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Official websites use. Share sensitive information only on official, secure websites. Correspondence to: William C. Becker, M. Box , New Haven, CT Telephone: Fax: william. Other Addresses: David A. Fiellin, M. Rani A. Desai, Ph. New Haven, CT rani. Such use may correlate with psychiatric symptoms. Bivariate and multivariable associations were investigated. The prevalence of past-year non-medical use of sedatives or tranquilizers was 2. Of those with non-medical use, 9. On multivariable analysis, panic symptoms and elevated serious mental illness scores were associated with past-year non-medical use. In addition, they were more likely to be older, unmarried, have a low education level and have been arrested. Non-medical use of sedatives and tranquilizers is common. Sedatives and tranquilizers are widely prescribed in the U. However, the misuse, or non-medical use, of sedatives and tranquilizers also has important clinical implications insofar as this behavior may be the precursor to the development of a substance use disorder. The purpose of this study was to investigate the demographic and clinical characteristics associated with non-medical use of sedatives and tranquilizers in order to better understand potential risk factors for such behavior. Furthermore, among those with any past-year non-medical use, we sought to determine the characteristics associated with the diagnosis of sedative or tranquilizer abuse or dependence. Illuminating these associations may help clinicians be more effective in their use of these medications and more aware of potential risk factors for the development of pathological use patterns. The NSDUH is an annual survey of the civilian, non-institutionalized population aged 12 years and older designed to collect information on the prevalence of substance use and psychiatric comorbidity Substance Abuse and Mental Health Services Admininstration and Office of Applied Studies, The survey employs a state design with an independent, multistage area probability sample for each of the 50 states. Youths are over-sampled in order to create approximately equal samples sizes in the age groups , and 26 and older. Data for the current analysis includes only those respondents over age Three years of the survey , , and were combined in our analysis to increase statistical power. The year of survey implementation was included as an independent variable in logistic regression to test for the presence of independent survey-year effects. NSDUH questions are extensively evaluated for accuracy and reproducibility of results with special focus on non-ambiguity of syntax Forsyth et al. The survey has been administered for 20 years and has undergone several rounds of refinement. Questions concerning past and current illicit drug use are tested for precision of answers and non-response is studied for patterns and homogeneity of non-responders. Survey items are administered by two methods: computer-assisted personal interviewing conducted by an interviewer and audio computer-assisted self-interviewing for content areas requiring strict confidentiality, a method that enhances validity of responses Substance Abuse and Mental Health Services Admininstration and Office of Applied Studies, In addition to covariates related to socio-demographics and co-occurring substance use, we included in our analysis independent variables related to anxiety and mood disorders listed in the next section since sedatives and tranquilizers have well-described anxiolytic effects Carter et al. General mental health was measured using a validated scale Kessler et al. Respondents were asked to rate the severity of these symptoms during the one month of the past year when they were at their worst emotionally. In some instances, the NSDUH questions mirror DSM-IV criteria; in others, an abbreviated set of questions are used in order to provide information regarding clinically relevant symptomatology but not formal diagnoses in order to reduce subject burden. For our analysis, we sought symptom-based variables that would have greater sensitivity with respect to formal psychiatric diagnoses and less specificity. Depression is defined as a report of depressed mood experienced most of the day for at least two weeks. Panic is defined as physical reactions such as sweating, shortness of breath, a racing heart, or dizziness in response to a sudden attack of fear that comes out of the blue. Generalized anxiety is defined as worrying a lot more than most people about everyday problems or being a lot more nervous or anxious than most people for half of the past year or more. Post-traumatic stress is defined as upsetting memories, feeling emotionally distant, having trouble sleeping or concentrating, or feeling jumpy or easily startled in reaction to an extremely stressful experience for more than four weeks of the past year. Mania is defined as four days in a row of being so excited or hyper that the respondent got into trouble, people worried about the respondent or a doctor said the respondent was manic. Respondents were asked if they had seen a clinician for emotions, nerves or mental health issues as well as if they had taken medications prescribed for them for mental health problems in the past year. Data on frequency and type of substance use both lifetime and current were obtained via self-report. Respondents were considered to have no past-year non-medical use of sedatives or tranquilizers if their prior use occurred greater than 12 months preceding the interview. Classification of alcohol, tranquilizer, or sedative abuse was based on a positive response to one of four questions derived from the Diagnostic and Statistical Manual DSM -IV criteria that are