Profile of Alcohol and Drug Indicators

Transcription

1 January 2011 Pasco County Alliance for Substance Abuse Prevention (ASAP) Profile of Alcohol and Drug Indicators Profile of Alcohol and Drug Indicators t January 2011 t 1

2 For more information about Pasco County s Alliance for Substance Abuse Prevention or the Profile of Alcohol and Drug Indicators, please contact: ASAP P.O. Box 3007 Land O Lakes, FL (727) cparris@pascoasap.com Active Members Pasco Sheriff s Office BayCare Behavioral Health Pasco Sheriff s Child Protective Investigators Youth and Family Alternatives Pasco Kids First Pasco County Health Department District School Board of Pasco County Poison Information Center - Tampa Healthy Start WTOGTV - CW44 Florida Alcohol Tobacco and Beverage (ABT) Public Defender s Office Cox Radio Saint Leo University Pasco Hernando Community College Dade City Police Department Trinity Pain Center Department of Children and Families Department of Juvenile Justice DUI School Joy FM Dependency Court Premier Community Health Care Group ASAP Board of Directors from left to right: Treasurer Debbie Antioco, BayCare Behavioral Health Chair Tracey Kaly, BayCare Behavioral Health Vice Chair Art Rowand, Pasco Sheriff s Office Secretary Paula Green, Youth and Family Alternatives Board Member at Large Phil Cohen, Public Defender s Office Coalition Coordinator, Chrissie Parris Not Pictured: Board Member at Large Chris Wittmann, Trinity Pain Center

3 Table of Contents Active Members...2 Letter to Community Stakeholders...5 Report Highlights...6 Introduction Accomplishments/Successes...8 Criminal Justice Indicators...9 Table One. Alcohol- and Drug-Related Offense and Arrest Data...9 Figure One. Comparison of Pasco County DUI and Drug/Narcotic Arrests...9 Figure Two. Pasco County Liquor Law Violations...9 Table Two. Economic Costs of Underage Drinking in Florida by County...10 General Population Surveys: Adolescent Prevalence Rates...11 Table Three. Students Reporting Past 30-day Use of Selected Drugs...11 Figure Three. Past 30-day Use of Alcohol, Tobacco and Other Drugs among Pasco County Students, Table Four. Pasco County Students Reporting Past 30-day Use of Selected Drugs...12 Figure Four. Past 30-day Alcohol Use Pasco County and Florida Figure Five. Past 30-day Binge Drinking Pasco County and Florida Table Five. Students Reporting Lifetime Use of Selected Drugs...14 Figure Six. Lifetime Use of Alcohol, Tobacco, and other Drugs among Pasco County Students, Table Six. Pasco County Students Reporting Lifetime Use of Selected Drugs...15 Figure Seven. Alcohol Trends Summary for Pasco County Figure Eight. Marijuana Trends Summary for Pasco County, Table Seven. Pasco County and Florida Statewide High School Students Who Started Using Alcohol, Cigarettes, or Marijuana at Age 13 or Younger...17 Table Eight. Pasco County Students Reporting Past 12 Month Drug-Related Behavior...17 Figure Nine. Usual Source of Alcohol within the past 30-days among High School Drinkers, Pasco Co...18 Figure Ten. Usual Drinking Location within the past 30-days among High School Drinkers, Pasco Co...18 Figure Eleven. Comparisons of Past 12-month Delinquent Behavior for Pasco County and FL Statewide...19 Figure Twelve. Bullying-related Behaviors among Pasco County Middle and High School Students, Profile of Alcohol and Drug Indicators t January 2011 t 3

4 Mortality Data...20 Table Nine. Pasco and Pinellas Counties Drug-Related Deaths by Lethal/Non-Lethal Levels...20 Table Ten. Pasco and Pinellas Counties Drug-Related Deaths by Age and Lethal/Non-Lethal Levels...20 Figure Thirteen. Comparison of Pasco County Drug-Related Deaths by Non-Lethal Level...21 Figure Fourteen. Comparison of Pasco County Drug-Related Deaths by Lethal Level...21 Table Eleven Pasco and Pinellas Counties Drug-Related Deaths by Lethal/Non-Lethal Levels...22 Table Twelve. Substance-exposed Newborns by County of Residence...22 Table Thirteen. ARCOS Prescription Drug Distribution Data for Pasco County...23 Table Fourteen. Pasco County Suicide Deaths by Age Group...24 Table Fifteen. Suicide Attempts Using Poisons or Medications in Pasco County by Age Group...24 Table Sixteen. Alcohol-Related Crashes, Injuries, and Fatalities...25 Figure Fifteen. Pasco County Alcohol-Related Crashes and Injuries...25 Figure Sixteen. Pasco County Alcohol-Related Crashes...25 Treatment Data...26 Table Seventeen. Admission to Pasco County Substance Abuse Treatment...26 Figure Seventeen. Adult Admissions to Pasco County Substance Abuse Providers...26 Table Eighteen. Admission Data on Drug of Choice for Adults in Pasco County...27 Table Nineteen. Admission Data on Drug of Choice for Youth in Pasco County...27 Appendices...28 Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey...28 Appendix B: Pasco County Last Drink Assessment...33 Appendix C: DUI Crashes...37 Acknowledgements t Profile of Alcohol and Drug Indicators t January 2011

