas on how to implement a local take-back day.</span>'''</span></span></span>

== <span style="background-color: #ffffff"><span style="background-color: #ffffff">State Level Drug Take Back Programs</span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">See below for inspiration and ideas to replicate from current state efforts:</span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.ddap.pa.gov/Prevention/Pages/Drug_Take_Back.aspx#.V07YY_krLcs Pennsylvania]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.in.gov/bitterpill/ Indiana]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.oregon.gov/oha/ph/HealthyEnvironments/DrinkingWater/SourceWater/Pages/takeback.aspx Oregon]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.artakeback.org/index.html Arkansas]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.takebackyourmeds.org/ Washington]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://stoprxabuseinga.org/ Georgia]</span></span>

= <span style="background-color: #ffffff"><span style="background-color: #ffffff">Local Disposal Drop Boxes</span></span> =
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== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Finding Disposal Locations</span></span> ==

=== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Medication Disposal Locators</span></span> ===

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Use the following links to find drug disposal locations</span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://apps.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e1s1 DEA's Disposal Locator] - Find locations in your ZIP code. These collectors are registered with the DEA and pass unused medicine on to the agency to disposed.<sup class="reference">[10]</sup></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://rxdrugdropbox.org/ Rx Drop Box]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposemymeds.org/ Dispose My Meds]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://nabp.pharmacy/initiatives/awarxe/drug-disposal-locator/ National Association of Boards of Pharmacy]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.americanmedicinechest.com/ The American Medicine Chest Challenge]</span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://walgreens.maps.arcgis.com/apps/MapSeries/index.html?appid=53cf1b54abf34c4bacdec863e5c56391 Walgreens Safe Medication Disposal Program]</span></span>
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== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Increasing the Number of Drug Drop-Boxes in your Community</span></span></span> ==

Since disposing of unneeded medications via a drug drop box is considered the best option, it is important for communities to increase the number of drop boxes that are available and to promote awareness of those drop boxes. 

Ths [https://cdn.ymaws.com/www.productstewardship.us/resource/resmgr/pharms_reports_factsheets/160920_PSI_Pharmacy_Guide_vS.pdf How-To Guide for Drug Take-Back] , created by the Product Stewardship Institute, provides detailed guidance for expanding and improving a pharmacy-based collection program. 

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">The [http://www.rxdrugdropbox.org/ NADDI prescription drug dropbox ] website is an important resource to find locations of drop boxes, buy boxes, apply for grants, and other information about drop boxes.</span></span></span>
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== <span style="background-color: #ffffff"><span style="background-color: #ffffff">Grants</span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">With the help of the of the [https://www.naddi.org/ National Association of Drug Diversion Investigators], communities can apply for grants to receive a drop box that will hold old opioids to prevent abuse. These boxes have resulted in multiple cities and communities to be safer, and reduce the risk of opioid addiction. Boxes are to be located in close proximity to law enforcement agencies so nothing happens to them. Multiple boxes have been placed in the State of Minnesota, and after reaching out to one town in specific, Fridley<sup class="reference">[11]</sup> , they told us that they have seen a positive response to the drop-box. They have discarded pounds of prescription opioids that came from an at-risk community. This is becoming a great option for communities, and it assures that opioids are removed safely, and efficiently.</span></span></span>
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= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">In-Home Disposal</span></span></span> =

== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Medication Mail-back Envelopes</span></span></span></span> ==

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Stericycle Prescription Drug Seal&Send Pouches</span></span></span></span>'''

Stericyle provides an option for unsed prescription drugs to be mailed to them in an unmarked mailing pouch, and then the pills are incinerated. 

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Learn more at: </span></span></span></span>[https://www.stericycleenvironmental.com/service/pharmaceutical-takeback/ https://www.stericycleenvironmental.com/service/pharmaceutical-takeback/]

 

== In-home disposal pouches & powders ==

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Deterra Drug Disposal System </span></span></span></span>'''

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Minneapolis based company Verde Technologies has created a product called [http://deterrasystem.com/ Deterra®] System which deactivates prescription drugs.</span><br/> <br/> <span style="background-color: #ffffff">Each patented Deterra® pouch contains a water-soluble inner pod containing MAT12® activated carbon. Once the pharmaceuticals are placed in the pouch, warm water is then added, which dissolves the inner pod releasing the activated carbon. The warm water also dissolves prescription pills, patches and liquids, allowing them to be adsorbed by the carbon, rendering them inert and non-retrievable.</span><br/> <br/> <span style="background-color: #ffffff">For more information on how to use Deterra®, view this [https://www.youtube.com/watch?v=lSBwBqpTk2c How-to video]</span></span></span></span></span><br/>  

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Current Efforts to Promote In-Home Disposal</span></span></span></span>'''
<div class="objectEmbed"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Case Studies</span></span></span></span></div>
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">The state of Pennsylvania has a goal of distributing Deterra® Drug Deactivation and Disposal pouches alongside 10% of all opioid prescriptions.</span></span></span></span></span>
<div class="objectEmbed"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Attorney General Shapiro Unveils Plan to Distribute 300,000 Drug Disposal Pouches in 12 counties[5]</span></span></span></span></span></div> <div class="objectEmbed">[https://www.pennlive.com/news/2017/07/drug_deactivation_and_disposal.html https://www.pennlive.com/news/2017/07/drug_deactivation_and_disposal.html]</div>
<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Inspira Health Network (New Jersey) distributed the Deterra® pouch throughout their network.</span><br/> <span style="background-color: #ffffff">[http://www.njtvonline.org/news/video/inspira-health-network-battles-opioid-crisis-proper-drug-disposal/ Case Study]</span></span></span></span></span> These pouches render opioids ineffective for misuse and safe for disposal and the environment, are another cost-efficient way to safely dispose of opioids.

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Benefits</span></span></span></span>'''

*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Inexpensive - Costs $7 per pouch</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Can encourage people to connect with law enforcement - People can pick up free (if already given to law enforcement) pouches from station and dispose of them at home and save any potential embarrassment</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Improve overall water quality - with the majority of people flushing unused medication down the toilet, only water treatment facilities remove less than half of the prescription drugs found in sewage</span></span></span></span>

'''<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">DisposeRx</span></span></span></span>'''

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposerx.com/ Dispose Rx] is "a patented (pending) blend of solidifying materials that provides a solution for the safe disposal of unwanted or expired prescription drugs. Dedicated to environmentally friendly and safe non-toxic disposal solutions, DisposeRx is spearheading programs of educating communities with practical and safe medication disposing solutions, thus preventing the cycle of environmental pollution, addiction, overdose, and death." Prescription drugs can be rendered safe for disposal (and impossible to misuse) by adding powder from a packet directly into the pill bottle and shaking the bottle.</span></span></span></span></span>

*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Very Inexpensive - Costs about $1.50 per packet (and [https://www.aarp.org/health/drugs-supplements/info-2018/walmart-dispose-painkillers-fd.html Walmart gives the packets away free with a prescription or possibly a request])</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Packets can attached to prescriptions with a rubber band (much like flower fertilizer is attached to fresh-cut flowers)</span></span></span></span>
*<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Well-suited to campaigns with community partners (like clinics, churches, barbershops or hair salons) to increase distribution to diverse populations.</span></span></span></span>

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">See [[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|Tools & Resources]] for more information.</span></span></span></span></span>

 
</div>
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Funding for Drug Takeback & Disposal</span></span></span></span> =

== <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Legislation & Drug Companies</span></span></span></span></span> ==

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Currently several West Coast counties, the city of San Francisco and the state of Massachusetts have issued legislature that require drug companies to fund drug take-back programs.<sup class="reference">[13]</sup> On a national level, however, only 2.5 percent of eligible take-back organizations are participating, according to the Government Accountability Office. <sup class="reference">[14]</sup> The primary barrier seems to be financial: Maintaining the safe-like prescription drop-off container, training staff to follow the relevant regulations, and destroying the returned medication costs money. As a potential solution, writing policy that mandates opioid manufacturers to pay patients for their returned bottles of pills, along with subsidizing drop off location operators, could offset the costs and be what is needed to make returning leftover medication an automatic habit for consumers. <sup class="reference">[15]</sup><br/> <br/> <span style="background-color: #ffffff">The [http://www.productstewardship.us/ Product Stewardship Institute], a nonprofit that supports drug take-back programs, calculated that at least a dozen other local governments around the country are considering similar legislation, including several California counties.</span><br/> <br/> <span style="background-color: #ffffff">In Minnesota, pharmaceutical company [http://www.mallinckrodt.com/ Mallinckrodt] donated 30,000 disposal pouch systems to be distributed.<sup class="reference">[16]</sup></span></span></span></span></span></span>

== State Legislation Requiring Disposal Kits be Given with Prescriptions ==

== The Kentucky State Senate passed in March 2018 a bill that requires opioids and other abused drugs to be dispensed along with a method to permanently sequester and dispose of any leftover pills. If passed by the house and signed, it will be the first state passing such a bill.<sup class="reference">[4]  </sup>[http://www.disposerx.com DisposeRx] will be a popular choice to be given out along with prescription.  Other options include the Seal & Send mail-back packages or other options described below. ==

= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Tools & Resources</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[TR_-_Expand_Prescription_Drug_Take-back_&_Disposal_Programs|TR - Expand Prescription Drug Take-back & Disposal Programs]]</span></span></span></span></span></span></span>

= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Scorecard Building</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[PO_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Objective Details]]</span><br/> <span style="background-color: #ffffff">[[PM_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Measures & Data Sources]]</span></span></span></span></span></span></span>
<div class="mw-parser-output">
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Actions to Take</span></span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">There are many actions that can be taken by coalitions, organizations or individuals to improve drug take-back and disposal.  Explore the ideas via the following link:<br/> <span style="background-color: #ffffff">[[PA_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|Potential Actions for Coalitions]]</span></span></span></span></span></span></span>

[[PAI_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Potential Actions for Individuals</span></span></span></span></span></span></span>]]
</div>
= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Resources to Investigate</span></span></span></span></span></span> =

<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[[RTI_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|More RTI on Drug Take-Back & Disposal Program]]</span><br/> <br/> <span style="background-color: #ffffff"><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></span><br/> <span style="background-color: #ffffff"><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></span></span></span></span></span></span></span>

{| class="wiki_table"
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| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Reviewer'''</span></span></span></span></span></span>
| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Date'''</span></span></span></span></span></span>
| <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">'''Comments'''</span></span></span></span></span></span>
|-
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|}

 
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= <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">Sources</span></span></span></span></span></span> =

 

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#[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm [1]]</span></span></span></span></span></span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [2]]</span></span></span></span></span></span>
#[http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts/ http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts/] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.takebackyourmeds.org/what-you-can-do/medicine-disposal-myths-and-facts [3]]</span></span></span></span></span></span>
#<span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://disposerx.com/dl/Kentucky_Press_3-15_final.pdf [4]]</span></span></span></span></span></span>
#[https://www.fda.gov/drugs/safe-disposal-medicines/disposal-unused-medicines-what-you-should-know https://www.fda.gov/drugs/safe-disposal-medicines/disposal-unused-medicines-what-you-should-know] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm [5]]</span></span></span></span></span></span>
#[http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.XXVl6ehKhPZ http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.XXVl6ehKhPZ] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.nbcnews.com/id/3077015/ns/health-health_care/t/got-old-medicine-dont-flush-it/#.WmEKDd-nGUk [6]]</span></span></span></span></span></span>
#[https://www.dea.gov/press-releases/2017/05/08/dea-brings-record-amount-unused-prescription-drugs-national-prescription https://www.dea.gov/press-releases/2017/05/08/dea-brings-record-amount-unused-prescription-drugs-national-prescription] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.dea.gov/divisions/hq/2017/hq050817a.shtml [7]</span></span></span></span></span>
#[https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0 https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.dea.gov/divisions/hq/2015/hq100115.shtml [8]]</span></span></span></span>
#[https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0 https://www.dea.gov/press-releases/2015/10/01/deas-prescription-drug-take-back-effort-big-success-0] <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm [9]]</span></span></span></span>
#[https://www.hometownsource.com/sun_focus/news/local/drop-off-prescription-drugs-anonymously-at-fridley-pd/article_b07bd27d-1122-55fa-8465-f47ad9a861dc.html https://www.hometownsource.com/sun_focus/news/local/drop-off-prescription-drugs-anonymously-at-fridley-pd/article_b07bd27d-1122-55fa-8465-f47ad9a861dc.html]  <span style="background-color: #ffffff"><span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://focus.mnsun.com/2013/02/19/drop-off-prescription-drugs-anonymously-at-fridley-pd/ [10]]</span></span></span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] <span style="background-color: #ffffff"><span style="background-color: #ffffff">[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [11]]</span></span>
#[https://fortune.com/2016/04/30/big-pharma-drug-take-back/ https://fortune.com/2016/04/30/big-pharma-drug-take-back/] <span style="background-color: #ffffff">[http://fortune.com/2016/04/30/big-pharma-drug-take-back/ [12]]</span>
#[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/ https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/] <span style="background-color: #ffffff">[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/?utm_term=.e9ccd1f56650 [13]]</span>
#[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/ https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/]<span style="background-color: #ffffff">[https://www.washingtonpost.com/news/wonk/wp/2017/12/05/one-idea-for-preventing-leftover-opioids-from-fueling-opioid-abuse/?utm_term=.e9ccd1f56650 [14]]</span>
#[http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/] [http://www.startribune.com/30-000-opioid-deactivation-pouches-being-distributed-in-state/394659601/ [15]]
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
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[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

Talk:Reduce Over-Prescription of Prescription Drugs

2019-11-26T19:23:26Z

Billb: /* What categories should we use for specific types of prescribing doctors? -- ~~~~ */ new section

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== Should this page be split... -- [[User:Snkennedy3327|Snkennedy3327]] ([[User_talk:Snkennedy3327|talk]]) 19:20, 26 November 2019 (UTC) ==
<div class="mw-parser-output">Just testing the discussion section.</div> </div>
-- [[User:Billb|Billb]] ([[User_talk:Billb|talk]]) 19:22, 26 November 2019 (UTC)<br/> We may create additional pages for different types of prescribers (e.g. dentists, pain specialists, surgeons, EDs, etc.) 
</div>
-- [[User:Snkennedy3327|Snkennedy3327]] ([[User talk:Snkennedy3327|talk]]) 19:23, 26 November 2019 (UTC)<br/> I would agree.

== What categories should we use for specific types of prescribing doctors? -- [[User:Billb|Billb]] ([[User talk:Billb|talk]]) 19:23, 26 November 2019 (UTC) ==

<div class="mw-parser-output">Please suggest categories that you think would be useful. </div>

Talk:Reduce Over-Prescription of Prescription Drugs

2019-11-26T19:22:16Z

Billb:

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== Should this page be split... -- [[User:Snkennedy3327|Snkennedy3327]] ([[User_talk:Snkennedy3327|talk]]) 19:20, 26 November 2019 (UTC) ==
<div class="mw-parser-output">Just testing the discussion section.</div> </div>
-- [[User:Billb|Billb]] ([[User talk:Billb|talk]]) 19:22, 26 November 2019 (UTC)<br/> We may create additional pages for different types of prescribers (e.g. dentists, pain specialists, surgeons, EDs, etc.) 

Reduce Non-Medical Access to Prescription Drugs

2019-11-15T03:47:39Z

Billb:

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''Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[ZOOM_MAP_-_Reduce_Access_to_Opioids|Zoom Map (Reduce Access to Opioids)]]''

----

To minimize diversion, it is essential that people who have prescription medications in their homes store them safely.  When people begin to misuse prescription drugs, they often acquire them by stealing them from family, relatives, friends or from homes that they enter for other reasons (work, open houses, breaking and entering).  If prescription drugs are safely stored, misuse can be stopped earlier, because people who have not yet developed a dependence on opioids usually do not go directly to illegal opioids like heroin or fentanyl.   __TOC__Prescription drugs that are not safely stored can also be accidentally taken by young children or by curious pre-teens.

= Background =

Safe storage of prescription drugs within the home has been identified as key priority strategy by many organizations and coalitions.<ref>https://www.end-opioid-epidemic.org/storage-and-disposal/</ref><ref>http://www.rxsafetymatters.org/families-and-communities/safe-storage-and-disposal/</ref>  Even if a community does an excellent job of reducing prescriptions and taking back or disposing of unused opioids, there will still be a lot of opioids in communities. Researchers estimated that in 2005, 3-4% of people were being prescribed opioids for chronic pain<ref>https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm</ref> <span style="font-size: 13px;">and many others are legitimately being prescribed opioids for short-term pain management, and many others who are prescribed other drugs that can be misused, stolen or accidentally consumed by children.</span>

Failure to securely store prescription drugs contributes to the opioid epidemic and other health hazards in several ways.

#Easy access to prescription drugs can lead to initial experimentation, especially by teens.<ref>http://makeitasafehome.org/the-problem/</ref>
#Stealing prescription drugs, which is much easier when they are commonly available in unlocked medicine cabinets, is often a step toward more destructive misuse.
#Easy access to unsecured opioids or other prescription drugs contributes to theft by people who sell them or give them away.
#Children who access unsecured drugs sometimes take them, thinking they are candy.

