11/2/2016
Pharmaceuticals to Heroin:
The Destructive Opioid Cycle of Abuse
By
Christopher Roberts
Assistant Special Agent in Charge, D-40
New York Field Division
&
Eric Triana
Acting Unit Chief
Coordination and Support
Pharmaceutical Investigation Section
Diversion Control Division
U.S. Drug Enforcement Administration
Office of Diversion Control
Problematic Progression
1
11/2/2016
360 Strategy
Strategic collaboration and guidance via three interconnected avenues.
Community
(Outreach, Education &
Prevention)
Enforcement
Diversion /
Regulatory
(Local, State & Federal)
Enforcement Partnerships
• Coordinating and Targeting Enforcement
Efforts
• Federal, State, and Local Resources
• Community Enforcement Efforts
1. Built on local intelligence and experience
2. Coordinating efforts – Task Forces / Initiatives
3. Targeting local distribution realities
4. “Top Target” Lists
5. Death or Serious Bodily Injury Cases
RollingDomestic
Thunder Across
the U.S.
Investigations
Seattle
Tacoma
Spokane
Portland
Burlington
Minneapolis/
St. Paul
Rapid City
Manchester
Sioux City
Reno
Cedar Rapids
Portland
Boston
Albany
Flint
Milwaukee
New Bedford
Detroit
Providence, RI
Springfield, MA
Toledo
Rockford
Bridgeport, CT
Omaha
Merrillville
Columbus
Oakland
Glenwood
Hartford, CT
Sacramento
Denver
Springfield
Springs
New Haven, CT
Dayton
Topeka
Fairview Heights
San Jose
Long Island, NY
Indianapolis
Washington
Modesto
Cincinnati
NY, NY
St. Louis
K.C.
Colorado
Westchester/Rockland, NY
Fresno
Bakersfield
Wichita
Durango
Springfield
Carbondale
Springs
Camden, NJ
Garden City
Ventura
Cape Girardeau
Las Vegas
Newark, NJ
Raleigh
Fayetteville
Nashville
Tulsa
Atlantic City, NJ
Riverside
Albuquerque
Memphis
Amarillo
L.A.
Philadelphia, PA
Chattanooga
Orange County
Pittsburgh, PA
Rome
McAlester
Cleveland, OH
Ft. Smith
Phoenix
Atlanta
Lubbock
Youngstown, OH
Las Cruces
Yuma
Birmingham
Macon
San Diego
Wilmington, DE
Tucson
Dallas
Allentown, PA
Ft.
Worth
Imperial County
Jackson
West Memphis, AR
Montgomery
El Paso
Gulfport
Portsmouth, NH
Waco
Midland
Tallahassee
Syracuse, NY
San Antonio
Alpine
Beaumont
Rochester, NY
Panama
Orlando
Houston
Buffalo, NY
City
Galveston
Grand Rapids, MI
Port St. Lucie
Columbia, SC
West Palm Beach
Mobile
Tampa
Corpus Christi
Florence, SC
Fort Lauderdale
Eagle Pass
Baltimore, MD
Miami
Laredo
New Orleans
Johnson City, TN
Brownsville
McAllen
Norfolk, VA
Baton Rouge
Jackson, TN
Huntsville, AL
Little Rock, AR
Oxford, MS
Clarksburg, WV
Salt Lake City
•
•
557 Total Cases
470 Active Cases
•
•
67 Total Operations
62 Active Operations
•
Chicago
140 Cities
2
11/2/2016
Targeting the Strategic Link
Link
Point
Gang Distribution and
Violence
Cartel Drug Supply
• Leverage enforcement resources and focus on the link point.
• Provide “Time and Space” for Community Efforts.
Importer
Foreign Mfr
1,616,548 (01/06/2016)
Manufacturer
?
Practitioners: 1,223,530
Pharmacies: 72,601
Hospital/Clinics: 16,776
Distributor
Practitioner
Pharmacy
Hospital
Clinic
21 USC 822 (a)(1) Persons Required to Register: Every person who manufactures,
distributes any controlled substance or list I chemical . . .
