Bonus Episode: Meet Barb

What did you learn from this episode? Complete our short survey to let us know! Participants will be entered into a drawing to win a $25 Amazon gift card and some Poison Control swag. MUSIC CREDITS: Blue Dot Sessions - Heartland FlyerBlue Dot Sessions - Denzel SprakAlan Piljak - Stars aboveBlue Dot Sessions - LaBrancheScott Holmes - So HappyBlue Dot Sessions - An Oddly Formal DanceBlue Dot Sessions - In Paler SkiesBlue Dot Sessions - Surly Bonds SHOW NOTES: Summary: This two-part episode will address the process of receiving pain treatment, addiction risk factors and treatment options, and mental health. 1. NYSAG Files Comprehensive Lawsuit Against Multiple Pharmaceutical Manufacturers and Distributors of Opioid Drugs: https://ag.ny.gov/sites/default/files/oag_opioid_lawsuit.pdf2. Automated Reports and Consolidated Ordering System (ARCOS): https://www.deadiversion.usdoj.gov/arcos/retail_drug_summary/3. HelpGuide: Substance Abuse and Mental Health Issues: https://www.helpguide.org/articles/addictions/substance-abuse-and-mental-health.htm4. Opioids: The Crisis Next Door: https://www.crisisnextdoor.gov/5. Principles of Substance Abuse Prevention for Early Childhood: https://www.drugabuse.gov/publications/principles-substance-abuse-prevention-early-childhood/table-contents6. Preventing Teen or Young Adult Drug Use: How to Talk With Your Child: https://drugfree.org/article/how-to-talk-with-your-teen/7. International Overdose Awareness Day: https://www.overdoseday.com/ Dual Recovery Anonymous 1-877-883-2332http://www.draonline.org/index.html Alcoholics Anonymous(212) 870-3400http://www.aa.org/ Narcotics Anonymous818.773.9999 x771https://na.org/ SMART Recovery440-951-5357https://www.smartrecovery.org/ Women for Sobriety(215) 536-8026https://womenforsobriety.org/ Suicide Prevention Lifeline1-800-273-TALK (8255)http://suicidepreventionlifeline.org/ Veteran's Crisis Line1-800-273-TALK (8255)Website: www.veteranscrisisline.net SAMHSA's National Helpline1-800-662-HELP (4357)Website: www.samhsa.gov/find-help/national-helpline Buprenorphine Practitioner & Treatment Program LocatorFind information on locating practitioners and treatment programs authorized to treat opioids, such as heroin or prescription pain relievers, at https://www.samhsa.gov/medication-assisted-treatment/practitioner-program-data/treatment-practitioner-locator?field_bup_physician_us_state_value=DC Early Serious Mental Illness Treatment LocatorFind treatment programs in your state that treat recent onset of serious mental illnesses such as psychosis, schizophrenia, bi-polar disorder, and other conditions at www.samhsa.gov/esmi-treatment-locator. Opioid Treatment Program DirectoryFind treatment programs in your state that treat addiction and dependence on opioids, such as heroin or prescription pain relievers, at dpt2.samhsa.gov/treatment/. Behavioral Health Treatment Services LocatorFind alcohol, drug, or mental health treatment facilities and programs around the country at findtreatment.samhsa.gov.

What did you learn from this episode? Complete our short survey to let us know! Participants will be entered into a drawing to win a $25 Amazon gift card and some Poison Control swag. The winner will be announced on our next episode! SHOW NOTES: Summary: This two-part episode will address the process of receiving pain treatment, addiction risk factors and treatment options, and mental health. Further reading: https://wdr.unodc.org/wdr2019/prelaunch/WDR19_Booklet_2_DRUG_DEMAND.pdf MUSIC CREDITS:Scott Holmes - So HappyLee Rosevere - Biking in the ParkLee Rosevere - We're Almost There

