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

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1 New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2016 Essex 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 Essex County Residents Primary Drug** Highest School Grade Completed Alcohol 1,378 21% Completed High School 3,231 49% Heroin 2,859 44% Some College % Other Opiates 345 5% Cocaine 371 6% Employment Status Marijuana 1,336 21% Unemployed 1,597 24% Other Drugs 215 3% Student 216 3% Not in Labor Force 3,119 48% Intravenous Drug Users 1,271 19% Employed Full/Part Time 1,582 24% Smoke Tobacco (Yes)** 4,189 64% Living Arrangement Homeless 598 9% Level of Care Dependent Living/Institution % Outpatient Care (OP) 1,908 29% Independent Living 4,986 76% Intensive Outpatient (IOP) 1,688 26% Partial Hospitalization 208 3% Marital Status Opioid Maintenance OP 1,094 17% Single/Divorced 5,509 84% Opioid Maintenance IOP 446 7% Married/Civil Union 591 9% Extended Care 0 0% Widowed 120 2% Halfway House 143 2% Separated 308 5% Long-Term Residential 300 5% Short-Term Residential 416 6% Legal Problem* Hospital Based Residential 0 0% None 3,203 49% Detox Residential 318 5% Case Pending 408 6% Detox Hospital 1 0% Probation/Parole 1,398 21% Detox Outpatient Non-Methadone 3 0% DWI License Suspension 293 4% Detox Outpatient Methadone 0 0% Drug Court 560 9% Non-traditional Program 0 0% DCCP/Family Court 587 9% Early Intervention 3 0% Other 178 3% Medication Assisted Therapy Planned in Treatment Arrest in the Last 30 Days (Yes) 236 4% Methadone 1,712 26% Suboxone 173 3% Special Population* DCCP/CPSAI % Referral Source DWI/DUI 514 8% Self-referral 2,203 34% Developmental Disability 37 1% Family/Friend 202 3% Blind and Visually Impaired 22 0% Addiction Services Program 548 8% Deaf and Hard of Hearing 11 0% Workforce NJ SAI 449 7% DCCP/CPSAI 398 6% Federal Poverty Level (0-133%)** 5,383 73% Mental Health 58 1% Criminal Justice 1,738 27% Health Insurance* Interim Managing Entity (IME) **,*** 0% No Insurance 2,006 31% IDRC 237 4% Medicaid 4,217 65% Other % Medicare 142 2% Private Insurance 611 9% Sex Other Insurance 42 1% Male 4,009 61% Female 2,519 39% Treated in County of Residence 4,592 70% Pregnant Women (Yes)** 104 2% County Where Patient Was Treated Atlantic 16 0% Middlesex 41 1% Age Bergen 49 1% Monmouth 66 1% Under % Burlington 1 0% Morris 158 2% % Camden 7 0% Ocean 19 0% % Cape May 120 2% Passaic 574 9% % Cumberland 3 0% Salem 0 0% % Essex 4,592 70% Somerset 20 0% ,252 19% Gloucester 20 0% Sussex 55 1% ,763 27% Hudson 180 3% Union 584 9% 55 and over % Hunterdon 8 0% Warren 0 0% Mercer 13 0% Other 0 0% Race/Ethnicity White (non-hispanic) 1,468 22% Fee For Service Admissions 1,848 28% Black (non-hispanic) 3,807 58% Fee For Service Unique Clients 1,415 29% Hispanic Origin 1,180 18% Other 73 1% Total Admissions = 6,528 *Totals may be greater than 100% because of multiple responses. Unduplicated Clients Admitted = 4,963 **Percentage calculations excluded missing values.

