A word about Data & Statistics

1. A word about Data & Statistics Question: Statistically speaking, which statement below is more likely to be correct? “42.7% of all statistics are made up on the spot.” - Steven Wright “97.3% of all statistics are made up.” ________________________________________________________________________________ -"Five out of four people have trouble with “statistics”"-Steven Wright - "Statistics means never having to say you're certain." - “A statistician can have the head in an oven and the feet in ice, and s/he will say that on the average s/he feels fine.” _______________________________________________ "Statistics are no substitute for judgment." -- Henry Clay

2. Kalamazoo CMHSAS - Coord. Agency - Service area

3. SA Treatment Data in the Kazoo CA area (2011) Source: TEDS 2011

4. SA Treatment Data in the Kazoo CA area (2011) Source: TEDS 2011

5. SA Prevention Priority #1: Reduce Under-age Drinking (UAD) Source: 2012 MiPHY

6. SA Prevention Priority #1: Reduce Under-age Drinking (UAD) Source: 2012 MiPHY

7. Some “Contributing Factors” to UAD:1) Access to alcohol Issues 2) Perception of Risk 3) Perception of Wrongness Source: 2012 MiPHY (High School)

8. Under Age Drinking: Access Issues Source: 2012 MiPHY (High School)

9. Under Age Drinking:The role that parents & friends play in it! Source: 2012 M iPHY (High School) Where did you drink alcohol in the past 30 days?

10. Under Age Drinking: Statistics sometimes become stories of human tragedies! Research: “People who report starting to drink before the age of 15 are four times (4X) more likely to also report meeting criteria for alcohol dependence at some point in life.” (National Institute on Alcohol Abuse/Alcoholism – NIAAA)

11. Alcohol-related traffic Accidents (ARTCs): Statistics often become stories of human tragedies! ARTCs are much more likely to result in fatalities than other types of vehicle accidents: Source: MI-OHSP

12. ARTC stats & Community Impact-I Source (both tables): MI-OHSP

13. ARTC stats & Community Impact-II Source: MI-OHSP, and National Safety Council (NSC)

14. Prevention Priority #1: UAD & Other Alcohol-Related Consequences (Community Strengths) Please list: #1) Strengths & Assets (characteristics, institutions and Resources) of this community which can be used to prevent/reduce UAD & other Alcohol Consequences #2) Actions and ideas that this group can plan and implement in the next 12 months to help prevent/reduce UAD & other destructive Consequences of Alcohol in this County.

15. Another Priority area: Rx Drug AbuseBack to the SA Treatment Data Graph (Kazoo CA area, FY 2011) Source: TEDS 2011

16. Rx Drug abuse: DEA Controlled Substance Schedule Chart SCHEDULE I: Drug has no currently accepted medical use in Treatment in the US. SCHEDULE II : • Drug has a high potential for abuse. • Drug has accepted medical use (with severe restrictions). • Drug may lead to severe physical dependence or addiction. Ex: Amphetamine and methylphenidate, fentanyl, oxycodone, hydromorphone, morphine, and secobarbital SCHEDULE III : Drug has a high potential for abuse. Drug has accepted medical use (with restrictions). Drug may lead to moderate to high physical dependence or addiction. Ex: Buprenorphine, anabolic steroids and combination drugs like hydrocodone/acetaminophen, and codeine/acetaminophen  SCHEDULE IV: Drug has lower potential for abuse /addiction. (Ex: Benzodiazepines) SCHEDULE V: Drug has lower potential for abuse/addiction (Ex: Cough syrups w/Codeine)

17. Prevention Priority Area: Reduce Rx Drug abuse Use of Rx Drugs w/o Medical Prescription in the last 30 days (High school) Use of Rx Drugs w/o Medical Prescription: Life-time use (Middle School) Source: 2012 MiPHY

18. Prevention Priority Area: Reduce Rx Drug abuse Source: 2012 MiPHY

19. Rx Drug abuse: Contributing Factors What is Driving high prevalence of non-medical use of Rx drugs? • Misperception of safety: They are prescribed by a doctor! . . . They are made in pharmaceutical labs! • Increased availability of Rx drugs in the household (See graph)* • Lack of community resources for disposal of unused/expired meds • Patterns of prescription of addictive meds by medical professionals are not consistent with guidelines for responsible/ safe prescribing (ONDCP/White House: 2011 “Epidemic/Crisis Doc.) Source: NIDA (Study on Rx Abuse: Dec/2011)

20. Rx Drug abuse: Household Availability of Rx Drug • From 1991 to 2010, prescriptions for stimulants increased from 5 to 45 million; for opioid painkillers from 75.5 to 209.5 million. • Over 50% (in some cases 70% ) of "nonmedical users" of pain relievers, tranquil. stimulants, and sedatives obtained RX drugs from a friend or relative, for free.”

21. Prevention Priority Area: Reduce Rx Drug abuse (Community Strengths) Please list: #1) Strengths & Assets (characteristics and Resources, etc) of this community which can be used to prevent/reduce non-medical use of Rx Drugs. #2) Actions and Ideas that this group can plan and implement in the next 12 months to help prevent, mitigate and reduce non-medical use of Rx Drugs in this County.

22. Another Priority Area: Reduce Marijuana useBack to the SA Treatment Data Graph (Kazoo CA area, FY 2011) Source: TEDS 2011

23. Prevention Priority Area:Reduce Marijuana use Source: MIPHY 2012

24. Marijuana Use: Contributing Factors amongst youth Source: 2012 MIPHY

25. Marijuana Use: Other Contributing Factors • (Social Access): HS/School-aged youth in this county report that getting marijuana is "sort of easy or very easy": HS (57.2%); MS (17.8%); Trend (2010): HS (53.6%); MS (16.7%). • Decreasing perception of risk and of the harmful consequences of marijuana use by the public in general linked to the Michigan Medical Marihuana law (more social acceptance of non-medical use of mj); • Increased illegal availability of marijuana as residual consequence of the MMML.

26. Prevention Priority Area: Reduce Marijuana Use (Community Strengths) Please list: #1) Strengths & Assets (characteristics and Resources, etc) of this community which can be used to prevent/reduce use of Marijuana and its consequences. #2) Actions and ideas that this group can plan and implement in the next 12 months to help prevent/reduce illegal use of Marijuana in this County.

27. Another Priority Area: Reduce Meth UseBack to the SA Treatment Data Graph (Kazoo CA area, FY 2011) Source: TEDS 2011

28. Prevention Priority Area: Reduce Meth Use Source: 2012 MiPHY

29. Meth Use: Potential Contributing Factor (Perception of risk) Source: 2012 MiPHY

30. Meth Use: Other Considerations, Determining Contributing & Complicating Factors • Low perception of the highly addictive nature of meth; • Low perception of wrongness of meth use; • Meth: Easy manufacturing process and access to ingredients; • Lack of knowledge of the availability of resources for meth recovery http://www.drugabuse.gov/Testimony/6-28-06Testimony.html • Prevailing public perception that meth recovery is unlikely to occur

31. Ah! One more interesting piece of info: Illegal Drugs obtained in school

32. Prevention Priority Area: Reduce Meth Use (Community Strengths) Please list: #1) Strengths & Assets (characteristics and Resources, etc) of this community which can be used to prevent/reduce meth use. #2) Ideas and actions that this group can plan and implement in the next 12 months to help prevent, reduce use of meth in this County.