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2015 Region 8 Community Stakeholder Meeting
July 9, 2015
Housekeeping Take this time to please silence cell
phones. Restroom in lobby near water fountain. Be sure to sign-in for CEUs. Post question to write your questions Twitter: #TexasData
@PRCRegion8 @SACADATexas
Welcome Message
Abigail G. Moore, MS LCDC LPC ACPSSACADA Executive Director
The PRC 8 Region Team Gyna Juarez, MPA ACPS – Program Director Teresa Stewart, BS – Community Liaison Betsy Jones, MM – Tobacco Prevention
Specialist Alexis Lawrence, MS – Community Liaison Hortencia Carmona, MS – Regional
Evaluator
Using Turning Point Audience Response System Choose your answer, only records answers
once. Poll closes after all votes are recorded.
What is Your Favorite Color?
A. RedB. OrangeC. GreenD. BlueE. Yellow
Red
Orange
GreenBlue
Yellow
0% 0%0%0%0%
SA Prev
ention Professional
SA Tr
eatment P
rofes
sional
Educat
or
Faith Based
Law en
forcement
Healthca
re worke
r
Mental Healt
h CareOther
0% 0% 0% 0%0%0%0%0%
In Dealing with the Public, What Best Describes Your Role?
A. SA Prevention ProfessionalB. SA Treatment Professional C. EducatorD. Faith BasedE. Law enforcement F. Healthcare worker G. Mental Health CareH. Other
0%
0%
0%
Great Concern Some Concern No Concern at All
How Much of a Concern is there in Your Community for Problems Caused by Alcohol, Tobacco and other Drugs?
A. Great ConcernB. Some ConcernC. No Concern at All
0%
0%
0%
Low Awareness Some Awareness High Awareness
How Would You Rate your Knowledge of Alcohol, Tobacco, other Drugs and Mental Health Issues in Your
Community?
A. Low AwarenessB. Some AwarenessC. High Awareness
0%
0%
0%
Low Awareness Some Awareness High Awareness
How Would you Rate Your Knowledge of Alcohol, Tobacco, other Drugs and
Mental Health Issues in Your Community?
A. Low AwarenessB. Some AwarenessC. High Awareness
In Your Community What Place would a Person First Turn to for Help if they had a Substance
Abuse and/or Mental Health Problems?
A. Crisis HotlineB. DoctorC. Faith-based
person/groupD. Law enforcementE. Family Member F. Mental health workerG. CounselorH. 12-StepI. Other
0% 0% 0% 0%0%0%0%0%0%
Which Substances Pose the Biggest Problem in Your Community?
A. AlcoholB. MarijuanaC. Prescription DrugsD. Amphetamines (ex: speed,
ice, crystal meth)
E. Cocaine/CrackF. HeroinG. InhalantsH. Synthetic Drugs (ex: K2,
Bathsalts)
I. Not SureJ. Other
Alcohol
Marijuan
a
Prescri
ption Drugs
Amphetamines
(ex: sp
eed, ic
e, cr.
..
Cocaine/Crac
k
Heroin
Inhalants
Synth
etic D
rugs (e
x: K2,
Bathsalts
)
Not Sure
Other
0% 0% 0% 0% 0%0%0%0%0%0%
There are Enough PREVENTION Programs in my Community.
(Example: DARE, after-school programs, parent support programs, drug and alcohol prevention programs for you and adults)
A. Strongly Agree
B. AgreeC. DisagreeD. Strongly
DisagreeStro
ngly Agree
Agree
Disagree
Strongly
Disagree
0% 0%0%0%
There are Enough Mental Health and Substance Abuse TREATMENT Resources in my Community.
(Example: counseling, 12 step programs, treatment centers)
A. Strongly AgreeB. AgreeC. DisagreeD. Strongly Disagree
Strongly
AgreeAgre
e
Disagree
Strongly
Disagree
0% 0%0%0%
Does Your Community Utilize these Programs (Example: DARE, after-school
programs, parent support programs, drug and alcohol prevention programs for you and
adults)?
A. YesB. NoC. Not Sure
Yes No
Not Sure
0%0%0%
How knowledgeable do you feel members of your community are regarding Alcohol, Tobacco, other drugs and mental health issues (such as sign,
symptoms, drug trends, health risks)?
A. No KnowledgeB. Some KnowledgeC. KnowledgeableD. Very Knowledgeable
No Knowledge
Some Knowledge
Knowledgeable
Very Knowledgeable
0% 0%0%0%
How knowledgeable do you feel YOU are about alcohol, tobacco, other drugs
and mental health issues (signs, symptoms, drug trends, health risks)?
