Substance Abuse Overview 2014 Cape May County

New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2014 Cape May County Prepared by Limei Zhu Department of Human Services Division of Mental Health and Addiction Services Office of Planning, Research, Evaluation and Prevention Trenton, New Jersey May 2015

Chris Christie Governor DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES 222 SOUTH WARREN STREET PO BOX 700 TRENTON, NJ 08625 May 2015 Elizabeth Connolly Act Commissioner LYNN A. KOVICH Assistant Commissioner This statewide Substance Abuse Overview provides statistics on substance abuse treatment in New Jersey for calendar year 2014. In 2014 there were 65,553 treatment admissions and 62,525 discharges 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 (NJ- SAMS). A few changes in this report now include on Fee-For-Services admissions, Federal Poverty Level and discharge continuing care. Reports for individual counties include: Admissions for Substance Abuse Treatment by County of Residence Admissions for Substance Abuse Treatment by County of Treatment Provider Substance Abuse Admissions by Municipality and Primary Drug Substance Abuse Admissions by Primary Drug within Municipality Map for Number of Substance Abuse Admissions by Municipality of Residence Admissions by Municipality of Residence, Age Group and Primary Drug Admissions by Age Group, Gender and Primary Drug Discharges for Substance Abuse Treatment by County of Residence Discharges for Substance Abuse Treatment by County of Treatment Provider If you have any questions about this report you may contact us by email at Suzanne.Borys@dhs.state.nj.us or by telephone at (609) 292-8930. Sincerely, Suzanne Borys, Ed. D., Assistant Division Director Office of Planning, Research, Evaluation and Prevention

New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/2014-12/31/2014 Resident of Cape May County Primary Drug** Highest School Grade Completed Alcohol 557 28% Completed High School 1,112 51% Heroin 869 44% Some College 317 15% Other Opiates 214 11% Cocaine 53 3% Employment Status Marijuana 263 13% Unemployed 601 28% Other Drugs 29 1% Student 94 4% Not in Labor Force 698 32% Intravenous Drug Users 759 35% Employed Full/Part Time 647 30% Not Assessed 122 6% Smoke Tobacco (Yes)** 1,505 76% Living Arrangement Level of Care Homeless 55 3% Outpatient Care (OP) 764 35% Dependent Living/Institution 336 16% Intensive Outpatient (IOP) 551 25% Independent Living 1,655 77% Partial Hospitalization 13 1% Opioid Maintenance OP 139 6% Marital Status Opioid Maintenance IOP 16 1% Single/Divorced 1,833 85% Extended Care 0 0% Married/Civil Union 197 9% Halfway House 47 2% Widowed 25 1% Long-Term Residential 123 6% Separated 107 5% Short-Term Residential 242 11% Hospital Based Residential 1 0% Legal Problem* Detox Residential 237 11% None 630 29% Detox Hospital 0 0% Case Pending 191 9% Detox Outpatient Non-Methadone 0 0% Probation/Parole 577 27% Detox Outpatient Methadone 0 0% DWI License Suspension 249 12% Non-traditional Program 0 0% Drug Court 280 13% Early Prevention 29 1% DCCP (DYFS)/Family Court 127 6% Other 80 4% Medication Assisted Therapy Planned in Treatment Methadone 176 8% Arrest in the Last 30 Days (Yes) 61 3% Suboxone 147 7% Special Population* Referral Source DCCP (DYFS)/CPSAI 217 10% Self-referral 540 25% DWI/DUI 538 25% Family/Friend 74 3% Developmental Disability 8 0% Addiction Services Program 256 12% Blind and Visually Impaired 3 0% Workforce NJ SAI 63 3% Deaf and Hard of Hearing 7 0% DCCP (formerly DYFS) 125 6% Mental Health 29 1% Federal Poverty Level (0-133%)** 1,749 85% Criminal Justice 723 33% IDRC 249 12% Health Insurance at Admission* Other/Not Assessed 96 4% No Insurance 1,550 72% Medicaid 471 22% Sex Medicare 51 2% Male 1,423 66% Private Insurance 149 7% Female 739 34% Other Insurance 62 3% Age at Admission Treated in County of Residence 1,341 62% Under 18 111 5% 18-21 220 10% County Where Patient Was Treated 22-24 292 14% Atlantic 201 9% Middlesex 0 0% 25-29 454 21% Bergen 10 0% Monmouth 87 4% 30-34 328 15% Burlington 0 0% Morris 2 0% 35-44 340 16% Camden 7 0% Ocean 1 0% 45-54 306 14% Cape May 1,341 62% Passaic 106 5% 55 and over 111 5% Cumberland 28 1% Salem 0 0% Essex 65 3% Somerset 4 0% Race/Ethnicity Gloucester 239 11% Sussex 40 2% White (non-hispanic) 1,866 86% Hudson 17 1% Union 0 0% Black (non-hispanic) 136 6% Hunterdon 0 0% Warren 0 0% Hispanic Origin 147 7% Mercer 14 1% Other 0 0% Other 13 1% Fee For Service Admissions 1,130 52% Total Admissions = 2,162 Fee For Service Unique Clients 701 52% Unduplicated Clients Admitted = 1,349 *Totals may be greater than 100% because of multiple responses. **Percentage calculations excluded missing values.

