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Healthy Communities that Care

Healthy Communities that Care. Prevention Needs Assessment Results. Strategic Prevention Framework.

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Healthy Communities that Care

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  1. Healthy Communities that Care Prevention Needs Assessment Results

  2. Strategic Prevention Framework The Drug-Free Communities Support Program initiative utilizes the Strategic Prevention Framework (SPF) developed by the federal Substance Abuse and Mental Health Services Administration (SAMHSA). The five elements that make up the SPF assist communities to develop the infrastructure needed for a community-based, public health approach leading to effective and sustainable reductions in alcohol, tobacco, and other drug (ATOD) use and abuse.

  3. SPF Elements Assessment: Collect data to define problems, resources, and readiness within a geographic area to address needs and gaps. Capacity: Mobilize and/or build capacity within a geographic area to address needs. Planning: Develop a comprehensive strategic plan that includes policies, programs, and practices creating a logical, data-driven plan to address problems identified in Step 1. Implementation: Implement evidence-based prevention programs, policies, and practices. Evaluation: Measure the impact of the SPF and the implemented programs, policies, and practices. Additionally, Sustainability and Cultural Competence have been added to the core of the framework as both are necessary in developing an effective coalition.

  4. Key SPF Products Community Assessment Logic Model Strategic and Action Plan Sustainability Plan Evaluation Plan

  5. Survey Introduction • In the fall of 2008 students in grades 6th, 8th, 10th, and 12th participated in the Prevention Needs Assessment Youth Survey in 6 school districts • A total of 2400 youth participated • Passive consent to participate • To date 7 communities in Livingston County have administered the PNA or CTC survey; 6 of those communities were part of this re-survey project and 3 more will be surveyed in the Fall of 2009. • Designed to identify the levels of risk and protective factors related to problem behaviors such as use of alcohol and drugs and participation in antisocial behaviors

  6. Methodology • Administration • All youth were ensured that the survey was voluntary and confidential • The survey was administered in a classroom at a designated period and the survey took one full classroom period to complete. • Survey Validation • There are five strategies used to assess the validity of the surveys. Below are the 5 reasons that a survey taker may be deemed dishonest thus making the survey invalid: • the students indicated that they were “Not Honest At All” in completing the survey (Last question) • the students indicated that they had used the non-existent drug phenoxydine • the students reported an impossibly high level of multiple drug use (over 120 times in the past month) • the students indicated past-month use rates that were higher than lifetime use rates; • the students reported an age that was inconsistent with their grade or their school • Surveys meeting any of these criteria are not included in the final analyses. The usual percentages who are deemed dishonest in their responses is about 3%.

  7. Substance Use Highlights

  8. Anti Social Behaviors Highlights Overall many antisocial behaviors have decreased, however, there are still many indicators that are higher than national norms or have increased over time. Below are antisocial behaviors that either have increased since the 2005 data report and/or are higher than national norms. **Note: antisocial behavior indicators are within the past year of survey administration

  9. Risk Factor Highlights • Overall 22 out of 24 risk factor measurements decreased • Sibling drug use remains high for 12th grade • 12th grade parent attitudes favorable toward antisocial behavior is increasing and is high

  10. Community Disorganization • Overall perception of community disorganization remains significantly higher than national norms • Related Survey Questions: Survey Questions: How much do each of the following statements describe your neighborhood: crime and/or drug selling, fights, lots of abandoned buildings, lots of graffiti

  11. Laws and Norms Favor Drug Use • 10th and 12th grade laws and norms favorable toward drug abuse remains significantly higher than national norms • Related Survey Questions: How wrong would most adults in your neighborhood think it was for kids your age: to use marijuana, smoke cigarettes, drink alcohol. If a kid smoked marijuana in your neighborhood would he or she be caught by the police?, If a kid drank some beer, wine, or hard liquor (for example, vodka, whiskey, or gin) in your neighborhood, would he or she be caught by the police?,If a kid carried a handgun in your neighborhood would he or she be caught by the police?

