Profile of Alcohol and Drug Indicators

Profile of Alcohol and Drug Indicators for Hillsborough County, Florida June 2015 Kathleen A. Moore, Ph.D. M. Scott Young, Ph.D. Mental Health Law and Policy College of Behavioral and Community Sciences University of South Florida Ellen Snelling, MS Cindy Grant, Director Hillsborough County Anti Drug Alliance Profile of Alcohol and Drug Indicators tjune 2015 t 1

For more information about HCADA or the Profile of Alcohol and Drug Indicators, please contact: HCADA 2815 E. Henry Avenue, Suite B-1 Tampa FL 33610 813-238-4034 www.hcada.com HCADA Board Ellen Snelling, Chair Renee Muratti, Vice Chair Bill Gieseking, Secretary Kevin Rick, Treasurer Sonya Bufe, Immed Past Chair Cindy Grant, Director 813-238-4034 togetheragain@earthlink.net Ellen Snelling, TAC Chair 813-731-2696 Er.snelling@verizon.net Helen Justice Prescription Drug Task Force Chair 813-875-6201 Extension 120 Hbjustice1@aol.com Amy Ronshausen Marijuana Task Force Chair 727-828-0210 ext 107 aronshausen@dfaf.org www.saveoursociety.org Mary Martinasek, PhD Tobacco Free Partnership Chair 813-257-5037 MMartinasek@ut.edu Hillsborough County Anti Drug Alliance (HCADA) is a community coalition with over 150 members. HCADA envisions a community where youth and families are safe, healthy and free of substance abuse and addiction. HCADA s mission is to plan and implement strategies to prevent and reduce youth and adult substance use/misuse by promoting healthy communities in Hillsborough County through education, collaboration and advocacy. The mission and vision guide the work of HCADA. The work of the coalition is accomplished via volunteer community collaboration through the various workgroups and task forces of the coalition. HCADA is committed to a community collaboration and planning process that continues to make Hillsborough County a healthier and safer place for all of us to live. We invite you to join one or more of our task forces and to attend our by monthly General Membership Meetings. Prescription Drug Abuse Task Force is a multiple county task force addressing the issues around prescription drug abuse and misuse. Task Force members plan for effective strategies to reduce the growing prescription drug misuse problem in our communities. Tampa Alcohol Coalition s (TAC) mission is to prevent underage drinking and impaired driving. TAC strives to increase awareness about the consequences of underage drinking and high risk drinking in our community. TAC advocates for effective alcohol policies. TAC supports consistent enforcement of underage drinking laws. Members collaborate with local and state organizations, agencies, media and officials in their efforts to prevent underage, high risk drinking and impaired driving. Tobacco Free Partnership, Hillsborough provides leadership on community issues related to tobacco including prevention, cessation, second hand smoke, advocacy, and Students Working Against Tobacco (SWAT). There are currently 15 active SWAT youth clubs working in Hillsborough County to influence their peers toward no tobacco use. Marijuana Task Force was formed in April 2011 in response to the rapid increase n the use of marijuana among middle and high school students in Hillsborough County as reported in the Florida Youth Substance Abuse Survey. Youth Initiatives Youth to Youth International Our youth are provided with information, skills and opportunities for action. Front Cover Photographs from left to right: Tampa Police Officers Steve Buchanan (on the left), John Vallejo (on the right) and Hillsborough County Sheriff s Office Deputy Jeff Ramer (in the middle) at the Amalie Arena educating the public about the dangers of impaired driving. HCADA Marijuana Task Force Chair Amy Ronshausen and HCADA Board Members Teresa Miller and Ellen Snelling at the 2014 HCADA Annual Meeting held at the Children s Board of Hillsborough County. SWAT : Students Working Against Tobacco clubs meet in Middle and High Schools in Hillsborough County to mobilize, educate and equip our youth to revolt against and de-glamorize Big Tobacco. SWAT is a united movement of empowered youth working towards a tobacco free future. YMAD!: Youth Making a Difference in Hillsborough County. YMAD! Is a youth led youth empowered program providing training and opportunities in order to develop student leaders to bring positive, preventive change surrounding alcohol, tobacco, and drug choices back to their schools and neighborhoods. YMAD is currently implementing a social marketing campaign called Friday Night Done Right 00 No Alcohol No Dope and take pledges from peers on how they spend Friday Nights free of alcohol and drugs Focus is on the Positive things teens are doing on Friday nights! 2 t Profile of Alcohol and Drug Indicators t June 2015

