The document provides an evaluation report for the Ionia County Substance Abuse Initiative (ICSAI) for fiscal year 2011-2012. It summarizes the ICSAI's mission, partnerships with other community organizations, prevention programs implemented, outcomes of those programs including decreased alcohol sale and offender rates, and plans to continue developing a sustainable prevention system through diversified funding and community collaboration.
Hiv knowledge and risk behaviour of female sex workers in Oyo State South-Wes...John Bako
Of all people living with HIV world wide, 9% of them live in Nigeria.
Although HIV prevalence among adults is remarkably small (3.4%) compared to other sub-Saharan African countries such as South Africa (19.1%) and Zambia (12.5%), the size of Nigeria's population means that there were 3.2 million people living with HIV in 2013.
Nigeria, together with South Africa and Uganda, account for almost half of all annual new HIV infections in sub-Saharan Africa. This is despite achieving a 35% reduction in new infections between 2005 and 2013.
Approximately 210,000 people died from AIDS-related illnesses in Nigeria in 2013, which is 14% of the global total
Unprotected sex accounts for about 80% of new HIV infections in Nigeria, with the majority of remaining HIV infections among key affected populations.
Hiv knowledge and risk behaviour of female sex workers in Oyo State South-Wes...John Bako
Of all people living with HIV world wide, 9% of them live in Nigeria.
Although HIV prevalence among adults is remarkably small (3.4%) compared to other sub-Saharan African countries such as South Africa (19.1%) and Zambia (12.5%), the size of Nigeria's population means that there were 3.2 million people living with HIV in 2013.
Nigeria, together with South Africa and Uganda, account for almost half of all annual new HIV infections in sub-Saharan Africa. This is despite achieving a 35% reduction in new infections between 2005 and 2013.
Approximately 210,000 people died from AIDS-related illnesses in Nigeria in 2013, which is 14% of the global total
Unprotected sex accounts for about 80% of new HIV infections in Nigeria, with the majority of remaining HIV infections among key affected populations.
Shaquita Ogletree explores the GA Department of Family and Children Services policies and the law surrounding access to health insurance and medicaid for older foster youth or youth who will age out.
Communities for a Better Tomorrow: Working for Children Everyday in Every WayLaila Bell
Communities for a Better Tomorrow is an Action for Children North Carolina lead prevention initiative targeting high-risk children and youth in Halifax, Northampton, Hertford and Bertie counties.
Being the art director of the team, my duty is to design the book from scratch including color scheme, layout, font, info-graphic, web design, info-visualization and logo design.
This webinar was developed by Child Trends for the Office of
Adolescent Health (OAH) as a technical assistance product for use with OAH grant programs.
This is a web version of a public lecture I gave at the University of York in October 2012. I have inserted a few additional commentary slides to add an interpretive framework for what was predominantly a very visual talk - this was designed to raise questions about what we want this and other cities to be like and to see how, at key moments in the city’s past, social reformers have a) made plans for a better city and b) sought to assist excluded communities. Those plans and designs remain influential, both within the city and more broadly. A key argument of the lecture was that Universities should be strongly engaged in these debates, as a major part of the local economy, but also as an institution that produces ideas, research and a site where public conversations can be brokered.
In an exclusive to LOG.India, Logistics Executive shares its
compilation of Salary Survey Report 2012 that covers the
entire spectrum of salary bands and geographical territories
in India. The analysis has been drawn from the Logistics
Executive Global Survey.
Ensuring schools attract and retain highly capable and motivated staff is essential for securing fast turnaround and raising or maintaining standards. Behind a backdrop of teachers leaving the profession, it is critical schools apply a ‘competitive edge’ approach to recruitment.
Shaquita Ogletree explores the GA Department of Family and Children Services policies and the law surrounding access to health insurance and medicaid for older foster youth or youth who will age out.
Communities for a Better Tomorrow: Working for Children Everyday in Every WayLaila Bell
Communities for a Better Tomorrow is an Action for Children North Carolina lead prevention initiative targeting high-risk children and youth in Halifax, Northampton, Hertford and Bertie counties.
Being the art director of the team, my duty is to design the book from scratch including color scheme, layout, font, info-graphic, web design, info-visualization and logo design.
This webinar was developed by Child Trends for the Office of
Adolescent Health (OAH) as a technical assistance product for use with OAH grant programs.
This is a web version of a public lecture I gave at the University of York in October 2012. I have inserted a few additional commentary slides to add an interpretive framework for what was predominantly a very visual talk - this was designed to raise questions about what we want this and other cities to be like and to see how, at key moments in the city’s past, social reformers have a) made plans for a better city and b) sought to assist excluded communities. Those plans and designs remain influential, both within the city and more broadly. A key argument of the lecture was that Universities should be strongly engaged in these debates, as a major part of the local economy, but also as an institution that produces ideas, research and a site where public conversations can be brokered.
In an exclusive to LOG.India, Logistics Executive shares its
compilation of Salary Survey Report 2012 that covers the
entire spectrum of salary bands and geographical territories
in India. The analysis has been drawn from the Logistics
Executive Global Survey.
Ensuring schools attract and retain highly capable and motivated staff is essential for securing fast turnaround and raising or maintaining standards. Behind a backdrop of teachers leaving the profession, it is critical schools apply a ‘competitive edge’ approach to recruitment.
Circles of San Antonio Community Coalition is a program of the San Antonio Council on Alcohol and Drug Abuse SACADA). This presentation was used during a new SACADA board member orientation.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. Introduction
Ionia County is nestled between the metropolitan areas of Mid-Michigan (Lansing) and West
Michigan (Grand Rapids) our communities provide a relaxed and family-oriented quality of life
with safe neighborhoods, strong schools and healthy lifestyles. The Ionia County Substance
Abuse Initiative (ICSAI) is the county initiative for substance abuse prevention. The workgroup
consists of community members, community members in recovery, local public agencies,
schools, and local treatment providers. ICSAI meets on a monthly basis to focus on substance
abuse prevention services in our community through data collection. The ICSAI mission is to
facilitate a continuum of substance abuse services in Ionia County. The vision of the ICSAI is that
all Ionia County residents will be free of substance abuse and its effects
Prevention System
The Ionia County Prevention System partnerships include entities such as the Ionia County
Health Department, which staffs the ICSAI Advisory Board and ICSAI workgroup. The Ionia
County Sheriff’s office partners with the ICSAI and provides alcohol and tobacco compliance
checks to vendors throughout the county. Local court officials and schools partner with the
ICSAI by referring youth to the evidenced based substance abuse program Teen Intervene,
Shoulder to Shoulder parenting program others to treatment services. Drivers training
providers partner with the ICSAI to provide the most up-to-date drunk driving curriculum to
students taking drivers training. Ionia County Intermediate School provides essential data and
contacts for prevention planning. The Great Start Collaborative partnership with the ICSAI is
vital, due in part to the first few years of a child’s life being the most important in determining a
child's physical and emotional health. The ICSAI offers assistance and support to local alcohol
and tobacco vendors to enhance their policies and procedures and reduce sales to minors. Also,
available to alcohol vendors free of cost was the Training for Intervention Procedures (TIPS)
program. Treatment providers facilitate a variety of services within the County including
treatment, prevention and policy enforcement. The Ionia County Child, Family, and Community
Council have identified the importance of substance abuse treatment and prevention within
the county and are actively participating in the substance abuse prevention system as well.
Community members who have been in recovery share input on their experiences and what
worked for them to be where they are today. This valuable addition of members provides the
community perspective on many issues and valuable partnerships with communities have been
made through these members. There is collaboration within the ICSAI Advisory Board and the
Board of Commissioners on all issues relating to substance abuse services.
The existing formal coalition structure and linkages include: the Ionia County Substance Abuse
Initiative Workgroup, which is the recognized entity for completing the work of the coalition.
During fiscal year 2011-2012 the ICSAI workgroup chair is Michael Thomas, who is a member of
the community who is a recovered alcoholic. Other ICSAI workgroup parties represented
include: the Great Start Collaborative, Juvenile Court, Ionia County Intermediate School District,
local media outlets, District and Circuit Courts, Ionia County Community Mental Health, Ionia
County Sheriff’s Department, Ionia County Health Department, Michigan Department of Human
3. Services, community members, youth community member, staff as well as private treatment
providers. The ICSAI Advisory Board are the voting members that serve as the advisory body to
the Ionia County Board of Commissioners, on all issues relating to substance abuse services.
This is including but not limited to programming, funding, creating public awareness, advising
and consulting with the Commission on substance abuse initiatives within the county. The Ionia
County Board of Commissioners shall review and approve all issues related to substance abuse
services, including but not limited to programming, funding, and creating public awareness.
Community Readiness
The Ionia County Board of Commissioners placed Ionia County’s community readiness at the
Stabilization Phase. Stabilization includes: programs that are up and running and are supported
by community decision makers; programs/activities/policies that are viewed as stable;
limitation may be known, but there is no in-depth evaluation of effectiveness, nor is there a
sense that any recognized limitations suggest an immediate need for change.
