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Wed vs cadca
Wed vs cadca
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Wed vs cadca
Wed vs cadca
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Wed vs cadca
Wed vs cadca
Wed vs cadca
Wed vs cadca
Wed vs cadca
Wed vs cadca
Wed vs cadca
Wed vs cadca
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Wed vs cadca

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Vision Session: Community Anti-Drug Coalitions of America (CADCA): Using the 7 Strategies of Community Change - CADCA's Comprehensive Coalition Approach to Preventing Rx Abuse - Mary Elizabeth Elliott …

Vision Session: Community Anti-Drug Coalitions of America (CADCA): Using the 7 Strategies of Community Change - CADCA's Comprehensive Coalition Approach to Preventing Rx Abuse - Mary Elizabeth Elliott and Sue Thau

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  • 1. Coali&ons  At  Work:     Implemen&ng  the  Seven  Behavior   Change  Strategies  at  the  Community   Level   ________________________   Sue  Thau,  Public  Policy  Consultant   Mary  Elizabeth  Ellio9,  VP,  Communica<ons,  Membership  &  IT   CADCA   1  
  • 2. Community  an<-­‐drug  coali<ons  play  a  unique  role  that  involves:   •  Reducing  access  and  availability;   •  Enforcing  consequences;     •  Changing  aMtudes  and  percep<ons;     •  Changing  social  norms;   •  Raising  awareness  about  costs  and  consequences;  and     •  Building  skills  in  youth,  parents  and  communi<es  to  deal  with   these  issues  effec<vely   2  
  • 3. What  is  a  coali&on?    A  coali<on  is  a  formal  arrangement  for   coopera<on  and  collabora<on  between   groups  or  sectors  of  the  community,  in   which  each  group  retains  its  iden<ty  but   all  agree  to  work  together  towards  a   common  goal  of  building  a  safe,  healthy   and  drug-­‐free  community.   3  
  • 4.  Coali<ons  convene  and  combine  talent  and   resources  to  address  local  substance  abuse   issues:            Key  Sectors     • Law  enforcement   • Youth   • Parents   • Businesses   • Media   • Schools   • Youth  serving  organiza<ons   • Faith  based  community   • Civic  and  volunteer  groups   • Health  care  professionals   • State,  local  or  tribal  agencies   • Other  organiza<ons  involved   in  reducing  substance  abuse   4  
  • 5. Environmental  and  Popula&on  Level   Strategies  Are  Effec&ve   Effec<ve  substance  abuse  preven<on  is  comprehensive,   community-­‐wide  and  includes  environmental  and  popula<on   level  strategies  designed  to  change  or  strengthen  norms  against   alcohol  and  drug  use.       Environmental  strategies  involve  changes  in  legisla<on,  policy   and  enforcement  throughout  an  en<re  community.     5  
  • 6. The  community  coali&on  model,  specifically  the   Drug  Free  Communi&es  program,  has  proven   successful  in  reducing  substance  use/abuse,   including  the  misuse  and  abuse  of  prescrip&on   drugs   6  
  • 7. DFC  Program   •  Na<onal  program,  created  by  Congress  in  1997   •  Reauthorized  in  2001  and  again  in  2006   •  Recognizes  the  importance  of  mul<sector  comunity   coali<ons  in  reducing  substance  abuse   •  Establishes  funding  for  local  community  coali<ons  –   (local  coali<ons  can  apply  for  up  to  $125,000  dollars   per  year  for  a  period  of  up  to  five  years  -­‐  renewable)   7  
  • 8. DFC  Program  Requirements   To  be  eligible  to  compete  for  a  DFC  grant,  a  coali&on  must:   •  Have  the  reduc<on  of  substance  abuse  among  youth  as  its   principal  mission,  and  must  target  mul<ple  drugs     •  Have  been  in  existence  for  at  least  6  months   •  Have  representa<on  from  the  each  of  the  12  sectors     •  Be  able  to  demonstrate  through  its  mee<ng  minutes  that  it   func<ons  as  a  unique  en<ty  and  is  more  than  a  group  of   agency  and  organiza<on  representa<ves  or  a  board  of   directors  of  a  direct  service  delivery  organiza<on   •  Coali<ons  are  only  eligible  to  receive  as  much  federal  funding   as  they  can  match,  dollar  for  dollar,  with  non-­‐  Federal  support,   up  to  $125,000     8  
