Judy K. Ball, Ph.D., M.P.A. Office of Applied Studies Substance ...
Judy K. Ball, Ph.D., M.P.A. Office of Applied Studies Substance ...
Judy K. Ball, Ph.D., M.P.A. Office of Applied Studies Substance ...
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<strong>Judy</strong> K. <strong>Ball</strong>, <strong>Ph</strong>.D., M.P.A.<strong>Office</strong> <strong>of</strong> <strong>Applied</strong> <strong>Studies</strong><strong>Substance</strong> Abuse & Mental Health Services Administration29 March 2005
Continuum <strong>of</strong> Drug InvolvementDrug-related ED visitsDruguseDrugmisuseDrugabuse• Suicide attempt• Underage drinking• Seeking detox• Misuse/abuse– Overmedication– Malicious poisoning– All other
DAWN Hospitals, Q3-Q4 2003Hospitals in sample 518Participating 260Total eligible hospitals4,55850%Source: SAMHSA/OAS. Drug Abuse Warning Network, 2003: Interim NationalEstimates <strong>of</strong> Drug-related Emergency Department Visits. DAWN Series D-26, DHHSPub. No. (SMA) 04-3972. Rockville, MD, 2004.
Opiates/Opioids, Q3-Q4 2003ED visits20,000Misuse/abuse15,00017,04413,61110,0008,94610,7385,0006,2813,6000Hydrocodone/combinationsOxycodone/combinationsMethadoneSource: DAWN Estimates for Coterminous U.S.
Opiates/Opioids, Q3-Q4 2003ED visits20,000Misuse/abuse15,00010,0005,00003,259765 285Fentanyl/combinations1,509HydromorphoneSource: DAWN Estimates for Coterminous U.S.
Opiates/Opioids, Q3-Q4 2003ED visits20,000Seeking detox15,00017,06213,68810,0006,8815,00001,4962,2881,169Hydrocodone/combinationsOxycodone/combinationsMethadoneSource: DAWN Estimates for Coterminous U.S.
DAWN Hospitals, 2004Hospitals in new sample 903Participating* 436Total eligible hospitals4,55848%*Preliminary figures
Opiate/Opioid Reports, 2004Misuse/abuseReports to date0 1,000 2,000 3,000 4,000 5,000Fentanyl*627Hydrocodone*4,879Hydromorphone305Oxycodone*4,486Methdaone4,620* Single and multi-ingredient formulationsSource: DAWN Live! 3/11/2005
Single- vs. Multi-drug VisitsMisuse/abuseMulti53%Multi80%Multi70%Fentanyl*Hydrocodone*HydromorphoneMulti66%Multi60%Source: DAWN, 3/7/2005Oxycodone*Methadone
Opiate/Opioid Reports, 2004Seeking detoxReports to date0 1,000 2,000 3,000 4,000 5,000Fentanyl*122Hydrocodone*1,528Hydromorphone199Oxycodone*2,581Methdaone1,761* Single and multi-ingredient formulationsSource: DAWN Live! 3/11/2005
Single- vs. Multi-drug VisitsSeeking detoxMulti74%Multi78%Multi80%Fentanyl*Hydrocodone*HydromorphoneMulti70%Multi50%Source: DAWN, 3/7/2005Oxycodone*Methadone
Two Sides <strong>of</strong> New DAWN• Annual estimates for U.S. & selected metros– Rigorous methods– Known precision• Surveillance data– Sentinel events– Incomplete, ? generalizable ?– Balance + and -• Don’t know what we don’t know• Know what we can know quickly
http://DAWNinfo.samhsa.gov