twelfth annual meeting; grenada drug epidemiology … · report: tenth annual general meeting of...

TWELFTH ANNUAL MEETING;

GRENADA DRUG EPIDEMIOLOGY NETWORK

&

NATIONAL OBSERVATORY ON DRUGS

(GRENDEN & NOD),

26 JANUARY 2017,

MINISTRY OF EDUCATION,

HUMAN RESOURCE DEVENLOMENT

AND THE ENVIRONMENT,

ST. GEORGE’S

Theme:

Drug Treatment and Rehabilitation

Services Available in Grenada

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Authors:

Dave Alexander, Drug Control Officer, Drug Control Secretariat

Elizabeth Japal, Assistant Drug Avoidance Officer, Drug Control Secretariat

Published by:

Drug Control Secretariat Ministry of Education, Human Resource Development & the Environment Botanical Gardens St. George’s Grenada

Telephone: 1-473-440-7911

E-mail: [email protected]

Website: www.gov.gd/ncodc.html

January 2016

Data from this publication may be reproduced with acknowledgement from source.

Reference as:

Twelfth Annual Meeting; Grenada Drug Epidemiology Network & National Observatory On Drugs

(GRENDEN-NOD), 26 January 2017

Designed by the Drug Control Secretariat

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Contents

Greetings, Drug Control Secretariat ................................................................................................. 3 Agenda: Twelfth Annual Meeting of the Grenada Drug Epidemiology Network & National Observatory on Drugs (GRENDEN-NOD), 26 January 2017 .......................................................... 4 Report: Eleventh Annual Meeting of the Grenada Drug Epidemiology Network & National Observatory on Drugs (GRENDEN-NOD), 4 December 2015 ........................................................ 5 Structure and Function of the Grenada Drug Epidemiology Network (GRENDEN) ......................... 9 Summary: GRENDEN Statistical Report of Indicators, 1 January to 30 June 2016 ...................... 12 Statistics: Admissions to Treatment Centers, 2013 to 2016 .......................................................... 15 Key Activities of GRENDEN, 2016 ................................................................................................. 20 GRENDEN Work Programme 2017: Logic Model Matrix .............................................................. 22 Appendix 1: GRENDEN Indicators ................................................................................................. 24 Appendix 2: GRENDEN Principal and Alternate Focal Points ...................................................... 27 Appendix 3: Photos ....................................................................................................................... 30

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Greetings, Drug Control Secretariat

On behalf of the Drug Control Secretariat, I welcome you to the Twelfth Annual Meeting of the Grenada Drug Epidemiology Network & National Observatory on Drugs (GRENDEN-NOD). We are delighted that you have joined us for this historic meeting. This meeting observes the thirteenth anniversary of GRENDEN. It was on 11 December 2002, at the meeting titled, 'Network to improve Recording, Exchange and Comparability Of Data Between Agencies', that GRENDEN was established. That meeting was the culmination of a series of consultations with institutions involved in the collection of drug-related statistics, held between August and November 2002. The theme for today’s meeting is, ‘Drug Treatment and Rehabilitation Services Available in Grenada’. It will be explored in our featured presentations. The Drug Control Secretariat expresses thanks to all Officers from Ministries and Departments who have provided data, during the period 2015 to 2016. We also thank the Media (electronic, print and internet) who have assisted immensely in the dissemination of GRENDEN’s data. Thanks to everyone who contributed to the success of GRENDEN throughout the years. Be assured of our best wishes. Thank you.

Elizabeth Japal

Assistant Drug Avoidance Officer,

w.r.f. GRENDEN

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Agenda:

Twelfth Annual Meeting,

Grenada Drug Epidemiology Network &

National Observatory On Drugs (GRENDEN-NOD),

26 January 2017

Master of Ceremonies: Mr. Dave Alexander, Drug Control Officer, Drug Control Secretariat Invocation Welcome and Adoption of the Draft Agenda Introduction of Attendees Remarks: Mr. Dave Alexander, Drug Control Officer; Drug Control Secretariat.

Dr. George Mitchell, Chief Medical Officer, Ministry of Health Social Security and International Business

Report

i. Eleventh Annual General Meeting of the Grenada Drug Epidemiology Network & National Observatory on Drugs (GRENDEN-NOD), 4 December 2015; Mrs. Elizabeth Japal, Assistant Drug Avoidance Officer, Drug Control Secretariat

Presentations

i. Update: Regional Study on Drug Treatment Assessment Needs in Three Caribbean Countries; Dr. Shelly Rodrigo, Associate Professor, Department of Public Health and Preventive Medicine, School of Medicine, St. George's University

ii. Treatment Services Offered in Grenada:

a. Mr. Gary Cox, Assistant Programme Coordinator, Carlton House

b. Ms. Brenda Jones, Nurse, Rathdune Psychiatric Unit

c. Mrs. Calisha Purcell-Charles, Certified Addition Professional, Program Coordinator & Clinical Facilitator of Helping Our People Exhale (HOPE)

Feature Presentation Characteristics of Persons Seeking Treatment for Problematic Substance Use, 1 January to 30 June 2016; Mrs. Elizabeth Japal, Assistant Drug Avoidance Officer

Resolutions, Statements Themes and Date for Thirteenth Annual Meeting of GRENDEN-NOD Adjournment

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Report:

Eleventh Annual Meeting, Grenada Drug Epidemiology Network

& National Observatory On Drugs (GRENDEN-NOD),

4 December 2015

The Eleventh Annual Meeting of the Grenada Drug Epidemiology Network and the National Observatory on Drugs (GRENDEN & NOD) was held on 4 December, 2015 at the Conference Room, Ministry of Education and Human Resource Development, Botanical Gardens, St. George’s. Participants included GRENDEN Principal and Alternate Focal Points, visiting officials from the Inter-American Drug Abuse Control Commission and the Organization of American States (CICAD/ OAS) and members of the Management Team, Ministry of Education and Human Resource Development. The meeting commenced at about 9:30 a.m. and ended at 12:15 p.m. The main highlights of the meeting were the presentations made by the guest speaker, Dr. Omowale Amuleru-Marshall, Professor, St. George's University, and Chairman National Chronic Non-Communicable Disease, Ministry of Health. and the visiting OAS/ CICAD officials. The Theme for the Meeting was, ‘Substance Abuse: A Public Health Problem in Grenada.’

Invocation: Invocation was done by Mr. Pearson Stroude, Director (Ag.), Student Support Services Unit Ministry of Education and Human Resource Development.

Introduction of Participants: Twenty-seven (27) persons attended the meeting, inclusive of GRENDEN Principal and Alternate Focal Points, visiting officials from CICAD/OAS, and members of the Ministry of Education Management team. Remarks: Mr. Dave Alexander, Drug Control Officer, Drug Control Secretariat. Mr. Alexander conveyed welcome remarks. He expressed thanks on behalf of the Drug Control Secretariat to the Officials from the CICAD/OAS, the members of the Management team of the Ministry of Education and Human Resource Development, all GRENDEN Principal and Alternate Focal Points from Ministries and Departments which provide data to GRENDEN, and all other guests. Remarks: Honourable Anthony Boatswain, Minister for Education and Human Resource Development. Minister Boatswain welcomed everyone to the meeting and extended congratulations, on behalf of the Ministry of Education and Human Resource Development to GRENDEN for convening the annual meeting which he said marked the thirteenth anniversary of GRENDEN which was established in 2002. The Minister stated that the eleventh meeting was a significant accomplishment, both for Grenada and the Caribbean as it demonstrated that Grenada has successfully developed a sustainable and functional framework for the collection and analysis of drug-related data, which has facilitated the development of evidence-based policies and programs. He further stated that the meeting was a historic one, as the participants were inclusive of Mr. Pernell Clarke, Research Specialist and Ms. Tiffany Barry, Project Coordinator from the Inter-American Drug Abuse Control Commission (CICAD), in Washington D.C, and other officials from

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Drug Information Networks (DIN) from Caribbean countries; who were in Grenada as part of a technical meeting for Drug Epidemiologists and Researchers. Minister Boatswain said that he was pleased that the St. George’s University was working with the Drug Control Secretariat on a research study on the economic costs of drug treatment and incarceration, and stated that the theme for the GRENDEN meeting 2015, ‘Substance Abuse: A Public Health Problem, in Grenada’, supports the concept that substance use is a public health issue. He stated that government spends a significant amount of money each year to provide medical care and services to patients who encounter medical problems associated with drug consumption. This he said is further compounded by the large sums required for law enforcement. He extended thanks to Dr. Cecilia Younger, Professor at St. George’s University, who has been leading the research on the topic in Grenada. The Minister, on behalf of the Ministry of Education and Human Resource Development, thanked all the Ministries and Institutions which provide data to GRENDEN. He also thanked the Drug Control Secretariat, which functions as the National Observatory on Drugs (NOD), for its exemplary work with GRENDEN; and emphasized that the dedication and perseverance of the staff at the Secretariat are qualities that must be emulated, and that the accomplishments of GRENDEN are duly noted in Grenada, as well as regionally and internationally.

Reports:

1. Report: Tenth Annual General Meeting of the Grenada Drug

Epidemiology Network (GRENDEN), 23 January, 2014; Mrs. Elizabeth

Japal, Assistant Drug Avoidance Officer, and officer with responsibility for

GRENDEN; Drug Control Secretariat.

Mrs. Japal reported on the Tenth Annual Meeting of GRENDEN which was held on the 23

January, 2014 under the theme: An Analysis of the Nature and Extent of the Drug Situation

in Grenada; 1 January to 30 June, 2012 and 1 January to 30 June, 2013.She gave a synopsis of

the meeting and listed some of the highlights.

Highlights:

Report of the Ninth Annual Meeting of GRENDEN

Status: Results of the Third Secondary Schools’ Drug Prevalence Survey.

Report: Sixth Evaluation Round of the Multilateral Evaluation Mechanism (MEM)

Feature Address: Honourable Anthony Boatswain, Minister for Education and Human

Resource Development.

Panel Discussion: Analysis of the Nature and Extent of the Drug Situation in Grenada: 1

January to 30 June 2012 and 1 January to 30 June 2013.

ii. Report: Sixth Thematic Review Meeting of the Grenada Drug

Epidemiology Network (GRENDEN) 23rd January 2015; Mr. Dave Alexander,

Drug Control Officer, Drug Control Secretariat.

Mr. Alexander provided an overview of the meeting held on January 23, 2015. He emphasized that the meeting was planned specifically for GRENDEN Principal and Alternate Focal Points. He stated that the main objective of that meeting was the formulation of new data sources for GRENDEN. He informed the participants that seventeen (17) areas were identified as possible new data sources for the formulation of new GRENDEN indicators.

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List of Likely Data Sources:

Population Survey

Cybercrimes, internet and drugs (drug trafficking via the internet)

Aliens deported from Grenada

Alcohol related mortality

Alcohol related vehicular accidents

Juveniles on probation

Domestic violence and drugs (Criminal Records Office)

Presentations: Three presentations were made at the GRENDEN Annual Meeting, 2015. Listed hereunder are the presentation topics, respective presenters and a summary of each presentation.

i. Initiatives of the Inter-American Drug Abuse Control Commission

(CICAD) in the Caribbean, in the Area of Data Collection: Mr. Pernell

Clarke, Specialist, CICAD.

Mr. Clarke presented on activities implemented by the Inter-American Observatory on Drugs OID, CICAD. In his presentation, he gave a synopsis of the establishment of, and role of the National Observatories on Drugs (OID). He also explained what is a National Drug Observatory (NDO) and how it functions. He explained that a National Drugs Observatory (NDO) is an organization which aims to provide factual, objective, reliable, and comparable information concerning drugs and drug addiction, and their consequences. Mr. Clarke then shared on a prison study conducted in Jamaica in 2014. He thereafter shared on another study done, titled “Exploring the Relationship between Drugs and Crime”; A Comparative Analysis of Adult Prisoners in Seven Caribbean Countries. He discussed the implementation of a newly instituted standardized data collection system for drug and alcohol treatment agencies and spoke about the usefulness of drug treatment data. Information was also provided on the results of the 2013 Secondary Schools Drug Prevalence Survey which was done in eleven (11) Caribbean countries, inclusive of Grenada.

ii. The Role of Research in Developing School Based Drug Prevention

Policy in the Caribbean: Mrs. Uki Atkinson – CICAD Policy Fellow.

Mrs. Atkinson shared on the importance of conducting National School Surveys on drugs. She summarized the importance as: 1. To determine the prevalence and patterns of psychoactive substance use. 2. To explore factors related to the use of psychoactive substances: exposure, risk perception, and behavioural problems. 3. For the translating of research into action - evidence based policy (development and adjustments) and interventions for prevention and treatment of adolescents. 4. To facilitate standardized comparability across the region. Mrs. Atkinson stressed the importance of disseminating survey results. She then spoke about drug prevention policy development and the need to use research to guide policy. She also outlined the components of the contents of a prevention programme. She concluded by stating that the use of evidence to inform policy development is lacking in the region.

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iii. Substance Abuse: A Public Health Issue in Grenada; Dr. Omowale

Amuleru-Marshall, Professor, St. George's University, and Chairman National

Chronic Non-Communicable Disease, Ministry of Health.

Dr. Amuleru-Marshall, guest speaker for the meeting, in his explanation of the

theme, discussed health in relation to primary, secondary and tertiary prevention,

as well as he listed risk and protective factors associated with public health

issues. He defined public health as: all organized measures to prevent diseases,

promote health and prolong life among populations. He further discussed public

health approaches in relation to cessation and intervention and explained some of

the problems encountered with the promotion of wellness among populations.

Copies of the presentations were distributed to participants via email. They are

also available at the Drug Control Secretariat.

Vote of Thanks: Mrs. Elizabeth Japal, Assistant Drug Avoidance Officer, Drug Control Secretariat. Mrs. Japal expressed thanks to Honourable Minister Anthony Boatswain, Minister for Education and Human Resource Development and Mr. Dave Alexander for delivering remarks at the eleventh Annual Meeting of GRENDEN. Words of gratitude were also expressed to Mr. Pernell Clarke and Mrs. Uki Atkinson from the OAS for their presentations. Dr. Omowale Amuleru-Marshall was thanked for accepting the invitation to be the guest speaker at the meeting and for his enlightening and dynamic presentation. Words of gratitude were also extended to the other visiting OAS officials, GRENDEN Principal and Alternate Focal Points, members of the Management Team of the Ministry of Education and Human Resource Development and all others who attended the GRENDEN Annual Meeting, 2015. Announcement

The twelfth (12) Annual Meeting of GRENDEN-NOD was announced for 9 December, 2016. Adjournment The Meeting adjourned at 12:15 p.m.

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Structure and Function of the

Grenada Drug Epidemiology Network (GRENDEN)

Establishment of the Grenada Drug Epidemiology Network (GRENDEN) On 11 December 2002, the workshop, “Network To Improve Recording, Exchange And Comparability Of Data Between Agencies”, was convened. The establishment of the Grenada Drug Epidemiology Network (GRENDEN), previously named the Grenada Drug Information network (GRENDIN), would facilitate the collection, and dissemination of data, was the primary outcome of the workshop. GRENDEN was formally endorsed by Cabinet in December 2002. GRENDEN would also provide a forum to promote the use of international standard indicators of drug abuse, as represented in regional and international reporting requirements. Grenada Drug Epidemiology Network (GRENDEN) GRENDEN is the mechanism through which Grenada collects, analyzes, and disseminates information on drugs, and related information, for the purpose of monitoring trends, developing policy, and implementing appropriate programmes and responses. The objectives of GRENDEN are:

i. To provide accurate, relevant and timely statistical data on the nature and extent

of the drug situation in Grenada;

ii. To increase coordination, dialogue, and cooperation among the institutions which work in the area of drug control, through the exchange of drug-related statistical information, and

iii. To inform policy makers and the general public on drug trends and related

matters. GRENDEN has significantly strengthened Grenada’s ability to participate in local, regional and international drug control projects and programmes. It has also played a major role in the implementation of the national drug control programme. GRENDEN focuses on the issue of drugs in four thematic areas:

1. Drug Consumption

i. Magnitude of Consumption

2. Drug Production

i. Type and Quantity of Drugs Produced and Seized

3. Consequences of Drugs

i. Arrests ii. Firearms iii. Treatment iv. Financial Crimes

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v. Incarceration vi. Criminal Deportees vii. Court Cases

4. Results of Policy and/or Program Responses

i. Extradition requests ii. Tests Conducted for Presence of Drugs iii. Mechanism to Control Diversion of Pharmaceuticals and Precursor

Chemicals GRENDEN covers sixteen (16) Governmental Departments, through its Questionnaire of Indicators.

i. Epidemiology Unit; Ministry of Health and Social Security ii. Pharmacy Unit; Ministry of Health Social Security iii. Customs and Excise Department; Ministry of Finance iv. Criminal Records Office; Royal Grenada Police Force v. Criminal Investigation Department; Royal Grenada Police Force vi. Financial Intelligence Unit; Royal Grenada Police Force vii. Her Majesty’s Prisons; Ministry of National Security viii. Produce Chemist Laboratory; Ministry of Agriculture ix. Rathdune Psychiatric Unit; Ministry of Health Social Security x. Carlton House; Ministry of Health Social Security xi. Mt. Gay Psychiatric Hospital; Ministry of Health Social Security xii. Princess Alice Hospital; Ministry of Health Social Security xiii. Princess Royal Hospital; Ministry of Health Social Security xiv. Medical Records Office; General Hospital; Ministry of Health Social

Security xv. Community Relations Department; Royal Grenada Police Force xvi. Drug Control Secretariat; Ministry of Education

Indicators Fourteen (14) Indicators comprise the GRENDEN Statistical Report of Indicators. Data is collected biannually. The list of Indicators is presented in Appendix 1 GRENDEN Statistical Report of Indicators GRENDEN Statistical Reports of Indicators are produced biannually. Several other documents are also produced, as required. These reports can be sourced from the webpage: www.gov.gd/ncodc.html Principal & Alternate Focal Points Principal and Alternate Focal Points for GRENDEN are responsible for completing the GRENDEN Indicators and provision of other relevant data. The primary functions of the Principal Focal Points are:

i. To complete the GRENDEN Questionnaire of Indicators biannually; ii. To represent their Ministries/Departments at events organized by GRENDEN; iii. To assist in planning and conducting the annual meeting of GRENDEN; and

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iv. To provide any relevant data to GRENDEN, which may be requested by the Drug Control Secretariat;

Appendix 2 presents the list of Principal and Alternate Focal Points Management The Drug Control Secretariat is the National Observatory on Drugs in Grenada. It performs the administrative functions of GRENDEN. Contact/visit GRENDEN Online: Facebook: facebook.com/DrugControl Twitter: twitter.com/DrugControl Email Addresses: [email protected]

Webpage: www.gov.gd/ncodc.html

mailto:[email protected]

http://www.gov.gd/ncodc.html

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Summary:

GRENDEN Statistical Report of Indicators,

1 January to 30 June 2016

Summary of GRENDEN Data 2016 The following are key findings of the GRENDEN Statistical Report of Indicators, 1 January to 30 June 2016.

Drug Consumption

i. A study was conducted on the prevalence of alcohol consumption among females 18-30 years old in the parish of St. David's. 88% of the females in the cohort were found to be users of alcoholic beverages; 88% of the females had their first drink between the ages of 11-15 years (Bailey, 2016).

Drug Production

i. The Royal Grenada Police Force (RGPF) seized 2.11 kg of cocaine, 521.09 kg of cannabis, 6,106 units of cannabis plants and 1,202 units of cannabis cigarettes.

ii. No penal, civil or administrative sanctions imposed for violations regarding pharmaceutical products or controlled substances (chemical precursors).

iii. Eight licenses were issued to importers and distributors of pharmaceutical products, for importation of such products.

iv. No illicit laboratories for drugs of natural or synthetic origin were detected or dismantled.

Consequences of Drugs

i. Data from the Criminal Records Office of the RGPF indicated that 417 persons were arrested for drug related offences; this number comprised of 390 males and 27 females.

ii. Fifty (50) persons arrested and charged were between the age 20-24 years; 103 persons arrested and charged were 40 years and over.

iii. The main offence for which persons were arrested was possession of drugs (Marijuana). Two hundred and forty-nine (249) persons were arrested for such offence.

iv. One (1) firearm and four (4) rounds of ammunition were seized in relation to Narcotrafficking.

v. Admissions of clients for treatment due to problems derived from the consumption of drugs:

Rathdune Psychiatric Unit: fifty (50) clients (43 males and 7 females)

Carlton House: 16 clients (males only)

General Hospital: 66 clients (57 males, 9 females)

Princess Alice: 6 clients (5 males, 1 female)

Princess Royal Hospital: 1 client (female)

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vi. Six (6) patients were admitted to the General Hospital for alcohol liver disease.

vii. Forty (40) persons were sentenced to Her Majesty’s Prisons for drug-related offences (38 males, 2 females).

viii. Thirteen (13) persons (males only), were deported to Grenada for criminal offences.

ix. Four hundred and four (404) drug cases were brought to court.

x. Seven (7) aliens were sent from Grenada for drug-related offences.

xi. Seventy-nine (79) persons convicted for drug related offences (77 males, 2 females.

