East Chicago - Indiana University Public Policy Institute
Transcription
East Chicago - Indiana University Public Policy Institute
Consumption and Consequences of Cocaine and Crack in East Chicago, IN: A Local Epidemiological Profile 2008 Developed by the East Chicago Local Epidemiology and Outcomes Workgroup 2008 Our Vision A united, healthy and safe drug- free community Our Mission To reduce substance use, especially Cocaine, among youth and young adults in East Chicago Published by the: Geminus Corporation 2008 Written by: Ann M. Vasquez, MSW, LSW, Guadalupe P. Lopez BA, and Meredith McGinley, MA Cover Illustration: Armando Mandy Gomez City of East Chicago 1 This document, written for state policy-makers and community leaders, presents data and analysis to support the development of a framework for advancing the mission of the Indiana Substance Abuse Prevention System. This document and the efforts described herein were found through a Strategic Prevention Framework State Incentive Grant (SPF-SIG) from the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), and the Center for Substance Abuse Prevention (CSAP). For additional copies of this document, contact: Geminus Corporation Prevention Department 8400 Louisiana Street Merrillville, IN 46410-6353 Phone: 219-757-1811 FAX: 219-757-1856 www.geminus.org Printed in the United States of America STATEMENT OF REPRODUCIBILITY Permission is granted, free of charge, to photocopy pages of this document that are not copyrighted. Permission to reproduce from government sources is traditionally freely granted by the U.S Government. If the analysis included in this report is quoted, the source should be credited. 2 The City of East Chicago, Indiana Local Epidemiology and Outcomes Workgroup (LEOW) Meredith McGinley Research Analyst 6819 Indianapolis Blvd. Hammond, IN 46324 Karen Stone, Research Analyst Indian University Northwest 3400 Broadway Gary, IN 46408 Albert Gay, MSM,CPP Director of Prevention Services Program Director, DSA 01 Geminus Corporation 8400 Louisiana Street. Merrillville, IN 46410 Sharon Strbjak Health and Social Services Coordinator Administration School City of East Chicago East Chicago, IN 46312 Annette King, Family Development Coordinator Northwest Indiana Community Action 5240 Fountain Dr. Crown Point, IN 46307 Tim Sutherland Data Center Director Indiana University Northwest, 3400 Broadway Gary, Indiana 46408 Detective Edward Rodriguez, East Chicago Police Department 2301 E. Columbus Drive East Chicago, IN 46312 3 Table of Contents Introduction……………………………………………………………………………………………………………………………………….…..5 Community Profile………………………………………………………………………………………………………………………………5 Mediating/Moderating Varibales………………………………………………………………………………………………………..7 1. EXECUTIVE SUMMARY……………………………………………………………………………………………………………………..10 2. METHODS…………………………………………………………………………………………………………………………………………10 Data………………………………………………………………………………………………………………………….…………...…10 Communities That Care……………………………………………………………………………………………………….……11 National Archives of Criminal Justice Data (NACID)…………………………………………………………………………………………………………………………………....12 Alcohol and Drug Treatment Episodes and Admissions Data/Treatment Episodes Data Set (TEDS)……………………………………………………………………………………………………………………………………….12 Data Analysis…………………………………………………………………….………………………………………………………12 3. FINDINGS REGARDING COCAINE USE…………..………………………………………………………………………………….12 Youth Substance Use………….…………………………………………………………………………………………….………12 Hispanic Use…………………………..…………………………………………………………………………………………………15 4. FINDINGS REGARDING OTHER SUBSTANCE USE AND ABUSE.............................................................17 5. CO-OCCURING SUBSTANCES…………………………………………………………………………………………………………….21 6. CONSEQUENCES…………………………………………………………………………………………………………………..…………..24 Cocaine and Anti-Social/Academic Outcomes…………………………………………………………………………..24 Cocaine and Crime……………………………………………………………………………………………………………………24 7. CONCLUSION.........................................................................................................................................25 8. GRAPHS MAP 1….…………………………………………………………………………………………………………………………….…….28 MAP 2….……………………………………………………………………………………………………………………………….….29 MAP 3…….……………………………………………………….…………………………………………………………….…….…..30 MAP 4……….………………………………………………………….……………………………………………………….……..….31 MAP 5………….…………………………………………………………………………… ………………………………..…………..32 MAP 6…………….…………………………………………………………..…………………………………..…………….…….…..33 MAP 7……………….…………………………………………………………………………………………………..….…...….…….34 MAP 8………………….…………………………………………………………………………………………………………..…..….35 MAP 9…………………….………………………………………………………………………………………………..………….…..36 9. FOCUS GROUPS …………………………………………………………………………………………………APPENDIX A…..37-53 4 Epidemiology Profile of East Chicago, Indiana INTRODUCTION In July 2007, Geminus Corporation received a block grant from SAMHSA/CSAP and administered by FSSA/DMHA. This block grant was named the Strategic Prevention Framework State Incentive Grant (SPF-SIG). “The SPF-SIG grant program represents a continuation of ongoing CSAP initiatives to encourage states to engage in data-based decision-making in the area of substance abuse prevention planning and grant making.” (Indiana Prevention Resource Center, 2008) The SPF-SIG uses a five-step process know to promote youth development, reduce risk-taking behaviors, build assets and resilience, and prevent problem behaviors across the life span. Efforts will be directed at reducing cocaine use among 18-25 year olds. East Chicago is an urban industrialized community that borders the southwest corner of Lake Michigan. The East Chicago’s Local Epidemiology Outcomes Workgroup (LEOW) attempted to identify areas where East Chicago exhibits significantly higher rates than that of the nation, state and county in consumption and/or negative consequences associated with each substance. The LEOW relied on various data sources such as the State’s 2008 SEOW report, Communities That Care Survey (CTCS), National Archive of Criminal Justice (NACJD), Treatment Episode Data System (TEDS) and Focus Groups that were conducted to provide new qualitative information. These focus groups were moderated by Golden Recognition, Inc., a minority owned consulting firm, located in Gary, Indiana. The Communities That Care Survey was administered by the School City of East Chicago in November 2007. Grades 7th-12th participated in this survey. The East Chicago Police were able to provide drug arrest and gang data. This data was used to produce GIS mapping. COMMUNITY PROFILE History of East Chicago: To understand East Chicago today one must understand its origination and development through the decades. East Chicago started as a subdivision in 1888 when a British investment firm bought land from George Clark, a civil engineer. In that same year the Chicago & Calumet Terminal Beltline linked East Chicago to Chicago through a truck rail system. East Chicago was later incorporated as a town in 1889 and reincorporated as a city in 1893. Two changes took place in the early 1900’s that transformed East Chicago’s destiny. First, in 1901, Inland Steel built a plant at Indiana Harbor making East Chicago an industrial center. Second, in 1903 the East Chicago Company (ECC) took control of the residential and municipal planning. By 1907, East Chicago had dredged the Indiana Harbor Ship Canal creating the first navigable waterway connecting Lake Michigan to the Grand Calumet River. By 1930, East Chicago boasted an industrialized city which supplied coal, iron, petroleum refineries, construction, manufacturing, and chemical factories to Northwest Indiana. East Chicago quickly grew in population to a peak of 57,669 in 1960. (Valliant, 2005) 5 Downward turn of the Steel Industry: During the 1980’s under President Ronald Reagan, East Chicago, along with the rest of Northwest Indiana, experienced a total of 55,000 lost jobs. Increased competition from imports also caused massive layoffs. Half of the 70,000 employees who worked in the steel plants were laid off. Finally, in 2001, LTV Steel closed its doors eliminating 8,000 jobs in East Chicago. As East Chicago lost its job base, the city’s population dropped quickly; by 2006, the population was 30,594. (Schrepp, January 27th, 2002) The influence of HOPE VI: HOPE VI is a federal program under the Housing and Urban Development Department, HUD, which promotes the revitalization of housing projects physically, managerially, and socially. It uses a one third ration for the voucher system. One third of the residents are able to afford the rent without assistance, one third receives some assistance and the last third are completely subsidized by the government (Chicago Housing Authority, 2007). As part of HOPE VI, Mayor John Daley during the 1990s demolished the Cabrini Green and Robert Taylor Housing Projects in Chicago. The demolition was part of a plan to convert public housing into mixed housing in hopes of reducing stigmas, gang activity, drug solicitation and violence. Several East Chicago key community leaders believe that many of these Chicago residents were displaced into the outlying communities including Hammond and East Chicago, Indiana. These leaders claim that there are too many Illinois license plates displayed on cars at public housing units and apartments. This raises the question, are these cars the property of Indiana residents or Illinois residents that maybe collecting Indiana government monies without transferring permanent residency? Or, are these residents from Illinois actually double dipping? Others believe that the schools just use this as an excuse to blame Chicago for their problems. (Refer to focus group results Appendix A) Furthermore, key leaders also were concerned about the demolition of the River Park Apartments in 2006. These apartments were located at the south end of Hammond, Indiana, hanging on the fringe of the highly traveled expressway, 80/ 94 and the cross road of Kennedy Avenue. This apartment complex which was comprised of mixed incomes was notorious for criminal activity. Many of the residents were section 8 recipients. The complex was demolished because it failed to meet section eight standards (Mayor Tom Mc Dermott, 2008) Again, the question arises, where did these displaced tenants relocate? Corruption/Political Patronage: East Chicago residents are experiencing trust issues with