mfsrc 2019
TRANSCRIPT
9/16/2019
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MINNESOTA FAMILY SUPPORT & RECOVERYCOUNCIL
2019 ANNUAL CONFERENCE
Minnesota Family Support and Recovery Council 2019
“What is and What Should NeverBe”
9/16/2019 MFSRC Annual Conference 1
Minnesota Family Support and Recovery Council 2019 “What is and What Should Never Be”
Rick Moldenhauer, MS, LADC, ICADC, LPCC |Human Services Rep. 2 State Opioid Treatment Authority Representative | Behavioral
Health Division, DHS
9/16/2019 | Minnesota Department of Human Services | mn.gov/dhs
• Presented by Rick Moldenhauer, MS, LADC, ICADC, LPCC
Human Services Representative 2/State Opioid Treatment Authority
P: (651) 431 2474
F: (651) 431 7449
Behavioral Health Division, DHS
PO Box 64977
St Paul, Minnesota 55164‐0977
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Please remember…
• These are not justnumbers, they arePeople…
0
5000
10000
15000
20000
25000
30000
Alcohol Marijuana Methamphetamine Cocaine/Crack Heroin OtherOpiates Other Injection DrugUse
Primary Substance at Admission to SUD Treatment Services for Adults CY1995 ‐ CY2018
Source: Minnesota Department of Human Services, BHD, DAANES (7/8/2019)
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18000
16000
14000
12000
10000
8000
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0
Marijuana Methamphetamine Cocaine/Crack Heroin OtherOpiates Other Injection DrugUse
Primary Substance at Admission to SUD Treatment Services for Adults CY1995 ‐ CY2018
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (7/8/2019)
Who are we, Minnesota?
84.4
1.4
6.5
0.07
5.1
2.55.4
% of total population estimate, July 1, 2017
white black AI Asian NH/PI two ormore Hispanic
8SOURCE: https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk
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Admissions to chemical dependency treatment by primary substance, by CY, by %
40.1
34.431.5
28.4
17.3
12.4 13.111.6
10.4
176.21
23.5
27.3 26.61
12.1 12.7
8.46.8 5.8
13.9310.9
15.2 16.4
24.422
26.424.9
28
0
5
10
15
20
25
30
35
40
45
2013 2014 2015 2016 2017 2018
alcohol
marijuana/hashish
heroin
other opioids
meth
SOURCE: ADAD, DAANES 4/3/2019
%
What we give our children, we give our grandchildren…..
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What we teach our children, we teach our grandchildren…….
Heroin, other opioid and methamphetamine growth in Minnesota,
by county of residence at time of admission by theprimary drug of use being heroin, other opioid, ormethamphetamine
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by calendar years 1995‐2017,
controlled for in incidents per 1,000 of general population
All slides transition by calendar years
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Growth patterns, showing increase and decline in three major substances
Including injection drug use as a route of administration……
16000
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0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
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16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
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16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
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16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
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12
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
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16000
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0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
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16000
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0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
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16000
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10000
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0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
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16000
14000
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0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
16000
14000
12000
10000
8000
6000
4000
2000
0
Methamphetamine Heroin OtherOpiates Injection DrugUse
Primary Substance of Heroin, other opioids, or methamphetamine at Admission to SUD
* Alcohol not included in chart
Source: Minnesota Department of Human Services, BHD, DAANES (9/11/2018)
Heroin as primary substance
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Here’s the basic rule of thumb…
The darker the color, the more people living in that county seeking treatment admission
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Epidemicadjectiveep∙i∙dem∙ic | \ ˌe‐pə‐ˈde‐mik \Definition of epidemic1 : affecting or tending to affect a disproportionately large number of individuals within a population, community, or region at the same time typhoid was epidemic2a : excessively prevalent b : contagious sense3 : characterized by very widespread growth or extent : of, relating to, or constituting an epidemic the practice had reached epidemic proportions
SOURCE https://www.merriam‐webster.com/dictionary/epidemic
Remember, all these numbers you see here…..
Are real people….
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Any Questions ?
WHY?
This infographic focuses on the rates (per 100,000) of drug poisoning deaths of adolescentsand young adults ages 10‐24 from 2014‐2016
Drug poisoning is an improper use of illicit drugs or medicine that is either prescribed or over‐the‐counter
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SOURCE: https://www.childrenssafetynetwork.org/sites/childrenssafetynetwork.org/files/Disparities%20in%20Drug%20Poisoning%20Infographic%20FINAL.pdf
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Nutt, D; King, LA; Saulsbury, W; Blakemore, C (2007). "Development of a rational scale to assess the harm ofdrugs of potential misuse". Lancet 369 (9566): 1047–53
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tachyphylaxis
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ED50
LD50
TW
3x2x1x
T1/2
93
Intoxication/Withdrawal
0 2 4 6 8 10 12 14
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“Speedballing”
“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”
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STIGMA
“When the truth is found, to be lies….”
• Truth ‐‐‐‐stigma‐‐‐‐‐lies,
• Stigma is planted in ignorance, watered and fertilized by denial and projection…
• Don’t confuse anonymity with silence..
Comforting lie vs. painful truth
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Tradition is prevention, culture is treatment