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

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

Indicators of Alcohol and Other Drug Risk and Consequences for California Counties Nevada 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 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 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 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 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 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 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 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 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 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 Drug Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates... 17 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 Indicators of Alcohol and Other Drug Abuse Table of Contents, California

Figure 3.2 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 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 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 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 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 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 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 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 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 Fatalities in Alcohol Involved Accidents and Rate per 1, Total Population with Comparison to Statewide Rates... 27 Figure 5.1 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 Had Been Drinking Driver Rate per 1, Population, by Party Gender... 27 Table 5.3 Alcohol Involved Accidents by Injury Severity, Rate per 1, Total Population, and Percent of Total... 28 Figure 5.3 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 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 Figure 5.5 Had Been Drinking Driver Rate per 1, Population, by Party Age Category... 3 Indicators of Alcohol and Other Drug Abuse Table of Contents, California

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 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 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 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 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 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 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 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 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 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 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 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 AOD Related Mortality Rate per 1, Population by Decedent Age Category... 42 Sources... 43 Indicators of Alcohol and Other Drug Abuse Table of Contents, 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, 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, California 2

KEY FINDINGS Indicator 1: Prevalence of Past Year Binge Drinking Approximately 36 percent of 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 (46 percent versus 27 percent) in 27. Indicator 2: Admissions to Alcohol and Other Drug Treatment Overall, admission rates to treatment facilities in have increased since 2. In 2 there were about 348 admissions per 1, compared to 686 admissions per 1, in 28. s AOD admission rate was lower than the state each year, until 26. 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 38 percent of all admissions in 28. Admissions due to alcohol use accounted for roughly 3 percent of admissions, marijuana for 11 percent of admissions, heroin for 6 percent of admissions, and crack/cocaine for 3 percent in 28. The highest rate of admissions was for 25 to 34 year olds with a rate of 3,27 per 1, in 28. The next highest rate was for 18 to 24 year olds with a rate of 1,635 per 1,. Indicator 3: Arrests for Drug Related Crime Crime rates for felony and misdemeanor drug offenses increased from 453 per 1, in 2 to 614 per 1, in 28. s drug arrest rate was lower than the state each year. Arrests due to dangerous drug offenses accounted for approximately 5 percent in 28, narcotics for roughly 28 percent of drug arrests, marijuana for 34 percent of drug arrests, and 34 percent of drug arrests in 28 were for other drug violations. Drug arrest rates were highest among Blacks at 1,327 per 1, in 28. The highest rate of arrests for drug related crime was for 18 to 24 year olds with a rate of 1,493 per 1, in 28. The next highest rate was for 25 to 34 year olds with a rate of 1,362 per 1,. Indicator 4: Arrests for Alcohol Related Crime Crime rates for felony and misdemeanor alcohol offenses increased slightly from 1,536 per 1, in 2 to 1,578 per 1, in 28. s alcohol arrest rate was higher than the state overall each year. Arrests due to driving under the influence accounted for approximately 61 percent in 28, public drunkenness for roughly 33 percent of alcohol arrests, and 6 percent of alcohol arrests in 28 were for liquor law violations. Alcohol arrest rates were highest among Blacks at 7,8 per 1, in 28. These rates were significantly higher than each race/ethnicity group each year. The highest rate of arrests for alcohol related crime was for 25 to 34 year olds with a rate of 4,586 per 1, in 28. The next highest rate was for 18 to 24 year olds with a rate of 3,179 per 1,. Indicators of Alcohol and Other Drug Abuse Key Findings, California 3

Indicator 5: Alcohol Involved Motor Vehicle Accidents The rate of fatalities in alcohol involved accidents in was similar to the state overall each year. Males accounted for nearly three fourths of total parties who had been drinking in alcohol involved accidents in 28. During this year Blacks had the rate of 761 per 1,, Hispanics had 236 per 1, and Whites had 168 per 1,. 25 to 34 year olds (56 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 18 to 24 year olds with a rate of 454 per 1,. Indicator 6: Hospitalizations Due to Alcohol and Drug Use The rate of hospitalizations due to alcohol and drug use decreased from 224 per 1, in 2 to 217 per 1, in 27. s AOD hospitalization rate was similar to the state each year. The rate of hospitalizations due to alcohol related causes decreased from 11 per 1, in 2 to 84 per 1, in 27. s alcohol related hospitalization rate was lower than the state starting in 21. The rate of hospitalizations due to drug related causes increased from 114 per 1, in 2 to 133 per 1, in 27. s drug related hospitalization rate was lower than the state until 25 at which time s rates exceeded the state. Indicator 7: Deaths Due to Alcohol and Drug Use The death rate due to alcohol and drug use increased between 2 and 27 from 13.3 deaths per 1, to 25. deaths per 1,. s AOD mortality rate was similar to the state overall each year, except in 22 when s rate spiked at 35.19 per 1,. The death rate due to alcohol use decreased slightly between 2 and 27 from 14.5 per 1, to 13.97 per 1,, slightly higher than the statewide rates each year, except in 26. The death rate due to drug use increased between 2 and 27 from 2.16 per 1, to 18.96 per 1,, higher than the statewide rates each year, starting in 21. Indicators of Alcohol and Other Drug Abuse Key Findings, California 4

