Alcohol and Regional Drug Trends in Region 8, information about the demographics, statistics from the 2014 Texas School Survey and signs and symptoms of substance abuse

1. www.SACADA.org
Abigail Moore, MA, ACPS LPC
SACADA CEO
Gyna Juarez, MPA ACPS
Program Director

2. www.SACADA.org

3. Youth Prevention Programs
(Bexar County Only)
Project Heart (8-13)
Middle School (6th – 8th)
Adolescent/Teen (14 – 18)
Hype Production
Alternative Programs
Adult and Family Services
Assessment and Referrals
Project ADELANTE
WORC Project
Resource Center
Brochures
DVD/CD
Posters
Fact Sheets
Education and Training
Drugs & Alcohol Trends
Drug-Free Workplace
Court Mandated for
Alcohol Awareness
DWI Education
Programs and Services Offered
www.SACADA.org

4. Drug Trends in the News
www.SACADA.org

5. www.SACADA.org

6. Workshop Objectives
•To familiarize participants with Region 8 demographics
•To discuss Region 8 Drug Trends with youth and adults
•To discuss signs and symptoms of substance abuse
•To identify resources communities can utilize
www.SACADA.org

7. The Prevention Resource Center-Region 8 is one of 11 PRCs
across Texas funded by the Texas Department of State
Health Services (DSHS). We cover 28 counties in South
Central Texas.
www.SACADA.org

8. The Purpose of the Regional Needs Assessment
(RNA)
The regional needs assessment is a document developed
with state, regional and local data to provide the
community at large with a comprehensive view of
information about the trends, outcomes and
consequences associated with drug and alcohol use.
www.SACADA.org

9. Region 8 Facts
www.SACADA.org

10. Region 8 Demographics
Largest Cities
Nation
1. New York
2. Los Angles
3. Chicago
4. Houston
5. Philadelphia
6. Phoenix
7. San Antonio
Texas
1. Houston
2. San Antonio
3. Dallas
4. Austin
5. Ft Worth
6. El Paso
www.SACADA.org

11. Region 8 Demographics
Region Texas Nation
31,637.1
sq. mile
261,231.71
sq. mile
3,531,905.43
sq. mile
Land Area
Region Texas Nation
2,751,696 26,956,958 318,857,056
Region Texas Nation
87 Per Sq. Mile 96.3 per sq. mile 87.4 per sq. mile
Population Did you know?
Region <1%
Texas 8%
www.SACADA.org

12. Region 8 Population Ranking
Region 8 Counties by Ranking Population in Texas
Atascosa 68 Kendall 79
Bandera 115 Kerr 63
Bexar * Largest 4 Kinney 219
Calhoun 112 La Salle 184
Comal 33 Lavaca 122
DeWitt 117 Maverick 57
Dimmit 160 Medina 67
Edwards * Smallest 236 Real 221
Frio 127 Uvalde 98
Gillespie 100 Val Verde 65
Goliad 183 Victoria 41
Gonzales 118 Wilson 70
Guadalupe 29 Zavala 156
Jackson 141 Region 8 *In State 4
Karnes 140 Texas * In the Nation 2
Source:
http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=
www.SACADA.org

13. Cultural Indicators - Veterans
0
1
2
3
4
5
6
7
8
9
10
Region 8 Texas
Veterans
U.S. Census Bureau. 2009 – 2013 5 Year American Community Survey
www.SACADA.org

14. Cultural Indicators - Veterans
U.S. Census Bureau. 2009 – 2013 5 Year American Community Survey
Region 8 231,185
Texas 1,583,272
Nation 21,263,779
+295,907 DOD and Active
Duty Military
High Correlation of MH & SA
Does not include Family Membe
Largest population of veterans reside in Bexar, Guadalupe and Comal
counties.
www.SACADA.org

15. % of Individuals Living Below Poverty Level
14
14.5
15
15.5
16
16.5
17
17.5
18
Region 8 Texas Nation
17.1%
17.6%
15.4%
U.S. Census Bureau. 2009 – 2013 5 Year American Community
Counties with the most population living in poverty Zavala 35%, Maverick –
30.5% and Dimmit and Uvalde both at 26.5%
www.SACADA.org