“Every person who manufactures or distributes any Controlled Substance or List I Chemi21
USC 822 (a)(2) Persons Required to Register: Every person who dispenses, or who
proposes to dispense, any controlled substance
“Every person who dispenses, or who proposes to dispense any controlled substance ...”
8
The Flow of Pharmaceuticals
Raw Material
Importers
(Thebaine)
QUOTAS
Imp. - Manufacturers
Manufacturers
Dosage Form
Manufacturers
21 USC 823(c)(1)
21 USC 823(d)(1)
21 CFR 1301.71
Dosage Form
Manufacturers
Smaller Distributors
Wholesalers - Distributors
21 USC 823(b)(1)
21 USC 823(e)(1)
21 CFR 1301.71
21 CFR 1301.74
(Suspicious Orders)
Hospitals
Pharmacies
Physicians
NTPs
(Rx and drugs)
21 CFR 1306.04
PATIENTS
9
3
11/2/2016
Chicago’s Soldier Field
JEFF HAYNES/AFP/Getty Images
16,000+ Prescription Opioid
OD Deaths in 2013
JEFF HAYNES/AFP/Getty Images
Plus 8,000+ Heroin OD Deaths
(24,000) In 2013
JEFF HAYNES/AFP/Getty Images
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11/2/2016
Soldier Field Total Capacity: 61,500
2011-2013 OD Deaths: 66,000+
(Prescription Opioids/Heroin)
JEFF HAYNES/AFP/Getty Images
Top 10 List Countries &
Hydrocodone (2014)
 10 Guatemala
 09 India
 08 Vietnam
 07 China
 06 Denmark
 05 Columbia
 04 Syrian Republic
 03 Canada
 02 United Kingdom
 01 United States
SOURCE: UN International Narcotics Control Board
website. Estimated World Requirements of Narcotic
Drugs in grams for 2014. http://www.incb.org .
Accessed April 14, 2014
10 kilograms
10 kilograms
20 kilograms
20 kilograms
25.5 kilograms
30 kilograms
50 kilograms
115.5 kilograms
200 kilograms
79,700 kilograms 99.3%
U.S. Drug Enforcement Administration
Office of Diversion Control
International Narcotics Control Board:
Comments on Reported Statistics on Narcotic Drugs
The United States was the country with the highest
consumption of the following drugs:
2013
DRUG
2012
99%
Hydrocodone
99%
78%
Oxycodone
82%
57%
Morphine
57%
51%
Hydromorphone
42%
51%
Methadone
49%
Fentanyl
37%
31.5%
Date Prepared/ Source: Prepared 7/16/15, INCB data
U.S. Drug Enforcement Administration
Office of Diversion Control
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11/2/2016
Diversion Partnership
More Americans abuse prescription drugs than the
number of:
Cocaine, Hallucinogen and Heroin abusers
U.S. Drug Enforcement Administration
Office of Diversion Control
6
11/2/2016
The 1960s/70s/80s
Talwin
“Ts and Blues”
Uppers - Amphetamines
Quaalude
Downers - Barbiturates
Hydromorphone
Meprobamate AntiAnxiety
Oxycodone/APAP
Tylenol Codeine
and Glutethimide
sedative “Fours
and Doors”
The
1990sPurdue
Pharma
U.S. Drug Enforcement Administration
Office of Diversion Control
7
11/2/2016
Now, Dr. Portenoy and other pain doctors who
promoted the drugs say they erred by overstating the
drugs’ benefits and glossing over risks. “Did I teach
about pain management, specifically about opioid
therapy, in a way that reflects misinformation? Well,
against the standards of 2012, I guess I did,” Dr.
Portenoy said in an interview with The Wall Street
Journal. “We didn’t know then what we know now.”
U.S. Drug Enforcement Administration
Office of Diversion Control
We conclude that despite widespread use of
narcotic drugs in hospitals, the development of
addiction is rare in medical patients with no
history of addiction.
