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Substance Abuse

Indicator Report Collier County

Table of Contents

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Introduction……………………………………………………………………………………………………………………………2 Area Description……………………………………………………………………………………………………………………..7 Area Highlights……..………………………………………………………………………………………………………………..8 School Demographics..……………………………………………………………………………………………………………9 Disciplinary Incidents………………………………………………….………………………………………………………….10 Criminal Justice Indicators…………..………………………………..……………………………………………………….11 Collier County Youth Survey- Alcohol…………………………………………………………………..…………………13 Collier County Compliance Checks..……………………………………………………………………………………..…15 Alcohol Trends…………………………………………………………………………………………………………………….….16 Economic Cost of Underage Drinking………………………………………………………………………………………17 Collier County Youth Survey-Marijuana……………………………………………………………………………….….19 Marijuana Grow Houses in Collier County………………………………………………………………………….……20 Prescription & Over-the-Counter Medicine………………………………………………………………………….….21 Crimes and Drugs ………………………………………………………………………………………………………………..….22 Child Abuse and Drugs………………………………………………………………………..……………………………….....23 Mental Health & Drug…….………………………………..……………………………………………………….……….……24 Emergency Room Visits and Drugs………………………………………………………………………………..…………25 Drugs and Newborns………………………………………….…………………………………………………………….………25 Drugs and Mortality……………….…………..…………………………………………………………………………….………26 Collier County Child Fatalities…………………………………………………………………………………………………….27

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Alcohol and Other Drugs in Collier County This comprehensive profile of our county is intended to organize and report data about the prevalence and impact of alcohol and other drugs in Collier County. This assessment will be used to guide the work of Drug Free Collier as well as provide information to our partners and the community at-large. Drug Free Collier is dedicated to using data to drive decision-making and this report acts as the cornerstone of our implementation strategies. About Us Drug Free Collier is a community coalition serving Collier County as a non-profit, 501(c)(3) since 2005. Our goal is to facilitate the development and implementation of programs to reduce substance abuse among our children in Collier County. Drug Free Collier is committed to a community collaboration and planning process that continues to protect our children from the life-damaging effects of substance abuse. By finding solutions, we dramatically reduce child substance abuse related issues. It is the vision of Drug Free Collier that all children in Collier County will be free of substance abuse. Drug Free Collier is a coalition of representatives from the school system, faith community, youth organizations, law enforcement, parents, businesses, healthcare, media, local government, youth, and civic/community organizations who all care about protecting our youth. Only by uniting the community to protect the children of Collier County from substance abuse can we advance our mission. The work of the coalition is accomplished via volunteer community collaboration through the various workgroups and task forces of the coalition. Our organization is governed by a local Board of Directors who are all volunteers with strong community ties and a genuine desire to make a positive difference in Collier County. Successful Strategies Drug Free Collier serves a key role in raising local awareness about juvenile substance abuse in our community. Programs and accomplishments which are recognized in our community include the following:

Operation Medicine Cabinet® - Operation Medicine Cabinet® is a nationally recognized pharmaceutical take-back program created by Drug Free Collier in partnership with Collier County Sheriff’s Office. This program decreases the accessibility of prescription medications in Collier County by providing eleven convenient locations for medication disposal. Operation Medicine Cabinet emphasizes proper storage of medications by locking them up as well as keeping inventory of all medications in the home. Since its inception, more than fifteen thousand pounds of unwanted or unused medication were collected from homes and safely disposed of. Last year alone, we collected more than 6,000 lbs. of medications. It’s a prescription for safe kids & a clean environment.

Moratorium- In 2010, Drug Free Collier in partnership with the Collier County Medical Society and Collier County Sheriff’s Office supported the development of a local moratorium on pain clinics in Collier County due to an epidemic of prescription drug abuse. As a result, pill mills have dramatically decreased, prescription drug use among our youth has decreased and overdose deaths continue to decline.

CORE Society – The CORE Society is a youth empowerment program coordinated by Drug Free Collier. Our members consist of Collier County middle and high school youth. Our CORE of teens are willing to stand up and say “Everyone isn’t doing it!.” With a focus on the vision of building

