San Luis Obispo County 2010

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

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 34 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 (45 percent versus 24 percent) in 27. Indicator 2: Admissions to Alcohol and Other Drug Treatment Overall, admission rates to treatment facilities in County have increased since 2. In 2 there were about 317 admissions per 1, compared to 575 admissions per 1, in 28. County s AOD admission rate was much lower than the state overall each year until 26 at which time it rose to a very similar rate. 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 3 percent of all admissions in 28. Admissions due to alcohol use accounted for roughly 22 percent of admissions, marijuana for 26 percent of admissions, heroin for 6 percent of admissions, and crack/cocaine for 3 percent in 28. Admission rates were highest among American Indians at 1,559 per 1, in 28. The highest rate of admissions was for 25 to 34 year olds with a rate of 1,343 per 1, in 28. The next highest rate was for 18 to 24 year olds with a rate of 1,265 per 1,. Indicator 3: Arrests for Drug Related Crime Crime rates for felony and misdemeanor drug offenses decreased from 75 per 1, in 2 to 649 per 1, in 28, after peaking in 24 at 981 per 1,. County s drug arrest rate was lower than the state each year. Arrests due to dangerous drug offenses accounted for approximately 15 percent in 28, narcotics for roughly 12 percent of drug arrests, marijuana for 43 percent of drug arrests, and 3 percent of drug arrests in 28 were for other drug violations. The highest rate of arrests for drug related crime was for 18 to 24 year olds with a rate of 1,5 per 1, in 28. The next highest rate was for 25 to 34 year olds with a rate of 95 per 1,. Indicators of Alcohol and Other Drug Abuse Key Findings County, California 3

Indicator 4: Arrests for Alcohol Related Crime Crime rates for felony and misdemeanor alcohol offenses increased from 2,222 per 1, in 2 to 2,38 per 1, in 28. County s alcohol arrest rate was significantly higher than the state overall each year. Arrests due to driving under the influence accounted for approximately 51 percent in 28, public drunkenness for roughly 41 percent of alcohol arrests, and 8 percent of alcohol arrests in 28 were for liquor law violations. Alcohol arrest rates were highest among Hispanics and Whites, at 2,62 and 2,425 per 1, in 28, respectively. The highest rate of arrests for alcohol related crime was for 18 to 24 year olds with a rate of 5,461 per 1, in 28. The next highest rate was for 25 to 34 year olds with a rate of 3,392 per 1,. 35 to 44 year olds also had a high rate at 2,48 per 1,. Indicator 5: Alcohol Involved Motor Vehicle Accidents The rate of fatalities in alcohol involved accidents was higher in County than the state overall each year, except in 22. 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 163 per 1,, Hispanics had 243 per 1, and Whites had 171 per 1,. 18 to 24 year olds (512 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 344 per 1,. Indicator 6: Hospitalizations Due to Alcohol and Drug Use The rate of hospitalizations due to alcohol and drug use increased from 216 per 1, in 2 to 224 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 from 88 per 1, in 2 to 79 per 1, in 27, after peaking in 26 at 12 per 1,. County s alcoholrelated hospitalization rate was similar to the state overall each year. The rate of hospitalizations due to drug related causes increased from 127 per 1, in 2 to 144 per 1, in 27. County s drug related hospitalization rate was slightly higher than 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 21.48 deaths per 1, to 24.75 deaths per 1,. County s AOD mortality rate was similar to the state overall each year. The death rate due to alcohol use decreased slightly between 2 and 27 from 12.89 per 1, to 11.34 per 1,, similar to the statewide rates each year. The death rate due to drug use increased between 2 and 27 from 8.86 per 1, to 13.61 per 1,, similar to the statewide rates each year. Indicators of Alcohol and Other Drug Abuse Key Findings County, California 4

Key Indicators of Community Alcohol and Drug Use County y Three Year Average Indicators of Alcohol and Other Drug Abuse Summary of Indicators County, California 5 INDICATOR 1: Past Year Binge Drinking County Percentage of Total Respondents 34.% State Percentage of Total Respondents 29.7% County Ranking (of 44 Counties) 13 INDICATOR 2: Admissions to Alcohol and Other Drug Treatment County Rate per 1, Total Population 316.52 315.42 317.62 375.33 481.69 562.69 571.92 623.85 574.75 59.17 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) 46 48 48 49 42 34 31 26 28 29 INDICATOR 3: Arrests for Drug Related Offenses County Rate per 1, Population 1 to 69 Years 749.64 681.82 818.5 935.47 98.99 958.57 755.1 673.87 648.94 692.61 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) 44 47 41 27 29 37 45 5 5 48 INDICATOR 4: Arrests for Alcohol Related Offenses County Rate per 1, Population 1 to 69 Years 2,222.13 2,335.64 2,518.77 2,297.33 2,383.68 2,386.13 2,431.98 2,296.39 2,38.27 2,369.55 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) 18 17 12 14 13 11 13 16 16 15 INDICATOR 5: Alcohol Involved Motor Vehicle Accident Fatalities County Rate per 1, Total Population 4.3 7.53 3.93 4.67 6.93 7.27 8.37 6.43 4.13 6.31 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) 37 19 38 36 23 23 23 18 38 24 INDICATOR 6: Alcohol and Drug Use Hospitalizations County Rate per 1, Total Population 215.45 237.36 21.41 247.23 221.79 212.83 242.1 223.83 226.22 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) 18 9 19 6 11 11 4 11 8 INDICATOR 7: Deaths Due to Alcohol and Drug Use County Rate per 1, Total Population 21.48 21.58 22.6 18.66 22.23 18.85 26.54 24.75 23.38 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) 18 24 3 45 32 45 22 23 29 Data not available for reporting year.

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 4% 35% County California 27 County State of California 3% 25% Estimated Number * 65, 7,973, Estimated Population 18 and over 192, 26,874, Percent of Total Population 34.% 29.7% * Estimates rounded to the nearest thousand. 2% 15% 1% 5% % 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 * 41, 5,39, 5% 45% 4% County California Estimated Population 92, 13,179, 35% Percent of Population 44.6% 38.2% 3% 25% Female Estimated Number * 24, 2,934, 2% Estimated Population 1, 13,694, 15% 1% Percent of Population 24.2% 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 17, Percent of Population 32.5% Asian/Pacific Islander Estimated Number * 2, 65, Estimated Population 3, 3,57, Percent of Population 46.2% 18.5% Black Estimated Number * 1, 31, Estimated Population 3, 1,531, Percent of Population 29.8% 19.6% Hispanic Estimated Number * 14, 2,745, Estimated Population 27, 8,469, Percent of Population 5.1% 32.4% White Estimated Number * 46, 4,93, Estimated Population 153, 12,797, Percent of Population 3.2% 32.% Other Estimated Number * 3, 129, Estimated Population 5, 41, Percent of Population 59.6% 32.3% * Estimates rounded to the nearest thousand. 7% County California Figure 1.3 Past Year Binge Drinking in San Luis Obispo 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 * 2, 1,62, Estimated Population 35, 3,73, Percent of Population 57.9% 43.8% 25 to 34 Estimated Number * 17, 2,147, Estimated Population 25, 4,733, Percent of Population 68.2% 45.4% 35 to 44 Estimated Number * 6, 1,795, Estimated Population 25, 5,593, Percent of Population 25.1% 32.1% 45 to 54 Estimated Number * 12, 1,39, Estimated Population 41, 5,219, Percent of Population 28.8% 26.6% 55 to 64 Estimated Number * 7, 7, Estimated Population 28, 3,724, Percent of Population 24.7% 18.8% 65 and Over Estimated Number * 4, 321, Estimated Population 39, 3,91, Percent of Population 9.1% 8.2% * Estimates rounded to the nearest thousand. Estimate not reported due to small sample size. 8% County California Figure 1.4 Past Year Binge Drinking in San Luis Obispo County by Age Category 7% 6% 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 786 796 89 964 1,251 1,47 1,53 1,65 1,53 Total Population 248,322 252,361 254,79 256,842 259,79 261,243 262,799 264,485 266,25 Rate per 1, 316.52 315.42 317.62 375.33 481.69 562.69 571.92 623.85 574.75 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 75 7 65 6 55 5 45 4 35 3 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 786 796 89 964 1,251 1,47 1,53 1,65 1,53 Male 422 494 493 579 81 938 9 1,24 977 Population 127,545 129,458 13,583 131,63 132,977 133,78 134,441 135,231 136,36 Rate per 1, 33.86 381.59 377.54 439.96 69.13 71.53 669.44 757.22 718.19 Percent of Total 53.7% 62.1% 6.9% 6.1% 64.7% 63.8% 59.9% 62.1% 63.9% Female 364 32 316 385 441 532 62 626 553 Population 12,777 122,93 124,126 125,239 126,732 127,535 128,358 129,254 13,169 Rate per 1, 31.38 245.72 254.58 37.41 347.98 417.14 469. 484.32 424.83 Percent of Total 46.3% 37.9% 39.1% 39.9% 35.3% 36.2% 4.1% 37.9% 36.1% Unknown 1 Percent of Total.%.%.%.%.%.%.1%.%.% 8 Figure 2.2 County Treatment Admission Rate per 1, Population by Client Gender 7 6 5 4 3 2 1 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 786 796 89 964 1,251 1,47 1,53 1,65 1,53 Methamphetamines 155 247 329 425 54 636 53 587 459 Percent of Total 19.7% 31.% 4.7% 44.1% 43.2% 43.3% 33.5% 35.6% 3.% Rate per 1, 62.42 97.88 129.17 165.47 27.93 243.45 191.4 221.94 172.42 Alcohol 31 26 167 165 281 353 337 413 331 Percent of Total 38.3% 25.9% 2.6% 17.1% 22.5% 24.% 22.4% 25.% 21.6% Rate per 1, 121.21 81.63 65.57 64.24 18.2 135.12 128.23 156.15 124.34 Marijuana 182 231 195 178 289 371 355 387 392 Percent of Total 23.2% 29.% 24.1% 18.5% 23.1% 25.2% 23.6% 23.5% 25.6% Rate per 1, 73.29 91.54 76.56 69.3 111.28 142.1 135.8 146.32 147.25 Heroin 85 58 6 92 41 34 95 64 95 Percent of Total 1.8% 7.3% 7.4% 9.5% 3.3% 2.3% 6.3% 3.9% 6.2% Rate per 1, 34.23 22.98 23.56 35.82 15.79 13.1 36.15 24.2 35.69 Crack/Cocaine 29 24 2 32 38 36 47 56 51 Percent of Total 3.7% 3.% 2.5% 3.3% 3.% 2.4% 3.1% 3.4% 3.3% Rate per 1, 11.68 9.51 7.85 12.46 14.63 13.78 17.88 21.17 19.16 Other Drugs 34 3 38 72 62 4 166 143 22 Percent of Total 4.3% 3.8% 4.7% 7.5% 5.% 2.7% 11.% 8.7% 13.2% Rate per 1, 13.69 11.89 14.92 28.3 23.87 15.31 63.17 54.7 75.88 3 Figure 2.3 County Treatment Admission Rate per 1, Population by Primary Drug Type 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 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 786 796 89 964 1,251 1,47 1,53 1,65 1,53 American Indian 14 15 14 12 1 14 14 29 25 Population 1,541 1,563 1,572 1,572 1,576 1,576 1,585 1,595 1,64 Rate per 1, 98.5 959.69 89.59 763.36 634.52 888.32 883.28 1,818.18 1,558.6 Percent of Total 1.8% 1.9% 1.7% 1.2%.8% 1.%.9% 1.8% 1.6% Asian/Pacific Islander 4 7 1 1 14 16 24 18 12 Population 6,795 7,1 7,141 7,256 7,394 7,47 7,598 7,733 7,867 Rate per 1, 58.87 99.86 14.4 137.82 189.34 214.19 315.87 232.77 152.54 Percent of Total.5%.9% 1.2% 1.% 1.1% 1.1% 1.6% 1.1%.8% Black 29 16 16 17 26 32 23 23 27 Population 4,81 4,82 4,825 4,833 4,852 4,862 4,877 4,892 4,9 Rate per 1, 62.91 331.95 331.61 351.75 535.86 658.17 471.6 47.16 551.2 Percent of Total 3.7% 2.% 2.% 1.8% 2.1% 2.2% 1.5% 1.4% 1.8% Hispanic 123 133 128 186 247 298 315 389 369 Population 4,525 43,63 44,772 46,362 48,35 49,886 51,462 53,99 54,759 Rate per 1, 33.52 38.85 285.89 41.19 51.86 597.36 612.1 732.59 673.86 Percent of Total 15.6% 16.7% 15.8% 19.3% 19.7% 2.3% 21.% 23.6% 24.1% White 68 619 639 734 945 1,1 1,42 1,146 1,54 Population 19,264 191,4 191,798 192,12 192,721 192,537 192,378 192,239 192,117 Rate per 1, 319.56 323.41 333.16 382.5 49.35 571.32 541.64 596.13 548.62 Percent of Total 77.4% 77.8% 79.% 76.1% 75.5% 74.8% 69.3% 69.5% 68.9% Other 8 6 2 5 9 1 85 45 43 Percent of Total 1.%.8%.2%.5%.7%.7% 5.7% 2.7% 2.8% Figure 2.4 County Treatment Admission Rate per 1, Population by Client Race/ Ethnicity 2, 1,5 1, 5 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 786 796 89 964 1,251 1,47 1,53 1,65 1,53 17 Years and Under 181 28 19 13 191 273 271 188 138 Population 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 53,651 Rate per 1, 338.79 384.44 352.16 19.96 352.48 54.63 52.17 349.44 257.22 Percent of Total 23.% 26.1% 23.5% 1.7% 15.3% 18.6% 18.% 11.4% 9.% 18 to 24 Years 128 149 163 232 348 377 386 423 462 Population 33,757 34,476 35,3 35,3 35,732 35,914 36,74 36,342 36,53 Rate per 1, 379.18 432.18 465.67 657.22 973.92 1,49.73 1,7.2 1,163.94 1,264.71 Percent of Total 16.3% 18.7% 2.1% 24.1% 27.8% 25.6% 25.7% 25.6% 3.2% 25 to 34 Years 173 171 19 252 281 335 319 426 433 Population 27,937 27,758 27,96 28,53 28,98 29,425 3,118 31,19 32,252 Rate per 1, 619.25 616.4 679.54 884.12 969.63 1,138.49 1,59.17 1,369.38 1,342.55 Percent of Total 22.% 21.5% 23.5% 26.1% 22.5% 22.8% 21.2% 25.8% 28.3% 35 to 44 Years 19 174 186 239 269 318 36 34 258 Population 38,39 37,477 36,176 34,596 33,296 32,138 3,947 29,594 28,426 Rate per 1, 494.92 464.28 514.15 69.83 87.9 989.48 988.79 1,148.88 97.62 Percent of Total 24.2% 21.9% 23.% 24.8% 21.5% 21.6% 2.4% 2.6% 16.9% 45 to 54 Years 89 8 7 122 137 141 172 223 23 Population 36,81 38,365 39,45 39,625 4,96 4,265 4,397 4,299 39,89 Rate per 1, 241.84 28.52 179.28 37.89 341.68 35.18 425.77 553.36 59.93 Percent of Total 11.3% 1.1% 8.7% 12.7% 11.% 9.6% 11.4% 13.5% 13.3% 55 to 64 Years 17 12 1 14 2 19 47 43 35 Population 21,743 22,947 24,596 26,248 27,996 29,593 31,14 32,595 34,12 Rate per 1, 78.19 52.29 4.66 53.34 71.44 64.2 151.11 131.92 12.9 Percent of Total 2.2% 1.5% 1.2% 1.5% 1.6% 1.3% 3.1% 2.6% 2.3% 65 Years and Older 8 2 2 5 7 2 7 1 Population 36,268 37,233 37,977 38,631 39,422 39,89 4,193 4,745 41,525 Rate per 1, 22.6 5.37. 5.18 12.68 17.58 4.98 17.18 2.41 Percent of Total 1.%.3%.%.2%.4%.5%.1%.4%.1% Figure 2.5 County Treatment Admission Rate per 1, Population by Client Age Category 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 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 786 796 89 964 1,251 1,47 1,53 1,65 1,53 Age Initiated Substance Use Under Age 1 44 38 27 22 19 62 77 66 56 Rate Per 1, 17.72 15.6 1.6 8.57 7.32 23.73 29.3 24.95 21.4 Age 11 to 12 94 75 89 89 117 14 138 138 141 Rate Per 1, 37.85 29.72 34.94 34.65 45.5 53.59 52.51 52.18 52.97 Age 13 to 14 166 196 159 182 249 315 272 316 268 Rate Per 1, 66.85 77.67 62.42 7.86 95.88 12.58 13.5 119.48 1.67 Age 15 to 17 195 2 213 276 394 433 451 45 465 Rate Per 1, 31.41 31.7 33.45 42.98 6.68 66.3 68.65 68.6 69.87 Age 18 to 2 119 98 17 14 163 2 213 272 24 Rate Per 1, 47.92 38.83 42.1 54.51 62.76 76.56 81.5 12.84 9.16 Age 21 and Older 14 159 182 226 273 31 352 48 36 Rate Per 1, 56.38 63. 71.45 87.99 15.12 118.66 133.94 154.26 135.23 IV Drug Users Number 134 127 162 161 148 162 219 215 22 Rate Per 1, 53.96 5.32 63.6 62.68 56.99 62.1 83.33 81.29 82.64 Pregnant Number 26 13 13 25 25 29 28 26 32 Female Population 12,777 122,93 124,126 125,239 126,732 127,535 128,358 129,254 13,169 Rate Per 1, 21.53 1.58 1.47 19.96 19.73 22.74 21.81 2.12 24.58 Figure 2.6 County Age of Substance Use Initiation Rate per 1, Population 2 15 1 5 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 18 181 28 19 13 191 273 271 188 138 Methamphetamines 14 16 12 11 2 3 16 17 6 Population to 17 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 53,651 Percent of Total 7.7% 7.7% 6.3% 1.7% 1.5% 11.% 5.9% 9.% 4.3% Rate per 1, 26.2 29.57 22.24 2.39 36.91 55.45 29.65 31.6 11.18 Alcohol 58 53 63 28 72 98 94 69 38 Population to 17 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 53,651 Percent of Total 32.% 25.5% 33.2% 27.2% 37.7% 35.9% 34.7% 36.7% 27.5% Rate per 1, 18.56 97.96 116.77 51.91 132.87 181.15 174.18 128.25 7.83 Marijuana 13 133 18 48 9 139 152 92 86 Population to 17 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 53,651 Percent of Total 56.9% 63.9% 56.8% 46.6% 47.1% 5.9% 56.1% 48.9% 62.3% Rate per 1, 192.79 245.82 2.18 88.99 166.9 256.94 281.66 171. 16.3 Heroin 1 1 2 1 Population to 17 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 53,651 Percent of Total.%.%.5% 1.% 1.%.4%.%.%.% Rate per 1,.. 1.85 1.85 3.69 1.85... Crack/Cocaine 3 1 2 4 2 2 4 4 3 Population to 17 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 53,651 Percent of Total 1.7%.5% 1.1% 3.9% 1.%.7% 1.5% 2.1% 2.2% Rate per 1, 5.62 1.85 3.71 7.42 3.69 3.7 7.41 7.43 5.59 Other Drugs 3 5 4 11 5 3 5 6 5 Population to 17 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 53,651 Percent of Total 1.7% 2.4% 2.1% 1.7% 2.6% 1.1% 1.8% 3.2% 3.6% Rate per 1, 5.62 9.24 7.41 2.39 9.23 5.55 9.27 11.15 9.32 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 18 181 28 19 13 191 273 271 188 138 Male 127 158 13 71 132 186 179 113 95 Population to 17 27,628 27,916 27,8 27,778 27,879 27,775 27,643 27,513 27,388 Rate per 1, 459.68 565.98 467.63 255.6 473.47 669.67 647.54 41.71 346.87 Percent of Total 7.2% 76.% 68.4% 68.9% 69.1% 68.1% 66.1% 6.1% 68.8% Female 54 5 6 32 59 87 92 75 43 Population to 17 25,798 26,189 26,152 26,161 26,38 26,324 26,323 26,288 26,263 Rate per 1, 29.32 19.92 229.43 122.32 224.27 33.5 349.5 285.3 163.73 Percent of Total 29.8% 24.% 31.6% 31.1% 3.9% 31.9% 33.9% 39.9% 31.2% Unknown Percent of Total.%.%.%.%.%.%.%.%.% American Indian 2 2 2 1 4 1 1 Population to 17 295 277 269 252 237 221 25 196 185 Rate per 1, 677.97 722.2 743.49.. 452.49 1,951.22 51.2 54.54 Percent of Total 1.1% 1.% 1.1%.%.%.4% 1.5%.5%.7% Asian/Pacific Islander 1 4 4 5 3 Population to 17 1,47 1,67 1,6 1,55 1,62 1,57 1,94 1,13 1,162 Rate per 1,. 93.72 377.36. 376.65 473.4 274.22.. Percent of Total.%.5% 2.1%.% 2.1% 1.8% 1.1%.%.% Black 8 6 4 1 5 9 2 1 Population to 17 72 666 636 599 577 55 526 57 481 Rate per 1, 1,139.6 9.9 628.93 166.94 866.55 1,636.36 38.23 197.24. Percent of Total 4.4% 2.9% 2.1% 1.% 2.6% 3.3%.7%.5%.% Hispanic 44 45 29 15 42 58 69 56 51 Population to 17 13,449 14,799 15,543 16,26 17,266 17,968 18,675 19,356 19,984 Rate per 1,231 327.16 34.7 186.58 92.25 243.25 322.8 369.48 289.32 255.2 Percent of Total 24.3% 21.6% 15.3% 14.6% 22.% 21.2% 25.5% 29.8% 37.% White 125 154 15 87 14 2 173 118 83 Population to 17 36,221 35,56 34,686 33,989 33,231 32,471 31,721 3,925 3,26 Rate per 1, 345.1 433.7 432.45 255.97 421.29 615.93 545.38 381.57 274.78 Percent of Total 69.1% 74.% 78.9% 84.5% 73.3% 73.3% 63.8% 62.8% 6.1% Other 2 1 2 12 3 Percent of Total 1.1%.%.5%.%.%.% 7.4% 6.4% 2.2% 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 1,455 1,344 1,63 1,878 1,989 1,956 1,551 1,393 1,349 Population 1 to 69 194,93 197,119 199,145 2,755 22,754 24,54 25,429 26,716 27,876 Rate per 1, 749.64 681.82 818.5 935.47 98.99 958.57 755.1 673.87 648.94 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 1,1 1,5 1, 95 9 85 8 75 7 65 6 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 1,455 1,344 1,63 1,878 1,989 1,956 1,551 1,393 1,349 Male 1,123 1,39 1,231 1,396 1,458 1,519 1,166 1,6 1,71 Population 1 to 69 12,275 13,698 14,644 15,385 16,335 16,983 17,595 18,177 18,717 Rate per 1, 1,98.2 1,1.95 1,176.37 1,324.67 1,371.14 1,419.85 1,83.69 979.88 985.13 Percent of Total 77.2% 77.3% 75.5% 74.3% 73.3% 77.7% 75.2% 76.1% 79.4% Female 332 35 399 482 531 437 385 333 278 Population 1 to 69 91,818 93,421 94,51 95,37 96,419 97,71 97,834 98,539 99,159 Rate per 1, 361.58 326.48 422.22 55.4 55.72 45.19 393.52 337.94 28.36 Percent of Total 22.8% 22.7% 24.5% 25.7% 26.7% 22.3% 24.8% 23.9% 2.6% Figure 3.2 County Drug 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 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 1,455 1,344 1,63 1,878 1,989 1,956 1,551 1,393 1,349 Dangerous Drugs 434 419 579 527 536 612 429 34 26 Population 1 to 69 194,93 197,119 199,145 2,755 22,754 24,54 25,429 26,716 27,876 Rate per 1, 223.6 212.56 29.74 262.51 264.36 299.92 28.83 147.6 99.1 Percent of Total 29.8% 31.2% 35.5% 28.1% 26.9% 31.3% 27.7% 21.8% 15.3% Narcotics 68 58 89 1 17 18 163 162 161 Population 1 to 69 194,93 197,119 199,145 2,755 22,754 24,54 25,429 26,716 27,876 Rate per 1, 35.3 29.42 44.69 49.81 52.77 52.93 79.35 78.37 77.45 Percent of Total 4.7% 4.3% 5.5% 5.3% 5.4% 5.5% 1.5% 11.6% 11.9% Marijuana 422 441 45 496 522 494 444 454 581 Population 1 to 69 194,93 197,119 199,145 2,755 22,754 24,54 25,429 26,716 27,876 Rate per 1, 217.42 223.72 225.97 247.7 257.45 242.9 216.13 219.62 279.49 Percent of Total 29.