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Reduce Criminal Diversion of Prescription Drugs - Revision history
2024-03-29T11:16:37Z
Revision history for this page on the wiki
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http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20783&oldid=prev
K.castelo at 15:17, 4 October 2021
2021-10-04T15:17:38Z
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<td colspan="2" style="background-color: white; color:black; text-align: center;">Revision as of 15:17, 4 October 2021</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices<br/> &nbsp; =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices<br/> &nbsp; =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>'''Prescription Drug Monitioring Programs<ref>https://www.ojp.gov/ncjrs/virtual-library/abstracts/call-action-and-issue-brief-justice-system-use-prescription-drug</ref>&nbsp;'''Department of Justice Systems brief on the use of prescription drugs and drug monitoring</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>'''Prescription Drug Monitioring Programs<ref>https://www.ojp.gov/ncjrs/virtual-library/abstracts/call-action-and-issue-brief-justice-system-use-prescription-drug</ref>&nbsp;'''Department of Justice Systems brief on the use of prescription drugs and drug monitoring<ins class="diffchange diffchange-inline"><br/> <br/> '''Medicaid Drug Diversion-''' Strategies for reducing drug diversion in Medicaid.<ref>https://www.cms.gov/medicare-medicaid-coordination/fraud-prevention/medicaidintegrityprogram/downloads/drugdiversion.pdf</ref></ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Sources =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Sources =</div></td></tr>
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K.castelo
http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20782&oldid=prev
K.castelo at 14:30, 4 October 2021
2021-10-04T14:30:00Z
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<td colspan="2" style="background-color: white; color:black; text-align: center;">Revision as of 14:30, 4 October 2021</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l46" >Line 46:</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices<br/> &nbsp; =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices<br/> &nbsp; =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>'''Prescription Drug Monitioring Programs<ref>https://www.ojp.gov/ncjrs/virtual-library/abstracts/call-action-and-issue-brief-justice-system-use-prescription-drug</ref>&nbsp;'''<del class="diffchange diffchange-inline">The department </del>of Justice Systems brief on the use of prescription drugs and drug monitoring</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>'''Prescription Drug Monitioring Programs<ref>https://www.ojp.gov/ncjrs/virtual-library/abstracts/call-action-and-issue-brief-justice-system-use-prescription-drug</ref>&nbsp;'''<ins class="diffchange diffchange-inline">Department </ins>of Justice Systems brief on the use of prescription drugs and drug monitoring</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Sources =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Sources =</div></td></tr>
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K.castelo
http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20781&oldid=prev
K.castelo at 14:23, 4 October 2021
2021-10-04T14:23:32Z
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<td colspan="2" style="background-color: white; color:black; text-align: center;">Revision as of 14:23, 4 October 2021</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l44" >Line 44:</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>'''Department of Justice/Drug Enforcement Administration''' Resources and office of Diversion control<ref>https://www.deadiversion.usdoj.gov/</ref><br/> <br/> '''Health and Human Services Drug Diversion & Prescribers role fact sheet<ref>https://www.deadiversion.usdoj.gov/</ref>'''</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>'''Department of Justice/Drug Enforcement Administration''' Resources and office of Diversion control<ref>https://www.deadiversion.usdoj.gov/</ref><br/> <br/> '''Health and Human Services Drug Diversion & Prescribers role fact sheet<ref>https://www.deadiversion.usdoj.gov/</ref>'''</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices =</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices<ins class="diffchange diffchange-inline"><br/> &nbsp; </ins>=</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>&nbsp;</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">'''Prescription Drug Monitioring Programs<ref>https://www.ojp.gov/ncjrs/virtual-library/abstracts/call-action-and-issue-brief-justice-system-use-prescription-drug</ref></ins>&nbsp;<ins class="diffchange diffchange-inline">'''The department of Justice Systems brief on the use of prescription drugs and drug monitoring</ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Sources =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Sources =</div></td></tr>
