Dallas County 2012 Drug Impact Index. Creating safer youth and a safer community through cooperative drug prevention strategies

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1 2012 Drug Impact Index Creating safer youth and a safer community through cooperative drug prevention strategies

2 Drug Impact Index Even beyond the often devastating consequences for the individuals involved, severe mental health and substance abuse disorders cost the economy some $ billion in total spending each year and 1,675,582 permanent jobs. Finding ways to reduce these negative effects is clearly a worthy goal. (The Perryman Group, ) The Drug Impact Index profiles local substance abuse trends as early as 2002 and continuing through the most recent available data. It relies on archival data collected at the local level. In addition to specific drug abuse trends, the index contains information about issues that are directly and indirectly related to substance use and abuse, such as HIV/AIDS, sexually-transmitted diseases, crime, family violence, school dropouts, teen mothers, and substance abuse treatment. This project issues a call to action, asking our communities to act now and work to reduce the incidence and impact of alcohol and other drug abuse. The Drug Impact Index was developed by The Council on Alcohol and Drug Abuse and the Dallas Area Drug Prevention Partnership, with support from the Substance Abuse and Mental Health Services Administration, Drug Free Communities Support Program. Dallas Area Drug Prevention Partnership The Dallas Area Drug Prevention Partnership (DADPP) was established in to address growing concern about heroin overdose deaths among our communities youth. Since then, it has expanded its mission and is dedicated to reducing the incidence and impact of all drugs in the greater Dallas area. The Partnership represents a collaborative effort that is based on the simple premise that local people are in the best position to solve specific local problems and change is most likely to occur when the process engages many sectors of a community in a cooperative approach. More than 150,000 Dallas area teens abused alcohol or drugs in. Our goal is to decrease that by 50,000 teens by The coalition is made up of concerned citizens, law enforcement personnel, educators, substance abuse prevention and treatment professionals, health care providers, government officials, faith-based organizations, youth, and other area coalitions targeting youth. Together they facilitate accurate data collection, educate youth, parents and the community, promote healthy media messages, and conduct community outreach. The Dallas Area Drug Prevention Partnership implements environmental strategies that are aimed at population-level change and seek to (1) limit youth access to alcohol and other drugs, (2) change the culture and contexts within which decisions about substance use are made, and (3) reduce the prevalence of negative consequences associated with substance use. These environmental strategies create community-wide change by challenging perceptions and increasing substance abuse awareness. Dallas Area Drug Prevention Partnership The Council on Alcohol and Drug Abuse

3 Drug Impact Index Alcohol Related Deaths 2 Other Drug Related Deaths 3-4 HIV / AIDS 5 Sexually Transmitted Diseases 6 Alcohol Related Motor Vehicle Fatalities 7-8 Juvenile Arrests for Alcohol & Drugs 9-10 Adult Arrests for Alcohol & Drugs 11 Violent Crime 12 Incidents of Family Violence 13 Teen Mothers 14 School Dropouts 15 Juvenile Delinquency 16 Juveniles on Probation for Drug Arrests Drug Use - High School Students 21 Drug Treatment Admissions 22 Heroin Treatment Admissions 23 Heroin Deaths 24 Poison Center Calls Resources

4 1 Alcohol Related Deaths Alcohol Related Deaths 14, % 7.6% 7.5% 7.5% 7.4% 12,162 12,153 12,297 12,420 12,006 12,000 10,000 8,000 6,000 4,000 2, % 7.4% 7.3% 7.1% 7.5% 1,047 1,031 1, , Deaths Related to Alcohol Use - & Percents shown are percent of Total & Total Deaths Source: Raw data from Center of Health Statistics, Department of State Health Services; Analysis by Decision Support Unit/MHSA, DSHS.

5 Other Drug Related Deaths 2 Other Drug Related Deaths 4, % 3, % 3,393 3, % 2.0% 1.9% 3,225 3,186 3,134 3,000 2,500 2,000 1,500 1, % 2.9% 2.6% 2.4% 2.2% Deaths Related to Other Drug Use - & Percents shown are percent of Total & Total Deaths Source: Raw data from Center of Health Statistics, Department of State Health Services; Analysis by Decision Support Unit/MHSA, DSHS.