New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/2014-12/31/2014 Treatment Site in Cape May County Primary Drug** Highest School Grade Completed Alcohol 432 34% Completed High School 729 53% Heroin 407 32% Some College 184 13% Other Opiates 126 10% Cocaine 46 4% Employment Status Marijuana 239 19% Unemployed 420 30% Other Drugs 18 1% Student 88 6% Not in Labor Force 276 20% Intravenous Drug Users 362 26% Employed Full/Part Time 540 39% Not Assessed 59 4% Smoke Tobacco (Yes)** 893 70% Living Arrangement Level of Care Homeless 15 1% Outpatient Care (OP) 739 53% Dependent Living/Institution 139 10% Intensive Outpatient (IOP) 503 36% Independent Living 1,168 84% Partial Hospitalization 1 0% Opioid Maintenance OP 94 7% Marital Status Opioid Maintenance IOP 12 1% Single/Divorced 1,144 83% Extended Care 0 0% Married/Civil Union 145 10% Halfway House 0 0% Widowed 20 1% Long-Term Residential 1 0% Separated 74 5% Short-Term Residential 0 0% Hospital Based Residential 1 0% Legal Problem* Detox Residential 0 0% None 359 26% Detox Hospital 0 0% Case Pending 119 9% Detox Outpatient Non-Methadone 0 0% Probation/Parole 421 30% Detox Outpatient Methadone 0 0% DWI License Suspension 226 16% Non-traditional Program 0 0% Drug Court 104 8% Early Prevention 32 2% DCCP (DYFS)/Family Court 93 7% Other 60 4% Medication Assisted Therapy Planned in Treatment Methadone 115 8% Arrest in the Last 30 Days (Yes) 39 3% Suboxone 27 2% Special Population* Referral Source DCCP (DYFS)/CPSAI 175 13% Self-referral 308 22% DWI/DUI 428 31% Family/Friend 41 3% Developmental Disability 5 0% Addiction Services Program 70 5% Blind and Visually Impaired 3 0% Workforce NJ SAI 35 3% Deaf and Hard of Hearing 6 0% DCPP (formerly DYFS) 118 9% Mental Health 29 2% Federal Poverty Level (0-133%)** 1,125 83% Criminal Justice 496 36% IDRC 226 16% Health Insurance at Admission* Other/Not Assessed 59 4% No Insurance 976 71% Medicaid 329 24% Sex Medicare 46 3% Male 907 66% Private Insurance 93 7% Female 476 34% Other Insurance 53 4% Age at Admission Treated in County of Residence 1,341 97% Under 18 107 8% 18-21 145 10% County of Residence 22-24 156 11% Atlantic 18 1% Middlesex 0 0% 25-29 269 19% Bergen 0 0% Monmouth 0 0% 30-34 192 14% Burlington 0 0% Morris 0 0% 35-44 217 16% Camden 1 0% Ocean 1 0% 45-54 209 15% Cape May 1,341 97% Passaic 0 0% 55 and over 88 6% Cumberland 13 1% Salem 0 0% Essex 1 0% Somerset 0 0% Race/Ethnicity Gloucester 2 0% Sussex 0 0% White (non-hispanic) 1,143 83% Hudson 0 0% Union 0 0% Black (non-hispanic) 113 8% Hunterdon 0 0% Warren 0 0% Hispanic Origin 116 8% Mercer 0 0% Other 6 0% Other 11 1% Fee For Service Admissions 622 45% Total Admissions = 1,383 Fee For Service Unique Client 416 39% Unduplicated Clients Admitted = 1,063 *Totals may be greater than 100% because of multiple responses. **Percentage calculation excluded missing values.

