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Friday, June 14, 2013

ATOD and Advocacy Update - Week-Ending June 14, 2013



SOBERLINK's Alcohol Monitoring Technology Is Giving Parents of College-Aged Students Peace of Mind
Remote alcohol monitoring helps parents feel more secure about their investment in their child's college education

SOBERLINK, Inc., a technology company based in Southern California, has developed a discreet, wireless breathalyzer for secure remote alcohol monitoring that is currently being sought after by parents of college-aged students. According to the Centers for Disease Control and Prevention, binge drinking is the most common form of excessive alcohol consumption in the United States. Binge drinking, defined by the National Institute on Alcohol Abuse and Alcoholism as drinking four or more alcoholic drinks for women and five for men within the span of two hours, brings a person's blood alcoholic concentration to 0.08 or above. Rest of this story is here.

New Jersey Drug Overdose Law Experiencing Growing Pains
There are some bumps along the road to implementing New Jersey’s new Good Samaritan Emergency Response Act, which is expected to save lives. For the first time, the law allows someone who calls in a drug overdose emergency to 911 to not face charges for possession of a small amount of drugs. The idea, of course, is that the threat of arrest may have gotten in the way of the urge to help, and cost lives. Continue reading here.

Shopping for drugs online carries risks
When Steven Kovacs was in college, a doctor prescribed for him increasingly larger doses of the attention-deficit drug Adderall and the anti-anxiety medication Xanax. When he returned home before starting graduate school, his family doctor insisted on weaning him off the drugs, says his mother Joni Kovacs. So Steven Kovacs did what many others do: He turned to online pharmacies, which often don't require a prescription from a personal physician. Kovacs says that's how her son bought the drugs on which he overdosed and died in 2009 at age 22. More of this story here.


Advertising of Prescription Drugs – Keeping it Honest and Balanced
It is well known that the pharmaceutical industry spends billions each year on promoting their products, especially to healthcare professionals. In the US, a significant amount is also spent on direct advertising to consumers. In a report by the FDA on Keeping Drug Advertising Honest and Balanced, Thomas Abrams, director of the Office of Prescription Drug Promotion (OPDP), shares on how the agency “protects consumers from false and misleading ads for prescription drugs that appear on TV, radio, online and in print publications.” In the US and New Zealand, direct-to-consumer advertising is allowed because of the First Amendment, which provides for freedom of speech, including commercial speech by pharmaceutical companies. Abrams however points out that the FDA has been charged by law to ensure accurate and balanced advertising so that consumers are provided with helpful information about the medical conditions and the drugs to treat them. Continue reading here.


Designated Drivers Often Drink
A new study suggests that many designated drivers do not themselves refrain from drinking, creating an obvious barrier to the campaign’s effectiveness. Researchers interviewed and did breath tests on more than 1,000 people — including 165 who identified themselves as designated drivers — as they left bars in a Florida city. The tests were conducted six times over a three-month period, and the results were not encouraging. Only 65 percent of the designated drivers showed no blood alcohol content, 17 percent registered 0.02 percent to 0.049 percent, and 18 percent measured 0.05 percent or higher. Rest of this story is here.


Underage Drinking Laws on Campus
It is no secret that alcohol use is prevalent on college campuses. According to the National Institute On Alcohol Abuse and Alcoholism, 80 percent of college kids drink alcohol, and over 50 percent of them have partaken in binge drinking in the last two weeks alone. Because less than half of  the collegiate student body is over 21 (the legal drinking age in the United States), most schools are left with a choice; they can either enforce underage drinking laws on and around their campuses, or they can ignore the underage drinking that takes place in their vicinity. Continue reading this blog here.


Chantix may also help curb alcohol addiction
The popular stop-smoking drug Chantix may also help treat alcohol addiction, a new study suggests. The study involved 200 people who reported drinking at least four to five drinks per day. Half of the participants were given Chantix to take every day for 13 weeks, while the other half were given a placebo. Those who took Chantix had reduced alcohol cravings and drank an average of 22 percent less each week compared to those who were given a placebo, the study found. Chantix was approved by the US Food and Drug Administration in 2006 to help people stop smoking. The drug works by suppressing the release of hormone receptors that are involved in both smoking and alcohol addiction. Click here to read more.

Study Suggests College Marijuana Use Linked With Academic Problems
A new study links marijuana use in college with an increase in academic problems, including skipping classes, spending less time studying, receiving lower grades, dropping out and being unemployed after graduating. Researchers at the University of Maryland School of Public Health studied 1,200 college freshmen over 10 years. They found early chronic marijuana use can lower a person’s IQ by as much as eight points, USA Today reports. “It’s really the first time that such an intense look at the health-risk behaviors of college students has been linked to the post-college functioning,” lead researcher Amelia Arria told the newspaper. The study found students who smoked marijuana more than 15 times a month were twice as likely to drop out of school, compared with those who smoked only a few times. Students who smoked marijuana about twice a month were 66 percent more likely than those who were minimal users to drop out. The study also found on average, 40 percent of college students drink alcohol excessively, and 16 percent meet criteria for an alcohol use disorder. In addition, 22 percent used a drug during the past month, with marijuana being the most common.