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Character, Opposing drugs, making Responsible choices and maintaining high Expectations, the CORE Society hopes that all Collier County teens will become responsible adults who make healthy choices and contribute to our community in a positive way. What began with a handful of students determined to change perceptions, has grown to more than 500 students who are pledging to live drug free at six schools throughout Collier County. Synthetic Drug Ordinance – Drug Free Collier successfully advocated for a local ban on a harmful drug identified in many retail outlets throughout in Collier County. Synthetic drugs known as Spice, K2, or bath salts were being sold in local stores and poisoning our youth, in spite of state and federal bans prohibiting these products. As advocates for the well being of our youth, Drug Free Collier approached local leaders about this issue. In 2013, the Board of Collier County Commissioners approved an ordinance making it easier to ban the sale, possession or distribution of these illicit synthetic drugs. Alcohol Vendor Training – Education and training for the responsible sale of alcohol. Proven effective by third-party studies, TIPs is a skills-based training program that is designed to prevent underage drinking by training local vendors to identify minors and better understand the effects of alcohol. Last year, Drug Free Collier certified more than 70 individuals on methods of detecting false Identification, minors, intoxicated individuals also and discussed with the liabilities of serving alcohol under these circumstances.

Community Outreach and Education – Drug Free Collier offers the most up-to-date information on drug prevention in the community. By bringing national and state experts in the field of substance abuse to Collier County, parents, educators and treatment providers, enhance their skills and knowledge of substance abuse.

Drug Free Collier has focused on underage alcohol consumption since the organization’s inception in 2005 and is making a difference. The positive impact of local efforts is evident in the results of the Florida Youth Substance Abuse Survey, as underage alcohol consumption among our youth has decreased over the past eight years. This is due to a community–wide commitment to a common goal to provide focused, effective, coordinated, and long-standing coalition-led prevention initiatives.

A Look Ahead It is now time, however, for Drug Free Collier to focus on defining the next two years. At Drug Free Collier’s inception, we concentrated primarily on awareness--making the community aware that Collier County has a juvenile substance abuse problem and that we needed to address the alarming increase of drug and alcohol use among children in our community. Drug Free Collier is ready to strengthen our objectives and focus on three areas for the upcoming year: (1) Identify strategies that will bring our objectives to fruition (2) Engage partners that have the necessary resources (3) Establish the parameters to programmatically and financially sustain our projects. In an effort to meet these strategies, Drug Free Collier has developed the following Indicator Report for Collier County. This document outlines the status of the community as represented by a multitude of data sets collected through public information requests. As is well understood by our members, the Indicator Report is not a static document but one that

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needs to be updated each year to reflect the changes in the community as well as the input of new information to drive coalition activities. To that end, the Indicator Report presented on the following pages is an attempt to identify data critical to the coalition and to identify new sources of data that should be mined for the future. Drug Free Collier understands, that some data sources and method of collecting the data are difficult to implement, however the coalition feels that if we work to gather this information, our coalition will be better prepared to address the needs of our community with respect to juvenile substance abuse. Overview

Each year, Drug Free Collier conducts a thorough needs assessment of Collier County and uses these findings to educate the community about the prevalence of substance abuse among local youth. Collecting data over time will help gauge the impact of efforts designed to reduce juvenile alcohol and drug use and its related problems. The data is also used to identify local priorities, community resources and supports the coalition’s efforts to advocate for local policy changes as outlined in the Substance Abuse Response Guide (SARG) model. In 2012, several community partners participated in this critical review of local data as part of the SARG process. Team members provided data from their respective field of expertise and reviewed other relevant information that addressed the organization’s focus on youth. The data pointed to alcohol as the most commonly abused substance among youth. As a result, the team identified underage drinking to be its first priority. Marijuana use, which also includes synthetic cannabinoids, has been identified as the second priority. The determination was based on the collection and analysis of data from school disciplinary incidents, juvenile crime, addiction treatment, alcohol related crashes, youth deaths and family conflict.

Prioritization of Target Population Our team identified underage youth as the target population and determined middle and high school to be our priority group. Priority Indicators This section lists some of the consequences associated with these priority issues for Collier County that were identified by members of the Needs Assessment Team. Data to support this trend as a priority is summarized below. 1. Alcohol is the most prevalent substance used by Collier County youth in 2013.

• With overall prevalence rates of 51.2% for lifetime use and 27.2% for past-30-day use, alcohol is the most

commonly used drug among Collier County students according to the Florida Youth Substance Abuse Survey.

• High School students in Collier County have a higher drinking rate for lifetime use and past 30 day use when compared to the Florida state average. (FYSAS)

• Collier County high school students also have a higher

rate of binge drinking in the past 30 days compared to the state average. (FYSAS)

• 25.8% of high school students reported their first use

of alcohol, was at/before the age of 13. (FYSAS)

• Experimentation with alcohol doubles when a Collier County student reaches high school age. (FYSAS)

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• Alcohol accounted for 15% of all Drug/Alcohol related incidents in the Collier County Public School District.