Table of Contents Overview... 6 Report Highlights...7 Area Description...10 Hillsborough County Alcohol and Drug Indicator Analysis...10 Data Sources...10 Hillsborough County Anti Drug Alliance and Tampa Alcohol Coalition Accomplishments...11 Alcohol Outlet Indicators... 12 General Population Surveys: Adolescent Prevalence Rates... 14 Mortality Data... 25 Treatment Data... 30 Appendix A - Hillsborough County Drug Stats Cases Reported to Florida Poison Information Center... 32 Appendix B - HCSO Data... 33 Appendix C - Hillsborough CDMS Intoxication Crashes... 37 Appendix D - Traffic Crash Data... 38 List of Tables Table 1. Number of Hillsborough County Active Alcohol Licenses, by License Type...12 Table 2. Uniform Crime Report Alcohol- and Drug-Related Offense and Arrest Data...12 Table 3. Local Law Enforcement and State Attorney s Office Alcohol- and Drug-Related Offense and Arrest Data...13 Table 4. Students Reporting Lifetime Use of Selected Drugs...14 Table 5. Hillsborough County Students Reporting Lifetime Use of Selected Drugs...15 Table 6. Hillsborough County Students Reporting Past 30-Day Use of Selected Drugs...16 Table 7. Students Reporting Past 30-Day Use of Selected Drugs...17 Table 8. Percent of Hillsborough County Students Reporting Drug-Related Behavior...18 Table 9. Hillsborough County Drug-Related Deaths by Lethal/Non-Lethal Levels...25 Table 10. Alcohol-Related Crashes, Injuries and Fatalities...27 Table 11. Admission to Hillsborough County Substance Abuse Treatment Providers...31 Table 12. Number of Calls for Synthetic Drug Use in Hillsborough County 2010-2013...31 Profile of Alcohol and Drug Indicators tjune 2015 t 3

List of Figures Figure 1. Past 30-Day Middle and High School Alcohol Use: Hillsborough County vs. Statewide...17 Figure 2. Past 30-Day Middle and High School Binge Drinking: Hillsborough County vs. Statewide...17 Figure 3. Usual Source of Alcohol within the Past 30 Days Among High School Drinkers Hillsborough County 2014...19 Figure 4. Usual Drinking Location within the Past 30 Days Among High School Drinkers Hillsborough County 2014...19 Figure 5. Marijuana Trends Summary for Hillsborough County, 2004-2014...20 Figure 6. ATOD Use Before or During School, Hillsborough County and Florida Statewide, 2014...21 Figure 7. DUI or Riding with a Driver Under the Influence, Hillsborough County and Florida Statewide 2014...21 Figure 8. Civil Citation Dashboard...22 Figure 9. Delinquency Profile 2013-2014 Circuit 13 - Felony Drug Violation Intake - Arrests...23 Figure 10. Delinquency Profile 2013-2014 Circuit 13 - Alcohol Offenses Intake - Arrests...24 Figure 11. Comparison of Hillsborough County Drug-Related Deaths by Lethal Level...26 Figure 12. Comparison of Hillsborough County Drug-Related Deaths With Non-Lethal Levels Present...26 Figure 13. Comparison of Alcohol-Related Crashes and Fatalities...27 Figure 14. Manners of Death Hillsborough County, Florida...29 Figure 15. Synthetic Cathinones (Bath Salts)...32 Figure 16. Synthetic Marijuana/Cannabinoids (Spice)...32 Figure 17. Number of Crashes by Day of the Week...37 Figure 18. Number of Crashes by Day of the Week...37 Figure 19. Alcohol Fatality Rates Per 100 Million Vehicle Miles Traveled (VMT)...38 Figure 20. Alcohol Injury Rates Per 100 Million VMT...38 4 t Profile of Alcohol and Drug Indicators t June 2015

HCADA Board of Directors Officers Chair: Ms. Ellen Snelling, Community Member, Parent Vice Chair: Ms. Renee Muratti, State Attorney s Office Treasurer: Mr. Kevin Rick, Retired CFO Secretary: Mr. Bill Gieseking, Pepin Distributing Company Immediate Past Chair: Ms. Sonya Bufe, Phoenix House Members Ms. Cordel Batchelor, Assistant Public Defender Ms. Gina Firth, University of Tampa Ms. Dottie Groover-Skipper, United Methodist Church/Heartdance Foundation Mr. John Hile, Florida Department of Juvenile Justice Ms. Helen Justice, DUI Counterattack, Hillsborough Ms. Jackie Kirby, Healthcare Professional Ms. Teresa Miller, Parent/Stop RX Abuse Dr Bob Parrado, Parrado Consulting, Inc. Ms. Asha Terminello, ACTS/Gracepoint Staff Ms. Cindy Grant, Director Mr. Gary White, Associate Director Ms. Ronnie Crescentini, Coalition Assistant Ms. Elizabeth Theodate, Youth Coordinator Ms. Denise Birungi-Evans, Youth Coordinator Elisabeth Franzen, Community Coordinator/Tobacco Policy Profile of Alcohol and Drug Indicators tjune t 2015 2014 t 5