Health law could overwhelm addiction services
It has been six decades since doctors concluded that addiction was a disease that could be treated, but today the condition still dwells on the fringes of the medical community. Only 1 cent of every health care dollar in the United States goes toward addiction, and few alcoholics and drug addicts receive treatment. One huge barrier, according to many experts, has been a lack of health insurance. But that barrier crumbles in less than a year. In a major break with the past, 3 million to 5 million people with drug and alcohol problems -- from homeless drug addicts to working moms who drink too much -- suddenly will become eligible for insurance coverage under the new health care overhaul. The number of people seeking treatment could double over current levels, depending on how many states decide to expand their Medicaid programs and how many addicts choose to take advantage of the new opportunity, according to an Associated Press analysis of government data. The analysis compared federal data on the addiction rates in the 50 states, the capacity of treatment programs and the provisions of the new health law. Click here for more.

Preventing Substance Use Disorders in People With Mental Illness
A researcher at Harvard Medical School is studying which substance use disorders are more common among people with different types of mental illness, and when they tend to develop. He hopes his research will one day be used to prevent drug and alcohol disorders among people with mental illness through early counseling, detection and treatment. Ronald C. Kessler, PhD, the McNeil Family Professor of Health Care Policy at Harvard Medical School, is investigating at what age people tend to develop mental health problems and substance use disorders. “I am looking at when these problems develop, and at interventions to try to prevent a pileup of problems,” he says. “Often, when a person comes in for mental illness treatment, they already have several problems. For instance a young person with social phobias, depression or anxiety may start using alcohol to self-medicate, so by the time we see them, they have mental health issues and a drinking problem.” At the recent American Psychiatric Association annual meeting, Dr. Kessler discussed his goal of reaching people with mental health issues before they develop alcohol or drug disorders, known as secondary prevention. “If a person comes in for treatment of depression, social phobia or anxiety, we need clinicians to warn them they may also be at high risk of substance use disorders because of self-medication. We need to look at children, adolescents and young adults being treated for mental illness, and examine their risk for substance use. Find out if they are using drugs or alcohol as a crutch, and if they aren’t, give them the tools to prevent them from starting. Clinicians don’t normally think this way.” Dr. Kessler analyzed data from the World Mental Health Survey Initiative, which includes several hundred thousand people from 28 countries. He analyzed patterns of when mental health disorders and substance use disorders unfold over the course of a person’s life, to try to find why some people abuse substances and are able to stop, while others become dependent. For instance, he explained, some people start abusing marijuana in their teens and stop by their early 20s, while for others, marijuana use becomes central to their lifestyle. “We found that in people with anxiety problems, marijuana use is less likely to disappear, while juvenile delinquents tend to grow out of it.” People suffering from anxiety are also more likely to abuse alcohol chronically than those who are not anxious, he added. The survey looked at “internalizing” mental health disorders including depression, phobias, obsessive-compulsive disorder, anxiety, separation anxiety disorder, bipolar disorder, and post-traumatic stress disorder. The researchers also evaluated the prevalence of common “externalizing” disorders including drug and alcohol abuse, conduct disorder, attention-deficit disorder and intermittent explosive disorder.

Five myths about legalizing marijuana
Doug Fine is the author of “Too High to Fail: Cannabis and the New Green Economic Revolution,” in which he followed one legal medicinal cannabis plant from farm to patient. With 16 states having decriminalized or legalized cannabis for non-medical use and eight more heading toward some kind of legalization, federal prohibition’s days seem numbered. You might wonder what America will look like when marijuana is in the corner store and at the farmers market. In three years spent researching that question, I found some ideas about the plant that just don’t hold up. Continue reading here.


The Relationship Between Food and Alcohol
Food can be a perpetrator for alcoholism.  Simply put, food may be responsible for some people’s relationship to alcohol, or, alcoholism can be caused by food. Food tastes better when you’re drunk, for some people.  It ties into guilt, and when you drink your diet or food restrictions can get thrown to the wind.  As a result, we experience food on a new level that we can’t experience when we are sober.  Guilt for eating something “bad” like pizza doesn’t mean much when you’re drunk. This can cause alcoholism, or an unhealthy relationship between food and alcohol, once you find yourself making a connection to food based on booze. For example, you hit the bars with your friends, and make a stop at a taco stand after a night of drinking, and it tastes great, even though it’s the booze talking, we make a correlation or connection to that feeling of satisfaction with something we wouldn’t otherwise eat, or a connection to the feeling of food tastes better when you’re drunk.  So it carries over to your regular relationship to food.  Since you connect food to tasting better with alcohol, you find the need to drink before or while you eat. Is it the lack of restrictions on your food regime that you are trying to relive, or do you think that food will taste better when you’re drunk, so try and relive that “this tastes amazing” reaction to food? Alcoholisms roots are known to be in genetics, or one’s environment, among other known triggers, but, it can also have its roots in food, and the feeling you recall of food when you’re drunk, and you find yourself thinking food is only good with alcohol. Or some other substance, like marijuana.  For whatever reason, it’s a double-edged sword.


