Category: Drug and Alcohol
|February 2, 2014||Posted by M. P. under Behavorial Health, Drug and Alcohol, Federal Government, Research||
Last week the Substance Abuse and Mental Health Services Administration (SAMHSA) announced a new report containing a wealth of data on American’s behavioral health, both overall and at the state level. The National Behavioral Health Barometer looks at mental illness, alcohol dependency, illicit drug use, treatment rates and perceptions of the dangers of substance use. This timely trend and snapshot data – particularly those from the state reports – might be helpful for your upcoming grant writing, business planning, or community initiative proposals.
Highlights from the national report:
- In 2012, approximately 4 percent of adults had a severe mental illness the year prior to the survey.
- In 2012, more females 12 to 17 years old (13.7 percent) reported a major depressive episode in the year prior than males (4.7 percent), and 37 percent of youths received treatment for depression within the year prior to being surveyed.
- Between 2008 and 2012, cigarette use among youths (across all racial groups) declined from 9.2 to 6.6. percent.
- In 2012, people between 18 and 25 years of age reported the highest rate of alcohol dependence/abuse (14.3 percent). The rate of alcohol dependency of those over age 12 decreased overall between 2008 (7.4 percent) and 2012 (6.8 percent).
Highlights from the Pennsylvania report:
- The rate of adults in Pennsylvania having a severe mental illness in 2012 was the same as the national rate. The majority of adults served in the Commonwealth’s public mental health system were unemployed (70 percent) followed by those not in the workforce (20.6 percent). The percentages of both adults and youths reporting improvement after treatment in the public mental health system were lower than the national rate.
- Similar to the national level data, in 2012, 8.7 percent of Pennsylvania youth ages 12 to 17 reported a past year major depressive episode. 40.4 percent received treatment for depression during that time period.
- Although the percentage of Pennsylvania youth who smoke cigarettes declined since 2008, in 2012 it remained above the national rate – 8.8 percent compared to 7.2 percent. The mean age of first cigarette use among Pennsylvania youth was 14 years old.
- In 2012, 37.1 percent of Pennsylvania youth did not perceive great risk from smoking one or more packs of cigarettes daily, an increase from 2008 (34.3 percent) and above the national rate of 34.1 percent.
- Pennsylvania’s rate of alcohol dependency/abuse and rate of illicit drug dependency/abuse among people age 12 and over remained stable between the years of 2008-2012 and were similar to the national rates.
Copies of the national publication and all state reports are available for download at the SAMHSA website.
Photo Credit: Substance Abuse and Mental Health Services Administration. Behavioral Health Barometer: United States,2013. HHS Publication No. SMA-13-4796. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013.
Report Citations: Substance Abuse and Mental Health Services Administration. Behavioral Health Barometer: United States,2013. HHS Publication No. SMA-13-4796. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013.
Substance Abuse and Mental Health Services Administration. Behavioral Health Barometer: Pennsylvania, 2013. HHS Publication No. SMA-13-4796PA. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013.
|October 11, 2013||Posted by M. P. under Drug and Alcohol, News, Policy||
Trust for America’s Health’s (TFAH) latest report, Prescription Drug Abuse: Strategies to Stop the Epidemic, illustrates the magnitude of the public health problem created by misuse of prescription drugs, and examines the methods that states are employing to address the disturbing trend. According to the authors, the number of deaths by prescription drug overdose is larger than those by cocaine and heroin combined. With sales of prescription painkillers 4 times higher in 2010 than in 1999, the increase in the abuse of these substances should not come as a surprise.
Some of the findings from the report:
- In 2010, West Virginia was the state with the highest rate of deaths by overdose, at 28.9 for every 100,000 residents (an increase of 605 percent increase from 1999). North Dakota had the lowest at 3.4 for every 100,000 residents.
- 22 states require by law specific education for doctors and other healthcare professionals who can prescribe pain medication.
- 17 states have laws giving some protection from criminal charges (or consider it a mitigating factor) to people attempting to get medical assistance for an overdose victim, including themselves.
Pennsylvania is ranked 14th in amount of deaths by drug overdose and, according to the report, has in place 4 of 10 evidence-based indicators that work to reduce prescription drug abuse and overdose deaths. Policy and practice recommendations such as educational outreach and more variety in treatment options, as well as data snapshots for all fifty states are included in the complete report available at the Trust for America’s Health’s website.
|May 19, 2013||Posted by M. P. under Children and Family, Drug and Alcohol, Youth Development||
Data from a new TEDS report from the Substance Abuse and Mental Health Services Administration examines the differences between pregnant and non-pregnant teenagers admitted to substance abuse treatment. What may be of interest to providers and policymakers are the differences between the groups, and how those characteristics could inform prevention programming and public health campaigns.
Findings from the May 2013 brief, The TEDS Report: Characteristics of Pregnant Teen Substance Abuse Treatment, include the following,
- The majority of referrals of pregnant teenagers using alcohol or drugs were from the justice system (41.4 percent) and community agencies (23 percent), both higher than among non-pregnant female teens admitted in the same time period.
- Among pregnant teenage users, self-referrals to treatment were lower than among their non-pregnant peers (18.5 percent versus 22.9 percent). Also, schools were less likely to refer pregnant students (4.5 percent compared to 10 percent) to treatment.
- Pregnant teens more likely to report methamphetamine or amphetamine use than non-pregnant peers (16.9 percent versus 8.4 percent) at the time of admission.
- Poverty, as measured by public assistance as main source of income and use of Medicaid as the primary payor, was higher among pregnant teenagers.
The series of TEDS reports are available at the SAMHSA website.
|April 9, 2013||Posted by M. P. under Children and Family, Drug and Alcohol, Policy, Program Model, Youth Development||
The impact of parental substance abuse on children’s stability and well-being is a concern that crosses systems. Data suggests that parental drug and alcohol use is related to abuse and neglect and increases the likelihood of a parent’s involvement in the justice system – including the possibility of incarceration. The National Center on Substance Abuse and Child Welfare (NCSACW) provides In-Depth Technical Assistance (IDTA) to a handful of sites across the country in the areas of substance abuse, child welfare and the courts to result in better outcomes for families involved in these systems. For approximately 18 months, the IDTA team works with local, state or tribal entities to coordinate strategy and services across systems through the use of evidence-based programs and on-site technical assistance in order to grow capacity for improved child and family outcomes.
The report, In-Depth Technical Assistance (IDTA) Final Report 2007-2012 provides an overview of the IDTA program model, related site accomplishments, and the lessons of system change at various levels. Some findings include,
- 50 percent of the sites implemented (or enhanced) a recovery specialist model in their programs;
- 68 percent developed and/or implemented cross-system training plans;
- 60 percent developed and/or implemented screening protocols that resulted in lowers costs, reduced redundancy and a more efficient referral process;
- 27 percent used cross-system data collection and tracking processes, such as case reviews and drop-off analysis, to inform policy and program decisions. (Note: according to the SAMHSA website, a Drop-Off Analysis is “a method used to assess linkages among child welfare, treatment agencies and courts. The method helps to identify connections that families need to make between systems to obtain services and achieve their child welfare case goals.”)
In addition to program findings, the brief discusses numerous lessons learned around systems change, particularly: issues in achieving long-term policy and practice changes and avoiding the fracture of collaborative relationships post-project, leadership focused on engaging and sustaining partners, use of data to identify areas of and opportunities for change, and realistic timelines for implementing system change and shared accountability.