Results of Policy and/or Program Responses

i. One hundred and eleven (111) reports of suspicious transactions to the Financial Intelligence Unit (FIU)

ii. Two (2) persons were arrested and charged based on investigations in cases of money laundering.

iii. One thousand, seven hundred and thirty-six (1,736) samples of drugs were submitted by the Royal Grenada Police Force, to the Produce Chemist Laboratory, to be tested for the presence of drugs; all samples were positive; 1,485 samples were cannabis, 98 were cocaine, 37 crack, 7 cannabis seeds, 93 cannabis plants and 16 were others.

Comparison of Data: 1 January to 30 June 2015 & 1 January to 30 June 2016

i. 2.46 percent increase in the number of persons arrested and charged for drug-related offences. (407 and 417 persons were arrested and charged between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

ii. 0.26 percent increase in the number of males arrested and charged for drug-related

offences. (389 and 390 males were arrested and charged between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

iii. 50.00 percent increase in the number of females arrested and charged for drug-related

offences. (18 and 27 females were arrested and charged between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

iv. 78.25 percent decrease in the quantity of cocaine seized. (9.70 kg and 2.11 kg of cocaine

were seized between1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

v. 392.02 percent increase in the quantity of cannabis plants seized. (1,241 units and 6,106

units of cannabis plants were seized between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

vi. 11.70 percent increase in the quantity of cannabis seized. (466.50 kg and 521.09 kg of

cannabis were seized between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

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vii. 21.62 percent increase in the number of persons arrested and charged for drug trafficking. (37 and 45 persons were arrested and charged between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

viii. 48.39 percent decrease in the number of admissions to Carlton House Treatment Centre.

(31 and 16 persons were admitted for treatment between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

ix. 8.20 percent increase in the number of persons admitted to the General Hospital for

medical problems associated with the consumption of drugs. (61 and 66 persons were admitted between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

x. 25.00 percent increase in the number of persons sentenced to Prisons for drug-related

offences. (32 and 40 persons were sentenced between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

xi. 8.33 percent increase in the number of criminal deportees to Grenada. (12 and 13 persons were deported to between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

xii. 133.33 percent increase in the number of aliens sent from Grenada for drug-related

offences. (3 and 7 aliens were sent from Grenada between 1 January to 30 June 2015 & 1 January to 30 June 2016 respectively.

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Statistics:

Admissions to Treatment Centres, 2013 to 2015

Table 1 Admissions to Rathdune Psychiatric Unit for Problems Derived from the Consumption of Drugs, by Age Range, 2013 - 2015

Age Range (years)

Admissions, 2013

Admissions, 2014

Admissions, 2015

< 15 0 0 0

15-19 3 3 11

20-24 58 19 40

25-29 56 23 57

30-34 48 24 65

35-39 28 20 63

40 and above 188 102 206

TOTAL 381 191 441 Source: Rathdune Psychiatric Unit

Table 2 Admissions to Rathdune Psychiatric Unit for Problems Derived from the Consumption of Drugs, by Male Patients, 2013 - 2015

Age Range (years)

Admissions Males, 2013



< 15 0 0 0

15-19 3 2 9

20-24 56 18 29

25-29 54 21 56

30-34 46 23 60

35-39 25 19 59

40 and above 182 93 188


Table 3 Admissions to Rathdune Psychiatric Unit for Problems Derived from the Consumption of Drugs, by Female Patients, 2013 - 2015

Age Range Admissions Females, 2013

Admissions Females, 2014

Admissions Females, 2015

< 15 0 0 0

15-19 0 1 1

20-24 2 1 11

25-29 2 2 1

30-34 2 1 5

35-39 3 1 4

40 and above 6 9 18


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Table 4 Admissions to Rathdune Psychiatric Unit for Problems Derived from the Consumption of Drugs, by Types of Drugs, 2013 – 2015

Drug Admissions 2013

Admissions 2014

Admissions2015

Alcohol 49 33 70

Tobacco 0 0 0

Marijuana 66 22 73

Cocaine 3 0 0

Crack 0 0 0

Poly Drugs (with Cocaine/Crack) 49 25 56

Poly Drugs (without Cocaine/Crack) 214 111 242


Table 5 Admissions to Rathdune Psychiatric Unit for Problems Derived from the Consumption of Drugs, by Male Patients, by Type of Drugs, 2013 – 2015

Drug Admissions 2013

Admissions 2014

Admissions 2015

Alcohol 43 28 61

Tobacco 0 0 0

Marijuana 64 22 69

Cocaine 3 0 0

Crack 0 0 0




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Table 6 Admissions to Rathdune Psychiatric Unit for Problems Derived from the Consumption of Drugs, by Female Patients, by Type of Drugs, 2013 – 2015

Drug Admissions Females

2013

Admissions Females

2014

Admissions Females

2015

Alcohol 6 5 9

Tobacco 0 0 0

Marijuana 2 0 4

Cocaine 0 0 0

Crack 0 0 0



Other Drugs 0 0 0


Table 7 Patients Admitted to Carlton House for Problems Derived from the Consumption of Drugs by Age Range and Gender, 2013 - 2015

Age Range Patients Admitted 2013

Patients Admitted 2014

Patients Admitted 2015

< 15 0 0 0

15-19 2 0 6

20-24 8 2 11

25-29 6 3 9

30-34 1 5 5

35-39 2 4 5

40 and above 11 16 25

TOTAL 30 30 61 Source: Carlton House

Table 8 Males Admitted to Carlton House for Problems Derived from the Consumption of Drugs by Age Range and Gender, 2013 – 2015

