Idea Transcript
MACOMB COUNTY OFFICE OF SUBSTANCE ABUSE
Fall/Winter 2008
MCOSA NEWS The MCOSA news is published by the Macomb County Office of Substance Abuse 22550 Hall Road, Clinton Township, MI 48036 (586) 469-5278 or (586) 469-5568 (FAX) with support from the Macomb County Community Mental Health Board and Macomb County Board of commissioners. MCOSA ADVISORY COUNCIL Mr. Gary M. Burnett
Mr. Michael Gallagher
Ms. Nancy Jenuwine Sgt. Patrick Richard
Ms. Theresa Morin Mr. David Saad, Chair
Ms. Patti Steele
Ms Janet Teltow
Mr. Eric Jackson Ms. Kathy Rager Ms. Joanne Smyth
MCCMH Board Representative: Ms. Jan Wilson Ms. Patricia Bill (alternate) MCOSA STAFF Mr. Randy O'Brien, Director Ms. Helen Klingert, Assistant Director Mr. Dana Gire, Prevention & Training Coordinator Ms. Mary Jo Owiesny, Quality Assurance Coordinator Ms. Carol Hyso, Data & Finance Coordinator Ms. Dawn Radzioch, Prevention & Training Assistant Ms. Yvonne Tipton, Data & Finance Assistant Ms. Karen West, Account Clerk Ms. Donna Onifer, Account Clerk Ms. Lisa Carrizales, Secretary SUBSTANCE ABUSE CERTIFICATION The Michigan Certification Board for Addiction Professionals (MCBAP) currently offers CAAC- Certified Advanced Addiction Counselor CAC-R Certified Addictions Professional-IC&RC Reciprocal (formerly CAC-II) CCS-R Certified Clinical Supervisor-IC&RC Reciprocal CPS-R Certified Prevention Specialist-IC&RC Reciprocal CPC-R Certified Prevention Consultant-IC&RC Reciprocal CCJP Certified Criminal Justice Professional For questions please contact? Michigan Certification Board for Addiction Professionals (www.mcbap.com) or call (517) 347-0891. FUNDAMENTAL OF ALCOHOL AND OTHER DRUG PROBLEMS, FAODP, Exam The FAODP is offered through the Macomb County Office of Substance Abuse. This exam is not accepted as educational hours for the above certifications after October 31, 2008. FAODP EXAM DATES (MONDAY – New day of week for 2009) February 23, 2009 May 18, 2009 August 24, 2009
November 23, 2009
The IC&RC exams are given through MCBAP quarterly. Please contact them at www.mcbap.com to register. To order study guides for the FAODP or IC&RC, call (800) 626-4636.
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MCOSA NEWS
ACCESSING MCOSA FUNDED SERVICES HAS CHANGED Macomb County Community Mental Health, Office of Substance Abuse (MCOSA) is the designated Coordinating Agency for substance abuse prevention and treatment services for Macomb County. One of MCOSA’s primary roles include subcontracting with community agencies to provide substance abuse treatment services for indigent and low income residents who do not have the financial means to pay for substance abuse treatment services, including individuals with Macomb County Medicaid, Adult Benefit Waiver or MIChild coverage. MCOSA has maintained a long standing successful subcontract with Community Assessment, Referral and Education Center (CARE) to provide face-to-face substance abuse assessments to assist individuals in determining treatment needs. Effective October 1, 2008, the process for assisting individuals in accessing MCOSA funded services has changed to allow for quicker access to treatment services. As of October 1, individuals seeking funded substance abuse detoxification, residential, intensive outpatient or methadone assisted treatment no longer need to schedule an appointment with CARE for an assessment. Instead, CARE will conduct a substance abuse treatment screening at the time a caller first contacts them for services, and will immediately assist them in determining the appropriate level of treatment and provider selection and link the caller with the selected treatment agency to schedule services. A comprehensive assessment will continue to be completed at the treatment agency and used to establish an individualized treatment plan to meet the person’s needs. Individuals looking to enroll in outpatient substance abuse treatment services can contact a MCOSA subcontracted treatment provider directly for services or call CARE for assistance. A complete list of MCOSA subcontracted treatment providers can be found at MCOSA’s website, www.mcosa.net by selecting “Treatment”, then, “Publicly Funded Treatment Agencies”. MCOSA believes that this change will allow for quicker access to treatment for those seeking it and will result in better first appointment attendance rates at providers referred to by CARE. If you have questions regarding the access system, please contact MCOSA. To access a substance abuse treatment screen, contact CARE at (586) 541-2273.
