New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2016 Monmouth County

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1 New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2016 Monmouth County 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 Monmounth County Residents Primary Drug** Highest School Grade Completed Alcohol 1,852 30% Completed High School 3,532 57% Heroin 2,667 43% Some College 1,513 24% Other Opiates 426 7% Cocaine 286 5% Employment Status Marijuana % Unemployed 1,754 28% Other Drugs 144 2% Student 243 4% Not in Labor Force 1,903 31% Intravenous Drug Users 2,288 37% Employed Full/Part Time 2,271 37% Smoke Tobacco (Yes)** 3,801 62% Living Arrangement Homeless 204 3% Level of Care Dependent Living/Institution % Outpatient Care (OP) 1,957 32% Independent Living 5,323 86% Intensive Outpatient (IOP) 1,470 24% Partial Hospitalization 125 2% Marital Status Opioid Maintenance OP % Single/Divorced 5,138 83% Opioid Maintenance IOP 62 1% Married/Civil Union % Extended Care 0 0% Widowed 102 2% Halfway House 118 2% Separated 232 4% Long-Term Residential 168 3% Short-Term Residential % Legal Problem* Hospital Based Residential 1 0% None 2,425 39% Detox Residential % Case Pending % Detox Hospital 5 0% Probation/Parole 1,609 26% Detox Outpatient Non-Methadone 12 0% DWI License Suspension % Detox Outpatient Methadone 45 1% Drug Court 454 7% Non-traditional Program 0 0% DCCP/Family Court 447 7% Early Intervention 89 1% Other 212 3% Medication Assisted Therapy Planned in Treatment Arrest in the Last 30 Days (Yes) 392 6% Methadone % Suboxone 216 3% Special Population* DCCP/CPSAI 544 9% Referral Source DWI/DUI 1,333 22% Self-referral 1,936 31% Developmental Disability 13 0% Family/Friend 366 6% Blind and Visually Impaired 11 0% Addiction Services Program % Deaf and Hard of Hearing 14 0% Workforce NJ SAI 76 1% DCCP/CPSAI 343 6% Federal Poverty Level (0-133%)** 3,997 58% Mental Health 116 2% Criminal Justice 1,527 25% Health Insurance* Interim Managing Entity (IME) **,*** 0% No Insurance 2,149 35% IDRC 545 9% Medicaid 3,230 52% Other 366 6% Medicare 199 3% Private Insurance 1,258 20% Sex Other Insurance 125 2% Male 3,932 64% Female 2,244 36% Treated in County of Residence 4,831 78% Pregnant Women (Yes)** 106 2% County Where Patient Was Treated Atlantic 61 1% Middlesex 149 2% Age Bergen 29 0% Monmouth 4,831 78% Under % Burlington 10 0% Morris 34 1% % Camden 20 0% Ocean 448 7% % Cape May 0 0% Passaic 194 3% ,163 19% Cumberland 4 0% Salem 0 0% ,019 16% Essex 121 2% Somerset 69 1% ,328 21% Gloucester 50 1% Sussex 42 1% % Hudson 47 1% Union 35 1% 55 and over 509 8% Hunterdon 5 0% Warren 1 0% Mercer 27 0% Other 0 0% Race/Ethnicity White (non-hispanic) 4,649 75% Fee For Service Admissions 1,551 25% Black (non-hispanic) 1,016 16% Fee For Service Unique Clients 1,085 25% Hispanic Origin 456 7% Other 56 1% Total Admissions = 6,177 *Totals may be greater than 100% because of multiple responses. Unduplicated Clients Admitted = 4,394 **Percentage calculations excluded missing values.

