Transcript NEW! 2017 Suffield LPC Public Forum: Substance Abuse

Suffield Local Prevention
Council
Kevin T. Kane,
Chief State’s Attorney
Substance Abuse –
Every Family Is At Risk
A Public Forum
Presented by:
Francis J. Carino, Supervisory Assistant State’s Attorney
March 2017
A copy of this presentation
will be available at
www.francarino.com in the
“Civilian Presentation/Training
Modules” section.
The Connecticut Division of Criminal Justice, along
with State and local police, is responsible for the
enforcement of the laws enacted by the Legislature
and the prosecution of those juveniles and adults
that violate those laws.
Facts
• Many people that become addicted to drugs started
out using what they thought was a “harmless” drug,
such as marijuana, or using prescribed pain
medication for a legitimate injury or pain
management.
• This casual or legitimate use then turns into a desire
to try something else or a need to self medicate
when the prescription runs out.
• Oftentimes this leads to opioid abuse or dependency.
• Your child’s friendly marijuana supplier may offer
something providing a little more “kick” than just
marijuana.
Kids & drug related issues:
•
•
•
•
•
•
What are they using?
How are they using it?
Where are they getting it?
What role does social media play?
Where are they hiding it?
What do the drug laws say?
Kids & drug related issues:
• What are they using?
Almost 50% used marijuana by 12th grade.
Source: 2015 CT School Health Survey Report
Synthetic Marijuana
The director of Day Kimball Hospital's Emergency
Department said “What we've seen in terms of reaction
to this drug has been profound.” Patients have come in
with hypertension, rapid heart beats, nausea, vomiting,
difficulty breathing and chest pains. Their vital signs can
be off the charts. Patients can be completely confused
or violent. “But someone using marijuana is typically
more sedate,” said Dr. Miro. “With synthetics, it's the
complete opposite. They're violent. They're thrashing
about. They're frightened. They don’t know what's
happening to them. It's awful to see.”
Source: Office of the Chief Medical Examiner
2012
2013
2014
2015
2016
Accidental Intoxication Deaths
357
495
568
729
917
Heroin, Morphine and/or Codeine detected
195
286
349
445
541
In 2012 there were 357 total accidental drug intoxication
Heroin in any death
174
258
327
416
deaths in the state.
Heroin + Fentanyl
By 2015
there
Heroin
+ Cocaine
were 729.
1
9
37
108
276
50
69
73
106
152
29
37
Morphine/Opioid/Codeine NOS
21
28
22
In just the first three months of 2016, there
were
208.
Cocaine in any death
Officialsin then
predicted
Oxycodone
any death
504
105
147
126
177
273
a total of 832 in
71 2016.
75
107
95
110
Methadone
in anythat
deathwould be a 233%
If accurate,
Hydrocodone in any death
33
51 years.
71
increase
in48just four
15
19
15
20
84
20
MID-YEAR
UPDATE: There
Fentanyl
in any death
were actually
overdose
14 444 37
75 deaths
188 in
479
the first
six months of 2016. The projected
annual
number
Fentanyl
+ Cocaine
2
16
14
43of 142
deaths
in 2016 Opioid
was then increased from4 832 to
Fentanyl
+ Prescrition
7 888.14
23
72
Fentanyl + Heroin
1
YEAR-END
UPDATE: The actual number41of
Any
Opioid + Benzodiaepine
917, a 257%
Hydromorphone
increase over 2012.
1
9
37
108
deaths
in140
2016221
was
60
0
12
17
276
232
22
Source: Office of the Chief Medical Examiner
2012
2013
2014
2015
2016
Accidental Intoxication Deaths
357
495
568
729
917
Heroin, Morphine and/or Codeine detected
195
286
349
445
541
Heroin in any death
174
258
327
416
504
1
9
37
108
276
73
106
deaths in502015.69
That number jumped
to 504 for 2016. 21
Morphine/Opioid/Codeine
NOS
28
22
29
In 2015,
108
had died from a heroin-fentanyl
mix. 126 177
Cocaine
in any
death
105
147
In just the
first
three months of 2016, there
were
heroinOxycodone
in any
death
71
75 39107
95
fentanyl in
mix
Methadone
anyrelated
death deaths.
33
48
51
71
Officials then
a total of 156 in152016.19
Hydrocodone
in anypredicted
death
15
20
152
Heroin + Fentanyl
Heroin
There+ Cocaine
were 416 heroin-related
37
273
110
84
20
Fentanyl
in any death
MID-YEAR
UPDATE: During
37 of 2016,
75
188
479
the first six14
months
the
Fentanyl
+ Cocaine
2
16 with
14 the43year142
number
of heroin-fentanyl mix was actually
119,
Fentanyl
+ Prescrition increasing
Opioid
4
7
14
23
72
end projection
from 156 to 238.
Fentanyl + Heroin
1
YEAR-END
UPDATE: The annual number
Any
Opioid + Benzodiaepine
41of
heroin-fentanyl mix was actually 276.
Hydromorphone
1
9
37
108
deaths
from
60
140 a221
0
12
17
276
232
22
“Fentanyl is a highly dangerous synthetic opioid which can
be up to 50 times more potent than heroin. In the wrong
hands, it’s deadly. Here in Connecticut, like other parts of
the country, we are battling an escalating epidemic of
opioid abuse,” United States Attorney for the District of
Connecticut Deirdre M. Daly .
Authorities said just 3 to 4 grains, which is a similar size to
a grain of sand or salt, can kill someone.
The street value of fentanyl is $100 a gram. There are
1,000 grams in a kilogram, so that means $100,000 per
kilogram.
