Page 1

Pasco County Alliance for Substance Abuse Prevention (ASAP)

January 2011

40  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators

Profile of Alcohol and Drug Indicators  January 2011  1


For more information about Pasco County’s Alliance for Substance Abuse Prevention or the Profile of Alcohol and Drug Indicators, please contact:

Active Members For more information about Pasco County’s Alliance for Substance Abuse Prevention or the Profile of Alcohol and Drug Indicators, please contact:

ASAP

• Pasco Sheriff’s Office

P.O. Box 3007

• BayCare Behavioral Health

Land O’Lakes, FL 34639

• Pasco Sheriff’s Child Protective Investigators

(727) 597-2284

• Youth and Family Alternatives

ASAP

• Pasco Kids First

P.O. Box 3007

• Pasco County Health Department

Land O’Lakes, FL 34639

• District School Board of Pasco County

(727) 597-2284

www.pascoasap.com cparris@pascoasap.com

• Poison Information Center - Tampa

www.pascoasap.com

• Healthy Start

cparris@pascoasap.com

• WTOGTV - CW44 • Florida Alcohol Tobacco and Beverage (ABT) • Public Defender’s Office • Cox Radio • Saint Leo University • Pasco Hernando Community College • Dade City Police Department • Trinity Pain Center • Department of Children and Families • Department of Juvenile Justice • DUI School

Acknowledgements

• Joy FM • Dependency Court • Premier Community Health Care Group ASAP Board of Directors from left to right: • Treasurer Debbie Antioco, BayCare Behavioral Health • Chair Tracey Kaly, BayCare Behavioral Health • Vice Chair Art Rowand, Pasco Sheriff ’s Office • Secretary Paula Green, Youth and Family Alternatives • Board Member at Large Phil Cohen, Public Defender’s Office • Coalition Coordinator, Chrissie Parris Not Pictured: Board Member at Large Chris Wittmann, Trinity Pain Center

This research project was conducted as part of a community substance abuse assessment on behalf of the Pasco County Alliance for Substance Abuse Prevention (ASAP). We would like to express our appreciation to Kathleen A. Moore, Ph.D. and M. Scott Young, Ph.D., from the Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health Institute, at the University of South Florida for their work to coordinate the assessment and evaluation of the substance abuse indicators for Pasco County. Several local agencies contributed data, including the Pasco County District School Board, Pasco County Sheriff’s Office, and BayCare Behavioral Health. Finally, thanks to Carrie Wagner for her assistance with the graphic design and layout of this report.

Profile of Alcohol and Drug Indicators  January 2011  39


Appendix C: DUI Crashes

Table of Contents

Active Members ................................................................................................................................................2 Letter to Community Stakeholders ...................................................................................................................5 Report Highlights .............................................................................................................................................6 Introduction .....................................................................................................................................................7 2010 Accomplishments/Successes .....................................................................................................................8 Criminal Justice Indicators ...............................................................................................................................9 Table One. Alcohol- and Drug-Related Offense and Arrest Data .....................................................................9 Figure One. Comparison of Pasco County DUI and Drug/Narcotic Arrests.....................................................9 Figure Two. Pasco County Liquor Law Violations ............................................................................................9 Table Two. Economic Costs of Underage Drinking in Florida by County ......................................................10 General Population Surveys: Adolescent Prevalence Rates ..............................................................................11 Table Three. Students Reporting Past 30-day Use of Selected Drugs...............................................................11 Figure Three. Past 30-day Use of Alcohol, Tobacco and Other Drugs among Pasco County Students, 2010...11 Table Four. Pasco County Students Reporting Past 30-day Use of Selected Drugs ..........................................12 Figure Four. Past 30-day Alcohol Use Pasco County 2004-2010 and Florida 2010.........................................12 Figure Five. Past 30-day Binge Drinking Pasco County 2004-2010 and Florida 2010 ....................................13 Table Five. Students Reporting Lifetime Use of Selected Drugs ......................................................................14 Figure Six. Lifetime Use of Alcohol, Tobacco, and other Drugs among Pasco County Students, 2010 ...........14 Table Six. Pasco County Students Reporting Lifetime Use of Selected Drugs .................................................15 Figure Seven. Alcohol Trends Summary for Pasco County 2004-2010 ...........................................................16 Figure Eight. Marijuana Trends Summary for Pasco County, 2004-2010 .......................................................16 Table Seven. Pasco County and Florida Statewide High School Students Who Started Using Alcohol, Cigarettes, or Marijuana at Age 13 or Younger ................................................................17 Table Eight. Pasco County Students Reporting Past 12 Month Drug-Related Behavior .................................17 Figure Nine. Usual Source of Alcohol within the past 30-days among High School Drinkers, Pasco Co.........18 Figure Ten. Usual Drinking Location within the past 30-days among High School Drinkers, Pasco Co. ........18 Figure Eleven. Comparisons of Past 12-month Delinquent Behavior for Pasco County and FL Statewide .....19 Figure Twelve. Bullying-related Behaviors among Pasco County Middle and High School Students, 2010 .....19

38  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators  January 2011  3


Appendix C: DUI Crashes Mortality Data ..............................................................................................................................................20 Table Nine. Pasco and Pinellas Counties Drug-Related Deaths by Lethal/Non-Lethal Levels .........................20 Table Ten. Pasco and Pinellas Counties Drug-Related Deaths by Age and Lethal/Non-Lethal Levels .............20 Figure Thirteen. Comparison of Pasco County Drug-Related Deaths by Non-Lethal Level ............................21 Figure Fourteen. Comparison of Pasco County Drug-Related Deaths by Lethal Level....................................21 Table Eleven. 2009 Pasco and Pinellas Counties Drug-Related Deaths by Lethal/Non-Lethal Levels..............22 Table Twelve. Substance-exposed Newborns by County of Residence .............................................................22 Table Thirteen. ARCOS Prescription Drug Distribution Data for Pasco County............................................23 Table Fourteen. Pasco County Suicide Deaths by Age Group .........................................................................24 Table Fifteen. Suicide Attempts Using Poisons or Medications in Pasco County by Age Group ......................24 Table Sixteen. Alcohol-Related Crashes, Injuries, and Fatalities ......................................................................25 Figure Fifteen. Pasco County Alcohol-Related Crashes and Injuries ...............................................................25 Figure Sixteen. Pasco County Alcohol-Related Crashes ..................................................................................25 Treatment Data ...............................................................................................................................................26 Table Seventeen. Admission to Pasco County Substance Abuse Treatment .....................................................26 Figure Seventeen. Adult Admissions to Pasco County Substance Abuse Providers ..........................................26 Table Eighteen. Admission Data on Drug of Choice for Adults in Pasco County ...........................................27 Table Nineteen. Admission Data on Drug of Choice for Youth in Pasco County ...........................................27 Appendices......................................................................................................................................................28 Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey ..................28 Appendix B: Pasco County Last Drink Assessment.........................................................................................33 Appendix C: DUI Crashes .............................................................................................................................37 Acknowledgements .........................................................................................................................................39

4  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators  January 2011  37


Appendix B: Pasco County Last Drink Assessment

Letter to Community Stakeholders

Table 2: Last Drink Survey Information (continued) What has been the greatest consequence of your being arrested/convicted for DUI? Impact on job Impact on family Loss of driver’s license Financial costs Having the conviction on my record Jail time Other What do you think would help prevent people from getting a DUI? (check all that apply) Fines/arrest for people that host underage drinking parties No/fewer drinking games at parties No/fewer drinking games at bars/clubs No/fewer drink specials at bars/clubs More availability of food at bars/clubs Training bar/club employees on responsible alcohol service Bartenders using only measured amounts of alcohol (shots) so drinkers can accurately know how much they have had to drink Security personnel at bars/clubs that pay attention and deal with intoxicated customers

*Note: Some responses do not add up to total since there were some missing data.