= Staggering Statistics =

*Only 2 in 10 who have dangerous medications—such as opioid pain pills, stimulants used to treat ADHD, and sedatives—lock them up
*Nearly 70% of prescription opioid medications kept in homes with children are not stored safely<ref>https://www.jhsph.edu/news/news-releases/2017/majority-of-opioid-medications-not-safely-stored-in-home-with-children-survey-finds.html</ref>
*A recent study of adults living in households with children, prescription opioids were stored in a locked or latched place in only 32.6% of households with young children and 11.7% with older children.<ref>https://pediatrics.aappublications.org/content/139/3/e20162161</ref>
*More than 1,600 teens begin abusing prescription drugs each day.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*Almost 1 in every 4 teens in America say they have misused or abused a prescription drug.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*60,000 kids under the age of 5 accidentally ingest these dangerous drugs every year and wind up in emergency rooms, according to data from the CDC<ref>http://www.consumerreports.org/drugs/best-ways-to-protect-kids-accidental-drug-poisoning-/</ref>
*12-17 year olds abuse prescription drugs more than ecstasy, heroin, crack/cocaine and methamphetamines combined.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*In one study, respondents reported storing their opioid medication in a locked (8.6%) or latched (20.9%) location.<ref>Kennedy-Hendricks A, et al. “Medication sharing, storage and disposal practices for opioid medications among US adults.” JAMA Intern Med 2016; 176:1027-29.</ref>
*San Diego's SafeHomes Coalition reports that more than 70% of misused prescription drugs come from someone's medicine cabinet, not from a dealer on the street. <ref>http://makeitasafehome.org/the-problem/</ref>
*The National Drug Intelligence Center reported that $184 million in prescription drug thefts occurred in 2010—a 350 percent increase since 2007<ref>https://www.nnw.org/publication/medication-theft-protecting-our-most-vulnerable-neighbors</ref>.  They note that older people are especially vulnerable to theft of prescription drugs.
*Over half of teens, ages 12 and up, obtained prescription drugs from a friend or family member "for free"

= Shortcomings of Popular Lock Boxes and Safe Storage Products =

Given the dangers of having opioids and other medications easily accessible to teens, children or people who seek to steal pills, it is understandable that many coalitions and other stakeholders have promoted the use of medication lock boxes or other locked storage options.  Unfortunately, many efforts to expand the use of popular safe storage products are of little value. 
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== Most Lockable Medication Boxes are Easily Opened ==

Many popular lock boxes for medications provide little actual protection from people who make even modest efforts to get the pills.  A [https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/ 2018 article in Forbes magazine] describes how most safe storage products provide only a false sense of security.  The author of the article, Marc Weber Tobias, an investigative attorney and physical security expert, writes:  

"These containers sell for anywhere from ten to forty dollars and ''appear secure''. And that is precisely the problem because the four major brands that we analyzed offer little real security once the “secret” about how they actually work and can be opened is understood. That “secret” is usually trivial, quickly grasped, and can be replicated easily."

"The problem is that all of these products can be quickly and easily compromised. That means that if an adult relies upon the security of one of these containers to protect their meds from theft or pilfering, they may have a false sense of security and not be as vigilant as required to actually count their mediation to make sure that no doses are missing."

"Every mechanical combination lock that we evaluated could be easily opened in a matter of seconds without dialing the correct numbers."

The following comment was made about one company's products: "They are easy to open and often can be accomplished without any expertise, and no evidence of entry. While they appear to be secure, they are not, and should not be relied upon for any real measure of security."

Lockable pill bottles didn't work much better.  Tobias states:  "While the design is clever it is also not secure and we found could be simply compromised in at least four different ways. The design demonstrates a consistent problem with virtually all of these products: real security is usually inconsistent with inexpensive components, especially when made of plastic."   He shares a simple video that supports that statement."<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids</ref>

The article does state that locked pill containers can prevent accidental use by small children.<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/</ref>

In this [https://www.youtube.com/watch?v=9uLCZGGwJ5g&feature=youtu.be video of an interview] with a founder and executive of one of the companies that makes and sells lock boxes for medications, the executive states that they provide a pill count sheet with their product and encourage people to do regular pill counts so they can detect if pills are being stolen. (10:45 to 13:15 and 21:10 to 22:30 in the video.)

Other research, not in the Forbes article, has shown that family members can often guess the number used as the code for opening a lock, and once they know the code, the lock box provides no obstacle for them stealing drugs--only a false sense of security for those using the locking boxes or pill bottles. (Source needed).

In spite of these shortcomings, the use of locked medication boxes will still be a deterrent to some people who are not aware of how to open them. (Source needed)
</div>
== People Given Lock Boxes Usually Don't Use Them  ==

Anecdotal evidence from the evaluation of the use of medicatiion lock boxes revealed that six months after they have been provided with medication lock boxes, only a small percent of them were being used.  (Source needed).  

Reasons given for why seniors don't use lock boxes include:

*It is inconvenient or they don't want to have to remember the combination
*It requires a change of behavior and adds a step to taking their medications.
*They often don't believe that their grandchildren or other people who come to their home woudl steal their medications. 

= Programs to Encourage Safe Storage and Reduce the Theft of Prescription Drugs =

== Examples of Campaigns and Organzations Supporting Safe Storage ==

'''Safe Homes Coalition'''<br/> [http://makeitasafehome.org/ SafeHomes Coalition] helps communities start programs to raise awareness of the proper use, storage and disposal of prescription drugs. (They can help your community start a chapter.) This [https://www.youtube.com/watch?v=m7C01hibtBg&feature=youtu.be SafeHomes PSA] provides more information.<br/> <br/> '''Up and Away Campaign'''<br/> This [http://www.upandaway.org/#about campaign] is designed to remind families about the importance of safe medicine storage. See [[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|Tools & Resources]] for resources to distribute in your community.<br/>  

== Launching Community-wide Collaborative Campaigns ==

=== Drug Disposal and Safe Storage Campaign ===

Many communities have done some education and awareness efforts to increase prescription drug disposal and safe storage, but there is potential to reach significantly more people by engaging a diverse group of cross-sector partners in a campaign.

'''See Details:  '''[[Community_Safe_Storage_Campaign|Collaborative campaign to increase safe storage and prescription drug disposal]].<br/>  

=== Self-Funding Program for Safe Storage Caps (TimerCaps) ===

A local coalition, hospital, insurance company or non-profit can sponsor a program to distribute TimerCaps to people using prescription drugs. Sponsors have their logo imprinted on the cap and the label and can give them away at community events or via partners like pharmacists, community groups for seniors, or the prescribing doctors.

'''See Details:''' [[Details_for_a_Self-Funding_Safe_Storage_campaign|Self-Funding Safe Storage campaign]].<br/>  

'''Case Study of Successful Coalition Campaign with TimerCaps'''
South Kingston Program for Prevention and Rebels Inspiring Positive Lifestyles joined forces to raise funds to send youth leaders to CADCA training. The coalition held community awareness events and garnered local news publicity for their cause. For further details, see <div class="objectEmbed"> </div>
= Safe Storage Products =
<div class="_">Below are list of products that can either be distributed within your community or advertised by community coalitions for families to purchase.</div> <div class="_"> </div>
== TimerCaps ==

[[File:Orange-TimerCap.jpg|Orange-TimerCap.jpg]]<br/> [https://timercap.com/ TimerCap] has a built-in LCD stopwatch timer. Like a stopwatch, the display on the cap counts-up, first the seconds, then minutes and hours since the cap was replaced.<br/> Timer caps come in different sizes, and they can replace an existing medicine bottle cap (or you can get a cap and bottle combination). Using a TimerCap helps accomplish all [[Six_principles_of_prescription_abuse_prevention|six principles of prescription abuse prevention]]. TimerCaps are easy to use and don't require a change in patient behavior.<br/> <br/> '''Improve Patient Safety'''

*Provide the PEACE OF MIND of knowing they did or did not take their medication.
*Help seniors avoid accidental overdoses and emergency room visits due to accidentally taking medications multiple times.
*Easily know how long it has been since taking medication (to check before driving)
*Tracker form to help monitor their intake and pain levels or other information

<br/> '''Deter Theft of Pills'''

*Easily detect unwanted openings to the exact minute it happened
*Deters kids or neighbors from sneaking a few pills--as they would be caught by the new time
*Solution to measure, monitor, manage, detect,and deter opioids abuse.
<br/> '''Economical Enough to Give Away at Events or by Partners'''<br/> TimerCaps are a low-cost option for improving safe storage (as low as $2.49 each), so they are economical as a give-away at educational events, or they can be given to people by community partners. Since the TimerCap lids and labels can be customized with a logo or other branding information, sponsors who make donations to fund the program receive valuable recognition for their support. See coalition testimonials: <div class="objectEmbed">[[File/view/Testimonials.pages/628136277/Testimonials.pages|[File:http://www.wikispaces.com/i/mime/32/empty.png Testimonials.pages]]] <div>[[File/view/Testimonials.pages/628136277/Testimonials.pages|Testimonials.pages]]
*[[File/detail/Testimonials.pages|Details]]
*[[File/view/Testimonials.pages/628136277/Testimonials.pages|Download]]
*743 KB
</div> </div> <br/> <br/> Visit [http://www.timercap.com www.timercap.com] or Contact: 800-557-4072 ext. 106<br/>  
== Locking Storage Devices ==

'''Ikeyp'''<br/> [[File:Ikeyp Product.png|Ikeyp Product.png]]<br/> The world's first smart storage device for personal items that need to be securely stored yet regularly accessed. See [https://ikeyp.com/ website] for a comprehensive list of uses and products.<br/> Introductory video from a tech review: [https://vimeo.com/184531456 [1]]<br/> Gadgetgram Review including a video created by the manufacture of the product for CES 2018: [http://www.gadgetgram.com/2017/12/27/ikeyp-pro-smart-safe/ [2]]<br/> Retail price is $149.00 but a coordinated community-wide effort to promote safe storage of prescription drugs, bulk purchase discounts may be available.<br/> ''Contact for bulk purchasing'': 1-800-485-8904<br/> <br/> <span style="color: #67677e; font-size: 1.2em; letter-spacing: 0.5px">'''Lockable Caps'''</span><br/> '''Safer Lock'''<br/> [[File:Safer Lock Product.png|Safer Lock Product.png]]<br/> [https://saferlockrx.com/ Safer Lock] is a patented 4-digit combination locking cap. This could be purchased by communities at wholesale prices and distributed to community members at lower prices.<br/> <br/> Products:

#[https://saferlockrx.com/product/safer-lock/ Safer Lock]
#[https://saferlockrx.com/product/medication-lock-box/ Safer Lock Box]
#[https://saferlockrx.com/product/safer-lock-cases/ Safer Lock Multi-Packs & Case]s
#[https://saferlockrx.com/product/book-safe/ Book Safe]

<br/> ''Contact for wholesale pricing'': (844) 209-5044<br/>  

== Pill Locker ==

A promising new technology, [[Pill_Locker|Pill Locker]], uses advanced, but affordable, technology to package pills in a re-usable "locker" that dispenses pills one at a time, when they should be taken.<br/>  

 

== Changing Drug Packaging ==

*Packaging opioid drugs in [https://en.wikipedia.org/wiki/Blister_pack blister packs] , or in single-dose packages, instead of having an entire bottle filled with prescription pills have been shown to help prevent accident poisonings in children<ref>http://www.livescience.com/58351-kids-opioids-ingestion.html</ref>
*One vendor of Single-dose packets is [https://pack4u.com/ Pack4U]. They provide a sophisticated, personalized option that allows pharmacies to deliver higher value to patients needing any prescriptions, including opioids.

= Education Topics =

== Educate Parents on Key Points ==

*The most secure way to keep prescription medications is in a locked storage box up and away
*If locking them is not an option keep them stored in a secured place in your home that is up and away from children.
*Keep a medication log so you know what medications you have and how many you have of each medication.
**You should try to do an inventory of all the medicines you have at least once a year, preferably every six months.<ref>http://www.youthconnectionscoalition.org/content/wp-content/uploads/2015/04/safe_storage.pdf</ref>
*Medications whose labels specify that refrigeration is necessary should always be kept in the refrigerator.
*The medicine cabinet in a bathroom is often not the best place to store prescriptions. They should be stored in a cool dry place. Humidity, heat, and the change in temperatures in the bathroom can alter the potency of some medications.<ref>http://www.youthconnectionscoalition.org/content/reduce-rx-abuse-2/the-proper-storage-of-prescription-drugs/</ref> Some storage devices, such as iKeyp, can help protect medications from humidity, even if stored in bathrooms.

= Tools & Resources =

[[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|TR - Increase Safe Storage of Prescription Drugs]]

= Scorecard Building =

[[PO_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Objective Details]]<br/> [[PM_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Measures and Data Sources]]

= Actions to Take =

[[PA_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Actions and Partners]]

Actions for Individuals

= Resources to Investigate =

[[RTI_-_Improve_Safe_Storage_of_Prescription_Drugs|More RTI on Safe Storage of Prescription Drugs]]<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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= Sources =

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[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

Reduce Non-Medical Access to Prescription Drugs

2019-11-15T03:45:42Z

Billb:

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''Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[ZOOM_MAP_-_Reduce_Access_to_Opioids|Zoom Map (Reduce Access to Opioids)]]''

----

To minimize diversion, it is essential that people who have prescription medications in their homes store them safely.  When people begin to misuse prescription drugs, they often acquire them by stealing them from family, relatives, friends or from homes that they enter for other reasons (work, open houses, breaking and entering).  If prescription drugs are safely stored, misuse can be stopped earlier, because people who have not yet developed a dependence on opioids usually do not go directly to illegal opioids like heroin or fentanyl.   __TOC__Prescription drugs that are not safely stored can also be accidentally taken by young children or by curious pre-teens.

= Background =

Safe storage of prescription drugs within the home has been identified as key priority strategy by many organizations and coalitions.<ref>https://www.end-opioid-epidemic.org/storage-and-disposal/</ref><ref>http://www.rxsafetymatters.org/families-and-communities/safe-storage-and-disposal/</ref>  Even if a community does an excellent job of reducing prescriptions and taking back or disposing of unused opioids, there will still be a lot of opioids in communities. Researchers estimated that in 2005, 3-4% of people were being prescribed opioids for chronic pain<ref>https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm</ref> <span style="font-size: 13px;">and many others are legitimately being prescribed opioids for short-term pain management, and many others who are prescribed other drugs that can be misused, stolen or accidentally consumed by children.</span>

Failure to securely store prescription drugs contributes to the opioid epidemic and other health hazards in several ways.

#Easy access to prescription drugs can lead to initial experimentation, especially by teens.<ref>http://makeitasafehome.org/the-problem/</ref>
#Stealing prescription drugs, which is much easier when they are commonly available in unlocked medicine cabinets, is often a step toward more destructive misuse.
#Easy access to unsecured opioids or other prescription drugs contributes to theft by people who sell them or give them away.
#Children who access unsecured drugs sometimes take them, thinking they are candy.

= Staggering Statistics =

*Only 2 in 10 who have dangerous medications—such as opioid pain pills, stimulants used to treat ADHD, and sedatives—lock them up
*Nearly 70% of prescription opioid medications kept in homes with children are not stored safely<ref>https://www.jhsph.edu/news/news-releases/2017/majority-of-opioid-medications-not-safely-stored-in-home-with-children-survey-finds.html</ref>
*A recent study of adults living in households with children, prescription opioids were stored in a locked or latched place in only 32.6% of households with young children and 11.7% with older children.<ref>https://pediatrics.aappublications.org/content/139/3/e20162161</ref>
*<span style="background-color: #ffffff; color: #58595b; font-family: Arial,sans-serif; font-size: 14px">More than 1,600 teens begin abusing prescription drugs each day.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref></span>
*Almost 1 in every 4 teens in America say they have misused or abused a prescription drug.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*60,000 kids under the age of 5 accidentally ingest these dangerous drugs every year and wind up in emergency rooms, according to data from the CDC<ref>http://www.consumerreports.org/drugs/best-ways-to-protect-kids-accidental-drug-poisoning-/</ref>
*12-17 year olds abuse prescription drugs more than ecstasy, heroin, crack/cocaine and methamphetamines combined.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*In one study, respondents reported storing their opioid medication in a locked (8.6%) or latched (20.9%) location.<ref>Kennedy-Hendricks A, et al. “Medication sharing, storage and disposal practices for opioid medications among US adults.” JAMA Intern Med 2016; 176:1027-29.</ref>
*San Diego's SafeHomes Coalition reports that more than 70% of misused prescription drugs come from someone's medicine cabinet, not from a dealer on the street. <ref>http://makeitasafehome.org/the-problem/</ref>
*The National Drug Intelligence Center reported that $184 million in prescription drug thefts occurred in 2010—a 350 percent increase since 2007<ref>https://www.nnw.org/publication/medication-theft-protecting-our-most-vulnerable-neighbors</ref>.  They note that older people are especially vulnerable to theft of prescription drugs.
*Over half of teens, ages 12 and up, obtained prescription drugs from a friend or family member "for free"

= Shortcomings of Popular Lock Boxes and Safe Storage Products =

Given the dangers of having opioids and other medications easily accessible to teens, children or people who seek to steal pills, it is understandable that many coalitions and other stakeholders have promoted the use of medication lock boxes or other locked storage options.  Unfortunately, many efforts to expand the use of popular safe storage products are of little value. 
<div class="mw-parser-output">
== Most Lockable Medication Boxes are Easily Opened ==

Many popular lock boxes for medications provide little actual protection from people who make even modest efforts to get the pills.  A [https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/ 2018 article in Forbes magazine] describes how most safe storage products provide only a false sense of security.  The author of the article, Marc Weber Tobias, an investigative attorny and physical security expert, writes:  

"These containers sell for anywhere from ten to forty dollars and ''appear secure''. And that is precisely the problem because the four major brands that we analyzed offer little real security once the “secret” about how they actually work and can be opened is understood. That “secret” is usually trivial, quickly grasped, and can be replicated easily."

