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Welcome Everyone

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If you are using your computer speakers and have trouble hearing the volume during the presentation, we recommend participating with a telephone line.

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4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 1

Teleconference call information is available in the Event info section

ADAD Substance Use Disorder Treatment Admission Trends and Patterns 11:30-12:30

4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 2

Presenter Today: Rick Moldenhauer, MS, LADC, ICADC, LPCC

Teleconference call information is available in the Event info section of the WebEx.

Questions or Comments

Q & A Section:• For technical difficulties please send your comments to “Brytanie Mertes”

by selecting her name from the drop down menu in the Q&A section------->

• Questions for today: Submit questions using Q and A feature

• YourOpinionMatters.DHS@state.mn.us and put “SUD Treatment Admission Trends and Patterns" in the subject line. Submit questions or comments following the WebExRequest a presentation about SUD reform (e.g. regional provider

meetings, provider/county meetings, etc.)Provide suggestions for future WebEx topics

4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 4

ADAD Team Intros

ADAD Substance Use Disorder Treatment Admission Trends and Patterns

4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 6

Presenter Today: Rick Moldenhauer, MS, LADC, ICADC, LPCC

7

CY2016 Adult SUD Treatment Admissions

4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 8

SUD Treatment Admissions for Minnesota Residents with Opiates as the Primary Substance of Abuse, 2007-2017

0

1000

2000

3000

4000

5000

6000

7000

8000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

white AI black hispanic asian/PI

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/6/2018) (* CY2017 are preliminary counts) 13

SUD Treatment Admissions for Minnesota Residents with Opiates as the Primary Substance of Abuse, 2007-2017, w/o white

0

500

1000

1500

2000

2500

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AI black hispanic asian/PI

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/6/2018) (* CY2017 are preliminary counts) 14

SUD Treatment Admissions for Minnesota Residents with Methamphetamine as the Primary Substance of Abuse, 2007-2017

0

2000

4000

6000

8000

10000

12000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

white AI black hispanic asian/PI

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/6/2018) (* CY2017 are preliminary counts) 15

SUD Treatment Admissions for Minnesota Residents with Methamphetamine as the Primary Substance of Abuse, 2007-2017, w/o white

0

200

400

600

800

1000

1200

1400

1600

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

AI black hispanic asian/PI

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/6/2018) (* CY2017 are preliminary counts) 16

SUD Treatment Admissions for Minnesota Residents with opiates as primary, secondary or tertiary, 2007-2017,

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

opiate Column1 Column2

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/8/2018) (* CY2017 are preliminary counts) 17

SUD Treatment Admissions for Minnesota Residents with methamphetamine as primary, secondary of tertiary, 2007-2017,

0

5000

10000

15000

20000

25000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Column1 meth Column2

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/8/2018) (* CY2017 are preliminary counts) 18

SUD Treatment Admissions for Minnesota Residents with “Speedballing”, 2007-2017,

0

1000

2000

3000

4000

5000

6000

7000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Column1 Column2 speedballing

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/8/2018) (* CY2017 are preliminary counts) 19

SUD Treatment Admissions for Minnesota American Indian residents with opiates as primary, secondary or tertiary, 2007-2017,

0

500

1000

1500

2000

2500

3000

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

opiate Column1 Column2

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/8/2018) (* CY2017 are preliminary counts) 20

SUD Treatment Admissions for Minnesota American Indian residents with methamphetamine as primary, secondary or tertiary, 2007-2017,

0

500

1000

1500

2000

2500

3000

3500

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Column1 meth Column2

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/8/2018) (* CY2017 are preliminary counts) 21

SUD Treatment Admissions for Minnesota American Indian residents with “speedballing”, 2007-2017,

0

200

400

600

800

1000

1200

1400

1600

1800

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Column1 Column2 speedballing

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/8/2018) (* CY2017 are preliminary counts) 22

“Speedballing”

23

“Your livin' harder, yeah, harder than you know

Tell me, how fast,

Can ya burn?,

And how far can ya go?”

-Zakk Wylde “What You’re Look’n For”

SUD Treatment Admissions for pregnant female residents of Minnesota reporting any opioid use primary, secondary or tertiary, 2007-2017,

0

50

100

150

200

250

300

350

400

450

500

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Column1 Column2 pregnant

SOURCE: Minnesota Department of Human Services, ADAD, DAANES (3/8/2018) (* CY2017 are preliminary counts) 24

MN Neonatal Abstinence Syndrome

Minnesota Health Care Program, State NAS Prevalence per 1,000 Live Birth, by Race/Ethnicity for 2010-2016

Minnesota Health Care Program, Hennepin and Ramsey County Combined NAS Prevalence per 1,000 Live Birth, by Race/Ethnicity for 2010-2016

25SOURCE: Claims data, 2010-2016 Minnesota Health Care Programs

From the dark side….

26SOURCE: 2016 Statewide VCET Statistics report

Arrests by Drug TypeCocaine 309

Crack 52

GHB 5

Hashish 192

Heroin 392

Khat 5

LSD 26

Marijuana 989

MDMA (ecstasy) 31

MDMA (mali) 11

Meth 2,365

Morphine 9

Mushrooms 33

Opium 6

PCP 0

Prescription Drugs 755

Synthetic - Cathinone 11

Synthetic - Cannabinoid 21

Unkown 40

From the dark side….

