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Prevention of Substance Abuse and Addiction

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  1. Prevention for Healthier Communities17th Annual Healthy Carolinians Conference and NCIOM Prevention Summit Prevention of Substance Abuse and Addiction Moderator: Flo Stein, Chief-Community Policy Management Division of MH/DD/SAS/Dept. of HHS Data and Evidence-Based Practices: Janice Petersen, Ph.D. Director, Office of Prevention/Division of MH/DD/SAS Evidence-based Practice Model: Sheila Davies Project Manager, Substance Abuse Project Dare County Department of Public Health

  2. NCIOM Prevention For The Health of North Carolina: Task Force on Prevention • Leading Causes of Death and Disability 10-identifiable causes: (1) Cancer (2) Heart Disease (3) non-MVA Injury (4) Chronic lower respiratory disease (5) Alcohol & drug use-with underlying cause for 8 out of 10

  3. NC-Estimates • Recent estimates indicate that almost 709,000 NC are dependent on illicit drugs, alcohol, or both • A large majority of these-551,000 were estimated to have alcohol dependence or abuse, and 250,000 illicit drug dependence or abuse

  4. NC-Estimates • Of the 732,000 children and adolescents ages 12-17 in North Carolina, 276,000 have specific risk factors that make them more likely to develop substance abuse problems • Data indicate that certain groups have a higher risk of developing problems, including those who have substance-abusing parents, with academic difficulties, or who have started various levels of experimentation.

  5. NC-Data Sources • National Survey on Drug Use and Health (NSDUH)-National Outcome Measures • Youth Risk Behavior Surveillance System (North Carolina Schools) • Compliance Reports-Federal Block Grant --discretionary grants

  6. Table NC4–NOMs Summary Table: Other Survey-Based National Outcome Measures, North Carolina Data Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002-2007

  7. Table NC2–NOMs Summary Table: Alcohol-Related National Outcome Measures, North Carolina Data Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2002-2007

  8. Substance Abuse and Mental Health Services Administration (SAMHSA) Designated Single State Authority for Substance Abuse Services: Division of MH/DD/SAS Prevention set- aside= 20%

  9. Substance Abuse Prevention and Treatment Federal Block Grant (SAPTBG)

  10. 2008-2009 Safe and Drug Free Schools and Community and Substance Abuse Prevention and Treatment Block Grant Funds Per LME

  11. Substance Abuse Prevention and Treatment Block Grant Programs(SAPTBG) CenterPoint East Carolina Behavioral Health Albemarle Crossroads OPC Five County (ECBH) A-C-R Foothills Alleghany Northampton Camden Currituck Rockingham Warren Ashe Person Gates Surry Stokes Caswell Vance Pasquotank Hertford Catawba Halifax Perquimans Wilkes Granville Watauga Yadkin Forsyth Orang e Avery Chowan Franklin Bertie Mitchell Guilford Alamance Durham Caldwell Smoky Alexander Davie Nash Yancey Edgecombe Madison Washington Mountain Iredell Wake Martin Davidson Chatham Tyrrell Dare Burke Randolph Wilson Pitt McDowell Catawba Rowan Buncombe Beaufort Haywood Johnston Lincoln Greene Hyde Swain Rutherford Lee Cabarrus Montgomery Henderson Graham Harnett Jackson Gaston Wayne Polk Stanly Moore Lenoir Craven Cleveland Transylvania Mecklenburg Cherokee Macon Cumberland Pamlico Clay Pathways Richmond Jones Sampson Union Anson Hoke Duplin Beacon Carteret Western Highlands Onslow Center Scotland Piedmont Sandhills Robeson Bladen Pender Eastpointe Columbus New Hanover Southeastern Brunswick Southeastern Regional Center The counties within an LME share the same color. Unless otherwise indicated, the LME name is the county name(s). SDFSC SAPTBG Evidence Based Programs (EBP) Too Good for Drugs Brief Strategic Family Therapy Nurse Family Partnership Project Success Keeping it Real Smart Moves Incredible Years Parenting Wisely Soft Dates Second Step Good Touch Bad Touch Positive Action Families and Schools Together (FAST) Nurturing Parents Project Alert Allstars Reconnecting Youth Project TND Early Risers I Can Problem Solve Children in the Middle Project Venture Life Skills Guiding Good Choices I’m Special Strengthening Families Dare To Be You Street Smart

