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2015 Region 8 Community
Stakeholder Meeting
July 9, 2015
Housekeeping
 Take this time to please silence cell phones.
 Restroom in lobby near water fountain.
 Be sure to sign-in for CEUs.
 Post question to write your questions
 Twitter: #TexasData
 @PRCRegion8
 @SACADATexas
Welcome Message
Abigail G. Moore, MS LCDC LPC ACPS
SACADA Executive Director
The PRC 8 Region Team
 Gyna Juarez, MPA ACPS – Program Director
 Teresa Stewart, BS – Community Liaison
 Betsy Jones, MM – Tobacco Prevention
Specialist
 Alexis Lawrence, MS – Community Liaison
 Hortencia Carmona, MS – Regional Evaluator
Using Turning Point
 Audience Response System
 Choose your answer, only records answers once.
 Poll closes after all votes are recorded.
What is Your Favorite Color?
A. Red
B. Orange
C. Green
D. Blue
E. Yellow
Red
Orange
Green
Blue
Yellow
0% 0%0%0%0%
SA
Prevention
Professional
SA
Treatm
entProfessional
EducatorFaith
Based
Law
enforcem
ent
Healthcare
w
orker
M
entalHealth
Care
Other
0% 0% 0% 0%0%0%0%0%
In Dealing with the Public, What Best
Describes Your Role?
A. SA Prevention Professional
B. SA Treatment Professional
C. Educator
D. Faith Based
E. Law enforcement
F. Healthcare worker
G. Mental Health Care
H. Other
0%
0%
0%
Great Concern Some Concern No Concern at All
How Much of a Concern is there in Your
Community for Problems Caused by
Alcohol, Tobacco and other Drugs?
A. Great Concern
B. Some Concern
C. No Concern at All
0%
0%
0%
Low Awareness Some Awareness High Awareness
How Would You Rate your Knowledge of
Alcohol, Tobacco, other Drugs and Mental
Health Issues in Your Community?
A. Low Awareness
B. Some Awareness
C. High Awareness
0%
0%
0%
Low Awareness Some Awareness High Awareness
How Would you Rate Your Knowledge of
Alcohol, Tobacco, other Drugs and Mental
Health Issues in Your Community?
A. Low Awareness
B. Some Awareness
C. High Awareness
In Your Community What Place would a Person
First Turn to for Help if they had a Substance
Abuse and/or Mental Health Problems?
A. Crisis Hotline
B. Doctor
C. Faith-based person/group
D. Law enforcement
E. Family Member
F. Mental health worker
G. Counselor
H. 12-Step
I. Other
CrisisH
otline
D
octor
Faith-based
person/group
Law
enforcem
ent
Fam
ily
M
em
ber
M
entalhealth
w
orker
Counselor12-Step
O
ther
0% 0% 0% 0%0%0%0%0%0%
Which Substances Pose the Biggest
Problem in Your Community?
A. Alcohol
B. Marijuana
C. Prescription Drugs
D. Amphetamines (ex: speed, ice,
crystal meth)
E. Cocaine/Crack
F. Heroin
G. Inhalants
H. Synthetic Drugs (ex: K2, Bathsalts)
I. Not Sure
J. Other Alcohol
M
arijuana
Prescription
Drugs
Am
phetam
ines(ex:speed,ice,cr...
Cocaine/Crack
HeroinInhalants
SyntheticDrugs(ex:K2,Bathsalts)NotSure
Other
0% 0% 0% 0% 0%0%0%0%0%0%
There are Enough PREVENTION Programs
in my Community.
(Example: DARE, after-school programs, parent support programs, drug and alcohol
prevention programs for you and adults)
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly
Disagree
StronglyAgree
Agree
DisagreeStronglyDisagree
0% 0%0%0%
There are Enough Mental Health and
Substance Abuse TREATMENT Resources
in my Community.
(Example: counseling, 12 step programs, treatment centers)
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly Disagree
StronglyAgree
Agree
DisagreeStronglyDisagree
0% 0%0%0%
Does Your Community Utilize these
Programs (Example: DARE, after-school
programs, parent support programs, drug and
alcohol prevention programs for you and adults)?
A. Yes
B. No
C. Not Sure
Yes
No
NotSure
0%0%0%
How knowledgeable do you feel members of your
community are regarding Alcohol, Tobacco, other
drugs and mental health issues (such as sign,
symptoms, drug trends, health risks)?
A. No Knowledge
B. Some Knowledge
C. Knowledgeable
D. Very Knowledgeable
No
Know
ledge
Som
e
Know
ledge
Know
ledgeable
VeryKnow
ledgeable
0% 0%0%0%
How knowledgeable do you feel YOU are
about alcohol, tobacco, other drugs and
mental health issues (signs, symptoms,
drug trends, health risks)?
A. No Knowledge
B. Some Knowledge
C. Knowledgeable
D. Very
Knowledgeable
No
Know
ledge
Som
e
Know
ledge
Know
ledgeable
VeryKnow
ledgeable
0% 0%0%0%
What are some of the top concerns for
you and other leaders in the community
(select all that apply)?
A. Truancy
B. Delinquency
C. DWI/Alcohol Use
D. Domestic Violence
E. Poverty
F. Drug Use
G. Teen Pregnancy
H. Border Issues
I. Unemployment
J. Mental Health issues
Truancy
Delinquency
DW
I/AlcoholUse
Dom
esticViolencePovertyDrug
Use
Teen
Pregnancy
BorderIssues
Unem
ploym
ent
M
entalHealth
issues
0% 0% 0% 0% 0%0%0%0%0%0%
What is a PRCs?
 There are eleven regional Prevention Resource Centers (PRCs)
in the state of Texas and each serves as central data repositories
and training liaison for providers within the respective Region.
 These centers are part of a larger network of youth prevention
programs and community coalitions. This network of substance
abuse prevention services works to improve the welfare of
Texans by discouraging and reducing substance abuse.
 The PRCs are a valuable resources to address the state’s three
prevention priorities of (1) under-age drinking, (2) marijuana use,
and (3) prescription drug abuse, as well as tobacco and other
illicit drugs.
Who are the PRCs?
