What is Take as Prescribed?
Take as Prescribed brings together varying aspects of prescription drug abuse prevention. It provides resources for everyone in the community from health care providers and prescribers to family members. Education materials and prescribing guidelines are available for providers and prescribers. Information and tips are provided to members of the community on what they can do to help reduce the problem. Take as Prescribed promotes three important strategies of preventing prescription drug abuse:
- Safe Use
- Safe Storage
- Safe Disposal
The Naloxone Initiative is also a key part of Take as Prescribed as legislation passed in 2013 to allow for first responders, facility members, and others to administer naloxone, a drug used to counteract the effects of opioid overdose.
Why Take as Prescribed?
Prescription drug abuse is Oklahoma’s fastest growing drug problem. From 2007-2012, there were nearly 3,900 unintentional poisoning deaths in Oklahoma and four out of five deaths involved at least one prescription drug. Additionally, prescription painkillers were involved in 9 out of 10 prescription drug-related deaths, with 460 opioid-involved deaths in 2012 alone.
According to the 2012 National Survey on Drug Use and Health report, Oklahoma led the nation in non-medical use of painkillers, with more than 8% of the population aged 12 and older abusing/misusing painkillers. Oklahoma is also one of the leading states in prescription painkiller sales per capita.
Take as Prescribed Quick Links:
Overdose Prevention - Naloxone Initiative
Safe Disposal - Find a take-back location near you
What is SBIRT?
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a public health evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and drugs (illicit or misuse of prescription). SBIRT can be used to effectively encourage individuals to reduce or eliminate problematic drug or alcohol use. There are three components of SBIRT.
- Screening quickly assesses the severity of substance use and identifies the appropriate level of response.
- Brief intervention focuses on increasing insight and awareness regarding substance use and motivation toward behavioral change.
- Referral to treatmentprovides those identified as needing more extensive treatment with access to specialty care.
SBIRT places risky substance use where it belongs—in the realm of healthcare. It focuses on identifying risky substance use to help prevent the onset of the more costly disease of addiction. Similar to preventive screenings for chronic diseases such as cancer, diabetes, and hypertension, SBIRT is an effective tool for identifying risk levels related to substance use and for providing the appropriate intervention. Read more..
SBIRT Quick Links and Resources
CDC report on SBIRT
CMS Guide: Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
Local Behavioral Health Referral 211 | Facility Locator
Patient Materials Alcohol Screening | Mental Health Screening
Primary Care Widgets for Preventative Screening
Quick Guide for Primary Care
Research and News
Screening Tools and Protocols
What is the ODMHSAS Zero Suicide Initiative Partnership?
The ODMHSAS Zero Suicide Initiative Partnership is a partnership with the ODMHSAS and 83 emergency rooms throughout Oklahoma. The ODMHSAS will utilize funding for further implementation of the Oklahoma’s strategy for Suicide Prevention and the National Action Alliances’ Zero Suicide Initiative. Zero Suicide is defined as Goals 8 and 9 of the National Strategy for Suicide Prevention.
- Goal 8: Promote suicide prevention as a core component of healthcare services.
- Goal 9: Promote and implement effective clinical and professional practices for assessing and treating those identified as being at risk for suicidal behaviors.
The ODMHSAS will utilize the funding to provide all hospital related trainings, materials, suicide prevention software licensing, technical assistance and intensive support of ODMHSAS Prevention Field staff. The partnership includes intensive follow up services for patients discharged from the emergency department by the National Suicide Prevention Lifeline.
The following trainings will be offered to the hospital. The cost of materials and a certified trainer will be provided.
- Question, Persuade, Refer (QPR). QPR is a 60 to 90 minute gatekeeper training. The training will be offered to all nursing and facility’s staff. The trainings will take place at a time and location that is convenient to the hospitals work flow.
- At Risk in the Primary Care (Kognito). Kognito is a one-hour, online training simulation for physicians. The trainings will take place online for CEU’s. Promotional materials and reminder communications will be sent out to encourage completion.
- Counseling Access to Lethal Means (CALM). CALM provides suicide data and a background on lethal means; an introduction to firearms; a video presentation that mode’s the counseling strategy; a presentation and discussion on conducting a counseling session; optional role plays; and a course evaluation. CALM will be available in an online format that physicians or nurses can self-administer when they are available.
Why ODMHSAS Zero Suicide Initiative Partnership?
Suicide is the second leading cause of death for Oklahomans ages 25-34 and is among the top 5 leading cause of death for Oklahomans ages 35-64. This project is expected to reduce the rate of non-fatal suicide attempts and deaths in adults ages 25-64. Comprehensive suicide prevention programs, which include intensive follow-up of at-risk patients, have been shown to reduce re-admittance rates to hospitals (Mark et al., 2012). The ODMHSAS Suicide Prevention Office is interested in improving the care of patients with suicidal ideation and reducing emergency room readmits. The ODMHSAS partnership will provide suicide prevention related trainings, material and follow up services to emergency departments throughout Oklahoma.
Zero Suicide Quick Links:
Oklahoma Suicide Prevention Council Facebook
Oklahoma Suicide Prevention Page
Suicide in Oklahoma, a report from the Oklahoma State Department of Health's Injury Prevention Page