Overview Alcohol has the highest prevalence of use of any substance in Hillsborough County and throughout the nation. Alcohol has the highest prevalence of use of any substance in Hillsborough County and throughout the nation. In 2012, Hillsborough County ranked second among all counties in alcohol-related fatalities. Hillsborough County DUI arrests increased in 2014; Hillsborough has more DUI arrests than any other Florida county. To address these concerns, the Hillsborough County Anti-Drug Alliance (HCADA) and the Tampa Alcohol Coalition (TAC) have continued to support: DUI law enforcement operations, The Hillsborough County Sheriff s Alcohol Vendor Enforcement program (SAVE), DUI Counterattack, media coverage, alcohol awareness programs, improved alcohol policies and community coalitions collaborative efforts to reduce impaired driving and crashes, including the Community Traffic Safety Team (CTST) and Mothers Against Drunk Driving (MADD). Alcohol is the most commonly abused drug used among Hillsborough County Students with 43.8% of youth reporting using alcohol at least once in their life, higher than both the regional average of 43.0% and the statewide average of 42.6% (FYSAS 2014). In 2014, the overall 20.3% past 30-day rates of alcohol use break down to 8.9% in middle school and 29.3% in high school. Of those who do drink, both middle and high school trends in binge drinking have dropped in 2014, however Hillsborough County high school binge drinking rates are still above the State average. Additionally, the high school rate for blacking out from drinking is at 20.2%. After alcohol, students reported marijuana (25.0% lifetime and 12.8% past-30-day use) as the second most commonly used drug. Past-30-day use of marijuana increased slightly since 2012 (12.1% to 12.8%). Although marijuana is just slightly higher than the Florida statewide average, recent movement toward legalization is changing perceptions as youth report less risk of harm. After alcohol and marijuana, cigarettes, (14.9% lifetime and 3.7% past- 30-day), make up the third most commonly used drug. For other ATOD categories among Hillsborough County youth, past-30-day prevalence ranges from 3.0% for inhalants and prescriptions pain relievers to 0.2% for heroin and steroids. Thanks to a concerted community effort coupled with increased prevention strategies we are seeing a decrease in reported lifetime and past-30-day use of all substances, with the exception of marijuana, for the 2014 survey year (FYSAS). Our community must remain proactive to ensure we continue to see a decline in these behaviors and that the 2014 data is not an anomaly. The Coalition must also remain vigilant to upcoming trends in drug use among our youth. National Poison Control Center data from calls in 2012 indicate that poisonings from bath salts, synthetic marijuana and laundry detergent pods are emerging threats to public health. National Poison Control Center data from 2012, (released December 24, 2014), show that poisonings from prescription drugs are the leading cause of injury death in the United States. Although prescription drug abuse is not in the top three substances of abuse among Hillsborough County youth, it is of concern since in Hillsborough County alone we lost 143 persons to prescription drug overdose in 2013 (down from previous two years, but still too high). Past-30-day prescription pain reliever use was reported at 3.0%, compared to 2.3% across the statewide survey. If we reach the youth now with strong prevention efforts and make the necessary environmental changes, they will be less likely to start when they reach 18-36, which is the age group most prevalent in reported drug overdoses. Hillsborough County data also guides us to keep watch on inhalant use. Among middle school students, 3.6% reported the use of inhalants in the past 30 days, a rate higher than any other illicit drug (except marijuana) for this population. Also of concern is the recent popularity of e-cigarettes and vapor pens, which are not only used as a delivery system for nicotine, but also for marijuana and synthetics as well. In the Florida Youth Tobacco Survey, Hillsborough County youth report more use of e-cigarettes. 6 t Profile of Alcohol and Drug Indicators t June 2015

Report Highlights Alcohol Outlets Since 2012, there has been a decrease in Alcohol Package Sales Licenses for beer only, with an increase in beer and wine package sales, as well as beer, wine and liquor package sales. Over the past two years, there has been a decrease in Consumed on Premises Licenses for beer only while Beer and wine package, as well as beer, wine, and liquor package consumption on premises increased. All licenses decreased between 2004 and 2014 except Other License Types (theme parks, bottle clubs, golf clubs, symphony/orchestra). The total number of liquor licenses increased from 2010 to 2014. From 2013 to 2014, DUI arrests increased in Hillsborough and Pinellas Counties, while arrests in Orange County decreased. This past year there was a decrease in the number of drug/narcotic arrests in Orange County with an increase in arrests in Hillsborough and Pinellas Counties. Liquor law violations decreased in all three counties in 2014. CBT County wide DUI arrests have increased this past year. DUI arrests decreased from 2006 to 2013 then increased in 2014; but 18 to 20 year olds have been consistently decreasing every year. Notices to appear for underage drinking increased from 2008 to 2010, then decreased from 2010 to 2014. General Population Surveys: Adolescent Prevalence Rates Florida Youth Substance Abuse Survey lifetime drug use data from 2008 to 2014 indicate that: In 2014, alcohol was the most commonly used drug among students in Hillsborough County and Florida Statewide, followed by marijuana then cigarettes. In 2014, Hillsborough County experienced a decrease in reported lifetime use of alcohol, cigarettes, inhalants, and illicit drugs but increased in reported marijuana use. In 2014, Hillsborough County lifetime student substance abuse rates were lower than state averages for cigarette and inhalant use but were higher for alcohol, blacking out, marijuana, synthetic marijuana, any illicit except marijuana and alcohol or any illicit drug use. Florida Youth Substance Abuse Survey lifetime drug use data from 2008 to 2014 indicate that: Alcohol remains the most commonly used drug among both middle and high school students. For middle and high school students, marijuana was the second most commonly used drug, followed by cigarettes. Overview $10,000 DRINK! Lawyer Fees...$3,500 Towing Charges...$150 Bond...$1000 Fine & Court Costs...$1000 DUI School...$215 3-Year Insurance Surcharge...$1,800 License Reinstatement...$225 Drug & Alcohol Evaluation...$100 Alcohol Treatment...$400 Cost of Supervision...$610 Vehicle Impound...$100 Ignition Interlock Device...$600 Loss of Work...$300 TOTAL...$10,000 THE LAW Legal drinking age - 21 years old Level of Blood Alcohol.08 or greater - DUI, automatic 6 months suspension of Driver s License.20 Blood Alcohol Content - Increased penalties for DUI A refusal to submit to a breath test requested by law enforcement - 1 year automatic suspension of Driver s License, and 18 months suspension for a second or subsequent refusal PERSONS UNDER THE AGE OF 21 Possession of an alcoholic beverage under the age of 21- arrestable 2nd degree misdemeanor with a one of up to $500.00 Operating or in physical control of a motor vehicle with a Blood Alcohol Content of.02 or greater - automatic 6 month suspension of Driver s License Your Community Traffic Safety Team - www.d7ctst.org August 2011 Photo source: Community Traffic Safety Team (CTST), D7 Profile of Alcohol and Drug Indicators t June 2015 t 7