The PRC Site in Texas
 Region 1- Lubbock
 Region 2- Abilene
 Region 3- Dallas
 Region 4- Longview
 Region 5- Lufkin
 Region 6- Houston
 Region 7- Bryan
 Region 8- San Antonio
 Region 9- Odessa
 Region 10- El Paso
 Region 11- Pharr
The PRC Team Roles
Albert Yeung
Statewide Evaluator
Jocelyn Sanchez
Spring Intern
The Purpose of the Regional Needs
Assessment (RNA)
The regional needs assessment is a document
developed with state, regional and local data to
provide the community at large with a comprehensive
view of information about the trends, outcomes and
consequences associated with drug and alcohol use.
Why Data Collection is Important?
???
?
???
?
???
?
???
?
???
?
Methodology
 Community Epidemiology on Drug Abuse
 Mission/ Project Goals/ Purpose
 Epidemiology
 Accessing and Analyzing Data from Different Sources
 Selection Process
 Drug Abuse Related Data
 Key Concepts and other concepts
 Other Useful Data
 Gaps
 Networking and Reporting
 Establishing and Developing Relationships with Information
Sources
 How we Help the Community
The Regional Needs Assessment
 Key Findings for 2015
 The full Regional Needs Assessments will
be available after July 30th.
 Data is mostly regional but county specific
data may be requested.
Demographics
 The regional population in 2014 was 2,751,696. The population density is 87
persons per square mile, while Texas has a population density of 96.3
persons/sq.mi. and the U.S. has 87.4 persons/sq.mi. The total land area for
Region 8 is 31,637.1 square miles. (U.S. Census Bureau: State and County
QuickFacts)
Source:
www.dfps.state.tx.us/About_DFPS/region/images/REGION8.GIF
Population Ranking
Region 8 Counties by Ranking Population in Texas
Atascosa 68 Kendall 79
Bandera 115 Kerr 63
Bexar * Largest 4 Kinney 219
Calhoun 112 La Salle 184
Comal 33 Lavaca 122
DeWitt 117 Maverick 57
Dimmit 160 Medina 67
Edwards * Smallest 236 Real 221
Frio 127 Uvalde 98
Gillespie 100 Val Verde 65
Goliad 183 Victoria 41
Gonzales 118 Wilson 70
Guadalupe 29 Zavala 156
Jackson 141 Region 8 *In State 4
Karnes 140 Texas * In the Nation 2
Source:
http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=
Median Household Income
 According to the U.S. Census ACS 2009-2013, the median
household income for Region 8 was $45,658 in 2013, $6,242
lower than the median Texas household income of $51,900.
(Source: US Census ACS 2009-2013).
 According to labor force data, in April 2015 the unemployment rate
in Region 8 was 4.1%, down from 4.6% in April 2014.
 The weekly wage in in 2014 for Region 8 was $750, lower than
the Texas average weekly wage of $988. (Source: 2014 Third Quarter from
the Quarterly Census of Employment and Wages, Bureau of Labor Statistics)
Language
 About 61% (1,500,099) of Region 8 citizens ages five
and older speak English at home as their first language.
 While more than 36% (891,829) speak Spanish as their
first language. (Source: U.S. Census Bureau, 2009-2013 5-Year American
Community Survey)
Criminal Activity
 In Region 8, the total offenses by males under 18yrs. in 2013
account for almost 70% of the crimes committed.
 Drug abuse violations were the highest category with 20% of the total
offenses in Region 8.
 Drug possessions account for 18% of arrests made within this time
frame.
 All illicit drug-related offenses (Drug Abuse Violations, Drugs-
Sale/Manufacture, Drugs-Possession) account for 40% of the arrests
made in Region 8.
Source: Texas Department of Public Safety, the Texas Uniform Crime Reporting Program
2013
Drop Out Rates
Annual Dropout Rates by Grade Span, 2012-2013
Texas
Grade Span Dropouts Students Rate (%)
Grades 7-8 3,187 760,623 0.4%
Grades 9-12 31,509 1,428,819 2.2%
Grades 7-12 34,696 2,189,442 1.6%
Annual Dropout Rates by Grade Span, 2012-2013
Region 8
Grade Span Dropouts Students Rate (%)
Grades 7-8 ≥1,421 <84,707 1.7%
Grades 9-12 ≥2,905 <152,700 1.9%
Grades 7-12 ≥5,048 <236,514 2.1%
Source: Texas Education Agency
Teen Pregnancy
Data Source: US Department of Health & Human Services, Health Indicators Warehouse. Centers for
Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. 2006-
12. Source geography: County
Female with birth in the
past 12 months
(15 to 19)
Total White alone Black or African
American
Hispanic or Latino
Origin(of any
race)
Area Total teen
(15-19)
population
% of
teen
female
with
birth
Total teen
(15-19)
population
% of
teen
female
with
birth
Total teen
(15-19)
population
% of
teen
female
with
birth
Total teen
(15-19)
population
% of teen
female
with birth
Region 8 (County
Level)
Counties reporting
150,580 3.1 39,248 2.0 11,971 4.5 93,362 4.1
Texas 1,884,547 3.8 682,019 2.2 251,666 4.3 854,228 5.3
US 21,715,07
4
2.4 12,080,76
1
1.6 3,315,65
6
3.7 4,547,603 3.8
• Texas has the 5th highest birth rate among teenagers, behind Arkansas, Mississippi, Oklahoma and
New Mexico. And Texas, where schools are not required to teach sex education, has the highest rate
of repeat births among teenagers ages 15 to 19.
• The Centers for Disease Control and Prevention has examined a troubling sub-group: teens who
give birth to a second, third or even fourth child. These are called “repeat teen births.” Of all 50
states, Texas ranks #1 for this phenomenon.
Source: U.S. Census Bureau, 2009-2013 5-Year American Community Survey
Suicide
Area self poisoning self harm by
hanging
self harm by other
/firearm
Total Suicide
death rate per
100,00
0
% of
total
deat
hs
death rate per
100,00
0
% of
total
deaths
death rate per
100,00
0
% of total
deaths
deat
h
rate per
100,000
% of
total
death
s
Region
8
14 - 0.1 40 2.2 0.2 *101 5.6 0.5 155 3.9 0.3
Suicide Mortality Rates Per 100K Population, Region 8, 2013, CDC Wonder MCD
Deaths Rate
Region 8 3,912 12.62
Texas 37,699 10.73
Suicide Mortality Rates Per 100K Population, 1999-2013, CDC Wonder MCD
Major Depressive Episode
Depression
 Over 13% of all Medicare Beneficiaries (with Part A
& Part B) in Region 8 have Depression.
