The demand for and availability of prescription opioids has been quite prevalent in the state of Kentucky primarily since the early 1990's. But between 2010 and 2012, reformulations of opioids OxyContin and Opana, along with the passing of HB 217 and mandatory KASPER (Kentucky All Schedule Prescription Electronic Reporting) reports made the acquisition of diverted pharmaceutical opioids much more difficult. As a result, prices per pill increased and once opioids became nearly impossible to find on the streets, users then moved to another opiate, heroin. Since 2012, heroin related overdoses have increased significantly in the Bluegrass State. The purpose of this study is to better understand the transition from prescription opioid abuse to heroin among prior users in the city of Louisville. Relying on interviews, existing academic literature, Louisville Courier-Journal news media articles, and federal official reports, this paper argues that after a long history of over prescribing opioids and the creation of pills mills, followed then by the implementation of harsh prohibition laws against opioids, many individuals relied on the more dangerous and cheaper drug heroin to support their opiate dependence.
","abstract_html":"<p>The demand for and availability of prescription opioids has been quite prevalent in the state of Kentucky primarily since the early 1990's. But between 2010 and 2012, reformulations of opioids OxyContin and Opana, along with the passing of HB 217 and mandatory KASPER (Kentucky All Schedule Prescription Electronic Reporting) reports made the acquisition of diverted pharmaceutical opioids much more difficult. As a result, prices per pill increased and once opioids became nearly impossible to find on the streets, users then moved to another opiate, heroin. Since 2012, heroin related overdoses have increased significantly in the Bluegrass State. The purpose of this study is to better understand the transition from prescription opioid abuse to heroin among prior users in the city of Louisville. Relying on interviews, existing academic literature, Louisville Courier-Journal news media articles, and federal official reports, this paper argues that after a long history of over prescribing opioids and the creation of pills mills, followed then by the implementation of harsh prohibition laws against opioids, many individuals relied on the more dangerous and cheaper drug heroin to support their opiate dependence. </p>","abstract_has_math":false,"creators":["Cundiff, Alexander Ryan"],"institution":"Eastern Kentucky University","degree_name":"Master of Science (MS)","degree_level":"Master's","degree_discipline":"Justice Studies","degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2017,"date_issued":"2017-01-01T08:00:00Z","date_published":"2017-01-01T08:00:00Z","updated_at":"2026-07-24T02:15:39Z","subjects":["Heroin","Prescription opioids","Transition","Substance Abuse and Addiction"],"languages":[],"rights":["Copyright 2017 Alexander Ryan Cundiff"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://encompass.eku.edu/etd/481","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Cundiff, Alexander Ryan"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:publisher","label":"Institution","values":["Encompass Digital Archive, Eastern Kentucky University"]},{"key":"dc:type","label":"Dc Type","values":["Master Thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Justice Studies"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Master's"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science (MS)"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["Eastern Kentucky University"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Heroin","Prescription opioids","Transition","Substance Abuse and Addiction"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["Copyright 2017 Alexander Ryan Cundiff"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://encompass.eku.edu/etd/481"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The demand for and availability of prescription opioids has been quite prevalent in the state of Kentucky primarily since the early 1990's. But between 2010 and 2012, reformulations of opioids OxyContin and Opana, along with the passing of HB 217 and mandatory KASPER (Kentucky All Schedule Prescription Electronic Reporting) reports made the acquisition of diverted pharmaceutical opioids much more difficult. As a result, prices per pill increased and once opioids became nearly impossible to find on the streets, users then moved to another opiate, heroin. Since 2012, heroin related overdoses have increased significantly in the Bluegrass State. The purpose of this study is to better understand the transition from prescription opioid abuse to heroin among prior users in the city of Louisville. Relying on interviews, existing academic literature, Louisville Courier-Journal news media articles, and federal official reports, this paper argues that after a long history of over prescribing opioids and the creation of pills mills, followed then by the implementation of harsh prohibition laws against opioids, many individuals relied on the more dangerous and cheaper drug heroin to support their opiate dependence.
"]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:source","label":"Dc Source","values":["Encompass Digital Archive: Online Theses and Dissertations"]},{"key":"dc:title","label":"Title","values":["Euphoria: The Transition from Prescription Opioids to Heroin in Kentucky"]}]}],"canonical_facts":{"dc:creator":["Cundiff, Alexander Ryan"],"dc:description.abstract":["The demand for and availability of prescription opioids has been quite prevalent in the state of Kentucky primarily since the early 1990's. But between 2010 and 2012, reformulations of opioids OxyContin and Opana, along with the passing of HB 217 and mandatory KASPER (Kentucky All Schedule Prescription Electronic Reporting) reports made the acquisition of diverted pharmaceutical opioids much more difficult. As a result, prices per pill increased and once opioids became nearly impossible to find on the streets, users then moved to another opiate, heroin. Since 2012, heroin related overdoses have increased significantly in the Bluegrass State. The purpose of this study is to better understand the transition from prescription opioid abuse to heroin among prior users in the city of Louisville. Relying on interviews, existing academic literature, Louisville Courier-Journal news media articles, and federal official reports, this paper argues that after a long history of over prescribing opioids and the creation of pills mills, followed then by the implementation of harsh prohibition laws against opioids, many individuals relied on the more dangerous and cheaper drug heroin to support their opiate dependence.
"],"dc:format":["application/pdf"],"dc:identifier":["https://encompass.eku.edu/etd/481"],"dc:publisher":["Encompass Digital Archive, Eastern Kentucky University"],"dc:rights":["Copyright 2017 Alexander Ryan Cundiff"],"dc:source":["Encompass Digital Archive: Online Theses and Dissertations"],"dc:subject":["Heroin","Prescription opioids","Transition","Substance Abuse and Addiction"],"dc:title":["Euphoria: The Transition from Prescription Opioids to Heroin in Kentucky"],"dc:type":["Master Thesis"],"thesis:degree_discipline":["Justice Studies"],"thesis:degree_level":["Master's"],"thesis:degree_name":["Master of Science (MS)"],"thesis:institution_name":["Eastern Kentucky University"]},"updated_at":"2026-07-24T02:15:39Z"}