National Drug Early Warning System (NDEWS) Sentinel ......National Drug Early Warning System (NDEWS) Sentinel Community Site . Cross-Site Comparison Graphics 2015 . August 2015 . NDEWS

National Drug Early Warning System (NDEWS) Sentinel Community Site

Cross-Site Comparison Graphics 2015

August 2015

NDEWS Coordinating Center

NDEWS is funded under NIDA Cooperative Agreement DA038360 awarded to the Center for Substance Abuse Research (CESAR) at the University of Maryland, College Park. Opinions expressed in this report may not represent those of NIH or NIDA.

National Drug Early Warning System (NDEWS) ◊ www.ndews.org ◊ [email protected]

King County (Seattle Area)

San Francisco

Los Angeles County

Denver Metro

Texas

Wayne County (Detroit Area)

Chicago Metro

Atlanta Metro

Southeastern Florida

(Miami Area)

New York City

Philadelphia

Maine

Sentinel Community Site (SCS) Locations

Sentinel Community Epidemiologists (SCEs)

Atlanta Metro Brian J. Dew, PhD Phone: 404–808–5436 [email protected]

Chicago Metro Lawrence J. Ouellet, PhD Phone: 312–355–0145 [email protected]

Denver Metro Bruce Mendelson, MPA Phone: 720–944–6266 [email protected]

Wayne County (Detroit Area) Cynthia L. Arfken, PhD Phone: 313–993–3490 [email protected]

Los Angeles County Mary-Lynn Brecht, PhD Phone: 310–267–5275 [email protected]

Maine Marcella H. Sorg, PhD, RN Phone: 207–581–2596 [email protected]

Southeastern Florida (Miami Area) James N. Hall, BA Phone: 786–547–7249 [email protected]

New York City Denise Paone, EdD Phone: 347–396–7015 [email protected]

Philadelphia Suet T. Lim, PhD Phone: 215–413–7165 [email protected]

San Francisco Phillip O. Coffin, MD, MIA Phone: 415-437-6282 [email protected]

King County (Seattle Area) Caleb Banta-Green, MSW, MPH, PhD Phone: 206–245–8524 [email protected]

Texas Jane C. Maxwell, PhD Phone: 512–232–0610 [email protected]

mailto:www.ndews.org

mailto:[email protected]












National Drug Early Warning System (NDEWS)Sentinel Community Site

Cross-Site Comparison Graphics Overview

The National Drug Early Warning System (NDEWS) was launched in 2014 to collect and disseminate timely information about drug trends in the United States. A set of 12 Sentinel Community Sites (SCS) has been selected which will be monitored and reported on throughout the project. Each year, 12 SCS Profiles will be prepared that describe and interpret the data collected for each site by the NDEWS Coordinating Center and local Sentinel Community Epidemiologists (SCE). The following report presents a collection of cross-site graphics that displays selected comparable data that is available for each of the 12 Sentinel Community Sites. This report compares information on drug use, substance use disorders and treatment, drug poisoning deaths, and drug seizures available from 5 sources:

1) National Survey on Drug Use and Health (NSDUH);2) Youth Risk Behavior Survey (YRBS);3) SCE-provided local treatment admissions data;4) National Vital Statistics System mortality data; and5) National Forensic Laboratory Information System (NFLIS).

The 2015 Cross-Site Comparison Graphics, as well as detailed information about NDEWS, can be found on the NDEWS website at www.ndews.org.

http://www.ndews.org

Table of Contents

I. Substance Use

National Survey on Drug Use and Health (NSDUH) .................................................................................................. 1

Binge Alcohol Use in the Past Month Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS), 2010-2012 ................................................................................ 2

Marijuana Use in the Past Month Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS), 2010-2012 ................................................................................ 3

Illicit Drug Use Other Than Marijuana in the Past Month Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS), 2010-2012 ................................................................................ 4

Cocaine Use in the Past Year Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS), 2010-2012 ................................................................................ 5

Nonmedical Use of Pain Relievers in the Past Year Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS), 2010-2012 ................................................................................ 6

Youth Risk Behavior Survey (YRBS) ........................................................................................................................... 7

Binge Alcohol Use in the Past Month Among Public High School Students, by NDEWS Sentinel Community Site (SCS), 2013 ......................................................................................... 8

Marijuana Use in the Past Month Among Public High School Students, by NDEWS Sentinel Community Site (SCS), 2013 ......................................................................................... 9

Lifetime Cocaine Use Among Public High School Students, by NDEWS Sentinel Community Site (SCS), 2013 ....................................................................................... 10

Lifetime Heroin Use Among Public High School Students, by NDEWS Sentinel Community Site (SCS), 2013 ....................................................................................... 11

Lifetime Methamphetamine Use Among Public High School Students, by NDEWS Sentinel Community Site (SCS), 2013 ....................................................................................... 12

Lifetime Ecstasy Use Among Public High School Students, by NDEWS Sentinel Community Site (SCS), 2013 ....................................................................................... 13

Lifetime Prescription Drug Use Among Public High School Students, by NDEWS Sentinel Community Site (SCS), 2013 ....................................................................................... 14

Ever Injected Any Illegal Drug Among Public High School Students, by NDEWS Sentinel Community Site (SCS), 2013 ....................................................................................... 15

II. Substance Use Disorders and Treatment

National Survey on Drug Use and Health (NSDUH) ................................................................................................ 16

Dependence or Abuse of Illicit Drugs or Alcohol in the Past Year Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS), 2010-2012 .............................................. 17

Treatment Admissions ............................................................................................................................................. 18

Percentage of Treatment Admissions Citing Alcohol as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS), 2014 ....................................................................................... 19

Percentage of Treatment Admissions Citing Cocaine as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS), 2014 ....................................................................................... 20