"The problem is that all of these products can be quickly and easily compromised. That means that if an adult relies upon the security of one of these containers to protect their meds from theft or pilfering, they may have a false sense of security and not be as vigilant as required to actually count their mediation to make sure that no doses are missing."

"Every mechanical combination lock that we evaluated could be easily opened in a matter of seconds without dialing the correct numbers."

The following comment was made about one company's products: "They are easy to open and often can be accomplished without any expertise, and no evidence of entry. While they appear to be secure, they are not, and should not be relied upon for any real measure of security."

Lockable pill bottles didn't work much better.  Tobias states:  "While the design is clever it is also not secure and we found could be simply compromised in at least four different ways. The design demonstrates a consistent problem with virtually all of these products: real security is usually inconsistent with inexpensive components, especially when made of plastic."   He shares a simple video that supports that statement."<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids</ref>

The article does state that locked pill containers can prevent accidental use by small children.<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/</ref>

In this [https://www.youtube.com/watch?v=9uLCZGGwJ5g&feature=youtu.be video of an interview] with a founder and executive of one of the companies that makes and sells lock boxes for medications, the executive states that they provide a pill count sheet with their product and encourage people to do regular pill counts so they can detect if pills are being stolen. (10:45 to 13:15 and 21:10 to 22:30 in the video.)

Other research, not in the Forbes article, has shown that family members can often guess the number used as the code for opening a lock, and once they know the code, the lock box provides no obstacle for them stealing drugs--only a false sense of security for those using the locking boxes or pill bottles. (Source needed).

In spite of these shortcomings, the use of locked medication boxes will still be a deterrent to some people who are not aware of how to open them. (Source needed)
</div>
== People Given Lock Boxes Usually Don't Use Them  ==

Anecdotal evidence from the evaluation of the use of medicatiion lock boxes revealed that six months after they have been provided with medication lock boxes, only a small percent of them were being used.  (Source needed).  

Reasons given for why seniors don't use lock boxes include:

*It is inconvenient or they don't want to have to remember the combination
*It requires a change of behavior and adds a step to taking their medications.
*They often don't believe that their grandchildren or other people who come to their home woudl steal their medications. 

= Programs to Encourage Safe Storage and Reduce the Theft of Prescription Drugs =

== Examples of Campaigns and Organzations Supporting Safe Storage ==

'''Safe Homes Coalition'''<br/> [http://makeitasafehome.org/ SafeHomes Coalition] helps communities start programs to raise awareness of the proper use, storage and disposal of prescription drugs. (They can help your community start a chapter.) This [https://www.youtube.com/watch?v=m7C01hibtBg&feature=youtu.be SafeHomes PSA] provides more information.<br/> <br/> '''Up and Away Campaign'''<br/> This [http://www.upandaway.org/#about campaign] is designed to remind families about the importance of safe medicine storage. See [[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|Tools & Resources]] for resources to distribute in your community.<br/>  

== Launching Community-wide Collaborative Campaigns ==

=== Drug Disposal and Safe Storage Campaign ===

Many communities have done some education and awareness efforts to increase prescription drug disposal and safe storage, but there is potential to reach significantly more people by engaging a diverse group of cross-sector partners in a campaign.

'''See Details:  '''[[Community_Safe_Storage_Campaign|Collaborative campaign to increase safe storage and prescription drug disposal]].<br/>  

=== Self-Funding Program for Safe Storage Caps (TimerCaps) ===

A local coalition, hospital, insurance company or non-profit can sponsor a program to distribute TimerCaps to people using prescription drugs. Sponsors have their logo imprinted on the cap and the label and can give them away at community events or via partners like pharmacists, community groups for seniors, or the prescribing doctors.

'''See Details:''' [[Details_for_a_Self-Funding_Safe_Storage_campaign|Self-Funding Safe Storage campaign]].<br/>  

'''Case Study of Successful Coalition Campaign with TimerCaps'''
South Kingston Program for Prevention and Rebels Inspiring Positive Lifestyles joined forces to raise funds to send youth leaders to CADCA training. The coalition held community awareness events and garnered local news publicity for their cause. For further details, see <div class="objectEmbed"> </div>
= Safe Storage Products =
<div class="_">Below are list of products that can either be distributed within your community or advertised by community coalitions for families to purchase.</div> <div class="_"> </div>
== TimerCaps ==

[[File:Orange-TimerCap.jpg|Orange-TimerCap.jpg]]<br/> [https://timercap.com/ TimerCap] has a built-in LCD stopwatch timer. Like a stopwatch, the display on the cap counts-up, first the seconds, then minutes and hours since the cap was replaced.<br/> Timer caps come in different sizes, and they can replace an existing medicine bottle cap (or you can get a cap and bottle combination). Using a TimerCap helps accomplish all [[Six_principles_of_prescription_abuse_prevention|six principles of prescription abuse prevention]]. TimerCaps are easy to use and don't require a change in patient behavior.<br/> <br/> '''Improve Patient Safety'''

*Provide the PEACE OF MIND of knowing they did or did not take their medication.
*Help seniors avoid accidental overdoses and emergency room visits due to accidentally taking medications multiple times.
*Easily know how long it has been since taking medication (to check before driving)
*Tracker form to help monitor their intake and pain levels or other information

<br/> '''Deter Theft of Pills'''

*Easily detect unwanted openings to the exact minute it happened
*Deters kids or neighbors from sneaking a few pills--as they would be caught by the new time
*Solution to measure, monitor, manage, detect,and deter opioids abuse.
<br/> '''Economical Enough to Give Away at Events or by Partners'''<br/> TimerCaps are a low-cost option for improving safe storage (as low as $2.49 each), so they are economical as a give-away at educational events, or they can be given to people by community partners. Since the TimerCap lids and labels can be customized with a logo or other branding information, sponsors who make donations to fund the program receive valuable recognition for their support. See coalition testimonials: <div class="objectEmbed">[[File/view/Testimonials.pages/628136277/Testimonials.pages|[File:http://www.wikispaces.com/i/mime/32/empty.png Testimonials.pages]]] <div>[[File/view/Testimonials.pages/628136277/Testimonials.pages|Testimonials.pages]]
*[[File/detail/Testimonials.pages|Details]]
*[[File/view/Testimonials.pages/628136277/Testimonials.pages|Download]]
*743 KB
</div> </div> <br/> <br/> Visit [http://www.timercap.com www.timercap.com] or Contact: 800-557-4072 ext. 106<br/>  
== Locking Storage Devices ==

'''Ikeyp'''<br/> [[File:Ikeyp Product.png|Ikeyp Product.png]]<br/> The world's first smart storage device for personal items that need to be securely stored yet regularly accessed. See [https://ikeyp.com/ website] for a comprehensive list of uses and products.<br/> Introductory video from a tech review: [https://vimeo.com/184531456 [1]]<br/> Gadgetgram Review including a video created by the manufacture of the product for CES 2018: [http://www.gadgetgram.com/2017/12/27/ikeyp-pro-smart-safe/ [2]]<br/> Retail price is $149.00 but a coordinated community-wide effort to promote safe storage of prescription drugs, bulk purchase discounts may be available.<br/> ''Contact for bulk purchasing'': 1-800-485-8904<br/> <br/> <span style="color: #67677e; font-size: 1.2em; letter-spacing: 0.5px">'''Lockable Caps'''</span><br/> '''Safer Lock'''<br/> [[File:Safer Lock Product.png|Safer Lock Product.png]]<br/> [https://saferlockrx.com/ Safer Lock] is a patented 4-digit combination locking cap. This could be purchased by communities at wholesale prices and distributed to community members at lower prices.<br/> <br/> Products:

#[https://saferlockrx.com/product/safer-lock/ Safer Lock]
#[https://saferlockrx.com/product/medication-lock-box/ Safer Lock Box]
#[https://saferlockrx.com/product/safer-lock-cases/ Safer Lock Multi-Packs & Case]s
#[https://saferlockrx.com/product/book-safe/ Book Safe]

<br/> ''Contact for wholesale pricing'': (844) 209-5044<br/>  

== Pill Locker ==

A promising new technology, [[Pill_Locker|Pill Locker]], uses advanced, but affordable, technology to package pills in a re-usable "locker" that dispenses pills one at a time, when they should be taken.<br/>  

 

== Changing Drug Packaging ==

*Packaging opioid drugs in [https://en.wikipedia.org/wiki/Blister_pack blister packs] , or in single-dose packages, instead of having an entire bottle filled with prescription pills have been shown to help prevent accident poisonings in children<ref>http://www.livescience.com/58351-kids-opioids-ingestion.html</ref>
*One vendor of Single-dose packets is [https://pack4u.com/ Pack4U]. They provide a sophisticated, personalized option that allows pharmacies to deliver higher value to patients needing any prescriptions, including opioids.

= Education Topics =

== Educate Parents on Key Points ==

*The most secure way to keep prescription medications is in a locked storage box up and away
*If locking them is not an option keep them stored in a secured place in your home that is up and away from children.
*Keep a medication log so you know what medications you have and how many you have of each medication.
**You should try to do an inventory of all the medicines you have at least once a year, preferably every six months.<ref>http://www.youthconnectionscoalition.org/content/wp-content/uploads/2015/04/safe_storage.pdf</ref>
*Medications whose labels specify that refrigeration is necessary should always be kept in the refrigerator.
*The medicine cabinet in a bathroom is often not the best place to store prescriptions. They should be stored in a cool dry place. Humidity, heat, and the change in temperatures in the bathroom can alter the potency of some medications.<ref>http://www.youthconnectionscoalition.org/content/reduce-rx-abuse-2/the-proper-storage-of-prescription-drugs/</ref> Some storage devices, such as iKeyp, can help protect medications from humidity, even if stored in bathrooms.

= Tools & Resources =

[[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|TR - Increase Safe Storage of Prescription Drugs]]

= Scorecard Building =

[[PO_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Objective Details]]<br/> [[PM_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Measures and Data Sources]]

= Actions to Take =

[[PA_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Actions and Partners]]

Actions for Individuals

= Resources to Investigate =

[[RTI_-_Improve_Safe_Storage_of_Prescription_Drugs|More RTI on Safe Storage of Prescription Drugs]]<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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[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

Reduce Non-Medical Access to Prescription Drugs

2019-11-15T03:43:00Z

Billb:

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''Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[ZOOM_MAP_-_Reduce_Access_to_Opioids|Zoom Map (Reduce Access to Opioids)]]''

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Even if overprescription is greatly reduced, there will still be a lot of people who will continue to take prescription drugs, including opioids.  To minimize diversion, it is essential that people who have prescription medications in their homes store them safely.  When people begin to misuse prescription drugs, they often acquire them by stealing them from family, friends or from homes that they enter for other reasons (work, open houses, breaking and entering).  If prescription drugs are safely stored, misuse can be stopped earlier, because people who have not yet developed a dependence on opioids usually do not go directly to illegal opioids like heroin or fentanyl.   __TOC__

= Background =

Safe storage of prescription drugs within the home has been identified as key priority strategy by many organizations and coalitions.<ref>https://www.end-opioid-epidemic.org/storage-and-disposal/</ref><ref>http://www.rxsafetymatters.org/families-and-communities/safe-storage-and-disposal/</ref>Even if a community does an excellent job of reducing prescriptions and taking back or disposing of unused opioids, there will still be a lot of opioids in communities. Researchers estimated that in 2005, 3-4% of people were being prescribed opioids for chronic pain<ref>https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm</ref> <span style="font-size: 13px;">and many others are legitimately being prescribed opioids for short-term pain management, and many others who are prescribed other drugs that can be misused, stolen or accidentally consumed by children.</span>

Failure to securely store prescription drugs contributes to the opioid epidemic and other health hazards in several ways.

#Easy access to prescription drugs can lead to initial experimentation, especially by teens.<ref>http://makeitasafehome.org/the-problem/</ref>
#Stealing prescription drugs, which is much easier when they are commonly available in unlocked medicine cabinets, is often a step toward more destructive misuse.
#Easy access to unsecured opioids or other prescription drugs contributes to theft by people who sell them or give them away.
#Children who access unsecured drugs sometimes take them, thinking they are candy.

= Staggering Statistics =

*Only 2 in 10 who have dangerous medications—such as opioid pain pills, stimulants used to treat ADHD, and sedatives—lock them up
*Nearly 70% of prescription opioid medications kept in homes with children are not stored safely<ref>https://www.jhsph.edu/news/news-releases/2017/majority-of-opioid-medications-not-safely-stored-in-home-with-children-survey-finds.html</ref>
*A recent study of adults living in households with children, prescription opioids were stored in a locked or latched place in only 32.6% of households with young children and 11.7% with older children.<ref>https://pediatrics.aappublications.org/content/139/3/e20162161</ref>
*<span style="background-color: #ffffff; color: #58595b; font-family: Arial,sans-serif; font-size: 14px">More than 1,600 teens begin abusing prescription drugs each day.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref></span>
*Almost 1 in every 4 teens in America say they have misused or abused a prescription drug.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*60,000 kids under the age of 5 accidentally ingest these dangerous drugs every year and wind up in emergency rooms, according to data from the CDC<ref>http://www.consumerreports.org/drugs/best-ways-to-protect-kids-accidental-drug-poisoning-/</ref>
*12-17 year olds abuse prescription drugs more than ecstasy, heroin, crack/cocaine and methamphetamines combined.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*In one study, respondents reported storing their opioid medication in a locked (8.6%) or latched (20.9%) location.<ref>Kennedy-Hendricks A, et al. “Medication sharing, storage and disposal practices for opioid medications among US adults.” JAMA Intern Med 2016; 176:1027-29.</ref>
*San Diego's SafeHomes Coalition reports that more than 70% of misused prescription drugs come from someone's medicine cabinet, not from a dealer on the street. <ref>http://makeitasafehome.org/the-problem/</ref>
*The National Drug Intelligence Center reported that $184 million in prescription drug thefts occurred in 2010—a 350 percent increase since 2007<ref>https://www.nnw.org/publication/medication-theft-protecting-our-most-vulnerable-neighbors</ref>.  They note that older people are especially vulnerable to theft of prescription drugs.
*Over half of teens, ages 12 and up, obtained prescription drugs from a friend or family member "for free"

= Shortcomings of Popular Lock Boxes and Safe Storage Products =

Given the dangers of having opioids and other medications easily accessible to teens, children or people who seek to steal pills, it is understandable that many coalitions and other stakeholders have promoted the use of medication lock boxes or other locked storage options.  Unfortunately, many efforts to expand the use of popular safe storage products are of little value. 
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== Most Lockable Medication Boxes are Easily Opened ==

Many popular lock boxes for medications provide little actual protection from people who make even modest efforts to get the pills.  A [https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/ 2018 article in Forbes magazine] describes how most safe storage products provide only a false sense of security.  The author of the article, Marc Weber Tobias, an investigative attorny and physical security expert, writes:  

"These containers sell for anywhere from ten to forty dollars and ''appear secure''. And that is precisely the problem because the four major brands that we analyzed offer little real security once the “secret” about how they actually work and can be opened is understood. That “secret” is usually trivial, quickly grasped, and can be replicated easily."

"The problem is that all of these products can be quickly and easily compromised. That means that if an adult relies upon the security of one of these containers to protect their meds from theft or pilfering, they may have a false sense of security and not be as vigilant as required to actually count their mediation to make sure that no doses are missing."

"Every mechanical combination lock that we evaluated could be easily opened in a matter of seconds without dialing the correct numbers."

The following comment was made about one company's products: "They are easy to open and often can be accomplished without any expertise, and no evidence of entry. While they appear to be secure, they are not, and should not be relied upon for any real measure of security."

Lockable pill bottles didn't work much better.  Tobias states:  "While the design is clever it is also not secure and we found could be simply compromised in at least four different ways. The design demonstrates a consistent problem with virtually all of these products: real security is usually inconsistent with inexpensive components, especially when made of plastic."   He shares a simple video that supports that statement."<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids</ref>

The article does state that locked pill containers can prevent accidental use by small children.<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/</ref>

In this [https://www.youtube.com/watch?v=9uLCZGGwJ5g&feature=youtu.be video of an interview] with a founder and executive of one of the companies that makes and sells lock boxes for medications, the executive states that they provide a pill count sheet with their product and encourage people to do regular pill counts so they can detect if pills are being stolen. (10:45 to 13:15 and 21:10 to 22:30 in the video.)

Other research, not in the Forbes article, has shown that family members can often guess the number used as the code for opening a lock, and once they know the code, the lock box provides no obstacle for them stealing drugs--only a false sense of security for those using the locking boxes or pill bottles. (Source needed).

In spite of these shortcomings, the use of locked medication boxes will still be a deterrent to some people who are not aware of how to open them. (Source needed)
</div>
== People Given Lock Boxes Usually Don't Use Them  ==

Anecdotal evidence from the evaluation of the use of medicatiion lock boxes revealed that six months after they have been provided with medication lock boxes, only a small percent of them were being used.  (Source needed).  

Reasons given for why seniors don't use lock boxes include:

*It is inconvenient or they don't want to have to remember the combination
*It requires a change of behavior and adds a step to taking their medications.
*They often don't believe that their grandchildren or other people who come to their home woudl steal their medications. 