designed to make the distinction between substance use and substance use disorders, i. Classification of tranquilizer dependence was based on a positive response to three out of six questions matching dependence criteria from the DSM-IV. Classification of alcohol or sedative dependence was based on a positive response to three out of seven questions matching criteria from the DSM-IV. Age of first illicit use was considered to be the lowest age of non-medical use of any of the following substances: marijuana, cocaine, crack, heroin, inhalants, hallucinogens, stimulants, and analgesics. Report of use of specific sedative or tranquilizer medications was confined to lifetime use. In order to generate prevalence rates for individual medications, we combined generic and trade name medications. In some instances, survey questions ask about two medications together e. For our analysis, past-year illicit drug use was divided into stimulant-effect illicit drug use cocaine, crack or non-medical prescription stimulant use , and all other illicit drug use marijuana, heroin, inhalant, hallucinogen or non-medical prescription analgesic use. As defined by the NSDUH, the sedative category included barbiturates, temazepam, chloral hydrate, Dalmane, Halcion, Placidyl and the tranquilizer category included benzodiazepines except temazepam, Halcion, Dalmane , Atarax, Equanil, Flexeril, Limbitrol, meprobamate, Miltown, and Soma. Due to a high degree of correlation, their similar effects as central nervous system depressants, and the clinical observation that providers prescribe both classes for common conditions such as insomnia, sedatives and tranquilizers were combined in our analysis. We restricted the sample to respondents 18 years of age and older since most of the mental health questions were asked only of adults. Data analysis proceeded in several steps. First, we evaluated bivariate associations between each independent variable of interest and past-year non-medical use of sedatives or tranquilizers using chi-square tests. Next, a correlation matrix was performed to ensure the absence of over-correlation between any two of the independent variables. Next, all independent variables were introduced into a logistic regression model; categorical variables were transformed into sets of binary dummy variables with reference categories assigned to those with the lowest prevalence of the dependent variable. Next, in order to better examine variation in current non-medical use, the sample was restricted to those respondents who reported any past-year non-medical use of sedatives or tranquilizers. Another logistic regression model was created with the same independent variables as in the first model but with sedative or tranquilizer abuse or dependence as the dependent variable. SAS version 9. To account for the sampling methodology and non-response in the NSDUH, we used sample weights that normalized data to the distributions based on the census and used SUDAAN software for all measures of association in order to accurately estimate standard errors on model parameter estimates. Twenty-two percent of respondents were identified as residing in a rural area. Fifty-eight percent of the sample had never used an illicit drug whereas 3. The prevalence of past-year psychiatric symptoms ranged from 1. The results of the unadjusted, bivariate analysis are shown in Table 1. All of the substance use covariates were significantly and positively associated with sedative or tranquilizer use, with the exception of past-year alcohol use. Significant socio-demographic correlates included female sex OR 1. Description of the sample, unadjusted and adjusted correlates of past year non-medical sedative or tranquilizer use in a community sample of US adults: Data from the National Survey on Drug Use and Health. Demographic and clinical characteristics of the sub-sample of 3, respondents with past-year, non-medical use of sedatives or tranquilizers are listed in Table 2. Description of the sub-sample, unadjusted and adjusted correlates of past year nonmedical sedative or tranquilizer abuse and dependence in a community sample of US adults with reported past-year use. Among respondents with past-year non-medical use of sedatives or tranquilizers, we compiled percentages of respondents with any lifetime non-medical use of specific medications. Any lifetime non-medical use of Valium or diazepam was reported by The other categories and their percentage of any lifetime use were as follows: Xanax, alprazolam, Ativan or lorazepam, All other sedatives or tranquilizers not listed above had 2. Of those with a past-year history of use, 9. The only substance use covariate with significance was a protective effective of moderate alcohol use OR 0. Significant socio-demographic correlates included older age, low education, being unmarried OR 2. We have found a prevalence of past-year non-medical use of sedatives and tranquilizers of 2. When combined with alcohol, these deleterious effects can be severely magnified; withdrawal from some of these medications after habitual use can induce seizures Roy-Byrne and Hommer, Analogous to the hypothesis that some non-medical use of opioids may be self-medication of pain Jonasson et al. If we postulate that such anxiety precedes non-medical use of these medications, our findings showing a correlation between panic and non-medical use as well as a correlation between agoraphobia and abuse or dependence support this hypothesis. However, longitudinal data would be needed to rigorously test this hypothesis. Some important socio-demographic associations deserve mention. Our results reveal that women have higher rates of past-year non-medical sedative and tranquilizer use. It is well known that women are