  12. Evidence Based Programs By LME • CenterPoint • Provider/s: PDFNC/Unlimited Success • EBP: Reconnecting Youth • Early Risers • Keeping it Real • Crossroads • Provider/s:PDFNC/Unlimited Success • EBP: Life Skills • Reconnecting Youth • Early Risers • AllStars • Cumberland • Provider/s: Cumberland County Communicare • EBP: Project Alert • Strengthening Families • Durham Center • Provider/s: PPDFNC/Unlimited Success • EBP: Early Risers • Reconnecting Youth • Keeping It Real • EastPointe • Provider/s: 4-H • EBP: Project Alert • AllStars Alamance Caswell Rockingham (A-C-R) Provider/s: Alcohol and Drug Services EBP: Project Toward No Drug Abuse (Project TND) AllStars Project Alert Life Skills Project Success I’m Special Not On Tobacco (NOT) Albemarle Provider/s: Albemarle LME No Evidence Based Programs Reported Beacon Center Provider/s: a. Port Human Services b. Wilson Families in Action EBP: AllStars----------------------------------------- a. Reconnecting Youth------------------------- a. Second Step----------------------------------- a Early Riser ------------------------------------ -a. Project Alert----------------------------------- -a. Substance Abuse Family Education---- --a. I’m Special-------------------------------------- -a. Parent Networking Strategy-------------- ---b. Catawba Provider/s: Clay Wilson Associates EBP: Smart Moves Project Alert Project TND Nurturing Parent/Teen

  13. East Carolina Behavioral Health (ECBH) Provider/s: Port Human Services EBP: Reconnecting Youth Project Alert I’m Special Project TND Keep a Clean Mind Five County Provider/s: a. Halifax County Health Dept. b. Skills Management EBP: Project TND----------------------------b. Nurse Family Partnership----------a. Brief Strategic Family Therapy-—a. Reconnecting Youth-----------------b. Foothills Provider/s: a. ARP-Phoenix b. Freedom House c. Clay Wilson Associates EBP: Second Step---------------a. Project Alert-----------------b. Allstars-----------------------c. I’m Special------------------c. Guiding Good Choices---c. Guilford Provider/s: a. Alcohol Drug Services b. Family life Council of Greater Greensboro c. Guilford Youth Initiative d Centro De Accion Latino EBP: AllStars-----------------------b Keeping It Real ------------b Peace Builders-------------c. Project Alert ----------------a. Project TND---------------- a. Life Skills--------------------d. I’M Special------------------a Johnston Provider/s: EBP: Guiding Good Choices Project Success Mecklenburg Provider/s: Chemical Dependency Center Substance Abuse Prevention Services EBP: I’M Special Project TND Safe Dates Parenting Wisely Dare to be You Families and Schools Together (FAST) Reconnecting Youth Orange Person Chatham (OPC) Provider/s: PDFNC/Unlimited Success EBP: Reconnecting Youth Early Risers Project Alert Keeping it Real

  14. Smoky Mountain Provider/s: ARP-Phoenix Western Youth Network EBP: AllStars Project TND Children in the Middle Safe Dates Good Touch Bad Touch Positive Action Parenting Wisely Project Alert Nurturing Parents Reconnecting Youth Project Venture Southeastern Center Provider/s:Coastal Horizons EBP: Project TND Project TNT Project Venture Project Alert AllStars Guiding Good Choices Project Success I’M Special Strengthening Families Onslow Carteret Provider/s:Community Prevention Services EBP: Project TND Project Alert Pathways Provider/s: a. ARP-Phoenix b. Footprints c. Cleveland Co. Health Dept. EBP: Project TND-------------------a. Allstars-------------------------a. Safe Dates--------------------a. Project Alert-------------------a. Positive Action----------------a Piedmont Provider/s: Daymark Recovery Services EBP: AllStars Project TND Project TNT Sandhills Provider/s: PDFNC/Unlimited Success Alcohol Drug Services EBP: Reconnecting Youth I’M Special Early Risers Keeping It Real AllStars Project Alert Project TND

  15. Southeastern Regional Provider/s: Robeson Healthcare EBP:AllStars Too Good For Drugs Project TND Positive Action Good Touch Bad Touch Guiding Good Choices Incredible Years Children in the Middle Wake Provider/s:4-H Youth Southlight EBP: Reconnecting Youth Dare To Be You I Can Problem Solve Project TND Project Alert Western Highlands Provider/s: ARP- Phoenix EBP: Positive Action AllStars Project Alert Project TND Nurturing Skills Children In the Middle Nurturing Parent Parenting Wisely Second Step Safe Dates

  16. Evidence Based ProgramsTarget Populations • Universal • Selective • Indicated www.nciom.org

  17. The five-step process is shown below. Infused in the center of the five steps are two concepts that are critical to long-term prevention efforts—cultural competence and sustainability.

  18. Comprehensive Plan for Substance Abuse Prevention • NCIOM Task Force on Substance Abuse Services www.nciom.org • North Carolina Centers for Prevention Resources

  19. Prevention Office Contacts • Prevention and Early Intervention Team (919) 715-5989 Janice.petersen@ncmail.net