  • 9. Na&onal  Drug  Free  Communi&es  (DFC)  Program   Evalua&on  Findings   • Past  30-­‐day  use  of  alcohol,  tobacco,  and  marijuana   have  declined  significantly  and  in  all  grade  levels   between  DFC  coali<ons’  first  and  most  recent  data   report.   9  
  • 10. 10  
  • 11. These  results  are  being  mirrored  at  the  local   level  in  communi&es  throughout  the   country.     11  
  • 12. In  this  DFC  community,  past  30  day  use  of  marijuana  use  among  10th   graders  decreased  to  10.6%  in  2010,  a  47.3%  decrease  since  2002.   During  this  same  <me  frame,  according  to  Monitoring  the  Future   (MTF),  the  na<onal  rate  decreased  to  16.7%,  a  6.2%  decrease  since   2002.   12  
  • 13. • Partnering  with  schools  to  implement  zero  tolerance  policies   related  to  any  substance  that  is  illegal  or  the  abuse  of  legal  drugs   (over  the  counter  drug  or  prescrip<on  drugs);       • Providing  youth  leadership  training  and  parent  educa<on   workshops;  and   • Partnering  with  local  newspapers  to  raise  awareness  about  the   risks/harms  associated  with  illegal  drugs  and  alcohol   Strategies  Implemented  To  Achieve  Reduc&ons   13  
  • 14. In  this  DFC  community,  past  30  day  use  of  marijuana  use  among  12th  graders   decreased  to  14%  in  2012,  a  36.4%  decrease  since  2004.  During  this  same  <me  frame,   according  to  Monitoring  the  Future  (MTF),  the  na<onal  rate  actually  increased  to   22.9%,  a  15.1%  increase  since  2004.                        2004    2012          Na<onal  MTF  Rate  (2004)  Na<onal  MTF  Rate  (2012)     19.9   22   14   0   5   10   15   20   25   30   35   40   2004    2012   Past  30  Day  Use  of  Marijuana  Among  12th  Graders   Carter  County  Drug  Task  Force   Ashland,  KY   22.9   14  
  • 15. •  Developing  and  implemen<ng  public   awareness  and  media  campaigns;   •  Increasing  parent  training  and  educa<on;  and   •  Promo<ng  meaningful  opportuni<es  for   youth  par<cipa<on.   Strategies  Implemented  To  Achieve  Reduc&ons   15  
  • 16. DFC  coali&ons  are  singularly  situated  to  deal   with  emerging  drug  trends,  such  as  the  misuse   and  abuse  of  prescrip&on  drugs  because  they   have  the  necessary  infrastructure  in  place   16  
  • 17. Keys  To  Pushing  Back  Against  The  Misuse   and  Abuse  of  Rx  Drugs   •  Taking  a  comprehensive,  data  driven  approach   that  appropriately  mobilizes  each  of  the  key   sectors  and  actors  who  have  a  role  in  reducing   access  to  and  availability  of  prescrip<on  drugs   •  Changing  social  norms  about  the  harm  that   misuse  and  abuse  of  these  substances  can  cause   is  also  cri<cal     17  
  • 18. Seven  Strategies  To  Affect   Community  Change:   Based  on  local  data  and  condi<ons,  coali<ons  implement   mutually  reinforcing  combina<ons  of  seven  strategies  to   achieve  popula<on  level  reduc<ons  in  the  misuse  and  abuse   of  prescrip<on  drugs   18  
  • 19. Strategy  1:  Providing  informa&on     •  This  strategy  involves  raising  awareness  within  the  community-­‐at-­‐ large  -­‐    to  include  youth,  parents,  police  officers,  healthcare  providers   and  educators,  etc.  –  with  educa<onal  presenta<ons,  workshops  or   seminars  and  data  or  media  presenta<ons.     •  The  goal  is  to  increase  the  knowledge  base  of  the  community  and   raise  general  awareness  around  prescrip<on  drug  abuse.     19  
  • 20. Strategy  1  In  Ac&on   •  The  Woonsocket  Preven<on  Coali<on  implemented  media  campaigns   to  raise  widespread  awareness  about  the  dangers  of  prescrip<on  drug   abuse  in  their  communi<es.     •  The  Carter  County  Drug  Task  Force  in  Ashland,  Kentucky  distributed   35,000  Push  Cards  on  “Preven<ng  Abuse  of  Prescrip<on  and  Over-­‐the-­‐ Counter  Medica<ons”  and  35,000  Push  cards  distributed  on   “Guidelines  for  Proper  Disposal  of  Prescrip<on  Drugs”.     •  Coali<ons  oren  launch  these  types  of  campaigns  during  Na<onal   Medicine  Abuse  Awareness  Month,  held  every  October.     20  
  • 21. Strategy  2:  Enhancing  Skills   •  This  strategy  provides  workshops,  seminars   or  other  ac<vi<es  designed  to  increase  the   skills  of  those  who  can  prevent,  iden<fy  and   treat  prescrip<on  drug  abuse,  including:     •  Healthcare  and  dental   providers;     •  Pharmacists;     •  Parents  and  adult  care   givers;     •  Educators;     •  Law  enforcement;     •  Businesses;  and     •  Youth   21  
  • 22. Strategy  2  In  Ac&on   •  NCADD  of  Middlesex  County  delivered  community  educa<on   presenta<ons  to  enhance  the  skills  of  community  members  who   can  prevent  and  iden<fy  prescrip<on  drug  abuse,  such  as  law   enforcement,  youth,  parents  and  the  medical  community   22  
  • 23. Strategy  3:  Providing  Support   •  This  strategy  provides  reinforcement  and   encouragement  for  par<cipa<on  in  ac<vi<es   that  prevent  prescrip<on  drug  abuse     •  The  goal  is  to  stop  prescrip<on  drug  abuse   before  it  ever  starts   23  
  • 24. Strategy  3  In  Ac&on   •  The  Shelby  County  Drug  Free  Coali<on  partnered  with  local   pharmacies  to  distribute  prescrip<on  drug  warnings  to  raise   awareness  about  the  dangers  of  abuse.     24  
  • 25. Strategy  4:  Enhancing  or  Reducing   Access  and  Barriers   •  This  strategy  u<lizes  the  systems  and  services  that  reduce  illegal   access  to  prescrip<on  medica<ons  while  protec<ng  access  for   those  who  legi<mately  need  medica<ons  to  relieve  pain.     •  It  targets  healthcare  providers,  pharmacists,  law  enforcement   officials,  educators  and  public  health  officials  and  encourages   en<re  communi<es  to  take  ac<on.   25  
  • 26. Strategy  4  In  Ac&on   •  The  Delaware  Coordina<ng  Council  to  Prevent  Alcohol  and  Other   Drug  Abuse  reduced  barriers  to  proper  medicine  disposal  by   partnering  with  the  Delaware  County  TRIAD  program,  a   community  based  organiza<on  sponsored  by  the  Delaware   County  Sheriff’s  office,  which  provides  proper  disposal  of  unused   and  expired  medica<on.   26  
  • 27. Strategy  5:  Changing  Consequences   This  strategy  focuses  on  increasing  or   decreasing  the  probability  of  a  specific   behavior  by  changing  the  consequences   (e.g.,  increasing  public  recogni<on  for   deserved  behavior,  individual  and  business   rewards,  taxes,  cita<ons,  fines,  revoca<ons   and  loss  of  privileges).     27  
  • 28. Strategy  5  In  Ac&on   •  Coali<ons  can  recognize  den<sts  who  have  received   training  on  prescribing  protocols  and  subsequently   prescribe  less  than  the  full  30  day  supply  of  pain   medicine  when  trea<ng  adolescents  who  have  their   wisdom  teeth  removed.   28  
  • 29. Strategy  6:  Changing  Physical  Design   •  This  strategy  focuses  on  safeguarding  prescrip<on   medicines  to  ensure  that  they  will  not  be  misused   and  abused,  and  targets  everyone  in  the   community.     •  It  involves  changing  the  physical  design  or  structure   of  the  environment  to  reduce  access  and   availability.     29  
  • 30. Strategy  6  In  Ac&on   •  The  Cherokee  Na<on  installed  a  permanent  medicine  drop  off   box  in  the  lobby  of  their  police  sta<on     •  It  also  partnered  with  local  homebuilders  to  ensure  that  the   installa<on  of  one  locking  medicine  cabinet  is  standard  in  every   new  home  that  is  built.     •  The  Jackson  County  An<-­‐Drug  Coali<on  purchased  an  incinerator   to  dispose  of  all  returned  medicines  in  their  community.     30  
  • 31. Strategy  7:  Modifying  and  Changing   Policies   •  This  strategy  is  aimed  at  changing  policies,  laws  and   procedures  to  prevent  current  and  future  prescrip<on  drug   abuse.     •  The  target  audience  includes  lawmakers,  state  and  local   public  officials,  employers  and  others  involved  in  seMng  rules   and  regula<ons.     31  
  • 32. Strategy  7  In  Ac&on   •  In  carrying  out  this  strategy,  coali<ons  oren  support  the  passage   and  u<liza<on  of  prescrip<on  drug  monitoring  programs,  drug   take-­‐back  and  disposal  legisla<on,  statutes  that  support   increased  penal<es  against  doctors  who  prac<ce  unscrupulous   prescribing  procedures,  those  who  par<cipate  in  doctor   shopping,  etc.     32  
  • 33. Strategy  7  In  Ac&on   •  The  Metropolitan  Drug  Commission  submi9ed  an  applica<on   through  the  State  of  Tennessee  for  a  planning  grant  to:   1)  Develop  a  statewide  prescrip<on  drug  task  force  to  assist  in  the  early  detec<on,   interven<on  and  preven<on  of  prescrip<on  drug  abuse  and  addic<on;     2)  Educate  both  the  health  care  community  and  the  public;  and     3)  Assist  law  enforcement  with  access  to  the  developing  state  Prescrip<on  Drug  Program   created  through  the  Controlled  Substance  Monitoring  Act  of  2002.     33  
  • 34. DFC  coali&ons  have  achieved  major   results   34  
  • 35. In  this  DFC  community,  past  30  day  non-­‐medical  use  of  prescrip<on  drugs  decreased  at   a  rate  of  88.9%  among  10th  graders;  83.3%  among  12th  graders.     9   12   3   3   1   2   0   2   4   6   8   10   12   14   10th  Grade   12th  Grade   Carter  County  Drug  Task  Force   Grayson,  KY   Past  30  day  Non-­‐Medical  Use  of  Prescrip&on  Drugs   Among  10th  and  12th  Graders   2004   2010   2012   35  
  • 36. •  Partnered  with  local  law  enforcement  to  implement  take  back  events  and   increase  DUI/drug  suppression  checks;     •  Provided  funding  for  law  enforcement  agencies  to  receive  drug  suppression   training;   •  Implemented  a  social  norms  media  campaign;     •  Provided  educa<on  to  parents,  teachers,  youth  and  healthcare  professionals;   and   •  Convened  a  key  leader  community  forum  to  educate  elected  officials  about  the   growing  prescrip<on  drug  problem   Strategies  Implemented  To  Achieve  Reduc&ons   36  
  • 37. 18 7 0 5 10 15 20 25 Barrington Prevention Coalition (BAY TEAM) Barrington, RI Past 30 Day Non-Medical Use of Prescription Drugs Among 12th Graders In  this  DFC  community,  past  30  day  non-­‐medical  use  of  prescrip<on  drugs  decreased  at   a  rate  of  61.1%,  from  18%  in  2009  to  7%  in  2011.     ■2009  ■2011   37  
  • 38. •  Partnered  with  local  law  enforcement  to:  1)  implement  three   take  back  events;  and  2)  distribute  “you  should  know”  le9ers   to  the  peers  of  any  youth  arrested  for  a  substance  abuse   related  offense   •  Provided  parent  educa<on   •  Developed  and  disseminated  a  brochure  on  the  dangers   associated  with  the  misuse  and  abuse  of  prescrip<on  drugs   Strategies  Implemented  To  Achieve  Reduc&ons   38  
  • 39. CADCA’s  OTC  and  Rx  Drug  Abuse     Recommenda<ons  and  Resources   39  
  • 40. OTC  and  Rx  Drug  Abuse  is  a  Concern   for  CADCA  Coali<ons     In  our  2013-­‐2013  Annual  Survey  of  Coali<ons  we   asked…   Does  your  coali<on  collect  data  on  any  of  the   following  substances?   •  Cough  medicine  –  25.31%   •  Hydrocodone  –  39.17%   •  Oxycodone  –  47.24%   •  Prescrip&on  drugs  (not  Hydro/Oxy)  –  74.54%   40  
  • 41. OTC  and  Rx  Abuse  A  Concern,  Cont.     Rank  of  the  top  5  substances  that  are  causing   the  most  problems  in  your  community?   •  Cough  medicine  –  3.1%   •  Hydrocodone  –  17.36%   •  Oxycodone  –  28.43%   •  Prescrip&on  drugs  (not  Hydro/Oxy)  –  66.05%   41  
  • 42. OTC  and  Rx  Abuse  A  Concern,  Cont.     Which  of  the  following  substances  is  your   coali<on  currently  addressing?   •  Cough  medicine  –  11.31%   •  Hydrocodone  –  24.32%   •  Oxycodone  –  30.41%   •  Prescrip&on  drugs  (not  Hydro/Oxy)  –  58.7%   42  
  • 43. 1.  Expand  effec<ve  Prescrip&on  Drug  Monitoring  Programs  to   ensure  adequate  coverage  in  every  state  and  interoperability  to   share  data  where  appropriate.   2.  Enhance  educa<on  and  training  of  medical  and  dental   professionals  in  proper  prescribing  protocols.   3.  Raise  the  general  public’s  awareness  about  the  dangers  of   prescrip<on  drug  abuse  as  well  as  the  proper  ways  to  store  and   dispose  of  them.   4.  Enhance  opportuni<es  for  prescrip<on  take  back  and  other   large  scale  disposal  programs.   CADCA Recommendations 4343  
  • 44. Recommenda&ons,  Cont.   5.  Support  increased  law  enforcement  and  legal  remedies  to   close  down  “pill  mills.”   6.  Require  manufacturers  to  create  abuse  deterrent   formula&ons  for  commonly-­‐abused  prescrip&on  painkillers.   7.  Expand  the  number  of  DFC  funded  communi&es  and   train  more  communi&es  to  implement  comprehensive,  data   driven  strategies  to  effec<vely  address  their  local   prescrip<on  drug  abuse  problems.   1144  
  • 45. CADCA  Supports  the  Office  of  Na4onal   Drug  Control  Policy  (ONDCP)  Plan       and     the  Na4onal  Governor’s  Issue  Brief  “Six   Strategies  for  Reducing  Prescrip4on   Drug  Abuse”   4545  
  • 46. CADCA’s  Resources  and  Ac&on        Published  first  Rx  abuse  preven<on  toolkit  in  2002    Dose  of  Preven<on  Toolkit  on  cough  medicine  abuse  in  2006    Town  hall  mee<ngs    Stopmedicineabuse.org  with  partner  CHPA    Informa<onal  video  developed  for  communi<es    5  CADCA  TV  shows    Strategizer  publica<on  with  ONDCP  in  2008    Rx  Abuse  Preven<on  Toolkit:  From  Awareness  to  Ac<on  in  2010Na<onal   Medicine  Abuse  Awareness  Month    General  Dean  tes<fies  before  Congress      Hosted  two  half-­‐day  Rx  specific  trainings  at  the  2012  Mid-­‐Year      New  online  course  launched  October  2012   2846  
  • 47. No-­‐Cost  Online  Medicine  Abuse     Preven&on  Course  for  Coali&ons   47 •  hkp://learning.cadca.org/   •  10  modules  –  es<mated  6  hours  to  complete   •  Cer<ficate  upon  comple<on,  con<nuing   educa<on  credits.     •  Take  the  course  at  no  cost  –and  give  us   feedback  at  training@cadca.org.   47  
  • 48. Na&onal  Medicine  Abuse  Awareness  Month   •  CADCA’s  partner  is  the  Consumer  Healthcare   Products  Associa<on     •  Annual  CADCA  50  Challenge  encourages   coali<ons  to  host  educa<onal  events  in  October.   •  56  coali<ons,  represen<ng  35  states  par<cipated   •  Our  Dose  of  Preven<on  Award  recognizes  best   coali<on  outreach  on  OTC  and  Rx  Medicine   Abuse  Preven<on  each  year  at  the  CADCA   Forum.     •  CADCA  hosts  town  hall  mee<ngs,  Twi9er  chats,   and  webinars    each  October  to  raise  awareness.   30 48  
  • 49. New  Partnerships  in  Rx  Drug  Abuse   Preven<on  a  focus  at  CADCA’s  Mid-­‐Year   Training  Ins<tute     •  An  in-­‐depth  and  unique  coali<on   training  experience,  featuring  1,   2  and  4-­‐day  courses.   •  Average  a9endance  is  1800.   •  July  21-­‐24,  2014  in  Orlando,  Fla.     •  Rx  courses  will  focus  on  unique   partnerships;  statewide   ini<a<ves/plans  and  new  places   coali<ons  can  have  an  impact   49  
  • 50. Visit  us  on  the  Web  at  www.cadca.org   Call  us  at  1-­‐800-­‐54-­‐CADCA   Email  Membership:  membership@cadca.org     Email  Training  and  TA:  training@cadca.org   Join  us  via  Social  Media:   Facebook:    facebook.com/CADCA   Twi9er:  @cadca   Connected  Communi<es  Network:  h9p:// connectedcommuni<es.ning.com   YouTube:  youtube.com/cadca09   Flickr:  flickr.com/photos/cadca   Linkedin:  Linkedin/company/cadca   Stay Connected with CADCA 5050  

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