Why is a medicine return program needed in King County?

First some background information about the problem of prescription drug abuse.

Hospitalizations continue to increase
According to the Washington State Department of Health, hospitalizations for prescription painkiller overdoses continue to rise in our state. 

CDC says the problem is epidemic
This is a national problem, as well.  According to the Office of National Drug Control Policy (ONDCP):

The Centers for Disease Control and Prevention has classified prescription drug abuse as an epidemic. While there has been a marked decrease in the use of some illegal drugs like cocaine, data from the National Survey on Drug Use and Health (NSDUH) show that nearly one-third of people aged 12 and over who used drugs for the first time in 2009 began by using a prescription drug non-medically.

Some individuals who misuse prescription drugs, particularly teens, believe these substances are safer than illicit drugs because they are prescribed by a healthcare professional and dispensed by a pharmacist. Addressing the prescription drug abuse epidemic is not only a top priority for public health, it will also help build stronger communities and allow those with substance abuse disorders to lead healthier, more productive lives.

ONDCP's Prescription Drug Abuse Prevention Plan
The national 2011 Prescription Drug Abuse Prevention Plan includes action in four major areas to reduce prescription drug abuse:

1. Education. A crucial first step in tackling the problem of prescription drug abuse is to educate parents, youth, and patients about the dangers of abusing prescription drugs, while requiring prescribers to receive education on the appropriate and safe use, and proper storage and disposal of prescription drugs.

2. Monitoring. Implement prescription drug monitoring programs (PDMPs) in every state to reduce “doctor shopping” and diversion, and enhance PDMPs to make sure they can share data across states and are used by healthcare providers.

3. Enforcement. Provide law enforcement with the tools necessary to eliminate improper prescribing practices and stop pill mills.

4. Proper Medication Disposal. Develop convenient and environmentally responsible prescription drug disposal programs to help decrease the supply of unused prescription drugs in the home.

Are these things going on locally?
In King County, the first three strategies are in place either through local community activities or the implementation of the prescription monitoring program in our state.

What’s missing?

An ongoing medication disposal program. But King County can change that. 

On May 16, the King County Board of Health is holding a public hearing about proposed policy to start a permanent medicine return program countywide.  See yesterday's post for more information. 

Coalitions making a difference

Since this is the season for celebrations, I decided to blog about hopeful things today. So, I am starting with an excerpt from a message sent by the DFC Administrator on the ONDCP list serv earlier this month:

At a time when many national surveys are showing increases in youth substance use, the past 30-day use of alcohol, tobacco, and marijuana have declined significantly and in all grade levels (middle school, high school) between DFC coalitions’ first and most recent data report. Additionally, perception of risk increased significantly for alcohol, tobacco, and marijuana use among youth in DFC-funded communities. Both markers are clear evidence of the success of your work and the effectiveness of this model.

I wanted to share that with you as a harbinger of hope. The Prevention WINS coalition accomplished quite a bit over the past 4+ years and now, with DFC support, we have the wonderful opportunity to accomplish even more, creating a safe and healthy community for our children.

In the news

From the November 20 Seattle Times:

Our team in D.C. -- Locke, Sims and Kerlikowske

"The chief later told me people should be just as concerned about middle-schoolers partying with parents' prescription drugs as they are about better-known illicit drugs."

"The better approach is prevention for people ages 12 to 21 and treatment for those who are already addicted."

"Kerlikowske's main focus is to develop the president's drug strategy, due out next year. Clearly, policy will stress prevention and treatment and focus on things like drug courts, which have proven to work."

From the December 7 New York Times:

Addiction on 2 Fronts: Work and Home about the new deputy director of the Office of National Drug Control Policy who believes that more resources need to go towards prevention.

Hard Questions to Ask After a Cry for Help about what pediatricians and others should ask adolescents when they are at risk for suicide.

Seattle Police Chief new "Drug Czar"

As you've probably already heard, Seattle Police Chief Gil Kerlikowske reportedly has been nominated by the Obama Administration to direct the Office of National Drug Control Policy (ONDCP). Here is a sample of what's been reported in local media:

The Next Drug Czar, KUOW's The Conversation, February 11, 2009;

A new drug czar, a new opportunity, The Seattle Times, February 16, 2009;

From Seattle's top cop to 'drug czar', Seattle Post-Intelligencer, February 10, 2009.

Join Together's article includes quotes former Police Chief Norm Stamper and Washington State Representative Roger Goodman.