A. No KnowledgeB. Some
KnowledgeC. Knowledgeabl
eD. Very
Knowledgeable No Knowledge
Some Knowledge
Knowledgeable
Very Knowledgeable
0% 0%0%0%
What are some of the top concerns for you and other leaders in the community (select all that apply)?
A. TruancyB. DelinquencyC. DWI/Alcohol UseD. Domestic ViolenceE. PovertyF. Drug UseG. Teen PregnancyH. Border IssuesI. Unemployment J. Mental Health issues
Truancy
Delinquency
DWI/A
lcohol U
se
Domestic V
iolence
Poverty
Drug Use
Teen Pregnancy
Border Issu
es
Unemployment
Mental Health
issues
0% 0% 0% 0% 0%0%0%0%0%0%
What is a PRCs? There are eleven regional Prevention Resource Centers
(PRCs) in the state of Texas and each serves as central data repositories and training liaison for providers within the respective Region.
These centers are part of a larger network of youth prevention programs and community coalitions. This network of substance abuse prevention services works to improve the welfare of Texans by discouraging and reducing substance abuse.
The PRCs are a valuable resources to address the state’s three prevention priorities of (1) under-age drinking, (2) marijuana use, and (3) prescription drug abuse, as well as tobacco and other illicit drugs.
Who are the PRCs?The PRC Site in Texas Region 1- Lubbock Region 2- Abilene Region 3- Dallas Region 4- Longview Region 5- Lufkin Region 6- Houston Region 7- Bryan Region 8- San Antonio Region 9- Odessa Region 10- El Paso Region 11- Pharr
The PRC Team Roles Albert Yeung
Statewide Evaluator
Jocelyn SanchezSpring Intern
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.
Why Data Collection is Important?
????????
????
????
????
Methodology Community Epidemiology on Drug Abuse
Mission/ Project Goals/ Purpose Epidemiology
Accessing and Analyzing Data from Different Sources Selection Process
Drug Abuse Related Data Key Concepts and other concepts Other Useful Data Gaps
Networking and Reporting Establishing and Developing Relationships with
Information Sources How we Help the Community
The Regional Needs Assessment Key Findings for 2015
The full Regional Needs Assessments will be available after July 30th.
Data is mostly regional but county specific data may be requested.
Demographics The regional population in 2014 was 2,751,696. The population density is 87 persons per square mile, while Texas has a population density of 96.3 persons/sq.mi. and the U.S. has 87.4 persons/sq.mi. The total land area for Region 8 is 31,637.1 square miles. (U.S. Census Bureau: State and County QuickFacts)
Source: www.dfps.state.tx.us/About_DFPS/region/images/REGION8.GIF
Population RankingRegion 8 Counties by Ranking Population in Texas
Atascosa 68 Kendall 79Bandera 115 Kerr 63Bexar * Largest 4 Kinney 219Calhoun 112 La Salle 184Comal 33 Lavaca 122DeWitt 117 Maverick 57Dimmit 160 Medina 67Edwards * Smallest 236 Real 221Frio 127 Uvalde 98Gillespie 100 Val Verde 65Goliad 183 Victoria 41Gonzales 118 Wilson 70Guadalupe 29 Zavala 156Jackson 141 Region 8 *In State 4Karnes 140 Texas * In the
Nation 2
Source: http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk
Median Household Income According to the U.S. Census ACS 2009-2013, the median
household income for Region 8 was $45,658 in 2013, $6,242 lower than the median Texas household income of $51,900. (Source: US Census ACS 2009-2013).
According to labor force data, in April 2015 the unemployment rate in Region 8 was 4.1%, down from 4.6% in April 2014.
The weekly wage in in 2014 for Region 8 was $750, lower than the Texas average weekly wage of $988. (Source: 2014 Third Quarter from the Quarterly Census of Employment and Wages, Bureau of Labor Statistics)
Language About 61% (1,500,099) of Region 8 citizens ages
five and older speak English at home as their first language.
While more than 36% (891,829) speak Spanish as their first language. (Source: U.S. Census Bureau, 2009-2013 5-Year American Community Survey)
Criminal Activity In Region 8, the total offenses by males under 18yrs. in
2013 account for almost 70% of the crimes committed.
Drug abuse violations were the highest category with 20% of the total offenses in Region 8.
Drug possessions account for 18% of arrests made within this time frame.