(CCPS)

• Seven percent of the Civil Citations (pre-arrest diversion program) issued in 2013 by Collier County Sheriff’s Office were alcohol related. (CCSO)

• In FY 2012/13 31% of Misdemeanor Related Juvenile Offenses referred to Department of Juvenile Justice were for alcohol or drug related offenses. (DJJ)

• Fifty percent of juveniles interviewed during a Pre-Screen Assessment at the Collier County Department of Juvenile Justice reported using alcohol. Two percent stated they had an alcohol problem. During a Full Assessment, 74% of the youth stated they have used alcohol. Six percent stated they had an alcohol problem. (DJJ)

2. Marijuana and Synthetic Marijuana is the second most commonly used drug among Collier County youth.

• According to the Florida Youth Substance Abuse Survey, marijuana is the second most commonly abused

substance by Collier County high school youth. Smoking marijuana has surpassed smoking cigarettes. (FYSAS)

• According to the 2012 Florida Youth Substance Abuse Survey, Collier County High School students reportedly perceive that someone their age smoking cigarettes(84.8%) is “more wrong” than smoking marijuana (74.9%). (FYSAS)

• Seventy-five percent of children with a co-occurring or substance abuse diagnosis showed Cannabis abuse or dependency during a clinical assessment service at the David Lawrence Center. (DLC)

• According to the Florida Youth Substance Abuse Survey, 14% of high school youth state they have used Synthetic Marijuana in their lifetime. (FYSAS)

• During a key informant interview with David Lawrence Center, it was reported that more than half of their

students screened for substance abuse admitted to trying synthetic marijuana. (2012 DLC)

• Marijuana use among our youth increased for the first time since 2004. (FYSAS)

• Almost half of all reported drug related school incidents in 2012/13 were due to Marijuana posession. (FLDOE)

• Twenty-three percent of all drug related civil citations were due to marijuana posession or posession of drug paraphernalia. (CCSO)

• According to Department of Juvenile Justice, 24% of all Misdemeanor charges were drug related. (Misdemeanor drug charges include: Marijuana posession and distribution, drug paraphernalia, Opium posession, Sale of Amphetamine and Forgery). (DJJ)

• 61% of juveniles interviewed during a Pre-Screen Assessment at the Collier County Department of Juvenile Justice reported using drugs. Two percent admitted to a drug problem. During a Full Assessment, 82% of the youth stated they have used drugs. (Drug type was not identified). (DJJ)

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Data Sources

The report describes alcohol and other drug trends in Collier County, the State of Florida using the data summarized below:

• US Census Bureau American Fact Finder 2011-2013(USCB) • Florida Department of Children and Families (FDCF) • Florida Youth Substance Abuse Surveys (FYSAS) • Florida Department of Education (FLDOE) • Florida Poison Control • Florida Department of Highway Safety and Motor Vehicles Traffic Crash Statistics • Collier County Sheriff’s Office (CCSO) • Marco Island Police Department (MPD) • Naples Police Department (NPD) • Division of Alcoholic Beverages and Tobacco (DABT) • The Florida Department of Law Enforcement (FDLE) • Florida Department of Juvenile Justice (FDJJ) • Collier County Medical Examiner District 20 • David Lawrence Center (DLC) • CDC Office of Surveillance, Epidemiology, and Laboratory Services • Naples Community Hospital (NCH) • Physicians Regional Healthcare System • The Florida Agency for Health Care Administration • Florida Safe & Health Kids Coalition • Collier County Health Department • Safe & Healthy Children’s Coalition of Collier County (SAHCCC) • Bureau of Labor Statistics 2012,2013 • RealtyTrac October 2013

Area Description Collier County is comprised of Naples, Everglades City, Immokalee, Marco Island and Golden Gate and is located on the West coast of Florida along the Gulf of Mexico. We have the largest geographic region for any county in Florida with 2,025 sq. miles and approximately 161 residents per square mile. When identifying themselves as Collier County residents, individuals will quickly refer to their neighborhood or city as their community. It is clear geographical boundaries are used by our residents to define their communities. According to the 2012 American Fact Finder, U.S. Census, Collier County had an estimated population of 332,427 residents. Collier County grew at an average annual compound growth rate of 3.8 percent from 1990-2010. Just over 19% of the Collier County population is 18 and under and 28% are 65 or older. Collier County has long been an attractive place to retire and therefore, the County's population is slightly older than the country on average. Collier County’s median age is 46 years, while the United States median age is only 38.2 years. (Source: Census.gov)

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The percent of Hispanic Latino’s in Collier County continues to rise, accounting for 26% of the Collier County population as of 2012. The poverty rate in Collier County is 16% or 52,583 people. The average annual earnings per worker is $39,780 according to the Bureau of Labor Statistics 2012. The current unemployment rate is 7.5% as of September 2013. In 2013, 1 in 467 homes were foreclosed on in Collier County. Approximately 24% of our residents are without health insurance in Collier County. Approximately 26% of births in Collier County are covered by Medicaid.

