Broward County Report Substance Abuse Issues and Trends – Winter 2013 James N. Hall

Welcome Dr. Michael Wolwa

Broward County Trends Decline of Cocaine Consequences Rx Non-Medical Misuse Stable at Epidemic Levels Heroin Rising Underage Drinking Age Marijuana Fake Drugs: Real Poisons – Synthetic Cannabinmimectics – Synthetic Stimulants

Number of Cocaine Reports Detected Among Decedents in Florida: NUMBER of COCAINE OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2011 Miami-Dade Broward

Number of Cocaine Emergency Departments Reports in Broward & Palm Beach Counties, FL: 2008,,2009 & 2010 SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates Note: Cocaine visits had a statistically significant decrease from 2008 to 2009.

Percent of Primary Addiction Treatment Admissions by Substance : State of Florida Percent of All Admissions Source: Substance Abuse and Mental Health Services Administration’s Center for Behavioral Health Statistics and Quality: Treatment Episode Data Set as provided by the Florida Department of Children and Families as of July 9, Cocaine

Number of Primary Cocaine Treatment Admissions Broward County, FL: * # of primary Treatment Admissions SOURCE: Florida Department of Children and Families Total Cocaine in Red * 2012 Admissions based on 2 x‘s 1 st Half 2012

Numbers of Substances Identified among Decedents in Florida: Jan.-Dec All Rx = 13,045 Alcohol + Illicit Drugs = 5,758 Source: Florida Department of Law Enforcement: Florida Medical Examiners Commission Report 2011

5,489 individuals died with one or more prescription drugs in their system. The drugs were at both lethal and non-lethal levels. Prescription Drug-Related Deaths in Florida: 2011 Source: Florida Department of Law Enforcement: Florida Medical Examiners Commission Report 2011

Number of Oxycodone Reports Detected among Decedents in Florida: 2011 Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners Reports and 2011 Report NUMBER of Oxycodone OCCURRENCES Including “Present” & “Cause of Death ”

Number of Oxycodone Reports Detected among Decedents in South Florida: NUMBER of Oxycodone OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2011

Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL: 2008,,2009 and 2010 SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates Note: Cocaine visits had statistically significant decreases from 2008 to Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Benzodiazepines. NMU Rx Opioids

Broward & Palm Beach USA

Percent of Primary Rx Opioid Addiction Treatment Admissions By Age Groups in Florida: 1998 to 2011 Source: SAMHSA - Treatment Episode Data Sets Submitted by the Florida Dept. of Children and Families as of July 9, % 62%

Percent of Primary Addiction Treatment Admissions by Substance : State of Florida Percent of All Admissions Source: Substance Abuse and Mental Health Services Administration’s Center for Behavioral Health Statistics and Quality: Treatment Episode Data Set as provided by the Florida Department of Children and Families as of July 9, Cocaine Rx Opioids Heroin

Number of Primary Rx Opioid Treatment Admissions Broward County, FL: * # of primary Treatment Admissions SOURCE: Florida Department of Children and Families * 2012 Admissions based on 2 x‘s 1 st Half 2012

Source: 2011 National Survey on Drug Use and Health

Source: Kurtz, S & Surratt, H: ARSH Nova Southeastern University June 2012

Number of Alprazolam Reports Detected among Decedents in Florida: 2007 – 2011 Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners Reports and 2011 Report NUMBER of Alprazolam OCCURRENCES Including “Present” & “Cause of Death ”

Number of Alprazolam Reports Detected among Decedents in South Florida: NUMBER of Alprazolam OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2011

Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL: 2008,,2009 and 2010 SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates Note: Cocaine visits had statistically significant decreases from 2008 to Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Benzodiazepines. Cocaine NMU Benzodiazepines

NUMBER OF HEROIN-RELATED DEATHS IN FLORIDA: 2000 –2011 SOURCE: Florida Medical Examiners Commission Reports # Lethal Heroin Deaths ??

Number of Primary Heroin Treatment Admissions Miami-Dade and Broward Counties, FL: # of primary Treatment Admissions SOURCE: Florida Department of Children and Families * * Miami-Dade Broward * 2012 Admissions based on 2 x‘s 1 st Half 2012

Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL: 2008,,2009 and 2010 SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates Note: Cocaine visits had statistically significant decreases from 2008 to Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Marijuana. Cocaine Marijuana

Just Released January 4, 2013

Current (past 30-day) Alcohol Use Among Broward County Middle and High School Students Source: Florida Youth Substance Abuse Surveys

Current (past 30-day) Binge Drinking Among Broward County Middle & High School Students Source: Florida Youth Substance Abuse Surveys

Current (past 30-day) Marijuana Use Among Broward County Middle and High School Students Source: Florida Youth Substance Abuse Surveys

Perceived Attitudes about Marijuana Among Broward County Middle and High School Students Source: Florida Youth Substance Abuse Surveys

Source: 2011 National Survey on Drug Use and Health

Number of Emergency Departments Reports by Drug in Broward & Palm Beach Counties, FL: 2008,,2009 and 2010 SOURCE: US Dept. HHS-SAMHSA, CBHSQ: DAWN Emergency Dept. Estimates Note: Cocaine visits had statistically significant decreases from 2008 to Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Marijuana. Cocaine Marijuana

Number of Primary Treatment Admissions for Juveniles and Adults by Drug in Broward and Miami-Dade Counties: Jan - Dec 2011 Source: Florida Department of Children and Families Number of Primary Admissions

The Synthetic Drugs

Percent of Florida 9 th -12 th Graders Reporting Having Used Synthetic Marijuana in their Lifetime Source: Florida Youth Substance Abuse Survey 2012

Percent of High School Males Reporting Having Used Synthetic Marijuana Florida and Broward County Source: Florida Youth Substance Abuse Survey 2012

Percent of High School Females Reporting Having Used Synthetic Marijuana Florida and Broward County Source: Florida Youth Substance Abuse Survey 2012

Number of Cannabinmimetics Poison Control Exposure Calls Jan-Dec 2011 and Jan-June 2012 Source: Florida Poison Information Center – Miami Cannabinmimetics Poison Exposure Calls # of Poison Exposure Calls Jan-Dec 2011 # of Poison Exposure Calls Jan-June 2012 State of Florida Broward County 3825 Miami-Dade County 36 Palm Beach County 2920

11 Different Cannabinmimetics Jan. – July 2012 Florida Crime Lab Reports n= 403 Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012

White lightening Zoom Cloud 9 Cloud 10 Red Dove Blue silk Moon dust NRG (4-MEC) Head trip Radiance Ivory Wave Power surge Sextasy Vanilla Sky Bath salts Stimulants often have trendy names and slick packaging

Number of Emerging Psychoactive Substance Drug Poison Control Exposure Calls in Florida: Jan-Dec 2011 and Jan-April 2012 Source: Florida Poison Information Center – Miami Synthetic Drug Category # of Poison Exposure Calls Jan-Dec 2011 # of Poison Exposure Calls Jan-April 2012 Synthetic Cannabinoids Hallucinogenic Amphetamines MDPV & Mephedrone ( Bath Salts ) Other Hallucinogens DMT and 5-MeO-DIPT 62 1,222 Exposure calls Jan 2011 to April 2012

Molly’s Methylone 3,4 methylenedioxy-methcathinone 96 Crime Lab Cases since March 2012 in Broward County

8 Different Cathinmimetics Jan. – July 2012 Florida Crime Lab Reports n= 76 Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012 A-PVP 4-MEC

Born

45% 20%

Broward County Report Substance Abuse Issues and Trends – Winter 2013