New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2016 Statewide

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1 New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2016 Statewide Department of Human Services Division of Mental Health and Addiction Services Office of Planning, Research, Evaluation and Prevention Trenton, New Jersey June 2017

2 Chris Christie Governor Kim Guadagno LT. Governor DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES PO BOX 700 TRENTON, NJ June 2017 Elizabeth Connolly Acting Commissioner Valerie L. Mielke Assistant Commissioner This statewide Substance Abuse Overview provides statistics on substance abuse treatment in New Jersey for calendar year As of May 2017, there were 76,509 treatment admissions and 74,291 discharges in 2016 reported to the New Jersey Department of Human Services, Division of Mental Health and Addiction Services by substance abuse treatment providers. These reports were submitted through the web-based New Jersey Substance Abuse Monitoring System (NJSAMS). A new table for Substance Abuse Treatment Demand Estimate is included in this report. The Statewide Overview includes: State Totals for Substance Abuse Treatment Admissions Substance Abuse Admissions by County and Primary Drug Substance Abuse Admissions by Primary Drug within County Substance Abuse Admission Rates by County and Primary Drug Map for Number of Substance Abuse Admissions by County of Residence First Time Clients by County of Residence and Primary Drug Admissions by Age Group, Gender, and Primary Drug State Totals for Substance Abuse Treatment Discharges Length of Stay by Level of Care Detox Continuing Care Status and Detox Continuing Care by Level of Care Substance Abuse Treatment Demand Estimate Reports for individual counties can be found by clicking on the county names. If you have any questions about this report you may contact us by at: Suzanne.Borys@dhs.state.nj.us, Limei.Zhu@ dhs.state.nj.us, Yohannes.Hailu@dhs.state.nj.us. Sincerely, Suzanne Borys, Ed. D., Assistant Division Director Office of Planning, Research, Evaluation, and Prevention

3 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/ /31/2016 State of New Jersey Totals Primary Drug** Employment Status Alcohol 20,880 27% Unemployed 19,135 25% Heroin 33,147 43% Student 2,422 3% Other Opiates 5,187 7% Not in Labor Force 30,635 40% Cocaine 3,638 5% Employed Full/Part Time 24,225 32% Marijuana 10,979 14% Other Drugs 2,503 3% Living Arrangement Intravenous Drug Users 26,505 35% Homeless 4,428 6% Dependent Living/Institution 9,585 13% Smoke Tobacco (Yes)** 49,643 65% Independent Living 62,395 82% Level of Care Marital Status Outpatient Care (OP) 22,854 30% Single/Divorced 63,575 83% Intensive Outpatient (IOP) 19,777 26% Married/Civil Union 8,847 12% Partial Hospitalization 2,440 3% Widowed 990 1% Opioid Maintenance OP 8,638 11% Separated 3,097 4% Opioid Maintenance IOP 2,037 3% Extended Care 12 0% Legal Problem* Halfway House 2,122 3% None 28,939 38% Long-Term Residential 3,568 5% Case Pending 7,967 10% Short-Term Residential 7,131 9% Probation/Parole 19,604 26% Hospital Based Residential 5 0% DWI License Suspension 7,974 10% Detox Residential 7,256 9% Drug Court 8,877 12% Detox Hospital 28 0% DCPP/Family Court 5,982 8% Detox Outpatient Non-Methadone 161 0% Other 2,597 3% Detox Outpatient Methadone 62 0% Non-traditional Program 7 0% Arrest in the Last 30 Days (Yes) 4,163 5% Early Intervention 411 1% Special Population* Medication Assisted Therapy Planned in Treatment DCPP/CPSAI 7,790 10% Methadone 11,754 15% DWI/DUI 14,977 20% Suboxone 4,018 5% Developmental Disability 207 0% Blind and Visually Impaired 136 0% Referral Source Deaf and Hard of Hearing 138 0% Self-referral 22,550 29% Family/Friend 2,913 4% Federal Poverty Level (0-133%)** 55,171 63% Addiction Services Program 8,720 11% Workforce NJ SAI 3,056 4% Health Insurance* DCPP/CPSAI 4,312 6% No Insurance 27,045 35% Mental Health 1,193 2% Medicaid 41,131 54% Criminal Justice 21,823 29% Medicare 1,748 2% IDRC 6,760 9% Private Insurance 13,781 18% Interim Managing Entity (IME) 323 0% Other Insurance 1,252 2% Other 4,859 6% Treated in County of Residence 47,533 62% Sex Male 51,043 67% County of Residence Female 25,435 33% Atlantic 4,705 6% Middlesex 5,705 7% Bergen 3,596 5% Monmouth 6,177 8% Pregnant Women (Yes)** 1,168 2% Burlington 3,090 4% Morris 2,940 4% Camden 6,599 9% Ocean 7,244 9% Age Cape May 2,127 3% Passaic 4,372 6% Under 18 1,637 2% Cumberland 1,910 2% Salem 613 1% ,303 7% Essex 6,528 9% Somerset 2,048 3% ,025 10% Gloucester 2,982 4% Sussex 1,323 2% ,467 19% Hudson 4,294 6% Union 3,365 4% ,363 16% Hunterdon 1,004 1% Warren 1,003 1% ,408 20% Mercer 3,130 4% Other 1,754 2% ,110 17% 55 and over 6,192 8% Fee For Service Admissions 23,947 31% Race/Ethnicity Fee For Service Unique Clients 16,104 30% White (non-hispanic) 47,107 62% Black (non-hispanic) 16,725 22% Number of Admissions For Unique Clients Hispanic Origin 11,649 15% 1 Admission 38,831 73% Other 1,028 1% 2 Admissions 9,557 18% 3+ Admissions 5,123 10% Highest School Grade Completed Completed High School 43,332 57% Unduplicated Clients Admitted = 53,511 Some College 14,870 19% Total Admissions = 76,509 *Totals may be greater than 100% because of multiple responses. **Percentage calculation exluded missing values.