5 Letter to Community Stakeholders Dear Community Stakeholder, The Pasco County Alliance for Substance Abuse Prevention (ASAP) Coalition was formed in 2006 with the mission to develop, motivate, and encourage strategic relationships that reduce countywide risk factors and decrease substance abuse among youth and adults. ASAP serves Pasco County with a population of over 471,000. ASAP includes representatives from many sectors of the community including law enforcement, faith-based organizations, youth-serving organizations, schools, businesses, civic groups, healthcare, behavioral health service providers, government, media, parents and youth. Each year, ASAP works with researchers from the University of South Florida to gather and report the most prevalent and up-to-date substance abuse related data impacting Pasco County. In this Indicator Report, we provide a balance of both quantitative and qualitative data from a variety of federal, state, regional, and county sources. As you will see, the Indicator report lends compelling information regarding alcohol and drug related trends impacting the families in our community. The most alarming data and trends we have identified on a federal, state and local level are related specifically to the epidemic of prescription drug abuse: Tracey Kaly, LMHC Clinical Manager, BayCare Behavioral Health Prescription painkillers kill about twice as many people as cocaine and five times as many as heroin. Nearly two million Americans are dependent on or abusing opioid pain relievers - nearly twice as many as are addicted to cocaine. There has been a 400% increase in the number of people seeking treatment for addictions to painkillers from 1998 to Prescription drugs cause the death of seven people a day in Florida. Florida has become the epicenter for the availability of illegally diverted prescription drugs and is only one of twelve states that currently does not operate a Prescription Drug Monitoring Program (PDMP). 126 prescription drug-related deaths were reported in Pasco County in Holiday, Florida is considered "ground zero" for prescription drug abuse. 60% of Pasco County child protective investigation cases resulting in a child being removed from a home involve prescription drug abuse. Pasco County youth outpace Florida Statewide youth who reported having used various drugs in their lifetimes (prescription drugs, over the counter drugs and alcohol). In 2008, Pasco County ranked second highest in the State of Florida for infants being born experiencing withdrawal symptoms. This is a 1000% increase in babies born addicted compared to Pinellas County ranked first with 70 newborns. Although data is not yet available, we fear the trend has increased. This report also highlights the activities that ASAP conducts to help combat the negative trends and to make Pasco County a healthy and safe place for families. In 2010, to address the growing number of individuals seeking treatment for prescription drug use and the increased number of unauthorized pain management clinics in Pasco County, ASAP created a Prescription Drug Task Force to review, research and make recommendations on how to address the problems within our community. The Task Force was instrumental with the following key accomplishments: Helping the Pasco County Sheriff s Office and Dade City Police Department collect over 2,158 pounds of pills and sharps during Prescription Drug Take Back Events. Supporting the Dade City Police Department to host the first permanent pharmaceutical drug take-back site. Electing a pain management practitioner to ASAP s Board of Directors. Providing training for child welfare workers on prescription drug misuse and impact on families in collaboration with Dependency Court Judge, Lynn Tepper. Attending a Prescription Drug panel discussion organized by Judge Lynn Tepper with Representative John Legg, Special Counsel Dave Aronberg, and local law enforcement, child welfare and treatment provider leaders in Pasco County. Organizing and participating in community candle light vigils, informational tables at events, public service announcements to continue to educate the public. As an inaugural member and current chairperson for ASAP, I have been honored and humbled to work with such dedicated people within Pasco County. Each year, our membership grows substantially with caring individuals supporting our cause. On behalf of our Board of Directors and Executive Committee, I would like to thank the countless hours that our ASAP volunteers provide throughout the year to promote healthy and safe communities within our County. We hope you find this Indicator Report useful. For more information about our Coalition and how to get involved, please visit our website at We look forward to our continued partnership with key stakeholders, community members, and youth within the Pasco County community. With our collective passion, we will achieve our shared vision for the future. Sincerely, Tracey Kaly, LMHC Chairperson, Pasco County Alliance for Substance Abuse Prevention (ASAP) Profile of Alcohol and Drug Indicators t January 2011 t 5

6 Report Highlights Report Highlights Criminal Justice Indicator Highlights DUI arrests for Pasco and Florida statewide increased from 2006 to 2008, peaking in 2008 then decreasing in Pasco County s drug/narcotic arrests peaked in 2009, whereas Florida statewide experienced reductions from 2007 to Pasco s liquor law violations increased from 30 violations in 2007 to 130 in The Suncoast and Central counties had the highest statewide cost attributed to underage drinking. Costs per youth under the age of 21 are highest in the Suncoast region, between $679 and $2,021 per youth, respectively. Pasco County is rated 13 out of the 67 counties in terms of costs attributed to underage drinking for the state of Florida. Adolescent Prevalence Rate Highlights Alcohol Similar to Florida s statewide rates, Pasco County s lifetime and past month use of any alcohol decreased from 2004 to In 2010, Pasco County middle and high school students reported their lowest lifetime rates of alcohol use. Binge drinking declined from 20.3% in 2006 to 13.5% in Alcohol use continues to decrease as the harm associated with use increases. Marijuana Consistent with statewide rates, in 2010 Pasco County s past 30-day use rates of marijuana and any illicit drug use were at their peak. Also, lifetime marijuana use increased from 2008 to 2010 for both Pasco County and Florida statewide. Past 30-day marijuana use among middle school students increased from 4.9% in 2004 to 6.7% in Marijuana use has seen an increase as the harm associated with use decreases. Inhalant Use Past 30-day inhalant use among high school students decreased from 5.2% in 2006 to 1.7% in In 2010, Pasco County reported its lowest rates for inhalant use. Mortality Data In 2009 oxycodone was the drug most commonly found in lethal levels by both Pasco and Pinellas County Medical Examiners. Alprazolam (Xanax) was the drug most commonly found in non-lethal levels by Pasco and Pinellas County Medical Examiners in Pasco suicide attempts using poisons or medications peaked in Pasco County has steadily decreased alcohol-related injuries and crashes from t Profile of Alcohol and Drug Indicators t January 2011 Treatment Data BayCare Behavioral Health adult outpatient admissions increased from 2006/2007 to 2009/2010; during this time frame adult residential admissions peaked in 2009/2010. Youth residential admissions nearly doubled from 2008/2009 to 2009/2010. For adults, opiate use was the primary drug of choice in 2009/2010, followed by alcohol and marijuana. For youth, marijuana was the primary drug of choice in 2009/2010, followed by opiates and alcohol. Approximately 75% of youth in treatment at BayCare Behavioral Health for opiate use have dropped out of school. Very few are enrolled in GED programs.

7 Introduction Area Description Pasco County is located on the Gulf of Mexico. Pasco is comprised of 868 square miles of land and is approximately 35 miles from Tampa. The County contains six municipalities: New Port Richey, Port Richey, San Antonio, St. Leo, Zephyrhills, and Dade City, which is the county seat. Located less than an hour s drive north of downtown Tampa and St. Petersburg, Pasco County is a transitioning suburban community. It is the 50th fastest growing county in the United States, with 105,403 new residents since the year 2000 (constituting a 30.6% increase). According to the 2006 census estimate, the population was 471,028, with 91.0% White, 3.6% Black or African American, 1.8% Asian, and 3.6% other races. Census figures also indicate that 9.2% of Pasco s population report being of Hispanic or Latino origin, the slight majority (51.6%) are female, median age is 42.1 years, and 11% live below the poverty level. There are 34,169 students in grades 6-12 (15,554 in middle school and 18,615 in high school). Currently, there are nearly 800 licensed premises that sell alcoholic beverages and 35 licensed pain clinics in Pasco County. Pasco County Alcohol and Drug Indicator Analysis Indicator reporting programs are a useful means of gaging the extent of local alcohol and drug use and their related problems. Additionally, collecting indicator data over time will help to ascertain the impact of efforts designed to reduce alcohol and drug use and its related problems. Indicators can be used by community leaders in the following ways: (1) to identify the most important local substance use problems, (2) to target community prevention and treatment strategies, and (3) to evaluate the results of new policies and programs. To this end, the Pasco County Alliance for Substance Abuse Prevention (ASAP) worked with researchers to conduct an evaluation of adolescent and adult alcohol and drug use indicators available throughout Pasco County. Some of the data was compared to state averages. Data Sources This report describes alcohol and other drug trends in Pasco County, using the data sources summarized below: Uniform Crime Report (UCR) Florida Department of Children and Families Florida Youth Substance Abuse Survey (FYSAS) Florida Department of Law Enforcement (FDLE) Drug Enforcement Agency Florida Agency for Health Care Administration Florida Office of Vital Statistics Florida Poison Control Florida Department of Highway Safety and Motor Vehicles (FDHSMV) BayCare Behavioral Health Profile of Alcohol and Drug Indicators t January 2011 t 7