N

%

17 33 51 50 24 15 4

9% 17% 26% 26% 12% 8% 2%

28 18 17 19 23 34 15

15% 10% 9% 10% 12% 18% 8%

32

17%

Dear Community Stakeholder, The Pasco County Alliance for Substance Abuse Prevention (ASAP) Coalition was formed in 2006 with the mission “to develop, motivate, and encourage strategic relationships that reduce countywide risk factors and decrease substance abuse among youth and adults.” ASAP serves Pasco County with a population of over 471,000. ASAP includes representatives from many sectors of the community including law enforcement, faith-based organizations, youth-serving organizations, schools, businesses, civic groups, healthcare, behavioral health service providers, government, media, parents and youth. Each year, ASAP works with researchers from the University of South Florida to gather and report the most prevalent and up-to-date substance abuse related data impacting Pasco County. In this Indicator Report, we provide a balance of both quantitative and qualitative data from a variety of federal, state, regional, and county sources. As you will see, the Indicator report lends compelling information regarding alcohol and drug related trends impacting the families in our community. The most alarming data and trends we have identified on a federal, state and local level are related specifically to the epidemic of prescription drug abuse: x x x x x x x x

Tracey Kaly, LMHC Clinical Manager, BayCare Behavioral Health

Prescription painkillers kill about twice as many people as cocaine and five times as many as heroin. Nearly two million Americans are dependent on or abusing opioid pain relievers - nearly twice as many as are addicted to cocaine. There has been a 400% increase in the number of people seeking treatment for addictions to painkillers from 1998 to 2008. Prescription drugs cause the death of seven people a day in Florida. Florida has become the epicenter for the availability of illegally diverted prescription drugs and is only one of twelve states that currently does not operate a Prescription Drug Monitoring Program (PDMP). 126 prescription drug-related deaths were reported in Pasco County in 2009. Holiday, Florida is considered "ground zero" for prescription drug abuse. 60% of Pasco County child protective investigation cases resulting in a child being removed from a home involve prescription drug abuse. Pasco County youth outpace Florida Statewide youth who reported having used various drugs in their lifetimes (prescription drugs, over the counter drugs and alcohol). In 2008, Pasco County ranked second highest in the State of Florida for infants being born experiencing withdrawal symptoms. This is a 1000% increase in babies born addicted compared to 2005. Pinellas County ranked first with 70 newborns. Although 2009-2010 data is not yet available, we fear the trend has increased.

This report also highlights the activities that ASAP conducts to help combat the negative trends and to make Pasco County a healthy and safe place for families. In 2010, to address the growing number of individuals seeking treatment for prescription drug use and the increased number of unauthorized pain management clinics in Pasco County, ASAP created a Prescription Drug Task Force to review, research and make recommendations on how to address the problems within our community. The Task Force was instrumental with the following key accomplishments: x x x x x x

Helping the Pasco County Sheriff’s Office and Dade City Police Department collect over 2,158 pounds of pills and sharps during Prescription Drug Take Back Events. Supporting the Dade City Police Department to host the first permanent pharmaceutical drug take-back site. Electing a pain management practitioner to ASAP’s Board of Directors. Providing training for child welfare workers on prescription drug misuse and impact on families in collaboration with Dependency Court Judge, Lynn Tepper. Attending a Prescription Drug panel discussion organized by Judge Lynn Tepper with Representative John Legg, Special Counsel Dave Aronberg, and local law enforcement, child welfare and treatment provider leaders in Pasco County. Organizing and participating in community candle light vigils, informational tables at events, public service announcements to continue to educate the public.

As an inaugural member and current chairperson for ASAP, I have been honored and humbled to work with such dedicated people within Pasco County. Each year, our membership grows substantially with caring individuals supporting our cause. On behalf of our Board of Directors and Executive Committee, I would like to thank the countless hours that our ASAP volunteers provide throughout the year to promote healthy and safe communities within our County. We hope you find this Indicator Report useful. For more information about our Coalition and how to get involved, please visit our website at www.pascoasap.com. We look forward to our continued partnership with key stakeholders, community members, and youth within the Pasco County community. With our collective passion, we will achieve our shared vision for the future.

Sincerely, Tracey Kaly, LMHC Chairperson, Pasco County Alliance for Substance Abuse Prevention (ASAP)

36  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators  January 2011  5


Appendix B: Pasco County Last Drink Assessment

Report Highlights Criminal Justice Indicator Highlights • DUI arrests for Pasco and Florida statewide increased from 2006 to 2008, peaking in 2008 then decreasing in 2009.

Report Highlights

• Pasco County’s drug/narcotic arrests peaked in 2009, whereas Florida statewide experienced reductions from 2007 to 2009. • Pasco’s liquor law violations increased from 30 violations in 2007 to 130 in 2009. • The Suncoast and Central counties had the highest statewide cost attributed to underage drinking. Costs per youth under the age of 21 are highest in the Suncoast region, between $679 and $2,021 per youth, respectively. Pasco County is rated 13 out of the 67 counties in terms of costs attributed to underage drinking for the state of Florida.

Adolescent Prevalence Rate Highlights Alcohol • Similar to Florida’s statewide rates, Pasco County’s lifetime and past month use of any alcohol decreased from 2004 to 2010. In 2010, Pasco County middle and high school students reported their lowest lifetime rates of alcohol use. • Binge drinking declined from 20.3% in 2006 to 13.5% in 2010. • Alcohol use continues to decrease as the harm associated with use increases. Marijuana • Consistent with statewide rates, in 2010 Pasco County’s past 30-day use rates of marijuana and any illicit drug use were at their peak. Also, lifetime marijuana use increased from 2008 to 2010 for both Pasco County and Florida statewide. • Past 30-day marijuana use among middle school students increased from 4.9% in 2004 to 6.7% in 2010. • Marijuana use has seen an increase as the harm associated with use decreases. Inhalant Use • Past 30-day inhalant use among high school students decreased from 5.2% in 2006 to 1.7% in 2010. • In 2010, Pasco County reported its lowest rates for inhalant use.

Mortality Data • In 2009 oxycodone was the drug most commonly found in lethal levels by both Pasco and Pinellas County Medical Examiners. • Alprazolam (Xanax) was the drug most commonly found in non-lethal levels by Pasco and Pinellas County Medical Examiners in 2009. • Pasco suicide attempts using poisons or medications peaked in 2010. • Pasco County has steadily decreased alcohol-related injuries and crashes from 2006 – 2009.

Treatment Data • BayCare Behavioral Health adult outpatient admissions increased from 2006/2007 to 2009/2010; during this time frame adult residential admissions peaked in 2009/2010. • Youth residential admissions nearly doubled from 2008/2009 to 2009/2010. • For adults, opiate use was the primary drug of choice in 2009/2010, followed by alcohol and marijuana. For youth, marijuana was the primary drug of choice in 2009/2010, followed by opiates and alcohol. • Approximately 75% of youth in treatment at BayCare Behavioral Health for opiate use have dropped out of school. Very few are enrolled in GED programs. 6  Profile of Alcohol and Drug Indicators  January 2011

Table 2: Last Drink Survey Information (continued) Approximately how many miles did you drive from the location of your last drink before being stopped by law enforcement? 1-5 6-10 11-15 16 or more What law enforcement agency stopped you? Local Police department Pasco Sheriff’s Office Florida Highway Patrol Other Did you have any passengers in the vehicle with you when stopped? (Yes) Did your DUI arrest involve a traffic crash? (Yes) What was the location of your last drink before you were arrested? Your own residence At someone else’s residence At a club, bar, restaurant At a special event Other If your last drink before you were arrested was at a residence, were there more than 10 people there? (Yes) If your last drink before you were arrested was at a residence, would you consider it a house party? (Yes) Were individuals under the age of 21 served alcohol? (Yes) County of last drink Pasco Hillsborough Hernando Pinellas Other Was proof of age required by bartender/server? (Yes) At the location you were drinking right before you were arrested, how many hours were you there? 0-3 4-6 7 or more At the location you were drinking right before you were arrested, what type of drinks did you have? Beer Wine Shots of alcohol Mixed drinks Energy drinks Did any of the following occur at the location of your last drink prior to your arrest: (check all that apply) Someone suggested I take a bus/taxi Someone encouraged me to call a friend/family member to pick you up Someone tried to take my car keys to prevent me from driving Someone offered to call a cab Someone offered to give me a ride Someone recommended that I wait before driving Someone recommended that I not drive On the day/night of your arrest, were you drinking at any other location before the location of your last drink? (Yes) On the day/night of your arrest, were you using any drugs, besides alcohol (check all that apply) Prescription drugs Marijuana Cocaine Other None