more likely to have mood and anxiety disorders American Psychiatric Association, ; Kessler et al. In contrast with our findings concerning non-medical use, we did not find that gender had a significant association with sedative or tranquilizer abuse or dependence. Also, we found that there was a significant association between sedative or tranquilizer abuse and dependence and age group Since psychotherapeutic medications are widely prescribed to elderly patients Aparasu et al. Our findings should be cautiously compared to other studies Conway et al. One previous study concerning non-medical use of sedatives and tranquilizers showed that female gender was associated with non-medical tranquilizer but not sedative use Simoni-Wastila et al. Our analysis does not differentiate between the two sub-types of medication. In addition, prior research found that white race, poor health, daily alcohol intake and illicit drug use were associated with non-medical use of both therapeutic sub-classes -- results that are similar to ours. It should be noted that this earlier study used the National Household Survey on Drug Abuse which was conducted greater than a decade earlier and contains a different definition of non-medical use than the surveys. A second study Goodwin and Hasin, used the National Comorbidity Survey to assess demographic and clinical correlates of non-prescription use of sedatives and tranquilizers as well as self-perceived dependence on these medications among the general population; dependence was assessed using a single question. As with our study, alcohol dependence was found to correlate with non-medical use of sedatives or tranquilizers. In contrast, Goodwin and Hasin found that major depression, agoraphobia, low income and high education level also correlated with non-medical sedative or tranquilizer use. In their multivariable analysis of dependence, low education level and older age were correlated with sedative or tranquilizer dependence, consistent with our findings. Conway et al Conway et al. Their finding that panic disorder with agoraphobia was more strongly associated with each specific drug use disorder including sedative and tranquilizer abuse and dependence than any other anxiety disorder corroborates our finding that agoraphobia was the only anxiety symptom with independent correlation with sedative or tranquilizer abuse or dependence. There are limitations to our findings. Given the results of our multivariable analysis, that bias does not appear to be present. Nonetheless, data regarding more detailed reasons for non-medical use of sedatives or tranquilizers would be very useful in enhancing our understanding of this behavior. Second, because these are cross-sectional data, causal pathways are impossible to determine, though clinical experience suggests that psychiatric distress, particularly anxiety, would lead to non-medical use of sedatives and not the other way around. Furthermore, the NSDUH relies on self-report of demographic and clinical information and does not have the ability to corroborate data through other sources such as direct clinical assessment or collateral interviews. The potential stigma associated with self-report of licit and illicit drug use and other illegal behaviors may also lead to under-reporting. The true prevalence of these behaviors may be higher than our results indicate. However, the survey instrument has been revised extensively to optimize its validity; study procedures allow subjects to report particularly sensitive information directly to the computer. Thus, it is likely that the bias is not very large. In addition, clinical populations may have a higher prevalence of substance use disorders compared to community-based samples. The results from this survey, having been obtained in a community-dwelling population, should be cautiously applied to clinical settings. Finally, epidemiologic risk assessments are meant to augment clinical decision-making but cannot supplant the information derived from individual clinician-patient interactions. First, the causal associations between emotional distress and use of sedatives or tranquilizers need to be explored further. Emotional distress leading to medical or non-medical use of sedatives or tranquilizers is the most obvious pathway but ongoing use of these medications to avoid withdrawal reactions Holbrook et al. Finally, since so many of these medications are prescribed by non-psychiatrists, the best strategies for these providers to recognize and manage patients with sometimes subtle psychiatric distress need to be elucidated. We believe our findings highlight the scope and further describe the important problem of non-medical use of sedatives and tranquilizers. Ultimately, we hope these data will assist clinicians in targeted screening and heightened surveillance of at-risk patients who may benefit from other modalities of treatment that address specific areas of psychiatric need. Role of the sponsor: The funding organizations had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. As a library, NLM provides access to scientific literature. Drug Alcohol Depend. Published in final edited form as: Drug Alcohol Depend. Non-medical use, abuse and dependence on sedatives and tranquilizers among U. Find articles by William C Becker. Find articles by David A Fiellin. Find articles by Rani A Desai. Issue date Oct 8. All rights reserved. The publisher's version of this article is available at Drug Alcohol Depend. Open in a new tab. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel. Sociodemographics, past year. Missed at least one day of work last month for illness or absenteeism. Yes, at least one day for one of the reasons. Arrested and booked for crime. Mental Health, past year. Seen clinician, mental health issues. Prescribed medications, mental health reason. General Health and Substance Use, past year. Used a stimulant-effect drug. Used a non-stimulant effect drug. Age of first illicit drug use. Seen clinician, mental health issue. Prescribed medication, mental health reason. Used stimulant-effect drug. Used non-stimulant effect drug.

