Methamphetamine Abuse in California

DEA Assessment:

  • Methamphetamine is the primary drug threat in California.
  • In recent years, there has been a decrease in the number of meth labs seized in California and an increase in the number of meth labs just south of the border in Mexico.1

Methamphetamine Use among State Population (2002-2005):

7.3% of persons aged 12 or older reported using meth one or more times during their life.2
2.5% of young adults aged 18-25 reported past year methamphetamine use.
1.1% of persons aged 12 or older reported past year methamphetamine use.3

Drug Offenses:

31% of 2005 Federal Drug Cases in California involved methamphetamine.4

Lab Incidents:

There were 281 lab incidents in 2006.5

Treatment Admissions for Methamphetamine Abuse:

62,785 treatment admissions for methamphetamine/amphetamine abuse in 2005;
37% of all drug abuse treatment admissions.6

State Laws Pertaining to Precursor Chemicals:

No retailer may sell in a single transaction more than 3 packages or 9 grams of a product containing EPH, PSE, NPSE or PPA; A first violation is a misdemeanor. Any person previously convicted of a violation shall, upon a subsequent conviction, be punished by imprisonment in a county jail not exceeding one year, by a fine not exceeding ten thousand dollars ($10,000), or by both the fine and imprisonment.7

Meth Facts

http://www.adp.state.ca.us/Meth/facts.shtml

Methamphetamine Treatment: A Practitioner's Reference CA DADP and UCLA ISAP (2007)

http://www.adp.ca.gov/Meth/pdf/MethTreatmentGuide.pdf

Resources

USA Meth Map:

http://www.adp.state.ca.us/Meth/pdf/methmapusa2.pdf

California Methamphetamine Initiative One Sheet

http://www.adp.ca.gov/Meth/pdf/Meth1sheetfinal.pdf

2006 Methamphetamine PowerPoint Presentation By Kathryn Jett, Director, DADP

http://www.adp.ca.gov/Meth/pdf/Jett_SARC_8-8-06_(final).pdf

2005 Governor's Prevention Advisory Council Methamphetamine: Summary Report: Governor's Prevention Advisory Council (GPAC) Ad Hoc Committee on Methamphetamine: Findings and Recommendations (December 2005)

http://www.adp.ca.gov/Meth/pdf/GPAC_-_Adhoc_Methamphetamine_Findings_and_Recommendations.pdf

UCLA Evaluation on Proposition 36 - Treatment does work for Meth addicts.

http://www.adp.ca.gov/Meth/pdf/SACPA_COSTANALYSIS.pdf

Evaluation of Prop 36 in CA, the California Substance Abuse and Crime Prevention Act of 2000 (SACPA) which requires that offenders convicted of a nonviolent, drug-related crime be offered community-based drug treatment and probation in lieu of jail or prison. Links to TV and Radio Ads (page has separate links to each) Research and Surveys National Association of Counties

The Meth Epidemic in America, 2005 survey results from The Criminal Effect of Meth on Communities and The Impact of Meth on Children.

The Meth Epidemic in America - Health Care and Treatment, 2006 survey about the impact of the methamphetamine epidemic on health care and treatment.

California Meth Initiative:

http://www.adp.ca.gov/Meth/initiative.shtml

The Community Prevention Initiative site includes several resources, particularly those listed below. CPI is administered by California Department of Alcohol and Drug Programs.

Training Guides

Building a Community Response to Methamphetamine Problems: Lessons from the San Diego Methamphetamine Strike Force

Community Building to Address Methamphetamine Prevention

Building Relationships

Community Action Guides

Meth, Men, and HIV

Building Relationships (Brief)

Women and Meth

10 Easy Steps Communities Can Take To Assess and Address Youth Access to Drug Paraphernalia in Liquor Outlets

California Senate Select Committee on Methamphetamine Abuse:

California's Methamphetamine Crisis: Examining Strategies for Prevention, Treatment, and Law Enforcement (2006)

Recommendations to Improve California's Response to Methamphetamine by the California Society of Addiction Medicine. 20-page document with summary of background, data, references and recommendations.

Brief Description of information to be posted: Building and Sustaining a Methamphetamine Community Coalition: A Resource Guide for California Communities (2007)

Local Solutions to Regional Issues

Methamphetamine Recovery Project
Recovery and Reintegration
Community Action in Tough Times
Friday, June 19, 2009
10 a.m. to 2 p.m.
Fresno, CA

AGENDA

10 a.m.Welcome and Overview
Dr. E. Jane Middleton
10:05 a.m.Opening Remarks
Ashley Swearingen, Mayor, City of Fresno
(invited)
10:15 a.m.Ms. Kathryn Jett, Undersecretary, Programs
CA Dept. of Corrections and Rehabilitation
11:15 - 11:45 a.m.Deborah Nankeville, CEO
Fresno Business Council and
Supporter, Human Investment Initiative
12 p.m. - 1 p.m.Lunch is provided
12:15 p.m.Ms. Nicole Parra, Director,
Regional Development Initiatives,
CA Partnership for the San Joaquin Valley
12:30 p.m.Life Lessons
1 p.m.Dr. Virginia Rondero Hernandez
The Effect of Stigma on
Recovery and Reintegration
1:45 p.m.Summary and Next Steps

Recovery and Reintegration - Community Action in Tough Times

What?

