Community Assessment - Health & Quality of Life in San Mateo
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Appendix A: Qualitative Findings

 

Substance Abuse

substance abuse

substance abuse

Two areas that have previously been identified as areas of concern for San Mateo County are substance abuse and substance abuse treatment.

"The Legislative Analyst’s Office a couple weeks ago released a report comparing counties in the state on various statistics. It was interesting that the report said we are doing the best job in the state in our child welfare system, we are doing the best job in the state in crime rate, we are doing a very good job in a number of areas, we are doing the best job in terms of moving people from Welfare to work. But one area that we are the lowest in the state is in substance abuse, in the number of treatment slots available, I think we are #2 from the bottom."
— Community Leader

These community leaders tied substance abuse to area crime.

"I know substance abuse is a significant concern in Redwood City. In parts of our communities, drugs are imported and they are sent out throughout the county and probably outside the county. I think it’s a significant problem… It’s probably one of the single largest causes of the large number of people in jail and the violence cases that we deal with."
— Community Leader

"We did a study last year of who’s in the jail: 60 percent of people in our jail are there for drug offenses. That’s why they’re there."
— Community Leader

Other participants identified increased alcohol and drug use among area youth, in part due to the stress of growing up and the pressures of a wealthy community.

"I think one big youth issue is the stress that is on youth, the pressure that they have to perform, the pressure that they feel from their parents who are absent, who are stressed, who are divorcing, the pressure to be something that they’re not. And the way that it’s manifesting is increased alcohol and drug abuse among juveniles. We know that among our youth population, crime is down, but the portion of youth crime that’s up significantly is drug and alcohol use and abuse. Some of it’s peer pressure in a negative sort of way: something that astounded me in the wealthy communities is we’re seeing girls using crack cocaine as a diet aid. We’ve got a wealthy community here in San Mateo County and the kids feel tremendous pressure to be whatever it is that is ideal. We have very few drug and alcohol treatment slots for kids. We have very few treatment slots in general, but for kids I think it’s like 10 percent of the whole."
— Business Leader

"There’s a phenomenal number of parents who are providing [kids] with alcohol and drugs, which makes it really hard to say, ‘Don’t do that.’"
— Business Leader

"It used to be that you went to college to experiment with drugs and alcohol and now they’re veterans of that. So it’s a whole different level of interaction that we see happening with students. And that type of behavior is manifested in terms of their relationships. We are seeing the types of things like partner violence among students that we didn’t see maybe 10 years ago. We’re spending more and more of our time and energy outside of the classroom and the curriculum in working on socialization and relationship skills."
— Community Leader

On another note, these social services agents identified substance abuse among pregnant women as a problem.

"When we did a blind study of tox-positive babies, 10 percent [of babies born in this county] were positive. That shows us what alcohol and drug usage was going on within 4 days of the birth. We know there’s a big problem, but the number of perinatal women that are actually in treatment is very small. So it’s a huge issue, but it’s a hidden thing that crosses economic lines."
— Social Services Representative

"Because half of the [county resident] births occur outside of the county, it’s even easier to hide…"
— Social Services Representative

 

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