4 Substance Abuse Admissions by County and Primary Drug 2016 NJ Resident Admissions County of Primary Drug Total Residence Alcohol Cocaine/ Crack Heroin Other Opiates Marijuana/ Hashish Other Drugs Unknown N % N % N % N % N % N % N % N % Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren Total

5 Substance Abuse Admissions by Primary Drug within County 2016 NJ Resident Admissions County of Primary Drug Total Residence Alcohol Cocaine/ Crack Heroin Other Opiates Marijuana/ Hashish Other Drugs Unknown N % N % N % N % N % N % N % N % Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren Total

6 Substance Abuse Admission Rates by County of Residence and Primary Drug 2016 NJ Resident Admissions County of Residence Primary Drug County Per 100,000 Population Alcohol Drugs Unknown Total Population Alcohol Drugs Unknown Total N N N N 2016* Rate Rate Rate Rate Atlantic , Bergen , Burlington , Camden , Cape May , Cumberland , Essex , Gloucester , Hudson , Hunterdon , Mercer , Middlesex , Monmouth , Morris , Ocean , Passaic , Salem , Somerset , Sussex , Union , Warren , Total ,944, *Population: US Bureau of the Census, State & County QuickFacts.

7 2016 Substance Abuse Admissions by County of Residence SUSSEX PASSAIC Legend Number of Admissions WARREN MORRIS BERGEN ESSEX HUDSON UNION HUNTERDON SOMERSET Top Five Counties 1 Ocean Camden Essex Monmouth Middlesex 5705 MERCER MIDDLESEX MONMOUTH BURLINGTON OCEAN GLOUCESTER CAMDEN SALEM ATLANTIC CUMBERLAND CAPE MAY Data: NJSAMS 2017 May Download Report Date: June, 2017 ¹ 0 NJ Department of Human Services Division of Mental Health and Addiction Services Research, Planning, Evaluation and Prevention Office Miles

8 First Time Clients By County of Residence and Primary Drug 2016 NJ Resident Admissions County of Primary Drug Total Residence Alcohol Cocaine/ Crack Heroin Other Opiates Marijuana/ Hashish Other Drugs Unknown N % N % N % N % N % N % N % N % Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren Total Note: First time clients are those who are new to the New Jersey substance abuse treatment system based on a search of all historical NJSAMS data up to 2006.

9 Admissions by Age Group, Gender and Primary Drug 2016 NJ Resident Admissions Gender Total* Statewide Female Male N % N % N % Alcohol Heroin Other Opiates Marijuana/Hashish Other Drugs Unknown Total* Alcohol Heroin Other Opiates Marijuana/Hashish Other Drugs Unknown Total* Alcohol Heroin Other Opiates Marijuana/Hashish Other Drugs Unknown Total* Alcohol Heroin Other Opiates &Over Marijuana/Hashish Other Drugs Unknown Total* Alcohol Heroin Other Opiates Total* Marijuana/Hashish Other Drugs Unknown Total* * Unknown age or gender admissions are not included.

