Opioid Prescription Rates And Child Removals: Evidence From Florida

Quast, Troy; Storch, Eric A.; Yampolskaya, Svetlana

doi:10.1377/hlthaff.2017.1023

Cited by 59 publications

(28 citation statements)

References 26 publications

(22 reference statements)

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“…Areas hit hardest by the opioid epidemic have had higher rates of foster care involvement than areas where the opioid epidemic has been less severe. 31 Opioid use and economic stress are likely related, with some evidence suggesting that opioid use is associated with economic hardship 32 and absence from the labor market. 33…”

Section: Other Adverse Outcomesmentioning

confidence: 99%

A Public Health Strategy for the Opioid Crisis

et al. 2018

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Drug overdose is now the leading cause of injury death in the United States. Most overdose fatalities involve opioids, which include prescription medication, heroin, and illicit fentanyl. Current data reveal that the overdose crisis affects all demographic groups and that overdose rates are now rising most rapidly among African Americans. We provide a public health perspective that can be used to mobilize a comprehensive local, state, and national response to the opioid crisis. We argue that framing the crisis from a public health perspective requires considering the interaction of multiple determinants, including structural factors (eg, poverty and racism), the inadequate management of pain, and poor access to addiction treatment and harmreduction services (eg, syringe services). We propose a novel ecological framework for harmful opioid use that provides multiple recommendations to improve public health and clinical practice, including improved data collection to guide resource allocation, steps to increase safer prescribing, stigma-reduction campaigns, increased spending on harm reduction and treatment, criminal justice policy reform, and regulatory changes related to controlled substances. Focusing on these opportunities provides the greatest chance of making a measured and sustained impact on overdose and related harms.

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Section: Other Adverse Outcomesmentioning

confidence: 99%

A Public Health Strategy for the Opioid Crisis

et al. 2018

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“…Third, newspaper reports document the devastating impact of opioid addiction on families, 22 particularly for children whose parents are opioid dependent. Recent research also suggests that opioid prescriptions are associated with an increase in the likelihood that children are removed from their homes (Quast, Storch, and Yampolskaya 2018). Finally, a rich literature in sociology describes how health behaviors and the consumption of health care varies with SES.…”

Section: Heterogeneity In the Treatment Effectmentioning

confidence: 99%

Does Intra-household Contagion Cause an Increase in Prescription Opioid Use?

Vaan

Stuart

2019

Am Sociol Rev

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Opioid use claims many thousands of lives each year. This article considers the diffusion of prescription opioid (PO) use within family households as one potential culprit of the proliferation of these medications. In an analysis of hundreds of millions of medical claims and almost 14 million opioid prescriptions in one state between 2010 and 2015, we show that the use of POs spreads within family households. We also show that the treatment effect of exposure to a family member’s PO use is driven by an increase in PO consumption for medical conditions that members of treated and untreated families experience at nearly identical rates. This pattern of results suggests household exposure causes an uptick in patient demand for prescription opioids. We use an instrumental variable estimation strategy to address the well-known challenges to estimating a causal effect of intra-household contagion, such as genotypic similarities among family members, assortative matching in partner selection, and clustering of health conditions within households. The results spotlight the salience of the most ubiquitous social structure, the family household, in accelerating opioid consumption to unprecedented levels. The findings also suggest that rather than direct social influence between physicians, the spread of prescription behavior in physician networks may be driven by shifts in patient demand that propagate through the patient sharing network.

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“…Research shows that public health officials are using PDMPs more to understand the landscape of controlled substance use, including showing trends in the number of individuals obtaining multiple controlled substance prescriptions (Kentucky and Florida [Jalal et al, 2018;Higham, Horwitz, & Rich, 2019]), in prescribing practices (New York [Bachhuber, Tuazon, Nolan, Kunins, & Paone, 2019]), and with prescriptions being fraudulently filled after the death of recipients. PDMP research has evaluated the effect of opioids on communities by looking at child removal statistics (Morris et al, 2019;Quast, Storch, & Yampolskaya, 2018) and numbers of fatal opioid poisonings (Pauly, Slavova, Delcher, Freeman, & Talbert, 2018) after PDMP implementation. In New York, a large decrease was observed in opioid prescriptions after implementing the PDMP.…”

Section: Discussionmentioning

confidence: 99%

National Institute of Justice’s Forensic Technology Center of Excellence 2019 National Opioid and Emerging Drug Threats Policy and Practice Forum

Presler-Jur¹,

Daye²,

Shute³

et al. 2020

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The National Institute of Justice (NIJ) and its Forensic Technology Center of Excellence (FTCoE) hosted the National Opioid and Emerging Drug Threats Policy and Practice Forum on July 18–19, 2019, in Washington, DC. The forum explored ways in which government agencies and programs, law enforcement officials, forensic laboratory personnel, medical examiners and coroners, researchers, and other experts can cooperate to respond to problems associated with drug abuse and misuse. Panelists from these stakeholder groups discussed ways to address concerns such as rapidly expanding crime laboratory caseloads; workforce shortages and resiliency programs; analytical challenges associated with fentanyl analogs and drug mixtures; laboratory quality control; surveillance systems to inform response; and policy related to stakeholder, research, and resource constraints. The NIJ Policy and Practice Forum built off the momentum of previous stakeholder meetings convened by NIJ and other agencies to discuss the consequences of this national epidemic, including the impact it has had on public safety, public health, and the criminal justice response. The forum discussed topics at a policy level and addressed best practices used across the forensic community.

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Opioid Prescription Rates And Child Removals: Evidence From Florida

Cited by 59 publications

References 26 publications

A Public Health Strategy for the Opioid Crisis

A Public Health Strategy for the Opioid Crisis

Does Intra-household Contagion Cause an Increase in Prescription Opioid Use?

National Institute of Justice’s Forensic Technology Center of Excellence 2019 National Opioid and Emerging Drug Threats Policy and Practice Forum

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