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Governors Commission for a Drug-Free Indiana and CEASe of Scott County

Mission and Goals


} Mission

Reduce the incidence and

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
}

Commissions Purpose
Local Level
}

Work to strengthen local coordinating councils, and assist in strategic & comprehensive planning Mobilize communities to address alcohol & other drug issues in their communities

Local Coordinating Councils (LCC)


}

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

The Comprehensive Community Plan


Collaborative Effort to: assess the impact of substance abuse in the community collect data identify issues evaluate existing & new services

The Comprehensive Community Plan (CCP)


Community-Wide plan to address AOD issues at local level. Development of this plan is a process to:

Identify problems through needs

assessments, data collection, community input statements

Develop & prioritize clear concise problem Develop measurable and realistic goals

The Comprehensive Community Plan (Continued)


Develop objectives to address identied
problems

Advocate for change through the release of


funds to local agencies and by inuencing policies & enforcement

Evaluate the progress & redirect if needed Report ndings to state via annual plan
updates

2011 NEW Comprehensive Community Plan Identied 3 Problem Statements:


1. Youth and Adults in Scott County use and abuse Alcohol. 2. Youth and Adults in Scott County use and abuse Tobacco Products. 3. Young Adults in Scott County use and abuse prescription medications.

#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.

Scott County Schools Reported the Following:


Expulsions/Suspensions involving drugs, weapons, or alcohol during 2010-11 School year:

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

ALCOHOL: % of Monthly Use Comparison of Grade in 2010/2011, Scott County Students


2010
40

2011

30

20

10

6/7

7/8

8/9

9/10

10/11

11/12

Grade in 2010/Grade in 2011

Alcohol Use and Abuse in Scott County


Arrests for Scottsburg Police Department 2009 2010 6 25 62 3

Illegal Consumption of alcohol Operating while intoxicated


Public intoxication


20
22 56
4

Illegal Consumption - Youth

Alcohol Use and Abuse in Scott County


Arrests for Austin Police Department 2009 2010 2 17 29 2

Illegal Consumption of alcohol




Operating while intoxicated

3 9 38 4

Public intoxication Illegal consumption - youth


16

Alcohol Use and Abuse in Scott County


Arrests for Scott County Sheriffs Department 2010

Illegal Consumption Operating while intoxicated Public intoxication

2 21
13

17

2010 Prosecution Handled:



15 Cases of Possession of alcohol by a
minor

40% of juvenile cases handled in court


were substance abuse related

80 counts led on 53 different

defendants for operating with ACE of +. 08

Scott County 2010 Treatment Center Data:


Life Springs served 260 people, 32% of which had a substance abuse diagnosis Samaritan Behavioral Health treated 19 people for alcohol dependence and 6 for alcohol abuse

2010 Scott County Department of Child Services


146 children/youth (66%) were removed from their homes as a result of substance use by guardians

Scott Memorial ER 2010 Visits


Overdose Unknown Accidental Rx Overdose Intentional Rx Overdose Accidental OTC Overdose Poly-Substance Abuse Alcohol Abuse Psych Related Visits 16 1 10 7 74 83 251

Substance use Impact on Law Enforcement: 2010


Arrests for Substance Use:
SPD Dealing Controlled Substance Possession of Cocaine Possession of Marijuana Possession of controlled subst. 2 2 14 18 33 15 Austin 1 Sheriff 2

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

CIGARETTES: % of Monthly Use Comparison of Grade in 2010/2011, Scott County Students


2010 2011

40

30

20

10

6/7

7/8

8/9

9/10

10/11

11/12

Grade in 2010/Grade in 2011

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

SMOKELESS TOBACCO: % of Monthly Use Grade in 2010/2011, Scott County Students


2010 2011

30

22.5

15

7.5

6/7

7/8

8/9

9/10

10/11

11/12

Grade in 2010/Grade in 2011

Substance Issues Identied in Scott County


}

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

Indiana Prevention Resource Center, 2011 ATOD Survey

MARIJUANA: % of Monthly Use Comparison of Grade in 2010/2011, Scott County Students


2010
30

2011

22.5

15

7.5

6/7

7/8

8/9

9/10

10/11

11/12

Grade in 2010/Grade in 2011

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.
13

2010, 50% of clients served at Scott County


Community Clearinghouse had substance abuse problems. 16 for opioid dependence, 1 for other substance dependence, 12 for polysubstance dependence, and 4 for opioid abuse. their rst pain pill to get high

