prescription pain medicine (opioids) and heroin education and prevention program presenter training
TRANSCRIPT
Prescription Pain Medicine (Opioids) and Heroin Education and Prevention Program
Presenter Training
www.overdose-lifeline.org
About Overdose Lifeline, Inc.Overdose Lifeline, Inc. is a non-profit working on behalf of individuals with the disease of addiction and their families to assure adequate resources and support exist.
Justin Phillips created Overdose Lifeline after her son Aaron's tragic death by heroin overdose. Pictured here are Justin Phillips and her children, left to right: Aaron, Audrey, and Bryan.
www.overdose-lifeline.org
About the Program
PART 1
An evidence-based turn-key program that can be rolled out in Indiana and anywhere in the United States
Meets Health Education Standards
All program materials and presenter support can be found on overdose-lifeline.org.
Overdose Lifeline, Inc. has developed this educational program to help inform
students regarding the risks of prescription pain medicine (opioids) and heroin use and provide alternatives to
using drugs and alcohol in dealing with the issues, stresses, and pressures facing
today’s youth.
Educational Program Pilot Period
January – May 2015, Overdose Lifeline, Inc. partnered with Indianapolis Metro Police Department (IMPD) to deliver the Education and Prevention program across 5 Indianapolis area high schools, reaching more than 1900 students.
• Collecting feedback from educators and students•Modifying the program based upon pilot experience
Education Program Objectives
• Drug use can lead to heroin use, addiction, overdose, and death• The risks of heroin and prescription pain drug use• The impact of heroin, drugs and alcohol on the user
and the user’s family and friends• Alternatives to using heroin, drugs, and alcohol • The many ways to ask for help and available
information and resources
After completing the lesson, students will know and understand
Educational Program Package
The lesson plan and program materials are mapped to the program objectives and designed to provide the student with the opportunity to learn through a guided and practical exercise -- deepening their understanding and retention.
Program elements include
Lesson Plan, Presenter Support &
Background
Film Discussion and
Companion
PowerPoint
Post -Assessm
ent
Student Info
Card & Websit
e
Survey Data
Pre - Assessm
ent
Lesson Plan, Presenter Support & Background• The Lesson Plan provides an outline and presenter script
to follow from the lesson start (“Introduce the lesson”) through the lesson completion• Presenter Edition of What Do You Know worksheet with
presenter notes for each statement• Companion PowerPoint with presenter notes for use
during the discussion portion of the lesson• Discussion Guide containing background and information
regarding addiction, prescription pain pills and heroin that the presenter may wish to incorporate into the lesson
Pre- and Post-Lesson Assessment
What Do You Know WorksheetThe student worksheet ”Before the Lesson” activity captures the student’s established perception and opinion.
The “What Do You know” statements model the lesson objectives, using terminology from the film to help with the students retention and acquisition of the information.The student worksheet “After the Lesson" activity asks the student to re-assess the same statement after they have benefited from the film and the discussion.
The three survey questions provides Overdose Lifeline feedback to help improve the lesson for future groups.
Do Not Write Your Name on the Worksheet
Education & Prevention Film
The lesson objectives are the blueprint of the film which finds students talking to students using real, everyday terms.
Discussion
The discussion portion of the lesson allows students to express their opinion/feelings about what they just watched and the presenter to guide the discussion.
Presenter support available:• “What Do You Know” presenter edition with notes beside
each statement • Discussion Guide • Companion PowerPoint with presenter notes
Student Takeaway & Website
To support the student after the lesson a flyer is available as well as a website containing the film, more information, and resources.
Survey Data & Feedback
By mailing the completed “What Do You Know” student worksheets and the “After the Lesson” presenter survey to Overdose Lifeline, Inc. you will help Overdose Lifeline track and measure the effectiveness of the lesson plan and education materials and improve upon the program.
Mail Survey and Student Worksheets:Overdose Lifeline, Inc., 7331 Lakeside Drive, Indianapolis, IN 46278 , Attn: EDU Program
ONLINE edition of Survey and Student Worksheets coming soon.
Lesson Outline & Timeframe
Film Post -Assessm
ent
Student
Takeaway&
Website
Pre - Assessm
ent
2 minutes 12 minutes 4 minutes
2 minutes
1 minute25 minutes
Lesson plan activities are designed for a 45 minute timeframe
Discussion and
Companion
PowerPoint
Lesson Introducti
on
1 minute = 45 Minutes
Discussion Guide
• Helpful Notes for the Presenter• Heroin and Prescription Pain Medicine
(Opioids) Facts• Impact on the Body/Brain • Addiction• Two Stages of Withdrawal• Overdose/Poisoning PART 2
Helpful Notes for the Presenter
• Build a rapport with the students before you start the session.• Example: Tell a joke or personal story so the students don’t see the
presenter as a separate “expert”
• Establish common ground, but don’t fabricate a personal story.• While the film is playing, sit with the students – be a part of
their community.• Bring candy and hand out to encourage questions and
participation in the discussion.• Communicate that this is about saving lives – the information
that will be shared can help save their own lives and the lives of others – ask the student to share what they have learned with others.
Helpful Notes for the Presenter, continued• Be sure not to create a stigma surrounding addiction.
Explain that addiction is not due to a of lack of willpower. Nor is it a mental illness. Addiction is a chronic brain disease -- that can be compared to other chronic diseases like diabetes. Chronic diseases don't really go away but a person can recover with regular care and attention, maybe medicine, to avoid getting worse or dying.• A person does not choose to become an addict, the
person's body responds differently when exposed to alcohol and drugs.• Being addicted to alcohol or drugs does not make a
person flawed or wrong. They just need help and regular care and attention.
Helpful Notes for the Presenter, continued• Ask the students if they have been affected by drugs and
addiction through family or friend, presenter raise their hand too – also creates common ground.• During the discussion ask the students by a show of hands, how
many knew that heroin and prescription pain medicine were the same thing before the film.• Usually 1/3 to 1/2 know this connection before the lesson, stress that this
is really important information and one of the main reasons that you are there with them today. Ask them to share this with others to help others avoid the life threatening risks of heroin.
• Make sure to communicate that prescription pain medications are needed and useful when properly taken and monitored by a doctor.
Helpful Notes for the Presenter, continued• Use open ended questions and encourage participation
whenever possible.Example of closed-ended question“Did you feel sad for the people who shared their stories in the film?”
Example of open-ended question“What are some words that come to mind when you think about the people who shared their stories in the film?”
• When presenting within a school environment ask the school in advance if they want to refer students with additional questions to the school counselor, nurse, health teacher, etc.• Consider inviting a “speaker” from the recovery community
to share their story and experience.
Heroin & Prescription Pain Medicine (Opioids) Facts• Heroin and Prescription Pain Medicine are the same thing, both fall
within the Opioids class of drugs.• Opioids are highly addictive, dangerous and leading cause of death in
U.S.• Overdose can occur on the 1st, 2nd, 3rd, etc. use – one cannot control
when an overdose will occur.• When one chooses to take an opioid drug, ones choice to continue to
use or stop is taken away from them as the chemistry of the drug takes over ones body, central nervous system and brain mechanism• Opioids are highly addictive, when no longer available, severe
withdrawal occurs• Initial Opioid withdrawal lasts for 7 days to 2 months, Post-Acute-
Withdrawal (PAW) continues for approximately 2 years with risk of relapse high during PAW episodes
• Pharmacy robberies across the U.S. are on the rise.• In the News (MAY 2015): Scott County Indiana is experiencing an
outbreak of HIV and Hepatitis C due to the sharing of needles during the use of opioids. Similar news stories are emerging across the U.S.• According to the National Institute on Drug Abuse (NIDA), about 23%
of heroin users develop chronic opioid addiction disease.• In 2013, the National Survey on Drug Use and Health (NSDUH)
estimated that 1.9 million Americans live with opioid pain reliever addiction and 517,000 are addicted to heroin.• While Heroin poisoning/overdose continue to rise each year by
approx. 20%, prescription pain pill poisonings/overdose rise by 90%.• About 75% of opioid addiction users switch to heroin as a cheaper
opioid source.
Heroin & Prescription Pain Medicine (Opioids) Facts
Impact on the Body/Brain - Addiction• Prescription opioid pain medications and heroin bind to molecules on
cells known as opioid receptors. These receptors are found on nerve cells in many areas of the brain and body, especially in brain areas involved in the perception of pain and pleasure.• Medications that affect the brain can change the way it works—
especially when they are taken over an extended period of time or with escalating doses. • They can change the reward system, making it harder for a person to
feel good without the drug and possibly leading to intense cravings, which make it hard to stop using. • When a person is addicted to a drug, finding and using that drug can
begin to feel like the most important thing—more important than family, friends, school, sports, or health.• The effect of opioids on the developing brain of a teenager compounds
the addiction outcomes – making it all the more risky for teenagers.
Impact on the Body/Brain –The Two Stages of Withdrawal• Opiate withdrawal symptoms can last anywhere from one week to one month. Especially the
emotional symptoms such as low energy, anxiety and insomnia can last for a few months after stopping high doses of opiates.
• The second stage of withdrawal is called the Post Acute Withdrawal Syndrome (PAWS). During this stage you'll have fewer physical symptoms, but more emotional and psychological withdrawal symptoms.
• Post-acute withdrawal occurs because your brain chemistry is gradually returning to normal. As your brain improves the levels of your brain chemicals fluctuate as they approach the new equilibrium causing post-acute withdrawal symptoms.
• Post-acute withdrawal feels like a rollercoaster of symptoms. In the beginning, your symptoms will change minute to minute and hour to hour. Later as you recover further they will disappear for a few weeks or months only to return again. As you continue to recover the good stretches will get longer and longer. But the bad periods of post-acute withdrawal can be just as intense and last just as long.
• Each post-acute withdrawal episode usually last for a few days. There is no obvious trigger for most episodes. You will wake up one day feeling irritable and have low energy. If you hang on for just a few days, it will lift just as quickly as it started. After a while you'll develop confidence that you can get through post-acute withdrawal, because you'll know that each episode is time limited.
• Post-acute withdrawal usually lasts for 2 years. This is one of the most important things you need to remember, prepare for and guard against potential relapse.
Impact on the Body/Brain - OverdoseHeroin and opioids tell your body to stop breathing and can also cause your blood pressure to dip significantly and cause your heart to fail.
Signs of depressant drug overdose (e.g. heroin, morphine, oxycodone, fentanyl, methadone) include:
• shallow breathing or not breathing at all
• snoring or gurgling sounds (this can mean that a person’s airway is partly blocked)
• blue lips or fingertips
• If you pick up their arm or leg, it will just fall and flop
• no response to stimulus
• disorientation
• unarousable (can’t be woken up) unconsciousness.
Companion PowerPoint with Presenter Notes
For Delivering the Lesson within a Classroom, Forum, or Community Event
www.overdose-lifeline.org PART 3
Prescription Pain Medicine (Opioids) and Heroin
Education and Prevention Lesson
What Do You Know?Do Not Write Your
Name on the Worksheet
A message from Justin Phillips, founder of Overdose Lifeline Inc.
Education & Prevention Film
Prescription Pain Pills
•Hydros•Oxycotton• Percs• Vikes
NOT the same as Heroin?NOT as risky?
Does Heroin hook people faster than other drugs?
Do Heroin and other drugs change a person?
What do these people all have in common?
Does overdose happen only with heavy drug use?
Will I ever try anything as risky as Heroin?
Can people just like me become addicted?
Are drugs and alcohol the best choice for escape?
Most Important Message
• Prescription Pain Pills = Heroin•Heroin and prescription pills are rarely the starting point - First is marijuana, alcohol and other drugs •When you use opioids and heroin, you lose your ability to choose• You can become addicted and you can overdose with just 1 use, with the 2nd, the 3rd , etc.
Need Help?If you or someone you know needs help, PLEASE know there is someone who will listen and help you.
If you or a friend are in crisis and need to speak with someone now, please call:
• National Suicide Prevention Lifeline at 1-800-273-TALK (they don't just talk about suicide—they cover a lot of issues and will help put you in touch with someone close by)
• Community Hospital Indianapolis 24-hour crisis services: call 317-621-5700 or toll-free at 800-662-3445
• Dial 2-1-1 Helpline, available 24 hours a day, 7 days a week
If you need information on treatment and where you can find it, you can call:
• Substance Abuse Treatment Facility Locator at 1-800-662-HELP or visit www.findtreatment.samhsa.gov
• Eskenazi Health Midtown 317-880-8491
• Your favorite teacher, your coach, your neighbor, your school nurse or school counselor, etc.
• Visit www.overdose-lifeline.org for more information and list of resources
What Do You Know?
Please share what you have learned today – inform others about the risks – Save a life.
Want to volunteer? Contact us through our website www.overdose-lifeline.org.