% 32.8% 27.6% 26.4% 26.2% 25.3% 28.6% 32.6% 43.1% Other Drug Violations 531 426 512 755 824 742 515 473 41 Population 1 to 69 194,93 197,119 199,145 2,755 22,754 24,54 25,429 26,716 27,876 Rate per 1, 273.58 216.11 257.1 376.8 46.4 363.63 25.69 228.82 192.9 Percent of Total 36.5% 31.7% 31.4% 4.2% 41.4% 37.9% 33.2% 34.% 29.7% Figure 3.3 County Drug Arrest Rate per 1, Population 1 to 69 by Specific Offense 45 4 35 3 25 2 15 1 5 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 1,455 1,344 1,63 1,878 1,989 1,956 1,551 1,393 1,349 American Indian 4 3 5 5 3 4 3 3 5 Population 1 to 69 1,314 1,347 1,35 1,35 1,364 1,374 1,384 1,383 1,375 Rate per 1, 34.41 222.72 37.37 37.37 219.94 291.12 216.76 216.92 363.64 Percent of Total.3%.2%.3%.3%.2%.2%.2%.2%.4% Asian/Pacific Islander 8 14 14 17 17 16 17 17 9 Population 1 to 69 5,864 6,38 6,141 6,236 6,338 6,418 6,51 6,574 6,654 Rate per 1, 136.43 231.86 227.98 272.61 268.22 249.3 261.5 258.59 135.26 Percent of Total.5% 1.%.9%.9%.9%.8% 1.1% 1.2%.7% Black 44 36 5 36 49 66 39 33 53 Population 1 to 69 4,387 4,418 4,445 4,464 4,486 4,59 4,519 4,523 4,53 Rate per 1, 1,2.96 814.85 1,124.86 86.45 1,92.29 1,463.74 863.2 729.6 1,169.98 Percent of Total 3.% 2.7% 3.1% 1.9% 2.5% 3.4% 2.5% 2.4% 3.9% Hispanic 315 24 291 357 383 427 346 314 313 Population 1 to 69 31,892 33,278 34,441 35,532 36,78 37,845 38,969 4,157 41,47 Rate per 1, 987.71 721.2 844.92 1,4.73 1,41.33 1,128.29 887.89 781.93 755.91 Percent of Total 21.6% 17.9% 17.9% 19.% 19.3% 21.8% 22.3% 22.5% 23.2% White 1,82 1,45 1,265 1,453 1,533 1,439 1,135 1,18 963 Population 1 to 69 147,416 148,741 149,42 149,76 15,323 15,393 15,495 15,481 15,29 Rate per 1, 733.98 72.56 846.71 97.22 1,19.8 956.83 754.18 676.5 64.76 Percent of Total 74.4% 77.8% 77.6% 77.4% 77.1% 73.6% 73.2% 73.1% 71.4% Other 2 6 5 1 4 4 11 8 6 Percent of Total.1%.4%.3%.5%.2%.2%.7%.6%.4% Figure 3.4 County Drug Arrest Rate per 1, Population 1 to 69 by Offender Race/ Ethnicity 1,6 1,4 1,2 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 1,455 1,344 1,63 1,878 1,989 1,956 1,551 1,393 1,349 17 Years and Under 158 142 142 15 137 166 14 118 164 Population 1 to 17 26,27 26,75 26,852 26,817 26,87 26,689 26,546 26,164 25,661 Rate per 1, 61.45 531.74 528.82 559.35 511.6 621.98 527.39 451. 639.1 Percent of Total 1.9% 1.6% 8.7% 8.% 6.9% 8.5% 9.% 8.5% 12.2% 18 to 24 Years 485 51 568 67 721 667 516 471 548 Population 33,757 34,476 35,3 35,3 35,732 35,914 36,74 36,342 36,53 Rate per 1, 1,436.74 1,479.29 1,622.72 1,898.2 2,17.8 1,857.21 1,43.39 1,296.2 1,5.14 Percent of Total 33.3% 37.9% 34.8% 35.7% 36.2% 34.1% 33.3% 33.8% 4.6% 25 to 34 Years 397 38 429 481 494 476 39 336 292 Population 27,937 27,758 27,96 28,53 28,98 29,425 3,118 31,19 32,252 Rate per 1, 1,421.5 1,19.59 1,534.33 1,687.54 1,74.62 1,617.67 1,294.91 1,8.7 95.37 Percent of Total 27.3% 22.9% 26.3% 25.6% 24.8% 24.3% 25.1% 24.1% 21.6% 35 to 44 Years 32 279 342 424 411 427 39 291 193 Population 38,39 37,477 36,176 34,596 33,296 32,138 3,947 29,594 28,426 Rate per 1, 786.66 744.46 945.38 1,225.58 1,234.38 1,328.65 998.48 983.31 678.96 Percent of Total 2.8% 2.8% 21.% 22.6% 2.7% 21.8% 19.9% 2.9% 14.3% 45 to 54 Years 16 92 126 137 26 192 165 147 125 Population 36,81 38,365 39,45 39,625 4,96 4,265 4,397 4,299 39,89 Rate per 1, 288.4 239.8 322.7 345.74 513.77 476.84 48.45 364.77 314. Percent of Total 7.3% 6.8% 7.7% 7.3% 1.4% 9.8% 1.6% 1.6% 9.3% 55 to 64 Years 6 12 23 14 18 27 29 25 27 Population 21,743 22,947 24,596 26,248 27,996 29,593 31,14 32,595 34,12 Rate per 1, 27.6 52.29 93.51 53.34 64.29 91.24 93.24 76.7 79.38 Percent of Total.4%.9% 1.4%.7%.9% 1.4% 1.9% 1.8% 2.% 65 Years and Older 1 1 2 2 1 2 5 Population 65 to 69 9,195 9,391 9,513 9,666 9,847 1,3 1,243 1,613 11,186 Rate per 1, 1.88 1.65. 2.69 2.31 9.97 19.53 47.11. Percent of Total.1%.1%.%.1%.1%.1%.1%.4%.% Figure 3.5 County Drug 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 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 18 158 142 142 15 137 166 14 118 164 Male 116 117 15 16 91 122 15 97 128 Population 1 to 17 13,732 13,98 13,946 13,93 13,95 13,83 13,638 13,393 13,11 Rate per 1, 844.74 841.24 752.9 76.95 654.44 883.87 769.91 724.26 977.2 Percent of Total 73.4% 82.4% 73.9% 7.7% 66.4% 73.5% 75.% 82.2% 78.% Female 42 25 37 44 46 44 35 21 36 Population 1 to 17 12,538 12,797 12,96 12,887 12,92 12,886 12,98 12,771 12,56 Rate per 1, 334.98 195.36 286.69 341.43 356.53 341.46 271.15 164.44 286.62 Percent of Total 26.6% 17.6% 26.1% 29.3% 33.6% 26.5% 25.% 17.8% 22.% American Indian 1 Population 1 to 17 153 154 153 149 153 15 143 135 125 Rate per 1,....... 74.74. Percent of Total.%.%.%.%.%.%.%.8%.% Asian/Pacific Islander 2 1 1 1 2 1 5 2 1 Population 1 to 17 544 549 548 55 547 555 565 568 56 Rate per 1, 367.65 182.15 182.48 181.82 365.63 18.18 884.96 352.11 178.57 Percent of Total 1.3%.7%.7%.7% 1.5%.6% 3.6% 1.7%.6% Black 4 1 1 2 12 4 1 8 Population 1 to 17 44 4 45 393 387 387 367 351 33 Rate per 1, 99.1 25. 246.91. 516.8 3,1.78 1,89.92 284.9 2,424.24 Percent of Total 2.5%.7%.7%.% 1.5% 7.2% 2.9%.8% 4.9% Hispanic 44 28 38 38 38 43 35 39 41 Population 1 to 17 5,83 6,21 6,526 6,859 7,263 7,62 7,995 8,326 8,644 Rate per 1, 754.72 451.54 582.29 554.2 523.2 564.3 437.77 468.41 474.32 Percent of Total 27.8% 19.7% 26.8% 25.3% 27.7% 25.9% 25.% 33.1% 25.% White 18 112 12 111 95 11 92 73 114 Population 1 to 17 18,588 18,651 18,461 18,113 17,724 17,256 16,767 16,14 15,362 Rate per 1, 581.2 6.5 552.52 612.82 536. 637.46 548.7 453.3 742.9 Percent of Total 68.4% 78.9% 71.8% 74.% 69.3% 66.3% 65.7% 61.9% 69.5% Other 4 2 Percent of Total.%.%.%.%.%.% 2.9% 1.7%.% 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 4,313 4,64 5,16 4,612 4,833 4,869 4,996 4,747 4,948 Population 1 to 69 194,93 197,119 199,145 2,755 22,754 24,54 25,429 26,716 27,876 Rate per 1, 2,222.13 2,335.64 2,518.77 2,297.33 2,383.68 2,386.13 2,431.98 2,296.39 2,38.27 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 2,8 2,6 2,4 2,2 2, 1,8 1,6 1,4 1,2 1, 8 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 4,313 4,64 5,16 4,612 4,833 4,869 4,996 4,747 4,948 Male 3,627 3,827 4,131 3,785 3,911 3,89 4,31 3,768 3,912 Population 1 to 69 12,275 13,698 14,644 15,385 16,335 16,983 17,595 18,177 18,717 Rate per 1, 3,546.32 3,69.52 3,947.67 3,591.59 3,678. 3,636.9 3,746.46 3,483.18 3,598.33 Percent of Total 84.1% 83.1% 82.4% 82.1% 8.9% 79.9% 8.7% 79.4% 79.1% Female 686 777 885 827 922 979 965 979 1,36 Population 1 to 69 91,818 93,421 94,51 95,37 96,419 97,71 97,834 98,539 99,159 Rate per 1, 747.13 831.72 936.5 867.15 956.24 1,8.54 986.36 993.52 1,44.79 Percent of Total 15.9% 16.9% 17.6% 17.9% 19.1% 2.1% 19.3% 2.6% 2.9% Figure 4.2 County Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Gender 4,5 4, 3,5 3, 2,5 2, 1,5 1, 5 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 4,313 4,64 5,16 4,612 4,833 4,869 4,996 4,747 4,948 Driving Under the Influence 2,189 2,37 2,349 2,252 2,324 2,288 2,562 2,44 2,55 Population 1 to 69 194,93 197,119 199,145 2,755 22,754 24,54 25,429 26,716 27,876 Rate per 1, 1,127.81 1,17.36 1,179.54 1,121.77 1,146.22 1,121.27 1,247.15 1,18.36 1,25.5 Percent of Total 5.8% 5.1% 46.8% 48.8% 48.1% 47.% 51.3% 51.4% 5.6% Drunk 1,763 1,886 2,21 1,98 2,124 2,184 2,12 1,929 2,31 Population 1 to 69 194,93 197,119 199,145 2,755 22,754 24,54 25,429 26,716 27,876 Rate per 1, 98.33 956.78 1,15.22 986.28 1,47.57 1,7.3 1,31.99 933.16 977.2 Percent of Total 4.9% 41.% 43.9% 42.9% 43.9% 44.9% 42.4% 4.6% 41.% Liquor Law Violations 361 411 466 38 385 397 314 378 412 Population 1 to 69 194,93 197,119 199,145 2,755 22,754 24,54 25,429 26,716 27,876 Rate per 1, 185.99 28.5 234. 189.29 189.89 194.56 152.85 182.86 198.2 Percent of Total 8.4% 8.9% 9.3% 8.2% 8.% 8.2% 6.3% 8.% 8.3% Figure 4.3 County Alcohol Arrest Rate per 1, Population 1 to 69 by Specific Offense 1,4 1,2 1, 8 6 4 2 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 4,313 4,64 5,16 4,612 4,833 4,869 4,996 4,747 4,948 American Indian 17 17 17 17 2 28 13 12 13 Population 1 to 69 1,314 1,347 1,35 1,35 1,364 1,374 1,384 1,383 1,375 Rate per 1, 1,293.76 1,262.6 1,259.26 1,259.26 1,466.28 2,37.85 939.31 867.68 945.45 Percent of Total.4%.4%.3%.4%.4%.6%.3%.3%.3% Asian/Pacific Islander 38 35 61 51 45 6 56 44 65 Population 1 to 69 5,864 6,38 6,141 6,236 6,338 6,418 6,51 6,574 6,654 Rate per 1, 648.2 579.66 993.32 817.83 71. 934.87 861.41 669.3 976.86 Percent of Total.9%.8% 1.2% 1.1%.9% 1.2% 1.1%.9% 1.3% Black 85 69 99 75 71 78 99 77 88 Population 1 to 69 4,387 4,418 4,445 4,464 4,486 4,59 4,519 4,523 4,53 Rate per 1, 1,937.54 1,561.79 2,227.22 1,68.11 1,582.7 1,729.87 2,19.75 1,72.41 1,942.6 Percent of Total 2.% 1.5% 2.% 1.6% 1.5% 1.6% 2.% 1.6% 1.8% Hispanic 87 939 943 993 1,32 995 1,89 1,18 1,85 Population 1 to 69 31,892 33,278 34,441 35,532 36,78 37,845 38,969 4,157 41,47 Rate per 1, 2,727.96 2,821.68 2,738.2 2,794.66 2,85.87 2,629.15 2,794.53 2,759.17 2,62.33 Percent of Total 2.2% 2.4% 18.8% 21.5% 21.4% 2.4% 21.8% 23.3% 21.9% White 3,272 3,522 3,875 3,449 3,633 3,658 3,699 3,455 3,644 Population 1 to 69 147,416 148,741 149,42 149,76 15,323 15,393 15,495 15,481 15,29 Rate per 1, 2,219.57 2,367.87 2,593.67 2,33.2 2,416.8 2,432.29 2,457.89 2,295.97 2,424.65 Percent of Total 75.9% 76.5% 77.3% 74.8% 75.2% 75.1% 74.% 72.8% 73.6% Other 31 22 21 27 32 5 4 51 53 Percent of Total.7%.5%.4%.6%.7% 1.%.8% 1.1% 1.1% 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 4,313 4,64 5,16 4,612 4,833 4,869 4,996 4,747 4,948 17 Years and Under 22 228 199 225 193 182 22 21 188 Population 1 to 17 26,27 26,75 26,852 26,817 26,87 26,689 26,546 26,164 25,661 Rate per 1, 768.94 853.77 741.1 839.2 719.96 681.93 76.94 768.23 732.63 Percent of Total 4.7% 5.% 4.% 4.9% 4.% 3.7% 4.% 4.2% 3.8% 18 to 24 Years 1,55 1,635 1,96 1,771 1,883 2,16 1,953 1,863 1,995 Population 33,757 34,476 35,3 35,3 35,732 35,914 36,74 36,342 36,53 Rate per 1, 4,458.33 4,742.43 5,599.52 5,17. 5,269.79 5,613.41 5,413.87 5,126.3 5,461.26 Percent of Total 34.9% 35.5% 39.1% 38.4% 39.% 41.4% 39.1% 39.2% 4.3% 25 to 34 Years 946 963 1,3 981 1,1 976 1,122 1,79 1,94 Population 27,937 27,758 27,96 28,53 28,98 29,425 3,118 31,19 32,252 Rate per 1, 3,386.19 3,469.27 3,683.83 3,441.74 3,795.72 3,316.91 3,725.35 3,468.45 3,392.4 Percent of Total 21.9% 2.9% 2.5% 21.3% 22.8% 2.% 22.5% 22.7% 22.1% 35 to 44 Years 939 954 953 814 782 8 781 74 75 Population 38,39 37,477 36,176 34,596 33,296 32,138 3,947 29,594 28,426 Rate per 1, 2,445.95 2,545.56 2,634.34 2,352.87 2,348.63 2,489.27 2,523.67 2,5.51 2,48.12 Percent of Total 21.8% 2.7% 19.% 17.6% 16.2% 16.4% 15.6% 15.6% 14.2% 45 to 54 Years 521 594 664 588 638 638 691 625 642 Population 36,81 38,365 39,45 39,625 4,96 4,265 4,397 4,299 39,89 Rate per 1, 1,415.72 1,548.29 1,7.6 1,483.91 1,591.18 1,584.5 1,71.52 1,55.91 1,612.7 Percent of Total 12.1% 12.9% 13.2% 12.7% 13.2% 13.1% 13.8% 13.2% 13.% 55 to 64 Years 145 185 17 185 197 22 22 29 267 Population 21,743 22,947 24,596 26,248 27,996 29,593 31,14 32,595 34,12 Rate per 1, 666.88 86.21 691.17 74.82 73.67 682.59 649.43 641.2 785.2 Percent of Total 3.4% 4.% 3.4% 4.% 4.1% 4.1% 4.% 4.4% 5.4% 65 Years and Older 55 45 4 48 4 55 45 3 57 Population 65 to 69 9,195 9,391 9,513 9,666 9,847 1,3 1,243 1,613 11,186 Rate per 1, 598.15 479.18 42.48 496.59 46.22 548.35 439.32 282.67 59.57 Percent of Total 1.3% 1.%.8% 1.%.8% 1.1%.9%.6% 1.2% Figure 4.5 County Alcohol Arrest Rate per 1, Population by Offender 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 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 22 228 199 225 193 182 22 21 188 Male 159 174 145 165 129 114 133 137 136 Population 1 to 17 13,732 13,98 13,946 13,93 13,95 13,83 13,638 13,393 13,11 Rate per 1, 1,157.88 1,251.8 1,39.72 1,184.49 927.72 825.91 975.22 1,22.92 1,38.9 Percent of Total 78.7% 76.3% 72.9% 73.3% 66.8% 62.6% 65.8% 68.2% 72.3% Female 43 54 54 6 64 68 69 64 52 Population 1 to 17 12,538 12,797 12,96 12,887 12,92 12,886 12,98 12,771 12,56 Rate per 1, 342.96 421.97 418.41 465.59 496.5 527.7 534.55 51.14 414.1 Percent of Total 21.3% 23.7% 27.1% 26.7% 33.2% 37.4% 34.2% 31.8% 27.7% American Indian 2 1 Population 1 to 17 153 154 153 149 153 15 143 135 125 Rate per 1,...... 