Overview In 2014, alcohol and cigarettes lifetime use decreased among middle and high school students whereas marijuana increased. Florida Youth Substance Abuse Survey past month drug use data from 2008 and 2014 indicate: Alcohol has consistently remained the most commonly used drug among both middle and high school students from 2008-2014. Following alcohol, marijuana and inhalants were the drugs most commonly used by middle school students in 2014. Alcohol, marijuana and cigarettes were the top three drugs used by high school students in 2014. Use of prescription pain relievers peaked in 2008 for middle and high school students, declined, then went up again in 2014. Middle school students past 30-day use rates for alcohol, binge drinking, and marijuana all decreased in 2014. Cigarettes remained the same as 2012. High school students past 30-day use rates increased for underage drinking, binge drinking and marijuana; whereas, cigarettes decreased. Florida Youth Substance Abuse Survey past 30-day drug use data from 2008 to 2014 indicate that: Alcohol is the most commonly used drug among Hillsborough County and Florida Statewide. Hillsborough County rates for alcohol binge drinking and cigarettes decreased in 2014, whereas marijuana increased. Any illicit drug except marijuana and any alcohol or illicit drug use also decreased in 2014. In 2014, Hillsborough County rates fell below Florida Statewide rates for alcohol, cigarette use, and binge drinking. Marijuana use was above the Florida Statewide rate in 2014. Florida Youth Substance Abuse Survey drug-related behavior data from 2006 to 2014 indicate that: Middle and high school students reported decreased rates of drunk or high at school from 2010 to 2012. Selling drugs in school increased in middle school from 2012 to 2014. Selling drugs at school decreased among high school students from 2012 to 2014. 8 t Profile of Alcohol and Drug Indicators t June 2015

Mortality Data Florida Department of Law Enforcement, 2012 Report of Drugs Identified in Deceased Persons by Florida Medical Examiners, October 2013: FDLE site Medical Examiner Publication. Hillsborough County Drug-Related Death data from 2009-2013 indicate that: In 2013, there was a decrease in the number of non-lethal level deaths due to methadone, oxycodone, hydrocodone, and diazepam; there have been no deaths in which non-lethal levels of heroin were detected in 2010 and 2013. In 2013, lethal levels where drug was the cause of death decreased, particularly oxycodone, methadone, and alprazolam. Total drug deaths where drug was cause of death decreased from 465 in 2010 to 213 in 2013. Florida Department of Highway Safety and Motor Vehicle data indicate that Hillsborough County has a higher number of alcohol-related crashes and injuries than the comparably-sized Pinellas and Orange Counties. From 2010 to 2012, Hillsborough County experienced a slight increase in alcoholrelated crashes and injuries then a slight decrease in alcohol-related crashes in 2013. From 2011 to 2012, Hillsborough County experienced a slight decrease in alcoholrelated fatalities. Drinking drivers involved in crashes increased for all age groups from 2010 to 2013 but has decreased in all age groups from 2007. The number of drinking drivers in crashes increased from 18 to 19 year olds and again from 19 to 20 year olds with 20 year olds involved in nearly twice as many crashes than 18 year olds in 2013. In 2013, drug overdoses, traffic fatalities, and suicides were all at a similar rate (about 180 cases) compared to homicide fatalities (about 75 cases). Drug overdoses have decreased over the past five years from 250 cases in 2009 to 180 in 2013. Treatment Data Adults primary drug of choice is alcohol (592) followed by other opiates/synthetics (196) and marijuana/hashish (175) Child/adolescent s primary of choice is marijuana (239), significantly higher than any other drug. Admissions with marijuana as one of the drugs of choice decreased from 4,711 in FY 06/07 to 4,390 in FY 12/13. Marijuana, alcohol and oxycodone were the top three drug choices in treatment agency admissions in FY 12/13. The number of cases for bath salts decreased from 16 calls in 2011 to 2 calls in 2014. The number of calls for Spice/K2 decreased from 39 calls in 2012 to 19 in 2014. The number of calls for molly was highest in 2013 at 20 then decreased this past year to 17 calls. Overview Profile of Alcohol and Drug Indicators t June 2015 t 9