16. Children Living in Poverty
United States, 22%
Texas, 25%
Region, 24.10%
21%
21%
22%
22%
23%
23%
24%
24%
25%
25%
26%
Children in Poverty
AxisTitle
Chart Title
2015 Kids Count Profile
www.SACADA.org

17. Counties with the Largest % of Kids
Living in Poverty
Gonzales 1,657 30.7
Val Verde 4,500 32.3
Maverick 6,289 34.8
LaSalle 526 35.6
Frio 1,535 35.9
Edwards 152 38.3
Dimmit 1,262 39
Real 223 39.1
Uvalde 2,940 39.4
Zavala 1,655 45
www.SACADA.org

18. Socioeconomic Indicators
Region
8
Texas Nation
$45,658 $51,900 $53,046
Median Household Income (In 2013
Dollars)
U.S. Census Bureau. 2009 – 2013 5 Year American Community
The top 3 Counties with the most income include Kendall - $73,410, Comal -
$65,839 and Wilson - $64,571
The bottom 3 Counties with the least income include Maverick - $31,395,
La Salle - $26,756 and Zavala - $25,625.
$6,242
Less
$7,388
Less
www.SACADA.org

19. Households Receiving Supplemental Nutrition
Assistance Program (SNAP) Benefits
Area Total
Households
Households
Receiving
SNAP
Benefits
%
Households
Receiving
SNAP
Benefits
Region 8 921,190 132,345 14.37%
Texas 8,886,471 1,173,314 13.20%
Nation 115,610,216 14,339,330 12.40%
SNAP provides monthly benefits that help eligible low income households
purchase healthy food.
www.SACADA.org

20. Confirmed Child Protective Service (CPS)
Victims & Investigations
Area Confirmed
Victims of
Child Abuse
Per 1,000
Children
Region 8 8,397 11.6
Texas 66,572 9.2
Texas State Data Center, University of Texas San Antonio, Based on Census
2010 Data www.SACADA.org

21. Region 8 Demographics - Language
English Spanish
Other
36%
More Than 1/3
of our Citizens
Ages 5 and Older
Speak Spanish as
Their First
Language.
U.S. Census Bureau, 2009 – 2013 5- Year American Community Surveywww.SACADA.org

22. Region 8 Education
Our 7th & 8th Grade Students Account for
Nearly ½ of the 7th & 8th Grade Drop Outs in
Texas.
44.6%
2007 – 2014 Texas Education Agency: Annual Drop Outs by Grade
www.SACADA.org

23. Region 8 Education
Our 9th & 10th Grade Students Account for
9% of the 9th & 10th Grade Drop Outs in
Texas.
9.2%
2007 – 2014 Texas Education Agency: Annual Drop Outs by Grade
www.SACADA.org

24. Region 8 Education
In Total, Our 7th thru 12th Grade Students
Account for nearly 15% Drop Outs in Texas.
14.5%
2007 – 2014 Texas Education Agency: Annual Drop Outs by Grade
www.SACADA.org

25. Region 8 Criminal Activity-
Adolescents
•The total offenses by males under 18 in 2013
account for almost 70% of the crimes
committed.
•All illicit drug-related offenses (drug abuse
violations, drug sale/manufacture, and drug
possessions) account for 40% of arrests.
DPS, Texas Uniform Crime Reporting Program 2013
www.SACADA.org

26. Region 8 Substance Abuse Treatment
and Adolescents (12 – 18 Year Olds)
351
Treatment
Admissions
7% of the State’s Total
2014 Substance Abuse and Mental Health Treatment Youth Admissions Report
www.SACADA.org

27. Region 8 Substance Abuse Treatment
and Adolescents (12 – 18 Year Olds)
2014 Substance Abuse and Mental Health Treatment Youth Admissions Report
0
5
10
15
20
25
30
35
40
12 Yr Olds 13 Yr Olds 14 Yr Olds 15 Yr Olds 16 Yr Olds 17 Yr Olds
Admissions in 2014
www.SACADA.org

28. Region 8 Substance Abuse Treatment
and Adolescents (12 – 18 Year Olds)
2014 Substance Abuse and Mental Health Treatment Youth Admissions Report
Admissions in 2014
Out Patient Residential
24%
76%
www.SACADA.org

29. Region 8 Substance Abuse Treatment
and Adolescents (12 – 18 Year Olds)
2014 Substance Abuse and Mental Health Treatment Youth Admissions Report
Reasons for Treatment Admissions in 2014
Marijuana/Hash Meth Alcohol & Other
89%
www.SACADA.org

30. Teen Pregnancy
Data Source: US Department of Health & Human Services, Health Indicators Warehouse. Centers for
Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. 2006-
12. Source geography: County
Female with birth in the
past 12 months
(15 to 19)
Total White alone Black or African
American
Hispanic or Latino
Origin(of any
race)
Area Total teen
(15-19)
population
% of
teen
female
with
birth
Total teen
(15-19)
population
% of
teen
female
with
birth
Total teen
(15-19)
population
% of
teen
female
with
birth
Total teen
(15-19)
population
% of teen
female
with birth
Region 8 (County
Level)
Counties reporting
150,580 3.1 39,248 2.0 11,971 4.5 93,362 4.1
Texas 1,884,547 3.8 682,019 2.2 251,666 4.3 854,228 5.3
US 21,715,07
4
2.4 12,080,76
1
1.6 3,315,65
6
3.7 4,547,603 3.8
• Texas has the 5th highest birth rate among teenagers, behind Arkansas, Mississippi, Oklahoma and
New Mexico. And Texas, where schools are not required to teach sex education, has the highest rate
of repeat births among teenagers ages 15 to 19.
• The Centers for Disease Control and Prevention has examined a troubling sub-group: teens who
give birth to a second, third or even fourth child. These are called “repeat teen births.” Of all 50
states, Texas ranks #1 for this phenomenon.
Source: U.S. Census Bureau, 2009-2013 5-Year American Community Surveywww.SACADA.org

31. Suicide
Area self poisoning self harm by
hanging
self harm by other
/firearm
Total Suicide
death rate per
100,00
0
% of
total
deat
hs
death rate per
100,00
0
% of
total
deaths
death rate per
100,00
0
% of total
deaths
deat
h
rate per
100,000
% of
total
death
s
Region
8
14 - 0.1 40 2.2 0.2 *101 5.6 0.5 155 3.9 0.3
Suicide Mortality Rates Per 100K Population, Region 8, 2013, CDC Wonder MCD
Deaths Rate
Region 8 3,912 12.62
Texas 37,699 10.73
Suicide Mortality Rates Per 100K Population, 1999-2013, CDC Wonder MCD
www.SACADA.org

32. Texas School Survey (TSS) of
Drug and Alcohol Use
Over 2 Million Surveyed since 1988
Student Self-Report
State Divided into 11 Regions
Findings Provide State Policy Makers Information to Make Data Driven Decisions.
www.SACADA.org

33. - Students self-report their
use of drugs, alcohol and
tobacco in grades 7 – 12.
Measures frequency, peers, driving under
the influence, access, perceptions of
danger, parental approval and other related
behavior.
www.SACADA.org

34. 2010
2012
2014
Texas School Survey Participation
Regions 7&8
www.SACADA.org

35. 0
10
20
30
40
50
60
70
Youth Ever Used 2014
Region State Nation
Alcohol continues
to be the most used
substance.
www.SACADA.org

36. 0
10
20
30
40
50
60
70
Nation Texas Region 7 & 8
Alcohol Tobacco Marijuana
Nation – Tobacco
leads Marijuana by
.4%
Most Self-Reported Substance Used 2014
State - Marijuana
leads Tobacco by
.8% Region –
Tobacco leads
Marijuana by .2%
www.SACADA.org

37. Youth Ever Used 2014
0 10 20 30 40 50 60
Tobacco
Steroids
Marijuana
Inhalants
Heroin
Hallucinog…
Ecstasy
Cocaine/C…
Alcohol
Any Illicit…
Rohypnol
Methamph…
Synthetic…
State Region
Region ranks below the State in all areas
except Meth and Steroids. (.1% )
www.SACADA.org

38. Alcohol is the most
commonly used substance.
In 2014, 46% of the students in
Region 7&8 reported having
used alcohol at some point in
their lives.
46%
In the Past 30
Days…
11% of students reported having at least one
instance of binge drinking (5 or more drinks
in one sitting)
www.SACADA.org

39. EASY
ACCESS
44% of students reported Alcohol
as “Some What Easy/Very Easy” to
get compared to Tobacco at 32%
and Marijuana at 30%.
www.SACADA.org

40. Tobacco
 86% reported that
Tobacco is
SomeWhat/Very
Dangerous
 31% reported that at
least one of their close
friends uses Tobacco.
Marijuana
 74% reported that
Marijuana is
SomeWhat/Very
Dangerous
 39% reported that at
least one of their close
friends uses Marijuana.
If the Perception is Low…the Use is High!
Perception of harm
www.SACADA.org

41. Girls have
surpassed
Boys in Alcohol
Usage in all
categories.
2
x
Students not living with
two parents (32%)
reported using marijuana
more than twice as
much as those living in a
two parent household
(17%).
www.SACADA.org

42. RX Drugs – Region 7/8
0
0.5
1
1.5
2
2.5
3
3.5
4
Codeine Oxycontin Vicodin Valium Xanax Over the
Counter
DXM, Triple
CS
Region 7&8
Ever
www.SACADA.org

43. Inhalants – Comparison
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
Texas
Ever Used
0
0.5
1
1.5
2
2.5
3
3.5
4
Region 7&8
Ever Used
How recently, if ever have you sniffed, huffed, or
inhaled the following inhalants for “kicks” or to get
“high”?
www.SACADA.org

44. 0
5
10
15
20
25
30
35
40
Alcohol Any Illicit Inhalants Marijuana Tobacco
Past Month Use by Grade – Region 7&8
Grade 12 Grade 11 Grade 10 Grade 9
Grade 8 Grade 7 Grade 6
Substance use increases by grade
level with the exception of
inhalants. 6th & 7th grade reported
more likely to use inhalants.
www.SACADA.org

45. Seek Help – Region 7&8
0
10
20
30
40
50
60
70
80
90
School
Counselor
Adult at School Counselor Out Parents Medical Dr. Friends Another Adult Not Seek
If you had a drug or alcohol problem and needed help, who would you
go to?
No Yes
52% Will Not
Seek Help
www.SACADA.org

46. www.SACADA.org

47. Behavioral Health
DATA BOOK
A quarterly reference to community mental health and substance abuse services
Fiscal Year 2015  Quarter 1  March 10, 2015
http://www.dshs.state.tx.us/mhsa/databook/

48. Figure 3.4. Number of adult admissions to substance abuse treatment
programs by primary substance per year
12,184
12,925
12,015
12,496
6,125 6,022
4,884 4,755
5,554 5,400 5,614
6,052
2,628
3,094
4,383
5,663
3,840 3,797 3,531
3,210
9,213 9,117 9,264
9,738
0
5,000
10,000
15,000
20,000
FY11 FY12 FY13 FY14
Alcohol Cocaine Marijuana Methamphetamine Opioid Other
SUBSTANCE ABUSE SERVICES  Section 3  Treatment
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
48
Region 8 Admissions FY14 = 3,763

49. Figure 3.12. Number of youth admissions to substance abuse treatment
programs by primary substance per year
252 245 188 185123 132 98 98
5,119
4,534
5,035
4,775
41 48 82 8837 41 30 22
410 344 383 476
0
2,000
4,000
6,000
8,000
FY11 FY12 FY13 FY14
Alcohol Cocaine Marijuana Methamphetamine Opioid Other
SUBSTANCE ABUSE SERVICES  Section 3  Treatment
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
49