New England Journal of Medicine 1980;302:123
U.S. Drug Enforcement Administration
Office of Diversion Control
Prescription Drugs Safer than
Traditional Illicit Drugs
• 41 % of teenagers think these drugs are much safer than
drugs such as heroin, cocaine, marijuana and
methamphetamine
• High School Students who legitimately use an opioid
prescription are one-third more likely to misuse the drug
by age 23 than those with no history of the prescription
U.S. Drug Enforcement Administration /
Operations Division / Office of Diversion
Control
8
11/2/2016
Prescription Drug Abuse
is driven by
Indiscriminate Prescribing
(National Threat Fueling the
Opioid Epidemic)
U.S. Drug Enforcement Administration
Office of Diversion Control
Circle of Addiction
Oxycodone
OxyContin
Hydrocodone
Heroin
Drug Enforcement
Administration/Operations Division/Office
of Diversion Control
9
11/2/2016
What Are Our Kids Listening To?
Rich As F***
“And I got Xanax, Percocet, Promethazine with
Codeine / Call me Mr Sandman, I’m selling all these
hoes dreams.
"I'm On One“ (feat. Drake, Rick Ross & Lil Wayne)
I’m on one
Two white cups and I got that drink
Could be purple, it could be pink
Depending on how you mix that shit
Money that we got, never get that shit
'Cause I’m on one
28
11th National Take Back Day: April 30, 2016
Total Collection Sites: 5,359
61
VT
92
29
43
27
26
19
48
336
69
42
127
16
70
263
106
13
327
15
228
221
46
50
117 184
8
DC
38
134
30 81
148
MA
31
RI
62
206 CT
NJ
26
DE
246
234
99
69
78
MD
71
127
22 HI & Guam
155
258
156
112
36
145
92
NH
21
19
PR & VI
Drug Enforcement Administration
Diversion Control Program
National Trends/Community
Impact: Opioids to Heroin
• Heroin Trafficking Organizations relocating to areas
where prescription drug abuse is on the rise
Heroin traffickers =Increasing crime and
violence
Law enforcement and Prosecutors fighting the
problem on two fronts:
Prescription Opiate Diversion
Heroin Distribution
***Communities Suffer***
U.S. Drug Enforcement Administration
Office of Diversion Control
10
11/2/2016
National Drug Poisoning Deaths- CDC
Source: CDC
Opioid OD Deaths Increased 172% in Three
Years- CDC
Heroin Drug Poisoning
Deaths by State (Rate per 100,000 population)-CDC
U.S. Heroin Seizures by Year (kg)
2010: 2,763
2013: 4,502
2011: 3,783
2014: 6,321
2012: 4,391
2015: 6,722
Source: CDC
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11/2/2016
Diversion Control Division
• The first prong DEA’s regulatory oversight of more than 1.6
million DEA registrants.
• The second prong involves targeting for criminal prosecutions
through DEA Tactical Diversion Squads in the U.S. Drug
Trafficking Groups along with DEA Registrants violating the
CSA. Currently, 70 TDS groups are operational. (9 new TDS
groups throughout U.S. pending; includes 2 mobile.)
• The third prong involves DEA developing better relationships
with Registrants by active outreach efforts such as seminars
and conferences, and engaging them with drug awareness
information of commonly abused controlled prescription
drugs
34
Oxycodone
Oxycontin® (Trade Name & Mark)
• Oxycodone Drug
• Time Released
• Tamper resistant so that you can
not obtain an immediate high
when it is crushed.
• Not commonly abused.
Oxycodone (Generic Brand)
• Multiple different drug companies
produce.
