Prescription drugs are playing an increasing role in the drug-related crimes that are filling up Indiana's prisons, prison
officials and prosecutors said.
While drugs like cocaine and methamphetamine receive the harshest sentences, the nation's fastest-growing drug problem
is prescription drug abuse, according to the Office of National Drug Control Policy.
Clark County Deputy Prosecutor Jake Elder said prescription pills are found during almost every drug case he handles.
"It's almost like a secondary charge. I would say 75 to 80 percent of all cases I handle, whether it be meth or
cocaine, also had some sort of" prescription drug, Elder told the News and Tribune of Jeffersonville.
In 2009, the Clark County Prosecutor's Office filed 1,868 felony cases and 446 were drug cases. Of those, 125 involved
hydrocodone, 93 involved Xanax and 75 oxycodone. And more cases in the county along the Ohio River involve hydrocodone than
any other drug except marijuana.
Indiana lawmakers debated sentencing reform during their recent session and one bill aimed to reduce sentences for non-violent
drug offenses. That bill died after running into stiff opposition from county prosecutors.
Anne Terwilliger, the substance abuse coordinator for southern Indiana's Henryville Correctional Facility, said more
than 90 percent of the minimum-security prison's inmates are drug addicts.
"I would say everyone here has struggled with addiction at some point in their life," she said.
Terwilliger said an estimated 60 of Henryville's roughly 200 inmates were in treatment for addiction. She wishes more
inmates would take advantage of the program, but said inmates have to want the help.
"My philosophy is that a lot of treatment is superficial. There's something underneath," Terwilliger said.
When addicts start revealing their past, she finds that many have a family history of addiction, were sexually abused or
have been unable to cope with a loss.
Henryville isn't unique in its large percentage of inmates with drug problems. Across the state Department of Correction,
it's estimated that more than 90 percent have substance abuse problems.
The state Department of Correction has recently started placing more emphasis on rehabilitation programs, said Darwin Groves,
administrative assistant in charge of programs at Henryville.
Prescription drugs are the most abused drugs, other than marijuana, among youth. Elder said he's heard reports of "pill
parties" for juveniles who find medication in their parents' medicine cabinets and swap pills with others.
An Indiana Prevention Resource Center survey found that 3.5 percent of 12th graders and 4.3 percent of 10th graders had abused
prescription medication in the past month. The same survey found 5.8 percent of 12th graders and 4.6 percent of 10th graders
had abused prescription pain killers.

















IBJ Conversations
9 Comments
Add Comment
And the "bad apples" get all of the publicity along with the celebrity ODs. The more numerous stories of those who are helped with these medications don't sell papers or magazines, so they are virtually ignored.
A point of clarification - Federal law limits schedule II prescriptions to a one month supply. MDs can't write for more than a month's supply at a time.
I live in the northern part of the state and again, doctors of any specialty other than pain management in my area will not prescribe Class II narcotics for longer than a month. If a patient has a condition that warrants these meds, they must see a pain mangement specialist for refills on a monthly basis. This is expensive, not only for the additional doctor's visit, but for the meds as it is typically cheaper to use a mail in RX for a three month supply than to fill the prescription monthly. And, if the patient doesn't physically go to their appointment (unless they are in hospice or have been verified by a physician as bedridden), they do not get their medications. I have seen this with cancer patients and those with painful neurological conditions. This is not effective patient care. It is patient care as dictated by the government, the DEA in particular.
If you have the time, you may want to read an article written by a pain management specialist addressing this very problem. I cannot link directly to it without my comment being flagged as spam, but go to Google and search for "Prescribing Narcotics: A Doctor's Point of View" by Dr. Mark Borigini. It was written in 2008 but is as timely today as it was then.
I am a registered nurse. I see patients on a daily basis whose pain is not being adequately controlled. Doctors are running scared from the DEA as the "war on drugs" is now being fought in your doctors' offices, not on the streets. Doctors have to maintain pristine documentation when prescribing narcotics and even then, innocent practitioners have had their licenses yanked or even wound up in prison for "overprescribing" in the eyes of the DEA when actually, their prescriptions are reasonable when following dosage guidelines. The problem has become so pervasive that many doctors simply will no longer prescribe narcotic pain medications. Patients must see pain management specialists to get their needed meds and in doing so, must sign contracts of agreement, submit to random drug screens and endure the expense of monthly reevaluations. How would you like to truck your suffering loved one to a doctor's office every month when they have no business even getting out of bed?
I hope the day comes soon when new, effective, non-narcotic pain relievers hit the market, but until that time, we need to take a look at how we view those who need and take narcotics and quit lumping them into the same category as criminals.
We need to stop this problem at the source!