= Programs to Encourage Safe Storage and Reduce the Theft of Prescription Drugs =

== Examples of Campaigns and Organzations Supporting Safe Storage ==

'''Safe Homes Coalition'''<br/> [http://makeitasafehome.org/ SafeHomes Coalition] helps communities start programs to raise awareness of the proper use, storage and disposal of prescription drugs. (They can help your community start a chapter.) This [https://www.youtube.com/watch?v=m7C01hibtBg&feature=youtu.be SafeHomes PSA] provides more information.<br/> <br/> '''Up and Away Campaign'''<br/> This [http://www.upandaway.org/#about campaign] is designed to remind families about the importance of safe medicine storage. See [[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|Tools & Resources]] for resources to distribute in your community.<br/>  

== Launching Community-wide Collaborative Campaigns ==

=== Drug Disposal and Safe Storage Campaign ===

Many communities have done some education and awareness efforts to increase prescription drug disposal and safe storage, but there is potential to reach significantly more people by engaging a diverse group of cross-sector partners in a campaign.

'''See Details:  '''[[Community_Safe_Storage_Campaign|Collaborative campaign to increase safe storage and prescription drug disposal]].<br/>  

=== Self-Funding Program for Safe Storage Caps (TimerCaps) ===

A local coalition, hospital, insurance company or non-profit can sponsor a program to distribute TimerCaps to people using prescription drugs. Sponsors have their logo imprinted on the cap and the label and can give them away at community events or via partners like pharmacists, community groups for seniors, or the prescribing doctors.

'''See Details:''' [[Details_for_a_Self-Funding_Safe_Storage_campaign|Self-Funding Safe Storage campaign]].<br/>  

'''Case Study of Successful Coalition Campaign with TimerCaps'''
South Kingston Program for Prevention and Rebels Inspiring Positive Lifestyles joined forces to raise funds to send youth leaders to CADCA training. The coalition held community awareness events and garnered local news publicity for their cause. For further details, see <div class="objectEmbed"> </div>
= Safe Storage Products =
<div class="_">Below are list of products that can either be distributed within your community or advertised by community coalitions for families to purchase.</div> <div class="_"> </div>
== TimerCaps ==

[[File:Orange-TimerCap.jpg|Orange-TimerCap.jpg]]<br/> [https://timercap.com/ TimerCap] has a built-in LCD stopwatch timer. Like a stopwatch, the display on the cap counts-up, first the seconds, then minutes and hours since the cap was replaced.<br/> Timer caps come in different sizes, and they can replace an existing medicine bottle cap (or you can get a cap and bottle combination). Using a TimerCap helps accomplish all [[Six_principles_of_prescription_abuse_prevention|six principles of prescription abuse prevention]]. TimerCaps are easy to use and don't require a change in patient behavior.<br/> <br/> '''Improve Patient Safety'''

*Provide the PEACE OF MIND of knowing they did or did not take their medication.
*Help seniors avoid accidental overdoses and emergency room visits due to accidentally taking medications multiple times.
*Easily know how long it has been since taking medication (to check before driving)
*Tracker form to help monitor their intake and pain levels or other information

<br/> '''Deter Theft of Pills'''

*Easily detect unwanted openings to the exact minute it happened
*Deters kids or neighbors from sneaking a few pills--as they would be caught by the new time
*Solution to measure, monitor, manage, detect,and deter opioids abuse.
<br/> '''Economical Enough to Give Away at Events or by Partners'''<br/> TimerCaps are a low-cost option for improving safe storage (as low as $2.49 each), so they are economical as a give-away at educational events, or they can be given to people by community partners. Since the TimerCap lids and labels can be customized with a logo or other branding information, sponsors who make donations to fund the program receive valuable recognition for their support. See coalition testimonials: <div class="objectEmbed">[[File/view/Testimonials.pages/628136277/Testimonials.pages|[File:http://www.wikispaces.com/i/mime/32/empty.png Testimonials.pages]]] <div>[[File/view/Testimonials.pages/628136277/Testimonials.pages|Testimonials.pages]]
*[[File/detail/Testimonials.pages|Details]]
*[[File/view/Testimonials.pages/628136277/Testimonials.pages|Download]]
*743 KB
</div> </div> <br/> <br/> Visit [http://www.timercap.com www.timercap.com] or Contact: 800-557-4072 ext. 106<br/>  
== Locking Storage Devices ==

'''Ikeyp'''<br/> [[File:Ikeyp Product.png|Ikeyp Product.png]]<br/> The world's first smart storage device for personal items that need to be securely stored yet regularly accessed. See [https://ikeyp.com/ website] for a comprehensive list of uses and products.<br/> Introductory video from a tech review: [https://vimeo.com/184531456 [1]]<br/> Gadgetgram Review including a video created by the manufacture of the product for CES 2018: [http://www.gadgetgram.com/2017/12/27/ikeyp-pro-smart-safe/ [2]]<br/> Retail price is $149.00 but a coordinated community-wide effort to promote safe storage of prescription drugs, bulk purchase discounts may be available.<br/> ''Contact for bulk purchasing'': 1-800-485-8904<br/> <br/> <span style="color: #67677e; font-size: 1.2em; letter-spacing: 0.5px">'''Lockable Caps'''</span><br/> '''Safer Lock'''<br/> [[File:Safer Lock Product.png|Safer Lock Product.png]]<br/> [https://saferlockrx.com/ Safer Lock] is a patented 4-digit combination locking cap. This could be purchased by communities at wholesale prices and distributed to community members at lower prices.<br/> <br/> Products:

#[https://saferlockrx.com/product/safer-lock/ Safer Lock]
#[https://saferlockrx.com/product/medication-lock-box/ Safer Lock Box]
#[https://saferlockrx.com/product/safer-lock-cases/ Safer Lock Multi-Packs & Case]s
#[https://saferlockrx.com/product/book-safe/ Book Safe]

<br/> ''Contact for wholesale pricing'': (844) 209-5044<br/>  

== Pill Locker ==

A promising new technology, [[Pill_Locker|Pill Locker]], uses advanced, but affordable, technology to package pills in a re-usable "locker" that dispenses pills one at a time, when they should be taken.<br/>  

 

== Changing Drug Packaging ==

*Packaging opioid drugs in [https://en.wikipedia.org/wiki/Blister_pack blister packs] , or in single-dose packages, instead of having an entire bottle filled with prescription pills have been shown to help prevent accident poisonings in children<ref>http://www.livescience.com/58351-kids-opioids-ingestion.html</ref>
*One vendor of Single-dose packets is [https://pack4u.com/ Pack4U]. They provide a sophisticated, personalized option that allows pharmacies to deliver higher value to patients needing any prescriptions, including opioids.

= Education Topics =

== Educate Parents on Key Points ==

*The most secure way to keep prescription medications is in a locked storage box up and away
*If locking them is not an option keep them stored in a secured place in your home that is up and away from children.
*Keep a medication log so you know what medications you have and how many you have of each medication.
**You should try to do an inventory of all the medicines you have at least once a year, preferably every six months.<ref>http://www.youthconnectionscoalition.org/content/wp-content/uploads/2015/04/safe_storage.pdf</ref>
*Medications whose labels specify that refrigeration is necessary should always be kept in the refrigerator.
*The medicine cabinet in a bathroom is often not the best place to store prescriptions. They should be stored in a cool dry place. Humidity, heat, and the change in temperatures in the bathroom can alter the potency of some medications.<ref>http://www.youthconnectionscoalition.org/content/reduce-rx-abuse-2/the-proper-storage-of-prescription-drugs/</ref> Some storage devices, such as iKeyp, can help protect medications from humidity, even if stored in bathrooms.

= Tools & Resources =

[[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|TR - Increase Safe Storage of Prescription Drugs]]

= Scorecard Building =

[[PO_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Objective Details]]<br/> [[PM_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Measures and Data Sources]]

= Actions to Take =

[[PA_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Actions and Partners]]

Actions for Individuals

= Resources to Investigate =

[[RTI_-_Improve_Safe_Storage_of_Prescription_Drugs|More RTI on Safe Storage of Prescription Drugs]]<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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= Sources =

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[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

PM - Expand Prescription Drug Take-back and Disposal Program

2019-11-12T01:20:27Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to [[Expand_Prescription_Drug_Take-back_&_Disposal_Program#Scorecard_Building|Expand Prescription Drug Take-Back & Disposal Program]]<br/> <br/> <span style="background-color: #ffffff">See [[PO_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Objective Details]]</span><br/> <span style="background-color: #ffffff">See [[PA_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|Potential Actions & Partners]]</span>
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= Potential Measures =

<span style="color: #ff0000">As you add potential measures, please include a description, calculations for the measure and possible data sources.</span>

{| border="1" class="wiki_table"
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| style="text-align: center" | '''Measure'''
| style="text-align: center" | '''Description'''
| style="text-align: center" | '''Calculations'''
| style="text-align: center" | '''Data Sources'''
|-
| Number of Community Organizations Engaged in Distributing home-based disposal options
| <span style="font-family: Verdana,Arial; font-size: 12px">This reflects the organizations (beyond pharmacies) that are supporting distribution (such as senior centers, hospice, hospitals, funeral homes, pharmacies, etc.).</span>
| Number of Organizations active in distributing home-based disposal options in the prior year.
| Local Level Data Collection (spreadsheet or on-line document)
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| Number of Pounds of Medication Collected at Take-Back Events
| <span style="font-family: Verdana,Arial; font-size: 12px">The number of pounds of medication collected at local </span>dropboxes.
| Pounds collected per year
| Local Level Data Collection
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| Number of Community Organizations Engaged in Promoting Take-Back Events
| The number of community organizations engaged in promoting take-back events
| Number of organizations actively involved in the prior year.
| Local Level Data Collection
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| Percent of Pharmacies Engaged in Distributing Deterra Kits with Narcotic Prescriptions
| The percent of pharmacies engaged in distributing Deterra kits with narcotic prescriptions
| Pharmacies that are distributing kits / total number of pharmacies
| Local Level Data Collection. <span style="font-family: Verdana,Arial; font-size: 12px">Consider attaching a spreadsheet or list of pharmacies to track the number participating out of the total. The list can be used to further identify pharmacies for potential partnership.</span>
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| Number of Community Organizations Engaged in Promoting Take-Back Events
| The number of community organizations engaged in promoting take-back events
| Number of organizations
| Local Level Data Collection.
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| Number of Disposal Options in the Community
| The number of disposal options in the community. <span style="font-family: Verdana,Arial; font-size: 12px">Disposal options can consist of drop box locations, Deterra kits, take-back events, donation programs, or other options established in the community.</span>
| Number of disposal options
| Local Level Data Collection
|-
|  
| <span style="font-family: Verdana,Arial; font-size: 12px">The number of pounds of medication collected take-back events</span>
| Pounds
| Local Level Data Collection
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| Number of Take-Back Events Held
| <span style="font-family: Verdana,Arial; font-size: 12px">The number of take-back events held</span>
| Number of events
| Local Level Data Collection
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= Potential Data Sources =

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PO - Expand Prescription Drug Take-back and Disposal Program

2019-11-12T01:19:51Z

Billb:

<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="wiki" id="content_view" style="display: block">
Return to [[Expand_Prescription_Drug_Take-back_&_Disposal_Program#Scorecard_Building|Expand Prescription Drug Take-back & Disposal Program]]<br/> Go to [[PM_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Measure Details]]
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= Examples of a description for this Objective =

<br/> Along with safe storage, the FDA recommends properly disposing of expired, unwanted or unused medication in order to help reduce unintentional use and intentional misuse of prescription drugs. Safe disposal of prescription medication can be accomplished at local drop boxes or by following the disposal information on the medication bottle.<br/> <br/> Proper Medication Disposal Prescription drug abuse is a significant public health and public safety issue, and a large source of the problem is a direct result of what is in Americans’ medicine cabinets. SAMHSA’s 2009 National Survey on Drug Use and Health found that over 70 percent of people who used prescription pain relievers non-medically got them from friends or relatives, while approximately 5 percent got them from a drug dealer or from the Internet. The same survey showed the scale of the problem is vast with more than 7 million Americans reporting use of a prescription medication for non-medical purposes in the past 30 days. Therefore, a comprehensive plan to address prescription drug abuse must include proper disposal of unused, unneeded, or expired medications. Providing individuals with a secure and convenient way to dispose of medications will help prevent diversion and abuse, and help to reduce the introduction of drugs into the environment. In order to protect human health and the environment, it is vital that collected prescription drugs be appropriately disposed of in an environmentally safe manner. <sup class="reference">[1]</sup><br/> <br/> <br/>  
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= Examples of a From-To Gap =

{| border="1" class="wiki_table"
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| style="text-align: center" | '''Current State'''
| style="text-align: center" | '''Desired State'''
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| There are a few drop boxes for disposing of prescription drugs, but most people are not aware of the locations.
| We have more drop boxes (in more convenient locations) and there is a high awareness of where they are. As a result, the amount of prescription drugs disposed in this manner increases.
|-
| The seniors who are most likely to have significant amounts of opioids or other prescription drugs are least likely to use the drop boxes or to participate in Prescription Drug Take Back events.
| Targeted efforts to communicate with seniors and provide safe and convenient ways for them to dispose of prescription drugs results in a large number of opioids being removed from the community--reducing the chances for them being redirected and mis-used.
|-
| Because there are so many opioids in houses and apartments, people wanting to misuse (or sell) opioids know that there are many opportunities to steal them. This increases break-ins or other efforts to access medicine cabinets or drawers were opioids may be kept.
| Effective campaigns to take back or properly dispose of prescription drugs (especially opioids) has so dramatically reduced the amount sitting in homes and apartments that trying to steal them is no longer worth the effort. This reduces crime and also is a barrier for people who are in the early stages of misuse.
|-
|  
|  
|-
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|}

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#[https://www.cdc.gov/drugoverdose/pdf/hhs_prescription_drug_abuse_report_09.2013.pdf [1]] [https://www.cdc.gov/drugoverdose/pdf/hhs_prescription_drug_abuse_report_09.2013.pdf https://www.cdc.gov/drugoverdose/pdf/hhs_prescription_drug_abuse_report_09.2013.pdf]
</div> </div> </div> </div> </div> </div> </div>

PM - Expand Prescription Drug Take-back and Disposal Program

2019-11-12T01:17:48Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to [[Expand_Prescription_Drug_Take-back_&_Disposal_Program|Expand Prescription Drug Take-Back & Disposal Program]]<br/> <br/> <span style="background-color: #ffffff">See [[PO_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Potential Objective Details]]</span><br/> <span style="background-color: #ffffff">See [[PA_-_Expand_Prescription_Drug_Take-back_&_Disposal_Program|Potential Actions & Partners]]</span>

<div class="mw-parser-output">
= Potential Measures =

<span style="color: #ff0000">As you add potential measures, please include a description, calculations for the measure and possible data sources.</span>

{| border="1" class="wiki_table"
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| style="text-align: center" | '''Measure'''
| style="text-align: center" | '''Description'''
| style="text-align: center" | '''Calculations'''
| style="text-align: center" | '''Data Sources'''
|-
| Number of Community Organizations Engaged in Distributing home-based disposal options
| <span style="font-family: Verdana,Arial; font-size: 12px">This reflects the organizations (beyond pharmacies) that are supporting distribution (such as senior centers, hospice, hospitals, funeral homes, pharmacies, etc.).</span>
| Number of Organizations active in distributing home-based disposal options in the prior year.
| Local Level Data Collection (spreadsheet or on-line document)
|-
| Number of Pounds of Medication Collected at Take-Back Events
| <span style="font-family: Verdana,Arial; font-size: 12px">The number of pounds of medication collected at local </span>dropboxes.
| Pounds collected per year
| Local Level Data Collection
|-
| Number of Community Organizations Engaged in Promoting Take-Back Events
| The number of community organizations engaged in promoting take-back events
| Number of organizations actively involved in the prior year.
| Local Level Data Collection
|-
| Percent of Pharmacies Engaged in Distributing Deterra Kits with Narcotic Prescriptions
| The percent of pharmacies engaged in distributing Deterra kits with narcotic prescriptions
| Pharmacies that are distributing kits / total number of pharmacies
| Local Level Data Collection. <span style="font-family: Verdana,Arial; font-size: 12px">Consider attaching a spreadsheet or list of pharmacies to track the number participating out of the total. The list can be used to further identify pharmacies for potential partnership.</span>
|-
| Number of Community Organizations Engaged in Promoting Take-Back Events
| The number of community organizations engaged in promoting take-back events
| Number of organizations
| Local Level Data Collection.
|-
| Number of Disposal Options in the Community
| The number of disposal options in the community. <span style="font-family: Verdana,Arial; font-size: 12px">Disposal options can consist of drop box locations, Deterra kits, take-back events, donation programs, or other options established in the community.</span>
| Number of disposal options
| Local Level Data Collection
|-
|  
| <span style="font-family: Verdana,Arial; font-size: 12px">The number of pounds of medication collected take-back events</span>
| Pounds
| Local Level Data Collection
|-
| Number of Take-Back Events Held
| <span style="font-family: Verdana,Arial; font-size: 12px">The number of take-back events held</span>
| Number of events
| Local Level Data Collection
|-
|  
|  
|  
|  
|-
|  
|  
|  
|  
|}

<br/>  
</div>

= Potential Data Sources =

{| class="wiki_table"
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| style="text-align: center" | '''date added'''
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</div> </div> </div> </div>

PO - Expand Prescription Drug Take-back and Disposal Program

2019-11-12T01:12:03Z

Billb:

<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="wiki" id="content_view" style="display: block">
Return to [[Expand_Prescription_Drug_Take-back_&_Disposal_Program|Expand Prescription Drug Take-back & Disposal Program]]<br/> Go to [[PM_-_Expand_Prescription_Drug_Take-back_and_Disposal_Program|Measure Details]]

<div class="mw-parser-output">
= Examples of a description for this Objective =

<br/> Along with safe storage, the FDA recommends properly disposing of expired, unwanted or unused medication in order to help reduce unintentional use and intentional misuse of prescription drugs. Safe disposal of prescription medication can be accomplished at local drop boxes or by following the disposal information on the medication bottle.<br/> <br/> Proper Medication Disposal Prescription drug abuse is a significant public health and public safety issue, and a large source of the problem is a direct result of what is in Americans’ medicine cabinets. SAMHSA’s 2009 National Survey on Drug Use and Health found that over 70 percent of people who used prescription pain relievers non-medically got them from friends or relatives, while approximately 5 percent got them from a drug dealer or from the Internet. The same survey showed the scale of the problem is vast with more than 7 million Americans reporting use of a prescription medication for non-medical purposes in the past 30 days. Therefore, a comprehensive plan to address prescription drug abuse must include proper disposal of unused, unneeded, or expired medications. Providing individuals with a secure and convenient way to dispose of medications will help prevent diversion and abuse, and help to reduce the introduction of drugs into the environment. In order to protect human health and the environment, it is vital that collected prescription drugs be appropriately disposed of in an environmentally safe manner. <sup class="reference">[1]</sup><br/> <br/> <br/>  
</div>

= Examples of a From-To Gap =

{| border="1" class="wiki_table"
|-
| style="text-align: center" | '''Current State'''
| style="text-align: center" | '''Desired State'''
|-
| There are a few drop boxes for disposing of prescription drugs, but most people are not aware of the locations.
| We have more drop boxes (in more convenient locations) and there is a high awareness of where they are. As a result, the amount of prescription drugs disposed in this manner increases.
|-
| The seniors who are most likely to have significant amounts of opioids or other prescription drugs are least likely to use the drop boxes or to participate in Prescription Drug Take Back events.
| Targeted efforts to communicate with seniors and provide safe and convenient ways for them to dispose of prescription drugs results in a large number of opioids being removed from the community--reducing the chances for them being redirected and mis-used.
|-
| Because there are so many opioids in houses and apartments, people wanting to misuse (or sell) opioids know that there are many opportunities to steal them. This increases break-ins or other efforts to access medicine cabinets or drawers were opioids may be kept.
| Effective campaigns to take back or properly dispose of prescription drugs (especially opioids) has so dramatically reduced the amount sitting in homes and apartments that trying to steal them is no longer worth the effort. This reduces crime and also is a barrier for people who are in the early stages of misuse.
|-
|  
|  
|-
|  
|  
|}

----

#[https://www.cdc.gov/drugoverdose/pdf/hhs_prescription_drug_abuse_report_09.2013.pdf [1]] [https://www.cdc.gov/drugoverdose/pdf/hhs_prescription_drug_abuse_report_09.2013.pdf https://www.cdc.gov/drugoverdose/pdf/hhs_prescription_drug_abuse_report_09.2013.pdf]
</div> </div> </div> </div> </div> </div>

Reduce Non-Medical Access to Prescription Drugs

2019-11-08T12:24:35Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[ZOOM_MAP_-_Reduce_Access_to_Opioids|Zoom Map (Reduce Access to Opioids)]]<br/>   __TOC__
= Background =

Safe storage of prescription drugs within the home has been identified as key priority strategy by many organizations and coalitions.<ref>https://www.end-opioid-epidemic.org/storage-and-disposal/</ref><ref>http://www.rxsafetymatters.org/families-and-communities/safe-storage-and-disposal/</ref>Even if a community does an excellent job of reducing prescriptions and taking back or disposing of unused opioids, there will still be a lot of opioids in communities. Researchers estimated that in 2005, 3-4% of people were being prescribed opioids for chronic pain<ref>https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm</ref> <span style="font-size: 13px;">and many others are legitimately being prescribed opioids for short-term pain management, and many others who are prescribed other drugs that can be misused, stolen or accidentally consumed by children.</span>

Failure to securely store prescription drugs contributes to the opioid epidemic and other health hazards in several ways.

#Easy access to prescription drugs can lead to initial experimentation, especially by teens.<ref>http://makeitasafehome.org/the-problem/</ref>
#Stealing prescription drugs, which is much easier when they are commonly available in unlocked medicine cabinets, is often a step toward more destructive misuse.
#Easy access to unsecured opioids or other prescription drugs contributes to theft by people who sell them or give them away.
#Children who access unsecured drugs sometimes take them, thinking they are candy.

= Staggering Statistics =

*Only 2 in 10 who have dangerous medications—such as opioid pain pills, stimulants used to treat ADHD, and sedatives—lock them up
*Nearly 70% of prescription opioid medications kept in homes with children are not stored safely<ref>https://www.jhsph.edu/news/news-releases/2017/majority-of-opioid-medications-not-safely-stored-in-home-with-children-survey-finds.html</ref>
*A recent study of adults living in households with children, prescription opioids were stored in a locked or latched place in only 32.6% of households with young children and 11.7% with older children.<ref>https://pediatrics.aappublications.org/content/139/3/e20162161</ref>
*<span style="background-color: #ffffff; color: #58595b; font-family: Arial,sans-serif; font-size: 14px">More than 1,600 teens begin abusing prescription drugs each day.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref></span>
*Almost 1 in every 4 teens in America say they have misused or abused a prescription drug.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*60,000 kids under the age of 5 accidentally ingest these dangerous drugs every year and wind up in emergency rooms, according to data from the CDC<ref>http://www.consumerreports.org/drugs/best-ways-to-protect-kids-accidental-drug-poisoning-/</ref>
*12-17 year olds abuse prescription drugs more than ecstasy, heroin, crack/cocaine and methamphetamines combined.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*In one study, respondents reported storing their opioid medication in a locked (8.6%) or latched (20.9%) location.<ref>Kennedy-Hendricks A, et al. “Medication sharing, storage and disposal practices for opioid medications among US adults.” JAMA Intern Med 2016; 176:1027-29.</ref>
*San Diego's SafeHomes Coalition reports that more than 70% of misused prescription drugs come from someone's medicine cabinet, not from a dealer on the street. <ref>http://makeitasafehome.org/the-problem/</ref>
*The National Drug Intelligence Center reported that $184 million in prescription drug thefts occurred in 2010—a 350 percent increase since 2007<ref>https://www.nnw.org/publication/medication-theft-protecting-our-most-vulnerable-neighbors</ref>.  They note that older people are especially vulnerable to theft of prescription drugs.
*Over half of teens, ages 12 and up, obtained prescription drugs from a friend or family member "for free"

= Shortcomings of Popular Lock Boxes and Safe Storage Products =

Given the dangers of having opioids and other medications easily accessible to teens, children or people who seek to steal pills, it is understandable that many coalitions and other stakeholders have promoted the use of medication lock boxes or other locked storage options.  Unfortunately, many efforts to expand the use of popular safe storage products are of little value. 
<div class="mw-parser-output">
== Most Lockable Medication Boxes are Easily Opened ==

Many popular lock boxes for medications provide little actual protection from people who make even modest efforts to get the pills.  A [https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/ 2018 article in Forbes magazine] describes how most safe storage products provide only a false sense of security.  The author of the article, Marc Weber Tobias, an investigative attorny and physical security expert, writes:  

"These containers sell for anywhere from ten to forty dollars and ''appear secure''. And that is precisely the problem because the four major brands that we analyzed offer little real security once the “secret” about how they actually work and can be opened is understood. That “secret” is usually trivial, quickly grasped, and can be replicated easily."

"The problem is that all of these products can be quickly and easily compromised. That means that if an adult relies upon the security of one of these containers to protect their meds from theft or pilfering, they may have a false sense of security and not be as vigilant as required to actually count their mediation to make sure that no doses are missing."

"Every mechanical combination lock that we evaluated could be easily opened in a matter of seconds without dialing the correct numbers."

The following comment was made about one company's products: "They are easy to open and often can be accomplished without any expertise, and no evidence of entry. While they appear to be secure, they are not, and should not be relied upon for any real measure of security."

Lockable pill bottles didn't work much better.  Tobias states:  "While the design is clever it is also not secure and we found could be simply compromised in at least four different ways. The design demonstrates a consistent problem with virtually all of these products: real security is usually inconsistent with inexpensive components, especially when made of plastic."   He shares a simple video that supports that statement."<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids</ref>

The article does state that locked pill containers can prevent accidental use by small children.<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/</ref>

In this [https://www.youtube.com/watch?v=9uLCZGGwJ5g&feature=youtu.be video of an interview] with a founder and executive of one of the companies that makes and sells lock boxes for medications, the executive states that they provide a pill count sheet with their product and encourage people to do regular pill counts so they can detect if pills are being stolen. (10:45 to 13:15 and 21:10 to 22:30 in the video.)

Other research, not in the Forbes article, has shown that family members can often guess the number used as the code for opening a lock, and once they know the code, the lock box provides no obstacle for them stealing drugs--only a false sense of security for those using the locking boxes or pill bottles. (Source needed).

In spite of these shortcomings, the use of locked medication boxes will still be a deterrent to some people who are not aware of how to open them. (Source needed)
</div>
== People Given Lock Boxes Usually Don't Use Them  ==

Anecdotal evidence from the evaluation of the use of medicatiion lock boxes revealed that six months after they have been provided with medication lock boxes, only a small percent of them were being used.  (Source needed).  

Reasons given for why seniors don't use lock boxes include:

*It is inconvenient or they don't want to have to remember the combination
*It requires a change of behavior and adds a step to taking their medications.
*They often don't believe that their grandchildren or other people who come to their home woudl steal their medications. 

= Programs to Encourage Safe Storage and Reduce the Theft of Prescription Drugs =

== Examples of Campaigns and Organzations Supporting Safe Storage ==

'''Safe Homes Coalition'''<br/> [http://makeitasafehome.org/ SafeHomes Coalition] helps communities start programs to raise awareness of the proper use, storage and disposal of prescription drugs. (They can help your community start a chapter.) This [https://www.youtube.com/watch?v=m7C01hibtBg&feature=youtu.be SafeHomes PSA] provides more information.<br/> <br/> '''Up and Away Campaign'''<br/> This [http://www.upandaway.org/#about campaign] is designed to remind families about the importance of safe medicine storage. See [[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|Tools & Resources]] for resources to distribute in your community.<br/>  

== Launching Community-wide Collaborative Campaigns ==

=== Drug Disposal and Safe Storage Campaign ===

Many communities have done some education and awareness efforts to increase prescription drug disposal and safe storage, but there is potential to reach significantly more people by engaging a diverse group of cross-sector partners in a campaign.

'''See Details:  '''[[Community_Safe_Storage_Campaign|Collaborative campaign to increase safe storage and prescription drug disposal]].<br/>  

=== Self-Funding Program for Safe Storage Caps (TimerCaps) ===

A local coalition, hospital, insurance company or non-profit can sponsor a program to distribute TimerCaps to people using prescription drugs. Sponsors have their logo imprinted on the cap and the label and can give them away at community events or via partners like pharmacists, community groups for seniors, or the prescribing doctors.

'''See Details:''' [[Details_for_a_Self-Funding_Safe_Storage_campaign|Self-Funding Safe Storage campaign]].<br/>  

'''Case Study of Successful Coalition Campaign with TimerCaps'''
South Kingston Program for Prevention and Rebels Inspiring Positive Lifestyles joined forces to raise funds to send youth leaders to CADCA training. The coalition held community awareness events and garnered local news publicity for their cause. For further details, see <div class="objectEmbed"> </div>
= Safe Storage Products =
<div class="_">Below are list of products that can either be distributed within your community or advertised by community coalitions for families to purchase.</div> <div class="_"> </div>
== TimerCaps ==

[[File:Orange-TimerCap.jpg|Orange-TimerCap.jpg]]<br/> [https://timercap.com/ TimerCap] has a built-in LCD stopwatch timer. Like a stopwatch, the display on the cap counts-up, first the seconds, then minutes and hours since the cap was replaced.<br/> Timer caps come in different sizes, and they can replace an existing medicine bottle cap (or you can get a cap and bottle combination). Using a TimerCap helps accomplish all [[Six_principles_of_prescription_abuse_prevention|six principles of prescription abuse prevention]]. TimerCaps are easy to use and don't require a change in patient behavior.<br/> <br/> '''Improve Patient Safety'''

*Provide the PEACE OF MIND of knowing they did or did not take their medication.
*Help seniors avoid accidental overdoses and emergency room visits due to accidentally taking medications multiple times.
*Easily know how long it has been since taking medication (to check before driving)
*Tracker form to help monitor their intake and pain levels or other information

<br/> '''Deter Theft of Pills'''

*Easily detect unwanted openings to the exact minute it happened
*Deters kids or neighbors from sneaking a few pills--as they would be caught by the new time
*Solution to measure, monitor, manage, detect,and deter opioids abuse.
<br/> '''Economical Enough to Give Away at Events or by Partners'''<br/> TimerCaps are a low-cost option for improving safe storage (as low as $2.49 each), so they are economical as a give-away at educational events, or they can be given to people by community partners. Since the TimerCap lids and labels can be customized with a logo or other branding information, sponsors who make donations to fund the program receive valuable recognition for their support. See coalition testimonials: <div class="objectEmbed">[[File/view/Testimonials.pages/628136277/Testimonials.pages|[File:http://www.wikispaces.com/i/mime/32/empty.png Testimonials.pages]]] <div>[[File/view/Testimonials.pages/628136277/Testimonials.pages|Testimonials.pages]]
*[[File/detail/Testimonials.pages|Details]]
*[[File/view/Testimonials.pages/628136277/Testimonials.pages|Download]]
*743 KB
</div> </div> <br/> <br/> Visit [http://www.timercap.com www.timercap.com] or Contact: 800-557-4072 ext. 106<br/>  
== Locking Storage Devices ==

'''Ikeyp'''<br/> [[File:Ikeyp Product.png|Ikeyp Product.png]]<br/> The world's first smart storage device for personal items that need to be securely stored yet regularly accessed. See [https://ikeyp.com/ website] for a comprehensive list of uses and products.<br/> Introductory video from a tech review: [https://vimeo.com/184531456 [1]]<br/> Gadgetgram Review including a video created by the manufacture of the product for CES 2018: [http://www.gadgetgram.com/2017/12/27/ikeyp-pro-smart-safe/ [2]]<br/> Retail price is $149.00 but a coordinated community-wide effort to promote safe storage of prescription drugs, bulk purchase discounts may be available.<br/> ''Contact for bulk purchasing'': 1-800-485-8904<br/> <br/> <span style="color: #67677e; font-size: 1.2em; letter-spacing: 0.5px">'''Lockable Caps'''</span><br/> '''Safer Lock'''<br/> [[File:Safer Lock Product.png|Safer Lock Product.png]]<br/> [https://saferlockrx.com/ Safer Lock] is a patented 4-digit combination locking cap. This could be purchased by communities at wholesale prices and distributed to community members at lower prices.<br/> <br/> Products:

#[https://saferlockrx.com/product/safer-lock/ Safer Lock]
#[https://saferlockrx.com/product/medication-lock-box/ Safer Lock Box]
#[https://saferlockrx.com/product/safer-lock-cases/ Safer Lock Multi-Packs & Case]s
#[https://saferlockrx.com/product/book-safe/ Book Safe]

<br/> ''Contact for wholesale pricing'': (844) 209-5044<br/>  

== Pill Locker ==

A promising new technology, [[Pill_Locker|Pill Locker]], uses advanced, but affordable, technology to package pills in a re-usable "locker" that dispenses pills one at a time, when they should be taken.<br/>  

 

== Changing Drug Packaging ==

*Packaging opioid drugs in [https://en.wikipedia.org/wiki/Blister_pack blister packs] , or in single-dose packages, instead of having an entire bottle filled with prescription pills have been shown to help prevent accident poisonings in children<ref>http://www.livescience.com/58351-kids-opioids-ingestion.html</ref>
*One vendor of Single-dose packets is [https://pack4u.com/ Pack4U]. They provide a sophisticated, personalized option that allows pharmacies to deliver higher value to patients needing any prescriptions, including opioids.

= Education Topics =

== Educate Parents on Key Points ==

*The most secure way to keep prescription medications is in a locked storage box up and away
*If locking them is not an option keep them stored in a secured place in your home that is up and away from children.
*Keep a medication log so you know what medications you have and how many you have of each medication.
**You should try to do an inventory of all the medicines you have at least once a year, preferably every six months.<ref>http://www.youthconnectionscoalition.org/content/wp-content/uploads/2015/04/safe_storage.pdf</ref>
*Medications whose labels specify that refrigeration is necessary should always be kept in the refrigerator.
*The medicine cabinet in a bathroom is often not the best place to store prescriptions. They should be stored in a cool dry place. Humidity, heat, and the change in temperatures in the bathroom can alter the potency of some medications.<ref>http://www.youthconnectionscoalition.org/content/reduce-rx-abuse-2/the-proper-storage-of-prescription-drugs/</ref> Some storage devices, such as iKeyp, can help protect medications from humidity, even if stored in bathrooms.

