Using web based applications for substance abuse prevention

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How Substance Abuse Prevention Interventions Can Be delivered online or other telecommunications Applications.

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Using web based applications for substance abuse prevention

  1. 1. About Your Presenter <ul><li>Tom Wilson LCPC, CPS </li></ul><ul><li>Certified Prevention Specialist </li></ul><ul><li>Substance Abuse Informatics </li></ul><ul><li>CEO </li></ul><ul><li>Tom Wilson Counseling Center </li></ul><ul><li>Boise, Idaho </li></ul><ul><li>www.tomwilsoncounseling.com </li></ul>
  2. 2. Using Web Based Applications For Substance Abuse Prevention
  3. 3. Objectives <ul><li>To identify the strategies of substance abuse prevention </li></ul><ul><li>To understand the advantages and disadvantages of web-based prevention education </li></ul><ul><li>To understand what type of content is appropriate for online delivery </li></ul>
  4. 4. Definition of Prevention <ul><ul><li>To deter the onset </li></ul></ul><ul><ul><li>of alcohol or other drug abuse by providing </li></ul></ul><ul><ul><li>individuals with the </li></ul></ul><ul><ul><li>information and skills necessary </li></ul></ul><ul><ul><li>to prevent the problem .  </li></ul></ul>
  5. 5. Importance of Early Prevention <ul><li>“… It is easier to build strong children than to repair broken men...” </li></ul><ul><li>Frederick Douglass </li></ul>
  6. 6. Theory of Prevention <ul><li>Drug abuse can be prevented if: </li></ul><ul><li>Risk factors in a population are identified and reduced </li></ul><ul><li>Protective factors are identified and strengthened </li></ul>
  7. 7. Substance Abuse Prevention Principles <ul><li>Prevention programs should: </li></ul><ul><li>address all forms of drug abuse </li></ul><ul><li>address the type of drug abuse in the community </li></ul><ul><li>be tailored to address risks specific to population to strengthen effectiveness </li></ul>
  8. 8. Principles for Delivery <ul><li>Evidence Based Prevention Programs: </li></ul><ul><li>should be adapted for local use </li></ul><ul><li>should retain core elements of the original research-based intervention </li></ul><ul><li>should be interactive as possible </li></ul>
  9. 9. CSAP Strategies <ul><li>Prevention Education ( 2-Way Education Programs ) </li></ul><ul><li>Information Dissemination ( Media Campaigns, 1-Way ) </li></ul><ul><li>Alternate Activities ( Drug Free Events ) </li></ul><ul><li>Community Based Process ( Coalitions ) </li></ul><ul><li>Environmental ( Law Enforcement ) </li></ul><ul><li>Problem Identification and Referral ( DUI Education, EAPs, SAPs, Screening ) </li></ul>
  10. 10. ABOUT OUR PROGRAM <ul><li>Tom Wilson Counseling Center specializes in providing alcohol and drug abuse prevention education services for forensic (court–ordered) clients. </li></ul><ul><li>Majority of clients are young adults charged with DUI or illegal consumption and do not meet criteria for substance abuse or dependence. </li></ul>
  11. 11. Challenges Of In-Person Classes <ul><li>Traditional classes are difficult for clients who: </li></ul><ul><ul><ul><li>travel for work or have no transportation </li></ul></ul></ul><ul><ul><ul><li>live in geographically remote areas </li></ul></ul></ul><ul><ul><ul><li>have child/family obligations </li></ul></ul></ul><ul><ul><ul><li>are in the military </li></ul></ul></ul><ul><ul><ul><li>are disabled or suffer from social anxiety </li></ul></ul></ul>
  12. 12. Why Adopt Technology? <ul><li>Information technology is now an effective way to deliver health information/content. </li></ul><ul><li>Cost has dropped dramatically (open source movement, cloud technology) </li></ul><ul><li>Access to well designed applications has increased dramatically </li></ul>
  13. 13. Advantages of Online Learning <ul><li>Self-paced learning can take place anywhere, anytime. </li></ul><ul><li>Accessible to all learners, regardless disability, location or learning schedule. </li></ul><ul><li>Teachers can use creative teaching methods in delivering material. </li></ul>
