Delaware State Epidemiological Outcomes Workgroup December 16, 2016 Trauma and Substance Use among Delaware Youth Prepared by the University of Delaware Center for Drug and Health Studies for the Strategic Prevention Framework – Partnerships for Success Grant on behalf of the Delaware Division of Substance Abuse and Mental Health

University of Delaware Center for Drug and Health Studies CDHS facilitates collaboration and research on substance abuse, health risk behaviors, health services, health disparities, and health policy among key State and community stakeholders. CDHS collects, reviews and reports on data from: Delaware School Survey Youth Tobacco Survey Youth Risk Behavior Survey College Risk Behavior Survey CDC School Health Profiles Other surveys conducted by CDHS Data from other sources

University of Delaware Center for Drug and Health Studies On behalf of the Delaware Division of Substance Abuse and Mental Health Services Strategies for Prevention – Partnerships for Success Grant (SPF-PFS), CDHS convenes the State Epidemiological Outcomes Workgroup (SEOW) whose mission is to “bring data to the forefront of the prevention planning process” by: Identifying and analyzing data from State and local sources Providing current benchmarks, trends and patterns of use and consequences Providing data products to inform planning and policy development Training agencies and communities in effective use of data its precursors and its consequences to inform prevention policy, practice and programming in the State.

CDHS Youth Based Surveys Schedule Sample Description Delaware School Survey Annually December - June Census of 5th, 8th, 11th public school students Youth Risk Behavior Survey (YRBS) HS, MS Odd numbered years January - June Random sample of classes within a census of public schools Youth Tobacco Survey (YTS) Even numbered years School Health Profiles Census of public school principals and lead health educators College Risk Behavior Survey (CRBS) Spring Semester Random sample of full-time undergraduates

2015 HS YRBS Data Homelessness Where do you typically sleep at night?   Homelessness  Trauma Indicator N % of Total % of Female % of Male Where do you typically sleep at night? 2,750 At home w/ parent/guardian 96 Other   4 97 3 96   4 N - homelessness home w/ parent/guardian 1.1   Other home w/o Parent/guardian 1.2 Elsewhere w/ Parent/guardian 0.4 Elsewhere w/o Parent/guardian 0.9

Homelessness and Substance Use 2015 DE HS YRBS

2015 HS YRBS Data Violence Exposure   Violence Exposure Trauma Indicator N % of Total % of Female % of Male During the past 12 months, how many times were you in a physical fight? 2,714 0 times 79 1 or more 21 0 times 84 1 or more 16 0 times 75 1 or more 25

Fighting and Substance Use 2015 DE HS YRBS

2015 HS YRBS Data Violence Exposure   Violence Exposure Trauma Indicator N % of Total % of Female % of Male During the past 12 months, how many times has someone threatened or injured you with a weapon such as a gun, knife, or club on school property? 2,739 0 times 94 1 or more 6 0 times 96 1 or more 4 0 times 92 1 or more 8

Threatened with Weapon and Substance Use 2015 DE HS YRBS

2015 HS YRBS Data   Bullying Trauma Indicator N % of Total % of Female % of Male During the past 12 months, have you ever been bullied on school property? 2,728 Yes 16 No 84 Yes 19 No 81 Yes 14 No 86

Bullying and Substance Use 2015 DE HS YRBS

Skipped School Due to Bullying 2015 HS YRBS Data   Skipped School Due to Bullying Trauma Indicator N % of Total % of Female % of Male During the past 30 days, on how many days did you not go to school because you felt you would be unsafe at school or on your way to or from school? 2,738 0 days 95 1 or more 5 0 days 96 1 or more 4 0 days 94 1 or more 6

Skipping School Due to Bullying 2015 DE HS YRBS

Physical Dating Violence 2015 HS YRBS Data   Physical Dating Violence Trauma Indicator N % of Total % of Female % of Male During the past 12 months, how many times did someone you were dating or going out with physically hurt you on purpose? (Count such things as being hit, slammed into something, or injured with an object or weapon.) 2,673 Didn’t date 30 0 times 64 1 or more 6 Didn’t date 28 0 times 65 1 or more 7 Didn’t date 33 0 times 63 1 or more 5

TDV Physical and Substance Use 2015 DE HS YRBS

Emotional Dating Violence 2015 HS YRBS Data   Emotional Dating Violence Trauma Indicator N % of Total % of Female % of Male During the past 12 months, how many times did someone you were dating or going out with say things to you or say things to other people about you to purposely hurt you? 2,732 Didn’t date 31 0 times 54 1 or more 15 Didn’t date 29 0 times 51 1 or more 20 Didn’t date 33 0 times 57 1 or more 10

TDV Emotional and Substance Use 2015 DE HS YRBS

Sexual Dating Violence 2015 HS YRBS Data   Sexual Dating Violence Trauma Indicator N % of Total % of Female % of Male During the past 12 months, how many times did someone you were dating or going out with force you to do sexual things you did not want to do? (Count such things as kissing, touching or being physically forced to have sexual intercourse.) 2,670 Didn’t date 30 0 times 64 1 or more 6 Didn’t date 28 0 times 65 1 or more 7 Didn’t date 33 0 times 64 1 or more 4

TDV Sexual and Substance Use 2015 DE HS YRBS

TDV Sexual and Substance Use 2015 DE HS YRBS

Sexual Violence 2015 HS YRBS Data   Sexual Violence Trauma Indicator N % of Total % of Female % of Male Have you ever been physically forced to have sexual intercourse when you did not want to? 2,734 Yes 7 No 93 Yes 9 No 91 Yes 4 No 96

Sexual Violence and Substance Use 2015 DE HS YRBS

Sexual Violence and Substance Use 2015 DE HS YRBS

The Take-Away… Students who were exposed to homelessness, who were involved in fighting, who were bullied, who experienced all types of teen dating violence, and who were sexually assaulted were at greater risk for substance use. These increased risk behaviors carry potential implications for health throughout the lifespan.

Applying the Data: Identifying Needs, Measuring Impact Needs Assessment, Community Assessments Developing and Implementing Programming Grant Applications Program and Policy Evaluation

Website: www.cdhs.udel.edu Follow us on Twitter: @CDHSDelaware For More Information Website: www.cdhs.udel.edu Follow us on Twitter: @CDHSDelaware Laura Rapp lrapp@udel.edu Roberta Gealt basha@udel.edu Sharon Merriman-Nai smnai@udel.edu Jim Highberger jphigh@udel.edu