Area Beneficiar
ies with
Part A and
Part B
FFS
Benefici
aries
MA
Beneficia
ries
MA
Participati
on Rate
Avg
.
Age
%
Female
%
Male
Count of
Medicare
beneficiaries
with
depression
% of
Medicare
beneficiaries
with
depression
Region
8 Total
399,841 259,493 140,348 24.56 72 52.66 47.3
4
38,997 13.90
State
Total
3,273,266 2,259,90
0
1,013,366 30.96 71 54.59 45.4
1
374,006 16.55
National
Total
50,180,674 34,303,9
98
15,876,67
6
31.64 71 54.87 45.1
3
5,426,189 15.82
Count of Medicare beneficiaries with depression
Type and Quality of Drugs Seized, 2013
Source: TXDPS 2013 Crime in Texas Report and county level data
Texas Region 8
Class Type Quantity Quantity
Cannabinoids
Marijuana
817,720 Pounds, 2 Ounces,
599,182 plants, 556 gardens, 18 wild fields, 3,034
cultivated fields and 389 greenhouses
15,547 Pounds, 9 Ounces,
2,472 plants, 15 gardens, 1 wild field, 5 cultivated
fields, 1 greenhouses
Hashish 114 Pounds, 14 Ounces, 9 Grams, 129 Liquid Ounces 1 Pound, 7 Ounces, 12 Grams, no Liquid Ounces
Opiates
Morphine
13 Pounds, 11 Ounces, 19 Grams, 65 Liquid Ounces,
3,227 Dose Units
0 Pounds, 0 Ounces, 23 Grams, 2 Liquid Ounces,
219 Dose Units
Heroin
470 Pounds, 0 Ounces, 23 Grams, 87 Liquid Ounces,
839 Dose Units
75 Pounds, 12 Ounces, 7 Grams, 0 Liquid Ounces,
148 Dose Units
Codeine
1,698 Pounds, 5 Ounces, 16 Grams, 3,616 Liquid
Ounces, 36,979 Dose Units
26 Pounds, 15 Ounces, 9 Grams, 12 Liquid
Ounces, 1,056 Dose Units
Gum Opium 2 Pounds, 8 Ounces, 19 Grams 0 Pounds, 2 Ounces, 23 Grams
Cocaine Solid 6,636 Pounds, 13 Ounces, 2 Grams 203 Pounds, 0 Ounces, 5 Grams
Cocaine Liquid 2,833 Liquid Ounces 4 Liquid Ounces
Hallucinogens
LSD 6 Pounds, 15 Ounces, 6 Grams, 7,225 Dose Units 0 Pounds, 1 Ounce, 27 Grams, 1,689 Dose Units
PCP
13 Pounds, 143 Ounces, 189 Grams, 460 Liquid
Ounces, 543 Dose Units
0 Pounds, 6 Ounces, 1 Gram, 0 Liquid Ounces, 1
Dose Unit
Mushrooms 51 Pounds, 9 Ounces, 16 Grams, 28 Dose Units 7 Pounds, 7 Ounces, 23 Grams, 0 Dose Units
Peyote 198 Pounds, 7 Ounces, 11 Grams 0 Pounds, 0 Ounces, 0 Grams
Designer Drugs
814 Pounds, 7 Ounces, 18 Grams, 414 Liquid Ounces,
34,589 Dose Units
7 Pounds, 0 Ounces, 8 Grams, 6 Liquid Ounces,
16,439 Dose Units
Precursor Chemicals 6 Pounds, 5 Ounces, 15 Grams, 56,367 Liquid Ounces 3 Pounds, 10 Ounces, 19 Grams, 0 Liquid Ounces
Other Drugs
Barbiturates 91 Liquid Ounces, 79,220 Dose Units 0 Liquid Ounces, 29,608 Dose Units
Amphetamines
98 Pounds, 10 Ounces, 5 Grams, 154 Liquid Ounces,
7,362 Dose Units
3 Pounds, 15 Ounces, 28 Grams, 0 Liquid Ounces,
1,666 Dose Units
Methamphetamines
2,740 Pounds, 12 Ounces, 20 Grams, 8,849 Liquid
Ounces, 9,043 Dose Units
148 Pounds, 1 Ounce, 0 Grams, 3,254 Liquid
Ounces, 818 Dose Units
Tranquilizers 985 Liquid Ounces, 2,630,520 Dose Units 731 Liquid Ounces, 22,017 Dose Units
Synthetic Drugs
6,438 Liquid Ounces, 199,097 Dose Units 65 Liquid Ounces, 5,452 Dose Units
Clandestine Labs
73 clandestine labs (15 Meth, 0 Amph, 57 PCP, 0 P2P, 1
Crack, 0 THC)
5 clandestine labs (0 Meth, 0 Amph, 0 PCP, 0 P2P,
0 Crack , 0 THC)
RNA Key Findings
Substance Abuse Treatment and
Adolescents (12-18yrs)
 In Region 8, there were 351 treatment admissions
(7% of the state’s total).
 Admission Age into Treatment in Region 8 in 2014: 38%
- 16year olds, 21% 15 years old, 18%- 17 year olds,
14%- 14 year olds, 7%- 13 year olds and 1% were 12
years old.
 89% of treatment admissions were for marijuana/hashish,
3% methamphetamine. Alcohol and other cannabinoids
each account for 2% of the treatment admissions.
(Source: 2014 Substance Abuse and Mental Health Treatment Youth Admissions Report)
Texas School Survey (TSS) of
Drug and Alcohol Use
Format of Reports
- State, Region, Border, Non-Border and District Level
- Categories: Alcohol, tobacco, inhalants, marijuana,
synthetic marijuana, methamphetamine, crack, cocaine,
hallucinogens, rohypnol, steroids, heroin, ecstasy, over-
the-counter medications (DXM), prescription drugs,
(Codeine, OxyContin, Vicodin, Valium, Xanax).
- Measure: frequency of use, age of initiation, peer use,
driving under the influence, access to substances,
perceived dangerousness, parental approval and
related behaviors.
Texas School Survey (TSS) of
Drug and Alcohol Use
State
 Even Years
 helps inform
policymakers about the
extent and nature of the
substance use problem
in Texas schools.
