Prevention for Healthier Communities 17 th Annual Healthy Carolinians Conference and NCIOM Prevention Summit

Prevention of Substance Abuse and

Management

Addiction

Moderator: Flo Stein, Chief-Community Policy Division of MH/DD/SAS/Dept. of HHS Data and Evidence-Based Practices: Janice Petersen, Ph.D

.

Director, Office of Prevention/Division of MH/DD/SAS Evidence-based Practice Model: Sheila Davies Project Manager, Substance Abuse Project Dare County Department of Public Health

NCIOM Prevention For The Health of North Carolina: Task Force on Prevention • Leading Causes of Death and Disability 10-identifiable causes: (1) Cancer (2) Heart Disease (3) non-MVA Injury (4) Chronic lower respiratory disease (5) Alcohol & drug use-with underlying cause for 8 out of 10

NC-Estimates

• Recent estimates indicate that almost 709,000 NC are dependent on illicit drugs, alcohol, or both • A large majority of these-551,000 were estimated to have alcohol dependence or abuse, and 250,000 illicit drug dependence or abuse

NC-Estimates

• Of the 732,000 children and adolescents ages 12-17 in North Carolina, 276,000 have specific risk factors that make them more likely to develop substance abuse problems • Data indicate that certain groups have a higher risk of developing problems, including those who have substance-abusing parents, with academic difficulties, or who have started various levels of experimentation.

NC-Data Sources

• National Survey on Drug Use and Health (NSDUH)-National Outcome Measures • Youth Risk Behavior Surveillance System (North Carolina Schools) • Compliance Reports-Federal Block Grant --discretionary grants

Table NC4 –NOMs Summary Table: Other Survey-Based National Outcome Measures, North Carolina Data Source: SAMHSA, Office of Applied Studies,

National Survey on Drug Use and Health, 2002 2007

Measure National Median Adjusted Percent Deviation from National Median 2002/03 2003/04 2004/05 2005/06 Illicit Drugs Other than Marijuana Percent who used illicit drugs other than marijuana (past 30 days)

Ages 12-17 8.4

5.8† 6.2

5.6

Ages 18 or older 3.2

2.7

3.4

Average age at first use of illicit drugs other than marijuana

3.8

Ages 12-17 Ages 18 or older 12.2

20.6

12.6

20.8

12.9

20.1

13.0

20.3

2006/07

4.3‡ 3.2

12.4† 20.1

2006/07

4.8

3.5

12.7

20.1

2006/07

-10 -9 2 0

Table NC2 –NOMs Summary Table: Alcohol-Related National Outcome Measures, North Carolina

Measure National Median Adjusted Percent Deviation from National Median 2006/07 2002/03 2003/04 Alcohol Percent who used alcohol (past 30 days) 2004/05 2005/06 2006/07 2006/07

Age 12-20 Age 21 or older 27.0

40.3

25.0

41.5

23.6

46.2

23.9

47.0

24.9

44.5

Average number of days on which alcohol was used among users (past 30 days)

Age 12-20 5.8

4.7† 5.5

6.3

5.3† Age 21 or older 8.2

Average age at first use of alcohol

9.1

9.9

9.0

8.8

29.1

56.9

6.0

8.9

-14 -22 -12 -1 Ages 12-17 Ages 18 or older 12.8

17.9

12.8

17.9

12.9

17.9

13.0

17.7

13.3

17.8

13.2

17.0

-1 -5

Percent of youth who somewhat or strongly disapprove of someone their age having one or two drinks of alcohol nearly every day

Ages 12-17 85.9

86.2

82.7† 86.9† 89.4

86.1

-4

Percent reporting moderate or great risk of harm from five or more drinks of alcohol once or twice a week

Age 12-20 Age 21 or older 75.2

82.6

76.2

81.7

74.5

79.3

73.6

83.2† 75.0

84.8

74.6

79.8

-1 -6 Data Source: SAMHSA, Office of Applied Studies,

National Survey on Drug Use and Health, 2002-2007

Substance Abuse and Mental Health Services Administration (SAMHSA)

