May 26, 2013

Robberies at pharmacies increasing with tighter controls on prescription drugs (audio)

A security camera caught this man robbing a pharmacy in Des Moines.

A security camera caught this man robbing a pharmacy in Des Moines.

Pharmacy robberies are becoming more frequent across the country and here in Iowa. 

Nationwide, prescription drug robberies have increased 80% in only four years. Steve Lukan, director of the Iowa Office of Drug Control Policy, says one reason is more pharmacists and doctors are participating in prescription drug monitoring programs.

That’s preventing criminals from filling out fake prescriptions and having them filled at multiple pharmacies.

“As that tool is becoming more widely used and is slowing down and stopping drug diversion, I think you’re seeing some people take the next step – which is actually breaking into and robbing pharmacies to obtain these drugs,” Lukan says.

Drug “take back” campaigns to rid homes of unwanted or old prescription drugs have also had an impact. Lukan says emergency rooms around Iowa are also becoming more strict with the pain medications they’ll prescribe.

“That was really a prime target for many drug diverters or traffickers,” Lukan says. “They would sort of crash multiple ERs and obtain prescription pain medications from many of them.” This month alone in Des Moines, there have been at least two rather dramatic pharmacy robberies.

In one case, a man rammed his vehicle into a building to gain entry to a pharmacy and take at least $2,500 worth of oxycodone, hydrocodone, and other drugs. In another case, a man was captured on a Walgreen’s surveillance camera climbing over the pharmacy counter, displaying a knife to employees, and leaving with prescription drugs.

Audio: Pat Curtis report on pharmacy robberies. :64

Supreme Court says parole agreements not justification for searches

The Iowa Supreme Court has ruled a parole agreement signed by a Scott County man was not a free pass to search his car. Isaac Baldon the third was released on parole in 2008 after serving time on drug charges.

His release included the condition that he sign an agreement that allowed his parole officer to search him, his home or his car at any time without a warrant or reasonable cause.Six months later, Bettendorf police discovered Baldon’s car at a motel and searched it based on the parole agreement.

Officers found a large quantity of marijuana in the car and charged him with possession of a controlled substance. Baldon asked to have the marijuana evidence thrown out, saying the parole agreement was an involuntary consent to searches and violated his constitutional rights.

The Iowa Supreme Court agreed with Baldon’s argument. It said forcing Baldon to sign the agreement to gain his freedom took away his bargaining power and made the search based solely on the parole agreement involuntary.

The Supreme Court reversed the district court ruling that the marijuana could be used as evidence, and sent the case back to district court.

See the full ruling here: Baldon ruling PDF

Colorado official talks about the impact of legalizing marijuana

An official with Colorado’s Child Protection Ombudsman’s office spoke today at the Iowa Drug Endangered Children conference. Colorado recently passed a law making recreational marijuana use legal, and Stacee Read has this message for Iowa lawmakers who might consider the same thing here.

“Have them really take a look at the pros and cons, the problems and the things that have happened in Colorado..,” Read says. “I would definitely want lawmakers to sit down and look at the consequences, look at the societal costs.” The Colorado law allows residents to grow and use small amounts of marijuana in their homes.

Read says that creates a lot of dangers for kids. “We know that marijuana is a mind-altering substance, so we know that it has some problems in regards to caretaking abilities. People who are using marijuana have more difficulty taking care of their children,” according to Read.

“But we also know that there is a correlation between substance use –whether that’s marijuana or other substances — and child abuse and neglect. So, children that come from substance abuse families are four times more likely of being neglected and three times more likely of being abuse.”

She also cites a study by the National Jewish Hospital in Denver that shows the air quality in homes where marijuana is grown is diminished. “It’s very hazardous to the lungs of little kids who are developing as well as adults. We also know that houses that have grows in them…even small grows, we know from that study that there is T-H-C residue on surfaces,” Read says.

“So if you think about kid’s toys and those sorts of things, kids put those toys in their mouth, so they are ingesting the residue, they have it on their hands, their mouths their eyes.” Iowa officials estimate one-third of the marijuana recovered in traffic stops in the state is coming from Colorado.

Read says the borders states around Colorado must not be too happy with them for the open policy on marijuana. Another issue is trying to tell young people that marijuana is bad for them when it is legal in some states. Read says parents must continue being the guiding message to kids on the issue.

“It’s just really talking to your kids all the time about it and providing them with information and having them talk to professionals, and having them attending training, and those kinds of things. The more we can do to provide them with education, the better. Because, I can tell you, when the risk perception is low, use goes up. In Colorado the risk perception is low, so our use is going to skyrocketed and that’s going to affect our children,” Read says.

Read believes Colorado made a big error with the wide-open approach it took to legalizing marijuana use. “I wouldn’t do it the way we did it,” Read says.

She says she doesn’t necessarily think that legalizing any of the controlled substances without strict supervision is a good idea, and she’s not sure if she could make a case for marijuana with increased supervision. “The problem is that we are not monitoring it at all, we can’t monitor it. It’s different from alcohol because alcohol is out of your system very quickly, marijuana is not. Marijuana, you smoke a joint and you get high. Alcohol you take a drink and you’re not drunk, or you’re not necessarily drunk,” Read says.

The Iowa conference in Altoona included law enforcement officers, prosecutors, human service workers, health care professionals, substance abuse and mental health providers, child development specialists and educators. Bills legalizing medical marijuana have died in the Iowa Legislature for this session.

Study links military deployment with child alcohol, drug problems

Stephan Arndt

Stephan Arndt

A University of Iowa study finds children of deployed or recently-returned military parents are at a much higher risk of alcohol use, binge drinking and marijuana use than non-military families.