An educational convening hosted by the Methamphetamine Recovery Project (MRP) to expand community resources for effective support and successful reintegration of persons in recovery from substance abuse disorders.

When?

June 19, 2009, 10 a.m. to 2 p.m. at the Ramada Inn, Fresno

Why?

Over the last 18 months, the MRP has actively engaged an advisory council of community residents and researched community perceptions about the effects of substance abuse in San Joaquin Valley. A lack of resources for sustainable recovery and community reintegration was identified as one of the most significant gaps in the continuum of care of substance abuse services in the Valley. The findings of 50 community meetings are published in Local Solutions to Regional Issues: A Report from the Methamphetamine Recovery Project.

Significance?

The costs of drug and alcohol problems are distributed across all of society, and issues related to recovery are complex. More than one-half of the costs related to substance abuse are shifted to public and private organizations such as criminal justice, health care, and the workforce. Services that support recovery and reintegration help reduce those costs and increase recovering addicts' capacity for positive contribution to their communities.

Objectives?

Educate local, state, and federal policy makers about the need for supportive community reintegration services for individuals recovering from addiction.

Increase awareness of the public consequences when individuals struggling to maintain sobriety cannot access resources for health, education, safety, and self-sufficiency.

Promote understanding of the public social and economic benefits that result when addicts are able to maintain recovery and reintegrate into their communities.

Encourage fiscal and programmatic policies and legislation to address barriers to sustainable recovery and reintegration, especially for vulnerable populations such as ethnic and cultural minorities, women with children, adolescents, older adults, and individuals with co-occurring substance abuse and mental health disorders.

Who Should Attend?

Individuals and organizations with the authority and responsibility for making decisions about the allocation and use of resources for publicly funded addiction services in the San Joaquin Valley, including:

  • City and county government entities
  • State and federal legislative representatives
  • Community-based treatment and social services agencies
  • Law enforcement and other criminal justice agencies, including drug courts
  • Consumer advocates, individuals in recovery programs, and family members of individuals affected by addiction
  • Philanthropic organizations and foundations

Interested?

For more information or to register contact Juanita Fiorello, 559-294-9772 or jfiorello@csufresno.edu.

There is no cost and lunch will be provided; advance registration is required.

The Methamphetamine Recovery Project operates under the auspices of the California Partnership for the San Joaquin Valley, Health and Human Services Work Group, California State University, Fresno.. See: http://www.sjvpartnership.org/. Rondero Hernandez, Middleton, Fiorello and Cole (2008). See : http://www.csufresno.edu/swert/projects_programs/ccassc/resources/research.shtml.

Local Solutions to Regional Issues

The Methamphetamine Recovery Project Presents

Friday, June 19, 2009
10 a.m. to 2 p.m.
Fresno, CA

To register contact Juanita Fiorello, 559-294-9772 or jfiorello@csufresno.edu

Recovery And Reintegration

Community Action In Tough Times

UCLA Integrated Substance Abuse Programs (ISAP)

Meth Inside Out, video-based treatment curriculum

Meth Inside Out is a video-based treatment curriculum on methamphetamine addiction and recovery designed to equip meth users, their families, and the professionals who assist them with a solid understanding of the biological basis of addiction, effective tools for recovery, and, most importantly, hope for the future.

http://www.methinsideout.com/

Meth Overview

Research Study Summaries

Treatment Modalities

Drug Endangered Children

Special Populations: Women, Men who have Sex with Men (MSM), and Youth

Criminal Justice

Drug Courts (PDF File)

Meth Use Among Offenders (PowerPoint)

HIV Risk Among Substance-Abusing Offenders

Violent Crime and Recidivism Among Offenders

US Department of Justice - Meth Awareness

Policy:

Methamphetamine Treatment: A Practitioner's Reference 2007 (also on CA ADP site)

Presentations and Publications

ISAP Meth Publications (15 page bibliography of UCLA ISAP publications, 2000-2008)

ISAP Meth PowerPoint Presentations

Hazelden's METH - Our Nation's Crisis. Toolkit for change. A guide for community leaders (PDF File)

Matrix Institute on Addictions

Meth Action Clearinghouse

Meth Education Toolkit

The Economic Cost of Methamphetamine Use in the United States, 2005

State ATR Resources

California ATR Highlights

ATR Highlights

Program at a Glance

3-Year Total Grant Amount:$14,268,500
Target Population:Substance-using youth between the ages of 12 and 20
Target Areas:Butte, Los Angeles, Sacramento, Shasta and Tehama counties
Client Target vs Clients Served

SAIS: March 31, 2009

Cumulative Count of Clients

SAIS: March 31, 2009

Program Contacts

Project Name:California Access to Recovery Effort (CARE)
Project Director:Sue Heavens
(916)323-8746
Government Project Officer:Linda Fulton
(240)276-1573
Single State Authority:Renee Zito
(916)445-1943
Governor:Arnold Schwarzeneggar
(916)445-2841

"CARE allows us the precious time to work with clients one-on-one."