Percentage of Treatment Admissions Citing Heroin as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS), 2014 ....................................................................................... 21

Percentage of Treatment Admissions Citing Prescription Opioids as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS), 2014 ....................................................................................... 22

Percentage of Treatment Admissions Citing Methamphetamine as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS), 2014 ....................................................................................... 23

Percentage of Treatment Admissions Citing Marijuana as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS), 2014 ....................................................................................... 24

III. Consequences of Substance Use

Drug Poisoning Deaths ............................................................................................................................................ 25

Deaths Due to Drug Poisonings, by NDEWS Sentinel Community Site (SCS), 2010-2012 .......................... 26

IV. Law Enforcement Drug Seizures

National Forensic Laboratory Information System (NFLIS) .................................................................................... 27

Cannabis Drug Reports Identified Among Total Drug Reports for Items Seized by Law Enforcement in NDEWS Sentinel Community Sites (SCS), 2014 ..................................................... 28

Methamphetamine Drug Reports Identified Among Total Drug Reports for Items Seized by Law Enforcement in NDEWS Sentinel Community Sites (SCS), 2014 ..................................................... 29

Cocaine Drug Reports Identified Among Total Drug Reports for Items Seized by Law Enforcement in NDEWS Sentinel Community Sites (SCS), 2014 ..................................................... 30

Heroin Drug Reports Identified Among Total Drug Reports for Items Seized by Law Enforcement in NDEWS Sentinel Community Sites (SCS), 2014 ..................................................... 31

Oxycodone Drug Reports Identified Among Total Drug Reports for Items Seized by Law Enforcement in NDEWS Sentinel Community Sites (SCS), 2014 ..................................................... 32

Alprazolam Drug Reports Identified Among Total Drug Reports for Items Seized by Law Enforcement in NDEWS Sentinel Community Sites (SCS), 2014 ..................................................... 33

Hydrocodone Drug Reports Identified Among Total Drug Reports for Items Seized by Law Enforcement in NDEWS Sentinel Community Sites (SCS), 2014 ..................................................... 34

Additional Information on Treatment Admissions Data from Local SCEs .......................................................................... 35

Substance Use

National Survey on Drug Use and Health (NSDUH): Survey of U.S. Population

• Binge Alcohol Use in the Past Month, 2010-2012

• Marijuana Use in the Past Month, 2010-2012

• Illicit Drug Use Other Than Marijuana in the Past Month, 2010-2012

• Cocaine Use in the Past Year, 2010-2012

• Nonmedical Use of Pain Relievers in the Past Year, 2010-2012

Cross-Site Comparison Graphics, 2015 CSCG-1

28.4%

26.3%

26.0%

25.0%

24.6%

24.6%

24.0%

23.6%

22.8%

21.8%

21.5%

21.0%

21.0%

19.6%

19.6%

18.5%

0% 5% 10% 15% 20% 25% 30% 35%

PHILADELPHIA

CHICAGO METRO 1

DENVER METRO

SAN FRANCISCO COUNTY

WAYNE COUNTY 2 (DETROIT AREA)

CHICAGO METRO 2

NEW YORK CITY

TEXAS

NATIONAL

KING COUNTY (SEATTLE AREA)

MAINE


LOS ANGELES COUNTY

ATLANTA METRO

SOUTHEASTERN FLORIDA 1


SCS Location

^The NSDUH substate regions do not necessarily mirror the NDEWS SCS catchment areas. Some NSDUH substate catchment areas may be larger than the NDEWS SCS catchment area. Some NDEWS SCSs may be represented by more than one NSDUH catchment areas. The NSDUH substate regions that most closely reflect our NDEWS SCSs are presented in this report. The catchment areas for each NDEWS SCS were identified by the local SCE and are defined below:Atlanta Metro: NSDUH Region 3 (Clayton, DeKalb, Fulton, Gwinnett, Newton, & Rockdale Counties)Chicago Metro 1: NSDUH Region I (Cook County)Chicago Metro 2: NSDUH Region II (Boone, Carroll, DeKalb, DuPage, Grundy, Jo Daviess, Kane, Kankakee, Kendall, Lake, Lee, McHenry, Ogle, Stephenson, Whiteside, Will, & Winnebago Counties)Denver Metro: NSDUH Region 2 & 7 (Adams, Arapahoe, Boulder, Broomfield, Clear Creek, Denver, Douglas, Gilpin, & Jefferson Counties)King County (Seattle Area): NSDUH Region 2 - North 2 (King County)Los Angeles County: NSDUH Region 11 (Los Angeles County)New York City: NSDUH Region A (Bronx, Kings, New York, Queens, & Richmond Counties)Philadelphia: NSDUH Region 36 (Philadelphia County)San Francisco County: NSDUH Region 5R (San Francisco County)Southeastern Florida 1: NSDUH Region D - Southeast (Broward & Palm Beach Counties)Southeastern Florida 2: NSDUH Region F - Southern (Miami-Dade & Monroe Counties)Wayne County 1 (Detroit Area): NSDUH Detroit City (Part of Wayne County)Wayne County 2 (Detroit Area): NSDUH Southeast (Monroe County & Wayne County [excluding Detroit City])

*Binge Alcohol Use: defined as drinking 5 or more drinks on the same occasion on at least 1 day in the past 30 days.

Source: Adapted by the NDEWS Coordinating Center from data provided by the Substance Abuse and Mental Health Services Administration (SAMHSA), Substate Estimates of Substance Use and Mental Disorders from the 2010-2012 National Surveys on Drug Use and Health: Results and Detailed Tables. Rockville, MD. 2014.

