Running header:THE EXECUTIVE SUMMARY1
The Executive Summary
Sameca Globe
Public Policy Analysis & Planning
Dr. Rick Humphress
December 11,2017
Purpose
Opioids abuse is becoming a serious problem among the youth and those it is prescribed to. Sixty three percent of drug overdoses in the year 2015 were due to opioid abuse. There is help for those who are addicted to opioids such as behavioral health and medications, but most don’t have access to it. There have been efforts by the Department of Health and Human Services to provide grants to areas where the medications and therapy are not as accessible compared to other communities. In addition to this effort granting additional providers the
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Some of the grant awards were made in 2015, while others were made as recently as May 2017. As of August 2017, efforts under all the grant programs were continuing. Grant recipients can use funding to start a variety of activities, such as hiring and training providers and supporting treatments involving MAT. Certain providers and grant recipients are also required to develop plans for preventing MAT medications from being used for nonmedical purposes(GAO Reports,2017).
Background
During the twentieth century, opioids were mainly used for the treatment of short-term pain or to comfort the suffering of terminally ill patients. Throughout the 2000s, Purdue actively marketed its controlled-release opioid Oxycontin as a safe and nonaddictive treatment for chronic pain. Other drug manufacturers soon followed suit, this move is what many public health experts believe is one of the root causes of the current opioid epidemic(McCoy,2014).
In 2015 the National Survey on Drug Use and Health (NSDUH) conducted a survey interview to estimate the frequency of prescription opioid use, misuse, and use disorders and motivations for misuse among U.S. adults. There were 51,200 eligible adults who completed the survey interview. The NSDUH found that the most commonly reported motivation for misuse was to relieve physical pain (63.4%). Misuse and use disorders were most commonly reported in adults who were uninsured, were unemployed, had low income, or had
Mike Alstott knows first-hand how opioids, when used correctly, can play an important role in managing pain and helping people to function, but he is also keenly aware of the growing crisis of opioid misuse and overdose. More American adults are dying from misusing prescription narcotics than ever before. An estimated 35 people die every day in the U.S. from accidental prescription painkiller overdoses resulting from things like not taking a medication as directed or not understanding how multiple
In the early 1990’s many doctors were hesitant in prescribing narcotics because they were seen as harmful and habit forming. Purdue Pharma the creator of OxyContin changed the ways of the drug industry. Purdue changed the mindset of many physicians and family doctors inconveniencing them that the new to the market drug was revolutionary, with promises of quick pain relief that last up to 12 hours. With marketing adds like “Remember, effective relief just takes two” Purdue Pharma convinced doctors that it was virtually impossible to become addicted (HARRIET RYAN, 2016). The rise of OxyContin started in 1996. OxyContin
Whether the opioids were prescribed to the user or if they were taken recreationally by buying it off the street, opioid addiction and deaths has risen dramatically. In Boston alone from 2012 to 2015 opioid related deaths have more than doubled; slowly climbing from 64 to 136 deaths.1 Fortunately, these numbers have not gone unnoticed. Government grants and agencies as well as local programs have been working hard to reduce this epidemic. Boston is a very big city filled with vast diversity. There are beautiful gardens in the Commons, amazing food in the North end, exciting plays and ballets in the Art district and historical buildings and stories that date back to the beginning of America. Boston is the home of 35 colleges and universities
In fact, there was thought to be more of a need for them. Before the last two decades, opioids were used for cancer related or acute pain. However, in the 1990s chronic non cancer patients got attention because people nationally felt there was a shortage in patients receiving opioids, thus making them deprived of adequate pain management. Because of this, clinicians were encouraged to treat chronic non-cancer pain and patients in hospice care more often than they were used to. It was also encouraged to use high doses of opioids for long periods of time (Cheatle). The idea that providers seemed overly cautious about these medications caused a large increase in opioid prescriptions from health care providers. Threat of tort and litigation for some doctors that were deemed for not prescribing enough to alleviate pain of patients was also a concern for doctors This quickly turned a shortage of prescription opioids into a national prescription opioid abuse epidemic in under twenty years. From 1999 to 2010, the amount of prescription opioids sold to hospitals, pharmacies, and doctors offices quadrupled, and three times the number of people overdosed on painkillers in this time (Garcia). While some patients have benefitted from the increased sales and loose guidelines of prescription opioid analgesics, the increasing in opioid misuse, abuse, and overdose is truly daunting. As a nation, we need to back track, and
America has a major problem with opioid addicts, and many facilities are helping the addicts by providing safer options to taking the drugs their bodies crave. Methadone clinics are places where people addicted to opioids can receive medicine-based therapy. Opioid use, drugs such as heroin, morphine, and prescribed painkillers, has increased in the US with all age groups and incomes. People become addicted to these drugs when they are prescribed, recreationally used with other addicts, or they are born addicted. Many health institutions are addressing this issue with an estimated 2.1 million people in the United States suffering from substance use disorders related to prescription opioid pain relievers in 2012 and an estimated 467,000 addicted
The source describes the opioid overdose epidemic across the U.S. as a significant issue possibly deriving from economic stress, social isolation, and over-prescribing pain relievers. Action must be taken to help and prevent dependency on opioids in order to stop this rapid rate of overdose throughout America. Proper education is vital for younger and elder generations to know how to prevent opioid dependency.