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K.castelo
http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20780&oldid=prev
K.castelo at 13:43, 4 October 2021
2021-10-04T13:43:33Z
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<td colspan="2" style="background-color: white; color:black; text-align: center;">Revision as of 13:43, 4 October 2021</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l14" >Line 14:</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>According to Health and Human Services the most common types of drug diversion include:<ref>https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/DrugDiversionFS022316.pdf</ref><br/> <br/> • Selling prescription drugs;<br/> • Doctor shopping;<br/> • Illegal Internet pharmacies;<br/> • Drug theft;<br/> • Prescription pad theft and forgery; and<br/> • Illicit prescribing.<br/> <br/> Physicians are in the forefront of&nbsp;managing chronic pain for their patientsand play a key role in drug diversion.&nbsp; It is&nbsp;estimated that this may affect 15 percent to 30 percent of the general population of the United States – as many as 70 million individuals.<ref>Krames ES, Olson K. Clinical realities and economic considerations: patient selection in intrathecal therapy. J Pain Symptom Manage. September1997;14(suppl 3):S3–S13</ref><br/> &nbsp;</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>According to Health and Human Services the most common types of drug diversion include:<ref>https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/DrugDiversionFS022316.pdf</ref><br/> <br/> • Selling prescription drugs;<br/> • Doctor shopping;<br/> • Illegal Internet pharmacies;<br/> • Drug theft;<br/> • Prescription pad theft and forgery; and<br/> • Illicit prescribing.<br/> <br/> Physicians are in the forefront of&nbsp;managing chronic pain for their patientsand play a key role in drug diversion.&nbsp; It is&nbsp;estimated that this may affect 15 percent to 30 percent of the general population of the United States – as many as 70 million individuals.<ref>Krames ES, Olson K. Clinical realities and economic considerations: patient selection in intrathecal therapy. J Pain Symptom Manage. September1997;14(suppl 3):S3–S13</ref><br/> &nbsp;</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>The potential for misuse of opioids and other medications used to treat pain by patients suffering from chronic ongoing pain is high.&nbsp; Patients may abuse their own medication and may divert by obtaining medications under false pretenses or by reselling medications prescribed to them.<ref>https://www.aafp.org/fpm/2001/1000/p37.html</ref>&nbsp; The American Academy of Family Physicians provides tips on recognizing signs of diversion.&nbsp;<del class="diffchange diffchange-inline">&nbsp;</del></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>The potential for misuse of opioids and other medications used to treat pain by patients suffering from chronic ongoing pain is high.&nbsp; Patients may abuse their own medication and may divert by obtaining medications under false pretenses or by reselling medications prescribed to them.<ref>https://www.aafp.org/fpm/2001/1000/p37.html</ref>&nbsp; The American Academy of Family Physicians provides tips on recognizing signs of diversion.&nbsp; <ins class="diffchange diffchange-inline">These tips from AAFP are as follows-</ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>'''Signs of Diversion include:'''</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>'''Signs of Diversion include:'''</div></td></tr>
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K.castelo
http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20741&oldid=prev
K.castelo at 17:48, 1 October 2021
2021-10-01T17:48:49Z
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Relevant Research =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Relevant Research =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">In this section, please capture any recent findings, reports, or data </del>on <del class="diffchange diffchange-inline">the topic</del>. <del class="diffchange diffchange-inline">Please also highlight any gaps or existing disparities</del>. <del class="diffchange diffchange-inline">Please include references and links to the information so that we may add a footnote for the reader to find further information</del>. <del class="diffchange diffchange-inline">Do we have any available research about discriminatory practices? Is there information about the value of access to educational opportunities?</del></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">The Department of Justice Research </ins>on <ins class="diffchange diffchange-inline">Illegal prescription drug market and interventions</ins>.<ins class="diffchange diffchange-inline"><ref>https://www</ins>.<ins class="diffchange diffchange-inline">ojp.gov/pdffiles1/nij/grants/248905</ins>.