PAINKILLER ADDICTION CRISIS

IN OKLAHOMADan Cross, LADC,

Executive Director,

Absentee Shawnee Counseling Services

Chairman, Media & Public Relations Committee

Oklahoma Association for the Treatment of Opioid Dependence

Tip of the ice berg We’ve seen a lot

But the worst is

still below the surface.

Opioids numb pain receptors Cause rebound =

hypersensitivity Affects perception of

painPhysicalEmotional

Tolerance increasing Tx resistant

Oklahoma Leads Nation

Prescription painkiller addiction.

6.7% SAMHSA March 2008 8.13% SAMHSA March 2011 Nearly double national prevalence

Oklahoma pulling away from the nation.

How BIG is it?

Estimated 87,000 painkiller addicts in Oklahoma Ok Bureau Narc & Dangerous Drugs

Bureau of Census data for 2006, a pro rata share of addicts

per capita would indicate that nearly 13,000 opioid addicts reside in Tulsa County, 17,000 in OKC

8.13% of OklahomansAbuse painkillers SAMHSA 3/2011

> 245,000

How This Statistic Appears 1 of 82.5 abusersseek treatment

1 of 25.8 abusers access ERs

However, addiction progressive

A Snapshot in Time

245,000 abusers

100,000 addicted

Pipeline

New entrants:

Prevention &

Supply-side

Demand-side: EFFECTIVE TREATMENT

Need OTP

Who is addicted?

The “typical” addict - cuts across strata The elderly Chronic pain Professionals/Educated

Heath LedgerRush LimbaughWife of Oklahoma Co. DA

Young & internet savvy

Shrinking supply October 2003 FDA & DEA partnered DEA crackdown March 1, 2004

prescription-monitoring program to track physicians who prescribe narcotics

reclassifying hydrocodone, unable to refill w/o new prescription

prosecuting doctors for large amounts

10/08 Ryan Haight Online Pharmacy Act Persistent enforcement Obama’s Plan 4/11 ONLY supply side

RESULT???

100,000 people Suddenly becoming

sick & desperate What does that look

like?OKC attorney

Requires DIFFERENT Treatment Traditional substance abuse tx = 8-10%

success SAMHSA evidence-based best practice

Medication Assisted Treatment, TIP 4375% positive outcomes.9 times better ANDCan often SKIP INPATIENT DETOX

○ Bottleneck: 1,000-1,300 waiting list○ Keep stabilizing support structure in place.

Heroin: an Alternative Supply Cheaper, purer, & more prevalent 20/20 ABC News: The New Face of

Heroin Addiction Associated with criminal activity:

ODMHSAS: 5% substance abuse tx admitsNDIC: 5,000 prisoners (25.6%) & 3,000

probationers & parolees

Progression of Painkiller Addiction

Lose Job

Lose Home

Lose Family

Lose Health

Criminal Justice

Path of SAMHSA Best PracticeMedication Assisted Treatment

Intervention requires matrix of intensive services, NOT cost effective, poor outcomes

Strategic Community Response: Early detection & intervention Inventory OTP programs in your area

http://dpt2.samhsa.gov/treatment/Not all OTPs the same

Identify wrap-around services anticipating barriers to tx

Catalog the above services w/access & requirements

Develop pathways to treatment Get info to 1st tier responders

Our Programs serving native & non-native

people

Absentee Shawnee Counseling Services

OKC 405-672-3033

Keetoowah Cherokee Tx Services

Tulsa 918-835-3017