All illicit drug-related offenses (Drug Abuse Violations, Drugs-Sale/Manufacture, Drugs-Possession) account for 40% of the arrests made in Region 8.
Source: Texas Department of Public Safety, the Texas Uniform Crime Reporting Program 2013
Drop Out RatesAnnual Dropout Rates by Grade Span, 2012-2013
TexasGrade Span Dropouts Students Rate (%)Grades 7-8 3,187 760,623 0.4%Grades 9-12 31,509 1,428,819 2.2%Grades 7-12 34,696 2,189,442 1.6%
Annual Dropout Rates by Grade Span, 2012-2013Region 8
Grade Span Dropouts Students Rate (%)Grades 7-8 ≥1,421 <84,707 1.7%Grades 9-12 ≥2,905 <152,700 1.9%Grades 7-12 ≥5,048 <236,514 2.1%
Source: Texas Education Agency
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 21,715,074
2.4 12,080,761
1.6 3,315,656
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 Survey
SuicideArea self poisoning self harm by
hangingself harm by
other /firearmTotal Suicide
death rate per
100,000
% of total deaths
death rate per
100,000
% of total
deaths
death rate per
100,000
% of total
deaths
death
rate per 100,000
% of total deaths
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 RateRegion 8 3,912 12.62Texas 37,699 10.73
Suicide Mortality Rates Per 100K Population, 1999-2013, CDC Wonder MCD
Major Depressive Episode
Depression Over 13% of all Medicare Beneficiaries (with
Part A & Part B) in Region 8 have Depression.
Area Beneficiaries with
Part A and Part
B
FFS Beneficiaries
MA Benefici
aries
MA Particip
ation Rate
Avg. Age
% Femal
e
% Male
Count of Medicare
beneficiaries with
depression
% of Medicare
beneficiaries with
depression
Region 8 Total
399,841 259,493 140,348 24.56 72 52.66 47.34
38,997 13.90
State Total
3,273,266
2,259,900
1,013,366
30.96 71 54.59 45.41
374,006 16.55
National Total
50,180,674
34,303,998
15,876,676
31.64 71 54.87 45.13
5,426,189 15.82
Count of Medicare beneficiaries with depression
Type and Quality of Drugs Seized, 2013
Source: TXDPS 2013 Crime in Texas Report and county level data
Texas Region 8 Class Type Quantity Quantity
CannabinoidsMarijuana
817,720 Pounds, 2 Ounces,599,182 plants, 556 gardens, 18 wild fields, 3,034 cultivated fields and 389 greenhouses
15,547 Pounds, 9 Ounces,2,472 plants, 15 gardens, 1 wild field, 5 cultivated fields, 1 greenhouses
Hashish 114 Pounds, 14 Ounces, 9 Grams, 129 Liquid Ounces
1 Pound, 7 Ounces, 12 Grams, no Liquid Ounces
Opiates
Morphine 13 Pounds, 11 Ounces, 19 Grams, 65 Liquid Ounces, 3,227 Dose Units
0 Pounds, 0 Ounces, 23 Grams, 2 Liquid Ounces, 219 Dose Units
Heroin 470 Pounds, 0 Ounces, 23 Grams, 87 Liquid Ounces, 839 Dose Units
75 Pounds, 12 Ounces, 7 Grams, 0 Liquid Ounces, 148 Dose Units
Codeine 1,698 Pounds, 5 Ounces, 16 Grams, 3,616 Liquid Ounces, 36,979 Dose Units
26 Pounds, 15 Ounces, 9 Grams, 12 Liquid Ounces, 1,056 Dose Units
Gum Opium 2 Pounds, 8 Ounces, 19 Grams 0 Pounds, 2 Ounces, 23 Grams
Cocaine Solid 6,636 Pounds, 13 Ounces, 2 Grams 203 Pounds, 0 Ounces, 5 Grams
Cocaine Liquid 2,833 Liquid Ounces 4 Liquid Ounces
Hallucinogens
LSD 6 Pounds, 15 Ounces, 6 Grams, 7,225 Dose Units
0 Pounds, 1 Ounce, 27 Grams, 1,689 Dose Units
PCP 13 Pounds, 143 Ounces, 189 Grams, 460 Liquid Ounces, 543 Dose Units
0 Pounds, 6 Ounces, 1 Gram, 0 Liquid Ounces, 1 Dose Unit
Mushrooms 51 Pounds, 9 Ounces, 16 Grams, 28 Dose Units 7 Pounds, 7 Ounces, 23 Grams, 0 Dose Units
Peyote 198 Pounds, 7 Ounces, 11 Grams 0 Pounds, 0 Ounces, 0 Grams
Designer Drugs 814 Pounds, 7 Ounces, 18 Grams, 414 Liquid Ounces, 34,589 Dose Units