Collier County has long been an area that experiences a great deal of seasonal population increases. During the months of November and April, Collier County’s population increases an estimated one-third due to seasonal residents and short-term agriculture workers in the Immokalee area. The population increase in the “seasonal months” creates a high degree of seasonality within certain sectors of Collier County’s economy, most notably in the retail, service, and hospitality sectors. (Source: Census.gov)

Area Highlight

Collier County is ranked the third healthiest county (out of 67) in which to live according to the 2013 Florida County Health Rankings. (Source: www.countyhealthrankings.org) Measurements are based on factors that affect people’s health such as health behavior, clinical care, social and economic factors, and physical environment. Collier County lost the number one rank due an increase or decrease in the following areas: 1. Poor Physical Health Days and Mental health days (increase) 2. Low birth weight (increase) 3. Sexually transmitted infections (increase) 4. Unemployment (increase) 5. Children in poverty (increase) 6. Children in single-parent households (increase) 7. Access to recreational facilities (decrease)

Collier County Population Everglades 400 Marco Island 16,413 Naples 19,537 Unincorporated 285,170

Total 321,520

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School Demographics

The School District of Collier County has 48 schools plus 3 charter schools. The district serves a total student population of 44,967 as of March 2014. There are 29 elementary schools, 10 middle schools, 8 high schools, and a PreK-thru-12 school (located in Everglades City). There are also 12 Alternative School Programs.

• More than 61% of students are categorized as economically needy and qualify for free or reduced lunch. That’s 27,593 students of the 44,967 that attend.

• English is not the first language for 15% of the students. More than 49% of the students live in non-English speaking homes.

• Since 2007/08, student enrollment in the Collier County Public School District continues to increase.

*Totals do not include private school or home schooled population.

Source: Collier County Public Schools Fast Facts 8/27/13

School Indicators

• The Collier County Public School drop-out rate for FY 11/2012 is 2.2%. This is just slightly higher than the previous school year with 1.9%.

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• Collier County continues to see an increase in their graduation rate since 2006/07. The district graduation rate increased from 78% as reported for fiscal year 2012, to 81% as reported for fiscal year 2013. The State of Florida rate is 76% during fiscal year 2013.

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• The Collier County Public Schools reported 537 disciplinary school incidents during the 2013/2014 school year.

• Drug and alcohol incidents were identified as the number one cause of disciplinary reported occurrences in the Collier County Public Schools. Fighting was identfied as the second cause of a disciplinary incidents with 22%.

• Thirty-seven percent of disciplinary incidents are drug/alcohol related. This is a decrease from the previous year by 16%. We continue to see a drop in drug related school incidents since 2010.

• Marijuana accounted for 48% of all drug related incidents. The most prevelent drug obtained in schools.

Total Number of Drug/Alcohol Incidents FY 06-13 Drug Related Incidents in 2012/13

Source: Florida Department of Education

Student Homelessness & Unaccompanied Youth

Student Homelessness is identified as a youth not residing with a parent. Unaccompanied youth are youths who do not live with their parent or guardian.

• As of January 2014, 1,123 or 2% of Collier County students from Pre-K through 12th grade were identified as being homeless through the Collier County Public School System.

• During this same time, 1,026 youth were identified as unaccompanied youth.

Truancy

Truancy Court- Established in 2008 as a collaboration effort among multiple county and state agencies to reduce recidivism rates and prevent crimes.

• In 2012/2013, Collier County Public Schools filed 18 new truancy petitions with Truancy Court.

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• A total of 94 youth were identifed during the school year as truant.

Criminal Justice Indicators

Civil Citation is a pre-arrest diversion program that authorizes Collier County Sheriff’s Office deputies to issue civil citations in lieu of arrests for misdemeanor offenses. A juvenile who receives a civil citation is required to complete community service hours. (Source: Collier County Sheriff’s Office Youth Relations Bureau)

• During FY 2012/13, 191 civil citations were issued to Collier County youth.

• Civil Citations issued for drugs and alcohol accounted for 57 or 30% of the total civil citations issued in 2013. Drug incidents include marijuana and/or drug paraphernalia.

• The Florida Department of Juvenile Justice (DJJ) continues to see a decrease of juvenile referrals since FY2008/2009. Collier County also mirrors this trend.