Key Indicators of Community Alcohol and Drug Use y Indicators of Alcohol and Other Drug Abuse Summary of Indicators, California 5 INDICATOR 1: Past Year Binge Drinking Data not available for reporting year. County Percentage of Total Respondents 35.8% State Percentage of Total Respondents 29.7% County Ranking (of 44 Counties) 7 INDICATOR 2: Admissions to Alcohol and Other Drug Treatment County Rate per 1, Total Population 347.99 356.53 479.36 452.12 54.9 335.34 616.49 65.67 686.6 636.7 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) 45 46 44 44 39 49 27 28 2 26 INDICATOR 3: Arrests for Drug Related Offenses County Rate per 1, Population 1 to 69 Years 452.98 64.26 845.92 866.91 842. 989.25 751.64 67.6 613.96 678.73 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) 55 49 37 34 38 34 46 51 53 49 INDICATOR 4: Arrests for Alcohol Related Offenses Three Year Average County Rate per 1, Population 1 to 69 Years 1,535.87 1,328. 1,45.72 1,598.11 1,661.98 1,52.43 1,651.6 1,53.28 1,578.5 1,586.46 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) 38 44 36 33 26 3 28 36 3 33 INDICATOR 5: Alcohol Involved Motor Vehicle Accident Fatalities County Rate per 1, Total Population 3.24 4.23 3.13 2.6 7.11 6.4 4.2 3.99 3.96 3.99 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) 43 4 42 54 22 32 38 34 39 43 INDICATOR 6: Alcohol and Drug Use Hospitalizations County Rate per 1, Total Population 223.71 195.72 183.81 185.98 184.89 28.45 19.8 216.53 25.2 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) 13 21 25 24 26 15 25 14 18 INDICATOR 7: Deaths Due to Alcohol and Drug Use County Rate per 1, Total Population 13.3 22.1 35.19 24.16 2.25 26.27 17.71 25. 22.99 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) 48 22 6 22 36 2 41 22 3

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 State of California 3% 25% Estimated Number * 29, 7,973, Estimated Population 18 and over 8, 26,874, Percent of Total Population 35.8% 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 State of California Male Estimated Number * 18, 5,39, 5% 45% 4% County California Estimated Population 39, 13,179, 35% Percent of Population 45.3% 38.2% 3% 25% Female Estimated Number * 11, 2,934, 2% Estimated Population 41, 13,694, 15% 1% Percent of Population 26.7% 21.4% 5% * Estimates rounded to the nearest thousand. % Male Female Indicators of Alcohol and Other Drug Abuse Prevalence of Binge Drinking, 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 State of California American Indian Estimated Number * 55, Estimated Population 1, 17, Percent of Population 32.5% Asian/Pacific Islander Estimated Number * 65, Estimated Population 1, 3,57, Percent of Population 18.5% Black Estimated Number * 31, Estimated Population 1,531, Percent of Population 19.6% Hispanic Estimated Number * 2, 2,745, Estimated Population 4, 8,469, Percent of Population 42.2% 32.4% White Estimated Number * 26, 4,93, Estimated Population 73, 12,797, Percent of Population 36.% 32.% Other Estimated Number * 129, Estimated Population 41, Percent of Population 32.3% * Estimates rounded to the nearest thousand. Estimate not reported due to small sample size. 45% County California Figure 1.3 Past Year Binge Drinking in by Race/Ethnicity 4% 35% 3% 25% 2% 15% 1% 5% % American Indian Asian/Pacific Islander Black Hispanic White Other Indicators of Alcohol and Other Drug Abuse Prevalence of Binge Drinking, 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 State of California 18 to 24 Estimated Number * 3, 1,62, Estimated Population 6, 3,73, Percent of Population 56.5% 43.8% 25 to 34 Estimated Number * 6, 2,147, Estimated Population 12, 4,733, Percent of Population 47.5% 45.4% 35 to 44 Estimated Number * 6, 1,795, Estimated Population 12, 5,593, Percent of Population 5.3% 32.1% 45 to 54 Estimated Number * 5, 1,39, Estimated Population 15, 5,219, Percent of Population 35.4% 26.6% 55 to 64 Estimated Number * 5, 7, Estimated Population 17, 3,724, Percent of Population 3.3% 18.8% 65 and Over Estimated Number * 3, 321, Estimated Population 18, 3,91, Percent of Population 16.7% 8.2% * Estimates rounded to the nearest thousand. 6% County California Figure 1.4 Past Year Binge Drinking in by Age Category 5% 4% 3% 2% 1% % 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse Prevalence of Binge Drinking, 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 322 337 459 44 497 333 613 67 693 Total Population 92,532 94,523 95,752 97,32 98,436 99,33 99,434 1,219 11,12 Rate per 1, 347.99 356.53 479.36 452.12 54.9 335.34 616.49 65.67 686.6 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 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, 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 322 337 459 44 497 333 613 67 693 Male 149 166 248 28 216 159 332 348 367 Population 45,883 46,933 47,582 48,4 48,982 49,434 49,489 49,891 5,298 Rate per 1, 324.74 353.7 521.21 429.75 44.98 321.64 67.86 697.52 729.65 Percent of Total 46.3% 49.3% 54.% 47.3% 43.5% 47.7% 54.2% 57.3% 53.% Female 173 171 211 232 281 174 28 259 326 Population 46,649 47,59 48,17 48,92 49,454 49,869 49,945 5,328 5,714 Rate per 1, 37.85 359.32 438.3 474.24 568.2 348.91 56.62 514.62 642.82 Percent of Total 53.7% 5.7% 46.% 52.7% 56.5% 52.3% 45.7% 42.7% 47.% Unknown 1 Percent of Total.%.%.%.%.%.%.2%.%.% 8 Figure 2.2 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, 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 322 337 459 44 497 333 613 67 693 Methamphetamines 14 137 253 248 284 216 35 285 263 Percent of Total 32.3% 4.7% 55.1% 56.4% 57.1% 64.9% 49.8% 47.% 38.% Rate per 1, 112.39 144.94 264.22 254.83 288.51 217.52 36.74 284.38 26.37 Alcohol 153 135 122 118 16 68 16 162 28 Percent of Total 47.5% 4.1% 26.6% 26.8% 21.3% 2.4% 26.1% 26.7% 3.% Rate per 1, 165.35 142.82 127.41 121.25 17.68 68.48 16.91 161.65 25.92 Marijuana 33 36 51 51 5 27 76 7 79 Percent of Total 1.2% 1.7% 11.1% 11.6% 1.1% 8.1% 12.4% 11.5% 11.4% Rate per 1, 35.66 38.9 53.26 52.4 5.79 27.19 76.43 69.85 78.21 Heroin 11 5 5 6 8 2 12 19 38 Percent of Total 3.4% 1.5% 1.1% 1.4% 1.6%.6% 2.% 3.1% 5.5% Rate per 1, 11.89 5.29 5.22 6.17 8.13 2.1 12.7 18.96 37.62 Crack/Cocaine 6 5 6 5 14 2 1 15 2 Percent of Total 1.9% 1.5% 1.3% 1.1% 2.8%.6% 1.6% 2.5% 2.9% Rate per 1, 6.48 5.29 6.27 5.14 14.22 2.1 1.6 14.97 19.8 Other Drugs 15 19 22 12 35 18 5 56 85 Percent of Total 4.7% 5.6% 4.8% 2.7% 7.% 5.4% 8.2% 9.2% 12.3% Rate per 1, 16.21 2.1 22.98 12.33 35.56 18.13 5.28 55.88 84.15 35 Figure 2.3 Treatment Admission Rate per 1, Population 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, 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 322 337 459 44 497 333 613 67 693 American Indian 3 9 13 1 13 6 6 6 9 Population 698 72 72 76 76 71 714 718 722 Rate per 1, 429.8 1,282.5 1,851.85 1,416.43 1,841.36 845.7 84.34 835.65 1,246.54 Percent of Total.9% 2.7% 2.8% 2.3% 2.6% 1.8% 1.