California Excels with Project Targets

ATR Distribution of Services
Chart depicts percent of clients that received each service. SAIS: March 31, 2009

The California Access to Recovery Effort program (CARE) serves the five State counties that have the largest documented services gap: Butte, Los Angeles, Sacramento, Shasta, and Tehama. The project provides vouchers for treatment and recovery support services to substance-abusing young people ages 12 through 20.

The program is moving toward a longer term, recovery-focused model of services while continuing to provide a full range of support to clients. SAIS distribution data show that clinical treatment (37.4%) and medical (9.6%) services accounted for slightly less than half of services provided. Case management (29.8%) and education (17.0%) were the most utilized recovery support services (RSS). Peer-to-peer and after care RSS each were used by about 3% of clients. The program continued to demonstrate success with its client number, serving a total of 3,869 clients, which exceeded its target goal of 2,696. This reinforces a positive and steady upward enrollment trend that the program has exhibited in previous quarters.

A significant indicator of the value of the project is the ability of its clients to abstain from substance use after intake. When comparing intake and follow-up client data, the rate of change for abstinence had increased by 47.1% among the clients.

California Expands Services, Improves Compliance with Training and Support

During this quarter, California made comprehensive changes to expand services, substantially improve GPRA compliance, and train and support providers. The changes included enhanced ways to serve methamphetamine clients and a new array of step-down services, including Continuing Care and Recovery Management, that are better tailored to the needs of substance abusing youth.

This quarter, the project underwent a significant change by shifting responsibility for discharge and follow-up data collection service providers. Providers were in nearly unanimous agreement that those who had developed relationships with clients could more easily accomplish data collection.

CARE's GPRA follow-up rate of 50.6% has more than doubled since the 21.8% figure in September 2008. This dramatic increase is the result of using input from providers and seeking technical assistance to develop long-term strategies that will drive sustainable achievements in this area. As of the end of this reporting quarter the CARE program produced and accounted for 1,300 valid six-month GPRAs. California has had no difficulty reaching client targets since ATR's inception, and is currently exceeding its cumulative client goal. Part of the new strategic plan calls for serving at least 2,803 clients during year two, which should allow the program to provide cost-effective, continuing care services. Extra efforts to attract and serve methamphetamine users include requiring assessment providers to prescreen youth for methamphetamine abuse and working with treatment and recovery support providers to encourage referrals of methamphetamine abusing youth. The CARE program is also successful with its provider network. There are currently 192 organizations in the ATR network-101 grassroots organizations and 62 faith based. Some fall into both categories.

Faith and Community based Provider Updates

Provider Distribution
SAIS: March 31, 2009

Based on the data ending March 31, 2009, 35.1% of the providers that have received and redeemed vouchers were faith-based organizations. CARE continues to field, analyze, develop and distribute answers to new provider inquiries through ongoing communication and additional training. The CARE staff have had so many providers interested in joining the network that they worked out a system in which new providers are first trained before actually serving clients. In fact, in February they closed recruitment of new providers in one county in the expansion area - Shasta County - having reached provider capacity. The Coordinator continues to maintain focus on adding and training new providers in the rget areas.

Success Story: ATR Allows Provider to Jumpstart Treatment

Provider Panacea is an organization that is only able to provide services because of CARE. The CARE program allows Panacea and other agencies to serve many schools and thousands of youth who would otherwise never have received services in Sacramento County.

CARE also allows small, but growing agencies like Panacea to establish very positive collaborative relationships with schools and school districts. Instead of signing a memoranda of understanding and then the school having to wait for up to a year and half in some cases to begin services, CARE allowed Panacea to begin services immediately.

One important benefit is that CARE allows for Individual Counseling. The State sponsored programs are very restrictive with regard to allowing for any individual intervention with clients, but we find that, from a clinical perspective, individual sessions are absolutely critical to the alcohol and other drugs (AOD) treatment and recovery process among youth. CARE allows us the precious time to work with clients one-on-one.


1 2006 DEA State Fact Sheets. Available: http://www.dea.gov/pubs/state_factsheets.html
2 Prevalence Estimates for 2002-2004. NSDUH. Office of Applied Studies. SAMHSA. Available: http://www.oas.samhsa.gov/statesIndex.htm#2k4
3 Prevalence Estimates for 2002-2005. NSDUH. Office of Applied Studies. SAMHSA. Available: http://www.oas.samhsa.gov/2k6/stateMeth/stateMeth.htm
4 Federal Sentencing Stats. U.S. Sentencing Commission. Available: http://www.ussc.gov/JUDPACK/JP2005.htm
5 Maps of Methamphetamine Lab Incidents. DEA. Available: http://www.dea.gov/concern/map_lab_seizures.html
6 TEDS. Drug and Alcohol Services Information System. SAMHSA. Available: http://wwwdasis.samhsa.gov/webt/newmapv1.htm
7 Methamphetamine Precursor Laws. National Association of Chain Drug Stores. Available: http://www.nacds.org/wmspage.cfm?parm1=3814