<ins class="diffchange diffchange-inline">pdf</ref>&nbsp;&nbsp;</ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Impactful Federal, State, and Local Policies =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Impactful Federal, State, and Local Policies =</div></td></tr>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">Please link to any best practice models or case studies that highlight creative/innovative or successful efforts in support of this strategy. Is there a community that does a really good job in this area that other communities should replicate? Please write a brief description and provide a link.</del></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">&nbsp;</ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Sources =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Sources =</div></td></tr>
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K.castelo
http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20740&oldid=prev
K.castelo at 17:44, 1 October 2021
2021-10-01T17:44:41Z
<p></p>
<table class="diff diff-contentalign-left" data-mw="interface">
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<td colspan="2" style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: white; color:black; text-align: center;">Revision as of 17:44, 1 October 2021</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l8" >Line 8:</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Introductory Paragraph =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Introductory Paragraph =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>"Drug diversion is the illegal distribution or abuse of prescription drugs or their use for purposes not intended by the prescriber."<ref>https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/MedicaidIntegrityProgram/downloads/drugdiversion.pdf </ref>&nbsp; &nbsp; <del class="diffchange diffchange-inline">Physician play a key role with </del>prescription drug diversion<del class="diffchange diffchange-inline">.</del>&nbsp;<ref><del class="diffchange diffchange-inline">https://www</del>.<del class="diffchange diffchange-inline">ncbi</del>.<del class="diffchange diffchange-inline">nlm</del>.<del class="diffchange diffchange-inline">nih</del>.<del class="diffchange diffchange-inline">gov/pmc/articles/PMC2824903/</del></ref></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>"Drug diversion is the illegal distribution or abuse of prescription drugs or their use for purposes not intended by the prescriber."<ref>https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/MedicaidIntegrityProgram/downloads/drugdiversion.pdf </ref>&nbsp; &nbsp;<ins class="diffchange diffchange-inline">Inciardi et al. (2016), defines </ins>prescription drug diversion <ins class="diffchange diffchange-inline">as</ins>&nbsp;<ins class="diffchange diffchange-inline">the illegal way of acquiring or distributing controlled medicinal drugs for any use.</ins><ref><ins class="diffchange diffchange-inline">Inciardi JA, Surratt HL, Kurtz SP, Burke JJ</ins>. <ins class="diffchange diffchange-inline">The diversion of prescription drugs by health care workers in Cincinnati, Ohio</ins>. <ins class="diffchange diffchange-inline">Subst Use Misuse</ins>. <ins class="diffchange diffchange-inline">2006;41(2):255–264</ins>. <ins class="diffchange diffchange-inline">[PubMed] [Google Scholar]</ins></ref><ins class="diffchange diffchange-inline">&nbsp; &nbsp;</ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Key Information =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Key Information =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>According to Health and Human Services the most common types of drug diversion include:<ref>https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/DrugDiversionFS022316.pdf</ref><br/> <br/> • Selling prescription drugs;<br/> • Doctor shopping;<br/> • Illegal Internet pharmacies;<br/> • Drug theft;<br/> • Prescription pad theft and forgery; and<br/> • Illicit prescribing.<br/> <br/> Physicians are in the forefront of&nbsp;managing chronic pain for their <del class="diffchange diffchange-inline">patients and it </del>is estimated that this may affect 15 percent to 30 percent of the general population of the United States – as many as 70 million individuals.<ref>Krames ES, Olson K. Clinical realities and economic considerations: patient selection in intrathecal therapy. J Pain Symptom Manage. September1997;14(suppl 3):S3–S13</ref><br/> &nbsp;</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>According to Health and Human Services the most common types of drug diversion include:<ref>https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/DrugDiversionFS022316.pdf</ref><br/> <br/> • Selling prescription drugs;<br/> • Doctor shopping;<br/> • Illegal Internet pharmacies;<br/> • Drug theft;<br/> • Prescription pad theft and forgery; and<br/> • Illicit prescribing.<br/> <br/> Physicians are in the forefront of&nbsp;managing chronic pain for their <ins class="diffchange diffchange-inline">patientsand play a key role in drug diversion.