Substance Abuse Overview 2013

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1 New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2013 Prepared by Limei Zhu Department of Human Services Division of Mental Health and Addiction Services Office of Research, Planning, Evaluation, Information Systems and Technology Trenton, New Jersey June 2014

2 Chris Christie Governor DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES 222 SOUTH WARREN STREET PO BOX 700 TRENTON, NJ June 2014 JENNIFER VELEZ Commissioner LYNN A. KOVICH Assistant Commissioner This statewide Substance Abuse Overview provides statistics on substance abuse treatment in New Jersey for calendar year In 2013 there were 75,558 treatment admissions and 72,627 discharges reported to the New Jersey Department of Human Services, Division of Mental Health and Addiction Services by substance abuse treatment providers. These reports were submitted through the web-based New Jersey Substance Abuse Monitoring System (NJ- SAMS). A few changes in this report now include the separation of primary drug heroin from other opiates, and two new tables of First Time Clients Admitted by County of Residence and Primary Drug, and Admissions by Age Group, Gender, Primary Drug. The Statewide Overview includes: State Totals for Substance Abuse Treatment Admissions Substance Abuse Admissions by County and Primary Drug Substance Abuse Admissions by Primary Drug within County Drug Substance Abuse Admission Rates by County and Primary Drug Map for Number of Substance Abuse Admissions by County of Residence First Time Clients by County of Resident and Primary Admissions by Age Group, Gender, Primary Drug State Totals for Substance Abuse Treatment Discharges Reports for individual counties can be found by clicking on the county names. They include: Admissions for Substance Abuse Treatment by County of Residence Admissions for Substance Abuse Treatment by County of Treatment Provider Admissions by Age Group, Gender, Primary Drug Substance Abuse Admissions by Municipality of Residence and Primary Drug Map for Number of Substance Abuse Admissions by Municipality of Residence Admissions by Municipality of Residence, Primary Drug and Age Discharges for Substance Abuse Treatment by County of Residence Discharges for Substance Abuse Treatment by County of Treatment Provider If you have any questions about this report you may contact us by at or by telephone at (609) Sincerely, Suzanne Borys, Ed. D., Assistant Division Director Office of Research, Planning, Evaluation, Information Systems and Technology

3 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Admissions 1/1/ /31/2013 State of New Jersey Totals Primary Drug Highest School Grade Completed Alcohol 22,210 29% Completed High School 35,679 47% Heroin 26,794 35% Some College 15,573 21% Opiates 6,651 9% Cocaine 3,867 5% Employment Status Marijuana 11,646 15% Unemployed 21,229 28% Drugs 2,016 3% Student 3,698 5% Not in Labor Force 25,498 34% Intravenous Drug Users 21,420 28% Employed Full/Part Time 21,340 28% Not Assessed 3,793 5% Smoke Tobacco (Yes) 51,384 68% Living Arrangement Level of Care Homeless 4,637 6% Outpatient Care (OP) 23,385 31% Dependent Living/Institution 8,758 12% Intensive Outpatient (IOP) 16,913 22% Independent Living 59,679 79% Partial Hospitalization 2,014 3% Opioid Maintenance OP 6,854 9% Marital Status Opioid Maintenance IOP 617 1% Single/Divorced 62,142 82% Extended Care 40 0% Married/Civil Union 8,757 12% Halfway House 1,926 3% Widowed 808 1% Long-Term Residential 3,725 5% Separated 3,101 4% Short-Term Residential 7,362 10% Hospital Based Residential 7 0% Detox Residential 9,060 12% Legal Problem* Detox Hospital 1,677 2% None 25,499 34% Detox Outpatient Non-Methadone 113 0% Case Pending 7,310 10% Detox Outpatient Methadone 247 0% Probation/Parole 16,591 22% Non-traditional Program 73 0% DWI License Suspension 9,236 12% Early Prevention 1,545 2% Drug Court 8,289 11% DYFS/Family Court 6,539 9% Medication Assisted Therapy Planned in Treatment 2,740 4% Methadone 7,875 10% Suboxone 4,194 6% Arrest in the Last 30 Days (Yes) 3,837 5% Referral Source Special Population* Self-referral 22,807 30% DYFS/CPSAI 7,982 11% Family/Friend 3,467 5% DWI/DUI 15,219 20% Addiction Services Program 5,186 7% Developmental Disability 140 0% Workforce NJ SAI 4,629 6% Blind and Visually Impaired 92 0% DYFS 3,304 4% Deaf and Hard of Hearing 115 0% Mental Health 959 1% Criminal Justice 18,995 25% Health Insurance at Admission* IDRC 8,779 12% No Insurance 46,742 62% /Not Assessed 6,664 9% Medicaid 14,811 20% Medicare 1,641 2% Any Prior Treatment 45,066 60% Private Insurance 16,457 22% Insurance 1,640 2% Sex Male 50,991 67% Treated in County of Residence 45,419 60% Female 24,562 33% County of Residence Age at Admission Atlantic 4,254 6% Middlesex 4,905 6% Under 18 2,945 4% Bergen 3,026 4% Monmouth 7,161 9% ,519 10% Burlington 2,938 4% Morris 2,836 4% ,340 12% Camden 5,830 8% Ocean 7,285 10% ,584 18% Cape May 2,386 3% Passaic 3,719 5% ,836 14% Cumberland 1,959 3% Salem 707 1% ,258 19% Essex 6,172 8% Somerset 1,916 3% ,324 16% Gloucester 3,402 5% Sussex 1,363 2% 55 and over 4,598 6% Hudson 4,447 6% Union 3,451 5% Hunterdon 938 1% Warren 1,120 1% Race/Ethnicity Mercer 3,049 4% 919 1% White (non-hispanic) 47,387 63% Black (non-hispanic) 15,679 21% Total Admissions = 75,558 Hispanic Origin 10,848 14% 1,656 2% Unduplicated Clients Admitted = 53,272 *Totals may be greater than 100% because of multiple responses.

4 County of Residence Substance Abuse Admissions by County and Primary Drug 2013 NJ Resident Admissions Alcohol Cocaine/ Crack Heroin Primary Drug Opiates Marijuana/ Hashish N % N % N % N % N % N % N % Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren Total Total

5 Substance Abuse Admissions by County and Primary Drug within County 2013 NJ Resident Admissions County of Residence Alcohol Cocaine/ Crack Primary Drug Heroin Opiates Marijuana/ Hashish Total N % N % N % N % N % N % N % Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren Total

6 Substance Abuse Admission Rates by County of Residence and Primary Drug 2013 NJ Resident Admissions County of Residence Primary Drug County Per 100,000 Population Alcohol Drugs Unknown Total Population Alcohol Drugs Unknown Total N N N N 2013 Rate Rate N Rate Atlantic , Bergen , Burlington , Camden , Cape May , Cumberland , Essex , Gloucester , Hudson , Hunterdon , Mercer , Middlesex , Monmouth , Morris , Ocean , Passaic , Salem , Somerset , Sussex , Union , Warren , Total ,899,

7 2013 Substance Abuse Admissions by County of Residence Legend Number of Admissions Top Five Counties 1 Ocean Monmouth Essex Camden Middlesex 4905 SUS 1363 PAS 3719 BER 3026 WAR 1120 MOR 2836 ESS 6172 HUD 4447 UNI 3451 HUN 938 SOM 1916 MID 4905 MER 3049 MON 7161 BUR 2938 OCE 7285 GLO 3402 CAM 5830 SAL 707 ATL 4254 CUM 1959 CAP 2386 Data: NJSAMS 2014 May Download Report Date: June, 2014 NJ Department of Human Services Division of Mental Health and Addiction Services Research, Planning and Evaluation Unit Miles ¹

8 County of Residence First Time Clients by County of Residence and Primary Drug 2013 NJ Resident Admissions Alcohol Cocaine/ Crack Heroin Primary Drug Opiates Marijuana/ Hashish Drugs N % N % N % N % N % N % N % Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren Total Total

9 0-17 Admissions by Age Group, Gender, Primary Drug 2013 NJ Resident Admissions &Over Total Statewide Female Gender Male Total* N % N % N % Alcohol Heroin Opiates Drugs Total Alcohol Heroin Opiates Drugs Total Alcohol Heroin Opiates Drugs Total Alcohol Heroin Opiates Drugs Total Alcohol Heroin Opiates Drugs Total * Unknown age or gender admissions are not included.

10 New Jersey Substance Abuse Monitoring System (NJ-SAMS) Substance Abuse Treatment Discharges 1/1/ /31/2013 State of New Jersey Totals Level of Care Living Arragements at Discharge Outpatient Care (OP) 22,328 31% Homeless 3,435 5% Intensive Outpatient (IOP) 16,237 22% Dependent Living/Institution 9,724 13% Partial Hospitalization 1,855 3% Independent Living 56,978 78% Opioid Maintenance OP 6,064 8% Opioid Maintenance IOP 562 1% Employment Status at Discharge Extended Care 34 0% Unemployed 17,044 23% Halfway House 1,850 3% Student 3,236 4% Long-Term Residential 3,682 5% Not in Labor Force 23,335 32% Short-Term Residential 7,329 10% Employed Full/Part Time 26,242 36% Hospital Based Residential 8 0% Not Assessed 2,770 4% Detox Residential 8,961 12% Detox Hospital 1,398 2% Reasons for Discharge or Treatment not Completed Detox Outpatient Non-Methadone 103 0% Treatment Plan Completed 37,476 52% Detox Outpatient Methadone 295 0% Quit or Dropped Out 16,537 23% Non-Traditional Program 95 0% Needs Different Level of Care 5,904 8% Early Intervention 1,826 3% Unable to Meet Client's Needs 482 1% Administrative Discharge 3,976 5% Sex Exhaustion of Payment Source 646 1% Male 49,152 68% Incarcerated 1,736 2% Female 23,470 32% Medical Discharge/Deceased 582 1% 1,872 3% Age at Discharge Under 18 2,877 4% Significant Problems or Conditions ,243 10% Mental Health Problem 13,704 19% ,935 12% Compulsive Gambling 172 0% ,999 18% Physical Disability or Handicap 779 1% ,405 14% Victim of Physical Abuse or Neglect 2,231 3% ,682 19% Victim of Sexual Abuse 1,734 2% ,932 16% Pregnancy 459 1% 55 and over 4,554 6% Suicide Attempt 438 1% Unknown 4 0% Runaway Behavior 1,619 2% Neglect or Abuse of Own Children 1,936 3% Race/Ethnicity Child of Substance Abuser 3,218 4% White 45,730 63% Batterer 202 0% Black 15,141 21% Criminal Activity 10,150 14% Hispanic 10,355 14% 2,450 3% 748 1% Not Assessed 661 1% Arrested in the Last 30 days (Yes) 2,841 4% Mental Illness/Co-Occurring Disorder 48,797 67% County of Residence Atlantic 4,099 6% Middlesex 4,667 6% Client Goal Achieved/Partially Achieved at Discharge * Bergen 2,898 4% Monmouth 7,099 10% Alcohol or Drug Problem 43,956 64% Burlington 2,828 4% Morris 2,788 4% Educational 17,242 63% Camden 5,757 8% Ocean 6,972 10% Employment or Vocational 16,195 55% Cape May 2,258 3% Passaic 3,403 5% Family Situation 23,842 61% Cumberland 1,960 3% Salem 715 1% Psychological or Mental Health 21,920 65% Essex 5,803 8% Somerset 1,898 3% Physical Health 22,248 72% Gloucester 3,349 5% Sussex 1,320 2% Legal 22,777 60% Hudson 4,289 6% Union 3,335 5% Hunterdon 883 1% Warren 1,050 1% Drug and Alcohol Use at Discharge Mercer 2,836 4% 2,420 3% Not Using Alcohol or Drugs 44,109 61% Using Alcohol 3,224 4% Using Drugs 9,420 13% Total Discharges = 72,627 Unknown 14,592 20% Unduplicated Clients Discharged = 51,410 * Percentage for goal achievment based on total clients for whom goal was applicable. All other percentages are based on total discharges.

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