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Iowa Drug Trends. Presented by Director Gary Kendell Governor’s Office of Drug Control Policy. COORDINATION OF EFFORT GRANT PROGRAM ADMINISTRATION POLICY DEVELOPMENT. Director of ODCP Iowa’s Drug Policy Coordinator Drug Policy Advisory Council – Chair
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Iowa Drug Trends Presented by Director Gary Kendell Governor’s Office of Drug Control Policy
COORDINATION OF EFFORT • GRANT PROGRAM ADMINISTRATION • POLICY DEVELOPMENT
Director of ODCP Iowa’s Drug Policy Coordinator Drug Policy Advisory Council – Chair Duty to coordinate and monitor all substance abuse treatment and prevention and drug enforcement programs in the state.
77% OF DRUG ABUSERS ARE EMPLOYED (Bureau of Labor Statistics)
SUBSTANCE ABUSERS ARE 33 – 50% LESS PRODUCTIVE (National Institute of Drug Abuse)
SUBSTANCE ABUSERS ARE ABSENT 30 -35 DAYS PER YEAR AND ARE THREE TIMES MORE LIKELY THAN NON-ABUSERS TO BE LATE FOR WORK. (U.S. Chamber of Commerce)
SUBSTANCE ABUSERS ARE 3 – 4 TIMES MORE LIKELY TO HAVE AN ACCIDENT ON THE JOB AND 5 TIMES MORE LIKELY TO FILE A WORKERS’ COMPENSATION CLAIM (Employee Assistance Society of North America)
13.9 9.6 7.0 6.4 5.9
13.6 8.8 8.6 8.4 5.6
18.6 11.9 9.2 8.2 8.3
8.0% 4.1% 3.5% 3.2% 2.6%
15.6% 10.0% 9.1% 9.2% 6.5%
19.0% 10.3% 8.2% 7.0% 2.6%
13.6 8.8 8.6 8.4 5.6
16.3% 10.4% 8.8% 8.1% 4.7%
7.5% 3.3% 2.6% 1.9% .7%
18.4% 12.3% 9.2% 7.8% 4.0%
• Meth lab incidents in Iowa have dropped dramatically since their peak in 2004, but are resurging – up 50% from 2007.
• Iowa authorities report a rise in crystal meth, a more potent form of meth, smuggled into Iowa from Mexico and other states.
3,600 milligrams of pseudo collectively or separately within 24 hours 7,500 milligrams of pseudo within 30 day period
APPRISS – NPLEX Real Time • Mandatory Participation by Pharmacies • Implementation was completed September 1st. Almost 100% compliance already • Should reduce smurfers ability to obtain pseudoephedrine to cook meth
Made possible by: • Passage of Senate File 237 during 2009 session • Earmark funding provided by: Senator Grassley & Senator Harkin jointly • Consortium of pseudo manufacturers:Schering-Plough, Novartis, Perrigo, Reckitt Benckiser, McNeil, Wyeth & Bayer
•Drug-related prison admissions, driven by reductions in meth cases, have declined for the 5th straight year. •About 80% of offenders in Iowa prisons have a past or current drug problem. • Among those inmates, 52% of women and 50% of men had used meth. • Roughly 50% of prisoners needing treatment get it. (Iowa DOC & CJJP 2006-2009)
• Iowa still has the 11th highest number of meth treatment admissions in the nation (2007 TEDS). • There are 45% more treatment admissions that occur via the criminal justice system in counties that are covered by drug task forces than those counties that are not.
Drug Abuse Resistance Education Program • Iowa National Guard - Drug Demand Reduction • PDFI – FIT – statewide non-profits made up of public and private sector distribution of public service announcements • Boys & Girls Club • PROSPER • Community Coalitions – AC4C
The Proportion of all substance abuse treatment admissions aged 12 or older who reported any pain reliever abuse more than quadrupled between 1998 and 2008 – climbing from 2.2% to 9.8% SAMHSA Treatment Episode Data Set (TEDS)
• Public calls to the Statewide Poison Control Center to identify Hydrocodone and Oxycodone pills have increased 2,031% since 2002. • Medicines account for 5 of the top 10 substances involved in poisonings in Iowa. • Pain medicine is #1.
10 – 12% utilization rate by prescribers Does not require participation Is not real-time Difficult for Law Enforcement to obtain data Law doesn’t allow unsolicited searches Iowa Prescription Monitoring Program 400 S.W. 8th St., Ste. E, Des Moines, IA 50309 Phone: (515) 281-5944 www.state.ia.us/ibpe/pmp
• Four recent Iowa Youth Surveys show steady drops in alcohol and tobacco use among 6th, 8th, and 11th grade students. However, other illegal drug use is rising.
• Of Iowa Youth seeking treatment, 55.5% cited marijuana as their primary substance of abuse (Iowa DPH, SFY 2009).
Iowa Board of Pharmacy currently considering Synthetic THC is currently available – Marinol Organic THC is currently in clinical trials Sativex – similar to an asthma inhaler ODCP and many others are concerned about expanding access and acceptance
Last 4 legislative sessions I proposed legislation to make Salvia a controlled substance K2/Spice just started showing up in Iowa earlier this year ODCP had already planned to include it in our Salvia legislation prior to tragic death of teen in Indianola, Iowa
Alcohol is the substance most abused by Iowans. (Iowa DPH, SFY 2009) • 61.4% of clients screened/admitted to treatment cite alcohol as a substance of abuse. (Iowa DPH, SFY 2009) • For SFY 2008, Iowa liquor sales increased by 6.4%, beer sales rose by 1.8%, and wine sales rose by 3%. (ABD, SFY 2008)
• So much alcohol was sold during the 12 month period of SFY2008, the average adult Iowan consumed 37.23 gallons of beer, 1.98 gallons of liquor, and 1.69 gallons of wine (ABD SFY2008). This figure increased in SFY2009 for the 8th year in a row.
Governor’s Office of Drug Control Policy www.state.ia.us/odcp Phone: (515) 725-0300 Iowa Substance Abuse Information Center www.drugfreeinfo.org Phone: (866) 242-4111
Gary W. Kendell Director & Iowa Drug Policy Coordinator Governor’s Office of Drug Control Policy Wallace State Office Building, 1st Floor 502 East 9th Street, Des Moines, Iowa 50319 Phone: (515) 725-0305 E-Mail: gary.kendell@iowa.gov