Tag: methamphetamine

  • Calls to Clermont County 528-SAVE crisis hotline increase

    Calls to Clermont County 528-SAVE crisis hotline increase

    Help is available 24/7 through the Clermont County Crisis Hotline at 528-SAVE (7283).  The Hotline is staffed by trained and licensed mental health providers who can assist with connection to needed services.  There is also a crisis text line that can be accessed 24/7.  Text the keyword “4hope” to 741 741.

    Ongoing stress due to the pandemic has contributed to increased calls to the Clermont County 528-SAVE Crisis Hotline over the past several months. The Clermont County Crisis Hotline has seen a 21-percent increase in the number of calls in the fiscal year that ended June 30, 2020, as compared to the previous 12 months. The hotline has also seen an increase in the number of suicidal/crisis calls.

    “The long-term impact of the COVID-19 pandemic is starting to take its toll,” said Lee Ann Watson, associate director, Clermont County Mental Health & Recovery Board. “This has been a challenging time for nearly everyone, especially those with possible underlying behavioral health concerns.”

    Clermont County has the second-highest suicide rate in Southwest Ohio and is 13th in the state per 100,000 for suicide deaths. Fortunately, there has not been an increase in suicide deaths in 2020.  People appear to be reaching out for help more than in previous years.  But there is still a reason for concern. While the suicide deaths have decreased in 2020, one death by suicide is too many.

    Watson asks people to recognize warning signs and know how to reach out for help.  It is important to know the warning signs and the resources to seek help because likely people who are depressed and at risk for suicide are not often motivated to seek help. Losses such as the end of a relationship, death of a loved one, or loss of employment, all of which are situations that can be occurring during COVID-19, can increase the risk for depression.

    Common Warning Signs of Acute Suicide Risk

    The following are not always communicated directly or outwardly:

    • Threatening to hurt or kill him or herself, or talking of wanting to hurt or kill him/herself; and or,
    • Looking for ways to kill him/herself by seeking access to firearms, available pills, or other means; and/or,
    • Talking or writing about death, dying or suicide, when these actions are out of the ordinary.

    Additional Warning Signs:

    • Increased substance (alcohol or drug) use
    • No reason for living; no sense of purpose in life
    • Anxiety, agitation, unable to sleep or sleeping all of the time
    • Feeling trapped – like there’s no way out
    • Hopelessness
    • Withdrawal from friends, family, and society
    • Rage, uncontrolled anger, seeking revenge
    • Acting reckless or engaging in risky activities, seemingly without thinking
    • Dramatic mood changes
    • Giving away prized possessions or seeking long-term care for pets

    (Source: American Association of Suicidology)

    Help is available 24/7 through the Clermont County Crisis Hotline at 528-SAVE (7283).  The Hotline is staffed by trained and licensed mental health providers who can assist with connection to needed services.  There is also a crisis text line that can be accessed 24/7.  Text the keyword “4hope” to 741 741.   

    High-risk groups: Men, those 65 and older
    Middle-aged men and individuals over the age of 65 comprise high-risk groups in Clermont County, similar to national trends. Men have always had a higher rate of suicide death than females, but the number of males dying from suicide has significantly increased. During 2019, 37-percent of the suicide deaths were men between the ages of 40-59.  This is a 100-percent increase in the number of deaths in 2019 of this age group compared to 2018.  In 2020, 88 percent of the suicide deaths were men.  Of those, 23 percent were aged 40-49, and 26 percent were aged 60-69.

    While it is often difficult for men to reach out for help, it is important for men to remember that now more than ever “it is ok not to be ok” and that feeling overwhelmed is not a sign of weakness.  Seeking help is a sign of strength.  Mental health professionals are available to assist with the specific needs and concerns of men.  Further, a 2019 study published in the Journal of Mental Health found that receiving support from a trusted and respected friend can be an effective suicide prevention strategy for men. Forming connections with other people who are going through the same thing can also be helpful.

    The Clermont County Suicide Prevention Coalition is working to decrease suicide in our County through increasing knowledge of warning signs, and availability of treatment. If you are interested in joining the Coalition, please contact Lee Ann Watson at (513) 732-5400.

    Number of overdose deaths decline; meth use increases

    With regard to unintentional fatal overdose deaths, Clermont County has seen a decrease in deaths over the past three years.

    The decrease in deaths can be partially attributed to the widespread distribution of Naloxone to county residents. While the overdose deaths have decreased, nonfatal overdoses are still occurring in Clermont County, albeit less than in previous years.

    Regarding non-fatal overdoses, the County was ranked 16th in the state in 2019 for the number of Naloxone administrations (387 doses; Ohio EMS, 2019). This ranking is based on the number of administrations, not by population. For the first three quarters in 2020, Clermont is ranked 17th in the state for the number of Naloxone administrations (315; Ohio EMS, 2020). The number of administrations is underreported since not all the EMS departments in Clermont County report the use of Naloxone, and the figures do not include the Naloxone utilized by law enforcement.

