CEWG January 09 Full Report - National Institute on Drug Abuse

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Section III. <strong>CEWG</strong> Area Update Briefs and International Presentations periods can be made. Weighted ED DAWN data were not available for this reporting period. Treatment data were provided by Broward Addiction Recovery Centers (BARC) of the Broward County Department of Human Services and came from nine adult programs operated by BARC in Broward County. The data from Miami/Dade County were provided by the South Florida Provider Coalition from all publicly-funded treatment programs in the county. These data were also reported to the State of Florida for inclusion in its Treatment Episode Data Sets submission to SAMHSA. Forensic laboratory data were provided by the <strong>National</strong> Forensic Laboratory Information System, Drug Enforcement Administration (DEA), for <strong>January</strong>–June 2008. Prescription distribution data were provided by the Automation of <strong>Report</strong>s and Consolidated Orders System, DEA, for <strong>January</strong>–June 2008. Drug Abuse Patterns and Trends in Minneapolis/St. Paul—Update: <strong>January</strong> 20<strong>09</strong> Carol L. Falkowski For inquiries concerning this report, please contact Carol L. Falkowski, Director, Chemical Health Division, Minnesota Department of Human Services, 540 Cedar Street, St. Paul, MN 55115, Phone: 651–431–2457, Fax: 651–431–7449, E-mail: carol. falkowski@state.mn.us. Overview of Findings: Addiction treatment programs continued to treat more clients for alcoholism than any other drug disorder, and more metropolitan area hospital emergency department (ED) reports involved underage alcohol consumption than reports for any single illicit drug in the first half of 2008. Treatment admissions for methamphetamine continued to drop, while those for heroin were increasing. For the first time in several years cocaine seizures by law enforcement surpassed those for methamphetamine. Updated Drug Abuse Trends and Emerging Patterns: Treatment admissions for methamphetamine continued to drop in 2008 in the Twin Cities (Minneapolis/St. Paul) metropolitan area; this is the continuation of a decline that began in 2006. Methamphetamine admissions accounted for 5.5 percent of total metropolitan area treatment admissions in the first half of 2008, compared with 7.5 percent in the first half of 2007 and 12 percent in 2005 (the highest year). Of these, a shrinking proportion was adolescents. Clients under the age of 18 accounted for 1.3 percent of methamphetamine-related treatment admissions in the first half of 2008, compared with 4 percent in the first half of 2007, and a high of 17.8 percent in 2003. Smoking remained the most common route of methamphetamine administration (64.9 percent). Seizures of methamphetamine by law enforcement were slightly surpassed by those of cocaine in 2008. Cocaine accounted for 29.5 percent of seizures, and methamphetamine accounted for 26.9 percent in the first half of 2008. Most cocaine treatment admissions were for crack/cocaine, and most clients (69 percent) were age 35 or older. Treatment admissions for heroin have steadily and gradually increased since the turn of the century to 6.6 percent in the first half of 2008, as have admissions for opiates other than heroin—mostly prescription narcotic analgesics used for nonmedical purposes (5.3 percent.) Of those clients admitted to treatment for other opiates, almost one-half (45.2 percent) were women, and oral was the primary route of administration (75.8 percent). Marijuana treatment admissions accounted for 16.9 percent of total treatment admissions in 2008 (first half), and cocaine accounted for 11 percent. Most clients (68.8 percent) admitted to treatment for marijuana dependence were under age 25 in the first half of 2008. More than half (52.1 percent) of treatment admissions reported alcohol as the primary substance problem. Addiction treatment programs continued to treat more clients for alcoholism than any other drug disorder. Most alcohol admissions (60.3 percent) were age 35 or older. More metropolitan area hospital ED reports involved underage alcohol consumption than reports for any single illicit drug in the first half of 2008. The results of drug testing among Proceedings of the Community Epidemiology Work Group, <strong>January</strong> 20<strong>09</strong> 55
EpidEmiologic TrEnds in drug AbusE: HigHligHTs And ExEcuTivE summAry arrestees in Hennepin County were available for the first time in years, due to the renewed funding of the Arrestee Drug Abuse Monitoring (ADAM II) System by the White House Offce of <strong>National</strong> Drug Control Policy. Of the 881 male arrestees tested in Hennepin County in 2007, 43.4 percent tested positive for marijuana; 28.5 percent tested positive for cocaine; 5.3 percent tested positive for opiates; and 5.1 percent tested positive for methamphetamine. Characteristics of the 31,696 people treated statewide in local detoxification treatment centers are also presented in this report. Most (89.4 percent) had alcohol as a presenting problem, followed by marijuana (30.6 percent), and cocaine (18.2 percent). One-half reported at least one lifetime DWI (driving while intoxicated) arrest, and one-quarter (26.2 percent) reported a non-DWI or drug arrest. The most common referral at discharge was to a peer support group (69.7 percent), followed by social services (23 percent), and no referral at all (21.8 percent). Data Sources: Treatment data were provided by addition treatment programs in the five-county Twin Cities metropolitan area as reported on the Drug and Alcohol Abuse Normative Evaluation System of the Minnesota Department of Human Services (<strong>January</strong>–June 2008). Forensic laboratory data were derived from the <strong>National</strong> Forensic Laboratory Information System, Drug Enforcement Administration, for the first half of 2008 (<strong>January</strong>– June 2008). Arrestee drug testing data were provided by the ADAM II system for Hennepin County arrestees in 2007, as reported by the White House Offce of <strong>National</strong> Drug Control Policy. Hospital ED data were derived from the Drug Abuse Warning Network (DAWN) Live! system administered by the Offce of Applied Studies of the Substance Abuse and Mental Health Services Administration (<strong>January</strong>–June 2008). Drug Abuse Patterns and Trends in New York City—Update: <strong>January</strong> 20<strong>09</strong> Rozanne Marel, Ph.D. For inquiries concerning this report, please contact Rozanne Marel, Ph.D., Assistant Chief of Epidemiology, New York State Offce of Alcoholism and Substance Abuse Services, 501 7th Avenue, 9th Floor, New York, NY 10018, Phone: 646–728– 4605, Fax: 646–728–4685, E-mail: rozannemarel@ oasas.state.ny.us. Overview of Findings: Cocaine remained a major problem in New York City, and cocaine indicators were mixed for this reporting period. New York City is the most significant heroin market in the country, but treatment admissions for heroin were down slightly since the last reporting period. Marijuana indicators were mixed but remained at a high level. Although prescription drug use remained low, compared with the use of other substances, many kinds of prescription drugs were available on the street. Marijuana continued to be considered high quality and widely available. Treatment admissions for marijuana increased to the highest number ever. Marijuana in a blunt cigar often serves as the base to which other drugs are added. Methamphetamine indicators in New York City remained low, and there was little availability or selling activity. Indicators for MDMA and other club drugs remained low. Updated Drug Abuse Trends and Emerging Patterns: Cocaine indicators were mixed, but several showed signs of increase. Primary cocaine treatment admissions remained stable at 19 percent of all admissions, but more clients in treatment had a primary, secondary, or tertiary problem with cocaine than with any other drug. There were more Drug Abuse Warning Network (DAWN) Live! unweighted emergency department (ED) reports for cocaine, as well as more <strong>National</strong> Forensic Laboratory Information System (NFLIS) items for cocaine, than for any other drug. Street sources reported that cocaine was highly available. Almost one-third of 56 Proceedings of the Community Epidemiology Work Group, <strong>January</strong> 20<strong>09</strong>
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CEWG January 09 Full Report - National Institute on Drug Abuse

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