% 1.% 1.3% Asian/Pacific Islander 1 4 4 3 1 1 4 1 Population 814 816 82 821 831 835 845 854 862 Rate per 1, 122.85 49.2 487.8 365.41. 119.76 1,183.43 468.38 1,16.9 Percent of Total.3% 1.2%.9%.7%.%.3% 1.6%.7% 1.4% Black 1 1 2 6 4 3 6 2 Population 254 254 254 254 255 257 259 261 263 Rate per 1, 393.7 393.7 787.4. 2,352.94 1,556.42 1,158.3 2,298.85 76.46 Percent of Total.3%.3%.4%.% 1.2% 1.2%.5% 1.%.3% Hispanic 29 26 22 2 32 26 46 43 67 Population 5,225 5,399 5,528 5,73 5,839 5,964 6,89 6,221 6,353 Rate per 1, 555.2 481.57 397.97 35.69 548.4 435.95 755.46 691.21 1,54.62 Percent of Total 9.% 7.7% 4.8% 4.5% 6.4% 7.8% 7.5% 7.1% 9.7% White 288 296 417 47 443 295 544 523 57 Population 83,928 85,69 86,746 88,79 89,1 89,666 89,634 9,25 9,874 Rate per 1, 343.15 345.43 48.71 462.9 497.75 329. 66.91 579.5 627.24 Percent of Total 89.4% 87.8% 9.8% 92.5% 89.1% 88.6% 88.7% 86.2% 82.3% Other 1 1 3 1 4 25 35 Percent of Total.%.3%.2%.%.6%.3%.7% 4.1% 5.1% Figure 2.4 Treatment Admission Rate per 1, Population by Client Race/ Ethnicity 2,5 2, 1,5 1, 5 American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, 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 322 337 459 44 497 333 613 67 693 17 Years and Under 33 6 6 7 1 3 39 55 Population 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 18,66 Rate per 1, 155.33 28.19 28.51 33.37 4.84. 152.94 23.97 294.75 Percent of Total 1.2% 1.8% 1.3% 1.6%.2%.% 4.9% 6.4% 7.9% 18 to 24 Years 44 7 11 19 122 87 145 114 162 Population 5,762 6,97 6,633 7,248 7,947 8,67 9,361 9,768 9,91 Rate per 1, 763.62 1,148.11 1,658.37 1,53.86 1,535.17 1,1.81 1,548.98 1,167.8 1,634.71 Percent of Total 13.7% 2.8% 24.% 24.8% 24.5% 26.1% 23.7% 18.8% 23.4% 25 to 34 Years 71 76 128 124 133 92 179 178 2 Population 7,982 7,789 7,494 7,128 6,76 6,263 6,13 6,154 6,67 Rate per 1, 889.5 975.74 1,78.3 1,739.62 1,983.3 1,468.94 2,976.88 2,892.43 3,27.9 Percent of Total 22.% 22.6% 27.9% 28.2% 26.8% 27.6% 29.2% 29.3% 28.9% 35 to 44 Years 123 19 161 128 144 18 168 157 13 Population 14,95 14,222 14,48 13,928 13,725 13,54 13,2 12,679 12,32 Rate per 1, 872.65 766.42 1,146.7 919.1 1,49.18 799.76 1,29.32 1,238.27 1,55.19 Percent of Total 38.2% 32.3% 35.1% 29.1% 29.% 32.4% 27.4% 25.9% 18.8% 45 to 54 Years 43 66 45 56 82 38 68 14 115 Population 16,664 17,299 17,523 17,828 17,989 18,94 18,9 18,5 17,932 Rate per 1, 258.4 381.52 256.81 314.11 455.83 21.1 377.59 577.62 641.31 Percent of Total 13.4% 19.6% 9.8% 12.7% 16.5% 11.4% 11.1% 17.1% 16.6% 55 to 64 Years 8 9 9 13 14 8 21 14 29 Population 1,652 11,543 12,5 13,387 14,226 15,25 15,579 16,241 16,824 Rate per 1, 75.1 77.97 72. 97.11 98.41 53.24 134.8 86.2 172.37 Percent of Total 2.5% 2.7% 2.% 3.% 2.8% 2.4% 3.4% 2.3% 4.2% 65 Years and Older 1 3 1 2 1 2 Population 16,132 16,287 16,58 16,824 17,194 17,59 17,836 18,252 18,759 Rate per 1,. 6.14. 17.83 5.82. 11.21 5.48 1.66 Percent of Total.%.3%.%.7%.2%.%.3%.2%.3% Figure 2.5 Treatment Admission Rate per 1, Population by Client Age Category 3,5 3, 2,5 2, 1,5 1, 5 1 to 17 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, 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 322 337 459 44 497 333 613 67 693 Age Initiated Substance Use Under Age 1 13 21 13 16 2 14 34 46 44 Rate Per 1, 14.5 22.22 13.58 16.44 2.32 14.1 34.19 45.9 43.56 Age 11 to 12 39 48 64 41 52 29 85 69 83 Rate Per 1, 42.15 5.78 66.84 42.13 52.83 29.2 85.48 68.85 82.17 Age 13 to 14 81 75 74 8 94 64 118 17 149 Rate Per 1, 87.54 79.35 77.28 82.2 95.49 64.45 118.67 16.77 147.51 Age 15 to 17 8 83 15 167 168 138 164 164 196 Rate Per 1, 34.58 35.12 62.66 68.64 68.27 55.59 65.97 65.46 77.61 Age 18 to 2 38 44 62 43 58 38 13 87 18 Rate Per 1, 41.7 46.55 64.75 44.18 58.92 38.27 13.59 86.81 16.92 Age 21 and Older 59 54 75 76 84 44 19 134 113 Rate Per 1, 63.76 57.13 78.33 78.9 85.33 44.31 19.62 133.71 111.87 IV Drug Users Number 69 62 14 91 114 74 141 132 167 Rate Per 1, 74.57 65.59 18.61 93.51 115.81 74.52 141.8 131.71 165.33 Pregnant Number 8 6 8 7 16 8 7 8 1 Female Population 46,649 47,59 48,17 48,92 49,454 49,869 49,945 5,328 5,714 Rate Per 1, 17.15 12.61 16.61 14.31 32.35 16.4 14.2 15.9 19.72 Figure 2.6 Age of Substance Use Initiation Rate per 1, Population 16 14 12 1 8 6 4 2 Under Age 1 Age 11 to 12 Age 13 to 14 Age 15 to 17 Age 18 to 2 Age 21 and Older Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, 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 33 6 6 7 1 3 39 55 Methamphetamines 2 1 2 7 5 2 Population to 17 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 18,66 Percent of Total 6.1%.% 16.7% 28.6%.%.% 23.3% 12.8% 3.6% Rate per 1, 9.41. 4.75 9.53.. 35.69 26.15 1.72 Alcohol 2 3 1 3 1 1 8 9 Population to 17 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 18,66 Percent of Total 6.6% 5.% 16.7% 42.9% 1.%.% 3.3% 2.5% 16.4% Rate per 1, 94.14 14.9 4.75 14.3 4.84. 5.1 41.84 48.23 Marijuana 11 2 4 1 18 22 35 Population to 17 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 18,66 Percent of Total 33.3% 33.3% 66.7% 14.3%.%.% 6.% 56.4% 63.6% Rate per 1, 51.78 9.4 19.1 4.77.. 91.76 115.6 187.57 Heroin 1 Population to 17 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 18,66 Percent of Total.%.%.% 14.3%.%.%.%.%.% Rate per 1,... 4.77..... Crack/Cocaine 1 Population to 17 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 18,66 Percent of Total.%.%.%.%.%.%.%.% 1.8% Rate per 1,........ 5.36 Other Drugs 1 4 4 8 Population to 17 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 18,66 Percent of Total.% 16.7%.%.%.%.% 13.3% 1.3% 14.5% Rate per 1,. 4.7.... 2.39 2.92 42.87 Figure 2.7 Underage Treatment Admission Rate per 1, Population to 17 by Primary Drug Type 2 18 16 14 12 1 8 6 4 2 Meth Alcohol Marijuana Heroin Crack/Cocaine Other Drugs Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, 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 33 6 6 7 1 3 39 55 Male 11 4 5 3 24 31 4 Population to 17 11,181 11,199 11,64 11,26 1,834 1,624 1,257 1,13 9,783 Rate per 1, 98.38 35.72 45.19 27.21.. 233.99 39.6 48.87 Percent of Total 33.3% 66.7% 83.3% 42.9%.%.% 8.% 79.5% 72.7% Female 22 2 1 4 1 6 8 15 Population to 17 1,64 1,87 9,982 9,951 9,815 9,677 9,359 9,17 8,877 Rate per 1, 218.6 19.83 1.2 4.2 1.19. 64.11 87.84 168.98 Percent of Total 66.7% 33.3% 16.7% 57.1% 1.%.% 2.% 2.5% 27.3% Unknown Percent of Total.%.%.%.%.%.%.%.%.% American Indian 1 1 4 Population to 17 191 185 174 167 15 136 129 119 115 Rate per 1, 523.56...... 84.34 3,478.26 Percent of Total 3.%.%.%.%.%.%.% 2.6% 7.3% Asian/Pacific Islander 1 Population to 17 162 152 141 132 136 133 136 133 126 Rate per 1,...... 735.29.. Percent of Total.%.%.%.%.%.% 3.3%.%.% Black Population to 17 87 81 75 72 69 67 64 61 53 Rate per 1,......... Percent of Total.%.%.%.%.%.%.%.%.