8 2010 Accomplishments/Successes Completed Profile of Alcohol and Drug Indicators Report for Pasco County. Attended the Suncoast Regional Prevention System Meeting. Provided Responsible Beverage Server Training, Fake ID identification training, Compliance Checks training and Safe Festival Training to PSO and NPRPD. Attended the National Coalition Academy provided by CADCA and RCTA. Collected roughly pounds of pills and 212 pounds of Sharps at a Prescription Drug Take Back day. Participated in 2 day evidence-based training Communities Mobilizing for Change on Alcohol (CMCA). Mentioned in several articles as Senator Fasano and Representative Legg work to implement a moratorium on pain clinics. Conducted an executive committee strategic planning session utilizing member feedback to review and develop goals. January February March April May June July Established ASAP prescription drug abuse committee. Supported SROs alcohol prevention presentation in Pasco County High Schools. Conducted Open House Party Media Campaign. Hosted Town Hall Meeting on the dangers of underage drinking and alcohol abuse. Interviewed on 97X radio show. Created Facebook page. Administered Prescription Drug Abuse Survey to Pasco County residents. Hosted training for ASAP and community members on methadone maintenance. Surveyed ASAP membership to assess strengths, needs, and opportunities. Attended week 2 of the National Coalition Academy. Participated in DEA National prescription drug take back event with PSO, DCPD, ZPD, NPRPD and PRPD. Collected a total of pounds of pills and 64.9 pounds of sharps. Attended Florida s State Prevention Conference. Sponsored first permanent drug collection site at the Dade City Police Department s lobby. Completed Year 1 Drug Free Community Report. Held second Annual Meeting and released preliminary results from the ASAP Alcohol and Prescription Drug Survey. August September October November December Participated in Back to School Events at Gulf View Square Mall. Partnered with PSO for Statewide Prescription Drug Tame Back Event. Collected over 800 pounds of pills and sharps. Participated in JoyFM radio interviews regarding Take Back events. Attended week 3 of the National Coalition Academy. Participated in NOPE Candle Light Vigil. Supported Red Ribbon Week. Produced 3 ASAP Billboards throughout high traffic areas in Pasco. Developed ASAP Public Service Announcements which were aired for 3 months on WTOG-TV CW-44. Developed 16 page Back to School Newspaper in Education insert with PSO and PCSB Times and Pasco County Schools. Accepted nominations for 2011 Board of Directors Slate (voted in January). Completed requirements for the National Coalition Academy and RCTA final products turned in for final review before graduation in February 2011 at the National Leadership Institute in Washington D.C. 8 t Profile of Alcohol and Drug Indicators t January 2011

9 Criminal Justice Indicators Table One. Alcohol- and Drug-Related Offense and Arrest Data Pasco County Statewide Indicator DUI Arrests 1,410 1,997 2,174 1,613 55,278 58,824 61,852 53,004 Drug / Narcotic Arrests 1,720 1,683 1,941 2, , , , ,056 Liquor Law Violations ,137 34,898 33,084 37,715 Note. Uniform Crime Report (UCR) data retrieved through FDLE web site: 1 Liquor Law Violations definition: Violation of laws or ordinances prohibiting the manufacture, sale, purchase, transportation, possession or use of intoxicating alcoholic beverages. DUI arrests for Pasco and Florida statewide increased from 2006 to 2008, peaking in 2008 then decreasing in Pasco County s drug/narcotic arrests peaked in 2009, whereas Florida statewide experienced reductions in this area from 2007 to In 2009 Pasco s liquor law violations increased substantially from 2007 to 2009, from 30 violations in 2007 to 130 in Figure One. Comparison of Pasco County DUI and Drug/Narcotic Arrests Figure Two. Pasco County Liquor Law Violations 3000 DUI Arrests Drug/Narcotic Arrests 200 # Arrests # Liquor Law Violations Profile of Alcohol and Drug Indicators t January 2011 t 9

10 Criminal Justice Indicators County Total (in millions) Table Two. Economic Costs of Underage Drinking in Florida by County 1 % of Total County Total (in millions) % of Total County Total (in millions) % of Total Dade Bay Desoto Broward Okaloosa Baker Orange Clay Levy Palm Beach Charlotte Hardee Duval Saint Johns Taylor Hillsborough Putnam Bradford Pinellas Hernando Gulf Lee Santa Rosa Madison Brevard Martin Dixie Polk Indian River Franklin 3.1 Volusia Monroe Wakulla 3.1 Escambia Nassau Jefferson Pasco Citrus Holmes Manatee Highlands Washington Sarasota Columbia Calhoun Seminole Flagler Gilchrist Marion Suwannee Hamilton Osceola Jackson Glades Collier Hendry Union Leon Sumter Liberty.8.17 Alachua Okeechobee Lafayette.3.1 Saint Lucie Gadsden Lake Walton Note: Data obtained from 1 Total estimates at the county level exclude alcohol dependence and abuse treatment costs. Counties located in the Suncoast and Central regions of the state generated the largest share of the total statewide cost attributed to underage drinking. Costs per youth under the age of 21 and per youth between the ages of 14 and 20 are highest in the Suncoast region, between $679 and $2,021 per youth, respectively. The counties located in the Suncoast region are Charlotte, Collier, Desoto, Glades, Hendry, Hillsborough, Lee, Manatee, Pasco, Pinellas, and Sarasota. Pasco County is rated 13 out of the 67 counties in terms of costs attributed to underage drinking for the state of Florida; total cost of underage drinking 65.6 million (2.13 of total). 10 t Profile of Alcohol and Drug Indicators t January 2011

11 General Population Surveys: Adolescent Prevalence Rates Table Three. Students Reporting Past 30-day Use of Selected Drugs Pasco County Florida Statewide Drug Type Any Alcohol 34.7% 33.5% 30.0% 29.2% 32.3% 32.0% 29.8% 28.8% Binge drinking 18.7% 20.3% 15.8% 13.5% 16.0% 16.8% 14.8% 14.1% Cigarettes 13.4% 12.8% 12.3% 11.8% 11.4% 10.6% 9.1% 8.8% Smokeless tobacco 3.4% 5.2% % 4.6% Marijuana 13.0% 13.6% 12.9% 14.8% 11.5% 11.4% 11.1% 13.0% Inhalants 3.8% 5.2% 2.3% 3.1% 4.2% 3.9% 3.5% 3.2% Any illicit drug 17.2% 17.4% 16.2% 19.4% 15.8% 15.0% 15.8% 18.0% Any illicit except marijuana 9.4% 9.4% 8.4% 9.1% 8.0% 7.3% 8.9% 9.3% Alcohol or any illicit drug 38.1% 37.0% 34.0% 34.6% 36.1% 35.4% 33.9% 34.1% Prescription Pain Relievers 13.0% 12.0% 10.8% 3.0% 3.3% 3.2% 3.2% 2.9% Prescription Amphetamines 3.0% 5.3% 2.7% 0.8% 1.3% 1.4% 1.2% 1.1% Note. Data obtained from FYSAS, Similar to Florida s statewide rates, Pasco County s past month use of any alcohol decreased from 2004 to Consistent with statewide rates, in 2010 Pasco County s past 30-day use rates of marijuana and any illicit drug use were at their peak. Binge drinking declined from 20.3% in 2006 to 13.5% in Figure Three. Past 30-day Use of Alcohol, Tobacco and Other Drugs among Pasco County Students, Profile of Alcohol and Drug Indicators t January 2011 t 11

