Decrease Prescription Drug Abuse & Addiction

Summary
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Data About Priority

Prescription Drug Abuse and Addiction continue to be a major health problem in Maine and the nation.

The number of deaths related to drug overdose has risen sharply, both nationally and in Maine.  Maine had the fifth largest increase in drug overdose deaths between the periods 2012-2014 and 2013-2015,  Many consider drug overdose deaths and the impact of drug abuse and addiction on law enforcement, education, public safety, communities and families to be one of our most pressing public health issues.

Indicators

Clinical Strategies

  • Train practice teams on standardized screening tools, proper prescribing practices and patient engagement.
  • Strengthen pharmacy practice/policy.
  • Expand use of Prescription Monitoring Program (PMP).
  • Expand access to treatment and use of alternative treatment therapies.
  • Educate patient/family on medication management, storage and disposal.
  • Standardize and expand Naloxone prescribing.
  • Expand pre-natal addiction care services.
  • Expand treatment capacity.

Community Strategies

  • Implement evidence-based programs and promising practices.
  • Improve community engagement in interventions.

Policy Strategies

  • Advocate for and implement policy changes.
  • Logic Model: Decrease Prescription Drug Abuse and Addiction
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    Logic Model – A roadmap or diagram showing chain results connecting activities to the expected initial outputs, and intermediate and final outcomes.  It provides a basis for developing the performance measurement and evaluation strategies 

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  • 2016 America's Health Rankings Report
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  • America's Health Rankings
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    America's Health Rankings compares the health of all 50 states to each other.  This ranking tool is used as a benchmark for MaineHealth's Health Index.

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  • Community Commons
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    Community Commons can help with your Community Health Needs Assessment

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  • Community Health Needs Assessment (CHNA)
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  • County Health Rankings - Visit Website
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    Look up your county's rankings, learn about our methods, and download the data you need. This ranking tool is used as a benchmark for MaineHealth's Health Index.

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  • Healthy People 2020 Objectives
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  • Logic Model: Decrease Prescription Drug Abuse and Addiction
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    Logic Model – A roadmap or diagram showing chain results connecting activities to the expected initial outputs, and intermediate and final outcomes.  It provides a basis for developing the performance measurement and evaluation strategies 

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  • Maine Department of Health and Human Services
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    Maine DHHS provides integrated health and human services to the people of Maine to assist individuals in meeting their needs, while respecting the rights and preferences of the individual and family, within available resources.

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  • Maine Drug Deaths - Expanded Report for 2016
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    Attorney General Janet Mills Releases Expanded 2016 Drug Death Report

    April 11, 2017
    Attorney General's Office

     

    AUGUSTA – An analysis of 2016 drug deaths released today provides greater detail surrounding the opioid epidemic in Maine. The expanded Maine Drug Death Report for 2016 conducted by Marcella Sorg, PhD for the Attorney General’s Office and the Office of Chief Medical Examiner shows that there was a nearly 40% increase in deaths due to a drug overdose from 2015. The overwhelming majority of these deaths, 84%, were caused alone or in combination with an opioid.

    “The number of deaths caused by heroin and fentanyl is unprecedented,” said Attorney General Janet T. Mills. “Yet the danger of prescription opioids remains unabated. It is time to fully fund treatment services for those affected by this deadly disorder and to fully engage in prevention and education efforts. Using these drugs, alone or in combination, is playing with fire.” Mills called for physicians across the state to limit their opiate prescribing practices and for more doctors to become suboxone prescribers.

    The summary shows how the numbers of drug deaths are expanding across the state. Only 5 counties had more than 10 deaths in 2015 and in 2016 that number increased to 10 counties. It also shows that traditional service center cities are bearing a heavy load. While Portland has 5% of the state’s total population, 11% of the overdose deaths were recorded there in 2016. Bangor is home to just 2% of the total population, but it recorded 9% of the 2016 overdose deaths.

    “This epidemic is not limited to one area or region of Maine,” said Attorney General Mills. “Our cities are being hit hard by this, but rural regions are not immune. It cannot be stressed enough that this epidemic is hitting all across Maine and is not confined to big city across the country,” said Attorney General Janet T. Mills. “This is happening to your friends and family, and it is happening in your neighborhood.”

    The analysis shows that while deaths due to pharmaceutical opioids have been eclipsed by fentanyl and heroin, the number of deaths from prescription painkillers increased last year to 123 – the highest level since 2010. An analysis conducted by Dr. Sorg of the cases in 2015 in which a pharmaceutical opioid was implicated as a cause of death observed that only 7 percent had a prescription for that drug at the time of their death.

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