Governor MO.gov Parson Community Epidemiological Profiles 2018 Adair County Grundy County Pemiscot County Andrew County Harrison County Perry County Atchison County Henry County Pettis County Audrain County Hickory County Phelps County Barry County Holt County Pike County Barton County Howard County Platte County Bates County Howell County Polk County Benton County Iron County Pulaski County Bollinger County Jackson County Putnam County Boone County Jasper County Ralls County Buchanan County Jefferson County Randolph County Butler County Johnson County Ray County Caldwell County Knox County Reynolds County Callaway County Laclede County Ripley County Camden County Lafayette County Saline County Cape Girardeau County Lawrence County Schuyler County Carroll County Lewis County Scotland County Carter County Lincoln County Scott County Cass County Linn County Shannon County Cedar County Livingston County Shelby County Chariton County Macon County St. Charles County Christian County Madison County St. Clair County Clark County Maries County St. Francois County Clay County Marion County St. Louis County Clinton County McDonald County Ste. Genevieve County Cole County Mercer County Stoddard County Cooper County Miller County Stone County Crawford County Mississippi County Sullivan County Dade County Moniteau County Taney County Dallas County Monroe County Texas County Community Epidemiological Profiles | dmh.mo.gov Daviess County Montgomery County Vernon County DeKalb County Morgan County Warren County Dent County New Madrid County Washington County Douglas County Newton County Wayne County Dunklin County Nodaway County Webster County Franklin County Oregon County Worth County Gasconade County Osage County Wright County Gentry County Ozark County St. Louis (City) County Greene County Central region, 31.1% of adults currently use cigarettes compared to 29% statewide.'slight' or 'no risk' to smoking e-cigarettes. Most youth obtain cigarettes and e-cigarettes from their friends. In the 23.5% of youth believe there is 'slight' or 'no risk' to smoking standard cigarettes, while 41.3% believe there is and 44.7% to get e-cigarettes. 39.1% of youth have at least one friend that uses standard cigarettes. An estimated standard cigarettes is 14.4. An estimated 51.8% of youth believe that it would be easy to get standard cigarettes rate of e-cigarette use is lower than the rate of standard cigarette use. The average age that county youth first use Cigaretteuse, in both standard and electronic forms, is of concern across the state. In Adair County youth, the more drinks of alcohol on a single occassion in the past 30 days.substance. In the Central region, approximately 54.9% of adults currently drink alcohol, and 26.7% have had 5 or The average age of first alcohol use is 14.1. Among Missouri adults, alcohol is the most commonly used *5+ drinks on a single occasion in last 2 weeks. that uses alcohol.0youth have at least one friend ~~CC~~:''~ t'~~.I1Q' "~~~ easy to get alcohol. 46.7% of \~< <)I0 ~~-.G)'► ' ,)% o$,~~< ·~~.~,i. <>~ ", $~ ~~.,>o .,youth believe that it would be ,~5 s1$,11,,' . '0~8' twice a week. About 53.5% of , 0 00.5%harm in binge drinking once or % there is 'slight' or 'no risk' of 7'.808...9. 59.,.. 4%..26.4% of youth believe that 45%%% 1 1 3of harm. Similarly, approximately 14.54.3.%;~2presents only 'slight' or 'no risk' f%.% 36.7% believe that using alcohol the past 30 days. An estimated '~# 13.4% youth have used alcohol in -:.igg0CCI)~J•<:il> ; ,li ". ·' Missouri youth. In Adair County, *common substances used by .0i, . Current Substance Use for Grades 6-12, 2018Alcoholis one of the most the NSDUH. See page 2 for graph.6th through 12th grade students in participating school districts. Adult data are available at the regional level from can provide estimates for youth in most Missouri counties. This survey is administered in even-numbered years to The availability of county-level data on substance use is limited. The Missouri Student Survey convenience sample Substance Use in Adair County which was higher than the statewide poverty rate of 14.0%. The median income of the county was $36,819.was 6.5%. This was lower than the statewide unemployment rate of 6.6%. In 2016, the