  12. Perceived Availability of Drugs • Overall perceived availability of drugs/alcohol increased from baseline • Related Survey Questions: If you wanted to get some cigarettes, how easy would it be for you to get some?, If you wanted to get some beer, wine, or hard liquor (for example, vodka, whiskey, or gin), how easy would it be for you to get some?, If you wanted to get a drug like cocaine, LSD, or amphetamines, how easy would it be for you to get some?, If you wanted to get some marijuana, how easy would it be for you to get some?

  13. Poor Family Management • Poor family management remains high for 6th and 12th grade • Definition: Parents’ use of inconsistent and/or unusually harsh or severe punishment with their children. Also, parents’ failure to provide clear expectations and to monitor their children’s behavior makes it more likely that they will engage in drug abuse whether or not there are family drug problems

  14. Parent Attitudes Favor Drug Use • 8th, 10th and 12th grade parent attitudes favorable toward drug use remains high • Related Survey Questions: How wrong do your parents feel it would be for you to:drink beer, wine, or hard liquor (for example, vodka, whiskey, or gin) regularly?, smoke cigarettes?, smoke marijuana?.

  15. Rebelliousness • Overall rebelliousness is increasing • Related Survey Questions: I do the opposite of what people tell me, just to get them mad., I like to see how much I can get away with., I ignore the rules that get in my way

  16. Perceived Risk of Drug Use • Overall perceived risk of drug use is decreasing • Related Survey Questions: How much do you think people risk harming themselves (physically or in other ways) if they: Smoke one or more packs of cigarettes per day?, Try marijuana once or twice?, Smoke marijuana regularly?, Take one or two drinks of an alcoholic beverage (beer, wine, liquor) nearly every day.

  17. Protective Factors Highlights Overall 9 out of 13 protective factor measurements increased significantly

  18. Family Rewards for Pro-Social Involvement • Related Survey Questions: Do you enjoy spending time with your mother?, Do you enjoy spending time with your father?, My parents notice when I am doing a good job, and let me know about it., How often do your parents tell you they’re proud of you for something you’ve done?

  19. Survey Question: How often do you attend religious services or activities?

  20. Belief in the Moral Order • Related Survey Questions: I think it is okay to take something without asking if you can get away with it., I think sometimes it’s okay to cheat at school., It is all right to beat up people if they start the fight., It is important to be honest with your parents, even if they become upset or you get punished.

  21. HCTC Strategies • Marketing, Education and Training • Ongoing Research support—community needs, community resources • Knowledge Dissemination and Education • Community Website • Environmental Prevention Strategies • Youth Support and Intervention • Science Based School Prevention Programs • Science Based Family Prevention Program • Treatment/ Intervention Resources and Guidelines • School ATOD Policies

  22. Some of 2009 Activities and Plans • Environmental Scans: Groups of adults and youth conducted Environmental Scans to look at alcohol product placement and advertisements in local stores and how they attract young people • Parents who Host Lose the Most presentations at Sports meetings • This Place presentations at Rotary and Kiwanis • Facilitation of SUNY Geneseo underage drinking prevention coalition • April-June: Project Sticker Shock • May: Prom prevention and Parents Who Host Lose the Most fact cards and brochures warning youth and parents of the legal and civil consequences of providing alcohol to minors will be mailed to parents with report cards • June/July: Parents Who Host Lose the Most: Presentations and brochures at senior grad bashes, sports banquets and senior banquets • September-December: Social Norms Campaign- this will be designed with the help of youth- the goal being to create an effective campaign that educates youth that most youth are NOT using alcohol

  23. Questions? Comments? For More Information about HCTC Contact: Rachel Pena, HCTC Coordinator Genesee Valley Health Partnership, Inc. (585) 748-5146 rpena@gvhp.org Visit www.gvhp.org for more information on HCTC and other GVHP Projects

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