Seizures

Drugs Seized & Purchased Seized Purchased Methamphetamine

Cocaine 17,112.03 772.14 Meth Lab Seizures 13

Crack 587.83 53.91 Meth Labs w/minors 4

GHB 709.00 0.00 Number of Children 33

Hashish 15,688.22 65.18

Heroin 4,950.23 1,029.78 Guns Seized

Khat 5,095.50 198.10 # Seized (Drug) 846

LSD 1,783.70 275.00 # Seized (Non-Drug) 262

Marijuana 994,535.59 4,634.92

MDMA (ecstacy) 2,259.10 28.00

MDMA (mali) 589.41 4.00

Meth 222,032.77 15,582.05

Morphine 29.00 0.00

Mushrooms 758.92 66.50

Opium 4.50 0.00

PCP 81.00 0.00

Prescription Drugs 58,603.60 2,121.50

Synthetic- Cathinone 280.50 10.00

Synthetic- Cannabinoid 2,573.41 108.50

Unknown Drug 6,142.28 150.38 27SOURCE: 2016 Statewide VCET Statistics report

Expressed in grams

32

71.1874.59

82.84 80.5576.40

82.0784.76

87.10 88.1284.94

8.38 8.28 8.57 8.49 8.56 8.68 8.66 8.68 9.03 8.56

0

10

20

30

40

50

60

70

80

90

100

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Rate

per

1,0

00 P

opul

atio

n

Admission Year

Chemical Dependency Treatment Rates for Minnesota Residents

American Indian Non-American IndianMinnesota Department of Human Services, ADAD, DAANES (4/3/2017)

33

Alcohol: Chemical Dependency Treatment Rates for Minnesota Residents

34

0.91 1.23 1.502.18

2.95

4.004.60

7.82

8.79

11.29

13.3414.00

14.64

13.36

11.4611.88

7.70

0.09 0.11 0.13 0.16 0.19 0.21 0.25 0.36 0.45 0.57 0.66 0.71 0.69 0.68 0.60 0.59 0.51

0

2

4

6

8

10

12

14

16

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Rate

per

1,0

00 P

opul

atio

n

Admission Year

Other Opiates: Chemical Dependency Treatment Rates for Minnesota Residents

American Indian Non-American Indian

Minnesota Department of Human Services, ADAD, DAANES (4/3/2017)

35

0.40 0.40 0.49 0.45 0.54 0.59 0.86 1.00 1.361.97 2.08

3.95

8.06

10.74

12.89

18.63

21.34

0.17 0.19 0.19 0.22 0.21 0.26 0.29 0.35 0.35 0.40 0.41 0.59 0.76 0.84 0.88 1.03 1.03

0

5

10

15

20

25

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Rate

per

1,0

00 P

opul

atio

n

Admission Year

Heroin: Chemical Dependency Treatment Rates for Minnesota Residents

American Indian Non-American Indian

Minnesota Department of Human Services, ADAD, DAANES (4/3/2017)

36

0.76 1.17 1.352.29

3.254.31

3.31 2.89 2.37 2.35 2.733.53

5.29

8.79

13.3514.61

19.63

0.31 0.49 0.63 0.79 1.06 1.31 0.93 0.89 0.65 0.63 0.72 0.77 0.94 1.23 1.47 1.68 1.94

0

5

10

15

20

25

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Rate

per

1,0

00 P

opul

atio

n

Admission YearAmerican Indian Non-American Indian

Minnesota Department of Human Services, ADAD, DAANES (4/3/2017)

Methamphetamine: Chemical Dependency Treatment Rates for Minnesota Residents

Admissions to Chemical Dependency Treatment by Primary Substance, by CY, by %, for Clients Residing on MN Reservations

SOURCE: HRQ, May 2017

%

Tachyphylaxis

38

ED50

LD50

TW3x2x1x

T1/2

Q and A

4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 39

Sign-Up! E-MEMO and Website Resources

• Visit our website to sign up for the E-memo to receive updates from the Alcohol and Drug Abuse Division.

• We are encouraging participants to review the SUD Reform e-memos and website resources available on the website prior to attending the WebEx's. These materials provide information that is helpful to understand reform and its implications.

4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 40

Ways to Stay Informed

• Visit our website to:• Subscribe for email updates (e-Memo) to receive updates from the Alcohol and

Drug Abuse Division

• SUD Resources and presentations are posted on the SUD Reform Page at our website: DHS Website

• Learn more about substance use disorder policies and procedures, initiatives, workgroups, training and conferences, grant announcements, access forms and more

Look for ADAD “Friday’s Digest” E-memo!

• We want to hear from you about YOUR substance use disorder system. Send input to: YourOpinionMatters.DHS@state.mn.us

4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 41

Next SUD WebEx:

May 3rd

Thank you for joining usAlcohol and Drug Abuse Division

4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 43

4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 44

“The staff in the Alcohol and Drug Abuse Division are eager to work with our partners and providers to create an efficient and effective system of

prevention, early intervention, treatment and recovery that values a person’s dignity, is accessible, utilizes best practices and optimizes value. It is our hope that collaboration with all entities that are affected by, pay

for, or provide addiction services will result in a redesigned chemical health system that will become a watershed moment for the citizens of

Minnesota.”

− Brian Zirbes, Deputy Director, Alcohol and Drug Abuse Division (Stakeholder Engagement Invitation 2016)

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