Binge Alcohol Use* in the Past Month Among Persons 12 Years and Older,by NDEWS Sentinel Commuinty Site (SCS)^

Estimated Percent & 95% Confidence Interval, Annual Averages Based on 2010, 2011, and 2012 NSDUHs


13.6%

13.5%

13.4%

11.7%

10.2%

8.7%

8.4%

8.2%

8.0%

7.4%

7.0%

6.5%

5.5%

5.3%

5.2%

4.8%

0% 5% 10% 15% 20% 25% 30% 35%



DENVER METRO


PHILADELPHIA


MAINE

CHICAGO METRO 1

LOS ANGELES COUNTY

NEW YORK CITY

NATIONAL

ATLANTA METRO

CHICAGO METRO 2


TEXAS




Marijuana Use in the Past Month Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS)^


SCS Location


4.7%

4.6%

4.2%

4.2%

3.8%

3.7%

3.5%

3.3%

3.3%

3.2%

3.2%

3.1%

3.1%

2.9%

2.8%

2.8%

0% 5% 10% 15% 20% 25% 30% 35%



PHILADELPHIA

DENVER METRO



LOS ANGELES COUNTY

MAINE

NATIONAL

NEW YORK CITY

CHICAGO METRO 1

ATLANTA METRO

TEXAS


CHICAGO METRO 2


SCS Location



Illicit Drug Use Other Than Marijuana in the Past Month Among Persons 12 Years and Older,by NDEWS Sentinel Community Site (SCS)^



3.5%

3.0%

2.9%

2.3%

2.2%

2.0%

2.0%

1.8%

1.7%

1.7%

1.7%

1.6%

1.6%

1.5%

1.5%

1.4%

0% 5% 10% 15% 20% 25% 30% 35%


DENVER METRO

PHILADELPHIA

NEW YORK CITY

CHICAGO METRO 1

LOS ANGELES COUNTY


MAINE

ATLANTA METRO

NATIONAL




TEXAS


CHICAGO METRO 2



Cocaine Use in the Past Year Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS)^


SCS Location


5.7%

5.5%

5.2%

5.2%

5.0%

4.8%

4.6%

4.6%

4.4%

4.2%

4.0%

3.8%

3.8%

3.6%

3.4%

3.1%

0% 5% 10% 15% 20% 25% 30% 35%

DENVER METRO




PHILADELPHIA

LOS ANGELES

NATIONAL


TEXAS

MAINE

NEW YORK CITY

CHICAGO METRO 1

CHICAGO METRO 2

ATLANTA METRO





Nonmedical Use of Pain Relievers in the Past Year Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS)^


SCS Location


Substance Use

Youth Risk Behavior Survey (YRBS): Survey of Student Population

• Binge Alcohol Use in the Past Month, 2013

• Marijuana Use in the Past Month, 2013

• Lifetime Cocaine Use, 2013

• Lifetime Heroin Use, 2013

• Lifetime Methamphetamine Use, 2013

• Lifetime Ecstasy Use, 2013

• Lifetime Prescription Drug Use, 2013

• Ever Injected Any Illegal Drug, 2013


8.9%

10.4%

10.8%

13.3%

13.3%

13.5%

13.8%

13.9%

14.4%

17.6%

17.8%

19.6%

20.8%

21.0%

0% 5% 10% 15% 20% 25% 30% 35%

DENVER METRO^

ATLANTA METRO^

WAYNE COUNTY (DETROIT AREA)^


NEW YORK CITY

GEORGIA^

LOS ANGELES COUNTY

KING COUNTY (SEATTLE AREA)^

SOUTHEASTERN FLORIDA 1^

PHILADELPHIA

MAINE

CHICAGO METRO^



NATIONAL

TEXAS

^The YRBS substate regions do not necessarily mirror the NDEWS SCS catchment areas. The YRBS substate regions that most closely reflect our NDEWS SCSs are presented in this report.Atlanta Metro: local data not available for Atlanta, so data for state of Georgia are providedChicago Metro: ChicagoDenver Metro: no local or state data availableGeorgia: local data not available for Atlanta, so data for state of Georgia are provided King County (Seattle Area): SeattleSoutheastern Florida 1: Broward County; Southeastern Florida 2: Miami-Dade County; Southeastern Florida 3: Palm Beach CountyWayne County (Detroit Area): Detroit

*Binge Alcohol Use: defined as having five or more drinks of alcohol in a row within a couple of hours on at least 1 day during the 30 days before the survey.

Source: Adapted by the NDEWS Coordinating Center from data provided by the Centers for Disease Control and Prevention (CDC), 1991-2013 High School Youth Risk Behavior Survey Data. Available at http://nccd.cdc.gov/youthonline/.

Binge Alcohol Use* in the Past Month Among Public High School Students, by NDEWS Sentinel Community Site (SCS)^, 2013 YRBS

Estimated Percent and 95% Confidence Interval

Data Not Available for Site


SCS Location


http://nccd.cdc.gov/youthonline/

16.2%

16.3%

17.1%

19.8%

20.3%

20.3%

20.5%

21.3%

22.9%

22.9%

23.4%

25.1%

27.8%

28.5%

0% 5% 10% 15% 20% 25% 30% 35%

DENVER METRO^

ATLANTA METRO^

NEW YORK CITY




GEORGIA^

LOS ANGELES COUNTY

TEXAS

MAINE



NATIONAL

PHILADELPHIA


CHICAGO METRO^

^The YRBS substate regions do not necessarily mirror the NDEWS SCS catchment areas. The YRBS substate regions that most closely reflect our NDEWS SCSs are presented in this report.Atlanta Metro: local data not available for Atlanta, so data for state of Georgia are providedChicago Metro: ChicagoDenver Metro: no local or state data availableGeorgia: local data not available for Atlanta, so data for state of Georgia are providedKing County (Seattle Area): SeattleSoutheastern Florida 1: Broward County; Southeastern Florida 2: Miami-Dade County; Southeastern Florida 3: Palm Beach CountyWayne County (Detroit Area): Detroit

*Marijuana Use: defined as use one or more times during the 30 days before the survey.


