The Portland Overdose Prevention Project & Portland Women's Task Force e-Newsletter
Overdose Prevention Project
Winter 2010-11

pill bottlesHave you become your teen's drug dealer?  What's in your medicine cabinet?
Sponsored by CADCA, King Pharmaceuticals, Portland Schools and the Public Health Division

Portland's Overdose Prevention Project was selected by
the Community Anti-Drug Coalitions of America (CADCA) as one of 5 communities around the nation to hold a town hall meeting in November (National Medicine Visit CADCA onlineAbuse Awareness Month) to address the risks of prescription and OTC abuse among teens. 

Click HERE for Ronni's presentation
Click HERE for Kevin Cashman's  (Maine DEA) presentation
Click HERE for Karen Simone's (NNEPC) presentation
Visit MAAR's new site!Around Maine
Updates from our Partners around the State
Maine Alliance for Addiction Recovery
MAAR invites you to check out its new website! They are working hard to post community based Recovery resources, activities and initiatives there and to keep it updated. Take a look and let Deb know if there is information that should be included there. Contact Deb Dettor, MAAR Coordinator - or (207) 458-4366  Visit the New Website (note the new link) HERE:

calendarSAVE THE DATE: April 12, 2011
Maple Hill Farm, Hallowell
MAAR Hosts "The New Recovery Movement: Moving Maine Toward a Recovery Oriented System of Care & Lisa Mojer-Torres Recovery Advocacy Pioneer Award Luncheon" FMI Contact Deb Dettor

Kennebec Valley Overdose Prevention Task
Visit MaineGeneral.orgBetween January and May 2011, listen to 107.9 Mix (FM), 93.5 The Edge (FM), and Legacy 1160 (AM) for 60-second public service announcements highlighting people sharing their recovery success stories thanks to methadone or suboxone maintenance treatment. These PSA's will be non-proprietary and available for use by any agency that is interested in using them to address stigma associated with medication assisted treatment.  For more information call Jayne Harper at 621-3740.

infant toesBuprenorphine Treatment in Pregnancy: Less Distress to Babies
NIH Study compares buprenorphine to methadone in opioid addicted pregnant women

This study found that, compared to methadone, buprenorphine resulted in similar maternal and fetal outcomes, yet had lower severity of NAS symptoms, thus requiring less medication (1.1 versus 10.4 milligrams) and less time in the hospital for their babies (10 versus 17.5 days).

"Finding medications to help an addicted mother and her newborn is crucial,"said Dr. Nora D. Volkow, director of NIDA. "By comparing two effective medications for treating opioid addiction, this study will give health care providers and their patients vital information that will help them choose the treatment offering the greatest benefits."

Read the full news release HERE

View the Portland Women's Task Force materials on pregnancy, methadone and stigma:
syringe1IN THE NEWS: Naloxone/Narcan
Recent coverage of the effectiveness of Naloxone/Narcan

During the month of December, Naloxone (Narcan) made its way into the news in a positive light.  Here are a few articles citing the benefits of Naloxone distribution programs:
Number of Opioid-Related Deaths Falls in Massachusetts
Spray drug from Quincy police helps revive unconscious man
(Patriot Ledger)
Should an Overdose Antitdote Be Made More Accessible?
(TIME Healthland)
Reefer Madness: Opiate Overdose on the Rise
(Austin, TX Chronicle)
Intranasal Naloxone for At-Home Opioid Rescue
Stewart B. Leavitt, MA, PhD - Practical Pain Management
"Distinguishing signs of opioid overdose and indication for naloxone: an evaluation of six overdose training and naloxone distribution programs in the United States"
(Addiction, June 2008)

Providing Naloxone to Substance Users for Secondary Administration to Reduce Overdose Mortality in New York City
(Public Health Reports, May-June 2007)

Naloxone Distribution Programs (with active websites):
Chicago Recovery Alliance: Any Positive Change
Naloxone VIDEO (12:08)

New York State Opioid Overdose Prevention Program
NYC Dept of Health: Naloxone VIDEO

Baltimore City Health Department's Staying Alive Drug Overdose Prevention and Response Program

New Mexico Public Health Department: Southwest Pathways

North Carolina's Project Lazarus

To get a sense of how many Naloxone distribution programs exist around the country, Amanda contacted Eliza Wheeler (Harm Reduction Coalition's DOPE Project Manager).  Due to the "underground" nature of many of the US programs, Eliza was unable to disclose the exact number of Naloxone distribution programs that exist but was able to offer the following information (based on the HRC's October-November 2010 survey):
  • The earliest naloxone distribution began in 1996 and some programs started as recently as this year.
  • Between 1996 and June 2010, a total of 53,339 individuals have been trained and given naloxone as a result of US naloxone distribution programs.
  • Programs have received reports of 10,194 overdose reversals using naloxone.
  • 38,860 units of naloxone (all types) have been distributed during the last year, from July 2009-June 2010.
  • If you would like additional information about US naloxone programs, visit the HRC website or contact Eliza Wheeler.
Portland's Overdose Prevention Project:
News, Publications & Research Links

National news and research regarding addiction, treatment, recovery, and overdose prevention.

