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Knox County Substance Abuse Assessment

Opiate addiction is the acknowledged #1 health issue affecting the people of Midcoast Maine. It is estimated that more than 10% of babies born are drug affected, 20% of teens use drugs regularly and 10% of teens are addicted to substances. At least two young people die of drug overdose each month in Knox County. Our families and communities are being torn apart by addiction. This is a problem that affects us all either directly or indirectly.

The Midcoast Recovery Coalition’s (MCRC) mission is to reduce the rates of drug addiction and to lessen the negative effects of addiction our communities.

This survey is being conducted to guide MCRC in taking action to make the Midcoast a healthier community and to provide information which will help MCRC apply for grants needed to more effectively address and prevent addiction.

Please complete this short survey to help us better understand the scope and nature of substance abuse in Knox County so we can apply effective solutions to this problem.

The survey consists of 17 questions and should take no more than 6 minutes to complete.

Please note, your responses are anonymous.

Thank you for taking a few minutes to complete this survey, your feedback is critical to prevention efforts in the Midcoast area.

1. In what town do you reside?

2. What is your zip code?

3. Specify whether you are male or female.

8. If you are employed, what is your occupation?

9. Choose the community groups you are most closely connected to: (mark all that apply)

Fishing community
School community
Faith community
Business community
Recovery community
Senior community
Art community
Other - Write In Please enter an 'other' value for this selection.

12. During your life, have you ever abused alcohol, prescription or illegal drugs?

During your life, for what length of time did you use...

Space Cell	Never	Once	Less than 1 year	1 to 2 years	More than 2 years
Heroin	Heroin: Never	Heroin: Once	Heroin: Less than 1 year	Heroin: 1 to 2 years	Heroin: More than 2 years
Cocaine	Cocaine: Never	Cocaine: Once	Cocaine: Less than 1 year	Cocaine: 1 to 2 years	Cocaine: More than 2 years
Methamphetamine	Methamphetamine: Never	Methamphetamine: Once	Methamphetamine: Less than 1 year	Methamphetamine: 1 to 2 years	Methamphetamine: More than 2 years
Marijuana	Marijuana: Never	Marijuana: Once	Marijuana: Less than 1 year	Marijuana: 1 to 2 years	Marijuana: More than 2 years
Enter another option	Other: Never	Other: Once	Other: Less than 1 year	Other: 1 to 2 years	Other: More than 2 years

During the past 30 days, on how many days did you use...

Space Cell	Never	One day	Several days	Most days	Every day
Heroin	Heroin: Never	Heroin: One day	Heroin: Several days	Heroin: Most days	Heroin: Every day
Cocaine	Cocaine: Never	Cocaine: One day	Cocaine: Several days	Cocaine: Most days	Cocaine: Every day
Methamphetamine	Methamphetamine: Never	Methamphetamine: One day	Methamphetamine: Several days	Methamphetamine: Most days	Methamphetamine: Every day
Enter another option	Other: Never	Other: One day	Other: Several days	Other: Most days	Other: Every day

During your life, for what length of time have you taken the prescription drugs listed below without a doctor's prescription?

Space Cell	Never	Once	Less than 1 year	1-2 years	More than 2 years
Benzodiazepine (example: lorazepam, alprazolam, clonazepam)	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): Never	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): Once	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): Less than 1 year	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): 1-2 years	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): More than 2 years
Stimulant (example: Ritalin, Concerta, Adderall)	Stimulant (example: Ritalin, Concerta, Adderall): Never	Stimulant (example: Ritalin, Concerta, Adderall): Once	Stimulant (example: Ritalin, Concerta, Adderall): Less than 1 year	Stimulant (example: Ritalin, Concerta, Adderall): 1-2 years	Stimulant (example: Ritalin, Concerta, Adderall): More than 2 years
Narcotic (example: oxycodone, hydrocodone, hydromorphone)	Narcotic (example: oxycodone, hydrocodone, hydromorphone): Never	Narcotic (example: oxycodone, hydrocodone, hydromorphone): Once	Narcotic (example: oxycodone, hydrocodone, hydromorphone): Less than 1 year	Narcotic (example: oxycodone, hydrocodone, hydromorphone): 1-2 years	Narcotic (example: oxycodone, hydrocodone, hydromorphone): More than 2 years
Enter another option	Other: Never	Other: Once	Other: Less than 1 year	Other: 1-2 years	Other: More than 2 years

During the past 30 days, how many days did you take the prescription drugs listed below without a doctor's prescription?

Space Cell	Never	One day	Several days	Most days	Every day
Benzodiazepine (example: lorazepam, alprazolam, clonazepam)	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): Never	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): One day	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): Several days	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): Most days	Benzodiazepine (example: lorazepam, alprazolam, clonazepam): Every day
Stimulant (example: Ritalin, Concerta, Adderall)	Stimulant (example: Ritalin, Concerta, Adderall): Never	Stimulant (example: Ritalin, Concerta, Adderall): One day	Stimulant (example: Ritalin, Concerta, Adderall): Several days	Stimulant (example: Ritalin, Concerta, Adderall): Most days	Stimulant (example: Ritalin, Concerta, Adderall): Every day
Narcotic (example: oxycodone, hydrocodone, hydromorphone)	Narcotic (example: oxycodone, hydrocodone, hydromorphone): Never	Narcotic (example: oxycodone, hydrocodone, hydromorphone): One day	Narcotic (example: oxycodone, hydrocodone, hydromorphone): Several days	Narcotic (example: oxycodone, hydrocodone, hydromorphone): Most days	Narcotic (example: oxycodone, hydrocodone, hydromorphone): Every day
Enter another option	Other: Never	Other: One day	Other: Several days	Other: Most days	Other: Every day

13. When you were a child, were there adults in your household whom you saw abusing alcohol or other drugs?

During your life, what types of addiction treatment have you received? (Mark all that apply)

I have never sought treatment and I am still using drugs.
I have never sought treatment but I no longer use drugs.
Alcohols Anonymous
Narcotics Anonymous
Substance Abuse Counseling
Medication Assisted Treatment (i.e. suboxone, methadone)
Other - Write-In: Please enter an 'other' value for this selection.

How difficult was it to access addiction treatment resources?

Please explain why it was difficult or very difficult to access treatment resources.

When you first started using substances, how did you USUALLY get the substances you used? (Drag the top three ways from the left column to the right column) Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.

I bought them from a family member.
I bought them from someone other than a family member.
I took them from a family member.
I took them from someone other than a family member.
They were given to me by a family member.
They were given to me by someone other than a family member.
I got it some other way:

14. Why do people in your community abuse alcohol or other drugs? (Check all that apply)

To relieve physical or mental suffering
To relieve trauma
To get "high"
To escape from difficult family experiences
To escape from feelings of loneliness or isolation
To cope with anxiety
To cope with physical pain
Other - Write In Please enter an 'other' value for this selection.

15. Are there resources in your community to help teenagers avoid abusing substances?

Yes - specify the resources you are aware of:
No - specify what is needed:

16. Are there resources in your community to help adults avoid abusing substances?

Yes - specify the resources you are aware of:
No - specify what is needed:

17. What conditions in your community help people to avoid abusing substances?

Tight knit families
Involvement in faith-based activities
Children well supported by adults
Involvement in school activities
Other - Write In: Please enter an 'other' value for this selection.

18. Additional Comments: