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Indicators of Alcohol and Other Drug Risk and Consequences for California Counties County 21

TABLE OF CONTENTS Introduction... 1 Key Findings... 3 Summary of Key Indicators of Community Alcohol and Drug Use... 5 Indicator 1: Prevalence of Past Year Binge Drinking Table/Figure 1.1 Estimated Number and Percent of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year with Comparison to State Rates...6 Table/Figure 1.2 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Gender...6 Table 1.3 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Race/Ethnicity...7 Figure 1.3 Past Year Binge Drinking in County by Race/Ethnicity...7 Table 1.4 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Age Category...8 Figure 1.4 Past Year Binge Drinking in County by Age Category...8 Indicator 2: Admissions to Alcohol and Other Drug Treatment Treatment Data Clarifications... 9 Table 2.1 Number of Admissions to Alcohol and Other Drug Treatment and Rate per 1, Total Population with Comparison to Statewide Rates...9 Figure 2.1 County Treatment Admission Rate per 1, Total Population with Comparison to Statewide Rates...9 Table 2.2 Admissions to Alcohol and Other Drug Treatment by Client Gender, Rate per 1, Population, and Percent of Total Admissions... 1 Figure 2.2 County Treatment Admission Rate per 1, Population by Client Gender... 1 Table 2.3 Treatment Admissions by Primary Drug Type, Percent of Total Admissions, and Rate per 1, Population... 11 Figure 2.3 County Treatment Admission Rate per 1, Population by Primary Drug Type... 11 Table 2.4 Admissions to Alcohol and Other Drug Treatment by Client Race/Ethnicity, Rate per 1, Population, and Percent of Total Admissions... 12 Figure 2.4 County Treatment Admission Rate per 1, Population by Client Race/Ethnicity... 12 Table 2.5 Admissions to Alcohol and Other Drug Treatment by Client Age Category, Rate per 1, Population, and Percent of Total Admissions... 13 Figure 2.5 County Treatment Admission Rate per 1, Population by Client Age Category... 13 Table 2.6 Characteristics of Clients Admitted to Alcohol and Other Drug Treatment and Rate per 1, Population... 14 Figure 2.6 County Age of Substance Use Initiation Rate per 1, Population... 14 Table 2.7 AOD Treatment Admissions by Primary Drug Type, Percent of Total Admissions, and Rate per 1, Population to 17 Years... 15 Figure 2.7 County Underage Treatment Admission Rate per 1, Population to 17 by Primary Drug Type... 15 Table 2.8 AOD Treatment Admissions among Youth Under Age 18 by Gender and Client Race/Ethnicity, Rate per 1, Population to 17, and Percent of Total Admissions... 16 Indicator 3: Arrests for Drug Related Crime Table 3.1 Number of Arrests for Felony and Misdemeanor Drug Offenses and Rate per 1, Population 1 to 69 Years with Comparison to Statewide Rates... 17 Figure 3.1 County Drug Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates... 17 Indicators of Alcohol and Other Drug Abuse Table of Contents County, California

Table 3.2 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Gender, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests... 17 Figure 3.2 County Drug Arrest Rate per 1, Population 1 to 69 by Offender Gender... 17 Table 3.3 Number of Arrests for Felony and Misdemeanor Drug Offenses by Specific Offense, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests... 18 Figure 3.3 County Drug Arrest Rate per 1, Population 1 to 69 by Specific Offense... 18 Table 3.4 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Race/Ethnicity, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests... 19 Figure 3.4 County Drug Arrest Rate per 1, Population 1 to 69 by Offender Race/Ethnicity... 19 Table 3.5 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Age Category, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests... 2 Figure 3.5 County Drug Arrest Rate per 1, Population by Offender Age Category... 2 Table 3.6 Number of Arrests for Felony and Misdemeanor Drug Offenses by Gender and Race/Ethnicity among Underage Offenders, Rate per 1, Population 1 to 17 Years, and Percent of Total Drug Arrests... 21 Indicator 4: Arrests for Alcohol Related Crime Table 4.1 Number of Arrests for Felony and Misdemeanor Alcohol Offenses and Rate per 1, Population 1 to 69 Years with Comparison to Statewide Rates... 22 Figure 4.1 County Alcohol Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates... 22 Table 4.2 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Gender, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests... 22 Figure 4.2 County Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Gender... 22 Table 4.3 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Specific Offense, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests... 23 Figure 4.3 County Alcohol Arrest Rate per 1, Population 1 to 69 by Specific Offense... 23 Table 4.4 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Race/Ethnicity, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests... 24 Figure 4.4 County Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Race/Ethnicity... 24 Table 4.5 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Age Category, Rate per 1, Population, and Percent of Total Alcohol Arrests... 25 Figure 4.5 County Alcohol Arrest Rate per 1, Population by Offender Age Category... 25 Table 4.6 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Gender and Race/Ethnicity among Underage Offenders, Rate per 1, Population 1 to 17 Years, and Percent of Total Alcohol Arrests... 26 Indicator 5: Alcohol Involved Motor Vehicle Accidents Table 5.1 County Fatalities in Alcohol Involved Accidents and Rate per 1, Total Population with Comparison to Statewide Rates... 27 Figure 5.1 County Alcohol Involved Accident Fatality Rate per 1, Total Population with Comparison to Statewide Rates... 27 Table 5.2 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Gender, Rate per 1, Population, and Percent of Total... 27 Figure 5.2 County Had Been Drinking Driver Rate per 1, Population, by Party Gender... 27 Table 5.3 County Alcohol Involved Accidents by Injury Severity, Rate per 1, Total Population, and Percent of Total... 28 Figure 5.3 County Alcohol Involved Rate per 1, Total Population, by Injury Severity... 28 Table 5.4 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Race/Ethnicity, Rate per 1, Population, and Percent of Total... 29 Figure 5.4 County Had Been Drinking Driver Rate per 1, Population, by Party Race/Ethnicity... 29 Table 5.5 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Age Category, Rate per 1, Population, and Percent of Total... 3 Indicators of Alcohol and Other Drug Abuse Table of Contents County, California

Figure 5.5 County Had Been Drinking Driver Rate per 1, Population, by Party Age Category... 3 Indicator 6: Hospitalization Due to Alcohol and Drug Use Table 6.1 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) and Rate per 1, Total Population with Comparison to Statewide Rates... 31 Figure 6.1 County Alcohol and Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates... 31 Table 6.2 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Gender, Rate per 1, Population, and Percent of Total Admissions... 31 Figure 6.2 County AOD Related Hospitalization Rate per 1, Population by Patient Gender... 31 Table 6.3 Hospitalizations Due to Alcohol Related Causes and Rate per 1, Total Population with Comparison to Statewide Rates... 32 Figure 6.3 County Alcohol Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates... 32 Table 6.4 Hospitalizations Due to Drug Related Causes and Rate per 1, Total Population with Comparison to Statewide Rates... 32 Figure 6.4 County Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates... 32 Table 6.5 Hospitalizations Due to Alcohol Related Causes by Specific Cause and Rate per 1, Total Population... 33 Table 6.6 Hospitalizations Due to Drug Related Causes by Specific Cause and Rate per 1, Total Population... 34 Table 6.7 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Race/Ethnicity, Rate per 1, Population, and Percent of Hospitalizations... 35 Figure 6.5 County AOD Related Hospitalization Rate per 1, Population by Patient Race/Ethnicity... 35 Table 6.8 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Age Category, Rate per 1, Population, and Percent of Hospitalizations... 36 Figure 6.6 County AOD Related Hospitalization Rate per 1, Population by Patient Age Category... 36 Indicator 7: Deaths Due to Alcohol and Drug Use Table 7.1 Deaths Due to Alcohol and Drug Related Causes (Combined) and Age Adjusted Rate per 1, with Comparison to Statewide Rates... 37 Figure 7.1 County Mortality Age Adjusted Rate per 1, Total Population with Comparison to Statewide Rates... 37 Table 7.2 Deaths Due to Alcohol and Drug Related Causes (Combined) by Gender of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths... 37 Figure 7.2 County AOD Related Mortality Rate per 1, Population by Decedent Gender... 37 Table 7.3 Deaths Due to Alcohol Related Causes and Rate per 1, Total Population, with Comparison to Statewide Rates... 38 Figure 7.3 County Alcohol Related Mortality Rate per 1, Population with Comparison to Statewide Rates... 38 Table 7.4 Deaths Due to Drug Related Causes and Rate per 1, Total Population, with Comparison to Statewide Rates... 38 Figure 7.4 County Drug Related Mortality Rate per 1, Population with Comparison to Statewide Rates... 38 Table 7.5 Deaths Due to Alcohol Related Causes by Specific Cause, and Rate per 1, Total Population... 39 Table 7.6 Deaths Due to Drug Related Causes by Specific Cause, and Rate per 1, Total Population... 4 Table 7.7 Deaths Due to Alcohol and Drug Related Causes (Combined) by Race/Ethnicity of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths... 41 Figure 7.5 County AOD Related Mortality Rate per 1, Population by Decedent Race/Ethnicity... 41 Table 7.8 Deaths Due to Alcohol and Drug Related Causes (Combined) by Age Category of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths... 42 Figure 7.6 County AOD Related Mortality Rate per 1, Population by Decedent Age Category... 42 Sources... 43 Indicators of Alcohol and Other Drug Abuse Table of Contents County, California

INTRODUCTION In the mid 199s, the California Department of Alcohol and Drug Programs, in collaboration with the Center for Applied Research Solutions (CARS), Inc. began to work toward improving the state s prevention information system. A key component of this information system was the continuous collection, monitoring and reporting of selected community level indicators that would serve as direct and indirect measures of alcohol and other drug use prevalence and related problems. This information system was designed to assist with state and local prevention planning and policy making by providing useful, systematic data about prevention and treatment needs and outcomes throughout the state. The present report is the most recent product of this ongoing effort. It differs from earlier versions in a few important ways. First, while previous reports typically summarized data for more than twenty five indicators of health and social conditions that are theoretically linked to problem substance use, the current version is more streamlined, focusing on seven key indicators of AOD use and abuse prevalence and their direct consequences, including impacts on the criminal justice, health and alcohol and drug treatment systems. Second, the 21 report updates information contained in earlier versions, but expands in its depth to summarize data for populations within the larger county, including age, gender, and race/ethnicity subgroups. This expanded detail allows for more precise analyses of alcohol and drug use problems within a county population and enhances the ability to effectively target prevention and intervention strategies to community needs. Similar to previous reports, the 21 version includes simple analytic tools to help users interpret the information presented. This includes use of population based rates (e.g., the number of incidents relative to the total population) to make meaningful comparisons between geographic areas that differ in population size, or comparisons between differing time points. Data is presented at both the county and state level to allow county rates to be evaluated against a relative average. The overall intent of the report is to provide a simple, easy to use resource that helps synthesize the most relevant indicator data currently available to assess substance use problems, in an effort to optimize prevention planning and outcome measurement efforts in communities through the state. Specifically, it is designed to support the work of planners, policy makers, and practitioners in the field in: Determining the incidence of alcohol and other drug use problems within county populations and subpopulations; Monitoring trends in problem incidence to identify emergent issues and detect changes in status over time; Establishing program resource levels that are appropriate to address the nature and extent of prevention and treatment needs; and, Documenting progress toward achieving targeted prevention objectives and outcomes. The report contains information on several key indicators of alcohol and drug prevalence and consequences for California populations in each of the following seven indicators: 1. Household prevalence of past year binge drinking; 2. Admissions to publicly funded and/or monitored alcohol and other drug treatment facilities; 3. Arrests for drug related criminal offenses; 4. Arrests for alcohol related criminal offenses; 5. Motor vehicle accidents involving drivers who had been drinking; 6. Hospitalizations for alcohol and drug related conditions; and, 7. Mortality attributable to acute and chronic alcohol and drug use. Indicators of Alcohol and Other Drug Abuse Introduction County, California 1

Each report contains data compiled from several sources, including a statewide, longitudinal survey of California household populations, and state data systems housing public archival records from six central agencies, including the California Department of Justice (DOJ), the California Highway Patrol (CHP), the California Department of Public Health, Vital Statistics Section, the Office of Statewide Health Planning and Development (OSHPD), the Department of Alcohol and Drug Programs (ADP), and the University of California, Los Angeles (UCLA). This reliance on statewide data sources ensures that the information reported is drawn from reliable and valid measures that are routinely and uniformly collected across jurisdictions (i.e., all counties use the same data collection), allowing for comparisons over time, across counties, and between counties and the state. Indicators of Alcohol and Other Drug Abuse Introduction County, California 2

