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Ohio’s Response to the Opioid Epidemic ~ the Opioid Epidemic Shancie Jenkins Chief Office of Health Improvement Wellness Ohio Department of Health Overview • Overdose Data • Ohio’s Response to the Opioid Epidemic • Aggressive and comprehensive approach • Cooperation across State enterprise GCOAT

Grand Rounds The Prescription Opioid Epidemic ~ Although our focus today is the prescription opioid epidemic the policy levers that you will hear about today reflect our Adm൩nistration’s commitment to aligning the work of our Federal agencies to respond to the needs of our beneficiaries爀ꀀ屲You will 對hear how leaders from CMS CDC ASPE and the Office of the National Drug Control Policy ⠀伀一䐀䌀倀尩 are working

Effects of Our Opioid Epidemic and State Based Policy Remedies ~ Effects of Our Opioid Epidemic and State Based Policy Remedies Daniel Derksen MD Director of the Arizona Center for Rural Health The CME online tutorial is titled Safe and Effective Opioid Prescribing while managing Acute and Chronic Pain The tutorial le൴s YOU ⠀琀栀攀甀猀攀爀尩 be the doctor

FACING ADDICTION IN AMERICA ~ better understanding of the functioning and neurobiology of the brain and how substance use affects brain chemistry and our capacity for selfcontrol One of the important findings of this research is that addiction is a chronic neurological disorder and needs to be treated as other chronic conditions are

Addressing the Opioid Epidemic Intermountain Healthcare ~ Addressing the Opioid Epidemic Intermountain Healthcare Initiatives Community Health Initiatives The Opioid Community Collaborative The charter of the OCC is to plan and implement strategies to decrease the burden of pharmaceutical drug misuse abuse and overdose in the state of Utah

Pain Management without Medication Who’s on Your Team ~ Sure opioids are a significant problem but what about other medications they work right Well not ൳ignificantly better than other nonmedicine options And all medications have sideeffects many of which we are only now find對ing to be more significant than previously thought both in severity and the rate at which they occur

On the front lines of the opioid epidemic ~ Reuters photographer Brian Snyder documented paramedics racing to save lives after a flood of opioid overdose calls to the Cataldo Ambulance Service outside of Boston

Trends and Challenges The Kentucky Opioid Crisis ~ the Opioid Epidemic Opioid Use Disorder Treatment Counseling and Community Support without medication Medication assisted treatment MAT • Methadone • Only available in Opioid Treatment Programs “methadone clinics” • Buprenorphine • Prescriber must have “waiver” to be able to

NIH HPC and Biomedical Sciences ~ Understanding the Dual Nature of NIH NIH supports • Intervening in the Opioid Epidemic to – prevent opioid misuse and addiction – develop new and improved treatments for opioid addiction – improving the deployment of evidence based strategies for combatting overdose

米国の緊急事態オピオイドの危機シリコンバレーのLSD The opioid crisis LSD acid in ~ In August belatedly the United States Administration declared “national emergency” on the opioid crisis I have been deeply disturbed by tolerance and socially liberal approaches adopted in many Western countries towards narcotics For me it is the same thing as doping in sports gun controls and hate speeches

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