12 General Population Surveys: Adolescent Prevalence Rates Table Four. Pasco County Students Reporting Past 30-day Use of Selected Drugs Middle School High School Drug Type Any alcohol 19.3% 16.6% 15.1% 16.2% 47.5% 46.4% 42.0% 39.3% Binge drinking 8.6% 8.2% 6.0% 7.2% 26.8% 29.4% 23.7% 18.5% Cigarettes 5.9% 6.8% 5.9% 5.8% 19.7% 17.5% 17.4% 16.6% Smokeless tobacco 3.1% 3.5% % 6.4% 5.5% --- Marijuana 4.9% 5.5% 4.7% 6.7% 19.4% 19.5% 19.5% 21.1% Inhalants 5.7% 5.1% 3.8% 4.9% 2.3% 5.2% 1.1% 1.7% Any illicit drug 11.6% 10.1% 8.6% 12.2% 21.6% 22.8% 22.3% 25.1% Any illicit except marijuana 8.5% 6.9% 6.5% 8.2% 10.2% 11.1% 9.9% 9.7% Alcohol or any illicit drug 24.6% 20.0% 18.0% 20.6% 49.4% 49.9% 47.0% 45.6% Prescription pain relievers 1.8% 2.4% 3.2% 1.5% 9.5% 6.9% 3.8% 4.1% Prescription amphetamines 1.4%.8%.6%.8% 1.5% 2.2%.8%.7% Note. Data obtained from FYSAS, From past month alcohol use and binge drinking decreased among middle school students then increased in Among high school students, 2010 had the lowest rates for any alcohol use, binge drinking, cigarettes, any illicit except marijuana, and prescription amphetamines. Past 30-day alcohol use among high school students decreased from 47.5% in 2004 to 39.3% in Past 30-day marijuana use among middle school students increased from 4.9% in 2004 to 6.7% in Past 30-day inhalant use among high school students decreased from 5.2% in 2006 to 1.7% in Figure Four. Past 30-day Alcohol Use Pasco County and Florida Middle School High School Overall County 2004 County 2006 County 2008 County 2010 Florida t Profile of Alcohol and Drug Indicators t January 2011

13 General Population Surveys: Adolescent Prevalence Rates Figure Five. Past 30-day Binge Drinking Pasco County and Florida 2010 County County County 2008 County Florida Middle School High School Overall The Pasco Sheriff s Office, Dade City Police Department, ASAP, and SADD students from Centennial Middle School invited the community to participate in a Red Ribbon Week Kick Off event decorating the Historic Dade City Court House grounds. Profile of Alcohol and Drug Indicators t January 2011 t 13

14 General Population Surveys: Adolescent Prevalence Rates Table Five. Students Reporting Lifetime Use of Selected Drugs Pasco County Florida Statewide Drug Type Any alcohol 61.1% 57.6% 53.9% 53.1% 57.5% 56.1% 53.2% 51.5% Cigarettes 38.0% 32.1% 30.4% 29.2% 34.0% 30.6% 23.0% 25.9% Smokeless tobacco 10.5% 12.0% % 10.9% Marijuana 27.6% 23.9% 23.5% 27.4% 23.5% 22.5% 21.1% 23.8% Inhalants 12.2% 13.2% 10.4% 10.1% 12.9% 12.2% 11.4% 10.0% Any illicit drug 34.9% 31.7% 31.3% 35.1% 31.9% 30.3% 30.4% 33.0% Any illicit except marijuana 21.4% 19.8% 21.4% 22.1% 19.5% 18.1% 20.7% 21.0% Alcohol or any illicit drug 64.5% 61.1% 57.3% 57.0% 61.1% 59.5% 57.1% 56.3% Note. Data obtained from Florida Youth Substance Abuse Survey (FYSAS) of middle and high school students, From fewer Pasco County students reported lifetime use of alcohol, and this downward trend was also seen in Florida s statewide data. In 2010, Pasco County reported its lowest rates for use of alcohol, cigarettes, inhalants, and alcohol or any illicit drug. Consistent with Florida statewide, Pasco County lifetime marijuana use increased from 2008 to Figure Six. Lifetime Use of Alcohol, Tobacco, and other Drugs among Pasco County Students, t Profile of Alcohol and Drug Indicators t January 2011

15 General Population Surveys: Adolescent Prevalence Rates Table Six. Pasco County Students Reporting Lifetime Use of Selected Drugs Middle School High School Drug Type Any alcohol 42.1% 37.7% 35.2% 34.3% 77.0% 72.8% 69.1% 67.9% Cigarettes 25.8% 19.5% 19.9% 18.5% 47.8% 41.7% 38.9% 37.6% Smokeless tobacco 8.2% 8.3% % 14.8% 15.2% --- Marijuana 12.2% 9.1% 9.3% 11.2% 39.9% 35.1% 34.8% 40.2% Inhalants 13.4% 13.7% 11.3% 12.3% 10.8% 12.7% 9.8% 8.5% Any illicit drug 23.1% 20.3% 19.8% 22.2% 44.2% 40.3% 40.6% 45.5% Any illicit except marijuana 18.0% 15.8% 16.1% 18.4% 23.6% 22.88% 25.7% 25.0% Alcohol or any illicit drug 47.9% 41.7% 40.2% 39.7% 78.3% 75.9% 71.2% 70.8% Note. Data obtained from FYSAS, In 2010 Pasco County middle and high school reported their lowest lifetime rates of alcohol use. Lifetime rates of Pasco middle and high school marijuana increased from 2008 to Except for inhalants, lifetime rates for alcohol and drug use generally double from middle to high school. ASAP sponsored Centennial Middle School s SADD club in a social norming campaign bringing attention to the fact that 85% of Pasco County middle school students did not drink alcohol in the last 30 days. Profile of Alcohol and Drug Indicators t January 2011 t 15

16 General Population Surveys: Adolescent Prevalence Rates Figure Seven. Alcohol Trends Summary for Pasco County Past 30-day Use Binge Drinking Use by Age 13 Great Risk of Harm Alcohol use continues to decrease as the harm associated with use increases Figure Eight. Marijuana Trends Summary for Pasco County, Past 30-Day Use Use by Age 13 Great Risk of Harm Marijuana use has seen an increase as the harm associated with use decreases Perceived risk of harm associated with marijuana use decreased from 32% in 2008 to 25.3% in t Profile of Alcohol and Drug Indicators t January 2011

17 General Population Surveys: Adolescent Prevalence Rates Table Seven. Pasco County and Florida Statewide High School Students Who Started Using Alcohol, Cigarettes, or Marijuana at Age 13 or Younger High School Student Measure Pasco County Florida Statewide More than a sip or two of alcohol 37.4% 36.3% 33.8% 27.0% 36.8% 35.0% 32.3% 27.1% Drinking at least once a month 5.8% 8.1% 6.2% 5.6% 7.1% 6.7% 5.9% 5.8% Cigarettes 27.1% 26.6% 24.7% 21.0% 28.7% 23.9% 19.9% 17.1% Marijuana 14.1% 13.6% 11.8% 13.8% 13.5% 12.5% 10.6% 11.3% Note. Data obtained from FYSAS, The rates of Pasco County and Florida statewide high school students who started using alcohol and cigarettes at or before age 13 generally decreased from Conversely, those who started using marijuana at age 13 or younger increased from 2008 to 2010 for Pasco County and Florida statewide. Table Eight. Pasco County Students Reporting Past 12 Month Drug-Related Behavior Drug-Related Behavior Middle School High School Selling drugs 2.6% 1.8% 3.4% 3.5% 8.9% 9.8% 7.8% 10.0% Drunk or high at school 6.1% 8.7% 6.7% 9.7% 20.2% 23.1% 17.1% 18.4% Note. Data obtained from FYSAS, From there was a steady decrease in the percentage of Pasco County middle school students who reported selling drugs, but this peaked in Rates of middle school students who reported being drunk or high at school decreased in 2008 then increased in For high school students, both selling drugs and being drunk or high at school were lowest in 2008 then increased in ASAP sponsors billboards and conducts presentations to reduce the number of Pasco County high school students who drink in their home or another person s home (see figure 10). Profile of Alcohol and Drug Indicators t January 2011 t 17

18 General Population Surveys: Adolescent Prevalence Rates Figure Nine. Usual Source of Alcohol within the past 30-days among High School Drinkers, Pasco County Bought in a store 1.9 Bought in a restaurant, bar, or club 0.7 Bought at a public event Someone bought it for me Someone gave it to me 1 Took it from a store Took it from a family member Some other way 60 Figure Ten. Usual Drinking Location within the past 30-days among High School Drinkers, Pasco County My Home Another Person's Home 1.5 Car or Other Vehicle Restaurant, Public Place Bar, or Club Public Event 1.3 School Property Some Other Place 18 t Profile of Alcohol and Drug Indicators t January 2011

19 General Population Surveys: Adolescent Prevalence Rates Figure Eleven. Comparisons of Past 12-month Delinquent Behavior for Pasco County and Florida Statewide Middle School High School Figure Twelve. Bullying-related Behaviors among Pasco County Middle and High School Students, Middle School High School Profile of Alcohol and Drug Indicators t January 2011 t 19

20 Mortality Data Table Nine. Pasco and Pinellas Counties Drug-Related Deaths by Lethal/Non-Lethal Levels Drugs Lethal Levels: Drug Was Cause of Death Non-Lethal Levels: Drug Was Present Alprazolam Diazepam Oxycodone Hydrocodone Methadone Morphine Propoxyphene Cocaine Heroin Note. Lethal levels indicate overdoses in which the drug was the cause of death, whereas non-lethal levels indicate instances in which the drug was merely present. Florida Department of Law Enforcement, 2004 Report of Drugs Identified in Deceased Persons by Florida Medical Examiners, June 2008: The number of local deaths (lethal level) caused by alprazolam, diazepam, hydrocodone, methadone, morphine, propoxyphene, cocaine, and heroin increased from The number of local deaths (non-lethal level) associated with alprazolam, diazepam, oxycodone, methadone, propoxyphene, cocaine, and heroin decreased from Table Ten. Pasco and Pinellas Counties Drug-Related Deaths by Age and Lethal/Non-Lethal Levels (2009) Lethal Levels: Drug Was Cause of Death Non-Lethal Levels: Drug Was Present Drugs < >50 < >50 Alprazolam Oxycodone Methadone Cocaine Note. Lethal levels indicate overdoses in which the drug was the cause of death, whereas non-lethal levels indicate instances in which the drug was merely present. Florida Department of Law Enforcement, 2004 Report of Drugs Identified in Deceased Persons by Florida Medical Examiners, June 2008: The number of local deaths (lethal level) caused by alprazolam, oxycodone, methadone, and cocaine was highest for the age group. Similar to cause of local death for lethal levels, the number of deaths (non-lethal level) associated with alprazolam, oxycodone, methadone, and cocaine was highest for the age group. 20 t Profile of Alcohol and Drug Indicators t January 2011

21 Mortality Data Figure Thirteen. Comparison of Pasco County Drug-Related Deaths by Non-Lethal Level Alprazalom Oxycodone Methadone Cocaine # Deaths Figure Fourteen. Comparison of Pasco County Drug-Related Deaths by Lethal Level # Deaths Alprazalom Oxycodone Methadone Cocaine Profile of Alcohol and Drug Indicators t January 2011 t 21

22 Mortality Data Table Eleven Pasco and Pinellas Counties Drug-Related Deaths by Lethal/Non-Lethal Levels Drugs Lethal Levels: Drug was Cause of Death Non-Lethal Levels: Drug was Cause of Death Pasco Pinellas Pasco Pinellas Alprazolam Diazepam Oxycodone Hydrocodone Methadone Morphine Propoxyphene Heroin Note. Lethal levels indicate overdoses in which the drug was the cause of death, whereas non-lethal levels indicate instances in which the drug was merely present. Florida Department of Law Enforcement, 2004 Report of Drugs Identified in Deceased Persons by Florida Medical Examiners, June 2008: In 2009 oxycodone was the drug most commonly found in lethal levels by both Pasco and Pinellas County Medical Examiners. Alprazolam (Xanax) was the drug most commonly found in non-lethal levels by Pasco and Pinellas County Medical Examiners in Pasco County is higher in per capita drug-related deaths. My daughter was in her third year at the University of Tampa and became involved with Prescription Drugs. In the early stages, Oxycontin, Soma, and Xanax ; at the end of her addiction, Dilaudid, Morphine, and Methadone actually anything she could obtain off the streets of New Port Richey. She never had a prescription! We detoxed her on five different occasions and were able to treat the physical effects of addiction, but not the mental effects. She eventually was arrested, jailed and court ordered into a residential program. These events saved her life...she saved her life. She is doing well and has been drug free for 2 years now. My daughter is alive, there are others who are not so fortunate. We need to continue to raise awareness, educate, and prevent this horrible epidemic. Table Twelve. Substance-exposed Newborns by County of Residence Drugs Pasco Pinellas Note. Data obtained from The Florida Agency for Health Care Administration (AHCA) Pinellas and Pasco Counties ranked 1 and 2 respectively for the number of substance-exposed newborns. The number of infants treated for withdrawal symptoms in Florida hospitals increased 173% between 2006 and 2009; 635 cases were reported in the first half of t Profile of Alcohol and Drug Indicators t January 2011

23 Mortality Data Table Thirteen. ARCOS Prescription Drug Distribution Data for Pasco County Number of grams distributed Drugs Amphetamines (Total) DL-Amphetamine Base D-Amphetamine Base D-Methamphetamine Methylphenidate Opiates/Painkillers (Total) Buprenorphine Oxycodone Hydromorphone Hydrocodone Meperidine Methadone Morphine Fentanyl Base Codeine Other Cocaine Note. Data obtained from ARCOS retail drug distribution summary report: Number of grams distributed increased from 2004 to 2006 for all four types of amphetamines; methylphenidate being the highest at grams. Number of grams distributed increased from 2004 to 2006 for eight of the nine types of opiates/painkillers; oxycodone being the highest at grams followed by hydrocodone at grams. Pasco Sheriff s Office (pictured above) conducted three Pill Drop events from May September 2010 and collected over 2,000 pounds of medication and sharps. Profile of Alcohol and Drug Indicators t January 2011 t 23

24 Mortality Data Table Fourteen. Pasco County Suicide Deaths by Age Group Age Group Total Note. Florida Vital Statistics Annual Report , Table D-11, extracted Pasco suicide deaths peaked in 2006, particularly for those aged years. Table Fifteen. Suicide Attempts Using Poisons or Medications in Pasco County by Age Group (FL Poison Information Center-Tampa) Age Group Total Notes. Only 20 of these people who attempted suicide died. Their ages ranged from years old. Seventeen died by medication overdose, three by chemicals. Data obtained from Florida Poison Control Pasco suicide attempts using poisons or medications peaked in From 2001 to 2010 Pasco suicide attempts using poisons or medications were most common among those 25 to 54 years of age. 24 t Profile of Alcohol and Drug Indicators t January 2011

25 Table Sixteen. Alcohol-Related Crashes, Injuries, and Fatalities Mortality Data DHSMV Data 1 Pasco County Florida Statewide Indicator Crashes ,858 22,823 22,259 20,085 Injuries ,319 16,208 15,736 14,130 Fatalities ,099 1,244 1,169 1,004 TOTAL 1,170 1,091 1, ,276 40,275 39,164 35,219 Note. Data obtained from Florida Department of Highway Safety and Motor Vehicles, Pasco County has steadily decreased alcohol-related injuries and crashes from Indicators Figure Fifteen. Pasco County Alcohol-Related Crashes and Injuries Crashes Injuries Figure Sixteen. Pasco County Alcohol-Related Crashes # Deaths Profile of Alcohol and Drug Indicators t January 2011 t 25

26 Treatment Data Table Seventeen. Admission to Pasco County Substance Abuse Treatment Pasco County FY 2006/2007 FY 2007/2008 FY 2008/2009 FY 2009/2010 Adults Residential Outpatient Detox Youth Residential Outpatient Note. Data obtained from BayCare Behavioral Health BayCare Behavioral Health adult outpatient admissions increased from 2006/2007 to 2009/2010; during this time frame adult residential admissions peaked in 2009/2010. Youth residential admissions nearly doubled from 2008/2009 to 2009/2010. Figure Seventeen. Adult Admissions to Pasco County Substance Abuse Providers # Admissions Residential Outpatient Detox FY FY FY FY t Profile of Alcohol and Drug Indicators t January 2011

27 Table Eighteen. Admission Data on Drug of Choice for Adults in Pasco County Treatment Data Drug of Choice Adult Drug of Choice FY 2009/2010 Primary Secondary Tertiary Opiates Alcohol Marijuana Crack Methamphetamine Minor tranquilizers Other TOTAL Note. Data obtained from the Baycare Behavioral Health Network For adults, opiates was the primary drug of choice in 2009/2010, followed by alcohol and marijuana. Table Nineteen. Admission Data on Drug of Choice for Youth in Pasco County Drug of Choice Youth Drug of Choice FY 2009/2010 Primary Secondary Tertiary Marijuana Opiates Alcohol Crack Methamphetamine Minor tranquilizers Other TOTAL Note. Data obtained from the Baycare Behavioral Health Network For youth, marijuana was the primary drug of choice in 2009/2010, followed by opiates and alcohol BayCare Behavioral Health Youth Opiate Abuse Treatment Trends: Primary drug of choice is Oxycontin (30 mg), followed by Xanax. Primary route of delivery: crushing and inhaling, followed by an equal amount of oral and through needle use (shooting up). This is for both Oxycontin and Xanax. Approximately 80% obtain from friends or adults who sell off the streets. Approximately 20% steal from a parent or family member who is prescribed. Approximately 75% of youth taking pills have dropped out of school. Very few are enrolled in GED programs. Approximately 30% of youth participating in treatment are involved with the child welfare system. Profile of Alcohol and Drug Indicators t January 2011 t 27

28 Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey In 2010 ASAP conducted a survey to assess the community s attitudes towards local alcohol policies and patterns of prescription drug use. The survey was administered both in hard copy and online, and feedback was obtained from 457 Pasco County residents. Results are highlighted below: PERSONAL INVOLVEMENT Most respondents (70%) reported that they, a family member, or a close friend had a drinking problem. Half (50%) of respondents indicated that they, a family member, or a close friend were addicted to prescription drugs. Nearly half (45%) of respondents indicated that they knew someone who died of a prescription drug overdose. LOCAL ATTITUDES TOWARDS UNDERAGE DRINKING Only 15% indicated that it is okay for underage persons to consume alcohol, and only 9% reported that it is okay for adults to provide alcohol to individuals under age 21. Most respondents (61%) reported that they were very concerned about underage drinking, and 86% were very concerned about drunk driving. Most respondents indicated that they strongly favored the following policies: { 72% strongly favor additional DUI law enforcement operations. { 64% strongly favor having family zones at public events where alcohol is not allowed. LOCAL ATTITUDES TOWARDS PRESCRIPTION DRUG USE Only 23% of respondents indicated that Pasco County has sufficient resources to address prescription drug abuse. Most respondents reported that they were very concerned about the following prescription drug problems: { 78% very concerned about prescription drug abuse { 77% very concerned about physicians prescribing larger amounts of addictive medications than necessary { 75% very concerned about prescription drug overdose deaths { 71% very concerned about driving under the influence of prescription drugs Most respondents indicated that they strongly favored the following policies: { 75% strongly favor additional pain clinic regulations { 71% strongly favor stricter penalties for possession of narcotic medications without a prescription { 66% strongly favor a moratorium (delay or suspension) on new pain clinics 28 t Profile of Alcohol and Drug Indicators t January 2011

29 Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey LOCAL FACTORS AFFECTING ALCOHOL AND PRESCRIPTION DRUG ABUSE Respondents indicated that the following were the leading factors that contribute to alcohol and prescription drug abuse in Pasco County: { Not enough education of prescription drug abuse consequences to youth and adults { Prescriptions for a large quantity of pills { Too many pain clinics { No mechanism to track multiple prescriptions to one person { Lack of substance abuse treatment options for the uninsured { Lack of alternative treatments for chronic pain COMMUNITY IMPACT OF ALCOHOL AND PRESCRIPTION DRUG ABUSE Over 65% of respondents indicated that underage drinking and prescription drug abuse contribute a lot to the following local problems: { Vandalism { Fights { Family violence { Traffic crashes Profile of Alcohol and Drug Indicators t January 2011 t 29

30 Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey Results Demographics Table 1: Demographics (N = 457) 30 t Profile of Alcohol and Drug Indicators t January 2011 N % Gender Male % Female % Age Group 17 and younger 22 5% 18 to % 21 to % 25 to % 35 to % 45 to % 55 to % 65 or over 17 4% Race/Ethnicity Caucasian/White % African-American/Black 15 4% Native American 4 1% Pacific Islander/Asian 2 1% Multicultural 10 2% Hispanic/Latino 44 10% Marital Status Single % Living with partner 32 8% Married % Separated 12 3% Divorced 40 9% Widowed 7 2% Education Less than high school 26 6% High school diploma or GED 51 12% Some college, but no degree % Undergraduate college degree 78 18% Graduate college degree % Age of children living at home No children % 0 10 years old % years old % years old 51 11% Adult child(ren) living at home 46 10%

31 Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey Table 2: Demographics (continued) N % Have you, a family member, or a close friend: Ever had a drinking problem % Ever been seriously injured in an accident involving a drunk driver % It is acceptable for those under age 21 to drink (Yes) 61 15% It is okay for parents to provide alcohol to their underage children (Yes) 38 9% You know parents who lock up their alcohol to prevent teens from trying it (Yes) % You think any drinking is acceptable before driving (Yes) 58 14% Your doctor/pharmacist spends adequate time on prescription safety when prescribing (Yes) % Taking prescription drugs is acceptable before driving (Yes) % You or a family member or a close friend were addicted to a prescription medication % Know someone who died from a prescription overdose (Yes) % Pasco County is doing enough to address prescription drug abuse (Yes) 68 17% Pasco County has enough resources to address prescription drug abuse (Yes) 91 23% Prescription drugs are much safer than illegal drugs, even if not prescribed (Yes) 20 5% Prescription narcotics (Oxycodone, Vicodin, Percocet, etc.) are addictive (Yes) % Xanax is addictive (Yes) % Your doctor talked to you about how medication(s) will interact with each other and alcohol (Yes) % It is acceptable to take someone else s prescribed medication (Yes) 23 6% You have spoken to your child about prescription drug abuse (Yes) % Concerns about Alcohol and Prescription Drug Problems Table 3: Concerns about Alcohol and Prescription Drug Problems Not at all Concerned A Little Concerned Somewhat Concerned Very Concerned How concerned are you about the following: Underage drinking 2% 11% 26% 61% Drunk driving 1% 2% 11% 86% Prescription drug abuse 1% 3% 18% 78% Driving under the influence of prescription drugs 2% 7% 20% 71% Prescription overdoses 2% 6% 19% 74% Prescription overdose deaths 2% 5% 18% 75% Physicians prescribing larger amounts of addictive prescription drugs than necessary 1% 7% 15% 77% People crushing their prescriptions before ingesting them 9% 14% 24% 52% People snorting or injecting prescription drugs 3% 9% 19% 69% Alcohol and Prescription Drug Policies Table 4: Alcohol and Prescription Drug Policies How strongly would you favor or oppose the following alcohol and prescription drug policies: Strongly Oppose Somewhat Oppose Somewhat Favor At public events, having family zones where alcohol is not allowed 2% 5% 24% 64% 4% Additional DUI law enforcement operations 2% 5% 16% 72% 4% Retail compliance checks (checks of alcohol retailers insuring compliance with alcohol laws) 3% 2% 24% 53% 19% Party patrol operations (social hosting) 5% 8% 27% 39% 21% Additional law enforcement operations (excluding DUI enforcement) 3% 6% 24% 61% 6% Moratorium (delay or suspension) on new pain clinics 3% 6% 17% 66% 8% Additional pain clinic regulations 3% 3% 14% 75% 5% Stricter penalties for possession of narcotic medications without a prescription 4% 6% 14% 71% 4% Family physicians talking about your alcohol use at each visit 5% 9% 28% 51% 7% Strongly Favor Not Sure Profile of Alcohol and Drug Indicators t January 2011 t 31

32 Appendix A: Results from 2010 Pasco County Alcohol Policy and Prescription Drug Use Survey The Impact of Alcohol and Prescription Drugs on Pasco County Table 5: Local Impact of Alcohol and/or Prescription Drugs How much do alcohol and/or prescription drug abuse contribute the following in Pasco County: Not at All A Little Some A Lot Negative reputation or image of the community 4% 5% 25% 61% 5% Vandalism or property damage 2% 4% 23% 68% 4% Fights 1% 4% 24% 68% 3% Family violence 1% 2% 18% 76% 2% Traffic crashes 1% 3% 23% 69% 4% Unemployment rates 2% 8% 31% 53% 7% Not Sure Local Factors Affecting Alcohol and Prescription Drug Abuse in Pasco County Table 6: Factors Affecting Alcohol and/or Prescription Drug Abuse How much do the following contribute to alcohol and/or prescription drug abuse in Pasco County? Not at All A Little Some A Lot Not enough enforcement of illegal sale of alcohol 6% 13% 34% 38% 9% Not enough enforcement of the illegal sale of prescription drugs 3% 8% 26% 59% 5% Not enough education of underage drinking consequences to youth 4% 9% 34% 50% 3% Not enough education of underage drinking consequences to adults 5% 8% 30% 53% 4% Not enough education of prescription drug abuse consequences to youth 3% 5% 23% 67% 2% Not enough education of prescription drug abuse consequences to adults 3% 7% 23% 64% 3% Low public awareness of underage drinking issues 5% 9% 37% 44% 5% Low public awareness of prescription drug issues 3% 7% 27% 59% 4% No oversight of doctors 3% 7% 31% 50% 8% Too many pain clinics 4% 8% 18% 62% 8% Lack of alternative treatments for chronic pain 3% 6% 23% 62% 6% Lack of treatment options for uninsured in need of rehab or other addiction treatment 2% 5% 21% 66% 7% No mechanism to track multiple prescriptions to one person 2% 5% 18% 69% 6% Unsecured medications in the home 3% 7% 32% 52% 6% Unsecured alcohol in the home 3% 11% 30% 49% 7% Prescriptions for a large quantity of pills 3% 8% 20% 63% 6% Lack of awareness on how to dispose unused or expired medications 4% 11% 27% 51% 6% Lack of resources to dispose unused or expired medications 4% 12% 27% 50% 7% Not Sure 32 t Profile of Alcohol and Drug Indicators t January 2011