• In FY 2012/13, Florida Department of Juvenile Justice received 83,494 referrals. This is a decrease of 12% from the previous year.

• Collier County Department of Juvenile Justice (DJJ) received 931 referrals. When compared to five years ago (FY 08/09) this is a decrease of 48%.

• Misdemeanors accounted for 60% of all referrals to DJJ. Of those, 31% were for alcohol or drug related offenses.

• Felonies accounted for 23% of all referrals to DJJ. Of those, 8% were drug related.

According to the Collier County Sheriff’s Office 2013 Juvenile Arrest Report, drug arrests are the number one offense committed by Collier County youth followed by Larceny and Simple Assault.

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When a juvenile referral is made to the Florida Department of Juvenile Justice (FDJJ), a PACT (Positive Achievement Change Tool) Assessment is conducted to determine a youth’s level of risk to re-offend and for the purpose of developing a meaningful intervention plan. By monitoring their progress, it is an attempt to reduce recidivism by promoting positive changes in attitudes and behaviors of youth.

Alcohol

• Collier County Department of Juvenile Justice conducted 800 PACT Pre-Screen Assessments in 2011/2012. Of the 800 assessed, 50% (401) stated they have used used alcohol. Two percent of the youth screened stated they have an alcohol problem.

• A Full PACT Assessment was conducted on 440 youth during FY 2011/12. During the Full PACT Assessment, 74% (327)of the youth stated they have used alcohol. Six percent of the youth screened stated they have an alcohol problem.

• Six percent of the youth stated their alcohol or drug problem caused family conflict and contributed to their behavior.

• Eight percent of the youth interviewed during a Full-Assessment stated their drug and alcohol problem contributed to their crime.

Admitted Alcohol Use by youth 2007-2012

Department of Juvenile Justice PACT Pre-Screen

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Drug Use

• Collier County DJJ conducted 800 PACT Pre-Screen Assessments in 2011/2012. Of the 800 assessed, 61% (486) state they have used drugs. 7% admitted to a drug problem during the assessment.

• PACT Full Assessments were conducted on 440 youth during FY 2011/12. During the Full PACT Assessment, 82% (359) state they have used drugs.

Admitted Drug Use by youth 2007-2012

Department of Juvenile Justice PACT Pre-Screen

Collier County Youth Survey-Alcohol The Florida Youth Substance Abuse Survey (FYSAS) is a collaborative effort between the Florida Departments of Health, Education, Children and Families, Juvenile Justice and the Governor’s Office of Drug Control. The survey is administered to Florida’s middle and high school students. In 2012 1,204 Collier County middle and high school students were surveyed on their drug and alcohol use.

• Alcohol consumption continues to be the number one drug of choice for Collier County students, however, since 2006; we continue to see a decline in overall alcohol consumption by minors. We believe this is in part due to the efforts of Drug Free Collier and their active community involvement.

• Collier County students continue to report a higher usage rate than compared to the state average in lifetime use, 30-day use and binge drinking.

• Just over 51% of Collier County youth state they have tried alcohol in their lifetime. The state

average is 47.3%.

• Just over 27.2% of students reported using alcohol in the past 30-days. The state average of 24.6%.

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• Binge drinking among middle and high school students represent a higher rate in Collier County with 12.8%. The statewide average is 11.3%.

• Almost 25.8% of middle school youth state they began drinking alcohol at age 13 or younger.

• Only 66.4% of Collier County students surveyed perceive drinking alcohol regularly at their age is

wrong. Additionally, only 39.4% perceive a great risk of harm if they have one or more drinks every day.

• Twenty-five percent of youth who drank in the past 30 days, consumed three or more drinks in a

day, while 23.5% state they drank 5 or more alcoholic beverages in a day.

• Ten percent of high school youth report being drunk or high at school.

Alcohol Past 30-Day Use Middle & High School Alcohol Lifetime Use Middle & High School

Where are youth in Collier County getting alcohol

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The top 3 locations middle and high school youth drink 1. At another person’s home (55.9%) 2. Their own home (26.6%) 3. Some other place (12.3%)

Alcohol & Compliance Checks

The Collier County Sheriff’s Office (CCSO), Naples Police Department (NPD), Marco Island Police (MIPD) Department and Alcohol Beverage & Tobacco (ABT) conduct youth-led compliance checks within the county to ensure proper identification practices are being conducted by alcohol establishments. Drug Free Collier partners with the law enforcement in identifying and educating those that are non-compliant.

• In 2013, 273 compliance checks were conducted in Collier County. Of those, 60 businesses or 21% sold alcohol to minors.