• Street name is blues or Oxy
• Commonly diverted pills into the
Black Market (30 mg)
• 18-35 dollars a pill
Hydrocodone
Hydrocodone / Acetaminophen (toxicity)
Damages Liver Highest Dose 10mg/325
Similarities:
– Structurally related to codeine
– Equal to morphine in producing opiate-like effects
Brand Names: Vicodin®, Lortab®, Lorcet®
Norco®
“Cocktail” or “Holy Trinity”
 Hydrocodone
 Soma ® / carisoprodol
 Alprazolam / Xanax®
Street prices: $2 to $10+ per tablet depending on
strength & region
12
11/2/2016
Amphetamine
• Intended for treatment of Attention
Deficit Hyperactivity Disorder
• Adderall® (Amphetamine) Popular
amongst students (Law Students &
Resident doctors
• Decreases appetite
• Provides ability to stay awake longer
• Used for “Cramming”
Fentanyl
• Opioid commonly used for
anesthesia during surgery and
breakthrough pain in cancer
patients
• 100 times stronger than
morphine
• Causes respiratory depression
• Over 12 different analogues of
fentanyl have been produced
clandestinely and identified in the
U.S. drug traffic
Fentanyl - Abuse
• Numerous reports of overdose deaths resulting from mixing
Fentanyl with heroin
• While most illegal use of Fentanyl is from diverted products
– Recent epidemic is linked mainly to illicitly manufactured
Fentanyl
• Previously, Fentanyl could only be made by expert
chemists
• New, easier synthetic method now available on the
Internet
• Inexpensive to manufacture with very high profit
margin
39
13
11/2/2016
National Threat:Fentanyl and Sources
 Schedule II Synthetic Opioid

50X More potent than Heroin
 “Synthetic Heroin”
 Sources



Mexico: Clandestine fentanyl
China: Clandestine fentanyl
Pharmaceutical Diversion: Much smaller scale
 New Forms of Fentanyl


Counterfeit pills (over 10K seized in 2015)
Black tar form
National Threat: Carfentanil
 Schedule II Synthetic Opioid/Extremely Dangerous

**Carfentanil-100x more potent than Fentanyl




10,000X More potent than Morphine
(Elephant Tranquilizer/NOT Approved for Humans)
19 Grams per year authorized by DEA Quota
Resembles powdered Cocaine or Heroin
 “SOURCES”

Illicit Foreign/Domestic:

Clandestine Manufacture
**Carfentanil is in the US**

8 Carfentanil Overdoses in Cincinnati, Ohio since July 2016.
Medical Examiner Confirmed
Fentanyl Deaths and Seizures
2013-2015
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11/2/2016
Cough Syrup (Schedule V)
• Promethazine with Codeine (Purple Drank)
– Hycotuss® syrup with hydrocodone (Schedule III)
– Less popular because of atropine to deter abuse
• Commonly sold in pint bottles
• Preferred abuse by mixing with Sprite®, Vodka/Rum,
“Jolly Rancher,” and crushed Vicodin®
• Street Prices: $250 to $600 per pint
43
Cough Syrup
• Large profit margin
– Diverted wholesale/retail price ($8 to $12/pint) vs.
street price ($250 to $600/pint)
• Remedies
– Target money laundering prosecution and asset
forfeiture
– Schedule V, federal misdemeanor offense (state
felony)
– Ryan Haight increased guidelines for Schedule V
(second offenders)
44
Benzodiazepine
(Benzos)
• Schedule IV difficult to Prosecute
• High Physical Dependence with severe
withdrawal effects
• Both physical and mental withdrawal effects
such as anxiety, insomnia, hyperactivity, and
seizures
• Commonly abused
• Xanax® ( Alprazolam)
• Valium® (Diazepam)
45
15
11/2/2016
Ritalin®
(Methylphendiate)
• Schedule II
• Stimulant for central nervous system
• Similar effects and pharmacological uses
similar to amphetamines
• Prescribed mostly to children with ADHD
Trend
Oxycodone 30mg
Street Value as
High as
$30 per pill
Heroin
Street Value
approximately
$55 a gram
(equivalent to over
33 oxycodone pills)
Heroin Laced
Fentanyl
Street Value
approximately
$70 a gram
(equivalent to over
33 oxycodone pills)
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11/2/2016
Prescription Drug Diversion
•
•
•
•
•
•
Practitioner Diversion
Rx Fraud
Doctor Shopping
Internet
Pain Clinics
Medicine Cabinet
U.S. Drug Enforcement Administration /
Operations Division / Office of Diversion
Control
The Medicine Cabinet
and
the Problem of
Pharmaceutical
Controlled Substance
Disposal
U.S. Drug Enforcement Administration
Office of Diversion Control
17
11/2/2016
Medicine Cabinets: Easy Access
7 out of 10 Teens(73%) indicate that its
easy to get Prescription Drugs from their Parent’s
Medicine Cabinet
Almost 4 out of 10 teens (38%) who
have misused or abused a prescription drug
obtained it from their parent’s medicine cabinet
More than half of parents say anyone
can have access to their medicine cabinet
Date Prepared/ Source: 2013 Partnership Attitude Tracking Study, published 7/23/14
U.S. Drug Enforcement Administration
Office of Diversion Control
18
11/2/2016
Changes to New York State law
 Electronically prescribe both controlled and non-controlled
substances effective March 27, 2016.
