Prevention for Healthier Communities17th Annual Healthy Carolinians Conference and

NCIOM Prevention Summit

Prevention of Substance Abuse and Addiction

Moderator: Flo Stein, Chief-Community Policy Management

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 DaviesProject Manager, Substance Abuse ProjectDare County Department of Public Health

NCIOM Prevention For The Health of North Carolina: Task Force on Prevention

• Leading Causes of Death and Disability10-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 CarolinaData Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002-2007

MeasureNational Median

Adjusted Percent Deviation from National Median

2002/03 2003/04 2004/05 2005/06 2006/07 2006/07 2006/07

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 4.3‡ 4.8 -10

Ages 18 or older 3.2 2.7 3.4 3.8 3.2 3.5 -9

Average age at first use of illicit drugs other than marijuana

Ages 12-17 12.2 12.6 12.9 13.0 12.4† 12.7 2

Ages 18 or older 20.6 20.8 20.1 20.3 20.1 20.1 0

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

MeasureNational Median

Adjusted Percent Deviation from National Median

2002/03 2003/04 2004/05 2005/06 2006/07 2006/07 2006/07

Alcohol

Percent who used alcohol (past 30 days)

Age 12-20 27.0 25.0 23.6 23.9 24.9 29.1 -14

Age 21 or older 40.3 41.5 46.2 47.0 44.5 56.9 -22

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† 6.0 -12

Age 21 or older 8.2 9.1 9.9 9.0 8.8 8.9 -1

Average age at first use of alcohol

Ages 12-17 12.8 12.8 12.9 13.0 13.3 13.2 -1

Ages 18 or older 17.9 17.9 17.9 17.7 17.8 17.0 -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 75.2 76.2 74.5 73.6 75.0 74.6 -1

Age 21 or older 82.6 81.7 79.3 83.2† 84.8 79.8 -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)

$0

$50,000

$100,000

$150,000

$200,000

$250,000

$300,000

$350,000

$400,000

$450,000

$500,000

SDFSC

SAPBG

2008-2009 Safe and Drug Free Schools and Community and Substance Abuse Prevention and Treatment Block Grant Funds

Per LME

Eastpointe

Alamance

Alexander

Alleghany

Anson

Ashe

Avery

Beaufort

Bertie

Bladen

Brunswick

BuncombeBurke

Cabarrus

Caldwell

Camden

Carteret

Caswell

Catawba

Chatham

Cherokee

Chowan

Clay

Cleveland

Columbus

Craven

Cumberland

Currituck

DareDavidson

Davie

Duplin

Durham

Edgecombe

ForsythFranklin

Gaston

Gates

Graham

Granville

Greene

Guilford

Halifax

Harnett

Haywood

Henderson

Hertford

Hoke

Hyde

Iredell

Jackson

Johnston

Jones

Lee

Lenoir

Lincoln

Macon

MadisonMartin

McDowell

Mecklenburg

Mitchell

Montgomery

Moore

Nash

New Hanover

Northampton

Onslow

Orange

Pamlico

Pasquotank

Pender

Perquimans

Person

Pitt

Polk

Randolph

Richmond

Robeson

Rockingham

Rowan

Rutherford

Sampson

Scotland

Stanly

StokesSurry

Swain

Transylvania

Tyrrell

Union

Vance

Wake

Warren

Washington

Watauga

Wayne

Wilkes

Wilson

Yadkin

YanceySmokyMountain

PiedmontWestern Highlands

Sandhills

SoutheasternRegional

SoutheasternCenter

Foothills

CenterPoint

CrossroadsOPC Five County

East Carolina Behavioral Health

(ECBH)Albemarle

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

Pathways

Catawba

Beacon Center

A-C-R

SDFSC

SAPTBG

Substance Abuse Prevention and Treatment Block Grant Programs

(SAPTBG)

Project AlertAllstarsReconnecting Youth Project TNDEarly RisersI Can Problem SolveChildren in the Middle

Project VentureLife SkillsGuiding Good ChoicesI’m SpecialStrengthening FamiliesDare To Be YouStreet Smart

Too Good for DrugsBrief Strategic Family TherapyNurse Family PartnershipProject SuccessKeeping it RealSmart MovesIncredible Years

Parenting WiselySoft DatesSecond StepGood Touch Bad TouchPositive ActionFamilies and Schools Together (FAST)Nurturing Parents

Evidence Based Programs (EBP)

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 LMENo Evidence Based Programs Reported

Beacon CenterProvider/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.

CatawbaProvider/s: Clay Wilson Associates

EBP: Smart Moves Project Alert Project TND Nurturing Parent/Teen

Evidence Based Programs By LME

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

CrossroadsProvider/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

JohnstonProvider/s: EBP: Guiding Good Choices Project Success

MecklenburgProvider/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

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 CountyProvider/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.

FoothillsProvider/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.

GuilfordProvider/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

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

Onslow CarteretProvider/s:Community Prevention Services EBP: Project TND Project Alert

PathwaysProvider/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

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

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

Southeastern RegionalProvider/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

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

Western HighlandsProvider/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 ProgramsTarget 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.

Strategic Prevention FrameworkStrategic Prevention Framework

Cultural Competence & Sustainability

Profile population needs, resources, and readiness to address

needs and gaps

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

fail

Implement evidence-based prevention

programs and activities

Develop a Comprehensive Strategic Plan

Mobilize and/ or build capacity to address needs

1. Assess2. Build Capacity

3. Plan4. Implement

5. Monitor, evaluate

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

Janice.petersen@ncmail.net