010815 Meeting Notes

010815 Coalition Meeting

Underage/Binge Drinking Work Group

Group Facilitator: Juanelle Lambert

Melony Ison and Juanelle discussed previous implementation plan actives and brainstormed for future prevention strategies for the new logic model. Juanelle’s suggestion for future prevention strategies included information that would help to address the social hosting problem for underage drinking. Juanelle has come across some new research that has found cognitive decline in youth associated with increase alcohol consumption. Increasing educational efforts about perceived risk may be a way to address the social hosting problem.

Preventing Nicotine Initiative Work Group

Group Facilitator was Vicki Casenburg; Recorder was Alisa Johnson. Others present were Johnnie Mae, Jill White, and Baxter. 

Topics discussed were:
  • Sullivan County Health Department will have a meeting in February to determine what initiatives their Tobacco Cessation will focus on so that the efforts can be coordinated between coalition and SCRHD. 
  • Alisa has made contact with Rhythm and Roots Festival to grow efforts for signage at the festival for no smoking. Will update SCAD in May 2015.
  • Johnnie Mae has also made contact with Fun Fest coordinators in Kingsport and they have agreed to put up sigage asking people to refrain from smoking.
  • “Choose Not to Use, Lets be Tobacco Free” campaign between both cities and festivals is similar and has same verbage on signs and that the message is the same for continuity. 
  • Smoking on School Property in Sullivan County- It is not legal to ban tobacco on the entire campus of public schools because of Tennessee preemption laws
Prevention strategy/logic model brainstorming session:

  • Determined that Electronic Cigarettes is an emerging problem that needs to be addressed. 
  • Local issues to address:  Easy Retail Access: Many retail locations where youth frequent  such as shopping malls. 
  • Easy Social Access: the flavoring that is offered may attract youth. 
  • Enforcement: No FDA regulations on Electronic Cigarettes though federal law requires person to be over 18 before they can purchase. 
  • Low Perceived Risk: E-Cigarettes are seen as a safe alternative to smoking cigarettes. 
  • Promotion: No regulations of advertising and location of retail points of sale. Flavorings of tobacco is geared toward youth. 
  • Social Norms: E- Cigarettes are seen as a safe alternative and are becoming more prevalent as sales of this type of tobacco continues to increase.

Prosecutor asking state legislators to roll back medication law

Tenn. DAs fight pain clinic 'industry of death'

It may be a “pill mill” if:

  • It does not accept insurance

  • No referrals from other physicians are needed

  • There is minimal contact with the doctor

  • No appointments are necessary

  • It is an unusual location for an office

  • There are many out of area patients and/or long lines in the parking lot

  • Cursory medical records are kept

  • No comprehensive drug screens are conducted

  • No alternative treatment plans are offered

  • No psychological testing is conducted

  • There is a standard diagnosis for all patients

  • There is a standard prescription for all patients

  • There is no reduction in dosage of medication over time

  • There is no dismissal from treatment for non-compliance
Revised based on a list compiled by District Attorneys Barry Staubus and Gene Perrin

Talking Points for letters to your legislators. (Find your legislator and contact info)
  1. This law, created in 2001, was meant to address pain that could not be removed or otherwise treated. However, inclusion of the Pain Patient's Bill of Rights allowed the patient, not the doctor, to determine treatment.
  2. The law was passed during a time when there was a belief that pain patients could not become addicted. As opioid (narcotic) medications are highly addictive (as indicated by their Schedule II, III, IV, or V status), this was never true. 
  3. This law bypasses medical expertise. Narcotics may help manage the symptom (pain), but do not treat the condition.
  4. Since the passage of this law:
    1.  Tennesseans admitted to publicly funded treatment for opioids have increased from less than 10% of admissions to over 40%. 
    2. For EVERY Tennessean above the age of 12, there were enough prescriptions dispensed for each to have 51 hydrocodone pills, 22 Xanax pills and 21 oxycodone pills.
  5. NE TN has more babies born addicted to drugs than any other part of Tennessee.
  6. Addiction to prescription drugs leads to heroin use. 
  7. Repealing this section of the law helps achieve the strategies laid out in the Governor's Prescription for Success report.

Partnership for Success - Prescription Drugs Work Group

Members: Leslie Earhart, Jason Abernathy, Linda Brittenham, Josh Parsons, Beulah Ferguson, Tony Daston, Lindsey Chandler, Judy Clarke

The group identified the most important data points to include presentations for civic groups, parent groups and faith based groups, and clarified that the presentation should be a PowerPoint presentation with handouts. There should also be a Call to Action to end the presentation. The presentation should be no longer 15 minutes. Alice will send a draft out for comments and improvements.

Reviewing the implementation plan, these additional ideas were presented:
  • Try to develop youth leadership speaking to these issues in the Girl Scouts, Boy Scouts and the Chamber of Commerce Youth Leadership programs (SHOUT and BYL)
  • More information is needed about current licensing requirements for education and continuing education about addiction (Frontier Health, ERs, Mountain States were suggested as resources)