• Six percent of Collier County youth reportedly purchased alcohol at an event or store according to the 2012 Collier County, Florida Youth Substance Abuse Survey.

Collier County Compliance Checks Conducted by ABT, CCSO, MIPD, NPD

Conducted No Sale Sold to a Minor Non-Compliant

2013 273 213 60 21% 2012 138 118 20 14% 2011 342 281 60 18% 2010 108 83 24 22%

• Drug Free Collier offers Responsible Vendor Training to individuals and businesses to protect their establishments from employee error and to teach the laws and policies regarding serving underage patrons and intoxicated patrons.

• Drug Free Collier issues letters to both compliant and non-compliant vendors upon a CCSO youth led compliance check notifying them of the Responsible Vendor Training offered in Collier County.

• Currently, the state of Florida does not require a vendor to be certified in responsible vending prior to obtaining a position as a bartender or sales clerk.

• In 2013, Drug Free Collier trained over 70 individuals to become certified Responsible Alcohol Vendor.

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Alcohol Outlet Indicators

Florida Department of Business & Professional Regulation reported 998 liquor licenses issued in Collier County. This represents 3.1 licenses for every 1,000 residents in Collier County. When compared to 2008, this is an increase of 6% in four years.

Alcohol Data Trends

• In 2013, Collier County reported 1,246 DUI violations. This is an increase of one percent (1,234) from the previous year. During this same time, Florida saw a decrease in their overall DUI violations by six percent according to the Florida Uniform Traffic Citation Statistics.

Source: Florida Department of Highway Safety and Motor Vehicles Annual Uniform Traffic Citation Report According to the Florida Highway Safety Motor Vehicle Traffic Crash statistics, Collier County continues to see an increase in alcohol related crashes since 2008.

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Florida showed an increase in alcohol related crashes in 2012 compared to the previous year.

Source: Florida Highway Safety and Motor Vehicles Traffic Crash Facts Annual Report 2012

http://www.flhsmv.gov/html/safety.html

• According to the Florida Department of Law Enforcement (FDLE), Uniform Crime Reports, 987 DUI arrests were made in 2012. This is an 11% decrease from the previous year. Collier County accounted for two percent of the DUI arrests made in Florida.

Source: Uniform Crime Report Total DUI Arrest Data by Jurisdiction

Economic Costs of Underage Drinking The total estimated cost of underage drinking in the state of Florida in 2007 was $3.073 billion. This translates into a cost of $165 per Florida resident.

• Alcohol-attributable violent crime was responsible for the greatest share of total cost to society, accounting for 49% of the total underage drinking costs according to The 2009 Annual Economic Impact of Alcohol and Drug Use in Florida study, conducted by Rhonda Bohs, Ph.D. and Bisma Sayed, M.S.W.

In Collier County, forty violent crimes were referred to the Florida Department of Juvenile Justice (DJJ) in FY 11/12. We have seen a dramatic decrease of violent crimes from the previous year (10/11) with 70 referrals.

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• Traffic accidents were identified as the second highest cost due to underage drinking with 21% of the total costs.

According to the Florida Youth Substance Abuse Survey, 9% of Collier County high school youth surveyed state in the past 30 days; they drove a vehicle after drinking alcohol. • Alcohol-attributable risky sexual behavior was identified as the third most costly consequence of

underage drinking. Adult Prevalence Rates According to the 2010 Florida Behavioral Risk Factor Surveillance System which collects data on selective health risks by county, Collier County adults (19.2%) have a higher rate of drinking and binge drinking when compared to the state average (15.0%). Source: http://www.floridacharts.com/charts/Brfss.aspx

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Adolescent Behaviors and Attitudes- Overall Drug Use Lifetime Drug Use Among Collier County Students- 2012 FYSAS Survey Marijuana

• Marijuana use among youth is a growing challenge in our community. Thirty-six percent of high school students state they have smoked marijuana in their lifetime, while over 7% of middle school students state they have smoked marijuana in their lifetime.

• Marijuana has superseded cigarette use by Collier County high school students for the first time according to the 2012 Florida Youth Substance Abuse Survey.

• Students in high school report a higher rate of marijuana use in their lifetime (24.3%) compared to the statewide average of 23.2%.

• Less than half of middle and high school students perceive marijuana as a great risk of harm if

smoked regularly.

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• Almost 75% of middle and high school youth believe it is wrong for someone their age to smoke marijuana.