&nbsp; It </ins>is<ins class="diffchange diffchange-inline">&nbsp;</ins>estimated that this may affect 15 percent to 30 percent of the general population of the United States – as many as 70 million individuals.<ref>Krames ES, Olson K. Clinical realities and economic considerations: patient selection in intrathecal therapy. J Pain Symptom Manage. September1997;14(suppl 3):S3–S13</ref><br/> &nbsp;</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>The potential for misuse of opioids and other medications used to treat pain by patients suffering from chronic ongoing pain is high.&nbsp; Patients may abuse their own medication and may divert by obtaining medications under false pretenses or by reselling medications prescribed to them.<ref>https://www.aafp.org/fpm/2001/1000/p37.html</ref>&nbsp; The American Academy of Family Physicians provides tips on recognizing signs of diversion.&nbsp;&nbsp;</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>The potential for misuse of opioids and other medications used to treat pain by patients suffering from chronic ongoing pain is high.&nbsp; Patients may abuse their own medication and may divert by obtaining medications under false pretenses or by reselling medications prescribed to them.<ref>https://www.aafp.org/fpm/2001/1000/p37.html</ref>&nbsp; The American Academy of Family Physicians provides tips on recognizing signs of diversion.&nbsp;&nbsp;</div></td></tr>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>'''Specific drug requests.''' Because many diverters are very knowledgeable about controlled substances, they may request specific medication brands and resist any of your attempts to prescribe generic forms and substitutes, stating that they are “allergic” or that a particular alternative has never provided relief for them in the past.</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>'''Specific drug requests.''' Because many diverters are very knowledgeable about controlled substances, they may request specific medication brands and resist any of your attempts to prescribe generic forms and substitutes, stating that they are “allergic” or that a particular alternative has never provided relief for them in the past.</div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">Other aspects to be highlighted beyond signs of drug diversion include identifying points of diversion, prevention strategies, drug monitoring and training.&nbsp;</ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">&nbsp;</ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Relevant Research =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Relevant Research =</div></td></tr>
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K.castelo
http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20739&oldid=prev
K.castelo at 17:18, 1 October 2021
2021-10-01T17:18:48Z
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<td colspan="2" style="background-color: white; color:black; text-align: center;">Revision as of 17:18, 1 October 2021</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Introductory Paragraph =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Introductory Paragraph =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Drug diversion is the illegal distribution or abuse of prescription drugs or their use for purposes not intended by the prescriber.<ref>https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/MedicaidIntegrityProgram/downloads/drugdiversion.pdf </ref>&nbsp; <del class="diffchange diffchange-inline">Prescription </del>drug diversion <del class="diffchange diffchange-inline">may occur at any time as prescription drugs are distributed from the manufacturer to wholesale distributors, to pharmacies, or to the patient</del>.&nbsp; <del class="diffchange diffchange-inline">&nbsp; &nbsp;Members of the medical profession may also be involved in diverting prescription drugs for recreational purposes, relief of addictions, monetary gain, self-medication for pain or sleep, or to alleviate withdrawal symptoms. </del><ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824903/</ref></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">"</ins>Drug diversion is the illegal distribution or abuse of prescription drugs or their use for purposes not intended by the prescriber.<ins class="diffchange diffchange-inline">"</ins><ref>https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/MedicaidIntegrityProgram/downloads/drugdiversion.pdf </ref>&nbsp; <ins class="diffchange diffchange-inline">&nbsp; Physician play a key role with prescription </ins>drug diversion.&nbsp;<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2824903/</ref></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Key Information =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Key Information =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>According to Health and Human Services the most common types of drug diversion include:<ref>https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/DrugDiversionFS022316.pdf</ref><br/> <br/> • Selling prescription drugs;<br/> • Doctor shopping;<br/> • Illegal Internet pharmacies;<br/> • Drug theft;<br/> • Prescription pad theft and forgery; and<br/> • Illicit prescribing.