Local
 Odd Years
 a standard of
comparison for
interpreting their own
drug and alcohol survey
findings.
The survey is an effective tool to evaluate the impact of
special substance abuse prevention and education
programs.
2010
2012
2014
Texas School Survey
Participation Regions 7&8
0
10
20
30
40
50
60
70
Youth Ever Used 2014
Region State Nation
Alcohol continues
to be the most used
substance.
0
10
20
30
40
50
60
70
Nation Texas Region 7 & 8
Alcohol Tobacco Marijuana
Nation – Tobacco
leads Marijuana by
.4%
Most Self-Reported Substance Used 2014
State - Marijuana
leads Tobacco by
.8% Region –
Tobacco leads
Marijuana by .2%
Youth Ever Used 2014
0 10 20 30 40 50 60
Tobacco
Steroids
Marijuana
Inhalants
Heroin
Hallucinog…
Ecstasy
Cocaine/C…
Alcohol
Any Illicit…
Rohypnol
Methamph…
Synthetic…
State Region
Region ranks below the State in all areas
except Meth and Steroids. (.1% )
Alcohol is the most
commonly used substance.
In 2014, 46% of the students in
Region 7&8 reported having
used alcohol at some point in
their lives.
46%
In the Past 30
Days…
11% of students reported having at least one
instance of binge drinking (5 or more drinks
in one sitting)
EASY
ACCESS
44%of students reported Alcohol
as “Some What Easy/Very Easy” to
get compared to Tobacco at 32%
and Marijuana at 30%.
Tobacco
 86% reported that
Tobacco is
SomeWhat/Very
Dangerous
 31% reported that at
least one of their close
friends uses Tobacco.
Marijuana
 74% reported that
Marijuana is
SomeWhat/Very
Dangerous
 39% reported that at
least one of their close
friends uses Marijuana.
If the Perception is Low…the Use is High!
Perception of harm
Girls have
surpassed
Boys in Alcohol
Usage in all
categories.
2
x
Students not living with
two parents (32%)
reported using marijuana
more than twice as
much as those living in a
two parent household
(17%).
RX Drugs – Region 7/8
0
0.5
1
1.5
2
2.5
3
3.5
4
Codeine Oxycontin Vicodin Valium Xanax Over the
Counter
DXM, Triple
CS
Region 7&8
Ever
Inhalants – Comparison
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
Texas
Ever Used
0
0.5
1
1.5
2
2.5
3
3.5
4
Region 7&8
Ever Used
How recently, if ever have you sniffed, huffed, or
inhaled the following inhalants for “kicks” or to get
“high”?
0
5
10
15
20
25
30
35
40
Alcohol Any Illicit Inhalants Marijuana Tobacco
Past Month Use by Grade – Region 7&8
Grade 12 Grade 11 Grade 10 Grade 9
Grade 8 Grade 7 Grade 6
Substance use increases by grade
level with the exception of
inhalants. 6th & 7th grade reported
more likely to use inhalants.
<10 11 12 13 14 15 16 17 18 19
Texas .1% .1% 6.4% 16.9
%
16.8
%
18% 16.6
%
15.3
%
8.8% 1.1%
Regio
n
.1% 7.4% 13.9
%
14.8
%
13.3
%
15.6
%
14.9
%
11.8
%
7.0% 1.1%
Age Frequency Texas
Seek Help – Region 7&8
0
10
20
30
40
50
60
70
80
90
School
Counselor
Adult at School Counselor Out Parents Medical Dr. Friends Another Adult Not Seek
If you had a drug or alcohol problem and needed help, who would you
go to?
No Yes
52% Will Not
Seek Help
Prevention Education Does Work
1992 Synar Amendment
 Requires states to enforce minimum age and other
tobacco laws
 The Texas Synar Survey conducts 1,000 random
checks in each region
 PRC-Region 8 conducts voluntary compliance checks
 1800 compliance visits
 100 follow-up visits
 20 follow-up visits to noncompliant retailers
Synar: $1.5 Billion Endowment for Health, Higher Ed,
and CHIP
Tobacco Settlement Payee 2014 Unreimbursed Health
Care Expenditures
2015 Distribution
DeWitt Medical District $4,295,595.00 $80,861.87
Dimmit Regional Hospital District $3,704,623.34 $69,737.20
Frio Hospital District $2,566,503.00 $48,312.80
Gonzales County Hospital District $7,232,528.80 $136,147.81
Jackson County Hospital District $2,478,450.69 $46,655.27
Karnes County Hospital District $8,311,544.74 $156,459.59
Lavaca Hospital District $762,129.19 $14,346.60
Maverick County Hospital District $3,968,793.00 $74,710.02
Medina County Hospital District $1,441,992.54 $27,144.60
University Health System,
DBA: Bexar County Hospital
District
$321,687,884.45 $6,055,571.63
Val Verde County Hospital District $2,422,061.60 $45,593.77
Wilson County Hospital District $3,385,011.00 $63,720.70
Tobacco Law Violations
 Sales to minors (under 18)
 Improper or no state-approved signage
 Outdoor advertising <1000 feet from a
school or church
 No posted permit to sell tobacco
 Selling unpackaged or packages of fewer
than 20 cigarettes
 Minor In Possession (MIP)
 Other criminal activities:
 tobacco smuggling, counterfeit permits, tobacco
tax fraud
Tobacco Retailer Compliance Checks
 Signage
 Official state signage visible near product displays
 Valid Permit
 Posted, original, up-to-date, correct address and name
 Product accessibility
 Locked or behind counter, out of reach
Data Request Form
 Central Data Repository
 Send data request using
Data Request Form
Community Agreement with PRC 8
 Provide the PRC with any data that may
contribute the data repository (alcohol
(underage drinking), marijuana, and
prescription drugs).
 Assist the PRC with networking and
coordination to help collect data and identify
resources for the regional data collection.
 Assist PRC in promoting community efforts to
raise awareness and generate support in
attending PRC presentations on local, county
regional data collected for RNA.
 Offer networking assistance to strengthen
prevention efforts in our community.
We WANT You.. To Partner with us!
Recruitment for Focus Groups
In the Fall, we will
be looking to do
focus groups with
community groups
and professionals.
Questions from the Audience
Call to Action and Closing Message
 Utilize this tool with the
communities you work with.
 This report provides a means to
facilitate data-driven decisions
and mobilization of
communities, as it informs key
community, local, state, and
federal representatives about
the needs that communities in
Region 8.
