PERSPECTIVES FROM
REGULATORY BOARDS
AND PUBLIC HEALTH
AGENCIES
Tim Martin, Immediate Past-President Alabama Board
of Pharmacy
Nancy Bishop, AL Department of Public Health
DISCLOSURE
I, Tim Martin, have no actual or
potential conflict of interest in relation
to this program.
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DURING THE SESSION WE WILL
➢
Develop an understanding of regulatory agency
perspectives regarding controlled substances.
➢
Expand our knowledge of the prescription drug
monitoring program.
➢
Discuss practical communication strategies for first
responders and health care professionals in the
context of drug abuse and misuse.
➢
Compare and contrast state-level efforts to combat
drug abuse and misuse.
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PERSPECTIVES FROM REGULATORY BOARDS
➢
What’s appropriate and inappropriate use of PDMP
data?
➢
Optimally, how should the PDMP be used by MDs and
RPhs?
➢
What are some practical strategies for pharmacists
and pharmacy groups to communicate with law
enforcement and other first responders?
➢
How can pharmacists, law enforcement, and other
first responders develop partnerships and work
together to assist those with drug addictions?
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WHERE CAN I FIND A COPY OF THE
PDMP LAW?
Alabama Uniform Controlled
Substances Act
Code of Alabama 1975
20-2-Article 10-210 through 220
and
Rules 420-7-2-.11 through .13
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A LITTLE MORE ABOUT THE PDMP
➢
All information in the database is privileged and
confidential
➢
Information in the database is not subject to
subpoena or discovery in civil proceedings
It is to be used only for investigatory or
evidentiary purposes.
➢ No warrant is made as to the accuracy of the
information
➢ The information is based on data provided by the
dispensing entities.
➢
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WHO HAS ACCESS TO THE PDMP?
➢ Certifying boards
➢ State licensed
practitioners
➢ State licensed
pharmacists
➢ State licensed
physician assistants
➢ State, local, and
federal law
enforcement
authorities (employed
in the state)
➢ State licensed
certified nurse
practitioners
➢ State licensed nurse
midwives
➢ Medicaid Agency (for
Medicaid recipients
only)
➢ Physician delegates
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PRACTICAL STRATEGIES FOR PHARMACISTS
AND OTHER GROUPS TO COMMUNICATE
WITH LAW ENFORCEMENT AND OTHER FIRST
RESPONDERS
➢ Individual
➢ Loss
pharmacists
prevention officers at chain pharmacies
➢ Board
of Pharmacy and its Drug Investigators
➢ Board
of Medical Examiners
➢ Board
of Nursing
➢ Alabama
➢ Alabama
Pharmacy Association
Society if Health-System Pharmacy
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PRACTICAL STRATEGIES FOR PHARMACISTS
AND OTHER GROUPS TO COMMUNICATE
WITH LAW ENFORCEMENT AND OTHER FIRST
RESPONDERS
➢ There
is already a strong foundation!
➢ Set
up a meeting, like this one, between local
pharmacists and your local drug task force
➢ Meet
with groups in your community that have a
stated goal of addressing drug abuse
➢ Sponsor
public forums and involve local leaders
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GOVERNORS’ COUNCIL
Alabama Council on Opioid Misuse and Addiction
➢ Created
December 15, 2016 by Executive Order
#27
➢ The
Council will focus on community education,
additional control of opioid prescriptions, and
abuse and addiction prevention and treatment
➢ The
Council will address the need for more
treatment centers, funding for naloxone, and a
data repository
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PREVIOUS HELPFUL ACTIONS
➢ Act
2013-256 allowed physicians’
employees access to PDMP
➢ Act 2013-257 addressed “Pill Mills”
➢ Act 2015-364 allowed law enforcement
to carry and administer naloxone
➢ Act 2016-307 broadened access to
naloxone to patients, family, and others
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ADDITIONAL RESOURCES
➢
SAMSHA – Substance Abuse and Mental Health Services
Administration https://www.samhsa.gov
➢
CDC Guidelines on Opioid Prescribing
https://www.cdc.gov/drugoverdose/prescribing/guideline.html
➢
DEA Take Back Programs
www.deadiversion.usdoj.gov/drug_disposal/takeback/inde
x.html
➢
NABP AWARxE https://nabp.pharmacy/initiatives/awarxe
➢
American Medical Association
➢
https://www.ama-assn.org/delivering-care/prescriptiondrug-misuse-overdose-death
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ADDITIONAL RESOURCES
➢ CEPOP
– The Collaborative for Effective
Prescription Opioid Policies
www.cepoponline.org
➢ CADCA
– Community Anti-Drug Coalitions of
America www.cadca.org
➢ NABP
Red Flag Video -
www.youtube.com/watch?v=WY9BDgcdxaM
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➢Acquire
Safely
➢Use Safely
➢Prevent Abuse
➢Dispose of Safely
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EFFORTS IN ALABAMA TO
FIGHT DRUG ABUSE
Nancy Bishop, RPH
Alabama Department of Public Health
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DISCLOSURE
I, Nancy Bishop, have no actual or
potential conflict of interest in relation
to this program.
