Iowa Drug Trends

1
Iowa Drug Trends
Presented by Director Gary Kendell Governors
Office of Drug Control Policy
2

• COORDINATION OF EFFORT
• GRANT PROGRAM ADMINISTRATION
• POLICY DEVELOPMENT

3
Director of ODCP Iowas 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.
4
(No Transcript)
5
77 OF DRUG ABUSERS ARE EMPLOYED (Bureau of
Labor Statistics)
6
SUBSTANCE ABUSERS ARE 33 50 LESS PRODUCTIVE
(National Institute of Drug Abuse)
7
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)
8
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)
9
Substance Abuse and Mental Health Services
Administration
10
13.9
9.6
7.0
6.4
5.9
11
13.6
8.8
8.6
8.4
5.6
12
18.6
11.9
9.2
8.2
8.3
13
8.0
4.1
3.5
3.2
2.6
14
15.6
10.0
9.1
9.2
6.5
15
19.0
10.3
8.2
7.0
2.6
16
13.6
8.8
8.6
8.4
5.6
17
16.3
10.4
8.8
8.1
4.7
18
7.5
3.3
2.6
1.9
.7
19
18.4
12.3
9.2
7.8
4.0
20
Accommodations Food Services 16.9
Construction 13.7
Arts, Entertainment Recreation 11.6
Information 11.3
Management of Companies Enterprises, Administrative, Support, Waste Management, Remediation Services 10.9
Retail Trade 9.4
Other Services (Except Public Administration) 8.8
Wholesale Trade 8.5
Professional, Scientific, Technical Services 8.0
Real Estate, Rental, Leasing 7.5
Mining 7.3
Finance Insurance 6.8
Manufacturing 6.5
Transportation Warehousing 6.2
Agriculture, Forestry, Fishing, and Hunting 6.2
Healthcare Social Assistance 6.1
Public Administration 4.1
Educational Services 4.0
Utilities 3.8
21
Accommodations Food Services 16.9
Construction 13.7
Arts, Entertainment Recreation 11.6
Information 11.3
Manufacturing 6.5
Transportation Warehousing 6.2
Healthcare Social Assistance 6.1
Educational Services 4.0
22
Construction 15.9
Arts, Entertainment Recreation 13.6
Mining 13.3
Accommodations Food Services 12.0
Wholesale Trade 11.5
Management of Companies Enterprises, Administrative, Support, Waste Management, Remediation Services 10.4
Information 10.4
Utilities 10.1
Other Services (Except Public Administration) 9.9
Real Estate, Rental, Leasing 9.8
Agriculture, Forestry, Fishing, Hunting 9.7
Manufacturing 9.5
Retail Trade 8.8
Transportation Warehousing 8.6
Professional, Scientific, Technical Services 7.1
Finance Insurance 6.9
Public Administration 5.9
Healthcare Social Assistance 4.3
Educational Services 4.0
23
Construction 15.9
Arts, Entertainment Recreation 13.6
Mining 13.3
Accommodations Food Services 12.0
Manufacturing 9.5
Retail Trade 8.8
Professional, Scientific, Technical Services 7.1
Healthcare Social Assistance 4.3
24
(No Transcript)
25
Meth lab incidents in Iowa have dropped
dramatically since their peak in 2004, but are
resurging up 50 from 2007.
26
(No Transcript)
27
Iowa authorities report a rise in crystal meth,
a more potent form of meth, smuggled into Iowa
from Mexico and other states.
28
3,600 milligrams of pseudo collectively or
separately within 24 hours 7,500 milligrams of
pseudo within 30 day period
29

• 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

30

• Made possible by
• Passage of Senate File 237 during 2009 session
• Earmark funding provided by Senator Grassley
  Senator Harkin jointly
• Consortium of pseudo manufacturersSchering-Ploug
  h, Novartis, Perrigo, Reckitt Benckiser, McNeil,
  Wyeth Bayer

31
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)
32
(No Transcript)
33
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.
34
Years Alcohol Marijuana Meth Cocaine Crack Heroin Other Total Clients
1997 62.5 19.3 9.6 6.3 0.6 1.7 38,297
1998 60 20 12 6 0.5 1.5 38,347
1999 63 20 8.3 5.6 0.5 1.3 40,424
2000 62.3 20.9 9.4 5.4 0.5 1.5 43,217
2001 60.5 22.2 10.7 4.6 0.5 1.5 44,147
2002 58.5 22.7 12.3 4.2 0.5 1.8 42,911
2003 57.5 21.8 13.4 4.6 0.6 1.9 40,925
2004 55.6 22.7 14.6 4.7 0.6 1.8 42,449
2005 55.8 22.4 14.4 5 0.6 1.9 43,692
2006 55.9 22.8 13.6 5.1 0.5 2.2 44,863
2007 58.3 22.5 10.7 5.2 0.4 2.9 47,252
2008 61.9 22.7 7.5 4.5 0.4 2.9 44,528
2009 61.4 23.2 7.8 3.7 0.5 3.4 44,849
35
(No Transcript)
36

• 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

37
Funding Source Prevention Treatment Enforcement Total Funding by Source
State 6,222,272 36,395,554 23,725,523 66,343,349
Federal 10,974,747 32,201,261 20,176,022 63,352,030
Other 3,763,403 2,410,582 994,583 7,168,568
Total 20,960,422 71,007,397 44,896,128 136,863,947
38
(No Transcript)
39
2004 2005 2006 2007 2008
536,247 669,214 741,425 855,838 971,914
40
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)
41
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.
42
10 12 utilization rate by prescribers Does
not require participation Is not
real-time Difficult for Law Enforcement to
obtain data Law doesnt allow unsolicited
searches Iowa Prescription Monitoring
Program 400 S.W. 8th St., Ste. E, Des Moines, IA
50309 Phone [phone] www.state.ia.us/ibpe/
pmp
43
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.
44
Of Iowa Youth seeking treatment, 55.5 cited
marijuana as their primary substance of abuse
(Iowa DPH, SFY 2009).
45
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
46
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
47

• 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)

48
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.
49
Governors Office of Drug Control
Policy www.state.ia.us/odcp Phone (515)
725-0300 Iowa Substance Abuse Information
Center www.drugfreeinfo.org Phone [phone]
50
Gary W. Kendell Director Iowa Drug Policy
Coordinator Governors Office of Drug Control
Policy Wallace State Office Building, 1st
Floor 502 East 9th Street, Des Moines, Iowa
50319 Phone [phone] E-Mail
gary.kendell_at_iowa.gov