1,398.6. 8. Percent of Total.%.%.%.%.%.% 1.%.%.5% Asian/Pacific Islander 1 6 3 3 4 4 3 1 Population 1 to 17 544 549 548 55 547 555 565 568 56 Rate per 1,. 182.15 1,94.89 545.45 548.45 72.72 77.96 528.17 178.57 Percent of Total.%.4% 3.% 1.3% 1.6% 2.2% 2.% 1.5%.5% Black 3 3 8 5 5 6 3 3 4 Population 1 to 17 44 4 45 393 387 387 367 351 33 Rate per 1, 742.57 75. 1,975.31 1,272.26 1,291.99 1,55.39 817.44 854.7 1,212.12 Percent of Total 1.5% 1.3% 4.% 2.2% 2.6% 3.3% 1.5% 1.5% 2.1% Hispanic 43 52 35 49 44 3 49 38 49 Population 1 to 17 5,83 6,21 6,526 6,859 7,263 7,62 7,995 8,326 8,644 Rate per 1, 737.56 838.57 536.32 714.39 65.81 393.7 612.88 456.4 566.87 Percent of Total 21.3% 22.8% 17.6% 21.8% 22.8% 16.5% 24.3% 18.9% 26.1% White 156 172 149 166 14 14 142 153 131 Population 1 to 17 18,588 18,651 18,461 18,113 17,724 17,256 16,767 16,14 15,362 Rate per 1, 839.25 922.2 87.11 916.47 789.89 811.31 846.9 95.7 852.75 Percent of Total 77.2% 75.4% 74.9% 73.8% 72.5% 76.9% 7.3% 76.1% 69.7% Other 1 2 1 2 2 4 2 Percent of Total.%.%.5%.9%.5% 1.1% 1.% 2.% 1.1% 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 1 19 1 12 18 19 22 17 11 Total Population 248,322 252,361 254,79 256,842 259,79 261,243 262,799 264,485 266,25 Rate per 1, 4.3 7.53 3.93 4.67 6.93 7.27 8.37 6.43 4.13 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 1 8 6 4 2 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 379 448 454 464 553 537 579 541 523 Male 281 342 344 35 42 48 433 383 381 Population 127,545 129,458 13,583 131,63 132,977 133,78 134,441 135,231 136,36 Rate per 1, 22.31 264.18 263.43 265.95 32.31 35.14 322.7 283.22 28.7 Percent of Total 74.1% 76.3% 75.8% 75.4% 72.7% 76.% 74.8% 7.8% 72.8% Female 85 88 95 1 129 11 126 141 118 Population 12,777 122,93 124,126 125,239 126,732 127,535 128,358 129,254 13,169 Rate per 1, 7.38 71.6 76.54 79.85 11.79 86.25 98.16 19.9 9.65 Percent of Total 22.4% 19.6% 2.9% 21.6% 23.3% 2.5% 21.8% 26.1% 22.6% Unknown 13 18 15 14 22 19 2 17 24 Percent of Total 3.4% 4.% 3.3% 3.% 4.% 3.5% 3.5% 3.1% 4.6% Figure 5.2 County Had Been Drinking Driver Rate per 1, Population, by Party Gender 35 3 25 2 15 1 5 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 551 528 57 538 514 Property Damage Only (PDO) 316 323 346 315 34 Total Population 259,79 261,243 262,799 264,485 266,25 Rate per 1, 121.67 123.64 131.66 119.1 114.2 Percent of Total 57.4% 61.2% 6.7% 58.6% 59.1% Injury Complaint of Pain 49 49 61 46 46 Total Population 259,79 261,243 262,799 264,485 266,25 Rate per 1, 18.87 18.76 23.21 17.39 17.28 Percent of Total 8.9% 9.3% 1.7% 8.6% 8.9% Injury Other Visible 13 16 19 122 123 Total Population 259,79 261,243 262,799 264,485 266,25 Rate per 1, 5.6 4.58 41.48 46.13 46.2 Percent of Total 23.6% 2.1% 19.1% 22.7% 23.9% Injury Severe 39 34 36 4 3 Total Population 259,79 261,243 262,799 264,485 266,25 Rate per 1, 15.2 13.1 13.7 15.12 11.27 Percent of Total 7.1% 6.4% 6.3% 7.4% 5.8% Injury Fatal 17 16 18 15 11 Total Population 259,79 261,243 262,799 264,485 266,25 Rate per 1, 6.55 6.12 6.85 5.67 4.13 Percent of Total 3.1% 3.% 3.2% 2.8% 2.1% 14 Figure 5.3 County Alcohol Involved Accident Rate per 1, Total Population, by Injury Severity 12 1 8 6 4 2 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 454 464 553 537 579 541 523 Black 4 9 11 11 13 3 8 Population 4,825 4,833 4,852 4,862 4,877 4,892 4,9 Rate per 1, 82.9 186.22 226.71 226.24 266.56 61.32 163.27 Percent of Total.9% 1.9% 2.% 2.% 2.2%.6% 1.5% Hispanic 94 97 114 134 144 139 133 Population 44,772 46,362 48,35 49,886 51,462 53,99 54,759 Rate per 1, 29.95 29.22 235.78 268.61 279.82 261.78 242.88 Percent of Total 2.7% 2.9% 2.6% 25.% 24.9% 25.7% 25.4% White 33 318 377 347 368 356 329 Population 191,798 192,12 192,721 192,537 192,378 192,239 192,117 Rate per 1, 157.98 165.52 195.62 18.23 191.29 185.19 171.25 Percent of Total 66.7% 68.5% 68.2% 64.6% 63.6% 65.8% 62.9% Other/Unknown 53 4 51 45 54 43 53 Percent of Total 11.7% 8.6% 9.2% 8.4% 9.3% 7.9% 1.1% Figure 5.4 County Had Been Drinking Driver Rate per 1, Population, by Party Race/ Ethnicity 3 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 379 448 454 464 553 537 579 541 523 17 Years and Under 12 11 15 13 15 8 13 15 14 Population 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 53,651 Rate per 1, 22.46 2.33 27.8 24.1 27.68 14.79 24.9 27.88 26.9 Percent of Total 3.2% 2.5% 3.3% 2.8% 2.7% 1.5% 2.2% 2.8% 2.7% 18 to 24 Years 123 141 144 159 19 162 28 21 187 Population 33,757 34,476 35,3 35,3 35,732 35,914 36,74 36,342 36,53 Rate per 1, 364.37 48.98 411.39 45.42 531.74 451.8 576.59 553.8 511.91 Percent of Total 32.5% 31.5% 31.7% 34.3% 34.4% 3.2% 35.9% 37.2% 35.8% 25 to 34 Years 78 92 86 99 126 126 138 113 111 Population 27,937 27,758 27,96 28,53 28,98 29,425 3,118 31,19 32,252 Rate per 1, 279.2 331.44 37.58 347.33 434.78 428.21 458.2 363.24 344.16 Percent of Total 2.6% 2.5% 18.9% 21.3% 22.8% 23.5% 23.8% 2.9% 21.2% 35 to 44 Years 66 97 92 7 76 9 9 75 63 Population 38,39 37,477 36,176 34,596 33,296 32,138 3,947 29,594 28,426 Rate per 1, 171.92 258.83 254.31 22.34 228.26 28.4 29.82 253.43 221.63 Percent of Total 17.4% 21.7% 2.3% 15.1% 13.7% 16.8% 15.5% 13.9% 12.% 45 to 54 Years 55 63 69 62 78 9 69 81 71 Population 36,81 38,365 39,45 39,625 4,96 4,265 4,397 4,299 39,89 Rate per 1, 149.45 164.21 176.72 156.47 194.53 223.52 17.8 21. 178.35 Percent of Total 14.5% 14.1% 15.2% 13.4% 14.1% 16.8% 11.9% 15.% 13.6% 55 to 64 Years 14 11 16 26 26 27 21 26 38 Population 21,743 22,947 24,596 26,248 27,996 29,593 31,14 32,595 34,12 Rate per 1, 64.39 47.94 65.5 99.6 92.87 91.24 67.52 79.77 111.73 Percent of Total 3.7% 2.5% 3.5% 5.6% 4.7% 5.% 3.6% 4.8% 7.3% 65 Years and Older 9 14 9 15 13 9 1 8 14 Population 36,268 37,233 37,977 38,631 39,422 39,89 4,193 4,745 41,525 Rate per 1, 24.82 37.6 23.7 38.83 32.98 22.61 24.88 19.63 33.71 Percent of Total 2.4% 3.1% 2.