An Assessment of the Impact of a Multipronged Approach to Reducing Problematic Pain Clinics in Florida. (April 2017)

• Record Type: Journal Article
• Authors: Gau, Jacinta M.; Brooke, Erika J.
• Is Part Of: Journal of drug issues. Volume 47:Number 2(2017)
• Page Start: 185
• Page End: 204
• Publication Date: 2017-04
• Subjects: pain clinics -- prescription opioids -- pill mills -- prescription drug monitoring program -- law enforcement; Drug abuse -- Periodicals; Drug and Narcotic Control -- Periodicals; Substance-Related Disorders -- Periodicals; Toxicomanie -- Périodiques; 362.29305
• DOI: 10.1177/0022042616681273
• Languages: English
• ISSNs: 0022-0426

Abstract

The present research evaluates recent changes to Florida law and policy to reduce problematic pain clinics (pill mills) and criminal diversion of prescription opioids. These changes entailed a multipronged effort linking regulatory and criminal-law approaches. Quantitative data from the Florida Department of Health and qualitative data from in-depth interviews with law-enforcement officers assigned to pill-mill taskforces reveal steep declines in pain clinics and pill mills. Respondents credit some regulatory enhancements for the reduction, although they describe some interagency cooperation problems and emphasize that despite success, many troublesome establishments continue to operate. The results suggest that Florida's effort to reduce opioid diversion by tightening regulatory restrictions and law-enforcement scrutiny illustrates a multiagency approach to a problem spanning public health and criminal justice. This could be an example for other states seeking to combat problems that cannot be effectively addressed using regulatory or criminal law alone.