1 Everything Parents need to know about Pain Meds and Heroin Safe Communities Madison-Dane County 1

2 Welcome Facilitators Genevieve Kirchman, Parent Educator Any School District AND Cindy Holmes and Josalyn Longley, Deputies Dane Co. Sheriff’s Dept. 2

3 “Setting an example is not the main means of influencing others, it is the only means.” - Albert Einstein 3

4 “Children close their ears to advice but open their eyes to example.” 4

5 “When spider webs unite, they can tie up a lion.” –African proverb 5

6 “Personal example carries more weight than preaching.” - Chinese proverb 6

7 “Don’t handicap your children by making their lives easy.” - Albert Heinlein 7

8 “Children need love, especially when they do not deserve it.” –- Harold S. Hubert 8

9 ”Always be nice to your children because they are the ones that will choose your nursing home.” - PhyllisDiller 9

10 “Children are unpredictable. You never know what inconsistency they are going to catch you in next.” - Franklin P. Jones 10

11 “Be the parent of your future, not the child of your past.” 11

12 “You are the bows from which your children, as living arrows, are sent forth.” - Kahlil Gibran 12

13 “No matter how calmly you try to referee, parenting will eventually produce bizarre behavior, and I’m not talking about the kids. Their behavior is always normal.” - Bill Cosby 13

14 “If you have never been hated by your children, you have never been a parent.” - Bette Davis 14

15 “Mother Nature, in her infinite wisdom, has instilled within each of us a powerful biological instinct to reproduce; this is her way of assuring that the human race, come what may, will never have any disposable income.” - Dave Barry 15

16 “Few things are more satisfying than seeing your children have teenagers of their own.” - Doug Larson 16

17 “I used to believe my father about everything but then I had children myself & now I see how much stuff you make up just to keep yourself from going crazy.” - Brian Andreas 17

18 “Do not worry that children never listen to you, worry that they are always watching you.” - Robert Fulghum 18

19 “To be in your children’s memories tomorrow, you have to be in their lives today.” -Barbara Johnson 19

20 I. Understanding the Problem II. Know what works III. Safeguarding & Disposal 20

21 I. Understanding the Problem 21

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23 What is Rx drug abuse? Self Medicating - using a drug without a prescription to obtain the intended benefit AND/OR Recreational use - to get high or feel good 23

24 Opioids OPIOIDS: Opiates AND synthetic narcotics (prescription pain medications) 24 Substances to reduce pain OPIATES: From the opium poppy- –heroin and morphine

25 Addiction Brain Disease Family history a factor Relapse is part of the disease Person who’s addicted needs the behavior or substance to feel “normal” Teens especially vulnerable because their brain is developing until they are 24 25

26 Slang Terms 26 “Pharming” or “Pharm Parties” “Robotripping” ”Skittling” “Purple Drank” “Sizzurp”

27 “Pharmageddon” For the first time, unintentional overdoses have replaced car accidents as the leading cause of accidental deaths in 15 states and the District of Columbia. ” CBS “Early Show on Saturday Morning” Sept. 4,

28 Drug Paraphernalia 28

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30 Synthetic Heroin 30

31 What’s the Difference? 1. Legality 2. Ability to predict how it will effect you 3. How Addictive 4. Cost 5. Public Perception 6. Overdose Risk 31

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35 In Dane County DEATH rates from opioids (heroin & prescription pain medications) have ALMOST QUADRUPLED from

36 In Dane County Majority Opioid-related deaths and hospitalizations are from... Prescription Pain Meds (e.g. Oxycontin, Vicodin, Morphine).

37 In Dane County, Opioid Death Rate Highest for those in mid-twenties. and Over 25 deaths years of age, in a 5 year period ( Dane Co. Public Health)

38  In Dane County, Opioid-related Hospitalizations Highest for those (250) - Over 85 Hospitalizations for those years of age in 5 year period ( ).

39 Number of high school students in Dane Co. reporting using heroin or prescription drugs % 1,277 Teens 2012 Dane County Youth Survey Results

40 How Are Drugs Obtained? 40

41 WHO are they getting them from? More than 1 Doctor - Bought/Took from Friend or Relative - One Doctor - Drug Dealer or Stranger - Free from Friend or Relative % 17% 18% 4% 2% National Survey on Drug Use and Health 2011

42 Ease of Access

43 USA = 5% of World’s Population AND Text Consumes 75% of Prescription Drugs (UNODC 2011)

44 What’s the norm? 7 out of 10 office visits = Prescription 44

45 How many prescriptions are filled every month in Wisconsin? –A. 1 million –B. 150,000 –C. –D. 87,899 (Source: Kaiser Family Foundation State Health Facts 2011) 45 6 Million

46 II. Know what works 46

47 So..What does work? 47

48 #1 “Children close their ears to advice but open their eyes to example.” 48

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50 #2 50

51 #3: Deliver the Message 51

52 Alcohol or Illicit Drugs Prescription Drugs Source: Partnership for Drug-Free America Survey 2008

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54 #4 - Challenge the “Norm” Misperception 54

55 #5 55

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57 Parent Addiction Network

58 Discuss the Rest of the Tip Sheet 1. What surprises you? 2. What do you want to remember? 3. What question do you have? Ask someone in your group to be the reporter 58

59 Know the Warning Signs Know where to go for Help Summary of What Works Lead by Example Talk about Risk - and Listen Challenge the “Norm” misperception Monitor Connected to School

60 If something has changed? 60

61 III. Safeguarding & Disposal 61

62 Safeguarding Your Pills Lock them up Do NOT leave drugs in the open Keep pill bottle caps on tightly Know how many pills you have Properly dispose of old or unneeded meds Monitor your children’s prescriptions 62

63 Disposal of Prescription Drugs MedDrop Locations at Police Depts. in Dane County: Cambridge Deerfield Fitchburg. Madison Police East District Madison Police West District University of Wisconsin Mazomanie McFarland Middleton Stoughton Oregon Sun Prairie Waunakee 63

64 Disposal of Prescription Drugs MedDrop Locations at 13 Police Departments in Dane County 64

65 Disposal of Prescription Drugs Place in used kitty litter or wet coffee grounds (make unappealing to others & pets) Place in watertight container & put in trash. Liquid meds: add flour, salt, or other dry powder to absorb medication 65 IF no med drop box - Do Not Flush down the toilet.

66 II. Know what works and then....do it! 66 I. Understanding the Problem III. Safeguarding & Disposal

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69 Facilitators Genevieve Kirchman, Parent Educator Any School District AND Cindy Holmes & Josalyn Longley, Deputies, Dane Co. Sheriff’s Dept. Some of this information taken from the Good Drugs Gone Bad project 69 Thank you.....