poverty rate was 23.8% population size among Missouri’s 114 counties plus the city of St. Louis. The 2016 unemployment rate in the countyAdair County is located in Central Missouri and had a population of 25,223 in 2016. Adair County ranks 43 in 2018 Adair County Behavioral Health Profile 150690008 FatalitiesInjuriesFatalitiesInjuriesCrashesCrashInjuryProperty DamageDrug Drug Alcohol Alcohol Total Fatal Crash w/ Crash w/ Alcohol and Drug-Related Crashesby Severity2016 Number of People Injured / Killed in 2016 Number of Alcohol-Related Crashes related crashes are more likely to produce fatalities and injuries compared to non-alcohol-related crashes.Traffic Crashes:Alcohol-related traffic crashes increased in the last year (from 11 in 2015 to 15 in 2016). Alcohol- There were 0 methamphetamine laboratory seizures in Adair County in 2017.Law Enforcement:In 2017, Adair County had 69 DWI arrests, 71 liquor law violations and 169 drug-related arrests. primarily due to alcohol, 94 were primarily due to marijuana, and 10 were primarily due to prescription drugs.Treatment:In 2017, 275 individuals were admitted into Substance Abuse Treatment Programs. A total of 72 were addition there were 94 alcohol-related and 29 drug-related ER visits that did not include a hospital stay.Health:In 2015, Adair County residents had a total of 8 alcohol-related and 8 drug-related hospitalizations. In Substance Use Consequences in the County over the past year. **5+ drinks on a single occasion in last 30 days. c,.o ,t.misuse of prescription pain medication 0i,ci~_.; ,..~.,C~, •adults in the Central region reported .~,;-J~~?.<i- ,;t.-~JQ~, -~c, ,~~>a .0 ..;: 0 ,>they misuse pain medication. 4.1% of ~,",, 1,'s,~2 b~,( . •. ;).i.•./ drugs in Adair County county saying ~jj* 0 -1111----33.3% of those misusing prescription 2244177..-..98211..misused prescription medication, with 33%%1%01%/"'U% ?of1 l'. 22Pain medication is the most commonly 23669.1.47.drugs from a friend or family member. .0%*1u0%~ ,%o them. Most youth get prescription 5 5 45..prescription drugs not prescribed to 9*5C-.J%.%'jI believe it would be wrong to use -!"::C30Cw~::::! :::' I,f.: ·. *'no risk at all'. About 98.3% of youth .00. .. of youth believe that there is 'slight' or Please note a change in scale from previous chartmisusing prescription drugs, but 8.1% Current Substance Use for Ages 18+, 2012-2014report that there is a risk of harm when youth believe that it would be easy to get prescription drugs that were not prescribed to them. Most youthPrescription drugmisuse is of growing concern both across the nation and in Missouri. In Adair County, 28.8% of marijuana once or twice a week.a week. In Adair County youth, approximately 38.1% believe that there is 'slight' or 'no risk' of harm from smoking the state, around 46.6% of adults believe there is 'slight' or 'no risk' of harm from smoking marijuana once or twice first use is 15.6. The majority of youth obtain marijuana from their friends, a dealer, or a family member. Across smoking marijuana is wrong, and 23.9% report having at least one friend that uses marijuana. The average age of youth use marijuana. In 2018, 33.7% of youth said that marijuana is easy to get. Around 85.9% believe that across the nation. Around 7.5% of youth and 7.3% of adults report current marijuana use. In Adair County, 9.5% of Marijuanause in Missouri youth continues to be of interest, particularly with recent shifts in legality of adult use Central region, 31.1% of adults currently use cigarettes compared to 29% statewide.'slight' or 'no risk' to smoking e-cigarettes. Most youth obtain cigarettes and e-cigarettes from their friends. In the 23.5% of youth believe there is 'slight' or 'no risk' to smoking standard cigarettes, while 41.3% believe there is and 44.7% to get e-cigarettes. 