Overview Area Description Hillsborough County is composed of the cities of Tampa, Temple Terrace, and Plant City plus 47 other unincorporated areas. The County covers over 1,200 square miles, including 215 miles of coastline. According to the 2010 census estimate, the population was 1,229,226 with 75.8% White, 17.6% Black, 3.6% Asian,.6% other races, and 2.3% multiracial. Census 2010 figures also indicate that over one fourth (25.1%) of Hillsborough s population report being of Hispanic or Latino origin, the slight majority (51%) are female, 11.9% of the population are 65 years old or older, and 15% live below the poverty level. Hillsborough County is the fourth most populated county in Florida and accounts for over 6% of the State s total population. Hillsborough County Alcohol and Drug Indicator Analysis Indicator reporting programs are a useful means of gauging the extent of local alcohol and drug use and their related problems. Additionally, collecting indicator data over time will help to ascertain the impact of efforts designed to reduce alcohol and drug use and its related problems. Indicators can be used by community leaders in the following ways (1) to identify the most important local substance use problems, (2) to target community prevention and treatment strategies, and (3) to evaluate the results of new policies and programs. To this end, the Hillsborough County Anti Drug Alliance worked with University of South Florida FMHI researchers to conduct an evaluation of indicators available throughout Hillsborough County relevant to alcohol and drug use among both adolescents and adults. Some of the local data was compared to other counties with similar sized populations in metropolitan areas (Pinellas and Orange). Other data was compared to state averages. 10 t Profile of Alcohol and Drug Indicators t June 2015 The Indicator Report will be used to help evaluate the effectiveness of existing substance abuse prevention and treatment programs, alcohol and narcotic law enforcement, substance abuse awareness activities and alcohol and other drug policies, to determine the need for new programs and policies, and to help secure future funding. Data Sources This report describes alcohol and other drug trends in Hillsborough County, using the data sources summarized below: Division of Alcoholic Beverages and Tobacco (DABT) Uniform Crime Report (UCR) Hillsborough County Sheriff s Office (HCSO) Hillsborough County State Attorney s Office Tampa Police Department (TPD) crime statistics National Center for Disease Control s Behavioral Risk Factor Surveillance System National Household Survey on Drug Use and Health (NSDUH) Florida Youth Substance Abuse Survey (FYSAS) Florida Department of Highway Safety and Motor Vehicles (FDHSMV) Florida Department of Law Enforcement (FDLE) Hillsborough County Medical Examiner Florida Office of Vital Statistics Central Florida Behavioral Health Network (CFBHN) Florida Department of Juvenile Justice Florida Department of Education Florida Poison Information Center

Hillsborough County Anti Drug Alliance and Tampa Alcohol Coalition Accomplishments Organized and conducted prescription drug take back events in conjunction with community partners from HCSO, TTPD, TPD, DEA,, PCPD, Sweetbay/Winn Dixie, MOSI, Sanford Brown Pharmacy Tech Students and USF School of Pharmacy Students. HCADA obtained a JAG grant from Hillsborough County BOCC and provided four permanent Take Back Boxes to HCSO in 2013 and continues to work with community partners to establish more permanent take back boxes in Hillsborough County. Implemented strategies through the Collegiate Success Initiative to reduce college age underage and binge drinking. Marijuana Task Force researched consequences of marijuana usage and implemented three annual Marijuana Summits together with community partners across the State in 2013, 2014 and 2015. Tampa Alcohol Coalition participated in Tampa City Council meetings and discussion on alcohol ordinances for the City of Tampa and continues to support law enforcement efforts throughout Hillsborough County. HCADA presented prevention information at Hillsborough Board of County Commission, Tampa City Council, Temple Terrace City Council meetings. HCADA provided educational opportunities at Health Fairs throughout Hillsborough County, at NOPE Candlelight Vigil, School presentations and community partner meetings. HCADA assisted in facilitating NOPE Chapter in Hillsborough County and provides support as speaker for school events. HCADA works on a regional level in the Suncoast Region in prevention planning, education and advocacy efforts through Central Florida Behavioral Health Network s monthly regional coalition meeting and four workgroups including Strategic Planning, Environmental Strategies, Youth Development and Community Health and Wellness. HCADA works on a statewide level in prevention planning, education and advocacy efforts through Florida Coalition Alliance, Inc., FADAA Prevention Committee, Florida Coalition for Alcohol Policy, and other state workgroups and strategic planning efforts. Tobacco Free Partnership members supported and helped educate School Board members as they passed a Comprehensive School Tobacco Policy. HCADA implemented two signature fund raising events: Harlem Ambassador Basketball Game and Come Howl With Us in 2012 and 2013. HCADA participates in the fund raising events of our community partners, including Walk Like MADD Hillsborough. HCADA began coordination of the SBIRT (Screening, Brief Intervention, and Referral to Treatment) Program for Hillsborough County. HCADA expanded its Youth Initiatives to include SWAT, YMAD and the overall umbrella of Youth to Youth International. HCADA held its first Youth Talent Showcase and its first Youth Summit - A Community Conversation in 2015. Overview Profile of Alcohol and Drug Indicators t June 2015 t 11

