Scott County CEASe Leadership Presentation Jan 2012

8/2/2019 Scott County CEASe Leadership Presentation Jan 2012

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1

Governors Commission for aDrug-Free Indiana

andCEASe of Scott County


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}Mission

Reduce the incidence andprevalence of substanceabuse and addictionsamong adults and childrenin Indiana

Mission and Goals


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}Advise Governor & General Assembly

} Provide public education & awareness

}

Educate & empower local communities}Assist Local Coordinating Councils

} Promote & support advocacy for

policies} Coordinate & facilitate collaboration

Goals


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Local Level

}

Work to strengthen local coordinatingcouncils, and assist in strategic &

comprehensive planning

} Mobilize communities to address

alcohol & other drug issues in their

communities

Commissions Purpose


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} County-wide citizen body approved byCommission to plan, monitor & evaluatecomprehensive local alcohol & drug abuse plans.

} Identify community drug programs, coordinatecommunity initiatives, design comprehensivecollaborative community strategies & monitoranti-drug activities at the local level.

} Assist the Commission in achieving its purposeand responsibility by collecting and monitoringlocal level data & evaluating supported programs.

Local CoordinatingCouncils LCC


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For more information,Contact CEASe at:

[email protected] call (812) 752-8466

Join CEASe of ScottCounty

On Facebook

Meetings are held on the firstThursday of each month in the

Stewart-Hoagland Meeting

Room from 12:00-1:00 pm andare open to everyone in the

community.


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Collaborative Effort to:

assess the impact of

substance abuse in the

community collect data

identify issues

evaluate existing & newservices

The Comprehensive Community Plan


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Community-Wide plan to address AODissues at local level. Development of thisplan is a process to:

Identify problems through needsassessments, data collection, communityinput

Develop & prioritize clear concise problemstatements

Develop measurable and realistic goals

The ComprehensiveCommunity Plan (CCP)


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The Comprehensive

Community Plan (Continued)

Develop objectives to address identifiedproblems

Advocate for change through the release offunds to local agencies and by influencingpolicies & enforcement

Evaluate the progress & redirect if needed

Report findings to state via annual planupdates


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2011 NEW Comprehensive

Community Plan Identified

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 andabuse prescription medications.


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#1: Youth and Adults in Scott County

use and abuse Alcohol

Goals:

1. Reduce the rate of youth alcohol

consumption as reported by the 2014IPRC Indiana Alcohol, Tobacco and Other

Drugs Survey.

2. Reduce the rate of adult alcohol

consumption as reported by the justice

system, 2014.


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Scott County Schools

Reported the Following:

Expulsions/Suspensions involving

drugs, weapons, or alcohol during2010-11 School year:

SCSD 1: 1 for AHS, 6 for AMS

SCSD 2: 4 for SHS, 5 for SMS(IDOE School Performance Reports)

ALCOHOL % f M hl U b G d


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0

10

20

30

40

6 7 8 9 10 11 12

%o

fMonthlyUse

Scott County Students Indiana Students

ALCOHOL: % of Monthly Use by Grade

Scott County Students, 2011

Mean Age of first time Use = 13.1 years old

GRADE


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0

10

20

30

40

6/7 7/8 8/9 9/10 10/11 11/12

Grade in 2010/Grade in 2011

2010 2011

ALCOHOL: % of Monthly Use Comparison of

Grade in 2010/2011, Scott County Students


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Arrests for Scottsburg Police Department

2009 2010

Illegal Consumption of alcohol 20 6Operating while intoxicated 22 25Public intoxication 56 62Illegal Consumption - Youth 4 3

Alcohol Use and Abuse inScott County


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Alcohol Use and Abuse inScott County

Arrests for Austin Police Department

2009 2010

Illegal Consumption of alcohol 3 2Operating while intoxicated 9 17Public intoxication 38 29

Illegal consumption - youth 4 2

16


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Alcohol Use and Abuse in

Scott CountyArrests for Scott County Sheriff s Department

2010

Illegal Consumption 2Operating while intoxicated 21Public intoxication 13

17


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15 Cases of Possession of alcohol by a

minor 40% of juvenile cases handled in court

were substance abuse related

80 counts filed on 53 diferentdefendants for operating with ACE of +.08

2010

Prosecution Handled:


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Scott County 2010

Treatment Center Data:Life Springs served 260 people, 32% of

which had a substance abusediagnosis

Samaritan Behavioral Health treated 19

people for alcohol dependence and 6for alcohol abuse


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2010 Scott County

Department of Child Services

146 children/youth (66%) were

removed from their homes as a

result of substance use byguardians


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Scott Memorial ER

2010 Visits

Overdose Unknown 16

Accidental Rx Overdose 1

Intentional Rx Overdose 10

Accidental OTC Overdose 7

Poly-Substance Abuse 74Alcohol Abuse 83

Psych Related Visits 251


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Arrests for Substance Use:

SPD Austin Sheriff

Dealing Controlled Substance 2 1 2

Possession of Cocaine 2

Possession of Marijuana 14

Possession of controlled subst. 18 33 15

Substance use Impact onLaw Enforcement: 2010


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45%

Percentage of those whobegin drinking alcoholbefore the age

of 14 become alcohol ordrug dependent at some

time in their lives


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10%

Percentage ofAdults whowill go on to develop analcohol or drug addiction

who wait at least until age21 to begin using alcohol(Source: Archives of Pediatric and Adolescent Medicine)


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#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 uponreports 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.


