Considerations for NJ Psychiatric Rehabilitation Association NJ Behavioral Health Planning Council NJ DMHAS Citizens Advisory Council Tom Pyle MBA, MS, CPRP Psychodyssey Services 1

2

3

4

5

6

7

8

9

National Overdose Deaths Number of Deaths from Prescription Drugs

National Overdose Deaths Number of Deaths from Prescription Opioid Pain Relievers

National Overdose Deaths Number of Deaths from Benzodiazepines

National Overdose Deaths Number of Deaths from Cocaine Source: National Center for Health Statistics, CDC Wonder

National Overdose Deaths Number of Deaths from Heroin

15

16

17

18

19

20

21

22

23

24

25

26

 Prescriptions in 2012  259 million! ▪ (More than 1 for every adult)  Benzodiazepines ▪ 40 prescriptions for every 100 Americans  Hospitalizations for combined addictions  Up 569% over 10 years 27

“Education for physicians has focused on increasing monitoring of opioid prescriptions, rather than on decreasing their use with benzodiazepines.” Dr. Leanna S. Wen Health Commissioner City of Baltimore 28

29

30

31

“Black box warnings change how physicians prescribe...” Dr. Leanna S. Wen Health Commissioner City of Baltimore Mid 2000s: 22% drop in scripts for anti- depressants linked to youth suicides with black- box warnings. 32

33

34

35