Source: Office of the Chief Medical Examiner
2012
2013
2014
2015
2016
Accidental Intoxication Deaths
357
568
729
Fentanyl related deaths rose from 14 in
2012495to 188
in 2015,
a
Heroin, Morphine and/or Codeine detected
195
286
349
445
541
1200% increase.
Heroin in any death
174
258
327
416
504
Heroin
+ Fentanyl
During
the first
9
37 by108
276
quarter of 2016, it was1predicted
that
the end
of 2016
there would be 332 deaths related
to69fentanyl,
a106
nearly
Heroin
+ Cocaine
50
73
152
76% increase in deaths
Morphine/Opioid/Codeine
NOS compared to 2015.
21
28
22
29
37
Cocaine in any death
105
147
126
177
273
Hydrocodone in any death
15
19
15
20
20
Fentanyl in any death
14
37
75
188
479
Fentanyl + Cocaine
2
16
14
43
142
MID-YEAR UPDATE: there were actually
223 75
fentanyl
related
71
107
95
110
deaths during the first six months of 2016 and the projection for
Methadone in any death
33
48
51
71
84
2016 was increased from 332 to 446.
Oxycodone in any death
YEAR-END UPDATE: The actual number4 of fentanyl
related
7
14
23
deaths was 479.
Fentanyl + Heroin
1
9
37
108
Fentanyl + Prescrition Opioid
Any
Opioid compared
+ Benzodiaepine
When
to 2012,
Hydromorphone
involving the
drug.
72
276
41
60increase
140 in221
232
that is over 3,300%
deaths
1
0
12
17
22
Administering NARCAN (Naloxone)
Could lead to illegal opioid use later.
Source: 2015 CT School Health Survey Report
Kids & drug related issues:
• How are they using it?
‘Dabbing’
The method of inhaling butane hash oil (BHO) for a
stronger, faster high.
 BHO also goes by “ear wax,” “honey oil,” “shatter,”
“budda,” and “dabs” among other names.
 Process: marijuana is placed into a tube and a
solvent, typically butane, is forced through it.
 When the solvent evaporates off, it leaves just the
marijuana plant’s resins with THC levels reaching
about 80 percent.
 Users heat up a piece of metal, often a titanium
nail heated with a blowtorch, place a ‘dab’ of BHO
on the end, and inhale the smoke created when
the BHO evaporates.
‘Dripping’
E-cigarettes are now the most
commonly used tobacco product
among children, teens and young
adults.
"E-cigarettes are also being used for 'dripping,' which
involves vaporizing the e-liquid at high temperatures by
dripping a couple of drops of e-liquid directly onto an
atomizer's coil and then immediately inhaling the vapor
that is produced,”
Dr. Suchitra Krishnan-Sarin of Yale University and colleagues reported in the
journal Pediatrics.
http://www.nbcnews.com/health/health-news/dripping-kids-are-trying-potentiallyharmful-e-cigarette-hack-n717611
Kids & drug related issues:
• Where are they getting it?
Almost 1/3 are exposed to drugs at school.
Source: 2015 CT School Health Survey Report
Kids & drug related issues:
• What role does social media play?
•
•
•
•
•
•
•
Social media can and does:
introduce unsuspecting children and youths to
the drug culture;
glamourize the use and effects of alcohol and
drugs;
enhance the influence of pop culture idols;
give the appearance that “everyone is doing it;”
provide encouragement and instructions on the
use of drugs;
provide access to illegal substances;
direct children and youths to social events
where drugs will be available and/or used;
Kids & drug related issues:
• Where are they hiding it?
All of these items can be purchased on Amazon.com.
Kids & drug related issues:
• What do the drug laws say?
Drug Related Offenses
Possession of <1/2 oz of marijuana
and related paraphernalia
The possession of <1/2 oz of marijuana (§21a-279a)
and possession of drug paraphernalia for use with
<1/2 oz of marijuana (§21a-267(d)) are no longer
crimes. They are minor offenses but they can have
serious and far reaching consequences.
Penalty for person 18 or older is only a fine.
Penalty for juveniles 17 and under could be a
commitment to DCF for up to 18 months with
possible 18 month extension;
Possession of <½ ounce of marijuana is not “legal,” it
just won’t get you incarcerated, if you are an adult.
Motor Vehicle Consequences
Persons under 21 convicted of possession of <½
ounce of marijuana or drug paraphernalia for use
with <½ ounce of marijuana also face DMV
sanctions:
 license suspension for 60 days; or
 150 day delay to obtain license
Also, higher insurance rates are likely for a period of
time.
New drug law (PA 16-43):
• Limits the amount of opioid drugs that can be
prescribed by a practitioner (7 day supply for minor
or 1st time for adult);
• Requires consultation with minor and parent about
risks and dangers;
• Made changes to the electronic drug monitoring
program (quicker reporting & record review);
• Allows licensed health care professionals to
administer an opioid antagonist without liability;
• Requires local EMS responders be equipped with &
trained to administer an opioid antagonist;
• Prohibits insurance policies from requiring prior
authorization for use of opioid antagonist drugs;
The State of Connecticut is serious
about protecting the lives of our young
people, particularly when it comes to
alcohol and drugs.
The police and the courts can’t do it all.
 Parents and kids need to educate themselves
about the law and the signs of substance
abuse;
 Parents need to supervise their kids and set a
good example;
 Kids need to act responsibly and be a good
friend;
Francis J. Carino
Supervisory Assistant State’s Attorney
Office of the Chief State’s Attorney
300 Corporate Place
Rocky Hill, CT 06067
Tel.: (860) 258-5826
Fax: (860) 258-5858
E-mail: [email protected]
CT Juvenile Law website: www.francarino.com