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} 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 reportedsmoking=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


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0

10

20

30

40

6 7 8 9 10 11 12

Scott County Indiana

CIGARETTES: % of Monthly Use by Grade


Mean Age of First Time Use = 12.7

GRADE

CIGARETTES: % of Monthly Use Comparison of


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0

10

20

30

40

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2010 2011

CIGARETTES: % of Monthly Use Comparison of




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SMOKELESS TOBACCO: % of Monthly Use by Grade


Mean Age of First Time Use = 13.2

0

7.5

15

22.5

30

6 7 8 9 10 11 12


GRADE

SMOKELESS TOBACCO: % of Monthly Use


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SMOKELESS TOBACCO: % of Monthly Use


0

7.5

15

22.5

30

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2010 2011



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Substance Issues Identifiedin Scott County

} Juvenile Arrests for 2010

Sburg Austin

Possession of controlled substance 2 1

Minor Alcohol Consumption 3 2

Possession of Marijuana 7

Possession of Tobacco 7

31

MARIJUANA: % of Monthly Use by Grade


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0

7.5

15

22.5

30

7 8 9 10 11 12

%o

fMonthlyU

se


MARIJUANA: % of Monthly Use by Grade


Mean Age of First Time Use = 13.8 Years Old

Indiana Prevention Resource Center, 2011 ATOD Survey

MARIJUANA: % of Monthly Use Comparison of


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0

7.5

15

22.5

30

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2010 2011

MARIJUANA: % of Monthly Use Comparison of




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The scientific literature points to the factthat 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 inother illicit drugs.


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13

#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 30per capita dosage units for 2014 for our county of

24,000.


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2010, 50% of clients served at Scott CountyCommunity Clearinghouse had substance

abuse problems.

2010, Samaritan Behavioral Health treated

16 for opioid dependence, 1 for other

substance dependence, 12 for poly-

substance dependence, and 4 for opioid

abuse.

Every day, about 2,500 American youth trytheir first pain pill to get high

PRESCRIPTION PAINKILLERS % f M thl U


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0

3.75

7.5

11.25

15

6 7 8 9 10 11 12

Percen

tageofMonthly

Use

Scott County Students Indiana Students

PRESCRIPTION PAINKILLERS: % of Monthly Use

by Grade, Scott County Students, 2011

Mean Age of First Time Use = 12.7 Years Old

GRADE



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0

3.75

7.5

11.25

15

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2010 2011


Comparison of Grade in 2010/2011


19 of 39 (48%) Scott County Coroner


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19 of 39 (48%) Scott County CoronerCases were Prescription Drug

Overdose Deaths in 2011

Drugs involved in Cause of Death:

Xanax: 13

Opana: 10

Oxycodone: 6

Methodone: 5

Hydrocodone: 3

Alcohol: 3

Morphine: 239

Indiana Drug Enforcement


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Indiana Drug EnforcementAssociations Dennis Wichern

Reported:

Scott County's Oxycodone Retail Distribution

(pharmacies, hospitals, practitioners)

January 1 - December 31, 2010

48.79 per capita dosage units

EQUALS1.25 Million doses of Oxycodone

sold in our county of 24,000


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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.

Almost 5,500 people start to misuse Rx

painkillers every day.

Less than 1% of Physicians are trained in

addiction

A di t D E i W i ht Ch i f th I di


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12+ Age Group = Fastest growing Rx Drugabuse rate in Self-Reporting measures

Alarming growth of first time use by children,teens, and young adults

Over 1,000,000 Hoosiers abusing Rx, withOPIATES being primary abused substance

Recent decrease in Opiate use and increasein stimulant use, Ritalin and Aderall (9.9%prevalence)

According to Dr. Eric Wright, Chair of the Indiana

State Epidemiology Outcomes Workgroup and

Director of the Center for Health Policy:

P t f C ll St d t R ti R


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Percentage of College Students Reporting RxMisuse in the Past Six Months in Indiana, 2011

Rx Drug Prevalence

Adderall 9.9%

Vicodin 4.3%

Xanax 3.0%

Codeine 3.0%

Ritalin 1.5%

Lortab 1.1%

Percocet 1.1%

Oxycontin 1.0%

Morphine 0.6%Methadone 0.3%

Steroids 0.2%

Key:Opioid

StimulantCNS DepressantOther

Source: Indiana Collegiate Action Network, 2011

The INSPECT Program
http://www.in.gov/pla/inspect.htm


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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
http://www.in.gov/pla/inspect.htmhttp://www.in.gov/pla/inspect.htm