BU Mandates Online Alcohol Course for First-Year Students
More than a third (35 percent) of first-year BU students don’t drink alcohol. But many students may not know that, misled by urban myth about universal, Animal House imbibing on college campuses.  This year, the University is requiring first-year students to take an online alcohol course to separate truthful wheat from mythic chaff, starting before they even arrive on campus. Those students will receive log-in instructions midsummer for AlcoholEdu for College. The course includes two parts: the first, featuring educational material and surveys before and after the material is studied, takes between one and a  half and two and a half hours to complete. (It needn’t all be done in one sitting.) Part 2 is a third, 15-minute survey. In recent years, the University has offered students another online survey, iHealth, to dispel misconceptions, but has not required it. The hope is that through the mandatory course, students will be more responsible about alcohol use. “It is used by most of our peer institutions as a prevention-level intervention for first-year college students” to curb dangerous drinking, says Elizabeth Douglas, manager of wellness and prevention services at Student Health Services.  “We are using AlcoholEdu because it has the capacity to track student completion, in addition to having evidence of its being an effective intervention.”  That evidence comes from a three-year, 30-campus study that found reduced frequency of drinking, including binge drinking, and related problems among students who participated in AlcoholEdu, as compared with students who did not. Part 1 must be completed before students arrive on campus for the academic year. They will be required to finish Part 2 sometime in October; the University will send them a reminder email. AlcoholEdu is designed to be taken by both drinkers  and nondrinking students. The surveys and intersecting information touch on such topics as how many drinks are in a bottle of wine or beer, factors influencing whether people drink, exaggerated notions of heavy drinking on campuses, alcohol’s effects on the  body and mind, and tactics students can use to protect themselves and friends from harm in a variety of drinking situations. The course also provides information for parents about discussions they should have with their children: about alcohol, about its possible effects on schoolwork, and about drinking laws. It asks their views on college alcohol policies,  issues they deem important to discuss with their kids, and demographic information about their families. (Parents wanting a demonstration of the program can find it here.) The new program follows a drop in alcohol-related violations and hospital runs on campus last year, which officials attribute to their recent alcohol enforcement program, entering its third academic year this fall. That program features  increased police patrols of known party neighborhoods, dispersing parties, issuing citations, and publishing fall’s enforcement statistics on BU Today. Meanwhile, a city ordinance allows Boston police to arrest landlords and tenants in so-called problem properties—rentals with four documented complaints of loud parties or alcohol violations.  Douglas says the University likely will use AlcoholEdu in coming years, since BU chooses responsible drinking programs “based on research and evidence of effectiveness.”

Five Errors the Washington Post Should Have Caught About Marijuana
In recent years, the Washington Post has managed to strike a balance between pro- and anti-legalization opinion pieces (e.g. Rauch's "Let's Go Down the Aisle Toward Legalized Pot" and Wehner's "Republicans should just say no."). Importantly, even when the Post has published pieces that I disagree with, the basic facts presented have been correct. Their history of consistent balance is why I nearly fell off my chair when I read Doug Fine's Sunday Post piece, "Five Myths About Legalized Marijuana." It's not just that I disagree with Fine about marijuana policy (indeed, we debated once on CNBC). What I find disturbing is that the Post published a piece containing numerous major factual errors without, it seems, much thought. These were not close calls. The numbers in Fine's article are easily challenged with a simple Google search. Click here for more

The Many Different Faces Of Marijuana In America
On Tuesday, Vermont moved to decriminalize the possession of marijuana for quantities up to an ounce, replacing potential prison time for arrests with fines. Peter Shumlin, the state's governor, made a telling when he announced the move. "This legislation allows our courts and law enforcement to focus their limited resources more effectively to fight highly addictive opiates such as heroin and prescription drugs that are tearing apart families and communities," he said. The idea that weed isn't that big a deal and that governments need to readjust their priorities is pretty common. There's little vocal anti-pot government outcry, no temperance movement analog for cannabis. have found that a majority of Americans think marijuana should be legalized. Click here to read the rest of the story.


New, troubling heroin addiction trend grips southeast Michigan
At the 99-bed St. John Providence Brighton Center for Recovery, more clients are coming in these days addicted to opiates, including heroin. “Our 18- to 25-year population has exploded” in recent years, said outreach and referral specialist Scott Masi, 48. “The prescription medication problem is pushing this heroin problem. Anybody who tells you anything different doesn’t know what they’re talking about. I could poll every kid who comes in our clinic, and it’s a broken record. It’s the Vicodin and OxyContin, and then it goes to the heroin.” Authorities say a particularly toxic heroin mix known by some on the street as “black shadow” appears to be circulating in southeast Michigan communities, causing a rise in overdoses and at least one death this month. Please click here for more.

Meeting the needs of mature women in treatment
An estimated two million older women in the U.S. could benefit from treatment for issues related to alcohol misuse or dependence, though less than one percent receive treatment.  An even greater number misuse prescription drugs. Click here for the rest of this story.


Friday, June 7, 2013

ATOD and Advocacy Update - Week-Ending June 7, 2013



Addiction: Are women at greater risk?
Q & A with addiction counselor and author Brenda J. Iliff, MA. Click here to read the full interview.