4 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/ /31/2016 Monmouth County Treatment Sites Primary Drug** Highest School Grade Completed Alcohol 2,499 27% Completed High School 5,523 60% Heroin 4,508 49% Some College 2,081 23% Other Opiates 680 7% Cocaine 349 4% Employment Status Marijuana 842 9% Unemployed 2,955 32% Other Drugs 275 3% Student 294 3% Not in Labor Force 3,182 35% Intravenous Drug Users 4,180 46% Employed Full/Part Time 2,733 30% Smoke Tobacco (Yes)** 6,365 70% Living Arrangement Homeless 297 3% Level of Care Dependent Living/Institution 1,180 13% Outpatient Care (OP) 1,962 21% Independent Living 7,685 84% Intensive Outpatient (IOP) 1,468 16% Partial Hospitalization 621 7% Marital Status Opioid Maintenance OP % Single/Divorced 7,847 86% Opioid Maintenance IOP 49 1% Married/Civil Union % Extended Care 0 0% Widowed 112 1% Halfway House 148 2% Separated 311 3% Long-Term Residential 96 1% Short-Term Residential 2,054 22% Legal Problem* Hospital Based Residential 1 0% None 4,025 44% Detox Residential 1,713 19% Case Pending 1,497 16% Detox Hospital 6 0% Probation/Parole 2,182 24% Detox Outpatient Non-Methadone 0 0% DWI License Suspension 732 8% Detox Outpatient Methadone 60 1% Drug Court 619 7% Non-traditional Program 0 0% DCCP/Family Court 477 5% Early Intervention 94 1% Other 286 3% Medication Assisted Therapy Planned in Treatment Arrest in the Last 30 Days (Yes) 700 8% Methadone 1,000 11% Suboxone 333 4% Special Population* DCCP/CPSAI 525 6% Referral Source DWI/DUI 2,062 22% Self-referral 2,597 28% Developmental Disability 9 0% Family/Friend 638 7% Blind and Visually Impaired 9 0% Addiction Services Program 2,763 30% Deaf and Hard of Hearing 17 0% Workforce NJ SAI 75 1% DCPP/CPSAI 303 3% Federal Poverty Level (0-133%)** 6,083 65% Mental Health 116 1% Criminal Justice 1,666 18% Health Insurance* IDRC 606 7% No Insurance 3,070 33% Interim Managing Entity (IME) 21 0% Medicaid 4,991 54% Other 406 4% Medicare 226 2% Private Insurance 1,990 22% Sex Other Insurance 124 1% Male 6,059 66% Female 3,108 34% Treated in County of Residence 4,831 53% Pregnant Women (Yes)** 135 2% County of Residence Atlantic 161 2% Middlesex 797 9% Age Bergen 149 2% Monmouth 4,831 53% Under % Burlington 208 2% Morris 164 2% % Camden 320 3% Ocean 1,151 13% ,130 12% Cape May 100 1% Passaic 62 1% ,897 21% Cumberland 92 1% Salem 25 0% ,522 17% Essex 66 1% Somerset 37 0% ,756 19% Gloucester 112 1% Sussex 29 0% ,278 14% Hudson 123 1% Union 187 2% 55 and over 652 7% Hunterdon 35 0% Warren 55 1% Mercer 223 2% Other 243 3% Race/Ethnicity White (non-hispanic) 7,352 80% Fee For Service Admissions 2,445 27% Black (non-hispanic) 1,181 13% Fee For Service Unique Client 1,474 22% Hispanic Origin 553 6% Other 84 1% Total Admissions = 9,170 *Totals may be greater than 100% because of multiple responses. Unduplicated Clients Admitted = 6,660 **Percentage calculation excluded missing values.

