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Surveillance of Drug Abuse Trends in the State of Ohio January - June 2019

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Surveillance of Drug Abuse Trends in the State of Ohio January - June 2019 OSAMOSAM OhioOhio Substance Substance Abuse Abuse Monitoring Monitoring Network Network SurveillanceSurveillance of of Drug Drug Abuse Abuse Trends Trends in the State of Ohio January - June 2019 Lake Ashtabula Fulton Lucas Williams Ottawa Geauga Cuyahoga Defiance Henry Wood Sandusky Erie Lorain Trumbull Huron Summit Portage Paulding Seneca Medina Putnam Hancock Mahoning Van Wert Wyandot Crawford Ashland Wayne Stark Columbiana Allen Richland Hardin Marion Mercer Auglaize Holmes Carroll Morrow Tuscarawas Jefferson Logan Knox Shelby Union Delaware Coshocton Harrison Champaign Darke Licking Miami Guernsey Belmont Franklin Muskingum Clark Madison Montgomery Preble Fairfield Perry Noble Monroe Greene Pickaway Fayette Morgan Hocking Washington Butler Warren Clinton Ross Athens Vinton Hamilton Highland Clermont Pike Meigs Jackson Brown Adams Scioto Gallia Lawrence Legend Akron-Canton region Columbus region Athens region Dayton region Cincinnati region Toledo region Cleveland region Youngstown region Ohio Substance Abuse Monitoring Network Surveillance of Drug Abuse Trends in the State of Ohio January - June 2019 Prepared by: Ohio Department of Mental Health and Addiction Services Office of Quality, Planning and Research R. Thomas Sherba, OSAM Principal Investigator — PhD, MPH, LPCC Sarah Balser, OSAM Coordinator — MPH, MSW, LSW, CHES Jessica Linley, OSAM Quantitative Data Analyst — PhD, MSW, LSW Table of Contents OSAM-O-Gram....................................................................................................................................................................3 Executive Summary ..........................................................................................................................................................5 Drug Abuse Trends by Region Akron-Canton Region ....................................................................................................................................................29 Athens Region ..................................................................................................................................................................53 Cincinnati Region ............................................................................................................................................................71 Cleveland Region ............................................................................................................................................................91 Columbus Region ..........................................................................................................................................................115 Dayton Region ................................................................................................................................................................135 Toledo Region .................................................................................................................................................................155 Youngstown Region .....................................................................................................................................................173 Lori Criss, Director • Mike DeWine, 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 Email: [email protected] Recommended citation for this report: Ohio Department of Mental Health and Addiction Services [OhioMHAS] (2020). Ohio Substance Abuse Monitoring Network: Surveillance of Drug Abuse Trends in the State of Ohio: January - June 2019. Columbus, OH: State of Ohio. OSAM-O-Gram OSAM-O-Gram Ohio Substance Abuse Monitoring Network Surveillance of Drug Abuse Trends in the State of Ohio OSAM OhioDrug Substance Abuse Trends Abuse Monitoringin the State Network of Ohio January - June 2019 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• decreasedFentanyl availability availability of Ecstasy high-grade•• Fentanyl, marijuana marijuana and methamphetamine; & meth availabilitylikely decreased availability of • DEA and BCI reported increase in number of bath salts cases; bath salts bath salts • Illicit RX opioid availability • Ecstasy (MDMA) availability chemically altered and re-branded • In Cleveland, heroin is now commonly available through anonymous Heroin not adulterated with fentanyl difficult to • Consensus fentanyl easier to obtain than heroin • •Despite decreased availability of Ecstasy, Ecstasy-like substances (2CE and High prevalence of fentanyl-cut cocaine 2CB) avobtainailable • • • •DEA Spikereport in methever usersal mobile entering methamphetamine treatment labs, • Counterfeit RX opioids containing fentanyl circulating manufacture• Heroin through users “one-pot” alleviate and “shake-and-bake” withdrawal symptoms methods • Purest• Popularity form of Ecstasy of (aka “dabs” “Molly”) becomingdue to easemore av ofailable concealment as knowledge via with “dabs” & meth of drug vapigrowsng pens Dayton Region Akron-Canton Region Dayton• Decreased av Regionailability of Ecstasy; Akron-Canton Region likely increased availability of heroin • Increased availability of • Fentanyl, marijuana & and• SubFentanyloxone®; likely & decreasedmeth availability of crack cocaine opioidsmeth and Sub availabilityoxone®; likely availability • increased• Iillicit availability R opioid of crack & cocaineR Heroin & illicit R and heroin X X heroin• has reached “epidemic”X stimulant availability opioid availability • Methamphetamine thought to • Fentanyl, drug of choice not• usedMeth personally view reporteded as “saferfriends have increased due to more people and family who have with knowledgefor many of users“one-pot” or alternative” to opiates • Free “testers” of heroin remain “shake-and-bake”• Meth overtaking method of heroin/ availableCrystal in Dayton meth which widely makes it manufacture • fentanyl in availability used,for use replacingrs to avoid the crac drug k • • High availability of • in dealers pushing 50 percent of all drug-related deaths accordingcannabis to coroner’ vape cartridges meth for high profits • Increased availability of heroin and • Synthetic marijuana easily Suboxone®;Crime likely lab increased reports in stown Region • obtained from various availabilityincidence of bath salts, of LSD cases retailely increased outlets availability of marijuana; likely decreased availability oin, methamphetamine and of powdered cocaine Youngstownoxone®; likely decreased Region availability Cincinnati• Region Please note: = Increase • Marijuana & meth with• thoseFent as anyl,young asmarijuana 12 years & availability beginningmeth use availability = Decrease esent in 77.8 percent of all • Current availability of re•latedHeroin deaths accor& illicitding tosedative- the • Illicit R opioid & methamphetamineX is high in rural Columbus Region r’ hypnotics availability sedative-hypnotic • Heroin not adulterated availability • Fentanyl, marijuana & with fentanyl nearly • Fentanyl adulterated meth availability Athens Region Columbus Region unavailable into every other drug • Illicit RX opioid Athens Region • Increased availability of bath salts; likely increased availability of heroin, • Fentanyl & meth • ODPS seized 1,316.5 lbs. • Pressed fentanyl sold availability • Increased availability of heroin and Suboxone®; likely increased availabilityavailability of bath salts and methamphetamine;of marijuana likely decreased from this as RX drugs • Many users seek only • • Illicit RX opioid region in past six months easily obtained at the same stores that previouslyfentanyl sold them before the law • Cartels bringing • availability • Use of crystal meth has banningamounts them took eofect crystal • in dealers/users seeking treatment for heroin use • • Pressed fentanyl “skyrocketed” meth from Mexico producing “dabs” • sold as R drugs bath salts X popularity• in Narcan® resistant • Crystal meth used to • • BCI reportedOpioid an users increase receiving in bath salts Vivitrol® cases; as soon as MATas one substanceswitchin isg to xylazine (animal alleviate “dope sickness” banned,crystal another meth chemical analogue takes its place sedative) use • High availability of • Overdoses caused by fentanyl-cut meth • Ohio Department of Alcoholsynthetic and marijuana 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 • 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 2019 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 2019 Executive Summary Ohio Substance Abuse Monitoring (OSAM) Network consists of eight regional epidemiologists (REPIs) located in the following regions of Ohio: Akron-Canton, Athens, Cincinnati, Cleveland, Columbus, Dayton, Toledo and Youngstown. The OSAM Network conducts focus groups and individual interviews with active and recovering drug users and community professionals (treatment providers, law enforcement officials, etc.) to produce epidemiological descriptions of local substance abuse trends.
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