Understanding Substance Use Disorder and Medication Diversion

 
 
Developed by:
University of Wisconsin Oshkosh CCDET
WI Department of Health Services
Division of Quality Assurance
September 2022
 
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Direct care staff first to
notice slight changes
in:
Client’s medication
Colleague’s
behavior
Healthcare providers
must have written
policies & procedures
for medication
management, storage
& administration
 
 
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Increase Awareness of
Substance Use Disorder
& Medication Diversion
Understand Controlled
Substances
Learn Best Practices for
Preventing & Reporting
Diversion
Identify Possible
Substance Use Disorder
& Treatment Resources
 
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Substance use disorder (SUD) can affect
anyone
…regardless of age, occupation,
economic circumstances, ethnic
background, gender
 
 
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PG 6
 
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Opioid use disorder (OUD) is a chronic
disease of the brain
Drug overdoses are the leading injury-
related cause of death
75% of overdose deaths in 2020
involved opioids
 
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For the purposes of this training, the
term “medication diversion” refers to
theft of another person’s prescription
medication
 
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It may seem that healthcare professionals would be
the last group to misuse prescription drugs.
Unfortunately, that is not the case.
Think about the reasons why healthcare staff may be even
more susceptible to drug diversion than others?
 
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Central Nervous
System (CNS)
Depressants
Opioids
Stimulants
 
How many of these
medications have been
prescribed to your
residents?
 
10
 
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Observing the Rules
and Regulations
Knowing Your
Responsibilities
Increasing
Awareness:
Recognizing Red
Flags
 
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What can managers
& supervisors do to
prevent diversion?
 
 ~ Example 1 ~
~ Example 2 ~
~ Example 3 ~
 
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Wisconsin’s Caregiver
Law
Drug diversion meets
the definition of
misappropriation
Report to DQA
Criminal Charges &
Penalties
May be a crime
Report to local law
enforcement
 
 
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Early recognition, reporting and
intervention are fundamental for keeping
clients safe and helping colleagues
recover
 
 
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Awareness & Education
Misunderstood disease
Stereotypes
Substance Use Disorder in
Nursing video
Early Identification
Red flags
Report concerns
Safe Intervention
 
 
 
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Increase Awareness of
Substance Use Disorder
& Medication Diversion
Understand Controlled
Substances
Learn Best Practices for
Preventing & Reporting
Diversion
Identify Possible
Substance Use Disorder
& Treatment Resources
 
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Addiction Policy Forum
https://addictionschool.addictionpolicy.org/p/addiction-
101
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Wisconsin Department of Health Services
https://www.dhs.wisconsin.gov/opioids/index.htm
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The Surgeon General’s Spotlight on Opioids
https://addiction.surgeongeneral.gov/
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Drug Enforcement Administration
https://www.dea.gov/resources/facts-about-fentanyl
 
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Partnership to End Addiction
https://drugfree.org/fentanyl-poisoning/
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Centers for Disease Control and Prevention
https://www.cdc.gov/opioids/index.html
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Wisconsin Department of Health Services
https://www.dhs.wisconsin.gov/resilient/index.htm
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Wisconsin Department of Health Services
https://www.forwardhealth.wi.gov/WIPortal/content/ht
ml/news/rsud_resources.html.spage
 
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https://starthealingnow.org/
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National Council of State Boards of Nursing
https://www.ncsbn.org/substance-use-disorder.htm
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https://www.dhs.wisconsin.gov/aoda/index.htm
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https://herrenproject.org/
 
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National Institute on Drug Abuse
https://nida.nih.gov/publications/drugfacts/understandi
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https://dwd.wisconsin.gov/recovery-ready/
 
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Center for Community Development
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and Training 
(CCDET)
 
https://uwosh.edu/ccdet/caregiver-home/
 
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Addressing Substance Use Disorder & Medication Diversion

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Substance use disorder (SUD) can affect anyone regardless of age, occupation, or background. This training module covers the identification of SUD, best practices for prevention, and the impact of opioid use disorder. It emphasizes the importance of recognizing medication diversion and provides insight into why healthcare professionals may be vulnerable to drug misuse.