N

%

59 11 5 14

66% 12% 6% 16%

24 54 17 18 27 20

21% 48% 15% 16% 20% 18%

9 9 8 9 23 9

9% 9% 8% 9% 23% 26%

4

13%

3

9%

46 15 2 13 1 24

60% 20% 3% 17% 1% 47%

46 25 12

55% 30% 15%

50 2 24 23 3

49% 2% 24% 23% 3%

2 1 2 1 5 6 9 15

8% 4% 8% 4% 10% 23% 35% 14%

16 6 3 1 68

17% 6% 3% 1% 72%

Profile of Alcohol and Drug Indicators  January 2011  35


Appendix B: Pasco County Last Drink Assessment

Introduction

Last Drink Assessment Survey Results

Area Description

Table 1: Demographics (N = 113) Gender Male Female Age Group 20 and younger 21 to 25 26 to 29 30 to 39 40 to 49 50 to 59 60 or over Race/Ethnicity White Black Hispanic Asian/Pacific Islander Native American Multi-Racial

N

%

82 31

73% 27%

5 10 13 31 24 19 11

4% 9% 12% 27% 21% 17% 10%

98 2 6 4 2 1

87% 2% 5% 4% 2% 1%

Pasco County is located on the Gulf of Mexico. Pasco is comprised of 868 square miles of land and is approximately 35 miles from Tampa. The County contains six municipalities: New Port Richey, Port Richey, San Antonio, St. Leo, Zephyrhills, and Dade City, which is the county seat. Located less than an hour’s drive north of downtown Tampa and St. Petersburg, Pasco County is a transitioning suburban community. It is the 50th fastest growing county in the United States, with 105,403 new residents since the year 2000 (constituting a 30.6% increase). According to the 2006 census estimate, the population was 471,028, with 91.0% White, 3.6% Black or African American, 1.8% Asian, and 3.6% other races. Census figures also indicate that 9.2% of Pasco’s population report being of Hispanic or Latino origin, the slight majority (51.6%) are female, median age is 42.1 years, and 11% live below the poverty level. There are 34,169 students in grades 6-12 (15,554 in middle school and 18,615 in high school). Currently, there are nearly 800 licensed premises that sell alcoholic beverages and 35 licensed pain clinics in Pasco County.

Pasco County Alcohol and Drug Indicator Analysis

Table 2: Last Drink Survey Information* Are you in the: First time offender program Multiple offender program Were you required to do substance abuse treatment? (Yes) Were you arrested for DUI because of your use of: (check only one answer) Alcohol only Illegal and/or prescription drugs only Combination of alcohol and drugs How many times have you been arrested for DUI, including this arrest? 1-2 3-4 5 or more Day of arrest: Sunday Monday Tuesday Wednesday Thursday Friday Saturday For alcohol-related arrests, what was your blood alcohol level (BAC)? .05-.07 .08-.10 .11-.12 .13-.14 .15 or greater Refusal On the day of your arrest, what was the total number of alcoholic drinks you had that day? 1-2 3-4 5 or more Drugs only

34  Profile of Alcohol and Drug Indicators  January 2011

Indicator reporting programs are a useful means of gaging the extent of local alcohol and drug use and their related problems. Additionally, collecting indicator data over time will help to ascertain the impact of efforts designed to reduce alcohol and drug use and its related problems. Indicators can be used by community leaders in the following ways: (1) to identify the most important local substance use problems, (2) to target community prevention and treatment strategies, and (3) to evaluate the results of new policies and programs. To this end, the Pasco County Alliance for Substance Abuse Prevention (ASAP) worked with researchers to conduct an evaluation of adolescent and adult alcohol and drug use indicators available throughout Pasco County. Some of the data was compared to state averages.

N

%

58 55 46

51% 49% 45%

95 7 8

86% 6% 7%

101 12 0

89% 11% 0%

This report describes alcohol and other drug trends in Pasco County, using the data sources summarized below:

9 9 8 9 23 16 27

9% 9% 8% 9% 23% 16% 27%

• Florida Department of Children and Families

9 7 7 6 24 14

13% 11% 11% 9% 36% 21%

• Florida Office of Vital Statistics

18 29 42 4

19% 31% 45% 4%

Data Sources

• Uniform Crime Report (UCR) • Florida Youth Substance Abuse Survey (FYSAS) • Florida Department of Law Enforcement (FDLE) • Drug Enforcement Agency • Florida Agency for Health Care Administration • Florida Poison Control • Florida Department of Highway Safety and Motor Vehicles (FDHSMV) • BayCare Behavioral Health

Profile of Alcohol and Drug Indicators  January 2011  7


2010 Accomplishments/Successes ΠCompleted Profile of Alcohol and Drug Indicators Report for Pasco County. ΠAttended the Suncoast Regional Prevention System Meeting.

ΠProvided Responsible Beverage Server Training, Fake ID identification training, Compliance Checks training and Safe Festival Training to PSO and NPRPD. ΠAttended the National Coalition Academy provided by CADCA and RCTA.

ΠCollected roughly 568.2 pounds of pills and 212 pounds of Sharps at a Prescription Drug Take Back day. ΠParticipated in 2 day evidence-based training Communities Mobilizing for Change on Alcohol (CMCA). ΠMentioned in several articles as Senator Fasano and Representative Legg work to implement a moratorium on pain clinics.

ΠConducted an executive committee strategic

Appendix B: Pasco County Last Drink Assessment

January

February

ΠEstablished ASAP prescription drug abuse committee. ΠSupported SROs alcohol prevention presentation in Pasco County High Schools.

March

April

May

June

ΠConducted Open House Party Media Campaign. ΠHosted Town Hall Meeting on the dangers of underage drinking and alcohol abuse. ΠInterviewed on 97X radio show. ΠCreated Facebook page. ΠAdministered Prescription Drug Abuse Survey to Pasco County residents.

ΠHosted training for ASAP and community members on methadone maintenance. ΠSurveyed ASAP membership to assess strengths, needs, and opportunities. ΠAttended week 2 of the National Coalition Academy.

Pasco County conducts the Last Drink Survey with its DUI offenders in order to learn more about them and the circumstances surrounding the drinking incident that lead to their DUI arrest. Responses were collected from 113 Pasco County DUI offenders. Most respondents were male (73%) and Caucasian (87%). Respondents most commonly indicated that they were between the ages of 30-39 (27%) or 40-49 (21%), though underage persons (4%) were also represented. A slight majority (51%) indicated that they were in the first-time offender program, and less than half (45%) indicated that they were required to participate in substance abuse treatment. DUI arrests most commonly occurred on a Thursday (23%), Friday (16%), or Saturday (27%). Respondents typically reported BAC levels of .15 or greater (36%), with 21% refusing to blow into the breathalyzer. Respondents typically indicated that they had only driven one to five miles (66%) after their last drink before being arrested, and they were most often stopped by Pasco County Sheriff’s Office (48%). Most respondents indicated that there was no passenger (62%) in the car when they were pulled over, and most (82%) did not involve a traffic crash. The most common location of the last drink was reported as a club, bar, or restaurant (53%), and most individuals (53%) reported that they did not think about being arrested for a DUI on the day/night of the event.

July

planning session utilizing member feedback to review and develop goals.

August

Œ Participated in DEA National prescription drug take back event with PSO, DCPD, ZPD, NPRPD and PRPD. Œ Collected a total of 481.1 pounds of pills and 64.9 pounds of sharps. Œ Attended Florida’s State Prevention Conference.

Œ Sponsored first permanent drug collection site at the Dade City Police Department’s lobby. Œ Completed Year 1 Drug Free Community Report. Œ Held second Annual Meeting and released preliminary results from the ASAP Alcohol and Prescription Drug Survey.

8  Profile of Alcohol and Drug Indicators  January 2011

September

October

November

December

ΠParticipated in Back to School Events at Gulf View Square Mall. ΠPartnered with PSO for Statewide Prescription Drug Tame Back Event. ΠCollected over 800 pounds of pills and sharps. ΠParticipated in JoyFM radio interviews regarding Take Back events. ΠAttended week 3 of the National Coalition Academy.

ΠParticipated in NOPE Candle Light Vigil. ΠSupported Red Ribbon Week. ΠProduced 3 ASAP Billboards throughout high traffic areas in Pasco. ΠDeveloped ASAP Public Service Announcements which were aired for 3 months on WTOG-TV CW-44. ΠDeveloped 16 page Back to School Newspaper in Education insert with PSO and PCSB Times and Pasco County Schools.