 Be cognizant and aware of
potential data or data sources
we could utilize for the RNA.
Thank you for joining us!
 Please remember to turn in your clickers.
 Please turn in your evaluations at the door.
 CEUs will be in given in the front lobby.
Visit our website for updates: www.prcregion8.org

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Region 8 Community Stakeholder Meeting 2015

  • 1. 2015 Region 8 Community Stakeholder Meeting July 9, 2015
  • 2. Housekeeping  Take this time to please silence cell phones.  Restroom in lobby near water fountain.  Be sure to sign-in for CEUs.  Post question to write your questions  Twitter: #TexasData  @PRCRegion8  @SACADATexas
  • 3. Welcome Message Abigail G. Moore, MS LCDC LPC ACPS SACADA Executive Director
  • 4. The PRC 8 Region Team  Gyna Juarez, MPA ACPS – Program Director  Teresa Stewart, BS – Community Liaison  Betsy Jones, MM – Tobacco Prevention Specialist  Alexis Lawrence, MS – Community Liaison  Hortencia Carmona, MS – Regional Evaluator
  • 5. Using Turning Point  Audience Response System  Choose your answer, only records answers once.  Poll closes after all votes are recorded.
  • 6. What is Your Favorite Color? A. Red B. Orange C. Green D. Blue E. Yellow Red Orange Green Blue Yellow 0% 0%0%0%0%
  • 7. SA Prevention Professional SA Treatm entProfessional EducatorFaith Based Law enforcem ent Healthcare w orker M entalHealth Care Other 0% 0% 0% 0%0%0%0%0% In Dealing with the Public, What Best Describes Your Role? A. SA Prevention Professional B. SA Treatment Professional C. Educator D. Faith Based E. Law enforcement F. Healthcare worker G. Mental Health Care H. Other
  • 8. 0% 0% 0% Great Concern Some Concern No Concern at All How Much of a Concern is there in Your Community for Problems Caused by Alcohol, Tobacco and other Drugs? A. Great Concern B. Some Concern C. No Concern at All
  • 9. 0% 0% 0% Low Awareness Some Awareness High Awareness How Would You Rate your Knowledge of Alcohol, Tobacco, other Drugs and Mental Health Issues in Your Community? A. Low Awareness B. Some Awareness C. High Awareness
  • 10. 0% 0% 0% Low Awareness Some Awareness High Awareness How Would you Rate Your Knowledge of Alcohol, Tobacco, other Drugs and Mental Health Issues in Your Community? A. Low Awareness B. Some Awareness C. High Awareness
  • 11. In Your Community What Place would a Person First Turn to for Help if they had a Substance Abuse and/or Mental Health Problems? A. Crisis Hotline B. Doctor C. Faith-based person/group D. Law enforcement E. Family Member F. Mental health worker G. Counselor H. 12-Step I. Other CrisisH otline D octor Faith-based person/group Law enforcem ent Fam ily M em ber M entalhealth w orker Counselor12-Step O ther 0% 0% 0% 0%0%0%0%0%0%
  • 12. Which Substances Pose the Biggest Problem in Your Community? A. Alcohol B. Marijuana C. Prescription Drugs D. Amphetamines (ex: speed, ice, crystal meth) E. Cocaine/Crack F. Heroin G. Inhalants H. Synthetic Drugs (ex: K2, Bathsalts) I. Not Sure J. Other Alcohol M arijuana Prescription Drugs Am phetam ines(ex:speed,ice,cr... Cocaine/Crack HeroinInhalants SyntheticDrugs(ex:K2,Bathsalts)NotSure Other 0% 0% 0% 0% 0%0%0%0%0%0%
  • 13. There are Enough PREVENTION Programs in my Community. (Example: DARE, after-school programs, parent support programs, drug and alcohol prevention programs for you and adults) A. Strongly Agree B. Agree C. Disagree D. Strongly Disagree StronglyAgree Agree DisagreeStronglyDisagree 0% 0%0%0%
  • 14. There are Enough Mental Health and Substance Abuse TREATMENT Resources in my Community. (Example: counseling, 12 step programs, treatment centers) A. Strongly Agree B. Agree C. Disagree D. Strongly Disagree StronglyAgree Agree DisagreeStronglyDisagree 0% 0%0%0%
  • 15. Does Your Community Utilize these Programs (Example: DARE, after-school programs, parent support programs, drug and alcohol prevention programs for you and adults)? A. Yes B. No C. Not Sure Yes No NotSure 0%0%0%
  • 16. How knowledgeable do you feel members of your community are regarding Alcohol, Tobacco, other drugs and mental health issues (such as sign, symptoms, drug trends, health risks)? A. No Knowledge B. Some Knowledge C. Knowledgeable D. Very Knowledgeable No Know ledge Som e Know ledge Know ledgeable VeryKnow ledgeable 0% 0%0%0%
  • 17. How knowledgeable do you feel YOU are about alcohol, tobacco, other drugs and mental health issues (signs, symptoms, drug trends, health risks)? A. No Knowledge B. Some Knowledge C. Knowledgeable D. Very Knowledgeable No Know ledge Som e Know ledge Know ledgeable VeryKnow ledgeable 0% 0%0%0%
  • 18. What are some of the top concerns for you and other leaders in the community (select all that apply)? A. Truancy B. Delinquency C. DWI/Alcohol Use D. Domestic Violence E. Poverty F. Drug Use G. Teen Pregnancy H. Border Issues I. Unemployment J. Mental Health issues Truancy Delinquency DW I/AlcoholUse Dom esticViolencePovertyDrug Use Teen Pregnancy BorderIssues Unem ploym ent M entalHealth issues 0% 0% 0% 0% 0%0%0%0%0%0%
  • 19. What is a PRCs?  There are eleven regional Prevention Resource Centers (PRCs) in the state of Texas and each serves as central data repositories and training liaison for providers within the respective Region.  These centers are part of a larger network of youth prevention programs and community coalitions. This network of substance abuse prevention services works to improve the welfare of Texans by discouraging and reducing substance abuse.  The PRCs are a valuable resources to address the state’s three prevention priorities of (1) under-age drinking, (2) marijuana use, and (3) prescription drug abuse, as well as tobacco and other illicit drugs.
