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NCSL Substance Abuse Snapshot

Allison Colker, Editor

April 17, 2006

In This Snapshot:

Emerging Issues

 

Emerging Issues

NCSL Technical Assistance on Addiction Treatment and Financing

The National Conference of State Legislatures has a limited amount of funds to underwrite technical assistance to state legislatures on the treatment of alcoholism and drug addiction and the financing of that treatment.  NCSL can support a one-day conference, briefing, or workshop for a legislative committee or study commission.  The briefing will include presentations, information and testimony by legislators from other states, as well as treatment experts in the field, state agency directors and university researchers.  The topics are tailored to your state's needs, but can include treatment of methamphetamine addiction, drug courts, diversion, alcohol and drug abuse by youth, treatment for women, use of TANF funds for treatment, parity and other issues.  If you are interested in learning more about the services NCSL could provide, please contact Allison Colker at 202.624.3581 or Allison.Colker@ncsl.org

SAMHSA Unveils State Substance Abuse Data from 2004 National Survey on Drug Use and Health

California and Wisconsin had increases in underage alcohol use in the past month between 2002- 2003 and 2003 - 2004, while Michigan and South Carolina showed decreases, according to a new state-by-state report from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

The report State Estimates of Substance Use from the 2003-2004 National Surveys on Drug Use and Health, issued on April 6, 2006, estimates state rates of use of illegal drugs, binge and underage drinking, serious mental illness and tobacco use. SAMHSA combined two years of data from the annual National Survey on Drug Use and Health to enhance the precision of estimates for the less populous states.

The report shows that California increased from 24.7 percent of 12 to 20 year olds using alcohol in the past month to 26.3 percent, while Wisconsin increased from 34.7 percent to 38.3 percent. Michigan and South Carolina, however, showed decreases in underage drinking from 31.8 percent to 30.2 percent for Michigan and from 27.3 percent to 24.1 percent for South Carolina.

For illegal drug use, six states registered decreases in current use among youth ages 12-17, Illinois, Nebraska, North Carolina, South Dakota, Vermont and Virginia. There were no statistically significant increases in current drug use among youth in any state, and there were no increases in either the 18-to-25 year old age group or the 26- and -older age group.

“While we are making progress on drug and tobacco use among youth, underage drinking continues as a stubbornly persistent problem,” SAMHSA Administrator Charles Curie said. “It’s time to change attitudes toward teen drinking from acceptance to abstinence. It begins by recognizing the importance of parents talking to their children early and often about alcohol, especially before they’ve started drinking.”

The estimates show that past month use of any illicit drug in 2003-2004 ranged from a low of 5.8 percent in Mississippi to a high of 11.8 percent in Alaska for all persons ages 12 and older. Four jurisdictions showed decreases from 2002-2003 in current use of any illicit drug: the District of Columbia, Florida, Nevada and Washington.

“State-by-state data is a powerful tool for policymakers at the federal, state and local levels to identify needs and target prevention and treatment resources. It is clear from the findings that illicit drug, alcohol and tobacco use vary substantially among states and regions. That is why we continue to work though innovative programs like Access to Recovery to increase the flexibility of federal funding available to states and communities,” Curie said.

Mississippi and Utah had the lowest rate of past month marijuana use (4.2 percent) in 2003-2004 for population ages 12 and older, while Alaska had the highest rate (9.9 percent). Eight states were ranked in the top fifth nationally for past month marijuana use in all three age groups, 12 to 17, 18 to 25 and 26 and older. These states are Alaska, Maine, Massachusetts, New Hampshire, New Mexico, Oregon, Rhode Island and Vermont.

Seven jurisdictions had decreases in past month use of marijuana between 2002-2003 and 2003-2004 for those ages 12 and older: Colorado, District of Columbia, Florida, Montana, Nevada, New Hampshire, and Washington.

Rhode Island had the highest percentage of persons ages 12 or older using cocaine in the past year, 3.5 percent. Ohio was the only state to show a decline in the use of cocaine in the past year, from 2.5 percent to 2.1 percent of persons ages 12 and older.