10 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Discharges 1/1/ /31/2016 State of New Jersey Totals Level of Care Living Arragements Outpatient Care (OP) 22,401 30% Homeless 2,517 3% Intensive Outpatient (IOP) 19,379 26% Dependent Living/Institution 10,678 14% Partial Hospitalization 2,377 3% Independent Living 59,489 80% Opioid Maintenance OP 7,777 10% Opioid Maintenance IOP 1,844 2% Employment Status Extended Care 20 0% Unemployed 16,280 22% Halfway House 2,109 3% Student 2,037 3% Long-Term Residential 3,455 5% Not in Labor Force 26,551 36% Short-Term Residential 7,062 10% Employed Full/Part Time 27,816 37% Hospital Based Residential 7 0% Detox Residential 6,812 9% Detox Hospital 227 0% Reasons for Discharge or Treatment not Completed Detox Outpatient Non-Methadone 170 0% Treatment Plan Completed 37,080 50% Detox Outpatient Methadone 184 0% Quit or Dropped Out 18,762 25% Non-Traditional Program 31 0% Needs Different Level of Care 5,714 8% Early Intervention 436 1% Unable to Meet Client's Other Needs 259 0% Administrative Discharge 3,840 5% Sex Exhaustion of Payment Source 468 1% Male 49,586 67% Incarcerated 1,743 2% Female 24,682 33% Medical Discharge/Deceased 631 1% Other 3,195 4% Age Under 18 1,377 2% Continuing Care ,864 7% No Continuing Care Needed 16,320 22% ,527 10% Refused or Unable to Continue 11,944 16% ,867 19% Continue Care 22,847 31% ,063 16% Not Assessed 23,180 31% ,199 20% ,022 18% Significant Problems or Conditions 55 and over 6,372 9% Mental Health Problem 16,601 22% Compulsive Gambling 191 0% Physical Disability or Handicap 1,057 1% Race/Ethnicity Victim of Physical Abuse or Neglect 2,933 4% White 45,204 61% Victim of Sexual Abuse 2,367 3% Black 16,530 22% Pregnancy 623 1% Hispanic 11,438 15% Suicide Attempt 735 1% Other 1,014 1% Runaway Behavior 2,432 3% Neglect or Abuse of Own Children 2,058 3% Child of Substance Abuser 3,814 5% Mental Illness/Co-Occurring Disorder Batterer 233 0% 43,984 59% Criminal Activity 12,442 17% Other 3,426 5% Client Goal Achieved/Partially Achieved * Alcohol or Drug Problem 42,929 61% Arrested in the Last 30 days (Yes) 2,975 4% Educational 15,777 58% Employment or Vocational 18,215 55% County of Residence Family Situation 24,754 60% Atlantic 4,454 6% Middlesex 5,399 7% Psychological or Mental Health 22,497 61% Bergen 3,615 5% Monmouth 5,849 8% Physical Health 21,192 67% Burlington 3,096 4% Morris 2,821 4% Legal 23,066 57% Camden 6,306 8% Ocean 6,990 9% Cape May 2,172 3% Passaic 4,228 6% Drug and Alcohol Use Cumberland 1,819 2% Salem 586 1% Not Using Alcohol or Drugs 42,541 57% Essex 6,536 9% Somerset 1,858 3% Using Alcohol 4,048 5% Gloucester 2,823 4% Sussex 1,246 2% Using Drugs 12,979 17% Hudson 4,479 6% Union 3,477 5% Unknown 15,104 20% Hunterdon 956 1% Warren 956 1% Mercer 3,049 4% Other 1,576 2% * Percentage for goal achievement based on total clients for whom goal was applicable. All other percentages are based on total discharges. Total Discharges = 74,291 Unduplicated Clients Discharged = 52,563

11 2016 Length of Stay at Discharge by Level of Care Level of Care N Mean (Days) Median (Days) Outpatient Care (OP) Intensive Outpatient (IOP) Partial Hospitalization Opioid Maintenance-Outpatient Opioid Maintenance-Intensive Outpatient Halfway House Long-Term Residential Short-Term Residential Detox Residential Detox Outpatient (Non-Methadone) Detox Outpatient (Methadone) * 184 N/A N/A Early Intervention *Data is skewed Detox Continue Care Status at Discharge Discharge Status N % No continuing substance abuse treatment needed Refused continuing care Transfer to different level of care within same agency and clinic site Transfer to a new clinic site location within same agency Continuing care coordinated with new agency Treatment needed unable to continue Unknown Detox Continue Care by Level of Care Placement* Level of Care N % Outpatient Care (OP) Intensive Outpatient (IOP) Opioid Maintenance OP Opioid Maintenance IOP Partial Hospitalization Extended Care Halfway House Long-Term Residential Short-Term Residential Detox Residential Detox Hospital Detox Outpatient Non-Methadone Detox Outpatient Methadone *As of 12/31/2016

12 Substance Abuse Treatment Demand Estimate New Jersey, 2016 County 2016 Adult Population [1] 2016 Met Demand [2] Unmet Demand [3] Total Demand [2 + 3] Unmet Demand As Percent of Total Demand Atlantic 210,289 3,042 1,142 4, Bergen 733,477 2,838 3,983 6, Burlington 350,442 2,151 1,903 4, Camden 390,265 4,564 2,119 6, Cape May 77,433 1, , Cumberland 117,347 1, , Essex 603,264 4,963 3,276 8, Gloucester 224,509 1,970 1,219 3, Hudson 539,674 3,157 2,930 6, Hunterdon 97, , Mercer 289,398 2,312 1,571 3, Middlesex 650,406 4,145 3,532 7, Monmouth 484,405 4,394 2,630 7, Morris 385,779 2,059 2,095 4, Ocean 453,260 5,004 2,461 7, Passaic 383,498 3,029 2,082 5, Salem 49, Somerset 254,986 1,564 1,385 2, Sussex 111, , Union 422,279 2,581 2,293 4, Warren 83, , New Jersey 6,912,125 53,209 37,533 90, [1]Source: U.S. Census Bureau American Community Survey 5-Year Estimate. [2] Met demand: The number of unduplicated adults admitted for treatment in 2016, according to NJSAMS data. [3] Unmet demand: Average Proportion of NJ Household Surveys (2003, 2009 & 2016) estimated adult population who did not receive treatment in the 12 months prior to the interview but who felt they needed and wanted treatment (( )/3= ) times the 2016 adult resident population.