<br/> <br/> Physicians are <del class="diffchange diffchange-inline">on </del>the <del class="diffchange diffchange-inline">front lines in </del>managing chronic pain for their patients and it is estimated that this may affect 15 percent to 30 percent of the general population of the United States – as many as 70 million individuals.<ref>Krames ES, Olson K. Clinical realities and economic considerations: patient selection in intrathecal therapy. J Pain Symptom Manage. September1997;14(suppl 3):S3–S13</ref><br/> &nbsp;</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>According to Health and Human Services the most common types of drug diversion include:<ref>https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/DrugDiversionFS022316.pdf</ref><br/> <br/> • Selling prescription drugs;<br/> • Doctor shopping;<br/> • Illegal Internet pharmacies;<br/> • Drug theft;<br/> • Prescription pad theft and forgery; and<br/> • Illicit prescribing.<br/> <br/> Physicians are <ins class="diffchange diffchange-inline">in </ins>the <ins class="diffchange diffchange-inline">forefront of&nbsp;</ins>managing chronic pain for their patients and it is estimated that this may affect 15 percent to 30 percent of the general population of the United States – as many as 70 million individuals.<ref>Krames ES, Olson K. Clinical realities and economic considerations: patient selection in intrathecal therapy. J Pain Symptom Manage. September1997;14(suppl 3):S3–S13</ref><br/> &nbsp;</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>The potential for misuse of opioids and other medications used to treat pain by patients suffering from chronic ongoing pain is high.&nbsp; Patients may abuse their own <del class="diffchange diffchange-inline">medicatoins or </del>by <del class="diffchange diffchange-inline">pseudopatients or "diverters" who try to obtain medication </del>under false pretenses <del class="diffchange diffchange-inline">for the purpouse of reslling </del>to <del class="diffchange diffchange-inline">others</del>.<ref>https://www.aafp.org/fpm/2001/1000/p37.html</ref>&nbsp; <del class="diffchange diffchange-inline">There are suble but important differences between&nbsp;&nbsp;patients who abuse their own medications and those who divert them. </del>The American Academy of Family Physicians provides tips on recognizing signs of diversion.&nbsp;&nbsp;</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>The potential for misuse of opioids and other medications used to treat pain by patients suffering from chronic ongoing pain is high.&nbsp; Patients may abuse their own <ins class="diffchange diffchange-inline">medication and may divert </ins>by <ins class="diffchange diffchange-inline">obtaining medications </ins>under false pretenses <ins class="diffchange diffchange-inline">or by reselling medications prescribed </ins>to <ins class="diffchange diffchange-inline">them</ins>.<ref>https://www.aafp.org/fpm/2001/1000/p37.html</ref>&nbsp; The American Academy of Family Physicians provides tips on recognizing signs of diversion.&nbsp;&nbsp;</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>'''Signs of Diversion include:'''</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>'''Signs of Diversion include:'''</div></td></tr>
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K.castelo
http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20738&oldid=prev
K.castelo at 16:49, 1 October 2021
2021-10-01T16:49:11Z
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<td colspan="2" style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: white; color:black; text-align: center;">Revision as of 16:49, 1 October 2021</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Key Information =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Key Information =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">Please capture a deeper dive </del>of the <del class="diffchange diffchange-inline">content </del>in this <del class="diffchange diffchange-inline">section</del>, to include <del class="diffchange diffchange-inline">any relevant subtopics </del>or <del class="diffchange diffchange-inline">important things happening </del>in the <del class="diffchange diffchange-inline">field </del>the <del class="diffchange diffchange-inline">reader should </del>be <del class="diffchange diffchange-inline">situationally aware of </del>right <del class="diffchange diffchange-inline">now</del>. <del class="diffchange diffchange-inline">You </del>may have <del class="diffchange diffchange-inline">multiple paragraphs here </del>with <del class="diffchange diffchange-inline">subtitles</del>, if <del class="diffchange diffchange-inline">needed. While </del>are not <del class="diffchange diffchange-inline">the experts and do not need </del>to <del class="diffchange diffchange-inline">write out every detail </del>about the <del class="diffchange diffchange-inline">subtopic like </del>a <del class="diffchange diffchange-inline">research paper</del>, <del class="diffchange diffchange-inline">we should make an </del>attempt to <del class="diffchange diffchange-inline">fully capture </del>the <del class="diffchange diffchange-inline">landscape </del>of <del class="diffchange diffchange-inline">important things </del>to <del class="diffchange diffchange-inline">know </del>and <del class="diffchange diffchange-inline">link to any external information </del>that <del class="diffchange diffchange-inline">may be helpful if </del>the <del class="diffchange diffchange-inline">reader wants to learn more information</del>.