The ICSAI Workgroup placed Ionia County’s community readiness at the Preparation/Initiation
phase. This phase includes: planning that is ongoing and focused on particular detail; there is
general information in regards to problems and pros and cons of prevention activities, actions
or policies (this may not be based on formal collected data); leadership that is active; decisions
are being made about what will be done and who will do it; resources are actively sought and
committed; the community climate offers at least modest support of efforts; enough
information is available to justify efforts; activities or actions have been started and are
underway, but is still viewed as new efforts.
Funding Streams/Prevention Programming
The ICSAI funding stream is Mid South Substance Abuse Commission. ICSAI FY 2011/2012 key
prevention programs include Teen Intervene Program, Tobacco Compliance Checks, Alcohol
Compliance Checks, Shoulder to Shoulder program, Above the Influence media campaign and
TIPS program.
Qualifications and credentials of the ICSAI prevention staff include:
Courtney Miller, Prevention Coordinator: Bachelor of Science Degree (B.S.), Certified
Prevention Specialist (C.P.S.)
Deb Thalison, Community Health Supervisor: Master of Arts (M.A.), Bachelor of Arts (B.A.),
Certified Criminal Justice Professional (C.C.J.P.),
Criminal Justice Administrator (C.J.A.), Certified
Clinical Supervisor of Michigan (C.C.S.M.), Certified
Prevention Consultant Michigan, (C.P.C.M)
Stacy Moore, Health Educator: Bachelor of Science Degree (B.S.), Certified
Prevention Specialist (C.P.S.)
4. Sarah Matthews, Social Worker Masters of Social Work (MSW), Bachelor of
Applied Arts (B.A.A.), Register Addiction
Counselor Development Plan through
MCBAP
Process Outcomes
Completed Strategies:
- 25% of alcohol vendors had vendor education training face to face
- 25% of tobacco vendors had vendor education training face to face
- 50% alcohol vendors received compliance checks
- 50% of vendors tobacco vendor received compliance checks
- Above the Influence Most Media Campaign
- ICSAI Programs evaluated
- Collaborated with Drivers Training program providers and provided prevention
educated
- Five Training for Intervention Procedures (TIPS) programs conducted
- Four Shoulder to Shoulder Parenting classes conducted
- Synar inspections
- Teen Intervene Program
- Focus Groups
- Website, facebook and press releases updated/sent out monthly
- Advocacy materials created and shared
- ICSAI presentations
- Data in Action reports
- Congratulatory certificates to alcohol and tobacco vendors for being in compliance
- Educated communities on prescription drugs misuse and abuse
- Quick reference sheets on prescription drugs created
- Data collected related to meth lab seizures, demographics characteristics, etc.
- Population surveys
- Substance abuse related Town Hall meetings
- ICSAI informational booth at community events
- Orientations held for new ICSAI members
- Alcohol logic model updated
- AlcoholEdu program implemented into Saranac High School
- Four Trainings conducted on: Prescription Drug Abuse and Misuse; Michigan Medical
Marijuana Act; Newly Emerging Drug Trends and Synthetic Marijuana.
- Introduced ROSC system in the county and hosted training for potential peer to peer
support coaches.
The estimated completion percentage of milestones in the ICSAI Implementation Plan is 100%.
Major success of the ICSAI FY 2011/2012 Implementation Plan include:
5. The Teen Intervene program runs approximately twice a month. Referrals at the beginning of
the implementation of the program came from the court system. The program has now grown
and has referrals from the school systems, junior high and high school coaching staff and
concerned parents. By promoting the program at school meetings (superintendent, principal,
counselor meetings and the county juvenile justice meeting) encouraged schools to send
students to the program verses a suspension. A few schools even adopted the program into
their school policies and procedures. Once students complete the program they are allowed
back into to school and/or play on the sports team. They can avoid suspension all together or it
can minimize it if they participate in the program. Schools have promoted the program in
school newsletter, schools signs and on their websites which has increased parent referrals.
The second year of running the Training for Intervention Procedures (TIPS) was a continued
success. TIPS trained Ionia County servers on alcohol how to prevent intoxication, drunk
driving, and underage drinking. Immediate results included: compliance with state and local
regulations, protection from alcohol liability, decreased penalties for alcohol violations,
improved customer service and satisfaction and increased staff professionalism. After
participate evaluations were completed and to meet local establishment demands the ICSAI
decided to expand the TIPS program for next fiscal year to better fit the demand.