39.1% of youth have at least one friend that uses standard cigarettes. An estimated standard cigarettes is 14.4. An estimated 51.8% of youth believe that it would be easy to get standard cigarettes rate of e-cigarette use is lower than the rate of standard cigarette use. The average age that county youth first use Cigaretteuse, in both standard and electronic forms, is of concern across the state. In Adair County youth, the Behavioral Health Profile Adair County 2018 Mental Health Data for Adair County Individuals struggling with serious mental illness are at higher risk for homicide, suicide, and accidents, as well as chronic conditions including cardiovascular disease, respiratory disease, and substance use disorders. In state fiscal year 2017, 446 Adair County residents received treatment for serious mental illness at publicly-funded facilities. See table for details. While there are data on those who receive treatment, data on mental health in the general population is very limited. This is especially true at the local level. In Central Missouri, 19.0% of those 18 and older had a mental Numbers Served in Adair County illness in the past year, and 5.0% had a serious mental illness. Serious mental illness is defined as any of the mental disorders asked about and 'these disorders resulted in substantial FY2016 FY2017 impairment in carrying out major life activities'. Total 429 446 Approximately 7.3% of Central Missouri residents ages 18+ had Adjustment Disorder 28 26 at least one major depressive episode in the past year. A major Anxiety Disorder 173 171 depressive episode is characterized by an extended period of depressed mood, loss of interest or pleasure, and impaired Developmental Disorder 15 11 functioning. Typically, females are more likely to report having Impulse Control Disorder 121 153 had a major depressive episode. Mood Disorder 279 278 Students (6th-12th grade) in the county were asked about their mental health. 87.6% of students in the county reported Psychotic Disorder 76 72 feeling grouchy or in a bad mood, 57.6% reported feeling sad, 53.9% had changes in sleep, and 47.2% had difficulty These numbers indicate the number of clients seen concentrating in school at least sometimes. About 20.4% of with each diagnosis per year. An individual client may have more than one admission within a year. youth reported self-harm. The most common method of self- harm was cutting, hitting, or scrating oneself. Females were *Counts under 5 suppressed to protect identities more likely to report self-harm than males. Suicide is the 2nd leading cause of death for ages 10-34 in Missouri. In 2016, 7 Adair County residents died by suicide. Typically, white males are most at risk of suicide. Approximately 12.1% of youth had considered suicide in the last year, 8.1% made a plan, and 2.3% actually attempted, resulting in an injury. Developed with support from the Missouri Division of Behavioral Health and the Substance Abuse and Mental Health Services Administration. For more information: http://dmh.mo.gov/ada/mobhew/ Behavioral Health Profile Andrew County 2018 Andrew County is located in Western Missouri and had a population of 17,339 in 2016. Andrew County ranks 63 in population size among Missouri’s 114 counties plus the city of St. Louis. The 2016 unemployment rate in the county was 3.8%. This was lower than than the statewide unemployment rate of 4.5%. In 2016, the poverty rate was 9.7% which was lower than than the statewide poverty rate of 14.0%. The median income of the county was $53,356. Substance Use in Andrew County The primary data source available for this section is the Missouri Student Survey. Due to privacy concerns for individual school districts, Missouri Student Survey data for this county cannot be distributed. Adult data are available from the National Survey on Drug Use and Health (NSDUH) at the regional level. Current Substance Use for Ages 18+, 2012-2014 100% ■ Missouri ■ Northwest (excluding Jackson) ~ ~ 75% 0l{ ) '<:f"• t2· t-- l{) 50% II 25% -'cf.-'#. 00 (j) NN 0% a- (§' ~G **5+ drinks on a single occasion in last 30 days. Alcoholis the most commonly used substance in Missouri adults. In the Western region, approximately 57.4% of adults currently drink alcohol, and 28.3% have had 5 or more drinks of alcohol on a single occassion in the past 30 days. Cigaretteuse, in both standard and electronic forms, is of concern across the state. In the Western region, 27.9% of adults currently use cigarettes compared to 29% statewide. Marijuanause in Missouri continues to be of interest, particularly with recent shifts in legality of adult use across the nation. Around 7.3% of adults report current marijuana use. Across the state, around 46.6% of adults believe there is 'slight' or 'no risk' of harm from smoking marijuana once or twice a week. Prescription drugmisuse is of growing concern both across the nation and in Missouri. 