4 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/ /31/2016 Essex County Treatment Sites Primary Drug** Highest School Grade Completed Alcohol 1,532 20% Completed High School 3,765 49% Heroin 3,425 45% Some College 1,185 15% Other Opiates 388 5% Cocaine 498 7% Employment Status Marijuana 1,516 20% Unemployed 1,738 23% Other Drugs 299 4% Student 216 3% Not in Labor Force 4,060 53% Intravenous Drug Users 2,003 26% Employed Full/Part Time 1,656 22% Smoke Tobacco (Yes)** 5,213 68% Living Arrangement Homeless 681 9% Level of Care Dependent Living/Institution 1,730 23% Outpatient Care (OP) 2,276 30% Independent Living 5,264 69% Intensive Outpatient (IOP) 2,043 27% Partial Hospitalization 217 3% Marital Status Opioid Maintenance OP 1,181 15% Single/Divorced 6,500 85% Opioid Maintenance IOP 247 3% Married/Civil Union 679 9% Extended Care 0 0% Widowed 138 2% Halfway House 276 4% Separated 367 5% Long-Term Residential 1,264 16% Short-Term Residential 174 2% Legal Problem* Hospital Based Residential 0 0% None 2,821 37% Detox Residential 1 0% Case Pending 530 7% Detox Hospital 2 0% Probation/Parole 1,782 23% Detox Outpatient Non-Methadone 1 0% DWI License Suspension 340 4% Detox Outpatient Methadone 0 0% Drug Court 1,514 20% Non-traditional Program 0 0% DCCP/Family Court 627 8% Early Intervention 2 0% Other 173 2% Medication Assisted Therapy Planned in Treatment Arrest in the Last 30 Days (Yes) 312 4% Methadone 1,632 21% Suboxone 109 1% Special Population* DCCP/CPSAI % Referral Source DWI/DUI 645 8% Self-referral 2,081 27% Developmental Disability 47 1% Family/Friend 158 2% Blind and Visually Impaired 23 0% Addiction Services Program 405 5% Deaf and Hard of Hearing 12 0% Workforce NJ SAI 451 6% DCPP/CPSAI 418 5% Federal Poverty Level (0-133%)** 6,585 70% Mental Health 41 1% Criminal Justice 3,058 40% Health Insurance* IDRC 280 4% No Insurance 2,874 37% Interim Managing Entity (IME) 11 0% Medicaid 4,713 61% Other % Medicare 169 2% Private Insurance 458 6% Sex Other Insurance 42 1% Male 4,975 65% Female 2,708 35% Treated in County of Residence 4,592 60% Pregnant Women (Yes)** 112 1% County of Residence Atlantic 125 2% Middlesex 238 3% Age Bergen 167 2% Monmouth 121 2% Under % Burlington 49 1% Morris 134 2% % Camden 122 2% Ocean 188 2% % Cape May 67 1% Passaic 256 3% ,249 16% Cumberland 48 1% Salem 20 0% ,123 15% Essex 4,592 60% Somerset 59 1% ,550 20% Gloucester 55 1% Sussex 52 1% ,802 23% Hudson % Union 373 5% 55 and over % Hunterdon 26 0% Warren 52 1% Mercer 50 1% Other 7 0% Race/Ethnicity White (non-hispanic) 2,250 29% Fee For Service Admissions 3,035 39% Black (non-hispanic) 3,701 48% Fee For Service Unique Client 2,061 34% Hispanic Origin 1,649 21% Other 84 1% Total Admissions = 7,684 *Totals may be greater than 100% because of multiple responses. Unduplicated Clients Admitted = 6,121 **Percentage calculation excluded missing values.

5 Substance Abuse Admissions by Municipality and Primary Drug 2016 NJ Resident Admissions Primary Drug Total Essex County Alcohol Cocaine/ Heroin Other Marijuana/ Other Unknown Crack Opiates Hashish Drugs N % N % N % N % N % N % N % N % BELLEVILLE BLOOMFIELD CALDWELL BORO CEDAR GROVE EAST ORANGE CITY ESSEX FELLS FAIRFIELD GLEN RIDGE BORO IRVINGTON LIVINGSTON MAPLEWOOD MILLBURN MONTCLAIR NEWARK CITY NORTH CALDWELL BORO NUTLEY ORANGE CITY ROSELAND BORO SOUTH ORANGE VILLAGE VERONA WEST CALDWELL WEST ORANGE NOT Stated Total

6 Substance Abuse Admissions by Primary Drug within Municipality 2016 NJ Resident Admissions Essex County Primary Drug Total Alcohol Cocaine/ Crack Heroin Other Opiates Marijuana/ Hashish Other Drugs Unknown N % N % N % N % N % N % N % N % BELLEVILLE BLOOMFIELD CALDWELL BORO CEDAR GROVE EAST ORANGE CITY ESSEX FELLS FAIRFIELD GLEN RIDGE BORO IRVINGTON LIVINGSTON MAPLEWOOD MILLBURN MONTCLAIR NEWARK CITY NORTH CALDWELL BORO NUTLEY ORANGE CITY ROSELAND BORO SOUTH ORANGE VILLAGE VERONA WEST CALDWELL WEST ORANGE NOT Stated Total

7 2016 Essex Substance Abuse Admissions by Municipality of Residence Admission Counts Top Five Municipalities 1 Newark City East Orange City Irvington Township Bloomfield Township Belleville Township 226 Montclair Township Bloomfield Township Belleville Township East Orange City Irvington Township Newark City 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

8 Admissions by Municipality of Residence, Age Group and Primary Drug 2016 NJ Resident Admissions Essex County Alcohol Drugs Total 18 & Over Under 18 Total 18 & Over Under 18 Total 18 & Over Under 18 Total N % N % N % N % N % N % N % N % N % BELLEVILLE BLOOMFIELD CALDWELL BORO CEDAR GROVE EAST ORANGE CITY ESSEX FELLS FAIRFIELD GLEN RIDGE BORO IRVINGTON LIVINGSTON MAPLEWOOD MILLBURN MONTCLAIR NEWARK CITY NORTH CALDWELL BORO NUTLEY ORANGE CITY ROSELAND BORO SOUTH ORANGE VILLAGE VERONA WEST CALDWELL WEST ORANGE NOT Stated Total * Missing primary drug or age admissions are not included.

9 Admissions by Age Group, Gender and Primary Drug 2016 NJ Resident Admissions ESSEX GENDER TOTAL Female Male N % N % N % 0-17 Alcohol Other Opiates 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.

10 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Discharges 1/1/ /31/2016 Essex County Residents Level of Care Living Arragements Outpatient Care (OP) 1,763 27% Homeless 321 5% Intensive Outpatient (IOP) 1,723 26% Dependent Living/Institution % Partial Hospitalization 226 3% Independent Living 5,191 79% Opioid Maintenance OP 1,293 20% Opioid Maintenance IOP 295 5% Employment Status Extended Care 2 0% Unemployed 1,543 24% Halfway House 153 2% Student 152 2% Long-Term Residential 300 5% Not in Labor Force 2,927 45% Short-Term Residential 410 6% Employed Full/Part Time 1,757 27% Hospital Based Residential 0 0% Detox Residential 304 5% Detox Hospital 55 1% Reasons for Discharge or Treatment not Completed Detox Outpatient Non-Methadone 3 0% Treatment Plan Completed 2,483 38% Detox Outpatient Methadone 3 0% Quit or Dropped Out 2,165 33% Non-Traditional Program 0 0% Needs Different Level of Care 595 9% Early Intervention 6 0% Unable to Meet Client's Other Needs 23 0% Administrative Discharge 379 6% Sex Exhaustion of Payment Source 28 0% Male 3,922 60% Incarcerated 194 3% Female 2,614 40% Medical Discharge/Deceased 69 1% Other 351 5% Age Under % Continuing Care % No Continuing Care Needed 1,137 17% % Refused or Unable to Continue 1,009 15% % Continue Care 1,786 27% % Not Assessed 2,604 40% ,262 19% ,777 27% Significant Problems or Conditions 55 and over % Mental Health Problem 1,326 20% Compulsive Gambling 10 0% Physical Disability or Handicap 126 2% Race/Ethnicity Victim of Physical Abuse or Neglect 253 4% White 1,460 22% Victim of Sexual Abuse 239 4% Black 3,814 58% Pregnancy 67 1% Hispanic 1,191 18% Suicide Attempt 46 1% Other 69 1% Runaway Behavior 307 5% Neglect or Abuse of Own Children 193 3% Child of Substance Abuser 239 4% Mental Illness/Co-Occurring Disorder Batterer 30 0% 3,832 59% Criminal Activity % Other 312 5% Client Goal Achieved/Partially Achieved * Alcohol or Drug Problem 3,000 49% Arrested in the Last 30 days (Yes) 223 3% Educational % Employment or Vocational 1,331 48% County Where Patient Was Treated Family Situation 1,651 51% Atlantic 14 0% Middlesex 34 1% Psychological or Mental Health 1,405 51% Bergen 101 2% Monmouth 53 1% Physical Health 1,247 55% Burlington 0 0% Morris 136 2% Legal 1,444 50% Camden 5 0% Ocean 15 0% Cape May 76 1% Passaic 563 9% Drug and Alcohol Use Cumberland 5 0% Salem 1 0% Not Using Alcohol or Drugs 2,930 45% Essex 4,630 71% Somerset 20 0% Using Alcohol 466 7% Gloucester 18 0% Sussex 52 1% Using Drugs 1,984 30% Hudson 189 3% Union 598 9% Unknown 1,291 20% Hunterdon 14 0% Warren 0 0% Mercer 12 0% Other 0 0% Total Discharges = 6,536 Unduplicated Clients Discharged = 4,977 * Percentage for goal achievement based on total clients for whom goal was applicable. All other percentages are based on total discharges.

11 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Discharges 1/1/ /31/2016 Essex County Treatment Sites Level of Care Living Arragements Outpatient Care (OP) 2,048 27% Homeless 446 6% Intensive Outpatient (IOP) 1,978 26% Dependent Living/Institution 1,432 19% Partial Hospitalization 223 3% Independent Living 5,426 72% Opioid Maintenance OP 1,431 19% Opioid Maintenance IOP 140 2% Employment Status Extended Care 3 0% Unemployed 1,644 22% Halfway House 273 4% Student 157 2% Long-Term Residential 1,205 16% Not in Labor Force 3,468 46% Short-Term Residential 172 2% Employed Full/Part Time 2,035 27% Hospital Based Residential 0 0% Detox Residential 1 0% Detox Hospital 7 0% Reasons for Discharge or Treatment not Completed Detox Outpatient Non-Methadone 1 0% Treatment Plan Completed 2,864 38% Detox Outpatient Methadone 5 0% Quit or Dropped Out 2,543 34% Non-Traditional Program 0 0% Needs Different Level of Care 632 8% Early Intervention 5 0% Unable to Meet Client's Other Needs 30 0% Administrative Discharge 355 5% Sex Exhaustion of Payment Source 30 0% Male 4,748 63% Incarcerated 254 3% Female 2,743 37% Medical Discharge/Deceased 65 1% Other 415 6% Age Under % Continuing Care % No Continuing Care Needed 1,273 17% % Refused or Unable to Continue 1,032 14% ,232 16% Continue Care 2,127 28% ,057 14% Not Assessed **,*** 41% ,514 20% ,774 24% Significant Problems or Conditions 55 and over % Mental Health Problem 1,739 23% Compulsive Gambling 15 0% Physical Disability or Handicap 144 2% Race/Ethnicity Victim of Physical Abuse or Neglect 337 4% White 2,202 29% Victim of Sexual Abuse 310 4% Black 3,628 48% Pregnancy 79 1% Hispanic 1,573 21% Suicide Attempt 65 1% Other 79 1% Runaway Behavior 400 5% Neglect or Abuse of Own Children 273 4% Child of Substance Abuser 326 4% Mental Illness/Co-Occurring Disorder Batterer 37 0% 4,718 63% Criminal Activity 1,648 22% Other 365 5% Client Goal Achieved/Partially Achieved* Alcohol or Drug Problem 3,539 49% Arrested in the Last 30 days (Yes) 271 4% Educational 1,097 45% Employment or Vocational 1,850 50% County of Residence Family Situation 2,463 54% Atlantic 100 1% Middlesex 248 3% Psychological or Mental Health 1,911 52% Bergen 162 2% Monmouth 123 2% Physical Health 1,602 56% Burlington 40 1% Morris 142 2% Legal 2,261 55% Camden 109 1% Ocean 176 2% Cape May 64 1% Passaic 243 3% Drug and Alcohol Use Cumberland 38 1% Salem 19 0% Not Using Alcohol or Drugs 3,646 49% Essex 4,630 62% Somerset 61 1% Using Alcohol 558 7% Gloucester 46 1% Sussex 57 1% Using Drugs 2,198 29% Hudson % Union 368 5% Unknown 1,247 17% Hunterdon 21 0% Warren 44 1% Mercer 51 1% Other 16 0% Total Discharges = 7,492 Unduplicated Clients Discharged = 5,988 * Percentage for goal achievement based on total clients for whom goal was applicable. All other percentages are based on total discharges.