Jackson County Anti-Drug Coalition Ripley, West Virginia Amy RH Haskins, MA, SIT Project Director, Jackson County Anti Drug Coalition Public Health Educator & Sanitarian, Jackson County Health Department
Quick Facts on Jackson County 29,000 residents 17.7% are over the age of 65 (state is 16%) 61% are between the ages of 19-64 22% are under 18 years of age 24.9% of children live in poverty Per capita income is $21,855 Jackson County
Coalition Formation Formed in 2006 originally 2005 – “isolated incident” of one youth overdosing in a gas station bathroom 2006 – 2008 16 deaths DIRECTLY related to prescription drugs ages 15-26. In cars and in yards of local residents Jackson County Health Department Public health crisis Forged the way for grant applications, research
WV Office of Vital Statistics (2009) Top 4 Drugs at Time of Death: • Methadone • Fentanyl • Hydrocodone • Diazepam (Valium) Christopher J. Rhodes Jan 6, 1989 – Dec 17, 2008
Jackson County Anti-Drug Coalition • 2009 Awarded Drug Free Communities Grant Funding • Active members include: o Law Enforcement (2 City offices and Sheriff’s Department) o 2 Youth Coalitions (roughly 50 youth) o Substance Abuse Treatment Providers o Community Members/Concerned Parents o Other organizations working to reduce substance abuse o Religious/Fraternal Organizations o Board of Education o Medical Professionals o Civic Groups o Business community o Youth Serving Organizations o Media
Coalition Training and Growth • Attended and Graduated from CADCA National Coalition Institute in 2011 • Trained in 7 Environmental Strategies and achieving outcomes
Local Local Local Condition #1: Condition #3: Condition #2: Unable to monitor People provide sales and/or Kids obtaining and family/friends, etc. prescriptions using in school with left over across state line Root Cause #2 medications “But why?”: Ease of Availability Local Condition #4: People take medication from excess supply in the home Problem #1: Jackson County youth are dying from Prescription Drug Overdoses. Local Local Condition #1: Condition #2: Root Cause #3 Prescription Drug Kids are obtaining “But why here?”: supply is not and using Low Perception of monitored in the prescription drugs Danger or Harm home in school
Strategies Implemented 1. Provide Information a) Multifaceted media campaign aimed at parents, youth, seniors, providers, businesses, and general public
Strategies Implemented 2. Enhance Skills a) Classroom Presentations b) Pill Identification and Diversion Training for LE c) State Prescription Drug Monitoring Database d) Community Presentations e) Businesses – Abuse Identification Presentations f) Proper Disposal Presentations
Strategies Implemented 3. Provide Support a) Encouragement of access to WV Rx Quitline b) Mobilization of Resources within community to address local conditions ($50,000+) c) Development of disposal protocols d) Advocacy and Encouragement of use of WV Prescription Drug Monitoring Database
Strategies Implemented 4. Enhance Access/Reduce Barriers a) Advocacy at State level for local Law Enforcement access to WV State Prescription Drug Monitoring Database b) Advocacy at State level for access to other state monitoring systems c) Training for School Employees on identification of substance abuse d) Integration of disposal information into regular community communication e) Static Take Back Sites f) Regular Disposal Days
Strategies Implemented 5. Change Physical Design a) Purchase of an incinerator
Strategies Implemented 6. Modify/Change Policies a) Development and implementation of policy for static and point in time take backs b) Advocacy work to mandate use of WV Prescription Drug Monitoring Database c) Expansion of random drug testing at middle and high schools to include specific Rx drug classes
Reducing Barriers for Disposal of Prescription Drugs
Overdoses reported in Jackson County by Jackson County EMS 78 61
Prescription Drug Use Annual Use of Uppers/Downers 16 14.4 14 12 10 8 Annual Use of 8 7.8 Uppers/Downers 6 4 2 0 2007 2009 2011 2013
Prescription Drug Use 30 Day Use Pain Killers 9 8 8 7 6 5 30 Day Use Pain 4 3.7 Killers 3 2 1 0 2007 2009 2011 2013
Prescription Drug Use Annual Use of Oxy 3.9 3.8 3.8 3.7 3.6 3.5 Annual Use of Oxy 3.4 3.3 3.3 3.2 3.1 3 2007 2009 2011 2013
Prescription Drug Use 30 Day Oxy Use 4 3.5 3.4 3 2.5 2 1.9 30 Day Oxy Use 1.5 1 0.5 0 2007 2009 2011 2013
Prescription Drug Use Annual Prescription Drug Use Jackson County vs. National Statistics PRIDE Survey 2013 20 15 10 5 0 6th 7th 8th 9th 10th 11th 12th Annual use Rx Drugs Nationally Annual use Rx Drugs Jackson County Monitoring the Future
Prescription Drug Use 12 10 30 Day Rx Drug 8 Use Nationally 6 30 Day Rx Use Jackson County 4 Monitoring the Future 2 0 6th 7th 8th 9th 10th 11th 12th
Jackson County vs. National Rates Prescription Drug Use Among 12 th graders 16 14 14.8 12 10 Jackson Co 9.2 8 Nationally 7 6 6.5 4 30 Day Rx Use Annual Rx Use 2 0 Jackson County 2012-2013 PRIDE Survey and 2012 Monitoring the Future
In Conclusion… Important to encompass all ages in prevention efforts Statistics that are “out of the box” can provide great insight into the community Local partnerships + Coalitions = BIG CHANGE Disposal reducing access, increases perception of harm, reduces overdose deaths
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