local and county politicians. According to The Times Newspaper, Operation Restore Public Integrity, a Federal investigation and prosecution, secured convictions of 42 public officials and municipal contractors, mainly in East Chicago, Gary and Lake County government. Most prosecutions ranged from misappropriation of federal funds, voter fraud, conspiracy in connection with the sidewalks-for-votes, and bribes. An additional four public officials are awaiting trial. (Carlson, September 30, 2007) Current City Profile: East Chicago, Indiana is an urban industrialized city located in the Northwest Corner of Lake County, Indiana. One of East Chicago’s natural borders is Lake Michigan. The city of East Chicago had a population of 32, 414, reported in the 2000 U.S. Census. The 2000 U.S. Census also reported that 36.1% of the population was African American, and 51.6% was Hispanic or Latino. However, East Chicago’s 2003 population dropped to 31,366, and by 2006, the population was 30,594. East Chicago experienced a 5.95% population decline from 2000 to 2006. (stats.indiana.edu) This reduction in population may affect the economy by lowering the tax base and school enrollment. Interestingly, East Chicago has the highest concentration of Hispanics in the state and 46% speak a language other than English. Additionally, the foreign-born population percentage is significantly above the state average. (City-Data, 2007)(www.city-data.com/city/East-Chicago-Indiana) 6 Vacant housing indices indicate that there is a 15.4% vacancy of available housing units for the year 2007 (Indiana Prevention Resource Center-Prev-Stat, 2008). This number has increased since the latest census (2000) when 11.7% housing vacancy rates were reported by the U.S. Census Bureau. MEDIATING/MODERATING VARIABLES Poverty: East Chicago residents have devastatingly low-income levels with a high percentage of citizens living significantly under the poverty level. For example, in the last Census 22.5% of East Chicago families were below the poverty level, compared to 9.2% of families in the United States. Additionally, 93% of students received Free Lunches/Textbooks during the school year of 2006-2007. This is higher than both the state level (29.4%) and the Lake County level (36.6%) in the same year (Indiana Prevention Resource Center-Prev-Stat, 2008). Notably, this level has risen steadily over the past five years. (Department of Education, 2007, www.doe.in.gov) Unemployment: East Chicago’s unemployment rate rose between November 2006 (6.7%) and November 2007 (7.2%). When comparing the national, state, county and city unemployment rates for 2006, East Chicago’s rate was higher than Lake County (5.8%), the State of Indiana (5%), and the United States (4.6%). (http://www.hoosierdata.in.gov/) The East Chicago School System: The School System in East Chicago is currently on academic probation status according to the Department Of Education. The state high school graduation rate is currently at 76 % and East Chicago’s rate is 55%. This corporation has high expulsion and suspension rates. During the school year of 2006-2207, the school system reported 89 students were expelled (36 expulsions due to weapons, drugs or alcohol) and 705 were suspended. (www.doe.in.gov) Conservative estimates from the school survey, Communities That Care, of East Chicago junior and senior high schools (see below) suggest that 43% of students in 7th -12th grade have reported being suspended at some point in the last year. (95% C.I.: 39.77% - 45.75%) Gambling Boat/ Resorts East Chicago: Northwest Indiana’s Riverboats were opened during 1992-93. Although riverboats generate millions in tax monies they also create millions in loss. “Social costs” are losses measured to society and they include: increased crime, bankruptcy, and divorce. A report is available on-line (Urbanik, March 13, 2006). East Chicago’s floating casino is a publicly traded, private corporation so the tax revenue stays with the local community and the state governmental units. Resorts East Chicago, has many positive and negative effects on the City of East Chicago. For example, benefits include one percent of the gross revenues being paid to the Foundations of East Chicago, FEC, a nonprofit organization. Second Century, a private corporation receives .75% of the revenues. Both Foundations and Second Century’s percents were originally designed to be used for economic development. However, only FEC has publicly displayed the whereabouts of their monies from the boat’s revenues. FEC reports their grants and grantees in a quarterly newsletter. Since Second Century Corporation is not required to report their economic development, much remains unknown about the 16 million the Second Century Corporation has received since 1994. (Office of the Attorney General, 2006) (News Release November 8, 2006) www.in.gov/attorneygeneral/press/AGFollowsECCasinoAgreementCaseloadtothe IndianaCourtofAppeals.html. 7 Since Foundations of East Chicago (FEC) is a non-for-profit organization, it publishes and distributes a newsletter that details where the funding is awarded. Organizations applying for a grant through the FEC must be registered with the IRS as a 501(C)(3) agency. Additionally, applying agencies must be located in the city of East Chicago. FEC awarded one million dollars to over 13 community organizations during the first quarter of 2007. Organizations focusing on community health, safety, scholarships, career development, sports, and spiritual growth (i.e., churches) were the recipients of this first quarter funding. (East Chicago Foundations Spring newsletter, 2007, www.foundationssec.org) If Resorts ever closes, East Chicago would suffer a huge loss of community monies. Second Century’s reports are shielded and not displayed for the public. This shielding caused yet another corruption investigation. In 2006, Attorney General Steve Carter urged the court of appeals to render the original 1994 agreement of channeling the boat’s revenues to Second Century as illegal. In December of 2007, the Indiana Court of Appeals published its opinion upholding the original agreement. Over one million dollars was placed into escrow while the case was being decided. Although the Court of Appeals upheld the legality of the contract for the Second Century, public trust may be further wounded by the lack of accountability displayed by Second Century. Resorts Costs to Society: According to the Chesterton Tribune, casinos’ corrosion is felt the most for those nearest the boat. Furthermore, in 2005, an independent study completed by the firm Policy Analytics LLC, found that the cost to society for problems created by casinos accounts for 9-12 percent of the revenues generated. About 8 percent of the crime in counties with casinos is due to the presence of the casinos and 1.4% of total bankruptcies. Gamblers at the East Chicago Casino ranked third in the amount of money lost ($310 million) and third in admissions for addiction issues. ($ 3.6 million) (Urbanik, Chesterton Tribune, March 13, 2006) http://chestertontribune.com/PoliceFireEmergency/casinos_social_corrosion_worst_n.htm Business Sector: East Chicago does not have many structured activities for their young adults, aged 1825. Residents must travel twenty to thirty minutes to Merrillville or Schererville just to view a movie at the theaters. A comprehensive redevelopment paper was written in July of 2007 by The Lakota Group for the City of East Chicago. This report points out that bars/liquor stores are over-represented and that there is a lack of range of retail, entertainment and restaurants, and a lack of a bowling alley, gymnastics, karate and arts oriented programs. Furthermore, there are many unattractive streetscapes, vacant properties, limited range of shops and services, excessive parking, soil contamination from nearby industrial uses. Lastly, the report states that more land is zoned for commercial use than the market has a demand. The city should take this report seriously and follow as many recommendations as possible to attract and keep new businesses and new citizens. New social facilities should be built to fill in the gaps of entertainment which most cities possess. (Lakota Group, July 2007) The burden of Cocaine and crack use on East Chicago citizens: This burden can be viewed both directly and indirectly. Direct costs include: drug treatment, health care costs, costs of goods and services lost to crime, law enforcement, incarceration, and the taxing of the judicial system. Indirect costs are incurred as a loss of productivity from death, negative health consequences, drug-abuse related illnesses and victims of crimes. (Drug Enforcement Agency website, 2007, www.justthinktwice.com/costs/) Funding: East Chicago was funded for the reduction of Cocaine among 18-25 year olds. The funding sources found that East Chicago had both a high risk and high priority level for cocaine use. Furthermore, National Statistics revealed that Hispanics had the highest rates of Cocaine use in the country and East Chicago has the highest number of Hispanics in the state of Indiana. (State 8 Epidemiologic Outcomes Workgroup, Indiana Report, 2006) There were no available statistics on cocaine use by Hispanics at the state level. Legal and Criminal Consequences of Cocaine Use: The East Chicago Police Department has identified 9 different criminal gangs that operate in East Chicago (See Figure 6 & 7). Crimes committed by these gangs include: shootings, murders and drug deals with the greater majority of crimes being drug related. To increase their productivity these gangs reportedly share territory rather than fight over it to reduce unwanted police attention. Lake County’s High Intensity Drug Trafficking Area, HIDTA, reports in their April 2007 assessment that East Chicago Gangs in particular are more likely to utilize sophisticated communication and counter surveillance techniques. Area gangs use innovative means of financing their operations to appear legitimate to the authorities. Three tactics are specifically mentioned in this report. First, gangs buy government “project” homes and renovate them for resale at a profit. Secondly, gangs in East Chicago are purchasing legitimate small cash based businesses so that they can commingle legitimate and illegitimate funds. Thirdly, the gangs are “washing their money” through the river boat casinos. Gang members will use drug monies to purchase gaming chips which they later turn in as winnings which appear legitimate. Finally, this report reinforces the findings in our focus group. Key stake holders interviewed in our focus groups believed that the demolition of the Chicago Housing Projects and the displacement of their residents have negatively affected East Chicago’s urban environment. HIDTA reports that many gang members have moved to East Chicago due to lenient gun laws, access to major crossroads, access to easy storage, and a central redistribution location. HIDTA’s outlook and projection look poor and includes: increased whole sale of cocaine, heroin, and marijuana distribution, increased use of Lake County as a hub for distribution of street drugs, spread of gang activity into surrounding areas, and an increase of heroin use among young Caucasians. Lastly, the report states that without new gun control laws, the gangs will continue to buy firearms here in Indiana to distribute to Chicago, Michigan and other outlying areas with tougher gun control laws. (April 2007 HIDTA Assessment Report) East Chicago has a Gang and Narcotic Unit that promotes an informational website and provides antigang information to students and parents. (www.eastchicago.com/policegang.html ) This presentation reports that there are many family motives for joining gangs which include: a stressful life at home, lack of parental involvement, low or non-existent expectations from parents, limited English speaking households, abuse or neglect, and permissive truancy attitudes. Individual or personal motives include: low motivation, low educational/occupational expectations, low self-esteem, behavior/discipline problems, drug abuse, and peer pressure, protection, and negative police involvement, glamorization by media in fashion, music, and television. Coincidently, these are also many of the risk factors that prevention professionals focus on when choosing prevention based programs. (Power point provided by the East Chicago Police Department, 2007) Positive Factors/Protective factors: Programs: Currently, East Chicago has many after school programs to delay adolescents from experimenting with drugs by decreasing opportunity and boredom. East Chicago offers the following: Afternoons ROCK, Circle Around Families, LEAD, programs through the park’s department, Katherine’s Boys and Girls Clubs, a North Township Trustees’ Office Healthy East Chicago, Parents as Teachers, St. Catherine’s Hospital, Tri-City Mental Health, Indian Harbor Little League, Indiana National Guard’s Drug Demand Reduction, The United Way’s Alse Clemente Center and the Robertson Child Development Center. 9 Afternoons ROCK is an excellent program for after school hours servicing 10 -14 year olds. Afternoons ROCK is a nationally recognized program with National Registry for Evidenced based Programs and Policies. Afternoons ROCK activities include: conflict resolution, refusal/resistance skills, gang prevention programs, violence prevention, awareness of peer and social influences, advertising pressures and how to structure leisure time without alcohol or drugs. There are currently eight Afternoons ROCK sites in East Chicago. East Chicago adolescents who are arrested and placed on juvenile probation are referred to Tri-City for the All Stars program. The All Stars program is a universal program to strengthen five qualities: developing positive ideals and future aspirations, establishing positive norms, building strong personal commitments, promoting bonding with school and community organizations, and promoting positive parental attentiveness. Circle Around Families is a wrap around service provided to individuals 6-18 years of age who are at risk of being removed from home, diagnosed with a serious emotional disorder, or are involved in or need two or more human service systems. 1. EXECUTIVE SUMMARY As a requirement of the grant, seven workgroups were created. The SPF-SIG staff hosted an informational luncheon in collaboration with Drug Free Communities. The purpose of this event was to recruit membership for the following seven workgroups: Local Advisory Council (LAC), Local Epidemiology Outcomes Workgroup (LEOW), Evaluation, Training/Outreach, Cultural Competency, Youth/Young Adult, Program and Policy. This event was successful in filling all but the Youth/Young Adult and the Evaluation Workgroups. The LAC Workgroup met in November of 2007 and further recruitment helped to find a chair, Nora Cheek, for the Youth/Young Adult workgroup. Nora together with SPF-SIG staff was able to recruit youth members from the high school and two church youth groups. The Evaluation Workgroup continues to be a difficult workgroup to fill. The LEOW workgroup started out slow and remains small in numbers; but consistent and dedicated to the SPF-SIG process. The first meeting was held in November of 2007. Through this process, we were able to attract community members from various sectors including the East Chicago Police Department, School City of East Chicago, Heartland Center, Indiana University Northwest, and the North Township Trustee’s Office. East Chicago’s LEOW has met monthly to complete tasks as outlined by the grant. 2. METHODS East Chicago’s LEOW met once a month and recruitment was slow. Sharon Strbjak and Detective Rodriguez were aboard from the first meeting. Ms. Strbjak has been instrumental as a gatekeeper between the LEOW and the East Chicago School Administration. Sharon was able to submit a proposal to the board to have the Communities That Care Survey and the IPRC’s Alcohol, Tobacco and Other Drug Survey administered once in November of 2007 and March of 2008. Ms. Maria Dalhoumi, the school’s director of secondary education administered the Communities That Care Survey to grades 7-12. Meredith McGinley, a doctoral student currently working at the Heartland Center, analyzed the raw data from the Communities That Care survey for LEOW. Golden Recognition Inc., a local marketing group, was hired in November of 2007 to conduct four focus groups. Golden Recognition provided a full report 10 on February 1, 2008. Qualitative information obtained from this report will be used in both the epidemiological report and the strategic plan. Our Local Epidemiology and Outcomes Workgroup (LEOW) workgroup decided that tasks should be assigned and based on each member’s unique areas of expertise as well as their access to pertinent raw data. For example, our data was interpreted and analyzed by Doctoral student Meredith McGinley and our mapping was created by Tim Sutherland, Cele Morris, and Karen Stone from Indiana University Northwest Center for Data and Analysis. Our Local Advisory Council (LAC) is our workgroup responsible for creating a Strategic Plan to address local substance abuse issues based on date provided by the LEOW. Also, they will govern the entire SPFSIG project. DATA SOURCES The data for these analyses were gathered from various publicly available federal state and local surveys and data sets. The following paragraphs describe the surveys and data sources used to complete this report. Communities That Care Survey (CTCS) The CTCS was administered to East Chicago students in grades 7-12 (several 6th grade students were excluded from the overall analysis). The CTCS was provided by Pride Surveys (http://www.pridesurveys.com/supportfiles/CTC_Survey.pdf). This survey has been found to be a valid and reliable measure of several aspects of youth drug use, antisocial behavior, and a variety of protective and risk factors related to peers, family and the community (Arthur, Hawkins, Pollard, Catalon, & Baglioni, 2002). Pride Surveys also compiled responses and provided the LEOW with raw data for analysis. Youth who complete the CTCS are asked to report on their lifetime (use of the drug at least once in the respondent’s life) and monthly (also known as current use, defined as use at least once in the 30 days prior to the survey) use of a wide range of drugs, including alcohol, tobacco, marijuana, cocaine, heroin, LSD, ecstasy, methamphetamine, inhalants, and prescription drugs (e.g., Xanax, Ritalin). To our knowledge, this is the first time the CTCS has been administered in East Chicago schools. The CTCS was designed to filter out students who lie on self-report surveys. In this survey, students who responded positively to two questions regarding a fake drug (“Derbisol” use over the last 30 days and in one’s lifetime) were not included in the final analysis. Additional criteria were used to identify exaggerated responses. Youth who reported using illicit drugs (e.g., cocaine, heroin) more than 120 times in the last 30 days were excluded. Other students responded illogically to many questions. For example, students would report they did not use marijuana in their lifetime, but then reported that they began using the drug at the age of 15. Students with 4 or more illogic responses were not included. Illogical items for other students were deleted on a case-by-case basis. Additionally, students who did not respond to any of the drug-related questions were not included in the final analysis. The CTCS survey results cannot be directly compared with results from any survey reported in the SEOW report due to the data quality-assurance measures outlined above. To our knowledge, other surveys such as the ATOD or the YRBSS do not take similar measures. Thus, data cannot be directly compared to 11 one other. If one wishes to compare to state and national levels, it should be done so in a limited and cautious fashion. National Archive of Criminal Justice Data (NACJD) Arrest statistics were used when analyzing juvenile cocaine-related crime trends. Arrest statistics, but not crime reported statistics; provide information on the juvenile status of the offender. The arrest statistics analyzed were gathered from the National Archive of Criminal Justice Data (NAJCD) website (http://www.icpsr.umich.edu/NACJD). The NAJCD compile FBI UCR data, estimate the monthly missing data (as law enforcement agencies in Indiana are not required to report UCR data), and release it to the public for research purposes. According to the FBI, juveniles are defined as persons under the age of 18. An arrest is counted for each person committing