Designated Single State Authority for Substance Abuse Services: Division of MH/DD/SAS Prevention set- aside= 20%

Substance Abuse Prevention and Treatment Federal Block Grant (SAPTBG

)

2008-2009 Safe and Drug Free Schools and Community and Substance Abuse Prevention and Treatment Block Grant Funds Per LME $500,000 $450,000 $400,000 $350,000 $300,000 $250,000 $200,000 $150,000 $100,000 $50,000 $0 A C R A lb em B ar ea le co n C en te C r en te rP o in t C ro ss ro ad s C um be rla nd D ur ha m E as tp oi nt e E C B F H iv e C ou nt y F oo th ill s G ui lfo rd Jo hn so M n ec kl en bu rg OC O P C P at hw ay s P ie dm on t S an dh ill s S E C S E R S M ou nt ai n W a ke W H ig hl an ds SDFSC SAPBG

Substance Abuse Prevention and Treatment Block Grant Programs (SAPTBG)

Crossroads CenterPoint A-C-R OPC Five County

East Carolina Behavioral Health

(ECBH) Albemarle Foothills Smoky Mountain Catawba

SDFSC SAPTBG

Western Highlands

Ashe Alleghany Wilkes Surry Yadkin Stokes Rockingham Person Vance Warren Nash Wilson Northampton Pitt Martin Gates Pamlico Camden Pasquotank Perquimans Chowan Washington Tyrrell Hyde Currituck Dare

Pathways

Scotland Onslow Carteret

Beacon Center Piedmont Sandhills

Robeson Bladen Pender

Southeastern Regional Eastpointe

Columbus New Hanover Brunswick

Southeastern Center

The counties within an LME share the same color. Unless otherwise indicated, the LME name is the county name(s).

Project Alert Allstars Reconnecting Youth Project TND Early Risers I Can Problem Solve Children in the Middle Evidence Based Programs (EBP) Project Venture Life Skills Guiding Good Choices I’m Special Strengthening Families Dare To Be You Street Smart Too Good for Drugs Brief Strategic Family Therapy Nurse Family Partnership Project Success Keeping it Real Smart Moves Incredible Years Parenting Wisely Soft Dates Second Step Good Touch Bad Touch Positive Action Families and Schools Together (FAST) Nurturing Parents

Evidence Based Programs By LME

Alamance Caswell Rockingham (A-C-R)

Provider/s: Alcohol and Drug Services EBP: Project Toward No Drug Abuse (Project TND) AllStars Project Alert Life Skills Project Success I’m Special Not On Tobacco (NOT)

Albemarle Provider/s:

Albemarle LME No Evidence Based Programs Reported

Beacon Center

Provider/s: a. Port Human Services b. Wilson Families in Action EBP: AllStars----------------------------------------- a.

Reconnecting Youth------------------------- a.

Second Step----------------------------------- a Early Riser ------------------------------------ -a.

Project Alert----------------------------------- -a.

Substance Abuse Family Education---- --a.

I’m Special-------------------------------------- -a.

Parent Networking Strategy-------------- ---b.

Catawba

Provider/s: Clay Wilson Associates EBP: Smart Moves Project Alert Project TND Nurturing Parent/Teen

CenterPoint

Provider/s: PDFNC/Unlimited Success EBP: Reconnecting Youth Early Risers Keeping it Real

Crossroads

Provider/s: PDFNC/Unlimited Success EBP: Life Skills Reconnecting Youth Early Risers AllStars

Cumberland

Provider/s: Cumberland County Communicare EBP: Project Alert Strengthening Families

Durham Center

Provider/s: PPDFNC/Unlimited Success EBP: Early Risers Reconnecting Youth Keeping It Real

EastPointe

Provider/s: 4-H EBP: Project Alert AllStars

East Carolina Behavioral Health (ECBH)

Provider/s: Port Human Services EBP: Reconnecting Youth Project Alert I’m Special Project TND Keep a Clean Mind

Five County

Provider/s: a. Halifax County Health Dept.

b. Skills Management EBP: Project TND----------------------------b.