KEY FINDINGS Indicator 1: Prevalence of Past Year Binge Drinking Approximately 33 percent of County residents age 18 and older participated in binge drinking in 27 compared to the statewide rate of 3 percent. Males participated in binge drinking much more frequently than females (39 percent versus 27 percent) in 27. Indicator 2: Admissions to Alcohol and Other Drug Treatment Overall, admission rates to treatment facilities in County have decreased greatly since 2. In 2 there were about 2,486 admissions per 1, compared to 1,49 admissions per 1, in 28. County s AOD admission rate was much higher than the state overall each year. There may be differences in detoxification and non detoxification service admission trends that affect this overall trend (see Treatment Data Clarifications section on page 9 for detail). Admissions due to methamphetamine use accounted for 9 percent of all admissions in 28. Admissions due to alcohol use accounted for roughly 26 percent of admissions, marijuana for 7 percent of admissions, heroin and crack/cocaine each accounted for 27 percent in 28. Admission rates were highest among Blacks and American Indians, 8,337 and 4,93 per 1, in 28, respectively. These rates more than tripled each other race/ethnicity group each year. The highest rate of admissions was for 45 to 54 year olds with a rate of 3,241 per 1, in 28. The next highest rate was for 18 to 24 year olds with a rate of 2,53 per 1,. 35 to 44 year olds also had a rate at 1,818 per 1, in 28. Indicator 3: Arrests for Drug Related Crime Crime rates for felony and misdemeanor drug offenses decreased from 1,618 per 1, in 2 to 1,552 per 1, in 28. County s drug arrest rate was above the state each year. Arrests due to dangerous drug offenses accounted for approximately 8 percent in 28, narcotics for roughly 57 percent of drug arrests, marijuana for 17 percent of drug arrests, and 19 percent of drug arrests in 28 were for other drug violations. Drug arrest rates were highest among Blacks at 12,316 per 1, in 28. These rates were often ten times greater than each other race/ethnicity group. The highest rate of arrests for drug related crime was for 18 to 24 year olds with a rate of 4,429 per 1, in 28. These rates were significantly greater than each other age category. Indicator 4: Arrests for Alcohol Related Crime Crime rates for felony and misdemeanor alcohol offenses decreased from 825 per 1, in 2 to 391 per 1, in 28. County s alcohol arrest rate was much lower than the state overall each year. Arrests due to driving under the influence accounted for approximately 48 percent in 28, public drunkenness for roughly 42 percent of alcohol arrests, and 11 percent of alcohol arrests in 28 were for liquor law violations. The highest rate of arrests for drug related crime was for 18 to 24 year olds with a rate of 1,943 per 1, in 28. These rates were much higher than each other age category. Indicators of Alcohol and Other Drug Abuse Key Findings County, California 3

Indicator 5: Alcohol Involved Motor Vehicle Accidents The rate of fatalities in alcohol involved accidents was lower in County than the state overall each year. Males accounted for nearly three fourths of total parties who had been drinking in alcohol involved accidents in 28. During this year Blacks had the rate of 16 per 1,, Hispanics had 151 per 1, and Whites had 76 per 1,. 18 to 24 year olds (378 per 1,) accounted for the highest rate of parties who had been drinking in alcohol involved accidents in 28. The next highest rate was for 25 to 34 year olds with a rate of 143 per 1,. Indicator 6: Hospitalizations Due to Alcohol and Drug Use The rate of hospitalizations due to alcohol and drug use decreased from 222 per 1, in 2 to 195 per 1, in 27. County s AOD hospitalization rate was similar to the state overall each year. The rate of hospitalizations due to alcohol related causes decreased slightly from 97 per 1, in 2 to 95 per 1, in 27. County s alcohol related hospitalization rate was similar to the state overall each year. The rate of hospitalizations due to drug related causes decreased from 125 per 1, in 2 to 1 per 1, in 27. County s drug related hospitalization rate was similar to the state overall each year. Indicator 7: Deaths Due to Alcohol and Drug Use The death rate due to alcohol and drug use increased between 2 and 27 from 31.38 deaths per 1, to 34.41 deaths per 1,. County s AOD mortality rate was higher than the state overall each year. The death rate due to alcohol use decreased slightly between 2 and 27 from 15.1 per 1, to 12.91 per 1,, higher than the statewide rates. The death rate due to drug use increased between 2 and 27 from 17.66 per 1, to 26.6 per 1,, significantly higher than the statewide rates. Indicators of Alcohol and Other Drug Abuse Key Findings County, California 4

Indicators of Alcohol and Other Drug Abuse Summary of Indicators County, California 5 Key Indicators of Community Alcohol and Drug Use County y INDICATOR 1: Past Year Binge Drinking Data not available for reporting year. County Percentage of Total Respondents 33.1% State Percentage of Total Respondents 29.7% County Ranking (of 44 Counties) 16 INDICATOR 2: Admissions to Alcohol and Other Drug Treatment Three Year Average County Rate per 1, Total Population 2,486.27 2,37.77 1,832. 1,884.49 1,749.2 1,65.29 1,528.97 1,437.6 1,48.51 1,458.18 State Rate per 1, Population 1 to 69 Years 647.98 76.6 73.16 668.97 645.41 643.64 599.12 62.3 591.63 597.68 County Ranking (of 49 Counties) 1 1 2 1 1 1 1 1 1 1 INDICATOR 3: Arrests for Drug Related Offenses County Rate per 1, Population 1 to 69 Years 1,617.96 1,349.99 1,476.44 1,228.53 1,216.24 1,21.1 1,245.98 1,349.7 1,552.26 1,382.44 State Rate per 1, Population 1 to 69 Years 961.65 931.2 94.74 986.91 1,23.8 1,7.18 1,4.85 997.25 91.2 982.76 County Ranking (of 58 Counties) 5 8 6 16 15 21 18 11 2 8 INDICATOR 4: Arrests for Alcohol Related Offenses County Rate per 1, Population 1 to 69 Years 825.81 39.71 296.4 322.22 31.5 357.61 421.71 466.76 481.68 456.72 State Rate per 1, Population 1 to 69 Years 1,238.1 1,167.4 1,126. 1,129.17 1,87.87 1,45.21 1,123.22 1,159.68 1,23.37 1,162.9 County Ranking (of 58 Counties) 58 58 58 58 58 58 58 58 58 58 INDICATOR 5: Alcohol Involved Motor Vehicle Accident Fatalities County Rate per 1, Total Population 1.66 1.2 1.26 2.15 2.27 1.51 1.75 1.61.99 1.45 State Rate per 1, Total Population 3.62 3.76 3.99 4.1 4. 4.26 4.27 3.94 3.54 3.92 County Ranking (of 58 Counties) 55 56 56 53 51 55 55 49 56 57 INDICATOR 6: Alcohol and Drug Use Hospitalizations County Rate per 1, Total Population 221.71 214.26 217.63 28.77 218.38 212.67 211.85 194.59 26.37 State Rate per 1, Total Population 222.67 218.35 217.21 215.37 211.97 24.5 21. 25.44 23.65 County Ranking (of 5 Counties) 15 1 14 17 12 12 1 22 16 INDICATOR 7: Deaths Due to Alcohol and Drug Use County Rate per 1, Total Population 31.38 35.81 31.83 32.24 29.42 34.9 34.18 34.41 34.49 State Rate per 1, Total Population 19.3 19.22 2.1 2.9 2.86 21.4 21.27 21.46 21.38 County Ranking (of 58 Counties) 5 9 11 13 16 9 13 12 9

Indicator 1: Prevalence of Past Year Binge Drinking The estimated number and percent of persons 18 years and older who reported any binge drinking in the past year. Table/Figure 1.1 Estimated Number and Percent of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year with Comparison to Statewide Rates 35% 3% County California 27 County State of California 25% Estimated Number * 223, 7,973, 2% 15% Estimated Population 18 and over 674, 26,874, 1% Percent of Total Population 33.1% 29.7% 5% * Estimates rounded to the nearest thousand. % Table/Figure 1.2 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Gender 27 County State of California Male Estimated Number * 134, 5,39, 45% 4% 35% County California Estimated Population 344, 13,179, 3% Percent of Population 38.9% 38.2% 25% Female Estimated Number * 89, 2,934, 2% 15% Estimated Population 329, 13,694, 1% Percent of Population 27.% 21.4% 5% * Estimates rounded to the nearest thousand. % Male Female Indicators of Alcohol and Other Drug Abuse Prevalence of Binge Drinking County, California 6

Indicator 1: Prevalence of Past Year Binge Drinking (Continued) Table 1.3 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Race/Ethnicity 27 County State of California American Indian Estimated Number * 55, Estimated Population 1, 17, Percent of Population 32.5% Asian/Pacific Islander Estimated Number * 25, 65, Estimated Population 197, 3,57, Percent of Population 12.5% 18.5% Black Estimated Number * 6, 31, Estimated Population 61, 1,531, Percent of Population 9.8% 19.6% Hispanic Estimated Number * 28, 2,745, Estimated Population 81, 8,469, Percent of Population 34.6% 32.4% White Estimated Number * 159, 4,93, Estimated Population 325, 12,797, Percent of Population 48.8% 32.% Other Estimated Number * 5, 129, Estimated Population 8, 41, Percent of Population 64.9% 32.3% * Estimates rounded to the nearest thousand. Estimate not reported due to small sample size. 7% County California Figure 1.3 Past Year Binge Drinking in San Francisco County by Race/Ethnicity 6% 5% 4% 3% 2% 1% % American Indian Asian/Pacific Islander Black Hispanic White Other Indicators of Alcohol and Other Drug Abuse Prevalence of Binge Drinking County, California 7

Indicator 1: Prevalence of Past Year Binge Drinking (Continued) Table 1.4 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Age Category 27 County State of California 18 to 24 Estimated Number * 23, 1,62, Estimated Population 44, 3,73, Percent of Population 52.2% 43.8% 25 to 34 Estimated Number * 83, 2,147, Estimated Population 178, 4,733, Percent of Population 46.5% 45.4% 35 to 44 Estimated Number * 63, 1,795, Estimated Population 14, 5,593, Percent of Population 44.6% 32.1% 45 to 54 Estimated Number * 29, 1,39, Estimated Population 118, 5,219, Percent of Population 24.9% 26.6% 55 to 64 Estimated Number * 13, 7, Estimated Population 85, 3,724, Percent of Population 15.7% 18.8% 65 and Over Estimated Number * 12, 321, Estimated Population 18, 3,91, Percent of Population 1.9% 8.2% * Estimates rounded to the nearest thousand. 6% County California Figure 1.4 Past Year Binge Drinking in San Francisco County by Age Category 5% 4% 3% 2% 1% % 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse Prevalence of Binge Drinking County, California 8

Indicator 2: Admissions to Alcohol and Other Drug Treatment The number of admissions to publicly funded alcohol and other drug treatment facilities in California and rate of admission per 1, total population. Treatment Data Clarifications Findings for Indicator 2: Admissions to Alcohol and Other Drug Treatment are based on total admissions rather than unique client counts. Clients with multiple treatment admissions during the year tend to bias the demographic and service characteristics described. These findings include admissions for both detoxification and other treatment services. Detoxification services are short term, often repeated numerous times, and used primarily for alcohol or heroin treatment. The inclusion of admissions to detoxification services biases the demographic and service characteristics described. The Substance Abuse Crime Prevention Act (SACPA) was implemented in July 21. Clients referred by the criminal justice system compete for limited treatment services resources and are often given priority over clients referred by other sources. In 2, criminal justice referrals made up only 26 percent of all admissions. By 24, criminal justice referrals made up 42% of the admissions. The influx of these clients with their specific demographic and service characteristics impact the makeup of the treatment population described in the key findings. For instance, clients referred by the criminal justice system rarely use detoxification services, and more often have a primary drug other than alcohol. Also, SACPA referred clients do not frequently use narcotic replacement treatment for heroin/opiate abuse. Consequently, the number of admissions to detoxification services has decreased as well as the number of admissions with alcohol or heroin as their primary drug problem compared with pre SACPA levels. Table 2.1 Number of Admissions to Alcohol and Other Drug Treatment and Rate per 1, Total Population with Comparison to Statewide Rates Number of Treatment Admissions 19,423 16,35 14,487 14,921 13,881 13,122 12,255 11,58 11,41 Total Population 781,29 786,889 79,777 791,781 793,564 795,135 81,522 85,81 81,78 Rate per 1, 2,486.27 2,37.77 1,832. 1,884.49 1,749.2 1,65.29 1,528.97 1,437.6 1,48.51 CALIFORNIA Rate per 1, 647.98 76.6 73.16 668.97 645.41 643.64 599.12 62.3 591.63 Figure 2.1 County Treatment Admission Rate per 1, Total Population with Comparison to Statewide Rates 3, 2,5 2, 1,5 1, 5 County California Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment County, California 9

Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table/Figure 2.2 Admissions to Alcohol and Other Drug Treatment by Client Gender, Rate per 1, Population, and Percent of Total Admissions TOTAL ADMISSIONS 19,423 16,35 14,487 14,921 13,881 13,122 12,255 11,58 11,41 Male 12,922 1,374 9,68 1,214 1,2 9,45 8,867 8,196 8,26 Population 397,36 4,845 43,385 44,267 45,575 46,86 41,667 413,24 415,785 Rate per 1, 3,252.4 2,588.3 2,399.69 2,526.55 2,47.57 2,322.97 2,159.17 1,983.35 1,973.62 Percent of Total 66.5% 64.7% 66.8% 68.5% 72.2% 72.% 72.4% 7.8% 71.9% Female 6,51 5,661 4,87 4,77 3,861 3,672 3,373 3,371 3,188 Population 383,93 386,44 387,392 387,514 387,989 388,329 39,855 392,57 394,293 Rate per 1, 1,693.4 1,466.41 1,24.86 1,214.67 995.13 945.59 862.98 858.7 88.54 Percent of Total 33.5% 35.3% 33.2% 31.5% 27.8% 28.% 27.5% 29.1% 27.9% Unknown 15 13 16 Percent of Total.%.%.%.%.%.%.1%.1%.1% 3,5 Figure 2.2 County Treatment Admission Rate per 1, Population by Client Gender 3, 2,5 2, 1,5 1, 5 Male Female Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment County, California 1

Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.3 Treatment Admissions by Primary Drug Type, Percent of Total Admissions, and Rate per 1, Population TOTAL ADMISSIONS 19,423 16,35 14,487 14,921 13,881 13,122 12,255 11,58 11,41 Methamphetamines 964 971 1,66 1,227 1,186 1,273 1,168 1,185 1,46 Percent of Total 5.% 6.1% 7.4% 8.2% 8.5% 9.7% 9.5% 1.2% 9.2% Rate per 1, 123.4 123.4 134.8 154.97 149.45 16.1 145.72 147.6 129.12 Alcohol 4,223 3,694 3,611 3,513 3,133 2,983 2,54 2,644 2,914 Percent of Total 21.7% 23.% 24.9% 23.5% 22.6% 22.7% 2.7% 22.8% 25.5% Rate per 1, 54.57 469.44 456.64 443.68 394.8 375.16 316.9 328.12 359.72 Marijuana 89 1,42 1,115 926 772 728 786 755 817 Percent of Total 4.2% 6.5% 7.7% 6.2% 5.6% 5.5% 6.4% 6.5% 7.2% Rate per 1, 13.56 132.42 141. 116.95 97.28 91.56 98.6 93.69 1.85 Heroin 1,97 7,7 5,679 5,45 5,24 4,514 4,244 3,333 3,79 Percent of Total 52.% 43.7% 39.2% 36.5% 36.2% 34.4% 34.6% 28.8% 27.% Rate per 1, 1,292.48 89.47 718.15 688.32 633.9 567.7 529.49 413.62 38.9 Crack/Cocaine 3,11 2,943 2,682 3,424 3,41 3,245 3,275 3,244 3,127 Percent of Total 15.5% 18.4% 18.5% 22.9% 24.5% 24.7% 26.7% 28.% 27.4% Rate per 1, 385.43 374. 339.16 432.44 428.57 48.11 48.6 42.58 386.1 Other Drugs 4,223 3,694 3,611 3,513 3,133 379 242 419 427 Percent of Total 21.7% 23.% 24.9% 23.5% 22.6% 2.9% 2.% 3.6% 3.7% Rate per 1, 54.57 469.44 456.64 443.68 394.8 47.66 3.19 52. 52.71 1,4 Figure 2.3 County Treatment Admission Rate per 1, Population by Primary Drug Type 1,2 1, 8 6 4 2 Meth Alcohol Marijuana Heroin Crack/Cocaine Other Drugs Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment County, California 11

Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.4 Admissions to Alcohol and Other Drug Treatment by Client Race/Ethnicity, Rate per 1, Population, and Percent of Total Admissions TOTAL ADMISSIONS 19,423 16,35 14,487 14,921 13,881 13,122 12,255 11,58 11,41 American Indian 292 242 22 26 24 18 122 129 134 Population 2,11 2,227 2,312 2,34 2,38 2,434 2,577 2,648 2,718 Rate per 1, 13,838.86 1,866.64 8,737.2 11,111.11 8,571.43 7,395.23 4,734.19 4,871.6 4,93.1 Percent of Total 1.5% 1.5% 1.4% 1.7% 1.5% 1.4% 1.% 1.1% 1.2% Asian/Pacific Islander 587 572 546 492 455 449 44 392 426 Population 245,51 247,439 248,771 249,882 251,4 251,974 253,854 255,179 256,398 Rate per 1, 239.1 231.17 219.48 196.89 181.27 178.19 159.15 153.62 166.15 Percent of Total 3.% 3.6% 3.8% 3.3% 3.3% 3.4% 3.3% 3.4% 3.7% Black 7,67 6,147 5,588 6,284 5,874 5,361 5,33 4,658 4,534 Population 59,89 59,282 58,538 57,45 56,272 55,298 54,989 54,68 54,383 Rate per 1, 11,815.95 1,369.8 9,545.94 1,946.78 1,438.58 9,694.74 9,152.74 8,518.65 8,337.16 Percent of Total 36.4% 38.3% 38.6% 42.1% 42.3% 4.9% 41.1% 4.2% 39.7% Hispanic 2,994 2,549 2,353 2,21 1,913 1,917 1,62 1,699 1,597 Population 11,217 11,892 111, 19,934 19,177 18,473 18,963 19,328 19,634 Rate per 1, 2,716.46 2,298.63 2,119.82 1,838.38 1,752.2 1,767.26 1,47.22 1,554.4 1,456.66 Percent of Total 15.4% 15.9% 16.2% 13.5% 13.8% 14.6% 13.1% 14.7% 14.% White 8,54 6,123 5,398 5,461 5,91 4,893 4,596 4,133 4,168 Population 347,117 349,761 352,57 353,242 354,792 356,8 36,53 362,673 365,427 Rate per 1, 2,32.26 1,75.62 1,533.27 1,545.97 1,434.93 1,374.13 1,276.48 1,139.59 1,14.58 Percent of Total 41.5% 38.2% 37.3% 36.6% 36.7% 37.3% 37.5% 35.7% 36.5% Other 429 42 4 43 344 322 498 569 551 Percent of Total 2.2% 2.5% 2.8% 2.7% 2.5% 2.5% 4.1% 4.9% 4.8% Figure 2.4 County Treatment Admission Rate per 1, Population by Client Race/ Ethnicity 16, 14, 12, 1, 8, 6, 4, 2, American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment County, California 12

Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.5 Admissions to Alcohol and Other Drug Treatment by Client Age Category, Rate per 1, Population, and Percent of Total Admissions TOTAL ADMISSIONS 19,423 16,35 14,487 14,921 13,881 13,122 12,255 11,58 11,41 17 Years and Under 362 425 437 331 31 273 28 32 366 Population 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 117,34 Rate per 1, 322.31 379.99 392.2 295.38 275.2 24.67 245.43 276.51 311.91 Percent of Total 1.9% 2.7% 3.% 2.2% 2.2% 2.1% 2.3% 2.8% 3.2% 18 to 24 Years 1,639 1,54 1,446 1,274 1,38 1,18 929 99 892 Population 7,38 63,532 57,38 52,7 48,715 45,843 45,428 44,163 43,443 Rate per 1, 2,34.16 2,423.98 2,52.4 2,446.71 2,13.76 2,22.62 2,44.99 2,58.28 2,53.27 Percent of Total 8.4% 9.6% 1.% 8.5% 7.5% 7.8% 7.6% 7.8% 7.8% 25 to 34 Years 4,526 3,687 3,154 3,87 2,679 2,523 2,329 2,223 2,146 Population 185,314 193,77 197,394 193,637 186,672 176,782 171,953 163,385 154,771 Rate per 1, 2,442.34 1,99.6 1,597.82 1,594.22 1,435.14 1,427.18 1,354.44 1,36.59 1,386.56 Percent of Total 23.3% 23.% 21.8% 2.7% 19.3% 19.2% 19.% 19.2% 18.8% 35 to 44 Years 7,23 5,519 4,75 5,15 4,73 4,422 4,16 3,628 3,36 Population 133,883 135,96 138,675 143,856 151,13 16,337 168,79 177,279 184,862 Rate per 1, 5,245.62 4,6.9 3,425.27 3,548.69 3,112.45 2,757.94 2,433.78 2,46.49 1,817.57 Percent of Total 36.2% 34.4% 32.8% 34.2% 33.9% 33.7% 33.5% 31.3% 29.4% 45 to 54 Years 4,855 3,984 3,79 4,71 4,2 3,711 3,538 3,429 3,483 Population 17,574 18,171 17,855 17,819 17,248 16,81 15,91 16,416 17,464 Rate per 1, 4,513.17 3,683.6 3,513.98 3,775.77 3,731.54 3,474.39 3,34.57 3,222.26 3,241.9 Percent of Total 25.% 24.8% 26.2% 27.3% 28.8% 28.3% 28.9% 29.6% 3.5% 55 to 64 Years 835 767 792 929 1,46 1,5 985 982 1,71 Population 65,545 67,147 7,5 73,334 77,16 81,92 84,82 86,95 89,35 Rate per 1, 1,273.93 1,142.27 1,13.62 1,266.81 1,358.16 1,294.83 1,171.48 1,129.97 1,198.66 Percent of Total 4.3% 4.8% 5.5% 6.2% 7.5% 8.% 8.% 8.5% 9.4% 65 Years and Older 183 113 118 124 13 125 88 89 92 Population 16,541 17,212 18, 19,7 11,89 11,837 111,353 111,933 112,848 Rate per 1, 171.76 15.4 19.26 113.75 93.56 112.78 79.3 79.51 81.53 Percent of Total.9%.7%.8%.8%.7% 1.%.7%.8%.8% Figure 2.5 County Treatment Admission Rate per 1, Population by Client Age Category 6, 5, 4, 3, 2, 1, 1 to 17 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment County, California 13

Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.6 Characteristics of Clients Admitted to Alcohol and Other Drug Treatment and Rate per 1, Population TOTAL COUNTY ADMISSIONS 19,423 16,35 14,487 14,921 13,881 13,122 12,255 11,58 11,41 Age Initiated Substance Use Under Age 1 513 466 475 521 513 618 638 684 689 Rate Per 1, 65.67 59.22 6.7 65.8 64.65 77.72 79.6 84.88 85.5 Age 11 to 12 1,3 1,42 1,36 1,1 883 822 914 874 833 Rate Per 1, 131.85 132.42 131.1 127.56 111.27 13.38 114.3 18.46 12.83 Age 13 to 14 2,78 1,993 1,92 1,883 1,74 1,675 1,558 1,681 1,567 Rate Per 1, 266. 253.28 24.52 237.82 219.26 21.66 194.38 28.61 193.44 Age 15 to 17 4,39 3,723 3,278 3,456 3,124 2,947 2,72 2,548 2,447 Rate Per 1, 22.63 189.25 165.81 174.59 157.47 148.25 134.84 126.48 12.83 Age 18 to 2 3,876 3,34 2,693 2,693 2,586 2,516 2,291 1,963 1,963 Rate Per 1, 496.15 385.57 34.55 34.12 325.87 316.42 285.83 243.61 242.32 Age 21 and Older 7,381 5,554 4,866 5,149 4,865 4,543 4,152 3,83 3,911 Rate Per 1, 944.82 75.82 615.34 65.31 613.6 571.35 518.1 475.3 482.79 IV Drug Users Number 1,123 7,511 6,234 6,6 5,539 5,125 6,55 4,2 3,627 Rate Per 1, 1295.81 954.52 788.34 758.54 697.99 644.54 817.2 498.88 447.73 Pregnant Number 22 25 145 145 121 116 99 13 11 Female Population 383,93 386,44 387,392 387,514 387,989 388,329 39,855 392,57 394,293 Rate Per 1, 57.31 53.1 37.43 37.42 31.19 29.87 25.33 26.24 25.62 Figure 2.6 County Age of Substance Use Initiation Rate per 1, Population 1, 8 6 4 2 Under Age 1 Age 11 to 12 Age 13 to 14 Age 15 to 17 Age 18 to 2 Age 21 and Older Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment County, California 14

Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.7 AOD Treatment Admissions by Primary Drug Type, Percent of Total Admissions, and Rate per 1, Population to 17 Years TOTAL ADMISSIONS UNDER AGE 18 362 425 425 331 31 273 28 32 366 Methamphetamines 18 27 52 4 12 12 14 1 2 Population to 17 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 117,34 Percent of Total 5.% 6.4% 12.2% 12.1% 3.9% 4.4% 5.% 3.1%.5% Rate per 1, 16.3 24.14 46.67 35.7 1.65 1.58 12.27 8.64 1.7 Alcohol 65 91 11 6 52 4 35 8 75 Population to 17 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 117,34 Percent of Total 18.% 21.4% 25.9% 18.1% 16.8% 14.7% 12.5% 25.% 2.5% Rate per 1, 57.87 81.36 98.72 53.54 46.13 35.26 3.68 69.13 63.92 Marijuana 237 259 243 194 213 188 214 212 28 Population to 17 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 117,34 Percent of Total 65.5% 6.9% 57.2% 58.6% 68.7% 68.9% 76.4% 66.3% 76.5% Rate per 1, 211.2 231.57 218.9 173.12 188.96 165.74 187.58 183.19 238.62 Heroin 15 8 5 4 3 4 1 Population to 17 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 117,34 Percent of Total 4.1% 1.9% 1.2% 1.2% 1.% 1.5%.%.%.3% Rate per 1, 13.36 7.15 4.49 3.57 2.66 3.53...85 Crack/Cocaine 17 17 9 8 3 3 7 7 5 Population to 17 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 117,34 Percent of Total 4.7% 4.% 2.1% 2.4% 1.% 1.1% 2.5% 2.2% 1.4% Rate per 1, 15.14 15.2 8.8 7.14 2.66 2.64 6.14 6.5 4.26 Other Drugs 1 23 6 25 27 26 1 11 3 Population to 17 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 117,34 Percent of Total 2.8% 5.4% 1.4% 7.6% 8.7% 9.5% 3.6% 3.4%.8% Rate per 1, 8.9 2.56 5.38 22.31 23.95 22.92 8.77 9.5 2.56 Figure 2.7 County Underage Treatment Admission Rate per 1, Population to 17 by Primary Drug Type 3 25 2 15 1 5 Meth Alcohol Marijuana Heroin Crack/Cocaine Other Drugs Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment County, California 15

Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.8 AOD Treatment Admissions among Youth Under Age 18 by Client Gender and Race/Ethnicity, Rate per 1, Population to 17 Years, and Percent of Total Admissions TOTAL ADMISSIONS UNDER AGE 18 362 425 437 331 31 273 28 32 366 Male 216 267 258 25 23 179 191 21 261 Population to 17 57,499 57,175 56,915 57,22 57,57 57,881 58,28 58,998 59,768 Rate per 1, 375.66 466.99 453.31 358.27 353. 39.26 328.13 355.94 436.69 Percent of Total 59.7% 62.8% 59.% 61.9% 65.5% 65.6% 68.2% 65.6% 71.3% Female 146 158 179 126 17 94 89 18 15 Population to 17 54,815 54,669 54,58 54,838 55,214 55,553 55,879 56,731 57,572 Rate per 1, 266.35 289.1 328.39 229.77 193.79 169.21 159.27 19.37 182.38 Percent of Total 4.3% 37.2% 41.% 38.1% 34.5% 34.4% 31.8% 33.8% 28.7% Unknown 2 Percent of Total.%.%.%.%.%.%.%.6%.% American Indian 1 4 5 7 1 1 1 4 Population to 17 237 235 228 218 213 23 216 215 214 Rate per 1, 4,219.41 1,72.13 2,192.98 3,211.1 469.48 492.61 462.96. 1,869.16 Percent of Total 2.8%.9% 1.1% 2.1%.3%.4%.4%.% 1.1% Asian/Pacific Islander 28 32 49 54 35 27 25 39 5 Population to 17 42,565 42,285 41,646 41,279 4,913 4,675 4,87 4,834 4,875 Rate per 1, 65.78 75.68 117.66 13.82 85.55 66.38 61.26 95.51 122.32 Percent of Total 7.7% 7.5% 11.2% 16.3% 11.3% 9.9% 8.9% 12.2% 13.7% Black 122 14 125 94 114 112 125 125 131 Population to 17 13,36 12,818 12,519 12,71 11,65 11,112 1,916 1,717 1,45 Rate per 1, 935.87 1,92.21 998.48 778.73 982.34 1,7.92 1,145.11 1,166.37 1,253.59 Percent of Total 33.7% 32.9% 28.6% 28.4% 36.8% 41.% 44.6% 39.1% 35.8% Hispanic 16 13 133 91 94 76 78 17 133 Population to 17 24,956 25,212 25,374 25,233 25,296 25,38 25,7 25,975 26,94 Rate per 1,231 424.75 515.63 524.16 36.64 371.6 299.45 33.5 411.93 59.7 Percent of Total 29.3% 3.6% 3.4% 27.5% 3.3% 27.8% 27.9% 33.4% 36.3% White 75 96 15 71 56 49 33 23 2 Population to 17 26,135 25,27 25,11 25,917 26,566 27,176 27,578 29,137 3,882 Rate per 1, 286.97 379.9 419.82 273.95 21.8 18.31 119.66 78.94 64.76 Percent of Total 2.7% 22.6% 24.% 21.5% 18.1% 17.9% 11.8% 7.2% 5.5% Other 21 23 2 14 1 8 18 26 28 Percent of Total 5.8% 5.4% 4.6% 4.2% 3.2% 2.9% 6.4% 8.1% 7.7% Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment County, California 16

Indicator 3: Arrests for Drug Related Crime The number of felony and misdemeanor arrests for drug crimes, including dangerous drugs, narcotics, marijuana, and other drug violations and rate per 1, population 1 to 69 years. Table 3.1 Number of Arrests for Felony and Misdemeanor Drug Offenses and Rate per 1, Population 1 to 69 Years with Comparison to Statewide Rates Number of Drug Related Arrests 1,337 8,683 9,539 7,919 7,83 7,725 8,63 8,746 1,77 Population 1 to 69 638,891 643,192 646,8 644,589 643,785 643,162 647,121 648,297 649,182 Rate per 1, 1,617.96 1,349.99 1,476.44 1,228.53 1,216.24 1,21.1 1,245.98 1,349.7 1,552.26 CALIFORNIA Rate per 1, 961.65 931.2 94.74 986.91 1,23.8 1,7.18 1,4.85 997.25 91.2 Figure 3.1 County Drug Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates 1,7 1,6 1,5 1,4 1,3 1,2 1,1 1, 9 8 County California Table 3.2 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Gender, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests TOTAL ARRESTS 1,337 8,683 9,539 7,919 7,83 7,725 8,63 8,746 1,77 Male 8,386 7,33 7,79 6,484 6,361 6,279 6,556 7,193 8,236 Population 1 to 69 333,369 336,127 338,45 337,51 337,437 337,432 34,84 341,67 341,883 Rate per 1, 2,515.53 2,92.36 2,28.47 1,921.13 1,885.9 1,86.82 1,927.76 2,18.97 2,49.1 Percent of Total 81.1% 81.% 8.8% 81.9% 81.2% 81.3% 81.3% 82.2% 81.7% Female 1,951 1,65 1,83 1,435 1,469 1,446 1,57 1,553 1,841 Population 1 to 69 35,522 37,65 38,35 37,79 36,348 35,73 37,37 37,23 37,299 Rate per 1, 638.58 537.35 594.9 467.31 479.52 472.97 49.82 55.48 599.9 Percent of Total 18.9% 19.% 19.2% 18.1% 18.8% 18.7% 18.7% 17.8% 18.3% Figure 3.2 County Drug Arrest Rate per 1, Population 1 to 69 by Offender Gender 3, 2,5 2, 1,5 1, 5 Male Female Indicators of Alcohol and Other Drug Abuse Drug Related Crime County, California 17

Indicator 3: Arrests for Drug Related Crime (Continued) Table 3.3 Number of Arrests for Felony and Misdemeanor Drug Offenses by Specific Offense, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests TOTAL ARRESTS 1,337 8,683 9,539 7,919 7,83 7,725 8,63 8,746 1,77 Dangerous Drugs 828 851 865 876 782 886 732 739 757 Population 1 to 69 638,891 643,192 646,8 644,589 643,785 643,162 647,121 648,297 649,182 Rate per 1, 129.6 132.31 133.88 135.9 121.47 137.76 113.12 113.99 116.61 Percent of Total 8.% 9.8% 9.1% 11.1% 1.% 11.5% 9.1% 8.4% 7.5% Narcotics 6,236 5,214 6,95 4,752 4,654 4,46 4,255 4,74 5,729 Population 1 to 69 638,891 643,192 646,8 644,589 643,785 643,162 647,121 648,297 649,182 Rate per 1, 976.7 81.64 943.38 737.21 722.91 685.5 657.53 731.15 882.5 Percent of Total 6.3% 6.% 63.9% 6.% 59.4% 57.% 52.8% 54.2% 56.9% Marijuana 1,815 1,363 1,464 1,376 1,233 1,74 1,19 1,347 1,678 Population 1 to 69 638,891 643,192 646,8 644,589 643,785 643,162 647,121 648,297 649,182 Rate per 1, 284.9 211.91 226.6 213.47 191.52 166.99 171.37 27.78 258.48 Percent of Total 17.6% 15.7% 15.3% 17.4% 15.7% 13.9% 13.8% 15.4% 16.7% Other Drug Violations 1,458 1,255 1,115 915 1,161 1,359 1,967 1,92 1,913 Population 1 to 69 638,891 643,192 646,8 644,589 643,785 643,162 647,121 648,297 649,182 Rate per 1, 228.21 195.12 172.58 141.95 18.34 211.3 33.96 296.16 294.68 Percent of Total 14.1% 14.5% 11.7% 11.6% 14.8% 17.6% 24.4% 22.% 19.% Figure 3.3 County Drug Arrest Rate per 1, Population 1 to 69 by Specific Offense 1,2 1, 8 6 4 2 Dangerous Drugs Narcotics Marijuana Other Indicators of Alcohol and Other Drug Abuse Drug Related Crime County, California 18

Indicator 3: Arrests for Drug Related Crime (Continued) Table 3.4 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Race/Ethnicity, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests TOTAL ARRESTS 1,337 8,683 9,539 7,919 7,83 7,725 8,63 8,746 1,77 American Indian 6 4 5 3 2 1 3 1 Population 1 to 69 1,868 1,972 2,55 2,88 2,135 2,187 2,299 2,355 2,412 Rate per 1, 321.2 22.84 243.31 143.68 93.68 45.72. 127.39 41.46 Percent of Total.1%.%.1%.%.%.%.%.%.% Asian/Pacific Islander 3 14 15 17 14 15 16 18 25 Population 1 to 69 195,34 195,858 196,66 196,73 196,823 196,994 197,562 197,659 197,585 Rate per 1, 1.54 7.15 7.63 8.64 7.11 7.61 8.1 9.11 12.65 Percent of Total.%.2%.2%.2%.2%.2%.2%.2%.2% Black 5,436 4,374 5,186 4,182 4,395 4,268 4,11 4,467 5,38 Population 1 to 69 46,62 46,48 46,25 45,446 44,745 44,34 43,741 43,428 43,98 Rate per 1, 11,66.23 9,41.5 11,223.89 9,22.13 9,822.33 9,692.51 9,375.64 1,285.99 12,316.12 Percent of Total 52.6% 5.4% 54.4% 52.8% 56.1% 55.2% 5.9% 51.1% 52.7% Hispanic 34 38 22 39 29 12 32 3 39 Population 1 to 69 89,21 89,9 88,785 87,438 86,261 85,154 85,248 85,348 85,398 Rate per 1, 38.19 42.65 24.78 44.6 33.62 14.9 37.54 35.15 45.67 Percent of Total.3%.4%.2%.5%.4%.2%.4%.3%.4% White 4,193 3,611 3,665 3,91 2,843 2,843 3,215 3,42 3,795 Population 1 to 69 294,59 297,37 299,734 3,7 3,764 31,57 34,818 35,774 36,672 Rate per 1, 1,425.9 1,214.57 1,222.75 1,3.31 945.26 942.73 1,54.73 1,118.47 1,237.48 Percent of Total 4.6% 41.6% 38.4% 39.% 36.3% 36.8% 39.9% 39.1% 37.7% Other 665 642 646 587 547 586 699 88 99 Percent of Total 6.4% 7.4% 6.8% 7.4% 7.% 7.6% 8.7% 9.2% 9.% Figure 3.4 County Drug Arrest Rate per 1, Population 1 to 69 by Offender Race/ Ethnicity 14, 12, 1, 8, 6, 4, 2, American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse Drug Related Crime County, California 19

Indicator 3: Arrests for Drug Related Crime (Continued) Table 3.5 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Age Category, Rate per 1, Population, and Percent of Total Drug Arrests TOTAL ARRESTS 1,337 8,683 9,539 7,919 7,83 7,725 8,63 8,746 1,77 17 Years and Under 421 288 327 233 159 157 188 288 336 Population 1 to 17 49,374 48,44 47,489 46,347 45,322 44,257 42,97 41,785 4,463 Rate per 1, 852.68 594.99 688.58 52.73 35.82 354.75 438.16 689.24 83.39 Percent of Total 4.1% 3.3% 3.4% 2.9% 2.% 2.% 2.3% 3.3% 3.3% 18 to 24 Years 2,829 2,31 2,49 1,968 1,95 1,799 1,98 2,11 1,924 Population 7,38 63,532 57,38 52,7 48,715 45,843 45,428 44,163 43,443 Rate per 1, 4,39.24 3,635.96 4,198.33 3,779.53 3,91.5 3,924.26 4,2.5 4,553.59 4,428.79 Percent of Total 27.4% 26.6% 25.3% 24.9% 24.3% 23.3% 23.7% 23.% 19.1% 25 to 34 Years 2,916 2,456 2,686 2,89 2,7 2,44 2,4 2,186 2,486 Population 185,314 193,77 197,394 193,637 186,672 176,782 171,953 163,385 154,771 Rate per 1, 1,573.55 1,272.3 1,36.73 1,78.82 1,18.9 1,156.23 1,186.37 1,337.94 1,66.24 Percent of Total 28.2% 28.3% 28.2% 26.4% 26.4% 26.5% 25.3% 25.% 24.7% 35 to 44 Years 2,64 2,256 2,44 2,77 1,992 2,5 2,56 2,172 2,465 Population 133,883 135,96 138,675 143,856 151,13 16,337 168,79 177,279 184,862 Rate per 1, 1,971.87 1,659.97 1,759.51 1,443.8 1,318.31 1,25.49 1,218.67 1,225.19 1,333.43 Percent of Total 25.5% 26.% 25.6% 26.2% 25.4% 26.% 25.5% 24.8% 24.5% 45 to 54 Years 1,269 1,123 1,38 1,257 1,36 1,382 1,428 1,64 2,126 Population 17,574 18,171 17,855 17,819 17,248 16,81 15,91 16,416 17,464 Rate per 1, 1,179.65 1,38.17 1,279.5 1,165.84 1,268.9 1,293.89 1,348.31 1,57.29 1,978.34 Percent of Total 12.3% 12.9% 14.5% 15.9% 17.4% 17.9% 17.7% 18.3% 21.1% 55 to 64 Years 228 216 277 265 31 37 49 452 68 Population 65,545 67,147 7,5 73,334 77,16 81,92 84,82 86,95 89,35 Rate per 1, 347.85 321.68 395.43 361.36 42.51 378.58 486.43 52.11 761.5 Percent of Total 2.2% 2.5% 2.9% 3.3% 4.% 4.% 5.1% 5.2% 6.7% 65 Years and Older 34 34 2 3 34 31 34 33 6 Population 65 to 69 27,163 26,955 27,237 27,526 27,79 28,41 28,132 28,364 28,829 Rate per 1, 125.17 126.14 73.43 18.99 122.7 11.55 12.86 116.34 28.12 Percent of Total.3%.4%.2%.4%.4%.4%.4%.4%.6% Figure 3.5 County Drug Arrest Rate per 1, Population by Offender Age Category 5, 4, 3, 2, 1, 1 to 17 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse Drug Related Crime County, California 2