What did you learn from this episode? Complete our short survey to let us know! Participants will be entered into a drawing to win a $25 Amazon gift card and some Poison Control swag. The winner will be announced on our next episode! SHOW NOTES: This episode will discuss the special populations that have been affected by the opioid epidemic, addressing why it is necessary to look at these groups individually, and how each requires a different approach to achieve resolution of the problem. Further Reading:1. https://www.univadis.co.uk/viewarticle/pas-2019-pediatric-opioid-related-death-rates-spike-6688982. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337168/3. https://www.pbm.va.gov/PBM/AcademicDetailingService/Documents/PAIN_Provider_AD_Chronic_Pain_and_Suicide_Factsheet.pdf4. https://annals.org/aim/fullarticle/2702061/chronic-pain-among-suicide-decedents-2003-2014-findings-from-national5. https://www.nejm.org/doi/full/10.1056/NEJMra18021486. https://www.mentalhealth.va.gov/docs/data-sheets/OMHSP_National_Suicide_Data_Report_2005-2016_508.pdf7. https://www.drugabuse.gov/publications/medications-to-treat-opioid-addiction/how-opioid-use-disorder-treated-in-criminal-justice-system8. http://suicidepreventionlifeline.org/how-we-can-all-prevent-suicide/9. https://icer-review.org/wp-content/uploads/2016/01/CEPAC-Opioid-Dependence-Final-Report-For-Posting-July-211.pdf10. https://www.c-span.org/video/?437495-1/sheer-madness&start=814 MUSIC CREDITS:Scott Holmes - So HappyAlan Piljak - Empty daysLee Rosevere - Somber HeartBlue Dot Sessions - One Little TriumphAlan Piljak - CloudsAlan Piljak - Light blue Alan Piljak - Stars above

What did you learn from this episode? Complete our short survey to let us know! Participants will be entered into a drawing to win a $25 Amazon gift card and some Poison Control swag. The winner will be announced on our next episode! SHOW NOTES: Summary:This episode will discuss a couple of special populations that have been affected by the opioid epidemic, addressing why it is necessary to look at these groups individually, and how each requires a different approach to achieve resolution of the problem. Further Reading: • MedlinePlus: Pregnancy and Opioids: https://medlineplus.gov/pregnancyandopioids.html• The American College of Obstetricians and Gynecologists: Opioid Use Disorder and Pregnancy FAQs: https://www.acog.org/Patients/FAQs/Opioid-Use-Disorder-and-Pregnancy• Prenatal Buprenorphine Versus Methadone Exposure and Neonatal Outcomes: Systematic Review and Meta-Analysis: https://academic.oup.com/aje/article/180/7/673/150018• National Institute on Drug Abuse: Treating Opioid Use Disorder During Pregnancy: https://www.drugabuse.gov/publications/treating-opioid-use-disorder-during-pregnancy/treating-opioid-use-disorder-during-pregnancy#ref• Public Health Surveillance of Prenatal Opioid Exposure in Mothers and Infants: https://pediatrics.aappublications.org/content/143/3/e20183801#ref-3• Jansson LM, Patrick SW. Neonatal Abstinence Syndrome. Pediatr Clin North Am. 2019 Apr;66(2):353-367. doi: 10.1016/j.pcl.2018.12.006. Review. https://www.ncbi.nlm.nih.gov/pubmed/30819342• Use of Codeine and Tramadol Products in Breastfeeding Women - Questions and Answers: https://www.fda.gov/Drugs/DrugSafety/ucm118113.htm• MotherToBaby: Fact Sheets: https://mothertobaby.org/fact-sheets-parent/• Substance Use During Pregnancy: https://www.guttmacher.org/state-policy/explore/substance-use-during-pregnancy• White Paper: Opioid Use, Misuse, and Overdose in Women: https://www.womenshealth.gov/files/documents/white-paper-opioid-508.pdf • Final Report: Opioid Use, Misuse, and Overdose in Women: https://www.womenshealth.gov/files/documents/final-report-opioid-508.pdf• HHS Mental Health and Addiction Insurance Help: https://www.hhs.gov/programs/topic-sites/mental-health-parity/mental-health-and-addiction-insurance-help/index.html• Parental Substance Use and the Child Welfare System: https://www.childwelfare.gov/pubPDFs/parentalsubabuse.pdf MUSIC CREDITS:Blue Dot Sessions - Upper RegistersScott Holmes - So HappyAudiobinger - Memory Lane For more POISON!, follow us on Twitter @NationalCapital, and subscribe to our newsletter on our website, www.poison.org. Support the National Capital Poison Center today at www.poison.org/donate

