OSAMOSAM OhioOhio Substance Substance Abuse Abuse Monitoring Monitoring Network Network SurveillanceSurveillance of of Drug Drug Abuse Abuse Trends Trends in the State of Ohio June 2018 - January 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 Akron-Canton regionLegend Akron-Canton region Columbus region Dayton region Athens region Dayton region Toledo region Cincinnati region Toledo region Cleveland region Youngstown region Cleveland region Youngstown region Ohio Substance Abuse Monitoring Network Surveillance of Drug Abuse Trends in the State of Ohio June 2018 - January 2019 Prepared by: Ohio Department of Mental Health and Addiction Services Lori Criss, Director • Mike DeWine, Governor 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 ...............................................................................................................................................................51 Cincinnati Region .........................................................................................................................................................69 Cleveland Region .........................................................................................................................................................87 Columbus Region .......................................................................................................................................................111 Dayton Region .............................................................................................................................................................133 Toledo Region ..............................................................................................................................................................153 Youngstown Region ..................................................................................................................................................173 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] (2019). Ohio Substance Abuse Monitoring Network: Surveillance of Drug Abuse Trends in the State of Ohio: June 2018 - January 2019. Columbus, OH: State of Ohio. OSAM-O-G OSAM-O-Gramram Ohio Substance Abuse Monitoring 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 June 2018 - January 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, • Fentanyl,likely decreased marijuana, availability meth of Ecst &asy synthetic marijuana availability high-grade• Meth, illicit marijuana Suboxone® and methamphetamine; & Neurontin® likely availability decreased availability of •Illicit• DEA prescriptionand BCI reported opioid increase availability in number of bath salts cases; bath salts bath• Illicit salts prescription opioid availability chemically altered and re-branded •• HeroinIn Cleveland, & fentanyl heroin is now synonymous commonly available with through one another anonymous • Most• Despite users decreased seek heroin-fentanylavailability of Ecstasy, mixtures Ecstasy-like substances (2CE and • Dealers in Cleveland actively pushing heroin/fentanyl • Law2CB) avenforcailableement noted overdose death due to access • to• DEA Narcan® report everal mobile methamphetamine labs, •Fentanyl cut into meth, cocaine & pressed into pills manufacture through “one-pot” and “shake-and-bake” methods • resemblingPurest form of Ecprescriptionstasy (aka “Molly”) opioids becoming more available as knowledge • Desirability for “dabs” among young people of• Fentanyl drug grows use continues to result in fatal consequences • Crystal meth availability in urban areas Dayton Region • Decreased availability of Ecstasy; Akron-CantonAkron-Canton Region Region Daytonlikely increased Region availability of heroin • Increased availability of and Suboxone®; likely decreased lMeth, marijuana, illicit •Fentanylavailability of& methcrack cocaine availability Suboxone®opioids and Sub &ox one®;synthetic likely marijuana ••Drug dealers aggressively avincreasedailability availability of crack cocaine heroin has reached “epidemic” and heroin pushing heroin l Illicit prescription opioid • Methamphetamine thought to •Mostnot used heroin personally is fentanyl reported or friends availabilityhave increased due to more people heroin-fentanyland family who hav emixtures l Uwithnadulterated knowledge of heroin“one-pot” difficult or to “shake-and-bake” method of •Users• Free “seektesters” fentanyl of heroin for remain its find available in Dayton which makes it manufacture potency, more intense high l for users to avoid the drug Users• prefer fentanyl to heroin than heroin d50ue pe torcent ofopiate all drug- retolerancelated deaths • Drug dealers pushing meth l Demandaccording to for cor oner’meth due to like• Increased heroin av byailability actively of heroin solicit- and opiate overdose fear ingSubox customersone®; likely increased stown Region l Pills pressed with fentanyl •avOpiateailability users of bath using salts, meth to sold asely Xanax®increased availability of getmarijuana; off heroin likely decreased availability oin, methamphetamine and of powdered cocaine SubYoungstownoxone®; likely decreased Region availability • Cincinnati Region l Marijuana ("dabs"), powdered with those as young as 12 years cocaine availability beginning use Please note: esent in 77.8 percent of all • Fentanyl & meth availability l • Current availability of = Increase Illicirelatedt pr edeathsscription according opioid to the • methamphetUsers preferamine fentanyl is high toin ruralheroin Columbus Region r’ = Decrease availability due to “stronger” high • oughout the region, professionals Fentanyl, marijuana (“dabs”) & l ODPS reported seizing 59.4 lbs. of • Fentanyl used to cut other • oin to be the primary drug meth availability c ocaine in region in last 6 mos. illicit drugs (cocaine, meth) Athens Region • Illicit prescription opioids, l • Columbus Region • Opiate users switching to cocaine Dealers & heroin users stimulants & sedative-hypnotics MarijuanaAthens Region ("dabs") & illicit • Increased availability of bath salts; likely increased availability of heroin, • Increased availability of heroin and& Submethoxone®; due likely to increasedoverdose fear switching focus to stimulants availability Suboxone® availability • • availability of bath salts and methamphetamine;Users overdosing likely decreased on cocaine due • •Meth used to come off heroin • Unadulterated heroin difficult to Illicit prescription opioid to fentanyl cut availability • easily in obtained"speedballing" at the same with stores that prefind;viously fentanyl-heroin sold them before mixtures the law • •Crystal meth availability in banning them took e ect • “Straight fentanyl” difficu heroin-meth combination widely available seeking treatment for heroin use urban areas • to obtain; heroin-fentanyl • Fentanyl higher in availability • mixturesbath salts widely available popularity than heroin due to demand for • ODPS• BCI reported reported an seizing increase 73 in lbs.bath of salts fentanyl cases; as in soon region as one in past substance 6 mos. is more potent opiates • BCIbanned, & law another enforcement chemical analogue reported takes itsin placemeth cases • Meth most available drug in • Doctors prescribing of Neurontin®; users seek drug to combat • Ohio Departmentregion; of Alcohol MAT andclients Drug using Addic methtion Sewithdrawalrvices • 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