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prevalence of substance abuse and addictions among adults and children in Indiana
Goals
Advise Governor & General Assembly } Provide public education & awareness } Educate & empower local communities } Assist Local Coordinating Councils } Promote & support advocacy for policies } Coordinate & facilitate collaboration
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Commissions Purpose
Local Level
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Work to strengthen local coordinating councils, and assist in strategic & comprehensive planning Mobilize communities to address alcohol & other drug issues in their communities
County-wide citizen body approved by Commission to plan, monitor & evaluate comprehensive local alcohol & drug abuse plans. Identify community drug programs, coordinate community initiatives, design comprehensive collaborative community strategies & monitor anti-drug activities at the local level. Assist the Commission in achieving its purpose and responsibility by collecting and monitoring local level data & evaluating supported programs.
Meetings are held on the first Thursday of each month in the Stewart-Hoagland Meeting Room from 12:00-1:00 pm and are open to everyone in the community.
For more information, Contact CEASe at: lcroasdell@c3bb.com Or call (812) 752-8466 Join CEASe of Scott County
On Facebook
Develop & prioritize clear concise problem Develop measurable and realistic goals
Evaluate the progress & redirect if needed Report ndings to state via annual plan
updates
#1: Youth and Adults in Scott County use and abuse Alcohol
Goals: 1. Reduce the rate of youth alcohol consumption as reported by the 2014 IPRC Indiana Alcohol, Tobacco and Other Drugs Survey. 2. Reduce the rate of adult alcohol consumption as reported by the justice system, 2014.
SCSD 1: 1 for AHS, 6 for AMS SCSD 2: 4 for SHS, 5 for SMS
(IDOE School Performance Reports)
ALCOHOL: % of Monthly Use by Grade Scott County Students, 2011 Mean Age of first time Use = 13.1 years old
Scott County Students
40
Indiana Students
30 % of Monthly Use
20
10
9 GRADE
10
11
12
2011
30
20
10
6/7
7/8
8/9
9/10
10/11
11/12
20
22 56
4
3 9 38 4
16
2 21
13
17
45%
Percentage of those who begin drinking alcohol before the age of 14 become alcohol or drug dependent at some time in their lives
10%
Percentage of Adults who will go on to develop an alcohol or drug addiction who wait at least until age 21 to begin using alcohol
(Source: Archives of Pediatric and Adolescent Medicine)
#2: Youth and Adults in Scott County Use and Abuse Tobacco Products
Goals: 1. Reduce the percentage of Scott County youth using tobacco by 1% in each grade 6-12 based upon reports from the IPRC Survey by 2014. 2. Scott County will have at least one adult cessation program added each year, along with the addition of a youth cessation program.
2011 County Health Rankings: Adult smoking rate is 24.5%, with 4,500 adults smoking. Higher than US rate of 17.2%. Scott Co. tobacco outlets = 185 or 7.73 outlets per 1000 (higher than state average of 0.72/1000) Scott Co. pregnant mothers who reported smoking=28.1%
SPD reports 7 juvenile arrests for possession of tobacco IN State Excise Police: TRIP (Tobacco Retailer Inspection Program) Scott Co Noncompliance Rate = 6.1% for 2010
CIGARETTES: % of Monthly Use by Grade Scott County Students, 2011 Mean Age of First Time Use = 12.7
Scott County
40
Indiana
30
20
10
10
11
12
GRADE
40
30
20
10
6/7
7/8
8/9
9/10
10/11
11/12
SMOKELESS TOBACCO: % of Monthly Use by Grade Scott County Students, 2011 Mean Age of First Time Use = 13.2
30 Scott County Indiana
22.5
15
7.5
10
11
12
GRADE
30
22.5
15
7.5
6/7
7/8
8/9
9/10
10/11
11/12
Juvenile Arrests for 2010 Sburg Possession of controlled substance Minor Alcohol Consumption Possession of Marijuana Possession of Tobacco 2 3 7 7 Austin 1 2
31
MARIJUANA: % of Monthly Use by Grade Scott County Students, 2011 Mean Age of First Time Use = 13.8 Years Old
Scott County
30
Indiana
22.5
% of Monthly Use
15
7.5
10
11
12
2011
22.5
15
7.5
6/7
7/8
8/9
9/10
10/11
11/12
The scientic literature points to the fact that there is an irrefutable link between the consumption of cannabis and the mental and physical health of teenagers. The use of cannabis in late adolescence and early adulthood has emerged as the strongest risk factor for later involvement in other illicit drugs.
#3: Young Adults in Scott County use and abuse prescription medications
Goals: 1. Reduce the number of annual drug overdose deaths in Scott County by half of the 2011 deaths, in 2014. 2. Reduce Scott Countys 2010 Oxycodone Retail Distribution from 48.79 per capita dosage units to 30 per capita dosage units for 2014 for our county of 24,000.
