drugcocktails.ca: a website for youth and health care professionals
Post on 25-Jul-2015
100 Views
Preview:
TRANSCRIPT
www.drugcocktails.ca Facts about mixing medicine, booze and
street drugs
Sandy Whitehouse MD Sabrina Gill, RN
Dean Elbe, PhD Pharmacy We have nothing to disclose
April 6-8, 2014 San Francisco, CA
Annual Conference on Youth + Tech + Health
www.DrugCocktails.ca
Medication Misuse & Overdose
Many celebrities have died after combining medications with substances of abuse While we are fascinated by celebrities… MANY, MANY more average citizens and youth suffer harm due to adverse reactions from prescription medication & substance cocktails
http://en.wikipedia.org/wiki/List_of_drug-related_deaths
Teens & Substance Use
DEAN (age 19)
Substance Experimentation in Youth
Youth with chronic illness are as, or more likely to use substances than those in good health Substances taken may interact with medications prescribed for chronic conditions These questions come up all the time during medication counseling sessions with youth
Adolescent health survey: chronic illness & disability among youth in BC. Burnaby, BC, The McCreary Centre Society, 1994 Suris JC, Parera N. Sex, drugs and chronic illness: health behaviours among chronically ill youth. Eur J Public Health 2005; 15: 484-8.
Harm Reduction
Harm Reduction
One pillar of the “Four Pillars” approach One of 4 defined mental health priorities for all British Columbians Reduce harm to individuals and communities from problematic substance use (legal or illegal) Accept that abstinence may not be a reasonable goal for some users DrugCocktails.ca supports harm reduction http://vancouver.ca/people-programs/four-pillars-drug-strategy.aspx
BC Ministry of Health Services & Ministry of Family Development. (2010). Healthy Minds, Healthy People: A 10-Year Plan to Address Mental Health and Substance Use. Victoria: Government of British Columbia
JF: 20-year old Female Formerly dependent on heroin, now taking methadone maintenance Ongoing marijuana use Admitted with Dx: psychosis, Rx: quetiapine During discharge counselling, she asks if there are any problems with taking quetiapine together with methadone or marijuana?
Where would you look?
Methadone interactions in the CPS and drug databases… but what about cannabis?
Pubmed & Journal search: time consuming, not all info is in primary literature
Vaults of Erowid (erowid.org): info often promotes substance use: if you’re looking to grow bigger plants, or for pot brownie recipes; no consistent interaction information
Original Cocktails Handbook (2002)
Original Cocktails Handbook (2002)
DrugCocktails.ca – Youth Warnings
DrugCocktails.ca – Youth Warnings
DrugCocktails.ca – Youth Warnings
DrugCocktails.ca – Pro Site
DrugCocktails.ca – Pro Site
DrugCocktails.ca – Pro Site
DrugCocktails.ca – Pro Site
DrugCocktails.ca – Pro Site
DrugCocktails.ca – Substance Info
Substance Information Courtesy of Here To Help – www.heretohelp.bc.ca
Design Considerations: Youth Friendly
Consulted BCCH Youth Advisory Council Visually pleasing Works on smartphones Plain language warnings Hide the indication/purpose ‘Hide This Page’ button No personal information collected
DrugCocktails.net version 1.0 The Research Site
www.DrugCocktails.ca
DrugCocktails.ca Warnings
Keep it Simple Harm-Reduction approach Followed youth-friendly style used in original 2002 Handbook Clinical pharmacist made final determination (and standardization) of warning levels
DrugCocktails.ca Warning Icons
Does any particular colour seem to be missing?
DrugCocktails.ca Warning Icons
Key Point: There are no ‘green lights’ in DrugCocktails.ca
There is risk with taking any substance into your body. Often, there is no information. Everyone reacts differently.
X X X X X
Research Survey Results
Research Survey Ease of Use Satisfaction
Use Site again Recommend
Need Changes
Youth (n=45) Professionals (n=45)
85% 87%
85% 91%
82% 100%
82% 98%
27% 56%
Analytics Data
Websites Now Available
Youth Professionals
drugcocktails.ca drugcocktails.ca/pro
top related