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">According to Health and Human Services the most common types </ins>of <ins class="diffchange diffchange-inline">drug diversion include:<ref>https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/DrugDiversionFS022316.pdf</ref><br/> <br/> • Selling prescription drugs;<br/> • Doctor shopping;<br/> • Illegal Internet pharmacies;<br/> • Drug theft;<br/> • Prescription pad theft and forgery; and<br/> • Illicit prescribing.<br/> <br/> Physicians are on </ins>the <ins class="diffchange diffchange-inline">front lines </ins>in <ins class="diffchange diffchange-inline">managing chronic pain for their patients and it is estimated that </ins>this <ins class="diffchange diffchange-inline">may affect 15 percent to 30 percent of the general population of the United States – as many as 70 million individuals.<ref>Krames ES</ins>, <ins class="diffchange diffchange-inline">Olson K. Clinical realities and economic considerations: patient selection in intrathecal therapy. J Pain Symptom Manage. September1997;14(suppl 3):S3–S13</ref><br/> &nbsp;</ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">The potential for misuse of opioids and other medications used </ins>to <ins class="diffchange diffchange-inline">treat pain by patients suffering from chronic ongoing pain is high.&nbsp; Patients may abuse their own medicatoins or by pseudopatients or "diverters" who try to obtain medication under false pretenses for the purpouse of reslling to others.<ref>https://www.aafp.org/fpm/2001/1000/p37.html</ref>&nbsp; There are suble but important differences between&nbsp;&nbsp;patients who abuse their own medications and those who divert them. The American Academy of Family Physicians provides tips on recognizing signs of diversion.&nbsp;&nbsp;</ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">'''Signs of Diversion </ins>include<ins class="diffchange diffchange-inline">:'''</ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">'''Strange stories. '''Be wary of new patients with stories that don’t seem quite right. Diverters often claim to be traveling through town on business or visiting relatives. Occasionally, they’ll pose as government officials or pharmaceutical company representatives. They may be excessively complimentary about the office facilities or your appearance </ins>or <ins class="diffchange diffchange-inline">medical reputation </ins>in the <ins class="diffchange diffchange-inline">community. They may deliberately request appointments toward the end of </ins>the <ins class="diffchange diffchange-inline">day or may show up just after regular office hours. One common ploy diverters use is to ask to be seen immediately or to </ins>be <ins class="diffchange diffchange-inline">given a prescription </ins>right <ins class="diffchange diffchange-inline">away because they have to “catch a plane” or “get to an important appointment</ins>.<ins class="diffchange diffchange-inline">” They </ins>may <ins class="diffchange diffchange-inline">claim that they </ins>have <ins class="diffchange diffchange-inline">lost a paper prescription, forgotten to pack their medication or had their medication stolen.</ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">'''Reluctance to cooperate.''' Diverters often refuse a physical exam and are unwilling to give permission to access past medical records or allow contact </ins>with <ins class="diffchange diffchange-inline">previous providers. If pressed</ins>, <ins class="diffchange diffchange-inline">they may claim they cannot precisely remember where they were last treated or that the previous clinic, hospital or provider has gone out of business. In many cases, these patients leave the office suddenly </ins>if <ins class="diffchange diffchange-inline">things </ins>are not <ins class="diffchange diffchange-inline">going their way.</ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">'''Unusually high (or low) understanding of medications'''. Be alert when patients appear </ins>to <ins class="diffchange diffchange-inline">be extremely well-informed about specific medications. While it is true that people who have been sick for a long time often learn much </ins>about <ins class="diffchange diffchange-inline">their disease process and know </ins>the <ins class="diffchange diffchange-inline">medications that work best for them, this is also true of diverters. They often appear to have </ins>a <ins class="diffchange diffchange-inline">familiarity with diseases that comes straight from textbooks rather than real life. Some diverters may feign naiveté by deliberately mispronouncing medication names or seeming to be uninformed about their underlying medical condition.</ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">'''Strange symptoms.''' Diverters may exaggerate or feign symptoms. Certain complaints are typical, such as back pain, kidney stones, migraine headaches</ins>, <ins class="diffchange diffchange-inline">toothaches or post-herpetic neuralgia. Some diverters may even </ins>attempt to <ins class="diffchange diffchange-inline">alter urine samples by pricking a finger and putting a drop of blood in </ins>the <ins class="diffchange diffchange-inline">specimen to corroborate their story </ins>of <ins class="diffchange diffchange-inline">renal colic.</ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">'''Specific drug requests.''' Because many diverters are very knowledgeable about controlled substances, they may request specific medication brands and resist any of your attempts </ins>to <ins class="diffchange diffchange-inline">prescribe generic forms </ins>and <ins class="diffchange diffchange-inline">substitutes, stating that they are “allergic” or </ins>that <ins class="diffchange diffchange-inline">a particular alternative has never provided relief for them in </ins>the <ins class="diffchange diffchange-inline">past</ins>.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
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K.castelo
http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20737&oldid=prev
K.castelo at 20:20, 30 September 2021
2021-09-30T20:20:23Z
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<td colspan="2" style="background-color: white; color:black; text-align: center;">Revision as of 20:20, 30 September 2021</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Available Tools and Resources =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Available Tools and Resources =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>'''Department of Justice/Drug Enforcement Administration''' Resources and office of Diversion control<ref>https://www.deadiversion.usdoj.gov/</ref></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>'''Department of Justice/Drug Enforcement Administration''' Resources and office of Diversion control<ref>https://www.deadiversion.usdoj.gov/</ref><ins class="diffchange diffchange-inline"><br/> <br/> '''Health and Human Services Drug Diversion & Prescribers role fact sheet<ref>https://www.deadiversion.usdoj.gov/</ref>'''</ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices =</div></td></tr>
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http://ifi-wikis.com/IFI-OpioidCrisis/index.php?title=Reduce_Criminal_Diversion_of_Prescription_Drugs&diff=20736&oldid=prev
K.castelo at 20:11, 30 September 2021
2021-09-30T20:11:01Z
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<td colspan="2" style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: white; color:black; text-align: center;">Revision as of 20:11, 30 September 2021</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l24" >Line 24:</td>
<td colspan="2" class="diff-lineno">Line 24:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Available Tools and Resources =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Available Tools and Resources =</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">Oftentimes, there are already great resources in the field that have been developed, but they are not housed in a single place. Please use this section to share information about those resources </del>and <del class="diffchange diffchange-inline">drive the reader to that resource. It may be a worksheet, toolkit, fact sheet, framework</del>/<del class="diffchange diffchange-inline">model, infographic, new technology, etc</del>. <del class="diffchange diffchange-inline">I suggest no more than 5 really good links and a corresponding description for the reader</del>. <del class="diffchange diffchange-inline">We also can use this section to highlight some of the great resources and programs at SAFE Project</del>.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">'''Department of Justice/Drug Enforcement Administration''' Resources </ins>and <ins class="diffchange diffchange-inline">office of Diversion control<ref>https:/</ins>/<ins class="diffchange diffchange-inline">www</ins>.<ins class="diffchange diffchange-inline">deadiversion</ins>.<ins class="diffchange diffchange-inline">usdoj</ins>.<ins class="diffchange diffchange-inline">gov/</ref></ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices =</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>= Promising Practices =</div></td></tr>
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