MD SEOW Maryland State Epidemiolog

2. Project Staff CESAR Researchers Eric Wish, Ph.D. Erin Artigiani, MA Cheryl Rinehart, ABD Maggie Hsu, MPH Maribeth Rezey, BA Joe Tedeschi ADAA Policy/Program Eugenia Conolly, M.Ed. Sue Jenkins, MA Suzette Tucker, MHS David Ennis, M.Ed. Bruce Meade, MA Virgil Boysaw, Jr., MPA Bill Rusinko, MA Erik Gonder

3. SEOW Mission The MD SEOW will monitor the use of alcohol, tobacco, and other drugs and the consequences of their use in Maryland and its localities in order to identify and prioritize the prevention needs of the state and its local jurisdictions. To achieve this end the MD SEOW will oversee the collection, interpretation, and dissemination of statewide and local data that quantifies substance use and its consequences for Maryland.

4. How Did we Develop a County Epidemiological Profile for Maryland? Met with SEOW members to identify what data was available Held a focus group with select local partners (i.e., prevention coordinators from each jurisdiction) to identify how they needed to use the data and to discuss possible formats These 3 methods were developed to facilitate and encourage the use of data in the planning process. We developed report to assist with each major function performed by the county coordinatorsThese 3 methods were developed to facilitate and encourage the use of data in the planning process. We developed report to assist with each major function performed by the county coordinators

5. What Do Our Local Partners Need? Data to support each key function of the county addiction and prevention coordinators Access data for grants, reports, presentations Plan and monitor programs Educate the general public Educate state and local policymakers

6. What Formats Did Our Local Partners Want ? Data rich reference document suitable for use when preparing grant proposals and reports that facilitates cross county and state comparisons. County specific graphics, suitable for use in presentations, provided with talking points. Short, readable county specific monitors suitable for broad distribution

7. What did We Produce? Cross County Compendium County Data Graphics Portfolio County Monitor

9. Cross County Compendium Overview Compiled as resource to facilitate state and cross county comparisons on the conseqences of substance use and consumption Produced quickly so all counties could have access to data Approximately 40 pages Tobacco-related deaths and school expulsions were left out because they were ranked as low priorities by the county coordinators The table provides the raw data and the chart shows the ranking of the counties. Has be completed and distributed to all of the county addiction and prevention coordinators Also available online at ADAA and CESARTobacco-related deaths and school expulsions were left out because they were ranked as low priorities by the county coordinators The table provides the raw data and the chart shows the ranking of the counties. Has be completed and distributed to all of the county addiction and prevention coordinators Also available online at ADAA and CESAR

10. Cross County Compendium Format 1 table and 1 chart for each indicator providing recent data on: Alcohol and Illicit drug dependence Alcohol-related crashes Violent crime attributed to alcohol Property crime attributed to illicit drugs Alcohol and illicit drug deaths Alcohol- and drug-related suspensions HIV/AIDS cases Adult and youth alcohol and illicit drug consumption Alcohol and illicit drug treatment admissions The table provides the raw data and the chart provides a visual county ranking No interpretation provided

11. Table 13: Prevalent HIV/AIDS Cases, IDU-Related Exposure Among Prevalent HIV/AIDS Cases; HIV/AIDS Prevalence Rate and HIV Incidence Rate, by County and Statewide, 2004

12. NOTES: Violent Crime includes murder and non-negligent manslaughter, forcible rape, robbery, and aggravated assault. Estimates provided in �The Economic Costs of Alcohol and Drug Abuse in the United States � 1992� (http://www.nida.nih.gov/economiccosts/index.html) attribute approximately 30% of murders, 23% of rapes, 3% of robberies, and 30% of aggravated assaults to alcohol. ; Estimates of the percentage of crimes attributable to alcohol are derived primarily from self-reports of incarcerated perpetrators of the crimes. The percentage actually attributable to alcohol use may vary across geographic units or subpopulations. SOURCE: Adapted by CESAR from the Crime in Maryland, 2005 Uniform Crime Report. Maryland Uniform Crime Reporting (UCR) Program, Maryland State Police (MSP).NOTES: Violent Crime includes murder and non-negligent manslaughter, forcible rape, robbery, and aggravated assault. Estimates provided in �The Economic Costs of Alcohol and Drug Abuse in the United States � 1992� (http://www.nida.nih.gov/economiccosts/index.html) attribute approximately 30% of murders, 23% of rapes, 3% of robberies, and 30% of aggravated assaults to alcohol. ; Estimates of the percentage of crimes attributable to alcohol are derived primarily from self-reports of incarcerated perpetrators of the crimes. The percentage actually attributable to alcohol use may vary across geographic units or subpopulations. SOURCE: Adapted by CESAR from the Crime in Maryland, 2005 Uniform Crime Report. Maryland Uniform Crime Reporting (UCR) Program, Maryland State Police (MSP).

14. County Data Graphics Portfolio Goal: summarize recent data on substance use and select consequences of substance use in the county Primary Audience: county substance abuse prevention professionals presentations on prevention planning educational outreach professional development

15. County Data Graphics Portfolio 15 PowerPoint graphics with talking points are being produced for each county A user�s guide provided with a description of all data sources Graphics will be suitable for use in presentations They will be distributed electronically to enable county coordinators to adapt the presentation as needed

18. Percentage of Residents Aged 18 or Older Reporting Selected Alcohol and Tobacco Use Behaviors: County, State, and National Estimates in 2006 Key Findings: In 2006, Allegany County�s adult population reported patterns of alcohol use that were similar to those in both the state and nation, with nearly one in five (17%) reporting past month binge drinking, 3% reporting heavy drinking, and 2% reporting past month drinking and driving. In contrast, cigarette use in Allegany County was significantly higher than in the state in 2006. More than one in four (27%) adult Allegany County residents were estimated to be current smokers compared to less than- one in five (18%) for the state. SOURCE: Data from the 2006 Maryland Behavioral Risk Factor Surveillance System (BRFSS), Maryland Department of Health and Mental Hygiene (DHMH) and Centers for Disease Control and Prevention (CDC) and the 2006 National BRFSS, CDC.

21. SEOW County Monitor Goal: brief snapshot of current substance abuse trends Designed to highlight key priority consequence and consumption trends in the county Based on data in the Portfolio Primary Audience: General Public Handout to go along with the portfolioHandout to go along with the portfolio

22. SEOW County Monitor Consumption Data BRFSS NSDUH Maryland Adolescent Survey Treatment Admissions Consequence Data Abuse/Dependence Crime Alcohol- and Drug-Related Crashes Consumption � start broad and go specific, general pop in region, then public high school students and treatment admissions High priority consequences Graphic for each section from the portfolioConsumption � start broad and go specific, general pop in region, then public high school students and treatment admissions High priority consequences Graphic for each section from the portfolio

23. Other Reports CESAR Fact Sheet: Youth and Substance Abuse in Maryland Methamphetamine in Maryland Most epi reports are available on our web site at www.maryland-adaa.org and www.cesar.umd.edu erin@cesar.umd.edu