 Waivers do Exist
 Will Diversion stop?
19
11/2/2016
20
11/2/2016
Diversion Scam
Peudo
Patients
Recruit
Crew Chiefs
Pay
Mid-Level
Distributer
Complicit
Doctor
See
Fill Script
Office
Workers
Sell
Enter into
System
Crew Chiefs
Complicit
Pharmacy
(Charge Extra $)
NonComplicit
Pharmacy
Return Pills
Proving “Outside the Scope
of Professional Practice”
• Experts needed to Testify to the Generally Accepted Standard of
Medical Practice recognized and accepted in the U.S.
• Medical Discipline is a Science
• There is a Scientific Method to Treat Disease
• Medicine is a science
Civil v. Criminal Diversion
• Malpractice Is Failure to Exercise
Reasonable Care of Prudent Doctor
(Practicing Medicine, but Below
Acceptable Standards)
• Criminal level reached when practicing
medicine outside the acceptable
standards
• It is criminal diversion when a Doctor
prescribes solely to feed a patient
addiction
• A misdiagnosis or ordering improper
tests is malpractice
21
11/2/2016
AstraMed Medical Office
1228 Southern Blvd, Bronx, NY
Overview
June 2012- New York media
organization ran a segment on
the Westchester Avenue, Bronx,
NY, AstraMed Office located
2029 Westchester Avenue BX,
NY. The segment labelled the
medical office as a “Pill Mill”.
22
11/2/2016
AstraMed Medical Office
1228 Southern Blvd, Bronx, NY
AstraMed Medical Office
1228 Southern Blvd, Bronx, NY
AstraMed Medical Office
1228 Southern Blvd, Bronx, NY
23
11/2/2016
AstraMed Medical Office
1228 Southern Blvd, Bronx, NY
Statistics
•
From 06/2012 to 10/2013, Terdiman wrote 14,701 prescriptions for oxycodone
•
On average, on Mondays through Fridays he writes 41 OXY scripts per day.
•
At most, he wrote 126 OXY scripts in a single day (this was on Thursday,
8/15/13)
•
1.7 million doses of Oxycodone over above time period
24
11/2/2016
Synopsis
• October 2012 initiate investigation
• $300 dollars for each prescription
• Multiple UCs and CS meets with doctors and targets
purchasing illegitimate prescriptions and Oxycodone
doses
• Surveillance Cameras and traditional vehicle/foot
surveillance
• February 2014-six search warrants 26 arrest warrants
• Three DEA Registrant doctors arrested on warrants
• Approximately two million dollars seized
Dr. Kevin Lowe – Owner of AstraMed Physicians
DMV Photo
• ARRESTED 02-04-2014
• $408,000 Money Orders
• $1.6 million in Bank Accounts
Seized
• Search warrants at offices &
residences
• Claimed he did not know Dr.
Terdiman or Dr. Virey was
writing illegitimate prescriptions
• Rarely visited the clinics
• Never wrote any of the
illegitimate prescriptions
• Cooperating Defendants
including Dr. Terdiman testify
against in Jury Trial
• Conviction 05-04-2015
Dr. Robert Terdiman – Pain Management Doctor
DMV Photo
•
•
•
•
•
•
•
•
ARRESTED 02-04-2014
Lived in Motel in Yonkers, NY
Suffered from Dementia
Pled Guilty, Cooperated and
testified against Dr. Lowe at
trial
Stated all prescriptions he
wrote were illegitimate
Dr. Lowe
would pressure him
)
to write even more
prescriptions
Crew Chiefs would purchase
printers and other computer
equipment for office
Security cameras linked for Dr.
