South Avenue Medical Center, M.M.T.P

Treatment Center administering Methadone doses for people

struggling with heroine addiction.

The data I used was specifically set apart from marijuana possession cases so that we could only look at illicit drugs.

Data Used For Community Need

Community Need Chart

http://cnyvitals.org/onondaga/public-safety/drug-crimes

Logical Approach Worksheet (this is automatically completed based on your answers in the Need Worksheet. If you need to make changes go back and make them in the Need worksheet).

PROBLEM OR ISSUE RESOURCES ACTIVITIES OUTPUTS SHORT- TERM OUTCOMES LONG-TERM OUTCOMES IMPACT

The Community Need In order to accomplish In order to address ourWe expect that onceWe expect that if accomplished

We expect that if accomplished

We expect that if accomplished

This is the problem we our set of activities weproblem or asset we will accomplished these these activities these activities these activities

are trying to solve will need the following:accomplish the following activities will produce will lead to the following will lead to the following will lead to the following

activities: the following evidence changes in 1–3 changes in 4–6 changes in 7–10 years:

or service delivery: years: years: In our community there is too much Drug use.The rate is currently 1132. It would be much better to be closer to 800.This problem is a result of unemployment, poverty, and mental illness, such as but not limited to, depression, anxiety, bipolar disorder, etc.. ("Ethnic Communities' Vulnerability to Involvement with Illicit Drugs.").

Executive Director, Counseling Director, Head Medical Director, Program Coordinators, Nurses, Secretary, Data Input, methadone, computer, medical tools, , medical space with offices and waiting room, Counseling rooms, .

Heroin users will participate in South Avenue Methadone Maintenance Treatment Program, a program that serves individuals in a low-income community with heroin addiction problems. They receive professionally administered methadone doses, regular physical check-ups, and counseling at a very low cost.

the outputs will be a monthly count of how many Heroin users sign up for and participate in the program

The percent of heroine use will be lower for those participating in the program as compared to those not participating.

The percent of drug-related arrests/convictions, drug overdoses, and overall drug activity will be lower for those participating in the program as compared to those not participating.

The community problem of Drug use will decline from the current amount of 1132 closer to the desired lower level of 800.

Why Does This Matter for Syracuse?Syracuse.com reported, “Drug courts in Syracuse had a significant increase in participants identifying heroin as their drug of choice. Syracuse total went from 61 to 97 last year… The number of overdoses in Onondaga County went one 14 in 2009 to 84 last year. The number of deaths attributed to accidental overdose in Onondaga County went from one in 2010 to 27 last year.

http://www.syracuse.com/news/index.ssf/2014/05/heroin-gone-wild_in_central_new_york_causes_jumps_in_overdoses_deaths.html

Why does this matter for New Yorkers?PBS.org reported, “About 20 percent of heroin seizures nationwide are collected by DEA agents in New York State but according to the New York Times, this year that number has risen to 35 percent” -http://www.pbs.org/newshour/rundown/heroin-seizures-rise-northeast/

In 2012 it was found that heroin accounted for 25.9% of drug related deaths in NYS - http://www.nysenate.gov/files/pdfs/New%20York%20Heroin%20Epidemic%20Crisis.pdf

Why Does This Matter For Americans?TIME magazine reported, “ Heroin related deaths nearly tripled in the U.S. within just 3 years. The National Center for Health Statistics shows from 2000 to 2013, heroin deaths increased fourfold, from 0.7 per 100,000 people to 2.7 deaths per 100,000. Heroin related deaths have increased in all age groups, races and ethnic groups, and every region.” - http://time.com/3730128/heroin-deaths-painkillers/

References• http://www.drugabuse.gov/sites/default/files/pdf/partb.pdf - this article

discusses an assessment of Methadone Maintenance treatment in certain environments and people with certain circumstances.

• Lee, Chun-Hung, Tso-Jen Wang, Hsin-Pei Tang, Yu-Hsin Liu and James Bell. 2015. "Familial Expressed Emotion among Heroin Addicts in Methadone Maintenance Treatment: Does it Matter?" Addictive Behaviors 45:39-44. – Explains how methadone maintenance with counseling helps heroin addicts with recovery

• Lollis, Charlie M., Harry S. Strothers, Dale D. Chitwood and Melissa McGhee. 2000. "Sex, Drugs, and HIV: Does Methadone Maintenance Reduce Drug use and Risky Sexual Behavior?" Journal of Behavioral Medicine 23(6):545-557- How methadone users have better health and safety habits than non-methadone maintenance heroin users.

Works Cited• Lollis, Charlie M., Harry S. Strothers, Dale D. Chitwood and Melissa McGhee. 2000. "Sex, Drugs, and HIV: Does

Methadone Maintenance Reduce Drug use and Risky Sexual Behavior?" Journal of Behavioral Medicine 23(6):545-557.

• Reid, Gary, Campbell Aitken, Lorraine Beyer and Nick Crofts. 2001. "Ethnic Communities' Vulnerability to Involvement with Illicit Drugs." Drugs: Education, Prevention & Policy 8(4):359-374.- This article talks about the effects of poverty, unemployment, and lack of opportunities lead to increased chances of drug use.

• Swendsen, Joel, Kevin P. Conway, Louisa Degenhardt, Meyer Glantz, Robert Jin, Kathleen R. Merikangas, Nancy Sampson and Ronald C. Kessler. 2010. "Mental Disorders as Risk Factors for Substance use, Abuse and Dependence: Results from the 10-Year Follow-Up of the National Comorbidity Survey." Addiction 105(6):1117-1128.- This article discusses how mental disorders put people at higher risk of abusing illicit drugs and subtances.

• http://www.drugabuse.gov/sites/default/files/pdf/partb.pdf - this article discusses an assessment of Methadone Maintenance treatment in certain environments and people with certain circumstances.

• Lee, Chun-Hung, Tso-Jen Wang, Hsin-Pei Tang, Yu-Hsin Liu and James Bell. 2015. "Familial Expressed Emotion among Heroin Addicts in Methadone Maintenance Treatment: Does it Matter?" Addictive Behaviors 45:39-44. – Explains how methadone maintenance with counseling helps heroin addicts with recovery

• http://www.syracuse.com/news/index.ssf/2014/05/heroin-gone-wild_in_central_new_york_causes_jumps_in_overdoses_deaths.html

• http://www.nysenate.gov/files/pdfs/New%20York%20Heroin%20Epidemic%20Crisis.pdf• http://time.com/3730128/heroin-deaths-painkillers/

Data AnalysisYou can see that the percentage of people who used heroine again is higher amongst people who were NOT in the program. The higher percentage at 56.2% were people in the group.

The numbers are not statistically significant, which we can see in the Chi-Square test. With the “Asymp. Sigma” number at .440, being much higher than .05

Data Analysis

We can see from the logistic regression that the data we have is also not statistically significant. Being a high school graduate and race seemed insignificant. This means that with the data provided it does not seem that the program would be effective because it did not have the intended outcome of lower heroin use among program participants.

Budget