Education & Advocacy Track: Prevention Campaigns Targeting Young Adults

1. Education and Advocacy Track:
Prevention Campaigns Targeting
Young Adults
Presenters:
• Kenneth M. Hale, RPh, PhD, Co-Director, Generation Rx
Initiative, and Associate Director, Higher Education Center for
Alcohol and Drug Misuse Prevention and Recovery, Ohio State
University College of Pharmacy
• Alexander Chan, MPA, MCM, Associate Director of National
Strategy, Clinton Health Matters Initiative
• Victor Schwartz, MD, Medical Director, The Jed Foundation,
and Clinical Associate Professor of Psychiatry, NYU School of
Medicine
Moderator: Karen H. Perry, Co-Founder and Executive Director,
Narcotics Overdose Prevention and Education (NOPE) Task Force,
and Member, Rx Summit National Advisory Board

2. Disclosures
• Kenneth M. Hale, RPh, PhD, Contracted research: Cardinal
Health Foundation
• Alexander Chan, MPA, MCM, has disclosed no relevant, real or
apparent personal or professional financial relationships with
proprietary entities that produce health care goods and services.
• Victor Schwartz, MD, has disclosed no relevant, real or apparent
personal or professional financial relationships with proprietary
entities that produce health care goods and services.
• Karen H. Perry, has disclosed no relevant, real or apparent
personal or professional financial relationships with proprietary
entities that produce health care goods and services.

3. Disclosures
• All planners/managers hereby state that they or their
spouse/life partner do not have any financial
relationships or relationships to products or devices
with any commercial interest related to the content of
this activity of any amount during the past 12 months.
• The following planners/managers have the following to
disclose:
– Kelly Clark – Employment: Publicis Touchpoint Solutions;
Consultant: Grunenthal US
– Robert DuPont – Employment: Bensinger, DuPont &
Associates-Prescription Drug Research Center
– Carla Saunders – Speaker’s bureau: Abbott Nutrition

4. Learning Objectives
1. Define the particular challenges related to preventing
Rx drug abuse among young adults.
2. Describe Rx drug abuse open-source educational
prevention resources, support and technical
assistance available through the Generation Rx
Initiative, Generation Rx Community, and Higher
Education Center for Alcohol and Drug Misuse
Prevention and Recovery.
3. Outline the Jed Foundation and Clinton Health
Matters Campus Program methodology to review and
improve critical success factors related to preventing
substance abuse in young people.

5. Prevention Campaigns
Targeting Young Adults
Dr. Kenneth M. Hale
Co-Director, Generation Rx Initiative
Associate Director, Higher Education Center
The Ohio State University

6. Discloser Statement
Dr. Hale wishes to disclose that the
Generation Rx Initiative is supported by
the Cardinal Health Foundation and the
Higher Education Center is supported by
the Hilton Foundation. He will present
this content in a fair and balanced
manner.

7. Learning Objectives
1. Define the particular challenges related to preventing
Rx drug abuse among young adults.
2. Describe Rx drug abuse open-source educational
prevention resources, support and technical
assistance available through the Generation Rx
Initiative, Generation Rx Community, and Higher
Education Center for Alcohol and Drug Misuse
Prevention and Recovery
3. Outline the Jed Foundation and Clinton Health
Matters Campus Program methodology to review and
improve critical success factors relating to preventing
substance abuse in young people.

8. Why do college students misuse
prescription drugs?
“…a new wave of
pharmaceutical
populism – a growing
campus culture of
self-diagnosis and
self-prescription.”

9. Monitoring the Future 2013 Survey Results (NIDA)

10. Past Year Initiates for Specific Illicit Drugs
Among Persons Aged 12 or Older
(2013, SAMHSA)
Total Rx Initiates = 3,450,000

11. Mean Age at First Use for Specific Illicit Drugs
among Past Year Initiates Aged 12 to 49
(2013, SAMHSA)
18-25 years

12. McCabe, et al. Trends in Medical Use, Diversion, and
Nonmedical Use of Prescription Medications among
College Students from 2003 to 2013: Connecting the
Dots. Addictive Behaviors 39 (2014) 1176-1182.

13. Adderall 10.7%
Tranquilizers 4.4%
Vicodin 4.4%
Sedatives 2.7%
OxyContin 2.3%
Monitoring the Future national survey results on drug
use, 1975–2013: Volume 2, College students and adults
ages 19–55. Ann Arbor: Institute for Social Research,
The University of Michigan
Annual Prevalence of Nonmedical Use Among Full-
Time College Students, 2013

14. Dart, et al, Trends in Opioid Analgesic Abuse and
Mortality in the United States.
NEJM 2015;372:241-8

15. A Perfect Storm for the Misuse of
Medications
1. U.S. Drug-Taking
Culture
2. Easy Access
3. Misperceptions
Relating To:
-Addiction
-Legality
-Safety

16. Student Life ● Residence Halls ● Greek Life
Recreational Sports ● Student Health Centers
Peer Educators ● Collegiate Recovery Communities
Student Organizations ● Campus Police
Judicial Affairs ● Legal Services
Social Norms Campaigns
Environmental
Prevention
Strategies

17. Social Norms
Campaigns

18. Possession or Distribution of Alcohol, Illegal
Drugs and Improper Use of Prescription
Drugs
The College prohibits the unlawful
possession, use, manufacture, or distribution
of alcohol or illegal drugs or misuse of …
prescription drugs by students.
Bard College

19.  35 video modules
 Pharmacology 101
 Toxicology 101
 Neuroscience 101
iTunesU Dr. Nicole Kwiek
Generation Rx: The Science Behind
Prescription Drug Abuse

20. The Generation Rx Initiative
Educational Prevention Resources:
Elementary Students
Teens
College Students
Other Adults in the
Community
Seniors
Patients

21. Generation Rx University

22. Generation Rx University Workshops
Prescription Drug
Misuse Prevention
Resources Created
by College
Students for
College Students

23. Generation Rx University Theatre
Prescription Drug Misuse Prevention
Resources Created by College Students
for College Students

24. Generation Rx University Voices
u.osu.edu/genrxuvoices

25. www.go.osu.edu/generationrx
www.cardinal.com/generationrx

26. HECAOD.osu.edu

27. 1.Education & Training
2.Research &
Evaluation
3.Technical Assistance
4.Technology
Development
@hecaod

29. Thank You!
Hale.3@osu.edu

30. Prevention Campaigns Targeting Youth
The Campus Program: A public health approach to
mental health promotion, suicide and substance
abuse prevention on college campuses
Victor Schwartz Alexander Chan
The Jed Foundation Clinton Health Matters Initiative

31. Disclosures
• Alexander Chan has disclosed no relevant, real
or apparent personal or professional financial
relationships with proprietary entities that
produce health care goods and services.
• Victor Schwartz, MD, has disclosed no
relevant, real or apparent personal or
professional financial relationships with
proprietary entities that produce health care
goods and services.

32. Learning Objectives
• Define the particular challenges related to preventing
Rx drug abuse among young adults.
• Describe Rx drug abuse open-source educational
prevention resources, support and technical assistance
available through the Generation Rx Initiative,
Generation Rx Community, and Higher Education
Center for Alcohol and Drug Misuse Prevention and
Recovery.
• Outline the Jed Foundation and Clinton Health Matters
Campus Program methodology to review and improve
critical success factors related to preventing substance
abuse in young people.

33. The Problem
Prior month alcohol use was 65%
• 32% report alcohol binge in past 2 weeks
• 15% report past month MJ use
• 20% report used any other drug in past month
• Past year non-prescribed/misuse of stimulants
was 8% and opiates was 7.5%
(ACHA NCHA spring 2013)

34. Impact on Health and Safety
Of students who drink, while partying:
• 35% did something they later regretted
• 20% had unprotected sex and 2.5% non-
consensual sexual contact
• 14% physically injured themselves
• 79% felt physically exhausted-not from exercise
• 6% engaged in non-suicidal self injury
(ACHA NCHA 2013)

35. Campus Treatment
• Average of 10% of students seen at campus services
• Many very symptomatic students do not see
themselves as having substance or psychiatric
problems (less likely to seek treatment)
• Many in most serious risk may not present on their
own anyway (eg., addicted, isolated, early psychosis)
• 20% of campus suicides were seen at CC/80% no
contact (A. Schwartz)

36. How to Address this Problem
• Building a strategic system of identification, psycho-
education, life skills training and clinical support
across campus becomes the goal
• Challenges to this include: commitment, resources,
creating a strategic and psychological balance-the
“hysteria” problem
• Any comprehensive model or approach for this
population needs to address substance abuse and
mental health. These are synergistic problems

37. The Jed Foundation/SPRC Model

38. Enhanced Content-Campus Program
• Strategic planning and policy
• Academic performance
• Student wellness
• Family and community support
These additions are best understanding of
preventive measures in substance abuse
(see; CASA, Wasting the Best and the Brightest, 2007)

39. Campus Program Framework

40. Themes of the Model
• Building protective factors and resilience
 (note that much if not most of this can be done
outside of traditional treatment settings)
• Early case identification and early intervention (by
definition done outside of CC)
• Mental health and substance abuse services
• Environmental safety (also outside of CC)

41. Model Content: Policy and Planning
• Committee to manage planning for campus
• Committee has wide representation
• Gather data
• Prioritize problems
• Evaluates success and ongoing challenges
• Read more about this at:
https://www.jedfoundation.org/professionals/programs-
and-research/campusmhap
• Policies to address: insurance, LOA’s, parental
notification, post-vention protocols

42. Developing and Supporting Life Skills
Groups that teach:
• communication and relationship skills
• DBT groups
• Conflict resolution
• Financial planning
• Prevention of harassment and relationship violence
• Bystander intervention
Note: many of these kinds of activities can occur outside
counseling settings and might be run by other staff

43. Connectedness, Community and
Family Support
• Peer Mentoring system
• Greek system (if exists) is carefully supervised
• Promoting connections with community religious and
cultural resources
• Intentional floor programming in dorms
• Programs to promote tolerance and inclusiveness
• Programs to help students/RA’s identify and connect with
isolated students

44. Academic Performance
• Programs to support study skills, test anxiety
• Robust academic advising-trained advisors
• Peer tutoring-inexpensive
• Course evaluations

45. Student Wellness
• Stress and time management groups
• Info regarding connection between sleep, nutrition,
exercise, general health and academic performance
• Substance free housing for all who request or need
• Educational campaigns re risks and consequences of
substance misuse: strategic focus and timing. For ex.,
stimulants around exams
• Substance free activities and events are frequently held
on campus

46. Identifying Students at Risk
• Collecting mental health and substance history from
incoming students
• Connecting students with positive history to services
• Wellness Days
• Gatekeeper training: wide, targeted and strategic
• BIT team
• Online resources for screening

47. Increase Help Seeking
• Clinical services are easily accessible, welcoming
• Clinical service websites are easy to find and welcoming
• Online screening tools
• Peer mental health and substance education programs
• Campaigns to combat stigma
• Strategic marketing of counseling and substance
services

48. Clinical Services
• Access to broad array of services: mental health, health,
substance abuse, health education
• Health service screens for mental health and substance
issues routinely
• SBIRT (screening, brief intervention, referral, treatment)
• Med management
• Services are flexible: timing and location
• Naloxone policies: local EMT’s
• Emergency services coordinated with local resources
• BIT team and clinical services are coordinated

49. Means Restriction and Environmental
Safety
• Environmental scanning done
• Roof, window, closet rod safety
• Gun policy
• Prescription drug monitoring and return
• Lab safety
See Means Matters for more info:
http://www.hsph.harvard.edu/means-matter/

50. The Campus Program
The Campus Program is designed to help colleges and universities promote emotional wellbeing and mental
health programming, reduce substance abuse, and prevent suicide among their students. When a school
becomes a member of the Campus Program:
• It pledges to work toward continuous improvement in mental health, substance abuse and suicide prevention programming
• It commits to establishing an interdisciplinary, campus-wide oversight team to assess, support and implement program
improvements
• It commits to participate in an introductory workshop where the Campus Program Framework is reviewed and guidelines for
next steps are discussed
• It commits to taking a confidential, self-assessment survey on their mental health promotion, substance abuse and suicide
prevention programming. Note: To submit the survey, the senior leader of the oversight team will need to provide an e-
signature on the survey.
• The Campus Program team will review the survey responses in comparison to our outlined program areas for a comprehensive
program on campus.*
• Based on these results, the school will receive a feedback report and on-campus technical assistance (the level of technical
assistance offered will be determined by the survey results and program capacity).
• The school will commit to a participation term of 4 years, with an entrance, mid-term and end of term assessment survey. The
submission cost for each survey is $650, for a total 4-year program cost of $1,950.**
* Survey responses and feedback reports are all confidential.
** Schools participate at-will and can choose to be anonymous in the program or opt-out at any time. With anonymity, survey
results will be aggregated and de-identified, as is the case with all Campus Program participant

51. The Campus Program Members as of 1.28.15
Alfred University
Aurora University
Azusa Pacific University
Barnard College
Boston University
Butler University
Cal Poly, San Louis Obispo
California Institute of Technology
California State University - Chico
Cameron University
Columbia University
Connecticut College
Cornell University
Davidson College
Fordham University
George Mason University
George Washington University
Georgetown University
Indiana University
Manhattan Marymount College
Massachusetts College of Art and
Design
Monmouth University
Montana State University
New York University
Northern Arizona University
UC Davis
UCLA
UC Santa Barbara
University of Arizona
University of Central Oklahoma
University of Hartford
University of Illinois - Champagne Urbana
University of Michigan - Flint
University of Minnesota
University of Missouri – Kansas City
University of North Carolina - Chapel Hill
University of Pennsylvania
University of Science and Arts of Oklahoma
University of South Carolina
University of Texas - Arlington
University of West Georgia
Vitterbo University
Wake Forest University
Washington University in St Louis
Western Oklahoma State College
Westminster College
Worcester Polytechnic Institute
Yeshiva University

52. Program Benefits
In addition to the significant learning associated with taking the
assessment and the value of technical assistance, colleges will also
have access to benefits such as:
• Demonstrating their commitment to supporting and improving
their mental health, suicide and substance abuse prevention
programs to their students, their families and alumni.
• The ability to leverage the brands of The Jed Foundation and the
Clinton Foundation as partners in their efforts.
• Promotion and publicity in telling the stories of their
accomplishments and achievements in on-campus mental health
programming.
• A membership seal to illustrate participation in the program and
commitment to mental health, substance abuse and suicide
prevention. (Schools have option to be anonymous).

53. Thank You
Questions?
Call 212-647-7544
Or email info@thecampusprogram.org

54. Education and Advocacy Track:
Prevention Campaigns Targeting
Young Adults
Presenters:
• Kenneth M. Hale, RPh, PhD, Co-Director, Generation Rx
Initiative, and Associate Director, Higher Education Center for
Alcohol and Drug Misuse Prevention and Recovery, Ohio State
University College of Pharmacy
• Rain Henderson, MPA, CEO, Clinton Health Matters Initiative,
Clinton Foundation
• Victor Schwartz, MD, Medical Director, The Jed Foundation,
and Clinical Associate Professor of Psychiatry, NYU School of
Medicine
Moderator: Karen H. Perry, Co-Founder and Executive Director,
Narcotics Overdose Prevention and Education (NOPE) Task Force,
and Member, Rx Summit National Advisory Board