the crime. If five people are arrested for one crime, the arrest data reflect five people were arrested. If one person commits several crimes and is arrested, only the most serious offense is recorded as one arrest. Treatment Episode Data System (TEDS) “The TEDS is a national database maintained by the Substance Abuse and Mental Health Services Administration (SAMHSA) which records information about individuals entering treatment for substance abuse and/or dependence. Data are submitted to the TEDS by state mental health departments on an annual basis. The information reported in the TEDS includes age, race, gender, and other demographic characteristics, as well as information on the use of various drugs. The TEDS data are publicly available with a one-year delay between the time data are gathered, and the time when data can be obtained. The format of the TEDS data allows for comparisons between Indiana and the United States by gender, race, and age groups. County-level TEDS data are available for Indiana from the Indiana Department of Mental Health and Addiction. While the TEDS data can provide some information on drug use and abuse patterns both nationally and at the state level, the population on which data are reported is not representative of all individuals who receive drug and alcohol treatment. For Indiana, the TEDS data are limited to information about individuals entering substance abuse treatment who are 200% below the poverty level and who are receiving state-funded treatment” (SEOW report, 2006, p. 12) Data were accessed from http://www.sis.indiana.edu/TreatmentDataDesc.aspx. Data Analysis Analysis on the CTCS survey was conducted with the SPSS (Statistical Package for the Social Sciences) statistical analysis software. Statistical comparisons were made across gender, racial, and grade groups for drug-consumption behaviors. For all comparisons, a p value of .05 or less was used to determine statistical significance. FINDINGS REGARDING COCAINE USE Youth Substance Use In order to focus on a group closer to the age of interest in the East Chicago SPF-SIG, 9th – 12th graders were primarily examined. The Communities that Care Survey (CTCS) administered at East Chicago schools revealed that 3.73% (95% C.I.: 2.27-5.20%) of high school students reported they had used cocaine at some point in their lifetime. Additionally, 1.87% (95% C.I.: .82% -2.92%) are currently using 12 cocaine (in the past 30 days). Compared to other illicit drugs (excluding marijuana), more East Chicago high school students use cocaine (both lifetime and current use) when compared to the use of heroin, LSD, ecstasy, methamphetamines, and prescription drugs such as Xanax and Ritalin. However, students more often used substances such as smokeless tobacco, cigarettes, alcohol, marijuana, and inhalants than cocaine. Table 1.0 Percentage of East Chicago Students (9th-12th Grade) Reporting Lifetime (at Least Once) and Current (Past Month) Drug Use (CTCS, 2007) Smokeless Tobacco Cigarettes Alcohol Marijuana Inhalants Cocaine Heroin LSD Ecstasy Methamphetamines Xanax Ritalin Lifetime Use 4.04% 35.33% 65.42% 32.52% 5.14% 3.73% 1.09% 1.71% 3.43% 0.94% 2.83% 95% Confidence Interval 2.52% - 5.56% 31.56% - 39.11% 61.74% - 69.10% 28.81% - 36.23% 3.43% - 6.85% 2.27% - 5.20% 0.29% - 1.89% 0.71% - 2.72% 2.02% - 4.84% 0.19% - 1.68% 1.54% - 4.13% Current Use 1.86% 11.85% 29.94% 15.38% 2.35% 1.87% 0.78% 0.78% 1.26% 0.78% 1.42% 95% Confidence Interval 0.82% - 2.90% 9.38% - 14.33% 26.32% - 33.55% 12.58% - 18.19% 1.17% - 3.53% 0.82% - 2.92% 0.10% - 1.46% 0.10% - 1.47% 0.39% - 2.12% 0.10% - 1.46% 0.50% - 2.34% 1.10% 0.29% - 1.90% 0.63% 0.01% - 1.24% Male students in East Chicago had higher rates of lifetime and current cocaine use than female students in East Chicago. An estimated 6.86% of males (95% C.I.: 3.88% – 9.84%) reported lifetime use, whereas 1.39% of females reported lifetime use (95% C.I.: .18% – 2.61%). This difference was statistically significant (Pearson chi square = 12.867, p < .001). Additionally, 2.90% of males (95% C.I.: .92% – 4.88%) reported current use, compared to 1.12% of females (95% C.I.: .03% – 2.21%) reporting current use. This difference was not statistically significant. 13 Table 1.1 Percentage of East Chicago Students (9th – 12th Grade) Reporting Lifetime (at Least Once) and Current (Past Month) Cocaine use, by Gender (CTCS, 2007) 8% 7% 6% 5% 4% 3% 2% 1% 0% Lifetime Current Male 6.86% 2.90% Female 1.39% 1.12% Examining grade-level rates, 9th graders reported the lowest levels of both lifetime and current cocaine use when compared to their older counterparts. The lifetime use rate for 9th graders was 2.64% (95% C.I.: .55% – 4.73%), which was lower than the 10th grade rate (4.28%; 95% C.I.: 1.37% – 7.19%), the 11th grade rate (3.94%, 95% C.I.: .54% – 7.33%), and the 12th grade rate (4.90%; 95% C.I.: .69% – 9.11%). No significant differences were found among these grades. For current use, results were similar. For 9th graders, the rate was 1.33% (0.00% – 2.82%), which again was lower than 10th graders (2.15%; 95% C.I.: .06% – 4.24%), 11th graders (2.36%; 95% C.I.: 0.00% – 5.01%), and 12th graders (1.96%; 95% C.I.: 0.00% – 4.66%). Again, these differences were not statistically significant. Additionally, we compared 7th and 8th grade students who completed the CTCS to their high school counterparts. In general, lifetime and current use for 7th (1.13%, 95% C. I.: .03% – 2.24%) and 8th graders (1.85%, 95% C. I.: .24% – 3.45%) was lower than use by high school students. Lifetime use by 7th grade students was significantly lower than 10th, 11th, and 12th grade students (Pearson chi square range = 3.991 – 5.797, p’s < .05). Current use by 7th graders (.28%, 95% C. I.: 0.00% - .84%) and 8th graders (1.10%, 95% C. I.: 0.00% – 2.35%) was again lower than their high school counterparts. Additionally, current use by 7th graders was significantly lower than students in 10th (Pearson chi square = 4.621, p < .05) and 11th (Pearson chi square = 4.885, p < .05) grade. 14 Table 1.2 Percentage of East Chicago Students (7th-12th Grade) Reporting Lifetime (at Least Once) and Current (Past Month) Cocaine use, by Grade (CTCS, 2007) 6% 5% 4% 3% 2% 1% 0% Lifetime Current 7th grade 1.13% 0.28% 8th grade 1.85% 1.10% 9th grade 2.64% 1.33% 10th grade 4.28% 2.15% 11th grade 3.94% 2.36% 12th grade 4.90% 1.96% Regarding race/ethnicity, comparisons could only be made among Hispanic and Black students. No comparisons could be made with White or “other” race students as their numbers were too low for a meaningful analysis. Hispanic students reported higher rates of lifetime and current cocaine use than Black students. Approximately 5.61% (95% C.I.: 3.09 – 8.13%) of sampled Hispanic students reported lifetime use compared to 0.00% (95% C.I.: 0.00% – 0.00%) of Black students. This difference was statistically significant (Pearson chi square = 13.618, p < .001). Moreover, a significant difference was found among race/ethnicity for current cocaine use (Pearson chi square = 5.999, p < .05). Hispanic students reported a rate of 2.52% (95% C.I: .79% – 4.24%), whereas Black students again reported no cocaine use. Hispanic Use Because of the higher levels of cocaine use in Hispanics, this group was further investigated by examining differences among Hispanic males and females, as well as Hispanic 9th, 10th, 11th, and 12th 15 graders. Hispanic males reported a higher lifetime cocaine use (10.64%, 95% C. I.: 5.53% – 15.75%) than Hispanic females (1.72%, 95% C. I.: 0.00% – 3.66%). This difference was statistically significant (Pearson chi square = 11.487, p < .001). Hispanic males also reported higher current cocaine use (3.62%, 95% C. I.: .49% – 6.75%) than Hispanic females (1.72%, 95% C. I.: 0.00% – 3.66%), although this difference did not reach the p < .05 level of significance. Regarding grade-level statistics, Hispanic 9th graders again reported the lowest levels of current and lifetime cocaine use. The lifetime use rate for Hispanic 9th graders was 3.54% (95% C.I.: .12% – 6.96%), which was lower than the 10th grade rate (5.56%; 95% C.I.: .80% – 10.31%), the 11th grade rate (7.58%, 95% C.I.: 1.14%-14.01%), and the 12th grade rate (7.69%; 95% C.I.: .38% – 15.01%). These differences were not statistically significant. For current use, results were similar. Freshman reported lower use (1.77%, 95% C.I.: 0.00% – 4.21%), than 10th graders (2.27%; 95% C.I.: 0.00% – 5.40%), 11th graders (4.55%; 95% C.I.: 0.00% – 9.61%), and 12th graders (1.96%; 95% C.I.: 0.00% – 5.80%). These differences were again not statistically significant. Next, Hispanic 7th and 8th grade cocaine use was compared to Hispanic high school use. Lifetime use by Hispanic 7th (1.86%, 95% C. I.: 0.00% – 3.96%) and 8th graders (3.20%, 95% C. I.: .10% – 6.30%) was generally lower than use by Hispanic students in older grades. These differences were not statistically significant. Current use by Hispanic 7th (.63%, 95% C. I.: 0.00% – 1.85%) and 8th graders (1.59%, 95% C. I.: 0.00% – 3.78%) was again lower than students in older grades. Again, these differences were not statistically significant. Table 1.3 Percentage of Hispanic East Chicago Students (9th – 12th Grade) Reporting Lifetime (at Least Once) and Current (Past Month) Cocaine use, by Gender (CTCS, 2007) 12% 10% 8% 6% 4% 2% 0% Lifetime Current Male 10.64% 3.62% Female 1.72% 1.72% 16 Table 1.4 Percentage of Hispanic East Chicago Students (7th-12th Grade) Reporting Lifetime (at Least Once) and Current (Past Month) Cocaine use, by Grade (CTCS, 2007) 9% 8% 7% 6% 5% 4% 3% 2% 1% 0% Lifetime Current 7th grade 1.86% 0.63% 8th grade 3.20% 1.59% 9th grade 3.54% 1.77% 10th grade 5.56% 2.27% 11th grade 7.58% 4.55% 12th grade 7.69% 1.96% FINDINGS REGARDING OTHER SUBSTANCE USE AND ABUSE Only statistically significant differences (p < .05) will be reported in this section regarding other substance use and abuse. Overall, male high school students used more smokeless tobacco, cocaine, heroin, LSD, and Ecstasy over their lifetime than female students (all p’s < .05). Similarly, male high 17 school students used more smokeless tobacco, LSD, and Ecstasy in the past month than female students (all p’s < .05). Table 1.5 Percentage of East Chicago Students (9th-12th Grade) Reporting Lifetime (at Least Once) Drug Use, by Gender (CTCS, 2007) Smokeless Tobacco Cigarettes