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GOVERNOR’S COUNCIL FOR OPIOD
ADDICTION AND OVERDOSE PREVENTION
AND INTERVENTION
➢ Study
the state’s current opioid crisis by
gathering and reviewing data.
➢ Review
activities underway in Alabama.
➢ Review
successful actions taken by other
states.
➢ Identify
and develop a focused set of
strategies to reduce opioid-related deaths in
Alabama.
➢ Will
be the lead for all state agency efforts.
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ALABAMA DEPARTMENT OF PUBLIC
HEALTH
➢
Data Driven Prevention Initiative:
A three-year cooperative agreement with the
CDC with the goal of writing an opioid and
heroin abuse prevention plan.
➢
It is a collaboration of state agencies,
community-based groups, law enforcement,
healthcare professionals, and other interested
partners. Data will be compiled and analyzed
to support the prevention strategies.
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ALABAMA HEALTH CARE IMPROVEMENT
TASK FORCE
➢
The Health Care Improvement Task Force looks at
various healthcare issues in the state and the current
focus is to positively impact the opioid and heroin crisis.
Groups from throughout the state are brought together
to:
➢ Document
the current state of the opioid/heroin
crisis.
➢ Review
➢ Map
proven strategies from other states.
a path forward.
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ALABAMA DEPARTMENT OF MENTAL HEALTH
➢
Substance Abuse Prevention and Treatment Block Grant (SAPTBG)
Substance abuse prevention services are funded throughout all 67
counties in the State to address the prevention or reduction of
underage drinking, illicit or prescription drug misuse, use and abuse,
tobacco use and substance abuse-related suicides . Primary
prevention strategies are directed at individuals not identified to be
in need of treatment. Programs target both the general population
and sub-groups that are at high risk for substance abuse. Strategies
include Information Dissemination, Education, Alternatives, Problem
Identification and Referral, Community-based Process and
Environmental
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ALABAMA DEPARTMENT OF MENTAL HEALTH
➢
Partnerships for Success (SPF-PFS)
The Alabama Partnership for Success Sustaining Outcomes
Project (APFSSO) seeks to prevent and reduce underage
drinking, young adult problem drinking, and the negative
consequences associated with it, while improving capacity and
infrastructure in communities with health disparities, less
access to care, and poorer behavioral health outcomes in
person’s aged 12 to 20 in eight high need counties (Greene,
Lowndes, Marengo, Perry, Sumter, Tallapoosa, Washington, and
Wilcox) that currently utilize the Strategic Prevention
Framework (SPF). Targeted counties have high concentrations
of individuals with significant health disparities, elevated levels
of substance use, poverty, and less access to care resulting in
poorer behavioral health outcomes.
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ALABAMA DEPARTMENT OF MENTAL HEALTH
➢
Strategic Prevention Framework for Prescription Drugs (SPF-Rx)
The Alabama Strategic Prevention Framework Prescription: Only
Yours As Prescribed (ASPFRx OYAP) project seeks to prevent and
reduce prescription drug misuse and the negative consequences
associated with it, while improving capacity and infrastructure in
communities with health disparities, less access to care, and poorer
behavioral health outcomes in youth ages 12 to 17 and adults 18
years of age and older in the identified high need populations
within the state. The targeted region will have high concentrations
of individuals with significant health disparities, elevated levels of
substance use, poverty, and less access to care resulting in poorer
behavioral health outcomes.
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OTHERS
➢
Alabama Hospitals: Pharmacists are working with physicians and
nursing staff to establish pain management protocols to provide an
extra layer of security in ensuring patients get the appropriate
medication and dosage.
➢
Smart & Safe: A physician-led prescription drug abuse awareness
program. The program is maintained by the Medical Association of
the State of Alabama and provides consumer information about the
safe use, storage and disposal of prescription medication, as well as
prescriber information such as guidelines, toolkits, statistics and
other educational and clinical tools. The Opioid Resource Toolbox
was developed in partnership with the AMA and is available on the
Smart And Safe website.
➢
Smart & Safe can be found online at www.SmartAndSafeAL.org,
Facebook and Twitter.
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OTHERS
➢
Pills to Needles Initiative: KNOWDOPE.org is a resource
developed by the United States Attorney's Office for the
Northern District of Alabama to combat the heroin
epidemic. Their goals are to increase awareness about the
path from pills to needles and to teach people about
prevention through real stories from individuals with a
substance abuse disorder.
➢
The aim to de-stigmatize addiction, encouraging people
to seek treatment.
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OTHERS
➢ Envision
2020: A community-driven strategic
planning effort involving citizens and leaders in
the River Region (Autauga, Elmore, Lowndes,
Macon and Montgomery counties) with the
purpose of developing shared goals
encompassing all aspects of the region' s future
and to see that those goals are implemented.
Current focus is local healthcare access and
post incarceration case management.
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Questions?
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