Don't lower blood alcohol content to .05%: Our view - The Editorial Board, USA TODAY
The battle against drunken driving is one of the great success stories of recent years. Over three decades, the number of annual deaths has been cut in half, from more than 20,000 to less than 10,000. Even so, on average one person still dies every hour in a drinking-related traffic accident in the United States, leaving plenty of room to reduce the toll further. That's what the National Transportation Safety Board had in mind this month when it recommended that all states cut their legal drinking limit from .08% blood alcohol content (BAC) to .05%. You can't argue with the NTSB's motives, but you can argue with its logic. A 170-pound man could hit .05 by consuming three beers or glasses of wine in an hour, and a 137-pound woman by consuming just two. So lowering the legal limit would turn a lot of responsible social drinkers into criminals. More important, it probably wouldn't do much to reduce drunken driving deaths. According to statistics the NTSB cites, drivers with a .05 to .08 BAC represent just 8% of all drivers involved in fatal accidents. And that number doesn't even reflect whether alcohol-impairment caused the crash. The NTSB also points to reduced fatalities in some European countries with .05 limits. But drivers in these countries also face huge fines or frequent sobriety checkpoints, so it's impossible to credit the .05 BAC limit for the decline. In any event, there's no political stomach in the USA for going down to .05%, and even the influential Mothers Against Drunk Driving hasn't endorsed the NTSB proposal.
So how to maintain the progress?
One promising option is to expand use of ignition interlocks, alcohol detection devices that drivers must blow into to start their cars. According to the Centers for Disease Control and Prevention, interlocks lower the re-arrest rate of drunken drivers by two-thirds. In fact, drivers with ignition interlocks had fewer alcohol-related accidents than those who were punished by having their licenses suspended. Some states have had great success with interlocks. After approving strict interlock laws in 2007, Arizona and Louisiana both cut drunken driving deaths by more than 36% in just four years. This month, Tennessee joined them, becoming the 18th state to mandate interlocks for all convicted drunken drivers, even first offenders. Too many other states, however, have interlock laws that do more to appease convicted drunken drivers than control them. Colorado, for example, mandates them only for drivers convicted with a BAC of .17 or above, more than double the legal limit. Alabama requires any DUI offender with a child under 15 to install an interlock device. So is the message that it's OK to kill a 15-year-old in a drunken driving accident?  The carnage produced by drunken driving will never be eradicated, but the nation can get closer by employing strategies already proven to work.

USA TODAY's editorial opinions are decided by its Editorial Board, separate from the news staff. Most editorials are coupled with an opposing view -- a unique USA TODAY feature.

 Marijuana Dependence Researcher: Important to Focus on Teens
A drug used to treat liver toxicity in Tylenol overdoses may be helpful in treating teens dependent on marijuana, when it is combined with behavioral therapy, according to an expert speaking at the recent American Psychiatric Association annual meeting. The drug is one of a number of new treatments being tested for marijuana dependence, but is the only one so far tested solely in adolescents. Continue reading here.

How OxyContin's Pain Relief Built 'A World Of Hurt'
Prescription painkillers are among the most widely used drugs in America. In the decade since New York Times reporter Barry Meier began investigating their use and abuse, he says he has seen the number of people dying from overdoses quadruple — an increase Meier calls "staggering." "The current statistic is that about 16,000 people a year die of overdoses involving prescription narcotics. ... It's a huge problem. The number of people dying from these drugs is second only to the number of people that die in car accidents," he tells Fresh Air's Terry Gross. Meier's new e-book, A World of Hurt: Fixing Pain Medicine's Biggest Mistake, is published by The New York Times Co. and explores opiate painkillers and the consequences of long-term use. He focuses in particular on OxyContin — how it came to be prescribed for chronic pain, what the consequences have been, and how it became a street drug. The rest of the story is here.


Tougher sledding for recovering professionals
While treating recovering professionals, Philip Hemphill, PhD, has found that many times these individuals encounter problems by virtue of some of their character qualities. The people who are drawn into professional schools have a tendency in their training to be extremely competitive; forced to make difficult decisions; expected to lack limits and suppress emotions; and feel the need to live up to something. These tendencies, can oftentimes spill over into their practice, and the expectation of perfectionism can lead to a lack of balance and social isolation, he explains. Although the majority of professionals Hemphill works with are from the healthcare field, others come from areas of law, business, academia and clergy. Hemphill is program director of the Professional Enhancement Program at Mississippi-based Pine Grove. Hemphill says the typical professional in treatment tends to be a 40-55 year-old male. They’re usually about 10 years post-training and experiencing some life crisis, or a change in the workplace culture. Continue reading here.


64 Percent of Asian and Pacific Islander Treatment Admissions Name Alcohol as Their Problem
Alcohol abuse is a common problem in the United States.1 When Asians and Pacific Islanders (APIs) go to treatment, alcohol is their most common substance of abuse. In 2010, 19,000 (1 percent) of the 1.8 million substance abuse admissions were APIs. Among all admissions, 60 percent named alcohol as a problem. However, among API admissions, 64 percent named alcohol as a problem. Sixty-six percent of male API admissions and 60 percent of API female admissions said alcohol was a problem. More information about substance use among the API population may be found at http://www.samhsa.gov/obhe/AANHPI.aspx.


Government Approves Voluntary Nutrition Information on Alcohol Labels
The U.S. Treasury Department announced alcohol manufacturers can place nutrition labels on beer, wine and spirits. The labels are voluntary, according to the Associated Press. The labels will include information such as calories, servings per container, serving size and carbohydrates. Some alcohol companies want to use the labels to display low calories and carbohydrates. Beer companies may be less likely to use them, because they don’t want to emphasize how many calories their products have, the article notes. Some winemakers won’t want the labels to detract from the appearance of their bottles. Michael Jacobson, Director of the Center for Science in the Public Interest, said alcohol manufacturers should be required to list alcohol contents on the label. He said in a statement, “Including fat and carbohydrates on a label could imply that an alcoholic beverage is positively healthful, especially when the drink’s alcohol content isn’t prominently labeled. In this era of obesity, calorie labeling is critically important to inform or remind consumers that alcoholic drinks are not ‘free’ when it comes to calories. Finally, a really useful alcohol label would state the government’s definition of moderate drinking as no more than one drink per day for women or two drinks per day for men.” Currently, alcohol makers do not have to list ingredients on the label, but they must list substances a person could be sensitive to, such as sulfites, aspartame and certain food colorings.


