1. John R. Kasich, Governor Orman Hall, Director 1

2. John R. Kasich, Governor Orman Hall, Director 2  Tolerance  Euphoria  Withdrawal

3. 3 John R. Kasich, Governor

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5. 5 Sources: SAMHSA Treatment Episode Data Set (TEDS); Drug Abuse Warning Network (DAWN); National Survey of Drug Use in Households (NSDUH)

6. 6 Source: National Vital Statistics System. http://www.wonder.cdc.gov

7. 7 Source: National Survey on Drug Use and Health, 2009. http://www.oas.samhsa.gov

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9. 9 John R. Kasich, Governor

10. 10 John R. Kasich, Governor

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12. 12 Change Over Time -15.2%-0% 0.1%-18.1%

13. John R. Kasich, Governor Orman Hall, Director 13

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16. John R. Kasich, Governor Orman Hall, Director 16 Ohio Dept. of Health: http://www.healthyohioprogram.org/vipp/drug/dpoison.aspx

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22. 22 Percentage Year Percentage of ODADAS Clients with an Opiate Diagnosis, SFY 2001 through SFY 2012*

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31. 31 John R. Kasich, Governor

32. 32 Treatment Admissions per 100,000 population Property crimes arrests as a percentage of total population

33. Fairfield County- Jail Days 33 13,108 35,768 10,022 44,725 35,591

34. No OpiatesOpiates Present Age Group 18 - 2540.4%53.6% 26 - 3538.3%25.0% 36 - 4511.7%16.1% 46 - 557.4%5.4% 56 -652.1%0.0% 100% Fairfield County - Jail Days By Age and Opiate Status-2008 34

35. 35  Treatment Workgroup  Professional Education Workgroup  Enforcement Workgroup  Public Education Workgroup  Recovery Supports Workgroup John R. Kasich, Governor

36. 36  Emergency Departments (EDs) are a major source of opiates at 39 percent of all opioids prescribed or administered.  Nationally, opioid prescribing for pain-related ED visits increased from 23 percent in 1993 to 37 percent in 2005.  In Ohio, 16 percent of fatal overdose victims in 2008 had a history of “doctor shopping.”  The prescribing guidelines are a general approach to prescribing but are not intended to take the place of clinical judgment.  They include reminders to clinicians on what drugs to avoid routinely prescribing, and considerations when deciding on treatment options.  Endorsed by: Ohio State Medical Association; Ohio Osteopathic Association; Ohio Chapter American College of Emergency Physicians; Ohio Hospital Association; Ohio Pharmacists Association; Urgent Care College of Physicians; Ohio Bureau of Workers Compensation; Ohio Physician Assistants Association; and Ohio Association of Health Plans. John R. Kasich, Governor

37. 37  Medication-Assisted Treatment Protocol  “Recovery 2 Work” Initiative  Community Opiate Task Forces  Opiate Impact Studies: Medicaid & BWC  Criminal Justice & Behavioral Health Initiative  Southern Ohio Addiction Treatment Center  Inter-State Opiate Alliance  “Don’t Get Me Started” Campaign  Statewide SOLACE Family Engagement Network

38. 38 John R. Kasich, Governor Orman Hall, Director

39. 39 John R. Kasich, Governor

40. Orman Hall, Director 40 Orman Hall, Director Ohio Department of Alcohol and Drug Addiction Services 30 West Spring Street, 6 th Floor Columbus, OH 43215 614.644.8452 Orman.Hall@ada.ohio.gov