Effective Prevention Programs: Everything You Need to Know and More

1. Effective Prevention Programs: Everything You Need to Know and More New Mexico Department of Health Office of Substance Abuse Prevention ¡Bienvenidos!

2. Course Objectives • Who is part of New Mexico’s prevention system • What does the NM Prevention system look like • Components of an effective prevention program • Planning and implementation of prevention activities that make a difference • Steps for a successful prevention program

3. Partners Who Make up the System • Department of Health (TUPAC, Violence, Suicide, Epi, Health Ed) • Children Youth and Families Department • Public Education Department • Department of Finance and Administration • Department of Transportation • Human Services Department • Department of Public Safety • Value Options • Center for Substance Abuse Prevention/SAMHSA • Southwest Center for the Application of Prevention Technology • National Prevention Network/National Association of Substance Abuse

5. Needs Assessment • Profile population needs, resources, and readiness to address the problems and gaps in service delivery • Assess usage patterns using epidemiological data provided by the State as well as other local data • Develop a set of intervening variables that link with substance use patterns • Cultural considerations should be considered with every data collection process • Develop a logic model for creating evidence-based strategies that will address the intervening variables • Communities must also assess community assets and resources, gaps in services and capacity and readiness to act • A data driven process should inform all of your choices • Your evaluator should be involved in every part of the process

6. Needs Assessment What does the data tell us about Meth use? Two major peaks of initiation in NM include adolescents who are already chronic heavy marijuana users and young adults in work places where they use meth to stay awake and work consecutive shifts (oil and natural gas industries) We want to continue to study the data to identify points where prevention/treatment can make a difference in meth use

7. Data 1. State Report The 2005 NM YRRS state report is available at: http://www.health.state.nm.us/pdf/YRRS2005FinalReport.pdf, OR go to http://www.health.state.nm.us/, then click on 'Health Data' at the right of the banner along the top, then under 'Data Menu', go to 'Health Behaviors/Youth'. 2. County Reports 2003 NM YRRRS county reports are available at: http://www.health.state.nm.us/yrrs.html OR go to http://www.health.state.nm.us/, then click on 'Data Menu / County Data / Substance Abuse', and click on the county you are interested in. Behavioral Risk Factor Survey:

8. DATA The NM Behavioral Risk Factor Survey is a statewide telephone survey of adults age 18 and over. Topics covered are alcohol use, tobacco use, and other behaviors that put people at risk of injury, disease, and premature death. Go to http://www.health.state.nm.us/hdata.html, then click on then under 'Data Menu', go to 'Health Behaviors/Adult'. Social Indicator Report: The Social Indicator Report presents direct and indirect indicators of substance abuse at the state and county levels. http://www.health.state.nm.us/pdf/Social_Indicator_NM_2004.pdf

9. DATA http://www.health.state.nm.us/pdf/2004_Burden_Substance_Abuse.pdf Drug Abuse Patterns and Trends in New Mexico: Proceedings of the New Mexico State Epidemiology Workgroup, September 2004: Presentations on drug abuse in New Mexico from various perspectives, including public health, law enforcement and academia. http://www.health.state.nm.us/pdf/SEWG_NM_2004_FULL_REPORT.pdf

11. SPF SIG New Mexico Community Logic ModelReducing alcohol-related youth traffic fatalities Substance-Related Consequences Substance Use Causal Factors Strategies (Examples) Underage BINGE DRINKING Easy RETAIL ACCESS to Alcohol for youth Enforce underage retail sales laws Low ENFORCEMENT of alcohol laws Underage DRINKING AND DRIVING Social Event Monitoring and Enforcement High rate of alcohol-related crash mortality Among 15 to 24 year olds Easy SOCIAL ACCESS to Alcohol Low PERCEIVED RISK of alcohol use Media Advocacy to Increase Community Concern about Underage Drinking Young Adult BINGE DRINKING SOCIAL NORMS accepting and/or encouraging youth drinking Young Adult DRINKING AND DRIVING Restrictions on alcohol advertising in youth markets PROMOTION of alcohol use (advertising, movies, music, etc) Bans on alcohol price promotions and happy hours Low or discount PRICING of alcohol

12. Methamphetamine Causal Logic Model (NM 4-06) Causal Factors Strategies Substance-Related Consequences Substance Use LAWS re: Manufacturing Supplies, Production, Sale, Possession Laws and ordinances addressing precurser substances Low ENFORCEMENT of Laws TBD Low PERCEIVED RISK of Arrest for Production or Sale TBD Meth-amphetamine Associated HARM Meth-amphetamine USE Local PRODUCTION of Meth Easy AVAILABILITY and Low PRICE of Meth TBD Low PERCEIVED RISK of use of Meth INDIVIDUAL and PEER FACTORS Favorable to Use of Meth Infrastructure Development Local AWARENESS of Meth Harms COMMUNITY & Workplace NORMS accepting of use and of low enforcement

13. The table above shows the aggregate burden of methamphetamine from multiple data sources and for numerous consequences. It shows the severity of that burden and where it is most pronounced geographically, in the northwest, central, and southeast regions of the state.

14. The second table shows student self-reported usage data taken from the results of the 2005 YRRS student survey. The southeast region of the state (implementation sites – Chaves and Eddy Counties) has the highest reported student use of methamphetamine, followed by the northwest region (project site -- San Juan County), and then Albuquerque. The southwest region of the state (Border Area Mental Health, four county implementation site) includes Catron, Luna, and Dona Ana Counties, counties with three of the highest use rates in the state.

16. Capacity • Mobilize and/or build capacity to address needs • Participate in existing community planning efforts where they exist and broaden these to include all related program initiatives and stake holders • Engage key stakeholders at the State and community levels • Key tasks may include, convening leaders and stakeholders; building coalitions; training community stakeholders, coalitions, and service providers; organizing agency networks; leveraging resources; and engaging stakeholders to help sustain the activities • Encompasses all cultures represented in the community

18. Planning • Develop a comprehensive strategic implementation plan • Articulates a vision for the prevention activities and strategies for organizing and implementing prevention efforts based on the community’s developed logic model • Focuses on addressing intervening variables identified by each community • Is based on documented needs, builds on identified resources/strengths, set measurable objectives and includes the performance measures and base line data against which progress will be monitored • Are flexible and can be adjusted as the result of ongoing needs assessment and monitoring activities

19. Planning • (continued) • Addresses the issue of sustainability by creating a long- term strategy to sustain policies, programs and practices • Takes into account and respects the cultures in which it will be implemented

21. Implementation • Implement evidence based prevention programs and infrastructure development activities • Local stakeholders will use the findings of their needs assessments to guide selection and implementation of evidence based policies, programs and practices • Focus on all of the causal factors that create use patterns in your community and monitor whether your implementation is having an impact • Ensure that culturally competent adaptations are made without sacrificing the core elements of the program

23. Evaluation • Monitor process, evaluate effectiveness, sustain effective programs/activities, and improve or replace those that fail • Utilize evaluation data to monitor and improve programming • Provide performance data to key stakeholders on a regular basis, so that the State can monitor, evaluate, sustain and improve the system • Ensure that culturally competent adaptations are made without sacrificing the core elements of the program

24. QUESTIONS?