Addictive Behaviour - A Choice Or A Brain Disease?
New research shows that craving drugs such as nicotine can be visualized in specific regions of the brain that are implicated in determining the value of actions, in planning actions and in motivation. Dr. Alain Dagher, from McGill University, suggests abnormal interactions between these decision-making brain regions could underlie addiction. These results were presented at the 2013 Canadian Neuroscience Meeting, the annual meeting of the Canadian Association for Neuroscience - Association Canadienne des Neurosciences (CAN-ACN). Neuroeconomics is a field of research which seeks to explain decision making in humans based on calculating costs and likely rewards or benefits of choices individuals make. Previous studies have suggested addicted individuals place greater value on immediate rewards (cigarette smoking) over delayed rewards (health benefits). Research done by Dr. Dagher and colleagues show how the value of the drug, which is indicated by the degree of craving, varies based on drug availability, decision to quit and other factors. He also shows that this perceived value of the drug at a given time can be visualized in the brains of addicted individuals by functional Magnetic Resonance Imaging (fMRI), and that imaging results can be used to predict subsequent consumption. Dr. Dagher showed that a specific brain region called the dorsolateral prefrontal cortex (abbreviated DLPFC) regulates cigarette craving in response to drug cues - seeing people smoke, or smelling cigarettes - and that these induced cravings could be altered by inactivating the DLPFC by Transcranial Magnetic Stimulation (TMS). He suggests addiction may result from abberrant connections between the DLFPC and other brain regions in susceptible individuals. These results could provide a rational basis for novel interventions to reduce cravings in addicted individuals, such as cognitive behavioral therapy or transcranial stimulation of the DLFPC. Concluding quote from Dr. Dagher: "Policy debates have often centred on whether addictive behaviour is a choice or a brain disease. This research allows us to view addiction as a pathology of choice. Dysfunction in brain regions that assign value to possible options may lead to choosing harmful behaviours." Source: http://www.medicalnewstoday.com/releases/260905.php


Alcoholism's Gender Gap is Closing Fast
As women rapidly chase down men in the drinking stakes, one Harvard professor says alcoholism progresses faster in females—and that all-women treatment groups are vital. Read the rest here.

AA's Female Troubles
Ella Bard finds The Big Book's male-centric focus both alienating and archaic. Apparently she's not the only woman who thinks so. Continue here.


More Women Attempting Suicide with OxyContin
Suicide attempts by women using OxyContin rose a staggering 210% between 2005 and 2009. Continue here.

Obama: Bring Mental Illness Out of the Shadows
President Obama on Monday said it is time to bring mental illness “out of the shadows.” At the National Conference on Mental Health, sponsored by the White House, Obama spoke about the stigma associated with mental illness. The White House has focused on mental illness after a string of mass shootings last year generated interest in improving the country’s mental health services, The Washington Post reports. In a speech delivered at the conference, Obama said most suicides each year involve someone with a mental health or substance abuse disorder. “And in some cases, when a condition goes untreated, it can lead to tragedy on a larger scale,” he added. “Too many Americans who struggle with mental health illnesses are still suffering in silence, rather than seeking help,” Obama said. “And we need to see [to] it that men and women who would never hesitate to go see a doctor if they had a broken arm or came down with the flu, that they have that same attitude when it comes to their mental health.” Under the Affordable Care Act, health insurers are required to cover mental health services as an essential health benefit. This means all insurance plans must cover these services, and pay for them at the same rate that they pay for medical and surgical services. Several new projects were unveiled in conjunction with the conference, the article notes. These include youth-oriented public services announcements on MTV, a media campaign aimed at veterans, and information about mental health services posted on video gamer online message boards.


Grumpy Cat Is No Lush: Famous Feline in Alcohol-Free Prom Promotion
Grumpy Cat went to prom once, and it was awful. Or at least, we think so, because the frowning feline’s face is plastered all over a billboard promoting “alcohol-free” prom in Elizabeth, Pennsylvania (south of Pittsburgh). Click here to read the rest of the story and see the image of the billboard.


Lab Test Results Suggest Majority of Patients Do Not Take Prescription Drugs as Prescribed
A large percentage of patients do not take their prescription drugs as prescribed, according to data from Quest Diagnostics prescription drug monitoring service. Of 151,405 urine test results from patients referred by their physicians for drug testing in 2012, 40% tested positive only for the drugs that were prescribed for them. The remaining 60% of specimens had inconsistent results, suggesting that the patient misused their medication in one of three ways: 1) by not using the prescribed drug (those testing negative for any drug, 25%); 2) by using other drugs instead (those testing negative for prescribed drugs and positive for other drugs, 15%); or 3) by combining the prescribed drug with other drugs (those testing positive for both prescribed and other drugs, 20%). According to the authors, “each of the three patterns of misuse has the potential to put a patient’s health at risk. A patient who does not take a prescribed drug will not receive potentially efficacious treatment for a medical condition and contributes to healthcare waste. A patient who uses non-prescribed drugs does so without a clinician’s supervision. And a patient who combines drugs without a physician's guidance increases the potential for dangerous drug combinations”
NOTE: The Quest Diagnostics prescription drug monitoring service tests for up to 26 commonly prescribed and abused drugs, including pain medications, central nervous system medications and amphetamines, as well as certain illicit drugs, such as marijuana and cocaine. Data presented here include results of 1) testing services ordered by physicians (such as family practitioners and internists) serving patients in a primary care setting; 2) testing services ordered by specialists that may be expected to use Quest’s prescription drug monitoring services (such as psychiatrists and neurologists); and 3) patients under care at pain management clinics and hospitals. Data do not include results of patients tested by drug rehabilitation clinics or those receiving treatment from  clinicians focused on drug addiction, given the unusually high rates of drug inconsistency expected within this clinical segment.
SOURCE:  Adapted by CESAR from data from Quest Diagnostics, Prescription Drug Misuse in America: A Report on Marijuana and Prescription Drugs, 2013.