  • 20. Who are the PRCs? The PRC Site in Texas  Region 1- Lubbock  Region 2- Abilene  Region 3- Dallas  Region 4- Longview  Region 5- Lufkin  Region 6- Houston  Region 7- Bryan  Region 8- San Antonio  Region 9- Odessa  Region 10- El Paso  Region 11- Pharr
  • 21. The PRC Team Roles Albert Yeung Statewide Evaluator Jocelyn Sanchez Spring Intern
  • 22. The Purpose of the Regional Needs Assessment (RNA) The regional needs assessment is a document developed with state, regional and local data to provide the community at large with a comprehensive view of information about the trends, outcomes and consequences associated with drug and alcohol use.
  • 23. Why Data Collection is Important? ??? ? ??? ? ??? ? ??? ? ??? ?
  • 24. Methodology  Community Epidemiology on Drug Abuse  Mission/ Project Goals/ Purpose  Epidemiology  Accessing and Analyzing Data from Different Sources  Selection Process  Drug Abuse Related Data  Key Concepts and other concepts  Other Useful Data  Gaps  Networking and Reporting  Establishing and Developing Relationships with Information Sources  How we Help the Community
  • 25. The Regional Needs Assessment  Key Findings for 2015  The full Regional Needs Assessments will be available after July 30th.  Data is mostly regional but county specific data may be requested.
  • 26. Demographics  The regional population in 2014 was 2,751,696. The population density is 87 persons per square mile, while Texas has a population density of 96.3 persons/sq.mi. and the U.S. has 87.4 persons/sq.mi. The total land area for Region 8 is 31,637.1 square miles. (U.S. Census Bureau: State and County QuickFacts) Source: www.dfps.state.tx.us/About_DFPS/region/images/REGION8.GIF
  • 27. Population Ranking Region 8 Counties by Ranking Population in Texas Atascosa 68 Kendall 79 Bandera 115 Kerr 63 Bexar * Largest 4 Kinney 219 Calhoun 112 La Salle 184 Comal 33 Lavaca 122 DeWitt 117 Maverick 57 Dimmit 160 Medina 67 Edwards * Smallest 236 Real 221 Frio 127 Uvalde 98 Gillespie 100 Val Verde 65 Goliad 183 Victoria 41 Gonzales 118 Wilson 70 Guadalupe 29 Zavala 156 Jackson 141 Region 8 *In State 4 Karnes 140 Texas * In the Nation 2 Source: http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=
  • 28. Median Household Income  According to the U.S. Census ACS 2009-2013, the median household income for Region 8 was $45,658 in 2013, $6,242 lower than the median Texas household income of $51,900. (Source: US Census ACS 2009-2013).  According to labor force data, in April 2015 the unemployment rate in Region 8 was 4.1%, down from 4.6% in April 2014.  The weekly wage in in 2014 for Region 8 was $750, lower than the Texas average weekly wage of $988. (Source: 2014 Third Quarter from the Quarterly Census of Employment and Wages, Bureau of Labor Statistics)
  • 29. Language  About 61% (1,500,099) of Region 8 citizens ages five and older speak English at home as their first language.  While more than 36% (891,829) speak Spanish as their first language. (Source: U.S. Census Bureau, 2009-2013 5-Year American Community Survey)
  • 30. Criminal Activity  In Region 8, the total offenses by males under 18yrs. in 2013 account for almost 70% of the crimes committed.  Drug abuse violations were the highest category with 20% of the total offenses in Region 8.  Drug possessions account for 18% of arrests made within this time frame.  All illicit drug-related offenses (Drug Abuse Violations, Drugs- Sale/Manufacture, Drugs-Possession) account for 40% of the arrests made in Region 8. Source: Texas Department of Public Safety, the Texas Uniform Crime Reporting Program 2013
  • 31. Drop Out Rates Annual Dropout Rates by Grade Span, 2012-2013 Texas Grade Span Dropouts Students Rate (%) Grades 7-8 3,187 760,623 0.4% Grades 9-12 31,509 1,428,819 2.2% Grades 7-12 34,696 2,189,442 1.6% Annual Dropout Rates by Grade Span, 2012-2013 Region 8 Grade Span Dropouts Students Rate (%) Grades 7-8 ≥1,421 <84,707 1.7% Grades 9-12 ≥2,905 <152,700 1.9% Grades 7-12 ≥5,048 <236,514 2.1% Source: Texas Education Agency
  • 32. Teen Pregnancy Data Source: US Department of Health & Human Services, Health Indicators Warehouse. Centers for Disease Control and Prevention, National Vital Statistics System. Accessed via CDC WONDER. 2006- 12. Source geography: County Female with birth in the past 12 months (15 to 19) Total White alone Black or African American Hispanic or Latino Origin(of any race) Area Total teen (15-19) population % of teen female with birth Total teen (15-19) population % of teen female with birth Total teen (15-19) population % of teen female with birth Total teen (15-19) population % of teen female with birth Region 8 (County Level) Counties reporting 150,580 3.1 39,248 2.0 11,971 4.5 93,362 4.1 Texas 1,884,547 3.8 682,019 2.2 251,666 4.3 854,228 5.3 US 21,715,07 4 2.4 12,080,76 1 1.6 3,315,65 6 3.7 4,547,603 3.8 • Texas has the 5th highest birth rate among teenagers, behind Arkansas, Mississippi, Oklahoma and New Mexico. And Texas, where schools are not required to teach sex education, has the highest rate of repeat births among teenagers ages 15 to 19. • The Centers for Disease Control and Prevention has examined a troubling sub-group: teens who give birth to a second, third or even fourth child. These are called “repeat teen births.” Of all 50 states, Texas ranks #1 for this phenomenon. Source: U.S. Census Bureau, 2009-2013 5-Year American Community Survey