  14. 14. Disadvantages of Online Learning <ul><li>Requires computer, internet access, and some computer literacy. </li></ul><ul><li>Limitations like real world simulations, and labs. </li></ul><ul><li>Does not work well for some learning styles, group interaction and subjects. </li></ul>
  15. 15. Program Design
  16. 16. Evidence Based Components
  17. 17. Motivational Enhancement <ul><li>Non confrontational intervention </li></ul><ul><li>Begins with self-assessment </li></ul><ul><li>Personalized feedback report on pattern of use </li></ul><ul><li>Feedback includes normative comparison of results </li></ul>
  18. 18. Stages of Change <ul><li>Introduce the Stages of Change </li></ul><ul><li>Introduce examples of stages </li></ul><ul><li>Identify what activities help a person move from one stage to the next </li></ul>
  19. 19. Stages of Change Activities <ul><li>What stage am I in? </li></ul><ul><li>Readiness to Change Example </li></ul><ul><li>Decisional Balance - Benefits vs. Costs of Change </li></ul>
  20. 20. Sample Lesson Process
  21. 21. Example of Feedback <ul><li>Your Response: </li></ul><ul><li>You told us you drink 8-14 drinks per week on average when you drink. </li></ul><ul><li>Based on your response, you fell in the category described in the yellow box to the right. </li></ul>You
  22. 22. Example of Calculation Exercise <ul><li>Your typical blood alcohol content is the amount of alcohol in your blood on atypical day when you drink. </li></ul><ul><li>To calculate your typical BAC (Blood Alcohol Content) use the online BAC calculator provided. </li></ul>Online BAC Calculator
  23. 23. Feedback for Typical Drinking BACs <ul><li>Your response: </li></ul><ul><li>You calculated your BACs for a typical drinking occasion as falling between .06 to .10. </li></ul><ul><li>At BAC Levels of .06-.10, you will have impairment of muscle coordination and a slower reaction time, and disregard for personal safety. </li></ul>
  24. 24. Sample Lesson Page <ul><li>Binge Drinking </li></ul><ul><li>Is defined as five or more drinks on the same occasion at least once in the past 30 days. </li></ul><ul><li>Health, social and academic problems occur when men drink 5 or more drinks per occasion, and women drink 4 or more per occasion. </li></ul><ul><li>Binge drinking is the most common pattern among underage drinkers. </li></ul><ul><li>Less than 25% of persons aged 12 or older participated in binge drinking </li></ul>Click for Review Question
  25. 25. Other Mediums of Delivery <ul><li>Using Text Messaging as an Intervention </li></ul><ul><li>“ In a recent study, Text-Messaging to Emergency Patients Reduced Their Alcohol Consumption ” </li></ul><ul><li>12 week trial of receiving automated text messaging asking about drinking </li></ul><ul><li>Men who had 5 + and women 4+ received text messaging of concern about level of use </li></ul><ul><li>Asked if they would cut down. </li></ul><ul><li>+ for yes, ask for reconsider for no </li></ul>
  26. 26. Other Mediums of Delivery <ul><li>2. Online Assessment and Feedback with “E-checkup to Go” for freshman at universities </li></ul><ul><li>3. Online Assessment and Feedback with “Brief Assessment and Intervention for College Students” </li></ul>
  27. 27. Conclusions <ul><li>The tools of information and computer technology are being used to prevent the onset of substance abuse. </li></ul><ul><li>The tools are continually becoming more accessible to professionals. </li></ul><ul><li>Some evidenced-based programs can be adapted for electronic delivery, saving scarce resources. </li></ul>
  28. 28. Contact Information <ul><li>Tom Wilson, LCPC, CPS </li></ul><ul><li>514 So. Orchard St. Suite 101 </li></ul><ul><li>Boise, ID. 83705 </li></ul><ul><li>Office: 1-208-368-9909 </li></ul><ul><li>http://www.tomwilsoncounseling.com </li></ul><ul><li>[email_address] </li></ul>

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