Surveillance of Drug Abuse Trends in the State of Ohio January - June 2016
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OSAM Ohio Substance Abuse Monitoring Network Surveillance of Drug Abuse Trends in the State of Ohio January - June 2016 Legend Akron-Canton region Columbus region Athens region Dayton region Cincinnati region Toledo region Ohio Department of Mental Health and Addiction Services Cleveland region Youngstown region Office of Quality, Planning and Research Ohio Substance Abuse Monitoring Network Surveillance of Drug Abuse Trends in the State of Ohio January - June 2016 Prepared by: Ohio Department of Mental Health and Addiction Services Office of Quality, Planning and Research Sanford Starr, Deputy Director — MSW, LISW-S R. Thomas Sherba, OSAM Principal Investigator — PhD, MPH, LPCC Beth E. Gersper, OSAM Coordinator — MPA Table of Contents OSAM-O-Gram ...........................................................................................................................................................3 Executive Summary ...................................................................................................................................................5 Drug Abuse Trends by Region Akron-Canton Region ............................................................................................................................................ 23 Athens Region .......................................................................................................................................................... 45 Cincinnati Region .................................................................................................................................................... 63 Cleveland Region .................................................................................................................................................... 85 Columbus Region ..................................................................................................................................................109 Dayton Region ........................................................................................................................................................131 Toledo Region .........................................................................................................................................................153 Youngstown Region .............................................................................................................................................173 Tracy J. Plouck, Director • John R. Kasich, Governor Contact information: R. Thomas Sherba Office of Quality, Planning and Research 30 E. Broad St., 8th Floor Columbus, OH 43215 P: 614.466.9020 F: 614.488.4789 Recommended citation for this report: Ohio Department of Mental Health and Addiction Services [OhioMHAS] (2016). Ohio Substance Abuse Monitoring Network: Surveillance of Drug Abuse Trends in the State of Ohio: January -June 2016. Columbus, OH: State of Ohio. OSAM-O-Gram Ohio Substance Abuse Monitoring OSAM-O-Gram Network Surveillance ofOhio Drug Substance Abuse Trends Abuse in Monitoring the State of Network: Ohio OSAM OhioDrug Substance Abuse Trends Abuse Monitoringin the State Network of Ohio January - June 2016 Surveillance of Drug Abuse Trends in the State of Ohio June 2012 - January 2013 John R. Kasich, Governor Orman Hall, Director ToledoToledo Region Region ClevelandCleveland Region Region • • Increased availability of heroin; likely increased availability of Ecstasy, likely decreased availability of Ecstasy • Ecstasy, heroin, “molly” & Suboxone® availability h high-gr• Neurontin®,ade marijuana meth, and “molly,” methamphet prescriptionamine; lik elystimulants decreased &av Suboxone®ailability of • DEA and BCI reported increase in number of bath salts cases; bath salts bath salts • Prescription opioid availability i availability h • chemicallyWhite powdered altered and heroin re-branded (“china white”) often cut with fentanyl • In Cleveland, heroin is now commonly available through anonymous • Dealers profiling users, hand out contact info & free testers of heroin • •Users Despite report decreased blue av ailabilityheroin of (“blue Ecstas y,magic,” Ecstasy-lik “bluee subs dolphin”)tances (2CE andas 2CB)heroin-fentanyl available mixture •• Most white powdered heroin thought to be straight fentanyl • •Users DEA r epornotet sale of powderedeveral mobile fentanyl, methamphet callamine straight labs, fentanyl • Increase in fentanyl as heroin cut manuf“ice cream”acture thr ough “one-pot” and “shake-and-bake” methods •• MorePurest heroinform of Ecaddictsstasy (ak noteda “Molly as”) using becoming meth mo rein aadditionvailable as to knowledge heroin • Crime lab reports increased number of fentanyl cases of• Neurontin® drug grows widely sought