In the District of Columbia and Hawaii, approximately 3.1 percent of those 12 or older used narcotic pain relievers nonmedically, while 6.3 percent of those in Kentucky did. Washington and Kentucky were in the highest fifth for use of prescription pain relievers nonmedically in all three age groups. Arkansas and Maine had increases in the 12-17 age group, while California, Montana and New York had increases in nonmedical use of prescription pain medications among those ages 18 to 25. A decrease in nonmedical use of pain relievers was seen among those ages 12 and older in Hawaii (from 3.9 to 3.1 percent).

Eight states were in the top fifth for both underage use of alcohol and underage binge use of alcohol: Iowa, Massachusetts, Montana, New Hampshire, North Dakota, Rhode Island, South Dakota and Wisconsin.

Tobacco use in the past month by youth increased in California from 9.2 to 10.9 percent, but overall in California, tobacco use by those 12 and older fell from 22.5 percent to 20.7 percent due to a decrease among persons ages 26 and older. In Kansas, the percentage of persons ages 18-25 using tobacco in the past month increased from 45.7 percent to 49.9 percent.

The data show that West Virginia had the highest rate of serious psychological distress among persons ages 18 and older in the past year (12.7 percent) while Hawaii had the lowest rate (7.1 percent). Increases in serious psychological distress appeared in 10 states, Arizona, California, Florida, Illinois, Iowa, New Jersey, Pennsylvania, Texas, West Virginia and Wyoming, generally the result of increases among persons ages 26 and older.

The report is available on the web at http://www.oas.samhsa.gov/

Alabama , Nebraska Receive Over $1 Million for Hurricane Crisis Counseling Aid

Substance Abuse and Mental Health Services Administration (SAMHSA) Administrator Charles Curie announced on April 3, 2006, the award of $1.2 million to Alabama and Nebraska for crisis counseling assistance in the aftermath of Hurricanes Katrina, Rita and Wilma. These grants are awarded through a longstanding and highly successful partnership between SAMHSA and the Federal Emergency Management Agency (FEMA).

These awards bring the total amount awarded for these “Regular Services” crisis counseling grants to over $59.4 million. When combined with the early round of “Immediate Services” crisis counseling grants, over $97 million in federal crisis counseling support has been made available to states to date. More grants will be awarded in coming weeks.

This is the fourth set of approximately 20 grants to be awarded to enable states to address ongoing counseling needs of persons adversely affected by the hurricanes, regardless of whether they are residing in their home states or are resettling in other areas. States will receive a portion of the funds initially, with the remaining approved funds released as service needs continue.

“The impact of Hurricanes Katrina, Rita, and Wilma is unprecedented,” Curie said.  “Most survivors are demonstrating remarkable resiliency and are rebuilding theirs lives.  However, for some survivors the psychological impact of their experiences is potentially both serious and long lasting.   These new grants are part of a broader federal effort to assure that emotional and psychological well-being are addressed in the overall recovery process.”

The crisis counseling program will hire and train people locally to provide outreach to survivors of the hurricanes who need mental health services. This outreach will include mobile services in which trained workers go to the places where disaster survivors are congregating, such as shelters, disaster recovery centers, or temporary hotels, and provide supportive contacts, educational materials and brief counseling services.

“I am genuinely heartbroken over the trauma that the victims of Hurricanes Katrina, Rita, and Wilma have suffered,” said R. David Paulison, Acting FEMA Director.  “The federal partnership between the Department of Homeland Security’s Federal Emergency Management Agency (FEMA) and SAMHSA demonstrates the administration’s continued commitment to providing resources to assist these hurricane victims in every way possible.”

The awards announced are part of an ongoing crisis counseling effort. Twenty-nine states received Immediate Services Program grants totaling $39.1 million within weeks of the hurricanes. These new Regular Services Program grants will support services for up to nine months of additional assistance. Services supported through both the Immediate and the Regular Services programs include outreach, brief counseling, support groups, and public education.

Project Rebound in Alabama provides crisis counseling services throughout the ten counties directly impacted by Hurricane Katrina. The state has established mobile teams of counselors to conduct outreach to residents across the region and has established statewide toll free hotlines to respond to crisis counseling and mental health service requests. Alabama has been approved for up to $976,491 to serve these ten counties.

Nebraska has been providing over a thousand evacuees and Nebraska disaster workers with crisis counseling services through the “Reaching Out… Nebraska” program. Services offered include outreach, screening and referral, individual and group crisis counseling, and education related to loss, stress, and coping. Nebraska has been approved for $257,339.


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