Welcome to the Fourth Annual Maine Benzodiazepine

Study Group International Conference

Third Annual Unused Drug Return International Conference Webpage!

Below you will find the conference program with links to presentation materials. We will post presentation materials to this page as they are available.

Held on October 23-24, 2006

Eastland Park Hotel

Portland, Maine

 

 

This conference was designed for health care professionals, policy makers, law enforcement personnel, environmentalists, substance abuse professionals, and others concerned with the human and environmental impact of benzodiazepines and other prescription drugs.

 

One conference track addressed the multitude of issues surrounding the appropriate uses, misuse and alternatives to benzodiazepines, a class of medications used to treat anxiety, stress and insomnia, as well as other prescription medications. Pertinent health safety and improved medication prescribing practices were considered as well.

 

A second track focused on the environmental and social impact of unused prescription drugs stored in homes and flushed or otherwise discarded into the environment. Innovative return and disposal policy and program responses were also illustrated.

 

 Monday, October 23

(Room: Eastland Ballroom)

7:00am      Continental Breakfast

7:30           Welcoming Remarks

                  Lenard W. Kaye, DSW, PhD, Professor and Director, University of Maine Center on Aging

                  Lynn Bromley, Maine State Senator         

                  Lani Graham, MD, MPH, Medical Director for Public Health and Emergency Preparedness, Maine     Centers for Disease Control

7:50           John A. Gans, PharmD, Executive Vice President and CEO, American Pharmacists Association        

 

8:25           Michael P. Cantara, Commissioner, Maine Department of Public Safety

8:30           Detection of Illicit Drug Consumption by Sampling of Metabolites in Wastewater

                  Christopher Williamson, PhD, Lieutenant Commander, U.S. Navy, Policy Analyst, Office of Supply Reduction, Office of National Drug Control Policy, Executive Office of the President

10:00         Exhibit Touring and Networking             

 

Monday, October 23rd Track A

Benzodiazepines Use, Misuse & Alternatives

(Room: Longfellow A)

10:30am    Benzodiazepine Epidemiology: Canadian and American Perspectives

                 Gerry J. Mugford, PhD, Clinical Epidemiologist and Assistant Professor, Medicine, Pharmacy, & Psychiatry, Memorial University, St.Johns, NL, Canada (PPT File)

11:00         Benzodiazepine Epidemiology in Maine and Other Rural Areas

                  Marcella H. Sorg, RN, PhD, D-ABFA, Research Associate, Margaret Chase Smith Policy Center, University of Maine (PPT File)

11:30         Pain Management at the End of Life

                  Kandyce Powell, MSN, RN, Executive Director, Maine Hospice Council, Inc.

12:00pm    Lunch - DEA Regulatory Changes Needed and the Reverse Distribution Industry               

                  Mary Hendrickson, RPh, MBA, Director of Quality and Regulatory Affairs, Capital Returns, Inc.

1:00           Helping Medicare Beneficiaries Get the Prescription Drugs They Need

                  Anne Smith, Medicare Rights Advocate, Legal Services for the Elderly

1:30           The Pharmacy Safety Net and Medicare Part D

                  Kimberley Fox, Research Associate II, Muskie School of Public Service, University of Southern Maine (PPT File)

2:00           Round Table Discussions:

                  1- Benzodiazepine Prescribing Guidelines (Co-facilitators: James Berry, MD, Family Practice Residency, Eastern Maine Medical Center;                     Janis B. Petzel, MD, Research and Development Coordinator, Veterans’ Administration, Togus and Assistant Professor (Adjunct),                    Dartmouth Medical School and Maine-Dartmouth Family Practice Residency Geriatric Fellowship

                  2- Alternative Therapies to Benzodiazepines (Facilitator: Benjamin Crocker, MD, MPA, CPC, Medical Director, PHO Behavioral Health

                 Care Program, Maine Medical Center)

                  3- Benzodiazepine Consumer Resources (Facilitator: Susan R. Kaye, MS, MBA, Principal, Packard Judd Kaye Strategic Marketing Group)

3:30           Web Access to Maine's Prescription Monitoring Program & Year Two Data

                  Chris Baumgartner, PMP Coordinator, Maine Office of Substance Abuse

4:00           Blues Begone: A Computer-Based Cognitive Behavioral Treatment Package for Depression and Anxiety

               David Purves, D. Phil, C. Psychol, AFBPsS, Principal Lecturer in Counseling Psychology at London Metropolitan University,                                Director, Self Help Solutions Inc. (PPT File)

5:00           Closing

 

Monday, October 23 Track B

Pharmaceutical Waste: Unused Medicine Return

(Room: Longfellow B)

Letter: United States Pharmacopeia (USP) Guidance on Redispensing ("reuse") of Medicines (PDF file)

10:30am    Unused Medicine Disposal Practices

                 Mark W. Caverly, Section Chief, Liaison and Policy Section, Office of Diversion Control, U.S. Drug Enforcement Administration

11:30         Finnish Consumer Return of Pharmaceuticals: A Survey (PDF)

                  Stevan Gressitt, MD, Medical Director, Northeast Occupational Exchange

                  Anni Outinen-Jones, RN, BSN

11:45         Strategies for Raising Consumer Awareness of Environmental Drug Impacts and Responsible Disposal

                  Joe Starinchak, Outreach Coordinator, U.S. Fish and Wildlife Service

12:00pm    Lunch- DEA Regulatory Changes Needed and the Reverse Distribution Industry

                 Mary Hendrickson, RPh, MBA, Director of Quality and Regulatory Affairs, Capital Returns, Inc.

1:00           What is Happening Legislatively With Drug Returns             

                 Anne C. Perry, Maine State Representative

1:15           Unused Medications Perspectives from the Donations Community

                  Jim B. Russo, Senior Advisor, Partnership for Quality Medical Donations (PDF File)

1:45           Unused and Expired Medicines Registry

                  Matthew Mireles, PhD, MPH, President and Director of Research, Community Medical Foundation for Patient Safety (PPT File)                             Individual Return Form (PDF)

2:15           Panel: Maine Waste Disposal Efforts Update

                 Moderator: Andrew MacLean, Esq., Deputy Executive Vice President and General Counsel, Maine Medical Association

                 Panelists: Roy McKinney, Director, Maine Drug Enforcement Agency

                 Ann Pistell, Environmental Specialist, Maine Department of Environmental Protection

                  James M. Cameron, Assistant Attorney General, Office of the Maine Attorney General

3:30           Medication Use and Waste in Hospice Care

                 Stephanie Zarus, PharmD, Vice President and Chief Performance Officer, ExcelleRx Inc

4:00           Workshop I: Drug Return Lessons Learned

                  Moderator: Laurie J. Tenace, Environmental Specialist, Florida Department of Environmental Protection

                  Panelists: Irene Wegner, Associate State Director for Community Development, AARP, IN

                  Brenda Bateman, PhD, Water Policy Coordinator, Tualatin Valley Water District, Beaverton, OR (PDF File)

                  Karin North, MESM, Associate Engineer, City of Palo Alto, CA (PPT File)

                  Dave Galvin, Hazardous Waste Program Manager, King County, Washington

                  Marla Davis, MSN, RN, Manager for Community Health Education, Mid Coast Hospital

5:00           Closing

 

Monday, October 23

Evening Sessions

(Room: Longfellow A)

 

 6:30 - 7:15pm        Maine Drug Policy Research Group Meeting

                               Moderator: Mark R. Publicker, MD, Medical Director, Recovery Center, Mercy Health System of Maine

                                   

7:30 - 8:30pm         Blues BegoneTM . . . to help you feel better (Demonstration)

                               David Purves, D. Phil, C. Psychol, AFBPsS, Principal Lecturer in Counseling Psychology at London                                                                        Metropolitan University, Director, Self Help Solutions Inc. (PPT File)

                 

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Tuesday, October 24

(Room: Eastland Ballroom)

7:00am      Continental Breakfast

7:30           Welcoming Remarks

                  Stevan Gressitt, MD, Medical Director, Northeast Occupational Exchange

                  Diana Scully, MSW, Director, Office of Elder Services, Maine Department of Health and Human Services

7:40           Annual SPIKE Award

                 Ed Pontius, MD, President, Maine Association of Psychiatric Physicians

7:45           Student Paper Competition Award

              Benjamin Crocker, MD, MPA, CPC, Medical Director, PHO Behavioral Health Care Program, Maine Medical Center

7:50           Introduction of International Film Collection

                  The Honorable Gail Chase, Railroad Square Cinema and Shadow Distribution

7:55           Introduction to The Second Tsunami

                  Hubert Brault, Past President, Canadian Branch, Pharmacists Without Borders

8:00           The Second Tsunami (film produced by Pharmaciens Sans Frontieres Comite International (PSF-CI - 26 min.)

8:45           The Vanishing Vultures (film produced by The Royal Society for the Protection of Birds and Bombay Natural History Society - 17 min.)

9:30           Towards Safe & Appropriate Medication Use - Looking Back/Moving Ahead

                  Ray Bullman, Executive Vice President, National Council on Patient Information and Education (PPT File)

10:00         2006 National Drug Threat Survey of the National Drug Intelligence Center

                  Stevan Gressitt, MD, Medical Director, Northeast Occupational Exchange (Excel File)

10:15         Exhibit Touring and Networking

 

Tuesday, October 24th Track A

Benzodiazepines Use, Misuse & Alternatives

(Room: Longfellow A)

10:45am    Medicare Part D: Pharmacy Policy Perspective

                 Thomas R. Clark, RPh, MAHS, Director of Policy and Advocacy, American Society of Consultant        

                 Pharmacists

11:30         Accessing Medications through Prescription Assistance Programs

                  Richard J. Sagall, MD, President, NeedyMeds.com, Inc. (PPT File) 

12:00pm    Lunch - Tiim (film produced by Pharmaciens Sans Frontieres Comite International – PSF-CI – 31 min.)

