President Donald J. Trump’s Initiative to Stop Opioid Abuse and Reduce Drug Supply and Demand

President Donald J. Trump’s Initiative to Stop Opioid Abuse and Reduce Drug Supply and Demand

HEALTHCARE

We will work to strengthen vulnerable families and communities, and we will help to build and grow a stronger, healthier, and drug-free society.

President Donald J. Trump

ADDRESSING THE DRIVING FORCES OF THE OPIOID CRISIS: President Donald J. Trump’s Initiative to Stop Opioids Abuse and Reduce Drug Supply and Demand will confront the driving forces behind the opioid crisis.

President Trump’s Initiative to Stop Opioid Abuse will address factors fueling the opioid crisis, including over-prescription, illicit drug supplies, and insufficient access to evidence-based treatment, primary prevention, and recovery support services.

The President’s Opioid Initiative will:

Reduce drug demand through education, awareness, and preventing over-prescription.
Cut off the flow of illicit drugs across our borders and within communities.

Save lives now by expanding opportunities for proven treatments for opioid and other drug addictions.
REDUCE DEMAND AND OVER-PRESCRIPTION: President Trump’s Opioid Initiative will educate Americans about the dangers of opioid and other drug use and seek to curb over-prescription.

Launch a nationwide evidence-based campaign to raise public awareness about the dangers of prescription and illicit opioid use, as well as other drug use.

Support research and development efforts for innovative technologies and additional therapies designed to prevent addiction and decrease the use of opioids in pain management.

This will include supporting research and development for a vaccine to prevent opioid addiction and non-addictive pain management options.

Reduce the over-prescription of opioids which has the potential to lead Americans down a path to addiction or facilitate diversion to illicit use.

Implement a Safer Prescribing Plan to achieve the following objectives:

Cut nationwide opioid prescription fills by one-third within three years.

Ensure that 75 percent of opioid prescriptions reimbursed by Federal healthcare programs are issued using best practices within three years, and 95 percent within five years.

Ensure that at least half of all Federally-employed healthcare providers adopt best practices for opioid prescribing within two years, with all of them doing so within five years.

Leverage Federal funding opportunities related to opioids to ensure that States transition to a
nationally interoperable Prescription Drug Monitoring Program network.

CUT OFF THE SUPPLY OF ILLICIT DRUGS: President Trump’s Opioid Initiative will crack down on international and domestic illicit drug supply chains devastating American communities:

Keep dangerous drugs out of the United States.

Secure land borders, ports of entry, and water ways against illegal smuggling.
Require advance electronic data for 90 percent of all international mail shipments (with goods) and consignment shipments within three years, in order for the Department of Homeland Security to flag high-risk shipments.

Identify and inspect high-risk shipments leveraging advanced screening technologies and by using drug-detecting canines.

Test and identify suspicious substances in high-risk international packages to quickly detect and remove known and emerging illicit drugs before they can cause harm.
Engage with China and expand cooperation with Mexico to reduce supplies of heroin, other illicit opioids, and precursor chemicals.

Advance the Department of Justice (DOJ) Prescription Interdiction and Litigation (PIL) Task Force to fight the prescription opioid crisis. The PIL Task Force will:

Expand the DOJ Opioid Fraud and Abuse Detection Unit’s efforts to prosecute corrupt or criminally negligent doctors, pharmacies, and distributors.

Aggressively deploy appropriate criminal and civil actions to hold opioid manufacturers accountable for any unlawful practices.

Shut down illicit opioid sales conducted online and seize any related assets.
Scale up internet enforcement efforts under DOJ’s new Joint Criminal Opioid Darknet Enforcement (J-CODE) team.

Strengthen criminal penalties for dealing and trafficking in fentanyl and other opioids:
DOJ will seek the death penalty against drug traffickers, where appropriate under current law.
The President also calls on Congress to pass legislation that reduces the threshold amount of drugs needed to invoke mandatory minimum sentences for drug traffickers who knowingly distribute certain illicit opioids that are lethal in trace amounts.