Age Range Admissions

Males 2013 Admissions Males 2014

Admissions Males 2015

< 15 0 0 0

15-19 2 0 6

20-24 8 2 9

25-29 5 3 9

30-34 1 5 5

35-39 2 4 5

40 and above 11 13 19


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Table 9 Females Admitted to Carlton House for Problems Derived from the Consumption of Drugs by Age Range and Gender, 2013 – 2015

Age Range Admissions

Females 2013 Admissions

Females 2014 Admissions

Females 2015

< 15 0 0 0

15-19 0 0 0

20-24 0 0 2

25-29 1 0 0

30-34 0 0 0

35-39 0 0 0

40 and above 0 3 6

TOTAL 1 3 8

Source: Carlton House

Table 10 Patients Admitted to Carlton House for Problems Derived from the Consumption of Drugs by Age Range and Gender, 2013 – 2015

Drug Patients Admitted

2013

Patients Admitted

2014

Patients Admitted

2015

Alcohol 12 21 18

Tobacco 0 0 0

Marijuana 13 4 19

Cocaine 0 0 0

Crack 1 1 0



Other Drugs 0 0 0 TOTAL 30 30 53 Source: Carlton House

Table 5.4.11 Males Admitted to Carlton House for Problems Derived from the Consumption of Drugs, by Types of Drugs, 2013 – 2015

Drug Admissions Males 2013



Alcohol 12 18 18

Tobacco 0 0 0

Marijuana 12 4 19

Cocaine 0 0 0

Crack 1 1 0



Other Drugs 0 0 0 TOTAL 29 27 53

Source: Carlton House

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Table 5.4.12 Females Admitted to Carlton House for Problems Derived from the Consumption of Drugs, by Types of Drugs, 2013 – 2015

Drug Admissions Females

2013

Admissions Females

2014

Admissions Females

2015

Alcohol 0 3 6

Tobacco 0 0 1

Marijuana 1 0 0

Cocaine 0 0 0

Crack 0 0 0



Other Drugs 0 0 0


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Key Activities of GRENDEN, 2016

Significant initiatives undertaken by GRENDEN in 2016 are presented hereunder.

Component

Activities

GRENDEN Indicators Adoption of the Standardized Drug Treatment Intake Registration Form as

the GRENDEN Indicator on admissions to Carlton House and the Rathdune

Psychiatric Unit (January).

Prepared the Draft GRENDEN Indicator on Admissions to the Grand Bacolet

Juvenile Rehabilitation and Treatment Centre, and Developed Indicators for

the Probation Unit (October).

Data Provided data for the implementation of the Caribbean Prevention and

Treatment Training and Certification Program (PROCCER) (January-March).

Commenced data collection from the following Institutions:

a. Princess Alice Hospital, St. Andrew’s (September).

b. Princess Royal Hospital, Carriacou (September).

Provided data for the implementation for the, ‘Ask, Listen, Learn’,

programme in Grenada (October).

Publications Published four (4) editions of the GRENDEN Fact Sheets. (March, June,

September, December)

Published the GRENDEN Annual Report, 2015 (May 2016)

Technical Assistance Collaborated with the University of Michigan School of Public Health, and

University of Illinois, for the revision of the National Schools’ Policy on Drugs

(February-March).

Provided technical assistance to the Office of Drug Control Policy of Antigua

and Barbuda, on the formulation of Indicators (November).

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Component

Activities

Meeting Participated in virtual meeting with Mr. Pernell Clarke, Research Specialist,

CICAD, Ms. Tiffany Barry, Project Assistant CICAD, Staff at Mt. Gay

Psychiatric Facilities, and staff Drug Control Secretariat, to discuss

implementation of the Standard Drug Treatment Intake Registration Form

(10 May 2016).

Mrs. Elizabeth Japal, Officer with responsibility for GRENDEN, attended the

1st Annual Meeting of COPOLAD1 II National Drugs Observatories, held in

Jamaica (5 to 9 December 2016).

1 COPOLAD (Cooperation Programme on Drugs Policies) is a partnership cooperation programme between

the European Union, Latin America and the Caribbean countries aiming at improving the coherence, balance and impact of drugs policies, through the exchange of mutual experiences, bi-regional coordination and the promotion of multisectoral, comprehensive and coordinated responses.

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GRENDEN Work Programme 2017: Logic Model Matrix

The following is the GRENDEN work programme for the year 2017. It identifies priority action areas for implementation, identified by Drug Control Secretariat, which functions as the National Observatory on Drugs in Grenada.

Intervention Logic

Verifiable Indicator

Source of Verification

Assumptions

1.Standardized Drug Treatment Intake Registration Form 1.1 Data 1.2 Training

Collate, verify and analyze data Train staff at Carlton House and Rathdune Psychiatric Unit in the use of the Standardized Drug Treatment Intake Registration Form

Data collected Cadre of persons trained

Access to data Availability of staff for training

2.GRENDEN Indicators 2.1 New Indicators

Develop Indicators for the Probation Unit, Grand Bacolet Juvenile Rehabilitation and Treatment Centre, and the Magistrates Courts (St. George’s, St. David’s)

Indicators for data collection

Approval of the Indicators by the Institutions

3. GRENDEN Publications 3.1 Annual Report, 2016 3.2 Biannual Report, July to December 2016 3.3 Biannual Report, January to June 2017 3.4 GRENDEN Fact Sheet

Preparation of documents for publication

Publication of documents

Timely access to the data, to prepare and publish the reports

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Intervention Logic

Verifiable Indicator

Source of

Verification

Assumptions

4. Multilateral Evaluation Mechanism (MEM) of the Inter-American Drug Abuse Control Commission (CICAD) 4.1 Inter-Governmental Working Group (IWG) 4.1 Indicators