6 3 New HIV/AIDS Diagnoses by Mode of Exposure 4,500 4,000 3,500 3,000 2,500 2,000 1,500 1, Mode of Exposure: Homosexual 4,156 4,216 4,298 3,693 3, Mode of Exposure: Heterosexual New HIV/AIDS Diagnoses by Mode of Exposure - & Source: Raw data from TB/HIV/STD Epidemiology and Surveillance, Department of State Health Services

7 New HIV/AIDS Diagnoses by Mode of Exposure 4 Mode of Exposure: Injection Drug Use (IDU) Mode of Exposure: Homosexual & IDU New HIV/AIDS Diagnoses by Mode of Exposure - & Source: Raw data from TB/HIV/STD Epidemiology and Surveillance, Department of State Health Services

8 5 Sexually Transmitted Diseases Chlamydia 84,784 98, , , ,439 12,227 13,495 14,009 15,498 16, Gonorrhea 30,270 31,569 28,782 31,453 30,493 6,158 5,070 4,420 5,013 5, Syphilis 1,172 1,405 1,644 1,231 1, Sexually Transmitted Diseases - & Source: Raw data from TB/HIV/STD Epidemiology and Surveillance, Department of State Health Services

9 Alcohol Related Motor Vehicle Fatalities 6 Traffic Fatalities by Highest Blood Alcohol Level 93 Number of Fatalities BAC =.00 BAC= 0.01 thru.07 BAC = Traffic Fatalities in by Blood Alcohol Content (BAC) Source: Fatality Analysis Reporting System (FARS) Encyclopedia.

10 7 Juvenile Arrest Rates for Alcohol DWI/DUI Arrest Rates per 10,000 Juveniles Liquor Violations Arrest Rates per 10,000 Juveniles Public Intoxication Arrest Rates per 10,000 Juveniles Juvenile Arrest Rates for Alcohol per 10,000 Juveniles in & Source: Department of State Health Services; Department of Public Safety

11 Juvenile Arrest Rates for Drugs 8 Drug Trafficking Arrest Rates per 10,000 Juveniles Drug Possession Arrest Rates per 10,000 Juveniles Juvenile Arrest Rates for Drugs in & Source: Department of State Health Services; Department of Public Safety

12 9 Adult Arrest Rates for Alcohol DWI/DUI Arrest Rates per 10,000 Adults Liquor Violations Arrest Rates per 10,000 Adults Public Intoxication Arrest Rates per 10,000 Adults Adult Arrests for Alcohol per 10,000 Adults in & Source: Department of State Health Services; Department of Public Safety

13 Adult Arrest Rates for Drugs 10 Drug Trafficking Arrest Rates per 10,000 Adults Drug Possession Arrest Rates per 10,000 Adults Adult Arrests for Drugs per 10,000 Adults in & Source: Department of State Health Services; Department of Public Safety

14 11 Violent Crimes Adult Arrest Rates for Violent Crimes per 10,000 Adults: & Juvenile Arrest Rates for Violent Crimes per 10,000 Juveniles: & The estimated population of in 2010 was 2,368,139, approximately 9.4% of the population, according to the State Data Center, University of (San Antonio). Adult & Juvenile Arrests for Violent Crimes in & Violent Crime includes Murder, Robbery, Rape, and Aggravated Assault offenses. Source: Department of Public Safety

15 Incidents of Family Violence 12 Police Dept Dallas 13,096 12,232 13,160 12,086 15,161 Addison Balch Springs Baylor Hlth Care Sys Carrollton Cedar Hill ISD Cedar Hill Cockrell Hill Coppell Dallas Co Hosp Dist DeSoto Duncanville Farmers Branch Garland 2,020 2,043 1,878 1,454 1,762 Glenn Heights Grand Prairie 1, , Highland Park Hutchins Irving 1,715 1,534 1,359 1,327 1,192 Lancaster Mesquite Mountain View College Ovilla Richardson Richland College Rowlett Sachse Seagoville SMU University Park UT Dallas UT Med School - Dallas Wilmer Dallas CO Sheriff s Office ,488 21,294 21,725 19,859 22,963 Rate per 10,000 Residents , , , , ,505 Rate per 10,000 Residents Family Violence Incidents - & Counts and Rates Source: Department of Public Safety - Crime Reports

16 13 Teen Mothers Births Total County % Teen Births 42,450 43,868 44,414 43, % 5.3% 5.3% 5.2% 42, % Total Teen Births To Teens Age ,040 2,215 2,239 2,164 2,020 To Teens Age 14 and Under Births Total State % Teen Births 385, , , , % 4.9% 4.9% 4.9% 401, % Total Teen Births 18,988 19,453 19,863 19,775 18,732 To Teens Age ,090 18,539 18,977 18,934 17,907 To Teens Age 14 and Under Teen Pregnancies Resulting in Births in v. Source: Department of State Health Services