= Tools & Resources =

[[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|TR - Increase Safe Storage of Prescription Drugs]]

= Scorecard Building =

[[PO_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Objective Details]]<br/> [[PM_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Measures and Data Sources]]

= Actions to Take =

[[PA_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Actions and Partners]]

Actions for Individuals

= Resources to Investigate =

[[RTI_-_Improve_Safe_Storage_of_Prescription_Drugs|More RTI on Safe Storage of Prescription Drugs]]<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>

{| border="1" class="wiki_table"
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| '''Comments'''
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= Sources =

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[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

Reduce Non-Medical Access to Prescription Drugs

2019-11-08T12:10:41Z

Billb:

<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"><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"><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"><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="wiki" id="content_view" style="display: block">
Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[ZOOM_MAP_-_Reduce_Access_to_Opioids|Zoom Map (Reduce Access to Opioids)]]<br/>   __TOC__

= Background =

Safe storage of prescription drugs within the home has been identified as key priority strategy by many organizations and coalitions.<ref>https://www.end-opioid-epidemic.org/storage-and-disposal/</ref><ref>http://www.rxsafetymatters.org/families-and-communities/safe-storage-and-disposal/</ref>Even if a community does an excellent job of reducing prescriptions and taking back or disposing of unused opioids, there will still be a lot of opioids in communities. Researchers estimated that in 2005, 3-4% of people were being prescribed opioids for chronic pain<ref>https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm</ref> <span style="font-size: 13px;">and many others are legitimately being prescribed opioids for short-term pain management, and many others who are prescribed other drugs that can be misused, stolen or accidentally consumed by children.</span>

Failure to securely store prescription drugs contributes to the opioid epidemic and other health hazards in several ways.

#Easy access to prescription drugs can lead to initial experimentation, especially by teens.<ref>http://makeitasafehome.org/the-problem/</ref>
#Stealing prescription drugs, which is much easier when they are commonly available in unlocked medicine cabinets, is often a step toward more destructive misuse.
#Easy access to unsecured opioids or other prescription drugs contributes to theft by people who sell them or give them away.
#Children who access unsecured drugs sometimes take them, thinking they are candy.

= Staggering Statistics =

*Only 2 in 10 who have dangerous medications—such as opioid pain pills, stimulants used to treat ADHD, and sedatives—lock them up
*Nearly 70% of prescription opioid medications kept in homes with children are not stored safely<ref>https://www.jhsph.edu/news/news-releases/2017/majority-of-opioid-medications-not-safely-stored-in-home-with-children-survey-finds.html</ref>
*A recent study of adults living in households with children, prescription opioids were stored in a locked or latched place in only 32.6% of households with young children and 11.7% with older children.<ref>https://pediatrics.aappublications.org/content/139/3/e20162161</ref>
*<span style="background-color: #ffffff; color: #58595b; font-family: Arial,sans-serif; font-size: 14px">More than 1,600 teens begin abusing prescription drugs each day.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref></span>
*Almost 1 in every 4 teens in America say they have misused or abused a prescription drug.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*60,000 kids under the age of 5 accidentally ingest these dangerous drugs every year and wind up in emergency rooms, according to data from the CDC<ref>http://www.consumerreports.org/drugs/best-ways-to-protect-kids-accidental-drug-poisoning-/</ref>
*12-17 year olds abuse prescription drugs more than ecstasy, heroin, crack/cocaine and methamphetamines combined.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*In one study, respondents reported storing their opioid medication in a locked (8.6%) or latched (20.9%) location.<ref>Kennedy-Hendricks A, et al. “Medication sharing, storage and disposal practices for opioid medications among US adults.” JAMA Intern Med 2016; 176:1027-29.</ref>
*San Diego's SafeHomes Coalition reports that more than 70% of misused prescription drugs come from someone's medicine cabinet, not from a dealer on the street. <ref>http://makeitasafehome.org/the-problem/</ref>
*The National Drug Intelligence Center reported that $184 million in prescription drug thefts occurred in 2010—a 350 percent increase since 2007<ref>https://www.nnw.org/publication/medication-theft-protecting-our-most-vulnerable-neighbors</ref>.  They note that older people are especially vulnerable to theft of prescription drugs.
*Over half of teens, ages 12 and up, obtained prescription drugs from a friend or family member "for free"

= Shortcomings of Popular Lock Boxes and Safe Storage Products =

Given the dangers of having opioids and other medications easily accessible to teens, children or people who seek to steal pills, it is understandable that many coalitions and other stakeholders have promoted the use of medication lock boxes or other locked storage options.  Unfortunately, many efforts to expand the use of popular safe storage products are of little value. 
<div class="mw-parser-output">
== Most Lockable Medication Boxes are Easily Opened ==

Many popular lock boxes for medications provide little actual protection from people who make even modest efforts to get the pills.  A [https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/ 2018 article in Forbes magazine] describes how most safe storage products provide only a false sense of security.  The author of the article, Marc Weber Tobias, an investigative attorny and physical security expert, writes:  

"These containers sell for anywhere from ten to forty dollars and ''appear secure''. And that is precisely the problem because the four major brands that we analyzed offer little real security once the “secret” about how they actually work and can be opened is understood. That “secret” is usually trivial, quickly grasped, and can be replicated easily."

"The problem is that all of these products can be quickly and easily compromised. That means that if an adult relies upon the security of one of these containers to protect their meds from theft or pilfering, they may have a false sense of security and not be as vigilant as required to actually count their mediation to make sure that no doses are missing."

"Every mechanical combination lock that we evaluated could be easily opened in a matter of seconds without dialing the correct numbers."

The following comment was made about one company's products: "They are easy to open and often can be accomplished without any expertise, and no evidence of entry. While they appear to be secure, they are not, and should not be relied upon for any real measure of security."

Lockable pill bottles didn't work much better.  Tobias states:  "While the design is clever it is also not secure and we found could be simply compromised in at least four different ways. The design demonstrates a consistent problem with virtually all of these products: real security is usually inconsistent with inexpensive components, especially when made of plastic."   He shares a simple video that supports that statement."<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids</ref>

The article does state that locked pill containers can prevent accidental use by small children.<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/</ref>

In this [https://www.youtube.com/watch?v=9uLCZGGwJ5g&feature=youtu.be video of an interview] with a founder and executive of one of the companies that makes and sells lock boxes for medications, the executive states that they provide a pill count sheet with their product and encourage people to do regular pill counts so they can detect if pills are being stolen. (10:45 to 13:15 and 21:10 to 22:30 in the video.)

Other research, not in the Forbes article, has shown that family members can often guess the number used as the code for opening a lock, and once they know the code, the lock box provides no obstacle for them stealing drugs--only a false sense of security for those using the locking boxes or pill bottles. (Source needed).

In spite of these shortcomings, the use of locked medication boxes will still be a deterrent to some people who are not aware of how to open them. (Source needed)
</div>
== People Given Lock Boxes Usually Don't Use Them  ==

Anecdotal evidence from the evaluation of the use of medicatiion lock boxes revealed that six months after they have been provided with medication lock boxes, only a small percent of them were being used.  (Source needed).  

Reasons given for why seniors don't use lock boxes include:

*It is inconvenient or they don't want to have to remember the combination
*It requires a change of behavior and adds a step to taking their medications.
*They often don't believe that their grandchildren or other people who come to their home woudl steal their medications. 

= Programs to Encourage Safe Storage and Reduce the Theft of Prescription Drugs =

== Examples of Campaigns and Organzations Supporting Safe Storage ==

'''Safe Homes Coalition'''<br/> [http://makeitasafehome.org/ SafeHomes Coalition] helps communities start programs to raise awareness of the proper use, storage and disposal of prescription drugs. (They can help your community start a chapter.) This [https://www.youtube.com/watch?v=m7C01hibtBg&feature=youtu.be SafeHomes PSA] provides more information.<br/> <br/> '''Up and Away Campaign'''<br/> This [http://www.upandaway.org/#about campaign] is designed to remind families about the importance of safe medicine storage. See [[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|Tools & Resources]] for resources to distribute in your community.<br/>  

== Launching Community-wide Collaborative Campaigns ==

=== Drug Disposal and Safe Storage Campaign ===

Many communities have done some education and awareness efforts to increase prescription drug disposal and safe storage, but there is potential to reach significantly more people by engaging a diverse group of cross-sector partners in a campaign.

'''See Details:  '''[[Community_Safe_Storage_Campaign|Collaborative campaign to increase safe storage and prescription drug disposal]].<br/>  

=== Self-Funding Program for Safe Storage Caps (TimerCaps) ===

A local coalition, hospital, insurance company or non-profit can sponsor a program to distribute TimerCaps to people using prescription drugs. Sponsors have their logo imprinted on the cap and the label and can give them away at community events or via partners like pharmacists, community groups for seniors, or the prescribing doctors.

'''See Details:''' [[Details_for_a_Self-Funding_Safe_Storage_campaign|Self-Funding Safe Storage campaign]].<br/>  

'''Case Study of Successful Coalition Campaign with TimerCaps'''
South Kingston Program for Prevention and Rebels Inspiring Positive Lifestyles joined forces to raise funds to send youth leaders to CADCA training. The coalition held community awareness events and garnered local news publicity for their cause. For further details, see <div class="objectEmbed"> </div>
= Safe Storage Products =
<div class="_">Below are list of products that can either be distributed within your community or advertised by community coalitions for families to purchase.</div> <div class="_"> </div>
== TimerCaps ==

[[File:Orange-TimerCap.jpg|Orange-TimerCap.jpg]]<br/> [https://timercap.com/ TimerCap] has a built-in LCD stopwatch timer. Like a stopwatch, the display on the cap counts-up, first the seconds, then minutes and hours since the cap was replaced.<br/> Timer caps come in different sizes, and they can replace an existing medicine bottle cap (or you can get a cap and bottle combination). Using a TimerCap helps accomplish all [[Six_principles_of_prescription_abuse_prevention|six principles of prescription abuse prevention]]. TimerCaps are easy to use and don't require a change in patient behavior.<br/> <br/> '''Improve Patient Safety'''

*Provide the PEACE OF MIND of knowing they did or did not take their medication.
*Help seniors avoid accidental overdoses and emergency room visits due to accidentally taking medications multiple times.
*Easily know how long it has been since taking medication (to check before driving)
*Tracker form to help monitor their intake and pain levels or other information

<br/> '''Deter Theft of Pills'''

*Easily detect unwanted openings to the exact minute it happened
*Deters kids or neighbors from sneaking a few pills--as they would be caught by the new time
*Solution to measure, monitor, manage, detect,and deter opioids abuse.
<br/> '''Economical Enough to Give Away at Events or by Partners'''<br/> TimerCaps are a low-cost option for improving safe storage (as low as $2.49 each), so they are economical as a give-away at educational events, or they can be given to people by community partners. Since the TimerCap lids and labels can be customized with a logo or other branding information, sponsors who make donations to fund the program receive valuable recognition for their support. See coalition testimonials: <div class="objectEmbed">[[File/view/Testimonials.pages/628136277/Testimonials.pages|[File:http://www.wikispaces.com/i/mime/32/empty.png Testimonials.pages]]] <div>[[File/view/Testimonials.pages/628136277/Testimonials.pages|Testimonials.pages]]
*[[File/detail/Testimonials.pages|Details]]
*[[File/view/Testimonials.pages/628136277/Testimonials.pages|Download]]
*743 KB
</div> </div> <br/> <br/> Visit [http://www.timercap.com www.timercap.com] or Contact: 800-557-4072 ext. 106<br/>  
== Locking Storage Devices ==

'''Ikeyp'''<br/> [[File:Ikeyp Product.png|Ikeyp Product.png]]<br/> The world's first smart storage device for personal items that need to be securely stored yet regularly accessed. See [https://ikeyp.com/ website] for a comprehensive list of uses and products.<br/> Introductory video from a tech review: [https://vimeo.com/184531456 [1]]<br/> Gadgetgram Review including a video created by the manufacture of the product for CES 2018: [http://www.gadgetgram.com/2017/12/27/ikeyp-pro-smart-safe/ [2]]<br/> Retail price is $149.00 but a coordinated community-wide effort to promote safe storage of prescription drugs, bulk purchase discounts may be available.<br/> ''Contact for bulk purchasing'': 1-800-485-8904<br/> <br/> <span style="color: #67677e; font-size: 1.2em; letter-spacing: 0.5px">'''Lockable Caps'''</span><br/> '''Safer Lock'''<br/> [[File:Safer Lock Product.png|Safer Lock Product.png]]<br/> [https://saferlockrx.com/ Safer Lock] is a patented 4-digit combination locking cap. This could be purchased by communities at wholesale prices and distributed to community members at lower prices.<br/> <br/> Products:

#[https://saferlockrx.com/product/safer-lock/ Safer Lock]
#[https://saferlockrx.com/product/medication-lock-box/ Safer Lock Box]
#[https://saferlockrx.com/product/safer-lock-cases/ Safer Lock Multi-Packs & Case]s
#[https://saferlockrx.com/product/book-safe/ Book Safe]

<br/> ''Contact for wholesale pricing'': (844) 209-5044<br/>  

== Pill Locker ==

A promising new technology, [[Pill_Locker|Pill Locker]], uses advanced, but affordable, technology to package pills in a re-usable "locker" that dispenses pills one at a time, when they should be taken.<br/>  

 

== Changing Drug Packaging ==

*Packaging opioid drugs in [https://en.wikipedia.org/wiki/Blister_pack blister packs] , or in single-dose packages, instead of having an entire bottle filled with prescription pills have been shown to help prevent accident poisonings in children<ref>http://www.livescience.com/58351-kids-opioids-ingestion.html</ref>
*One vendor of Single-dose packets is [https://pack4u.com/ Pack4U]. They provide a sophisticated, personalized option that allows pharmacies to deliver higher value to patients needing any prescriptions, including opioids.

= Education Topics =

== Educate Parents on Key Points ==

*The most secure way to keep prescription medications is in a locked storage box up and away
*If locking them is not an option keep them stored in a secured place in your home that is up and away from children.
*Keep a medication log so you know what medications you have and how many you have of each medication.
**You should try to do an inventory of all the medicines you have at least once a year, preferably every six months.<ref>http://www.youthconnectionscoalition.org/content/wp-content/uploads/2015/04/safe_storage.pdf</ref>
*Medications whose labels specify that refrigeration is necessary should always be kept in the refrigerator.
*The medicine cabinet in a bathroom is often not the best place to store prescriptions. They should be stored in a cool dry place. Humidity, heat, and the change in temperatures in the bathroom can alter the potency of some medications.<ref>http://www.youthconnectionscoalition.org/content/reduce-rx-abuse-2/the-proper-storage-of-prescription-drugs/</ref> Some storage devices, such as iKeyp, can help protect medications from humidity, even if stored in bathrooms.

= Tools & Resources =

[[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|TR - Increase Safe Storage of Prescription Drugs]]

= Scorecard Building =

[[PO_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Objective Details]]<br/> [[PM_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Measures and Data Sources]]<br/> [[PA_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Actions and Partners]]

= Resources to Investigate =

[[RTI_-_Improve_Safe_Storage_of_Prescription_Drugs|More RTI on Safe Storage of Prescription Drugs]]<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>

{| border="1" class="wiki_table"
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| '''Comments'''
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= Sources =

----

 
</div>
[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

Reduce Non-Medical Access to Prescription Drugs

2019-11-08T12:10:11Z

Billb:

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Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[ZOOM_MAP_-_Reduce_Access_to_Opioids|Zoom Map (Reduce Access to Opioids)]]<br/>   __TOC__

= Background =

Safe storage of prescription drugs within the home has been identified as key priority strategy by many organizations and coalitions.<ref>https://www.end-opioid-epidemic.org/storage-and-disposal/</ref><ref>http://www.rxsafetymatters.org/families-and-communities/safe-storage-and-disposal/</ref>Even if a community does an excellent job of reducing prescriptions and taking back or disposing of unused opioids, there will still be a lot of opioids in communities. Researchers estimated that in 2005, 3-4% of people were being prescribed opioids for chronic pain<ref>https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm</ref> <span style="font-size: 13px;">and many others are legitimately being prescribed opioids for short-term pain management, and many others who are prescribed other drugs that can be misused, stolen or accidentally consumed by children.</span>

Failure to securely store prescription drugs contributes to the opioid epidemic and other health hazards in several ways.

#Easy access to prescription drugs can lead to initial experimentation, especially by teens.<ref>http://makeitasafehome.org/the-problem/</ref>
#Stealing prescription drugs, which is much easier when they are commonly available in unlocked medicine cabinets, is often a step toward more destructive misuse.
#Easy access to unsecured opioids or other prescription drugs contributes to theft by people who sell them or give them away.
#Children who access unsecured drugs sometimes take them, thinking they are candy.

