The "black box" of prescription drug diversion

James A. Inciardi, Hilary L. Surratt, Theodore J. Cicero, Steven P. Kurtz, Steven S. Martin, Mark W. Parrino

Research output: Contribution to journalReview articlepeer-review

80 Scopus citations

Abstract

A variety of surveys and studies are examined in an effort to better understand the scope of prescription drug diversion and to determine whether there are consistent patterns of diversion among various populations of prescription drug abusers. Data are drawn from the RADARS System, the National Survey of Drug Use and Health, the Delaware School Survey, and a series of quantitative and qualitative studies conducted in Miami, Florida. The data suggest that the major sources of diversion include drug dealers, friends and relatives, smugglers, pain patients, and the elderly, but these vary by the population being targeted. In all of the studies examined, the use of the Internet as a source for prescription drugs is insignificant. Little is known about where drug dealers are obtaining their supplies, and as such, prescription drug diversion is a black box requiring concentrated, systematic study.

Original languageEnglish
Pages (from-to)332-347
Number of pages16
JournalJournal of Addictive Diseases
Volume28
Issue number4
DOIs
StatePublished - Oct 2009

Bibliographical note

Funding Information:
The National Survey of Drug Use and Health offers a national perspective on the sources of prescription drug diversion as well as annual data on drug use in the United States. The National Survey of Drug Use and Health is sponsored by the Substance Abuse and Mental Health Services Administration, an agency of the U.S. Public Health Service and a part of the Department of Health and Human Services. This general population survey provides yearly national and state level estimates of alcohol, tobacco, illicit drug, and non-medical prescription drug use. In addition, data are collected on the methods of obtaining prescription opioids for non-medical use.

Funding Information:
Supported by contracts E112AY and E1122AO from the Denver Health and Hospital Authority, and NIH Grants R01DA013131 and R01DA019148 from the National Institute on Drug Abuse.

Funding

The National Survey of Drug Use and Health offers a national perspective on the sources of prescription drug diversion as well as annual data on drug use in the United States. The National Survey of Drug Use and Health is sponsored by the Substance Abuse and Mental Health Services Administration, an agency of the U.S. Public Health Service and a part of the Department of Health and Human Services. This general population survey provides yearly national and state level estimates of alcohol, tobacco, illicit drug, and non-medical prescription drug use. In addition, data are collected on the methods of obtaining prescription opioids for non-medical use. Supported by contracts E112AY and E1122AO from the Denver Health and Hospital Authority, and NIH Grants R01DA013131 and R01DA019148 from the National Institute on Drug Abuse.

FundersFunder number
Department of Emergency Medicine Denver Health and Hospital Authority Denver CO.
National Survey of Drug Use and Health
National Institutes of Health (NIH)R01DA019148
U.S. Department of Health and Human Services
National Institute on Drug AbuseR01DA019048, R01DA013131
Substance Abuse and Mental Health Services Administration
U.S. Public Health Service

    Keywords

    • Club drugs
    • Diversion
    • Hydrocodone
    • Oxycodone
    • Prescription drugs

    ASJC Scopus subject areas

    • Medicine (miscellaneous)
    • Clinical Psychology
    • Psychiatry and Mental health

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