17 School Dropouts 14 Public School Dropouts Grades % 4.0% % % % Dropout Rates % 2.7% 2.2% 2.0% 1.7% 1.6% School Dropouts Grades Public Schools For additional information on dropout rates, please see Secondary School Completion and Dropouts in Public Schools, (TEA, a) Source: Education Agency

18 15 Juvenile Delinquency Juvenile Delinquency Incident Rate per 10,000 Enrolled Students - Public Schools Education Agency PEIMS Report Discipline Reason Incidents Incidents Incidents Possession/Selling Controlled Substance Felony Controlled Substance Violation Possession - Alcoholic Beverage Possession - Tobacco Products Possession - Gun, Knife, or other Weapon Assault of School Employee/Volunteer Assault against someone other than School Employee/Volunteer School Related Gang Violence Juvenile Delinquency Incidents - Source: Education Agency PEIMS Report

19 Juvenile Probation Referrals for Drug Arrests 16 Juvenile Referrals To Probation for Drug Related Arrests - & Referral Rates per 1,000 Juveniles* for Drug Related Arrests Referral Counts for Drug Related Arrests ,317 12,361 11,216 11,633 11,813 Juvenile Referrals to Probation for Drug Arrests - Source: Juvenile Justice Department *Juvenile total population count represents ages 10-16

20 17 Drug Use - High School Students Alcohol and Other Drug Use Among High School Students in & Past Use of Alcohol 74.8% 78.2% 73.1% 76.2% Recent Use of Alcohol (Past 30 Days) 39.9% 48.3% 39.7% 44.8% 35.4% 39.7% 71.3% 72.7% Drank 5 or More Drinks on One or More Occasions (Past 30 Days) 20.6% 29.0% 21.7% 25.6% 19.6% 23.5% Past Use of Marijuana 40.3% 37.7% 34.4% 37.4% 41.0% 40.5% Recent Use of Marijuana (Past 30 Days) 21.2% 19.3% 16.1% 19.5% 19.5% 20.8% Drug Use - High School Students - & Source: Centers for Disease Control & Prevention Youth Risk Behavior Surveillance System -

21 Drug Use - High School Students 18 Alcohol and Other Drug Use Among High School Students in & Past Use of Tobacco 57.2% 51.0% 50.4% Recent Use of Tobacco (Past 30 Days) 20.3% 26.8% Past Use of Cocaine 12.6% 12.6% 16.9% 27.5% 18.0% 22.9% 10.0% 8.5% 8.0% 9.4% Recent Use of Cocaine (Past 30 Days) 6.2% 5.4% 4.3% 3.1% 2.5% 4.1% Past Use of Heroin 5.2% 2.4% 2.4% 2.1% 2.6% 3.3% Drug Use - High School Students - & Source: Centers for Disease Control & Prevention Youth Risk Behavior Surveillance System -

22 19 Drug Use - High School Students Alcohol and Other Drug Use Among High School Students in & Past Use of Heroin Mixed with Nighttime Pain Reliever (Cheese Heroin) 7.8% 4.1% Past Use of Methamphetamines 5.9% 6.7% 4.6% 3.7% 3.1% 5.0% Past Use of Inhalants 12.0% 12.9% 10.2% 11.9% 8.5% 11.4% Past Use of Steroids 5.2% 3.9% 3.2% 2.9% 2.4% 4.8% Past Use of Illegal IV Drugs 3.6% 2.7% 1.9% 1.7% 1.0% 3.1% Drug Use - High School Students - & Source: Centers for Disease Control & Prevention Youth Risk Behavior Surveillance System -

23 Drug Use - High School Students 20 Alcohol and Other Drug Use Among High School Students in & Recent Use of Prescription Drugs With No Prescription from a Doctor (Past 30 Days) 7.70% Past Use of Prescription Drugs With No Prescription from a Doctor 14.5% 22.1% Past Use of Ecstasy 6.8% 9.9% 8.1% 9.0% 7.9% 11.9% Recent Use of Ecstasy (Past 30 Days) 4.3% Drug Use - High School Students - & Source: Centers for Disease Control & Prevention Youth Risk Behavior Surveillance System -