  • 33. Suicide Area self poisoning self harm by hanging self harm by other /firearm Total Suicide death rate per 100,00 0 % of total deat hs death rate per 100,00 0 % of total deaths death rate per 100,00 0 % of total deaths deat h rate per 100,000 % of total death s Region 8 14 - 0.1 40 2.2 0.2 *101 5.6 0.5 155 3.9 0.3 Suicide Mortality Rates Per 100K Population, Region 8, 2013, CDC Wonder MCD Deaths Rate Region 8 3,912 12.62 Texas 37,699 10.73 Suicide Mortality Rates Per 100K Population, 1999-2013, CDC Wonder MCD
  • 35. Depression  Over 13% of all Medicare Beneficiaries (with Part A & Part B) in Region 8 have Depression. Area Beneficiar ies with Part A and Part B FFS Benefici aries MA Beneficia ries MA Participati on Rate Avg . Age % Female % Male Count of Medicare beneficiaries with depression % of Medicare beneficiaries with depression Region 8 Total 399,841 259,493 140,348 24.56 72 52.66 47.3 4 38,997 13.90 State Total 3,273,266 2,259,90 0 1,013,366 30.96 71 54.59 45.4 1 374,006 16.55 National Total 50,180,674 34,303,9 98 15,876,67 6 31.64 71 54.87 45.1 3 5,426,189 15.82 Count of Medicare beneficiaries with depression
  • 36. Type and Quality of Drugs Seized, 2013 Source: TXDPS 2013 Crime in Texas Report and county level data Texas Region 8 Class Type Quantity Quantity Cannabinoids Marijuana 817,720 Pounds, 2 Ounces, 599,182 plants, 556 gardens, 18 wild fields, 3,034 cultivated fields and 389 greenhouses 15,547 Pounds, 9 Ounces, 2,472 plants, 15 gardens, 1 wild field, 5 cultivated fields, 1 greenhouses Hashish 114 Pounds, 14 Ounces, 9 Grams, 129 Liquid Ounces 1 Pound, 7 Ounces, 12 Grams, no Liquid Ounces Opiates Morphine 13 Pounds, 11 Ounces, 19 Grams, 65 Liquid Ounces, 3,227 Dose Units 0 Pounds, 0 Ounces, 23 Grams, 2 Liquid Ounces, 219 Dose Units Heroin 470 Pounds, 0 Ounces, 23 Grams, 87 Liquid Ounces, 839 Dose Units 75 Pounds, 12 Ounces, 7 Grams, 0 Liquid Ounces, 148 Dose Units Codeine 1,698 Pounds, 5 Ounces, 16 Grams, 3,616 Liquid Ounces, 36,979 Dose Units 26 Pounds, 15 Ounces, 9 Grams, 12 Liquid Ounces, 1,056 Dose Units Gum Opium 2 Pounds, 8 Ounces, 19 Grams 0 Pounds, 2 Ounces, 23 Grams Cocaine Solid 6,636 Pounds, 13 Ounces, 2 Grams 203 Pounds, 0 Ounces, 5 Grams Cocaine Liquid 2,833 Liquid Ounces 4 Liquid Ounces Hallucinogens LSD 6 Pounds, 15 Ounces, 6 Grams, 7,225 Dose Units 0 Pounds, 1 Ounce, 27 Grams, 1,689 Dose Units PCP 13 Pounds, 143 Ounces, 189 Grams, 460 Liquid Ounces, 543 Dose Units 0 Pounds, 6 Ounces, 1 Gram, 0 Liquid Ounces, 1 Dose Unit Mushrooms 51 Pounds, 9 Ounces, 16 Grams, 28 Dose Units 7 Pounds, 7 Ounces, 23 Grams, 0 Dose Units Peyote 198 Pounds, 7 Ounces, 11 Grams 0 Pounds, 0 Ounces, 0 Grams Designer Drugs 814 Pounds, 7 Ounces, 18 Grams, 414 Liquid Ounces, 34,589 Dose Units 7 Pounds, 0 Ounces, 8 Grams, 6 Liquid Ounces, 16,439 Dose Units Precursor Chemicals 6 Pounds, 5 Ounces, 15 Grams, 56,367 Liquid Ounces 3 Pounds, 10 Ounces, 19 Grams, 0 Liquid Ounces Other Drugs Barbiturates 91 Liquid Ounces, 79,220 Dose Units 0 Liquid Ounces, 29,608 Dose Units Amphetamines 98 Pounds, 10 Ounces, 5 Grams, 154 Liquid Ounces, 7,362 Dose Units 3 Pounds, 15 Ounces, 28 Grams, 0 Liquid Ounces, 1,666 Dose Units Methamphetamines 2,740 Pounds, 12 Ounces, 20 Grams, 8,849 Liquid Ounces, 9,043 Dose Units 148 Pounds, 1 Ounce, 0 Grams, 3,254 Liquid Ounces, 818 Dose Units Tranquilizers 985 Liquid Ounces, 2,630,520 Dose Units 731 Liquid Ounces, 22,017 Dose Units Synthetic Drugs 6,438 Liquid Ounces, 199,097 Dose Units 65 Liquid Ounces, 5,452 Dose Units Clandestine Labs 73 clandestine labs (15 Meth, 0 Amph, 57 PCP, 0 P2P, 1 Crack, 0 THC) 5 clandestine labs (0 Meth, 0 Amph, 0 PCP, 0 P2P, 0 Crack , 0 THC)
  • 38. Substance Abuse Treatment and Adolescents (12-18yrs)  In Region 8, there were 351 treatment admissions (7% of the state’s total).  Admission Age into Treatment in Region 8 in 2014: 38% - 16year olds, 21% 15 years old, 18%- 17 year olds, 14%- 14 year olds, 7%- 13 year olds and 1% were 12 years old.  89% of treatment admissions were for marijuana/hashish, 3% methamphetamine. Alcohol and other cannabinoids each account for 2% of the treatment admissions. (Source: 2014 Substance Abuse and Mental Health Treatment Youth Admissions Report)
  • 39. Texas School Survey (TSS) of Drug and Alcohol Use
  • 40. Format of Reports - State, Region, Border, Non-Border and District Level - Categories: Alcohol, tobacco, inhalants, marijuana, synthetic marijuana, methamphetamine, crack, cocaine, hallucinogens, rohypnol, steroids, heroin, ecstasy, over- the-counter medications (DXM), prescription drugs, (Codeine, OxyContin, Vicodin, Valium, Xanax). - Measure: frequency of use, age of initiation, peer use, driving under the influence, access to substances, perceived dangerousness, parental approval and related behaviors.
  • 41.
  • 42. Texas School Survey (TSS) of Drug and Alcohol Use State  Even Years  helps inform policymakers about the extent and nature of the substance use problem in Texas schools. Local  Odd Years  a standard of comparison for interpreting their own drug and alcohol survey findings. The survey is an effective tool to evaluate the impact of special substance abuse prevention and education programs.