    Clermont County saw a surge in nonfatal overdoses in the summer months of 2020, but the overdoses have now decreased to lower than in the previous year.  There continue to be “hot spots” in Clermont County where overdoses are occurring:  Union Township; New Richmond and Felicity.

    The use of stimulants, particularly methamphetamine, has substantially increased in Clermont County. The degree of complexity related to stimulant misuse has impacted the county. A large portion of the homicides in 2019 was related to stimulant misuse. Individuals on meth can have extreme paranoia and often aggressive behavior, and difficult to engage in treatment.

    The CCMHRB’s substance use disorder treatment provider has seen an increase in treatment admissions for stimulant misuse in the last year (14 percent), and the local hospital also reports an increase in the rate of admissions to the Emergency Department (ED) and the behavioral health unit due to meth misuse.

    Individuals who are brought into the ED under the influence of meth most often have to be admitted to the behavioral health unit. Those stays are often long since it is taking several days for the individual to clear.

    Clermont County Children’s Protective Services has also reported a substantial increase in the number of children in custody due to stimulant use disorders. In 2019, more than 30 percent of the cases were related to methamphetamine.  The number of cases has increased in 2020 as reported by CPS.

    Stimulant misuse differs greatly from opioid misuse.  Due to the nature of the drug, individuals actively using stimulants are often not able to engage in discussions related to treatment, and therefore outreach to attempt to engage them in treatment is not successful as it has been for individuals using opioids.  Further, many individuals with a stimulant use disorder do not believe they have an addiction, and therefore do not voluntarily enroll in treatment.  The CCMHRB’s contract substance use disorder treatment provider reports that in 2019, 21 percent of clients identified stimulants as their primary drug of choice, while 34 percent identified opioids as their primary drug of choice.

  • Clermont authorities report increase in meth, cocaine and LSD after spring slowdown

    Clermont authorities report increase in meth, cocaine and LSD after spring slowdown

    Lt. Nick DeRose noted that the county also has experienced a rise in cocaine traffic – almost all laced with fentanyl – and LSD in recent weeks.

    Batavia, Ohio – Clermont County law enforcement and treatment specialists are noticing an uptick in methamphetamine (or meth) after a slowdown during the spring shutdown of the economy.

    The Clermont County Opiate Task Force touched base on drug and alcohol trends in the era of COVID-19 in an Aug. 13 meeting.

    For Help 24/7 Call: 528-SAVE (7283)

    Sheriff’s Office Lt. Nick DeRose, commander of the Clermont County Narcotics Task Force, said both volume and prices of meth have increased substantially in July and August. He noted that the county also has experienced a rise in cocaine traffic – almost all laced with fentanyl – and LSD in recent weeks.

    Fentanyl is a powerful synthetic opioid analgesic that is similar to morphine but is 50 to 100 times more potent. Lysergic acid diethylamide (LSD), also known colloquially as acid, is a hallucinogenic drug. Effects typically include altered thoughts, feelings, and awareness of one’s surroundings. Many users see or hear things that do not exist. Dilated pupils, increased blood pressure, and increased body temperature are typical, according to a news release issued by the County.

    “COVID slowed things down, but come June there was a major increase – mainly a mixture of meth with fentanyl,” said Lt. Matt Green of the Union Township Police Department. “Some are doing meth and cocaine and not knowing they’ve been laced with fentanyl.”

    The department has handled 40 overdoses in the past two months, Green said.

    The report also noted that people who use meth experience a roller coaster of emotions, members of the task force reported. Many meth users are fidgety with nervous energy. They often experience psychosis, with symptoms including delusions, hallucinations, talking incoherently, and agitation. The person with the condition usually isn’t aware of his or her behavior.

    Dr. Shawn Ryan of BrightView said meth causes the body to produce an amount of brain hormones “off the chart.” He added that it’s difficult to normalize the hormones as part of a treatment plan.

    Jamie Lutson of Clermont County Municipal Court Probation said she had noticed a big increase in females addicted to meth. “Some say they are using the drug to stay awake so they can work and take care of their children.”

    Lutson added that alcoholic relapses occurred more frequently as treatment programs “came to a screeching halt.”

    Lee Ann Watson, associate director of the Clermont County Mental Health & Recovery Board and co-chair of the Opiate Task Force, said the group will use the input to help target efforts to address the situation.