Marijuana Use* in the Past Month Among Public High School Students, by NDEWS Sentinel Community Site (SCS)^, 2013 YRBS


SCS Location





3.1%

4.4%

4.7%

4.9%

5.3%

5.5%

6.5%

6.5%

7.0%

7.1%

7.8%

8.3%

0% 5% 10% 15% 20% 25% 30% 35%

MAINE


DENVER METRO^

ATLANTA METRO^

PHILADELPHIA


NEW YORK CITY



NATIONAL

LOS ANGELES COUNTY


GEORGIA^

CHICAGO METRO^


TEXAS


*Cocaine Use: defined as use of any form of cocaine (such as powder, crack, or freebase) one or more times during their life.N/A: data not available for specific drug


Lifetime Cocaine Use* Among Public High School Students, by NDEWS Sentinel Community Site (SCS)^, 2013 YRBS


SCS Location



N/A

N/A



1.8%

1.9%

2.2%

2.3%

2.8%

3.0%

3.0%

3.8%

3.9%

4.1%

5.7%

0% 5% 10% 15% 20% 25% 30% 35%

MAINE


DENVER METRO^

ATLANTA METRO^

PHILADELPHIA


NATIONAL


NEW YORK CITY

LOS ANGELES COUNTY


TEXAS


CHICAGO METRO^


^The YRBS substate regions do not necessarily mirror the NDEWS SCS catchment areas. The YRBS substate regions that most closely reflect our NDEWS SCSs are presented in this report.Atlanta Metro: local data not available for Atlanta, so data for state of Georgia are providedChicago Metro: ChicagoDenver Metro: no local or state data availableKing County (Seattle Area): SeattleSoutheastern Florida 1: Broward County; Southeastern Florida 2: Miami-Dade County; Southeastern Florida 3: Palm Beach CountyWayne County (Detroit Area): Detroit

*Heroin Use: defined as use of heroin, also called "smack," "junk," or "China white," one or more times during their life.N/A: data not available for specific drug


Lifetime Heroin Use* Among Public High School Students, by NDEWS Sentinel Community Site (SCS)^, 2013 YRBS


SCS Location



N/A

N/A



2.4%

2.8%

3.0%

3.2%

3.4%

3.7%

4.0%

4.7%

4.8%

5.1%

7.2%

0% 5% 10% 15% 20% 25% 30% 35%

MAINE


DENVER METRO^

ATLANTA METRO^


PHILADELPHIA


NATIONAL

NEW YORK CITY

CHICAGO METRO^



TEXAS

LOS ANGELES COUNTY



*Methamphetamine Use: defined as use of methamphetamine, also called "speed," "crystal," "crank," or "ice," one or more times during their life.N/A: data not available for specific drug


Lifetime Methamphetamine Use* Among Public High School Students, by NDEWS Sentinel Community Site (SCS)^, 2013 YRBS


SCS Location

Data Not Available for SIte

Data Not Available for SIte

N/A

N/A



4.1%

4.8%

6.6%

7.1%

7.7%

7.8%

8.5%

8.8%

10.3%

10.9%

14.5%

0% 5% 10% 15% 20% 25% 30% 35%


MAINE


DENVER METRO^

ATLANTA METRO^

PHILADELPHIA

NEW YORK CITY

NATIONAL

GEORGIA^


CHICAGO METRO^


TEXAS


LOS ANGELES COUNTY



*Ecstasy Use: defined as use of ecstacy, also called MDMA, one or more times during their life.N/A: data not available for specific drug


Lifetime Ecstasy Use* Among Public High School Students, by NDEWS Sentinel Community Site (SCS)^, 2013 YRBS


SCS Location



N/A

N/A

N/A



10.6%

11.1%

11.3%

11.3%

11.4%

12.2%

12.4%

12.9%

14.6%

17.7%

17.8%

19.0%

0% 5% 10% 15% 20% 25% 30% 35%

NEW YORK CITY


DENVER METRO^

ATLANTA METRO^

LOS ANGELES COUNTY


CHICAGO METRO^


PHILADELPHIA


MAINE



GEORGIA^

NATIONAL

TEXAS


*Prescription Drug Use: defined as ever taking prescription drugs (such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a doctor's prescription one or more times during their life.N/A: data not available for specific drug


Lifetime Prescription Drug Use* Among Public High School Students, by NDEWS Sentinel Community Site (SCS)^, 2013 YRBS


SCS Location



N/A

N/A



1.6%

1.7%

2.1%

2.2%

2.4%

2.5%

2.6%

2.6%

2.7%

2.9%

6.1%

0% 5% 10% 15% 20% 25%



DENVER METRO^

ATLANTA METRO^


NATIONAL

LOS ANGELES COUNTY


MAINE

NEW YORK CITY

CHICAGO METRO^

PHILADELPHIA


TEXAS



*Ever Injected Any Illegal Drug: defined as ever using a needle to inject any illegal drug into their body one or more times during their life.N/A: data not available for specific drug


Ever Injected Any Illegal Drug* Among Public High School Students, by NDEWS Sentinel Community Site (SCS)^, 2013 YRBS


SCS Location



N/A

N/A



Substance Use Disorders and Treatment

National Survey on Drug Use and Health (NSDUH):

