1. 2017 Epidemiological Report
Delaware State Epidemiological Outcomes Workgroup Strategic Prevention Framework- Partners for Success

2. Changes in the Epidemiological Report
This year the 2017 Epi. Report incorporated feed from our SEOW Members
Major changes include:
Introductory Narratives
Local and National context
New Sections
That addresses specific issues
Website now includes subsection for easier navigation
Data in Action
How to apply data to inform policy and practice
Changes in the Epidemiological Report

3. Narrative This year there are 11 subsections;
9 of which have their own narrative
The narratives provide the user:
Local and national contexts of the topic
Policy implications
Health Impacts
Narrative

4. New Sections Opioids Mental Health Adverse Childhood Experiences
This section focuses on the use and abuse of opioids both locally and nationally
Prescription Monitoring Program
Mental Health
Explores mental health issues in Delaware
Adverse Childhood Experiences
How these experience effect both mental health and substance use
Protective Factors
What steps parents and communities can take to protect adolescents from poor mental health and substance use
New Sections

5. Subsections for Easier Navigation
Breaks down the epi report into individual chapters
Each chapter focuses on a different topic
Allows users to hone in on data pertinent to their mission
Available online at:
Subsections for Easier Navigation

6. Using Delaware data to inform policy and practice
Data In Action
Using Delaware data to inform policy and practice

7. One of the prevention interventions supported by the Strategic Prevention Framework are environmental strategies.
Changes in policy or practice are environmental strategies.
Policy as Prevention

8. KEEP UP THE GOOD work! Reduce youth tobacco use
Source: 2016 Delaware School Survey
KEEP UP THE GOOD work! Reduce youth tobacco use

9. Target youth use when considering interventions
Targeting youth about tobacco should continue to be a focus of prevention work.
Avg. age of onset is 14.3 for 11th graders, 12.5 for 8th
88% of smokers report smoking before age 18; 99% before age 26 (CDC)
Raise the cost of cigarettes:
Raising the cost estimated to reduce smoking between 3-5%
People under the age of 26 between 2-3 times more likely to be deterred from smoking due to higher prices of cigarettes (CDC).
Raise the purchase age to 21:
Delaware law preempts attempts by municipalities to raise the purchase age.
Target youth use when considering interventions

10. Educate youth on the risks of e-cigarettes
Source: 2016 Delaware School Survey
Nationwide, there was a 900% increase in youth use of e-cigarettes between (Surgeon’s General Office, 2016).
Data from the Youth Tobacco Survey in Delaware also shows an increase in youth use of e-cigarettes.
Less than 15% of eleventh graders and eighth graders reported “great risk” in the use of e-cigarettes/vaping devices
Educate youth on the risks of e-cigarettes

11. Source: 2016 Delaware School Survey
Alcohol use

12. Social host laws hold adults accountable for underage drinking that occurs on their property, even if they did not provide the alcohol to the youth.
Of youth who reported past month drinking:
Nearly 1/3 of 11th graders and 1/5 of eighth graders, attended a party where parents bought alcohol within the past year (DSS).
Evaluations of the implementation of social host laws have found evidence for:
A reduction in drinking and driving
Decrease in number of large gatherings where underage drinking occurs (University of Wisconsin, Population Health Institute, n.d.).
Social Host Laws Show evidence of Reduction in underage Drinking and Driving

13. Marijuana: Changing Perceptions of Risk
Source: 2016 Delaware School Survey
Marijuana: Changing Perceptions of Risk

14. Source: 2016 Delaware School Survey

15. Changing Perceptions of risk may lead to increased use
The amount of THC in marijuana seized by the DEA has increased nearly 200 percent since 1995, with average levels of THC around 12% (ElSohly et al., 2016).
Marijuana concentrates, can have levels of up to 75% THC (ElSohly et al., 2016; the Academies 2017).
Numerous studies on brain development and marijuana use show differences in cognitive functioning between heavy users and abstainers (see: Lisdahl et al., and Gruber et al., 2017 for two reviews of the literature).
It is important that we continue to keep youth informed of these risks, especially since brain development continues until the mid-20s.
Changing Perceptions of risk may lead to increased use

16. Primary Drug at Admission
2005 Total
2005 Percent
2015 Total
2015 Percent
Alcohol
2336
28%
1093
11%
Heroin
2234
26%
3723
38%
Cocaine
533 6%
107 1%
Crack/Cocaine
943
143
Marijuana/Hashish
1801
21%
873 9%
Amphetamine 18 0% 30
Other Opioids & Synthetics
286 3%
643 7%
Other/Missing/Unknown/None
329 4%
3265
33%
State Total
8480
100.0%
9877
100%
Source: Office of Controlled Substances, Division of Professional Regulation DE. Opioids: Increase access to treatment services

17. Promising signs & Room for Improvement
Delaware is currently in need of expanded treatment options
Two recent bills signed into law (SB 41 and HB 100) were created to address ongoing insurance disputes about inpatient treatment.
Despite progress and ongoing efforts to address this, the needs exceed existing treatment resources.
Promising signs & Room for Improvement

18. Nationally, up to 70% of women who enter treatment do have children (DHHS, 2016).
Treatment programs that accommodate mothers with children have higher success rates with women with children, than those that do not (DHHS, 2016).
Expanding treatment options that are responsive to the needs of caregivers may help improve treatment outcomes across the state.
One promising program in the state is out of Connections, CSP which provides in-patient treatment for pregnant women who have been convicted of a crime, and would have otherwise been incarcerated.
Women in treatment

19. Prevention starts at home
Depressed for two weeks at a time
Males
Females 21 12 30 36 23 47 41 31
Self-Harm 11 5 16 17 22 13
Attempt Suicide 3 7 9
Prevention starts at home
Source: 2015 High School Youth Risk Behavior Survey

20. Parents matter!
Source: 2015 High School Youth Risk Behavior Survey

21. The SEOW is currently working on providing interactive data maps
Using data gathered at the Center and through ArcGIS Online, we are able to provide easy to use data tools:
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Interactive Data Maps

22. Thank you!