Alcohol Outlet Indicators Table 1. Number of Hillsborough County Active Alcohol Licenses, by License Type Description # Licenses 2004 2006 2008 2010 2012 2014 Alcohol Package Sales Licenses Beer and wine package sales 1,070 1,163 834 517 869 904 Beer only package sales 332 335 218 187 203 179 Beer, wine, and liquor package sales 166 194 126 50 117 140 Consumed on Premises Licenses Beer, wine, and liquor package or consumption on premises 773 862 650 482 678 696 Beer and wine package or consumption on premises 586 601 549 445 569 577 Beer only package or consumption on premises 41 45 35 18 25 18 Other license types Theme parks, bottle clubs, golf clubs, symphony/orchestra 86 89 88 69 96 95 All Licenses 3,054 3,289 2,500 1,768 2,557 2,609 Note. Data obtained from Division of Alcohol, Beverage and Tobacco. Since 2012, there has been a decrease in Alcohol Package Sales Licenses for beer only, with an increase in beer and wine package sales, as well as beer, wine and liquor package sales. Over the past two years, there has been a decrease in Consumed on Premises Licenses for beer only while Beer and wine package, as well as beer, wine, and liquor package consumption on premises increased. All licenses decreased between 2004 and 2014 except Other License Types (theme parks, bottle clubs, golf clubs, symphony/orchestra). The total number of liquor licenses increased from 2010 to 2014. Table 2. Uniform Crime Report Alcohol- and Drug-Related Offense and Arrest Data Hillsborough County Pinellas County Orange County Indicator 2011 2012 2013 2014 2011 2012 2013 2014 2011 2012 2013 2014 DUI arrests 4,188 3,991 3,660 4,006 2,450 2,542 2,514 2,566 2,601 2,056 3,031 2,838 Drug / narcotic arrests 8,838 8,744 9,326 9,805 7,298 6,610 6,511 6,869 7,836 7,559 7,842 7,802 Liquor law violations 3,060 1,139 971 627 2,534 2,226 2,328 2,232 1,297 1,582 1,609 1,569 Note. Uniform Crime Report (UCR) data retrieved through FDLE website: http://www.fdle.state.fl.us/fsac/data_statistics.asp. From 2013 to 2014, DUI arrests increased in Hillsborough and Pinellas Counties, while arrests in Orange County decreased. This past year there was a decrease in the number of drug/narcotic arrests in Orange County with an increase in arrests in Hillsborough and Pinellas Counties. Liquor law violations decreased in all three counties in 2014. 12 t Profile of Alcohol and Drug Indicators t June 2015

Alcohol Outlet Indicators Table 3. Local Law Enforcement and State Attorney s Office Alcohol- and Drug-Related Offense and Arrest Data Hillsborough County Sheriff s Office 2006 2007 2008 2009 2010 2011 2012 2013 2014 Central Breath Testing Unit DUI arrests 7,054 6,633 5,910 5,822 5,236 4,463 4,030 3,799 4,181 county wide DUI arrests (HCSO) 3,387 2,843 2,812 2,629 2,316 1,761 1,471 1,382 1,715 DUI arrests for persons aged 18 20 486 446 353 347 290 239 195 141 104 county wide Tampa Police Department DUI arrests 2,956 2,958 2,440 2,415 2,222 2,041 1,842 1,947 2,014 Hillsborough County State Attorney s Office Notices to appear for underage drinking 777 598 502 614 632 481 444 424 210 Note: TPD data from: http://www.tampagov.net/dept_police/information_resources/crime_statistics /crime_stats_by_area.asp. CBT County wide DUI arrests have increased this past year. DUI arrests decreased from 2006 to 2013 then increased in 2014; but 18 to 20 year olds have been consistently decreasing every year. Notices to appear for underage drinking increased from 2008 to 2010, then decreased from 2010 to 2014. HCSO Sheriff s Alcohol Vendor Enforcement (SAVE) Program offers responsible vendor training to the staff/ managers of bars, clubs, restaurants and convenience stores. Profile of Alcohol and Drug Indicators tjune 2015 t 13

General Population Surveys: Adolescent Prevalence Rates Table 4. Students Reporting Lifetime Use of Selected Drugs Hillsborough County Florida Statewide Drug Type 2008 2010 2012 2014 2008 2010 2012 2014 Any alcohol 52.0% 51.5% 46.3% 43.8% 53.2% 51.5% 47.3% 42.6% Blacking Out -- -- -- 20.2% -- -- -- 18.9% Cigarettes 27.9% 25.1% 17.3% 14.9% 27.0% 25.9% 21.3% 17.6% Marijuana 22.4% 26.0% 21.9% 25.0% 21.1% 23.8% 23.2% 22.6% Synthetic Marijuana -- -- -- 10.8% -- -- -- 8.8% Inhalant use 13.0% 9.5% 7.9% 6.1% 11.4% 10.0% 7.9% 6.5% Any illicit except marijuana 22.0% 22.5% 19.3% 17.5% 20.7% 21.0% 18.8% 17.1% Alcohol or any illicit drug use 57.4% 56.0% 51.2% 49.9% 57.1% 56.3% 52.5% 48.5% Note. Data obtained from Florida Youth Substance Abuse Survey (FYSAS) of middle and high school students, http://www.dcf.state.fl.us/mentalhealth/publications/fysas Florida Youth Substance Abuse Survey lifetime drug use data from 2008 to 2014 indicate that: In 2014, alcohol was the most commonly used drug among students in Hillsborough County and Florida Statewide, followed by marijuana then cigarettes. In 2014, Hillsborough County experienced a decrease in reported lifetime use of alcohol, cigarettes, inhalants, and illicit drugs but increased in reported marijuana use. In 2014, Hillsborough County lifetime student substance abuse rates were lower than state averages for cigarette and inhalant use but were higher for alcohol, blacking out, marijuana, synthetic marijuana, any illicit except marijuana and alcohol or any illicit drug use. Students celebrated World No Tobacco Day by participating in a scavenger hunt, games, and talent show. 14 t Profile of Alcohol and Drug Indicators t June 2015