= Staggering Statistics =

*Only 2 in 10 who have dangerous medications—such as opioid pain pills, stimulants used to treat ADHD, and sedatives—lock them up
*Nearly 70% of prescription opioid medications kept in homes with children are not stored safely<ref>https://www.jhsph.edu/news/news-releases/2017/majority-of-opioid-medications-not-safely-stored-in-home-with-children-survey-finds.html</ref>
*A recent study of adults living in households with children, prescription opioids were stored in a locked or latched place in only 32.6% of households with young children and 11.7% with older children.<ref>https://pediatrics.aappublications.org/content/139/3/e20162161</ref>
*<span style="background-color: #ffffff; color: #58595b; font-family: Arial,sans-serif; font-size: 14px">More than 1,600 teens begin abusing prescription drugs each day.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref></span>
*Almost 1 in every 4 teens in America say they have misused or abused a prescription drug.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*60,000 kids under the age of 5 accidentally ingest these dangerous drugs every year and wind up in emergency rooms, according to data from the CDC<ref>http://www.consumerreports.org/drugs/best-ways-to-protect-kids-accidental-drug-poisoning-/</ref>
*12-17 year olds abuse prescription drugs more than ecstasy, heroin, crack/cocaine and methamphetamines combined.<ref>http://www.rxsafetymatters.org/families-and-communities/facts-and-figures/</ref>
*In one study, respondents reported storing their opioid medication in a locked (8.6%) or latched (20.9%) location.<ref>Kennedy-Hendricks A, et al. “Medication sharing, storage and disposal practices for opioid medications among US adults.” JAMA Intern Med 2016; 176:1027-29.</ref>
*San Diego's SafeHomes Coalition reports that more than 70% of misused prescription drugs come from someone's medicine cabinet, not from a dealer on the street. <ref>http://makeitasafehome.org/the-problem/</ref>
*The National Drug Intelligence Center reported that $184 million in prescription drug thefts occurred in 2010—a 350 percent increase since 2007<ref>https://www.nnw.org/publication/medication-theft-protecting-our-most-vulnerable-neighbors</ref>.  They note that older people are especially vulnerable to theft of prescription drugs.
*Over half of teens, ages 12 and up, obtained prescription drugs from a friend or family member "for free"

= Shortcomings of Popular Lock Boxes and Safe Storage Products =

Given the dangers of having opioids and other medications easily accessible to teens, children or people who seek to steal pills, it is understandable that many coalitions and other stakeholders have promoted the use of medication lock boxes or other locked storage options.  Unfortunately, many efforts to expand the use of popular safe storage products are of little value. 
<div class="mw-parser-output">
== Most Lockable Medication Boxes are Easily Opened ==

Many popular lock boxes for medications provide little actual protection from people who make even modest efforts to get the pills.  A [https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/ 2018 article in Forbes magazine] describes how most safe storage products provide only a false sense of security.  The author of the article, Marc Weber Tobias, an investigative attorny and physical security expert, writes:  

"These containers sell for anywhere from ten to forty dollars and ''appear secure''. And that is precisely the problem because the four major brands that we analyzed offer little real security once the “secret” about how they actually work and can be opened is understood. That “secret” is usually trivial, quickly grasped, and can be replicated easily."

"The problem is that all of these products can be quickly and easily compromised. That means that if an adult relies upon the security of one of these containers to protect their meds from theft or pilfering, they may have a false sense of security and not be as vigilant as required to actually count their mediation to make sure that no doses are missing."

"Every mechanical combination lock that we evaluated could be easily opened in a matter of seconds without dialing the correct numbers."

The following comment was made about one company's products: "They are easy to open and often can be accomplished without any expertise, and no evidence of entry. While they appear to be secure, they are not, and should not be relied upon for any real measure of security."

Lockable pill bottles didn't work much better.  Tobias states:  "While the design is clever it is also not secure and we found could be simply compromised in at least four different ways. The design demonstrates a consistent problem with virtually all of these products: real security is usually inconsistent with inexpensive components, especially when made of plastic."   He shares a simple video that supports that statement."<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids</ref>

The article does state that locked pill containers can prevent accidental use by small children.<ref>https://www.forbes.com/sites/marcwebertobias/2018/07/02/security-containers-for-prescription-drugs-that-can-be-opened-by-kids/</ref>

In this [https://www.youtube.com/watch?v=9uLCZGGwJ5g&feature=youtu.be video of an interview] with a founder and executive of one of the companies that makes and sells lock boxes for medications, the executive states that they provide a pill count sheet with their product and encourage people to do regular pill counts so they can detect if pills are being stolen. (10:45 to 13:15 and 21:10 to 22:30 in the video.)

Other research, not in the Forbes article, has shown that family members can often guess the number used as the code for opening a lock, and once they know the code, the lock box provides no obstacle for them stealing drugs--only a false sense of security for those using the locking boxes or pill bottles. (Source needed).

In spite of these shortcomings, the use of locked medication boxes will still be a deterrent to some people who are not aware of how to open them. (Source needed)
</div>
== People Given Lock Boxes Usually Don't Use Them  ==

Anecdotal evidence from the evaluation of the use of medicatiion lock boxes revealed that six months after they have been provided with medication lock boxes, only a small percent of them were being used.  (Source needed).  

Reasons given for why seniors don't use lock boxes include:

*It is inconvenient or they don't want to have to remember the combination
*It requires a change of behavior and adds a step to taking their medications.
*They often don't believe that their grandchildren or other people who come to their home woudl steal their medications. 

= Programs to Encourage Safe Storage and Reduce the Theft of Prescription Drugs =

== Examples of Campaigns and Organzations Supporting Safe Storage ==

'''Safe Homes Coalition'''<br/> [http://makeitasafehome.org/ SafeHomes Coalition] helps communities start programs to raise awareness of the proper use, storage and disposal of prescription drugs. (They can help your community start a chapter.) This [https://www.youtube.com/watch?v=m7C01hibtBg&feature=youtu.be SafeHomes PSA] provides more information.<br/> <br/> '''Up and Away Campaign'''<br/> This [http://www.upandaway.org/#about campaign] is designed to remind families about the importance of safe medicine storage. See [[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|Tools & Resources]] for resources to distribute in your community.<br/>  

== Launching Community-wide Collaborative Campaigns ==

=== Drug Disposal and Safe Storage Campaign ===

Many communities have done some education and awareness efforts to increase prescription drug disposal and safe storage, but there is potential to reach significantly more people by engaging a diverse group of cross-sector partners in a campaign.

'''See Details:  '''[[Community_Safe_Storage_Campaign|Collaborative campaign to increase safe storage and prescription drug disposal]].<br/>  

=== Self-Funding Program for Safe Storage Caps (TimerCaps) ===

A local coalition, hospital, insurance company or non-profit can sponsor a program to distribute TimerCaps to people using prescription drugs. Sponsors have their logo imprinted on the cap and the label and can give them away at community events or via partners like pharmacists, community groups for seniors, or the prescribing doctors.

'''See Details:''' [[Details_for_a_Self-Funding_Safe_Storage_campaign|Self-Funding Safe Storage campaign]].<br/>  

'''Case Study of Successful Coalition Campaign with TimerCaps'''
South Kingston Program for Prevention and Rebels Inspiring Positive Lifestyles joined forces to raise funds to send youth leaders to CADCA training. The coalition held community awareness events and garnered local news publicity for their cause. For further details, see <div class="objectEmbed"> </div>
= Safe Storage Products =
<div class="_">Below are list of products that can either be distributed within your community or advertised by community coalitions for families to purchase.</div> <div class="_"> </div>
== TimerCaps ==

[[File:Orange-TimerCap.jpg|Orange-TimerCap.jpg]]<br/> [https://timercap.com/ TimerCap] has a built-in LCD stopwatch timer. Like a stopwatch, the display on the cap counts-up, first the seconds, then minutes and hours since the cap was replaced.<br/> Timer caps come in different sizes, and they can replace an existing medicine bottle cap (or you can get a cap and bottle combination). Using a TimerCap helps accomplish all [[Six_principles_of_prescription_abuse_prevention|six principles of prescription abuse prevention]]. TimerCaps are easy to use and don't require a change in patient behavior.<br/> <br/> '''Improve Patient Safety'''

*Provide the PEACE OF MIND of knowing they did or did not take their medication.
*Help seniors avoid accidental overdoses and emergency room visits due to accidentally taking medications multiple times.
*Easily know how long it has been since taking medication (to check before driving)
*Tracker form to help monitor their intake and pain levels or other information

<br/> '''Deter Theft of Pills'''

*Easily detect unwanted openings to the exact minute it happened
*Deters kids or neighbors from sneaking a few pills--as they would be caught by the new time
*Solution to measure, monitor, manage, detect,and deter opioids abuse.
<br/> '''Economical Enough to Give Away at Events or by Partners'''<br/> TimerCaps are a low-cost option for improving safe storage (as low as $2.49 each), so they are economical as a give-away at educational events, or they can be given to people by community partners. Since the TimerCap lids and labels can be customized with a logo or other branding information, sponsors who make donations to fund the program receive valuable recognition for their support. See coalition testimonials: <div class="objectEmbed">[[File/view/Testimonials.pages/628136277/Testimonials.pages|[File:http://www.wikispaces.com/i/mime/32/empty.png Testimonials.pages]]] <div>[[File/view/Testimonials.pages/628136277/Testimonials.pages|Testimonials.pages]]
*[[File/detail/Testimonials.pages|Details]]
*[[File/view/Testimonials.pages/628136277/Testimonials.pages|Download]]
*743 KB
</div> </div> <br/> <br/> Visit [http://www.timercap.com www.timercap.com] or Contact: 800-557-4072 ext. 106<br/>  
== Locking Storage Devices ==

'''Ikeyp'''<br/> [[File:Ikeyp Product.png|Ikeyp Product.png]]<br/> The world's first smart storage device for personal items that need to be securely stored yet regularly accessed. See [https://ikeyp.com/ website] for a comprehensive list of uses and products.<br/> Introductory video from a tech review: [https://vimeo.com/184531456 [1]]<br/> Gadgetgram Review including a video created by the manufacture of the product for CES 2018: [http://www.gadgetgram.com/2017/12/27/ikeyp-pro-smart-safe/ [2]]<br/> Retail price is $149.00 but a coordinated community-wide effort to promote safe storage of prescription drugs, bulk purchase discounts may be available.<br/> ''Contact for bulk purchasing'': 1-800-485-8904<br/> <br/> <span style="color: #67677e; font-size: 1.2em; letter-spacing: 0.5px">'''Lockable Caps'''</span><br/> '''Safer Lock'''<br/> [[File:Safer Lock Product.png|Safer Lock Product.png]]<br/> [https://saferlockrx.com/ Safer Lock] is a patented 4-digit combination locking cap. This could be purchased by communities at wholesale prices and distributed to community members at lower prices.<br/> <br/> Products:

#[https://saferlockrx.com/product/safer-lock/ Safer Lock]
#[https://saferlockrx.com/product/medication-lock-box/ Safer Lock Box]
#[https://saferlockrx.com/product/safer-lock-cases/ Safer Lock Multi-Packs & Case]s
#[https://saferlockrx.com/product/book-safe/ Book Safe]

<br/> ''Contact for wholesale pricing'': (844) 209-5044<br/>  

== Pill Locker ==

A promising new technology, [[Pill_Locker|Pill Locker]], uses advanced, but affordable, technology to package pills in a re-usable "locker" that dispenses pills one at a time, when they should be taken.<br/>  

 

== Changing Drug Packaging ==

*Packaging opioid drugs in [https://en.wikipedia.org/wiki/Blister_pack blister packs] , or in single-dose packages, instead of having an entire bottle filled with prescription pills have been shown to help prevent accident poisonings in children<ref>http://www.livescience.com/58351-kids-opioids-ingestion.html</ref>
*One vendor of Single-dose packets is [https://pack4u.com/ Pack4U]. They provide a sophisticated, personalized option that allows pharmacies to deliver higher value to patients needing any prescriptions, including opioids.

= Education Topics =

== Educate Parents on Key Points ==

*The most secure way to keep prescription medications is in a locked storage box up and away
*If locking them is not an option keep them stored in a secured place in your home that is up and away from children.
*Keep a medication log so you know what medications you have and how many you have of each medication.
**You should try to do an inventory of all the medicines you have at least once a year, preferably every six months.<ref>http://www.youthconnectionscoalition.org/content/wp-content/uploads/2015/04/safe_storage.pdf</ref>
*Medications whose labels specify that refrigeration is necessary should always be kept in the refrigerator.
*The medicine cabinet in a bathroom is often not the best place to store prescriptions. They should be stored in a cool dry place. Humidity, heat, and the change in temperatures in the bathroom can alter the potency of some medications.<ref>http://www.youthconnectionscoalition.org/content/reduce-rx-abuse-2/the-proper-storage-of-prescription-drugs/</ref> Some storage devices, such as iKeyp, can help protect medications from humidity, even if stored in bathrooms.

= Tools & Resources =

[[TR_-_Improve_Safe_Storage_of_Prescription_Drugs|TR - Increase Safe Storage of Prescription Drugs]]

= Scorecard Building =

[[PO_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Objective Details]]<br/> [[PM_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Measures and Data Sources]]<br/> [[PA_-_Improve_Safe_Storage_of_Prescription_Drugs|Potential Actions and Partners]]

= Resources to Investigate =

[[RTI_-_Improve_Safe_Storage_of_Prescription_Drugs|More RTI on Safe Storage of Prescription Drugs]]<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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[[Category:Pages with broken file links]] [[Category:SAFE-Prescriptions and Medical Response]]

Fewer People Develop Dependence or SUD

2019-11-02T22:51:45Z

Billb:

<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|Top-Level Strategy Map]]''

----

A key outcome of a comprehensive strategy is that fewer people will develop a dependence on opioids or progress to the point where they've developed an Substance Use Disorder (SUD).  This means that even if they had some initial level of misuse, they stopped misusing the drugs before they developed a dependence.   For every person that has developed a dependence, there are many more that are misusing opioids but have not yet developed a dependence.  That doesn't mean that they are safe.  Some people develop dependence faster than others.  A comprehensive strategy should focus on multiple ways to help people stop misusing opioids before they develop the dependence or addiction. 
<div class="mw-parser-output">
= Background =

== Statistics on People Moving from Misuse to Dependence and to having an SUD ==

Get statistics for this.

== The Importance of Exit Ramps on the Road to Addiction ==

Dependence and the development of an SUD can happen at different paces for different people.  Many people who may misuse opioids or other drugs may not have developed a dependence or SUD yet, but that doens't mean that continued use may not lead them to develop a dependence or addiction. 
</div>
= Promising Practices and Case Studies =

 

= Scorecard Building =

[[PO_-_Fewer_People_Develop_Dependence_or_SUD|Potential Objective Details]]

[[PM_-_Fewer_People_Develop_Dependence_or_SUD|Potential Measures and Data Sources]]

 

= Sources =
</div> </div> </div> </div> </div> </div>

TR - Expand Law Enforcement Assisted Diversion Programs

2019-11-02T22:35:15Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to <u style="font-size: 13px;">[[Expand_Law_Enforcement_Assisted_Diversion_Programs#Tools_&_Resources|Expand Law Enforcement Assisted Diversion Programs]]</u>

__TOC__

= Tools & Resources =

{| class="wiki_table"
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[http://www.countyhealthrankings.org/policies/drug-courts Drug Courts Policy Assessment]

| Policy Assessment
| County Health Rankings & Roadmaps
| '''AUDIENCE:''' General Public<br/> <br/> Drug courts are specialized courts that offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration.<br/> This strategy is rated as scientifically supported, which according to County Health Rankings & Roadmaps means they are strategies most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
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TR - Expand Law Enforcement Assisted Diversion Programs

2019-11-02T22:34:48Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to <u style="font-size: 13px;">[[Expand_Law_Enforcement_Assisted_Diversion_Programs#Tools_and_Resources|Expand Law Enforcement Assisted Diversion Programs]]</u>

__TOC__

= Tools & Resources =

{| class="wiki_table"
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| <span style="display: block; text-align: center">'''Supplemental Materials'''</span>
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[http://www.countyhealthrankings.org/policies/drug-courts Drug Courts Policy Assessment]

| Policy Assessment
| County Health Rankings & Roadmaps
| '''AUDIENCE:''' General Public<br/> <br/> Drug courts are specialized courts that offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration.<br/> This strategy is rated as scientifically supported, which according to County Health Rankings & Roadmaps means they are strategies most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
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PO - Expand Law Enforcement Assisted Diversion Programs

2019-11-02T22:33:15Z

Billb:

<div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to <u>[[Expand_Law_Enforcement_Assisted_Diversion_Programs_#Scorecard_Building|Expand Law Enforcement Assisted Diversion Programs]]</u><br/> Go to [[PM_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|Measure Details]]<br/>  

= Examples of a Description for this Objective =

<br/>  

= Examples of a From-To Gap =

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= Examples of Current Activities =
</div> </div> </div>

Expand Law Enforcement Assisted Diversion and Deflection Programs

2019-11-02T22:32:00Z

Billb:

<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"><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="wiki" id="content_view" style="display: block">
''Return to [[ZOOM_MAP_-_Prioritize_SUD_Treatment_Over_Incarceration|Zoom Map - Prioritize SUD Treatment Over Incarceration]] ''

----

By adopting programs where law enforcement professionals can divert peopel from the typical criminal justice system and help them get the help then need in dealing with their drug use or Substance Use Disorder.  