  • Judge Jerry R. McBride: Why Issue One should be opposed

    Judge Jerry R. McBride: Why Issue One should be opposed

    by Judge Jerry R. McBride

    If you are concerned about neighborhood safety, then you should NOT support Issue One on the ballot this fall. It will hinder law enforcement, prosecutors, and judges in their ability to deal with the biggest drug crisis in this state’s history.As a result, it will result in more drugs on the streets, more crime, more deaths from overdoses, and more costs to local communities and taxpayers.

    Jerry R. McBride is a Clermont County, Ohio, Common Pleas Court Judge

    Judges have the ability to comment on issues that affect the administration of justice. Issue One will have a devastating effect on the administration of justice on Ohio. As one trial judge, this is my take on Issue One:

    ISSUE ONE DOES NOT BELONG IN THE STATE CONSTITUTION

    A state constitution should set forth the powers and functions of the branches of government, certain general values and principles upon which the citizens of the state generally agree, and the basic rights which are afforded to the citizens of the state. It should set forth matters which are so fundamental and important that they will not be subject to change over time. This proposed constitutional amendment does not in any way belong in a state constitution. It seeks to change sentencing law as it exists in the state of Ohio based on an assumption that change needs to be made. If change does need to be made, then it should be made through the process of enacting legislation, as is done on a regular basis in this state, and not through a constitutional amendment.

    ISSUE ONE DIRECTLY CONTRADICTS THE CONCEPT OF TRUTH IN SENTENCING AND IGNORES THE RIGHTS OF VICTIMS.

    There should be truth in sentencing, not lip service to truth in sentencing. Issue One allows a credit to be given by the Department of Rehabilitation and Correction for participation in rehabilitative, work, or educational programming of up to 25% of a sentence plus 30 days. While this may sound good at first glance, it is contrary to the concept of truth in sentencing. When a victim is told what a sentence will be, he/she should be able to rely on that being the sentence unless a hearing is scheduled on a possible reduction in the sentence. Why should a sentence be reduced just because an inmate “participates” in programming? Isn’t that the bare minimum that should be expected from an inmate? Why should an inmate be rewarded for doing the bare minimum? If a sentence is to be reduced, it should be reduced by the sentencing judge based upon an assessment that the risk of recidivism has been reduced, not because somebody has shown up to work. And if the judge makes the assessment that the sentence should be reduced, a hearing will be required and the victim will have an opportunity to be present and to be heard, which is the way it should be. Additionally, what does it mean to “participate” in these activities? This essentially allows the prison authorities to reduce a judge’s sentence,and it should be the judge who imposed a sentence who determines whether that sentence should be reduced.

    ISSUE ONE IS DANGEROUS IN THAT IT INTERFERES WITH THE JUSTICE SYSTEM’S ABILITY TO DEAL WITH THE DRUG CRISIS

    It is highly inappropriate in the midst of the biggest crisis in this state in terms of drug abuse for the possession and use of dangerous drugs to be treated essentially the same as minor traffic and criminal offenses. Possession of dangerous drugs leads to overdoses, to more serious criminal offenses, to deaths. The possession and use of dangerous drugs are not minor offenses to the persons who are addicted to drugs, to the victims of crime involving persons under the influence of drugs, to the parents and family members who are praying that their loved ones will not overdose and die. To suggest that we need to include treatment in our approach to this drug crisis is highly appropriate, and in fact it is already being done routinely across this state. However, to suggest that we should reduce the level of these offenses so that they are no longer classified as serious offenses is highly inappropriate.

    ISSUE ONE TREATS USE OF DANGEROUS DRUGS AS LESS SERIOUS THAN JUST ABOUT EVERY OTHER CRIME

    The proponents of the constitutional amendment, in saying that a jail sentence cannot be imposed, are saying that possession and use of such drugs as heroin, methamphetamine, and cocaine should be treated more lightly than reckless driving, shoplifting, lying to a police officer, gambling, and persistent disorderly conduct, all of which can result in the imposition of jail sentences. Is this really the message that we should be sending to drug addicted adults who represent a risk of committing more serious offenses as long as they persist in the use of dangerous drugs?

    ISSUE ONE ELIMINATES THE ABILITY OF A JUDGE TO IMPOSE A JAIL SENTECE FOR A FIRST OR SECOND POSSESSION OFFENSE, EVEN IF THE DRUG IS HEROIN, METHAMPHETAMINE, OR COCAINE

    In all likelihood, probation will be appropriate for a person who commits a drug possession offense which is the first or second within a 24-month period. However, that will not always be the case. For instance, probation may not be appropriate at all if the offense is committed at the same time as a more serious offense such as a burglary or an assault. Similarly, probation may not serve the purpose of protecting the public if the drug possession or use offense is committed by a convicted sex offender for whom use of a dangerous drug or alcohol represents a significant risk of reoffending and for whom intermediate sanctions may provide no real protection to the community. As for the term probation, does that include treatment in a halfway house or in a lock-down community based correctional facility?

    If it doesn’t include residential treatment, including lockdown residential treatment, ittakes away some of the most effective tools which can be used in trying to rehabilitate an offender. Needless to say, the problem with creating an absolute standard that requires that a person who uses or possesses drugs receive the lowest level of sanction available is that applying that standard under the facts of given case may not be consistent with the seriousness of the offense or the likelihood of recidivism.

    ISSUE ONE PUTS HANDCUFFS ON JUDGES IN THEIR ABILITY TO GET OFFENDERS TO STOP USING DRUGS

    The proposed amendment would eliminate the possibility of imposing a jail sentence at all for a violator on a first or second drug possession or use offense within 24 months and would eliminate the possibility of a court imposing a prison sentence for a felony violator unless the violator commits a new criminal offense. However, this leads to some very real dilemmas. If that is to be the law, what is a court to do with someone who simply refuses to attend treatment or to comply with any of the intermediate sanctions or who simply says that he/she will not comply with anything that the court orders? What is a court to do with someone who says he/she will comply with community control sanctions but then refuses to do anything which is ordered? Under the language of the proposed constitutional amendment, a felony offender could simply tell a judge at the time of the sentencing hearing that he/she will comply with the community control sanctions that are ordered, and then after being placed on community control, refuse to do anything that the court orders. At that point, a prison sentence could not be imposed. What is the possible sense in that? How does that serve to protect the public? The probation department has a statutory duty to report violations to the court, but if the offender continually absconds or fails to comply with the sanctions that are ordered, how can the probation department perform that function? The answer is very simple- it can’t.

    ISSUE ONE JUST GIVES LIP SERVICE TO THE CONCEPT OF GRADUATED SANCTIONS

    Issue One strips away the full range of tools which enable a judge or probation department to be effective in not only rehabilitating an offender, but also in protecting the public. It is difficult to argue with the concept of graduated responses, and the use of intermediate sanctions, by courts and probation departments. It is consistent with the use of evidence-based practices. However, the application of graduated responses or intermediate sanctions to a violator in a given case will depend on the seriousness of the original offense, the risk of recidivism, and the nature of the violation. In this regard, a graduated response policy will typically include probation (monitored or with conditions), intermediate sanctions (which may include such things as house arrest, residential or outpatient treatment, day reporting, a short jail term, or other requirements), and jail or prison. Issue One, however, arbitrarily takes away the option of jail or prison even for someone who thumbs his or her nose at the system and who refuses to undergo treatment or to make other changes that are necessary to reduce the likelihood of recidivism. It also arbitrarily takes away the option of jail or prison for someone for whom lesser sanctions are simply not appropriate.

    ISSUE ONE CONTRADICTS THE IMPORTANT CONCEPT OF SEPARATION OF POWERS

    The proposed amendment provides that each court must prepare guidelines for graduated responses that may be imposed in sentencing offenders and that the guidelines must be approved by the Department of Rehabilitation and Correction, which is part of the executive branch. Such a provision, which is proposed to be part of the state constitution, violates an already existing constitutional principle, which is the separation of powers. Additionally, there is no reason to believe that the Department of Rehabilitation and Correction has any expertise in deciding what factors a court should consider in determining which graduated response should be applied in a given case in sentencing an individual. That is pure and simple a judicial function.

    UNDER ISSUE ONE, THERE WILL BE LESS, NOT MORE, MONEY FOR TREATMENT

    The proponents of this constitutional amendment assume that the costs of their proposal will be covered by a substantial reduction in the number of prison beds. However, since the cost of housing fourth and fifth degree felons in the prison system is a very small part of the overall prison cost, since the projections as to cost reductions by the Department of Rehabilitation and Corrections have been inaccurate in the past, and since the increase in prison population has primarily resulted from longer sentences, and that is not addressed at all by the constitutional amendment, there is no real reason to believe that the assumptions of the proponents in this regard are correct.

    ISSUE ONE WILL RESULT IN GREATER COSTS TO LOCAL COMMUNTIES WITH WORSE RESULTS

    In the unlikely possibility that the proponents of Issue One are correct that there will be more money for treatment, and that appears to be fool’s gold, the most significant costs of this proposed constitutional amendment are the following- it undermines the efforts being made by courts and the law enforcement community to deal with the drug crisis, it undermines the ability of courts to effectively sentence offenders, and worst of all, it will not make the public any safer at all, and given the problems identified above, will likely lead to the public being more at risk. The cost of the proponents of Issue One pursuing their ill-conceived political agenda will be to put more people at risk of being victims, will not result in more or better treatment for drug users, and will result in greater cost- both human and monetary- to local communities. That is the reason that law enforcement, prosecutors, and judges throughout Ohio are opposing Issue One as being both ill-conceived and dangerous.



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