4.3% of adults in the Western region reported misuse of prescription pain medication over the past year. Substance Use Consequences in the County Health:In 2015, Andrew County residents had a total of 2 alcohol-related and 2 drug-related hospitalizations. In addition there were 11 alcohol-related and 12 drug-related ER visits that did not include a hospital stay. Treatment:In 2017, 49 individuals were admitted into Substance Abuse Treatment Programs. A total of 12 were primarily due to alcohol, 17 were primarily due to marijuana, and less than 5 were primarily due to prescription drugs. Law Enforcement:In 2017, Andrew County had 54 DWI arrests, 10 liquor law violations and 111 drug-related arrests. There were 0 methamphetamine laboratory seizures in Andrew County in 2017. Traffic Crashes:Alcohol-related traffic crashes increased in the last year (from 16 in 2015 to 23 in 2016). Alcohol-related crashes are more likely to produce fatalities and injuries compared to non-alcohol-related crashes. 2016 Number of Alcohol-Related Crashes 2016 Number of People Injured / Killed in by Severity Alcohol and Drug-Related Crashes Total Fatal Crash w/ Crash w/ Alcohol Alcohol Drug Drug Crashes Crash Injury Property Damage Fatalities Injuries Fatalities Injuries 23 1 14 8 1 14 1 1 Mental Health Data for Andrew County Individuals struggling with serious mental illness are at higher risk for homicide, suicide, and accidents as well as chronic conditions including cardiovascular and respiratory diseases and substance use disorders. In state fiscal year 2017, 100 Andrew County residents received treatment for serious mental illness at publicly-funded facilities. See table for details. While there are data on those who receive treatment, data on mental health in the general population is very limited. This is especially true at the local level. In Western Missouri, 18.8% of those 18 and older had a mental illness in Numbers Served in Andrew County the past year with 4.5% having a serious mental illness. Serious mental illness is defined as any of the mental disorders asked about and 'these disorders resulted in substantial impairment in carrying out major life FY2016 FY2017 activities'. Total 94 100 Approximately 6.8% of Western Missouri residents ages 18+ had at least Adjustment Disorder 9 5 one major depressive episode in the past year. A major depressive Anxiety Disorder 37 49 episode is characterized by an extended period of depressed mood, loss of interest or pleasure, and impaired functioning. Typically, females are Developmental Disorder * * more likely to report having had a major depressive episode. Impulse Control Disorder 32 28 In 2016, 2 Andrew County residents died by suicide. Typically, males and Mood Disorder 62 66 whites are most likely to die by suicide. Psychotic Disorder 7 8 These numbers indicate the number of clients seen with each diagnosis per year. An individual client may have more than one admission within a year. *Counts under 5 suppressed to protect identities Developed with support from the Missouri Division of Behavioral Health and the Substance Abuse and Mental Health Services Administration. For more information: http://dmh.mo.gov/ada/mobhew/ Behavioral Health Profile Atchison County 2018 Atchison County is located in Western Missouri and had a population of 5,310 in 2016. Atchison County ranks 108 in population size among Missouri’s 114 counties plus the city of St. Louis. The 2016 unemployment rate in the county was 3.9%. This was lower than the statewide unemployment rate of 6.6%. In 2016, the poverty rate was 12.8% which was lower than the statewide poverty rate of 14.0%. The median income of the county was $45,966. Substance Use in Atchison County The availability of county-level data on substance use is limited. The Missouri Student Survey convenience sample can provide estimates for youth in most Missouri counties. This survey is administered in even-numbered years to 6th through 12th grade students in participating school districts. Adult data are available at the regional level from the NSDUH. See page 2 for graph. Alcoholis one of the most Current Substance Use for Grades 6-12, 2018 common substances used by 40% Missouri youth. In Atchison ■ Missoun Atchison County County, 7.8% youth have used 30% alcohol in the past 30 days. An estimated 34.8% believe that using alcohol presents only 20% 'slight' or 'no risk' of harm. Similarly, approximately 21.1% of 10% youth believe that there is 'slight' or 'no risk' of harm in binge drinking once or twice a week. 0% About 44.4% of youth believe that it would be easy to get alcohol. 34.8% of youth have at least one friend that uses *5+ drinks on a single occasion in last 2 weeks. alcohol. The average age of first alcohol use is 13.2. Among Missouri adults, alcohol is the most commonly used substance. In the Western region, approximately 57.4% of adults currently drink alcohol, and 28.3% have had 5 or more drinks of alcohol on a single occassion in the past 30 days. Cigaretteuse, in both standard and electronic forms, is of concern across the state. In Atchison County youth, the rate of e-cigarette use is higher than the rate of standard cigarette use. The average age that county youth first use standard cigarettes is 12.7. An estimated 36.3% of youth believe that it would be easy to get standard cigarettes and 33.3% to get e-cigarettes. 20.9% of youth have at least one friend that uses standard cigarettes. An estimated 12.4% of youth believe there is 'slight' or 'no risk' to smoking standard cigarettes, while 36.0% believe there is 'slight' or 'no risk' to smoking e-cigarettes. Most youth obtain cigarettes and e-cigarettes from their friends. In the Western region, 27.9% of adults currently use cigarettes compared to 29% statewide. Cigaretteuse, in both standard and electronic forms, is of concern across the state. In Atchison County youth, the rate of e-cigarette use is higher than the rate of standard cigarette use. The average age that county youth first use standard cigarettes is 12.7. An estimated 36.3% of youth believe that it would be easy to get standard cigarettes and 33.3% to get e-cigarettes. 20.9% of youth have at least one friend that uses standard cigarettes. An estimated 12.4% of youth believe there is 'slight' or 'no risk' to smoking standard cigarettes, while 36.0% believe there is 'slight' or 'no risk' to smoking e-cigarettes. Most youth obtain cigarettes and e-cigarettes from their friends. In the Western region, 27.9% of adults currently use cigarettes compared to 29% statewide. Marijuanause in Missouri youth continues to be of interest, particularly with recent shifts in legality of adult use across the nation. Around 7.5% of youth and 7.3% of adults report current marijuana use. In Atchison County, 3.3% of youth use marijuana. In 2018, 23.3% of youth said that marijuana is easy to get. Around 89.9% believe that smoking marijuana is wrong, and 21.3% report having at least one friend that uses marijuana. The average age of first use is 12.6. The majority of youth obtain marijuana from their friends, a dealer, or a family member. Across the state, around 46.6% of adults believe there is 'slight' or 'no risk' of harm from smoking marijuana once or twice a week. In Atchison County youth, approximately 23.3% believe that there is 'slight' or 'no risk' of harm from smoking marijuana once or twice a week. Prescription drugmisuse is of growing concern both across the nation and in Missouri. In Atchison County, 22.5% of youth believe that it would be easy to get prescription drugs that were not prescribed to them. Most youth report that there is a risk of harm when misusing prescription drugs, but 9.0% Current Substance Use for Ages 18+, 2012-2014 of youth believe that there is 'slight' or Please note a change in scale from previous chart 'no risk at all'. About 97.8% of youth 100% believe it would be wrong to use ■ Missoun orthwes (exctuding Jacl(son) ~'#. prescription drugs not prescribed to 75% CIJ ')• r-.-;J-•' them. Most youth get prescription ~ IJ') dParuing sm ferodmica at ifornie insd t hoer fmamositly c momemmboenrly. 