donna fayko, m.ed. jennifer la, m.ph. dss director rowan
TRANSCRIPT
Donna Fayko, M.Ed. Jennifer La, M.Ph. DSS Director Rowan County Center for Prevention Services
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www.wbtv.com/story/31193988/landis-mother-charged-after-toddlers-apparent-overdose
Ø Nationally 3.6 million referrals in FFY 2014
National Child abuse and Neglect Data System
Ø In NC, 128,002 children in FY15 were subjects of abuse and neglect investigations
University of North Carolina at Chapel Hill Jordan Institute for Families
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Ø It’s not clear how many child-welfare cases nationwide involve parents abusing drugs or alcohol
National Center on Substance Abuse and Child Welfare
Ø Almost 31% of children placed in foster café in 2012, parental alcohol or drug use was the documented reason.
Adoption and Foster Care Analysis and Reporting System (AFCARS)
Ø Some States report that number surpasses 60% National Data Archive on Child Abuse and Neglect, 2012
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Ø NC – 5299 families with 8848 children in
Ø University of North Carolina at Chapel Hill Jordan Institute for Families
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} Adverse childhood experiences (ACEs) are traumatic or stressful events experienced before age 18 and include ten categories of childhood abuse and household dysfunction.
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Source: Center for Disease Control’s Adverse Childhood Experiences Study
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Adverse Child or Family Experiences (ACEs) items Rowan County
North Carolina National
Extreme economic hardship 31.1 27.1 25.7
Family disorder leading to divorce/separation 23.7 21.4 20.1
Has lived with someone who had an alcohol/drug problem 10 9.6 10.7
Has been a victim/witness of neighborhood violence 9.8 9.8 8.6
Has lived with someone who was mentally ill/suicidal 10.5 10 8.6
Witnessed domestic violence in the home 9.1 8.5 7.3
Parent served time in jail 8.4 7.8 6.9
Treated or judged unfairly due to race/ethnicity 2.9 3.7 4.1
Death of a Parent 3.8 3.9 3.1
Child had ≥1 ACEs (1/more of above items) 53.1 49.8 47.9
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Prescription drugs are now the most commonly abused drugs
among 12-13 year olds.
1 in 4 teens reports having abused or misused an Rx drug at least once in their
lifetime.
2/3 teens who abuse Rx pain relievers say that they got
them from family or friends.
95% of parents believe their child has never taken a
prescription drug for a reason other than its intended use.
4 out of 5 heroin users began first with recreational use of
prescription drugs.
Nearly ½ of young people who inject heroin start by abusing
prescription drugs
Path to Addiction: From Rx to Heroin
90% of addictions begin in the teenage years.
Source: The Medicine Abuse Project and Partnership for Drug-Free Kids. 10
Total lifetime estimated financial costs for 1 year of confirmed cases of child maltreatment = $124 billion Source: The Economic Burden of Child Maltreatment in the United States and Implications for Prevention, Center for Disease Control
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} Each death due to child maltreatment had a life2me cost of about $1.3 million.
} The life2me cost for each vic2m of child maltreatment who lived was $210,012.
Source: The Economic Burden of Child Maltreatment in the United States and Implications for Prevention, Center for Disease Control
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Alcohol and drug abuse cost the North Carolina economy over $12.4 billion in direct and indirect costs in 2004 (North Carolina Ins2tute on Medicine, 2008).
In North Carolina, there has been a 450% increase in the number of heroin overdose deaths, from 38 in 2010, to 183 in 2014. Na2onally, between 2010 and 2014, the U.S. saw a 366% increase in heroin related deaths.
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} Effects of drugs on the brain, prioritizing drugs/high
1. Food
2. Family
3. Etc.
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Feeding the addic2on becomes #1 priority.
Addic2ve substances can release up to 10 2mes more dopamine than natural reward behaviors. Result: craving the drugs that will restore dopamine levels to normal. A person in this scenario is no longer capable of feeling good without the drug. Source: Addiction Center, 2016
Location Data Type
2009 2010 2011 2012 2013
United States
Number 423,773 408,425 397,885 397,091 402,172
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} Source: Adoption and Foster Care Analysis and Reporting System (AFCARS)
Location
Data type
2009 2010 2011 2012 2013 2014 2015
NC Number
14744 14154 13942
13642 14232 14923 15480 Data to 9/15
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} UNC-Chapel Hill Jordan Institute for Families website
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Adoptions and Safe Families Act 1997
Relapse is common with Opioids and
Heroin
Parents must come to Realization that
they must seek help
Wait Lists are Long
Critical Time is Lost. Many Parents
Can’t Recover in Time
Individual and group counseling
Inpatient and residential treatment
Intensive outpatient treatment
Partial hospital programs
Case or care management
Medication
Recovery support services
12- Step fellowship
Peer support
Treatment for Substance Abuse
Disorders
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90%
1% 0%
9%
Pathway to Recovery
Do NOT seek treatment
Seek and receive treatment for illicit drug use
Seek and receive treatment for alcohol abuse/dependence
Seek treatment and do not receive
90% of those who abuse and/are
dependent do NOT seek treatment.
Of the 10% who seek treatment, only 10% receive treatment for
illicit drug use.
Less than 5% who seek treatment for alcohol dependence or abuse receives treatment.
Source: North Carolina Institute on Medicine (2008). 20
“This statewide reporting system was established by North Carolina law to improve the state’s
ability to identify people who abuse and misuse prescription drugs classified as Schedule II-V
controlled substances. It is also meant to assist clinicians in identifying and referring for treatment patients misusing controlled substance”
Source: Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, 2013.
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} There are well documented links between substance abuse and child maltreatment.
(HHS SAMHSA, 2013b).
} Because of the co-occurrence of substance
abuse, mental illness, trauma, etc., many systems must work together to improve outcomes for children and youth.
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