24 21 Drug Treatment Admissions Adult & Youth Admission Rates (per 10,000 residents) to DSHS Funded Treatment Programs Adults Youth * * 13.4 Primary Drug at Time of Adult Admission to DSHS Funded Facilities Alcohol Heroin/Opioid Cocaine (all forms) Amphetamines/ Methamphetamines Marijuana/Hashish PCP Sedative Other (Barbituates, Inhalants, Ecstasy, etc.) Polysubstance *Polysubstance is multiple drug dependence with no primary Primary Drug at Time of Adolescent Admission to DSHS Funded Facilities * * Marijuana/Hashish Cocaine (all forms) Heroin/Opiates Amphetamines/ Methamphetamines Alcohol Sedative Other (Barbituates, Inhalants, Ecstasy, etc.) Polysubstance *Polysubstance is multiple drug dependence with no primary Drug Treatment Admissions - Source: Department of State Health Services *2010 & Totals are incomplete due to a change in statewide reporting methods * 60.9 *

25 Heroin Treatment Admissions 22 Heroin Admissions to DSHS Funded Treatment by Age * * Heroin Admissions to DSHS Funded Treatment by Route of Administration Oral Nasal, Inhalation IV Injection Total Total includes clients with other routes of administration Drug Treatment Admissions - Source: Department of State Health Services *2010 & Totals are incomplete due to a change in statewide reporting methods 10 * *

26 23 Heroin Deaths Persons Dying With a Mention of Heroin in < < < Persons Dying With a Mention of Heroin in per 100,000 Residents Heroin Deaths & Rates in Sources: University of at Austin, Center for Social Work Research; Department of State Health Services

27 Poison Center Call Rates 24 Call Rates to Poison Control in per 100,000 Residents Marijuana Heroin Benzodiazepines Calls To Poison Control Source: Poison Center Network

28 25 Resources Information and Referral The Council on Alcohol & Drug Abuse Juvenile/Adolescent Resources Al Anon/Alateen Dallas Area Above the Influence The Cool Spot Partnership at DrugFree.org Partnership for a Drug Free Tobacco-Free Kids Juvenile/Adolescent Treatment Programs Nexus Recovery Center (Females Only) Phoenix House Right Step Shoreline Starlite Recovery Center Sundown Ranch Timberlawn Mental Health System Adult Treatment Substance Abuse Helpline - Contact for Referrals The Council on Alcohol and Drug Abuse Local Community Coalitions Coalition on Mental Illness Mental Health America Dallas Area Drug Prevention Partnership ext DWI Task Force Tobacco Free North Alliance for Drug Endangered Children ext Texans Standing Tall Summer Sky

29 Resources 26 Recovery Resources Alcoholics Anonymous Narcotics Anonymous th Step Ministry Adult and Parent Resources Partnership at DrugFree.org Partnership for a Drug Free Time to Talk Parents. The Anti Drug Tobacco Resources Tobacco Quitline YES-QUIT Other Resources The Council on Alcohol & Drug Abuse Community Anti Drug Coalitions of America Mothers Against Drunk Driving (MADD) National Institute on Drug Abuse Office of National Drug Control Policy Prevention Resource Center Region 3 Substance Abuse and Mental Health Services Administration (SAMHSA) Substance Abuse and Mental Health Services Administration (SAMHSA) - National Clearinghouse for Alcohol and Drug Information Department of State Health Services Smokefree Teen Surgeon General Tobacco Information National Tobacco Cessation Collaborative National Cancer Institute Break Free Alliance National African American Tobacco Prevention Network

30 Change Log and Notes from Indexes In addition to adding the most recent data, the following changes or corrections were made when the index was updated for & P5 - Sexually Transmitted Diseases The 2010 Index numbers for syphillis for all years reported have been replaced with the correct numbers for Dallas County. P9 - Estimated Population In the 2010 Index, the population number listed was the estimated adult population of in P21 - Primary Drugs at Time of Admission (Adult and Juvenile) With the change of DSHS reporting systems from BHIPS to CMBHS, the categorization of drugs has been changed. Major changes of note: all types of cocaine are now listed as Cocaine, heroin and other synthetic opiates are all combined under Heroin/Opiates, and a new classification called Polysubstance has been added which refers to admissions with multiple drug dependencies with no primary. Also due to the change in reporting systems for admissions, the number of admissions decreased drastically in This is likely due to a change in the way admissions are tracked in the new system throughout the year and the process of adjusting to a new system of reporting. Admission rates for appear to be returning to more comprable levels.

31 Acknowledgements We extend our appreciation to the following organizations for their assistance in collecting data for this index. Centers for Disease Control and Prevention Dallas Independent School District Fatality Analysis Reporting System (FARS) Department of Education Information Analysis Division Department of Family and Protective Services Department of State Health Services Center for Health Statistics TB/HIV/STD Epidemiology and Surveillance Mental Health and Substance Abuse Division Poison Center Network Department of Public Safety Uniform Crime Reporting Juvenile Justice Department University of at Austin, Center for Social Work Research

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