• Just over 10% of middle school students surveyed stated they began using marijuana at age 13

or younger. Marijuana Past 30-day Use by Middle & High school Marijuana Lifetime Use by Middle & High School

Marijuana Lifetime Use and Risk of Harm Comparison 2012 Source: Florida Youth Substance Abuse Survey 2012 Collier County

• More youth are using Marijuana while the harm associated with their use has decreased.

• Due to marijuana legalization in many states, it is not surprising to see the risk of harm decline while the usage rate continues to increase.

• Among youths age 12-17, marijuana usage rates were higher in states with medical marijuana

laws (8.6%) compared with those without such laws (6.9%) Source: CADCA website

Domestic Marijuana Eradication

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In 2013, the Office of Agricultural Law Enforcement reported 764 arrests in the State of Florida for Marijuana Grow Houses. A total of 850 locations were identified across Florida. Twenty-two of these arrests were identified in Collier County with almost 800 plants were seized. This is an increase of sites and arrests from the previous year.

Domestic Marijuana Eradication Arrests and Site Locations in CC

Source: Department of Agriculture and Consumer Services 2013 Annual Report Synthetic Drugs

Synthetic Marijuana is one of the latest series of synthetic substances that, when used improperly, offer alternatives to traditional illegal drugs. This drug is sold in stores and many forms are not considered illegal.

• Synthetic Marijuana is an herbal and chemical product which mimics the effects of cannabis. They are packaged with the name of Potpourri or Incense.

• Both school deputies and treatment providers are

seeing an increase of usage and possession amongst Collier County middle and high school youth.

• According to the Florida Youth Substance Abuse Survey, 14% of high school youth have used Synthetic Marijuana in their lifetime.

Source: Monitoring the Future Study 2012 Prescription & Over-the-Counter Medication

Prescription and over-the-counter drugs are identified as the fourth most commonly used drug by Collier County middle and high school students.

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• In 2012, 19.4% middle and high school youth reported using prescription or over-the-counter

medications for the purpose of getting high. This is slightly less than the state average which is 20.5%.

• Almost five percent of Collier County middle and high school youth report using prescription drugs or over-the-counter medications in the past 30 days for the purpose of getting high.

Source: Florida Youth Substance Abuse Survey 2012 Collier County

Operation Medicine Cabinet®, an initiative created by Drug Free Collier, limits the access that youth have to prescription medications. By disposing of unwanted or expired medications, we are removing availability a child may have initially had access to. Operation Medicine Cabinet® is a pharmaceutical take back program created by Drug Free Collier and has been offered to the community for over 5 years.

Why is Operation Medicine Cabinet® so important to our community? In 2013, more than 100 calls were made to Poison Control in Collier County due to youth exposure to household medications.

We’ve also identified that flushing medications or disposing of them in the trash is harmful to our environment.

Over 6,000 lbs. of medications were collected in 2013 from our eight permanent sites and our biannual temporary site initiatives.

Crime and Drugs in Collier County UCR Collier County Arrests 2007-2013

• In 2013, the Uniform Crime Report indicated 11,156 arrests occurred in Collier County. Of these, 11% (1,248) were juvenile arrests (12-18yrs. of age). Florida reported 904,634 arrests in 2013. Of these, 8% (72,326) were juvenile arrests.

• Since 2006, Collier County juvenile arrests are on the decline and may be in part due to the Diversion Programs offered through the Collier County Sheriff’s Office.

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• Drug arrests in Collier County increased in 2013 by 8.3% or 105 more arrests compared to 2012. DUI arrests in 2013 decreased by less than one percent with 983.

Comparison of Collier County DUI and Drug Arrests 2007-2013

Source: Florida Department of Law Enforcement (FDLE) www.fdle.state.fl.us

Child Abuse and Drugs

• The Florida Department of Children and Families received 408,410 allegations of child abuse in 2013. This is a decrease of (1%) compared to the previous year.

• Collier County also saw a reduction of

investigations by almost 10% with a total of 4,821 conducted in 2013.

• Substance Misuse accounted for 23% of all statewide Collier County allegations.

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• More than a thousand allegations were reported in Collier County for Substance Misuse in 2013. Source: Florida Department of Children and Families 2013 report: http://centerforchildwelfare.fmhi.usf.edu/Datareports/TrendReports.shtml Mental Health and Drugs-Youth David Lawrence Center (DLC), a community mental health provider in Collier County treats adult and juvenile substance abuse issues as well as mental health issues. DLC conducts Child Clinical Assessments throughout Collier County. An assessment is conducted when a child exhibits mental or emotional behavior issues or potential signs of drug use. Referrals are received from court/legal staff, schools or self-referrals.

• In 2013, 1,674 Children’s Clinical Assessments were conducted by David Lawrence Center.