= Background =
<div class="_">LEAD is a pre-booking diversion program that allows officers to redirect low-level offenders engaged in drugs or prostitution activity to community-based services instead of jail and prosecution. LEAD participants begin working immediately with case managers to access services.<sup class="reference">[1]</sup></div> <div class="_"> </div> <div class="_">According to a 2015 report by the International Centre for the Prevention of Crime (ICPC), "One of the [ONDCP] strategy's objectives for 2015 is to break the cycle of drug use, crime, delinquency, and incarceration by increasing by 5% the number of residential juvenile justice facilities offering substance abuse treatment, and increasing by 2.6% the number of treatment plans completed by individuals referred by the Criminal Justice System (ONDCP, 2012, p.18)."<ref>https://www.unodc.org/documents/ungass2016/Contributions/Civil/ICPC/Rapport_FINAL_ENG_2015.pdf</ref></div> <div class="_"> </div>
= Other Programs =

== The S.M.A.R.T. Approach ==
SMART supports chronic misdemeanor offenders, particularly those who are otherwise resistant to intervention, with a case manager and offers individualized treatment and tailored housing placements. SMART prioritizes chronic misdemeanor offenders with acute drug addictions and complex social service needs.<sup class="reference">[2]</sup><br/> See fact sheet here: <div class="objectEmbed">[[File/view/SMART_Fact_Sheet.pdf/623773107/SMART_Fact_Sheet.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png SMART Fact Sheet.pdf]]] <div>[[File/view/SMART_Fact_Sheet.pdf/623773107/SMART_Fact_Sheet.pdf|SMART Fact Sheet.pdf]]</div> </div>
 

== DTAP - Drug Treatment Alternative To Prison ==

This program had a high rate of success.  See this [https://www.centeronaddiction.org/addiction-research/reports/crossing-bridge-evaluation-drug-treatment-alternative-prison-dtap-program evaluation report] from 2003 for impressive statistics. 

= Tools & Resources =

[[TR_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|TR - Expand Law Enforcement Assisted Diversion Programs]]

= Scorecard Building =

[[PO_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|Potential Objective Details]]<br/> [[PM_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|Potential Measures and Data Sources]]

= Actions to Take =

[[PA_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|Potential Actions and Partners]]

= Resources to Investigate =

[[RTI_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|More RTI on Expand Law Enforcement Assisted Diversion Programs]]<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>

{| class="wiki_table"
|-
| '''Reviewer'''
| '''Date'''
| '''Comments'''
|-
|  
|  
|  
|}

= Sources =

----

#[http://leadkingcounty.org/about/ [1]]
#[https://www.sandiego.gov/cityattorney/divisions/criminal/smart [2]]
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
[[Category:SAFE-Law Enforcement and Criminal Justice]] [[Category:SAFE-Treatment and Recovery]]

Empower Parents

2019-11-02T21:28:03Z

Billb:

<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  [[ZOOM_MAP_-_Improve_Protective_Factors_to_Reduce_SUDs|Zoom Map - Improve Protective Factors to Reduce SUDs]]
Parents are one of the main influencers on whether or not their kids misuse drugs.  But, parenting is not easy.  Communities can take advantage of a wide variety of tools and programs to help parents be more effective in buiding the developmental assets that reduce the likelihood that kids use drugs.  While good parenting (however that is defined) is certainly no guarantee that kids won't use drugs, and the use of drugs by kids does not mean that the parenting was bad, it still makes sense to try to help parents be more effective in helping their kids to grow in a good, supportive environment and for the parents to have as good of influence as they can on their kids' choices regarding use of drugs or alcohol. 

= Background =

== Parents have a big influence on youth behavior ==

Youth who perceive that their parents would strongly disapprove of their use of marijuana are far less likely to have used it in the last month than youth who don’t receive such messages from their parents (4.3 percent versus 31 percent). <sup class="reference">[1]</sup>

  When school prevention programs are supported by families, peers, and the community all sending the consistent message that drug use is not tolerated, it can have a powerful effect on young people. <sup class="reference">[2]</sup><br/>  

 

== Parents Influence Use of Opioid Pain Medication ==

In many cases, doctors, dentists and oral surgeons are still prescribing opioids to teens more often than would be ideal. Many parents may not realize the risks. Helping educate parents may result in some parents working with medical care providers to reduces the prescription of opioid pain medication and pursue other options. This resource is targeting [http://masstapp.edc.org/rx-student-athlete parents of student athletes].

 

= Promising Programs =

== Safe Homes Network and App ==

Originated near Scottsdale, Arizona, Safe Homes Network is an application that allows parents to know where their kids are when they go to a party. When the child goes to a party the parent can check on the app. to see whether or not the house is registered in the directory. If so, parents can contact that head of house and make sure they know whether or not a party is occurring. The system is set up to act like a barrier for alcohol and drug consumption to happen under people's roofs. <sup class="reference">[3]</sup>

  To become a Safe Homes member, you must:<br/>   1. Parents sign a pledge not to allow underage drinking or drug use in their home.<br/>   2. Parents' contact information is entered into the Safe Homes Network database.<br/>   3. Parents download the Safe Homes Network App to their phone or tablet and check it when their child is invited to a party or gathering where they don't know the parents.

  Since the Fountain Hills, AZ coalition started the Safe Homes Network, there has been a 44 percent decrease in the past 30-day use of alcohol, a 37 percent decrease in marijuana use and a 51 percent decrease in prescription drug abuse.<sup class="reference">[4]</sup>

 [[More_information_on_Safe_Homes_Network|More information on Safe Homes Network]]<br/>  

 
<div class="mw-parser-output">
== Gobi ==

Parent involvement is critical in preventing teen substance use. As a parent, it can be extremely difficult to talk about drug use with your kids in an engaging and effective way. Whether you suspect there's already a problem or you want to help make sure there is never a problem, Gobi can help.

[https://www.gobi.support/ Gobi] is the only online prevention program designed by professionals and young adults for teens and their families. Gobi is based on the proven principles of professional drug and alcohol prevention. It’s designed specifically for teens, and it speaks their language—using a tool they already have in hand. Every day for 21 days teens get an email assignment on their smartphone and it takes only 5 minutes per day. Several times a week they get a supportive text message that is meant to be irreverent, humorous, cynical, and just offensive enough to keep them laughing (and engaged).

Parents are involved and get their own series of emails on adolescent development and communication skills. Teens will be asked three times to schedule a time to talk with their parents. Topics and guidelines will be included to make the conversation as successful as possible, and parents will also receive program support.

  Teens Using Gobi Report: (Get source)

*Improved relationship with their parents
*A decrease in their use of drugs and alcohol
*Better ability to manage stress
*Increased awareness of their choices

[https://www.gobi.support/get-started Signing up for Gobi] is free to use by both parents and youth.<br/> [[More_information_on_adopting_the_Gobi_program|More information on adopting the Gobi program]]
</div>
==   ==

== Drug Prevention Resources ==

[https://drugfreegeneration.org/ Drug Prevention Resources] has an abundance of tools and resources to help parents to reduce the likelihood of their kids using drugs.<br/>  

== Fathers' Uplift ==

[http://fathersuplift.org/fathers/ Fathers' Uplift] empowers fathers to overcome barriers and become positively engaged in their children's lives.<sup class="reference">[5]</sup>

= Parent Education =
<div class="mw-parser-output">
== DEA Books ==

The DEA produced two books, "Growing Up Drug Free: A Parent's Guide to Prevention" and "Prescription for Disaster: How Teens Abuse Medicine." Copies of each resource can be found in [[TR_-_Empower_&_Strengthen_Parents|Tools & Resources]].
</div> <div class="mw-parser-output">
== Family Life's Art of Parenting ==

FamilyLife’s [https://www.familylife.com/parenting Art of Parenting] FREE online course gives parents a simple vision and creative ways to make faith the core of their parenting.
</div>
= Tools & Resources =

[[TR_-_Empower_&_Strengthen_Parents|TR - Empower & Strengthen Parents]]

= Scorecard Building =

[[PO_-_Empower_&_Strengthen_Parents|Potential Objective Details]]<br/> [[PM_-_Empower_&_Strengthen_Parents|Potential Measures and Data Sources]]

= Actions to Take =

[[PA_-_Empower_&_Strengthen_Parents|Potential Actions and Partners]]

Actions for Individuals

= Resources to Investigate =

[[RTI_-_Empower_&_Strengthen_Parents|RTI - Empower & Strengthen Parents]]<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>

{| class="wiki_table"
|-
| '''Reviewer'''
| '''Date'''
| '''Comments'''
|-
|  
|  
|  
|}

= Sources =

----

#Substance Abuse and Mental Health Services Administration, Results from the 2012 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-46, HHS Publication No. (SMA) 13-4795 (Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013), www.samhsa.gov/data/ NSDUH/2012SummNatFindDetTables/NationalFindings/ NSDUHresults2012.htm#ch6.7.
#Hazelden Betty Ford Foundation. Heroin and Prescription Painkillers: A Toolkit for Community Action. 2016.
#[http://dev.cadca.org/resources/coalitions-action-connecting-prevention-parents-safe-homes-network [1]]
#[http://dev.cadca.org/resources/coalitions-action-connecting-prevention-parents-safe-homes-network [2]]
#[http://fathersuplift.org/fathers/ [3]]
</div> </div> </div> </div> </div> </div>
[[Category:SAFE-Full Spectrum Prevention]]

Expand Community Service Alternatives to Incarceration

2019-11-02T21:22:37Z

Billb:

Return to [[ZOOM_MAP_-_Prioritize_SUD_Treatment_Over_Incarceration|Zoom Map - Prioritize SUD Treatment Over Incarceration]]
----

When people are breaking laws, get arrested and convicted of a crime, having their punishment be in the form of community service can be an alternative to incarceration.  This can be less damaging to their lives moving forward than incarceration.   

= Background =

== Research on the community service versus incarceration<br/> <br/>   ==

= Tools & Resources =

[[TR_-_Expand_Community_Service_Alternatives_to_Incarceration|TR - Expand Community Service Alternatives to Incarceration]]

= Scorecard Building =

[[PO_-_Expand_Community_Service_Alternatives_to_Incarceration|Potential Objective Details]]<br/> [[PM_-_Expand_Community_Service_Alternatives_to_Incarceration|Potential Measures and Data Sources]]<br/>  

= Actions to Take =

[[PA_-_Expand_Community_Service_Alternatives_to_Incarceration|Potential Actions and Partners]]

= Resources to Investigate =

[[RTI_-_Expand_Community_Service_Alternatives_to_Incarceration|More RTI on Expand Community Service Alternatives to Incarceration]]<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>

{| class="wiki_table"
|-
| '''Reviewer'''
| '''Date'''
| '''Comments'''
|-
|  
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|  
|}

= Sources =

 

[[Category:SAFE-Law Enforcement and Criminal Justice]]

ZOOM MAP - Prioritize SUD Treatment Over Incarceration

2019-11-02T21:06:42Z

Billb:

<div class="mw-parser-output">Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] or [[Shift_from_Punishment_to_Treatment_Approach_for_Opioid_Users|Shift from Punishment to Treatment Approach for Opioid Users]] or the [[ZOOM_MAP_-_Improve_Treatment_&_Enable_Recovery_for_People_with_SUDs|Zoom Map - Improve Treatment & Enable Recovery for People with SUDs]]<br/> <br/> <br/> <imagemap>Image:StrategyMap12v28.PNG|
circle 797 101 15 [[Opioid_Top-Level_Strategy_Map|]]
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rect 438 224 642 280 [[Expand_&_Enhance_Drug_Courts|]]
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rect 150 290 356 346 [[Expand_Programs_Similar_to_the_Angel_Program|]]
rect 442 302 640 348 [[Expand_Community_Service_Alternatives_to_Incarceration|]]
rect 730 306 922 358 [[Enhance_Treatment_During_Incarceration|]]
rect 1000 296 1190 360 [[Improve_Re-Entry_After_Incarceration_for_People_with_SUDs|]]
rect 152 362 358 416 [[Expand_Crisis_Services_to_Handle_OUD_Calls|]]
rect 728 378 924 438 [[Expand_the_use_of_MAT_in_Correctional_Facilities|]]
rect 288 464 508 534 [[Improve_&_Expand_Screening_for_Risk_Factors_&_Testing_for_Misuse|]]
rect 114 586 328 650 [[Strengthen_the_Coalition_to_Reduce_Opioid_Abuse|]]
rect 566 586 776 646 [[Improve_Data_&_Analysis_on_All_Aspects_of_Opioid_Crisis|]]
rect 1016 582 1228 650 [[Increase_Resources_to_Address_the_Opioid_Crisis|]]

</imagemap><br/> <br/> <br/> <br/>  
= '''Strategies''' =

{| class="wiki_table"
|-
| colspan="8" style="text-align: center" |
[[Shift_from_Punishment_to_Treatment_Approach_for_Opioid_Users|Shift from Punishment to Treatment Approach for Opioid Users]]

|-
| colspan="2" style="text-align: center" | '''''Alternatives to Arrest'''''
| style="text-align: center" | <span style="display: block; text-align: center">''Adjudication & Sentencing''</span>
| colspan="2" style="text-align: center" | <span style="display: block; text-align: center">''During Incarceration''</span>
| colspan="2" style="text-align: center" | '''''Reintegration After Release'''''
|-
| colspan="2" style="text-align: center" |
[[Expand_Law_Enforcement_Assisted_Diversion_Programs|Expand Law Enforcement Assisted Diversion Programs]]

| style="text-align: center" |
[[Expand_&_Enhance_Drug_Courts|Expand & Enhance Drug Courts]]

| colspan="2" style="text-align: center" |
[[Enhance_Treatment_During_Incarceration|Enhance Treatment During Incarceration]]

| colspan="3" style="text-align: center" |
[[Support_Recovery_During_Parole|Support Recovery During Parole]]

|-
| colspan="2" style="text-align: center" |
[[Expand_Programs_Similar_to_the_Angel_Program|Expand Programs Similar to the Angel Program]]

| style="text-align: center" |
[[Expand_Community_Service_Alternatives_to_Incarceration|Expand Community Service Alternatives to Incarceration]]

| colspan="2" style="text-align: center" |
[[Build_Skills_of_People_to_Support_Future_Success|Build Skills of People to Support Future Success]]

| colspan="3" style="text-align: center" |
[[Improve_Re-Entry_After_Incarceration_for_People_with_SUDs|Improve Re-Entry After Incarceration for People with SUDs]]

|-
| colspan="2" style="text-align: center" |
[[Improve_&_Expand_Screening_for_Risk_Factors_&_Testing_for_Misuse|Improve & Expand Screening & Testing for Misuse]]

| style="text-align: center" |  
| colspan="2" style="text-align: center" |  
| colspan="2" style="text-align: center" |  
|}

= Asset & Capacity Building =

[[Strengthen_the_Coalition_to_Reduce_Opioid_Abuse|Strengthen the Coalition to Reduce Opioid Abuse]]
</div>
[[Category:SAFE-Law Enforcement and Criminal Justice]]

Expand Law Enforcement Assisted Diversion and Deflection Programs

2019-11-02T21:00:59Z

Billb:

<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"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">
Return to [[ZOOM_MAP_-_Prioritize_SUD_Treatment_Over_Incarceration|Zoom Map - Prioritize SUD Treatment Over Incarceration]] 

----

By adopting programs where law enforcement professionals can divert peopel from the typical criminal justice system and help them get the help then need in dealing with their drug use or Substance Use Disorder.  

= Background =
<div class="_">LEAD is a pre-booking diversion program that allows officers to redirect low-level offenders engaged in drugs or prostitution activity to community-based services instead of jail and prosecution. LEAD participants begin working immediately with case managers to access services.<sup class="reference">[1]</sup></div> <div class="_"> </div> <div class="_">According to a 2015 report by the International Centre for the Prevention of Crime (ICPC), "One of the [ONDCP] strategy's objectives for 2015 is to break the cycle of drug use, crime, delinquency, and incarceration by increasing by 5% the number of residential juvenile justice facilities offering substance abuse treatment, and increasing by 2.6% the number of treatment plans completed by individuals referred by the Criminal Justice System (ONDCP, 2012, p.18)."<ref>https://www.unodc.org/documents/ungass2016/Contributions/Civil/ICPC/Rapport_FINAL_ENG_2015.pdf</ref></div> <div class="_"> </div>
= Other Programs =

== The S.M.A.R.T. Approach ==
SMART supports chronic misdemeanor offenders, particularly those who are otherwise resistant to intervention, with a case manager and offers individualized treatment and tailored housing placements. SMART prioritizes chronic misdemeanor offenders with acute drug addictions and complex social service needs.<sup class="reference">[2]</sup><br/> See fact sheet here: <div class="objectEmbed">[[File/view/SMART_Fact_Sheet.pdf/623773107/SMART_Fact_Sheet.pdf|[File:http://www.wikispaces.com/i/mime/32/application/pdf.png SMART Fact Sheet.pdf]]] <div>[[File/view/SMART_Fact_Sheet.pdf/623773107/SMART_Fact_Sheet.pdf|SMART Fact Sheet.pdf]]</div> </div>
 

== DTAP - Drug Treatment Alternative To Prison ==

This program had a high rate of success.  See this [https://www.centeronaddiction.org/addiction-research/reports/crossing-bridge-evaluation-drug-treatment-alternative-prison-dtap-program evaluation report] from 2003 for impressive statistics. 

= Tools & Resources =

[[TR_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|TR - Expand Law Enforcement Assisted Diversion Programs]]

= Scorecard Building =

[[PO_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|Potential Objective Details]]<br/> [[PM_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|Potential Measures and Data Sources]]

= Actions to Take =

[[PA_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|Potential Actions and Partners]]

= Resources to Investigate =

[[RTI_-_Expand_Law_Enforcement_Assisted_Diversion_Programs|More RTI on Expand Law Enforcement Assisted Diversion Programs]]<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>

{| class="wiki_table"
|-
| '''Reviewer'''
| '''Date'''
| '''Comments'''
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|}

= Sources =

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#[http://leadkingcounty.org/about/ [1]]
#[https://www.sandiego.gov/cityattorney/divisions/criminal/smart [2]]
</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div>
[[Category:SAFE-Law Enforcement and Criminal Justice]] [[Category:SAFE-Treatment and Recovery]]