What did you learn from this episode? Complete our short survey to let us know! Participants will be entered into a drawing to win a $25 Amazon gift card and some Poison Control swag. The winner will be announced on our next episode! This episode will review the extent of the opioid crisis through current statistical and demographic information to reinforce the concept that this is a crisis that affects all of society. We will identify key signs that can help the general public assess the risk of opioid abuse in their local communities. The episode will close with discussion of preventative and harm-reduction measures the public can utilize. Further Reading: http://www.pdaps.org/datasets/laws-regulating-administration-of-naloxone-1501695139https://www.drugabuse.gov/related-topics/opioid-overdose-reversal-naloxone-narcan-evzio Opioid Overdose First Aid Resources:Washington DC CPR Training: https://fems.dc.gov/service/cpr-training-programHands-only CPR Video: https://www.youtube.com/watch?v=-A0nAKWTewIHow to use Narcan: https://www.narcan.com/patients/how-to-use-narcanHow to use Evzio: https://www.evzio.com/patient/how-to-use-evzio/Naloxone Training: https://www.getnaloxonenow.org/index.aspxRescue Breathing Training: https://nhcps.com/lesson/bls-rescue-breathing/Map of Good Samaritan Law States: https://www.responsibility.org/alcohol-statistics/state-map/issue/good-samaritan/ Drug Disposal Resources:http://disposemymeds.org/https://nabp.pharmacy/initiatives/awarxe/drug-disposal-locator/http://www.medreturn.com/medreturn-units/medreturn-locations/https://takebackday.dea.gov/https://apps.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e2s1https://www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm#howhttps://www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm#Medicines_recommendedRisks associated with the environmental release of pharmaceuticals on the U.S. Food and Drug Administration "flush list": https://www.ncbi.nlm.nih.gov/pubmed/28787777https://disposerx.com/ Music By:Josh Woodward - Show Me Instrumental VersionLee Rosevere - CuriosityScott Holmes - Driven To SuccessScott Holmes - AwakeScott Holmes - So HappyScott Holmes - Corporate InnovativeBlue Dot Sessions - One Little TriumphJosh Woodward - Morning Blue Instrumental For more POISON!, follow us on Twitter @NationalCapital, and subscribe to our newsletter on our website, www.poison.org. Support the Poison Center today at www.poison.org/donate

We talk with Barbara Schmitz, a Poison Specialist who has been with the Poison Center since day one! Music by: Ryan Andersen – Saturday Night Ryan Andersen – Until The End Ryan Andersen – Sweet Love

Videos: • Oxycontin promotional video: https://www.youtube.com/watch?v=Er78Dj5hyeI• Oxycontin patients, then and now: https://www.youtube.com/watch?time_continue=29&v=pkeQifzvSNE• DEA: https://www.dea.gov/galleries/education-and-outreach-videos/chasing-dragon• Energy and Commerce Committee: https://www.youtube.com/watch?time_continue=24&v=Ad-8mdZ-rCoFurther Reading:1. Kolodny A, Courtwright DT, Hwang CS, Kreiner P, Eadie JL, Clark TW, Alexander GC. The prescription opioid and heroin crisis: a public health approach to an epidemic of addiction. Annu Rev Public Health. 2015 Mar 18;36:559-74. Doi: 10.1146/annurev-publhealth-031914-122957. Epub 2015 Jan 12. Review.2. US GAO (Gen. Account. Off.). OxyContin Abuse and Diversion and Efforts to Address the Problem. GAO-04-110. Washington, DC: GAO. http://www.gao.gov/new.items/d04110.pdf3. https://khn.org/news/purdue-and-the-oxycontin-files/4. https://www.hsgac.senate.gov/imo/media/doc/REPORT-Fueling%20an%20Epidemic-Exposing%20the%20Financial%20Ties%20Between%20Opioid%20Manufacturers%20and%20Third%20Party%20Advocacy%20Groups.pdf5. https://docs.house.gov/meetings/GO/GO00/20160322/104723/HHRG-114-GO00-Wstate-BotticelliM-20160322.pdf6. https://www3.nd.edu/~elieber/research/ELP.pdf7. https://www.jointcommission.org/assets/1/6/Pain_Std_History_Web_Version_05122017.pdf8. https://www.dea.gov/sites/default/files/2018-11/DIR-032-18%202018%20NDTA%20%5Bfinal%5D%20low%20resolution11-20.pdf9. https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis10. https://www.drugabuse.gov/news-events/news-releases/2018/05/nearly-half-opioid-related-overdose-deaths-involve-fentanyl11. https://www.cdc.gov/nchs/data/databriefs/db329-h.pdf12. https://onlinelibrary.wiley.com/doi/abs/10.1111/add.1447413. https://www.cfr.org/backgrounder/us-opioid-epidemic14. https://www.uscc.gov/sites/default/files/Research/USCC%20Staff%20Report_Fentanyl-China%E2%80%99s%20Deadly%20Export%20to%20the%20United%20States020117.pdf15. https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis Music provided by:Scott Holmes - So happyLee Rosevere - Keeping old lettersDavid Hilowitz - Chance EncounterAlan Spiljak - ForgottenBroke For Free - High School Snaps

What is Poison Control, anyway? Find out what it's all about! Music by:Broke For Free – Something ElatedScott Holmes – Epic Cinematic

Welcome to Poison!, a podcast from the National Capital Poison Center! Music by:Broke For Free – Something Elated