Transcript TITLE SLIDE

Iowa Drug Trends
Presented by Director Gary Kendell
Governor’s Office of Drug Control Policy
1) COORDINATION OF EFFORT
2) GRANT PROGRAM
ADMINISTRATION
3) POLICY DEVELOPMENT
Director of ODCP
Iowa’s Drug Policy Coordinator
Drug Policy Advisory Council – Chair
Duty to coordinate and monitor all
substance abuse treatment and
prevention and drug enforcement
programs in the state.
77% OF DRUG ABUSERS
ARE EMPLOYED
(Bureau of Labor Statistics)
SUBSTANCE ABUSERS
ARE 33 – 50% LESS
PRODUCTIVE
(National Institute of Drug Abuse)
SUBSTANCE ABUSERS ARE
ABSENT 30 -35 DAYS PER
YEAR AND ARE THREE
TIMES MORE LIKELY THAN
NON-ABUSERS TO BE LATE
FOR WORK.
(U.S. Chamber of Commerce)
SUBSTANCE ABUSERS ARE 3
– 4 TIMES MORE LIKELY TO
HAVE AN ACCIDENT ON THE
JOB AND 5 TIMES MORE
LIKELY TO FILE A
WORKERS’ COMPENSATION
CLAIM
(Employee Assistance Society of North America)
Substance Abuse and Mental Health Services Administration
13.9
14.00%
12.00%
9.6
10.00%
8.00%
7.0
6.4
5.9
6.00%
4.00%
2.00%
0.00%
Total
Full-Time
Part-Time
Unemployed
Other
13.6
14.00%
12.00%
10.00%
8.4
8.8
8.6
8.00%
5.6
6.00%
4.00%
2.00%
0.00%
Total
Full-Tim e
Part-Tim e
Unem ployed
Other
20.00%
18.00%
16.00%
14.00%
12.00%
10.00%
8.00%
6.00%
4.00%
2.00%
0.00%
18.6
11.9
9.2
8.2
Total
Full-Time
8.3
Part-Time
Unemployed
Other
8.0%
8.00%
7.00%
6.00%
5.00%
4.1%
3.5%
4.00%
3.2%
2.6%
3.00%
2.00%
1.00%
0.00%
Total
Full-Time
Part-Time
Unemployed
Other
15.6%
16.00%
14.00%
12.00%
9.1%
9.2%
10.0%
10.00%
8.00%
6.5%
6.00%
4.00%
2.00%
0.00%
Total
Full-Time
Part-Time
Unemployed
Other
19.0%
20.00%
18.00%
16.00%
14.00%
12.00%
10.00%
8.00%
6.00%
4.00%
2.00%
0.00%
10.3%
8.2%
7.0%
2.6%
Total
18-25
26-34
35-49
50-64
13.6
14.00%
12.00%
10.00%
8.4
8.8
8.6
8.00%
5.6
6.00%
4.00%
2.00%
0.00%
Total
Full-Tim e
Part-Tim e
Unem ployed
Other
18.00%
16.3%
16.00%
14.00%
12.00%
10.00%
8.00%
6.00%
10.4%
8.8%
8.1%
4.7%
4.00%
2.00%
0.00%
Total
18-25
26-34
35-49
50-64
8.00%
7.5%
7.00%
6.00%
5.00%
4.00%
3.3%
2.6%
3.00%
1.9%
2.00%
.7%
1.00%
0.00%
Total
18-25
26-34
35-49
50-64
20.00%
18.00%
16.00%
14.00%
12.00%
10.00%
8.00%
6.00%
4.00%
2.00%
0.00%
18.4%
12.3%
9.2%
7.8%
4.0%
Total
18-25
26-34
35-49
50-64
Accommodations & Food Services
16.9%
Construction
13.7%
Arts, Entertainment & Recreation
11.6%
Information
11.3%
Management of Companies & Enterprises, Administrative, Support, Waste Management, & Remediation Services
10.9%
Retail Trade
9.4%
Other Services (Except Public Administration)
8.8%
Wholesale Trade
8.5%
Professional, Scientific, & Technical Services
8.0%
Real Estate, Rental, & Leasing
7.5%
Mining
7.3%
Finance & Insurance
6.8%
Manufacturing
6.5%
Transportation & Warehousing
6.2%