for illicit use to combat opiate withdrawal Dayton Region • Decreased availability of Ecstasy; Akron-Canton Region Daytonlikely increased Region availability of heroin Akron-Canton• Increased availability of Region and Suboxone®; likely decreased • avHeroin,ailability marijuana of crack cocaine & meth opioids and Suboxone®; likely • availability h • LSD,increased marijuana availability & meth of crack availability cocaine h and heroin • herBathoin salts,has reached prescription “epidemic” opioid & • Synthetic marijuana availability i synthetic marijuana availability i • Methamphetamine thought to not used personally reported friends • Heroinhave incr easedheavily due cut to mor withe people fentanyl • andCrime family lab who reports have high pres- • Marijuanawith knowledge almost of “one-pot exclusively” or ence of heroin-fentanyl mix- • Free “testers” of heroin remain high“shake-and-bak grade e” method of tures & straight fentanyl available in Dayton which makes it • Increasemanufactu inre production & use of • Increasefor usein overdoses;rs to avoid the users drug “dabs”• seek fentanyl • Noted50 percent increase of all drug- inre importedlated deaths • Increase in heroin use among crystalaccording meth to coroner’ • African Increased Americans availability of heroin and • Some heroin users switching to meth • SubHigh-gradeoxone®; likely marijuana, increased includ- Youngstown Region avingailability “dabs,” of morebath salts, available now • • Increased number of meth opioids; likely increased availability of marijuana;users entering likely decr treatmenteased availability heroin, methamphetamine and of powdered cocaine Youngstown Region Heroin users turning to meth Suboxone®; likely decreased availability • • when heroin is unavailable h •• MarijuanaOpana®, Roxicet®, & meth Ultram® availability and with those as young as 12 years • Prescription opioid & synthetic beginning use opioids marijuana now present availability in 77.8 pe ircent of all Cincinnati Region drug-related deaths according to the • Current availability of • Users note presence of gray methamphetamine is high in rural Columbus Region corone heroinr’ (“kitty litter”) • Crack cocaine, heroin, mari- • Throughout the region, professionals r•eported Crime her laboin reports to be the increased primary drug juana & meth availability h number of fentanyl cases • Bath salts & synthetic • Meth availability h Athens Region problem Columbusmarijuana Region availability i • Bath salts availability i • Noted increase in heroin use Athens Region among African-American males • •Dealers Increased profiling availability users,of bath handsalts; likely increased availability of heroin, • Dealers offer heroin delivery • •Meth, Increased “molly,” availability of heroin and & Subyoungeroxone®; userslikely increased out contact info & free • Crime labs report high pres- availability of bath salts and methamphetamine; likely decreased •testers of heroin Neurontin® & powdered • Increase in production & use ence of heroin-fentanyl mix- cocaine availability h • easilyCrime obt labsained report at the same high st or es that pre viouslytures &sold straight them bef fentanylore the law • of “dabs” banningpresence them of took heroin-fentanyl e ect • seekingPrescription treatment opioid for her oin use •mixtures & straight fentanyl • Columbus Police Crime Lab availability i notes heroin-meth mixtures • • Common for heroin users to • bathFentanyl salts top cutting agent for heroin popularityshare injection needles • Meth use less stigmatized now • •Noted BCI reported connection an increase between in bath salts “molly” cases; &as collegesoon as one students substance is • Drug cartels pushing meth • Illicit Neurontin® sought • banned,Neurontin® another widely chemical sought analogue for illicittakes useits place to combat opiate with heroin to combat opiate withdrawal withdrawal • Ohio Department of Alcohol and Drug Addiction Services • Division of Planning, Outcomes & Research • • 30 W. Spring St., 6th Floor, Columbus, Ohio 43215 • 1-800-788-7254 • www.ada.ohio.gov • OSAM Drug Trend Report January-June 2013 Ohio Department of Mental Health and Addiction Services • Office of Quality, Planning and Research Surveillance of Drug Abuse Trends in the State of Ohio Page 4 OSAM Drug Trend Report January - June 2016 Surveillance of Drug Abuse Trends in the State of Ohio Surveillance of Drug Abuse Trends in the State of Ohio OSAM Ohio Substance Abuse Monitoring Network Surveillance of Drug Abuse Trends in the State of Ohio January - June 2016 Executive Summary The Ohio Substance Abuse Monitoring (OSAM) Network consists of eight regional epidemiologists (REPIs) located in the following regions of the state: Akron-Canton, Athens, Cincinnati, Cleveland, Columbus, Dayton, Toledo and Youngstown. The OSAM Network conducts focus groups and individual