Indicator 3: Arrests for Drug Related Crime (Continued) Table 3.6 Number of Arrests for Felony and Misdemeanor Drug Offenses by Gender and Race/Ethnicity among Underage Offenders, Rate per 1, Population 1 to 17 Years, and Percent of Total Drug Arrests ALL DRUG ARRESTS UNDER AGE 18 421 288 327 233 159 157 188 288 336 Male 287 185 232 176 121 17 149 217 262 Population 1 to 17 25,342 24,762 24,226 23,575 23,38 22,542 21,915 21,351 2,671 Rate per 1, 1,132.51 747.11 957.65 746.55 525.22 474.67 679.9 1,16.35 1,267.48 Percent of Total 68.2% 64.2% 7.9% 75.5% 76.1% 68.2% 79.3% 75.3% 78.% Female 134 13 95 57 38 5 39 71 74 Population 1 to 17 24,32 23,642 23,263 22,772 22,284 21,715 2,992 2,434 19,792 Rate per 1, 557.59 435.67 48.37 25.31 17.53 23.26 185.79 347.46 373.89 Percent of Total 31.8% 35.8% 29.1% 24.5% 23.9% 31.8% 2.7% 24.7% 22.% American Indian Population 1 to 17 99 99 15 19 117 116 117 12 119 Rate per 1,......... Percent of Total.%.%.%.%.%.%.%.%.% Asian/Pacific Islander 2 1 2 Population 1 to 17 2,389 2,23 2,57 19,883 19,78 19,78 19,399 18,91 18,325 Rate per 1,.. 9.97... 5.15. 1.91 Percent of Total.%.%.6%.%.%.%.5%.%.6% Black 263 16 156 124 88 88 95 127 131 Population 1 to 17 6,196 6,223 6,245 6,9 5,98 5,667 5,481 5,268 4,965 Rate per 1, 4,244.67 2,571.11 2,498. 2,36.12 1,489.51 1,552.85 1,733.26 2,41.78 2,638.47 Percent of Total 62.5% 55.6% 47.7% 53.2% 55.3% 56.1% 5.5% 44.1% 39.% Hispanic 1 2 2 3 1 3 1 1 Population 1 to 17 1,297 1,198 1,115 9,855 9,72 9,582 9,673 9,834 9,851 Rate per 1, 9.71 19.61 19.77 3.44 1.29. 31.1 1.17 1.15 Percent of Total.2%.7%.6% 1.3%.6%.% 1.6%.3%.3% White 118 78 83 64 52 41 5 86 116 Population 1 to 17 1,43 9,643 8,887 8,283 7,632 6,966 5,95 5,251 4,697 Rate per 1, 1,131.35 88.88 933.95 772.67 681.34 588.57 84.34 1,637.78 2,469.66 Percent of Total 28.% 27.1% 25.4% 27.5% 32.7% 26.1% 26.6% 29.9% 34.5% Other 39 48 84 42 18 28 39 74 86 Percent of Total 268.7% 28.9% 285.6% 331.6% 11.3% 17.8% 2.7% 25.7% 25.6% Indicators of Alcohol and Other Drug Abuse Drug Related Crime County, California 21

Indicator 4: Arrests for Alcohol Related Crime The number of felony and misdemeanor arrests for driving under the influence, drunkenness, and, liquor law violations and rate per 1, population 1 to 69 years. Table 4.1 Number of Arrests for Felony and Misdemeanor Alcohol Offenses, Rate per 1, Population 1 to 69 Years with Comparison to Statewide Rates Number of Alcohol Related Arrests 5,276 2,513 1,915 2,77 1,941 2,3 2,729 3,26 3,127 Population 1 to 69 638,891 643,192 646,8 644,589 643,785 643,162 647,121 648,297 649,182 Rate per 1, 825.81 39.71 296.4 322.22 31.5 357.61 421.71 466.76 481.68 CALIFORNIA Rate per 1, 1,238.1 1,167.4 1,126. 1,129.17 1,87.87 1,45.21 1,123.22 1,159.68 1,23.37 Figure 4.1 County Alcohol Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates 1,4 1,2 1, 8 6 4 2 County California Table 4.2 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Gender, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests TOTAL ARRESTS 5,276 2,513 1,915 2,77 1,941 2,3 2,729 3,26 3,127 Male 4,552 2,124 1,614 1,664 1,584 1,874 2,232 2,459 2,56 Population 1 to 69 333,369 336,127 338,45 337,51 337,437 337,432 34,84 341,67 341,883 Rate per 1, 1,365.45 631.9 477.45 493.2 469.42 555.37 656.31 72.97 733. Percent of Total 86.3% 84.5% 84.3% 8.1% 81.6% 81.5% 81.8% 81.3% 8.1% Female 724 389 31 413 357 426 497 567 621 Population 1 to 69 35,522 37,65 38,35 37,79 36,348 35,73 37,37 37,23 37,299 Rate per 1, 236.97 126.68 97.72 134.49 116.53 139.34 161.87 184.55 22.8 Percent of Total 13.7% 15.5% 15.7% 19.9% 18.4% 18.5% 18.2% 18.7% 19.9% Figure 4.2 County Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Gender 1,6 1,4 1,2 1, 8 6 4 2 Male Female Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime County, California 22

Indicator 4: Arrests for Alcohol Related Crime (Continued) Table 4.3 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Specific Offense, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests TOTAL ARRESTS 5,276 2,513 1,915 2,77 1,941 2,3 2,729 3,26 3,127 Driving Under the Influence 1,436 1,756 1,694 1,53 1,65 1,367 1,337 1,46 1,484 Population 1 to 69 638,891 643,192 646,8 644,589 643,785 643,162 647,121 648,297 649,182 Rate per 1, 224.76 273.1 262.2 237.36 256.3 212.54 26.61 216.88 228.6 Percent of Total 27.2% 69.9% 88.5% 73.7% 85.% 59.4% 49.% 46.5% 47.5% Drunk 3,676 654 125 13 117 757 1,195 1,32 1,298 Population 1 to 69 638,891 643,192 646,8 644,589 643,785 643,162 647,121 648,297 649,182 Rate per 1, 575.37 11.68 19.35 15.98 18.17 117.7 184.66 2.83 199.94 Percent of Total 69.7% 26.% 6.5% 5.% 6.% 32.9% 43.8% 43.% 41.5% Liquor Law Violations 164 13 96 444 174 176 197 318 345 Population 1 to 69 638,891 643,192 646,8 644,589 643,785 643,162 647,121 648,297 649,182 Rate per 1, 25.67 16.1 14.86 68.88 27.3 27.36 3.44 49.5 53.14 Percent of Total 3.1% 4.1% 5.% 21.4% 9.% 7.7% 7.2% 1.5% 11.% Figure 4.3 County Alcohol Arrest Rate per 1, Population 1 to 69 by Specific Offense 7 6 5 4 3 2 1 Driving Under the Influence Drunk Liquor Law Violations Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime County, California 23

Indicator 4: Arrests for Alcohol Related Crime (Continued) Table 4.4 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Race/Ethnicity, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests TOTAL ARRESTS 5,276 2,513 1,915 2,77 1,941 2,3 2,729 3,26 3,127 American Indian 13 2 8 6 3 9 15 4 Population 1 to 69 1,868 1,972 2,55 2,88 2,135 2,187 2,299 2,355 2,412 Rate per 1, 695.93 11.42. 383.14 281.3 137.17 391.47 636.94 165.84 Percent of Total.2%.1%.%.4%.3%.1%.3%.5%.1% Asian/Pacific Islander 19 17 167 174 163 136 112 137 139 Population 1 to 69 195,34 195,858 196,66 196,73 196,823 196,994 197,562 197,659 197,585 Rate per 1, 55.89 86.8 84.94 88.45 82.82 69.4 56.69 69.31 7.35 Percent of Total 2.1% 6.8% 8.7% 8.4% 8.4% 5.9% 4.1% 4.5% 4.4% Black 1,136 466 34 293 343 41 488 552 59 Population 1 to 69 46,62 46,48 46,25 45,446 44,745 44,34 43,741 43,428 43,98 Rate per 1, 2,436.72 1,2.58 657.94 644.72 766.57 931.1 1,115.66 1,271.7 1,181.3 Percent of Total 21.5% 18.5% 15.9% 14.1% 17.7% 17.8% 17.9% 18.2% 16.3% Hispanic 259 327 288 322 267 224 238 26 234 Population 1 to 69 89,21 89,9 88,785 87,438 86,261 85,154 85,248 85,348 85,398 Rate per 1, 29.94 367.4 324.38 368.26 39.53 263.5 279.19 34.64 274.1 Percent of Total 4.9% 13.% 15.% 15.5% 13.8% 9.7% 8.7% 8.6% 7.5% White 3,222 1,261 98 1,11 97 1,187 1,51 1,658 1,747 Population 1 to 69 294,59 297,37 299,734 3,7 3,764 31,57 34,818 35,774 36,672 Rate per 1, 1,95.7 424.14 32.94 336.99 31.57 393.61 492.42 542.23 569.66 Percent of Total 61.1% 5.2% 47.4% 48.7% 46.7% 51.6% 55.% 54.8% 55.9% Other 537 287 248 269 255 34 381 44 494 Percent of Total 1.2% 11.4% 13.% 13.% 13.1% 14.8% 14.% 13.4% 15.8% Figure 4.4 County Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Race/ Ethnicity 3, 2,5 2, 1,5 1, 5 American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime County, California 24

Indicator 4: Arrests for Alcohol Related Crime (Continued) Table 4.5 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Age Category, Rate per 1, Population, and Percent of Total Alcohol Arrests TOTAL ARRESTS 5,276 2,513 1,915 2,77 1,941 2,3 2,729 3,26 3,127 17 Years and Under 34 18 16 33 3 13 11 14 2 Population 1 to 17 49,374 48,44 47,489 46,347 45,322 44,257 42,97 41,785 4,463 Rate per 1, 68.86 37.19 33.69 71.2 6.62 29.37 25.64 33.5 49.43 Percent of Total.6%.7%.8% 1.6%.2%.6%.4%.5%.6% 18 to 24 Years 1,45 563 466 587 495 624 768 822 844 Population 7,38 63,532 57,38 52,7 48,715 45,843 45,428 44,163 43,443 Rate per 1, 1,492.5 886.17 812.13 1,127.33 1,16.11 1,361.17 1,69.59 1,861.29 1,942.78 Percent of Total 19.8% 22.4% 24.3% 28.3% 25.5% 27.1% 28.1% 27.2% 27.% 25 to 34 Years 1,644 881 656 671 695 762 9 997 1,5 Population 185,314 193,77 197,394 193,637 186,672 176,782 171,953 163,385 154,771 Rate per 1, 887.14 456.29 332.33 346.52 372.31 431.4 523.4 61.22 678.42 Percent of Total 31.2% 35.1% 34.3% 32.3% 35.8% 33.1% 33.% 32.9% 33.6% 35 to 44 Years 1,59 617 428 436 416 58 584 649 65 Population 133,883 135,96 138,675 143,856 151,13 16,337 168,79 177,279 184,862 Rate per 1, 1,127.1 453.99 38.64 33.8 275.31 316.83 346.16 366.9 327.27 Percent of Total 28.6% 24.6% 22.3% 21.% 21.4% 22.1% 21.4% 21.4% 19.3% 45 to 54 Years 738 332 248 25 219 291 345 397 448 Population 17,574 18,171 17,855 17,819 17,248 16,81 15,91 16,416 17,464 Rate per 1, 686.4 36.92 229.94 231.87 24.2 272.45 325.75 373.6 416.88 Percent of Total 14.% 13.2% 13.% 12.% 11.3% 12.7% 12.6% 13.1% 14.3% 55 to 64 Years 255 73 8 78 86 88 13 123 137 Population 65,545 67,147 7,5 73,334 77,16 81,92 84,82 86,95 89,35 Rate per 1, 389.5 18.72 114.2 16.36 111.67 18.52 122.5 141.53 153.33 Percent of Total 4.8% 2.9% 4.2% 3.8% 4.4% 3.8% 3.8% 4.1% 4.4% 65 Years and Older 51 29 21 22 27 14 18 24 23 Population 65 to 69 27,163 26,955 27,237 27,526 27,79 28,41 28,132 28,364 28,829 Rate per 1, 187.76 17.59 77.1 79.92 97.44 49.93 63.98 84.61 79.78 Percent of Total 1.% 1.2% 1.1% 1.1% 1.4%.6%.7%.8%.7% Figure 4.5 County Alcohol Arrest Rate per 1, Population by Offender Age Category 2,5 2, 1,5 1, 5 1 to 17 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime County, California 25

Indicator 4: Arrests for Alcohol Related Crime (Continued) Table 4.6 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Gender and Race/Ethnicity among Underage Offenders, Rate per 1, Population 1 to 17 Years, and Percent of Total Alcohol Arrests ALL ALCOHOL ARRESTS UNDER AGE 18 34 18 16 33 3 13 11 14 2 Male 29 12 15 24 9 11 9 14 Population 1 to 17 25,342 24,762 24,226 23,575 23,38 22,542 21,915 21,351 2,671 Rate per 1, 114.43 48.46 61.92 11.8. 39.93 5.19 42.15 67.73 Percent of Total 85.3% 66.7% 93.8% 72.7%.% 69.2% 1.% 64.3% 7.% Female 5 6 1 9 4 5 6 Population 1 to 17 24,32 23,642 23,263 22,772 22,284 21,715 2,992 2,434 19,792 Rate per 1, 2.81 25.38 4.3 39.52. 18.42. 24.47 3.32 Percent of Total 14.7% 33.3% 6.3% 27.3%.% 3.8%.% 35.7% 3.% American Indian Population 1 to 17 99 99 15 19 117 116 117 12 119 Rate per 1,......... Percent of Total.%.%.%.%.%.%.%.%.% Asian/Pacific Islander 1 5 1 Population 1 to 17 2,389 2,23 2,57 19,883 19,78 19,78 19,399 18,91 18,325 Rate per 1,.. 4.99 25.15.. 5.15.. Percent of Total.%.% 6.3% 15.2%.%.% 9.1%.%.% Black 3 3 1 3 1 2 4 2 Population 1 to 17 6,196 6,223 6,245 6,9 5,98 5,667 5,481 5,268 4,965 Rate per 1, 48.42 48.21 16.1 49.26 16.93 35.29. 75.93 4.28 Percent of Total 8.8% 16.7% 6.3% 9.1% 33.3% 15.4%.% 28.6% 1.% Hispanic 2 2 9 1 1 1 1 Population 1 to 17 1,297 1,198 1,115 9,855 9,72 9,582 9,673 9,834 9,851 Rate per 1,. 19.61 19.77 91.32 1.29. 1.34 1.17 1.15 Percent of Total.% 11.1% 12.5% 27.3% 33.3%.% 9.1% 7.1% 5.% White 19 1 8 13 1 1 2 5 13 Population 1 to 17 1,43 9,643 8,887 8,283 7,632 6,966 5,95 5,251 4,697 Rate per 1, 182.17 13.7 9.2 156.95 13.1 143.55 33.61 95.22 276.77 Percent of Total 55.9% 55.6% 5.% 39.4% 33.3% 76.9% 18.2% 35.7% 65.% Other 12 3 4 3 1 7 4 4 Percent of Total 35.3% 16.7% 25.% 9.1%.% 7.7% 63.6% 28.6% 2.% Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime County, California 26

Indicator 5: Alcohol Involved Motor Vehicle Accidents The number of alcohol involved motor vehicle accidents and number of persons injured or killed and rate per 1, population Table 5.1 County Fatalities in Alcohol Involved Accidents and Rate per 1, Total Population with Comparison to Statewide Rates Number of Fatalities 13 8 1 17 18 12 14 13 8 Total Population 781,29 786,889 79,777 791,781 793,564 795,135 81,522 85,81 81,78 Rate per 1, 1.66 1.2 1.26 2.15 2.27 1.51 1.75 1.61.99 CALIFORNIA Rate per 1, 3.62 3.76 3.99 4.1 4. 4.26 4.27 3.94 3.54 Figure 5.1 County Alcohol Involved Accident Fatality Rate per 1, Total Population with Comparison to Statewide Rates 5 4 3 2 1 County California Table 5.2 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Gender and Rate per 1, Population, and Percent of Total TOTAL HAD BEEN DRINKING DRIVERS 855 83 857 82 78 767 638 675 76 Male 637 626 665 577 516 555 475 487 58 Population 397,36 4,845 43,385 44,267 45,575 46,86 41,667 413,24 415,785 Rate per 1, 16.33 156.17 164.85 142.73 127.23 136.43 115.67 117.85 122.18 Percent of Total 74.5% 75.4% 77.6% 7.4% 72.9% 72.4% 74.5% 72.1% 72.% Female 175 174 15 197 158 166 131 152 156 Population 383,93 386,44 387,392 387,514 387,989 388,329 39,855 392,57 394,293 Rate per 1, 45.58 45.7 38.72 5.84 4.72 42.75 33.52 38.72 39.56 Percent of Total 2.5% 21.% 17.5% 24.% 22.3% 21.6% 2.5% 22.5% 22.1% Unknown 43 3 42 46 34 46 32 36 42 Percent of Total 5.% 3.6% 4.9% 5.6% 4.8% 6.% 5.% 5.3% 5.9% Figure 5.2 County Had Been Drinking Driver Rate per 1, Population, by Party Gender 18 16 14 12 1 8 6 4 2 Male Female Indicators of Alcohol and Other Drug Abuse Drinking and Driving County, California 27

Indicator 5: Alcohol Involved Motor Vehicle Accidents (Continued) Table 5.3 County Alcohol Involved Accidents by Injury Severity, Rate per 1, Total Population, and Percent of Total 24 25 26 27 28 TOTAL ALCOHOL INVOLVED ACCIDENTS 67 723 69 646 685 Property Damage Only (PDO) 333 352 336 353 368 Total Population 793,564 795,135 81,522 85,81 81,78 Rate per 1, 41.96 44.27 41.92 43.81 45.43 Percent of Total 49.7% 48.7% 55.2% 54.6% 53.7% Injury Complaint of Pain 17 172 13 131 151 Total Population 793,564 795,135 81,522 85,81 81,78 Rate per 1, 21.42 21.63 16.22 16.26 18.64 Percent of Total 25.4% 23.8% 21.3% 2.3% 22.% Injury Other Visible 123 145 96 19 127 Total Population 793,564 795,135 81,522 85,81 81,78 Rate per 1, 15.5 18.24 11.98 13.53 15.68 Percent of Total 18.4% 2.1% 15.8% 16.9% 18.5% Injury Severe 31 43 33 4 31 Total Population 793,564 795,135 81,522 85,81 81,78 Rate per 1, 3.91 5.41 4.12 4.96 3.83 Percent of Total 4.6% 5.9% 5.4% 6.2% 4.5% Injury Fatal 13 11 14 13 8 Total Population 793,564 795,135 81,522 85,81 81,78 Rate per 1, 1.64 1.38 1.75 1.61.99 Percent of Total 1.9% 1.5% 2.3% 2.% 1.2% 5 Figure 5.3 County Alcohol Involved Accident Rate per 1, Total Population, by Injury Severity 4 3 2 1 24 25 26 27 28 PDO Complaint of Pain Other Visible Injury Severe Injury Fatal Injury Indicators of Alcohol and Other Drug Abuse Drinking and Driving County, California 28

Indicator 5: Alcohol Involved Motor Vehicle Accidents (Continued) Table 5.4 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Race/Ethnicity, Rate per 1, Population, and Percent of Total 22 23 24 25 26 27 28 TOTAL HAD BEEN DRINKING DRIVERS 857 82 78 767 638 675 76 Black 113 123 92 14 83 98 87 Population 58,538 57,45 56,272 55,298 54,989 54,68 54,383 Rate per 1, 193.4 214.27 163.49 188.7 15.94 179.22 159.98 Percent of Total 13.2% 15.% 13.% 13.6% 13.% 14.5% 12.3% Hispanic 158 174 151 162 15 153 166 Population 111, 19,934 19,177 18,473 18,963 19,328 19,634 Rate per 1, 142.34 158.28 138.31 149.35 137.66 139.95 151.41 Percent of Total 18.4% 21.2% 21.3% 21.1% 23.5% 22.7% 23.5% White 355 39 268 28 246 246 276 Population 352,57 353,242 354,792 356,8 36,53 362,673 365,427 Rate per 1, 1.84 87.48 75.54 78.63 68.32 67.83 75.53 Percent of Total 41.4% 37.7% 37.9% 36.5% 38.6% 36.4% 39.1% Other/Unknown 231 214 197 221 159 178 177 Percent of Total 27.% 26.1% 27.8% 28.8% 24.9% 26.4% 25.1% Figure 5.4 County Had Been Drinking Driver Rate per 1, Population, by Party Race/ Ethnicity 25 2 15 1 5 22 23 24 25 26 27 28 Black Hispanic White Indicators of Alcohol and Other Drug Abuse Drinking and Driving County, California 29

Indicator 5: Alcohol Involved Motor Vehicle Accidents (Continued) Table 5.5 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Age Category and Rate per 1, Population, and Percent of Total TOTAL HAD BEEN DRINKING DRIVERS 855 83 857 82 78 767 638 675 76 17 Years and Under 5 9 8 4 5 4 3 9 3 Population 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 117,34 Rate per 1, 4.45 8.5 7.18 3.57 4.44 3.53 2.63 7.78 2.56 Percent of Total.6% 1.1%.9%.5%.7%.5%.5% 1.3%.4% 18 to 24 Years 145 128 173 156 132 168 138 152 164 Population 7,38 63,532 57,38 52,7 48,715 45,843 45,428 44,163 43,443 Rate per 1, 27.3 21.47 31.5 299.6 27.96 366.47 33.78 344.18 377.51 Percent of Total 17.% 15.4% 2.2% 19.% 18.6% 21.9% 21.6% 22.5% 23.2% 25 to 34 Years 249 244 236 255 2 23 192 28 221 Population 185,314 193,77 197,394 193,637 186,672 176,782 171,953 163,385 154,771 Rate per 1, 134.37 126.37 119.56 131.69 17.14 13.1 111.66 127.31 142.79 Percent of Total 29.1% 29.4% 27.5% 31.1% 28.2% 3.% 3.1% 3.8% 31.3% 35 to 44 Years 168 178 162 151 141 144 134 115 114 Population 133,883 135,96 138,675 143,856 151,13 16,337 168,79 177,279 184,862 Rate per 1, 125.48 13.97 116.82 14.97 93.31 89.81 79.43 64.87 61.67 Percent of Total 19.6% 21.4% 18.9% 18.4% 19.9% 18.8% 21.% 17.% 16.1% 45 to 54 Years 12 16 13 13 83 89 56 76 87 Population 17,574 18,171 17,855 17,819 17,248 16,81 15,91 16,416 17,464 Rate per 1, 111.55 97.99 95.5 95.53 77.39 83.33 52.88 71.42 8.96 Percent of Total 14.% 12.8% 12.% 12.6% 11.7% 11.6% 8.8% 11.3% 12.3% 55 to 64 Years 41 49 56 46 46 37 31 32 3 Population 65,545 67,147 7,5 73,334 77,16 81,92 84,82 86,95 89,35 Rate per 1, 62.55 72.97 79.94 62.73 59.73 45.63 36.87 36.82 33.58 Percent of Total 4.8% 5.9% 6.5% 5.6% 6.5% 4.8% 4.9% 4.7% 4.2% 65 Years and Older 15 26 19 15 2 13 17 12 16 Population 16,541 17,212 18, 19,7 11,89 11,837 111,353 111,933 112,848 Rate per 1, 14.8 24.25 17.59 13.76 18.17 11.73 15.27 1.72 14.18 Percent of Total 1.8% 3.1% 2.2% 1.8% 2.8% 1.7% 2.7% 1.8% 2.3% Other/Unknown 112 9 1 9 81 82 67 71 71 Percent of Total 13.1% 1.8% 11.7% 11.% 11.4% 1.7% 1.5% 1.5% 1.1% Figure 5.5 County Had Been Drinking Driver Rate per 1, Population, by Party Age Category 4 35 3 25 2 15 1 5 1 to 17 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse Drinking and Driving County, California 3

Indicator 6: Hospitalizations Due to Alcohol and Drug Use The number of hospital admissions due to alcohol and drug related causes and rate per 1, population. Table 6.1 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) and Rate per 1, Total Population with Comparison to Statewide Rates Number of Hospitalizations 2 21 22 23 24 25 26 27 1,732 1,686 1,721 1,653 1,733 1,691 1,698 1,568 Total Population 781,29 786,889 79,777 791,781 793,564 795,135 81,522 85,81 Rate per 1, 221.71 214.26 217.63 28.77 218.38 212.67 211.85 194.59 CALIFORNIA Rate per 1, 222.67 218.35 217.21 215.37 211.97 24.5 21. 25.44 Figure 6.1 County Alcoholand Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates 225 22 215 21 25 2 195 19 2 21 22 23 24 25 26 27 County California Table 6.2 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Gender, Rate per 1, Population, and Percent of Total Hospitalizations 2 21 22 23 24 25 26 27 AOD HOSPITALIZATIONS 1,732 1,686 1,721 1,653 1,733 1,691 1,698 1,568 Male 82 773 814 753 817 84 844 827 Population 397,36 4,845 43,385 44,267 45,575 46,86 41,667 413,24 Rate per 1, 26.39 192.84 21.79 186.26 21.44 26.49 25.52 2.13 Percent of Total 47.34% 45.85% 47.3% 45.55% 47.14% 49.67% 49.71% 52.74% Female 495 436 471 476 465 463 475 388 Population 383,93 386,44 387,392 387,514 387,989 388,329 39,855 392,57 Rate per 1, 128.94 112.94 121.58 122.83 119.85 119.23 121.53 98.84 Percent of Total 28.58% 25.86% 27.37% 28.8% 26.83% 27.38% 27.97% 24.74% Unknown 417 477 436 424 451 388 379 353 Percent of Total 24.8% 28.29% 25.33% 25.65% 26.2% 22.95% 22.32% 22.51% Figure 6.2 County AOD Related Hospitalization Rate per 1, Population by Patient Gender 25 2 15 1 5 2 21 22 23 24 25 26 27 Male Female Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations County, California 31

Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.3 Hospitalizations Due to Alcohol Related Causes and Rate per 1, Total Population with Comparison to Statewide Rates Number of Hospitalizations 2 21 22 23 24 25 26 27 759 764 738 694 696 729 77 766 Total Population 781,29 786,889 79,777 791,781 793,564 795,135 81,522 85,81 Rate per 1, 97.16 97.9 93.33 87.65 87.71 91.68 96.7 95.6 CALIFORNIA Rate per 1, 11.28 97.26 93.96 89.36 88.54 85.1 88.17 91.5 Figure 6.3 County Alcohol Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates 15 1 95 9 85 8 2 21 22 23 24 25 26 27 County California Table 6.4 Hospitalizations Due to Drug Related Causes and Rate per 1, Total Population with Comparison to Statewide Rates Number of Hospitalizations 2 21 22 23 24 25 26 27 973 922 983 959 1,37 962 928 82 Total Population 781,29 786,889 79,777 791,781 793,564 795,135 81,522 85,81 Rate per 1, 124.55 117.17 124.31 121.12 13.68 12.99 115.78 99.53 CALIFORNIA Rate per 1, 121.44 121.12 123.27 126.4 123.43 119.4 112.84 114.39 Figure 6.4 County Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates 135 13 125 12 115 11 15 1 95 2 21 22 23 24 25 26 27 County California Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations County, California 32

Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.5 Hospitalizations Due to Alcohol Related Causes by Specific Cause and Rate per 1, Total Population TOTAL ALCOHOL RELATED HOSPITALIZATIONS 2 21 22 23 24 25 26 27 759 764 738 694 696 729 77 766 Alcohol Abuse 16 22 19 17 12 16 21 18 Rate per 1, 2.5 2.8 2.4 2.15 1.51 2.1 2.62 2.23 Alcohol Cardiomyopathy 4 5 4 8 3 3 1 1 Rate per 1,.51.64.51 1.1.38.38.12.12 Alcohol Dependence Syndrome 129 13 19 73 9 8 96 19 Rate per 1, 16.51 13.9 13.78 9.22 11.34 1.6 11.98 13.53 Alcohol Dependent Abuse 47 47 44 27 39 28 23 24 Rate per 1, 2.41 2.39 2.23 1.36 1.97 1.41 1.15 1.19 Alcohol Poisoning 14 14 15 23 5 5 3 11 Rate per 1, 1.79 1.78 1.9 2.9.63.63.37 1.37 Alcohol Polyneuropathy 2 1 7 5 1 2 2 Rate per 1,.26.13.89.63.13..25.25 Alcohol Psychosis 311 333 336 336 298 349 387 385 Rate per 1, 39.81 42.32 42.49 42.44 37.55 43.89 48.28 47.78 Alcoholic Gastritis 24 34 27 29 33 24 9 22 Rate per 1, 3.7 4.32 3.41 3.66 4.16 3.2 1.12 2.73 Alcoholic Liver Disease 212 25 177 176 215 224 228 194 Rate per 1, 27.14 26.5 22.38 22.23 27.9 28.17 28.45 24.8 Fetal Alcohol Syndrome Rate per 1,........ Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations County, California 33

Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.6 Hospitalizations Due to Drug Related Causes by Specific Cause and Rate per 1, Total Population 2 21 22 23 24 25 26 27 TOTAL DRUG RELATED HOSPITALIZATIONS 973 922 983 959 1,37 962 928 82 Drug Psychosis 148 155 155 197 175 149 138 114 Rate per 1, 18.94 19.7 19.6 24.88 22.5 18.74 17.22 14.15 Drug Polyneuropathy 2 1 1 1 3 2 2 Rate per 1,.26.13.13.13.38..25.25 Dependence Barbituates 2 2 5 1 5 5 1 Rate per 1,.26.25..63.13.63.62.12 Cannabis 8 1 5 11 12 3 5 2 Rate per 1, 1.2 1.27.63 1.39 1.51.38.62.25 Cocaine 27 16 12 9 8 5 17 7 Rate per 1, 3.46 2.3 1.52 1.14 1.1.63 2.12.87 Hallucinogen 1 Rate per 1,.......12. Inhalant 2 2 2 2 Rate per 1,..25.25..25..25. Morphine 43 39 44 18 22 34 16 31 Rate per 1, 5.5 4.96 5.56 2.27 2.77 4.28 2. 3.85 Stimulant 7 13 9 6 14 7 6 4 Rate per 1,.9 1.65 1.14.76 1.76.88.75.5 Combination 12 16 17 11 4 6 9 6 Rate per 1, 1.54 2.3 2.15 1.39.5.75 1.12.74 Unspecified 3 2 1 4 3 6 Rate per 1,.38...25.13.5.37.74 Maternal Drug Dependence 34 18 16 13 12 8 12 11 Rate per 1, 4.35 2.29 2.2 1.64 1.51 1.1 1.5 1.37 Abuse Amphetamine 6 9 9 8 8 11 7 5 Rate per 1,.77 1.14 1.14 1.1 1.1 1.38.87.62 Antidepressant Rate per 1,........ Cannabis 1 1 2 2 1 Rate per 1,.13.13.25..25...12 Cocaine 8 9 15 15 13 11 12 18 Rate per 1, 1.2 1.14 1.9 1.89 1.64 1.38 1.5 2.23 Hallucinogen 1 Rate per 1,.13....... Morphine 2 2 2 2 2 2 3 Rate per 1,.26.25..25.25.25.25.37 Sedative 1 2 Rate per 1,.13....25... Other, Mixed or Unspecified 4 4 5 11 5 4 8 9 Rate per 1,.51.51.63 1.39.63.5 1. 1.12 Accidental Drug Poisonings 299 262 361 322 41 368 346 32 Rate per 1, 38.27 33.3 45.65 4.67 51.67 46.28 43.17 37.48 Other Drug Poisonings 22 18 3 4 4 68 91 74 Rate per 1, 2.82 2.29 3.79 5.5 5.4 8.55 11.35 9.18 Self Inflicted Drug Poisonings 343 344 299 287 299 273 245 25 Rate per 1, 43.91 43.72 37.81 36.25 37.68 34.33 3.57 25.44 Drug Exposure in Newborns 1 1 1 3 1 Rate per 1,..13.13..13.38..12 Fetal Damage due to Maternal Drug Use 1 1 1 1 Rate per 1,....13.13.13.12. Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations County, California 34

Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.7 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Race/Ethnicity, Rate per 1, Population, and Percent of Total Hospitalizations TOTAL AOD RELATED HOSPITALIZATIONS 2 21 22 23 24 25 26 27 1,732 1,686 1,721 1,653 1,733 1,691 1,698 1,568 American Indian 4 1 2 4 5 6 2 2 Population 2,11 2,227 2,312 2,34 2,38 2,434 2,577 2,648 Rate per 1, 189.57 44.9 86.51 17.94 21.8 246.51 77.61 75.53 Percent of Total.2%.1%.1%.2%.3%.4%.1%.1% Asian/Pacific Islander 8 56 75 64 77 69 77 55 Population 245,51 247,439 248,771 249,882 251,4 251,974 253,854 255,179 Rate per 1, 32.59 22.63 3.15 25.61 3.68 27.38 3.33 21.55 Percent of Total 4.6% 3.3% 4.4% 3.9% 4.4% 4.1% 4.5% 3.5% Black 182 151 214 197 21 179 23 2 Population 59,89 59,282 58,538 57,45 56,272 55,298 54,989 54,68 Rate per 1, 34.3 254.71 365.57 343.18 373.19 323.7 369.16 365.76 Percent of Total 1.5% 9.% 12.4% 11.9% 12.1% 1.6% 12.% 12.8% Hispanic 127 94 14 85 89 111 98 99 Population 11,217 11,892 111, 19,934 19,177 18,473 18,963 19,328 Rate per 1, 115.23 84.77 93.69 77.32 81.52 12.33 89.94 9.55 Percent of Total 7.3% 5.6% 6.% 5.1% 5.1% 6.6% 5.8% 6.3% White 78 75 692 71 73 736 715 679 Population 347,117 349,761 352,57 353,242 354,792 356,8 36,53 362,673 Rate per 1, 23.97 21.57 196.56 21. 198.14 26.7 198.58 187.22 Percent of Total 4.9% 41.8% 4.2% 43.% 4.6% 43.5% 42.1% 43.3% Other/Unknown 631 679 634 593 649 59 63 533 Percent of Total 36.4% 4.3% 36.8% 35.9% 37.4% 34.9% 35.5% 34.% Figure 6.5 County AOD Related Hospitalization Rate per 1, Population by Patient Race/ Ethnicity 4 35 3 25 2 15 1 5 2 21 22 23 24 25 26 27 American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations County, California 35

Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.8 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Age Category, Rate per 1, Population, and Percent of Total Hospitalizations TOTAL AOD RELATED HOSPITALIZATIONS 2 21 22 23 24 25 26 27 1,732 1,686 1,721 1,653 1,733 1,691 1,698 1,568 17 Years and Under 9 9 7 6 7 5 3 5 Population 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 Rate per 1, 8.1 8.5 6.28 5.35 6.21 4.41 2.63 4.32 Percent of Total.5%.5%.4%.4%.4%.3%.2%.3% 18 to 24 Years 24 23 37 29 16 26 15 13 Population 7,38 63,532 57,38 52,7 48,715 45,843 45,428 44,163 Rate per 1, 34.27 36.2 64.48 55.69 32.84 56.72 33.2 29.44 Percent of Total 1.4% 1.4% 2.1% 1.8%.9% 1.5%.9%.8% 25 to 34 Years 17 95 66 88 67 57 56 49 Population 185,314 193,77 197,394 193,637 186,672 176,782 171,953 163,385 Rate per 1, 57.74 49.2 33.44 45.45 35.89 32.24 32.57 29.99 Percent of Total 6.2% 5.6% 3.8% 5.3% 3.9% 3.4% 3.3% 3.1% 35 to 44 Years 188 14 179 144 148 163 138 137 Population 133,883 135,96 138,675 143,856 151,13 16,337 168,79 177,279 Rate per 1, 14.42 13.1 129.8 1.1 97.95 11.66 81.8 77.28 Percent of Total 1.9% 8.3% 1.4% 8.7% 8.5% 9.6% 8.1% 8.7% 45 to 54 Years 21 182 216 221 266 25 25 212 Population 17,574 18,171 17,855 17,819 17,248 16,81 15,91 16,416 Rate per 1, 186.85 168.25 2.27 24.97 248.2 191.93 193.56 199.22 Percent of Total 11.6% 1.8% 12.6% 13.4% 15.3% 12.1% 12.1% 13.5% 55 to 64 Years 84 9 89 93 114 146 168 171 Population 65,545 67,147 7,5 73,334 77,16 81,92 84,82 86,95 Rate per 1, 128.16 134.3 127.5 126.82 148.2 18.4 199.8 196.77 Percent of Total 4.8% 5.3% 5.2% 5.6% 6.6% 8.6% 9.9% 1.9% 65 Years and Older 15 123 117 125 123 145 145 116 Population 16,541 17,212 18, 19,7 11,89 11,837 111,353 111,933 Rate per 1, 14.79 114.73 18.33 114.67 111.73 13.82 13.22 13.63 Percent of Total 8.7% 7.3% 6.8% 7.6% 7.1% 8.6% 8.5% 7.4% Other/Unknown 969 1,24 1,1 947 992 944 968 865 Percent of Total 55.9% 6.7% 58.7% 57.3% 57.2% 55.8% 57.% 55.2% Figure 6.6 County AOD Related Hospitalization Rate per 1, Population by Patient Age Category 3 25 2 15 1 5 2 21 22 23 24 25 26 27 1 to 17 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations County, California 36