Agriculture, Forestry, Fishing, and Hunting
6.2%
Healthcare & Social Assistance
6.1%
Public Administration
4.1%
Educational Services
4.0%
Utilities
3.8%
Accommodations & Food Services
16.9%
Construction
13.7%
Arts, Entertainment & Recreation
11.6%
Information
11.3%
Manufacturing
6.5%
Transportation & Warehousing
6.2%
Healthcare & Social Assistance
6.1%
Educational Services
4.0%
Construction
15.9%
Arts, Entertainment & Recreation
13.6%
Mining
13.3%
Accommodations & Food Services
12.0%
Wholesale Trade
11.5%
Management of Companies & Enterprises, Administrative, Support, Waste Management, & Remediation Services
10.4%
Information
10.4%
Utilities
10.1%
Other Services (Except Public Administration)
9.9%
Real Estate, Rental, & Leasing
9.8%
Agriculture, Forestry, Fishing, & Hunting
9.7%
Manufacturing
9.5%
Retail Trade
8.8%
Transportation & Warehousing
8.6%
Professional, Scientific, & Technical Services
7.1%
Finance & Insurance
6.9%
Public Administration
5.9%
Healthcare & Social Assistance
4.3%
Educational Services
4.0%
Construction
15.9%
Arts, Entertainment & Recreation
13.6%
Mining
13.3%
Accommodations & Food Services
12.0%
Manufacturing
9.5%
Retail Trade
8.8%
Professional, Scientific, & Technical
Services
7.1%
Healthcare & Social Assistance
4.3%
• Meth lab incidents in Iowa have dropped dramatically since their peak in
2004, but are resurging – up 50% from 2007.
• Iowa authorities report a rise in crystal meth, a more potent form of meth,
smuggled into Iowa from Mexico and other states.
3,600 milligrams of pseudo
collectively or separately
within 24 hours
7,500 milligrams of pseudo
within 30 day period
APPRISS – NPLEX
Real Time
• Mandatory Participation by Pharmacies
• Implementation was completed September
1st. Almost 100% compliance already
• Should reduce smurfers ability to obtain
pseudoephedrine to cook meth
Made possible by:
• Passage of Senate File 237 during 2009
session
• Earmark funding provided by: Senator
Grassley & Senator Harkin jointly
• Consortium of pseudo manufacturers:
Schering-Plough, Novartis, Perrigo,
Reckitt Benckiser, McNeil, Wyeth & Bayer
•Drug-related prison admissions, driven by reductions in meth cases, have
declined for the 5th straight year.
•About 80% of offenders in Iowa prisons have a past or current drug problem.
• Among those inmates, 52% of women and 50% of men had used meth.
• Roughly 50% of prisoners needing treatment get it. (Iowa DOC & CJJP 2006-2009)
• Iowa still has the 11th highest number of meth treatment admissions in the
nation (2007 TEDS).
• There are 45% more treatment admissions that occur via the criminal
justice system in counties that are covered by drug task forces than those
counties that are not.
Years
Alcohol
Marijuana
Meth
Cocaine &
Crack
Heroin
Other
Total Clients
1997
62.5%
19.3%
9.6%
6.3%
0.6%
1.7%
38,297
1998
60%
20%
12%
6%
0.5%
1.5%
38,347
1999
63%
20%
8.3%
5.6%
0.5%
1.3%
40,424
2000
62.3%
20.9%
9.4%
5.4%
0.5%
1.5%
43,217
2001
60.5%
22.2%
10.7%
4.6%
0.5%
1.5%
44,147
2002
58.5%
22.7%
12.3%
4.2%
0.5%
1.8%
42,911
2003
57.5%
21.8%
13.4%
4.6%
0.6%
1.9%
40,925
2004
55.6%
22.7%
14.6%
4.7%
0.6%
1.8%
42,449
2005
55.8%
22.4%
14.4%
5%
0.6%
1.9%
43,692
2006
55.9%
22.8%
13.6%
5.1%
0.5%
2.2%
44,863
2007
58.3%
22.5%
10.7%
5.2%
0.4%
2.9%
47,252
2008
61.9%
22.7%
7.5%
4.5%
0.4%
2.9%
44,528
2009
61.4%
23.2%
7.8%
3.7%
0.5%
3.4%
44,849
• Drug Abuse Resistance Education Program
• Iowa National Guard - Drug Demand Reduction
• PDFI – FIT – statewide non-profits made up of
public and private sector distribution of public
service announcements
• Boys & Girls Club
• PROSPER
• Community Coalitions – AC4C
Funding
Source
Prevention
Treatment
Enforcement
Total
Funding by
Source
State
$6,222,272
$36,395,554
$23,725,523
$66,343,349
Federal
$10,974,747
$32,201,261
$20,176,022
$63,352,030
Other
$3,763,403
$2,410,582
$994,583
$7,168,568
Total
$20,960,422
$71,007,397
$44,896,128
$136,863,947
2004
2005
2006
2007
2008
536,247
669,214
741,425
855,838
971,914
The Proportion of all substance abuse
treatment admissions aged 12 or
older who reported any pain reliever
abuse more than quadrupled
between 1998 and 2008 – climbing
from 2.2% to 9.8%
SAMHSA Treatment Episode Data Set (TEDS)
• Public calls to the Statewide Poison Control Center to identify
Hydrocodone and Oxycodone pills have increased 2,031% since 2002.
• Medicines account for 5 of the top 10 substances involved in poisonings in Iowa.
• Pain medicine is #1.
10 – 12% utilization rate by prescribers
Does not require participation
Is not real-time
Difficult for Law Enforcement to obtain data
Law doesn’t allow unsolicited searches
Iowa Prescription Monitoring Program
400 S.W. 8th St., Ste. E, Des Moines, IA 50309
Phone: (515) 281-5944
www.state.ia.us/ibpe/pmp
• Four recent Iowa Youth Surveys show steady drops in alcohol and tobacco use
among 6th, 8th, and 11th grade students. However, other illegal drug use is rising.
• Of Iowa Youth seeking treatment, 55.5% cited marijuana as their primary
substance of abuse (Iowa DPH, SFY 2009).
Iowa Board of Pharmacy currently
considering
Synthetic THC is currently available –
Marinol
Organic THC is currently in clinical trials
Sativex – similar to an asthma inhaler
Last 4 legislative sessions I proposed
legislation to make Salvia a controlled
substance
K2/Spice just started showing up in Iowa
earlier this year
ODCP had already planned to include it in
our Salvia legislation prior to tragic death
of teen in Indianola, Iowa
• Alcohol is the substance most abused by
Iowans. (Iowa DPH, SFY 2009)
• 61.4% of clients screened/admitted to
treatment cite alcohol as a substance of
abuse. (Iowa DPH, SFY 2009)
• For SFY 2008, Iowa liquor sales increased
by 6.4%, beer sales rose by 1.8%, and
wine sales rose by 3%. (ABD, SFY 2008)
• So much alcohol was sold during the 12 month period of SFY2008, the average adult
Iowan consumed 37.23 gallons of beer, 1.98 gallons of liquor, and 1.69 gallons of wine
(ABD SFY2008). This figure increased in SFY2009 for the 8th year in a row.
Governor’s Office of Drug Control Policy
www.state.ia.us/odcp
Phone: (515) 725-0300
Iowa Substance Abuse Information Center
www.drugfreeinfo.org
Phone: (866) 242-4111
Gary W. Kendell
Director & Iowa Drug Policy Coordinator
Governor’s Office of Drug Control Policy
Wallace State Office Building, 1st Floor
502 East 9th Street, Des Moines, Iowa 50319
Phone: (515) 725-0305
E-Mail: [email protected]