% 3.2% 2.4% 1.7% 1.7% 1.5% 2.7% Other/Unknown 22 19 23 2 29 25 3 22 25 Percent of Total 5.8% 4.2% 5.1% 4.3% 5.2% 4.7% 5.2% 4.1% 4.8% Figure 5.5 County Had Been Drinking Driver Rate per 1, Population, by Party Age Category 7 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 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 27 535 599 513 635 576 556 636 592 Total Population 248,322 252,361 254,79 256,842 259,79 261,243 262,799 264,485 Rate per 1, 215.45 237.36 21.41 247.23 221.79 212.83 242.1 223.83 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 26 25 24 23 22 21 2 19 18 17 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 535 599 513 635 576 556 636 592 Male 142 176 155 196 156 146 169 153 Population 127,545 129,458 13,583 131,63 132,977 133,78 134,441 135,231 Rate per 1, 111.33 135.95 118.7 148.93 117.31 19.19 125.71 113.14 Percent of Total 26.54% 29.38% 3.21% 3.87% 27.8% 26.26% 26.57% 25.84% Female 179 196 151 29 22 192 215 26 Population 12,777 122,93 124,126 125,239 126,732 127,535 128,358 129,254 Rate per 1, 148.21 159.48 121.65 166.88 159.39 15.55 167.5 159.38 Percent of Total 33.46% 32.72% 29.43% 32.91% 35.7% 34.53% 33.81% 34.8% Unknown 214 227 27 23 218 218 252 233 Percent of Total 4.% 37.9% 4.35% 36.22% 37.85% 39.21% 39.62% 39.36% Figure 6.2 County AOD Related Hospitalization Rate per 1, Population by Patient Gender 18 16 14 12 1 8 6 4 2 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 27 219 236 197 244 199 219 268 21 Total Population 248,322 252,361 254,79 256,842 259,79 261,243 262,799 264,485 Rate per 1, 88.19 93.52 77.34 95. 76.62 83.83 11.98 79.4 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 75 7 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 27 316 363 316 391 377 337 368 382 Total Population 248,322 252,361 254,79 256,842 259,79 261,243 262,799 264,485 Rate per 1, 127.25 143.84 124.6 152.23 145.16 129. 14.3 144.43 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 16 15 14 13 12 11 1 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 27 219 236 197 244 199 219 268 21 Alcohol Abuse 1 12 12 2 4 1 6 2 Rate per 1, 4.3 4.76 4.71 7.79 1.54 3.83 2.28.76 Alcohol Cardiomyopathy 2 1 1 3 Rate per 1,.81.4.39... 1.14. Alcohol Dependence Syndrome 42 43 39 65 49 48 47 58 Rate per 1, 16.91 17.4 15.31 25.31 18.87 18.37 17.88 21.93 Alcohol Dependent Abuse 18 29 19 28 19 19 39 21 Rate per 1, 2.9 4.6 2.98 4.36 2.93 2.91 5.94 3.18 Alcohol Poisoning 1 7 1 7 2 3 4 1 Rate per 1, 4.3 2.77.39 2.73.77 1.15 1.52.38 Alcohol Polyneuropathy Rate per 1,........ Alcohol Psychosis 63 63 39 57 85 9 123 73 Rate per 1, 25.37 24.96 15.31 22.19 32.73 34.45 46.8 27.6 Alcoholic Gastritis 12 17 11 5 6 13 2 Rate per 1, 4.83 6.74 4.32 1.95 2.31. 4.95.76 Alcoholic Liver Disease 62 63 75 62 34 49 33 53 Rate per 1, 24.97 24.96 29.45 24.14 13.9 18.76 12.56 2.4 Fetal Alcohol Syndrome 1 Rate per 1,..4...... 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 316 363 316 391 377 337 368 382 Drug Psychosis 34 47 33 37 39 39 36 39 Rate per 1, 13.69 18.62 12.96 14.41 15.2 14.93 13.7 14.75 Drug Polyneuropathy 1 Rate per 1,..4...... Dependence Barbituates 6 3 3 5 4 3 Rate per 1,.. 2.36 1.17 1.16 1.91 1.52 1.13 Cannabis 1 1 1 1 1 1 Rate per 1,.4..39.39.39.38..38 Cocaine 1 1 1 2 Rate per 1,.4..39..39..76. Hallucinogen Rate per 1,........ Inhalant 1 1 1 Rate per 1,..4...39.38.. Morphine 14 11 19 21 37 36 35 32 Rate per 1, 5.64 4.36 7.46 8.18 14.25 13.78 13.32 12.1 Stimulant 3 2 1 17 4 2 Rate per 1, 1.21.79.39 6.62 1.54.77.. Combination 5 12 9 17 5 8 6 7 Rate per 1, 2.1 4.76 3.53 6.62 1.93 3.6 2.28 2.65 Unspecified 1 1 1 1 Rate per 1,.4.4..39....38 Maternal Drug Dependence 3 1 2 2 Rate per 1,.. 1.18.39.77...76 Abuse Amphetamine 2 5 1 4 3 3 1 Rate per 1,..79 1.96.39 1.54 1.15 1.14.38 Antidepressant Rate per 1,........ Cannabis 1 1 Rate per 1,...39...38.. Cocaine 2 Rate per 1,........76 Hallucinogen Rate per 1,........ Morphine 1 7 2 1 2 3 Rate per 1,.4 2.77.79.39.77. 1.14. Sedative 1 2 1 Rate per 1,..4.79..39... Other, Mixed or Unspecified 1 3 1 2 3 Rate per 1,.4. 1.18.39.77. 1.14. Accidental Drug Poisonings 85 91 96 98 83 84 93 112 Rate per 1, 34.23 36.6 37.69 38.16 31.96 32.15 35.39 42.35 Other Drug Poisonings 1 6 3 14 13 9 17 1 Rate per 1, 4.3 2.38 1.18 5.45 5.1 3.45 6.47 3.78 Self Inflicted Drug Poisonings 16 181 131 178 179 146 164 172 Rate per 1, 64.43 71.72 51.43 69.3 68.92 55.89 62.41 65.3 Drug Exposure in Newborns 1 Rate per 1,.......38. Fetal Damage due to Maternal Drug Use 2 1 Rate per 1,......77.38. 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 27 535 599 513 635 576 556 636 592 American Indian Population 1,541 1,563 1,572 1,572 1,576 1,576 1,585 1,595 Rate per 1,........ Percent of Total.%.%.%.%.%.%.%.% Asian/Pacific Islander 2 Population 6,795 7,1 7,141 7,256 7,394 7,47 7,598 7,733 Rate per 1,..... 26.77.. Percent of Total.%.%.%.%.%.4%.%.% Black 3 1 3 2 1 Population 4,81 4,82 4,825 4,833 4,852 4,862 4,877 4,892 Rate per 1, 62.37 2.75 62.18. 41.22. 2.5. Percent of Total.6%.2%.6%.%.3%.%.2%.% Hispanic 9 18 1 2 1 7 4 9 Population 4,525 43,63 44,772 46,362 48,35 49,886 51,462 53,99 Rate per 1, 22.21 41.8 22.34 43.14 2.68 14.3 7.77 16.95 Percent of Total 1.7% 3.% 1.9% 3.1% 1.7% 1.3%.6% 1.5% White 274 327 27 344 36 297 333 31 Population 19,264 191,4 191,798 192,12 192,721 192,537 192,378 192,239 Rate per 1, 144.1 17.85 14.77 179.5 158.78 154.26 173.1 161.26 Percent of Total 51.2% 54.6% 52.6% 54.2% 53.1% 53.4% 52.4% 52.4% Other/Unknown 249 253 23 271 258 25 298 273 Percent of Total 46.5% 42.2% 44.8% 42.7% 44.8% 45.% 46.9% 46.1% Figure 6.5 County AOD Related Hospitalization Rate per 1, Population by Patient Race/ Ethnicity 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 27 535 599 513 635 576 556 636 592 17 Years and Under 8 1 8 11 3 9 2 5 Population 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 Rate per 1, 14.97 18.48 14.83 2.39 5.54 16.64 3.71 9.29 Percent of Total 1.5% 1.7% 1.6% 1.7%.5% 1.6%.3%.8% 18 to 24 Years 5 16 9 17 15 8 19 18 Population 33,757 34,476 35,3 35,3 35,732 35,914 36,74 36,342 Rate per 1, 14.81 46.41 25.71 48.16 41.98 22.28 52.67 49.53 Percent of Total.9% 2.7% 1.8% 2.7% 2.6% 1.4% 3.% 3.% 25 to 34 Years 1 13 12 2 21 11 17 14 Population 27,937 27,758 27,96 28,53 28,98 29,425 3,118 31,19 Rate per 1, 35.79 46.83 42.92 7.17 72.46 37.38 56.44 45. Percent of Total 1.9% 2.2% 2.3% 3.1% 3.6% 2.% 2.7% 2.4% 35 to 44 Years 46 44 29 46 53 47 38 25 Population 38,39 37,477 36,176 34,596 33,296 32,138 3,947 29,594 Rate per 1, 119.82 117.41 8.16 132.96 159.18 146.24 122.79 84.48 Percent of Total 8.6% 7.3% 5.7% 7.2% 9.2% 8.5% 6.% 4.2% 45 to 54 Years 32 53 41 41 45 5 68 44 Population 36,81 38,365 39,45 39,625 4,96 4,265 4,397 4,299 Rate per 1, 86.95 138.15 15.1 13.47 112.23 124.18 168.33 19.18 Percent of Total 6.% 8.8% 8.% 6.5% 7.8% 9.