50% I a00 0i cCfX..) :-0,. :lJi!.' c0~~ o - misused prescription medication, with 25% IN ~ I~ N 'c#". )'N$. -C~ O0 -,,o * ,-.: cri N"" CX) 0) 60.0% of those misusing prescription -c:i --i C'iC'i drugs in Atchison County county saying 0% .. tahdeuylt ms iinsu tshee pWaiens tmeernd irceagtiioonn .r 4e.p3o%rt oefd ~(.jQ ~ Cj 6~(t 1i ,.~0 0 Q;-,"~ ~0 > /l'i ,:,'b~ ,:-~e }c'i }i~'i9fl" ',-'b~' '&?;< -:J~~ ~ 'I misuse of prescription pain medication q_'l> ~ ~ (ti ,s-0 over the past year. **5+ drinks on a single occasion in last 30 days. Substance Use Consequences in the County Health:In 2015, Atchison County residents had a total of 1 alcohol-related and 0 drug-related hospitalizations. In addition there were 5 alcohol-related and 8 drug-related ER visits that did not include a hospital stay. Treatment:In 2017, 13 individuals were admitted into Substance Abuse Treatment Programs. A total of less than 5 were primarily due to alcohol, less than 5 were primarily due to marijuana, and less than 5 were primarily due to Law Enforcement:In 2017, Atchison County had 27 DWI arrests, 8 liquor law violations and 80 drug-related arrests. There were 0 methamphetamine laboratory seizures in Atchison County in 2017. Traffic Crashes:Alcohol-related traffic crashes decreased in the last year (from 7 in 2015 to 6 in 2016). Alcohol- related crashes are more likely to produce fatalities and injuries compared to non-alcohol-related crashes. 2016 Number of Alcohol-Related Crashes 2016 Number of People Injured / Killed in by Severity Alcohol and Drug-Related Crashes Total Fatal Crash w/ Crash w/ Alcohol Alcohol Drug Drug Crashes Crash Injury Property Damage Fatalities Injuries Fatalities Injuries 6 1 4 1 1 4 0 0 Behavioral Health Profile Atchison County 2018 Mental Health Data for Atchison County Individuals struggling with serious mental illness are at higher risk for homicide, suicide, and accidents, as well as chronic conditions including cardiovascular disease, respiratory disease, and substance use disorders. In state fiscal year 2017, 33 Atchison County residents received treatment for serious mental illness at publicly-funded facilities. See table for details. While there are data on those who receive treatment, data on mental health in the general population is very limited. This is especially true at the local level. In Western Missouri, 18.8% of those 18 and older had a mental Numbers Served in Atchison County illness in the past year, and 4.5% had a serious mental illness. Serious mental illness is defined as any of the mental disorders asked about and 'these disorders resulted in substantial FY2016 FY2017 impairment in carrying out major life activities'. Total 32 33 Approximately 6.8% of Western Missouri residents ages 18+ Adjustment Disorder * 0 had at least one major depressive episode in the past year. A Anxiety Disorder 12 15 major depressive episode is characterized by an extended period of depressed mood, loss of interest or pleasure, and Developmental Disorder 0 0 impaired functioning. Typically, females are more likely to Impulse Control Disorder 8 9 report having had a major depressive episode. Mood Disorder 21 22 Students (6th-12th grade) in the county were asked about their mental health. 72.5% of students in the county reported Psychotic Disorder * * feeling grouchy or in a bad mood, 52.7% reported feeling sad, 51.6% had changes in sleep, and 51.6% had difficulty These numbers indicate the number of clients seen concentrating in school at least sometimes. About 11.7% of with each diagnosis per year. An individual client may have more than one admission within a year. youth reported self-harm. The most common method of self- harm was cutting, hitting, or scrating oneself. Females were *Counts under 5 suppressed to protect identities more likely to report self-harm than males. Suicide is the 2nd leading cause of death for ages 10-34 in Missouri. In 2016, 1 Atchison County residents died by suicide. Typically, white males are most at risk of suicide. Approximately 12.4% of youth had considered suicide in the last year, 10.0% made a plan, and 0.0% actually attempted, resulting in an injury. Developed with support from the Missouri Division of Behavioral Health and the Substance Abuse and Mental Health Services Administration. For more information: http://dmh.mo.gov/ada/mobhew/