Healthcare providers are often the first line of diagnosing or discussing substance use disorder with a patient. Untreated substance use disorder can significantly impact medical outcomes and increase morbidity and mortality. It is well known that substance use disorder is a health problem that costs the United States over $400 billion annually including the costs of treatment, related health problems, absenteeism, lost productivity, drug-related crime and incarceration, in addition to education and prevention efforts (NIDA). Also consider, according to results from the 2010 National Survey on Drug Use and Health (NSDUH), an estimated 2.4 million Americans used prescription drugs non-medically for the first time within the past year, which averages to approximately 6,600 initiates per day.
According to the most recent National Survey on Drug Use and Health, an estimated 19.7 million Americans or 8.1% of the population aged 12 or older were current (past month) illicit drug users and nearly 8 million are in need of treatment. (Substance Abuse In Your Patients: Beyond What Is Taught In Your Residency Chair: Nora D. Volkow, M.D., Director National Institute on Drug Abuse).
Health Care Providers play an important role in preventing substance misuse, and assisting their patients who are dealing with substance misuse issues to find appropriate treatment. Included on this page are resources for providers to enhance prescribing practices, and screen and refer patients who may be in need of help.
DRUG OVERDOSE PREVENTION RESOURCES
FOR HEALTH CARE PROVIDERS
Clermont County Save Line: 513.528.SAVE (7283)
WHAT CAN HEALTHCARE PROVIDERS DO?
Ohio Automated Rx Reporting System (OARRS) website – The OARRS website provides a description of the system, outlines who is required to utilized OARRS, and how to become registered. For more information, click here.
State of Ohio Board of Pharmacy OARRS Training Videos – These instructional videos explain how to register for OARRS access, how to run an OARRS report, and how to read an OARRS report. Visit the State of Ohio Board of Pharmacy YouTube channel.
Clermont County Drug Drop Box Locations – Patient-friendly flyer listing the location of multiple drug drop boxes throughout Clermont County.
Opioid Prescribing Guidelines – Developed by the Governor’s Cabinet Opiate Action Team (GCOAT) these three sets of opiate prescribing guidelines can be used to supplement and not replace the prescriber’s judgment. For more information, click here.
Ohio Guideline for the Management of Acute Pain Outside of Emergency Departments: Created by the Governor’s Cabinet Opiate Action Team (GCOAT) and the workgroup on Opioids and Other Controlled Substances (OOCS), this guideline is intended to provide a general approach to managing acute pain in the outpatient setting. For more information, click here.
Ohio Department of Health Project DAWN resources: The Ohio Department of Health has a webpage dedicated to Project DAWN (Deaths Avoided with Naloxone), which includes a Project DAWN training video, information on naloxone, and additional resources of interest to Health Care Providers and the public related to this topic. The ODH Project DAWN webpage can be accessed by clicking here.
SBIRT (Screening, Brief Intervention, and Referral to Treatment): SBIRT is an evidence-based practice that can be employed in a variety of settings to provide screening, intervention and referral for those at high risk of substance use disorders. Additional information on SBIRT can be found here or here.
Center for Behavioral Health Statistics and Quality. (2015). Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health (HHS Publication No. SMA 15-4927, NSDUH Series H-50).
For screening, interventions and CME credits go to: http://www.niaaa.nih.gov/Publications/EducationTrainingMaterials/guide.htm
How can prescription drug misuse be prevented? Guidelines from the National Institute of Health.
The new CDC Guideline for Prescribing Opioids for Chronic Pain helps inform providers’ ability to offer safer, more effective pain management and supports clinical decision making about prescribing opioids.