7 Pounds, 0 Ounces, 8 Grams, 6 Liquid Ounces, 16,439 Dose Units
Precursor Chemicals 6 Pounds, 5 Ounces, 15 Grams, 56,367 Liquid Ounces
3 Pounds, 10 Ounces, 19 Grams, 0 Liquid Ounces
Other Drugs
Barbiturates 91 Liquid Ounces, 79,220 Dose Units 0 Liquid Ounces, 29,608 Dose Units
Amphetamines 98 Pounds, 10 Ounces, 5 Grams, 154 Liquid Ounces, 7,362 Dose Units
3 Pounds, 15 Ounces, 28 Grams, 0 Liquid Ounces, 1,666 Dose Units
Methamphetamines 2,740 Pounds, 12 Ounces, 20 Grams, 8,849 Liquid Ounces, 9,043 Dose Units
148 Pounds, 1 Ounce, 0 Grams, 3,254 Liquid Ounces, 818 Dose Units
Tranquilizers 985 Liquid Ounces, 2,630,520 Dose Units 731 Liquid Ounces, 22,017 Dose Units
Synthetic Drugs 6,438 Liquid Ounces, 199,097 Dose Units 65 Liquid Ounces, 5,452 Dose Units
Clandestine Labs 73 clandestine labs (15 Meth, 0 Amph, 57 PCP, 0 P2P, 1 Crack, 0 THC)
5 clandestine labs (0 Meth, 0 Amph, 0 PCP, 0 P2P, 0 Crack , 0 THC)
RNA Key Findings
Substance Abuse Treatment and Adolescents (12-18yrs)
In Region 8, there were 351 treatment admissions (7% of the state’s total).
Admission Age into Treatment in Region 8 in 2014: 38% - 16year olds, 21% 15 years old, 18%- 17 year olds, 14%- 14 year olds, 7%- 13 year olds and 1% were 12 years old.
89% of treatment admissions were for marijuana/hashish, 3% methamphetamine. Alcohol and other cannabinoids each account for 2% of the treatment admissions.
(Source: 2014 Substance Abuse and Mental Health Treatment Youth Admissions Report)
Texas School Survey (TSS) ofDrug and Alcohol Use
College
Format of Reports
- State, Region, Border, Non-Border and District Level
- Categories: Alcohol, tobacco, inhalants, marijuana, synthetic marijuana, methamphetamine, crack, cocaine, hallucinogens, rohypnol, steroids, heroin, ecstasy, over-the-counter medications (DXM), prescription drugs, (Codeine, OxyContin, Vicodin, Valium, Xanax).
- Measure: frequency of use, age of initiation, peer use, driving under the influence, access to substances, perceived dangerousness, parental approval and related behaviors.
Texas School Survey (TSS) ofDrug and Alcohol Use
State Even Years helps inform
policymakers about the extent and nature of the substance use problem in Texas schools.
Local Odd Years a standard of
comparison for interpreting their own drug and alcohol survey findings.
The survey is an effective tool to evaluate the impact of special substance abuse prevention and education programs.
201020122014
Texas School Survey Participation Regions 7&8
Tobacco
Stero
ids
Marijuan
a
Inhalants
Heroin
Hallucin
ogenus
Ecstas
y
Cocaine/C
rack
Alcohol
Any Illicit
Drug
Rohypnol
Methampheta
mine
Syntheti
c Mariju
ana
0
10
20
30
40
50
60
70Youth Ever Used 2014
Region State Nation
Alcohol continues to be the most used substance.
Nation Texas Region 7 & 8 0
10
20
30
40
50
60
70
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%
Youth Ever Used 2014
TobaccoSteroids
MarijuanaInhalants
HeroinHallucinogenus
EcstasyCocaine/Crack
AlcoholAny Illicit Drug
RohypnolMethamphetamine
Synthetic Marijuana
0 10 20 30 40 50 60
State Region
Region ranks below the State in all areasexcept Meth and Steroids. (.1% )
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)
11%
BINGE
EASY ACCESS
44% of students reported Alcohol as “Some What Easy/Very Easy” to get compared to Tobacco at 32% and Marijuana at
30%.
Tobacco86% 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
Girls have surpassed Boys in Alcohol Usage in all categories.
