Gen Rx U Spotlight: University of North Carolina

The Generation Rx chapter at the University of North Carolina at Chapel Hill were in the top three chapters recognized for the 2013 AphA Generation Rx National award, and were named the the Runners-Up that year. To find out what makes their program so successful, we interviewed Rachael Carpenito, Marti Guidotti, Meghan Maples, and Beth Tevepaugh from the University of North Carolina at Chapel Hill’s Generation Rx chapter.

 

UNC GRx Pic 6

UNC successfully established a medication take-back day with the Chapel Hill Police Department


The students at the University of North Carolina have been recognized nationally for their work in prescription drug abuse prevention. What has made your school so successful in its Generation Rx projects? What advice can you offer to other colleges to help prevent the misuse and abuse of prescription medications?

There are numerous components that contributed to UNC’s success in its Generation Rx projects. Passionate leadership with a drive to achieve goals, develop lasting relationships in the community, instill excitement amongst the student body, and create resources for future projects have ensured that Generation Rx projects are extremely impactful.

The creation of the “Natural High Series” served to both educate students and provide them with tools to be the best advocates in the community for preventing the misuse and abuse of prescription medications. This Series has continued consistently since its launch and is now one of Generation Rx’s most anticipated events. With the Series, involvement and excitement for other Generation Rx programming increased greatly.

New community relationships, such as UNC Horizons and Interactive Theater Carolina (ITC) expanded the project’s reach to populations never impacted before. With UNC Horizons, we were able to present to new mothers hoping to sustain a drug-free lifestyle, and we worked with ITC to create interactive scripts about difficult situations faced in regards to prescription drug abuse. These are just some examples of community collaboration that allows us to expand our reach alongside organizations with the same missions.

We encourage other colleges to start the year with a set of measurable goals and develop a foundation of passion and interest in Generation Rx among the student body. Once students have a true understanding of the purpose of Generation Rx, they will be able to work together to create innovative and impactful events that serve to accomplish your goals and prevent the misuse and abuse of prescription medications.

If you were starting Generation Rx activities at another school, what is the first thing you would do?

It is important to first make strong efforts to understand the mission of Generation Rx and then perform an environmental scan of the needs of your community. Once these steps have been taken you can develop goals that aim to fulfill the needs of Generation Rx as it applies to your surroundings along with the interests of your student body. Just as essential to performing background research is to educate your student body in order for them to join in efforts to accomplish your goals and have the biggest impact.

What does Generation Rx mean to you?

Generation Rx is an opportunity to give back to the community in areas that have directly affected many of the student pharmacists at our school. This intimate connection with the initiative has provided added perspective that it is our duty to our patients, colleagues, and the community to join the mission to prevent prescription drug misuse and abuse. As an organization of pharmacists and student pharmacists, there is even more credibility to the education we provide as one of the more trusted health care professionals specifically trained to discuss these topics.

What is the most memorable experience you have had while teaching others about prescription drug abuse?

Because our programming had such strong focuses to impact the community while also empowering our own student pharmacists, we have one experience for each perspective:

UNC GRx Pic 5

UNC student pharmacists help collect unwanted medications during a local medication take-back day.

With regard to teaching patients, one of the most memorable experiences was through an organization called UNC Horizons where a student pharmacist had the opportunity to converse with young mothers recovering from drug abuse. In her discussions with the mothers, she was able to educate them about the realities of medication abuse. One mother spoke to her and thought, “If one is good, two must be even better,” – a common misconception with medications. This was a great opportunity to comment on how medication dosing is based off science and years of studies. She spoke about the basic pharmacokinetics of medications and that in some cases, medications can build up in one’s system and lead towards bad side effects and toxicities. She also highlighted the risks of acetaminophen poisoning for pain relief as an OTC product as well as abuse of opioids combined with acetaminophen. The student felt that after their discussion, the mothers viewed medications differently and would be more conscious of how to use them for themselves and their children. It was wonderful to see the mothers learning how to be advocates for themselves, an important life skill they would need when rejoining the community.

Another memorable experience where student pharmacists were greatly impacted was with the North Carolina Pharmacist Recovery Network (NCPRN) Panel. This event was made possible from the relationship between a Generation Rx leader and an NCPRN representative at the Utah School of Alcoholism and Other Drug Dependencies. With the NCPRN Panel, it provided student pharmacists with the opportunity to meet and hear stories from pharmacists who are recovering from addiction. It is not in the forefront of most students’ minds when entering a healthcare profession that they are at risk for medication misuse and abuse. This Panel was eye-opening to those who attended to see that addiction can affect anyone, and students felt it was very helpful to hear stories from their colleagues in order to empower them to be self-vigilant.