• Over 2,284 youth received services from DLC in 2013. Of those, 240 or 14% were identified as having a dual diagnosis of mental health and substance abuse or a substance abuse issue.

• Marijuana use and dependency continues to be the most treated by David Lawrence Center. Eighty-five percent of the children treated at DLC for substance abuse issues and co-occurring mental health diagnosis and substance abuse issues were diagnosed with Cannabis abuse or dependency followed by alcohol abuse or dependency at almost 7%. Polysubstance dependence (more than one drug) also accounted for almost 7% of the diagnoses.

• Treatment for substance abuse issues were found to be higher for youth residing in 34120, 34119 and 34112 zip codes. This also coincides with law enforcement data and juvenile drug related arrests.

2013 Children Mental Health & Substance Abuse Diagnosis

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Mental Health and Drug Use-Adult David Lawrence Center offers several prevention evidence-based programs to the community including Parenting Now, Parenting for Teens, Aggressors, Victims and Bystanders, Aggression Replacement Therapy, Life Skills Training, Prevention for Preschool Youth (PAPY) and Prime for Life. David Lawrence provided services to almost 8,500 adults in 2012. Twelve percent or 1,061 were treated for substance abuse outpatient care and an additional 14% or 1,205 were treated for inpatient and/or residential services which include drug addictions. Source: David Lawrence Center Drug & Alcohol Related Emergency Room Visits Naples Community Hospital had 72,380 visits to their emergency room during 2013. This is a 36% increase from the previous year with 53,353. Of those, four percent (3,066) were due to alcohol intoxication or drug overdoses. Compared to last year, this is an increase of 13% (2,708).

• Individuals under the age of 18 accounted for two percent (84) of the total alcohol intoxication and drug overdoses treated at the ER.

• Individuals between the age of 50-69 had the most visits to the ER for alcohol intoxications

accounting for 34%. Physicians Regional Hospital had 24,451 visits to their emergency room during 2013. This is a 2% increase from the previous year with 23,976. Of those, just over one percent was due to alcohol intoxication or drug overdoses. Compared to last year, this is a 23% decrease (422). Individuals under the age of 18 accounted for 5% (17) of the total alcohol intoxication and drug overdoses treated at the ER. Drugs and Newborns

• Since 2007, the numbers of babies born addicted to prescription drugs in Florida has tripled.

• 7 out of every 1,000 babies are born addicted to drugs in Florida.

• SW Florida has seen an increase of almost 800% of babies born addicted to opiates since 2005. This is at least 15 babies out of 1,000 births are born addicted to prescription drugs.

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• Since 2008, Collier County continues to increase the number of babies born addicted to drugs. The rate has doubles compared to 2008 statistics.

• Physicians Regional and NCH Healthcare System identified 37 newborns that tested positive for drugs in 2012.

• In 2012, Healthy Start received 39 referrals in 2013 for newborns testing positive for substances and 14 referrals for mothers who tested positive for substances during pregnancy.

Source: Attorney General Statewide Task Force on Prescription Drug Abuse & Newborn, Naples Community and Physicians Regional Hospital & Collier County Healthy Start

Drugs and Mortality

• In 2012, Collier County Medical Examiner’s Office identified 47 overdose deaths. Of those, 45 had prescription or illegal drugs and/or alcohol in their system.

• Of the 47 drug and/or alcohol related deaths, 74% were between the ages of 30-59. 94% were Caucasian, and 61 % were males.

• One youth from Collier County died due to an unknown psychotropic drug.

• Of the 47 overdose deaths, 56.5% were due to prescription drug overdoses and 20% were attributed to a combination of prescription drugs and alcohol in their system.

• In 2013, 26* overdose deaths were identified in Collier County. Of those, 23 were due to drugs and/or alcohol consumption. *Pending additional investigation

Source: Collier County Medical Examiner’s Office 2012 & 2013 Overdose Death Report

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Florida Medical Examiner Statewide Trends The 2012 Florida Medical Examiners report for Drugs Identified in Deceased Persons Report shows deaths caused by drugs were either present or the cause of death in 8,330 Floridians, down from 9,135 in 2011. Fewer people died from oxycodone, methadone, hydrocodone and cocaine in 2012. Oxycodone plunged by 41% in 2012 and overall occurrences of prescription drug deaths fell by 9.9%.

Source: Medical Examiners Commission 2012 Annual Report www.fdle.state.fl.us Collier County Child Fatalities

• The number one cause of juvenile deaths in Collier County is from SUIDS or other sleep related infant deaths followed by drowning.

• Intoxication or overdose was identified as the 6th most common cause of death among juveniles.