Nurse Family Partnership----------a.

Brief Strategic Family Therapy —a.

Reconnecting Youth-----------------b.

Foothills

Provider/s: a. ARP-Phoenix b. Freedom House c. Clay Wilson Associates EBP: Second Step---------------a.

Project Alert-----------------b.

Allstars-----------------------c.

I’m Special------------------c.

Guiding Good Choices---c.

Guilford

Provider/s: a. Alcohol Drug Services b. Family life Council of Greater Greensboro c. Guilford Youth Initiative d Centro De Accion Latino EBP: AllStars-----------------------b Keeping It Real ------------b Peace Builders-------------c.

Project Alert ----------------a.

Project TND---------------- a.

Life Skills--------------------d. I’M Special------------------a

Johnston

Provider/s: EBP: Guiding Good Choices Project Success

Mecklenburg

Provider/s: Chemical Dependency Center Substance Abuse Prevention Services EBP: I’M Special Project TND Safe Dates Parenting Wisely Dare to be You Families and Schools Together (FAST) Reconnecting Youth

Orange Person Chatham (OPC)

Provider/s: PDFNC/Unlimited Success EBP: Reconnecting Youth Early Risers Project Alert Keeping it Real

Onslow Carteret

Provider/s:Community Prevention Services EBP: Project TND Project Alert

Pathways

Provider/s: a. ARP-Phoenix b. Footprints c. Cleveland Co. Health Dept .

EBP: Project TND-------------------a.

Allstars-------------------------a.

Safe Dates--------------------a.

Project Alert-------------------a.

Positive Action----------------a

Piedmont

Provider/s: Daymark Recovery Services EBP: AllStars Project TND Project TNT

Sandhills

Provider/s: PDFNC/Unlimited Success Alcohol Drug Services EBP: Reconnecting Youth I’M Special Early Risers Keeping It Real AllStars Project Alert Project TND

Smoky Mountain

Provider/s: ARP-Phoenix Western Youth Network EBP: AllStars Project TND Children in the Middle Safe Dates Good Touch Bad Touch Positive Action Parenting Wisely Project Alert Nurturing Parents Reconnecting Youth Project Venture

Southeastern Center

Provider/s:Coastal Horizons EBP: Project TND Project TNT Project Venture Project Alert AllStars Guiding Good Choices Project Success I’M Special Strengthening Families

Southeastern Regional

Provider/s: Robeson Healthcare EBP:AllStars Too Good For Drugs Project TND Positive Action Good Touch Bad Touch Guiding Good Choices Incredible Years Children in the Middle

Wake

Provider/s:4-H Youth Southlight EBP: Reconnecting Youth Dare To Be You I Can Problem Solve Project TND Project Alert

Western Highlands

Provider/s: ARP- Phoenix EBP: Positive Action AllStars Project Alert Project TND Nurturing Skills Children In the Middle Nurturing Parent Parenting Wisely Second Step Safe Dates

Evidence Based Programs Target Populations •

Universal

•

Selective

•

Indicated

www.nciom.org

The five-step process is shown below. Infused in the center of the five steps are two concepts that are critical to long-term prevention efforts—cultural competence and sustainability. 5. Monitor, evaluate

Monitor, evaluate, sustain, and improve or replace those that fail

1. Assess

Profile population needs, resources, and readiness to address needs and gaps

2. Build Capacity

Cultural Competence & Sustainability Mobilize and/or build capacity to address needs Implement evidence based prevention programs and activities

4. Implement

Develop a Comprehensive Strategic Plan

3. Plan

Comprehensive Plan for Substance Abuse Prevention

• NCIOM Task Force on Substance Abuse Services www.nciom.org

• North Carolina Centers for Prevention Resources

Prevention Office Contacts

• Prevention and Early Intervention Team (919) 715-5989 [email protected]