Why do college students need to be concerned about medication safety?

Rameses (the Tar Heels mascot) joined our students to raise awareness about the dangers of misusing stimulant medications.

Rameses (the Tar Heels mascot) joined our students to raise awareness about the dangers of misusing stimulant medications.

College students are under a great deal of pressure to perform well and achieve in order to mold their futures. In the face of this, students are willing to turn towards prescription medications in order to cope with the pressure and achieve short-term success. One student may use amphetamines in order to stay awake to study for an exam, and another may turn to benzodiazepines to ease the anxiety about upcoming deadlines or interviews for future careers. For most students, college is the first taste of independence and they may not have yet learned the consequences of their actions. While we advocate appropriate use of medications, their abundant presence and ease of access on campuses have opened the doors for misuse and abuse that is only encouraged by the misconception that because they are prescriptions they are safer than street drugs. Education and empowerment around safe use of medications can help save the lives of many college students and teach them the benefits of positive choices for long-term success.

 

If you could tell everyone only one thing about prescription drug abuse, what would it be? Why?

It is important for people to be their own advocates in the face of prescription drug abuse. Medications are complex and can be dangerous, but prescription drug abuse is more preventable than some may think. Taking responsibility to learn everything they can about medications they come in contact with will help them to use the medication as intended. Not only will they learn to store medications properly and adhere to prescribed regimens, but they will also know the consequences of misuse and abuse in order to be able to make the right decisions before being faced with addiction.

Many are already struggling with addiction.  It is important for us all to view addiction as a chronic disease, similar to hypertension and diabetes. It is not a choice, it should be talked about openly, it can affect anyone, and it requires ongoing care and support.  Treating it as such will encourage those afflicted by it to reach out for help.

Photos courtesy of Macary Marciniak.

Gen Rx U Spotlight: University of New Mexico

The University of New Mexico’s Generation Rx Chapter recently won the national APhA Generation Rx Award to recognize their outstanding work in prescription drug abuse prevention and education. To find out what has made their program so successful, we interviewed a group of students from UNM’s chapter of Generation Rx.

Joanna Lee

Joanna Lee

Megan Thompson

Megan Thompson

Here is what they had to say about Generation Rx at their university:

The students at the University of New Mexico have been recognized nationally for their work in prescription drug abuse prevention. What has made your school so successful in its Generation Rx projects? What advice can you offer to other colleges to help prevent the misuse and abuse of prescription medications?

David Garcia

David Garcia

Arika Mike

Arika Mike

The Generation Rx program at the University of New Mexico College of Pharmacy has been successful because our entire state is behind this initiative. As a student body, we have made important connections statewide. Much of our student body are residents of New Mexico, and enjoy returning their hometowns to talk with their previous teachers, coaches, principals and guidance counselors about this issue and how we can help educate their students. As a result, this spurs excitement among the schools and enthusiastically offers the opportunity for us to get into the classrooms and present. This has been an extremely successful approach.

UNM_Billboard_CampaignIn fact, we have been able to deliver our message in 28 out of the 33 counties in New Mexico. We also have a very dedicated core group of students who are willing to travel statewide to present. Use your School/College of Pharmacy resources!  Use your people resources, like students, faculty, staff and administration. They have connections in the community that reach far beyond what only students have. We have established long-lasting relationships with local and statewide schools just by talking to the people in our own backyard.  If there are more than 1 School/College of pharmacy in the state, join forces to make a greater impact. Utilize the resources provided by Cardinal Health and the Ohio State University to develop your own personalized presentation specific to your community. Send us an email! We are more than happy to provide you with tools or share stories of how we operate with everyone in our community. We would love to help you develop your program any way we can.

If you were starting Generation Rx activities at another school, what is the first thing you would do? 

UNM Generation_Rx_Team_At_APhA-ASP_Annual_2014We can’t just list one!

  1. Enlist a dedicated core group of students who are passionate about this issue.
  2. Use a “train the trainer” model to get new students trained on the various Generation Rx presentations available.
  3. Ask the student body, faculty, staff and administration if they are involved with an outside organization, or have a venue where this information would be well received (high school alma maters, youth groups, sports teams, Girl/Boy Scout troops, Rotary clubs, etc.).
  4. Give a presentation!

What does Generation Rx mean to you?

An initiative designed to educate the public about the dangers of prescription drug abuse and misuse. The “pill taking” generation affects everyone and spans all age groups. Through this free education and prevention program, this initiative can hopefully prevent one more overdose death, rescue one more person from addiction, and, save one more family from suffering a tragic loss.

