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

2. Welcome Dr. Michael Wolwa

3. Broward County Trends Decline of Cocaine Consequences Rx Non-Medical Misuse Stable at Epidemic Levels Heroin Rising Underage Drinking Age 12-18 Marijuana Fake Drugs: Real Poisons – Synthetic Cannabinmimectics – Synthetic Stimulants

4. Number of Cocaine Reports Detected Among Decedents in Florida: 2000 - 2011 NUMBER of COCAINE OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2011 Miami-Dade Broward

5. 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 2008-2009. Note: Cocaine visits had a statistically significant decrease from 2008 to 2009.

6. Percent of Primary Addiction Treatment Admissions by Substance 2007-2011: 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, 2012. Cocaine

7. Number of Primary Cocaine Treatment Admissions Broward County, FL: 2009-2012* # of primary Treatment Admissions SOURCE: Florida Department of Children and Families 769 481 Total Cocaine in Red 555 524 * 2012 Admissions based on 2 x‘s 1 st Half 2012

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

9. 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

10. Number of Oxycodone Reports Detected among Decedents in Florida: 2011 Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners 2007 - 2010 Reports and 2011 Report NUMBER of Oxycodone OCCURRENCES Including “Present” & “Cause of Death ”

11. Number of Oxycodone Reports Detected among Decedents in South Florida: 2007-2011 NUMBER of Oxycodone OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2011

12. 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 2008-2009. Note: Cocaine visits had statistically significant decreases from 2008 to 2009. Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to 2010. No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Benzodiazepines. NMU Rx Opioids

13. Broward & Palm Beach USA

14. 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, 2012 22% 62%

15. Percent of Primary Addiction Treatment Admissions by Substance 2007-2011: 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, 2012. Cocaine Rx Opioids Heroin

16. Number of Primary Rx Opioid Treatment Admissions Broward County, FL: 2009-2012* # of primary Treatment Admissions SOURCE: Florida Department of Children and Families * 2012 Admissions based on 2 x‘s 1 st Half 2012

17. Source: 2011 National Survey on Drug Use and Health

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

20. Number of Alprazolam Reports Detected among Decedents in Florida: 2007 – 2011 Source: FDLE – Drugs Identified In Deceased Persons by Florida Medical Examiners 2007 - 2010 Reports and 2011 Report NUMBER of Alprazolam OCCURRENCES Including “Present” & “Cause of Death ”

21. Number of Alprazolam Reports Detected among Decedents in South Florida: 2007- 2011 NUMBER of Alprazolam OCCURRENCES Including “Present” & “Cause of Death” SOURCE: Florida Medical Examiners Commission Report 2011

22. 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 2008-2009. Note: Cocaine visits had statistically significant decreases from 2008 to 2009. Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to 2010. No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Benzodiazepines. Cocaine NMU Benzodiazepines

23. NUMBER OF HEROIN-RELATED DEATHS IN FLORIDA: 2000 –2011 SOURCE: Florida Medical Examiners Commission Reports 2000-2011 62 # Lethal Heroin Deaths 15 3 2012 ??

24. Number of Primary Heroin Treatment Admissions Miami-Dade and Broward Counties, FL: 2009-2012 # of primary Treatment Admissions SOURCE: Florida Department of Children and Families 2009 2010 2011 2012* 2009 2010 2011 2012* Miami-Dade Broward * 2012 Admissions based on 2 x‘s 1 st Half 2012

25. 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 2008-2009. Note: Cocaine visits had statistically significant decreases from 2008 to 2009. Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to 2010. No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Marijuana. Cocaine Marijuana

26. Just Released January 4, 2013

27. Current (past 30-day) Alcohol Use Among Broward County Middle and High School Students 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012

28. Current (past 30-day) Binge Drinking Among Broward County Middle & High School Students 2000-20012 Source: Florida Youth Substance Abuse Surveys 2000-2012

29. Current (past 30-day) Marijuana Use Among Broward County Middle and High School Students 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012

30. Perceived Attitudes about Marijuana Among Broward County Middle and High School Students 2000-2012 Source: Florida Youth Substance Abuse Surveys 2000-2012

31. Source: 2011 National Survey on Drug Use and Health

32. 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 2008-2009. Note: Cocaine visits had statistically significant decreases from 2008 to 2009. Prescription Opioid nonmedical use visits had statistically significant increases from 2008 to 2010. No statistically significant changes were noted for 2008 or 2009 compared with 2010 for Marijuana. Cocaine Marijuana

33. 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

34. The Synthetic Drugs

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

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

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

38. Number of Cannabinmimetics Poison Control Exposure Calls Jan-Dec 2011 and Jan-June 2012 Source: Florida Poison Information Center – Miami 1-800-222-1222 Cannabinmimetics Poison Exposure Calls # of Poison Exposure Calls Jan-Dec 2011 # of Poison Exposure Calls Jan-June 2012 State of Florida 517377 Broward County 3825 Miami-Dade County 36 Palm Beach County 2920

39. 11 Different Cannabinmimetics Jan. – July 2012 Florida Crime Lab Reports n= 403 Source: US DEA: National Forensic Lab Information System (NFLIS) 08/24/2012

40. 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

41. 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 1-800-222-1222 Synthetic Drug Category # of Poison Exposure Calls Jan-Dec 2011 # of Poison Exposure Calls Jan-April 2012 Synthetic Cannabinoids 517269 Hallucinogenic Amphetamines 18464 MDPV & Mephedrone ( Bath Salts ) 15228 Other Hallucinogens DMT and 5-MeO-DIPT 62 1,222 Exposure calls Jan 2011 to April 2012

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

43. 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

44. Born 1952-1956

45. 45% 20%

46. Broward County Report Substance Abuse Issues and Trends – Winter 2013