PROSPER prevention programs dramatically cut substance abuse among teens
Prevention is often the best medicine, not only for physical health, but also public health, according to researchers at Penn State and Iowa State University. According to the researchers, young adults reduce their overall prescription drug misuse up to 65 percent if they are part of a community-based prevention effort while still in middle school. The reduced substance use is significant considering the dramatic increase in prescription drug abuse, said Richard Spoth, director of the Partnerships in Prevention Science Institute at Iowa State. The research, published in a recent issue of the American Journal of Public Health, focused on programs designed to reduce the risk for substance misuse. In a related study in a recent issue of Preventive Medicine, Penn State and Iowa State researchers found significant reduction rates for methamphetamine, marijuana, alcohol, cigarette and inhalant use. Teens and young adults also had better relationships with parents, improved life skills and few problem behaviors in general. The research is part of a partnership between Iowa State and Penn State known as PROSPER -- Promoting School-Community-University Partnerships to Enhance Resilience. PROSPER administers scientifically proven prevention programs in a community-based setting with the help of the extension systems in land grant universities.  The results are based on follow-up surveys that teams conducted with families and teens during the six years after the teens completed PROSPER. Researchers developed the prevention programs in the 1980s and 1990s to target specific age groups. Understanding when and why adolescents experiment with drugs is a key to PROSPER's success, according to the researchers. PROSPER administers a combination of family-focused and school-based programs. The study involved 28 communities, evenly split between Iowa and Pennsylvania. The programs start with students in the sixth grade. The goal is to teach parents and children the skills they need to build better relationships and limit exposure to substance use. Source: http://www.sciencecodex.com/prosper_prevention_programs_dramatically_cut_substance_abuse_among_teens-113385



Are Smart Drugs a Smart Way to Get Ahead?
School’s almost out and final exams are approaching. As the economy slowly builds steam, hiring trends are looking hopeful and pay raises and promotions are on the incline. And some people, young and old, are popping pills to ensure they don’t get left behind. Among the most common brain-boosting pills are prescription stimulants used to treat attention deficit hyperactivity disorder (ADHD), such as Adderall and Ritalin, and the wakefulness-promoting medication modafinil (Provigil). Dubbed “smart drugs,” “study drugs,” “cognitive enhancers” and other terms that ring with positivity, these pills have sparked a heated debate about the ethics of using drugs to get ahead. Read more here.

4 Ways You've Been Totally Misinformed About Drugs
Whether it's the legendary "this is your brain sunny-side up" commercial or the haggard face of one of Jesse Pinkman's meth-slinging homies, we've all seen what drugs can do to us. Apparently, TV occasionally doesn't tell the truth, according to Carl Hart, a neuroscientist at Columbia University. As a matter of fact, a lot of the things that we accept as common knowledge about drugs just aren't backed up by science, Hart says. Read more here.

Teen Victims of Cyberbullying More Likely to Abuse Drugs and Alcohol
Teens who are cyberbullied are more likely than their peers who are not harassed online or through cell phone messages to develop symptoms of substance abuse, depression and Internet addiction, a new study concludes. Spanish researchers found victims of cyberbullying are at higher risk for psychological and behavioral health problems, including substance abuse, after six months of bullying, Health Behavior News Service reports. Manuel Gamez-Guadix, PhD of the University of Deusto in Spain surveyed 845 teens, and found 24 percent had been a victim of one cyberbullying behavior, 15.9 percent had experienced two such behaviors, and 8 percent had experienced cyberbullying three times. The researchers note in the Journal of Adolescent Health that cyberbullying is a growing problem among teens. It can include hurtful and harassing messages, rumors, inappropriate or fake photos and videos posted on social networking sites, or in text messages or emails. Gamez-Guadix said, “It is important to include strategies to prevent cyberbullying within interventions for behavioral problems during adolescence. Mental health professionals should pay special attention to these problems in the treatment of victims of cyberbullying.”

Many Florida Pharmacists and Doctors Ignore Prescription Drug Database
Two-thirds of pharmacists and 90 percent of doctors in Florida are not using the state’s prescription drug database, according to federal officials. Bills that would have required both professions to use the database failed to pass during this year’s session. A state House bill would have required doctors and pharmacists to check the database before writing or filling a prescription for addictive medications. A state Senate bill would have required doctors to consult the database. Florida approved $500,000 to keep the database in operation for another year, WUSF reports. Florida established the database in 2010 in an attempt to deter “doctor shopping” by people trying to obtain multiple prescriptions for narcotic pain pills. The database allows pharmacists and doctors to track how many pain pills patients obtain. At a state Board of Pharmacy meeting this week, Susan Langston, who manages the anti-diversion program of the Drug Enforcement Administration office that covers South Florida, said the database has been effective in shutting down pill mills and oxycodone abuse in South Florida. Problems remain elsewhere in the state, she added. Many pharmacists dispense narcotic medications after verifying the patient’s identity and confirming the doctor wrote the prescription, but more thorough checks are needed, Langston said. Michael Jackson, Executive Vice President of the Florida Pharmacy Association, told WUSF pharmacists strongly support the database, but they don’t want to be required to use it in every case. “It’s best to let pharmacists use their professional judgment,” he said.

