2015 Region 8 Community Stakeholder Meeting

July 9, 2015

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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