Substance abuse disorders have been considered a major epidemic by public health authorities during this century. Most recently, those who use, and abuse opioids have been in the spotlight. The growing number of overdoses, deaths, and individuals who are identified as opioid abusers has, of late, been the subject of media attention. Now coined “The Opioid
As we all have researched and found out the devastating numbers to the opioid epidemic “the abuse of prescription and non-prescription opioids is one of the greatest threats facing public health in the United States today. It is estimated that as many as 2.5 million people in the US are suffering from opioid addiction related to prescriptions, and an additional 467,000 are addicted to heroin”(2017).
Opioids are being over prescribed in the United States resulting in increased deaths by drug overdose. Pain medication strategies are being looked into as substitutes for pain management. Over decades, the amount of medicine being prescribed has more than tripled. State policies regarding the medication were implemented and who'd a small decrease in the likelihood of opioid prescriptions. Nationally, death rates are on the rise. Studies monitoring prescription drugs do not account for illegal opioids and manufactured fentanyl. While not mentioned in this article, there is a possible correlation between young people prescribed opioids and illegal drug use seeing that overdoses are common in patients already abusing their prescription medication, yet overdose death being most common after
According to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5, opioid use disorder (OUD) is characterized by patterns of opioid use that are problematic and persist for at least one year (American Psychiatric Association, 2013). Evidence of problematic use of opioid is demonstrated through the presence of at least 2 symptoms which include withdrawal, craving, and continued use of opioids despite the disruptions it causes in personal and professional life. The substances used by persons with OUD are heroin and nonmedical pain relievers ([NMPR]; i.e. nonmedical use of opioid pain relievers), and estimates for DSM-5-defined OUD tend to combine the prevalence of use for each of these substances to determine overall
Opioid use in the US has increased over the years, and this has led to an increase in substance abuse. Substance abuse is not only associated with use of illicit drugs but also prescription drugs. In 2015, of the 20.5 million reported cases of substance abuse, 2 million had an abuse disorder related to prescription pain relievers and 591,000 associated with heroin.1 The increase in substance abuse disorder has led to an increase in opioid related death. In 2015 drug overdose was the leading cause of accidental death in the US with 52, 404 lethal drug overdoses.2
The use of opioids and other drugs continues to gradually increase in the United State. According to Centers for Disease Control and Prevention (CDC), the number of overdose deaths involving opioids has quadrupled since 1999” (CDC website). Individuals are abusing prescription opioids such as oxycodone, hydrocodone, and methadone. Prescriptions opioids that are supposed to be used as pain relievers, cough suppressants and for withdrawal symptoms are being use by individuals in order to feel relaxed or for the overwhelming effect of euphoria. These types of drugs are to be taken orally, but people are snorting, smoking, and injecting them in order to get a better high. I have personal encounters with opioid drugs and opioid abuser on a regular
The United States currently faces an unprecedented epidemic of opioid addiction. This includes painkillers, heroin, and other drugs made from the same base chemical. In the couple of years, approximately one out of twenty Americans reported misuse or abuse of prescriptions painkillers. Heroin abuse and overdoses are on the rise and are the leading cause of injury deaths, surpassing car accidents and gun shots. The current problem differs from the opioid addiction outbreaks of the past in that it is also predominant in the middle and affluent classes. Ultimately, anyone can be fighting a battle with addiction and it is important for family members and loved ones to know the signs. The cause for this epidemic is that the current spike of opioid abuse can be traced to two decades of increased prescription rates for painkillers by well-meaning physicians.
Opioid abuse is extremely prevalent in today’s society. Many public health professionals are calling it the worst drug crisis in the nation’s history. (DeGarmo, 2017) Opioid abuse and addiction is an issue that goes beyond adults, it is plaguing juveniles as well. Juveniles are feeling the negative effects of this issue in many different ways. Some are watching their friends or family go through addiction, some have lost loved ones, and some juveniles are addicted themselves. I volunteered at the EB HOPE drop-in center which is located in East Bridgewater. The mission of the drop-in center is to provide resources to those affected by opioid addiction. They have an abundance of resources including retreats, rehabilitation centers, support groups, as well as faith based healings. They also have various support groups for family and friends of those addicted to opioids.
Opioid drugs are some of the most widespread pain medications that we have in this country; indeed, the fact is that opioid analgesic prescriptions have increased by over 300% from 1999 to 2010 (Mitch 989). Consequently, the number of deaths from overdose increased from 4000 to 16,600 a year in the same time frame (Mitch 989). This fact becomes even more frightening when you think about today; the annual number of fatal drug overdoses in the Unites States now surpasses that of motor vehicle deaths (Alexander 1865). Even worse, overdose deaths caused by opioids specifically exceed those attributed to both cocaine and heroin combined (Alexander 1865).