Alcohol Marijuana Inhalants Cocaine Heroin LSD Ecstasy Methamphetamines Xanax Ritalin Male Use 6.74%* 35.06% 64.26% 32.84% 3.64% 6.86%* 2.17%* 3.61%* 5.78%* 1.45% 3.68% 1.46% 95% Confidence Interval 3.81% - 9.67% 29.36% - 40.75% 58.61% - 69.91% 27.20% - 38.47% 1.42% - 5.85% 3.88% - 9.84% 0.45% - 3.90% 1.41% - 5.81% 3.02% - 8.53% 0.04% - 2.86% 1.44% - 5.92% 0.04% - 2.88% Female Use 1.97%* 35.40% 66.48% 32.26% 6.39% 1.39%* 0.28%* 0.28%* 1.68%* 0.56% 2.25% 0.84% 95% Confidence Interval 0.52% - 3.41% 30.30% - 40.50% 61.58% - 71.38% 27.29% - 37.23% 3.86% - 8.92% 0.18% - 2.61% 0.00% - 0.82% 0.00% - 0.83% 0.34% - 3.01% 0.00% - 1.34% 0.71% - 3.79% 0.00% - 1.78% *Difference between males and females is statistically significant at the p < .05 level Table 1.6 Percentage of East Chicago Students (9th – 12th Grade) Reporting Current (Past Month) Drug Use, by Gender (Communities that Care Survey, 2007) Smokeless Tobacco Cigarettes Alcohol Marijuana Inhalants Cocaine Heroin LSD Male Use 3.18%* 13.29% 30.97% 16.79% 1.84% 2.90% 1.45% 1.84%* 95% Confidence Interval 1.13% - 5.23% 9.35% - 17.23% 25.42% - 36.52% 12.35% - 21.22% 0.24% - 3.44% 0.92% - 4.88% 0.04% - 2.87% 0.24% - 3.44% 18 Female Use 0.84%* 10.68% 29.45% 14.61% 2.79% 1.12% 0.28% 0.00%* 95% Confidence Interval 0.00% - 1.79% 7.51% - 13.86% 24.62% - 34.28% 10.93% - 18.28% 1.08% - 4.49% 0.03% - 2.21% 0.00% - 0.83% 0.00% - 0.00% Ecstasy Methamphetamines Xanax Ritalin 2.55%* 1.45% 1.84% 0.74% 0.68% - 4.41% 0.04% - 2.87% 0.24% - 3.44% 0.00% - 1.75% 0.28%* 0.28% 1.13% 0.56% 0.00% - 0.83% 0.00% - 0.82% 0.03% - 2.23% 0.00% - 1.33% *Difference between males and females is statistically significant at the p < .05 level Hispanic high school students used more smokeless tobacco, cigarettes, alcohol, cocaine, and LSD over their lifetime than Black students (all p’s < .05). Similarly, Hispanic high school students used more smokeless tobacco, cigarettes, alcohol, and cocaine in the past month than black students (all p’s < .05). Table 1.7 Percentage of East Chicago Students (9th – 12th Grade) Reporting Lifetime (at Least Once) Drug Use, by Race/Ethnicity (CTCS, 2007) Smokeless Tobacco Cigarettes Alcohol Marijuana Inhalants Cocaine Heroin LSD Ecstasy Methamphetamines Xanax Ritalin Black Use 1.22%* 21.49%* 57.38%* 26.91% 3.83% 0.00%* 0.43% 0.00%* 2.58% 0.00% 0.43% 1.29% 95% Confidence Interval 0.00% - 2.60% 16.15% - 26.83% 51.07% - 63.69% 21.07% - 32.74% 1.37% - 6.29% 0.00% - 0.00% 0.00% - 1.26% 0.00% - 0.00% 0.54% - 4.61% 0.00% - 0.00% 0.00% - 1.28% 0.00% - 2.75% Hispanic Use 6.09%* 44.59%* 70.66%* 33.01% 5.64% 5.61%* 1.25% 1.87%* 3.14% 0.94% 2.55% 0.31% 95% Confidence Interval 3.43% - 8.75% 39.00% - 50.18% 65.64% - 75.68% 27.76% - 38.26% 3.11% - 8.18% 3.09% - 8.13% 0.03% - 2.47% 0.39% - 3.35% 1.22% - 5.07% 0.00% - 2.00% 0.80% - 4.29% 0.00% - 0.93% *Difference between Hispanic and Black students is statistically significant at the p < .05 level 19 Table 1.8 Percentage of East Chicago Students (9th – 12th Grade) Reporting Current (Past Month) Drug Use, by Race/Ethnicity (CTCS, 2007) Smokeless Tobacco Cigarettes Alcohol Marijuana Inhalants Cocaine Heroin LSD Ecstasy Methamphetamines Xanax Ritalin Black Use 0.00%* 4.08%* 19.83%* 12.99% 2.14% 0.00%* 0.00% 0.00% 0.87% 0.43% 0.43% 0.86% 95% Confidence Interval 0.00% - 0.00% 1.60% - 6.56% 14.69% - 24.97% 8.64% - 17.33% 0.28% - 3.99% 0.00% - 0.00% 0.00% - 0.00% 0.00% - 0.00% 0.00% - 2.06% 0.00% - 1.28% 0.00% - 1.29% 0.00% - 2.05% Hispanic Use 2.55%* 17.96%* 35.76%* 14.73% 2.21% 2.52%* 1.25% 0.32% 0.95% 0.32% 1.27% 0.00% 95% Confidence Interval 0.80% - 4.29% 13.76% - 22.15% 30.35% - 41.18% 10.84% - 18.63% 0.59% - 3.83% 0.79% - 4.24% 0.03% - 2.48% 0.00% - 0.94% 0.00% - 2.01% 0.00% - 0.93% 0.03% - 2.52% 0.00% - 0.00% *Difference between Hispanic and Black students is statistically significant at the p < .05 level Finally, all drug use across grades 7th – 12th were examined for East Chicago students. For lifetime smokeless tobacco lifetime use, 11th grade students reported less use than 8th, 10th, and 12th grade students. No significant differences were found for current smokeless tobacco use. For lifetime cigarette use, 12th grade use was higher than all other grades, and 10th grade use was higher than 7th grade use. For current cigarette use, 12th grade use was higher than all other grades (except 11th grade), and 8th graders reported greater current use than 7th graders. Seventh grade had lower lifetime and current alcohol use than all other grades. Additionally, 10th, 11th, and 12th grades reported more lifetime use than both 8th and 9th grades. Seniors currently drank more than 8th and 9th grade students, and 11th grade reported more current alcohol use than 9th grade. Looking at lifetime marijuana use, 7th grade students reported lower use than all older grades (except for 9th grade). Additionally, 9th graders reported less lifetime marijuana use than 8th graders and all older grades. Seniors also reported more lifetime use than 8th and 10th graders. Patterns were similar for current use. Seventh grade students reported lower current use than all older grades (except for 9th grade). Additionally, 9th graders reported less current marijuana use than 8th graders and seniors. Seniors also reported more current use than 10th graders. 20 Interestingly, 7th and 8th grade students reported more lifetime inhalant use than all older grades. No significant differences were found among grades for current inhalant use. Lifetime and current heroin use was lower for 8th grade compared to 10th grade, and current heroin use was also lower for 7th grade compared to 10th grade. For lifetime LSD use, 7th graders used LSD less often than 10th and 12th graders. No differences were found for current LSD use. For lifetime ecstasy use, 7th graders reported less use than 10th and 12th graders. Again, 7th graders reported less current ecstasy use than seniors. No significant differences were found among grades when lifetime and current methamphetamine use and Ritalin (and similar prescription drug) use was examined. However, lifetime Xanax (and similar prescription drug) use was lower for 7th grade compared 11th and 12th grade, and current use was lower for 7th grade compared to 11th grade. CO-OCCURRING SUBSTANCES Cocaine use was then examined to other drug use to see whether students using other substances tended to also use cocaine. Cocaine use was significantly related to all other substance use (p’s < .001, except for inhalant use, p = .01). This suggests that students who use other drugs have a higher likelihood of using cocaine compared to those students who do not use these other drugs. However, we could not examine polysubstance abuse as this is defined as using multiple drugs simultaneously or in one sitting, and the CTCS did not define drug use in this manner. These findings may also indicate that the use of drugs such as alcohol, tobacco, and marijuana are “gateway drugs”; research has found that students who use more illicit drugs often use these gateway drugs first. (Ruth Gassman, executive director of the IPRC) 21 Table 1.9 Percentage of East Chicago Students (7th-12th Grade) Reporting Lifetime (at Least Once) (CTCS, 2007) Lifetime th Smokeless Cigarettes Alcohol Marijuana Inhalants Cocaine Heroin LSD Ecstasy Meth Xanax Ritalin 7 grad e 3.93 % 28.0 1% 42.9 8% 14.1 6% 13.0 4% 1.13 % 0.57 % 0.29 % 1.49 % 0.29 % 0.89 % 0.88 % 95% Confidence Interval 1.91 - 5.95% 23.17 - 32.85% 37.78 - 48.18% 10.44 - 17.88% 9.48 - 16.60% 0.03 - 2.24% 0.00 - 1.36% 0.00 - 0.86% 0.19 - 2.78% 0.00 - 0.86% 0.00 - 1.89% 0.00 - 1.88% th 8 grade 5.88 % 32.31 % 55.26 % 30.71 % 11.94 % 1.85 % 0.00 % 1.13 % 2.27 % 0.76 % 2.28 % 2.63 % 95% Confidence Interval 3.08 - 8.68% 26.61 - 38.00% 50.29 - 62.02% 25.02 - 36.39% 8.05 - 15.83% 0.24 - 3.45% 0.00 - 0.00% 0.00 - 2.41% 0.47 - 4.07% 0.00 - 1.81% 0.47 - 4.09% 0.70 - 4.56% th 9 grade 3.06 % 28.57 % 56.14 % 20.00 % 4.91 % 2.64 % 1.33 % 1.79 % 2.23 % 0.45 % 2.24 % 0.90 % 95% Confidence Interval 0.82 - 5.29% 22.64 - 34.50% 49.69 - 62.60% 14.70 - 25.30% 2.07 - 7.75% 0.55 - 4.73% 0.00 - 2.82% 0.05 - 3.54% 0.29 - 4.17% 0.00 - 1.33% 0.29 - 4.19% 0.00 - 2.14% 22 10th grade 6.45 % 36.57 % 67.57 % 33.90 % 6.42 % 4.28 % 1.60 % 2.15 % 4.28 % 1.08 % 1.63 % 0.54 % 95% Confidence Interval 2.91 - 9.99% 29.42 - 43.73% 60.80 - 74.33% 26.90 - 40.89% 2.90 - 9.94% 1.37 - 7.19% 0.00 - 3.41% 0.06 - 4.24% 1.37 - 7.19% 0.00 - 2.58% 0.00 - 3.47% 0.00 - 1.61% 11th grade 0.79 % 34.96 % 71.88 % 38.52 % 5.47 % 3.94 % 0.00 % 0.00 % 3.13 % 0.78 % 4.72 % 2.34 % 95% Confidence Interval 0.00 - 2.33% 26.50 - 43.42% 64.06 - 79.69% 29.85 - 47.20% 1.51 - 9.42% 0.54 - 7.33% 0.00 - 0.00% 0.00 - 0.00% 0.10 - 6.15% 0.00 - 2.31% 1.02 - 8.43% 0.00 - 4.97% 12th grade 5.88 % 49.47 % 74.26 % 51.04 % 2.91 % 4.90 % 0.98 % 2.86 % 4.90 % 1.92 % 3.96 % 0.96 % 95% Confidence Interval 1.29 - 10.47% 39.37 59.58% 65.69 82.83% 40.99 61.09% 0.00 - 6.18% 0.69 - 9.11% 0.00 - 2.90% 0.00 - 6.06% 0.69 - 9.11% 0.00 - 4.58% 0.14 - 7.78% 0.00 - 2.85% Table 1.10 Current (Past Month) Drug Use, by Grade (CTCS, 2007) Current th Smokeless Cigarettes Alcohol Marijuana Inhalants Cocaine Heroin LSD Ecstasy Meth Xanax Ritalin 7 grad e 1.69 % 6.18 % 10.3 2% 7.34 % 4.89 % 0.28 % 0.00 % 0.00 % 0.29 % 0.29 % 0.29 % 0.29 % 95% Confidence Interval 0.35 - 3.02% 3.67 - 8.68% 7.08 - 13.57% 4.62 - 10.07% 2.62 - 7.15% 0.00 - 0.84% 0.00 - 0.00% 0.00 - 0.00% 0.00 - 0.87% 0.00 - 0.87% 0.00 - 0.87% 0.00 - 0.87% th 8 grade 3.68 % 10.87 % 27.91 % 18.45 % 5.56 % 1.10 % 0.00 % 0.38 % 1.14 % 0.76 % 0.76 % 1.52 % 95% Confidence Interval 1.44 - 5.92% 7.19 - 14.55% 22.42 - 33.39% 13.82 - 23.08% 2.82 - 8.29% 0.00 - 2.35% 0.00 - 0.00% 0.00 - 1.13% 0.00 - 2.43% 0.00 - 1.82% 0.00 - 1.81% 0.04 - 3.00% th 9 grade 2.18 % 10.26 % 22.48 % 9.78 % 2.23 % 1.33 % 0.44 % 0.90 % 0.90 % 0.45 % 0.90 % 0.90 % 95% Confidence Interval 0.29 - 4.08% 6.36 - 14.15% 16.92 - 28.03% 5.89 - 13.67% 0.29 - 4.17% 0.00 - 2.82% 0.00 - 1.31% 0.00 - 2.14% 0.00 - 2.16% 0.00 - 1.33% 0.00 - 2.14% 0.00 - 2.14% 23 10th grade 2.67 % 10.11 % 29.44 % 15.59 % 3.78 % 2.15 % 1.62 % 1.08 % 1.08 % 1.07 % 1.09 % 0.55 % 95% Confidence Interval 0.36 - 4.99% 5.79 - 14.43% 22.77 - 36.12% 10.36 - 20.82% 1.03 - 6.54% 0.06 - 4.24% 0.00 - 3.45% 0.00 - 2.56% 0.00 - 2.58% 0.00 - 2.55% 0.00 - 2.59% 0.00 - 1.62% 11th grade 0.78 % 11.36 % 35.20 % 16.67 % 1.57 % 2.36 % 0.00 % 