Lowe to view at all times
25
11/2/2016
Dr. Tomasito Virey – Former Pain Management Doctor
DMV Photo
• April 2013 Dr. Virey contacts DEA
surrendering his Registration and
resigning from Astramed
• May 2013 Reverse Proffer showing
evidence and becomes cooperating
defendant
• 01-29-2014 Pled Guilty on
Information in SDNY and Arrested.
• 02-04-2014 (date of takedown)
accidentally or intentionally
overdoses on Oxycodone and dies
SICA/ROHLMAN CHARGED WITH DISTRIBUTION OF
FENTANYL/HEROIN CAUSING THE DEATHS OF THREE
INDIVIDUALS ARRESTED JUNE 19, 2014
Drug Enforcement
Administration
/
STORINGU.S.DRUGS
IN PUTNAM
COUNTY
Operations Division / Office of Diversion
Control
Corresponding Responsibility
of Pharmacist
• The practitioner is responsible for
proper prescribing. The pharmacist has
corresponding responsibility when
dispensing a controlled substance
prescription to make sure it is for a
legitimate medical purpose. (50%/50%
responsibility)
• Individual knowingly dispensing a
prescription with no legitimate medical
purpose for a controlled substance will
be subject to criminal penalties and
administrative sanctions
26
11/2/2016
Examples of
Questionable Prescribing
Controlled substance drug cocktails
– Examples: Narcotic pain killer +
benzodiazepine + sleeping pill + codeine
containing cough syrup + carisoprodol
(muscle relaxant) or any combination
thereof.
– Length of therapy of codeine containing
cough syrups, anything beyond 3‐6 weeks is
definitely “suspicious”. No clinical rational
beyond 6 weeks.
STANLEY GETTY CORP. (aka STANLEY PHARMACY)
2 South Broadway, Yonkers, NY
Draft work product
27
11/2/2016
Anthony SALES Jr. and Sr. and Paulerico were involved distributing Oxycodone.
Joe Fasce
Neil Paulerico
Stanley Getty Pharmacy
Investigation
• January 17, 2013 Store manager Ji Yun Lee was arrested.
• April 2013 Christina CHAI was also arrested
• Investigation revealed at least 329,550 Oxycodone doses were filled illegitimately
• August 2014 Ji Yun Lee pled guilty and consented to forfeit 1.3 million dollars
• September 2014 jury trial for both pharmacists Christina CHAI and Hi Jong LEE
and both were found guilty.
U.S. Drug Enforcement Administration /
Operations Division / Office of Diversion
Control
28
11/2/2016
29
11/2/2016
30
11/2/2016
Drug Cartels’ Areas of Influence
31
11/2/2016
Diversion Partnership
• Enforcement and Regulation
• Identify the Threat(Regulatory)
• Target DEA Registrants Operating Outside the Law
• Address the Threat (Enforcement)
• Tactical Diversion Squads (TDSs): 77 Nationally
• Agents, Diversion Investigations, Intel Analysts
• Diversion Investigators (DIs): 600+ Nationally
• Mobile/Regional TDSs-2. HQ -Based
• Enhance Data to Identify and Track Problems
• Prescription Drug Monitoring Program (PDMP), Medical
Examiners (ME’s) and Other Sources
Diversion Partnership
• Education and Outreach
• National Strategy - Sustained & Consistent
Messaging
• Pharmacist Drug Awareness Conferences (PDAC)
• Law Enforcement (Mobile TDS Groups)
• National Drug Take Back Initiative (NTBI): 4/30/2016 –
5000+ Collection Sites / Safe Drug Disposal Regulations
Diversion Partnership
• Constructive Engagement with the Industry,
Practitioners and Government Health Groups
American Medical Association (AMA)
National Association of Chain Drug Stores (NACDS)
National Association of Boards of Pharmacy (NABP)
Health and Human Service (HHS)
National Institute of Drug Abuse (NIDA)
Substance Abuse Mental Health Services Administration
(SAMHSA)
Food and Drug Administration (FDA)
Office of National Drug Control Policy (ONDCP)
CDC Office of Noncommunicable Diseases, Injury &
Environmental Health (ONDIEH)
CDC National Center for Injury, Prevention & Control (NCIPC)
32
11/2/2016
Diversion Initiatives
• Diversion Intelligence Unit– Develop Strategic Intel on Areas vulnerable to Opioid Abuse/Crisis
• Local TDS/Diversion Groups
• HQ OD Elemenets(ODP)
• OFC
• CCD/ODPI Collocation
– Processing Goals for Administrative Cases
– OTSC/ISO(Focus on Field/HQ/CCD Collaboration)
• Federal Pharmaceutical Drug Investigations and Prosecution Training
(8/23-8/25: Dallas, Texas).
– 500 Plus Attendees. Representation from Majority of the US Attorney Offices.
• SAUSAs
• Increase/Expand Industry Outreach
– PDACS
• Additional OD Personnel: Goal of 1000 DIs and 100 TDSs by 2019
• Mobile TDSs(2)
• DEA 360(Expansion)
360 Degree Strategy
Year 1 (2016) Pilot Communities:
Milwaukee
Pittsburgh
St. Louis
Louisville
360 Degree Strategy
Year 2 (2017) Pilot Communities:
Manchester
Charleston, WV
Albuquerque
Dayton
33
11/2/2016
360 Strategy
OBJECTIVES:
1) Provide DEA leadership to bring together disparate elements of local
communities following DEA enforcement actions.
2) Have a lasting impact through increased awareness of the costs and
consequences of heroin and prescription opioid abuse.
3) Change attitudes to reduce demand through increased collaboration,
prevention education, and treatment recovery support.
360 Strategy
FOUR KEY TARGET AUDIENCES:
1) Home (Parents & Caregivers)
2) Educators (The Classroom)
3) After School (Athletics, Scouts, Boys & Girls Clubs, 4H, After-School Activities)
4) The Workplace
Media PSA’s
34
11/2/2016
Media PSA’s
Radio PSA
104
105
35
11/2/2016
106
Call to Action
• Establish & support relationships
• Work with local partners
– Co-sponsor events
• Utilize DEA 360’s literature
• Public Engagement
• BRAND DEA 360
107
108
36
11/2/2016
Community Partnerships
Initial National Partners:
•
Department of Justice: Office of Justice Programs (OJP)
•
Substance Abuse Mental Health Services Administration (HHS-SAMHSA)
•
Centers for Disease Control & Prevention (CDC)
•
Community Anti-Drug Coalitions of America (CADCA)
•
Partnership for Drug-Free Kids (Partnership)
•
DEA Educational Foundation
•
Benevolent and Protective Order of the Elks
•
Boys & Girls Clubs
•
Boy Scouts & Girl Scouts of America
•
Young Marines
and Violence Reduction Network (VRN)
Community Partnerships
“Community Alliance”
Key leaders from the fields of:
•
•
•
•
•
•
Law Enforcement
Prevention
Treatment
Judicial System
Education
Business
•
•
•
•
•
•
Government
Civic
Faith Communities
Health
Media
Social Services
Form the core of a long-term group that will cross disciplines
to help DEA carry the prevention and treatment messages to the local
population during the critical post-enforcement operation timeframe.
DEA 360 Tool Kit
DEA 360 Table of Contents
I. Background on DEA 360
II. Community Outreach Planning
III. National Partners
IV. 360 Local Community Partners
V. Getting Started
VI. Press Kick-Off
VII. Ad Campaign - A Bright Idea
VIII. Community Summit
IX. Micro Website’s
X. Presentations
XI. Handouts & Materials
XII. Graphics & Logos
XIII. Metrics for Evaluation
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360 Tools
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•
•
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Self-paced E-learning Module
Interactive Lessons Plans for Classrooms
High School Student Video Challenge
Expert Q&A National Live-Steam Event
Parent Toolkit
Promotion & Outreach Campaign
3 School Years: Launching Fall 2016 Semester
Bottom Line
• The Opioid Epidemic - including Heroin and
Fentanyl - is a Serious National Threat.
• DEA National Strategy:
– Prevention, Enforcement, and Treatment working
Together is critical to solve this Epidemic.
Christopher Roberts
212-274-4208
[email protected]
Eric Triana
202-307-7425
[email protected]
Thank You!
U.S. Drug Enforcement Administration
Office of Diversion Control
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