The ICSAI was able to offer four trainings on Prescription Drug Abuse and Misuse; Michigan
Medical Marijuana Act; Newly Emerging Drug Trends and Synthetic Marijuana. The trainings
were all well attended and able to offer professionals continued education credits for attending
the trainings. Community members were also invited to attend the trainings. Parents and
caregivers were in attendance. The presenters offered a wealth of knowledge on subject
matters. The ICSAI is eager to offer more local trainings in the future.
The Shoulder to Shoulder parenting class was a pilot program this year and was a great success.
Guiding today's young people through adolescence is no easy task. The class reassured parents
they are not alone. The curriculum guided parents in making the most of staying ahead of the
game and find common ground with their teen. Shoulder to Shoulder is dedicated to helping to
making parents job easier by connecting fellow parents and caregivers, and sharing the insight
of those who have been there before. Referrals came in from multiple human services agencies
for parents to attend classes as required by the courts. Schools and Teen Intervene contacts
were also referrals sources to the program. The ICSAI is excited about offering the program
again to parents and hoping to expand the parenting classes to fit the early childhood
population.
Behavioral Outcomes/Achievements
An immediate behavioral outcome achieved by the prevention program alcohol compliance
checks are the compliance sale rate has dramatically decreased or stayed the same in the last
five years. The coalition links this success to the TIPS program and face to face vendor
education and several years of baseline compliance checks being completed and a strong
partnership with the Ionia County Sheriff’s Department.
6. Major data indicators tracked overtime include the alcohol compliance checks data. Alcohol
sale rates to minors: 2007-17%, 2008- 9%, 2009-10%, 2010-10%, 2011-6% and 2012-
0
5
10
15
20
Alcohol Sale Rate
2007
2008
2009
2010
2011
2012
In additional immediate behavioral outcome achieved by the prevention program Teen
Intervene was the number of Ionia County alcohol related offenders was decreased by 11% in
one year and stayed almost the same rate for fiscal year 2011.. The coalition links this success
to the schools implemented more positive and stronger substance abuse policies into their
school policies and procedures along with the parent referrals to the program and the Above
the Influence youth media campaign. Local vendors receiving compliance checks and face to
face vendor education also reduces the probability of a store selling to a minor.
0
10
20
30
40
50
60
Youth Alcohol Related Offenders
2010
2011
2012
System Outcomes
The ICSAI continued to welcome community members who are from the recovery community
to the ICSAI workgroup this past year. This is extremely valuable as we move towards the ROSC
model. ICSAI staff provided a Peer to Peer Support 101 training to community members
interested in becoming a Peer to Peer support. The training provided participants with an in-
depth and comprehensive training experience focused on the development of the skills
required for a person to responsibly providing the services of a Peer Support. The training
provided tools and resources useful in providing recovery support services and will emphasize
skills needed to link people in recovery to needed supports within the community. The primary
7. purpose of the peer to peer support program is to help individuals in addiction treatment gain
access to needed resources, services, or supports that will help them achieve recovery from
their substance use disorders (SUD). Peer Supports can help individuals address multiple
domains in their life that have been impacted by their SUD, but are difficult to address within
the structure of most addiction treatment programs, such as returning to employment or
finding stable housing. Peer Supports can also help individual transition through the continuum
of addiction treatment. Finally, Peer Support can help individuals sustain their recovery after
the formal addiction treatment component has been completed thorough consultation, skills
training, and, of course, coaching.
Coalition Evaluations
Major strengths include: community ownership, organizational effectiveness, comprehensive
approach on prevention issues, committed to results, and there is a linkage between coalition
and community funding prevention programming and key community partnerships have been
formed and maintained with human services agencies such as Community Mental Health and
the Michigan Department of Human Services. Continued strengths include evidenced based
prevention and treatment programs and services have been implemented in Ionia County, and
committed to the work, the mission/vision statements, the mission of the ICSAI is to facilitate a
continuum of substance abuse services in Ionia County, the vision is to help all Ionia County
Residents to be free of substance abuse and its effects and the ICSAI has a strong regional
advocacy voice and strong representation of consumers on the ICSAI workgroup.
Major weaknesses include: Lack of additional funding sources, recognize and adapt to diversity;
how communities operate, demographics, etc.
Opportunities to excel: continue networking and partnering with local entities have capacity
and willingness to pilot programs and strategies and partners actively seeking alternative
funding source support for prevention activities.
Barriers, Challenges, and External Factors
The ICSAI identified the following major challenges: outside funding sources, sustained
funding/funding restrictions and limitations, consistent prevention and treatment message
across county.
Future Plans
ICSAI next step in achieving sustainability of the County’s Prevention System include, but are
not limited to: continued networking and partnering with local entities having the capacity and
willingness to pilot programs and strategies; and continuing to actively seek alternative funding
sources for prevention activities.