0.00 % 0.78 % 0.78 % 2.34 % 0.00 % 95% Confidence Interval 0.00 - 2.29% 5.93 - 16.80% 26.79 - 43.61% 10.13 - 23.20% 0.00 - 3.75% 0.00 - 5.01% 0.00 - 0.00% 0.00 - 0.00% 0.00 - 2.31% 0.00 - 2.31% 0.00 - 4.97% 0.00 - 0.00% 12th grade 0.99 % 19.23 % 41.05 % 26.00 % 0.98 % 1.96 % 0.98 % 0.99 % 2.91 % 0.98 % 2.02 % 0.97 % 95% Confidence Interval 0.00 - 2.93% 11.62 26.84% 31.11 51.00% 17.36 34.64% 0.00 - 2.90% 0.00 - 4.66% 0.00 - 2.90% 0.00 - 2.93% 0.00 - 6.18% 0.00 - 2.90% 0.00 - 4.81% 0.00 - 2.87% CONSEQUENCES Cocaine and Antisocial/Academic Outcomes It should be noted that no true cause and effect statements can be made about cocaine use and its consequences since we used concurrent (versus longitudinal) data. Nonetheless, there were statistically significant relations among cocaine use and antisocial behaviors for students. Students who used cocaine at any point in their lifetime tended to also report in engaging in antisocial behaviors such as: being in a gang, being suspended from school, carrying a handgun, selling illegal drugs, stealing a car or other vehicle, being arrested, attacking someone in order to hurt them, being drunk or high at school, and taking a handgun to school (p’s < .001). Additionally, cocaine use was associated negative school outcomes. Greater lifetime cocaine use was related to lower grades, skipping school, and less academic effort. Cocaine and Crime Examining NACJD data, cocaine Possession Arrest Rates (arrests per 100,000 people) for juveniles and adults have dropped in Lake County since 1996. For juveniles, the rate in 1996 was 118.08 compared to 18.17 in 2005. For Lake County Adults, the possession rates dropped from 185.07 (1996) to 81.42 (2005). In 2005, possession rates in Indiana were somewhat higher for adults (102.40), and similar for juveniles (19.88). Cocaine Sale Arrest Rates for juveniles and adults have conversely risen in Lake County since 1996. For juveniles, the rate in 1996 was 1.65, compared to 42.94 in 2005. Sales rates have also increased among Lake County adults, from 27.21 (1996) to 78.38 (2005). In 2005, possession rates in Indiana were lower for both adults (53.09) and juveniles (12.26) (See Figure below). Figure 1.0 Lake County Cocaine Arrest Rates for Juveniles and Adults 225 Juvenile Possession 200 Juvenile Sales 175 Adult Possession 150 Adult Sales 125 100 75 50 25 24 20 05 20 04 20 03 20 02 20 01 20 00 19 99 19 98 19 97 19 96 0 Cocaine and Dependence TEDS data for Lake County and the State are reported here. Specifically, the percentage of unique treatment cases admitted for primary cocaine abuse treatment was examined. The overall percentage of cocaine treatment cases for Lake County was 20.04%. This is higher than the same statistic for the state of Indiana (13.06%). More Lake County women (23.83%) than men (18.42%) were treated primarily for cocaine substance abuse. For Indiana, women were again higher than men, but these percentages were generally lower (17.55% vs. 10.89%). Examining age groups, the 35-44 age group had the highest of all other age groups in Lake County (30.77%) and Indiana (20.41%). However, Lake County generally had higher percentage of unique cocaine treatment cases in all age groups, particularly the age group under examination for this SPF-SIG. In Lake County, 12.89% of all cases between 18-24 were treated for cocaine, compared to just 5.70% for the state of Indiana in this same age group. Nearly all races were treated equally for cocaine use in Lake County (between 17.74% 20.86%), except for Pacific Islanders/Hawaiians (no cases reported). This is in contrast to the state data in which 30.63% of cases for Blacks were for cocaine, versus 9.33% for Whites. Regarding ethnicity, numbers were similar in that about 20% of Hispanics, as well as non-Hispanics, were treated primarily for cocaine. This number was about 13% for both groups at the state level. CONCLUSION KEY FINDINGS East Chicago high school students appear to use cocaine more often than any other illicit drug. Differences among gender, race/ethnicity, and grade groups were found. Notably, male students were found to use cocaine more often than females, Hispanic use was higher than Black use (a group who reported no use), and the students in the youngest grade examined (7th grade) reported less cocaine use than students in older grades (i.e., 10th – 12th grades). These findings for cocaine use were generally found for other substances, with some exceptions (e.g., inhalant use was higher for 7th and 8th graders compared to students in high school grades). Students who reported they used cocaine tended to also report that they used other substances, engaged in antisocial behaviors, and had troubles in school. RISK FACTORS Community Factors East Chicago is plagued by high unemployment rates, high crime rates, neighborhood disorganization, high teen alcohol use, a high number of single parent homes, criminal gangs, an overrepresentation of bars and liquor stores, and low academic achievement. East Chicago Schools are currently on probation, expulsion rates are high, and the graduation level is 55% compared to the State level of 76%. Poverty levels were high with over 93% free text books and lunches. (Department of Education, 2007, www.doe.in.gov) (See Graphs/Tables 1-9, GIS Census Maps) East Chicago residents may be lacking trust in their local leaders and county politicians as a result of 42 indictments and convictions for corruption. Additionally, the East Chicago casino riverboat was found to contribute to social costs such as: increased crime, bankruptcy, and divorce. 25 Communities That Care Survey Preliminary analyses of the CTCS data suggested that several personality factors may predispose someone to cocaine use. Students who reported using cocaine use were also more rebellious, depressed, and sensation seeking than those who did not report cocaine use. Students who knew others that used drugs (e.g., peers, siblings, older adults) or whose parents embraced more positive attitudes towards drugs also reported greater cocaine use. Additionally, adolescents who used alcohol and drugs, and believed that using alcohol and drugs made them appear “cool” to peers, also reported more cocaine use. However, the perceived risks associated with using drugs and community enforcement against drug use was not at all related to cocaine use. It may also be important to examine groups separately. For example, females who had more opportunities for positive involvement in their families and schools reported less drug use. However, this relation was not significant for males. Moreover, depression was strongly related to greater cocaine use for females, but again this relation was not significant for males. Finally, there was a strong relation among peer and family use and cocaine use for males, but these relations were typically not significant for females. Hispanic’s greater use of cocaine may be related to cultural factors, such as acculturative status. Among Hispanics only, reported use of Spanish in the home (an indicator of how much a family or individual has adopted mainstream cultural values and behaviors) was related to more cocaine use. Focus Group Conclusions The qualitative data gathered by conducting focus groups was important to better understanding the issues that the City of East Chicago faces as it relates to drugs. Golden Recognition Inc. was hired to conduct focus groups among local key informants (See Appendix A). Key findings according to Golden Recognition revolved around three themes: parental involvement, housing disconnect, and a failing school system. Parents were viewed by participants as too young, uninvolved, users themselves, single, unemployed and not caring. The housing disconnect was viewed as a possessing a high concentration of section 8 housing, missing landlords, allowance of property managers, and a lack of a sense of community. East Chicago’s School System was viewed as having an excessively high suspension rate which was also viewed as an easy way out, education perceived as unimportant by students, a low PTA involvement, a school board that is filled with non stake holders (appointed), lack of drug education infused into the school curriculum, and a lack of information and education for those transitioning into adulthood from high school. Focus Group recommendations include: disseminating programs and resources available in the community, encouraging more local church leader involvement, utilizing local advertisements to show the negative consequences of using cocaine, using family programs to gain collaboration between children, parents, and law enforcement to nurture positive influence, and including more prevention education of cocaine among 10-18 year olds. 26 GIS Mapping GIS mapping was conducted to address issues raised by the focus groups and the LAC members, who believed that gang activity occurred mainly around Section 8 Housing. Findings indicate that gang activity and drug activity were found in all areas of East Chicago, including drug activity within close proximity to schools. GIS mapping was also included to provide a visual tool to complement the statistical information presented in this report. (See Maps 1-9) 27 MAP 1 28 MAP 2 29 MAP 3 30 MAP 4 31 MAP 5 32 MAP 6 33 MAP 7 34 MAP 8 35 MAP 9 36 Appendix: A Golden Recognition, Inc. MBE/WBE Ann Vasquez Geminus Prevention Services SPF/SIG 8400 Louisiana Street Merrillville, IN 46410 RE: SPF/SIG Focus Session Dear Ms. Vasquez, Enclosed is the final report including the appropriate attachments for the focus meetings. We have incorporated considerable data which should prove helpful in planning and implementation of a successful program. Sincerely, Debra Hammonds President/CEO enclosures www.goldrec.com [email protected] 5201 Broadway, Ste 201 Gary, Indiana 46410 (219) 981-0661 (219) 981-0662 _____________________________________ SPF/SIG Focus Sessions East Chicago Substance Abuse Coalition 37 SPF/SIG East Chicago Substance Abuse Coalition (ECSAC) 2007-2008 Focus Group Report Focus Moderators and Reviewers Debra Hammonds, Indiana University NW George Assibey-Mensah, IUN Emmitt F. Green, West Point, NY Contents Executive Summary…………………………………………………………Section One Background…………………………………………………………………. Section Two Focus Group Data Collection ………………….……………………………Section Three -Focus Session #1 -Focus Session #2 -Focus Session #3 -Focus Session #4 Key Interest and Findings……………………………………………………. Section Four Recommendations…………………………………………………………….. Section Five Conclusion…………………………………………………………………… Section Six Appendix…………………………………………………………………….. Section Seven -SPF/SIG and East Chicago Substance Abuse Coalition Overview -Focus Session Questions 38 Executive Summary To build capacity is to receive, transmit and develop volume. The East Chicago Substance Abuse Coalition focuses on the SPF/SIG areas of: Assessment, Capacity, Planning, Implementing, Evaluating, Cultural Competence and Sustainability relative to the Strategic Prevention Framework. Four focus groups were conducted to examine the views and environmental perceptions of persons from diverse backgrounds throughout the East Chicago communities. Several community leaders, politicians, law enforcement representatives, medical professionals, youth service providers, parents/grandparents, court officials and educators had the opportunity to offer their opinions and views on the perceived cocaine problem and the initiatives of East Chicago Substance Abuse Coalition. Furthermore, the focus groups served as an opportunity to acquire insight and information on the plan of the Strategic Prevention Framework State Incentive Grant (SPFSIG). Strategic Prevention Framework State Incentive Grant This focus summary report contains the findings from four focus sessions that were conducted in December 2007. The report highlights the responses to the following questions: 1. Can you identify who in this community uses cocaine? 2. What population, race, or gender uses cocaine? 3. What is the cause of the problem(s)? 4. What program(s) can we implement to help respond to the population in your community? 5. How would we implement those program(s)? 6. Are there any policies changes that the community needs to consider? In Closing, this report addresses and highlights some observations of the community to address and assist in preparing a Strategic Prevention Framework plan for the SPF/SIG East Chicago Substance Abuse Coalition as they work toward putting together prevention actions for cocaine use in East Chicago. Along with Geminus Prevention Services (SPF/SIG Program), several key persons were instrumental in the planning, performing as moderator and composition of the overall research and development of the focus project. Key findings and recommendations are included for the benefit of possible future actions to be carried out as they relate to the plan and training initiatives of the East Chicago Substance Abuse Coalition (ECSAC). 39 Background Lake County was one of twelve (12) counties to receive the Strategic Prevention Framework State Incentive Grant and the only county to receive two grants. Geminus will be the administrative body for East Chicago SPFSIG which focuses on the use and abuse of cocaine. Lake County Drug Free Alliance will be the administrative body for the grant that focuses on use and abuse of alcohol. The allocation will be 11.7 million dollars over four (4) years at 165 thousand dollars for each of the twelve counties funded by SAMPSA. The Governors Advisory Council (GAC) along with the State Epidemiology Outcome Workgroup (SEOW) focused on prevention and identified the six most challenging areas of concern; alcohol, tobacco, cocaine, marijuana, methamphetamine and prescription drugs. A Strategic Prevention Framework Plan was submitted and approved with three (3) areas of concentration narrowed from the six: • Alcohol • Cocaine • Meth On the local level, Lake County will have to duplicate the actions of the state by forming a Local Advisory Council (LAC) and put together a Strategic Prevention Framework Plan. The plan will incorporate a two phase approach. Data collection will include the qualitative, focus group sessions and the statistics collected by the Local Epidemiology Outcome Workgroup (LEOW) reports. This data will ultimately lead to identifying community needs and assist in the various types of program selection and implementation. The data collection will indicate findings such as: • Where is the problem? • What population is using? • What Race is using? • What Age is using? • Where does the prevention work need to be done? i.e., elementary, high school, college level, house wives, etc… • What factors contribute to this population who are using? • How the findings fit the logic model? • How are the programs going to be implemented, measured and evaluated? • What types of programs are needed to address the cause of the problem? 40 Focus Group Data Collection Four sessions were held in an effort to effectively determine the community‟s concerns. Demographics include: populations, race, gender causes program(s), solutions, implementation, and policy changes. On the following pages are the translations of each focus session. SPF- SIG/ECSAC Focus Group1 Questions Monday, December 10, 2007 5:00 p.m. - 6:00 p.m. 1. Can you identify who in this community uses cocaine? - All over - All ages - Most apartments - Public housing - You can always tell when a spot gets hot - 18- 25 years - They walk around a lot 2. What population, race, or gender uses cocaine? - Latinos - African American - Caucasians - We have seen a lot of white people 3. What is the cause of the problem(s)? - Cheaper living - Availabilities - No jobs - Why work at Mc Donald and make $5.25 an hour when I can make $500.00 an hour - Fast way - Education - People that don‟t have any money - No jobs - Can‟t stay clean for jobs - Can‟t pass drug test 41 - Kids getting kicked out of school - Parents not involved with there child 4. What program(s) can we implement to help respond to the population in your community? - Preventive programs - Awareness - Educational programs - Younger kids need educational programs - Help them get off of drugs - Rehab program - Reality program - Parent involvement - Prevention starting at home - Dealing with prescription medicine - Scare tactic - Some kind of mentors - Police involvement at home - Scared straight - More male mentoring - Something to challenge their creative side - Rewarding - Get a home where women that are in their 50‟s are unable to receive social security for teaching and serving as a mother to the younger girls. These younger girls who are 17-25 yrs old can go and live and learn parenting skills, money smart skills, finish their high school education or some college course so they can be productive citizens 5. How would you we implement those program(s)? - Stand up against the negative action as a parent - Talk to the children (communication) - Use law enforcement (COP) - Build trust - Listen to what they need or want 6. Are there any policy changes that the community needs to consider? - If school drop out, they can‟t get public housing - If dropped out, can‟t get their license - Court referring people to the programs - Schools referring to the programs - Change policy for housing, stricter rental rules 42 - Based on offense, youngsters will have to depend on the court to pick going to jail or to the program SPF- SIG/ECSAC Focus Group 2 Questions, Monday, December 10, 2007 6:15p.m. – 7:15p.m. Healthy East Chicago 1. Can you identify who in this community, uses cocaine? - I don‟t think East Chicago has a drug use problem - Most of our arrests are drug dealers - I think its people coming in to purchase - Lower income people - Public housing activity - Gas station selling loose cigarettes - Lots of our arrests are from out of town 2. What population, race, or gender uses cocaine? - African American - Mexican American - Latinos - More male 3. What is the cause of the problem(s)? - Unemployment - Parent guiding - Education - Single family home - Communities outside of East Chicago that have a big cocaine problem - East Chicago is getting labeled as the problem because other communities don‟t want to recognize the problem - Parents not being involved or aware 4. What program(s) can we implement to help respond to the population in your community? - Education programs - Something like the D.A.R.E program for younger ages so they know the consequences of their actions - Incentive program 43 - Get the universities involved - Something like 21st Century where they sign a waiver - Peer training - Peer mentoring - 21st century peer tutor - Faith based program 5. How would we implement those program(s)? - Give something in return - If in school, give them a lap top - Offer some type of incentive to capture the 18-25 yrs olds on helping them make decisions - On the school campus, teach them about the dangers of cocaine - Plan a trip - Big brother, big sister program where they get support and they‟re not scared and feel alone when they get to college 6. Are there any policy changes that the community needs to consider? - If some one is selling out of a rented house, for the home owner to get penalized - Rental ordinances - Can we look at policies for users in connection to Bernard Carter‟s office? - Code enforcement policy - Loitering policy 44 SPF- SIG/ECSAC Focus Group 3 Questions Thursday, December 13, 2007 5:00p.m. – 6:00p.m 1. Can you identify who in this community, uses cocaine? - Drug activities right by my house - Single family dwellings - Rental housing - We see it every where in East Chicago - Lower income - In the alleys 2. What population, race, or gender uses cocaine? - No specific demographic group 3. What is the cause of the problem(s)? - People coming from outside East Chicago coming in to buy the drugs - Chicago knocking down all the public housing, that‟s why they‟re coming to East Chicago - Its everything coming in - (stakeholders) School Board – revisit the selection process - No ownership - Absent parents - Community not coming together - School system failing - Parents not caring - New people coming into the city - Kids with no where to go - Kids looking for expectations - Kids looking for gratification - Kids looking for money - Single mothers - Pregnant at a young age - Didn‟t know what to do - Risk for the service providers 45 4. What program(s) can we implement to help respond to the population in your community? - Support for parents - Community belongs to the people - Community training for the kid - Hands on program - Rehab - Parenting class - How to care for your child - Teach the parents the appropriate time to be in the house - Classes to build self-esteem - Tools to teach them how to survive - Short term technical courses - Tri-City Mental Health Program to provide service in a non-traditional setting - Reach them in a none traditional setting - Incentives - When a parent comes in whose cocaine addicted to force them to the program before they get their child back 5. How would we implement those program(s)? - Work with the city departments - The schools are important to get them young - After School - Go back to the basics – the church was the answer 6. Are there any policy changes that the community needs to consider? - Rental Policies - Property owners - Property with illegal activities should result in the property owners receiving fines - Ordinances enforces 46 SPF- SIG/ECSAC Focus Group 4 Question Thursday , December 13, 2007 6:15p.m.