ΠAccepted nominations for 2011 Board of Directors Slate (voted in January). ΠCompleted requirements for the National Coalition Academy and RCTA final products turned in for final review before graduation in February 2011 at the National Leadership Institute in Washington D.C.

Profile of Alcohol and Drug Indicators  January 2011  33


Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey

Criminal Justice Indicators Table One. Alcohol- and Drug-Related Offense and Arrest Data

The Impact of Alcohol and Prescription Drugs on Pasco County Table 5: Local Impact of Alcohol and/or Prescription Drugs How much do alcohol and/or prescription drug abuse contribute the following in Pasco County: Negative reputation or image of the community Vandalism or property damage Fights Family violence Traffic crashes Unemployment rates

Indicator Not at All

A Little

Some

A Lot

Not Sure

4% 2% 1% 1% 1% 2%

5% 4% 4% 2% 3% 8%

25% 23% 24% 18% 23% 31%

61% 68% 68% 76% 69% 53%

5% 4% 3% 2% 4% 7%

DUI Arrests Drug / Narcotic Arrests

Pasco County 2006 2007 2008 2009 1,410

1,997

2,174

1,613

1,720

1,683

1,941

2,094 168,119 169,360 159,916 146,056

38

30

69

1

Liquor Law Violations

130

2006

Statewide 2007 2008

2009

55,278

58,824

53,004

32,137

34,898

61,852 33,084

37,715

Note. Uniform Crime Report (UCR) data retrieved through FDLE web site: http://www.fdle.state.fl.us/FSAC/data_statistics.asp. 1

Liquor Law Violations definition: Violation of laws or ordinances prohibiting the manufacture, sale, purchase, transportation, possession or use of intoxicating alcoholic beverages. • DUI arrests for Pasco and Florida statewide increased from 2006 to 2008, peaking in 2008 then decreasing in 2009.

Local Factors Affecting Alcohol and Prescription Drug Abuse in Pasco County A Little

Some

A Lot

Not Sure

6% 3% 4% 5% 3% 3% 5% 3% 3% 4% 3% 2% 2% 3% 3% 3% 4% 4%

13% 8% 9% 8% 5% 7% 9% 7% 7% 8% 6% 5% 5% 7% 11% 8% 11% 12%

34% 26% 34% 30% 23% 23% 37% 27% 31% 18% 23% 21% 18% 32% 30% 20% 27% 27%

38% 59% 50% 53% 67% 64% 44% 59% 50% 62% 62% 66% 69% 52% 49% 63% 51% 50%

9% 5% 3% 4% 2% 3% 5% 4% 8% 8% 6% 7% 6% 6% 7% 6% 6% 7%

• In 2009 Pasco’s liquor law violations increased substantially from 2007 to 2009, from 30 violations in 2007 to 130 in 2009.

Figure One. Comparison of Pasco County DUI and Drug/Narcotic Arrests DUI Arrests Drug/Narcotic Arrests

3000 2500

2174

2000 1720 1500

1410

1997

1941

2094 1613

1683

1000 500

200

150 130 100 69 50 38 30 0

0 2006

32  Profile of Alcohol and Drug Indicators  January 2011

Figure Two. Pasco County Liquor Law Violations

# Liquor Law Violations

Not enough enforcement of illegal sale of alcohol Not enough enforcement of the illegal sale of prescription drugs Not enough education of underage drinking consequences to youth Not enough education of underage drinking consequences to adults Not enough education of prescription drug abuse consequences to youth Not enough education of prescription drug abuse consequences to adults Low public awareness of underage drinking issues Low public awareness of prescription drug issues No oversight of doctors Too many pain clinics Lack of alternative treatments for chronic pain Lack of treatment options for uninsured in need of rehab or other addiction treatment No mechanism to track multiple prescriptions to one person Unsecured medications in the home Unsecured alcohol in the home Prescriptions for a large quantity of pills Lack of awareness on how to dispose unused or expired medications Lack of resources to dispose unused or expired medications

Not at All

# Arrests

Table 6: Factors Affecting Alcohol and/or Prescription Drug Abuse How much do the following contribute to alcohol and/or prescription drug abuse in Pasco County?

• Pasco County’s drug/narcotic arrests peaked in 2009, whereas Florida statewide experienced reductions in this area from 2007 to 2009.

2007

2008

2009

2006

2007

2008

2009

Profile of Alcohol and Drug Indicators  January 2011  9


Criminal Justice Indicators

Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey Table Two. Economic Costs of Underage Drinking in Florida by County1

County Dade Broward Orange Palm Beach Duval Hillsborough Pinellas Lee Brevard Polk Volusia Escambia Pasco Manatee Sarasota Seminole Marion Osceola Collier Leon Alachua Saint Lucie Lake

Total (in millions) % of Total 460.6 258.7 230.9 223 207 205.1 161 93.9 88.3 86.6 72.7 65.8 65.6 61.6 54.4 48.2 45 40.4 40.2 38.6 38.3 37.4 33.7

15 8.4 7.51 7.26 6.7 .5 5.24 1.1 2.9 2.82 2.37 2.1 2.13 .1 1.77 1.57 2.01 1.32 1.3 3.05 1.2 1.22 .01

County Bay Okaloosa Clay Charlotte Saint Johns Putnam Hernando Santa Rosa Martin Indian River Monroe Nassau Citrus Highlands Columbia Flagler Suwannee Jackson Hendry Sumter Okeechobee Gadsden Walton

Total (in millions) % of Total 31.4 23.7 22.3 20.8 20.4 20.2 19.8 19.2 17.3 16.8 15.4 15.3 14.9 14.3 12.1 10.4 9.3 9.1 8.9 7.6 7.5 7.1 6.8

1 .77 .7 .7 .66 .66 .3 .63 1.46 .1 .56 .5 .5 .6 .4 .3 .3 .5 .2 .25 .24 .2 .22

County Desoto Baker Levy Hardee Taylor Bradford Gulf Madison Dixie Franklin Wakulla Jefferson Holmes Washington Calhoun Gilchrist Hamilton Glades Union Liberty Lafayette

Total (in millions) % of Total 6.6 5.3 5.3 4.7 4.4 4.3 3.3 3.2 3.1 3 3 2.9 2.5 2.5 1.8 1.5 1.4 1.3 1.3 .8 .3

.2 .2 1.26 0 .14 .1 .1 .03 .1 .1 .1 .3 6.7 .08 .1 0 .1 0 .04 .17 .1

Note: Data obtained from http://www.dcf.state.fl.us/mentalhealth/sa/prevention.shtml 1

Table 2: Demographics (continued) Have you, a family member, or a close friend: Ever had a drinking problem Ever been seriously injured in an accident involving a drunk driver It is acceptable for those under age 21 to drink (Yes) It is okay for parents to provide alcohol to their underage children (Yes) You know parents who lock up their alcohol to prevent teens from trying it (Yes) You think any drinking is acceptable before driving (Yes) Your doctor/pharmacist spends adequate time on prescription safety when prescribing (Yes) Taking prescription drugs is acceptable before driving (Yes) You or a family member or a close friend were addicted to a prescription medication Know someone who died from a prescription overdose (Yes) Pasco County is doing enough to address prescription drug abuse (Yes) Pasco County has enough resources to address prescription drug abuse (Yes) Prescription drugs are much safer than illegal drugs, even if not prescribed (Yes) Prescription narcotics (Oxycodone, Vicodin, Percocet, etc.) are addictive (Yes) Xanax is addictive (Yes) Your doctor talked to you about how medication(s) will interact with each other and alcohol (Yes) It is acceptable to take someone else’s prescribed medication (Yes) You have spoken to your child about prescription drug abuse (Yes)

N

%

293 140 61 38 130 58 178 162 210 190 68 91 20 407 390 199 23 196

70% 33% 15% 9% 31% 14% 43% 39% 50% 45% 17% 23% 5% 97% 94% 48% 6% 75%

Concerns about Alcohol and Prescription Drug Problems Table 3: Concerns about Alcohol and Prescription Drug Problems How concerned are you about the following:

Not at all Concerned

A Little Concerned

Somewhat Concerned

Very Concerned

2% 1% 1% 2% 2% 2% 1% 9% 3%

11% 2% 3% 7% 6% 5% 7% 14% 9%

26% 11% 18% 20% 19% 18% 15% 24% 19%

61% 86% 78% 71% 74% 75% 77% 52% 69%

Underage drinking Drunk driving Prescription drug abuse Driving under the influence of prescription drugs Prescription overdoses Prescription overdose deaths Physicians prescribing larger amounts of addictive prescription drugs than necessary People crushing their prescriptions before ingesting them People snorting or injecting prescription drugs

Total estimates at the county level exclude alcohol dependence and abuse treatment costs.