Survey of U.S. Population

• Dependence or Abuse of Illicit Drugs or Alcohol in the Past Year, 2010-2012


11.9%

11.9%

10.7%

10.0%

9.0%

8.9%

8.9%

8.6%

8.4%

8.4%

7.9%

7.9%

7.5%

7.4%

7.0%

5.8%

0% 5% 10% 15% 20% 25% 30% 35%


PHILADELPHIA

DENVER METRO



LOS ANGELES COUNTY

CHICAGO METRO 1

NEW YORK CITY


NATIONAL

MAINE

TEXAS

ATLANTA METRO

CHICAGO METRO 2



Dependence or Abuse* of Illicit Drugs or Alcohol in the Past Year Among Persons 12 Years and Older, by NDEWS Sentinel Community Site (SCS)^


SCS Location


*Dependence or Abuse in Past Year: based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

Source: Adapted by the NDEWS Coordination Center from data provided by the Substance Abuse and Mental Health Services Administration (SAMHSA), Substate Estimates of Substance Use and Mental Disorders from the 2010-2012 National Surveys on Drug Use and Health: Results and Detailed Tables. Rockville, MD. 2014.


Substance Use Disorders and Treatment

Treatment Admissions

• Percentage of Treatment Admissions Citing Alcohol as Primary Substance of Abuse, 2014

• Percentage of Treatment Admissions Citing Cocaine as Primary Substance of Abuse, 2014

• Percentage of Treatment Admissions Citing Heroin as Primary Substance of Abuse, 2014

• Percentage of Treatment Admissions Citing Prescription Opioids as Primary Substance of Abuse, 2014

• Percentage of Treatment Admissions Citing Methamphetamine as Primary Substance of Abuse, 2014

• Percentage of Treatment Admissions Citing Marijuana as Primary Substance of Abuse, 2014


16.0%

22.2%

26.9%

27.2%

29.6%

31.8%

32.0%

32.6%

33.4%

37.7%

46.0%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

CHICAGO METRO^

LOS ANGELES COUNTY


TEXAS

SOUTHEASTERN FLORIDA^

PHILADELPHIA


NEW YORK CITY**

WAYNE COUNTY (DETROIT AREA)

MAINE

DENVER METRO^

ATLANTA METRO^

Âtlanta Metro: Atlanta MSA (29 counties)^Chicago Metro: data not available from NDEWS Chicago SCE^Denver Metro: Denver Metro Area (9 counties)^Southeastern Florida: Miami MSA (3 counties)

Each admission does not necessarily represent a unique individual, since some individuals are admitted to treatment more than once in a given period.

*Treatment Data: data on treatment admissions were provided to the NDEWS Coordinating Center by the SCE for each NDEWS SCS. The definitions ofthe types of treatment programs, admissions, and substance categories may vary across jurisdictions. Please see pages 35-37 for site-specific definition of terms, catchment area, and sources of the local treatment data.**New York City admissions are non-crisis admissions: includes non-crisis admissions to outpatient, inpatient, residential, and methadone maintenance treatment programs licensed in the State.

Source: Data provided by the NDEWS SCEs and their local data sources. See pages 35-37 for citation of the source of local treatment admissions data from each NDEWS SCS.

Percentage of Treatment* Admissions Citing Alcohol as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS)^, 2014

(n = Number of Treatment Admissions)


SCS Location

(n=10,689)

(n=8,384)

(n=13,841)

(n=12,181)

(n=11,976)

(n=46,308)

(n=9,779)

(n=8,366)

(n=18,394)

(n=75,136)

(n=32,826)


3.0%

5.3%

5.8%

6.1%

10.1%

10.2%

10.4%

10.4%

11.3%

11.9%

12.9%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

CHICAGO METRO^

MAINE


LOS ANGELES COUNTY

DENVER METRO^

ATLANTA METRO^



TEXAS


NEW YORK CITY**

PHILADEPHIA





Percentage of Treatment* Admissions Citing Cocaine as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS)^, 2014



SCS Location

(n=8,366)

(n=46,308)

(n=75,136)

(n=18,394)

(n=11,976)

(n=10,689)

(n=8,384)

(n=13,841)

(n=32,826)

(n=9,779)

(n=12,181)


6.8%

7.5%

13.9%

14.8%

21.1%

22.1%

27.8%

29.5%

30.1%

37.8%

40.6%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

CHICAGO METRO^


ATLANTA METRO^

TEXAS

DENVER METRO^

PHILADEPHIA

MAINE

NEW YORK CITY**


LOS ANGELES COUNTY







Percentage of Treatment* Admissions Citing Heroin as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS)^, 2014



SCS Location

(n=11,976)

(n=32,826)

(n=9,779)

(n=46,308)

(n=12,181)

(n=8,366)

(n=13,841)

(n=75,136)

(n=10,689)

(n=8,384)

(n=18,394)


2.9%

3.7%

4.1%

4.4%

4.4%

5.4%

6.2%

6.4%

11.6%

28.5%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

CHICAGO METRO^

TEXAS^

NEW YORK CITY**

PHILADEPHIA

LOS ANGELES COUNTY

ATLANTA METRO^




DENVER METRO^


MAINE

Âtlanta Metro: Atlanta MSA (29 counties)^Chicago Metro: data not available from NDEWS Chicago SCE^Denver Metro: Denver Metro Area (9 counties)^Southeastern Florida: Miami MSA (3 counties)^Texas: data not available from NDEWS Texas SCE




Percentage of Treatment* Admissions Citing Prescription Opioids as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS)^, 2014



SCS Location

(n=12,181)

(n=18,394)

(n=13,841)

(n=11,976)

(n=9,779)

(n=10,689)

(n=8,384)

(n=32,826)

(n=8,366)

(n=46,308)



0.2%

0.2%

0.4%

0.6%

0.6%

8.8%

10.2%

13.9%

14.3%

15.4%

24.6%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

CHICAGO METRO^

PHILADEPHIA



MAINE

NEW YORK CITY**

ATLANTA METRO^


TEXAS


DENVER METRO^

LOS ANGELES COUNTY





Percentage of Treatment* Admissions Citing Methamphetamine as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS)^, 2014



