Key findings from the 2014 Illicit Drug Reporting System

Transcription

1 Key findings from the 214 Illicit Drug Reporting System Australian National Maritime Museum, Sydney Monday 2 th October 214 Jenny Stafford and Lucy Burns Funded by the Australian Government under the Substance Misuse Prevention and Service Improvement Grants Fund

2 IDRS: Key results for 214

3 Participant Eligibility Injected in the last 6 months In the market for the past year Sampled from needle and syringe programs, outreach, clinics, snowballing Around participants from each jurisdiction

4 Participant characteristics 213 N= N=898 Mean age (years) (18-66) 41 (18-67) % Male % Single Participant recruitment NSP Treatment provider Street press Word of mouth Other 7% % Unemployed % Currently in treatment % Prison history % 57% Mean age first injected (years) 2 2 1% 1%

5 IDRS: Drug of choice (%) Drug injected most last month (%) % PWID % PWID Heroin Morphine Any methamph Cannabis Heroin Ice/crystal Any methamph Morphine Significant increase between 213 ands 214 (p<.5)

6 IDRS: Recent drug use (%) Mainly ice/crystal Mainly hydroponic % PWID 5 3 Mainly used in NSW Heroin Methamphetamine Cannabis Cocaine

7 IDRS: Median days of use (%) Significant increase - number of days recently used ice/crystal 12 days to 2 days in % PWID Heroin Any meth Cocaine Cannabis Significant decrease between 213 ands 214 (p<.5)

8 IDRS: Recent methamphetamine use (%) % PWID Speed Base Ice/Crystal Any Methampetamine Significant increase between 213 ands 214 (p<.5)

9 IDRS: Indicator data weight and number of detections of crystalline methamphetamine at the Australian border 1, 1, 1,456 1, 1, Weight in kilograms 1,2 1, 8 1,84 1,2 1, 8 Number of detections Weight Number Source: Australian Customs and Border Protection Services

10 IDRS: Recent use of other drugs (%) % PWID Morphine Oxycodone Methadone Benzodiazepines

11 Purity and Availability

12 PURITY of heroin and methamphetamine Heroin - purity Methamphetamine - purity % PWID % PWID High Medium Low Speed - High Ice - High

13 PURITY/POTENCY of cocaine and cannabis Cocaine - purity Cannabis -potency % PWID % PWID Cocaine - High Cocaine - Medium Hydro - High Bush - High

14 AVAILABILTY of heroin and methamphetamine Very easy/easy to obtain Very easy/easy to obtain % PWID % PWID Heroin Speed Ice

15 AVAILABILTY of cocaine and cannabis % PWID Very easy/easy to obtain % PWID Very easy/easy to obtain Cocaine Hydro Bush

16 Injecting risk behaviours, mental health and criminal activity

17 Injecting risk behaviour and problems, (in the last month) Mainly mixing spoons % Borrowed a needle 7 6 % Lent a needle % Shared equipment (excludes needles) % Re-used own needle 41 % Re-used injecting equipment (excludes needles) % Scarring/bruising % Difficulty injecting % Dirty Hit 11 9

18 Self-reported mental health problems (last 6mths), % Self-reported mental health problem Problem reported: N=388 N=346 % Depression % Anxiety % Manic-depression 13 % Schizophrenia Attended a health professional for self-reported mental health problem^ (%) ^ among those who self-reported a mental health problem

19 Criminal activity, Crime in the last month: % Drug dealing % Property % Fraud 2 4 % Violence 3 5 % Any Crime % Arrested in the last 12 months 32 33

20 Recent ice use versus no recent ice use (in last 6 months)

21 Recent use vs. no recent ice: demographics, 214 Recent Ice (N=547) No recent Ice (N=349) % Male Median age (years) 43 % English speaking % Single % Heterosexual % Unemployed % Completed trade/tech qualification* % Prison history % Currently in drug treatment * Significant difference (p<.5)

22 % of recent use Recent ice vs. no recent ice: recent drug use, Mean age first injected Recent ice 19 years No recent Ice 21 years Recent ice (N=547) No recent ice (N=35) * Significant difference (p<.5)

23 Recent ice vs. no recent ice: injecting risk behaviours, 214 Mainly mixing spoons Recent Ice (N=547) No recent Ice (N=349) % Borrowed a needle* 8 3 % Lent a needle* 15 7 % Shared other injecting equipment # % Re-used own needle * % Re-used own injecting equipment # % Self-reported injecting problems # includes spoons, water, tourniquets and filters * Significant difference (p<.5)

24 Recent ice vs. no recent ice: Self-reported mental health problems (last 6mths), 214 Recent Ice (N=547) No recent Ice (N=349) % Self-reported mental health problem* Problem reported: N=253 N=94 % Depression 67 7 % Anxiety % Manic-depression % Schizophrenia 17 9 % Panic % Paranoia* 9 2 % Drug Induced Psychosis* 9 1 % Attended a health professional for self-reported mental health problem * Significant difference (p<.5)

25 Recent ice vs. no recent ice : crime in the last month, 214 % crime in the last month Any crime* Dealing* Property crime* Violence* Fraud* Arrested last 12mths* Recent ice (N=535) No recent ice (N=343) * Significantldifference (p<.5)

26 (1) IDRS summary Demographics Mean age 41yrs, mainly male, single, unemployed Drug use Heroin main drug of choice and the drug injected most in the last month While there was no change to recent any methamphetamine use, an increase in use and frequency of use of the form ice/crystal was found Recent heroin and cocaine remained stable Recent cannabis use remained stable but frequency of use decreased

27 (2) IDRS summary Purity and availability Purity varies by drug Availability was generally very easy/easy to obtain for all drugs Recent ice user Younger and unemployed More likely to recently use a variety of drugs polydrug use More likely to borrow, lend and re-use needles Report injecting problems such as bruising/scarring More likely to self report a recent mental health problem More likely to report crime in the last month and an arrest in the last 12 months

28 For more information please visit the NDARC Drug Trends website