• Counties located in the Suncoast and Central regions of the state generated the largest share of the total statewide cost attributed to underage drinking. Costs per youth under the age of 21 and per youth between the ages of 14 and 20 are highest in the Suncoast region, between $679 and $2,021 per youth, respectively. The counties located in the Suncoast region are Charlotte, Collier, Desoto, Glades, Hendry, Hillsborough, Lee, Manatee, Pasco, Pinellas, and Sarasota. • Pasco County is rated 13 out of the 67 counties in terms of costs attributed to underage drinking for the state of Florida; total cost of underage drinking 65.6 million (2.13 of total).

10  Profile of Alcohol and Drug Indicators  January 2011

Alcohol and Prescription Drug Policies Table 4: Alcohol and Prescription Drug Policies How strongly would you favor or oppose the following alcohol and prescription drug policies:

Strongly Oppose

Somewhat Oppose

Somewhat Favor

Strongly Favor

Not Sure

At public events, having family zones where alcohol is not allowed Additional DUI law enforcement operations Retail compliance checks (checks of alcohol retailers insuring compliance with alcohol laws) Party patrol operations (social hosting) Additional law enforcement operations (excluding DUI enforcement) Moratorium (delay or suspension) on new pain clinics Additional pain clinic regulations Stricter penalties for possession of narcotic medications without a prescription Family physicians talking about your alcohol use at each visit

2% 2% 3% 5% 3% 3% 3% 4% 5%

5% 5% 2% 8% 6% 6% 3% 6% 9%

24% 16% 24% 27% 24% 17% 14% 14% 28%

64% 72% 53% 39% 61% 66% 75% 71% 51%

4% 4% 19% 21% 6% 8% 5% 4% 7%

Profile of Alcohol and Drug Indicators  January 2011  31


Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey

General Population Surveys: Adolescent Prevalence Rates Table Three. Students Reporting Past 30-day Use of Selected Drugs

Results Demographics

Drug Type

Table 1: Demographics (N = 457) Gender Male Female Age Group 17 and younger 18 to 20 21 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 or over Race/Ethnicity Caucasian/White African-American/Black Native American Pacific Islander/Asian Multicultural Hispanic/Latino Marital Status Single Living with partner Married Separated Divorced Widowed Education Less than high school High school diploma or GED Some college, but no degree Undergraduate college degree Graduate college degree Age of children living at home No children 0 – 10 years old 11 – 17 years old 18 – 20 years old Adult child(ren) living at home 30  Profile of Alcohol and Drug Indicators  January 2011

N

%

121 306

28% 72%

22 34 19 89 87 109 51 17

5% 8% 4% 21% 20% 26% 12% 4%

350 15 4 2 10 44

82% 4% 1% 1% 2% 10%

115 32 220 12 40 7

27% 8% 52% 3% 9% 2%

26 51 142 78 131

6% 12% 33% 18% 31%

187 114 119 51 46

41% 25% 26% 11% 10%

Any Alcohol Binge drinking Cigarettes Smokeless tobacco Marijuana Inhalants Any illicit drug Any illicit except marijuana Alcohol or any illicit drug Prescription Pain Relievers Prescription Amphetamines

2004

Pasco County 2006 2008

2010

34.7% 18.7% 13.4% 3.4% 13.0% 3.8% 17.2% 9.4% 38.1% 13.0% 3.0%

33.5% 20.3% 12.8% 5.2% 13.6% 5.2% 17.4% 9.4% 37.0% 12.0% 5.3%

29.2% 13.5% 11.8% --14.8% 3.1% 19.4% 9.1% 34.6% 3.0% 0.8%

30.0% 15.8% 12.3% --12.9% 2.3% 16.2% 8.4% 34.0% 10.8% 2.7%

2004

Florida Statewide 2006 2008

2010

32.3% 16.0% 11.4% 3.7% 11.5% 4.2% 15.8% 8.0% 36.1% 3.3% 1.3%

32.0% 16.8% 10.6% 4.6% 11.4% 3.9% 15.0% 7.3% 35.4% 3.2% 1.4%

28.8% 14.1% 8.8% --13.0% 3.2% 18.0% 9.3% 34.1% 2.9% 1.1%

29.8% 14.8% 9.1% --11.1% 3.5% 15.8% 8.9% 33.9% 3.2% 1.2%

Note. Data obtained from FYSAS, http://www.dcf.state.fl.us/mentalhealth/publications/fysas/

• Similar to Florida’s statewide rates, Pasco County’s past month use of any alcohol decreased from 2004 to 2010. • Consistent with statewide rates, in 2010 Pasco County’s past 30-day use rates of marijuana and any illicit drug use were at their peak. • Binge drinking declined from 20.3% in 2006 to 13.5% in 2010.

Figure Three. Past 30-day Use of Alcohol, Tobacco and Other Drugs among Pasco County Students, 2010

35 30

29.2

25 20 15

14.8

13.5 11.8

10 5 0

3.1

3

3

1.6

0.9

0.9

0.8

0.8

0.5

0.4

0.4

Profile of Alcohol and Drug Indicators  January 2011  11


General Population Surveys: Adolescent Prevalence Rates

Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey

Table Four. Pasco County Students Reporting Past 30-day Use of Selected Drugs

Drug Type Any alcohol Binge drinking Cigarettes Smokeless tobacco Marijuana Inhalants Any illicit drug Any illicit except marijuana Alcohol or any illicit drug Prescription pain relievers Prescription amphetamines

2004

Middle School 2006 2008

2010

19.3% 8.6% 5.9% 3.1% 4.9% 5.7% 11.6% 8.5% 24.6% 1.8% 1.4%

16.6% 8.2% 6.8% 3.5% 5.5% 5.1% 10.1% 6.9% 20.0% 2.4% .8%

16.2% 7.2% 5.8% --6.7% 4.9% 12.2% 8.2% 20.6% 1.5% .8%

15.1% 6.0% 5.9% --4.7% 3.8% 8.6% 6.5% 18.0% 3.2% .6%

2004

High School 2006 2008

2010

47.5% 26.8% 19.7% 3.8% 19.4% 2.3% 21.6% 10.2% 49.4% 9.5% 1.5%

46.4% 29.4% 17.5% 6.4% 19.5% 5.2% 22.8% 11.1% 49.9% 6.9% 2.2%

39.3% 18.5% 16.6% --21.1% 1.7% 25.1% 9.7% 45.6% 4.1% .7%

42.0% 23.7% 17.4% 5.5% 19.5% 1.1% 22.3% 9.9% 47.0% 3.8% .8%

Note. Data obtained from FYSAS, http://www.dcf.state.fl.us/mentalhealth/publications/fysas/

• From 2002–2008 past month alcohol use and binge drinking decreased among middle school students then increased in 2010. • Among high school students, 2010 had the lowest rates for any alcohol use, binge drinking, cigarettes, any illicit except marijuana, and prescription amphetamines. • Past 30-day alcohol use among high school students decreased from 47.5% in 2004 to 39.3% in 2010.

LOCAL FACTORS AFFECTING ALCOHOL AND PRESCRIPTION DRUG ABUSE • Respondents indicated that the following were the leading factors that contribute to alcohol and prescription drug abuse in Pasco County: 

Not enough education of prescription drug abuse consequences to youth and adults

Prescriptions for a large quantity of pills

Too many pain clinics

No mechanism to track multiple prescriptions to one person

Lack of substance abuse treatment options for the uninsured

Lack of alternative treatments for chronic pain

COMMUNITY IMPACT OF ALCOHOL AND PRESCRIPTION DRUG ABUSE • Over 65% of respondents indicated that underage drinking and prescription drug abuse contribute “a lot” to the following local problems: 

Vandalism

Fights

Family violence

Traffic crashes

• Past 30-day marijuana use among middle school students increased from 4.9% in 2004 to 6.7% in 2010. • Past 30-day inhalant use among high school students decreased from 5.2% in 2006 to 1.7% in 2010.