U-I Psychiatry Professor Steve Arndt, director of the Iowa Consortium for Substance Abuse Research and Evaluation, says he was surprised the numbers were so high.

Professor Arndt says, “I expected to see some increase, but not as much as we saw and certainly not as much that it was consistent among all of the grades, even the youngest kids.”

The study was based on data from the 2010 Iowa Youth Survey, which got responses from more than 78,000 Iowa students in grades six, eight and 11.

The study also found when parental deployment resulted in a child not living with a parent or relative, the risk of binge drinking and marijuana use was even higher.

“We don’t know if it’s because one of the parents has to abruptly leave or if there’s something in particular about the military,” Arndt says.

“Those kids who had to go live somewhere else were far more affected by the deployment, staggeringly so.” In one example, the study found sixth-graders in non-military families had binge drinking rates of about two-percent. That jumped up to about seven-percent for the children of deployed or recently returned parents.

One of the likely reasons for the higher substance abuse rates Arndt gives is “destruction of the family unit,” when one parent has to be out of the household for so long. “It’s clear that the families of deployed military personnel need added support,” Arndt says.

“Schools, community organizations, even the military itself might want to attend to that because when the soldier’s family is in trouble, the soldier’s not going to be quite up to their full potential.” He says similar studies also identified a higher suicide rate in the same groups of students.

House bill gives legislature control of medical marijuana

Medical-marijuanaA bill under consideration at the statehouse stipulates that only the legislature has the authority to allow marijuana to be used for medical purposes. Representative Jarad Klein, a Republican from Keota, urged members of the House to vote for the bill.

“I believe this is an important act for the legislature to take under,” Klein says. “We are accountable to the people and I believe that’s what this bill really goes at the heart of is who has the authority.”

In the past few years the Iowa Board of Pharmacy has debated the issue of medical marijuana and considered putting it on their list of controlled substances which can be dispensed with a prescription, but has never taken that final step.

The bill would forbid the board from allowing medical marijuana prescriptions in Iowa. “The intent of this piece of legislation is clarify that only the legislature shall have the discretion to move marijuana from a Scheduled I controlled substance to a Schedule II controlled substance,” Klein says.

The bill passed the House this week on a 71 to 24 vote. It now goes to a senate committee for consideration.

Marijuana is illegal in the United States, but 18 states and the District of Columbia have passed laws to permit marijuana to be prescribed as a treatment for symptoms like pain and nausea that are often associated with chronic and fatal illnesses.

Senate confirms DNR director, state drug czar

Chuck Gipp

Chuck Gipp

The Iowa Senate has unanimously endorsed the governor’s decision to name two former legislators to head state agencies.

Former State Representative Chuck Gipp, a Republican who used to live in Decorah, has been confirmed to serve as director of the Iowa Department of Natural Resources. Senator Dick Dearden, a Democrat from Des Moines, says Gipp’s been doing the job on an interim basis since this past summer.

“Most of us here in the Senate have known Chuck for a lot of years,” Dearden says. “…He’s done a wonderful job.”

Senators also unanimously confirmed Steve Lukan to serve as the state’s Drug Policy Coordinator. Senator Steve Sodders, a Democrat from State Center, says he worked with Lukan “quite a bit” when Lukan was a state representative.

Steve Lukan

Steve Lukan

“He has been in the job about a year. He’s worked hard to learn all the different aspects of the Drug Policy Coordinator’s position and I’ve found him to be qualified,” Sodders says. “He’s easy to work with.”

Lukan, a Republican who used to live in New Vienna, served in the Iowa House for 10 years. Lukan resigned from the House last May to become the state’s drug czar. All of the governor’s state agency directors must win the support of 34 of the 50 Iowa Senators to be confirmed for the job. Members of state boards and commissions must also be confirmed by two-thirds of the senators.

Doctor wins award for program to reduce prescription drug abuse

Dr. Gary Hemann

Dr. Gary Hemann

A program at Mercy Medical Center in Des Moines that’s designed to prevent prescription drug abuse will soon be made available to other hospitals across the state.

Mercy’s Dr. Gary Hemann implemented the program a couple years ago for reviewing emergency department pain medication prescriptions.

“We all recognize we want to take care of patients and help them the best we can, but we also need to recognize some of the things we might do – even inadvertently – that could be a potential problem for those patients individually…or could harm others (the drugs) are not prescribed for,” Hemann said.

Iowa Drug Policy Coordinator Steve Lukan on Monday recognized Dr. Hemann with a special state award for his efforts to reduce substance abuse. Lukan noted that prescription drug abuse accounted for a record 62 overdose deaths in Iowa in 2011. “That is a real challenge we’re trying to address,” Lukan said.

In addition to launching the program at Mercy, Lukan said Dr. Hemann has also forged a coalition of health care organizations to make the program available to all Iowa hospitals. “We see some very positive benefits of what’s been happening here at (Mercy Medical Center) and it’s something that could be potentially replicated across the state,” Lukan said.

Hemann said his plan would standardize the prescribing of pain medications in emergency settings around Iowa. “How it’s going to progress, I’m not sure yet,” Hemann said. “But, we do have some final materials ready for a variety of individual hospitals and medical staff in those communities to base the rational…for how they address the issues in their own emergency departments.”

Lukan said Hemann’s approach also relies on the use of Iowa’s Prescription Drug Monitoring Program. The statewide database may be checked by doctors and pharmacists to evaluate a patient’s use of controlled substances. More information about medicine abuse is available at:  www.TakeADoseOfTruth.com.