  • 44. 0 10 20 30 40 50 60 70 Youth Ever Used 2014 Region State Nation Alcohol continues to be the most used substance.
  • 45. 0 10 20 30 40 50 60 70 Nation Texas Region 7 & 8 Alcohol Tobacco Marijuana Nation – Tobacco leads Marijuana by .4% Most Self-Reported Substance Used 2014 State - Marijuana leads Tobacco by .8% Region – Tobacco leads Marijuana by .2%
  • 46. Youth Ever Used 2014 0 10 20 30 40 50 60 Tobacco Steroids Marijuana Inhalants Heroin Hallucinog… Ecstasy Cocaine/C… Alcohol Any Illicit… Rohypnol Methamph… Synthetic… State Region Region ranks below the State in all areas except Meth and Steroids. (.1% )
  • 47. Alcohol is the most commonly used substance. In 2014, 46% of the students in Region 7&8 reported having used alcohol at some point in their lives. 46% In the Past 30 Days… 11% of students reported having at least one instance of binge drinking (5 or more drinks in one sitting)
  • 48. EASY ACCESS 44%of students reported Alcohol as “Some What Easy/Very Easy” to get compared to Tobacco at 32% and Marijuana at 30%.
  • 49. Tobacco  86% reported that Tobacco is SomeWhat/Very Dangerous  31% reported that at least one of their close friends uses Tobacco. Marijuana  74% reported that Marijuana is SomeWhat/Very Dangerous  39% reported that at least one of their close friends uses Marijuana. If the Perception is Low…the Use is High! Perception of harm
  • 50. Girls have surpassed Boys in Alcohol Usage in all categories. 2 x Students not living with two parents (32%) reported using marijuana more than twice as much as those living in a two parent household (17%).
  • 51. RX Drugs – Region 7/8 0 0.5 1 1.5 2 2.5 3 3.5 4 Codeine Oxycontin Vicodin Valium Xanax Over the Counter DXM, Triple CS Region 7&8 Ever
  • 52. Inhalants – Comparison 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 Texas Ever Used 0 0.5 1 1.5 2 2.5 3 3.5 4 Region 7&8 Ever Used How recently, if ever have you sniffed, huffed, or inhaled the following inhalants for “kicks” or to get “high”?
  • 53. 0 5 10 15 20 25 30 35 40 Alcohol Any Illicit Inhalants Marijuana Tobacco Past Month Use by Grade – Region 7&8 Grade 12 Grade 11 Grade 10 Grade 9 Grade 8 Grade 7 Grade 6 Substance use increases by grade level with the exception of inhalants. 6th & 7th grade reported more likely to use inhalants.
  • 54. <10 11 12 13 14 15 16 17 18 19 Texas .1% .1% 6.4% 16.9 % 16.8 % 18% 16.6 % 15.3 % 8.8% 1.1% Regio n .1% 7.4% 13.9 % 14.8 % 13.3 % 15.6 % 14.9 % 11.8 % 7.0% 1.1% Age Frequency Texas
  • 55. Seek Help – Region 7&8 0 10 20 30 40 50 60 70 80 90 School Counselor Adult at School Counselor Out Parents Medical Dr. Friends Another Adult Not Seek If you had a drug or alcohol problem and needed help, who would you go to? No Yes 52% Will Not Seek Help
  • 56.
  • 58. 1992 Synar Amendment  Requires states to enforce minimum age and other tobacco laws  The Texas Synar Survey conducts 1,000 random checks in each region  PRC-Region 8 conducts voluntary compliance checks  1800 compliance visits  100 follow-up visits  20 follow-up visits to noncompliant retailers
  • 59. Synar: $1.5 Billion Endowment for Health, Higher Ed, and CHIP Tobacco Settlement Payee 2014 Unreimbursed Health Care Expenditures 2015 Distribution DeWitt Medical District $4,295,595.00 $80,861.87 Dimmit Regional Hospital District $3,704,623.34 $69,737.20 Frio Hospital District $2,566,503.00 $48,312.80 Gonzales County Hospital District $7,232,528.80 $136,147.81 Jackson County Hospital District $2,478,450.69 $46,655.27 Karnes County Hospital District $8,311,544.74 $156,459.59 Lavaca Hospital District $762,129.19 $14,346.60 Maverick County Hospital District $3,968,793.00 $74,710.02 Medina County Hospital District $1,441,992.54 $27,144.60 University Health System, DBA: Bexar County Hospital District $321,687,884.45 $6,055,571.63 Val Verde County Hospital District $2,422,061.60 $45,593.77 Wilson County Hospital District $3,385,011.00 $63,720.70
  • 60. Tobacco Law Violations  Sales to minors (under 18)  Improper or no state-approved signage  Outdoor advertising <1000 feet from a school or church  No posted permit to sell tobacco  Selling unpackaged or packages of fewer than 20 cigarettes  Minor In Possession (MIP)  Other criminal activities:  tobacco smuggling, counterfeit permits, tobacco tax fraud
  • 61.
  • 62. Tobacco Retailer Compliance Checks  Signage  Official state signage visible near product displays  Valid Permit  Posted, original, up-to-date, correct address and name  Product accessibility  Locked or behind counter, out of reach
  • 63. Data Request Form  Central Data Repository  Send data request using Data Request Form
  • 64. Community Agreement with PRC 8  Provide the PRC with any data that may contribute the data repository (alcohol (underage drinking), marijuana, and prescription drugs).  Assist the PRC with networking and coordination to help collect data and identify resources for the regional data collection.  Assist PRC in promoting community efforts to raise awareness and generate support in attending PRC presentations on local, county regional data collected for RNA.  Offer networking assistance to strengthen prevention efforts in our community. We WANT You.. To Partner with us!
  • 65. Recruitment for Focus Groups In the Fall, we will be looking to do focus groups with community groups and professionals.
  • 66. Questions from the Audience
  • 67. Call to Action and Closing Message  Utilize this tool with the communities you work with.  This report provides a means to facilitate data-driven decisions and mobilization of communities, as it informs key community, local, state, and federal representatives about the needs that communities in Region 8.  Be cognizant and aware of potential data or data sources we could utilize for the RNA.
  • 68. Thank you for joining us!  Please remember to turn in your clickers.  Please turn in your evaluations at the door.  CEUs will be in given in the front lobby. Visit our website for updates: www.prcregion8.org