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Opioid Misuse:

Moving Our Country


from
Crisis to Recovery
Baltimore, MD
April 13, 2016
Michael Botticelli, Director
Office of National Drug Control Policy

Increase in Opioid-Involved
Drug Overdose Deaths, 20002014
28,647

The number of opioidinvolved drug overdose


deaths more than tripled
from 2000 to 2014.

210% increase in9.0


the age-adjusted
death rate from
2000 to 2014

8,407

2.9

Age-Adjusted Death Rate per 100,000 Population


Total Num ber of Deaths

Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Multiple Cause of Death
1999-2014 on CDC WONDER Online Database, released 2015. Data for 2000 to 2014 were extracted by

Christas Brother
Jef

Taisha in
Connecticut

Obama Administration Actions

Annual National Drug


Control Strategy

2011 Prescription Drug


Abuse Prevention Plan

Announcements in Atlanta

Expanding access to
medication-assisted
treatment
Implementing parity
regulations

Prescriber education for


med students

Making naloxone available


without a prescription

Funding for Addressing the Epidemic

FY 2016 Budget Law

FY 2017 Budget Request

Passed with
bipartisan support

$1.1 billion in new


funding for treatment

$400 million in
funding to address
the opioid overdose
epidemic

Would expand treatment


to areas where there
arent enough
providers

Revised federal ban


on funding for syringe
service programs

First time in history we


plan to spend more on
treatment and
prevention than law
enforcement

Lessons Learned
1. Leadership Matters
2. We Need a
Comprehensive and
Coordinated Response
3. We Need to Address
Long-Standing Issues

Language Matters

We have to confront stigma.

Language matters and research has shown


that when we use judgmental terms to describe
someone with a substance use disorder
words like addict or abuser they are
less likely to receive or be referred to
treatment.

Gap in Treatment for Illicit Drug Use


Disorders
Percent of
People Who Meet the
Criteria for an Illicit Drug Use Disorder

Percent
20%
receiving
treatment

Percent not
80%
receiving
treatment

Percent
receiving
treatment

Total: 7.9 million Americans 12 and older


are in need of treatment
Illicit Drug Use Disorder Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
Table 5.44A Need for and Receipt of Treatment at a Specialty Facility for an Illicit Drug Problem in the Past Year among Persons Aged 12 or Older, by
Demographic Characteristics: Numbers in Thousands and Percentages, 2013 and 2014. Available at http://
www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs2014/NSDUH-DetTabs2014.pdf

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