Participate in the meeting (s) of the IWG to prepare logistics for the implementation of the Seventh Evaluation Round of the MEM) Collect data, complete and submit the Indicators to CICAD

Attendance to meeting (s) of the IWG Submission the completed indicators to CICAD

Availability of funding to attend the meeting(s) Access to the data

5. Report on Drug Use in the Americas 5.1 Data for CICAD’s report

Collect and submit data for CICAD’s report

Timely submission the completed indicators to CICAD

Access to the data

6. Collaboration with Institutions 6.1 Strengthen collaboration with institutions which collect and publish data on drug-related matters and other relevant data

Liaise with institutions including Cooperation Programme on Drugs Policies (COPOLAD), CICAD, Central Statistics Unit (Grenada)

Exchange of data and information

Willingness to collaborate

7. GRENDEN Annual Meeting 7.1 Conduct the Twelfth Annual Meeting of GRENDEN

Prepare and conduct the meeting

Meeting conducted

Invitees attend meeting

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Appendix 1:

GRENDEN Indicators

No.

GRENDEN Indicators

Objectives of Indicators

Officers/ Ministries

/Departments Responsible for Completion of Indicators

1 A

1 B

1 C

1D

1E

1F

Admissions, Rathdune Psychiatric Unit Admissions, Carlton House Admissions, General Hospital Admissions, Mt. Gay Psychiatric Hospital Admissions, Princess Alice Hospital Admissions, Princess Royal Hospital

To determine the number of persons who had access to care due to problems associated with the consumption of drugs.

Nurse Brenda Jones, Rathdune Psychiatric Unit Nurses Brenda Scott & Gary Cox, Carlton House Ms. Verlina Straker Medical Records Office, General Hospital Joanna Humphrey, Matron, Mt. Gay Psychiatric Hospital Ms. Laslyn Powlette Theresa Hamlet Matron

2 Mortality To determine the number of drug-related mortality cases caused by problems associated with the consumption of drugs.

Ms. Verlina Straker Medical Records Office, General Hospital

3 Scope of the Mechanisms for the Control of the Diversion of Pharmaceutical Products and Controlled Chemical Substances

To determine the volumes of seizures in cases of diversion of pharmaceutical products. To determine the number of pre-export notifications received, and approved for imports of controlled chemical substances. To determine the volumes of seizures in cases of diversion of controlled chemical substances.

Ms. Marcelle Belmar, Pharmacy Unit, Ministry of Health

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No.

GRENDEN Indicators


Officers Responsible for Completion of Indicators

4 Seizures (Customs) To determine forfeitures made in connection with drug trafficking.

Mr. Ken Baptiste Customs and Excise Department

5 Seizures, Arrests, Court Cases (Criminal Records Office

To determine the number of persons involved in cases in the area of controlled drugs, and related matters. To determine forfeitures made in connection to controlled drugs.

Sergeant Toppin Pierre Criminal Records Office, Royal Grenada Police Force

6 Criminal Deportees To determine the number of criminal deportees and the offences committed by these persons prior to deportation. To determine the number of criminal deportees who were arrested for criminal offences, since their deportation.

Corporal Sharm Roberts, Criminal Investigation Department, Royal Grenada Police Force

7 Financial Crimes To determine the number of suspicious transactions reported. To determine the number of persons arrested and charged for money laundering offences. To determine the number of extradition requests made and received in the area of money laundering, and drug- related matters.

Inspector Raymond Lockiby (Ag.) Financial Intelligence Unit

8 Firearms, Ammunition, Explosives, Other Related Materials

To determine the existence of a national database and statistics on seizure and forfeiture of these materials. To demonstrate the link existing between illicit traffic in firearms, ammunition, explosives and other related materials and narcotrafficking.


9 Incarceration To determine the number of persons who were incarcerated for drug-related offences.

Mr. Kester Charles, Her Majesty’s Prisons

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No.

GRENDEN Indicators


Officers Responsible for Completion of Indicators

10 Tests for Presence of Controlled Drugs

To determine the number of tests conducted for the presence of controlled drugs.

Mr. Erwin Henry, Produce Chemist Laboratory, Ministry of Agriculture

11 Extent, Patterns and Trends in Drugs

To determine recent trends in drug use, production, trafficking and related issues.

Mr. Dave Alexander & Mrs. Elizabeth Japal, Drug Control Secretariat

12 Magnitude of Drug Consumption

To determine the magnitude of drug consumption To determine the nature and extent of the drug situation in Grenada and related matters, based on the findings of research studies.

