Transcript Document
The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services Our Native Methamphetamine Crisis ATNI Winter Conference Dale Walker, MD Patricia Silk Walker, PhD Michelle Singer Methamphetamine Conference Portland, Oregon. February 13, 2007 1 One Sky Center 2 One Sky Center Partners Cook Inlet Tribal Council Alaska Native Tribal Health Consortium Northwest Portland Area Indian Health Board Tribal Colleges and Universities Prairielands ATTC Red Road One Sky Center United American Indian Involvement Harvard Native Health Program Jack Brown Adolescent Treatment Center National Indian Youth Leadership Project Tri-Ethnic Center for Na'nizhoozhi Center Prevention Research 3 One Sky Center Outreach 4 Methamphetamine: Epidemiology Methamphetamine: Epidemiology Past Month Illicit Drug Use among Youths Aged 12 to 17, by Race/Ethnicity: 2002 5 Oregon Methamphetamine Admissions Meth admissions by state 1,800 1,600 1,400 1,200 1,000 OR 800 600 400 200 1 00 q 2 20 99 q 3 19 98 q 4 19 97 q 1 19 97 q 2 19 96 q 3 19 95 q 4 19 94 q 1 19 94 q 19 19 93 q 2 - 6 OHSU Substance Abuse Clinic Enrollees Marijuana mixed Marijuana only Methadone/heroin 19982000 N= 108 25 8 23 30 20022004 percent N= 172 23% 22 7% 5 21% 38 28% 47 Methamphetamine Narcotics Benzodiazepines Hallucinogens 34 5 2 3 31% 4% 2% 3% Alcohol 84 6 6 1 percent 13% 3% 22% 27% 49% 3% 3% 1% 7 National Methamphetamine Initiative Survey Mark Evans Tactical Intelligence Supervisor New Mexico Investigative Support Center 4-12-2006 8 IHS-Wide Outpatient Encounters for Amphetamine Related Visit by Calendar Year 9 Why is Methamphetamine so Devastating? • • • • • • • • Cheap, readily available Stimulates, gives intense pleasure Damages the user’s brain Paranoid, delusional thoughts Depression when stop using Craving overwhelmingly powerful Brain healing takes up to 2 years We are not familiar with treating it 10 Methamphetamine, Why Now? • • • • • • • • The Internet Diffused local production, less reliance on imports Multi-drug use – no one uses only crystal National outbreak Varied sub-populations More smoking Strong association with HIV, hepatitis C Community level responses to AIDS deaths, 9/11, war • National discussion 11 Prevention Programs Should . . . . Target all Forms of Drug Use . . .and be Culturally Sensitive 12 Treatment Outcomes Myth Clients addicted to Methamphetamine have poorer treatment outcomes Reality Data show that methamphetamine treatment outcomes are not very different than those for other addictive drugs 13 Contact us at 503-494-3703 E-mail Dale Walker, MD [email protected] Or visit our website: www.oneskycenter.org 2 14