Substance Abuse

Recent reports from the Centers for Disease Control and Prevention reveal a significant increase in the use of heroin in the United States between 2002 and 2013, and the increased use of the drug spans across gender, age and income categories. The rate of death from a heroin overdose has nearly quadrupled over the same period of time; in 2013 alone, more than 8,200 people died from a heroin overdose. This webinar from the Southern Legislative Conference examines the policy options for lawmakers, recent legislative action in Kentucky to address the growing epidemic and efforts being undertaken by law enforcement in the SLC states to remove heroin from the streets.

CSG Midwest
Across the country, communities are dealing with an epidemic of drug abuse and overdoses. And nowhere is this health crisis more pronounced than in the Midwest: Between 2008 and 2013, the number of heroin-related overdose deaths in this region increased sixfold.

Austin, Ind., a city of about 4,200 people in Scott County, Ind., off Interstate 65, has been the epicenter of an HIV outbreak, said Maureen Hayden, statehouse bureau chief for CNHI Indiana Newspapers. HIV has spread among intravenous drug users and more than 170 cases have now been reported. Hayden, a reporter who continues to cover the outbreak in southeast Indiana, was one of three presenters who discussed Indiana’s situation and substance abuse treatment options during a recent CSG eCademy webcast, “Harm Reduction: Needle-Borne Disease and Substance Abuse.”

Earlier this year, an unexpected outbreak of HIV in southern Indiana triggered a high-profile emergency response while demonstrating the dangerous link between substance abuse and certain infectious diseases. This FREE eCademy webcast explores lessons from Indiana's experience, policy options and the latest research on effective treatment of substance abuse.

The White House heroin response strategy announced today, with a price tag of $13.4 million, will emphasize treatment as well as public safety. According to Reuters, Michael Botticelli, Director of National Drug Control Policy, said the new plan will address the heroin and painkiller epidemics as both "a public health and a public safety issue."

CSG’s webcast, “Needle-Borne Disease and Substance Abuse,” Tuesday, Aug. 18 at 2 p.m. EDT, will provide timely context and background on the issues the White House program strives to address. The surge of prescription opioid abuse in southern Indiana precipitated an HIV epidemic in that state earlier this year.

Earlier this year, Indiana experienced an outbreak of HIV in one small rural community that was traced back to needle-sharing among individuals using and abusing prescription drugs. Public health experts warn that other communities could encounter outbreaks of HIV and hepatitis C given the rampant abuse of prescription drugs and heroin. 

CSG's FREE eCademy webcast at 2 p.m. on Aug. 18  will explore lessons from Indiana's experience, policy options that states might pursue and the latest research on effective treatment of substance abuse.

CSG Midwest
Last summer, lawmakers in the Illinois House declared a “heroin emergency” in the state. This year, the legislature overwhelmingly approved a comprehensive plan (HB 1) to deal with it. According to The State Journal-Register (Springfield), the state's new fight against drug abuse will cost between $25 million and $58 million.

Naloxone is a very effective and safe substance to reduce the effects of opioid drug overdose and prevent deaths. Overdose deaths more than doubled between 1999 and 2010. In 2010, deaths from both prescription drug and illicit drug overdoses surpassed traffic accidents as the number one cause of death for persons less than 65 years old. States essentially use two policy options to increase access to naloxone. A small minority of states allow naloxone sales by a pharmacy without a prescription. A majority of states allow pharmacists to dispense naloxone under a standing order from a licensed medical professional.

I learned a few things last week when I was visiting with Indiana Rep. Ed Clere, one of the new co-chairs of CSG’s Health Public Policy Committee.

  • That week, the state announced the 100,000th person enrolled in the Medicaid expansion waiver, called HIP 2.0 in Indiana, after the program opened less than a month before. Indiana had three Medicaid managed care organizations already engaged in the state and the state Medicaid office and the
  • ...

This act specifies that any pregnant woman referred for drug abuse or drug dependence treatment at any treatment resource that receives public funding would be a priority user of available treatment. The department of mental health and substance abuse services must ensure that family-oriented drug abuse or drug dependence treatment is available, as appropriations allow. A treatment resource that receives public funds may not refuse to treat a person solely because the person is pregnant as long as appropriate services are offered by the treatment resource.

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