The document is a year-end report from the Lenawee Substance Abuse Prevention Coalition (LSAPC). It summarizes LSAPC's activities and outcomes for the 2012-2013 fiscal year. Key points include: the coalition had a $155,000 budget from state and local funds, which was distributed across staffing, contracts, supplies, travel and other costs; capacity building activities included developing strategic plans, conducting data-driven decision making, and recruiting new members; goals around reducing alcohol, tobacco and prescription drug abuse among youth were addressed through education programs and take-back events; and the coalition met all reporting requirements to its coordinating agency.

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1QAZ
2012-2013
Year-End Outcome and
Evaluation Report
Lenawee Substance Abuse Prevention Coalition
400 W. South St.
Adrian, MI 49221
517.263.7861
jheise@caajlh.org
www.drugpreventionlenawee.com

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Table of Contents
I. Introduction …………..…………………………………………………3
Mission and Vision……………………………………………………..4
Structure, Linkages, and Collaborative Partners……………...………..4
II. Budget: Revenue and Distribution…………………….……..……….5
III. Behavioral and System Outcomes ……..……………………..……….6
Goal 1: Capacity Building………………………………….….………...6
Goal 2: Alcohol ………………………………………………..………..10
Goal 3: Tobacco..……………………………………………………….16
Goal 4: Prescription Drugs…………………..………………………….17
IV. Overall evaluation of LSAPC…………………………..……………….13
Strengths, Weaknesses, Opportunities, Challenges/Threats…………….20
Challenges and Lessons Learned……………………….……………….20
Future Plans and Next Steps……………………………....…………….20

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Clinton, Eaton, Gratiot, Hillsdale
INTRODUCTION TO LENAWEE SUBSTANCE ABUSE PREVENTION COALITION
The Lenawee Substance Abuse Prevention Coalition (LSAPC) is
a diverse, formalized organization of concerned key leaders and
dedicated community members. We work collaboratively to
build and sustain a public health model of alcohol, tobacco and
other drug use and abuse prevention. The Coalition identifies
and addresses risk and protective factors affecting alcohol,
tobacco and other drug problems facing the youth in Lenawee
County. Our community-wide approach to substance abuse
prevention pursues prevention resources and expertise.
Community needs are identified through data driven analysis,
thereby strategic planning is based on the local community
profile. Effective programs are selected through research into
evidence based interventions proven in communities with
similar demographic structure. The Coalition makes funding
decisions targeted to outcome based prevention programs,
policies and practices. The Planning, Implementation and
Evaluation Committee adhere to the 2010-2015 Strategic Plan.
The Strategic Prevention Framework is our guide to building
capacity, and creating environmental level change.
LSAPC members convene monthly to focus on substance abuse
prevention needs, gaps in services, and evaluation of outcomes
in our community. Members engage in critical dialogue of data
collection and analysis, information dissemination, community
engagement and mobilization, and education. Through our
collaboration we coordinate, develop, plan, and advocate for
sustainable, embedded substance abuse prevention services for
Lenawee County.
Coalition members represent diverse sectors of the community
including parents, youth, law enforcement, school
administrators, treatment and prevention specialists, health
professionals, mental health specialists, public officials, media,
community-based organizations, and concerned citizens.
Community Action Agency (CAA) located in Adrian, Michigan is
a licensed substance abuse prevention agency and is the
fiduciary agency for LSAPC. CAA strives to promote self-
sufficiency by providing various programs to the community in
the areas of community development, economic self-sufficiency,
education, health and nutrition, housing, and informational
services.
LSAPC has been awarded federal grants and the regional
Coordinating agency is Washtenaw Community Health
Organization (WCHO). WCHO develops comprehensive plans
for substance abuse prevention services consistent with
guidelines established by the Michigan Department of
Community Health (MDCH).
2012-2013
LSAPC MEMBERS,
COLLABORATORS, AND
CONTRIBUTORS
Adrian College
Adrian Public Schools
Catholic Charities of Lenawee
Communities in Schools of
Lenawee
Community Action Agency
Community Members
Counseling of Lenawee
Greater Lenawee Tobacco
Reduction Coalition
Hudson Pharmacy
Lenawee Community
Collaborative
Lenawee Community Mental
Health Authority
Lenawee County Health
Department
Lenawee County Sheriff’s Office
Lenawee Department of Human
Services
Lenawee Intermediate School
District
McCullough, Vargas, and
Associates
Michigan State Police
NAACP of Lenawee
Q-95 Radio
Promedica Health Systems
Siena Heights University

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MISSION STATEMENT
To prevent and reduce alcohol, tobacco, and other drug misuse and abuse among youth and
adults in the Lenawee community through community planning, education, support, and
collaboration.
VISION STATEMENT
Lenawee County will become a healthier and safer place to live by reducing the use and
abuse of alcohol, tobacco, and other drugs in the community.
STRUCTURE, LINKAGES, AND COLLABORATIVE PARTNERS
The LSAPC staff consists of one-full time Coalition Coordinator, one half-time Coalition
Assistant, two part-time Student Assistance Program Coordinators, and the fiduciary
agency supervisor. In addition, the coalition is led by its Chairperson and Vice Chairperson
who facilitate Coalition meetings, and lead the Planning, Implementation and Evaluation
(PIE) Committee. The coalition consists of both active and associate members which are
defined within the bylaws. The structure of the organization is illustrated below.
The LSAPC has established both formal and informal partnerships with community
agencies and organizations.
Catholic Charities of Lenawee is the fiduciary agency for the Student Assistance Program.
The Student Assistance Program was developed to provide an alternative to suspension
and expulsion of students for substance abuse. It provides brief screenings, referral for
assessment and treatment when indicated, group education and counseling, and substance
abuse prevention education for students, parents and school staff for selected Lenawee
County schools.
Planning,
Implementation
and Evaluation
Committee

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LSAPC contracts with the Lenawee Sheriff’s Office to reduce social and retail availability of
alcohol to underage youth and other alcohol related problems throughout the county. In
consideration of prevention funding, the Lenawee Sheriff’s Office provides vendor
education to all liquor licensees in Lenawee. Law enforcement also conduct alcohol
compliance checks yearly during prom and graduation season.
LSAPC BUDGET: REVENUE AND DISTRIBUTION
The total budget for the LSAPC for the 2012-2013 Fiscal Year was $155,000.00 which
consisted of funds from the Michigan Department of Community Health (MDCH) Funding
Allocation and liquor tax (PA2) funds.
The table and chart below display how the MDCH funding and PA-2 funding was
distributed during the fiscal year. The staff and fringe benefits cover three LSAPC staff
positions which include 100% of the Coalition Coordinator’s salary, 50% of the Coalition
Assistant’s salary, and approximately 5% of the salary of the supervisor of the fiduciary
agency, Community Action Agency. For this fiscal year, the LSAPC held contracts with the
Lenawee Sheriff’s Office, the LSAPC Web Designer, and Catholic Charities.
2012-2013 Budget Distribution
(MDCH and PA-2 Funding Allocations)
Salaries
and
Fringe
Benefits
Contracts Supplies
(Computer,
Office, and
Program
Supplies;
Printing;
Photocopyin
g; and
Postage)
Travel
(Mileage,
Training/
Conference
Expenses for
Staff and
Members)
Space Indirect
Costs
Other
Costs
(Computer
Services,
Meeting
Costs,
Program
and
Activity
Costs, and
Phone)
$85,207 $36,700 $4,377 $4,000 $8,800 $12,696 $3,220
Total Budget: $155,000.00

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BEHAVIORAL AND SYSTEM OUTCOMES
GOAL 1: CAPACITY BUILDING:
The LSAPC continues to build infrastructure to sustain substance abuse prevention and
institutionalize the SPF five steps. This work is evidenced by the following summaries:
DEVELOPED COMPREHENSIVE STRATEGIC PLANS; ACTION PLANS, COMMUNICATIONS PLAN, LOGIC MODELS
AND IMPLEMENTATION PLAN
The LSAPC developed the 2012-2013 Implementation Plans with guidance from MidSouth
Substance Abuse Commission (MSSAC). Planning aligned with the Lenawee 2010 to 2015
Strategic Plan. On October 1, 2012 LSAPC transitioned from MidSouth to our new
coordinating agency, Washtenaw Community Health Organization (WCHO). This
integration is attributed to the Patient Protection and Affordable Care Act of 2010, a
national healthcare realignment of substance use disorders system and mental health
services into an integrated and improved behavioral system in our community. Integration
simplifies and reduces administrative costs to ensure maximum dollars are devoted to
direct services. It is projected that this alignment will enhance local control of healthcare
funds, ensure access to care for all individuals and reduce barriers for individuals who have
both substance use and mental health issues. Lenawee County Commissioners passed the
integration resolution in a unanimous vote in April, 2012. The LSAPC 2012-13
Implementation Plan, as submitted to MidSouth was accepted by WCHO and programming
has been consistent with the accepted goals and strategies delineated therein.
In planning and writing the 2012-13 Implementation, LSAPC strictly complies with the five
components of the Strategic Prevention Framework, and several key concepts of the
Recovery Oriented System of Care. Planned programs are evidence based interventions.
Outcome measures were developed and projections made for 2012. Strategic planning for
the 2012-13 year started at Planning, Implementation, and Evaluation (PIE) Committee.
Coalition staff drafted the Implementation Plan and Coalition members unanimously
approved it at the August 1st, 2012 meeting. Action plans and logic models were then
developed.
DATA DRIVEN DECISION MAKING
From data analysis findings, LSAPC formulated data driven plans. Through review and
analysis of data at the local, regional, state, and national level, the LSAPC discovered that
although alcohol continues to be the substance most abused by youth, prescription drug
abuse is trending high in our community. Research by the Centers for Disease Control
indicates that there is a growing national epidemic of prescription painkiller overdoses
leading to a record number of deaths. Therefore, prevention of prescription drug abuse
was emphasized in our work in 2012-13. Additionally, research from Substance Abuse and
mental Health Services Administration indicates that nonmedical use of prescription pain

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relievers may raise the risk of users turning to heroin use, which local data indicates to be
at rates lower than state and national averages in Lenawee.
The Michigan Profile for Healthy Youth (MiPHY) is an online student health survey offered
by the Michigan Departments of Education and Community Health to support local and
regional needs assessment. The MiPHY provides student results on health risk behaviors
including substance use, violence, physical activity, nutrition, sexual behavior, and
emotional health in grades 7, 9, and 11. The survey also measures risk and protective
factors most predictive of alcohol, tobacco, and other drug use and violence. MiPHY results,
along with other school-reported data, will help schools make data-driven decisions to
improve programming funded under the Title IV Safe and Drug-Free Schools (SDFS)
program of the No Child Left Behind Act of 2001 as well as other prevention and health
promotion programming.
In 2012 Lenawee MiPHY data indicated the following:
13.5% of Lenawee seventh grade students have ever taken painkillers such as Oxycontin,
Codeine, Percocet, or Tylenol III without a doctor’s prescription whereas 6.6% of Lenawee
high school students reported doing the same in the 30 days before the survey. The
problem is highest among the youngest, the 7th graders, and higher among 9th graders than
11th graders (8.1% compared to 4.4%).
Emphasizing data driven decision making, the LSAPC is a member organization of the
Lenawee Health Network. The Lenawee Health Network conducted and published the
2011 Lenawee County Community Health Assessment. The data contained in this report is
invaluable to substance abuse prevention professionals as we prioritize local needs and
incorporate action plans into our strategies to improve the health of our community. This
report is based upon data obtained from responses to written surveys that were conducted
in October through December 2011. These surveys focused on three age groups: Adult
ages 19 and over, youth ages 12 to 18, and children ages 0 to 11 (with parents providing
responses for this age group).
The last comprehensive community assessment of this kind was conducted over ten years
ago. To address the need for an updated study, ProMedica Bixby Hospital applied for and
was awarded an $85,000 Rural Health Network Development Planning Grant for the
purpose of organizing a community network and to conduct the county assessment. Thus
the Lenawee Health Network was formed. LSAPC members use this report in our planning
process and to collaborate with other community agencies to address the identified issues
in order to improve the health of our community.
The Lenawee Health Assessment indicated the following data:
No Lenawee County adults reported using other recreational drugs such as cocaine,
methamphetamines, heroin, LSD, inhalants, or Ecstasy.
9% of adults had used medication not prescribed for them or they took more than
prescribed to feel good or high and/or more active or alert during the past 6 months.
When asked about their frequency of medication misuse in the past six months, 38% of
Lenawee County adults who used these drugs did so almost every day and 35% did so less
than once per month.

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Lenawee County adults used the following over-the-counter medications in a way that was
not intended: cold and cough medicines (11%), sleeping pills (3%), energy boosters (2%),
weight loss or diet pills (2%), and motion sickness pills (1%).
10% of youth used medications that were not prescribed for them or took more than
prescribed to feel good or get high at some time in their lives, increasing to 22% of those
ages 17-18.
Youth who misused prescription medications got them in the following ways: a friend gave
it to them (47%), their parents gave it to them (29%), they took it from a friend or family
member (17%), bought it from someone else (15%), bought it from a friend (10%), and
another family member gave them it to them (9%).
10% of youth used inhalants, 3% used steroids, 3% used cocaine, 2% used
methamphetamines, and 1% used heroin.
Nationally, about 15.7 million persons aged 12 or older used prescription-type drugs non-
medically in the past year, and 6.7 million did so in the past month. Nonmedical use of

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prescription drugs ranks as the second most common class of illicit drug use in the United
States. Recent data indicate that the rate of use declined slightly between 2010 and 2011
and suggest that National, State, and local efforts to reduce prescription drug misuse may
be beginning to have an impact.
From these findings, LSAPC data driven plans were formulated to prevent prescription
drug abuse through education and through the Big Red Barrel Drop Box program and DEA
take back events. The LSAPC continuously reviews and analyzes outcome data from the
interventions implemented to combat prescription drug abuse. 573 pounds of unused,
unwanted or expires pills have been recovered through take back events and Big Red
Barrel Drop Boxes since 2010. In 2012-13 law enforcement collected 494.5 pounds of that
total.
RECRUIT STRATEGIC STAKEHOLDER MEMBERSHIP AND PROVIDE NEW MEMBER
ORIENTATION
New members joined the LSAPC from the media, youth, and community sectors of
Lenawee. These elections maintained the statutory eligibility requirements for the Drug
Free Communities grant.
The LSAPC consists of at least one representative from each of 12 sectors, namely, youth,
parents, business, media, school, youth-serving organization, law enforcement, religious/
fraternal organization, civic/ volunteer groups, healthcare professional, government
agency, and others involved in reducing substance abuse. All new members were
provided with a one half day training and orientation to the LSAPC, our history, current
members, the Strategic Prevention Framework, Recovery Oriented Systems of Care, needs
assessment, cultural competency, outcome evaluation and our programs. 100% of
respondents indicated that the New Member orientation made them confident in their
understanding of coalitions, LSAPC coalition history, the Strategic Prevention Framework,
and LSAPC Implementation Plan.
OUTCOME EVALUATION REPORT
LSAPC staff developed, and the Coalition approved this Year-End Outcomes Evaluation
Report for submission to WCHO. Reporting requirements were met throughout the year
according to the 2012-2013 Program Services Timeline established by the Coordinating
Agency; LSAPC filed Quarterly Financial Status Reports, Quarterly Implementation Plan
Progress Reports, Quarterly Prevention Data System Reporting, the Youth Access to
Tobacco Activity Report, the Coalition Fiduciary Action Plan, Updated Tobacco Vendor and
Law Enforcement List, 9-D Evidence Based Programmatic Updates Six Month Report,
SYNAR Activity Report, and the Year End Report to WCHO.
Monthly, data is entered in the Michigan Prevention Data System. The data system is a
contract requirement for all MSSAC funded direct service prevention activities. This web-
based system stores data and information about LSAPC prevention activities and is
immediately available for review at WCHO and also the Michigan Department of
Community Health/Bureau of Substance Abuse and Addiction Services.

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Goal 2: Alcohol
Alcohol Vendor Education and Compliance Checks
The LSAPC incorporates environmental interventions that use liquor regulations to restrict
youth access to alcohol. Through increasing law enforcement we increase the actual and
perceived risk of arrest for driving after drinking and at the same time reduce youth access
to alcohol by training alcohol retailers to avoid selling to minors and adults who provide
alcohol to minors.
Alcohol Compliance Checks are conducted through a partnership among Washtenaw
Community Health Organization, Lenawee Sheriff’s Office, and the Lenawee Substance
Abuse Prevention Coalition so we all can live in a healthy and safe community. Together we
help keep alcohol out of the hands of our youth by providing alcohol vendor education,
vendor education panels, responsible alcohol server training and certification and
compliance checks. Alcohol compliance checks send a strong message: Well-publicized
compliance check operations are good public relations, compliance operations send a
message to the community that providing alcohol to young people is not acceptable,
publicity surrounding compliance check operations may affect the attitudes of parents and
other adult alcohol providers by sending a consistent message that underage drinking is
not acceptable. Compliance checks can save lives!
Alcohol consumption by young people has a profound effect on our nation, our
communities, our families, and our children. Alcohol use by teens is related to traffic
crashes, crime, teenage pregnancies, sexually transmitted diseases, suicides, drownings,
and poor performance in school. Extensive research indicates that while many alcohol
establishments act responsibly in refusing sales to underage buyers, a significant number
of establishments continue to sell to people under the legal drinking age of 21. Evidence
shows that regular compliance checks of establishments that sell or serve alcohol decrease
sales to underage youth.
In 2012-13 the LSAPC facilitated on-site vendor education with 100% of Lenawee alcohol
vendors. Additionally, group vendor education panels were held with 25 participants in
attendance, representing 14 local alcohol vendors. Representatives from the Michigan
Liquor Control Commission (MLCC), the Michigan State Police, Lenawee County Sheriff’s
Department, Lenawee County Health Department, and Techniques for Alcohol Management
(TAM) served on a panel and provided information and resources to the participants.
During the group sessions, participants were provided information on the Michigan Liquor
Laws including the proper way to check identification and to calculate age for liquor sales
as well as the consequences for selling alcohol to minors. New keg registration rules were
reviewed. Outcomes included: 94% of the participants agreed that this training increased
their understanding and awareness of the Michigan Liquor Laws, 94% of the participants
agreed that this training increased their understanding of the consequences of selling
alcohol to minors, and 100% of the participants agreed that this training helped them to
understand the proper way to check identification and to calculate age for liquor sales.

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The following chart documents the trends in the rate of alcohol sales to minors from 2007-
2013.
FISCAL
YEAR
SALES TO
MINORS
TOTAL NUMBER
OF COMPLIANCE
CHECKS
2007-2008 9 105
2008-2009 14 149
2009-2010 20 164
2010-2011 32 161
2011-2012 24 157
2012-2013 18 139
As we evaluate the effectiveness of our strategies for the 2012-2013 fiscal year, we
examine changes in behavior and systems. As we seek to address the problem of alcohol-
related traffic crashes, injuries, and fatalities in Lenawee County, we implemented such
strategies as alcohol vendor education, compliance checks, and responsible alcohol server
training. To determine the potential impact or contribution of these strategies, we examine
the sales rate of the local alcohol vendors as well as the traffic crash data provided by the
Michigan State Police Drunk Driving Audit.

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Michigan Annual Drunk Driving Audit:
15%
85%
2011-2012 Alcohol
Compliance Checks Sales
Rate
sales
no sales
The following charts demonstrate the rates for alcohol involved traffic crashes over the
past several years for Lenawee County.
LENAWEE COUNTY ALCOHOL INVOLVED TRAFFIC CRASH SUMMARY
YEAR FATAL
ALCOHOL
INVOLVED
CRASHES
PERSONAL
INJURY
ALCOHOL
INVOLVED
CRASHES
PROPERTY
DAMAGE
ALCOHOL
INVOLVED
CRASHES
PERSONS
KILLED
PERSONS
INJURED
2005 1 60 90 1 84
2006 4 40 67 5 50
2007 2 41 63 2 52
2008 3 37 48 3 56
2009 6 35 60 7 51
2010 1 56 61 2 77
2011 5 56 103 5 71
2012 2 39 41 2 54
9%
91%
2009-2010 Alcohol
Compliance Check Rate
Sales
No Sales
14%
86%
2012-2013 Alcohol
Compliance Check Sales
Rate
sales
no sales
9%
91%
2007-2008 Alcohol
Compliance Check Rate
Sales
No Sales
12%
88%
2008-2009 Alcohol
Compliance Check Rate
Sales
No Sales

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TIPS Responsible Alcohol Server Training
The LSAPC strives to enhance responsible beverage service by training, testing, and
assisting beverage servers and retailers in the development of policies and procedures to
reduce intoxication and driving after drinking. In 2012-13 the Coalition’s TIPS trainer
promoted training directly to all 164 liquor licensees in Lenawee at half the market price.
This program aims to help communities reduce alcohol-related accidents and incidents of
violence and the injuries that result from them. Monthly TIPS trainings were offered this
year with twenty-one servers earning certification. Intoxication rate factors and behavior
cues are taught in a setting respectful of the server’s expertise and people skills in the
field. Blood alcohol content, identification checking process, and liability issues are some
of the topics discussed.
STUDENT ASSISTANCE PROGRAM (SAP)
The Student Assistance Program continues to be a successful and well received early
problem identification protocol and referral system. During 2012-2013, LSAPC and the
SAP worked closely with the Adrian 7/8, Madison High School, Onsted Middle and High
School, and Lenawee Juvenile Court. The SAP coordinator has been made available as an
additional resource for students and teachers in participating and interested schools. SAP
continues to provide educational presentations to students in health classes, staff, parents,
and administration. In addition, the SAP program partnered with Communities in Schools
of Lenawee and held a guest speaker presentation, Mr. Scott Kelley, Executive Director of
Bases Teen Center, for parents regarding Synthetic Substances. An additional new service
(provided with a grant) this year was a teen prevention group at Onsted High School
facilitated by a Catholic Charities Substance Abuse Counselor. The group serviced an
average of 10 students for 6 group sessions. The Graduation Coach at Onsted High School
wrote:
“The group of Onsted High School students thoroughly enjoyed the Substance Abuse
Prevention group with Dudley Campfield of Catholic Charities. The information was not
only informative, but was presented in an interesting way that allowed the students to
learn without realizing that they were in a prevention group. Dudley brought many real life
stories that held the interest of the group and left them anticipating the next session.
Students all reported that they thought they knew more about drugs and their effects on
the body than before the group started. Students report they are more likely the use the
information to make positive choices about drugs in the future.”
The SAP program provided a Teen Substance Abuse Prevention Group for students who
needed additional education and support about prevention of using substances and due to
not being recommended for outpatient treatment. The students were recommended due to
violating school substance abuse policies or as a requirement of Juvenile Court. The group
utilized a variety of resources to create positive alternatives and ideas to cope with triggers
driving substance use.

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The SAP program continues to provide a substance abuse resource referral list and
educational materials available to students, parents, staff, and community members.
LIFE OF AN ATHLETE
The LSAPC implemented Life of an Athlete (LOA) at Onsted schools during the 2012-2013
fiscal year. In December, two teachers went to Lake Placid, New York, to the Olympic
Training Center for LOA training. Al Craven, professor at Adrian College, and Jeff
Thompson, teacher in the Onsted Community Schools brought back dynamic information
which they call “STAND out!”, and is an adaptation of LOA. The local adaptation delivers
the alcohol, tobacco and drug messages to the entire student body and stresses the
information is vital to a comprehensive lifestyle choice. This expands the program scope
from strictly athletes. Mr. Thompson presented the LOA/ STAND out! Message to the fall
sports parents and athletes in August. He educated those in attendance of sleep
deprivation, alcohol and marijuana on athletic and academic performance. Several parents
thanked Mr. Thompson for the presentation, saying they gained insight into better health
for their student athlete. He will present again at the winter sports parent meeting. At that
time it is expected that he will be assisted by Adrian College students.
Al Craven presented LOA to the Lenawee Health Network in February. He will present LOA
to the teacher education students at Adrian College in October, and Adrian High School
health classes during the 2013-14 school year. Mr. Craven has supplied student intern
support to the coalition which improved the Coalition website, Big Red Barrel
Implementation event, and the Sober Party night at the college.
PARENTS WHO HOST LOSE THE MOST
The LSAPC “Parents Who Host Lose the Most; Don’t be a party to underage drinking” public
awareness campaign goals are to educate parents about the health and safety risks of
serving alcohol tat teen house parties and to increase awareness of and compliance with
Michigan underage drinking laws. Materials were distributed throughout the county in
the spring during prom and graduation season. Florists, restaurants, law enforcement, the
Adrian Skatery, and businesses displayed table tents, posters, and handed out fact sheets.
Florists placed ‘Parents Who Host’ stickers on corsage and boutonniere packages. Pizza
restaurants put ‘Parents Who Host’ stickers on their pizza delivery boxes. The LSAPC staff
developed a Michigan fact card to supplement the project as the Ohio fact cards provided
by the program were inaccurate for our community. Every prom committee, principal and
board of education member in Lenawee was sent a letter with PWH materials enclosed.
Extended campaign services were made available to each. The Adrian High School prom
committee welcomed LSAPC staff support of their after prom. The Hudson Board of
Education accepted the LSAPC offer of PWH fact cards and distributed them throughout
graduation baccalaureate activities.

15. 15
ABOVE THE INFLUENCE
Above the Influence” is a national television, radio, and print campaign produced by leading
national advertising agencies placed on broadcast programs frequently watched by teens at
levels of exposure comparable to nationally advertised brands.
“Above the Influence” is sponsored by the Office of National Drug Control Policy (ONDCP).
The campaign is designed to reduce adolescent marijuana use using message strategies,
emphasizing marijuana’s inconsistency with personal aspirations and autonomy. Self-
reported exposure to the ONDCP campaign predicted reduced marijuana use, and
analyses partially support indirect effects of the campaign via aspirations and autonomy.
One of the aims of the present research was to test the hypothesis that media campaigns
such as these might influence substance use behavior by reinforcing beliefs that substance
non-use is consistent with youths’ aspirations and autonomy drives.
The ONDCP “Above the Influence” campaign is trending towards positive impacts on
attitudes and behavior, and that these effects may be explained in part by impact on
perceptions that personal autonomy and aspirations are linked to substance non-use.
In 2012-13, the LSAPC expended grant funding previously received from the Lenawee
Youth Council. Youth from the teen group at Adrian Boys & Girls Club met with LSAPC staff
several times to talk about substance abuse. One young man indicated, “…using drugs just
doesn’t make common sense.” Cultural competence required sensitivity toward youth who
experience drug abuse at home. Further, one youth shared that he is in recovery from drug
abuse. B&G Club staff supported Above the Influence as a program about youth being
themselves and not letting negative influence get to them. Pressure to drink, do drugs or do
anything that goes against who youth are in order to fit in—that’s negative influence.
LSAPC presents Above the Influence to teens who want to stay above it. T-shirts and
sunglasses were ordered with Above the Influence and B&G Club logos. Youth personalized
the t-shirts with anti-drug messages to be role models for younger club members. At the
Club 4th of July celebration, the youth wore their gear in a parade. The younger youth also
received and wore sunglasses in the parade. Candy was provided by LSAPC to throw
during their parade, modeling drug free, positive influence.

16. 16
GOAL 3: TOBACCO
VENDOR EDUCATION AND SYNAR CHECKS
The LSAPC facilitated on-site vendor education to 100% of tobacco vendors in Lenawee
County with the collaboration of coalition members and Lenawee Sheriff’s Office. Tobacco
vendor education packets contained the popular age sign, required display stickers, a copy
of the Youth Tobacco Act, information about the Michigan vertical driver’s licenses, and
samples of store policies for tobacco sales. Retailers play an important role in protecting
youth from the risks associated with using tobacco. Through this environmental approach
to reducing retail access to tobacco, LSAPC plays a role in changing behavior and improving
public health.
The federal SYNAR Amendment requires states to have laws in place prohibiting the sale
and distribution of tobacco products to persons under 18 and to enforce those laws
effectively. Consequently, annual SYNAR checks are required by the amendment. Each year,
a random sample of tobacco vendors is selected by the State to participate in civilian checks.
The LSAPC has continued to participate in SYNAR checks as required by the State of
Michigan. For the 2012-2013 fiscal year, the SYNAR draw for Lenawee County was one
vendor with no sales for a sales rate of 0%.
To examine the impact of our tobacco prevention strategies including tobacco vendor
education, we analyze our data regarding SYNAR checks in Lenawee County. The following
table illustrates the sample sizes and sale rates for the past ten years.
Fiscal
Year
SYNAR
Draw
Number
of Sales
Sale Rate
2002-2003 8 3 38%
2003-2004 0 0 0%
2004-2005 6 3 50%
2005-2006 7 1 14%
2006-2007 6 1 17%
2007-2008 8 1 13%
2008-2009 4 0 0%
2009-2010 6 2 33%
2010-2011 6 1 17%
2011-2012 2 0 0%
2012-2013 1 0 0%

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0
1
2
3
4
5
6
7
8
SYNAR Draw Number of Sales Sale Rate
Tobacco Compliance Checks 2002-2003
2003-2004
2004-2005
2005-2006
2006-2007
2007-2008
2008-2009
2009-2010
2010-2011
2011-2012
2012-2013
Collaboration between the LSAPC and the Greater Lenawee Tobacco Reduction Coalition
(GLTRC) is active and effective. The chairperson of GLTRC also serves as a member of the
LSAPC whose staff actively participates monthly in GLTRC meetings and special events.
This year the GLTRC received a grant from The National Association of County and City
Health Officials. Through that planning grant the GLTRC developed its local mission,
objectives and action plan. Objectives include changing tobacco social norms, and reducing
teen and adult smoking rates in Lenawee.
The GLTRC celebrated Kick Butts Day in 2013. In partnership with the Lenawee Youth
Council, the GLTRC strung a clothesline at the Human Services Building hung with 147 t-
shirts, one representing each death in Lenawee each year from smoking.
The GLTRC implemented the Love Your Lungs poster contest in 2013. Over 200 anti-
tobacco entries received from Lenawee students in grades four through eight... The awards
ceremony was well attended by students, their parents and friends and County
Commissioners Smith and Stimson. Presentation of awards was made by State
Representative, Nancy Jenkins. Free ice cream was donated by Culvers, the Drug Free Bee
made an appearance and participants were encouraged to spin the ‘smokers roulette wheel’
and play ‘fish for facts’, both educational activities.
GOAL 4: PRESCRIPTION DRUGS
The Lenawee Substance Abuse Prevention Coalition strategy for proper disposal of
prescription drugs is the Big Red Barrel drop box project. This is an extension of the
Livingston County Community Alliance Big Red Barrel drop box project. This project
provides a free, secure, convenient and environmentally responsible disposal method to
remove potentially dangerous expired, unused or unneeded medications from the
community. Since May 1, 2013 the Big Red Barrel drop boxes are permanent prescription
drug collection units located at the Lenawee Sheriff’s Office, Adrian, Tecumseh, and Hudson

18. 18
Police Departments, and since August, 2013 at Blissfield and Morenci Police Departments.
The goals of the program are:
Goal 1: Collection of unused, unneeded and expired controlled and non-controlled
substances to reduce accessibility to them by abusers and to ensure proper disposal.
Goal 2: Raise awareness of the Big Red Barrel drop box project and the prevalence of drug
abuse and the harm it causes. Effective prevention includes educating parents, youth,
healthcare providers, educators, and the community that abuse of prescription drugs is
dangerous. Parents’ lack of awareness of the prevalence of teenage prescription abuse
leads to insecurely stored drugs being accessed for abuse.
The disposal of the collected drugs is done by law enforcement in the same way evidence is
handled. Collected drugs are incinerated at special facilities which are capable of high
temperature destruction. In this way, active ingredients are neutralized before disposal.
Data is collected at the permanent take back central location. Outcomes are measured by
the weight of the drugs collected and measured by law enforcement. Lenawee residents
are made aware of the service through media advertisement.
This program grew out of collaboration among law enforcement, pharmacists, hospitals,
and the LSAPC. In 2010 law enforcement began participating in national take back events
sponsored by the DEA every six months. On April 27, 2013 the latest national take back
event expanded involvement to include Promedica and University of Toledo Pharmacy
students.
The partnership allowed expanded service to the community in that Promedica accepted
liquid medications, inhalers, and syringes for disposal, which formerly could not be
accepted. The total collected was 74.5 pounds of pills, one large black metal barrel of
bagged liquids and 8 containers of sharps. The Lenawee Sheriff’s Office took the pills to the
Sheriff’s Office to be picked up by the DEA for incinerated and Promedica Bixby Hospital
disposed of the liquids and sharps. After blacking out all personal information, the pills
containers were then taken to be recycled.
During this collection event, several participants shared stories such as the following: one
person had saved his used syringes for 17 years. One family dropped of 4 boxes of used
inhalers. One person dropped off very old over the counter medications such as Alum,

19. 19
salve, Boric acid, iodine and charcoal tablets. One person dropped off an unused medication
dated back in 1966 and one that was filled at the former Rinks store in Adrian.
Nationally nearly 1.6 million pounds—almost 774 tons—of prescription drugs were turned
into periodic events sponsored by the DEA at almost 5,700 sites operated by nearly 4,300
of the DEA’s local law enforcement partners. Lenawee’s event in September of 2012
collected more than double the amount of pills as the event six months earlier, with more
community agencies partnering through the Lenawee Health Network to advertise the
event and an added location at the Tecumseh Police Department.
Sheriff Jack Welsh worked with the Lenawee Substance Abuse Prevention Coalition and the
Livingston County Community Alliance to design the permanent drug take back program.
He said, “Collection of drugs periodically is not enough for people who have drugs after a
death in the family. Many people are done with their medicine or have changes to what
they take and need a safe way to dispose of the left-overs. When drugs are unlocked and
unattended, other people, including youth in Lenawee are accessing and abusing them. The
cost to our community is high and the Big Red Barrel Drop Boxes are one way we can make
drugs less available for abuse, addiction and overdose deaths.”
Medicines that languish in home cabinets create a public health and safety concern because
they are highly susceptible to diversion, misuse, and abuse. Rates of prescription drug
abuse in the U.S. are alarmingly high--more Americans currently abuse prescription drugs
than the number of those using cocaine, hallucinogens, and heroin combined, according to
the 2011 National Survey on Drug Use and Health. Studies show that a majority of abused
prescription drugs are obtained from family and friends, including from the home medicine
cabinet. Since 2010 556 pounds of unused, unwanted or expired medications have been
taken back by our program. This restricts the availability of people to abuse medications, a
known contributor to heroin abuse.
55
65
34
57
98
136
17
Pounds of Drugs Collected
Sept. 2010
Apr. 2011
Oct. 2011
Apr. 2012
Sept. 2012
Big Red Barrels 2013

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As implementation begins on additional prevention strategies in the upcoming year, the
LSAPC hopes to have additional data that speaks to behavioral and system changes. The
implementation and evaluation of SAP and AlcoholEdu program in select schools sites will
provide us with fundamental statistics that illustrate the LSAPC’s contributions to
preventing and reducing substance misuse and abuse in Lenawee County.
INTERNAL COALITION EVALUATION
Evaluation is a fundamental step of the Strategic Prevention Framework which guides the
prevention work of the LSAPC. This step involves measuring the impact of our programs
and practices. The Internal Coalition Evaluation measures the effectiveness, efficiency, and
fidelity of implementation in relation to the strategic plan. The results from 2011-12
survey demonstrate that our Coalition is achieving our goals. The internal evaluation asked
coalition members to examine the coalition within the areas of:
 Community Ownership
 Organizational Effectiveness
 Comprehensive Prevention Approach
 Commitment to Results Orientation
 Linkage Relationship between Coalition and Communities
STRENGTHS, WEAKNESSES, OPPORTUNITIES AND CHALLENGES/THREATS
The results from analysis of the 2012-2013 Internal Coalition Evaluation are documented
below.
Strengths Targeted areas for
Improvement
The coalition has goals and objectives guided, developed,
and endorsed multiple coalition members and staff and
endorsed by community consensus.
Community acknowledges the ATOD issue, but
does little to address the problem.
The coalition has broad-based representation and
participation from all community sectors, including those
who are part of under-represented groups and minorities.
Community is somewhat aware of ATOD issue,
and believe that one or two organizations
(school and law enforcement can solve the
problem.)
Most coalition members have a thorough understanding of
effective evidence-based prevention programs, policies,
and practices.
A comprehensive needs assessment is
conducted and targets problems based on these
priorities.
The coalition knows the players and politics of the
community and makes them work to their advantage.
The community regularly (about monthly) gets
information regarding the coalition activities.
More than one high profile community leader champions
the coalition cause.
The coalition understands the politics and
players in the community but is unable to access
or influence.
The coalition meets regularly to monitor prevention
programs and activities, plan future strategies to evaluate
the current prevention system and its service array based
on identified needs.
Primary funding for coalition activity comes
from one source – sporadic funding from other
small agency grants.
Members have broad-based community representation
and most have been active two or more years. Special
efforts are made to recruit, retain, and recognize member
contribution.
One or two formal sub-committees with five or
more members address various coalition issues
or tasks.

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Meets regularly with leadership for planning purposes, has
a comprehensive work plan, by-laws, budget, project staff,
AND is action oriented, focused, and purposeful in all
meetings.
Meetings are regularly attended with both core
leadership and broad-based community
representation.
Multiple sources of funding are provided via direct and in-
kind sources have been used for two or more years.
The coalition has adopted a vision/mission
statement and regularly reviews and revisits it.
Regular, systematic, and ongoing communication methods
are used to keep members informed (minutes, email,
updates, newsletters, website, etc.).
Programs and activities target at least two
domains within one age group.
The coalition has adopted a vision/mission statement that
is heavily promoted on coalition documents and products
and regularly reviews and revisits it to guide decisions and
priorities.
Reviews impact of coalition efforts on the
community regarding pre-determined process
outcomes (such as new partnerships, funding,
grant proposals written, policy changes, etc.).
Conflict and tension emerges occasionally, but is resolved
in creative, productive ways that make the organization
healthier.
Programs, policies, and practices sponsored or
supported by the coalition are a mix of research-
based and locally developed.
Multiple groups or organizations have input and carry out
the work.
Programs supported by the coalition maintain
and periodically review attendance data.
A systematic, transparent, and inclusive process of conducting
needs assessment, reviewing priorities, and developing programs
and strategies with established mechanisms to evaluate
outcomes is incorporated into a formal plan presented to the
community.
Community level data is collected and used
primarily for internal purposes such as needs
assessment, grant writing, and program
planning
A comprehensive plan that includes the use of data-driven
logic models is developed and formally adopted by the
coalition and community.
Programs and activities target three or more domains
across multiple age groups.
Programs, policies, and practices sponsored or supported
by the coalition are research-based and have been proven
effective for the target population.
Programs sponsored by the coalition are primarily focused
on the universal* population with selected* focus when
appropriate.
Places high value and appropriate resources on evaluation as a
way to demonstrate progress and effectiveness. Use evaluation
results for leveraging resources and partnerships.
Annually collect, monitor, and review membership,
satisfaction, and effectiveness information to make “mid-
course” corrections.
Programs supported by the coalition are evaluated using
process and behavioral outcome data to speak to the
effectiveness of the program.
Program outcome data is collected and shared with coalition and
program staff. Program changes and additional recommendations
are made as a result of this data.
The coalition has direct oversight of prevention programs
and activities. Significant amounts of the coalition meeting
time are used to discuss and monitor major prevention
activities.
Coalition is highly involved in the prevention activities by
contributing to decisions, volunteers or resources, and has
assisted with day to day activities when called upon.
Coalition members are highly knowledgeable of prevention
programs and activities, and actively involved in supporting
them, making referrals, and identify additional resources as
needed.

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Current Status of Recovery Oriented System of Care
WCHO embraces the philosophy that individuals with substance use/ addiction disorders can recover.
This ROSC model focuses on the primary principles of recovery and wellness while teaching self-
management principles. The model also ensures that the individual is offered a level of service that is
based on his or her readiness for change. The Lenawee Coalition has the attitude toward developing
effective institutional collaboration of entities, individuals, and service functions that can provide and
integrate services that address behavioral and health care needs. We adhere to the SAMHSA model
embodied in the following statement:
“A ROSC is a coordinated network of community-based services and supports that is person-centered
and builds on the strengths and resiliencies of individuals, families, and communities to achieve
abstinence and improved health, wellness, and quality of life for those with or at risk of alcohol and
drug problems.”
Prevention services use community collaboration and strategic partnerships to support the family of
a recovering person seeking stability, and the community that is seeking a way to promote healthy
pathways for its exposed youth away from alcohol and drug use.
In 2012-13 WCOH formed a Lenawee ROSC planning group. Together, this multi-discipline group
addressed ROSC orientation for the Lenawee Sobriety Court, town hall meetings, motivational
interviewing training, peer recovery coach training, adolescent services, data, and family engagement
groups. The goal is to bring diverse stakeholders together to dialogue about their perspectives, to
explore the state of the system locally and assess the strengths and limitations in the current system
regarding ROSC.
CHALLENGES AND LESSONS LEARNED
This first year building new relationships with our Coordinating Agency, WCHO, has been exciting
and encouraging. Outcomes from the Coalition work tells of improved programs and new
strategies.
We learned through data that youth who use alcohol, tobacco and other drugs are at a higher risk
for suicide and sexual activity than their non-using peers. We learned that retail liquor vendors
continue to make alcohol accessible to youth. We learned that our campaigns to change social
norms continue to be important and that more resources need to be invested in more effective
communication of our messages.
Many partners worked actively on different parts of an overall mission. Keeping ourselves and
our programs pointing in the same direction is difficult without good coordination.
Communication of what opportunities exist for working together in the future will be a priority in
the future. Volunteer time makes a difference specifically to the quality of our programs and
increases the cultural relevance of our work. Funders want to know investment outcomes and
community health impact. It is a long road to making behavioral change in Lenawee. It takes
hard work to see movement in substance abuse prevention and it requires constantly renewed
effort and commitment. We share outcome information to keep coalition encouraged.