UNM Generation_Rx_TrainingWhat is the most memorable experience you have had while teaching others about prescription drug abuse?

Recently we were able to present to our first group of youth in recovery. Of all the presentations we have given, this one has truly been the most impactful and memorable for me. To hear the stories of these teenagers’ past drug use and lifestyles they have had to overcome was extremely moving.  We talked about why they felt the way they did when they were using, why they felt cravings, and why their bodies felt the way they did when they were in withdrawal.  This was incredibly impactful for me, and I hope they will remember what we taught them as they bravely start their recovery.  It was at that moment that I felt like I was making a difference.

Why do college students need to be concerned about medication safety?

Medications can be safe and effective when taken the right way.  But when they are abused, or when medication is shared, the consequences can be dire. We hear over and again things like ““I know this won’t hurt me because I know how much to take,” and “My friend takes this and nothing bad happens to them.” Medications are typically dosed based on the severity of the disease and the patient’s height and weight. In college, oftentimes medications are shared, in an attempt to use them for studying or just to party. College students may have no knowledge of what the drug will do to them and they could have a serious allergic reaction, experience dangerous side effects, or, worse, die from an accidental overdose. No one is too strong or too smart to beat a drug if it is abused.  As student pharmacists, we have the duty to stop the spread of misinformation, and ensure safety to our communities.

If you could tell everyone only one thing about prescription drug abuse, what would it be? Why?

DON’T EVEN GET STARTED! No one is strong enough, famous enough, or smart enough to be “invincible” to this problem. Prescription medications improve the lives of patients every day when they are taken as prescribed and appropriate, but they have the potential to be just as dangerous as illegal drugs when abused and misused.

Gen Rx U Spotlight: East Tennessee State University

Jake Peters

Jake Peters

Brandie LeBlanc Clawson

Brandie LeBlanc Clawson

East Tennessee State University’s chapter of Generation Rx earned the title of second place national chapter in 2013. To find out what makes their program so successful, we interviewed Brandie LeBlanc Clawson, the Generation Rx Committee Chair, and Jake Peters, a pharmacy student and President of the Tennessee Society of Student Pharmacists.

 

Here is what they had to say about Generation Rx at their university:

ETSU genrx groupThe students at East Tennessee State University have been recognized nationally for their work in prescription drug abuse prevention. What has made your school so successful in its Generation Rx projects? What advice can you offer to other colleges to help prevent the misuse and abuse of prescription medications?

Brandie: Commitment, Innovation, and Collaboration are what I would say make our program at ETSU successful. Due to our location in Appalachia prescription drug abuse is a big issue. Our families, friends, and community are all affected by the issue making it hit home for a lot of people. To help prevent prescription drug abuse and misuse in their communities use your current resources available and expand from there. The pre-fab materials from Cardinal and Ohio State University are readily available and a great way to get started. Empower and partner with other individuals and community partners. We got our start at ETSU through a local detention center and by having our student pharmacists reach out to their high school teachers to allow us to present there. Each college of pharmacy is also unique so take the pulse of your school and community prior to designing your program; this will ensure the longevity of your program in the community.

ETSU kidIf you were starting Generation Rx activities at another school, what is the first thing you would do?

Jake: Find your niche.  Each community has a different need as it pertains to prescription drug abuse and misuse, so examining your population is key to developing a successful program.  Once you’ve identified your target areas, take the available resources you have from APhA-ASP, Cardinal Health, and the Generation Rx Initiative website maintained by Ohio State and adapt them to meet those needs.  Prescription drug abuse is a national problem, one that doesn’t have a one-size-fits all solution, so the more innovative and informative you can be with your programming, the better.

ETSU boothWhat does Generation Rx mean to you?

Brandie: As cliché as it might sound Generation Rx is a program I have been waiting for. It provides student pharmacists with a way to educate individuals, communities, healthcare providers, and most importantly us as pharmacists. Prior to starting pharmacy school I worked as a critical care registered nurse and saw the heart break prescription drug abuse caused in my community. Since starting pharmacy school I have a completely different understanding and feeling about prescription drug abuse due to the program. I challenge anyone who works this program not to have a change of heart or mind once they begin to learn the mechanisms of devastation this disease causes. I am now a more empathetic person toward the people suffering from this disease and feel empowered to help them combat their disease.

ETSU labWhat is the most memorable experience you have had while teaching others about prescription drug abuse?

Jake: By far it has been the stories.  Numerous times when we have talked with the youth, we have had students come to us with stories of how they have been affected by prescription drug abuse, either by themselves, a friend, or a family member.  While this can be disheartening to have a face, often a young and innocent one, to put with the problem of prescription drug abuse, what makes this a positive is that every time, those students have told us how our program has inspired them to change things for the better and that they’re excited to make that difference in their life.