Substance Abuse Admissions by Municipality and Primary Drug 2014 NJ Resident Admissions Cape May County Primary Drug Total Alcohol Cocaine/ Crack Heroin Other Opiates Marijuana/ Hashish Other Drugs Unknown N % N % N % N % N % N % N % N % Avalon Boro 4 1 2 0 1 0 7 0 Cape May City 27 5 81 9 25 12 9 3 3 9 9 5 154 7 Cape May Point Boro 2 0 9 1 1 0 12 1 Dennis Twp 25 4 2 4 18 2 3 1 3 1 9 5 60 3 Lower Twp 100 18 10 19 185 21 36 17 67 25 12 36 39 23 449 21 Middle Twp 140 25 18 34 101 12 33 15 70 27 2 6 33 19 397 18 North Wildwood City 16 3 2 4 15 2 4 2 8 3 7 4 52 2 Ocean City 33 6 5 9 48 6 18 8 15 6 7 21 12 7 138 6 Sea Isle City 15 3 19 2 1 0 3 1 2 1 40 2 Stone Harbor Boro 4 1 3 0 1 0 2 1 10 0 Upper Twp 34 6 2 4 31 4 20 9 9 3 1 3 10 6 107 5 West Cape May Boro 4 1 5 1 2 1 11 1 West Wildwood Boro 9 2 4 0 1 0 14 1 Wildwood City 69 12 10 19 106 12 24 11 38 14 2 6 18 11 267 12 Wildwood Crest Boro 11 2 2 4 29 3 8 4 2 1 1 3 5 3 58 3 Woodbine Boro 25 4 1 2 40 5 7 3 21 8 2 6 9 5 105 5 Not Stated 39 7 1 2 173 20 32 15 15 6 3 9 18 11 281 13 Total 557 100 53 100 869 100 216 100 263 100 33 100 171 100 2162 100

Substance Abuse Admissions by of Primary Drug within Municipality 2014 NJ Resident Admissions Cape May County Primary Drug Total Alcohol Cocaine/ Crack Heroin Other Opiates Marijuana/ Hashish Other Drugs Unknown N % N % N % N % N % N % N % N % Avalon Boro 4 57 2 29 1 14 7 100 Cape May City 27 18 81 53 25 16 9 6 3 2 9 6 154 100 Cape May Point Boro 2 17 9 75 1 8 12 100 Dennis Twp 25 42 2 3 18 30 3 5 3 5 9 15 60 100 Lower Twp 100 22 10 2 185 41 36 8 67 15 12 3 39 9 449 100 Middle Twp 140 35 18 5 101 25 33 8 70 18 2 1 33 8 397 100 North Wildwood City 16 31 2 4 15 29 4 8 8 15 7 13 52 100 Ocean City 33 24 5 4 48 35 18 13 15 11 7 5 12 9 138 100 Sea Isle City 15 38 19 48 1 3 3 8 2 5 40 100 Stone Harbor Boro 4 40 3 30 1 10 2 20 10 100 Upper Twp 34 32 2 2 31 29 20 19 9 8 1 1 10 9 107 100 West Cape May Boro 4 36 5 45 2 18 11 100 West Wildwood Boro 9 64 4 29 1 7 14 100 Wildwood City 69 26 10 4 106 40 24 9 38 14 2 1 18 7 267 100 Wildwood Crest Boro 11 19 2 3 29 50 8 14 2 3 1 2 5 9 58 100 Woodbine Boro 25 24 1 1 40 38 7 7 21 20 2 2 9 9 105 100 Not Stated 39 14 1 0 173 62 32 11 15 5 3 1 18 6 281 100 Total 557 26 53 2 869 40 216 10 263 12 33 2 171 8 2162 100