Mr. Dave Alexander & Mrs. Elizabeth Japal, Drug Control Secretariat Drug Control Secretariat

13 Aliens Sent from Grenada To determine the number of persons sent from Grenada by relevant authorities for drug-related offences

Sergeant Elyan Purcell, Immigration Department, Royal Grenada Police Force

14 Domestic Violence and Homicides

To determine the number of persons arrested and charged for drug-related acts of domestic violence and homicides


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Appendix 2:

GRENDEN Principal and Alternate Focal Points

GRENDEN Indicator

Ministry/Department

Principal Focal Point

Alternate Focal Point

1A: Admissions Rathdune Psychiatric Unit Mt. Gay St. George’s

Ms. Brenda Jones Nurse Assistant

Ms. Suzian Walker Staff Nurse

1B: Admissions Carlton House Mt. Gay St. George’s

Mrs. Brenda Scott Ward Manager Nurse

Mr. Gary Cox Nurse

1C: Admissions Medical Records Office, General Hospital St. George’s

Ms. Verlina Straker Medical Records Clerk

Ms. Shakima Frank-Lewis Medical Records Assistant

1D: Admissions Mt. Gay Psychiatric Hospital Mt. Gay St. George’s

Ms. Joanna Humphrey Matron

Mrs. Joycelyn Victor-Blackman Ward Manager

1E: Admissions Medical Records Office Princess Alice Hospital Mirabeau St. Andrew's

Ms. Laslyn Powlette Medical Records Clerk

Alternate to be identified

1F: Admissions Princess Royal Hospital Belair Carriacou

Theresa Hamlet Matron

Sister Endeave Mc Lawrence Ward Manager

2A: Mortality Medical Records Office General Hospital St. George’s

Ms. Verlina Straker Medical Records Clerk

Ms. Shakima Frank-Lewis Medical Records Assistant

2B: Mortality Medical Records Office Princess Alice Hospital Mirabeau St. Andrew's

Ms. Laslyn Powlette Medical Records Clerk


2C: Mortality Princess Royal Hospital Belair Carriacou

Theresa Hamlet Matron

Sister Endeave Mc Lawrence Ward Manager

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GRENDEN Indicator

Ministry/Department



3: Scope of the Mechanisms for the Control of the Diversion of Pharmaceutical Products and Controlled Chemical Substances

Pharmacy Unit, Ministry of Health Ministerial Complex Botanical Gardens St. George’s

Ms. Marcelle Belmar Pharmacy Inspector


4: Seizures Customs and Excise Department Carenage St. George’s

Mr. Ken Baptiste Class I Customs Officer


5: Seizures, Arrests, Court Cases

Criminal Records Office Royal Grenada Police Force Cross Street St. George’s

Mr. Toppin Pierre Sergeant

Mr. Kimon Charles Constable

6: Criminal Deportees

Criminal Investigation Department Royal Grenada Police Force

Mr. Sharm Roberts, Constable

Mr. Earl Dunbar Superintendent (Ag.)

7: Financial Crimes

Financial Intelligence Unit P.O. Box 2028 St. George’s

Mr. Raymond Lockiby Inspector (Ag.)

Mr. Terrence Mason Inspector (Ag.)

8: Firearms, Ammunition, Explosives, Other Related Materials

Criminal Records Office, Royal Grenada Police Force



9: Incarceration Her Majesty’s Prisons Richmond Hill St. George’s

Mr. Kester Charles Prison Officer

Mr. Dexter Williams Prison Officer

10: Tests for Presence of Controlled Drugs

Produce Chemist Laboratory, Tanteen St. George’s

Mr. Erwin Henry, Chief Analytical Chemist

Mr. Christopher Johnson

11: Extent, Patterns and Trends in Drugs

Drug Control Secretariat Ministry of Education and Human Resource Development Tanteen St. George’s

Mrs. Elizabeth Japal Assistant Drug Avoidance Officer

Mr. Dave Alexander Drug Control Officer

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GRENDEN Indicator

Ministry/Department



12: Magnitude of Drug Consumption

Drug Control Secretariat Ministry of Education and Human Resource Development Tanteen St. George’s

Mrs. Elizabeth Japal, Assistant Drug Avoidance Officer

Mr. Dave Alexander Drug Control Officer

13: Aliens Sent from Grenada

Immigration Department Royal Grenada Police Force Tanteen St. George’s

Mr. Esau Pierre Superintendent Chief Immigration Officer

Mr. Elyan Purcell Sergeant

14: Domestic Violence and Homicides

Criminal Records Office, Royal Grenada Police Force



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Appendix 3:

Photos

Adrienne Cocci, Master of Public Health Candidate, University of Michigan, Carvell Lambert-Bartholomew, Clerk-Typist, Drug Control Secretariat,

Rachel Forche, Master of Public Health candidate, University of Michigan, At the Drug Control Secretariat,

4 March 2016

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Presentation of Revised Draft National Schools’ Policy on Drugs, By Members of the Public Health Assistance Support Team (PHAST2, University of

Michigan & Drug Control Secretariat

(Left to right): Ms. Chinyere Neale, Ms. Adrienne Cocci, Dr. Phyllis Meadows, Mr. Dave

Alexander, Ms. Dana Thomas, Dr. Rohan Jeremiah, Ms. Rachel Forche, 4 March 2016

2 PHAST members: Ms. Chinyere Neale, Adrienne Cocci, Dr. Phyllis Meadows, Ms. Dana Thomas, Dr. Rohan Jeremiah, Rachel Forche,

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Closing Ceremony, Ask, Listen, Learn Program, (left to right: Olympian Kurt Felix,

Honourable Anthony Boatswain, Minister for Education, Human Resource Development and the Environment,

Dr. Francis Martin, Director of Primary Health Care, Senior Medical Officer, Ministry of Health, Mrs. Elizabeth Japal, Assistant Drug Avoidance Officer, 23 June 2016

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PROCCER Graduates Certification Ceremony, Ministry of Education, Human Resource Development & the Environment,

22 September 2016

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Ms. Laurel Victor, Most Outstanding PROCCER Student, Addresses PROCCER Graduates Certification Ceremony,

Ministry of Education, Human Resource Development & the Environment, 22 September 2016

twelfth annual meeting; grenada drug epidemiology … · report: tenth annual general meeting of...

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