50. 0 68 107 94
838
1,757
1,984
2,635
341 304
710 564461
634
1,410 1,435
6,553
6,271 6,305
5,391
0
2,000
4,000
6,000
8,000
10,000
FY11 FY12 FY13 FY14
COPSD Detox Methadone Outpatient Residential
Figure 6.1. Number of adults entered on waiting list by substance
abuse program per year
SUBSTANCE ABUSE SERVICES  Section 6  Waiting List
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
50

51. 0 20 0 0
687
412
389 395
66
98
49 40
0 0
0
200
400
600
800
FY11 FY12 FY13 FY14
COPSD Detox Residential Outpatient Methadone
Figure 6.2. Number of youth entered on waiting list by substance
abuse program per year
SUBSTANCE ABUSE SERVICES  Section 6  Waiting List
Source: DSHS, Clinical Management for Behavioral Health Services (CMBHS).
51

52. Alcohol-Underage Drinking
www.SACADA.org

53. Alcohol – Underage Drinking
www.SACADA.org

54. Alcohol – Binge Drinking
www.SACADA.org

55. College: Binge
Drinking
Past 30 Days
Male 41%
Females 35%
14%
Youth Binge Drinking
Binge Drinking:
Five drinks in one sitting for
men
Four drinks in one sitting for
women
11% of our region’s youth (grades 6-12) report binge drinking within the past 30
days.

58. Tobacco/Electronic Nicotine Devices
www.SACADA.org
 Tobacco use is the leading cause of preventable disease and death in
the United States; if current smoking rates continue, 5.6 million
Americans aged <18 years who are alive today are projected to die
prematurely from smoking-related disease.
 During 2011–2015, substantial increases were observed in e-cigarette
and hookah use among high school and middle school students,
whereas significant decreases were observed in the use of cigarettes,
cigars, smokeless tobacco, pipe tobacco, and bidis, resulting in no
decline in tobacco use overall.
 During 2015, electronic cigarettes (e-cigarettes) were the most
commonly used tobacco product among middle (5.3%) and high (16.0%)
school students.
Singh T, Arrazola RA, Corey CG, et al. Tobacco Use Among Middle and High School Students — United States, 2011–
2015. MMWR Morb Mortal Wkly Rep 2016;65:361–367. DOI: http://dx.doi.org/10.15585/mmwr.mm6514a1

60. Negative Effects of Smoking (anything)
 1 Joint = 4 Cigarettes
 5 joints a week = 1 pack of
cigarettes
 Respiratory effects: Chronic
bronchitis
 Coughing
 Phlegm
 Wheezing
 Link to cancer: What we do
know
 Smoking tobacco causes
cancer.
 Marijuana has 50% more
carcinogens than tobacco.

61. Marijuana Trends
 Dabbing
 Vaping
 Edibles
 Topical products

62. Hashish
Hash Oil
Slang terms include
wax, ear wax, canna
wax, dabs, canna oil,
honey oil, and other
lovely descriptive terms.
Using hash oil is often
called “dabbing.”
Hashish is extracted from marijuana
either by compression or purification.

63. Vaping Hash Oil

64. Edibles
 Marketed to youth
 Derive benefits w/o
smoke
 No THC wasted in
smoke
 1 puff on a joint ~ 5 mg
THC
 1 “serving” = 10 mg
THC
 1 package = up to 10
servings
 Effects delayed up to
30 min

65. National Overdose Deaths
Number of Deaths from Prescription Drugs
0
5,000
10,000
15,000
20,000
25,000
30,000 Total Female Male
Source: National Center for Health Statistics, CDC Wonder

66. National Overdose Deaths
Number of Deaths from Prescription Opioid Pain
Relievers
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
20,000 Total Female Male
Source: National Center for Health Statistics, CDC Wonder