5 Substance Abuse Admissions by Municipality and Primary Drug 2016 NJ Resident Admissions Primary Drug Total Monmouth County Alcohol Cocaine/ Heroin Other Marijuana/ Other Unknown Crack Opiates Hashish Drugs N % N % N % N % N % N % N % N % ABERDEEN TWP ALLENHURST ALLENTOWN ASBURY PARK CITY ATLANTIC HIGHLANDS AVON-BY-THE-SEA BELMAR BRADLEY BEACH BRIELLE COLTS NECK TWP DEAL EATONTOWN ENGLISHTOWN FAIR HAVEN FARMINGDALE FREEHOLD FREEHOLD TWP HAZLET TWP HIGHLANDS HOLMDEL TWP HOWELL TWP INTERLAKEN KEANSBURG KEYPORT LAKE COMO LITTLE SILVER LOCH ARBOUR VILLAGE LONG BRANCH CITY MANALAPAN TWP MANASQUAN MARL TWP MATAWAN MIDDLETOWN TWP MILLSTONE TWP MONMOUTH BEACH NEPTUNE CITY NEPTUNE TWP OCEAN TWP OCEANPORT RED BANK ROOSEVELT RUMSON SEA BRIGHT SEA GIRT SHREWSBURY SHREWSBURY TWP SPRING LAKE SPRING LAKE HEIGHTS

6 TINTON FALLS UNION BEACH UPPER FREEHOLD TWP WALL TWP WEST LONG BRANCH NOT Stated Total

7 Substance Abuse Admissions by Primary Drug within Municipality 2016 NJ Resident Admissions Monmouth County Primary Drug Total Alcohol Cocaine/ Crack Heroin Other Opiates Marijuana/ Hashish Other Drugs Unknown N % N % N % N % N % N % N % N % ABERDEEN TWP ALLENHURST ALLENTOWN ASBURY PARK CITY ATLANTIC HIGHLANDS AVON-BY-THE-SEA BELMAR BRADLEY BEACH BRIELLE COLTS NECK TWP DEAL EATONTOWN ENGLISHTOWN FAIR HAVEN FARMINGDALE FREEHOLD FREEHOLD TWP HAZLET TWP HIGHLANDS HOLMDEL TWP HOWELL TWP INTERLAKEN KEANSBURG KEYPORT LAKE COMO LITTLE SILVER LOCH ARBOUR VILLAGE LONG BRANCH CITY MANALAPAN TWP MANASQUAN MARL TWP MATAWAN MIDDLETOWN TWP MILLSTONE TWP MONMOUTH BEACH NEPTUNE CITY NEPTUNE TWP OCEAN TWP OCEANPORT RED BANK ROOSEVELT RUMSON SEA BRIGHT SEA GIRT SHREWSBURY

8 SHREWSBURY TWP SPRING LAKE SPRING LAKE HEIGHTS TINTON FALLS UNION BEACH UPPER FREEHOLD TWP WALL TWP WEST LONG BRANCH NOT Stated Total

9 2016 Monmouth Substance Abuse Admissions by Municipality of Residence Admission Counts Top Five Municipalities 1 Asbury Park City Neptune Township Middletown Township Middletown Township Long Branch City 397 Keansburg Borough Middletown Township Middletown Township Long Branch City Asbury Park City Neptune Township Howell Township Data: NJSAMS 2017 May Download Report Date: June, 2017 NJ Department of Human Services Division of Mental Health and Addiction Services Research, Planning, Evaluation and Prevention Office ¹ Miles

10 Admissions by Municipality of Residence, Age Group and Primary Drug 2016 NJ Resident Admissions Monmouth Alcohol Drugs Total* County 18 & Over Under 18 Total 18 & Over Under 18 Total 18 & Over Under 18 Total N % N % N % N % N % N % N % N % N % ABERDEEN TWP ALLENHURST ALLENTOWN ASBURY PARK CITY ATLANTIC HIGHLANDS AVON-BY-THE SEA BELMAR BRADLEY BEACH BRIELLE COLTS NECK TWP DEAL EATONTOWN ENGLISHTOWN FAIR HAVEN FARMINGDALE FREEHOLD FREEHOLD TWP HAZLET TWP HIGHLANDS HOLMDEL TWP HOWELL TWP INTERLAKEN KEANSBURG KEYPORT LAKE COMO LITTLE SILVER LOCH ARBOUR VILLAGE LONG BRANCH CITY MANALAPAN TWP MANASQUAN

11 MARL TWP MATAWAN MIDDLETOWN TWP MILLSTONE TWP MONMOUTH BEACH NEPTUNE CITY NEPTUNE TWP OCEAN TWP OCEANPORT RED BANK ROOSEVELT RUMSON SEA BRIGHT SEA GIRT SHREWSBURY SHREWSBURY TWP SPRING LAKE SPRING LAKE HEIGHTS TINTON FALLS UNION BEACH UPPER FREEHOLD TWP WALL TWP WEST LONG BRANCH NOT Stated Total * Missing primary drug or age admissions are not included.

12 Admissions by Age Group, Gender and Primary Drug 2016 NJ Resident Admissions MONMOUTH GENDER TOTAL Female Male N % N % N % 0-17 Alcohol Heroin 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 &Over Alcohol Heroin Other Opiates Marijuana/Hashish Other Drugs Total Total Alcohol Heroin Other Opiates Marijuana/Hashish Other Drugs Unknown Total * Unknown age or gender admissions are not included.

13 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Discharges 1/1/ /31/2016 Monmouth County Residents Level of Care Living Arragements Outpatient Care (OP) 1,896 32% Homeless 127 2% Intensive Outpatient (IOP) 1,399 24% Dependent Living/Institution % Partial Hospitalization 112 2% Independent Living 4,788 82% Opioid Maintenance OP % Opioid Maintenance IOP 66 1% Employment Status Extended Care 0 0% Unemployed 1,185 20% Halfway House 124 2% Student 239 4% Long-Term Residential 149 3% Not in Labor Force 1,822 31% Short-Term Residential % Employed Full/Part Time 2,442 42% Hospital Based Residential 1 0% Detox Residential % Detox Hospital 13 0% Reasons for Discharge or Treatment not Completed Detox Outpatient Non-Methadone 16 0% Treatment Plan Completed 3,097 53% Detox Outpatient Methadone 58 1% Quit or Dropped Out 1,388 24% Non-Traditional Program 0 0% Needs Different Level of Care 407 7% Early Intervention 91 2% Unable to Meet Client's Other Needs 29 0% Administrative Discharge 209 4% Sex Exhaustion of Payment Source 63 1% Male 3,739 64% Incarcerated 158 3% Female 2,108 36% Medical Discharge/Deceased 57 1% Other 203 3% Age Under % Continuing Care % No Continuing Care Needed 1,289 22% % Refused or Unable to Continue 1,016 17% ,127 19% Continue Care 1,803 31% % Not Assessed 1,741 30% ,270 22% % Significant Problems or Conditions 55 and over 484 8% Mental Health Problem 1,293 22% Compulsive Gambling 17 0% Physical Disability or Handicap 98 2% Race/Ethnicity Victim of Physical Abuse or Neglect 187 3% White 4,409 75% Victim of Sexual Abuse 144 2% Black % Pregnancy 57 1% Hispanic 425 7% Suicide Attempt 44 1% Other 57 1% Runaway Behavior 76 1% Neglect or Abuse of Own Children 108 2% Child of Substance Abuser 330 6% Mental Illness/Co-Occurring Disorder Batterer 15 0% 3,323 57% Criminal Activity % Other 205 4% Client Goal Achieved/Partially Achieved * Alcohol or Drug Problem 3,809 68% Arrested in the Last 30 days (Yes) 249 4% Educational 1,033 60% Employment or Vocational 1,344 60% County Where Patient Was Treated Family Situation 2,022 68% Atlantic 61 1% Middlesex 143 2% Psychological or Mental Health 1,949 70% Bergen 34 1% Monmouth 4,578 78% Physical Health 1,622 73% Burlington 7 0% Morris 33 1% Legal 1,914 64% Camden 15 0% Ocean 396 7% Cape May 0 0% Passaic 183 3% Drug and Alcohol Use Cumberland 5 0% Salem 0 0% Not Using Alcohol or Drugs 3,416 58% Essex 123 2% Somerset 71 1% Using Alcohol 315 5% Gloucester 51 1% Sussex 41 1% Using Drugs % Hudson 40 1% Union 38 1% Unknown 1,216 21% Hunterdon 6 0% Warren 1 0% Mercer 23 0% Other 0 0% Total Discharges = 5,849 Unduplicated Clients Discharged = 4,223 * Percentage for goal achievement based on total clients for whom goal was applicable. All other percentages are based on total discharges.

14 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Discharges 1/1/ /31/2016 Monmouth County Treatment Sites Level of Care Living Arragements Outpatient Care (OP) 1,883 22% Homeless 181 2% Intensive Outpatient (IOP) 1,428 16% Dependent Living/Institution 1,608 18% Partial Hospitalization 548 6% Independent Living 6,733 77% Opioid Maintenance OP 657 8% Opioid Maintenance IOP 62 1% Employment Status Extended Care 0 0% Unemployed 2,262 26% Halfway House 179 2% Student 271 3% Long-Term Residential 97 1% Not in Labor Force 3,155 36% Short-Term Residential 2,060 24% Employed Full/Part Time 2,834 32% Hospital Based Residential 1 0% Detox Residential 1,668 19% Detox Hospital 5 0% Reasons for Discharge or Treatment not Completed Detox Outpatient Non-Methadone 1 0% Treatment Plan Completed 5,511 63% Detox Outpatient Methadone 73 1% Quit or Dropped Out 1,664 19% Non-Traditional Program 0 0% Needs Different Level of Care 427 5% Early Intervention 96 1% Unable to Meet Client's Other Needs 32 0% Administrative Discharge 277 3% Sex Exhaustion of Payment Source 67 1% Male 5,771 66% Incarcerated 157 2% Female 2,983 34% Medical Discharge/Deceased 62 1% Other 224 3% Age Under % Continuing Care % No Continuing Care Needed 1,348 15% ,033 12% Refused or Unable to Continue 1,643 19% ,853 21% Continue Care 3,648 42% ,496 17% Not Assessed **,*** 24% ,701 19% ,201 14% Significant Problems or Conditions 55 and over 614 7% Mental Health Problem 1,608 18% Compulsive Gambling 31 0% Physical Disability or Handicap 101 1% Race/Ethnicity Victim of Physical Abuse or Neglect 248 3% White 7,023 80% Victim of Sexual Abuse 209 2% Black 1,140 13% Pregnancy 68 1% Hispanic 516 6% Suicide Attempt 82 1% Other 75 1% Runaway Behavior 44 1% Neglect or Abuse of Own Children 125 1% Child of Substance Abuser 452 5% Mental Illness/Co-Occurring Disorder Batterer 19 0% 4,806 55% Criminal Activity % Other 298 3% Client Goal Achieved/Partially Achieved* Alcohol or Drug Problem 6,404 76% Arrested in the Last 30 days (Yes) 333 4% Educational 1,190 62% Employment or Vocational 1,613 63% County of Residence Family Situation 2,707 68% Atlantic 160 2% Middlesex 771 9% Psychological or Mental Health 2,571 74% Bergen 144 2% Monmouth 4,578 52% Physical Health 3,117 83% Burlington 211 2% Morris 155 2% Legal 2,540 69% Camden 330 4% Ocean 1,094 12% Cape May 104 1% Passaic 57 1% Drug and Alcohol Use Cumberland 96 1% Salem 22 0% Not Using Alcohol or Drugs 6,126 70% Essex 53 1% Somerset 34 0% Using Alcohol 321 4% Gloucester 108 1% Sussex 25 0% Using Drugs % Hudson 121 1% Union 175 2% Unknown 1,334 15% Hunterdon 31 0% Warren 55 1% Mercer 225 3% Other 209 2% Total Discharges = 8,758 Unduplicated Clients Discharged = 6,357 * Percentage for goal achievement based on total clients for whom goal was applicable. All other percentages are based on total discharges.