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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, Office of Applied Studies,

n.d.], National Survey on Drug Use and Health (NSDUH)

Nonmedical Rx Use Reported at Admission


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Indiana Family and Social Services Administration, Revenue Enhancement and Data, 20106

Nonmedical Rx Use Reported at Admission,Rate per 1,000 Population (TEDS, 2010)


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Center for Health PolicyThe Center for Health Policy collaborates with state and local government, as

well as public and private healthcare organizations in health policy andprogram development to conduct high quality program evaluation and appliedresearch 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

[email protected]

www.healthpolicy.iupui.edu

Wh i t t i k?
http://www.healthpolicy.iupui.edu/http://www.healthpolicy.iupui.edu/http://www.healthpolicy.iupui.edu/mailto:[email protected]:[email protected]


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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 therate of non-Medicaid patients and are at six times the riskof Rx painkillers overdose. One Washington State studyfound that 45% of people who died from Rx painkilleroverdoses were Medicaid enrollees.

People with mental illness and those w/ history ofsubstance abuse.

(Centers for Disease Control and Prevention)

Who is most at risk?


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Prescription Drug Monitoring Programs (PDMPs)

Patient Review and Restriction Programs(Rep. Steve Davisson introducing Legislation in 2012 toaddress 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

Centers For Disease Control Recommendations:


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PRESCRIPTION DRUG ABUSE is

now THE #1 Drug Abuse IssueFacing Hoosiers today.

At the rate we are going, it maycatch up and exceed Alcohol and

Tobacco Abuse within 5 years.

Phil Wickizer, Indiana Pharmacy Board

Dr. Eric Wright, Center for Health Policy

Th D F C it F d


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IC 5-2-11

Monies collected through the courts are held in acounty drug free communities fund by thecounty auditor

The Local Coordinating Council (CEASe) is theadministrator of these funds & is responsiblefor its distribution back into the communityaccording to their approved ComprehensiveCommunity Plan

Grants are awarded to agencies & entities basedon needs/services identified by the LCC

through its comprehensive planning process

The Drug Free Community Fund


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} , emphasizing theuse of evidence-based programs in the preventionof substance use & the education of the generalpublic regarding substance use/abuse in the

county.

} includingeducation & training of personnel, special patrols& operations & court programs

} designed toidentify & assist those who have substance abuseissues secure and benefit from service providers.

CEASe Supports:

The YEAR in Review: 2011


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The YEAR in Review: 2011

CEASe Meeting ProgramsJanuary: 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


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May: Meeting at Marianns to celebrate them

going Smoke Free and Dr. Deardorff shared

about where the Health Outcomes Committee isgoing 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


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October: Brent Calloway share about the

ministry Fishermens Paradise has going onin Austin

November: The entire LCC brainstormed

about CEASes strengths, weaknesses, andtechnical assistance needed to function.

December: Jeremy Stevens and others with

New Creation Addiction Ministries sharedabout My Life on Drugs: Then and Now.

2011 Chair/CEASe Communit Efforts:


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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 gradestudents/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 SMS Parent Chaperones

on Social Hosting/Marijuana and

Teens

Spoke to Teen Parents at Austinand 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 inIndy

Attended Coordinator Training at

ICJI

2011 Chair/CEASe Communit Efforts:

A Community Free of Substance Abuse:


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CEASe of Scott CountyCoalition to Eliminate the Abuse of Substances

LotsofdoorprizesincludinganAppleiPAD!

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 [email protected]

FREE Dinner sponsored by Scott Memorial Hospital

A Community Free of Substance Abuse:

Downloading Resources for Scott County

57

Scott County Unites to


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Karen PerryExecutive Director, NOPE

Task Force. Lost her

son to prescription

drug overdose

December 7, 7-8 pmFirst Southern BaptistChurch, Scottsburg

December 8, 11:30-1 pmGrace Covenant Church,

Austin, FREE Italian Buffet

Seating Limited, so [email protected]

17 DEADIn 2011 of Prescription

Drug Overdose

Scott

CountyIs States Highest

Oxycodone RetailDistribution Rate

48.79 per capita dosage units

or

1.25 Million

Scott County Unites to

Battle PrescriptionDrug Abuse

January: Annual Meeting and Report 2012


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January: Annual Meeting and Report 2012

February: Communities That Care--Plan for Scott Co.

March: Prosecutions Role in the FightAgainstDrugs

April: Drug/Alcohol Free during Prom and Graduation

May: Law Enforcements Role in the FightAgainstDrugs

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 Office

SCSD 2 J t S N Cl b Partners of:


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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 DepartmentScott Co. Tobacco Prevention &

Cessation Coalition

Greater Scott Co. Chamber

Communities That Care

Partners of:

Scott County CEASe Leadership Presentation Jan 2012

Documents

Transcript of Scott County CEASe Leadership Presentation Jan 2012