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The drug overdose epidemic in theUnited States is a clear and present public health, public safety, and national security threat. Data published in September by the US Centers forDisease Control and Prevention CDC confirms a trend, already reported anecdotally by emergency department staff across the country, that deaths from drug overdose are falling fast, for the first time since the US opioid epidemic began a generation ago. More than , people died of a drug overdose in , down from roughly , in There were subject matter experts available to answer questions in addition to the panelists, represented by Law Enforcement, the Medical Examiner, the District Attorney and leadership of the county Behavioral Health Department. The conversation provided information about talking to your children about drugs, resources available to the community, and how to receive help if you or a loved one is experiencing substance use disorder. Additionally, three local mothers shared their stories of loss in an impactful and motivating video. There were resource tables at the event so that attendees could get one-on-one information from experts in their fields. COAST Ventura County, the alliance of county partner agencies, remains committed in this effort to keep county residents informed and safe from the dangers of fentanyl. Ventura County is viewed statewide and nationally as an innovative leader in prevention work. So while the serious issue of the Fentanyl crisis has touched us here in our community, we are probably better positioned than many in dealing with it. Loretta Denering, and County Supervisors Matt LeVere and Jeff Gorell, welcomed attendees to learn more about the fentanyl crisis in our county and what we are doing about it. Q: Doctors — All — So many people moved from heroin to fentanyl in recent years. Do you worry that there is something worse coming after Fentanyl? Fentanyl mixed with Xylazine is an emerging threat in the United States. Xylazine is an animal tranquilizer that is increasingly being found in the US illicit drug supply and linked to overdose deaths. We have seen only a handful of these cases in Ventura County to date. Q: For D. The United States Justice Department DOJ and the Federal Bureau of Investigations FBI announced earlier this year that they were investigating Snapchat over the possible use of their platform for drug sales, specifically targeting fentanyl-related instances. They say they have blocked search results for drug-related terms, redirecting Snapchatters to resources from experts about the dangers of fentanyl. Powdered fentanyl looks just like many other drugs. They are available in different forms, including pills, powder and liquid. It is commonly mixed with drugs like heroin, cocaine, and methamphetamine and made into pills that are made to resemble other prescription opioids. Fentanyl-laced drugs are extremely dangerous, and many people may be unaware that their drugs are laced with fentanyl. Q: I need to know how to find recovery houses that state insurance covers? Also need to hear how to find sober living houses so they can work and live there. Recovery Housing is not an insurance benefit. We have 14 beds for males and are hoping to expand this service in the next year to add beds for women as well. Of the Opioid related deaths from and the first 6 months of , the top 3 demographics in Ventura County by percentage are:. Q: How much are people paying for Fentanyl? How can the faith community entity support in fighting Fentanyl? Prices for fentanyl are broken down depending on weight and the area it is bought. I believe that prevention is one tool that could help many young people to stay away of drugs. We need the collaboration of VCOE and any agent to promote prevention. What is a strategy plan that our county is building for prevention? Our Prevention efforts are numerous, including outreach teams that are present in the community at health fairs and events throughout the year, distributing information about resources and naloxone kits. The strategic plan can be found at www. The curriculum includes opportunities for student storytelling, positive alternatives to drugs, tools for effective engagement, and the skills to a happy and successful life. Q: Here in Ventura County, where is our greatest need? Where is our weakness and what can a person do to help alleviate that weakness? Our greatest immediate need is to support high-risk populations across the county. This includes the unsheltered all over the county as well as zip-codes with disparities in social determinants of health. The long-term need is to increase awareness in parents and youth regarding the dangers of fentanyl and other illicit drugs. Q: For Erik Nasarenko — Prosecution seems too lenient on drug dealers. What can be done to the smaller dealers, they seem to pay bail and be released. Typically, first time dealers will receive a sentence from a court of days in jail and be placed on felony probation. Certainly recidivists and those who commit an additional crime while on probation will receive longer sentences and a court will take into consideration the circumstances of each case when imposing additional custody time. The biggest barrier to law enforcement in fighting this issue is our own state legal system. While law enforcement recognizes drug addiction and the behavioral and medical issues that go along with treating it, the current system allows for drug dealers to face very little if any consequences when they are arrested for selling these substances. Even when these individuals are arrested and prosecuted when they are selling narcotics or possess it for sale, the penalties are very minor, and they are usually back to their old ways of selling very soon. The best thing the community can do is be aware and educated on the issues that law enforcement faces. If you see something, reach out and report it. The other thing is to make sure you are talking with your children about the dangers of drugs. Make sure you are aware of the people they hang out with and monitor who they are contacting on social media. Through our addiction medicine team, we have a program called Backpack Medicine. This involves medical and behavioral health doctors that fan out into the community — largely homeless encampments — to treat people abusing drugs and direct them to services. Q: Is Fentanyl the same as crystal or is it different? What are the symptoms so I can see for kids? Illegally made fentanyl is available on the drug market in different forms, including liquid and powder. Q: Does Ventura County have inpatient rehabilitation places for people to go to if they are using opioids or Fentanyl? Currently, VCBH has a contract with a residential and withdrawal management detox treatment provider located in Ventura County. Prototypes is a perinatal residential and withdrawal management treatment provider offering services to women and children. Currently, males that are assessed to need residential or withdrawal management levels of care, receive services at Tarzana Treatment Center in Los Angeles county. VCBH is actively seeking opportunities to contract with additional residential providers in county. Q: Why as parents are we not allowed to obtain information or help find treatment for our children, 13 and older? Please help us parents not lose our children and the rights as parents to be able to help them get into treatment for substance use. Why do some schools ignore parents when we want to report drug use or drug incidents? There should be no barrier to parents obtaining information or treatment for children 13 and older. The county website www. Q: Why is it so easy to get dangerous drugs and so hard to get the M. Can I just get it from my regular doctor? There are many ways for individuals to receive MAT. If an individual is already in treatment, they may ask to see a doctor to be assessed for which medication is right for them. If someone is not already in treatment and would like information or speak to a provider about MAT they can call the Access Line at To get connected with a NTP, they may call the NTP provider, or they can call the access line at and a care coordinator can assist with connecting you to the provider. There is an Addiction Medicine Clinic through Ventura County Medical Center that offers MAT to patients that generally have a co-occurring secondary mental health or physical health complication. In addition, because the x-waiver requirement to prescribe buprenorphine the primary ingredient in Suboxone has been lifted, ANY active medical doctor or psychiatrist can prescribe MAT in an outpatient setting. Q: For Sheriff — What happens in the schools when children bring drugs to school? Or to the parents? Is anyone charged or in trouble for it? If children are caught in school with drugs, they can be arrested, and the investigation will probably reach back to the household with Child and Family Services involved. Juvenile justice is a sensitive topic, with the focus on rehabilitation. That said, the criminal consequences are never severe. If the investigation shows that adult members of the household are the ones supplying the juvenile with drugs, they will be arrested. This is one case where California law does provide enhancements for prosecution. Several local providers offer services which include a treatment protocol using buprenorphine, along with counseling and other services which depend upon the level of care needed. Visit www. Q: How easy or how hard is it to get into treatment for any type of substance? The screening will provide a pre-determined level of care and an appointment will be scheduled at a VCBH outpatient clinic or with an assessor if the screening indicated that withdrawal management formally known as detox or residential services may be warranted. VCBH Substance Use services offer a continuum of care, and through the screening and assessment process, medical necessity and Diagnosis is established to determine level of care and treatment needs for each individual. Recovery Services is also a Drug Medi-Cal benefit for individuals who have completed treatment or immediately after incarceration and designed to support substance use recovery and prevent relapse with the objective of restoring the beneficiary to their best possible functional level. Individuals interested in receiving services can call the Access Line at , or visit www. Q: How can parents join the VC Focus? Do you have a program at the high school level? This partnership allows VC FOCUS to conduct investigations on recent fatal and non-fatal overdoses and is a law enforcement only task force. VC FOCUS does go out and speak with many community groups, schools and other citizen organizations who are interested in learning about current drug trends and dangers. We do not contact known drug users since there are professionals in behavioral health and the medical field far more qualified to talk to them about addiction, treatment, and health concerns due to their drug use. We are also narcotics detectives, so our expertise is in drug investigations and enforcing the law. Q: I work with high schoolers with substance use problems. They tell me all types of drugs are available, used on campus. They talk about being loaded at school with little being done by authorities. Is this serious problem being addressed? This will be an ongoing effort annually. Q: Is there any way that we can have dogs to find drugs out of our high schools? Can we start doing more or given more information to elementary schools? Depending on where you live, there may be K-9 units used for drug detection. Start by asking your school administration about local needs and policies. Q: Are doctors and pharmaceutical companies also being prosecuted for mis-prescribing opioids? Yes, pharmacies and physicians have faced consequences with regard to the opioid crisis. The largest three US pharmacy chains, CVS, Walgreens and Walmart have faced more than 3, lawsuits claiming they contributed to the opioid epidemic by dispensing opioid drugs despite obvious red flags. Individual medical providers who prescribed opioids without a legitimate medical purpose, or over-prescribed opioids to individuals, have also faced legal consequences. The Opioid Settlement Funds recently distributed to all counties and state jurisdictions that applied and will continue to be distributed over the next two decades in an effort at restitution. Q: Have we seen Xylazine in our county? Is this going to be the new crisis? What are the educational programs looking like for our school systems in Ventura County? Q: Are there inpatient detox options in Ventura? Is there a reason for this? Yes, there is a withdrawal management or detox provider for women called Prototypes in Ventura. Q: As a concerned citizen, how can I have naloxone or where can I get one? Residents of Ventura County can obtain naloxone anonymously by calling and receive training on how to use it. Q: If opioids are so dangerous then why are doctors still allowed to prescribe them so freely? Opioids are a legitimate drug for serious pain issues, such as for cancer patients and people who have undergone surgery, when prescribed by a doctor. The only safe drugs to take are prescribed by a physician, and even then, there is education to the patient about appropriate use. Q: Is it not true that the pharmaceutical companies were pushing opioids and doctors were being encouraged to prescribe opioids? Which, in turn created this problem? Prescription opioids have always been used to alleviate serious pain, such as after surgery. The opioid crisis, that is the rise in opioid overdose deaths, can be outlined in three distinct waves. The second wave began in , with rapid increases in overdose deaths involving heroin. The third wave began in , with significant increases in overdose deaths involving synthetic opioids, particularly those involving illicitly manufactured fentanyl. The market for illicitly manufactured fentanyl continues to change, and it can be found in combination with heroin, counterfeit pills and cocaine. Q: What do you believe is the root cause of the issue? Thoughts on patients and long monopolies of drugs? How do you determine the success of current programs? Do you use metrics? Can those be reported publicly to our community? Measuring, reporting, transparency and accountability: How does VC compare globally? This is a global issue, not local so are we, and who is that work to benchmark? Do we have all stakeholders at the table? Should we have a user speak too? Or patient? Addiction is a complex and much-studied societal issue. Research demonstrates a strong link between exposure to traumatic events and problematic substance use. Many people who have experienced child abuse, assault, war, natural disasters, or other traumatic events turn to alcohol or drugs to help cope with emotional pain, sleep disturbances, intrusive memories, anxiety, or terror. People with substance use problems are more likely to experience traumatic events than those without these problems. The original COAST funding supported dashboard visualizations showing various local data to provide trend information and insights on opioid abatement opportunities. This involved creating a dashboard receiving data securely from various agencies, including naloxone administration by all pre-hospital care providers as well as the VCBH rescue kits issued to county residents. These data are used to monitor trends and assist in enhancing outreach and targeting prevention services. For an example, please see www. Additional data is available at www. The County Behavioral Health Department does plan on hosting a number of these Town Halls in the coming year and will be inviting speakers including those with lived experience. Q: How is Fentanyl created? What chemicals are in it that make it so dangerous? How is it processed? Illicit fentanyl, primarily manufactured in foreign clandestine labs and smuggled into the United States through Mexico, is being distributed across the country and sold on the illegal drug market. Fentanyl is being mixed in with other illicit drugs to increase the potency of the drug, sold as powders and nasal sprays and increasingly pressed into pills made to look like legitimate prescription opioids. Because there is no official oversight or quality control, these counterfeit pills often contain lethal doses of fentanyl, with none of the promised drug. Q: If you take Fentanilo, does it take just a little bit to die? If I take this drug with other ones will I die of an overdose? Producing illicit fentanyl is not an exact science. Monday, October 14, Medication Disposal. Thursday, March 28, Monday, February 12, Wednesday, October 11, See the video of the forum:. Issue Overdose Rescue Kit.

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