To reduce prescription painkiller use and overdose deaths on Staten Island, which has the highest rates of opioid use and number of prescription drugs filled in New York City, a collective impact initiative called TYSA was formed, bringing together over 30 cross-sector organizations to align their strategies, resources, and agendas around youth substance abuse prevention using a systems-level approach. TYSA implemented evidence-based strategies like physician training on responsible pain management and addiction screening, public awareness campaigns, and expanding access to high-quality treatment and harm reduction programs like naloxone to address local factors contributing to youth substance abuse, such as accessibility of prescription drugs and community attitudes. Initial results under this collaborative model show promise in maintaining

1. To reduce prescription pain killer use among
youth and decrease overdose related deaths
Staten Island has the highest rates of opioid
analgesic (OA) use and the highest number of
prescription drugs filled in NewYork City
Collective Impact: A systems level approach to
address complex issues, using the following
criteria
Although Staten Island organizations have a long tradition of
working together, efforts were often in silo and competitive.TYSA
provided a vehicle to align strategies, resources, and agendas across
systems to make significant improvements in youth substance abuse
prevention.
Today,TYSA is comprised of over 30 cross-sector organizations, all
coming to the table with the sole purpose of addressing youth
substance abuse in our community.
 Maintain low rates of youth prescription
drug use
 Focus on heroin epidemic using newly
collected young adult survey data
 Aligning with Medicaid redesign initiative to
move towards integrated behavioral health
models
Using evidence-based approaches, we organized our work to
address local conditions contributing to youth substance
abuse:
Accessibility of Prescription Drugs:
 Physician training on judicious pain management and
addiction screening with NYC Health Department
 Promotion of Rx DrugTake-Back Opportunities
 Adoption of real-time data from Rx monitoring program
Community Attitudes:
 Public Awareness campaigns – cobranded with Partnership
at Drugfree.org
 Parent/Youth summits and workshops
Access to High QualityTreatment:
 Staten Island Alcohol & DrugTreatment Brochure and
referral grid
 Physician training on addiction screening, intervention
and referrals
 Harm Reduction Strategies – Naloxone Success Story
From Collaboration to COLLECTIVE IMPACT
A community approach to tackle youth opioid abuse on Staten Island
Adrienne Abbate, MPA & Natalie DiRocco, MPH
www.facebook.com/TYSA2020
@TYSAnetwork
@TYSAnetwork
TacklingYouth Substance Abuse
(TYSA)
444 St Marks Place, 3rd Floor
Staten Island, NY 10301
Phone: (718) 226-0257
Email: tysa@sipcw.org
Website: www.sipcw.org/tysa.htm
Purpose
Alarming Trends
TYSA’s Approach
History of Collaboration
Strategies
Starting to See Results
What’s Next?
Core Values and Guiding Principles
Population
Level
Impact
Structural
Change
Data
Driven
Evidence-
Based
Strategies
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