Indicator 7: Deaths Due to Alcohol and Drug Use The number of deaths due to alcohol and drug related causes and age adjusted death rate per 1, population. Table 7.1 Deaths Due to Alcohol and Drug Related Causes (Combined) and Age Adjusted Rate per 1, with Comparison to Statewide Rates 2 21 22 23 24 25 26 27 Number of Deaths 256 295 268 275 258 38 34 314 Total Population 781,29 786,889 79,777 791,781 793,564 795,135 81,522 85,81 Rate per 1, 31.38 35.81 31.83 32.24 29.42 34.9 34.18 34.41 CALIFORNIA Rate per 1, 19.3 19.22 2.1 2.9 2.86 21.4 21.27 21.46 Figure 7.1 County Mortality Age Adjusted Rate per 1, Total Population with Comparison to Statewide Rates 4 35 3 25 2 15 1 5 2 21 22 23 24 25 26 27 County California Table 7.2 Deaths Due to Alcohol and Drug Related Causes (Combined) by Gender of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths 2 21 22 23 24 25 26 27 TOTAL AOD RELATED DEATHS 256 295 268 275 258 38 34 314 Male 29 227 212 28 23 23 219 247 Population 397,36 4,845 43,385 44,267 45,575 46,86 41,667 413,24 Rate per 1, 52.6 56.63 52.56 51.45 5.5 56.54 53.33 59.77 Percent of Total 81.64% 76.95% 79.1% 75.64% 78.68% 74.68% 72.4% 78.66% Female 47 68 56 67 55 78 85 67 Population 383,93 386,44 387,392 387,514 387,989 388,329 39,855 392,57 Rate per 1, 12.24 17.61 14.46 17.29 14.18 2.9 21.75 17.7 Percent of Total 18.36% 23.5% 2.9% 24.36% 21.32% 25.32% 27.96% 21.34% Unknown 256 295 268 275 258 38 34 314 Percent of Total 29 227 212 28 23 23 219 247 Figure 7.2 County AOD Related Mortality Rate per 1, Population by Decedent Gender 7 6 5 4 3 2 1 2 21 22 23 24 25 26 27 Male Female Indicators of Alcohol and Other Drug Abuse AOD Mortality County, California 37

Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.3 Deaths Due to Alcohol Related Causes and Rate per 1, Total Population, with Comparison to Statewide Rates 2 21 22 23 24 25 26 27 Number of Deaths 118 151 134 128 129 133 18 14 Total Population 781,29 786,889 79,777 791,781 793,564 795,135 81,522 85,81 Rate per 1, 15.1 19.19 16.95 16.17 16.26 16.73 13.47 12.91 CALIFORNIA Rate per 1, 1.17 1.45 9.96 1.42 1.29 1.79 1.47 1.59 Figure 7.3 County Alcohol Related Mortality Rate per 1, Population with Comparison to Statewide Rates 25 2 15 1 5 2 21 22 23 24 25 26 27 County California Table 7.4 Deaths Due to Drug Related Causes and Rate per 1, Total Population, with Comparison to Statewide Rates 2 21 22 23 24 25 26 27 Number of Deaths 138 144 134 147 129 175 196 21 Total Population 781,29 786,889 79,777 791,781 793,564 795,135 81,522 85,81 Rate per 1, 17.66 18.3 16.95 18.57 16.26 22.1 24.45 26.6 CALIFORNIA Rate per 1, 7.86 7.91 9.41 9.91 1.22 1.48 1.88 11.15 Figure 7.4 County Drug Related Mortality Rate per 1, Population with Comparison to Statewide Rates 3 25 2 15 1 5 2 21 22 23 24 25 26 27 County California Indicators of Alcohol and Other Drug Abuse AOD Mortality County, California 38

Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.5 Deaths Due to Alcohol Related Causes by Specific Cause, and Rate per 1, Total Population 2 21 22 23 24 25 26 27 TOTAL ALCOHOL RELATED DEATHS 118 151 134 128 129 133 18 14 Alcohol Psychosis 1 1 2 5 5 5 7 4 Rate per 1,.13.13.25.63.63.63.87.5 Alcohol Abuse 8 1 9 8 11 22 1 1 Rate per 1, 1.2 1.27 1.14 1.1 1.39 2.77 1.25 1.24 Alcohol Dependence Syndrome 48 7 64 67 68 51 41 3 Rate per 1, 6.14 8.9 8.9 8.46 8.57 6.41 5.12 3.72 Alcoholic Polyneuropathy Rate per 1,........ Degeneration of the Nervous System 1 Rate per 1,.13....... Alcoholic Myopathy Rate per 1,........ Alcoholic Cardiomyopathy 1 2 2 3 1 Rate per 1,.13..25.25..38..12 Alcoholic Gastritis Rate per 1,........ Alcoholic Liver Disease 59 62 53 4 42 51 5 51 Rate per 1, 7.55 7.88 6.7 5.5 5.29 6.41 6.24 6.33 Fetal Alcohol Syndrome Rate per 1,........ Fetus and Newborn Affect by Maternal Use of Alcohol Rate per 1,........ Alcohol Poisoning 7 2 5 1 7 Rate per 1,..89.25.63.13...87 Intentional Self Poisoning (Alcohol) 1 2 Rate per 1,..13.25..... Excessive Blood Level of Alcohol Rate per 1,........ Alcohol Induced Pancreatitis 1 2 1 1 Rate per 1,....13.25.13..12 Indicators of Alcohol and Other Drug Abuse AOD Mortality County, California 39

Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.6 Deaths Due to Drug Related Causes by Specific Cause, and Rate per 1, Total Population 2 21 22 23 24 25 26 27 TOTAL DRUG RELATED DEATHS 138 144 134 147 129 175 196 21 Accidental Drug Poisoning 13 11 76 91 73 14 126 152 Rate per 1, 13.18 12.84 9.61 11.49 9.2 13.8 15.72 18.86 Intentional Self Poisoning (Drug) 14 28 22 21 18 18 21 3 Rate per 1, 1.79 3.56 2.78 2.65 2.27 2.26 2.62 3.72 Intentional Poisoning (Assault) 1 Rate per 1,..13...... Other Drug Poisonings 8 4 2 2 2 2 4 3 Rate per 1, 1.2.51.25.25.25.25.5.37 Fetus and Newborn Affect by Maternal Use of Drugs Rate per 1,........ Mental and Behavioral Disorders due to Use of Cannabinoids Rate per 1,........ Cocaine 2 1 1 3 14 8 9 Rate per 1,.26.13.13..38 1.76 1. 1.12 Hallucinogens Rate per 1,........ Opioids 3 1 1 Rate per 1,....38.13.13.. Other Psychoactive Substances 11 9 32 3 3 35 36 16 Rate per 1, 1.41 1.14 4.5 3.79 3.78 4.4 4.49 1.99 Sedatives or Hypnotics Rate per 1,........ Solvents Rate per 1,........ Stimulants 1 2 1 1 Rate per 1,...13..25.13.12. Indicators of Alcohol and Other Drug Abuse AOD Mortality County, California 4

Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.7 Deaths Due to Alcohol and Drug Related Causes (Combined) by Race/Ethnicity of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths TOTAL AOD RELATED DEATHS 2 21 22 23 24 25 26 27 256 295 268 275 258 38 34 314 American Indian 3 4 2 3 5 4 3 1 Population 2,11 2,227 2,312 2,34 2,38 2,434 2,577 2,648 Rate per 1, 142.18 179.61 86.51 128.21 21.8 164.34 116.41 37.76 Percent of Total 1.2% 1.4%.7% 1.1% 1.9% 1.3% 1.%.3% Asian/Pacific Islander 7 19 17 17 16 15 15 17 Population 245,51 247,439 248,771 249,882 251,4 251,974 253,854 255,179 Rate per 1, 2.85 7.68 6.83 6.8 6.37 5.95 5.91 6.66 Percent of Total 2.7% 6.4% 6.3% 6.2% 6.2% 4.9% 4.9% 5.4% Black 55 56 44 48 62 68 72 81 Population 59,89 59,282 58,538 57,45 56,272 55,298 54,989 54,68 Rate per 1, 91.96 94.46 75.16 83.62 11.18 122.97 13.94 148.13 Percent of Total 21.5% 19.% 16.4% 17.5% 24.% 22.1% 23.7% 25.8% Hispanic 32 44 33 35 34 28 44 3 Population 11,217 11,892 111, 19,934 19,177 18,473 18,963 19,328 Rate per 1, 29.3 39.68 29.73 31.84 31.14 25.81 4.38 27.44 Percent of Total 12.5% 14.9% 12.3% 12.7% 13.2% 9.1% 14.5% 9.6% White 158 169 171 171 14 192 169 184 Population 347,117 349,761 352,57 353,242 354,792 356,8 36,53 362,673 Rate per 1, 45.52 48.32 48.57 48.41 39.46 53.92 46.94 5.73 Percent of Total 61.7% 57.3% 63.8% 62.2% 54.3% 62.3% 55.6% 58.6% Other 1 3 1 1 1 1 1 1 Percent of Total.4% 1.%.4%.4%.4%.3%.3%.3% Figure 7.5 County AOD Related Mortality Rate per 1, Population by Decedent Race/ Ethnicity 25 2 15 1 5 2 21 22 23 24 25 26 27 American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse AOD Mortality County, California 41

Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.8 Deaths Due to Alcohol and Drug Related Causes (Combined) by Age Category of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths TOTAL AOD RELATED DEATHS 2 21 22 23 24 25 26 27 256 295 268 275 258 38 34 314 17 Years and Under 1 1 1 1 1 Population 112,314 111,844 111,423 112,58 112,721 113,434 114,87 115,729 Rate per 1,..89..89..88.88.86 Percent of Total.%.3%.%.4%.%.3%.3%.3% 18 to 24 Years 9 4 4 5 4 2 1 3 Population 7,38 63,532 57,38 52,7 48,715 45,843 45,428 44,163 Rate per 1, 12.85 6.3 6.97 9.6 8.21 4.36 2.2 6.79 Percent of Total 3.5% 1.4% 1.5% 1.8% 1.6%.6%.3% 1.% 25 to 34 Years 17 21 25 29 27 2 25 29 Population 185,314 193,77 197,394 193,637 186,672 176,782 171,953 163,385 Rate per 1, 9.17 1.88 12.67 14.98 14.46 11.31 14.54 17.75 Percent of Total 6.6% 7.1% 9.3% 1.5% 1.5% 6.5% 8.2% 9.2% 35 to 44 Years 6 76 6 57 53 66 52 61 Population 133,883 135,96 138,675 143,856 151,13 16,337 168,79 177,279 Rate per 1, 44.82 55.92 43.27 39.62 35.8 41.16 3.82 34.41 Percent of Total 23.4% 25.8% 22.4% 2.7% 2.5% 21.4% 17.1% 19.4% 45 to 54 Years 11 18 85 91 79 113 126 19 Population 17,574 18,171 17,855 17,819 17,248 16,81 15,91 16,416 Rate per 1, 93.89 99.84 78.81 84.4 73.66 15.8 118.97 12.43 Percent of Total 39.5% 36.6% 31.7% 33.1% 3.6% 36.7% 41.4% 34.7% 55 to 64 Years 34 55 53 59 6 76 62 83 Population 65,545 67,147 7,5 73,334 77,16 81,92 84,82 86,95 Rate per 1, 51.87 81.91 75.66 8.45 77.91 93.72 73.74 95.51 Percent of Total 13.3% 18.6% 19.8% 21.5% 23.3% 24.7% 2.4% 26.4% 65 Years and Older 35 3 41 33 35 3 37 28 Population 16,541 17,212 18, 19,7 11,89 11,837 111,353 111,933 Rate per 1, 32.85 27.98 37.96 3.27 31.79 27.7 33.23 25.1 Percent of Total 13.7% 1.2% 15.3% 12.% 13.6% 9.7% 12.2% 8.9% Figure 7.6 County AOD Related Mortality Rate per 1, Population by Decedent Age Category 14 12 1 8 6 4 2 2 21 22 23 24 25 26 27 1 to 17 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse AOD Mortality County, California 42

SOURCES Indicator Binge Drinking in the Past Year Agency UCLA Center for Health Policy Research, California Department of Health Services, Public Health Institute Print and Electronic Data Sources California Health Interview Survey (CHIS) 28 Admissions to Alcohol and Other Drug Treatment California Department of Alcohol and Drug Programs (ADP) California Alcohol and Drug Data System (CADDS) Admissions Data 2 25 California Outcome Measurement System (CalOMS) Admissions Data 26 28 Alcohol and Drug Related Crime California Department of Justice, Office of the Attorney General, Criminal Justice Statistics Center California Arrest Data 2 28 Drinking and Driving California Highway Patrol (CHP) Statewide Integrated Traffic Records System (SWITRS) 2 28 Alcohol and Drug Related Hospitalizations Office of Statewide Health Planning and Development (OSHPD) California Hospital Discharge Data Set, 2 27 Alcohol and Drug Related Mortality California Department of Public Health, Vital Statistics Section Death Statistical Masterfile 2 27 California Health Status Profiles 26 Indicators of Alcohol and Other Drug Abuse Data Sources County, California 43

This publication was prepared by the Center for Applied Research Solutions (CARS), Inc. s Community Prevention Initiative (CPI) Technical Assistance and Training contract funded by the California Department of Alcohol and Drug Programs (ADP). Center for Applied Research Solutions (CARS), Inc. 923 College Avenue Santa Rosa, CA 9544 Phone: (77) 568 38 Fax: (77) 568 381 Toll Free 1 877 568 4227 (1 877 568 4CARS) www.cars rp.org

San Francisco County 2010