Improving Patient Safety through Informed
Medication Prescribing and Disposal Practices

Fifth Annual Maine Benzodiazepine Study Group
Conference

&

Fourth Annual Unused Drug Return
Conference

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Conference PowerPoint Presentations and Materials

View PowerPoints and materials by session time:

October 31, 2007

Early Morning/General Session

Late Morning Track A Safe Drug Return

Late Morning Track B Benzodiazepines and Other Prescription Drugs

Afternoon Track A

Afternoon Track B

November 1, 2007

Early Morning/General Session

Late Morning Track A Safe Drug Return

Late Morning Track B Benzodiazepines and Other Prescription Drugs

Afternoon Track A

Afternoon Track B

*Conference PowerPoints are for personal use only. You may not reproduce or alter the content without express permission from the author/presenter.

Wednesday, October 31 – Early Morning
General Session

8:30 AM Lenard W. Kaye, Director, UMaine Center on Aging

Lynn Bromley, Maine State Senator

8:35 AM Trish Riley, Director of the Governor’s Offi ce of Health Policy and Finance, The Office of the Honorable John E. Baldacci, Governor of the State of Maine

8:50 AM David Littell (pdf file) , Commissioner, Maine Department of Environmental Protection

9:10 AM Dora Anne Mills, Director, Maine Bureau of Health

9:20 AM EPA’s Current Focal Points on Prescription Drugs in the Environment

Robert W. Varney, Regional Administrator, U.S. Environmental Protection Agency, New England Office, USEPA Region 1

9:45 AM The Policy Implications of Benzodiazepines and Related Drug Return Programs

Mark B.Lapping, Interim Provost and Vice President for Academic Affairs, Distinguished Professor of Public Policy and Management, University of Southern Maine

Wednesday, October 31 - Late Morning - Track A
Safe Drug Return

10:30 AM Drug Return Programs Funded Through the EPA’s Aging Initiative in Maine and St. Louis, Missouri

Moderator: Kathy Sykes, Senior Advisor, Aging Initiative EPA Panel: Lenard W. Kaye, Director and Jennifer Crittenden, Research Associate, UMaine Center on Aging, Stevan Gressitt, Medical Director, Northeast Occupational Exchange, Roy McKinney, Director, Maine Drug Enforcement Agency, Sterling W. Hayden,Vice-President, Area Resources for Community and Human Services (ARCHS), St. Louis, Missouri, Daniel J. Barrett, Manager, Business Development, USPS, Washington, D.C., and Herbert Olsen, Classification Specialist, Office of Mailing Standards, USPS, Washington, D.C.

Wednesday, October 31 - Late Morning -Track B

Benzodiazepines and Other Prescription Drugs

10:30 AM Benzo Terror! The Making of an Urban Myth
Edward Shorter, Professor of Psychiatry, Faculty of Medicine, University of Toronto

11:15 AM An Overview of Principles of Drug Use and Prescribing for the Elderly

Thomas Clark, Director of Policy & Advocacy, American Society of Consulting Pharmacists

12:00 PM LUNCH – Carl Lakari & Project AWARE (website link) Educational Skits

Wednesday, October 31 - Afternoon - Track A
Safe Drug Return

1:00 PM Individual State Efforts Regarding Drug Return Legislation PDF file
Anne Perry, Maine House of Representatives, Chair of the Health and Human Services Committee

1:30 PM Solving the Problem of Medicine Disposal: How the Great Lakes States are Protecting Public Health PDF file

Susan Boehme, Coastal Sediment Specialist, Elizabeth Hinchey Malloy, Great Lakes Ecosystem Specialist, and Jessica Winter, ORISE Intern, EPA Great Lakes National Program Office

2:00 PM Case Study of the Fox Cities, Wisconsin Unused Medication Collection Program and An Update on Wisconsin’s Efforts with Unused Medications

Mary Kohrell, Associate Professor and Community Development Educator, Calumet County UWisconsin Cooperative Extension Service and Steve Brachman, Waste Reduction Specialist, UWisconsin Solid and Hazardous Waste Education Center

