NH s Substance Misuse Epidemic: How It Impacts Your Community. Linda Saunders Paquette New Futures

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1 NH s Substance Misuse Epidemic: How It Impacts Your Community Linda Saunders Paquette New Futures

2 NH Has a Drug and Alcohol Epidemic Epidemic - affecting or tending to affect a disproportionately large number of individuals within a population, community, or region at the same time. -Merriam Webster Dictionary 2

3 NH Has a Drug and Alcohol Epidemic Statewide it is estimated that 1 in 10 people approximately 130,000 - are in need of substance abuse treatment Based on review of Belknap County substance abuse data, it is likely that 1 in 10 people in Belknap County approximately 6,567 are in need of substance abuse treatment 3

4 Relatively Speaking... In NH: 1. HIV rate 3.2 per 100,000 residents 2. AIDS rate per 100, TB rate -.83 per 100, Adult Obesity rate 26,000 per 100, Flu rate ( ) 10,000 per 100, In need of SUD Tx 10,000 per 100,000 4

5 The Data NH s Ranking 5

6 The Data - Alcohol 6

7 The Data - Marijuana 7

8 The Data - Drugs 8

9 The Data - Drugs 9

10 The Data Co-Occurring From 1/12 to 7/12, 64% of people admitted to NHH had a history substance of abuse 55% were actively using upon admission In men ages 21-35, 83% had a history of abuse; 75% were actively using upon admission No SUD treatment at NHH No Medicaid SUD benefit 10

11 The Data Access to Treatment NH ranked 49 th for people in need of treatment being able to access it 11

12 The Data Lakes Region Adult Alcohol Abuse Area Engaged in Binge Drinking in Past 30 days, Percent of Adults Male Female Total Belknap County 23.9% 8.4% 15.9% New Hampshire 20.1% 11.1% 15.5% Data Source: NHDHHS, Behavioral Risk Factor Surveillance System

13 The Data Lakes Region Youth Substance Use 13

14 The News (Bad) 14

15 NH and the Lakes Region Have a Drug and Alcohol Epidemic The drug and alcohol epidemic has infected the heart and soul of every community. If the truth be told, drug and alcohol misuse and abuse has no particular profile. It is not restricted to a particular age, race or socioeconomic background. It has penetrated and infected every group without restrictions. -Father Francis Pizzarelli 13

16 The Social Impact Prevalence of alcohol and drug problems among families in child abuse and neglect, and juvenile justice systems. 43% of perpetrators of domestic violence homicide in NH had a history of substance abuse (2012 report) 16

17 The Public Safety Impact DUI arrests 12.8 per 1,000 for ages 21-24; 10.5 per 1,000 for ages Drug/Narcotic Violations 18.3 per 1,000 for ages /3 to 2/5 of fatal motor vehicle crashes involved alcohol Police Depts. Report increase in crime related to obtaining drugs 17

18 Public Safety Impact Lakes Region 18

19 The Criminal Justice Impact Approximately 70 percent of individuals admitted to prison have a diagnosable addiction disorder that requires treatment In 2007, more than 90% of the offenders returned to prison were returned for alcohol or drug related rules violations. Parolees and probationers are mostly uninsured and must wait for an indigent care opening wait time often exceeds 6 weeks. Most care provided to probationers and parolees is uncompensated impeding providers ability to meet demand 19

20 The Healthcare Impact In one national study, people who received addiction treatment were shown to have 39% fewer ER visits, 35% reduced hospital stays, 26% reduced total medical costs For every $1 spent on SUD treatment, $4.87 of health care costs were offset

21 Lakes Region - The Healthcare Impact Substance Abuse Related Mental Health Condition ED Visits and Observation Stays (per 100,000 people) Area All Ages Ages Lakes Region 549.1* 1,140.3* New Hampshire Data Source: NH DHHS Hospital Discharge Data Collection System, *Rate is significantly different than overall NH rate

million in health care $88 million in criminal justice $124

22 The Economic Impact Excessive alcohol consumption alone costs NH $1.15 billion per year $757 million in lost productivity $182 million in health care $88 million in criminal justice $124 million in other costs Motor vehicle crashes State and local tax revenue 22

23 Solving the Problem Public Health/Collective Action Approach Strategies Leadership Financial Resourcing Public Education Training and Professional Development Effective Policies, Practices and Programs 23

Solving the Problem Lakes Region Alcohol and Drug Abuse Highest Priority Among Focus Group Recommendations: Organize an integrated community response, involving governmental agencies, health and

24 Solving the Problem Lakes Region Alcohol and Drug Abuse Highest Priority Among Focus Group Recommendations: Organize an integrated community response, involving governmental agencies, health and human service organizations, schools, faith communities, and families, to address underlying determinants of health such as education, employment and poverty that contribute to a dichotomy in health status between higher and lower income populations. Enhance community education and outreach efforts to generate greater awareness of the scope of community health issues, particularly mental health and substance abuse, available services and resources, and to reduce stigma as a barrier to improved health associated with these conditions. Address affordability and scope of health insurance coverage as a barrier to services including mental health and oral health care. 24

25 Solving the Problem Increasing Access to Treatment Funding for Prevention, Treatment and Recovery Supports the Alcohol Fund Expanding Medicaid coverage to more New Hampshire residents might actually be among the most important efforts to combat substance abuse that legislators could make. -Concord Monitor 9/19/13, in discussion with Jim Weinstein 25

26 Solving the Problem - Prevention Past 30 Day Substance Use NH Trends (source: Youth Risk Behavior Survey) 26

27 Solving the Problem - Leadership Leadership is the capacity to translate vision into reality -Warren Bennis 27

28 THANK YOU! x101 28

Module 6: Substance Use

Module 6: Substance Use Part 1: Overview of Substance Abuse I am Martha Romney and I am presenting on substance abuse. This module focuses on the healthy people 2020 objective to reduce substance abuse