2014 Cape May Substance Abuse Admissions by Municipality of Residence Legend Cap COUNT 7-14 15-60 61-154 155-267 268-449 Top Five Municipalities 1 Lower Township 449 2 Middle Township 397 3 Wildwood City 267 4 Cape May City 154 5 Ocean City 138 Ocean City Middle Township Lower Township Wildwood City Cape May City Data: NJSAMS 2015 February Download Report Date: May, 2015 ¹ 0 NJ Department of Human Services Division of Mental Health and Addiction Services Research, Planning and Evaluation Unit Miles 1.25 2.5 5 7.5

Admissions by Municipality of Residence, Age Group and Primary Drug 2014 NJ Resident Admissions Cape May 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 % Avalon Boro 4 100 4 100 3 100 3 100 7 100 7 100 Cape May City 26 96 1 4 27 100 115 97 3 3 118 100 141 97 4 3 145 100 Cape May Point 2 100 2 100 10 100 10 100 12 100 12 100 Boro Dennis Twp 25 100 25 100 23 88 3 12 26 100 48 94 3 6 51 100 Lower Twp 99 99 1 1 100 100 283 91 27 9 310 100 382 93 28 7 410 100 Middle Twp 140 100 140 100 198 88 26 12 224 100 338 93 26 7 364 100 North Wildwood 16 100 16 100 28 97 1 3 29 100 44 98 1 2 45 100 City Ocean City 33 100 33 100 88 95 5 5 93 100 121 96 5 4 126 100 Sea Isle City 15 100 15 100 23 100 23 100 38 100 38 100 Stone Harbor Boro 4 100 4 100 6 100 6 100 10 100 10 100 Upper Twp 33 97 1 3 34 100 55 87 8 13 63 100 88 91 9 9 97 100 West Cape May 4 100 4 100 7 100 7 100 11 100 11 100 Boro West Wildwood 9 100 9 100 5 100 5 100 14 100 14 100 Boro Wildwood City 68 99 1 1 69 100 178 99 2 1 180 100 246 99 3 1 249 100 Wildwood Crest 11 100 11 100 42 100 42 100 53 100 53 100 Boro Woodbine Boro 25 100 25 100 65 92 6 8 71 100 90 94 6 6 96 100 Not Stated 38 97 1 3 39 100 222 99 2 1 224 100 260 99 3 1 263 100 Total 552 99 5 1 557 100 1351 94 83 6 1434 100 1903 96 88 4 1991 100 * Missing primary drug or age admissions are not included.

Admissions by Age Group, Gender and Primary Drug 2014 NJ Resident Admissions Gender Total* Cape May Female Male N % N % N % Alcohol 3 60.0 2 40.0 5 100.0 Heroin 6 54.5 5 45.5 11 100.0 0-17 Marijuana/Hashish 11 15.7 59 84.3 70 100.0 Other Drugs 1 50.0 1 50.0 2 100.0 Unknown 6 26.1 17 73.9 23 100.0 Total* 27 24.3 84 75.7 111 100.0 Alcohol 22 28.6 55 71.4 77 100.0 Heroin 99 41.3 141 58.8 240 100.0 Other Opiates 17 38.6 27 61.4 44 100.0 18-24 Marijuana/Hashish 18 19.1 76 80.9 94 100.0 Other Drugs 5 33.3 10 66.7 15 100.0 Unknown 17 40.5 25 59.5 42 100.0 Total* 178 34.8 334 65.2 512 100.0 Alcohol 136 30.5 310 69.5 446 100.0 Heroin 233 37.8 383 62.2 616 100.0 Other Opiates 73 42.9 97 57.1 170 100.0 25-59 Marijuana/Hashish 17 17.3 81 82.7 98 100.0 Other Drugs 29 43.3 38 56.7 67 100.0 Unknown 38 36.5 66 63.5 104 100.0 Total* 526 35.0 975 65.0 1501 100.0 Alcohol 5 17.2 24 82.8 29 100.0 Heroin 1 50.0 1 50.0 2 100.0 Other Opiates 2 100.0 2 100.0 60&Over Marijuana/Hashish 1 100.0 1 100.0 Other Drugs 2 100.0 2 100.0 Unknown 1 50.0 1 50.0 2 100.0 Total* 8 21.1 30 78.9 38 100.0 Alcohol 166 29.8 391 70.2 557 100.0 Heroin 339 39.0 530 61.0 869 100.0 Other Opiates 90 41.7 126 58.3 216 100.0 Total* Marijuana/Hashish 47 17.9 216 82.1 263 100.0 Other Drugs 35 40.7 51 59.3 86 100.0 Unknown 62 36.3 109 63.7 171 100.0 Total* 739 34.2 1423 65.8 2162 100.0 * Unknown age or gender admissions are not included.