2:30 PM Washington State’s Pharmaceutical Take Back Pilot
Cheri Grasso and Will Perry, Health and Environmental Investigators, Seattle Hazardous Waste Management Program

3:00 PM An Evaluation of Unused Medication Disposal Options
Doug Finan, GlaxoSmithKline, Matthew D. Garamone, Pfi zer Inc., and James Jahnke, Schering-Plough Corporation

3:45 PM Discarded Drugs as Environmental Contaminants
Ilene Ruhoy and Christian G. Daughton,Environmental Chemistry Branch, Environmental Sciences Division,USEPA

4:10 PM Pharmaceuticals in Wastewater Streams: Disposal Practices and Policy Options in Santa Barbara

Margaret Zahller, James Kallaos and Crispin Wong, Bren School of Environmental Science & Management, University of California, Santa Barbara

4:40 PM Community Take Back Programs Panel Discussion
Moderators: Ed Pontius, President , Maine Association of Psychiatric Physicians and Andrew MacLean, Deputy Executive Vice President and General Counsel, Maine Medical Association Panel: Ann Pistell, Environmental Specialist, Maine Department of Environmental Protection, Marla H. Davis, Manager, Community Health Education, Mid-Coast Hospital, and Glenn Ross, Sheriff, Penobscot County, Maine

Wednesday, October 31 - Afternoon - Track B
Benzodiazepines and Other Prescription Drugs

1:00 PM New Users of Benzodiazepines: Implications for Elder Patient Safety

Gillian Bartlett, Assistant Professor, Department of Family Medicine, McGill University

1:40 PM Epidemiology of Benzodiazepine Data Update: Prescribing and Usage Rates in the U.S. and Canada

Marcella H. Sorg, Research Associate, Margaret Chase Smith Policy Center, and Gerry Mugford, Assistant Professor, Dept. of Psychiatry, Memorial University of
Newfoundland

2:25 PM Current Trends and Concerns Surrounding Benzodiazepine Poisoning

Karen E. Simone, Managing Director, Northern New England Poison Center

3:25 PM Maine’s Prescription Monitoring Program (PMP): A Tool for Avoiding Drug Diversion
Daniel J. Eccher, Prescription Monitoring Program Coordinator, Maine Office of Substance Abuse

4:05 PM Academic Detailing

Michael Allen, Director of Special Projects Continuing Medical Education, Dalhousie University

4:30 PM Rationale for a Concerted Focus on Unused Pharmaceuticals (Word Document)
Ilene Ruhoy, Department of Environmental Studies, University of Nevada, Las Vegas, Stevan Gressitt, Medical Director, Northeast Occupational Exchange, and Theophile Theophanides, National Technical University of Athens

8:00 PM FILM FESTIVAL Hosted by Gail Chase, Railroad Square Cinema

Films screened:

Mission Possible (Sara H. Christopherson, Director of Programs and Communications, Partnership for Quality Medical Donations)

The Second Tsunami (film produced by Pharmaciens Sans Frontieres Comite International)

The Vanishing Vultures (film produced by The Royal Society for the Protection of Birds and Bombay Natural History Society)

Thursday, November 1 – Early Morning
General Session

8:30 AM Stevan Gressitt, Medical Director, Northeast Occupational Exchange

John Graham, Deputy Chief of Staff, U.S. Congressman Mike Michaud’s Office

8:35 AM Non Medical Use of Prescription Drugs: Challenges and Solutions

Bertha Madras, Deputy Director, Demand Reduction, White House Office of National Drug Control Policy

9:10 AM Treatment Expansion for Medication Assisted Therapy: Innovations!
Todd Mandell, Medical Director, and Peter Lee, Treatment and Intervention Management Chief, Office of Drug and Alcohol Programs,State of Vermont

9:40 AM Quality Medical Donations & Minimizing Drug Disposal
Anthoula Randopoulos, Vice-President, Philanthropic Investment, Direct Relief International