FEDS SAY MARIJUANA POTENCY PEAKS A report released by the Office of National Drug Control Policy (ONDCP) says that marijuana samples gathered last year averaged 9.6 percent in THC level, the highest in 30 years. In 1983, the average level of THC -- the main psychoactive ingredient in marijuana -was 4 percent; it was 8.75 percent in 2006. Drug czar John Walters said that the higher potency of marijuana posed a variety of health risks for users. "Today's report makes it more important than ever that we get past outdated, anachronistic views of marijuana," he said. "The increases in marijuana potency are of concern since they increase the likelihood of acute toxicity, including mental impairment," added Nora Volkow, director of the National Institute on Drug Abuse, which funded the University of Mississippi study. "Particularly worrisome is the possibility that the more potent THC might be more effective at triggering the changes in the brain that can lead to addiction." However, researcher Mitch Earleywine of the State University of New York said that stronger marijuana doesn't necessarily increase health risks and that there is no evidence to suggest that it leads to more addiction. Earleywine said that users can adjust their consumption according to how strong the drug is and that "stronger cannabis leads to less inhaled smoke." http://www.jointogether.org/news/headlines/inthenews/2008/feds-say-marijuana-potency.html
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MCOSA NEWS
HEROIN USE TRENDS The National Survey on Drug Use and Health (NSDUH) estimates that 379,000 Americans aged 12 or older used heroin in 2005, including 108,000 who used the drug for the first time. Routes of administration for heroin include inhalation, injection, smoking, and other means such as oral ingestion. Trends in heroin treatment admissions can be monitored with the Treatment Episode Data Set (TEDS), which compares trends in primary heroin inhalation and injection admissions between 1995 and 2005. •
Based on SAMHSA's Treatment Episode Data Set (TEDS), annual admissions to substance abuse treatment for primary heroin abuse increased from 228,000 in 1995 to 254,000 in 2005.
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The proportion of primary heroin admissions who reported injecting heroin in 2005 was 63%.
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Primary heroin admissions who inhaled heroin during 2005 was 33%.
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The proportion of primary heroin injection admissions for which medication-assisted opioid therapy was planned declined in the past decade from 55% in 1995 to 31% in 2005.
Annual admissions to substance abuse treatment for primary heroin abuse increased from 228,000 in 1995 to 254,000 in 2005; however, the proportion of primary heroin admissions remained steady at about 14 to 15 percent of all admissions. Between 1995 and 2005, inhalation and injection accounted for at least 94% of annual primary heroin admissions. In every year from 1995 to 2005, most TEDS admissions for primary heroin addiction injected the drug. The proportion of primary heroin admissions who inhaled the drug increased from 27 percent in 1995 to 33 percent in 2005.
There was also a shift in the age at admission of primary heroin injection versus inhalation admissions. Eighteen percent of primary heroin injection admissions were younger than 30 years of age at admission in 1995; by 2005, this proportion increased to 36 percent. The proportion of primary heroin injection admissions entering substance abuse treatment for the first time was relatively steady from 1995 to 2004, varying between 18 and 20 percent before increasing to 23 percent in 2005. http://www.oas.samhsa.gov/2k7/heroinTX/heroinTX.htm
MACOMB COUNTY HEROIN ADMISSION TRENDS The Macomb County Office of Substance Abuse (MCOSA) monitors admission trends locally for those whose treatment is publicly funded. Over the past five years, there has been a shift in the primary drugs of abuse reported at admission. In 2003 the primary drugs were alcohol, cocaine and marijuana. Data from FY 06-07 indicates alcohol and opiate admissions were nearly equal at 36 and 35% respectively, with by cocaine admissions a distant third at 15%. Opiate use, either as street heroin or illicitly obtained and/or abused prescription pain medication, rose from 22% of the admissions in 2003 to 35% in 2007. Twenty percent of all admissions were for individuals who had injected drugs in the month before coming to treatment. If you or someone you love needs help with opiate or other alcohol or drug abuse or addiction, here’s what to do. Call CARE, the central substance abuse screening agency for Macomb County at 586-541-2273 for assistance or information, including referrals to treatment. Visit the MCOSA website, www.mcosa.net for information on treatment and local self help resources for the family and/or person struggling with addition, online resources and MCOSA’s lending library about addiction and recovery. http://www.mcosa.net. Knowledge is power against addiction. 4
MCOSA NEWS
NEGATIVE EXPERIENCES COULD PRECIPITATE EARLY DRINKING A study has found that children who deal with hardships such as abuse, divorce or substance abuse in the home may be more likely to begin using alcohol at a young age, according to Reuters Health. Researchers for the study of 3,600 Americans ages 18 to 39 were able to link earlier onset of drinking to five specific childhood experiences: physical abuse, sexual abuse, living with a family member with mental illness, substance abuse in the home, and parents' divorce or separation. Adults who reported having any of these experiences were more likely to have used alcohol before the age of 15 and also were more likely to have used alcohol in order to cope with their problems. The researchers said their findings are important in identifying particularly problematic issues in childhood and in pointing to early activities that can shape drinking patterns well into adulthood. Researchers led by Emily Rothman, Sc.D., of the Boston University School of Public Health, found in their analysis of adults who were current or former drinkers that childhood abuse had the strongest association with early drinking. The risk of starting drinking before age 15 was two to three times higher for children who had experienced abuse. Having a family member with a mental illness or substance abuse problem was the factor causing the next highest level of risk for early drinking. Rothman and colleagues emphasized that these factors do not increase the risk of early drinking as a coping mechanism for all young people, adding that a lack of adult supervision might be linked with children's early drinking experiences. This would be the case particularly for a parent with mental illness who might not be capable of monitoring a child's activities, they stated. Study results were published in the August issue of Pediatrics. http://www.jointogether.org/news/research/summaries/2008/negative-childhood.html
POLL LOOKS AT AMERICAN ATTITUDES TOWARD RECOVERY Almost half of Americans know someone who is in recovery, according to a poll conducted for the Substance Abuse and Mental Health Services Administration (SAMHSA). The survey showed that most people support recovery, and believe that prevention and treatment work. “These results are encouraging and offer hope to everyone affected by substance abuse problems,” said SAMHSA Acting Administrator Eric Broderick. “The survey shows that the American people believe that prevention and treatment efforts make a real difference in addressing this public health challenge and improving lives.” However, the poll also found that there are people who would not feel comfortable being friends, neighbors, or co-workers of people in recovery. The poll also compared attitudes toward recovery from addiction to alcohol, to attitudes toward recovery from addiction to illicit and prescription drugs. It found that 57% of Americans would feel comfortable living next to someone in recovery for addiction to alcohol, compared to 46% who would feel comfortable living next to someone in recovery for addiction to illicit or prescription drugs. The survey was conducted by Opinion Research Corporation and Macro International, by phone interviews with 1,010 adults. The margin of error was plus or minus 3%. For the complete survey findings, go to www.samhsa.gov/attitudes. Alcoholism & Drug Abuse Weekly, October 6, 2008 Edition
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MCOSA NEWS
ALCOHOL IS NOT A HEALTH FOOD CNN reported a new study that confirms alcohol is not a health food! Any amount of alcohol can decrease brain size. I like to say when it comes to the brain, size matters. People who drink alcohol — even the moderate amounts that help prevent heart disease — have a smaller brain volume than those who do not, according to a study in the Archives of Neurology. While a certain amount of brain shrinkage is normal with age, greater amounts in some parts of the brain have been linked to dementia. “Decline in brain volume — estimated at 2 percent per decade — is a natural part of aging,” says Carol Ann Paul, who conducted the study when she was at the Boston University School of Public Health. She had hoped to find that alcohol might protect against such brain shrinkage. “However, we did not find the protective effect,” says Paul, an instructor in the neuroscience program at Wellesley College. “In fact, any level of alcohol consumption resulted in a decline in brain volume.” In the study, Paul and colleagues looked at 1,839 healthy people with an average age of about 61. The patients underwent magnetic resonance imaging (MRI) of the brain and reported how much they tippled. Overall, the more alcohol consumed, the smaller the brain volume, with abstainers having a higher brain volume than former drinkers, light drinkers (one to seven drinks per week), moderate drinkers (eight to 14 drinks per week), and heavy drinkers (14 or more drinks per week). In women, even moderate drinkers had a smaller brain volume than abstainers or former drinkers. It’s not clear why even modest amounts of alcohol may shrink the brain, although alcohol is “known to dehydrate tissues, and constant dehydration can have negative effects on any sensitive tissue,” says Paul. “We always knew that alcohol at higher dosages results in shrinking of the brain and cognitive deficit,” says Dr. Petros Levounis, M.D., director of the Addiction Institute of New York at St. “What is new with this article is that it shows brain shrinking at lower doses of alcohol.” http://www.amenclinics.com
ALCOHOL GIVEN TO UNDERAGE DRINKERS BY ADULTS Parents and guardians are among the adults who give people under 21 alcohol, according to a new study by the federal Substance Abuse and Mental Health Services Administration (SAMHSA). The study, released in June, showed that more than 40% of the 10.8 million underage current drinkers (people age 12 to 20) were given alcohol by adults. “In far too many instances parents directly enable their children’s underage drinking – in essence encouraging them to risk their health and wellbeing,” said Acting Surgeon General Steven K. Galson, M.D., M.P.H., a rear admiral in the U.S. Public Health Service, in announcing the study. “Proper parental guidance alone may not be the complete solution to this devastating public health problem – but it is a critical part.” Highlights of the report: • More than half of all people aged 12 to 20 engaged in underage drinking in their lifetime. • More than 9 percent of these young people meet the diagnostic criteria for either alcohol dependence or abuse – an average of 3.5 million people. • 1 in 5 youth have engaged in binge drinking (5 or more drinks at a time) at least once in the past month. • Rates of binge drinking are significantly higher among young people living with a parent who engaged in binge drinking within the past year.