Why do college students need to be concerned about medication safety?

Brandie: College students are at a pivotal point in their lives, the choices they make today will directly affect the rest of their life. Medications, while safe when taken appropriately have dangerous side effects when they are misused or abused. No one sets out to become an addict; without education about proper medication safety college students are setting themselves up to have a life-long disease that is avoidable.

ETSU activityIf you could tell everyone only one thing about prescription drug abuse, what would it be? Why?

Jake: Prescription drug abuse doesn’t play favorites, choose sides, or affect only certain populations.  It doesn’t matter how successful you are or if your life is in a complete rut, prescription drug abuse can grab a hold of you and hang on a lot harder than you can ever imagine.  Staying informed and making the right decisions to avoid even the risk of prescription drug abuse is key.  But if prescription drug abuse is something that you or someone you know struggles with, remember that addiction is a disease, just like diabetes or high blood pressure.  It can be treated and people need support.  Find a way to be that support system for someone or seek that support for yourself.  Addiction is not a terminal illness if you choose to take it head-on.

About Generation Rx University Voices

genrxulogobanner

I believe that colleges and universities have an obligation to educate students about medication safety. We live in a culture in which medications are used at an unprecedented rateDr. Hale post pic 1 Dr. Hale post pic 3(Dr. Hale post pic 2approximately 4 billion prescriptions per year). We see advertisements for prescription drugs on television (one of only two countries in the world to allow this) and in other media communications. We expect quick fixes to life’s myriad problems, and we often use a medication as that “fix.” This “pharmaceuticalization” has become normalized in our society, a phenomenon which is both good and bad. Modern medicines have provided many benefits, as we are living longer and healthier lives because of them. Many diseases that were once fatal are being prevented, converted to chronic conditions, or cured. But there is a dark side to this drug-taking culture as well. Adverse drug events (e.g., side effects, adverse drug reactions, medication errors) now consume more of our healthcare resources than the cost of the drug products. And the misuse and abuse of prescription medications has become a serious public health problem. The abuse of pharmaceuticals now exceeds that of all other substances except marijuana, and those first abusing a prescription medication (painkillers, sedatives and stimulants combined) far exceed those who first use marijuana. This has produced an epidemic in which emergency department visits and drug treatment center admissions relating to prescription drug abuse are escalating, and drug overdoses are now the leading cause of accidental death in the United States. On average, over 100 people die each day or one person every 15 minutes!

According to the National Survey on Drug Use and Health, the average age when prescription drug abuse starts is around 22, so there is a dire need to help college students adopt safe medication-taking habits. As healthcare consumers, they will be exposed to pharmaceuticals throughout their lives. We need to help them use these medications in a safe and effective way. The Generation Rx Initiative and the Higher Education Center for Alcohol and Drug Abuse Prevention & Recovery at the Ohio State University have been implemented to do just that, and this blog is being launched to give a “Voice” to those who seek to prevent the misuse and abuse of prescription medications in our colleges and universities. We encourage you to use the resources provided in the Generation Rx University toolkit which are provided free-of-charge due to the generous support of the Cardinal Health Foundation and share your efforts to prevent prescription drug abuse with others.Dr. Hale post pic 6 Margaret Mead once said, “Never doubt that a small group of thoughtful, committed citizens can change the word; indeed, it’s the only thing that ever has.” We implore you to “change the world” on your campus by implementing educational strategies to prevent the misuse and abuse of prescription medications. In the process, we will save lives and help our students get the best results from prescription and non-prescription medicines.

We all need to hear your “Voice” as you help prevent the misuse and abuse of medications among college students. To get us started over the next few weeks, students from the American Pharmacists Association’s Academy of Student Pharmacists chapters at East Tennessee State University, the University of New Mexico, and the University of North Carolina who have received national Generation Rx awards will describe their amazing work. But we want to hear from YOU! Please send stories, photos, videos, etc. to me at hale.3@osu.edu – we would love to share some of these in future “GenRxU Voices” blog posts!

Many thanks to Julia Lawrence, a student at the University of Kentucky, for helping us launch this new initiative!

Dr. Kenneth M. Hale

Dr. Kenneth M. Hale

genrxulogoDr. Kenneth Hale

Clinical Professor, Pharmacy Practice and Administration

Co-Director, the Generation Rx Initiative

Associate Director, Higher Education Center for Alcohol and Drug Abuse Prevention & Recovery

The Ohio State University College of Pharmacy