Successful Coalitions Across America April 10-12, 2012 Walt Disney World Swan Resort
Learning Objectives:1.Describe principles of community-basedcoalition capacity development.2. Relate nuances of rural drug usecharacteristics within the Appalachian context.3. Illustrate innovative or best practice examplesof community stakeholder involvement incommunity-based substance abuse preventioncoalitions.
Disclosure Statement• All presenters for this session, Kristine Harper Bowers and Peggy B. Sapp, have disclosed no relevant, real or apparent personal or professional financial relationships.
A Strategy for Coalition Effectiveness: Enlarging the Table Kristine Harper Bowers East Tennessee State UniversityOffice of Rural and Community Health and Community Partnerships
Appalachia• 420 counties in 13 states• West Virginia, with counties of Alabama, Georgia, Kentucky, Maryland, Mississippi, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, and Virginia• 96 out of the 420 counties considered distressed in 2012* *A county economic classification index calculation based on three-year average unemployment rate, per capita market income, and poverty rate— with national averages Appalachian Regional Commission. http://www.arc.gov/appalachian_region/TheAppalachianRegion
Messages The burden of substance abuse in the Region is rapidly rising. The largest current issue in the Region is diversion of prescription drugs. The primary drugs of use and causes of deaths keep changing. Deaths from overdose have dramatically increased in recent years. Recent increases in substance abuse deaths exacerbate Appalachia’s persistently high rates of premature mortality (before age 65). Data from the Region is incomplete. More data is needed to completely describe the issues. Local solutions target local problems.
Nonmedical Use of Pain Relievers in the Past Year among Persons Aged 12 or Older, by Substate Region. Percentages Annual averages based on 2006, 2007, 2008 NDSUH
What is the difference? Nonmedical Use of Pain Relievers in Nonmedical Use of Pain Relievers in Substate Regions: 2004 to 2006 Substate Regions: 2006 to 2008 Substance Abuse and Mental Health Services Administra=on, Oﬃce of Applied Studies (2010). Substate es)mates from the 2006-‐2008. Na)onal Surveys on Drug Use and Health. Rockville, MD. Web only report is available at: h*p://oas.samhsa.gov/substate2k10/toc.cfm
ARC Community-Based Substance Abuse Small Grant Initiative 2011-12• Application – Letters of Interest – 60 applicants from 10 states• Conference – Skills and plan of action development for 30 coalitions• Implementation – 9 month turn around time• Follow-up at 3-month intervals• Assistance as needed• Concluding conference
2011-12 ARC Community-BasedSubstance Abuse Small Grants Initiative Counties
Strategy: Enlarging the Table Mental Sheriff Schools Hospital Health Youth Stimulate Enhance Develop coalition capacity coalition growth and effectiveness ?? experience Faith Gov’t Media Recovery Business Local
Progression of Stakeholder Relationships Collaboration Cooperation Coordination Networking
The Community Plans• Belief Statements• Problem statement• Statement of Change (goal)• Action Plan• Description of Activities• Proposed outcome(s)• Measure(s) of success• Budget
Coalition/Stakeholder Relationship What Coalition GIVES What Coalition GETSVolunteer energy, time and Recognition and appreciation forresources issues and successEntry into community with Connections to external resourcesknowledge of local issues andpolitics What Stakeholder GIVES What Stakeholder GETSMaterials, technical expertise, Greater sense of participation intraining, resources field staff addressing the issueData and best practice examples Community-wide networking
Promoting Resisting Personal factors Personal, family or community Living on economic edge with experience competing priorities Time limited with defined roles to Mistrust of government and “make a difference” programs Community organizations factors Good rapport with community Lack staff and money for activities Networking typical way of doing Competing for volunteer time business in low resource among many social issues communityAvailable from: hLp://www.etsu.edu/kellogg/Cancer/Forum_Report/Part%201.pdf
Four-Step Communication Model ExerciseTeam: ________ Stakeholder Group: _________________________ (Choose only one stakeholder) SENDER MESSAGE CHANNEL RECEIVER(most appropriate) (from flip chart) (medium) (who in stakeholder group)
Building Relationships with Healthcare Professionals• Monroe County CARES (KY)• Coalition for a Safe & Drug Free Cherokee County(NC)• Community Engagement Team (NC)• Community Prevention Coalition of Jackson County (TN)• Monroe County Alcohol and Drug Task Force (TN)• Appalachian Substance Abuse Coalition for Prevention and Treatment (VA)• Barbour County Community Coalition (WV)• Estill County Substance Abuse Coalition (KY)
Monroe County CARES (KY)• Targeted stakeholder: Healthcare professionals• Targeted population: Doctors, nurse practitioners, dentists, pharmacists• CARES involved healthcare professionals by disseminating information regarding proper prescription storage, as well as providing pledge cards for patients who promise they will be responsible with storing, as well as taking, their medications.• And built a relationship with this sector by distributing personal lock boxes and information to the providers to issue to their patients; collaborating on resources.
Monroe County CARES (KY) Students in a digital media class at the local high school designed the graphics on a permanent drop box housed at the Sheriff’s Office. The coalition hosted a dinner PSAs were run in the local for healthcare professionals, newspaper, as well as an highlighting measures they article written on the could take in alleviating placement of the prescription drug abuse, permanent drop box, including handing out lock including interviews with boxes to patients.coalition members and the sheriff.
Building Relationships with Community Members and Parents• Hart County Champions Coalition (KY)• Cherokee Action for a Safer Tomorrow (SC)• Dickenson County Partners Coalition (VA)• Burke County Substance Abuse Network (NC)
Burke Substance Abuse Network (NC)• Targeted stakeholder : Community members• Targeted population: Leaders from community groups• BSAN involved community leaders by creating a Community Leadership Team within the coalition. This sub-committee meets only to discuss what each of them can do within their sector to decrease substance abuse issues in the county. Team members stated this allows them to be held accountable and therefore encourages them to take a more active role.
Burke Substance Abuse Network (NC) Interviews with Coalition members regarding prescription drug abuse in a series of newspaper articles that the leadership team alerted to the public Each month, about 40 community leaders meet and discuss measures they can take in their positions to relieve prescription drug abuse in the county.
Cherokee (SC) Action for a Safer Tomorrow (CAST)• Targeted stakeholder: Community members• Targeted populations: Seniors and Hispanics• Through various community organizations, CAST involved seniors by educating them on the importance of proper medication storage. CAST also worked to include the minority Hispanic population in their efforts, translating materials into Spanish, as well as collaborating with local churches and grocery stores on coalition activities.
Cherokee (SC) Action for a Safer Tomorrow The coalition held a take-back event October 29th,and reached out to the large Spanish population through flyers, newspaper ads, and radio PSAs played on the Latino radio stations in the county.
Dickenson County (VA) Partners Coalition• Targeted stakeholder: Community members• Targeted population: Youth and parents in Centennial Heights apartment complex• Recognizing the stigma attached to this housing complex, as well as the risk and dangers of substance abuse in the area, the coalition reached out to parents and children to develop resistance skills, positive relationships within the family and community, and personal responsibility.
Dickenson County (VA) Partners Coalition The coalition hosted a summer program providing Youth from the youth of Centennial Centennial Heights Heights, a local low- met with the local income housing complex,police department’s positive activities whileK9 unit, reshaping the educating them and their Upon accruing points parents on substance kids’ perception of through activities like abuse issues and law enforcement. completing chores, deflection skills. homework, and community service, qualifying youth were rewarded with a trip to Dollywood, a first for many.
Building Relationships with Youth and Schools• Partnership for a Drug Free DeKalb (AL)• Pike County Summit on Children (OH)• Scioto County Rx Drug Action Team (OH)• Vinton County Drug Abuse Coalition (OH)• Clay County Anti-Drug Coalition (TN)• Hancock County Substance Abuse Coalition (TN)• ICARE-Union County (TN)• McDowell County HOPE Coalition (WV)• Pocahontas County Drug Abuse Prevention Advisory Group (WV)• Taylor County Breaking the Cycle (WV)• Twin Counties Prevention Coalition (VA)
Scioto County (OH) Rx Drug Action Team• Targeted stakeholder: Youth• Targeted population: Area high school students• Youth participate in coalition efforts after being trained in peer mentoring skills. Students collaborate with the coalition by educating and influencing their peers about substance abuse issues within the school system.
Scioto County (OH) Rx Drug Action TeamThe Drug Action Team held a Youth Ambassador seminar for 85 high school students from eight different schools who were trained indrug and alcohol issues, as well as resistance skills. These students will operate as peer mentors within their respective schools.
Taylor County (WV) Breaking the Cycle• Targeted stakeholder: Youth• Targeted population: High School students• Breaking the Cycle worked to build relationships within Grafton High School by educating youth, raising awareness and interest in the correlation between substance abuse and the high dropout rate in the county.
Taylor County (WV) Breaking the Cycle During the summit, Information was youth coalitionpresented at a youth members “zombiedsummit regarding the out on drugs” effects of drugs and provided alcohol on teenage information and brains and bodies answered questions for students Students were able to experience drunk driving with “beer goggles” and bicycles
Building Relationships with Law Enforcement• Estill Substance Abuse Coalition (KY)• Partners for Prevention in Allegany County (NY)• Monroe County Alcohol and Drug Task Force (TN)
Partners for Prevention Allegany County (PPAC) (NY)• Targeted stakeholder : Law enforcement• Targeted population: New York State Police and Cuba Police Department• PPAC collaborated with both law enforcement entities in their community to create awareness of efforts to diminish incidences of drunk driving and underage drinking.
Partners for Prevention Allegany County (NY)Newspaper and radio ads highlighted the collaborative efforts Upon completion ofof PPAC, Cuba Police Prescription take compliance checks, Dept., and NY State back events in 2011 PPAC made thank you Police during the resulted in over calls to businesses holidays. $300,000 in who ID’d for alcohol medication being sales. incinerated.
Building Relationships with the Faith-Based Community• Lewis County (KY) Recovery Coalition• Magoffin Local Board for KY-ASAP (KY)
Building Relationships with Business• Strong Through Our Plan, Mingo County (WV)• Carter County Drug Task Force (KY)
Strong Through Our Plan (STOP) (WV)• Targeted stakeholder: Business• Targeted population: local county and corporate businesses• STOP incorporated members of the business sector by helping them understand how substance abuse issues in the community affect the local workforce and economy. Persons from the business sector have become active members in the coalition.
Strong Through Our Plan Mingo County (WV) Presented a PowerPoint program focusing on the importance of business collaboration to build relationships with businessowners, as well as to provide substance abuse education and resources for employees. seeking treatment……
Results• All 30 coalition teams increased capacity by adding the targeted stakeholder group – Coalition membership increased – Volunteer base increased – Community awareness of the issues and the efforts of coalitions increased – Longstanding membership was revitalized, encouraging innovative ideas and projects
Himmelman Hierarchy of Partnerships30 Networking25 Cooperating Coordinating20 Collaborating1510 5 0 Initial status At 3 months At 6 months
OutcomesStimulated coalition growth Through small grants for targeted membershipEnhanced capacity and experience With self determination and flexibility by participation in ARC grant processDeveloped coalition effectiveness Through knowledge growth and cross state linkages
CONTACT East Tennessee State UniversityOffice of Rural and Community Health and Community Partnerships PO Box 70412 Johnson City, TN 37614 www.etsu.edu/kellogg/Substance%20Abuse.asp Kristine Harper Bowers Substance Abuse Projects Coordinator Coalition on Appalachian Substance Abuse Policy (CASAP) 423-439-7156 423-737-6276 cell http://www.facebook.com/pages/Coalition-on-Appalachian-Substance-Abuse-Policy/ 182665785092560 www.appalachiancoalition.com