New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Discharges 1/1/2014-12/31/2014 Resident of Cape May County Level of Care Living Arragements at Discharge Outpatient Care (OP) 742 35% Homeless 50 2% Intensive Outpatient (IOP) 539 25% Dependent Living/Institution 405 19% Partial Hospitalization 14 1% Independent Living 1,603 76% Opioid Maintenance OP 136 6% Opioid Maintenance IOP 21 1% Employment Status at Discharge Extended Care 0 0% Unemployed 415 20% Halfway House 50 2% Student 94 4% Long-Term Residential 106 5% Not in Labor Force 734 35% Short-Term Residential 243 11% Employed Full/Part Time 685 32% Hospital Based Residential 1 0% Not Assessed 192 9% Detox Residential 235 11% Detox Hospital 1 0% Reasons for Discharge or Treatment not Completed Detox Outpatient Non-Methadone 0 0% Treatment Plan Completed 1,014 48% Detox Outpatient Methadone 0 0% Quit or Dropped Out 387 18% Non-Traditional Program 5 0% Needs Different Level of Care 220 10% Early Intervention 27 1% Unable to Meet Client's Other Needs 5 0% Administrative Discharge 151 7% Sex Exhaustion of Payment Source 10 0% Male 1,385 65% Incarcerated 62 3% Female 735 35% Medical Discharge/Deceased 13 1% Other 12 1% Age at Discharge Under 18 87 4% Continuing Care 18-21 223 11% No Continuing care needed 365 17% 22-24 268 13% Refused or Unable to Continue 391 18% 25-29 463 22% Continue Care 759 36% 30-34 313 15% 35-44 356 17% Significant Problems or Conditions 45-54 313 15% Mental Health Problem 457 22% 55 and over 97 5% Compulsive Gambling 5 0% Unknown 0 0% Physical Disability or Handicap 25 1% Victim of Physical Abuse or Neglect 123 6% Race/Ethnicity Victim of Sexual Abuse 76 4% White 1,855 88% Pregnancy 18 1% Black 115 5% Suicide Attempt 21 1% Hispanic 139 7% Runaway Behavior 61 3% Other 10 0% Neglect or Abuse of Own Children 103 5% Not Assessed 1 0% Child of Substance Abuser 169 8% Batterer 3 0% Mental Illness/Co-Occurring Disorder Criminal Activity 476 22% 1,329 63% Other 78 4% Client Goal Achieved/Partially Achieved at Discharge * Arrested in the Last 30 days (Yes) 62 3% Alcohol or Drug Problem 1,180 60% Educational 345 44% County Where Patient Was Treated Employment or Vocational 247 38% Atlantic 200 9% Middlesex 0 0% Family Situation 677 61% Bergen 9 0% Monmouth 83 4% Psychological or Mental Health 731 66% Burlington 0 0% Morris 2 0% Physical Health 555 74% Camden 7 0% Ocean 0 0% Legal 743 59% Cape May 1,308 62% Passaic 98 5% Cumberland 32 2% Salem 1 0% Drug and Alcohol Use at Discharge Essex 55 3% Somerset 4 0% Not Using Alcohol or Drugs 1,140 54% Gloucester 245 12% Sussex 38 2% Using Alcohol 116 5% Hudson 20 1% Union 0 0% Using Drugs 273 13% Hunterdon 2 0% Warren 0 0% Unknown 477 23% Mercer 16 1% Other 0 0% * Percentage for goal achievment based on total clients for whom goal was applicable. All other percentages are based on total discharges. Total Discharges = 2,120 Unduplicated Clients Discharged = 1,344