Monday, June 3, 2013

ATOD and Advocacy Update - Week-Ending May 31, 2013



House panel approves drug-tracking bill
A House panel on Wednesday advanced legislation along party lines to increase the tracking of prescription drugs. The Safeguarding America's Pharmaceuticals Act of 2013 requires the Food and Drug Administration (FDA) to propose new rules to keep consumers safe from counterfeit prescriptions, but stops short of forcing regulators to finalize those rules. Lawmakers voted down an amendment from Rep. Frank Pallone (D-N.J.) that would have required the development and implementation of an electronic unit-level tracking system for drugs within 10 years. The system would not allow criminals to insert fake medications into the supply system because each individual prescription would have a marker. Read more here.


The Link Between Stress and Alcohol
Today, more and more servicemen and women are leaving active duty and returning to civilian life. That transition can be difficult. The stresses associated with military service are not easily shed. But dealing with stress is not limited to recent Veterans. A new job, a death in the family, moving across the country, a breakup, or getting married—all are situations that can result in psychological and physical symptoms collectively known as “stress.” Continue reading here (and also download the report).


What the Kids Are Watching: Fewer Tobacco Ads, But More Alcohol Ads in Movies
Teens may be seeing more drinking on screen, but will that lead them to have more problems with alcohol? In a new study published in the journal JAMA Pediatrics, scientists studied the placement and prevalence of alcohol and tobacco products in 1,400 films that were among the top 100 box-office hits in the U.S. between 1996 and 2009. According to the researchers, smoking and the appearance of tobacco products dropped during that period, by 42.3% in youth rated movies and by 85.4% in adult rated movies, while the appearance of alcohol increased. Read more.


Teens Mix Prescription Opioids with Other Substances
Abusing prescription opioid pain relievers is a major problem among young people, and a new study shows users are combining those drugs with other substances. Click here to read the full report.

Many Arrested Men Use Illegal Drugs But Don’t Receive Treatment
A study of men arrested in five major U.S. cities finds more than 60 percent use illegal drugs, but most do not receive treatment. The report found positive drug test results among arrested men range from 62 percent in Atlanta to 86 percent in Chicago, USA Today reports. According to the Office of National Drug Control Policy (ONDCP), 70 percent had never been in any form of drug or alcohol treatment. The 2012 Arrestee Drug Abuse Monitoring Annual Report, included data from 1,736 men in Atlanta, Chicago, Denver, New York and Sacramento, who were drug tested within 48 hours of their arrest. Marijuana was the mostly commonly used drug among arrested men, showing up in more than half of drug tests, the report found. In Sacramento, 40 percent of men tested positive for methamphetamine, while fewer than 1 percent of men in Chicago, New York and Atlanta tested positive for the drug. In Denver, 13 percent tested positive for meth. Positive tests for opiates, including heroin and painkillers such as oxycodone, increased in Denver in Sacramento, but decreased in Chicago and New York. ONDCP Director Gil Kerlikowske said the report shows criminal justice reform is needed. The report “confirms an urgent need to support policy reform outlined in the Obama Administration’s new drug policy strategy, which emphasizes prevention, treatment, and ‘smart on crime’ policies that break the vicious cycle of drug use, crime, and incarceration in America,” he said in a statement.


Trends in Prescription Drug Abuse: 'Bridging Medications'
The epidemic of unintended prescription drug overdoses continues to spread across the United States. The medications being abused and misused in these tragic events are often opioids and benzodiazepines. A lesser known phenomenon involves use of other prescription medications to minimize physiologic withdrawal until individuals can obtain their next "chemical high" with their drug of choice. This practice is commonly referred to as "bridging." Recognizing bridging behaviors may help clinicians identify patients with the disease of addiction or potential medication adverse effects. More here.

Research highlights the increasing problem of prescription drug abuse among youth
Young people are increasingly turning to prescription drugs to get high. Research out of the University of Cincinnati sheds new light on what could increase or lower that risk. The research by Keith King, a University of Cincinnati professor of health promotion; Rebecca Vidourek, a UC assistant professor of health promotion; and Ashley Merianos, a graduate assistant in health promotion, is published in the current issue of the Journal of Primary Prevention. The study focused on more than 54,000 7th- through 12th - grade students in schools across Greater Cincinnati, including the Tristate regions of Ohio, Kentucky and Indiana. The data was collected by the Coalition for a Drug Free Greater Cincinnati as part of the 2009-2010 Pride Survey on adolescent drug use in America. A total of 13.7 percent of the students reported using prescription drugs – without a doctor's prescription – in their lifetime. Males were more likely to abuse prescription drugs, as well as high school students, versus junior high school students. Among ethnicities studied, Hispanic students indicated they were more likely to use nonmedical prescription drugs compared with white and African-American students. Read more here.