The study is based on combined data from the National Surveys on Drug Use and Health conducted in 2002 to 2006. June 30, 2008 Alcoholism & Drug Abuse Weekly
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MCOSA NEWS - LICENSING In keeping with the requirements of Public Act 368 of 1978, the Macomb County Community Mental health – Office of Substance Abuse is requesting community comment on new and renewal substance abuse license applications. Any individual or organization who offers, or purports to offer, substance abuse prevention or treatment services and charges for those services must be licensed through the Michigan Department of Consumer and industry Services, unless they are already licensed in certain specific disciplines. Opportunities to comment on license applications are provided through the local Coordinating Agency (Macomb County Community Mental Health – Office of Substance Abuse) and its Advisory Council. If you wish to provide comments about any of the programs listed below, please contact the Macomb County Office of Substance Abuse at (586) 469-5278. We would prefer comments in writing, but you may call or request a hearing before the Macomb County Community Mental Health – Office of Substance Abuse Advisory Council at its next meeting. The Advisory Council meets at 8:30 a.m. on the first Wednesday of each month. A full and current list of Licensed Substance http://www.cis.state.mi.us/bhs_car/sr_sal.asp 37th District Court-Warren (COURT) 38th Eastpointe Municipal Court (COURT) 39th District Court-Roseville (COURT) 40th District Court-St. Clair Shores (COURT,CAIT) 41-A District Court-Sterling Hts (COURT) 41-B District Court-Clinton Twp. (COURT) 41-B District Court-Mt. Clemens (COURT) 42-2 District Court-New Baltimore (COURT) Advanced Counseling Services-St. Clair Shores (OP) Alcohol Highway Safety program-Fraser (CAIT) Alt. Community Living dba New Passages-Mt. Clemens (OP, PEER,INT,CM) Alt. Community Living dba new Passages-Warren (OP, INT) Biomedical Beh Health Systems-Clinton Twp. (METH,OP) Catanese Counseling-New Baltimore (CAIT,OP) Catholic Services of Macomb-Clinton Twp. (OP) Catholic Services of Macomb-Warren (OP) Chambers and Associates Co.-Clinton Twp. (CAIT,SARF) Choices Counseling Center–Sterling Heights (OP,CAIT,SARF) Christian Community Development Corp-Mt. Clemens (CAIT) Clinton Counseling Center-Jail Program-Mt. Clemens (OP,CAIT) Clinton Counseling Center-Mt. Clemens (OP,CAIT,SARF, INT) Community Assessment Referral & Educ.-Fraser (SARF,CAIT,Org Dev, 309,CM) Community Programs – Waterford (Out of County DEX, RES) Completion House-Truning Point-Otter Lake (Out of County RES) Completion House-Turning Point-Pontiac (Out of County RES,OP) CUBE–Clinton Twp. (CAIT) Debra Gainor-Shelby Twp. (OP,SARF) Diagnostic Assessment Center- SCS (OP, SARF, CAIT, PEER) Dr Ronald Fenton & Assoc – Clinton Twp. (SARF, OP) Driver Intervention Program-Richmond (CAIT) Eastwood Clinics-Clinton Twp. (OP,SARF, INT) Eastwood Clinics-Eastpointe (OP,SARF,CAIT, INT) Eastwood Clinics-Royal Oak (Out of County RES) Everest Association-Utica (CAIT) Evergreen Counseling Center-Shelby Twp (OP) Health Management Systems of America-Eastpointe (SARF) Health Management Systems of America-Shelby Twp. (SARF) Health Management Systems of America-Sterling Hts (SARF) Henry Ford Beh. Services CD-Clinton Twp. (OP,CAIT) Interventions-Clinton Twp. (OP,CAIT,SARF) Introspections-Sterling Hts (OP,SARF) Kairos Healthcare-Bridgeport (Out of County ADOL RES, INT, CM, SARF, OP, CAIT) Kenvin-St. Clair Shores (CAIT) Khalil Family Wellness & Intervention LLC– Eastpointe (SARF,OP,CAIT) Life Map, L.L.C. – Chesterfield (OP, SARF, CAIT) Lutheran Child & Family Services of MI –Warren (SARF,OP,CM,CAIT)