% Hispanic 5 2 2 1 3 Population to 17 1,921 1,955 1,962 2,13 2,37 2,48 2,55 2,72 2,84 Rate per 1,231 26.28 12.3.... 97.32 48.26 143.95 Percent of Total 15.2% 33.3%.%.%.%.% 6.7% 2.6% 5.5% White 27 4 6 7 1 27 36 45 Population to 17 18,266 18,284 18,59 17,929 17,586 17,225 16,56 16,72 15,632 Rate per 1, 147.82 21.88 33.22 39.4 5.69. 163.4 223.99 287.87 Percent of Total 81.8% 66.7% 1.% 1.% 1.%.% 9.% 92.3% 81.8% Other 1 3 Percent of Total.%.%.%.%.%.%.% 2.6% 5.5% Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, 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 32 44 628 658 65 773 59 532 491 Population 1 to 69 7,644 72,816 74,239 75,92 77,197 78,14 78,495 79,332 79,972 Rate per 1, 452.98 64.26 845.92 866.91 842. 989.25 751.64 67.6 613.96 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 Drug Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates 1,2 1,1 1, 9 8 7 6 5 4 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 32 44 628 658 65 773 59 532 491 Male 254 326 453 485 475 567 423 39 355 Population 1 to 69 35,338 36,453 37,173 38,21 38,678 39,149 39,329 39,763 4,77 Rate per 1, 718.77 894.3 1,218.63 1,275.61 1,228.9 1,448.31 1,75.54 98.81 885.79 Percent of Total 79.4% 74.1% 72.1% 73.7% 73.1% 73.4% 71.7% 73.3% 72.3% Female 66 114 175 173 175 26 167 142 136 Population 1 to 69 35,36 36,363 37,66 37,881 38,519 38,991 39,166 39,569 39,895 Rate per 1, 186.94 313.51 472.13 456.69 454.32 528.33 426.39 358.87 34.89 Percent of Total 2.6% 25.9% 27.9% 26.3% 26.9% 26.6% 28.3% 26.7% 27.7% Figure 3.2 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, 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 32 44 628 658 65 773 59 532 491 Dangerous Drugs 84 13 129 169 137 154 128 77 25 Population 1 to 69 7,644 72,816 74,239 75,92 77,197 78,14 78,495 79,332 79,972 Rate per 1, 118.91 178.53 173.76 222.66 177.47 197.8 163.7 97.6 31.26 Percent of Total 26.3% 29.5% 2.5% 25.7% 21.1% 19.9% 21.7% 14.5% 5.1% Narcotics 13 17 24 24 33 45 33 8 136 Population 1 to 69 7,644 72,816 74,239 75,92 77,197 78,14 78,495 79,332 79,972 Rate per 1, 18.4 23.35 32.33 31.62 42.75 57.59 42.4 1.84 17.6 Percent of Total 4.1% 3.9% 3.8% 3.6% 5.1% 5.8% 5.6% 15.% 27.7% Marijuana 153 169 311 287 277 37 256 182 165 Population 1 to 69 7,644 72,816 74,239 75,92 77,197 78,14 78,495 79,332 79,972 Rate per 1, 216.58 232.9 418.92 378.12 358.82 473.51 326.14 229.42 26.32 Percent of Total 47.8% 38.4% 49.5% 43.6% 42.6% 47.9% 43.4% 34.2% 33.6% Other Drug Violations 7 124 164 178 23 24 173 193 165 Population 1 to 69 7,644 72,816 74,239 75,92 77,197 78,14 78,495 79,332 79,972 Rate per 1, 99.9 17.29 22.91 234.51 262.96 261.7 22.4 243.28 26.32 Percent of Total 21.9% 28.2% 26.1% 27.1% 31.2% 26.4% 29.3% 36.3% 33.6% Figure 3.3 Drug Arrest Rate per 1, Population 1 to 69 by Specific Offense 5 45 4 35 3 25 2 15 1 5 Dangerous Drugs Narcotics Marijuana Other Indicators of Alcohol and Other Drug Abuse Drug Related Crime, 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 32 44 628 658 65 773 59 532 491 American Indian 4 1 4 5 1 2 1 Population 1 to 69 569 577 586 589 594 62 612 616 615 Rate per 1,. 693.24 17.65 679.12. 83.56 163.4 324.68 162.6 Percent of Total.%.9%.2%.6%.%.6%.2%.4%.2% Asian/Pacific Islander 12 5 9 2 1 3 5 Population 1 to 69 672 668 671 676 679 682 686 687 687 Rate per 1,.. 1,788.38 739.64 1,325.48 2,932.55 1,457.73 436.68 727.8 Percent of Total.%.% 1.9%.8% 1.4% 2.6% 1.7%.6% 1.% Black 7 5 6 4 2 7 7 1 3 Population 1 to 69 2 27 27 213 219 223 225 226 226 Rate per 1, 3,5. 2,415.46 2,898.55 1,877.93 913.24 3,139.1 3,111.11 4,424.78 1,327.43 Percent of Total 2.2% 1.1% 1.%.6%.3%.9% 1.2% 1.9%.6% Hispanic 18 23 44 4 35 39 26 32 22 Population 1 to 69 3,992 4,131 4,244 4,379 4,492 4,572 4,66 4,744 4,815 Rate per 1, 45.9 556.77 1,36.76 913.45 779.16 853.2 557.94 674.54 456.91 Percent of Total 5.6% 5.2% 7.% 6.1% 5.4% 5.% 4.4% 6.% 4.5% White 295 47 563 65 63 72 543 484 454 Population 1 to 69 64,5 65,991 67,26 68,754 69,91 7,716 7,946 71,671 72,22 Rate per 1, 46.9 616.75 837.5 879.95 862.65 992.7 765.37 675.31 628.63 Percent of Total 92.2% 92.5% 89.6% 91.9% 92.8% 9.8% 92.% 91.% 92.5% Other 1 2 1 3 1 6 Percent of Total.%.2%.3%.%.2%.%.5%.2% 1.2% 5, Figure 3.4 Drug Arrest Rate per 1, Population 1 to 69 by Offender Race/ Ethnicity 4, 3, 2, 1, American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse Drug Related Crime, 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 32 44 628 658 65 773 59 532 491 17 Years and Under 76 17 162 143 14 18 122 89 7 Population 1 to 17 11,243 11,542 11,627 11,68 11,627 11,462 11,97 1,746 1,349 Rate per 1, 675.98 927.5 1,393.31 1,224.32 1,24.9 1,57.41 1,99.4 828.22 676.39 Percent of Total 23.8% 24.3% 25.8% 21.7% 21.5% 23.3% 2.7% 16.7% 14.3% 18 to 24 Years 13 13 173 26 193 226 179 135 148 Population 5,762 6,97 6,633 7,248 7,947 8,67 9,361 9,768 9,91 Rate per 1, 1,787.57 2,132.2 2,68.17 2,842.16 2,428.59 2,625.77 1,912.19 1,382.6 1,493.44 Percent of Total 32.2% 29.5% 27.5% 31.3% 29.7% 29.2% 3.3% 25.4% 3.1% 25 to 34 Years 62 18 132 145 133 159 118 126 9 Population 7,982 7,789 7,494 7,128 6,76 6,263 6,13 6,154 6,67 Rate per 1, 776.75 1,386.57 1,761.41 2,34.23 1,983.3 2,538.72 1,962.41 2,47.45 1,362.19 Percent of Total 19.4% 24.5% 21.% 22.% 2.5% 2.6% 2.% 23.7% 18.3% 35 to 44 Years 56 62 94 119 117 121 111 87 89 Population 14,95 14,222 14,48 13,928 13,725 13,54 13,2 12,679 12,32 Rate per 1, 397.3 435.94 669.13 854.39 852.46 896.3 852.53 686.17 722.4 Percent of Total 17.5% 14.1% 15.% 18.1% 18.% 15.7% 18.8% 16.4% 18.1% 45 to 54 Years 2 27 51 36 58 75 54 79 69 Population 16,664 17,299 17,523 17,828 17,989 18,94 18,9 18,5 17,932 Rate per 1, 12.2 156.8 291.5 21.93 322.42 414.5 299.85 438.77 384.79 Percent of Total 6.3% 6.1% 8.1% 5.5% 8.9% 9.7% 9.2% 14.8% 14.1% 55 to 64 Years 3 5 13 9 8 12 6 15 25 Population 1,652 11,543 12,5 13,387 14,226 15,25 15,579 16,241 16,824 Rate per 1, 28.16 43.32 14. 67.23 56.24 79.87 38.51 92.36 148.6 Percent of Total.9% 1.1% 2.1% 1.4% 1.2% 1.6% 1.% 2.8% 5.1% 65 Years and Older 1 3 1 1 Population 65 to 69 4,246 4,324 4,414 4,73 4,977 5,185 5,416 5,739 6,3 Rate per 1,. 23.13 67.97. 2.9.. 17.42. Percent of Total.%.2%.5%.%.2%.%.%.2%.% Figure 3.5 Drug Arrest Rate per 1, Population by Offender Age Category 3, 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, 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 76 17 162 143 14 18 122 89 7 Male 61 72 119 13 1 134 8 6 59 Population 1 to 17 5,928 6,66 6,16 6,137 6,77 5,951 5,77 5,626 5,433 Rate per 1, 1,29.1 1,186.94 1,948.9 1,678.34 1,645.55 2,251.72 1,386.48 1,66.48 1,85.96 Percent of Total 8.3% 67.3% 73.5% 72.% 71.4% 74.4% 65.6% 67.4% 84.3% Female 15 35 43 4 4 46 42 29 11 Population 1 to 17 5,315 5,476 5,521 5,543 5,55 5,511 5,327 5,12 4,916 Rate per 1, 282.22 639.15 778.84 721.63 72.72 834.69 788.44 566.41 223.76 Percent of Total 19.7% 32.7% 26.5% 28.% 28.6% 25.6% 34.4% 32.6% 15.7% American Indian 1 Population 1 to 17 1 1 98 93 86 8 81 75 76 Rate per 1,... 1,75.27..... Percent of Total.%.%.%.7%.%.%.%.%.