1:00           Utilization Management Issues in Medicare D

                  Benjamin Crocker, MD, MPA, CPC, Medical Director, PHO Behavioral Healthcare Program,

                 Maine Medical Center

1:15           Vermont and Benzodiazepines

                  Todd W. Mandell, MD, Medical Director, Vermont Office of Drug and Alcohol Programs

1:45           Policies to Reduce Prescription Drug Abuse

                  Kim Johnson, MSED, MBA, Director, Maine Office of Substance Abuse

2:00           Benzodiazepine Compliance Patterns in Clark County, Las Vegas, Nevada

                  Ilene Ruhoy, MD, PhD Candidate, Department of Environmental Studies, University of Nevada, Las Vegas

2:30           Discussion Session: Benzodiazepine Data Collection Efforts - Past and Future

                  Gerry J. Mugford, PhD, Clinical Epidemiologist and Assistant Professor, Medicine, Pharmacy, & Psychiatry, Memorial University, St.                      Johns, NL, Canada

                  Lenard W. Kaye, DSW, PhD, Professor and Director, University of Maine Center on Aging

3:00           Benzodiazepines - A Common Cause of Poisoning: Extent of the Problem

                  Karen Simone, PharmD, DABAT, Managing Director, Northern New England Poison Center

3:30           Academic Detailing: From Clinical Pharmacology to Evidence-Based Prescribing and Policy

                  Michelle Spetman, MS, MPH, Project Manager, Independent Drug Information Service, Brigham and Women's Hospital

4:30           Closing

 

Tuesday, October 24th Track B

Pharmaceutical Waste: Unused Medicine Return

(Room: Longfellow B)

10:45am    Prescribing for the Environment

                Ilene Ruhoy, MD, PhD Candidate, Department of Environmental Studies, University of Nevada, Las Vegas

11:45         Washington State's Future Disposal Plans

                  Dave Galvin, Hazardous Waste Program Manager, King County, Washington

12:00pm    Lunch: Tiim (film produced by Pharmaciens Sans Frontieres Comite International (PSF-CI: 31 min.)

1:00           Waste Medicine in Residential Facilities

                  Thomas R. Clark, RPh, MAHS, Director of Policy and Advocacy, American Society of Consultant Pharmacists

1:45           Lessons Learned from Wastewater Drug Detection

                 Christopher Williamson, PhD, Lieutenant Commander, U.S. Navy, Policy Analyst, Office of Supply Reduction, Office of National Drug                     Control Policy, Executive Office of the President

2:15           Development of a National Solution to Managing Unwanted/Waste Pharmaceuticals

                  Scott Cassel, Executive Director, Product Stewardship Institute, Inc. (PPT File)

2:30           Workshop II: Regulatory, Legislative, and Congressional Proposals

                  Dawn Bland, President, Strategic Global Connections, LLC (PDF File)

4:30           Closing

Summary of Post-Confernece Unused Medicine Strategic Planning Session (PDF File)

 

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We acknowledge with gratitude the following financial supporters of this year's conferences:


Rural Substance Abuse Partnership, Margaret Chase Smith Policy
Center, University of Maine
Takeda Pharmaceutical North America, Inc.
The Bingham Program

 

Appreciation is extended to the following organizations for their support in the planning of this year's conferences:


Cary Medical Center
Eastern Maine Medical Center
Maine Medical Center
Memorial University of Newfoundland, Departments of
Medicine, Psychiatry, and Pharmacy

Northeast Occupational Exchange
Northern New England Poison Center
Railroad Square Cinema
Shadow Distribution
University of Maine Center on Aging


Thanks are extended for the cooperation of the Federal agencies that sent staff at their expense and state agencies that did the same:


Environmental Compliance Division, City of Palo Alto, CA
Hazardous Waste Program, King County, Washington
Maine Centers for Disease Control
Maine Department of Environmental Protection

Maine Department of Health and Human Services
Maine Department of Public Safety
Maine Drug Enforcement Agency
Maine Legal Services for the Elderly
Maine Office of Substance Abuse
Maine Office of the Attorney General
Office of Diversion Control, U.S. Drug Enforcement Administration
Office of National Drug Control Policy, Executive Office of the

President
Tualatin Valley Water District, Beaverton, Oregon
Office of Drug and Alcohol Programs, Vermont Department of

Health

 

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Conference Endorsements

 

The Maine Association of Psychiatric Physicians has formally endorsed this year’s conferences.