-7:15p.m. 1. Can you identify who in this community, uses cocaine? - Any age group - Middle school to middle age 40-50 - You can‟t tell if their addicted to cocaine - White collar workers - You can look around the corner and see that their addicted to something - You can drive around to see it 2. What population, race, or gender uses cocaine? - Different races - Young ages are experimenting with cocaine - White collar workers - Lots of poverty places - People that don‟t work - I think it starts some where at an early age and then graduates to 18-25 year Olds 3. What is the cause of the problem(s)? - Lack of better things to do - We haven‟t been able to reach the teenagers - Centers being too small - Centers don‟t house enough programs - No jobs - Lots of partying in college - Nothing to do - Nothing to look forward to - You have to go shop out-side the city - Lack of transportation - The parks have no programs for those ages of 18-25 - Facilities not big enough - Recreational activities don‟t draw the youth - No family involvement - People rely too much on the communities - Starts at home 47 - Reinforcement - Kids Exposure to drug use - Parents too young - Young ages get pregnant and don‟t know what to do - More help from the communities - Department of recreation offers little support - We used to have support from the communities - Families don‟t take their children to the programs - Faith based - No funding - Too much drop outs - Parents strung out - No family structure 4. What program(s) can we implement to help respond to the population in your community? - Transition from out of high school - Career development - A program to encourage kids that aren‟t in school to return - Educate the user on what their doing to themselves - Catch the kids that get kicked out of school - Program in place so the kids, if they get kicked out, can be forced to go to the program - Program to build their skills to boost self esteem - Reach out to the ones that are 17 or about to turn 18 and then pass the word on 5. How would we implement those program(s)? - Help them with their education - Teaching them how to dress proper for the interview - Getting them interviews - Getting someone to escort them to their interviews so they know what to fix - It should be like an alternative school and implement it for those who do get kicked out of school where they have to do so many hours of school and then after that so many hours of community service - Some treatment to get them off drugs so they can get a job - Medicaid for young males - Motivation programs - Parent motivation so they can be involved in the program with their child - Program to teach the whole family - Responding through the communities P.T.A door to door - Reward - Some type of incentive 48 6. Are there any policy changes that the community needs to consider? - Force them to go to the program - Career counselors - Remove the fear of reporting - Medical facilities need to work with the community - School acceptance, change the policy of just kicking them out - Change how the community programs provide assistance, build in repayment Key Interest and Findings Overview of Focus Groups The individuals responsible for serving as moderators of the focus groups surveyed all the responses and views presented during the sessions. There were several key findings. The facilitator noticed that the responses indicated that not very many of the participants were familiar with the mission and activities of the coalition and most had never heard of such a coalition or the SPF/SIG Grant. This was not surprising, since SPF/SIG is a new initiative. A second observation indicated that most of the participants viewed cocaine as the primary type of drug usage in the community. They did however; question the form of cocaine and felt crack cocaine was the form of choice for users in their community. Key findings In every session there was conversation relative the findings of the three concentrated areas of the state‟s main initiatives. The participants agreed that the most critical need for intervention and or prevention in their community focuses on the following: • Parental involvement was perceived to be absent. This was identified as the most outstanding comment in every session. Several reason were discussed in this area; i.e. o Parents are too young o Parents don‟t know or understand parenting o Parents are users o Single parents o Parents acceptance of child‟s role in connection to reaping the benefits of selling o Parents not caring – Self esteem o High rate of unemployment among parents • Housing disconnect – In the problem areas of the community the mixed housing environment (public housing, renters and homeowners) suggest that the problems are o No longer a sense of community 49 o Previous owners of homes moving out and allowing a “property manager” o Section 8 acceptance too concentrated in a given block o Missing landlords o Renter allowing the sale and distribution of drugs from the unit • School System made the list of highly expressed concerns, most participants felt: o Suspension rate was too high and the easy way out o Education perceived as unimportant to secure employment o PTA involvement too low o School Board was not perceived as stakeholders o Informing the age group of the transition from high school to college, to prevent the excessive partying and exploration of drugs o Drug education not infused in the school curriculum Recommendations for Programming and Implementation Based on the Key Findings to the problems expressed by the focus participants, the recommendations to provide prevention and intervention for cocaine use are as follows: • Gain „critical mass‟ in the education and prevention of cocaine use among key targeted groups (children between the ages of 10-18). Possible avenues within the East Chicago community would include the churches, schools, community out-reach centers and local events (festivals, parades, parks, sports events, other). • Support programs designed to get children more involved in making the „right choice‟. Use family programs to gain collaboration between children, parents and law enforcement to nurture a positive influence • Enforce the drug free rules in schools and other public places with clear policies for children and adults in schools and the workplace. For children, ensure violators are involved in mandatory community events to discourage drug use as appropriate. • Better inform the community on the actions being taken to curb abuse by: Providing a list of contacts within the community of „local experts‟ and the programs/resources available to assist in prevention and treatment o Get local leaders (including church & other public officials) more involved in supporting the activities of SPF/SIG East Chicago Substance Abuse Coalition. Publish a list of the strongest supporters with roles of how they can assist & track progress often! o Use the traditional sources of advertisements to show the negative consequences 50 of using cocaine.… use billboards, flyers and advertisement similar to the ones being used to build awareness of molesters, drug dealers and murderers to elicit conversation between parents and children and to indicate to users and supporters of users/sellers that we want our community back! o For children, a pledge system to prevent them from becoming users is recommended. Additionally, some type of enforcement must be implemented for violators to include after school sessions or lunch-hour detention. • Positive reinforcement (rewards/incentives) was also viewed as essential. Suggestions include „drug free‟ outings for those willing to get involved. Conclusion Some insightful findings were discovered during the focus sessions that may assist the East Chicago Substance Abuse Coalition in establishing a plan to address prevention and intervention initiatives dealing with the cocaine problem in the community. Key findings and the recommendations from the participants indicate that most participants were ready, willing and able to work in their respective fields to join in the fight against the root causes of cocaine use and abuse. 51 References Carlson, Joe (September 30, 2007). Operation Restore Public Integrity. Times Newspaper. Retrieved from http://www.nwi.com/articles/2007 Chicago Housing Plan Summary. The CHA’s Plan for Transformation. Retrieved February 5, 2008 from http://www.thecha.org/transformplan/plan_summary.html City-Data. (2007). East Chicago, Indiana. Retrieved from http://www.city-data.com/city/East-Chicago-Indiana.html Department of Education. Retrieved from http://www.doe.state.in.us/ Drug Enforcement Administration. Retrieved from http://www.usdoj.gov/dea/pubs/states/indiana.html Lakota Group (July 19, 2007). East Chicago, Indiana Comprehensive Plan. Hard Copy printed from www.thelakotagroup.com McDermott, Mayor Thomas. Go Hammond.com.20 Questions. Retrieved from http://www.gohammond.com/web/index.php?20_questions Schrepp, David (January 27th, 2002). Gary’s steel town blues. BBC News. Retrieved February 5, 2008 fromhttp://news.bbc.co.uk/l/hi/business/1782995 Urbanik, Vicki (March 13, 2006). Casinos' social corrosion worst nearest the boats study shows. Chesterton Tribune. Retrieved from http://chestertontribune.com/PoliceFireEmergency/casinos_social_corrosion_worst_n.htm Valliant, Derek (2005). East Chicago, Indiana. Encyclopedia of Chicago. Retrieved February 5, 2008 from http://www.encyclopedia.chicagohistory.org/pages/402.html 52 53