Figure Four. Past 30-day Alcohol Use Pasco County 2004-2010 and Florida 2010

50 45 40 35 30 25 20 15 10 5 0

47.5

County 2004 46.4

County 2006

42 39.3

County 2008 38

County 2010

34.7 33.5

Florida 2010

30 29.2 28.2

19.3 16.6 16.2 16.8 15.1

Middle School

12  Profile of Alcohol and Drug Indicators  January 2011

High School

Overall

Profile of Alcohol and Drug Indicators  January 2011  29


General Population Surveys: Adolescent Prevalence Rates

Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey

Figure Five. Past 30-day Binge Drinking Pasco County 2004-2010 and Florida 2010

35

County 2004

30

County 2008

26.8

In 2010 ASAP conducted a survey to assess the community’s attitudes towards local alcohol policies and patterns of prescription drug use. The survey was administered both in hard copy and online, and feedback was obtained from 457 Pasco County residents. Results are highlighted below:

25

PERSONAL INVOLVEMENT

20

• Most respondents (70%) reported that they, a family member, or a close friend had a drinking problem.

15

• Half (50%) of respondents indicated that they, a family member, or a close friend were addicted to prescription drugs.

10

County 2010

23.7

Florida 2010

• Nearly half (45%) of respondents indicated that they knew someone who died of a prescription drug overdose.

5

LOCAL ATTITUDES TOWARDS UNDERAGE DRINKING

0

• Only 15% indicated that it is okay for underage persons to consume alcohol, and only 9% reported that it is okay for adults to provide alcohol to individuals under age 21.

County 2006

29.4

20.3

19.6 18.5

18.7 15.8 13.5 14.1

8.6 8.2 6

7.2 6.9

Middle School High School

Overall

• Most respondents (61%) reported that they were “very concerned” about underage drinking, and 86% were “very concerned” about drunk driving. • Most respondents indicated that they “strongly favored” the following policies: 

72% strongly favor additional DUI law enforcement operations.

64% strongly favor having family zones at public events where alcohol is not allowed.

LOCAL ATTITUDES TOWARDS PRESCRIPTION DRUG USE • Only 23% of respondents indicated that Pasco County has sufficient resources to address prescription drug abuse. • Most respondents reported that they were “very concerned” about the following prescription drug problems: 

78% very concerned about prescription drug abuse

77% very concerned about physicians prescribing larger amounts of addictive medications than necessary

75% very concerned about prescription drug overdose deaths

71% very concerned about driving under the influence of prescription drugs

• Most respondents indicated that they “strongly favored” the following policies: 

75% strongly favor additional pain clinic regulations

71% strongly favor stricter penalties for possession of narcotic medications without a prescription

66% strongly favor a moratorium (delay or suspension) on new pain clinics

The Pasco Sheriff ’s Office, Dade City Police Department, ASAP, and SADD students from Centennial Middle School invited the community to participate in a Red Ribbon Week Kick Off event decorating the Historic Dade City Court House grounds.

28  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators  January 2011  13


Table Eighteen. Admission Data on Drug of Choice for Adults in Pasco County

General Population Surveys: Adolescent Prevalence Rates

Adult Drug of Choice FY 2009/2010

Drug of Choice

Table Five. Students Reporting Lifetime Use of Selected Drugs

Primary Drug Type Any alcohol Cigarettes Smokeless tobacco Marijuana Inhalants Any illicit drug Any illicit except marijuana Alcohol or any illicit drug

2004

Pasco County 2006 2008

2010

61.1% 38.0% 10.5% 27.6% 12.2% 34.9% 21.4% 64.5%

57.6% 32.1% 12.0% 23.9% 13.2% 31.7% 19.8% 61.1%

53.1% 29.2% --27.4% 10.1% 35.1% 22.1% 57.0%

53.9% 30.4% --23.5% 10.4% 31.3% 21.4% 57.3%

2004

Florida Statewide 2006 2008

57.5% 34.0% 9.6% 23.5% 12.9% 31.9% 19.5% 61.1%

56.1% 30.6% 10.9% 22.5% 12.2% 30.3% 18.1% 59.5%

53.2% 23.0% --21.1% 11.4% 30.4% 20.7% 57.1%

2010 51.5% 25.9% --23.8% 10.0% 33.0% 21.0% 56.3%

Note. Data obtained from Florida Youth Substance Abuse Survey (FYSAS) of middle and high school students, http://www.dcf.state.fl.us/mentalhealth/publications/fysas/

Treatment Data

Secondary

Tertiary

Opiates

566

173

58

Alcohol

246

67

46

Marijuana

145

141

59

Crack

81

83

42

Methamphetamine

35

5

8

Minor tranquilizers

37

92

67

Other

22

17

20

1132

578

300

TOTAL Note. Data obtained from the Baycare Behavioral Health Network

• For adults, opiates was the primary drug of choice in 2009/2010, followed by alcohol and marijuana.

• From 2004–2010 fewer Pasco County students reported lifetime use of alcohol, and this downward trend was also seen in Florida’s statewide data.

Table Nineteen. Admission Data on Drug of Choice for Youth in Pasco County

• In 2010, Pasco County reported its lowest rates for use of alcohol, cigarettes, inhalants, and alcohol or any illicit drug.

Youth Drug of Choice FY 2009/2010

• Consistent with Florida statewide, Pasco County lifetime marijuana use increased from 2008 to 2010.

Drug of Choice Primary Figure Six. Lifetime Use of Alcohol, Tobacco, and other Drugs among Pasco County Students, 2010 60

53.1

50 40 30

29.2

27.4

10

10.1

0

9

7.1

Tertiary

Marijuana

97

17

6

Opiates

21

29

39

Alcohol

6

47

14

Crack

1

6

4

Methamphetamine

1

1

2

Minor tranquilizers

0

0

0

Other

2

3

9

128

103

74

TOTAL

20

Secondary

Note. Data obtained from the Baycare Behavioral Health Network

5.6

3.6

3.3

2.6

2.3

1

1

1

• For youth, marijuana was the primary drug of choice in 2009/2010, followed by opiates and alcohol BayCare Behavioral Health Youth Opiate Abuse Treatment Trends: • Primary drug of choice is Oxycontin (30 mg), followed by Xanax. • Primary route of delivery: crushing and inhaling, followed by an equal amount of oral and through needle use (shooting up). This is for both Oxycontin and Xanax. • Approximately 80% obtain from “friends” or adults who sell off the streets. • Approximately 20% steal from a parent or family member who is prescribed. • Approximately 75% of youth taking pills have dropped out of school. Very few are enrolled in GED programs. • Approximately 30% of youth participating in treatment are involved with the child welfare system.

14  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators  January 2011  27


General Population Surveys: Adolescent Prevalence Rates

Treatment Data Table Seventeen. Admission to Pasco County Substance Abuse Treatment

FY 2006/2007 Adults Residential Outpatient Detox Youth Residential Outpatient

Table Six. Pasco County Students Reporting Lifetime Use of Selected Drugs

Pasco County FY 2007/2008 FY 2008/2009

FY 2009/2010

53 460 446

50 526 477

53 749 508

85 1092 734

48 112

45 109

36 161

65 97

Note. Data obtained from BayCare Behavioral Health

Drug Type Any alcohol Cigarettes Smokeless tobacco Marijuana Inhalants Any illicit drug Any illicit except marijuana Alcohol or any illicit drug

2004

Middle School 2006 2008

2010

2004

42.1% 25.8% 8.2% 12.2% 13.4% 23.1% 18.0% 47.9%

37.7% 19.5% 8.3% 9.1% 13.7% 20.3% 15.8% 41.7%

34.3% 18.5% --11.2% 12.3% 22.2% 18.4% 39.7%

77.0% 47.8% 12.4% 39.9% 10.8% 44.2% 23.6% 78.3%

35.2% 19.9% --9.3% 11.3% 19.8% 16.1% 40.2%

High School 2006 2008 72.8% 41.7% 14.8% 35.1% 12.7% 40.3% 22.88% 75.9%

69.1% 38.9% 15.2% 34.8% 9.8% 40.6% 25.7% 71.2%

2010 67.9% 37.6% --40.2% 8.5% 45.5% 25.0% 70.8%

Note. Data obtained from FYSAS, http://www.dcf.state.fl.us/mentalhealth/publications/fysas/

• BayCare Behavioral Health adult outpatient admissions increased from 2006/2007 to 2009/2010; during this time frame adult residential admissions peaked in 2009/2010. • Youth residential admissions nearly doubled from 2008/2009 to 2009/2010.

• In 2010 Pasco County middle and high school reported their lowest lifetime rates of alcohol use. • Lifetime rates of Pasco middle and high school marijuana increased from 2008 to 2010. • Except for inhalants, lifetime rates for alcohol and drug use generally double from middle to high school.

Figure Seventeen. Adult Admissions to Pasco County Substance Abuse Providers

# Admissions

Residential 1100 1000 900 800 700 600 500 400 300 200 100 0

Outpatient

Detox 1092

749 526 460 446

53 FY 06-07

734

508 477

50 FY 07-08

53 FY 08-09

85 FY 09-10

ASAP sponsored Centennial Middle School’s SADD club in a social norming campaign bringing attention to the fact that 85% of Pasco County middle school students did not drink alcohol in the last 30 days.

26  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators  January 2011  15


General Population Surveys: Adolescent Prevalence Rates

Mortality Data Table Sixteen. Alcohol-Related Crashes, Injuries, and Fatalities

Figure Seven. Alcohol Trends Summary for Pasco County 2004-2010

DHSMV Data1 Indicator

45

35 30

40.4

39.2

40

37.4

36.6

34.7

36.3

31

33.5

33.8 29.2 27

30

Past 30-day Use Binge Drinking Use by Age 13 Great Risk of Harm

Pasco County 2007 208

2009

593 555 544 539 496 422 38 40 36 1,170 1,091 1,002

477 412 28 917

2006

Crashes Injuries Fatalities TOTAL

2006

Florida Statewide 2007 2008

2009

22,858 16,319 1,099 40,276

22,823 16,208 1,244 40,275

20,085 14,130 1,004 35,219

22,259 15,736 1,169 39,164

Note. Data obtained from Florida Department of Highway Safety and Motor Vehicles, http://www.hsmv.state.fl.us/

• Pasco County has steadily decreased alcohol-related injuries and crashes from 2006 – 2009.

25 20.3 20

18.7

Figure Fifteen. Pasco County Alcohol-Related Crashes and Injuries

15.8

15

800

10

700

5

Indicators

600

0 2004

2006

2008

2010

• Alcohol use continues to decrease as the harm associated with use increases.

500

33.9

35

496

400

422

477 412

300

0

32

2006

30 26.9

25

25.3

20 14.1

13.6

13

13.6

12.9 11.8

14.8

Past 30-Day Use

2006

Use by Age 13

2008

13.8

2010

Great Risk of Harm

• Marijuana use has seen an increase as the harm associated with use decreases • Perceived risk of harm associated with marijuana use decreased from 32% in 2008 to 25.3% in 2010.

2008

2009

150 125 # Deaths

2004

2007

Figure Sixteen. Pasco County Alcohol-Related Crashes

5 0

544

555

100

40

10

593 539

200

Figure Eight. Marijuana Trends Summary for Pasco County, 2004-2010

15

Crashes Injuries

13.5

100 75 50 38

40 36

25

28

0 2006 16  Profile of Alcohol and Drug Indicators  January 2011

2007

2008

2009 Profile of Alcohol and Drug Indicators  January 2011  25


General Population Surveys: Adolescent Prevalence Rates

Mortality Data Table Fourteen. Pasco County Suicide Deaths by Age Group Age Group 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total

2004

2005

2006

2007

Table Seven. Pasco County and Florida Statewide High School Students Who Started Using Alcohol, Cigarettes, or Marijuana at Age 13 or Younger

2008

2009

0

0

0

0

0

0

2

1

2

1

1

3

2

1

8

5

3

3

7

8

8

4

14

12

15

13

12

16

18

21

22

17

17

26

19

24

8

7

22

14

13

3

6

7

12

8

10

6

7

8

3

9

7

5

2

3

1

2

5

3

71

65

85

85

91

90

High School Student Measure More than a sip or two of alcohol Drinking at least once a month Cigarettes Marijuana

2004

Pasco County 2006 2008

2010

37.4% 5.8% 27.1% 14.1%

36.3% 8.1% 26.6% 13.6%

27.0% 36.8% 5.6% 7.1% 21.0% 28.7% 13.8% 13.5%

33.8% 6.2% 24.7% 11.8%

2004

Florida Statewide 2006 2008 35.0% 6.7% 23.9% 12.5%

32.3% 5.9% 19.9% 10.6%

2010 27.1% 5.8% 17.1% 11.3%

Note. Data obtained from FYSAS, http://www.dcf.state.fl.us/mentalhealth/publications/fysas/

• The rates of Pasco County and Florida statewide high school students who started using alcohol and cigarettes at or before age 13 generally decreased from 2004-2010. • Conversely, those who started using marijuana at age 13 or younger increased from 2008 to 2010 for Pasco County and Florida statewide.

Table Eight. Pasco County Students Reporting Past 12 Month Drug-Related Behavior

Note. Florida Vital Statistics Annual Report 2000-2006, Table D-11, extracted 8-5-08.

• Pasco suicide deaths peaked in 2006, particularly for those aged 55-64 years.

Drug-Related Behavior

Table Fifteen. Suicide Attempts Using Poisons or Medications in Pasco County by Age Group (FL Poison Information Center-Tampa) Age Group

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

Selling drugs Drunk or high at school

2004 2.6% 6.1%

Middle School 2006 2008 1.8% 8.7%

3.4% 6.7%

2010 3.5% 9.7%

2004 8.9% 20.2%

High School 2006 2008

2010

9.8% 23.1%

10.0% 18.4%

7.8% 17.1%

Note. Data obtained from FYSAS, http://www.dcf.state.fl.us/mentalhealth/publications/fysas/

10-14

12

15

10

14

17

13

17

5

8

11

15-19

36

56

41

50

55

45

57

69

55

38

• From 2004 – 2006 there was a steady decrease in the percentage of Pasco County middle school students who reported selling drugs, but this peaked in 2010. Rates of middle school students who reported being drunk or high at school decreased in 2008 then increased in 2010.

20-24

28

37

39

31

32

37

40

44

39

66

• For high school students, both selling drugs and being drunk or high at school were lowest in 2008 then increased in 2010.

25-34

87

66

65

59

66

64

93

85

91

102

35-44

91

90

76

73

61

90

70

91

86

115

45-54

53

57

51

47

52

61

80

86

93

87

55-64

12

21

17

16

16

18

24

29

36

34

65-74

5

7

7

4

3

8

16

9

8

7

75-84

5

5

2

3

4

3

6

4

3

1

85+

0

1

4

0

0

2

1

2

2

3

329

355

312

297

308

341

404

424

421

464

Total Notes.

Only 20 of these people who attempted suicide died. Their ages ranged from 31 – 84 years old. Seventeen died by medication overdose, three by chemicals. Data obtained from Florida Poison Control

• Pasco suicide attempts using poisons or medications peaked in 2010. • From 2001 to 2010 Pasco suicide attempts using poisons or medications were most common among those 25 to 54 years of age. ASAP sponsors billboards and conducts presentations to reduce the number of Pasco County high school students who drink in their home or another person’s home (see figure 10).

