Pride Survey

2015
Mental Health Collaborative
Sponsored by:
Fauquier CADRE
Mental Health Associa7on of
Fauquier
Fauquier County Public Schools

A Community Working Together!

Sponsored by:

Fauquier CADRE
Mental Health Associa7on of Fauquier
Fauquier Public Schools

Supported by:

Piedmont Ac7on to Health (PATH)

Mental Health Collabora7ve
Mental Health and Schools Coali7on
Partners in Proba7on

The Pride Survey, Na7onally

One of the largest surveys of adolescent drug
usage. First started in 1982.
U7lized by thousands of school systems across
the U.S. and 6 other countries.
Undergone extensive reviews on reliability and
validity by independent evaluators
Administered in Fauquier County in 1990, 1993,
1997, 2001, 2004, 2006, 2009, 2015
The Na7onal Standard (H.R. 4328 Div. C Title VII Sec. 706 (a)(4)
(B))

2015 Pride Survey

Students Surveyed: 4450 on grades 7-12

Survey Topics

Frequency of Drug and Alcohol Use

Time of rst use
Where and When Drugs and Alcohol are Used
Perceived Harm of Drug and Alcohol Use
Other Mental Health Issues
Community Protec7ve and Risk Factors
Safety Issues
5

The Research is clear. Adolescent

Use of Drugs and Alcohol is:
Harmful to adolescent growth and
development process
Interfere with physical, social and emo7onal
growth.
High risk of becoming drug dependent.
Increase risk of dropping out of school, ge`ng
involved in crime and aaemp7ng suicide.
Substance Use is the major factor in crime and
violence in the U.S.
6

No one is immune from addic5on;

it aicts people of all ages, races,
classes and professions.
Patrick J. Kennedy

Abuse

Dependence

Addic7on
7

Key Overall Findings

Age of rst use is signicantly younger than in
past years.
Signicant number of youth are at high risk of
addic7on in Fauquier County.
Most drug use occurs in homes.
High number of youth report that they are
depressed and having suicidal thoughts.
Large number of youth report mental health
issues and substance use which makes them
more at risk of harm to themselves or others.
8

Age of First Use in Fauquier County

Age
14.4
14.2
14
13.8
13.6
13.4
13.2
13

Age

Alcohol is the 1st drug used

by youth in Fauquier County
2010 1st use was age 15
Na7onally
(PATS Survey)
25% of youth who begin use
at age 13 develop a
Substance Use Disorder


(NIDA)
Earlier a child uses drugs
the greater chance of
addic7on.
Early Interven7on can
prevent serious problems.
9

Monthly Cigareae Use is Down!

60
50
40
E-Cigareae

30

HS
7&8

20
10
0
1990

93

97

2015 2015
10

Moderate to Great Risk of Harm

90
80
70
60
50

7 & 8

40

HS

30
20
10
0
Cigareaes e-cigareaes

Both Middle and High

School students agree
that cigareaes are
harmful to your health.
E-cigareaes are not
seen as harmful - thus
higher use.
Research indicates that
e-cigareaes are not
highly eec7ve means
of qui`ng.
11

Monthly Alcohol Use Down!

90
80
70
60
50
40

HS

30

7 & 8

20
10
0

12

Youth At Risk of Alcohol Poisoning

Alcohol Use in last 30 days
U

45
40
35

last 30
days

30
25
20

Very
High /
Bombed

15
10

12th

11th

10th

9th

8th

7th

Drinking to Excess
Youth more likely to binge
drink than adults.
Over half of the senior class
who drink, drink to excess
An average of 6 people die of
alcohol poisoning each day in
US.
of deaths to alcohol
poisoning are young adults
About 76% that die are male
and 68% are white
(Na7onal Council on Behavioral Health)
13

Monthly Marijuana Use

Above Na7onal Average
35
30
25
20
15
10

HS
7 & 8

5
0

14

Last 30 Days Marijuana Use

Past 30 days
30
25
20
15
Past 30 days

10
5
0
7th

8th

9th

10th

11th

12th

12th
Na7onal
15

Perceived Risk of Use of Alcohol and

Marijuana
90
80
70
60
50

Alcohol

40

Marijuana

30
20
10
0
7th

8th

9th

10th

11th
16

Marijuana:
We have a percep7on problem
Everybody is
smoking and/or
Consuming Weed

Driving is
not a
problem

Its safer than

alcohol and
tobacco
Its not
addic7ve
Legaliza7on
means it must be
O.K.

17

Monthly Inhalant Use

16
14
12
10
8
6
4
2
0

HS
7 & 8

Most popular drug for age 12

Hung can cause sudden
death
Damage to brain, respiratory,
liver, kidney, bone marrow
Children believe that
common substance such as
glue or nail polish is harmless
Other products include
butane, propane, gasoline,
whipping cream, spray paint,
air freshener, etc.

18

Monthly Prescrip7on Drugs Use

5
4.5

175

4
3.5
3
2.5
2
1.5
1
0.5
0
2006

2009

175 youth abused prescrip7on

drugs in the last 30 days in
Fauquier County
25% of youth who start using
prescrip7on drugs by age 13
develop a Substance Use
Disorder
Aqer Marijuana, prescrip7on
drugs and over the counter
drugs account for the top illicit
drugs abused by 12th graders
na7onally.
Prescrip7on drug abuse is a
major reason for the Heroin
epidemic na7onally.

2015 Na7onal
19

Annual Use of Heroin by Grade

34

12th

11th

10th

9th

8th

Strongly addic7ve

7th

5
4.5
4
3.5
3
2.5
2
1.5
1
0.5
0

79 youth used heroin last year

in Fauquier County; 34 were in
the 12th grade; 19 Seniors use
heroin daily
Danger of abuse so great, all
manufacturing and impor7ng
of heroin is Federal crime
Presently a Na7onal and State
Epidemic
Frequent overdoses due to
inconsistent levels of purity
More death to overdose in
Virginia than individuals dying
in car accidents.
20

Any Illicit Drugs Past 30 Days

574 youth in Fauquier
County used an Illicit
Drug in the past 30
days;

30
25
20
15

Fauquier
Na7onal

10

12th

11th

10th

9th

8th

7th

44 were in 7 & 8th grade

530 in HS
202 (27%) were in 12th
grade
Seniors used above the
Na7onal Average
21

Use of Illicit Drugs by Gender

45
40
35
30
25

Male

20

Female

15
10
5
0
7th

8th

9th

10th

11th

12th
22

Number of Youth Using Alcohol and Drugs

Daily/3 x Weekly- Beyond Experimenta7on
300
250
200
205

150
100

25

HS
7 & 8

105

50
0

227

50

14

There are approx. 400

youth who are poten7ally
addicted to substances.
Some of these youth may
be using mul7ple drugs
These youth could likely
have major problems at
school, home and
community and need
interven7on services.
23

Chronic Drug Use

Frequent usage indicates increase chance of
addic7on
Chronic use realigns a persons priori7es and also
alters key brain areas necessary for judgement
and self control thus increases risky behavior.
Youth are less likely than adults to think they
need treatment.
Only 10% of the 12-17 year olds needing SUD
treatment actually received any services.(NIDA)
Largest propor7on of youth who received
treatment are referred by juvenile Jus7ce
System.
24

Where and When

25

Where do Youth Use?

18
16
14
12
10
8

Alcohol

Marijuana

4
2
0
At Home

At School

In the Car

Friends'
House

Other

26

When do Youth Use Drugs?

30
25
20
15

Alcohol

10

Marijuana

5
0
Before
School

During
school

Aqer School Week night Week End

27

What does the Where and When of

Use data Mean?
Schools are the safest places for youth. Why?
Clear rules and expecta7ons
High Expecta7ons that drugs are not permiaed
Clear consequences if breaking the expecta7ons
Random searches of school grounds to ensure
compliance

How can we support parents in having safer

homes?
What should parents do and where can parents
go if their child is having a problem?
28

Protec7ve and Risk Factors

29

Make Good Grades

% of Annual Use of Any Illicit Drug
70
60
50
40
30
20

% of Annual Use of Any

Illicit Drug

10
0

30

Teachers Talk About Dangers of Drugs

Drug Use
30
25
20
15

Drug Use

10
5
0
Never

Seldom

Some7mes

Oqen

A Lot
31

Take Part in Sport Teams

%
25
20
15
%

10
5
0
Never

Seldom

Some7mes

Oqen

A Lot
32

Get Into Trouble at School

Drug Use
60
50
40
30

Drug Use

20
10
0
Never

Seldom

Some7mes

Oqen

A Lot
33

Parents Set Clear Rules

Drug Use
50
45
40
35
30
25
20
15
10
5
0

Drug Use

Never

Seldom

Some7mes

Oqen

a lot
34

Co-occurring Disorders
Mental health and Substance Use
Disorders

35

Mental Health Prevalence

1 in 4 adults and 1 in 5
children experience a
mental health challenge
each year.
MH problems more
common than heart
disease, lung disease and
cancer combined
Mental illness oqen start in
adolescence (50% start by
age 14 and 75% start by
age 24.)
36

Fauquier Youth Struggling with Mental

Health Issues in past 6 months
% MH Issues
20
18
16
14
12
10
8
6
4
2
0

779
708

% MH Issues
258

254

Ea7ng Dis.

Anxiety

Depression

Self-Injury
37

Mental Health and Substance Abuse

Disorders
Eect young persons
educa7on,
movement into adulthood,
movement into adult occupa7onal roles,
forming key social rela7onships and
establishing health habits

Causes disabili7es across the lifespan

Detec7ng problems early can make a huge
dierence


(MHFA)
38

Depression:

(During the past year, did you ever feel sad or hopeless
almost every day for two weeks or more?)
Depressed Youth
35

31.6

30
25

28.9

22.5

20
Depressed Youth

15
10
5
0
7 & 8

HS

Total
39

Depression

40

I wish I were Dead

Suicidal Thinking

30
916

25
20
15
10
5
0
7 & 8

HS

Total

38,000 suicides occur in U.S.

each year. (CDC)
Suicide is the 2nd leading
cause of death in young
people.
Young person dies by
suicide every 2 hours and 3
minutes.
25% of youth reported
suicidal thoughts this past
year in Fauquier
270 youth in Fauquier
reported thinking of suicide
Oqen or A lot
41

Thinking About Suicide

70
60
50
40
30

Suicide

20

No Sucide

10
0

Suicidal Thinking
coupled with Drugs
increases chances of
suicide
270 youth reported
thinking about suicide;
151 using alcohol
89 using marijuana
34 using cocaine
25 using Meth.
42

How do you deal with stress?

Nega5ve stress reducers
14
12
10
8
6
4
2
0

Each year 13% of youth

from ages 9-17 will
experience an anxiety
disorder.
It interferes with the
persons studies, other
ac7vi7es, and family and
social rela7onships.
People with anxiety
disorders are 2 to 3 7mes
more likely to have an
Substance Use Disorder.
(MHFA)

MHFA Teaches Posi7ve

ways of dealing with stress
43

Where do Youth Experience

Stress?
70
60
50
40
30
20
10
0
Schoolwork

family

friends

Extracur Ac7vi7es
44

Turning the Tide

College/University Report by Frank Bruni

Report connects academic pressures and mental
health issues.
In middle and upper income communi7es, rates of
depression, delinquency, substance abuse and
anxiety.appear to be considerably higher in these
communi7es.
Report also states that there are high rates mental
illness in high schools and record rates of u7liza7on of
mental health services on college campuses.
Due in part to an obsessive focus on achievement.
45

If you were dealing with intense feelings of sadness, depression,

anxiety, or wan7ng to hurt yourself with whom would you talk
to about your concerns?
Who would you talk to?

Series 1
No One
Friend
Parents/Rela7ve
Clergy
Coach/youth
Teacher
Counselors

35
30
25
20
15
10
5
0

40% reported not having

these feelings
Nega7ve:
16% said they would talk to
no one
30% reported they would
talk to friends
Posi7ves:
46% said they would talk to
someone other than friends
Mental Health First Aid
teaches the skills to reach
out to youth
46

What would keep you from seeking

help if you wanted to harm self?
Issues that prevent youth
from seeking help
Fauquier Youth report
20
15
10
5
0

People with MH problems

internalize public a`tudes
and become so
embarrassed or ashamed
that they oqen conceal
symptoms and fail to seek
treatment (New Freedom Commission,)
On average it takes 10
years for people to receive
necessary treatment
S7gma is the major reason
for people not seeking
treatment
47

School and Community Safety

Interven7on and Preven7on
Programs are Key to Health and
Safety

48

Drug Use of Students Who Report

Threatening/Harmful Behaviors
60
50
40
30
20
10
0

Threat
No Threat

Those that threaten

others are more likely
to use drugs
881 (20.4%) reported
threatening harmful
behaviors;
435 use alcohol
247 use marijuana
61 use cocaine
40 use meth.
49

Personal Safety

657 (15.30%) student report being afraid another

student will hurt them at school.
Of these, 5% report caring a gun to school

552 (12.8%) students report ge`ng hurt at

school
Of these 6.7% report carrying a gun to school

Substance abuse, alone and in combina7on with

mental disorders, has consistently correlated
with violence.
Individuals with mental health issues are more
likely to do harm to themselves than others.
50

Trouble with Police

70
60
50
40
30

Police

20

No Police

10
0

Youth that have trouble

with Police are more
likely to be using drugs.
630 (14.5%) Reported
Trouble with Police
378 use Alcohol
274 use marijuana
75 use cocaine
45 use Meth.

51

School Safety: Students responded as Never or

Seldom feeling safe in the below loca5ons:
Loca5on

Number

Percent Nat.

In the parking lot

857

20.1 24.9

In the Classroom

420

9.8 11.7

On the school bus

694

16.3 21.6

In the bathroom

695

16.2 21.1

At School events (ballgames, etc.)

614

14.4 16.8

In the cafeteria (lunchroom)

580

13.5 16.2

In the gym

553

12.9 15.0

Students in Fauquier County feel safer as

compared to the Na5onal Average!
52

Key Findings for 2015

Good News, overall drug use is down from
2009.
Youth report that cigareaes and alcohol are
harmful to their health, consequently, their
usage is low.
Youth report that marijuana is less dangerous
than alcohol, consequently, marijuana usage
is above the na7onal average.
53

Key Findings con7nued

Youth have increased risk of addic7on due to
early 1st 7me use.
12th graders are above the na7onal average in
using illicit drugs.
Prescrip7on Drug Abuse is higher than 2009
4.5% of seniors use heroin
45 seniors use heroin daily to 3 7mes per week
34 addi7onal seniors used heroin weekly

Seniors are at risk of alcohol poisoning due to

their excessive use of alcohol.
54

Key Findings con7nued

Approx. 400 youth poten7ally addicted to substances.
Drug use highest in homes.
A signicant number of youth are struggling with
mental health issues.
29% reported feeling depressed this past year.
272 youth reported thinking about suicide.

Youth that have mental health problems are self

medica7ng with drugs and alcohol which increases
their risk of harm to themselves or others.
Youth in Fauquier County Schools feel safer as
compared to students on a na7onal basis.
55

Crea7ng a Healthier Community:

Ac7on Plan
Decrease S7gma by increasing awareness that youth are at
risk of Mental Health and Substance Use Disorders.
Improve iden7ca7on of youth with MH and SU Disorders
and increase access and availability of treatment services.
Support parents in providing a drug free home through
support, educa7on, informa7on and where to go if their child
has a problem.
Schools should iden7fy and provide evidence based
preven7on programs for youth who have co-occuring MH and
SA issues. Focus should be on early interven7on.
Train over 1,000 people in Mental Heal First Aid
56

No one is immune from

addic5on; it aicts people of all
ages, races, classes and
professions.
Patrick J. Kennedy

57

58

59

60

No one is immune from addic5on;

it aicts people of all ages, races,
classes and professions.
Patrick J. Kennedy

Abuse

Dependence

Addic7on
61

Anyone Can Become Addicted

Abuse

Dependence

Addic7on

62

Bought or sold drugs

Individual who have bought or sold drugs
10
9
8
7
6
5
4
3
2
1
0

Series 1

At School

not at School
63

Number of Youth Using Alcohol and Drugs

Daily/3 x Weekly- Beyond Experimenta7on
300
250
200
HS

205

150

227

7 & 8

100
105
50
0

25
Alcohol

50
Marijuana

14
Illicit
64

Delinquent Behaviors Increase With

Weekly Use of Marijuana-
(Check Recent Stats)
6 7mes more likely to cut classes or skip
school
5 7mes more likely to steal in community
3 7mes more likely to steal from home
3 7mes more likely to be thinking of suicide
6 7mes more likely to have run away from
home
65

Where do Youth Experience

Stress?
70
60
50
40
30
20
10
0
Schoolwork

family

friends

Extracur Ac7vi7es
66

Todays Agenda
A Community Working Together!
The PRIDE Survey Introduc7on
Survey Findings for Fauquier County
Youth
A Plan of Ac7on

67

Survey Purpose
The purpose is to assist communi7es in conduc7ng quality
surveys of :
students prevalence and pa^erns of drug and alcohol
use.
violence and threatening behaviors have been added
over the years.
We added a few mental health ques5ons that were veaed
by PRIDE.
Snapshot of key indicators of adolescent drug and alcohol
use by students aaending Fauquier County Schools in
October 2015.
We compare present indicators to past Fauquier surveys and
recent na5onal sta5s5cs.
Most of the sta7s7cs in report are from PRIDE, also from
Na7onal Council on Behavioral Health, SAMHSA, and NIDA,
MHFA, NIH
The complete survey is available through CADRE for more
detailed assessment of the data.
68

Tobacco Smoking
Impact of Tobacco Use on Health is Well Known
Major cause of emphysema, chronic bronchi7s, lung cancer, heart
disease, cancer of the mouth
Increased risk to women who take birth control pills

Growing social s7gma against smoking tobacco

Tobacco is a Stepping Stone
Nearly 85% of youth who experiment with cigareaes will become
habituated
Early tobacco use has been linked to later use of illicit drugs
20% of senior class smoked cigareaes in last 30 days.
More youth smoke e-cigareaes than smoke tobacco

Preven5on Works!
69

Alcohol Consump7on
A habit of progression
Beer or wine, moving on to liquor

Risk of addic7on greater for children than for adults

Path from use to addic7on is over twice the rate for adults
Youth who start drinking before age 15 are 5 7mes more likely to develop
a dependency.

(Na7onal Council on Alcoholism and Drug Use)

Impacts of alcohol use are signicant for children

Impacts on physical, mental and social development
Alcohol-related automobile accidents is the major cause of death among
15-19 year-olds




(NIDA)
11.4% of youth have a substance use disorder (SUD)
8% of adults have a SUD and alcohol use disorder is 3 7mes as common as
drug use disorders (MHFA)

70

Marijuana Use- Update Stats

Build up of THC means just weekend use will result in a build
up of THC in body cells- much stronger than in past
Eects more severe on developing adolescents

Reduces mental eciency which may not be recovered aqer qui`ng.

Increases suscep7bility to infec7on and disease
More students receiving treatment for marijuana addic7on than
alcohol

Sta7s7cs con7nue to demonstrated that marijuana is a

harmful drug

Up to 14 % of drivers who sustained injury or died in trac accidents

tested posi7ve for THC.
About 1 in 6 people who start smoking in their teens, and 25-50% of
people who use it every day, become addicted to marijuana.
1 in 5 high school seniors report using marijuana within the last 30
days. 20% reported cigareae use.
71

Cocaine
9
8
7
6
5
4

HS

7 & 8

2
1
0

1990
93
97
1
4
6
9
2015
Na7onal

High danger of addic7on,

permanent damage, or
death with early
experimental use
Wide range of purity and
chemical content produces
unexpected results
Quick highs followed by
extreme lows
Now shown to be one of
the most addic7ve drugs
Crack speeds the addic7on/
dependence process

72

Annual Hallucinogens Use

16
14
12
10
8
6
4

HS
7 & 8

Alter percep7ons,
sensa7ons, thinking,
self awareness, and
emo7ons
Unpredictable eects
Easy to produce

2
0

73

Any Illicit Drugs Past 30 Days

30
25
20
Fauquier

15

Na7onal
10
5
0
7th

8th

9th

10th

11th

12th
74

Depression

75

Drug Use of Students Who Reported

Carrying a Gun to School vs. Students Who
Did Not
90
80
70
60
50
40
30
20
10
0

Gun
No Gun

Substance Use is the

number 1 reason for
violence in our society.
1.4% (2.4% Na7onally)
students reported
carrying a gun to school
Of those students:

76.9% reported Alcohol

Use
69.7% reported Marijuana
50.8% reported Cocaine
46.9% reported Meth.
76