Study Finds Movies Feature More Alcohol and Less Tobacco
Depictions of drinking alcohol in movies increased between 1996 and 2009, while smoking scenes decreased, according to a new study. Researchers studied the placement and prevalence of alcohol and tobacco products in 1,400 movies during that period. Smoking and tobacco products decreased 42.3 percent in youth-rated movies, and 85.4 percent in adult-rated movies during that time frame. In contrast, alcohol brand product placement in youth-rated movies increased from 80 to 145 per year, an increase of 5.2 appearances annually. The researchers report in JAMA Pediatrics that the decrease in smoking in movies can be attributed to the Master Settlement Agreement of 1998, which required tobacco companies to change their marketing practices and to fund anti-smoking advocacy organizations. Experts disagree about how much alcohol and tobacco scenes in movies influence young people’s behavior, Time.com reports. Some point out it often isn’t known whether teens start drinking or smoking before or after seeing particular movies. A study published last year found watching movies with scenes that feature alcohol consumption doubles the likelihood that teens will start drinking alcohol. The two-year study of more than 6,500 American kids, ages 10 to 14, also found that teens who are exposed to alcohol-fueled movies are more likely to progress to binge drinking (five or more drinks in a row). A second study published last year, which included more than 16,000 European teens, suggested the amount of drinking children and teens see in movies may influence their own drinking habits.


Taking ADHD Drugs in Childhood Does Not Affect Later Substance Abuse Risk: Study
Taking medication to treat attention deficit hyperactivity disorder (ADHD) in childhood does not affect the risk of substance abuse later in life, according to a new study. Earlier research indicated children who took ADHD drugs had a reduced risk of substance abuse, The New York Times reports. Researchers at the University of California, Los Angeles, reviewed 15 previous studies on ADHD medication use in childhood and later risk of substance abuse. They published their results in JAMA Psychiatry. Almost one in five boys of high school age, and 11 percent of school-age children overall, have received a medical diagnosis of ADHD in the United States, according to the Centers for Disease Control and Prevention. An estimated 6.4 million children ages 4 to 17 had received an ADHD diagnosis at some point. This represents a 16 percent increase since 2007, and a 53 percent increase in the past 10 years. Study Senior Author Steve S. Lee said his team only knew whether a child had ever taken ADHD medication, but not how old they were when they took it, which medication they took, or how long they used it. He said it is possible that some subgroups of these children might have lower or higher risk of substance abuse later in life. “For any particular child, parents should consult with the prescribing physician about potential side effects and long-term risks,” Lee said in a news release. “Saying that all parents need not be concerned about the use of stimulant medication for their children is an overstatement; parents should have the conversation with the physician. As with other medications, there are potential side effects, and the patient should be carefully evaluated to, for example, determine the proper dosage.”

73 New Synthetic Drugs Detected in Europe Last Year, Agency Announces
Last year 73 new synthetic drugs were detected in Europe, according to the European Monitoring Centre for Drugs and Drug Addiction (EMDCCA). Of these drugs, 30 were variations of synthetic marijuana. “These products, which can be extremely potent, have now been reported in virtually all European countries,” according to the agency’s annual report. The BBC notes the agency detected 49 new drugs in 2011. An estimated 85 million adults—one quarter of Europe’s adult population—have used an illicit drug, the report found. Rob Wainwright, Director of Europol, the European Union’s law enforcement agency, said in a news release, “The new drugs phenomenon is now recognized to be a global issue and a globalized market, which makes it particularly difficult to control. The report shows that organized crime is involved in the production of new drugs, a rapidly developing and expanding market with low risks and high profits.” In a study conducted with Europol, the EMCDDA found synthetic drugs are often imported in bulk from China and India for processing and packaging. The annual report noted there are fewer new users of heroin, and less marijuana and cocaine use in some countries. The agency called for more long-term support for substance abuse treatment.

New medicine offers hope for some addicts
There is no magic pill to cure addiction. There is no one answer, no one-size-fits-all solution to opiate addiction. But medical breakthroughs are saving lives, offering answers to people who thought they’d run out of choices, of places to go, of methods to try. Continue reading here.

The most embarrassing graph in American drug policy
When it comes to drugs, it’s all about prices. The ability to raise prices is– at least is perceived to be–a critical function of drug control policy. Higher prices discourage young people from using. Higher prices encourage adult users to consume less, to quit sooner, or to seek treatment. (Though higher prices can bring short-term problems, too, as drug users turn to crime to finance their increasingly unaffordable habit.) An enormous law enforcement effort seeks to raise prices at every point in the supply chain from farmers to end-users: Eradicating coca crops in source countries, hindering access to chemicals required for drug production, interdicting smuggling routes internationally and within our borders, street-level police actions against local dealers. That’s why this may be the most embarrassing graph in the history of drug control policy. (I’m grateful to Peter Reuter, Jonathan Caulkins, and Sarah Chandler for their willingness to share this figure from their work.) Law enforcement strategies have utterly failed to even maintain street prices of the key illicit substances. Street drug prices in the below figure fell by roughly a factor of five between 1980 and 2008. Meanwhile the number of drug offenders locked up in our jails and prisons went from fewer than 42,000 in 1980 to a peak of 562,000 in 2007. Rest of this article is here.

When a Committee Isn't Enough
California State University at Chico has had seven alcohol-related deaths since fall of 2012. But when it comes to risk reduction, the institution has realized there is strength in numbers -- and from diverse angles. That's consistently been the case for more than a dozen state universities in California that have reduced rates of alcohol-related incidents in large part by partnering student health staff with scores of seemingly unrelated but immensely helpful groups, both on campus and off. Continue here.

Move over tequila, here comes Chinese firewater
Chinese baijiu, a flammable, pungent white liquor averaging a 110-proof wallop, is the world's most consumed form of liquor thanks to its popularity in China, but for the first time distillers are looking to develop export markets. According to data from International Wine & Spirit Research, Chinese people drank over 11 billion liters of baijiu in 2012; the spirit, distilled from sorghum, wheat or rice, accounted for more than one-third of all spirits consumed in the world. Read more here.