HELP THOSE STRUGGLING WITH ADDICTION: President Trump’s Opioid Initiative will help those struggling with addiction through evidence-based treatment and recovery support services:

Work to ensure first responders are supplied with naloxone, a lifesaving medication used to reverse overdoses.

Leverage Federal funding opportunities to State and local jurisdictions to incentivize and improve nationwide overdose tracking systems that will help resources to be rapidly deployed to hard-hit areas.
Expand access to evidence-based addiction treatment in every State, particularly Medication-Assisted Treatment for opioid addiction.

Seek legislative changes to the law prohibiting Medicaid from reimbursing residential treatment at certain facilities with more than 16 beds.

In the meantime, continue approving State Medicaid demonstration projects that waive these barriers to inpatient treatment.

Provide on-demand, evidence-based addiction treatment to service members, veterans and their families eligible for healthcare through the Departments of Defense or Veterans Affairs.
Leverage opportunities in the criminal justice system to identify and treat offenders struggling with addiction.

Screen every Federal inmate for opioid addiction at intake.

For those who screen positive and are approved for placement in residential reentry centers, facilitate naltrexone treatment and access to treatment prior to and while at residential reentry centers and facilitate connection to community treatment services as needed.

Scale up support for State, Tribal, and local drug courts in order to provide offenders struggling with addiction access to evidence-based treatment as an alternative to or in conjunction with incarceration, or as a condition of supervised release.

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StopOverdose.org


http://stopoverdose.org/

Opioid trends across Washington state

Death data from the Washington State Department of Health Center for Health Statistics are combined with population data from the Office of Financial Management to create rates of death. Data include only deaths for which an underlying cause of death was determined to be any opioid. For more information on data, see details at the end of the page.

ST. JOHNSBURY, VT – FEBRUARY 06: Drugs are prepared to shoot intravenously by a user addicted to heroin on February 6, 2014 in St. Johnsbury Vermont. Vermont Governor Peter Shumlin recently devoted his entire State of the State speech to the scourge of heroin. Heroin and other opiates have begun to devastate many communities in the Northeast and Midwest leading to a surge in fatal overdoses in a number of states. As prescription painkillers, such as the synthetic opiate OxyContin, become increasingly expensive and regulated, more and more Americans are turning to heroin to fight pain or to get high. Heroin, which has experienced a surge in production in places such as Afghanistan and parts of Central America, has a relatively inexpensive street price and provides a more powerful affect on the user. New York City police are currently investigating the death of the actor Philip Seymour Hoffman who was found dead last Sunday with a needle in his arm. (Photo by Spencer Platt/Getty Images)

Any opioid: primary categories and sub-categories
Probable heroin
Other opioids
Commonly prescribed opioids
Methadone
Other natural and semi-synthetic opioids: Oxycodone, codeine, morphine, etc.
Other synthetic opioids: Pethidine, tramadol, fentanyl and analogues, etc.
Other and unspecified narcotics, including opium
Deaths attributed to any opioid: 72% increase

As a whole, opioid deaths regardless of subtype occur throughout the state. Modest declines in the opioid death rate in Chelan and Spokane Counties (and some smaller counties) between 2002-2004 and 2014-2016 have been outweighed by increases in most counties, particularly more populous counties. The later period reflects a decline in deaths from intervening years–opioid deaths peaked in 2009 at 720 statewide.

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UW Health Fair – Opioid Overdose Prevention Education & Naloxone Distribution

UW Health Fair – Opioid Overdose Prevention Education & Naloxone Distribution
May 22, 2018, 11am-3pm
UW Red Square, 4063 Spokane Ln, Seattle

DCHS and the Alcohol & Drug Abuse Institute/Center for Opioid Safety Education will provide information on opioid overdose prevention education, provide training to reverse overdose using Naloxone, and distribute 50 Naloxone nasal sprays to (Naloxone-trained) UW Health Fair participants.

(Supplies of Naloxone are limited, and have been provided through a grant awarded to King County DCHS through Adapt Pharma, to support community-based, opioid overdose prevention awareness events.)