Local Headlines
Warren Methadone Clinic Opposed (video included)
My Fox Maine, 11/23/10 (hat tip: ARM-ME Blog)
Maine Tops Painkiller Addiction List
My Fox Maine, 1/3/11
Maine Tops Nation in Prescription Drug Abuse
Bangor Daily News, 1/3/11
Maine Plagued by Painkiller Habit
Portland Press Herald, 1/4/11
Maine Tops Nation in Painkiller Addiction (AUDIO)
Susan Sharon, MPBN, 1/3/11
-->Deb Dettor interviewed

Journal Abstracts

History of reported sexual or physical abuse among long-term heroin users and their response to substitution treatment
Addictive Behaviors
Volume 36, Issues 1-2, January-February 2011, Pages 55-60
Sex differences amongst dependent heroin users: Histories, clinical characteristics and predictors of other substance dependence
Addictive Behaviors
Volume 36, Issues 1-2, January-February 2011, Pages 27-36
Is nonmedical prescription opiate use a unique form of illicit drug use?
Addictive Behaviors

Volume 36, Issues 1-2, January-February 2011, Pages 79-86
Non-medical use of prescription drugs and sexual risk behavior in young adults
Addictive Behaviors
Volume 36, Issues 1-2, January-February 2011, Pages 152-155
Psychotropic medication history of inpatient adolescents - Is there a rationale for benzodiazepine prescription?
Addictive Behaviors
Volume 36, Issues 1-2, January-February 2011, Pages 161-165
Increasing U.S. Mortality Due to Accidental Poisoning: The Role of the Baby Boom Cohort
Addiction, 12/2/10
Epidemiologic trends and geographic patterns of fatal opioid intoxications in Connecticut, USA: 1997-2007
Drug & Alcohol Dependence, 12/4/10
Risk of death during and after opiate substitution treatment in primary care: prospective observational study in UK
British Medical Journal, 2010
Buprenorphine Implants for Treatment of Opioid Dependence
Journal of the American Medical Association, 12/13/10

Additional Articles & Resources
A Flood of Opioids, a Rising Tide of Deaths
NE Journal of Medicine: Health Policy & Reform, 11/17/10
Overdoses: PBSO pushing for new law to reduce fear of calling 911 during an overdose
Sun Sentinel (FL), 11/26/10
Overeating, Like Drug Use, Rewards And Alters Brain

NPR, 12/1/10
Why It's So Easy To Give Kids The Wrong Dose Of Medicine
NPR, 12/1/10
Teens And Young Adults Requiring More Prescriptions, Increased Risk For Abuse
Medical News Today, 12/1/10
Percentage of Positive Employee Drug Tests Containing Marijuana and Cocaine Decreases; Sedatives, Amphetamines, and Opiates Increases
CESAR Fax 11/29/10
Out of harm's way: Injecting drug users and harm reduction
Int'l Federation of Red Cross and Red Crescent Socieities - 12/2010
Co-Occurring Disorders A Common Phenomenon With Few Treatment Options
Medical News Today, 12/2/10
One in Three Fatally Injured are 'Drugged Drivers'
CADCA Online, 12/2/10 (Message from ONDCP DIrector Kerlikowske)
Just Another Incurable Disease
Psych Central: An Epidemic of Addiction (Dr. Jeffrey Junig), 12/15/10
Suboxone: Concerns Behind the Miracle
Addiction Professional (Steven Scanlan, MD), 12/2010
Adverse Childhood Experiences Reported by Adults: Five States, 2009
CDC/MMWR, 12/17/10
Portland Women's Task Force
News, Publications & Research Links
National news and research regarding education, treatment and recovery for addicted women, their families and the community.

