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Prescription Drug Abuse Crisis in NYS - Comprehensive Approach-New

Prescription Drug Abuse Crisis in NYS - Comprehensive Approach-New

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Published by New York Senate
THE PRESCRIPTION DRUG CRISIS IN NEW YORK STATE: A COMPREHENSIVE APPROACH
THE PRESCRIPTION DRUG CRISIS IN NEW YORK STATE: A COMPREHENSIVE APPROACH

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Published by: New York Senate on Feb 22, 2012
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01/11/2013

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THE PRESCRIPTION DRUG CRISIS INNEW YORK STATE:
A COMPREHENSIVE Approach
 
SENATE STANDING COMMITTEE ON HEALTHSenator Kemp Hannon, Chair
Monitor PrescriptionsEducating all ParticipantsProsecutingDealers,Rehabilitating AddictsGetting Drugsoff NY Streets
 
 
TABLE OF CONTENTS
EXECUTIVE SUMMARY
...........................................................................................................1
PRIME AREAS FOR ACTION
...................................................................................................3
ACTION PLAN: A COMPREHENSIVE SOLUTION
.............................................................4I. Getting Drugs Off New York Streets...................................................................................4A. Strengthening Requirements for Certain Controlled Substances .............................5B. Statewide Drug Take-Back Programs ......................................................................7II. Monitoring the Prescribing Process .....................................................................................8A. Tracking Robberies & Protecting Pharmacies .........................................................9B. Tracking Missing Prescription Pads ......................................................................10C. Prescription Monitoring Programs .........................................................................11III. Educating Practitioners & Citizens ....................................................................................13A. Educating Practitioners ..........................................................................................141. Coursework in Pain Management, Addiction, & Palliative Care ..............142. Developing Prescribing Standards for Acute Pain.....................................163. Developing Standards for Chronic Pain Management ...............................16B. Educating Patients & the Public ............................................................................17IV. Prosecuting Dealers, Rehabilitating Addicts .....................................................................18A. Prosecuti
ng “Licensed” Drug Dealers
...................................................................19B. Rehabilitating Addicts ...........................................................................................201. Examine Detoxification & Rehabilitation in New York............................212. Medicaid Recipient Restriction Program ...................................................223. Handling Overdoses ...................................................................................23
 
CONCLUSION
............................................................................................................................24
 
 
Page 1 of 24
EXECUTIVE SUMMARY
Like the rest of the nation, New York State is in the midst of a public health crisis:prescription drug abuse. There are more prescription drugs on our streets and in our homes thanever before. The Federal Centers for Disease Control and Prevention (CDC) recently releaseddata showing only marijuana is abused with more frequency than prescription narcotics and moreAmericans die of prescription drug overdoses than heroin and cocaine combined.
1
New York isexperiencing the sudden and unprecedented fallout from prescription drug abuse, including arecord number of overdoses, suicides, new addictions, and armed pharmacy robberies resultingin casualties. Understanding all aspects of the problem is the only path to the solutions. For thisreason, the New York State Senate adopted a resolution declaring April 28, 2012
PrescriptionDrug Take-Back Day,
the Senate Health Committee held two roundtables, and the Committeeissued this white paper.
2
 The flaws in the current system help this crisis continue and grow. While there is a needfor measures to remedy these flaws, we must also remain cognizant of the fact these medicationsrelieve suffering, especially those treated by oncologists, orthopedists, and neurologists.Prescription pain medication is a hallmark of modern medical science. For the first time inhuman history, we can truly ease the
 patients’
suffering. We can prolong the lives of people withnon-paralytic spinal injuries, nervous system disorders, cancer, and many other maladies.Doctors can perform miraculous procedures, and thanks to advances in medication science, theycan prescribe painkillers to treat subsequent and often intense pain. At the same time, modernpainkillers have the potential to swiftly addict users
 — 
in a fashion hardly seen before
 — 
andworse, oftentimes under the umbrella of legitimate prescriptions from licensed medicalprofessionals. Accordingly, policy changes must strike a balance between our desire tominimize abuse and the need to ensure access to those legitimately needing these treatments.Meaning, first, we must recognize the system is broken, not useless. Second, we need to
1
CDC,
Prescription Painkiller Overdoses Policy Impact Brief 
, Dec. 19, 2011 (citing CDC. Vital Signs: Overdosesof Prescription Opioid Pain Relievers
 — 
United States, 1999-2008. MMWR 2011; 60: 1-6),http://www.cdc.gov/homeandrecreationalsafety/rxbrief/ . 
2
NYS
S
ENATE
S
TANDING
C
OMMITTEE ON
H
EALTH
, Roundtable on New York’s Prescription Drug Abuse Crisis
S
ENATE
S
TANDING
C
OMMITTEE ON
H
EALTH
, Roundtable Discussion on the Growing Problems of Prescription DrugAbuse and Diversion throughout New York State (Aug. 31, 2011),http://www.nysenate.gov/event/2011/aug/31/roundtable-discussion-growing-problems-prescription-drug-abuse-and-diversion-thr-0. 

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