General Population Surveys: Adolescent Prevalence Rates Table 5. Hillsborough County Students Reporting Lifetime Use of Selected Drugs Middle School High School Drug Type 2008 2010 2012 2014 2008 2010 2012 2014 Alcohol 36.9% 30.3% 28.5% 24.2% 63.7% 69.1% 60.9% 59.4% Blacking Out -- -- -- -- -- -- -- 20.2% Cigarettes 18.5% 13.8% 10.4% 7.9% 36.0% 34.6% 23.0% 20.5% Marijuana 11.1% 9.8% 8.7% 9.2% 31.1% 39.4% 32.6% 37.1% Synthetic Marijuana -- -- -- -- -- -- 13.8% 10.8% Inhalants 15.4% 10.1% 10.2% 7.7% 11.1% 9.1% 5.9% 4.9% LSD/PCP/ Hallucinogenic mushrooms -- 2.2% 10% 0.7% -- 4.9% 4.8% 5.9% Cocaine/Crack cocaine -- 1.4% 1.2% 1.0% -- 3.5% 2.4% 2.4% Methamphetamine 1.2% 1.3% 0.8% 0.9% 1.0% 1.0% 1.0% 1.1% Depressants 2.6% 3.0% 2.5% 1.7% 8.8% 10.3% 6.7% 6.1% Heroin 0.9% 0.7% 0.6% 0.7% 0.9% 1.1% 1.5% 0.3% Prescription pain relievers 5.9% 4.0% 4.3% 3.6% 10.9% 11.7% 9.9% 8.0% Steroids w/o prescription 1.0% 0.7% 0.5% 0.3% 2.0% 0.9% 0.8% 1.1% Amphetamines 2.0% 2.0% 0.8% 0.6% 5.9% 6.4% 3.9% 5.6% Any illicit drug 24.6% 21.7% 19.7% 18.5% 39.1% 46.6% 41.6% 43.4% Note. Data obtained from FYSAS, http://www.dcf.state.fl.us/mentalhealth/publications/fysas/ Prior to 2010 hallucinogens and (cocaine and crack cocaine) were reported separately but are now combined. Florida Youth Substance Abuse Survey lifetime drug use data from 2008 to 2014 indicate that: Alcohol remains the most commonly used drug among both middle and high school students. For middle and high school students, marijuana was the second most commonly used drug, followed by cigarettes. In 2014, alcohol and cigarettes lifetime use decreased among middle and high school students whereas marijuana increased. Profile of Alcohol and Drug Indicators tjune 2015 t 15

General Population Surveys: Adolescent Prevalence Rates Drug Type Table 6. Hillsborough County Students Reporting Past 30-Day Use of Selected Drugs Middle School High School 2008 2010 2012 2014 2008 2010 2012 2014 Alcohol 17.8% 14.1% 12.8% 8.9% 40.2% 41.2% 28.0% 29.3% Binge drinking 5.2% 6.8% 4.6% 3.0% 20.1% 22.4% 14.1% 14.2% Cigarettes 5.1% 4.2% 1.9% 1.9% 10.8% 11.4% 8.1% 5.1% Marijuana 5.4% 5.2% 4.5% 4.3% 18.6% 21.9% 18.2% 19.2% Synthetic Marijuana -- -- -- -- -- -- 5.4% 1.7% Inhalants 6.4% 3.9% 5.1% 3.6% 1.6% 2.5% 1.4% 2.5% LSD/PCP/Hallucinogen mushrooms -- 1.0% 0.7% 0.6% -- 1.8% 0.8% 1.4% Cocaine/Crack cocaine -- 0.8% 0.3% 0.1% 0.6% 0.5% 0.4% Methamphetamine 0.5% 0.4% 0.5% 0.5% 0.2% 0.6% 0.5% 0.9% Depressants 1.5% 1.3% 1.3% 0.8% 3.2% 4.0% 2.8% 1.9% Heroin 0.5% 0.3% 0.1% 0.5% 0.5% 0.3% 0.4% 0% Prescription pain relievers 4.0% 1.8% 1.6% 1.8% 5.0% 3.6% 3.3% 3.9% Steroids w/o prescription 0.8% 0.3% 0.2% 0.0% 0.8% 0.3% 0.3% 0.3% Amphetamines 1.1% 0.6% 0% 0.4% 1.6% 1.9% 1.3% 2.2% Any illicit drug 13.2% 11.3% 10.5% 8.8% 22.9% 26.5% 24.0% 23.7% Note. Prior to 2010, hallucinogen, cocaine, and crack cocaine were reported separately but are now combined. Data obtained from FYSAS, http://www.dcf.state.fl.us/mentalhealth/publications/fysas/ Florida Youth Substance Abuse Survey past month drug use data from 2008 and 2014 indicate: Alcohol has consistently remained the most commonly used drug among both middle and high school students from 2008-2014. Following alcohol, marijuana and inhalants were the drugs most commonly used by middle school students in 2014. Alcohol, marijuana and cigarettes were the top three drugs used by high school students in 2014. Use of prescription pain relievers peaked in 2008 for middle and high school students, declined, then went up again in 2014. Middle school students past 30-day use rates for alcohol, binge drinking, and marijuana all decreased in 2014. Cigarettes remained the same as 2012. High school students past 30-day use rates increased for underage drinking, binge drinking and marijuana; whereas, cigarettes decreased. 16 t Profile of Alcohol and Drug Indicators t June 2015