New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Discharges 1/1/2014-12/31/2014 Treatment Site in Cape May County Level of Care Living Arragements at Discharge Outpatient Care (OP) 731 54% Homeless 26 2% Intensive Outpatient (IOP) 494 37% Dependent Living/Institution 157 12% Partial Hospitalization 1 0% Independent Living 1,122 83% Opioid Maintenance OP 74 5% Opioid Maintenance IOP 13 1% Employment Status at Discharge Extended Care 0 0% Unemployed 222 16% Halfway House 0 0% Student 87 6% Long-Term Residential 1 0% Not in Labor Force 326 24% Short-Term Residential 1 0% Employed Full/Part Time 564 42% Hospital Based Residential 1 0% Not Assessed 149 11% Detox Residential 0 0% Detox Hospital 0 0% Reasons for Discharge or Treatment not Completed Detox Outpatient Non-Methadone 0 0% Treatment Plan Completed 466 35% Detox Outpatient Methadone 0 0% Quit or Dropped Out 277 21% Non-Traditional Program 4 0% Needs Different Level of Care 205 15% Early Intervention 28 2% Unable to Meet Client's Other Needs 5 0% Administrative Discharge 121 9% Sex Exhaustion of Payment Source 8 1% Male 882 65% Incarcerated 50 4% Female 466 35% Medical Discharge/Deceased 5 0% Other 14 1% Age at Discharge Under 18 83 6% Continuing Care 18-21 149 11% No Continuing care needed 323 24% 22-24 154 11% Refused or Unable to Continue 306 23% 25-29 269 20% Continue Care 280 21% 30-34 192 14% 35-44 223 17% Significant Problems or Conditions 45-54 202 15% Mental Health Problem 259 19% 55 and over 76 6% Compulsive Gambling 0 0% Unknown 0 0% Physical Disability or Handicap 14 1% Victim of Physical Abuse or Neglect 62 5% Race/Ethnicity Victim of Sexual Abuse 35 3% White 1,136 84% Pregnancy 9 1% Black 90 7% Suicide Attempt 8 1% Hispanic 108 8% Runaway Behavior 1 0% Other 6 0% Neglect or Abuse of Own Children 65 5% Not Assessed 8 1% Child of Substance Abuser 88 7% Batterer 3 0% Mental Illness/Co-Occurring Disorder Criminal Activity 171 13% 842 62% Other 33 2% Client Goal Achieved/Partially Achieved at Discharge * Arrested in the Last 30 days (Yes) 44 3% Alcohol or Drug Problem 587 47% Educational 191 54% County of Residence Employment or Vocational 170 57% Atlantic 17 1% Middlesex 0 0% Family Situation 258 37% Bergen 0 0% Monmouth 0 0% Psychological or Mental Health 315 52% Burlington 0 0% Morris 0 0% Physical Health 78 42% Camden 1 0% Ocean 1 0% Legal 432 53% Cape May 1,308 97% Passaic 0 0% Cumberland 9 1% Salem 0 0% Drug and Alcohol Use at Discharge Essex 0 0% Somerset 0 0% Not Using Alcohol or Drugs 516 38% Gloucester 2 0% Sussex 0 0% Using Alcohol 110 8% Hudson 0 0% Union 0 0% Using Drugs 227 17% Hunterdon 0 0% Warren 0 0% Unknown 428 32% Mercer 0 0% Other 10 1% * Percentage for goal achievment based on total clients for whom goal was applicable. All other percentages are based on total discharges. Total Discharges = 1,348 Unduplicated Clients Discharged = 1,044