Journal Abstracts

Alcohol as a risk factor for sudden infant death syndrome (SIDS)
Addiction, 11/9/10
The effect of health visitors' postpartum home visit frequency on first-time mothers: Cluster randomised trial
International Journal of Nursing Studies, 12/3/10
Impact of a Health Promotion Intervention on Maternal Depressive Symptoms at 15 months Postpartum
Maternal and Child Health Journal, 12/14/10
Chronic Diseases and Related Risk Factors among Low-Income Mothers
Maternal and Child Health Journal, 12/14/10

Additional Articles

Employment and Female Offenders: An Update of the Empirical Research
Gender Responsive Strategies for Women Offenders, USDOJ/NIC
More Pregnant Mothers May Be Abusing Prescription Drugs
Pediatricians Should Start Screening for Postpartum Depression
TIME Healthland 11/26/10
Fetal Alcohol Syndrome: Working through the guilt
Vancouver (CA) Sun, 12/6/10
Alcohol Publishes Year-End Special Issue On Fetal Alcohol Spectrum Disorders
Medical News Today, 12/14/10
Study Suggests Link Between Sudden Infant Death (SIDS) and Alcohol The number of babies who die of SIDS, or sudden infant death syndrome, surges by 33 percent on New Year's Day.
Medical News Today, 12/17/10
The effects of Alcoholics Anonymous on women returning from prison
EurekAlert/Alcoholism: Clinical and Experimental Research, 12/14/10
Pregnant Women With Health Problems Need Care, Not Incarceration
Medical News Today, 12/21/10
March of Dimes on YouTube
Healthy pregnancy, depression, newborn care, etc
Amanda Edgar's Webcast on Postpartum Depression
*Wishing you all the best in 2011*
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*Ronni, Amanda & Nancy*
In This Issue
*CADCA Town Hall*
*Around Maine*
*OPP News Publications*
*In the News: Recovery*
*Got Recovery?*
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Portland Recovery Groups:
Due to some restructuring and assessment, the Portland Moms in Recovery Group as well as the Portland All-Recovery Group will remain on hold until after the 1st of January. 

If you'd like more information about the status of either of these groups, please email Ronni Katz  or call   (207) 756-8116.
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In the News: RECOVERY
Here are some news stories and articles focusing on the recovery movement.

Community Recovery
(William White, et. al)
This paper defines community recovery, posits a set of preliminary principles related to community recovery, presents a case study of community recovery, and outlines strategies used in the City of Philadelphia that are promoting processes of community recovery.
View the PDF

On Pawtucket's Main Street, a place for recovering addicts to recover
The Anchor Recovery Community Center will be the first of its kind in Rhode Island, a place where recovering addicts can seek professional help, find support from others in recovery and simply relax in a place where there's no temptation to relapse. They can even play an integral role in deciding how the centers are run.
View the Article

Widening the Door
of Entry To Recovery
For Young People
Report on the first-ever gathering of young people in recovery sponsored by SAMHSA in Baltimore. Faces & Voices was pleased to participate in the event, which brought together 38 incredible young people in recovery from across the nation, sharing their experiences and ideas for moving an agenda to support young people seeking or in recovery. 
View the Presentation

Do Addicted Doctors Get Different from their Patients?
The article says of addiction: "it's a common fight inside hospitals, clinics and pharmacies. Some studies suggest as many as 10% of those in the healthcare field are using drugs or battling some level of addiction, a rate similar to that in other white-collar jobs". Alarming stuff.
View the Article

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Next Meeting

The next Portland Overdose Prevention Project & Portland Women's Task Force meeting will be scheduled in February 2011.

FMI about our meetings, please contact Ronni Katz at (207) 756-8116
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Treatment & Recovery Resources


Treatment Locator

National Alliance of Advocates for Buprenorphine Treatment
Patient/Physician Matching System

Maine Office of Substance Abuse
Info & Resource Center
1-800-499-0027 (In-State Only) or 207-287-8900

Faces & Voices of Recovery

NA Maine
HelpLine 1-800-974-0062

AA Maine
24-Hotline 1-800-737-6237 or 207-774-4335

Maine Alliance for Addiction Recovery
(207) 458-4366

Crossroads for Women
(207) 773-9931
Merrimack River Medical Services
(207) 221-2292

PROP/The Women's Project
1-800-611-1588 or (Statewide) 1-800-611-1779

CAP Quality Care
(207) 856-7227

Mercy Recovery Center
(207) 857-8282

Discovery House
(207) 774-7111

Catholic Charities
(207) 775-5671

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Portland's Overdose Prevention Project & Portland Women's Task Force
City of Portland | Health & Human Services Department | Public Health Division
389 Congress Street | Portland | Maine | 04101
(207) 756-8116 |

Portland Public Health  Click Here for OSA's Website

Portland's Overdose Prevention Project is supported by the Maine Office of Substance Abuse and the City of Portland  Public Health Division, Health & Human Services Department.