SCS Location

(n=32,826)

(n=13,841)

(n=9,779)

(n=10,689)

(n=8,384)

(n=46,308)

(n=12,181)

(n=18,394)

(n=11,976)

(n=8,366)

(n=75,136)


5.8%

7.1%

8.8%

13.9%

16.0%

17.5%

17.6%

21.3%

22.1%

23.2%

30.1%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

CHICAGO METRO^


MAINE



ATLANTA METRO^

LOS ANGELES COUNTY

DENVER METRO^

NEW YORK CITY**

PHILADEPHIA

TEXAS






Percentage of Treatment* Admissions Citing Marijuana as Primary Substance of Abuse, by NDEWS Sentinel Community Site (SCS)^, 2014



SCS Location

(n=18,394)

(n=75,136)

(n=8,366)

(n=46,308)

(n=13,841)

(n=32,826)

(n=10,689)

(n=8,384)

(n=9,779)

(n=11,976)

(n=12,181)


Consequences of Substance Use

Drug Poisoning Deaths

• Deaths Due to Drug Poisonings


4.4

5.7

6.7

7.5

8.0

9.7

10.0

10.1

11.2

11.6

12.9

12.9

15.8

16.1

16.1

17.8

22.6

27.3

0 5 10 15 20 25 30


NEW YORK CITY 4

LOS ANGELES COUNTY

NEW YORK CITY 2

NEW YORK CITY 3

TEXAS

NEW YORK CITY 1

CHICAGO METRO^

ATLANTA METRO^

MAINE



NATIONAL


NEW YORK CITY 5



DENVER METRO^

PHILADELPHIA

Rate** (per 100,000)^The data were available at the county, state, and national level; however, county delineations do not necessarily mirror the NDEWS SCS catchment areas. For NDEWS SCSs that encompass an area larger than one county but are smaller than six counties (i.e., New York City [5 counties] and Southeastern Florida [3 counties]), we provided data for each county. Some NDEWS SCS catchment areas encompassed 9 or more counties (i.e., Atlanta [29 counties]; Chicago [14 counties]; and Denver [9 counties]), for those SCSs, we present data on one county from that catchment area. See below for catchment area definitions.Atlanta Metro: Fulton CountyChicago Metro: Cook CountyDenver Metro: Denver CountyNew York City 1: Bronx County; New York City 2: King County; New York City 3: New York County; New York City 4: Queens County; New York City 5: Richmond CountySoutheastern Florida 1: Broward County; Southeastern Florida 2: Miami-Dade County; Southeastern Florida 3: Palm Beach County

*Deaths due to drug poisoning, ICD-10 codes X40-44, X60-64, X85, & Y10-14. Please see the Overview & Limitations section (pgs. 8-9) for the ICD-10 definitions.**Age-Adjusted Rate: the rate is adjusted based on the age distribution of a standard population allowing for comparison of rates across different states.

Source: Adapted by the NDEWS Coordinating Center from the National Vital Statistics System-Mortality (NVSS-M) data provided by the Centers for Disease Control and Prevention, National Center for Health Statistics (NCHS). Available at Health Indicators Warehouse. www.healthindicators.gov.

Deaths Due to Drug Poisonings, by NDEWS Sentinel Community Site (SCS)^, 2010-2012 Rate per 100,000 Deaths with Underlying Causes of Drug-Related Poisonings* and 95% Confidence Interval

SCS Location

10.2


http://www.healthindicators.gov

Law Enforcement Drug Seizures

National Forensic Laboratory Information System (NFLIS)

• Cannabis Drug Reports

• Methamphetamine Drug Reports

• Cocaine Drug Reports

• Heroin Drug Reports

• Oxycodone Drug Reports

• Alprazolam Drug Reports

• Hydrocodone Drug Reports


2.0%

4.7%

7.0%

11.3%

14.2%

19.9%

24.3%

28.2%

29.0%

30.1%

31.6%

50.5%

53.8%

0% 10% 20% 30% 40% 50% 60%

ATLANTA METRO^

MAINE



DENVER METRO^


TEXAS

LOS ANGELES COUNTY

PHILADELPHIA

NATIONAL

NEW YORK CITY^


CHICAGO METRO^

Âtlanta Metro: Atlanta MSA (29 counties)^Chicago Metro: Chicago MSA (14 counties)^Denver Metro: Denver Metro Area (9 counties)^New York City: NYC MSA (5 boroughs) & NYC Police Department Laboratory^Southeastern Florida: Miami MSA (3 counties)

*Drug Report: drug that is identified in law enforcement items, submitted to and analyzed by federal, state, or local forensic labs, and included in the NFLIS database.

The NFLIS database allows for the reporting of up to three drugs per item submitted for analysis. The data presented are a total count of first, second, and third listed reports for each selected drug item seized and analyzed.

Source: Adapted by the NDEWS Coordinating Center from data provided by the U.S. Drug Enforcement Administration (DEA), Office of Diversion Control, Drug and Chemical Evaluation Section, Data Analysis Unit. Data were retrieved from the NFLIS Data Query System (DQS) May 2015.

