Reducing Opioid Use

To prevent new addicts, focus on addressing fentanyl solutions for students, the incarcerated, and health care providers.

 

The Kids are Not Okay

  • Students don’t understand the risk, are susceptible to peer pressure, and have exciting lives to live. 

  • Yet, deaths from fentanyl overdoses are a leading cause of death for students.[1]

  • Nearly a majority of these deaths are accidental, and often found in counterfeit pills that look identical to other less-severe opioids. 6 out of 10 opioid fake prescription pills contain a lethal dose of fentanyl.[2]

  • The DEA has seen the Sinaloa Cartel using social media to “advertise” and sell opiod drugs that are often laced with Fentanyl.[3]

  • Policy Solution:

    • Naloxone distribution – make available in all middle schools and high schools to prevent overdose deaths.

    • Grants for drug education, test strips, and targeted student support services.

 Ex-inmates

  • Prison is a place for reform, leaving prison shouldn’t be a death sentence.

  • Yet, individuals recently released from prison are 40 times more likely than others to die of opioid overdose.[4]

  • Policy Solution: Methadone and buprenorphine programs are reliably proven to increase retention in treatment during incarceration and after release to the community.[5]

 Healthcare Providers

  • Health care providers can play a critical role in preventing overdose deaths and should be on the frontlines to provide care where necessary.

  • Yet, regulations prevent most doctors in the district from providing effective care

  • Policy Solution:

    • Allow doctors to prescribe buprenorphine. When doctors in France prescribed this drug, opioid overdoses in France declined 79% over the subsequent 3 years.[6]

    • Grants to providers for medication assisted treatment (MAT). MAT therapy decreases illegal opiod use and reduces deadly overdoses.[7]


[1] https://studentaffairs.stanford.edu/the-flourish/flourish-april-2022/protecting-our-communities-what-fentanyl

[2] https://www.dea.gov/onepill

[3] https://www.dea.gov/sites/default/files/2022-11/DEA-OPCK_Parent%20flyer_V2.pdf

[4] Ranapurwala, S. I., Shanahan, M. E., Alexandridis, A. A., Proescholdbell, S. K., Naumann, R. B., Edwards Jr, D., & Marshall, S. W. (2018). Opioid overdose mortality among former North Carolina inmates: 2000–2015. American journal of public health108(9), 1207-1213

[5] Moore, K. E., Roberts, W., Reid, H. H., Smith, K. M., Oberleitner, L. M., & McKee, S. A. (2019). Effectiveness of medication assisted treatment for opioid use in prison and jail settings: A meta-analysis and systematic review. Journal of Substance Abuse Treatment, 99, 32-43.

[6] Fatseas, M., & Auriacombe, M. (2007). Why buprenorphine is so successful in treating opiate addiction in France. Current psychiatry reports9(5), 358-364.

[7] https://ccf.georgetown.edu/2019/01/31/research-update-evidence-suggests-medicaid-expansion-increases-access-to-treatments-for-opioid-use-disorder/

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