John R. Kasich, Governor
Orman Hall, Director
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John R. Kasich, Governor
Orman Hall, Director
Tolerance
Euphoria
Withdrawal
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John R. Kasich, Governor
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Public Health Impact of Opioid Overdose
Sources: SAMHSA Treatment Episode Data Set (TEDS); Drug Abuse Warning Network
(DAWN); National Survey of Drug Use in Households (NSDUH)
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Unintentional and Undetermined Intent
Drug Overdose Death rates by State, 2007
Source: National Vital Statistics System. http://www.wonder.cdc.gov
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Past Month Users – Opioid Analgesics
Source: National Survey on Drug Use and Health, 2009. http://www.oas.samhsa.gov
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Opioid Analgesics – Sources
for Nonmedical Users United States, 2009
Source: National Survey on Drug Use and Health, 2009. http://www.oas.samhsa.gov
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John R. Kasich, Governor
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John R. Kasich, Governor
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Change Over Time
-15.2%-0%
0.1%-18.1%
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John R. Kasich, Governor
Orman Hall, Director
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John R. Kasich, Governor
Orman Hall, Director
Ohio Dept. of Health:
http://www.healthyohioprogram.org/vipp/drug/dpoison.aspx
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Percentage
Percentage of ODADAS Clients with an Opiate Diagnosis,
SFY 2001 through SFY 2012*
Year
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John R. Kasich, Governor
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Treatment Admissions per 100,000 population
Property crimes arrests as a percentage of
total population
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Fairfield County- Jail Days
44,725
10,022
35,768
35,591
13,108
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Fairfield County - Jail Days
By Age and Opiate Status-2008
No
Opiates
Opiates
Present
Present
Age Group
18 - 25
40.4%
53.6%
26 - 35
38.3%
25.0%
36 - 45
11.7%
16.1%
46 - 55
7.4%
5.4%
56 -65
2.1%
0.0%
100%
100%
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John R. Kasich, Governor
 Treatment Workgroup
 Professional Education Workgroup
 Enforcement Workgroup
 Public Education Workgroup
 Recovery Supports Workgroup
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John R. Kasich, Governor
 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.
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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
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John R. Kasich,
Governor
Orman Hall, Director
Medication-assisted treatment for opiate
dependence refers to the use of buprenorphine,
methadone or naltrexone to treat opiate
dependence, in combination with counseling and
recovery support services….
National Conference of State Legislatures, 2008
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John R. Kasich, Governor
-- Ohio Governor John R. Kasich
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John R. Kasich, Governor
Orman Hall, Director
Orman Hall, Director
Ohio Department of Alcohol and Drug Addiction Services
30 West Spring Street, 6th Floor
Columbus, OH 43215
614.644.8452
Orman.Hall@ada.ohio.gov
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