Cannabis Drug Reports* Identified Among Total Drug Reports for Items Seized by Law Enforcementin NDEWS Sentinel Community Sites (SCS)^, 2014

National Forensic Laboratory Information System (NFLIS)Percent of Total Drug Reports Identified as Cannabis (n=Total Drug Reports)

SCS Location

(n=64,781)

(n=7,762)

(n=43,954)

(n=1,367,232)

(n=18,187)

(n=34,743)

(n=97,017)

(n=23,047)

(n=8,794)

(n=309)

(n=1,407)

(n=1,236)

(n=16,925)


0.4%

0.6%

0.7%

1.3%

1.6%

5.9%

10.7%

16.7%

27.2%

27.7%

29.5%

30.2%

38.5%

0% 10% 20% 30% 40% 50% 60%


CHICAGO METRO^

PHILADELPHIA

NEW YORK CITY^


MAINE


NATIONAL

TEXAS

DENVER METRO^


ATLANTA METRO^

LOS ANGELES COUNTY





Methamphetamine Drug Reports* Identified Among Total Drug Reports for Items Seized by Law Enforcementin NDEWS Sentinel Community Sites (SCS)^, 2014

National Forensic Laboratory Information System (NFLIS)Percent of Total Drug Reports Identified as Methamphetamine (n=Total Drug Reports)

SCS Location

(n=64,781)

(n=7,762)

(n=43,954)

(n=1,367,232)

(n=18,187)

(n=34,743)

(n=97,017)

(n=23,047)

(n=8,794)

(n=309)

(n=1,407)

(n=1,236)

(n=16,925)


2.6%

14.0%

15.0%

15.4%

16.2%

18.0%

18.8%

19.5%

20.0%

21.4%

24.6%

32.0%

38.3%

0% 10% 20% 30% 40% 50% 60%


NATIONAL

CHICAGO METRO^

LOS ANGELES COUNTY



TEXAS

ATLANTA METRO^

DENVER METRO^

MAINE

PHILADELPHIA

NEW YORK CITY^






Cocaine Drug Reports* Identified Among Total Drug Reports for Items Seized by Law Enforcementin NDEWS Sentinel Community Sites (SCS)^, 2014

National Forensic Laboratory Information System (NFLIS)Percent of Total Drug Reports Identified as Cocaine (n=Total Drug Reports)

SCS Location

(n=64,781)

(n=7,762)

(n=43,954)

(n=1,367,232)

(n=18,187)

(n=34,743)

(n=97,017)

(n=23,047)

(n=8,794)

(n=309)

(n=1,407)

(n=1,236)

(n=16,925)


3.7%

5.6%

5.7%

6.5%

9.1%

11.2%

14.1%

14.1%

15.2%

17.7%

19.6%

24.7%

27.1%

0% 10% 20% 30% 40% 50% 60%

TEXAS

ATLANTA METRO^


LOS ANGELES COUNTY


NATIONAL

NEW YORK CITY^


DENVER METRO^

PHILADELPHIA

CHICAGO METRO^

MAINE






Heroin Drug Reports* Identified Among Total Drug Reports for Items Seized by Law Enforcementin NDEWS Sentinel Community Sites (SCS)^, 2014

National Forensic Laboratory Information System (NFLIS)Percent of Total Drug Reports Identified as Heroin (n=Total Drug Reports)

SCS Location

(n=64,781)

(n=7,762)

(n=43,954)

(n=1,367,232)

(n=18,187)

(n=34,743)

(n=97,017)

(n=23,047)

(n=8,794)

(n=309)

(n=1,407)

(n=1,236)

(n=16,925)


0.2%

0.4%

0.5%

1.2%

1.4%

2.6%

2.9%

3.6%

4.1%

4.1%

5.7%

8.1%

9.4%

0% 10% 20% 30% 40% 50% 60%

CHICAGO METRO^

TEXAS

LOS ANGELES COUNTY



DENVER METRO^

NATIONAL


NEW YORK CITY^

ATLANTA METRO^

PHILADELPHIA


MAINE





Oxycodone Drug Reports* Identified Among Total Drug Reports for Items Seized by Law Enforcementin NDEWS Sentinel Community Sites (SCS)^, 2014

National Forensic Laboratory Information System (NFLIS)Percent of Total Drug Reports Identified as Oxycodone (n=Total Drug Reports)

SCS Location

(n=64,781)

(n=7,762)

(n=43,954)

(n=1,367,232)

(n=18,187)

(n=34,743)

(n=97,017)

(n=23,047)

(n=8,794)

(n=309)

(n=1,407)

(n=1,236)

(n=16,925)


0.9%

1.0%

1.5%

1.6%

1.6%

2.5%

2.7%

3.2%

3.5%

4.1%

4.2%

4.3%

5.6%

0% 10% 20% 30% 40% 50% 60%


LOS ANGELES COUNTY

MAINE

DENVER METRO^

CHICAGO METRO^


NATIONAL


TEXAS

PHILADELPHIA

ATLANTA METRO^

NEW YORK CITY^






Alprazolam Drug Reports* Identified Among Total Drug Reports for Items Seized by Law Enforcementin NDEWS Sentinel Community Sites (SCS)^, 2014

National Forensic Laboratory Information System (NFLIS)Percent of Total Drug Reports Identified as Alprazolam (n=Total Drug Reports)

SCS Location

(n=64,781)

(n=7,762)

(n=43,954)

(n=1,367,232)

(n=18,187)

(n=34,743)

(n=97,017)

(n=23,047)

(n=8,794)

(n=309)

(n=1,407)

(n=1,236)

(n=16,925)


0.4%

0.5%

0.6%

0.7%

0.8%

0.8%

1.1%

2.0%

2.2%

2.5%

2.7%

3.2%

4.2%

0% 10% 20% 30% 40% 50% 60%

NEW YORK CITY^

PHILADELPHIA


LOS ANGELES COUNTY


DENVER METRO^

CHICAGO METRO^

MAINE

NATIONAL

ATLANTA METRO^

TEXAS







Hydrocodone Drug Reports* Identified Among Total Drug Reports for Items Seized by Law Enforcementin NDEWS Sentinel Community Sites (SCS)^, 2014

