Prescription Drug Overdose
Deaths from prescription drug overdoses, particularly overdoses of prescription painkillers, have skyrocketed over the past decade. CDC and other agencies are working to identify and evaluate interventions to reduce overdose deaths. The Prevention Status Reports (PSRs) focus on policies and practices supported by emerging evidence, expert consensus, and/or extensive review of the primary drivers of the epidemic.
The PSRs highlight—for all 50 states and the District of Columbia—the status of two key practices that states can use to reduce prescription drug overdose:
- Implementing state pain clinic laws
- Implementing prescription drug monitoring programs that follow selected best practices
Policies & Practices
State pain clinic law
A pain clinic law is rated green in the PSR if the law requires state oversight and contains other requirements concerning ownership and operation of pain management clinics, facilities, or practice locations.
Research shows that a small number of high-volume prescribers contribute disproportionately to the prescription drug overdose epidemic.2 Not all high-volume prescribers are prescribing for illegitimate reasons, so pain clinic laws are designed to target those clinics where drugs are prescribed inappropriately. Pain clinic laws hold promise for stopping doctor shopping and the most egregious overprescribing.
Status of state pain clinic laws, United States (as of July 2013)
(State count includes the District of Columbia.)
± How the ratings were determined
± More information on this indicator
Prescription drug monitoring programs following selected best practices
State prescription drug monitoring programs (PDMPs) track the prescribing and dispensing of controlled substances. State PDMPs show early signs of changing providers’ prescribing practices and can yield valuable information for healthcare providers and regulatory agencies.
The PDMP Center of Excellence at Brandeis University has identified selected best practices that PDMPs should follow.3 These include
Status of state PDMPs following selected best practices, United States (as of July 2013)
(State count includes the District of Columbia.)
± How the ratings were determined
± More information on this indicator
Prevention Status Reports: Prescription Drug Overdose, 2013
The files below are PDFs ranging in size from 100K to 500K.
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