Substance Abuse: It s a Community Issue. Jessica Myers Executive Director HFMA - October 24, 2017

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1 Substance Abuse: It s a Community Issue Jessica Myers Executive Director HFMA - October 24, 2017

2 What are drugs? We must Drug Umbrella address all areas of drug Prescription Drugs use!

3 Cost of Abuse Health Care Overall Year Estimate Based On Tobacco 1,2 $168 billion $300 billion 2010 Alcohol 3 $27 billion $249 billion 2010 Illicit Drugs 4,5 $11 billion $193 billion 2007 Prescription $26 billion $78.5 billion 2013 Opioids 6 Source: NIDA Substance abuse costs our nation more than $740 billion per year.

4 Public Health Problem Cancer Heart disease Liver disease HIV/AIDS Pediatric AIDS

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6 Individual Impact Adolescence Mental illness Consequences of substance abuse Death

7 Family Impact Negativism Parental inconsistency Parental denial Miscarried expression of anger Self-medication Unrealistic parental expectations Co-dependency Children taking over responsibilities Lack of necessities Foster care

8 Employer/Co-Worker Impact Abuse in workplace Revenue loss Productivity decrease Longer work days Risk of injury Insurance premiums increase

9 Health Care Impact Chronic disease Amount spent on addiction is more than that spent on diabetes and cancer. Costs absorbed by facilities and tax payers Co-occurring mental health disorders Increase cost of care

10 Law Enforcement Impact <50% of incarcerations are drug-related in federal prisons, 20% in state Annual cost (country average): $32,000 per inmate California: $75,000 Ohio: $26,500 Of those incarcerated: 80% has or is abusing illicit drugs or alcohol 50% are clinically addicted 60% tested positive for illicit drugs at time of arrest Rise in violent crime 40% of crimes under influence of alcohol If untreated, 95% recidivism rate for drug use On college campuses, 95% of violent crimes reported, including sexual assaults, involved the use of alcohol.

11 Societal Impact Increase drugged/drunk driving Increase child custody losses Increase in child abuse and neglect Increase in addiction risks for children of drug-addicted parents Increase in domestic disputes Increased rates of homelessness and poverty Substantial financial health care burden Increased rates of co-occurring mental disorders Increase in insurance premiums, taxes Increased strain on co-workers Increase in rates of violent crimes on college campuses Losses in revenue for businesses and universities

12 Convened in 2013 Drug Free Leadership Council created 2014/2015 school year 2 students from each county school Student led Drug and alcohol use awareness Assemblies, posters, t-shirts, bracelets Pugs Not Drugs, Hope Not Dope, Drug Free Because I Love Me 2016 DFC gained 501(c)(3) status Hired executive director Strategic planning

13 Adult Alcohol Consumption Adult Variables Defiance County 2008 Defiance County 2012 Defiance County 2015 Ohio 2013 U.S Had at least one alcoholic beverage in past month Binged in past month (drank 5 or more drinks for a male and 4 or more drinks for a female on an occasion) 52% 53% 49% 53% 55% 20% 20% 23% 17% 17% Source: 2015 Defiance County Community Health Assessment

14 Adult Drug Use Adult Variables Adults who used marijuana in the past 6 months Adults who misused prescription drugs in the past 6 months Adults who used other recreational drugs in the past 6 months Defiance County 2008 Defiance County 2012 Defiance County 2015 Ohio 2013 U.S % 4% 4% N/A N/A 1% 7% 3% N/A N/A 6% 5% <1% N/A N/A Source: 2015 Defiance County Community Health Assessment

15 Youth Alcohol Use Youth Variables Defiance County 2008 (6th-12th) Defiance County 2012 (6th- 12th) Defiance County 2015 (6th- 12th) Defiance County 2015 (9th- 12th) Ohio 2013 (9th- 12th) U.S (9th- 12th) Ever tried alcohol 54% 57% 50% 62% 71%* 66% Current drinker 19% 24% 20% 28% 30% 35% Binge drinker (of all youth) 11% 14% 10% 14% 16% 21% Source: 2015 Defiance County Community Health Assessment

16 Youth Drug Use Youth Variables Defiance County 2008 (6th- 12th) Defiance County 2012 (6th- 12th) Defiance County 2015 (6th- 12th) Defiance County 2015 (9th- 12th) Ohio 2013 (9th- 12th) U.S (9th- 12th) Youth who used marijuana in the past month 8% 8% 9% 15% 21% 23% Ever used heroin 2% 1% 1% 0% 2% 2% Ever misused medications 7% 12% 9% 13% N/A 18% Ever been offered, sold, or given an illegal drug by someone on school property in the past year 16% 5% 4% 6% 20% 22% Source: 2015 Defiance County Community Health Assessment

17 A Continuum of Interventions

18 Prevention Education through Social & Emotional Learning Evidence-based interactive lessons, games, and activities Teach students social emotional learning skills Correlate to State Health Education Standards Correlate to the American School Counselors Association Standards for Students - Competencies and Indicators

19 Defiance Elementary School Grades 1, 2 and 4 Approximately 500 students 10 lessons = 1 lesson a week for 10 weeks Taught by Jodi Hybart, Prevention Coordinator at Recovery Services and Katie Whiteman, Recovery Services

20 2 nd Grade Curriculum Learn how to handle frustrations Manage their emotions Identify consequences Make good decisions and avoid problem behavior Introduced to prescription and over the counter drugs Safe and appropriate ways to use them

21 Defiance County Schools At least 1000 students 12 lessons over 14 weeks 5 th grade at all schools Kindergarten - Hicksville 1 st and 2 nd grade Defiance 2 nd grade - Ayersville Preschools and daycares Led by Deputy Dana Phipps

22 Curriculum Self-awareness and management Responsible decision making Understanding others Relationship and communication skills Handling responsibilities and challenges 12 lessons in 14 weeks

23 Drug Free Leadership Council

24 Hidden In Plain Sight Funded by United Way of Defiance County and the Women s Giving Circle of Defiance County Partnered with Defiance County Sheriff s Office Interactive bedroom for parents to navigate 28 items indicating substance use

25 Ohio Youth-Led Prevention Network $2,000 grant from Prevention Action Alliance 12 recipients Strengthen skills in engaging in youth, positive youth development, and youth empowerment Develop evidence-based plans

26 Prescription Drug Take Back Day Medications in pill form to be discarded Look at all the candy! 24/7 drop off at Defiance County Sheriff s office Drop off at Hicksville Police Department Drug Enforcement Agency Search website for drop off location

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28 Red Ribbon Week Ayersville and Tinora elementary schools grades 2-6, approximately 750 students Messaging sent home daily encouraging parents to discuss with children

29 International Overdose Awareness Day Chasing Hope Never Let Go Ministries Candle Vigil

30 Social Media Campaigns Purposeful Parenting Month Addiction Awareness Break the Stigma Be the Majority

31 Drug Forums Defiance County Fair Defiance County Hot Air Balloon Festival Storybook Adventure Defiance Home Show Individual Speaking Engagements Community Events

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33 Call or Teen Line: SAFE (7233) OR TEXT 419SAFE TO Crisis Hotline: Emergency Mental Health assessments Crisis Stabilization Unit

34 Contact Info Phone: (567) Web:

35 Sources NIDA Drugrehab.org NCBI ( SAMHSA Office of Federal Register ( Vera Institute of Justice NADCP ( Defiance County Community Health Assessment

36 Questions?

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