% 1.7% 7.4% 55 to 64 Years 25 14 26 3 24 19 28 36 Population 21,743 22,947 24,596 26,248 27,996 29,593 31,14 32,595 Rate per 1, 114.98 61.1 15.71 114.29 85.73 64.2 9.2 11.45 Percent of Total 4.7% 2.3% 5.1% 4.7% 4.2% 3.4% 4.4% 6.1% 65 Years and Older 53 44 44 47 28 4 41 45 Population 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 Rate per 1, 99.2 81.32 81.55 87.14 51.67 73.94 75.97 83.64 Percent of Total 9.9% 7.3% 8.6% 7.4% 4.9% 7.2% 6.4% 7.6% Other/Unknown 356 45 344 423 387 372 423 45 Percent of Total 66.5% 67.6% 67.1% 66.6% 67.2% 66.9% 66.5% 68.4% Figure 6.6 County AOD Related Hospitalization Rate per 1, Population by Patient Age Category 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 54 55 6 52 6 54 73 66 Total Population 248,322 252,361 254,79 256,842 259,79 261,243 262,799 264,485 Rate per 1, 21.48 21.58 22.6 18.66 22.23 18.85 26.54 24.75 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 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 54 55 6 52 6 54 73 66 Male 44 33 35 34 42 27 53 41 Population 127,545 129,458 13,583 131,63 132,977 133,78 134,441 135,231 Rate per 1, 34.5 25.49 26.8 25.84 31.58 2.19 39.42 3.32 Percent of Total 81.48% 6.% 58.33% 65.38% 7.% 5.% 72.6% 62.12% Female 1 22 25 18 18 27 2 25 Population 12,777 122,93 124,126 125,239 126,732 127,535 128,358 129,254 Rate per 1, 8.28 17.9 2.14 14.37 14.2 21.17 15.58 19.34 Percent of Total 18.52% 4.% 41.67% 34.62% 3.% 5.% 27.4% 37.88% Figure 7.2 County AOD Related Mortality Rate per 1, Population by Decedent Gender 45 4 35 3 25 2 15 1 5 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 32 22 32 34 32 24 4 3 Total Population 248,322 252,361 254,79 256,842 259,79 261,243 262,799 264,485 Rate per 1, 12.89 8.72 12.56 13.24 12.32 9.19 15.22 11.34 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 16 14 12 1 8 6 4 2 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 22 33 28 18 28 3 33 36 Total Population 248,322 252,361 254,79 256,842 259,79 261,243 262,799 264,485 Rate per 1, 8.86 13.8 1.99 7.1 1.78 11.48 12.56 13.61 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 16 14 12 1 8 6 4 2 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 32 22 32 34 32 24 4 3 Alcohol Psychosis 1 1 Rate per 1,...39....38. Alcohol Abuse 3 1 1 3 3 9 2 Rate per 1, 1.21.4..39 1.16 1.15 3.42.76 Alcohol Dependence Syndrome 12 8 11 1 16 12 6 3 Rate per 1, 4.83 3.17 4.32 3.89 6.16 4.59 2.28 1.13 Alcoholic Polyneuropathy Rate per 1,........ Degeneration of the Nervous System 1 1 Rate per 1,...39..39... Alcoholic Myopathy Rate per 1,........ Alcoholic Cardiomyopathy 1 1 1 1 Rate per 1,..4.39....38.38 Alcoholic Gastritis Rate per 1,........ Alcoholic Liver Disease 14 12 18 22 11 8 2 21 Rate per 1, 5.64 4.76 7.7 8.57 4.24 3.6 7.61 7.94 Fetal Alcohol Syndrome Rate per 1,........ Fetus and Newborn Affect by Maternal Use of Alcohol Rate per 1,........ Alcohol Poisoning 2 1 1 2 2 Rate per 1,.81...39..38.76.76 Intentional Self Poisoning (Alcohol) Rate per 1,........ Excessive Blood Level of Alcohol Rate per 1,........ Alcohol Induced Pancreatitis 1 1 1 1 Rate per 1,.4....39..38.38 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 22 33 28 18 28 3 33 36 Accidental Drug Poisoning 19 25 21 1 23 22 23 27 Rate per 1, 7.65 9.91 8.24 3.89 8.86 8.42 8.75 1.21 Intentional Self Poisoning (Drug) 1 7 5 6 3 6 5 8 Rate per 1,.4 2.77 1.96 2.34 1.16 2.3 1.9 3.2 Intentional Poisoning (Assault) 1 Rate per 1,........38 Other Drug Poisonings 2 4 Rate per 1,......77 1.52. Fetus and Newborn Affect by Maternal Use of Drugs 1 1 Rate per 1,.4...39.... Mental and Behavioral Disorders due to Use of Cannabinoids Rate per 1,........ Cocaine 1 Rate per 1,...39..... Hallucinogens Rate per 1,........ Opioids Rate per 1,........ Other Psychoactive Substances 1 1 1 2 1 Rate per 1,..4.39.39.77..38. Sedatives or Hypnotics Rate per 1,........ Solvents Rate per 1,........ Stimulants 1 Rate per 1,.4....... 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 54 55 6 52 6 54 73 66 American Indian 1 1 1 1 1 1 Population 1,541 1,563 1,572 1,572 1,576 1,576 1,585 1,595 Rate per 1, 64.89 63.98 63.61.. 63.45 63.9 62.7 Percent of Total 1.9% 1.8% 1.7%.%.% 1.9% 1.4% 1.5% Asian/Pacific Islander 1 Population 6,795 7,1 7,141 7,256 7,394 7,47 7,598 7,733 Rate per 1, 14.72....... Percent of Total 1.9%.%.%.%.%.%.%.% Black 1 1 1 1 1 Population 4,81 4,82 4,825 4,833 4,852 4,862 4,877 4,892 Rate per 1, 2.79 2.75. 2.69. 2.57 2.5. Percent of Total 1.9% 1.8%.% 1.9%.% 1.9% 1.4%.% Hispanic 9 2 6 2 5 6 4 4 Population 4,525 43,63 44,772 46,362 48,35 49,886 51,462 53,99 Rate per 1, 22.21 4.64 13.4 4.31 1.34 12.3 7.77 7.53 Percent of Total 16.7% 3.6% 1.% 3.8% 8.3% 11.1% 5.5% 6.1% White 42 51 53 49 55 46 64 61 Population 19,264 191,4 191,798 192,12 192,721 192,537 192,378 192,239 Rate per 1, 22.7 26.65 27.63 25.5 28.54 23.89 33.27 31.73 Percent of Total 77.8% 92.7% 88.3% 94.2% 91.7% 85.2% 87.7% 92.4% Other 3 Percent of Total.%.%.%.%.%.% 4.1%.% Figure 7.5 County AOD Related Mortality Rate per 1, Population by Decedent Race/ Ethnicity 7 6 5 4 3 2 1 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 54 55 6 52 6 54 73 66 17 Years and Under 2 3 1 1 Population 53,426 54,15 53,952 53,939 54,187 54,99 53,966 53,81 Rate per 1, 3.74.. 5.56 1.85.. 1.86 Percent of Total 3.7%.%.% 5.8% 1.7%.%.% 1.5% 18 to 24 Years 2 6 3 3 2 Population 33,757 34,476 35,3 35,3 35,732 35,914 36,74 36,342 Rate per 1, 5.92... 16.79 8.35 8.32 5.5 Percent of Total 3.7%.%.%.% 1.% 5.6% 4.1% 3.% 25 to 34 Years 5 7 1 3 6 3 6 7 Population 27,937 27,758 27,96 28,53 28,98 29,425 3,118 31,19 Rate per 1, 17.9 25.22 3.58 1.53 2.7 1.2 19.92 22.5 Percent of Total 9.3% 12.7% 1.7% 5.8% 1.% 5.6% 8.2% 1.6% 35 to 44 Years 14 15 17 6 12 7 14 14 Population 38,39 37,477 36,176 34,596 33,296 32,138 3,947 29,594 Rate per 1, 36.47 4.2 46.99 17.34 36.4 21.78 45.24 47.31 Percent of Total 25.9% 27.3% 28.3% 11.5% 2.% 13.% 19.2% 21.2% 45 to 54 Years 2 21 21 18 18 2 26 22 Population 36,81 38,365 39,45 39,625 4,96 4,265 4,397 4,299 Rate per 1, 54.35 54.74 53.78 45.43 44.89 49.67 64.36 54.59 Percent of Total 37.% 38.2% 35.% 34.6% 3.% 37.% 35.6% 33.3% 55 to 64 Years 8 5 1 8 1 14 19 12 Population 21,743 22,947 24,596 26,248 27,996 29,593 31,14 32,595 Rate per 1, 36.79 21.79 4.66 3.48 35.72 47.31 61.9 36.82 Percent of Total 14.8% 9.1% 16.7% 15.4% 16.7% 25.9% 26.% 18.2% 65 Years and Older 3 7 11 14 7 7 5 8 Population 36,268 37,233 37,977 38,631 39,422 39,89 4,193 4,745 Rate per 1, 8.27 18.8 28.96 36.24 17.76 17.58 12.44 19.63 Percent of Total 5.6% 12.7% 18.3% 26.9% 11.7% 13.% 6.8% 12.1% Figure 7.6 County AOD Related Mortality Rate per 1, Population by Decedent Age Category 7 6 5 4 3 2 1 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