Is your Coalition, Task Force or Community Organization interested in supporting reducing prescription drug misuse or abuse in your community? The Community Action Center has materials to help you identify risk and protective factors, sample prevention activities, CADCA’s 7 strategies for community level change as well as example policies limiting unnecessary access to prescription drugs. Please use these resources to support your community work. Looking for example flyers and media info? Check out the Resource Download page for customizable flyer, stickers and other printables.
Prevention of Rx Misuse/Abuse-Risk Factors
Effective prevention addresses various risk and protective factors that can either increase or decrease substance use/abuse. While the substances of abuse may vary in our communities, the risk and protective factors that lead to misuse of any substance are consistent. When we address these common risk factors, we are addressing misuse/abuse of all substances.
In addition, it is important to address prevention in a comprehensive manner at multiple levels: individual, relationships, organizations, community, policy and systems. *
|Risk Factor to Address||Sample Interventions|
|Availability/Access- Social||·Educate the community about proper storage and disposal of Rx medications
·Educate the community about risks involved in sharing medications
·Provide social media campaigns that encourage people to properly store their medications
·Support drug take back events
·Support permanent drop box locations
·Secure access to all substance including alcohol, tobacco and other drugs
|Availability/Access- Retail||·Work with doctors on prescribing practices and encourage use of OARRS
·Include pharmacists, dentists, veterinarians and all other prescribing medical professionals in educating patients about proper storage and disposal
·Collaborate with physician groups to promote Ohio’s prescribing guidelines
·Educate retailers of alcohol, tobacco and other substances
|Community Norms||·Educate the community about stigma
·Help communities increase readiness to address all substance use/misuse
|Early Onset of Use||·Provide parents and caretakers with education and skills to reduce early onset of all substances|
|Perception of Harm||·Educate the community about risks involved with Rx use/misuse and abuse, and alcohol and other drugs|
|Perception of Use||· Share accurate data with your community about prevalence rates of all substances|
|Parental Disapproval||·Educate parents and others through social media and other existing communication channels|
|Parental Monitoring and Involvement||·Provide educational opportunities and resources to parents through school and community-based channels
·Encourage parents to talk to youth about substance use/misuse/abuse of all substances include alcohol, tobacco and other drugs
·Educate parents and caregivers about the impact of all substances on brain development
Developed by Robin Rieske, MA, CPP and Michelle Salvador. This list is not intended to be inclusive of all Risk Factors or Strategies to address them.
*For more information on Risk and Protective factors please visit: https://www.samhsa.gov/capt/practicing-effective-prevention/prevention-behavioral-health/risk-protective-factors
State Policies limiting access to Rx Drugs:
- Ohio implemented the states prescription monitoring program, OARRS in 2016 with mandatory reporting requirements for dispensers.
- Prescriber education around OARRS about how to run reports and licensees out of compliance resulted in a reduction of unchecked pills from 52 million to 7 million, and prescribers with less than 200 non-checks from 45 to 00 within a 4-month period
- Effective August 31, 2017, Ohio’s regulatory boards implemented new limits on opiate prescriptions issued for acute pain. These rules were estimated to reduce opiate doses in Ohio by 109 million per year. Highlights include: 1) No more than a seven days of opiates can be prescribed for adults and no more than five days for minors;2). Providers need to apply for opiates in excess of daily limits; and 3). Limit most morphine equivalent dose (MED) for acute pain to an average of 30 MED per day. Limits do not apply to cancer, palliative care, end-of-life/hospice care or medication-assisted treatment for addiction. And on December 29, 2017 prescribers were required to include a diagnosis or procedure code on every controlled substance prescription.
Possible Coalition Activities for limiting access to Rx Drugs:
- Provide prescribing guideline information to local prescribers (i.e. physicians) https://www.pharmacy.ohio.gov/Documents/Pubs/Special/ControlledSubstances/For%20Prescribers%20%20New%20Limits%20on%20Prescription%20Opioids%20for%20Acute%20Pain.pdf\
- Provide Patient Screening Tools to healthcare professionals
- Provide information/education to healthcare professionals about alternative pain management methods
- Provide information to physicians and pharmacists about OARRS
- Assist physicians in having the OARRS system integrated within their Electronic Health Record (EHR) systems (See the Resource Download page for an example flyer!)
- Help pharmacies implement increased patient ID requirements
- Policies requiring hospitals provide patients leaving with an opiate or other regulated prescription be given education about proper usage, storage, disposal, and be provided a medication disposal bag
- Policies requiring hospitals have a Voluntary Opioid Nondirective which allows patients to decline the administration and/or prescription of opioids for pain
- Local government rules and ordinance regulating pain clinics
Empower your work with evidence:
Use the following link to learn about the 5 Steps to Being Empowered by Evidence and Ohio’s Evidence Based Clearinghouse from the Ohio Department of Education.
Ohio’s Evidence-Based Clearinghouse is intended to empower Ohio’s districts with the knowledge, tools and resources that will help them identify, select and implement evidence-based strategies for improving student success.
Check back often for updated materials or resources!