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NARCAN Webiste

Prison Reform and Redemption Act 2018

LIVE: President Donald Trump Delivers Remarks At Prison Reform Summit – May 18, 2018 | CNBC

Summary: H.R.3356 — 115th Congress (2017-2018)All Information (Except Text)
There is one summary for H.R.3356. Bill summaries are authored by CRS.

Introduced in House (07/24/2017)
Prison Reform and Redemption Act

This bill directs the Department of Justice to develop the Post-Sentencing Risk and Needs Assessment System for use by the Bureau of Prisons (BOP) to assess prisoner recidivism risk; guide housing, grouping, and program assignments; and incentivize and reward participation in and completion of recidivism reduction programs and productive activities.

It amends the federal criminal code to:

require the BOP to implement the Post-Sentencing Risk and Needs Assessment System;
establish prerelease custody procedures for prisoners who, among other things, earn time credits for successfully completing recidivism reduction programs or productive activities;
prohibit, subject to specified exceptions, the use of restraints on federal prisoners who are pregnant or in postpartum recovery; and
broaden the duties of probation and pretrial services officers to include court-directed supervision of sex offenders conditionally released from civil commitment.
The BOP must:

incorporate de-escalation techniques into its training programs;
report on its ability to treat heroin and opioid abuse through medication-assisted treatment;
establish pilot programs on youth mentorship and service to abandoned, rescued, or vulnerable animals; and
designate a release preparation coordinator at each facility that houses prisoners.
The bill prohibits monitoring the contents of an electronic communication between a prisoner at a BOP facility and the prisoner’s attorney.

It amends the Second Chance Act of 2007 to reauthorize through FY2022 and modify eligibility criteria for an elderly offender early release pilot program.

Lieutenant Osvaldo Albarati Correctional Officer Self-Protection Act of 2017

The bill amends the federal criminal code to require the BOP to allow federal correctional officers to securely store and carry concealed firearms on BOP premises outside the security perimeter of a prison.

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Flashback – Naloxone: Seattle Police Officers Revive Drug Overdose Victim

Original Published on May 23, 2017

Police responded to a report of a man down in the 1500 block of 9th Avenue just before midnight and were quickly flagged down by a woman. The woman pointed officers to a man lying on the sidewalk, and said he had recently used heroin.

Officer Jared Levitt and Sergeant Dave Hockett saw the 40-year-old man was struggling to breathe and gave him a dose of nasal naloxone and began CPR a short time later.

SFD medics arrived and took over treatment of the man, who regained consciousness and was taken to Harborview Medical Center for treatment.

This incident marks the 16th time officers have used Naloxone since Seattle police began carrying it in mid-March. The case will become part of the ongoing study conducted by the University of Washington into SPD’s use of Naloxone for a possible department-wide deployment.

As a reminder, Washington law provides immunity from criminal drug possession charges for anyone seeking medical aid for themselves or someone else experiencing an overdose.

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Meth, the Forgotten Killer, Is Back. And It’s Everywhere

PORTLAND, Ore. — They huddled against the biting wind, pacing from one corner to another hoping to score heroin or pills. But a different drug was far more likely to be on offer outside the train station downtown, where homeless drug users live in tents pitched on the sidewalk.

“Everybody has meth around here — everybody,” said Sean, a 27-year-old heroin user who hangs out downtown and gave only his first name. “It’s the easiest to find.”

The scourge of crystal meth, with its exploding labs and ruinous effect on teeth and skin, has been all but forgotten amid national concern over the opioid crisis. But 12 years after Congress took aggressive action to curtail it, meth has returned with a vengeance.

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URGE KING COUNTY TO FOLLOW THE OPIATE TASK FORCE RECOMMENDATIONS


The opiate epidemic in King County is growing. The King County Opiate Addiction Task Force has recommended a new comprehensive strategy to fight this crisis, including the opening of two pilot safe consumption spaces. In these facilities, healthcare professionals can prevent overdose deaths, reduce the spread of diseases like HIV and Hepatitis C, and efficiently refer people struggling with addiction to treatment. Tell the King County Council to support this safe, effective, and scientifically proven method of responding to the opiate epidemic.

URGE KING COUNTY TO FOLLOW THE OPIATE TASK FORCE RECOMMENDATIONS

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Officer Performs CPR on Man Overdosing, Saves Life

Officer Performs CPR on Man Overdosing, Saves Life
Written by Detective Mark Jamieson on April 20, 2017 11:24 am

Just before 2:00 am Thursday morning officers responded to a report of a man overdosing in an abandoned house in the 1000 block of E. Republican Street. Officer Do located a woman inside the house, calling for medics and screaming that someone was dying. Officer Do entered the house and located an unconscious man lying on the floor. The man was not breathing and did not have a detectable pulse. Officer Do immediately began CPR on the man and continued until he regained consciousness. Seattle Fire personnel arrived and provided the man with additional medical aid. The 37-year-old man was treated at the scene and later transported to the hospital for further evaluation.

As a reminder, Washington law provides immunity from criminal drug possession charges for anyone seeking medical aid for themselves or someone else experiencing an overdose.

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Department of Justice to Launch Inaugural National Heroin and Opioid Awareness Week

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Department of Justice to Launch Inaugural National Heroin and Opioid Awareness Week

Attorney General Lynch will Travel to Lexington, Kentucky as Part of the Justice Department’s Awareness Campaign to Address the Rising Public Health Crisis of Drug Addiction

The Obama Administration is announcing a “week of action” to raise awareness about the rising public health crisis caused by drug overdoses. As part of this effort, the Department of Justice designated the week of Sept.18-23, 2016, as National Heroin and Opioid Awareness Week. Senior Department of Justice officials, members of the President’s Cabinet and other federal agencies will hold events focused on the work being done to address the national prescription opioid and heroin epidemic.

Attorney General Loretta E. Lynch will travel to Lexington, Kentucky on TUESDAY, SEPTEMBER 20, 2016, to hold a youth town hall at a local high school; meet with parents who have lost their children due to overdoses and now belong to the Heroin Education Action Team (H.E.A.T.); and deliver a policy speech regarding the actions and resources the Justice Department is bringing to bear on this issue.

“The heroin and opioid epidemic is one of the most urgent law enforcement and public health challenges facing our country,” said Attorney General Lynch. “Through National Heroin and Opioid Awareness Week, the Department of Justice seeks to raise awareness and prevent new victims from succumbing to addiction; to highlight the department’s ongoing commitment to holding accountable traffickers and others responsible for this epidemic; and to help provide treatment to those grappling with addiction. To be successful in this important endeavor, we need the help of all our federal, tribal, state and local partners. In the months ahead, we will continue working to erase this scourge from our communities and to ensure a brighter future for all Americans.”

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Councilmember Bagshaw on Opiate Addiction Taskforce Findings

Councilmember Sally Bagshaw (District 7, Pioneer Square to Magnolia) issued the following statement following the release of the Opiate Addiction Task Force’s recommendations:

“Opiate addiction is a terrible reality, and it’s a problem that we have seen across the nation. Addiction clearly exacerbates the struggle for those seeking to overcome homelessness, which is why I’m so heartened to receive the Opiate Addiction Task Force’s findings. My goal as a Seattle/King County Board of Public Health member is to implement proven best practices in Seattle to reverse this opioid crisis and provide tested options for people.

“I’m particularly drawn to the Task Force’s recommendation that we enhance access to buprenorphine, which is an effective tool to treat opioid addiction. As Council considers next year’s annual City budget, I intend to identify funding for a Belltown facility that will provide professional buprenorphine access for those looking to conquer or suppress their addictions.

“I witnessed firsthand the success of a similar buprenorphine program on my study mission to San Francisco this past May. With clinical help and a physician’s counseling, buprenorphine can be obtained through pharmacies or health clinics across San Francisco. When addicts are ready to seek treatment, they should not be put on a wait list—they need treatment right away. That’s why we need ‘treatment on demand’ to dramatically reduce the number of people addicted to heroin. Bupe is one of the alternatives that works.

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