% Asian/Pacific Islander 1 4 3 1 1 Population 1 to 17 85 78 72 71 73 75 76 71 62 Rate per 1,.. 1,388.89. 5,479.45 4,. 1,315.79. 1,612.9 Percent of Total.%.%.6%.% 2.9% 1.7%.8%.% 1.4% Black 1 1 1 Population 1 to 17 43 45 42 45 48 5 48 45 37 Rate per 1,.. 2,38.95.. 2,.. 2,222.22. Percent of Total.%.%.6%.%.%.6%.% 1.1%.% Hispanic 1 3 5 12 16 11 6 7 6 Population 1 to 17 858 876 893 928 954 951 943 937 92 Rate per 1, 116.55 342.47 559.91 1,293.1 1,677.15 1,156.68 636.27 747.7 652.17 Percent of Total 1.3% 2.8% 3.1% 8.4% 11.4% 6.1% 4.9% 7.9% 8.6% White 75 14 155 13 12 165 115 81 63 Population 1 to 17 9,864 1,146 1,226 1,246 1,18 1,26 9,681 9,35 8,992 Rate per 1, 76.34 1,25.3 1,515.74 1,268.79 1,178.78 1,645.72 1,187.89 866.31 7.62 Percent of Total 98.7% 97.2% 95.7% 9.9% 85.7% 91.7% 94.3% 91.% 9.% Other Percent of Total.%.%.%.%.%.%.%.%.% Indicators of Alcohol and Other Drug Abuse Drug Related Crime, 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 1,85 967 1,77 1,213 1,283 1,174 1,296 1,214 1,262 Population 1 to 69 7,644 72,816 74,239 75,92 77,197 78,14 78,495 79,332 79,972 Rate per 1, 1,535.87 1,328. 1,45.72 1,598.11 1,661.98 1,52.43 1,651.6 1,53.28 1,578.5 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 Alcohol Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates 1,8 1,7 1,6 1,5 1,4 1,3 1,2 1,1 1, 9 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 1,85 967 1,77 1,213 1,283 1,174 1,296 1,214 1,262 Male 881 86 862 97 1,18 932 1,25 93 935 Population 1 to 69 35,338 36,453 37,173 38,21 38,678 39,149 39,329 39,763 4,77 Rate per 1, 2,493.7 2,211.7 2,318.89 2,551.22 2,631.99 2,38.65 2,66.22 2,338.86 2,333.1 Percent of Total 81.2% 83.4% 8.% 8.% 79.3% 79.4% 79.1% 76.6% 74.1% Female 24 161 215 243 265 242 271 284 327 Population 1 to 69 35,36 36,363 37,66 37,881 38,519 38,991 39,166 39,569 39,895 Rate per 1, 577.81 442.76 58.5 641.48 687.97 62.66 691.93 717.73 819.65 Percent of Total 18.8% 16.6% 2.% 2.% 2.7% 2.6% 2.9% 23.4% 25.9% 3, Figure 4.2 Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Gender 2,5 2, 1,5 1, 5 Male Female Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime, 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 1,85 967 1,77 1,213 1,283 1,174 1,296 1,214 1,262 Driving Under the Influence 693 62 573 677 792 664 76 794 775 Population 1 to 69 7,644 72,816 74,239 75,92 77,197 78,14 78,495 79,332 79,972 Rate per 1, 98.98 826.74 771.83 891.94 1,25.95 849.76 968.21 1,.86 969.9 Percent of Total 63.9% 62.3% 53.2% 55.8% 61.7% 56.6% 58.6% 65.4% 61.4% Drunk 344 323 45 453 426 452 46 376 414 Population 1 to 69 7,644 72,816 74,239 75,92 77,197 78,14 78,495 79,332 79,972 Rate per 1, 486.95 443.58 66.15 596.82 551.83 578.45 586.2 473.96 517.68 Percent of Total 31.7% 33.4% 41.8% 37.3% 33.2% 38.5% 35.5% 31.% 32.8% Liquor Law Violations 48 42 54 83 65 58 76 44 73 Population 1 to 69 7,644 72,816 74,239 75,92 77,197 78,14 78,495 79,332 79,972 Rate per 1, 67.95 57.68 72.74 19.35 84.2 74.23 96.82 55.46 91.28 Percent of Total 4.4% 4.3% 5.% 6.8% 5.1% 4.9% 5.9% 3.6% 5.8% 1,2 Figure 4.3 Alcohol Arrest Rate per 1, Population 1 to 69 by Specific Offense 1, 8 6 4 2 Driving Under the Influence Drunk Liquor Law Violations Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime, 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 1,85 967 1,77 1,213 1,283 1,174 1,296 1,214 1,262 American Indian 13 9 6 7 5 3 3 3 3 Population 1 to 69 569 577 586 589 594 62 612 616 615 Rate per 1, 2,284.71 1,559.79 1,23.89 1,188.46 841.75 498.34 49.2 487.1 487.8 Percent of Total 1.2%.9%.6%.6%.4%.3%.2%.2%.2% Asian/Pacific Islander 2 9 9 11 7 34 12 16 1 Population 1 to 69 672 668 671 676 679 682 686 687 687 Rate per 1, 297.62 1,347.31 1,341.28 1,627.22 1,3.93 4,985.34 1,749.27 2,328.97 1,455.6 Percent of Total.2%.9%.8%.9%.5% 2.9%.9% 1.3%.8% Black 15 16 11 15 14 15 1 18 16 Population 1 to 69 2 27 27 213 219 223 225 226 226 Rate per 1, 7,5. 7,729.47 5,314.1 7,42.25 6,392.69 6,726.46 4,444.44 7,964.6 7,79.65 Percent of Total 1.4% 1.7% 1.% 1.2% 1.1% 1.3%.8% 1.5% 1.3% Hispanic 83 61 14 93 92 16 127 111 95 Population 1 to 69 3,992 4,131 4,244 4,379 4,492 4,572 4,66 4,744 4,815 Rate per 1, 2,79.16 1,476.64 2,45.52 2,123.77 2,48.9 2,318.46 2,725.32 2,339.8 1,973. Percent of Total 7.6% 6.3% 9.7% 7.7% 7.2% 9.% 9.8% 9.1% 7.5% White 969 872 941 1,83 1,154 1,1 1,131 1,62 1,123 Population 1 to 69 64,5 65,991 67,26 68,754 69,91 7,716 7,946 71,671 72,22 Rate per 1, 1,513.94 1,321.39 1,399.5 1,575.18 1,65.91 1,428.25 1,594.17 1,481.77 1,554.97 Percent of Total 89.3% 9.2% 87.4% 89.3% 89.9% 86.% 87.3% 87.5% 89.% Other 3 6 4 11 6 13 4 15 Percent of Total.3%.%.6%.3%.9%.5% 1.%.3% 1.2% Figure 4.4 Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Race/ Ethnicity 9, 8, 7, 6, 5, 4, 3, 2, 1, American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime, 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 1,85 967 1,77 1,213 1,283 1,174 1,296 1,214 1,262 17 Years and Under 51 66 82 67 71 63 72 48 33 Population 1 to 17 11,243 11,542 11,627 11,68 11,627 11,462 11,97 1,746 1,349 Rate per 1, 453.62 571.82 75.26 573.63 61.65 549.64 648.82 446.68 318.87 Percent of Total 4.7% 6.8% 7.6% 5.5% 5.5% 5.4% 5.6% 4.% 2.6% 18 to 24 Years 237 26 189 291 313 279 31 265 315 Population 5,762 6,97 6,633 7,248 7,947 8,67 9,361 9,768 9,91 Rate per 1, 4,113.16 3,378.71 2,849.39 4,14.9 3,938.59 3,241.55 3,311.61 2,712.94 3,178.61 Percent of Total 21.8% 21.3% 17.5% 24.% 24.4% 23.8% 23.9% 21.8% 25.% 25 to 34 Years 252 26 25 248 237 268 35 297 33 Population 7,982 7,789 7,494 7,128 6,76 6,263 6,13 6,154 6,67 Rate per 1, 3,157.1 2,644.76 3,336. 3,479.24 3,534.15 4,279.1 5,72.34 4,826.13 4,586.5 Percent of Total 23.2% 21.3% 23.2% 2.4% 18.5% 22.8% 23.5% 24.5% 24.% 35 to 44 Years 287 277 279 292 336 255 289 249 244 Population 14,95 14,222 14,48 13,928 13,725 13,54 13,2 12,679 12,32 Rate per 1, 2,36.18 1,947.69 1,986.5 2,96.5 2,448.9 1,888.33 2,219.66 1,963.88 1,98.52 Percent of Total 26.5% 28.6% 25.9% 24.1% 26.2% 21.7% 22.3% 2.5% 19.3% 45 to 54 Years 195 157 28 251 218 25 212 226 244 Population 16,664 17,299 17,523 17,828 17,989 18,94 18,9 18,5 17,932 Rate per 1, 1,17.19 97.57 1,187.1 1,47.9 1,211.85 1,132.97 1,177.19 1,255.21 1,36.7 Percent of Total 18.% 16.2% 19.3% 2.7% 17.% 17.5% 16.4% 18.6% 19.3% 55 to 64 Years 41 41 53 5 88 82 85 18 97 Population 1,652 11,543 12,5 13,387 14,226 15,25 15,579 16,241 16,824 Rate per 1, 384.9 355.19 424. 373.5 618.59 545.76 545.61 664.98 576.56 Percent of Total 3.8% 4.2% 4.9% 4.1% 6.9% 7.% 6.6% 8.9% 7.7% 65 Years and Older 22 14 16 14 2 22 23 21 26 Population 65 to 69 4,246 4,324 4,414 4,73 4,977 5,185 5,416 5,739 6,3 Rate per 1, 518.13 323.77 362.48 297.68 41.85 424.3 424.67 365.92 431.18 Percent of Total 2.% 1.4% 1.5% 1.2% 1.6% 1.9% 1.8% 1.7% 2.1% Figure 4.5 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, 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 51 66 82 67 71 63 72 48 33 Male 39 55 53 45 41 39 46 35 17 Population 1 to 17 5,928 6,66 6,16 6,137 6,77 5,951 5,77 5,626 5,433 Rate per 1, 657.89 96.69 868. 733.26 674.68 655.35 797.23 622.11 312.9 Percent of Total 76.5% 83.3% 64.6% 67.2% 57.7% 61.9% 63.9% 72.9% 51.5% Female 12 11 29 22 3 24 26 13 16 Population 1 to 17 5,315 5,476 5,521 5,543 5,55 5,511 5,327 5,12 4,916 Rate per 1, 225.78 2.88 525.27 396.9 54.54 435.49 488.8 253.91 325.47 Percent of Total 23.5% 16.7% 35.4% 32.8% 42.3% 38.1% 36.1% 27.1% 48.5% American Indian Population 1 to 17 1 1 98 93 86 8 81 75 76 Rate per 1,......... Percent of Total.%.%.%.%.%.%.%.%.% Asian/Pacific Islander 1 1 1 1 2 Population 1 to 17 85 78 72 71 73 75 76 71 62 Rate per 1, 1,176.47.... 1,333.33 1,315.79 1,48.45 3,225.81 Percent of Total 2.%.%.%.%.% 1.6% 1.4% 2.1% 6.1% Black 1 2 3 1 Population 1 to 17 43 45 42 45 48 5 48 45 37 Rate per 1, 2,325.58... 4,166.67 6,. 2,83.33.. Percent of Total 2.%.%.%.% 2.8% 4.8% 1.4%.%.% Hispanic 3 4 5 1 3 5 7 4 5 Population 1 to 17 858 876 893 928 954 951 943 937 92 Rate per 1, 349.65 456.62 559.91 17.76 314.47 525.76 742.31 426.89 543.48 Percent of Total 5.9% 6.1% 6.1% 1.5% 4.2% 7.9% 9.7% 8.3% 15.2% White 46 62 77 66 66 54 63 43 26 Population 1 to 17 9,864 1,146 1,226 1,246 1,18 1,26 9,681 9,35 8,992 Rate per 1, 466.34 611.8 752.98 644.15 648.33 538.6 65.76 459.89 289.15 Percent of Total 9.2% 93.9% 93.9% 98.5% 93.% 85.7% 87.5% 89.6% 78.8% Other Percent of Total.%.%.%.%.%.%.%.%.% Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime, 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 Fatalities in Alcohol Involved Accidents and Rate per 1, Total Population with Comparison to Statewide Rates Number of Fatalities 3 4 3 2 7 6 4 4 4 Total Population 92,532 94,523 95,752 97,32 98,436 99,33 99,434 1,219 11,12 Rate per 1, 3.24 4.23 3.13 2.6 7.11 6.4 4.2 3.99 3.96 CALIFORNIA Rate per 1, 3.62 3.76 3.99 4.1 4. 4.26 4.27 3.94 3.54 Figure 5.1 Alcohol Involved Accident Fatality Rate per 1, Total Population with Comparison to Statewide Rates 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 18 184 169 194 2 24 155 193 181 Male 143 135 127 155 146 152 19 13 133 Population 45,883 46,933 47,582 48,4 48,982 49,434 49,489 49,891 5,298 Rate per 1, 311.66 287.64 266.91 32.25 298.7 37.48 22.25 26.57 264.42 Percent of Total 79.4% 73.4% 75.1% 79.9% 73.% 74.5% 7.3% 67.4% 73.5% Female 36 47 35 34 49 48 4 58 45 Population 46,649 47,59 48,17 48,92 49,454 49,869 49,945 5,328 5,714 Rate per 1, 77.17 98.76 72.66 69.5 99.8 96.25 8.9 115.24 88.73 Percent of Total 2.% 25.5% 2.7% 17.5% 24.5% 23.5% 25.8% 3.1% 24.9% Unknown 1 2 7 5 5 4 6 5 3 Percent of Total.6% 1.1% 4.1% 2.6% 2.5% 2.% 3.9% 2.6% 1.7% Figure 5.2 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, California 27

Indicator 5: Alcohol Involved Motor Vehicle Accidents (Continued) Table 5.3 Alcohol Involved Accidents by Injury Severity, Rate per 1, Total Population, and Percent of Total 24 25 26 27 28 TOTAL ALCOHOL INVOLVED ACCIDENTS 198 23 154 189 177 Property Damage Only (PDO) 15 12 67 85 88 Total Population 98,436 99,33 99,434 1,219 11,12 Rate per 1, 16.67 12.72 67.38 84.81 87.12 Percent of Total 53.% 5.2% 43.5% 45.% 49.7% Injury Complaint of Pain 26 22 23 29 2 Total Population 98,436 99,33 99,434 1,219 11,12 Rate per 1, 26.41 22.15 23.13 28.94 19.8 Percent of Total 13.1% 1.8% 14.9% 15.3% 11.3% Injury Other Visible 45 63 47 57 54 Total Population 98,436 99,33 99,434 1,219 11,12 Rate per 1, 45.71 63.44 47.27 56.88 53.46 Percent of Total 22.7% 31.% 3.5% 3.2% 3.5% Injury Severe 16 11 13 14 11 Total Population 98,436 99,33 99,434 1,219 11,12 Rate per 1, 16.25 11.8 13.7 13.97 1.89 Percent of Total 8.1% 5.4% 8.4% 7.4% 6.2% Injury Fatal 6 5 4 4 4 Total Population 98,436 99,33 99,434 1,219 11,12 Rate per 1, 6.1 5.4 4.2 3.99 3.96 Percent of Total 3.% 2.5% 2.6% 2.1% 2.3% 12 Figure 5.3 Alcohol Involved Accident Rate per 1, Total Population, by Injury Severity 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, 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 169 194 2 24 155 193 181 Black 1 2 2 2 2 4 2 Population 254 254 255 257 259 261 263 Rate per 1, 393.7 787.4 784.31 778.21 772.2 1532.57 76.46 Percent of Total.6% 1.% 1.% 1.% 1.3% 2.1% 1.1% Hispanic 1 17 15 13 13 16 15 Population 5,528 5,73 5,839 5,964 6,89 6,221 6,353 Rate per 1, 18.9 298.9 256.89 217.97 213.5 257.19 236.11 Percent of Total 5.9% 8.8% 7.5% 6.4% 8.4% 8.3% 8.3% White 135 15 165 176 131 161 153 Population 86,746 88,79 89,1 89,666 89,634 9,25 9,874 Rate per 1, 155.63 17.3 185.39 196.28 146.15 178.39 168.36 Percent of Total 79.9% 77.3% 82.5% 86.3% 84.5% 83.4% 84.5% Other/Unknown 23 25 18 13 9 12 11 Percent of Total 13.6% 12.9% 9.% 6.4% 5.8% 6.2% 6.1% Figure 5.4 Had Been Drinking Driver Rate per 1, Population, by Party Race/ Ethnicity 1,8 1,6 1,4 1,2 1, 8 6 4 2 22 23 24 25 26 27 28 Black Hispanic White Indicators of Alcohol and Other Drug Abuse Drinking and Driving, 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 18 184 169 194 2 24 155 193 181 17 Years and Under 3 5 2 6 5 8 1 5 5 Population 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 18,66 Rate per 1, 14.12 23.49 9.5 28.6 24.21 39.41 5.1 26.15 26.8 Percent of Total 1.7% 2.7% 1.2% 3.1% 2.5% 3.9%.6% 2.6% 2.8% 18 to 24 Years 42 36 43 56 49 51 35 51 45 Population 5,762 6,97 6,633 7,248 7,947 8,67 9,361 9,768 9,91 Rate per 1, 728.91 59.45 648.27 772.63 616.58 592.54 373.89 522.11 454.9 Percent of Total 23.3% 19.6% 25.4% 28.9% 24.5% 25.% 22.6% 26.4% 24.9% 25 to 34 Years 32 48 42 39 4 39 4 37 37 Population 7,982 7,789 7,494 7,128 6,76 6,263 6,13 6,154 6,67 Rate per 1, 4.9 616.25 56.45 547.14 596.48 622.7 665.23 61.23 56.1 Percent of Total 17.8% 26.1% 24.9% 2.1% 2.% 19.1% 25.8% 19.2% 2.4% 35 to 44 Years 53 49 36 41 5 36 34 38 36 Population 14,95 14,222 14,48 13,928 13,725 13,54 13,2 12,679 12,32 Rate per 1, 376.2 344.54 256.26 294.37 364.3 266.59 261.14 299.71 292.21 Percent of Total 29.4% 26.6% 21.3% 21.1% 25.% 17.6% 21.9% 19.7% 19.9% 45 to 54 Years 37 27 26 34 35 34 22 32 22 Population 16,664 17,299 17,523 17,828 17,989 18,94 18,9 18,5 17,932 Rate per 1, 222.4 156.8 148.38 19.71 194.56 187.91 122.16 177.73 122.69 Percent of Total 2.6% 14.7% 15.4% 17.5% 17.5% 16.7% 14.2% 16.6% 12.2% 55 to 64 Years 7 14 9 8 9 22 11 24 17 Population 1,652 11,543 12,5 13,387 14,226 15,25 15,579 16,241 16,824 Rate per 1, 65.72 121.29 72. 59.76 63.26 146.42 7.61 147.77 11.5 Percent of Total 3.9% 7.6% 5.3% 4.1% 4.5% 1.8% 7.1% 12.4% 9.4% 65 Years and Older 4 2 4 3 4 8 4 13 Population 16,132 16,287 16,58 16,824 17,194 17,59 17,836 18,252 18,759 Rate per 1, 24.8 12.28 24.23 17.83 23.26 45.69 22.43. 69.3 Percent of Total 2.2% 1.1% 2.4% 1.5% 2.% 3.9% 2.6%.% 7.2% Other/Unknown 2 3 7 7 8 6 8 6 6 Percent of Total 1.1% 1.6% 4.1% 3.6% 4.% 2.9% 5.2% 3.1% 3.3% Figure 5.5 Had Been Drinking Driver Rate per 1, Population, by Party Age Category 1, 8 6 4 2 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, 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 27 185 176 181 182 27 189 217 Total Population 92,532 94,523 95,752 97,32 98,436 99,33 99,434 1,219 Rate per 1, 223.71 195.72 183.81 185.98 184.89 28.45 19.8 216.53 CALIFORNIA Rate per 1, 222.67 218.35 217.21 215.37 211.97 24.5 21. 25.44 Figure 6.1 Alcohol and Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates 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 27 185 176 181 182 27 189 217 Male 72 51 62 65 67 98 65 79 Population 45,883 46,933 47,582 48,4 48,982 49,434 49,489 49,891 Rate per 1, 156.92 18.67 13.3 134.3 136.78 198.24 131.34 158.35 Percent of Total 34.78% 27.57% 35.23% 35.91% 36.81% 47.34% 34.39% 36.41% Female 82 91 75 77 84 82 76 94 Population 46,649 47,59 48,17 48,92 49,454 49,869 49,945 5,328 Rate per 1, 175.78 191.22 155.7 157.4 169.85 164.43 152.17 186.77 Percent of Total 39.61% 49.19% 42.61% 42.54% 46.15% 39.61% 4.21% 43.32% Unknown 53 43 39 39 31 27 48 44 Percent of Total 25.6% 23.24% 22.16% 21.55% 17.3% 13.4% 25.4% 2.28% 25 Figure 6.2 AOD Related Hospitalization Rate per 1, Population by Patient Gender 2 15 1 5 2 21 22 23 24 25 26 27 Male Female Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, 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 2 21 22 23 24 25 26 27 Number of Hospitalizations 12 79 7 72 8 68 73 84 Total Population 92,532 94,523 95,752 97,32 98,436 99,33 99,434 1,219 Rate per 1, 11.23 83.58 73.11 73.98 81.27 68.48 73.42 83.82 CALIFORNIA Rate per 1, 11.28 97.26 93.96 89.36 88.54 85.1 88.17 91.5 Figure 6.3 Alcohol Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates 12 11 1 9 8 7 6 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 2 21 22 23 24 25 26 27 Number of Hospitalizations 15 16 16 19 12 139 116 133 Total Population 92,532 94,523 95,752 97,32 98,436 99,33 99,434 1,219 Rate per 1, 113.47 112.14 11.7 112. 13.62 139.98 116.66 132.71 CALIFORNIA Rate per 1, 121.44 121.12 123.27 126.4 123.43 119.4 112.84 114.39 Figure 6.4 Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates 145 14 135 13 125 12 115 11 15 1 2 21 22 23 24 25 26 27 County California Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, 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 12 79 7 72 8 68 73 84 Alcohol Abuse 6 3 5 3 8 1 5 1 Rate per 1, 6.48 3.17 5.22 3.8 8.13 1.1 5.3 1. Alcohol Cardiomyopathy 1 Rate per 1,..... 1.1.. Alcohol Dependence Syndrome 12 3 7 8 1 3 9 5 Rate per 1, 12.97 3.17 7.31 8.22 1.2 3.2 9.5 4.99 Alcohol Dependent Abuse 5 5 5 2 6 6 7 4 Rate per 1, 2.16 2.12 2.9.82 2.44 2.42 2.82 1.6 Alcohol Poisoning 2 2 5 4 5 3 6 3 Rate per 1, 2.16 2.12 5.22 4.11 5.8 3.2 6.3 2.99 Alcohol Polyneuropathy 1 1 2 Rate per 1,.. 1.4. 1.2.. 2. Alcohol Psychosis 15 22 18 24 28 21 31 53 Rate per 1, 16.21 23.27 18.8 24.66 28.44 21.15 31.18 52.88 Alcoholic Gastritis 3 3 3 5 3 4 2 3 Rate per 1, 3.24 3.17 3.13 5.14 3.5 4.3 2.1 2.99 Alcoholic Liver Disease 59 41 26 26 28 29 13 13 Rate per 1, 63.76 43.38 27.15 26.72 28.44 29.2 13.7 12.97 Fetal Alcohol Syndrome Rate per 1,........ Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, 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 15 16 16 19 12 139 116 133 Drug Psychosis 9 6 11 15 8 15 11 13 Rate per 1, 9.73 6.35 11.49 15.41 8.13 15.11 11.6 12.97 Drug Polyneuropathy 1 Rate per 1,....... 1. Dependence Barbituates 1 1 1 Rate per 1,. 1.6 1.4... 1.1. Cannabis 1 1 1 Rate per 1, 1.8 1.6.. 1.2... Cocaine 1 Rate per 1,.. 1.4..... Hallucinogen 1 Rate per 1,.... 1.2... Inhalant Rate per 1,........ Morphine 6 2 2 4 6 4 Rate per 1, 6.48 2.12 2.9 4.11.. 6.3 3.99 Stimulant 1 2 1 Rate per 1, 1.8 2.12. 1.3.... Combination 1 1 1 1 1 Rate per 1, 1.8 1.6 1.4 1.3.. 1.1. Unspecified 1 Rate per 1, 1.8....... Maternal Drug Dependence 2 1 1 Rate per 1,. 2.12... 1.1. 1. Abuse Amphetamine 1 1 1 2 Rate per 1,. 1.6 1.4.. 1.1 2.1. Antidepressant 1 Rate per 1,... 1.3.... Cannabis Rate per 1,........ Cocaine Rate per 1,........ Hallucinogen Rate per 1,........ Morphine Rate per 1,........ Sedative Rate per 1,........ Other, Mixed or Unspecified Rate per 1,........ Accidental Drug Poisonings 41 33 3 41 38 74 54 63 Rate per 1, 44.31 34.91 31.33 42.13 38.6 74.52 54.31 62.86 Other Drug Poisonings 5 1 11 6 9 1 7 6 Rate per 1, 5.4 1.58 11.49 6.17 9.14 1.7 7.4 5.99 Self Inflicted Drug Poisonings 4 47 48 4 45 38 34 45 Rate per 1, 43.23 49.72 5.13 41.1 45.71 38.27 34.19 44.9 Drug Exposure in Newborns Rate per 1,........ Fetal Damage due to Maternal Drug Use Rate per 1,........ Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, 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 27 185 176 181 182 27 189 217 American Indian 4 1 Population 698 72 72 76 76 71 714 718 Rate per 1, 573.7... 141.64... Percent of Total 1.9%.%.%.%.5%.%.%.% Asian/Pacific Islander 1 Population 814 816 82 821 831 835 845 854 Rate per 1,....... 117.1 Percent of Total.%.%.%.%.%.%.%.5% Black Population 254 254 254 254 255 257 259 261 Rate per 1,........ Percent of Total.%.%.%.%.%.%.%.% Hispanic 3 3 1 1 1 Population 5,225 5,399 5,528 5,73 5,839 5,964 6,89 6,221 Rate per 1,.. 54.27 52.6 17.13 16.77 16.42. Percent of Total.%.% 1.7% 1.7%.5%.5%.5%.% White 145 137 131 136 143 175 138 167 Population 83,928 85,69 86,746 88,79 89,1 89,666 89,634 9,25 Rate per 1, 172.77 159.88 151.2 154.41 16.67 195.17 153.96 185.4 Percent of Total 7.% 74.1% 74.4% 75.1% 78.6% 84.5% 73.% 77.% Other/Unknown 58 48 42 42 37 31 5 49 Percent of Total 28.% 25.9% 23.9% 23.2% 2.3% 15.% 26.5% 22.6% Figure 6.5 AOD Related Hospitalization Rate per 1, Population by Patient 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 Hospitalizations, 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 27 185 176 181 182 27 189 217 17 Years and Under 4 5 2 3 3 7 3 3 Population 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 Rate per 1, 18.83 23.49 9.5 14.3 14.53 34.48 15.29 15.69 Percent of Total 1.9% 2.7% 1.1% 1.7% 1.6% 3.4% 1.6% 1.4% 18 to 24 Years 3 4 4 2 4 5 4 6 Population 5,762 6,97 6,633 7,248 7,947 8,67 9,361 9,768 Rate per 1, 52.7 65.61 6.3 27.59 5.33 58.9 42.73 61.43 Percent of Total 1.4% 2.2% 2.3% 1.1% 2.2% 2.4% 2.1% 2.8% 25 to 34 Years 14 11 8 9 5 7 3 8 Population 7,982 7,789 7,494 7,128 6,76 6,263 6,13 6,154 Rate per 1, 175.39 141.22 16.75 126.26 74.56 111.77 49.89 13. Percent of Total 6.8% 5.9% 4.5% 5.% 2.7% 3.4% 1.6% 3.7% 35 to 44 Years 19 21 27 14 2 22 17 15 Population 14,95 14,222 14,48 13,928 13,725 13,54 13,2 12,679 Rate per 1, 134.8 147.66 192.2 1.52 145.72 162.91 13.57 118.31 Percent of Total 9.2% 11.4% 15.3% 7.7% 11.% 1.6% 9.% 6.9% 45 to 54 Years 3 34 21 33 32 32 18 37 Population 16,664 17,299 17,523 17,828 17,989 18,94 18,9 18,5 Rate per 1, 18.3 196.54 119.84 185.1 177.89 176.85 99.95 25.5 Percent of Total 14.5% 18.4% 11.9% 18.2% 17.6% 15.5% 9.5% 17.1% 55 to 64 Years 19 17 13 26 2 2 18 31 Population 1,652 11,543 12,5 13,387 14,226 15,25 15,579 16,241 Rate per 1, 178.37 147.28 14. 194.22 14.59 133.11 115.54 19.87 Percent of Total 9.2% 9.2% 7.4% 14.4% 11.% 9.7% 9.5% 14.3% 65 Years and Older 26 15 29 25 24 34 36 32 Population 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 Rate per 1, 122.38 7.47 137.79 119.18 116.23 167.48 183.52 167.36 Percent of Total 12.6% 8.1% 16.5% 13.8% 13.2% 16.4% 19.% 14.7% Other/Unknown 92 78 72 69 74 8 9 85 Percent of Total 44.4% 42.2% 4.9% 38.1% 4.7% 38.6% 47.6% 39.2% Figure 6.6 AOD Related Hospitalization Rate per 1, Population by Patient Age Category 25 2 15 1 5 2 21 22 23 24 25 26 27 1 to 17 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+ Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, 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 15 25 37 27 27 3 2 33 Total Population 92,532 94,523 95,752 97,32 98,436 99,33 99,434 1,219 Rate per 1, 13.3 22.1 35.19 24.16 2.25 26.27 17.71 25. CALIFORNIA Rate per 1, 19.3 19.22 2.1 2.9 2.86 21.4 21.27 21.46 Figure 7.1 Mortality Age Adjusted Rate per 1, Total Population with Comparison to Statewide Rates 4 35 3 25 2 15 1 5 2 21 22 23 24 25 26 27 County California Table 7.2 Deaths Due to Alcohol and Drug Related Causes (Combined) by Gender of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths 2 21 22 23 24 25 26 27 TOTAL AOD RELATED DEATHS 15 25 37 27 27 3 2 33 Male 9 2 24 12 15 14 12 16 Population 45,883 46,933 47,582 48,4 48,982 49,434 49,489 49,891 Rate per 1, 19.62 42.61 5.44 24.79 3.62 28.32 24.25 32.7 Percent of Total 6.% 8.% 64.86% 44.44% 55.56% 46.67% 6.% 48.48% Female 6 5 13 15 12 16 8 17 Population 46,649 47,59 48,17 48,92 49,454 49,869 49,945 5,328 Rate per 1, 12.86 1.51 26.99 3.66 24.26 32.8 16.2 33.78 Percent of Total 4.% 2.% 35.14% 55.56% 44.44% 53.33% 4.% 51.52% Figure 7.2 AOD Related Mortality Rate per 1, Population by Decedent Gender 6 5 4 3 2 1 2 21 22 23 24 25 26 27 Male Female Indicators of Alcohol and Other Drug Abuse AOD Mortality, 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 13 15 11 14 16 15 7 14 Total Population 92,532 94,523 95,752 97,32 98,436 99,33 99,434 1,219 Rate per 1, 14.5 15.87 11.49 14.39 16.25 15.11 7.4 13.97 CALIFORNIA Rate per 1, 1.17 1.45 9.96 1.42 1.29 1.79 1.47 1.59 Figure 7.3 Alcohol Related Mortality Rate per 1, Population with Comparison to Statewide Rates 18 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 2 1 26 13 11 15 13 19 Total Population 92,532 94,523 95,752 97,32 98,436 99,33 99,434 1,219 Rate per 1, 2.16 1.58 27.15 13.36 11.17 15.11 13.7 18.96 CALIFORNIA Rate per 1, 7.86 7.91 9.41 9.91 1.22 1.48 1.88 11.15 Figure 7.4 Drug Related Mortality Rate per 1, Population with Comparison to Statewide Rates 3 25 2 15 1 5 2 21 22 23 24 25 26 27 County California Indicators of Alcohol and Other Drug Abuse AOD Mortality, 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 13 15 11 14 16 15 7 14 Alcohol Psychosis 1 1 Rate per 1,... 1.3 1.2... Alcohol Abuse 2 2 2 5 1 Rate per 1,.. 2.9 2.6 2.3 5.4. 1. Alcohol Dependence Syndrome 2 1 1 2 1 2 Rate per 1, 2.16 1.6.. 1.2 2.1 1.1 2. Alcoholic Polyneuropathy Rate per 1,........ Degeneration of the Nervous System 1 1 Rate per 1,...... 1.1 1. Alcoholic Myopathy Rate per 1,........ Alcoholic Cardiomyopathy 1 1 Rate per 1,... 1.3. 1.1.. Alcoholic Gastritis Rate per 1,........ Alcoholic Liver Disease 11 14 8 1 12 7 5 9 Rate per 1, 11.89 14.81 8.35 1.28 12.19 7.5 5.3 8.98 Fetal Alcohol Syndrome Rate per 1,........ Fetus and Newborn Affect by Maternal Use of Alcohol Rate per 1,........ Alcohol Poisoning 1 Rate per 1,.. 1.4..... Intentional Self Poisoning (Alcohol) Rate per 1,........ Excessive Blood Level of Alcohol Rate per 1,........ Alcohol Induced Pancreatitis 1 Rate per 1,....... 1. Indicators of Alcohol and Other Drug Abuse AOD Mortality, 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 2 1 26 13 11 15 13 19 Accidental Drug Poisoning 1 7 17 7 5 11 1 11 Rate per 1, 1.8 7.41 17.75 7.19 5.8 11.8 1.6 1.98 Intentional Self Poisoning (Drug) 1 3 4 1 3 1 1 3 Rate per 1, 1.8 3.17 4.18 1.3 3.5 1.1 1.1 2.99 Intentional Poisoning (Assault) Rate per 1,........ Other Drug Poisonings 3 5 2 2 2 3 Rate per 1,.. 3.13 5.14 2.3 2.1 2.1 2.99 Fetus and Newborn Affect by Maternal Use of Drugs Rate per 1,........ Mental and Behavioral Disorders due to Use of Cannabinoids Rate per 1,........ Cocaine Rate per 1,........ Hallucinogens Rate per 1,........ Opioids Rate per 1,........ Other Psychoactive Substances 1 1 2 Rate per 1,.. 1.4.. 1.1. 2. Sedatives or Hypnotics Rate per 1,........ Solvents Rate per 1,........ Stimulants 1 1 Rate per 1,.. 1.4. 1.2... Indicators of Alcohol and Other Drug Abuse AOD Mortality, 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 15 25 37 27 27 3 2 33 American Indian 1 Population 698 72 72 76 76 71 714 718 Rate per 1,....... 139.28 Percent of Total.%.%.%.%.%.%.% 3.% Asian/Pacific Islander Population 814 816 82 821 831 835 845 854 Rate per 1,........ Percent of Total.%.%.%.%.%.%.%.% Black 1 Population 254 254 254 254 255 257 259 261 Rate per 1,... 393.7.... Percent of Total.%.%.% 3.7%.%.%.%.% Hispanic 1 1 1 2 2 2 Population 5,225 5,399 5,528 5,73 5,839 5,964 6,89 6,221 Rate per 1,. 18.52 18.9 17.53 34.25 33.53 32.85. Percent of Total.% 4.% 2.7% 3.7% 7.4% 6.7% 1.%.% White 15 24 36 25 25 28 18 32 Population 83,928 85,69 86,746 88,79 89,1 89,666 89,634 9,25 Rate per 1, 17.87 28.1 41.5 28.38 28.9 31.23 2.8 35.46 Percent of Total 1.% 96.% 97.3% 92.6% 92.6% 93.3% 9.% 97.% Other Percent of Total.%.%.%.%.%.%.%.% Figure 7.5 AOD Related Mortality Rate per 1, Population by Decedent Race/ Ethnicity 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, 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 15 25 37 27 27 3 2 33 17 Years and Under Population 21,245 21,286 21,46 2,977 2,649 2,31 19,616 19,12 Rate per 1,........ Percent of Total.%.%.%.%.%.%.%.% 18 to 24 Years 1 1 1 Population 5,762 6,97 6,633 7,248 7,947 8,67 9,361 9,768 Rate per 1,.. 15.8.. 11.62 1.68. Percent of Total.%.% 2.7%.%.% 3.3% 5.%.% 25 to 34 Years 1 3 3 2 2 Population 7,982 7,789 7,494 7,128 6,76 6,263 6,13 6,154 Rate per 1,. 12.84 4.3 42.9. 31.93 33.26. Percent of Total.% 4.% 8.1% 11.1%.% 6.7% 1.%.% 35 to 44 Years 3 5 9 2 2 6 1 5 Population 14,95 14,222 14,48 13,928 13,725 13,54 13,2 12,679 Rate per 1, 21.28 35.16 64.7 14.36 14.57 44.43 7.68 39.44 Percent of Total 2.% 2.% 24.3% 7.4% 7.4% 2.% 5.% 15.2% 45 to 54 Years 6 7 12 12 13 6 6 12 Population 16,664 17,299 17,523 17,828 17,989 18,94 18,9 18,5 Rate per 1, 36.1 4.46 68.48 67.31 72.27 33.16 33.32 66.65 Percent of Total 4.% 28.% 32.4% 44.4% 48.1% 2.% 3.% 36.4% 55 to 64 Years 2 6 5 4 6 11 4 9 Population 1,652 11,543 12,5 13,387 14,226 15,25 15,579 16,241 Rate per 1, 18.78 51.98 4. 29.88 42.18 73.21 25.68 55.42 Percent of Total 13.3% 24.% 13.5% 14.8% 22.2% 36.7% 2.% 27.3% 65 Years and Older 4 6 7 6 6 4 6 7 Population 16,132 16,287 16,58 16,824 17,194 17,59 17,836 18,252 Rate per 1, 24.8 36.84 42.4 35.66 34.9 22.85 33.64 38.35 Percent of Total 26.7% 24.% 18.9% 22.2% 22.2% 13.3% 3.% 21.2% Figure 7.6 AOD Related Mortality Rate per 1, Population by Decedent Age Category 8 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, 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, 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