Thursday, November 1 - Late Morning - Track A
Safe Drug Return

10:30 AM Get Rid of Unused Pharmaceuticals (GROUP) Campaign
Matthew C. Mireles, President/Director of Research, and Elizabeth A. Smith, Founder/Chairman, Community Medical Foundation for Patient Safety

11:20 AM Removal of Emerging Contaminants from Aqueous Streams
Rominder P.S. Suri, Director, and Gangahar Andaluri, Doctoral Research
Assistant,Villanova Center for the Environment

Thursday, November 1 - Late Morning - Track B
Benzodiazepines and Other Prescription Drugs

10:30 AM Inter-Professional Continuing Education for Management of Chronic Non-Cancer Pain

Michael Allen, Director of Special Projects, Continuing Medical Education, Dalhousie University

11:00 AM National Drug Intelligence Center (NDIC) Data Update
Stevan Gressitt, Medical Director, Northeast Occupational Exchange

11:30 AM Access Denied? The Medicare Part D Benzodiazepine Challenge and Maine’s Coverage Solution

Stacie M. Sparkman, Medicare Prescription Drug Coverage Specialist, Eastern Agency on Aging

12:00 PM LUNCH - Drug Disposal and Minimizing Risks from Prescription Drugs: Safety for Unintended Populations 

James R. Hunter, Senior Program Manager, Federal Drug Administration (FDA)

Spike Awards - presented by Ed Pontius, President, Maine Association of Psychiatric Physicians

Student Paper Competition Award Announcement presented by Ben Crocker, Staff Psychiatrist, Maine Medical Center

Thursday, November 1 - Afternoon - Track A
Safe Drug Return

1:00 PM Lessons Learned from the Reverse Distribution Industry and Implications for National Consumer Take Back Programs

Mark Harvey, Director of Operations, EXP Pharmaceutical Services Corporation

1:40 PM Regulatory Challenges in Managing Pharmaceutical Waste
Mary Hendrickson, Director of Quality & Regulatory Affairs,Capital Returns, Inc., and Joanie A. Burns, Section Chief, Hazardous Waste Prevention and Management, Bureau of Waste and Materials Management, Wisconsin Department of Natural Resources

2:30 PM The Unused and Expired Medicines Registry
Matthew C. Mireles, President/Director of Research, and Elizabeth A. Smith, Founder/Chairman, Community Medical Foundation for Patient Safety

3:30 PM Development of Consumer Education Products Focusing on Safe Medication Disposal– Work Session Facilitated by Ray Bullman, Executive Vice President, National Council for Patient information & Education (NCPIE)

Click here to view the session Summary

Thursday, November 1 - Afternoon - Track B
Benzodiazepines and Other Prescription Drugs

1:00 PM Developing Support Programs for People Withdrawing from Benzodiazepine Medications

Pam Butler, Case Worker, Maine Department of Health and Human Services

Other items related to this presentation:

Water Titration Instructions and Supplies (PDF file)

Multi-Dose Water Titration (PDF file)

Titration Spreadsheet (PDF file)

Titration Procedure PowerPoint

Titration Schedule Tutorial PowerPoint

Benzo Support Topics (PDF file)

Benzo Support Resources (PDF file)

Benzo Support Survey (PDF file)

1:30 PM Pharmacology for the Aging Population
David J. Mokler, Professor of Pharmacology, University of New England

2:20 PM Evidence Based Medicine and Treatment Decision Points
Jeffrey S. Barkin, Private Practice Psychiatrist, Portland, Maine

3:30 PM Benzodiazepine Prescribing Guidelines Workgroup
James Berry, Physician, Family Practice Residency, Eastern Maine Medical Center, Ben Crocker, Staff Psychiatrist, Maine Medical Center, Todd Mandell, Medical Director, Office of Drug and Alcohol Programs, Vermont, and Gillian Bartlett, Professor, Clinical and Health Informatics Research, Dept. of Family Medicine, McGill University