sud reform webex presentation treatment admission trends … · 2020-03-05 · -zakk wylde“what...
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4/16/2018 Minnesota Department of Human Services | mn.gov/dhs 1
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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.
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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
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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!
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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)