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Prevention in Lane County: Information for CASAs in Training
The document discusses substance abuse issues in Lane County, highlighting common risk factors like adverse childhood experiences, and protective factors that can help prevent problems. It provides an overview of current prevention efforts and strategies across different developmental phases, emphasizing building resilience and facilitating healing from trauma through family, school, community and policy supports.
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Prevention in Lane County: Information for CASAs in Training
- 1. Julie Hynes, MA,CPS May 28, 2015 www.preventionlane.org/CASA
- 2. This Evening’s Focus •Current conditions in substance abuse – Lane County • Risk factors that lead to those conditions • A prevention perspective • Resources for talking to kids and families • Q&A throughout
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- 5. MOST COMMONLY CODEDMEDICAL CONDITIONS in the Trillium Medicaid Population, 2014 1. Depression 2. Smoking 3. Asthma 4. PTSD 5. Diabetes 6. Adult Obesity 7. Chemical Dependency 8. Attention Deficit Disorder 9. Bipolar Disorder 10. COPD Source: ACA Conditions in the Trillium Community Health Plan Medicaid Population, 2014. Trillium Community Health Plan, 2015.
- 6. of Americans whomeet the medical criteria for addiction started smoking, drinking, or using other drugs before age 18.
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- 8. The top two drugsused by high school students in Lane County…
- 10. Alcohol is thedrug of choice for youth Source: Student Wellness Survey, 2014 8th Grade Students – past 30 days
- 11. MOTOR VEHICLE INJURY isthe leading cause of death among Oregonians age 10-24. What is #2?
- 12. SUICIDE is the2nd leading cause of death among Oregonians ages 10-24. Source: Oregon Health Authority (2014)
- 13. 2014 Student WellnessSurvey
- 14. COMMON RISK FACTORS ENVIRONMENTAL •Economic and social deprivation • Social isolation • Neighborhood and community disorganization • Transition and mobility especially between elementary, middle and high schools • Community laws and norms favorable toward use • Availability at home, school, neighborhood
- 15. COMMON RISK FACTORS DEVELOPMENTAL/ FAMILY • Family history of alcoholism/addiction quadruples risk of becoming addicted • Family management problems • Early antisocial behavior combined with withdrawal and/or hyperactivity • Parental drug use or positive attitude towards use • Academic failure not tied to ability, especially in mid to late elementary school
- 16. COMMON RISK FACTORS DEVELOPMENTAL/ FAMILY • Little commitment to school • Alienation, rebelliousness, lack of social bonding • Friends who use drugs is one of the strongest predictors • Favorable attitude toward drug use • Early first use of drugs prior to age 15-twice the risk of addiction
- 17. What is almostALWAYS a KEY underlying issue? TRAUMA.
- 18. Adverse Childhood Experiences(ACEs) • ACEs are experiences in childhood that are hurtful • Sometimes referred to as toxic stress or childhood trauma
- 19. What are ACEs? Growingup (prior to age 18) in a household with: • Physical abuse • Emotional abuse • Sexual abuse • Emotional or physical neglect • Loss of parent due to divorce, abandonment, or death • Substance use • Mental illness • Incarcerated household member
- 20. What are ACEs? Growingup (prior to age 18) in a household with: • Physical abuse • Emotional abuse • Sexual abuse • Emotional or physical neglect • Loss of parent due to divorce, abandonment, or death • Substance use • Mental illness • Incarcerated household member http://www.cdc.gov/violenceprevention/acestudy/index.html
- 21. ACE Scores areSignificant • Points are attributed for exposure to each type of adverse event (0 to 10). • The higher the ACE score, the greater likelihood of negative outcomes, such as: – Smoking, drug & alcohol abuse – Depression, suicide – Obesity, heart disease
- 22. ACE SCORES IN OREGON Source:The Ford Family Foundation , 2014
- 23. Why is thisImportant? Because ACEs are: • Surprisingly common • Occur in clusters • The basis for many common public health concerns • Strong predictors of later health risks, disease, and death
- 24. Centers for DiseaseControl and Prevention: http://www.cdc.gov Generational Transmission of ACEs
- 25. ACEs Often Lasta Lifetime… But They Don’t Have To • Healing can occur • The cycle can be broken • Safe, stable, nurturing relationships heal both parent and child
- 26. What Can BeDone About ACEs Increase Protective Factors – Conditions that increase health and well being – Critical for everyone regardless of age, sex, ethnicity or racial heritage, economic status, special needs, or the dynamics of the family unit – Buffers that provide support and coping strategies and reduce impact of risk factors
- 27. What Can BeDone About ACEs Protective Factors – Parental Resilience – Social Connections – Knowledge of Parenting and Child Development – Concrete Support in Time of Need – Nurturing and Positive Relationships Center for the Study of Social Policy’s Strengthening Families, A Protective Factors Framework
- 28. What Can BeDone About ACEs Individual Level Strategies • Parent/Family Education & Support • Child Education/skill-building • Screening, Early Intervention & Treatment Relationship Level Strategies • Parent-Child Centers (for parent training and education) • Early Childhood Home Visitation (evidence-based programs) Community, Organizational, and Social Level Strategies • Public Awareness Campaigns • Training providers on ACEs, resiliency, trauma-informed care/tools • Creating trauma-informed, safe and nurturing schools, worksites, communities
- 29. Start by Keepingin Mind… • What is viewed as a problem by health professionals may actually be a personal solution to pain. • Dismissing these coping devices as “bad habits” or “self-destructive behaviors” misses their functionality.
- 30. And… • What ispredictable is preventable. • We don’t bounce back, we bounce forward; • It’s not what’s wrong with you… it’s what happened to you!
- 31. Our Challenge • Wecan and must reduce the number of ACEs for all children • We can and must “immunize” kids against the affects of ACEs • We can and must work to prevent ACEs
- 32. • Build Resilience: –Doingwell in the face of adversity • Facilitate Healing Our CHallenge
- 33. Tobacco, alcohol, and otherdrug use/abuse Scientific consensus that we can prevent these problems Delinquency and crime Premature or unsafe sex Depression and suicidality School failure, dropout
- 35. Pre- conceptio n Prenatal/ Infancy Early Childhood Childhood Early Adolescence Adolescence Family • Prenatal care •Home visiting • Evidence-based parenting programs • Evidence-based kernels Schools • High-quality preschool and daycare • Classroom-based prevention curricula • Evidence-based kernels • Afterschool programs Community • Community organizing to improve neighborhood environments • Support for evidence-based strategies • Support for out-of-school activities • Evidence-based kernels Policy • Community members have ensured access to services to meet basic needs • Promotion and support of healthy lifestyles • Policy to promote and support evidence-based strategies Prevention strategies by developmental phase and domain
- 37. “ The solutionof all adult problems tomorrow depends in large measure upon the way our children grow up today. ” - Margaret Mead
- 38.