General Population Surveys: Adolescent Prevalence Rates Table 7. Students Reporting Past 30-Day Use of Selected Drugs Hillsborough County Florida Statewide Drug Type 2008 2010 2012 2014 2008 2010 2012 2014 Any alcohol 29.8% 29.0% 21.1% 20.3% 29.8% 28.8% 24.6% 20.5% Binge drinking 13.1% 15.3% 9.8% 9.2% 14.8% 14.1% 11.3% 9.5% Cigarettes 8.1% 8.1% 5.3% 3.7% 9.1% 8.8% 6.6% 4.9% Marijuana 12.4% 14.3% 12.1% 12.8% 11.1% 13.0% 12.4% 12.4% Inhalant use 3.9% 3.1% 3.0% 3.0% 3.5% 3.2% 2.5% 2.1% Any illicit except marijuana 10.4% 9.8% 9.1% 8.7% 8.9% 9.3% 8.2% 7.5% Alcohol or any illicit drug use 35.4% 34.7% 28.5% 27.4% 33.9% 34.1% 30.5% 27.0% Note. Data obtained from FYSAS, http://www.dcf.state.fl.us/mentalhealth/publications/fysas/ Florida Youth Substance Abuse Survey past 30-day drug use data from 2008 to 2014 indicate that: Alcohol is the most commonly used drug among Hillsborough County and Florida Statewide. Hillsborough County rates for alcohol binge drinking and cigarettes decreased in 2014, whereas marijuana increased. Any illicit drug except marijuana and any alcohol or illicit drug use also decreased in 2014. In 2014, Hillsborough County rates fell below Florida Statewide rates for alcohol, cigarette use, and binge drinking. Marijuana use was above the Florida Statewide rate in 2014. Figure 1. Past 30-Day Middle and High School Alcohol Use: Hillsborough County vs. Statewide Figure 2. Past 30-Day Middle and High School Binge Drinking: Hillsborough County vs. Statewide 35.0 18.0 30.0 25.0 20.0 15.0 10.0 5.0 29.8 29.8 29.0 28.8 24.6 20.5 21.1 20.3 16.0 14.0 12.0 10.0 8.0 6.0 4.0 2.0 14.8 13.1 15.3 14.1 11.3 9.8 9.5 9.2 0.0 2008 2010 2012 2014 0.0 2008 2010 2012 2014 Hillsborough Statewide Hillsborough Statewide Profile of Alcohol and Drug Indicators tjune 2015 t 17

General Population Surveys: Adolescent Prevalence Rates Table 8. Percent of Hillsborough County Students Reporting Drug-Related Behavior Middle School High School Drug-Related Behavior 2006 2008 2010 2012 2014 2006 2008 2010 2012 2014 Selling drugs 2.7% 3.4% 3.7% 2.3% 2.5% 6.6% 9.5% 9.2% 7.4% 6.9% Drunk or high at school 5.7% 8.8% 6.7% 6.4% -- 18.0% 16.3% 19.6% 14.2% -- Florida Youth Substance Abuse Survey drug-related behavior data from 2006 to 2014 indicate that: Middle and high school students reported decreased rates of drunk or high at school from 2010 to 2012. Selling drugs in school increased in middle school from 2012 to 2014. Selling drugs at school decreased among high school students from 2012 to 2014. Community members from different ages and professions participated in a panel to help us understand areas of need in preventing drug and alcohol use in Hillsborough County at the World No Tobacco Day Youth Summit. HCADA youth groups participated in the annual Martin Luther King Parade with posters and other materials to educate the community on drug free life styles. 18 t Profile of Alcohol and Drug Indicators t June 2015

General Population Surveys: Adolescent Prevalence Rates Figure 3. Usual Source of Alcohol within the Past 30 Days Among High School Drinkers Hillsborough County 2014 45 40 39.6 35 30 25 23.2 20 15 16.5 14.4 10 5 0 Someone gave it to me Someone bought it for me Some other way Took it from a family member 5.4 Bought in a store 0.9 Bought in a restaurant, bar, or club 0 0 Bought at a public event Took it from a store Figure 4. Usual Drinking Location within the Past 30 Days Among High School Drinkers Hillsborough County 2014 50 45 45.4 40 35 35.4 30 25 20 15 10 5 0 Another Person's Home 10.7 2.8 My Home Some OtherPublic Place Place 1.5 1.5 1.4 1.1 School Property Car or Other Vehicle Public Event Restaurant, bar, or club Profile of Alcohol and Drug Indicators tjune 2015 t 19

General Population Surveys: Adolescent Prevalence Rates Figure 5. Marijuana Trends Summary for Hillsborough County, 2004-2014 25 21.9 20 19 18.6 19.2 18.2 18.6 15 14.5 14.3 12.6 12.4 12.8 12.1 12.4 10 9.8 5 4.9 3.8 5.4 5.2 4.5 4.3 4.2 0 2004 2006 2008 2010 2012 2014 2014 2004 2006 2008 2010 2012 2014 2014 2004 2006 2008 2010 2012 2014 2014 Middle School High School Overall Hillsborough County 2004-2014 Florida Statewide 2014 Keeley Pendagrass and Nico Spataro performing a skit at the HCADA Youth Talent Show. 20 t Profile of Alcohol and Drug Indicators t June 2015