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PRESCRIPTION PAINKILLERS: % of Monthly Use by Grade, Scott County Students, 2011 Mean Age of First Time Use = 12.7 Years Old
Scott County Students
15
Indiana Students
11.25
7.5
3.75
10
11
12
GRADE
2011
11.25
7.5
3.75
6/7
7/8
8/9
9/10
10/11
11/12
19 of 39 (48%) Scott County Coroner Cases were Prescription Drug Overdose Deaths in 2011
Drugs involved in Cause of Death:
Xanax: Opana: Oxycodone: Methodone: Hydrocodone: Alcohol: Morphine: 13 10 6 5 3 3 2
39
Almost 5,500 people start to misuse Rx Less than 1% of Physicians are trained in
addiction
According to Dr. Eric Wright, Chair of the Indiana State Epidemiology Outcomes Workgroup and Director of the Center for Health Policy:
abuse rate in Self-Reporting measures Alarming growth of rst time use by children, teens, and young adults Over 1,000,000 Hoosiers abusing Rx, with OPIATES being primary abused substance Recent decrease in Opiate use and increase in stimulant use, Ritalin and Aderall (9.9%
prevalence)
Percentage of College Students Reporting Rx Misuse in the Past Six Months in Indiana, 2011
Rx Drug Adderall Vicodin Xanax Codeine Ritalin Lortab Percocet Oxycontin Morphine Methadone Steroids Prevalence 9.9% 4.3% 3.0% 3.0% 1.5% 1.1% 1.1% 1.0% 0.6% 0.3% 0.2%
Indiana Scheduled Prescription Electronic Collection & Tracking Program (Indianas Rx drug monitoring program) Collects information on all controlled substances (schedules II-V) dispensed in Indiana Mandatory reporting by dispensers Maintained by the Indiana Professional Licensing Agency/ Board of Pharmacy Doesnt distinguish between legitimate and illegitimate (nonmedical) use Only 35% of all IN Physicians are utilizing INSPECT! Florida just instituted their PDMP October 2011
Sources of Rx Drugs
Among the U.S. population ages 12 and older who used pain relievers nonmedically in the past year:
used from a friend or relative for free 17.3% got the pain relievers they most recently used through a prescription from one doctor 11.4% bought them from a friend or relative 4.8% took them from a friend or relative without asking 4.4% got them from a drug dealer or other stranger 0.4% bought them on the Internet
[Substance Abuse and Mental Health Services Administration, Ofce of Applied Studies, n.d.], National Survey on Drug Use and Health (NSDUH)
Nonmedical Rx Use Reported at Admission, Rate per 1,000 Population (TEDS, 2010)
Indiana Family and Social Services Administration, Revenue Enhancement and Data, 20106
People with mental illness and those w/ history of substance abuse. (Centers for Disease Control and Prevention)
Prescription Drug Monitoring Programs (PDMPs) Patient Review and Restriction Programs
(Rep. Steve Davisson introducing Legislation in 2012 to address Drug Testing for those on public assistance.)
Health Care Provider Accountability Laws to Prevent Rx Drug Abuse and Diversion Better Access to Substance Abuse Treatment
PRESCRIPTION DRUG ABUSE is now THE #1 Drug Abuse Issue Facing Hoosiers today. At the rate we are going, it may catch up and exceed Alcohol and Tobacco Abuse within 5 years. Phil Wickizer, Indiana Pharmacy Board Dr. Eric Wright, Center for Health Policy
Monies collected through the courts are held in a county drug free communities fund by the county auditor The Local Coordinating Council (CEASe) is the administrator of these funds & is responsible for its distribution back into the community according to their approved Comprehensive Community Plan Grants are awarded to agencies & entities based on needs/services identied by the LCC through its comprehensive planning process
CEASe Supports:
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Prevention/Education initiatives, emphasizing the use of evidence-based programs in the prevention of substance use & the education of the general public regarding substance use/abuse in the county. Justice/Law Enforcement initiatives including education & training of personnel, special patrols & operations & court programs Treatment/Intervention programs designed to identify & assist those who have substance abuse issues secure and benet from service providers.
May: Meeting at Marianns to celebrate them going Smoke Free and Dr. Deardorff shared about where the Health Outcomes Committee is going from here June: Community Forum August: Carolyn King, Coordinator, presented the Communities That Care plans for the upcoming year and Rhonda shared about the Gary Sandifur Tobacco Free School Award September: The 2011 CEASe Mini-Grant Recipients gave their mid-year reports
October: Brent Calloway share about the ministry Fishermens Paradise has going on in Austin November: The entire LCC brainstormed about CEASes strengths, weaknesses, and technical assistance needed to function. December: Jeremy Stevens and others with New Creation Addiction Ministries shared about My Life on Drugs: Then and Now.
Thursday, June 2 6:00pm to 8:00pm First Southern Baptist Church
Seating is Limited- RSVP to lcroasdell@c3bb.com FREE Dinner sponsored by Scott Memorial Hospital
Lots of d
17 DEAD
In 2011 of Prescription Drug Overdose
December 7, 7-8 pm
First Southern Baptist Church, Scottsburg
Scott County
Is States Highest Oxycodone Retail Distribution Rate 48.79 per capita dosage units or
December 8, 11:30-1
Seating Limited, so RSVP
pm
lcroasdell@c3bb.co
1.25 Million
58
2012
February: Communities That Care--Plan for Scott Co. March: Prosecutions Role in the Fight Against Drugs April: Drug/Alcohol Free during Prom and Graduation May: Law Enforcements Role in the Fight Against Drugs June: Community Forum August: ____________________________________ September: Mini-Grant Recipients Mid-Year Reports October: Rx Epidemic: Reaching Those Who Need Help Nov: Treatment Options for those w/ Addiction Issues December: Community Forum
Scott County Prosecutors Ofce SCSD 2: Just Say No Club SMS SADD Chapter SHS SADD Chapter Big Brothers Big Sisters of Scott Co. New Hope Services/Connections New Creation Addiction Ministries Department of Child Services Scott Memorial Hospital Samaritan Behavioral Health Scott County Partnership/Americorp New Washington State Bank Scott County Ministerial Association Indiana State Police Austin and Scottsburg Police Depts. Scott County Sheriffs Department Scott Co. Tobacco Prevention & Cessation Coalition Greater Scott Co. Chamber Communities That Care Our Place
Partners of: