All-member discussion: Developing an SUD continuum of care for youth Paula Wilhelm, Senior Policy Analyst October 12, 2017

Agenda Overview and discussion: DHCS’s Youth Advisory Group & Draft Needs Assessment Save-the-date: Adolescent Early Intervention & Treatment Summit Harbage Consulting Presentation: California’s Public SUD System for Youth County questions, perspectives & discussion

Quick Stats Past year dependence or abuse of illicit drugs or alcohol (CA): 12-17 year-olds: 4.06 percent (drugs), 2.75 percent (alcohol) 18-25 year-olds: 7.52 percent (drugs), 13.01 percent (alcohol) 26 and older: 1.70 percent (drugs), 5.98 percent (alcohol) 12 and up: 2.74 (drugs), 6.65 (alcohol) Needing but not receiving treatment (CA): 12-17 year-olds: 3.85 percent (drugs), 2.73 percent (alcohol) 18-25 year-olds: 6.79 percent (drugs), 12.73 percent (alcohol) 26 and older: 1.51 percent (drugs), 5.64 percent (alcohol) 12 and up: 2.47 percent (drugs), 6.35% CA numbers largely comparable to national averages SOURCE: National Survey on Drug Use and Health, 2013-14 https://www.samhsa.gov/data/sites/default/files/NSDUHsaePercents2014.pdf

DHCS’s Youth Advisory Group (YAG) Purpose: collaborate with DHCS to develop and implement an SUD system of care for youth Revised Youth Services Policy Manual (YSPM) to be released by end of 2017 Three workgroups: Workforce Access to care Standardized assessments Youth Needs Assessment - data report developed to help identify challenges Next meeting: January 11, 2018 See: http://www.dhcs.ca.gov/provgovpart/Pages/Youth-Advisory-Group.aspx

DHCS Needs Assessment: The Data Data from CalOMS Tx, fiscal years 2013-14 and 2014-15 Self-report from treatment programs receiving either SAPT block grant or Medi-Cal funds – includes data on all clients to (not limited to Medi-Cal) Does not address prevention, early intervention, recovery Numbers are unique clients Some ability to stratify by geography, race/ethnicity, economic status unable to reliably depict other variables of interest, e.g. homelessness, foster youth, undocumented, LGBTQI Some differences in available data points for adolescents ages 12-17 and TAY ages 18-24 Number of programs/providers reporting not specified

DHCS Needs Assessment: Select Findings Youth ages 17 & under TAY ages 18-24 Numbers admitted to Tx: 15,000 (2013-14) 12,000 (2014-15) 10-11% under eleven years old >60% report first use at 12-14 yrs. old Primary drug at admission: Marijuana/hash: 77-78% Alcohol: 13-15% Methamphetamine: 6% All others, including heroin: <1% Numbers admitted to Tx: 20,000 (2013-14) 22,000 (2014-15) Primary drug at admission: Heroin: 29% Methamphetamine: 29% Marijuana/hash: 21% Alcohol: 12% Source: California Department of Health Care Services, “DRAFT Youth Substance Use Disorder Treatment Services Needs Assessment,” July 2017, as distributed to DHCS Youth Advisory Group.

DHCS Needs Assessment: Select Findings Youth ages 17 & under TAY ages 18-24 Primary referral sources* FY 14-15: Criminal justice: 30% Schools: 27% Individual: 23%* Residential programs FY 14-15: 7% of total treated (900/12,120) Length of stay: 15% <7 days; 38% for 8-30 days; 18% for 120 or more 193 beds; 21 programs; 11 counties Primary referral sources* FY 14-15: Individual: 49% Criminal justice: 18% Other/community: 12%* Residential programs FY 14-15: 35% of total treated (7600/22,000) Length of stay: 40% for <7 days; 23% for 8-30 days; 8% for 120 or more *No ability to cross-reference with CalOMS Prevention database Source: California Department of Health Care Services, “DRAFT Youth Substance Use Disorder Treatment Services Needs Assessment,” July 2017, as distributed to DHCS Youth Advisory Group.

County perspectives and discussion

Audience: county teams of five BH leadership, plus leaders of partner agencies (e.g., education, criminal justice, health plan) Sample sessions: CSAM’s BluePrint for Adolescent Treatment - Tim Cermak, CSAM Adolescent Development & Substance Use – Paula Riggs, University of Colorado Cannabis Legalization and Adolescents – Beau Kilmer, Rand Corporation Registration deadline: Tuesday, October 31 Currently open only to county teams; remaining seats available to the general public on Friday, October 27 Contact: Paige D’Angelo, pdangelo@cibhs.org

Contact Information: Paula Wilhelm pwilhelm@cbhda.org