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Substance Use <br />Adolescence is a critical time for prevention of a substance use disorder. Early misuse of <br />substances changes the way the brain functions, which can lead to addiction and other <br />serious problems. In October 2017, Cabarrus Health Alliance and the Healthy Cabarrus <br />■ Substance Use Coalition was awarded the Drug Free Communities grant from the <br />Substance Abuse and Mental Health Services Administration (SAMHSA). The funding will <br />support focused prevention efforts on adolescent use of alcohol and prescription <br />medications. According to the Cabarrus Youth Substance Use Survey, in 2017 prescription <br />medication use among high school and middle school students hit a four-year low. <br />Alcohol use among high school students saw nearly a 10%decline. <br />Cabarrus Youth Substance Use Survey <br />Substance <br />Middle School <br />%Ever Use <br />High School <br />%Ever Use <br />2014 <br />2015 <br />2016 <br />2017 <br />2014 <br />2015 <br />2016 <br />2017 <br />Alcohol <br />14.0% <br />17.1% <br />13.4% <br />14.5% <br />40.0% <br />46.1% <br />49.6% <br />40.3% <br />Marijuana <br />5.0% <br />7.1% <br />4.5% <br />4.9% <br />26.0% <br />34.6% <br />37.3% <br />31.6% <br />Cigarettes <br />5.0% <br />3.8% <br />3.8% <br />2.6% <br />16.2% <br />21.3% <br />17.7% <br />13.8% <br />Cocaine <br />0.5% <br />1.1% <br />0.8% <br />0.9% <br />1.5% <br />2.7% <br />3.9% <br />1.6% <br />Inhalants <br />8.2% <br />6.6% <br />4.1% <br />5.4% <br />4.2% <br />6.9% <br />5.9% <br />3.3% <br />Heroin <br />0.1% <br />0.3% <br />0.3% <br />0% <br />0.2% <br />0.6% <br />0.8% <br />0.9% <br />Methamphetamines <br />0.5% <br />0.6% <br />0.3% <br />0.2% <br />0.3% <br />1.1% <br />1.1% <br />0.7% <br />Ecstasy <br />0.1% <br />1.0% <br />0.9% <br />0.5% <br />3.2% <br />4.4% <br />5.1% <br />3.2% <br />Steroid Pills/Shots <br />2.3% <br />2.0% <br />2.3% <br />2.2% <br />2.1% <br />3.7% <br />3.8% <br />3.1% <br />Prescription Drugs (OxyContin, <br />Hydrocodone, Percocet, Vicodin, <br />Adderall, Ritalin, Valium, or <br />Xanax) <br />3.5% <br />3.3% <br />4.5% <br />2.7% <br />11.2% <br />13.7% <br />15.1% <br />9.6% <br />Naloxone <br />Naloxone is medication that is used to <br />reverse the effects of an opioid <br />overdose. During July and August 2017, <br />Cabarrus County saw more opioid related <br />Emergency Department admissions than <br />any other county in the state. The tables <br />to the right show the total number of <br />substance use complaint calls that <br />Cabarrus County EMS responded to in <br />2016 compared to 2017, as well as total <br />number of Narcan (or Naloxone) kits <br />administered. <br />Cabarrus County Schools <br />Cabarrus County EMS Calls for Services <br />Cabarrus County EMS <br />2016 <br />2017 <br />Substance Use Related Calls <br />1 521 <br />1 649 <br />Opioid Specific Calls <br />1 163 <br />1 437 <br />Cabarrus County EMS <br />Attachment number 1 \n <br />Page 20 <br />2007 1 <br />2012 <br />1 2017 <br /># of Narcan Use by EMS 1 <br />117 1 <br />240 <br />1 420 <br />Attachment number 1 \n <br />Page 20 <br />