67. National Overdose Deaths
Number of Deaths from Benzodiazepines
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000 Total Female Male
Source: National Center for Health Statistics, CDC Wonder

68. Over the Counter - Cough Syrup
(DXM)
http://www.dextroverse.org/sources.html
Skittles

69. Heroin – On the Rise
www.SACADA.org
 Heroin use more than doubled among young adults
ages 18–25 in the past decade.
 More than 9 in 10 people who used heroin also used
at least one other drug.
 45% of people who used heroin were also addicted
to prescription opioid painkillers.
http://www.cdc.gov/vitalsigns/heroin/

70. National Overdose Deaths
Number of Deaths from Heroin
0
2,000
4,000
6,000
8,000
10,000
12,000 Total Female Male

71. Addiction
 A primary disease that develops over
time.
 Characterized by preoccupation and
mood-altering chemicals, loss of control
over consumption, chronicity, and
tendency to relapse.
 Whatever label is used to describe
addiction, it has consistent symptoms,
progression and outcome if left
untreated. It can be diagnosed and
treated effectively.

72. What Is The Difference
Substance Abuse
 Use resulting in failure to
fulfill major role obligations
 Recurrent use in situations
in which its physically
dangerous
 Recurrent substance-
related legal problems
 Continued use despite
having social or
interpersonal problems
Dependence
 Tolerance/ Withdrawal
 Using larger
amounts/longer period
 Desire or unsuccessful
effort to quit/cut down
 Time spent using,
obtaining, recovering
from the drug
 Important activities
reduced or avoided
 Persistent or recurrent
physical or
psychological problems

73. Biological Effects of Drug Use
 Drugs usage decreases
mental process and
activity and distorts
normal brain activity.
 The heart rate is distorted
due to high usage during
prolonged periods of drug
use.

74. Risk Factors
 The Child
 The Family
 The Community
 The Society
http://ncaddsac.org/wp-
content/uploads/2014/03/SAMHSAGraphic.png

75. Children at greater risk
 With disabilities,
mental illness, and ill
children, premature
birth, exposure to
toxins in utero
 Age– younger more
likely to be neglected
older sexual abuse
 Gender

76. The families at great risk
 Substance abuse (up to 80% is present)
 Been abused as a child/become victimizer
 Single parents, step parenting,
 Poverty
 Domestic violence
 Lack of parenting skills and other life skills
 Young families, many kids –more risk (remember data
Gyna shared teen pregnancy, youth drug use)

77. Risk Factor- Community
 Lack of community support
 Cultural norms
 Violence
 Unemployment

78. Risk Factor-Social
 Religious norms,
 Acceptance of violence
 Stressful life events
 Lack of social support
 Others?

79. Protective Factors
 Child
 Parent/ family
 Social/Environmental

80. Protective Factor- Child
 Mom’s good prenatal care during pregnancy
 Good health and development
 Easy temperament, positive deposition
 Active coping skills
 Positive self esteem
 Good social skills
 Internal locus of control
 Balance between help seeking & autonomy
**SACADA work on with kids

81. Parental/Family Protective Factors
 Parent wellness (mental, medical) and drug free
 Warm parent-child relationship
 Supportive family environment
 Parental monitoring of child
 Stable relationship of parents
 Parental coping skills and competence
 Parental education/income

82. Social/Environmental Protective factors
 Access to health care
 Safe community (crime, drugs)
 Adequate housing
 Family religious faith participation (healthy)
 Mid to high socioeconomic status

83. SACADA Services
 Prevention Services
 Recovery Coaches
 MIP Classes, Alcohol
 DWI Classes (1st Time Offender)
 ADAEP Classes, every Thursday
 First Friday Workshops

84. Questions from the Audience
www.SACADA.org

85. Thank You for Your Time!
SACADA
7500 Hwy 90 W, Ste. 100
San Antonio, TX 78227
Phone (210) 225-4741
www.sacada.org
Twitter.com/SACADATexas
Facebook.com/SACADATex
Abigail Moore, amoore@sacada.org
Gyna Juarez, gjuarez@sacada.org