Safe Medicine Disposal for ME a Handbook and Summary Report
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Reducing Prescription Drug Misuse Through the Use of a Citizen Mail-Back Program in Maine Safe Medicine Disposal for ME A Handbook and Summary Report Funded by the U.S. EPA Grant # CH-83336001-0 Lenard Kaye, Principal Investigator Jennifer Crittenden, Program Manager University of Maine Center on Aging Bangor, ME Stevan Gressitt, Co-Principal Investigator Maine Office of Adult Mental Health Maine Department of Health and Human Services Augusta, ME Handbook development: Marcella Sorg, Evaluator and Consultant Sharon LaBrie, Evaluation Assistant Margaret Chase Smith Policy Center University of Maine, Orono April 2010 TABLE OF CONTENTS TABLE OF CONTENTS.................................................................................................. 2 ACKNOWLEDGEMENTS............................................................................................... 3 INTRODUCTION............................................................................................................. 6 Why Collect Unused Pharmaceuticals?................................................................................7 What Is The Best Way To Dispose Of Medicines?.............................................................10 How to Use This Handbook..................................................................................................11 BUILDING A SOLID FOUNDATION............................................................................. 13 Engaging Stakeholders: Community, Academic, and Government.................................13 Meeting the Challenges of a Rural and Aging State ..........................................................14 Selecting an Environmentally Sound and Legally Secure System ..................................14 Political Will and Partnerships.............................................................................................15 Partnering with Law Enforcement is a Key Component ...................................................17 Selecting a Central Coordinating Agency ..........................................................................17 Developing Organization Capacity......................................................................................18 Developing a Program Mission............................................................................................18 Goals, Objectives and Outcomes........................................................................................19 Maine’s Goals and Objectives .............................................................................................20 THE BASICS OF THE PROGRAM............................................................................... 23 Why Maine Mailback Participants Use the Program..........................................................23 Refining the Concept: The Mail-Back Model ......................................................................24 The Bottom Line: Costs and Funding.................................................................................26 The Mailer ..............................................................................................................................32 The Mail System & The USPS ..............................................................................................33 When The Mailers Come In, Then What?............................................................................34 Disposal Mechanics..............................................................................................................36 Volunteer Workforce: Elder Involvement is a Critical Component ..................................37 Communication Systems .....................................................................................................39 Feedback Loops: Tracking and Evaluation........................................................................40 Public Relations and Marketing...........................................................................................41 Effective Use of the Media....................................................................................................42 The Value of Research..........................................................................................................43 What We Have Discovered with Our Program Research ..................................................44 APPENDICES............................................................................................................... 62 © 2010 UNIVERSITY OF MAINE CENTER ON AGING Safe Medicine Disposal for ME: A Handbook and Summary Report y April 2010 2 ACKNOWLEDGEMENTS First and foremost, on behalf of the University of Maine Center on Aging, we would like to acknowledge the energy and commitment that our Advisory Board Members, Community Advisory Board Members, program volunteers, and program partners have contributed to developing and implementing the mail-back program in Maine. Organizations and people that contributed to constructing and carrying out this program include: Ahmed Abdelmageed, Director of Experiential Learning, School of Pharmacy, Husson University Melissa Adle, Research Assistant, UMaine Center on Aging Pat Archer, United States Postal Service Beverley Bartlett, community member and program volunteer, Blue Hill, Maine Deb Brucker, Maine Office of Substance Abuse Ray Bullman, Executive Vice President, National Council on Patient Information and Education (NCPIE) Paula Burnett, Director, UMaine Center on Aging RSVP program Doug Carr, Rite Aid John Cavendish, U.S. Drug Enforcement Administration Jason Charland, Program Associate, Center on Aging Janine Collins, Maine Drug Enforcement Agency Guy Cousins, Director, Maine Office of Substance Abuse Jennifer Crittenden, Program Manager, University of Maine Center on Aging Curt Cyr, Associate Dean, University of New England College of Pharmacy Sue Davis, community member and program volunteer, Bucksport, Maine Lynn DeGrenier, community member and program volunteer, Bangor, Maine Ron Garey, United States Postal Service Jenny Garret, Aroostook Area Agency on Aging RSVP Don Gauthier, United States Postal Service Derrick Grant, Maine Office of Elder Services Stevan Gressitt, Medical Director and Co-Principal Investigator, Maine Office of Adult Mental Health Services Terry Grover, United States Postal Service Brenda Harvey, Commissioner, Maine Department of Health and Human Services Safe Medicine Disposal for ME: A Handbook and Summary Report y April 2010 3 Lorne Herszkowicz, Polyair Manufacturing Rebecca Hillman, United States Postal Service Kim Johnson, Director, Maine Office of Substance Abuse Robert Jones, Intern, UMaine Center on Aging Anne Jordan, Commissioner, Maine Department of Public Safety Lenard Kaye, Director and Principal Investigator, UMaine Center on Aging Kerry Kenney, community member and pharmacist, Wells, Maine Sharon LaBrie, Communications Coordinator, Margaret Chase Smith Policy Center Rod Larson, Dean, School of Pharmacy, Husson University David Littell, Commissioner, Maine Department of Environmental Protection Chris Longley, community member and program volunteer, Albany Township, Maine Henry Lunn, community member and program volunteer, Camden, Maine Isabelle Markley, community member and program volunteer, Waterville, Maine Chevelle Marshall, Program Coordinator, UMaine Center on Aging RSVP Helen Marston, community member and program volunteer, Tenants Harbor, Maine Nancy Matulis, community members and program volunteer, Dover-Foxcroft, Maine Paul Matulis, community members and program volunteer, Dover-Foxcroft, Maine Steve Mazziotti, Maine Drug Enforcement Agency Wesley McFarlin, Intern, UMaine Center on Aging Roy McKinney, Director, Maine Drug Enforcement Agency Barbara Miller, community member and program volunteer, Hollis, Maine Bill Miller, Pharmacist and Owner, Miller Drug Matthew Mireles, President and CEO, Community Medical Foundation for Patient Safety Dick Moskal, United States Postal Service Barbara Nathanson, community member and program volunteer, Northport, Maine Bert Olsen, United State Postal Service Patricia Ott, Director, Penquis Coastal RSVP Barbara Payne, community member and program volunteer, South Paris, Maine Anne Perry, Representative, District 31, Maine House of Representatives Safe Medicine Disposal for ME: A Handbook and Summary Report y April 2010 4 Ann Pistell, Environmental Specialist, Maine Department of Environmental Protection Eleanor Reese, Director, Aroostook RSVP Betty Rinehart, community member and program volunteer, Caribou, Maine Emory Robotham, Intern, UMaine Center on Aging Steve Rowe, Maine Attorney General Lynette Roy, Intern, UMaine Center on Aging Paula Silsby, Maine’s U.S. Attorney General Karen Simone, Director, Northern New England Poison Center Elizabeth Smith, Founder and Chairman, Community Medical Foundation for Patient Safety Marcella Sorg, Research Associate, Margaret Chase Smith Policy Center Ruth St. Amand, Director, Healthreach RSVP Milton Stein, Miller Drug Kathy Sykes, Program Officer, U.S. EPA Aging Initiative Alice White, community member and program volunteer, Winter Harbor, Maine Safe Medicine Disposal for ME: A Handbook and Summary Report y April 2010 5 INTRODUCTION The Safe Medicine Disposal for ME (SMDME) program is a statewide model for the disposal of unused household medications using a mail-back return envelope system. Established through state legislation and implemented in 2007 with a grant from the U.S. Environmental Protection Program’s Aging Initiative, the program is authorized