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  1. Addressing Substance Use Disorder and Medication Diversion Developed by: University of Wisconsin Oshkosh CCDET WI Department of Health Services Division of Quality Assurance September 2022

  2. Addressing Substance Use Disorder & Medication Diversion Overview Direct care staff first to notice slight changes in: Client s medication Colleague s behavior Healthcare providers must have written policies & procedures for medication management, storage & administration

  3. Learning Points Increase Awareness of Substance Use Disorder & Medication Diversion Understand Controlled Substances Learn Best Practices for Preventing & Reporting Diversion Identify Possible Substance Use Disorder & Treatment Resources

  4. Introduction to Substance Use Disorder Substance use disorder (SUD) can affect anyone regardless of age, occupation, economic circumstances, ethnic background, gender

  5. Misuse, Dependency, Addiction Misuse using medication other than how prescribed Dependency misuse can lead to physical or psychological dependence Addiction substance use disorder PG 6

  6. Opioid use disorder (OUD) is a chronic disease of the brain Drug overdoses are the leading injury- related cause of death 75% of overdose deaths in 2020 involved opioids Impact of Opioid Epidemic

  7. Introduction to Medication Diversion For the purposes of this training, the term medication diversion refers to theft of another person s prescription medication

  8. Drug Diversion in Healthcare Settings It may seem that healthcare professionals would be the last group to misuse prescription drugs. Unfortunately, that is not the case. Think about the reasons why healthcare staff may be even more susceptible to drug diversion than others?

  9. Controlled Substances Schedule I Schedule II Schedule III Schedule IV Schedule V

  10. Commonly Misused Prescription Medications Central Nervous System (CNS) Depressants Opioids Stimulants How many of these medications have been prescribed to your residents? 10

  11. Preventing Medication Diversion Observing the Rules and Regulations Knowing Your Responsibilities Increasing Awareness: Recognizing Red Flags

  12. Increasing Awareness WHAT EMPLOYEES CAN DO WHAT EMPLOYERS CAN DO

  13. Developing & Applying Best Practices What can managers & supervisors do to prevent diversion? ~ Example 1 ~ ~ Example 2 ~ ~ Example 3 ~

  14. Reporting Medication Diversion Wisconsin s Caregiver Law Drug diversion meets the definition of misappropriation Report to DQA Criminal Charges & Penalties May be a crime Report to local law enforcement

  15. Identifying & Treating SUD Early recognition, reporting and intervention are fundamental for keeping clients safe and helping colleagues recover

  16. Substance Use Disorder Awareness & Education Misunderstood disease Stereotypes Substance Use Disorder in Nursing video Early Identification Red flags Report concerns Safe Intervention

  17. Review Learning Points Increase Awareness of Substance Use Disorder & Medication Diversion Understand Controlled Substances Learn Best Practices for Preventing & Reporting Diversion Identify Possible Substance Use Disorder & Treatment Resources

  18. SUD Resources Addiction 101 Addiction Policy Forum https://addictionschool.addictionpolicy.org/p/addiction- 101 Start Healing Now https://starthealingnow.org/ Substance Abuse and Mental Health Services Administration (SAMHSA) https://www.samhsa.gov/ Dose of Reality: Opioids in Wisconsin Wisconsin Department of Health Services https://www.dhs.wisconsin.gov/opioids/index.htm Substance Use Disorder National Council of State Boards of Nursing https://www.ncsbn.org/substance-use-disorder.htm Facing Addiction in America The Surgeon General s Spotlight on Opioids https://addiction.surgeongeneral.gov/ Substance Use Disorders Wisconsin Department of Health Services https://www.dhs.wisconsin.gov/aoda/index.htm Facts about Fentanyl Drug Enforcement Administration https://www.dea.gov/resources/facts-about-fentanyl Treatment, Recovery & Prevention of Substance Use Disorder Herren Project https://herrenproject.org/ Fentanyl Poisoning & Counterfeit Pills Partnership to End Addiction https://drugfree.org/fentanyl-poisoning/ Understanding Drug Use and Addiction National Institute on Drug Abuse https://nida.nih.gov/publications/drugfacts/understandi ng-drug-use-addiction Opioids Centers for Disease Control and Prevention https://www.cdc.gov/opioids/index.html Resilient Wisconsin Wisconsin Department of Health Services https://www.dhs.wisconsin.gov/resilient/index.htm Wisconsin Voices for Recovery https://wisconsinvoicesforrecovery.org/ Wisconsin Workplaces: Recovery Ready Wisconsin Department of Workforce Development https://dwd.wisconsin.gov/recovery-ready/ Residential Substance Use Disorder Treatment Benefit Resources Wisconsin Department of Health Services https://www.forwardhealth.wi.gov/WIPortal/content/ht ml/news/rsud_resources.html.spage

  19. developed by The Wisconsin Caregiver Project University of Wisconsin Oshkosh Center for Community Development, Engagement and Training (CCDET) https://uwosh.edu/ccdet/caregiver-home/

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