2x
Students not living with two parents (32%)
reported using marijuana more than twice as much as those living in a two
parent household (17%).
RX Drugs – Region 7/8
Codein
e
Oxycon
tin
Vicodin
Valium
Xanax
Over th
e Cou
nter D
XM, Trip
le CS 0
1
2
3
4
Region 7&8
Ever
Inhalants – Comparison
Spray
Paint
Compu
ter Dust
Spray
sGlue
Gas/Octa
ne/Carb
Cleane
r01234
Texas
Ever Used
Spray
Paint
Compu
ter Dust
Spray
sGlue
Gas/Octa
ne/Carb
Cleane
r0
1
2
3
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”?
Alcohol Any Illicit Inhalants Marijuana Tobacco0
5
10
15
20
25
30
35
40
Past Month Use by Grade – Region 7&8
Grade 12 Grade 11 Grade 10 Grade 9Grade 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.
<10
11 12 13 14 15 16 17 18 19
Texas .1% .1% 6.4%
16.9%
16.8%
18% 16.6%
15.3%
8.8%
1.1%
Region
.1% 7.4%
13.9%
14.8%
13.3%
15.6%
14.9%
11.8%
7.0%
1.1%
Age Frequency Texas
Seek Help – Region 7&8
School Counselor
Adult at School
Counselor Out
Parents Medical Dr. Friends Another Adult Not Seek0
10
20
30
40
50
60
70
80
90
If you had a drug or alcohol problem and needed help, who would you go to?
No Yes
52% Will Not Seek Help
Prevention Education Does Work
1992 Synar Amendment
Requires states to enforce minimum age and other tobacco laws
The Texas Synar Survey conducts 1,000 random checks in each region
PRC-Region 8 conducts voluntary compliance checks 1800 compliance visits 100 follow-up visits 20 follow-up visits to noncompliant retailers
Synar: $1.5 Billion Endowment for Health, Higher Ed, and CHIP
Tobacco Settlement Payee 2014 Unreimbursed Health Care
Expenditures2015
Distribution
DeWitt Medical District $4,295,595.00 $80,861.87Dimmit Regional Hospital District
$3,704,623.34 $69,737.20Frio Hospital District $2,566,503.00 $48,312.80Gonzales County Hospital District
$7,232,528.80 $136,147.81Jackson County Hospital District
$2,478,450.69 $46,655.27Karnes County Hospital District
$8,311,544.74 $156,459.59Lavaca Hospital District $762,129.19 $14,346.60Maverick County Hospital District
$3,968,793.00 $74,710.02Medina County Hospital District
$1,441,992.54 $27,144.60University Health System, DBA: Bexar County Hospital District
$321,687,884.45 $6,055,571.63
Val Verde County Hospital District
$2,422,061.60 $45,593.77Wilson County Hospital District
$3,385,011.00 $63,720.70
Tobacco Law Violations Sales to minors (under 18) Improper or no state-approved signage Outdoor advertising <1000 feet from a
school or church No posted permit to sell tobacco Selling unpackaged or packages of fewer
than 20 cigarettes Minor In Possession (MIP) Other criminal activities:
tobacco smuggling, counterfeit permits, tobacco tax fraud
Tobacco Retailer Compliance Checks Signage
Official state signage visible near product displays
Valid Permit Posted, original, up-to-date, correct address and
name
Product accessibility Locked or behind counter, out of reach
Data Request Form Central Data Repository
Send data request using Data Request Form
Community Agreement with PRC 8 Provide the PRC with any data that may
contribute the data repository (alcohol (underage drinking), marijuana, and prescription drugs).
Assist the PRC with networking and coordination to help collect data and identify resources for the regional data collection.
Assist PRC in promoting community efforts to raise awareness and generate support in attending PRC presentations on local, county regional data collected for RNA.
Offer networking assistance to strengthen prevention efforts in our community.
We WANT You.. To Partner with us!
Recruitment for Focus Groups
In the Fall, we will be looking
to do focus groups with community groups and
professionals.
Questions from the Audience
Call to Action and Closing Message Utilize this tool with the
communities you work with.
This report provides a means to facilitate data-driven decisions and mobilization of communities, as it informs key community, local, state, and federal representatives about the needs that communities in Region 8.
Be cognizant and aware of potential data or data sources we could utilize for the RNA.
Thank you for joining us! Please remember to turn in your clickers. Please turn in your evaluations at the door. CEUs will be in given in the front lobby. Visit our website for updates: www.prcregion8.org