24  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators  January 2011  17


General Population Surveys: Adolescent Prevalence Rates

Mortality Data

Figure Nine. Usual Source of Alcohol within the past 30-days among High School Drinkers, Pasco County 2010

Table Thirteen. ARCOS Prescription Drug Distribution Data for Pasco County

45 41.1

Drugs

40 35 30 24.7

25 20

18.2

15 8.6

10 5

3.8 1.9

1

0.7

0 Bought in a Bought in a Bought at a store restaurant, public bar, or club event

Someone bought it for me

Someone Took it from Took it from Some other gave it to a store a family way me member

Amphetamines (Total) DL-Amphetamine Base D-Amphetamine Base D-Methamphetamine Methylphenidate Opiates/Painkillers (Total) Buprenorphine Oxycodone Hydromorphone Hydrocodone Meperidine Methadone Morphine Fentanyl Base Codeine Other Cocaine

Number of grams distributed 2004 2005 2006 62384 9047 11543 7.6 41786 485007 0 165755 3828 126852 21526 30438 74308 1679 60622

58203 8866 10831 0 38505 513599 369 175119 5062 151059 17694 31512 72106 1424 59253

75122 11593 13970 14.8 49544 662572 941 267898 5816 173680 16223 42172 93319 1789 60736

116.6

95.9

92.4

Note. Data obtained from ARCOS retail drug distribution summary report: http://www.deadiversion.usdoj.gov/arcos/retail_drug_summary/index.html

Figure Ten. Usual Drinking Location within the past 30-days among High School Drinkers, Pasco County 2010 60

• Number of grams distributed increased from 2004 to 2006 for all four types of amphetamines; methylphenidate being the highest at 49544 grams. • Number of grams distributed increased from 2004 to 2006 for eight of the nine types of opiates/painkillers; oxycodone being the highest at 267898 grams followed by hydrocodone at 173680 grams.

49.4

50

40

30 24.4 20

15.4

10 1.5

2.6

3.1

2.4

1.3

0 My Home

Another Person's Home

Car or Other Vehicle

Restaurant, Public Place Public Bar, or Club Event

School Some Other Property Place Pasco Sheriff ’s Office (pictured above) conducted three Pill Drop events from May – September 2010 and collected over 2,000 pounds of medication and sharps.

18  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators  January 2011  23


General Population Surveys: Adolescent Prevalence Rates

Mortality Data Table Eleven. 2009 Pasco and Pinellas Counties Drug-Related Deaths by Lethal/Non-Lethal Levels

Figure Eleven. Comparisons of Past 12-month Delinquent Behavior for Pasco County and Florida Statewide 2010 Lethal Levels: Drug was Cause of Death Pinellas Pasco

Drugs Alprazolam Diazepam Oxycodone Hydrocodone Methadone Morphine Propoxyphene Heroin

54 24 67 14 59 12 3 1

Non-Lethal Levels: Drug was Cause of Death Pasco Pinellas

55 43 130 31 58 24 4 7

57 19 41 30 12 16 7 0

101 32 55 40 14 25 16 1

Note. Lethal levels indicate overdoses in which the drug was the cause of death, whereas non-lethal levels indicate instances in which the drug was merely present. Florida Department of Law Enforcement, 2004 Report of Drugs Identified in Deceased Persons by Florida Medical Examiners, June 2008: http://www.fdle.state.fl.us/publications/Examiners/2008MERDrugReport.pdf.

Middle School

High School

14.7

14.5

16 14

12.9

13.1

12

10.5 10.6

10 8 6

7.2

6.3

4.9 4.9

4.5 4.8

4

2.6 2.2

2 0

0.6 1

• In 2009 oxycodone was the drug most commonly found in lethal levels by both Pasco and Pinellas County Medical Examiners. • Alprazolam (Xanax) was the drug most commonly found in non-lethal levels by Pasco and Pinellas County Medical Examiners in 2009. • Pasco County is higher in per capita drug-related deaths.

“My daughter was in her third year at the University of Tampa and became involved with Prescription Drugs. In the early stages, Oxycontin, Soma, and Xanax ; at the end of her addiction, Dilaudid, Morphine, and Methadone—actually anything she could obtain off the streets of New Port Richey. She never had a prescription! We detoxed her on five different occasions and were able to treat the physical effects of addiction, but not the mental effects. She eventually was arrested, jailed and court ordered into a residential program. These events saved her life...she saved her life. She is doing well and has been drug free for 2 years now. My daughter is alive, there are others who are not so fortunate. We need to continue to raise awareness, educate, and prevent this horrible epidemic.”

Figure Twelve. Bullying-related Behaviors among Pasco County Middle and High School Students, 2010 Middle School 45

High School

41.7

40 35

31.6

30 25

Table Twelve. Substance-exposed Newborns by County of Residence Drugs Pasco Pinellas

2005

2006

2007

20

21.9

23.2

21.3

18.3

2008

5

20

36

50

22

32

38

70

9.6

10 5

16

14.3

15 4.7

6.6

10.5 7.9

8 4.8 5.6

0

Note. Data obtained from The Florida Agency for Health Care Administration (AHCA)

• Pinellas and Pasco Counties ranked 1 and 2 respectively for the number of substance-exposed newborns. • The number of infants treated for withdrawal symptoms in Florida hospitals increased 173% between 2006 and 2009; 635 cases were reported in the first half of 2010.

22  Profile of Alcohol and Drug Indicators  January 2011

Profile of Alcohol and Drug Indicators  January 2011  19


Mortality Data

Mortality Data Figure Thirteen. Comparison of Pasco County Drug-Related Deaths by Non-Lethal Level

Table Nine. Pasco and Pinellas Counties Drug-Related Deaths by Lethal/Non-Lethal Levels

Alprazolam Diazepam Oxycodone Hydrocodone Methadone Morphine Propoxyphene Cocaine Heroin

34 120 43 25 69 36 16 59 12

34 10 96 33 101 34 7 104 6

37 11 131 24 85 48 14 94 11

62 7 209 43 90 30 6 66 3

109 67 197 45 117 36 7 72 8

58 59 41 42 21 15 18 79 1

84 82 56 66 19 12 42 81 1

137 92 58 68 30 16 26 79 1

188 138 99 69 28 19 38 88 2

158 51 96 70 26 41 23 67 1

Alprazalom

200

Non-Lethal Levels: Drug Was Present 2005 2006 2007 2008 2009

Oxycodone

Cocaine

158

150

137 99

100

79

0

79

41

56

21

19

2005

• The number of local deaths (lethal level) caused by alprazolam, diazepam, hydrocodone, methadone, morphine, propoxyphene, cocaine, and heroin increased from 2008-2009.

84

2006

96

88

81

58

50

Note. Lethal levels indicate overdoses in which the drug was the cause of death, whereas non-lethal levels indicate instances in which the drug was merely present. Florida Department of Law Enforcement, 2004 Report of Drugs Identified in Deceased Persons by Florida Medical Examiners, June 2008: http://www.fdle.state.fl.us/publications/Examiners/2008MERDrugReport.pdf

Methadone 188

# Deaths

Drugs

Lethal Levels: Drug Was Cause of Death 2005 2006 2007 2008 2009

67

58 30 2007

26

28 2008

2009

• The number of local deaths (non-lethal level) associated with alprazolam, diazepam, oxycodone, methadone, propoxyphene, cocaine, and heroin decreased from 2008-2009.

Figure Fourteen. Comparison of Pasco County Drug-Related Deaths by Lethal Level

Table Ten. Pasco and Pinellas Counties Drug-Related Deaths by Age and Lethal/Non-Lethal Levels (2009)

Alprazalom

Drugs Alprazolam Oxycodone Methadone Cocaine

<25 17 29 18 5

26-34 28 43 27 17

35-50 48 81 53 29

Non-Lethal Levels: Drug Was Present >50 16 44 19 21

<25 28 11 6 7

26-34 29 19 3 10

35-50 62 40 13 36

>50 39 26 4 14

Note. Lethal levels indicate overdoses in which the drug was the cause of death, whereas non-lethal levels indicate instances in which the drug was merely present. Florida Department of Law Enforcement, 2004 Report of Drugs Identified in Deceased Persons by Florida Medical Examiners, June 2008: http://www.fdle.state.fl.us/publications/Examiners/2008MERDrugReport.pdf.

• The number of local deaths (lethal level) caused by alprazolam, oxycodone, methadone, and cocaine was highest for the 3550 age group. • Similar to cause of local death for lethal levels, the number of deaths (non-lethal level) associated with alprazolam, oxycodone, methadone, and cocaine was highest for the 35-50 age group.

20  Profile of Alcohol and Drug Indicators  January 2011

Oxycodone

Methadone

Cocaine

250 209 200 # Deaths

Lethal Levels: Drug Was Cause of Death

197

150 104 101

100 50

69 59 43 34

96

131 94 85

90

117 109

66

72

62 34

37

2006

2007

0 2005

2008

2009

Profile of Alcohol and Drug Indicators  January 2011  21

Example of printed booklet (11 x 17)  

Final indicator report for Pasco County.