33 Appendix B: Pasco County Last Drink Assessment Pasco County conducts the Last Drink Survey with its DUI offenders in order to learn more about them and the circumstances surrounding the drinking incident that lead to their DUI arrest. Responses were collected from 113 Pasco County DUI offenders. Most respondents were male (73%) and Caucasian (87%). Respondents most commonly indicated that they were between the ages of (27%) or (21%), though underage persons (4%) were also represented. A slight majority (51%) indicated that they were in the first-time offender program, and less than half (45%) indicated that they were required to participate in substance abuse treatment. DUI arrests most commonly occurred on a Thursday (23%), Friday (16%), or Saturday (27%). Respondents typically reported BAC levels of.15 or greater (36%), with 21% refusing to blow into the breathalyzer. Respondents typically indicated that they had only driven one to five miles (66%) after their last drink before being arrested, and they were most often stopped by Pasco County Sheriff s Office (48%). Most respondents indicated that there was no passenger (62%) in the car when they were pulled over, and most (82%) did not involve a traffic crash. The most common location of the last drink was reported as a club, bar, or restaurant (53%), and most individuals (53%) reported that they did not think about being arrested for a DUI on the day/night of the event. Profile of Alcohol and Drug Indicators t January 2011 t 33

34 Appendix B: Pasco County Last Drink Assessment Last Drink Assessment Survey Results Table 1: Demographics (N = 113) N % Gender Male 82 73% Female 31 27% Age Group 20 and younger 5 4% 21 to % 26 to % 30 to % 40 to % 50 to % 60 or over 11 10% Race/Ethnicity White 98 87% Black 2 2% Hispanic 6 5% Asian/Pacific Islander 4 4% Native American 2 2% Multi-Racial 1 1% Table 2: Last Drink Survey Information* N % Are you in the: First time offender program 58 51% Multiple offender program 55 49% Were you required to do substance abuse treatment? (Yes) 46 45% Were you arrested for DUI because of your use of: (check only one answer) Alcohol only 95 86% Illegal and/or prescription drugs only 7 6% Combination of alcohol and drugs 8 7% How many times have you been arrested for DUI, including this arrest? % % 5 or more 0 0% Day of arrest: Sunday 9 9% Monday 9 9% Tuesday 8 8% Wednesday 9 9% Thursday 23 23% Friday 16 16% Saturday 27 27% For alcohol-related arrests, what was your blood alcohol level (BAC)? % % % %.15 or greater 24 36% Refusal 14 21% On the day of your arrest, what was the total number of alcoholic drinks you had that day? % % 5 or more 42 45% Drugs only 4 4% 34 t Profile of Alcohol and Drug Indicators t January 2011

35 Appendix B: Pasco County Last Drink Assessment Table 2: Last Drink Survey Information (continued) N % Approximately how many miles did you drive from the location of your last drink before being stopped by law enforcement? % % % 16 or more 14 16% What law enforcement agency stopped you? Local Police department 24 21% Pasco Sheriff s Office 54 48% Florida Highway Patrol 17 15% Other 18 16% Did you have any passengers in the vehicle with you when stopped? (Yes) 27 20% Did your DUI arrest involve a traffic crash? (Yes) 20 18% What was the location of your last drink before you were arrested? Your own residence 9 9% At someone else s residence 9 9% At a club, bar, restaurant 8 8% At a special event 9 9% Other 23 23% If your last drink before you were arrested was at a residence, were there more than 10 people 9 26% there? (Yes) If your last drink before you were arrested was at a residence, would you consider it a house 4 13% party? (Yes) Were individuals under the age of 21 served alcohol? (Yes) 3 9% County of last drink Pasco 46 60% Hillsborough 15 20% Hernando 2 3% Pinellas 13 17% Other 1 1% Was proof of age required by bartender/server? (Yes) 24 47% At the location you were drinking right before you were arrested, how many hours were you there? % % 7 or more 12 15% At the location you were drinking right before you were arrested, what type of drinks did you have? Beer 50 49% Wine 2 2% Shots of alcohol 24 24% Mixed drinks 23 23% Energy drinks 3 3% Did any of the following occur at the location of your last drink prior to your arrest: (check all that apply) Someone suggested I take a bus/taxi 2 8% Someone encouraged me to call a friend/family member to pick you up 1 4% Someone tried to take my car keys to prevent me from driving 2 8% Someone offered to call a cab 1 4% Someone offered to give me a ride 5 10% Someone recommended that I wait before driving 6 23% Someone recommended that I not drive 9 35% On the day/night of your arrest, were you drinking at any other location before the location of 15 14% your last drink? (Yes) On the day/night of your arrest, were you using any drugs, besides alcohol (check all that apply) Prescription drugs 16 17% Marijuana 6 6% Cocaine 3 3% Other 1 1% None 68 72% Profile of Alcohol and Drug Indicators t January 2011 t 35

36 Appendix B: Pasco County Last Drink Assessment Table 2: Last Drink Survey Information (continued) N % What has been the greatest consequence of your being arrested/convicted for DUI? Impact on job 17 9% Impact on family 33 17% Loss of driver s license 51 26% Financial costs 50 26% Having the conviction on my record 24 12% Jail time 15 8% Other 4 2% What do you think would help prevent people from getting a DUI? (check all that apply) Fines/arrest for people that host underage drinking parties 28 15% No/fewer drinking games at parties 18 10% No/fewer drinking games at bars/clubs 17 9% No/fewer drink specials at bars/clubs 19 10% More availability of food at bars/clubs 23 12% Training bar/club employees on responsible alcohol service 34 18% Bartenders using only measured amounts of alcohol (shots) so drinkers can accurately know 15 8% how much they have had to drink Security personnel at bars/clubs that pay attention and deal with intoxicated customers 32 17% *Note: Some responses do not add up to total since there were some missing data. 36 t Profile of Alcohol and Drug Indicators t January 2011

37 Appendix C: DUI Crashes Profile of Alcohol and Drug Indicators t January 2011 t 37

38 Appendix C: DUI Crashes 38 t Profile of Alcohol and Drug Indicators t January 2011

39 For more information about Pasco County s Alliance for Substance Abuse Prevention or the Profile of Alcohol and Drug Indicators, please contact: ASAP P.O. Box 3007 Land O Lakes, FL (727) cparris@pascoasap.com Acknowledgements This research project was conducted as part of a community substance abuse assessment on behalf of the Pasco County Alliance for Substance Abuse Prevention (ASAP). We would like to express our appreciation to Kathleen A. Moore, Ph.D. and M. Scott Young, Ph.D., from the Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health Institute, at the University of South Florida for their work to coordinate the assessment and evaluation of the substance abuse indicators for Pasco County. Several local agencies contributed data, including the Pasco County District School Board, Pasco County Sheriff s Office, and BayCare Behavioral Health. Finally, thanks to Carrie Wagner for her assistance with the graphic design and layout of this report. Profile of Alcohol and Drug Indicators t January 2011 t 39

40 40 t Profile of Alcohol and Drug Indicators t January 2011