Abuse
providers
can
be
obtained
through
the
state
at
Macomb County Probation Department (COURT) Macomb Family Services-Clinton Twp. (OP,CAIT,SARF,INT) Macomb Family Services-Richmond (OP,CAIT,SARF,INT) Macomb Family Services-Romeo (OP,CAIT,SARF, INT) Macomb Family Services-Shelby Twp. (OP,CAIT,SARF,INT) Macomb Intermediate School District-Clinton Twp. (CAIT) Mental Morphosis-Warren (OP, SARF) Metro Family Support Counseling-Sterling Hts (OP, INT, EI, CM) MRL Consultants-Mt. Clemens (CAIT) New Alternatives Inc-Centerline (OP,SARF) New Oakland Child, Adolescent & Family-Clinton Twp. (OP) Oakland Psychological Clinics-Fraser (OP,CAIT) Options Counseling Service-Eastpointe (OP,CAIT,SARF) Parkview Counseling Center-Roseville (METH,OP) Person Centered Counseling Services –Mt Clemens (SARD,CAIT,OP) Perspectives of Troy-Sterling Hts (OP) PHC dba Harbor Oaks-New Baltimore (INT,OP,CAIT,SARF) PHC Pioneer Counseling Center-Clinton Twp. (OP,SARF) PHC Pioneer Counseling Center-Sterling Hts (OP, INT, SARF) Potters House C.I.P.-Warren (CAIT) Premier Services-Madison Hts (METH,OP) Premier Services-Warren (METH,OP, INT) PREVCO-Fraser (CAIT) Rainbow Treatment Cetner-St. Clair Shores (OP) Renewal Christian Counseling-Clinton Twp. (CAIT,OP,SARF) S.A.T.E.C. LLC – Roseville (OP, SARF, CM) Sacred Heart dba Clearview-Port Huron (Out of County RES) Sacred Heart-Memphis (DEX,RES, OP, METH, EI, INT, PEER,CM) Sacred Heart-New Haven (OP,CAIT,SARF,INT,EI,PEER,CM) Sacred Heart-Warren (OP,CAIT, SARF, PEER, INT, EI, CM) Salvation Army Harbor Light-Macomb (RES,DEX,RES,OP,CAIT,SARF) St. Joseph’s Center for Beh. Medicine-Clinton Twp. (OP) T&G Corporation – Warren (OP, INT, CM, IP) Time Out Counseling-Warren (OP,CAIT,SARF) Tina Persha-Shelby Twp. (OP,CAIT,SARF) Ventures Assertive Community Treatment (INT, OP) Wentworth and Assoc PC- Utica (OP, INT, SARF)
Key:
CAIT = information/prevention/problem assistance CM = case management COURT = designated screening agency EI = early intervention INT = integrated treatment IP = Inpatient OP = outpatient PEER = peer recovery and support RES = residential SARF = screening assessment referral & follow-up METH = methadone ADOL = adolescent
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MCOSA NEWS Macomb County Office of Substance Abuse
PRSRT STD US POSTAGE PAID
22550 Hall Road
MT CLEMENS MI
Clinton Township, MI 48036
PERMIT NO. 1
KICK BUTTS DAY is Wednesday, March 25, 2009 PREVENTION NETWORK GRANT AWARDS Turner Chapel C.M.E. Church received $2,500 for tobacco education during a summer program. The curriculum “Talking Tobacco” was delivered along with other “teachable moments” in all parts of the program. Cousino High School SADD in Warren received $2,500 for leadership training as an “investment” in follow-up planning and outreach by leader youth to peers during school year 2008-2009. For more information regarding these grants please contact Sheila Taylor at Prevention Network 1 (800) 968-4968.
Macomb County Crisis Center The Crisis Center will be operating a Christmas Help Referral Program for Macomb County residents. Please call (586) 307-9100 (voice/T.T.Y). Collect calls accepted.
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