1. Controlled Substance Collection and Disposal An Opportunity for New Partnerships Under the New Drug Enforcement Agency (DEA) Regulations

2. Presenters Chris Angel, Great Lakes Clean Water Organization info@greatlakescleanwater.org Kara Steinke, Catholic Human Services ksteinke@catholichumanservices.org Sue Winter, Northern Michigan Substance Abuse Services, Inc. suewinter@nmsas.net

3. Objectives Understand the new DEA Regulations on Collection of Controlled Substance Identify new opportunities afforded with the new DEA Regulations to create and maintain capacity for collection and disposal of controlled substances Identify strategies to promote safe and environmentally appropriate social norms within a community for the disposal of controlled substances

4. Your knowledge of the current state and federal laws governing the collection and disposal of controlled and non-controlled medication 123 Didn't know there were standards General understandingExpert Status

5. 30 Second Regulatory Overview Federal (Drug Enforcement Agency-DEA) Only law enforcement agencies can collect scheduled medication State (Board of Pharmacy and Department of Environmental Quality) DEQ – Collected medication is considered waste and must be disposed of properly Board of Pharmacy – Pharmacies and law enforcement agencies can collect unused uncontrolled medication for disposal

6. We have a problem

7. Aha! We have the solution. Accessible, Affordable and Safe Disposal of Unwanted and Unused Medication

8. Our Goal Move the individual “we” to a collective “we”

9. History of the Partnerships Great Lakes Clean Water Organization (GLCW) and Northern Michigan Substance Abuse Services (NMSAS) NMSAS Prevention Provider Network and GLCW NMSAS Prevention Provider Network and Law Enforcement Law Enforcement and GLCW and Tip of the MITT Great Lakes Clean Water Organization and Pharmacies

10. So…what is available TODAY

11. Non-Controlled Medication Disposal

12. Non-Profit Organizational Model Great Lakes Clean Water Organization Yellow Jug Old Drugs Program

13. Why is it important  Video Clip of Documentary

14. How does it work?

15. Yellow Jugs Old Drugs ® Program Michigan, Illinois, Wisconsin Supported By Pharmacies United Water NMSAS Barry County SAPTF Detroit Renewable CFNEM MSP SSCENT (Narcotic Team) Ten Sixteen Gratiot County Solid Waste Auth. Michigan DEQ

16. Participating Pharmacy Map http://www.greatlakescleanwater.org Participating Pharmacy Map

17. Controlled Substances

18. Community Outreach Presentations Media/Social Media Campaign http://www.drugfreenorthernmichigan.com/home.html Development of Permanent Controlled Substance Disposal Sites

19. Development of Permanent Disposal Sites Partnership between Prevention Providers and Law Enforcement Number of Permanent Disposal Sites for Controlled Substances in Northern and Central Lower Michigan (NMSAS Region 30 Counties) 2010 Today Red Barrel DEA Take Back Day Tip of the Mitt

20. The Science of “Nudging” Nudge theory (or Nudge ) is a concept in behavioral science, political theory and economics which argues that positive reinforcement and indirect suggestions to try to achieve non-forced compliance can influence the motives, incentives and decision making of groups and individuals alike, at least as effectively – if not more effectively - than direct instruction, legislation, or enforcement. [1]behavioral sciencepolitical theoryeconomicspositive reinforcementcompliancedecision making [1] [1] http://www.psa.ac.uk/2012/UploadedPaperPDFs/941_563.pdfhttp://www.psa.ac.uk/2012/UploadedPaperPDFs/941_563.pdf

21. Understanding What Motivates People to Dispose of Medication Not everyone values the same things that you do or your coalition Recognize differences and provide opportunities People take action to dispose of medication 1)Concern with safety and availability of medication in home 2)Keep water and environment safe 3)Socially responsible action 4)Compliant 5)Other

22. Key Provision of the New DEA Regulations Proposed DEA regulations allow retail pharmacies to collect controlled substances

23. Collection of Controlled Substances Allowable Under the New DEA Regulations Yellow Jug Old Drug Program Law Enforcement Agencies Environmentally Safe and Legal Disposal of Medication

24. Disruption/Opportunity Expansion of controlled medication disposal sites – Pharmacies Potential transition of law enforcement out of the medication collection business

25. Planning for the Disruption/Opportunity Pharmacy Collection of Controlled Substances  Support  Enlistment of Pharmacy Chains Law Enforcement  Support  Information on changes in laws

26. Next Steps Enlist and support pharmacies  Thank pharmacies currently collecting non-controlled medication publicly and privately  Talk to pharmacies – What support do they need to participate in collection? Collection of controlled substances? What are the perceived barriers and how can the community help address?  Launch initiative to invite pharmacy chains to participate Recognize and continue to support law enforcement agencies collecting controlled substances

27. Questions?

28. Thank you