2010, Samaritan Behavioral Health treated

Every day, about 2,500 American youth try

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

Percentage of Monthly Use

11.25

7.5

3.75

10

11

12

GRADE

PRESCRIPTION PAINKILLERS: % of Monthly Use Comparison of Grade in 2010/2011


2010
15

2011

11.25

7.5

3.75

6/7

7/8

8/9

9/10

10/11

11/12

Grade in 2010/Grade in 2011

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

Indiana Drug Enforcement Associations Dennis Wichern Reported:


Scott County's Oxycodone Retail Distribution (pharmacies, hospitals, practitioners) January 1 - December 31, 2010 48.79 per capita dosage units EQUALS 1.25 Million doses of Oxycodone sold in our county of 24,000

Overdoses involving Rx painkillers now kill


more Americans than heroin and cocaine combined, CDC Director

Centers for Disease Control 11/2011:


Prescription painkiller overdoses at epidemic levels. painkillers every day.

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:

12+ Age Group = Fastest growing Rx Drug

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%

Key: Opioid Stimulant CNS Depressant Other

Source: Indiana Collegiate Action Network, 2011

The INSPECT Program


[Indiana Board of Pharmacy, n.d.]

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:

55.0% got the pain relievers they most recently

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

Center for Health Policy


The Center for Health Policy collaborates with state and local government, as well as public and private healthcare organizations in health policy and program development to conduct high quality program evaluation and applied research on critical health policy-related issues. Eric R. Wright, PhD Director, Center for Health Policy Professor and Interim Chair Department of Public Health, IU School of Medicine Indiana University-Purdue University Indianapolis (IUPUI) 714 N Senate Ave, Suite 220 Indianapolis, IN 46202 317-274-3161 ewright@iupui.edu www.healthpolicy.iupui.edu

Who is most at risk?


Obtaining multiple controlled substance prescriptions from multiple providers (doctor shopping) Taking high daily dosages of Rx painkillers and misusing multiple abuse-prone Rx drugs. Low-income people and those living in rural areas.
People on Medicaid are prescribed painkillers at twice the rate of non-Medicaid patients and are at six times the risk of Rx painkillers overdose. One Washington State study found that 45% of people who died from Rx painkiller overdoses were Medicaid enrollees.

People with mental illness and those w/ history of substance abuse. (Centers for Disease Control and Prevention)

Centers For Disease Control Recommendations:

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

The Drug Free Community Fund


IC 5-2-11

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:
}

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.

The YEAR in Review: 2011 CEASe Meeting Programs


January: Shannon Mount, Counselor at SES, present Life Skills Training for SCSD 2 Elementary Students February: Lori and Lin got feedback from members on CEASe Goals/Objectives for 2011 March: Dr. Shane Avery discussed a primary care initiative that involves implementing a pain management program to cut prescription drug diversion April: Circles Campaign presented on how they are helping people rebuild their lives

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.

2011 Chair/CEASe Community Efforts:


Booth, Back to School Bash Booth, Scott Memorial Hospital Womens Health Fair Booth, Scottsburg Fire Station Community Trick or Treating Applied for Drug Free Comm Grant Spoke to all SMS 8th grade students/parents Reached 340 people through 2 Community Forums Reached 1600 middle and high school students w/ Rx Drug info Adopted CEASe By-Laws and Policies and Procedures Established Part Time LCC Coordinator Position Spoke to Teen Parents at Austin and Scottsburg High Schools Spoke to 4-6th graders at Afternoons Rock re: Rx Drugs Spoke to Kiwanis Participated in the First Ever Smoke Free Day at the Scott County Fair Attended Rx Drug Symposium in Indy Attended Coordinator Training at ICJI

Spoke to SMS Parent Chaperones on Social Hosting/Marijuana and Teens

A Community Free of Substance Abuse:


Downloading Resources for Scott County
A FREE community event to help families identify substance abuse risk factors and resources


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

oor pri an App zes including le iPAD !

CEASe of Scott County


Coalition to Eliminate the Abuse of Substances
57

Scott County Unites to Battle Prescription Drug Abuse


Karen Perry
Executive Director, NOPE

Lost her son to prescription drug overdose


Task Force.

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

Grace Covenant Church, Austin, FREE Italian Buffet

lcroasdell@c3bb.co

1.25 Million
58

January: Annual Meeting and Report

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:

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