National Forensic Laboratory Information System (NFLIS)Percent of Total Drug Reports Identified as Hydrocodone (n=Total Drug Reports)

SCS Location

(n=64,781)

(n=7,762)

(n=43,954)

(n=1,367,232)

(n=18,187)

(n=34,743)

(n=97,017)

(n=23,047)

(n=8,794)

(n=309)

(n=1,407)

(n=1,236)

(n=16,925)


Additional Information on Treatment Admissions Data from Local SCEs

Atlanta Metro Catchment Area Atlanta MSA: the Atlanta-Sandy Springs-Roswell, Georgia MSA is made up of 29 counties: Barrow, Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, Heard, Henry, Jasper, Lamar, Meriwether, Morgan, Newton, Paulding, Pickents, Pike, Rockdale, Spalding, and Walton. The principal cities of the Atlanta MSA include: Atlanta, Sandy Springs, Roswell, Alpharetta, and Marietta.

Definitions/Substance Categories Admissions: includes admissions to publicly-funded programs. Marijuana/Synthetic Cannabinoids: the data does not differentiate between marijuana and synthetic cannabinoids.

Source The Atlanta Metro NDEWS SCE and the Georgia Department of Human Resources.

Chicago Metro Treatment admissions data was not available from NDEWS Chicago SCE

Denver Metro Catchment Area Denver Metro Area: includes residents of Adams, Arapahoe, Boulder, Broomfield, Clear Creek, Denver, Douglas, Gilpin, and Jefferson Counties.

Definitions/Substance Categories Admissions: includes admissions to all Colorado alcohol and drug treatment agencies licensed by the Colorado Department of Human Services, Office of Behavioral Health (OBH). Prescription Opioids: includes non-prescription methadone and other opiates and synthetic opiates.

Source The Denver Metro NDEWS SCE and the Colorado Department of Human Services, Office of Behavioral Health (OBH), Drug/Alcohol Coordinated Data System (DACODS).

King County (Seattle Area) Definitions/Substance Categories Admissions: includes admissions to all modalities of care in publicly-funded programs. Prescription Opioids: includes oxycodone/hydrocodone, non-prescription methadone, and other opiates.

Source The King County (Seattle Area) NDEWS SCE and the Washington State Department of Social and Health Services (DSHS), Division Behavioral Health and Recovery, Treatment Report and Generation Tool (TARGET).


Los Angeles County Definitions/Substance Categories Admissions: includes all admissions to programs receiving any public funds or to programs providing narcotic replacement therapy, as reported to the California Outcomes Monitoring System (CalOMS). An admission is counted only after all screening, intake, and assessment processes have been completed, and all of the following have occurred: 1) the provider has determined that the client meets the program admission criteria; 2) if applicable, the client has given consent for treatment/recovery services; 3) an individual recovery or treatment plan has been started; 4) a client file has been opened; 5) the client has received his/her first direct recovery service in the facility and is expected to continueparticipating in program activities; 6) in methadone programs, the client has received his/her first dose.Prescription Opioids: includes oxycodone/OxyContin and other opiates or synthetics

Source The Los Angeles NDEWS SCE; 2013 and 2014 data provided by the California Department of Health Care Services, Mental Health Services Division, Office of Applied Research and Analysis, CalOMS, and 2010-2012 data provided by California Department of Drug and Alcohol Programs.

Maine Definitions/Substance Categories Admissions: includes all admissions to programs receiving State funding.

Source The Maine NDEWS SCE and the Maine Office of Substance Abuse.

New York City Definitions/Substance Categories Non-Crisis Admissions: includes non-crisis admissions to outpatient, inpatient, residential, and methadone maintenance treatment programs licensed in the State. Prescription Opioids: includes non-prescription methadone, buprenorphine, other synthetic opiates, and OxyContin.

Source The New York City NDEWS SCE and the New York State Office of Alcoholism and Substance Abuse Services (OASAS) Client Data System, accessed May 2015.

Philadelphia Definitions/Substance Categories Admissions: includes admissions for uninsured and underinsured individuals admitted to any licensed treatment programs funded through the Philadelphia Department of Behavioral Health. Methamphetamine: includes both amphetamines and methamphetamine.

Source The Philadelphia NDEWS SCE and the Philadelphia Department of Behavioral Health and Intellectual disAbility Services, Office of Addiction Services, Behavioral Health Special Initiative.


San Francisco Source The San Francisco NDEWS SCE and the San Francisco Department of Public Health, Community Behavioral Health Services Division.

Southeastern Florida (Miami Area) Catchment Area Miami MSA: includes Broward, Miami-Dade, and Palm Beach Counties.

Definitions/Substance Categories Admissions: includes all admissions to programs receiving any public funds.

Source The Southeastern Florida NDEWS SCE, the Florida Department of Children and Families and the Broward Behavioral Health Coalition.

Texas Definitions/Substance Categories Admissions: includes admissions to Department of State Health Services (DSHS)-funded programs. Methamphetamines: includes amphetamines and methamphetamines.

Source The Texas NDEWS SCE and the Texas Department of State Health Services (DSHS).

Wayne County (Detroit Area) Definitions/Substance Categories Admissions: admissions whose treatment was covered by Medicaid or Block Grant funds; excludes admissions covered by private insurance, treatment paid for in cash, and admissions funded by the Michigan Department of Corrections.

Source The Wayne County (Detroit Area) NDEWS SCE and the Michigan Department of Health and Human Services, Bureau of Behavioral Health and Developmental Disabilities, Division of Quality Management and Planning, Performance Measurement and Evaluation Section.


National Drug Early Warning System (NDEWS) Sentinel ......National Drug Early Warning System (NDEWS) Sentinel Community Site . Cross-Site Comparison Graphics 2015 . August 2015 . NDEWS

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