Substance Abuse Prevention Strategic Prevention Plan 2018-2023 MATT GREEN, MPH HEALTH PROMOTION & COMMUNITY WELLNESS BUREAU SOLANO PUBLIC HEALTH
Strategic Prevention Plan 2018-2023 • Background • Highlights of the Process • Priority Areas • Strategy Overview • How to Get Involved • Questions/Discussion
Background History • First Strategic Prevention Plan to Reduce Rates of Alcohol, Tobacco, and Other Drugs (ATOD) developed in 2000-2001 upon Board of Supervisors direction • Updated in 2005 and 2008 • Strategic Prevention Plan (SPP) for FY 2012/13-2017/18 was developed using Strategic Prevention Framework (SPF) process • CA Department of Health Care Services (funder) requires use of SPF process → • SPF Process for new 5-year plan was initiated in 2016
Background SPF Process 2017 • Worked with local Alcohol, Tobacco and Other Drugs (ATOD) prevention coalitions on their respective Strategic Prevention Framework (SPF) process • SPF Workshops/Trainings to ATOD Prevention Coordinators
Background Goals: • Delay initial use of alcohol, tobacco, and other drugs (ATOD) among youth in Solano County • Reduce the overall proportion of Solano County youth who use ATOD • Reduce the impact of ATOD on communities, families, and individuals, largely through policy and environmental prevention strategies.
Background Overarching Strategies from the Spectrum of Prevention: • Influencing policy and legislation • Changing organizational practices • Fostering coalitions and networks • Educating providers • Promoting community education • Strengthening individual knowledge and skills
Highlights of the Process Strategic Prevention Framework Assessment Profile population needs, resources, and readiness to address problems and gaps in service delivery Capacity Mobilize and/or build human, financial and organizational resource capacity to address need; convene partnerships/coalitions; assess readiness; and improve cultural competency. Planning Develop a comprehensive strategic plan with goals, objectives and strategies aimed at meeting prevention needs. Implementation Implement prevention plan containing evidence-based prevention programs, policies and practices, and infrastructure activities. Evaluation Monitor and measure process and outcome data of implemented programs, policies, and practices for effectiveness and sustainability to continuously refine and improve prevention services, effectively apply resources, and appropriately develop the work force. Sustainability Integrate into ongoing operations to ensure that prevention values and processes are firmly established, partnerships are strengthened, and resources are secured long term. Cultural Be able to communicate with audiences with diverse geographic, Competence ethnic, racial, cultural, economic, social and linguistic backgrounds.
Highlights of the Process Assessment • Primary Data: Current ATOD prevention providers gathered local information through key informant interviews, retailer compliance checks, Healthy Stores for a Healthy Community data
Highlights of the Process Assessment Secondary Data: • California Healthy Kids Survey (CHKS) • California Health Interview Survey (CHIS) • California State Board of Equalization • California Department of Alcoholic Beverage Control • American Lung Association State of Tobacco Control Report • California Opioids Surveillance Dashboard • DMV data on alcohol- and drug-impaired driving
Highlights of the Process • Assessment Indicators
Highlights of the Process Implementation Planning • Center for Substance Abuse • Prioritization of Risk & Protective Prevention Strategies Factors: • Information Dissemination • Importance • Education • Changeability • Alternatives • Opportunities • Problem ID & Referral • Reach to Population • Community-Based Process • Acceptance of Strategies • Environmental
Priority Areas Capacity Assessment: Enter ( ). (n/a), or (-) to measure resources for each priority area Alcohol Marijuana Tobacco Rx Drugs Resource Readiness Community Awareness Limited - Specialized knowledge about Pv Limited - - research, theory, and practice Community Resources HPCWB completed a resource Practical experience Limited - - Political/policy knowledge Limited - - readiness assessment Funding - Equipment: computer, Xerox, etc. Fiscal Resources - Findings showed that there is Promotion and advertising - Competent Staff not sufficient capacity in all increasing four priority areas Training in progress Limited Consultants in progress Limited Tobacco prevention efforts will Human Resources Volunteers - - be pursued through Solano Stakeholders Limited Limited Limited County’s Tobacco Prevention Other agency partners - Limited Community leaders and Education Program (TPEP) Limited - Limited Vision and mission statement - Clear and consistent organizational Limited resources and limited - - patterns and policies data for prescription drugs – Adequate fiscal resources for Can use Can use Organizational Resources - implementation more more may decide to add as a priority Technological resources N/A N/A N/A N/A area later Specialized knowledge about Pv Limited Limited research, theory, and practice
Priority Areas • Alcohol Percent of students reporting use Solano County Youth Past 30 Day Use 2015 - 2016 • Cannabis (Marijuana) 25% 20% • Tobacco 15% 10% • Tobacco Prevention & Education Program 5% 0% Prescription • Proposition 56 Funding Alcohol Marijuana Tobacco Drugs 7th Grade 6% 4% 1% 3% • Prescription Drugs (Opioids) 9th Grade 14% 10% 2% 5% 11th Grade 23% 18% 4% 7% • Limited Resources & Data 7th Grade 9th Grade 11th Grade CHKS, 2016
Priority Areas-Alcohol Perceived Ease of Access to Sources of Alcohol Solano County: Perceived Ease of Access to Alcohol Percent of students reporting it is "very easy" 100% 100% 90% 90% or "fairly easy" to obtain alcohol "Very Easy" or "Fairly Easy" % of Students responding 80% 80% 70% 70% 60% 60% 50% 50% 40% 40% 30% 30% 20% 20% 10% 10% 0% Older Adult At party/ 0% Store friends/ From home 2003 2005 2007 2009 2014 2016 purchase for gathering siblings 7th 34% 35% 40% 40% 31% 27% 7th 10% 20% 32% 40% 27% 9th 67% 62% 66% 64% 57% 51% 9th 19% 38% 53% 60% 42% 11th 80% 76% 77% 75% 71% 66% 11th 30% 55% 67% 74% 51% CHKS, 2016
Priority Areas Alcohol Consequences • Neurodevelopment • DUI % of Driving Deaths with Alcohol Involvement • Injury & Death • Long-Term Health Risks • Development of Chronic Diseases: high blood pressure, stroke, liver disease, digestive problems, cancer, and heart disease • Solano County Hospitalization Rate for Heart Disease is 234.79 per 10,000 , which is higher than the state benchmark of 222.00 per 10,000 County Health Rankings and Roadmaps, 2017
Priority Areas
Priority Areas Cannabis (Marijuana) Perceived Ease of Access to Sources of Marijuana Percent responding it is "very easy" or "fairly easy" to obtain marijuana 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Medical Older friends/ At party/ At School From home marijuana siblings gathering dispensary 7th 19% 25% 29% 13% 12% 9th 47% 49% 55% 25% 19% 11th 60% 64% 69% 34% 31% CHKS, 2016
Priority Areas Cannabis Consequences • Cannabis use negatively affects the developing brain in areas that are involved in executive functions like memory, attention, learning, retention, and impulse control (CDPHE, 2016) • DUI • Edible Poisoning
Priority Areas
Strategies Cannabis (Marijuana) will be primary policy focus for years 1-2 • Social Access: Social Host Ordinance Policy, Media Campaigns, Parent Education Program • Overall Access : Retailer Compliance Checks, Responsible Seller Ordinance & Training, Educational Campaigns, Policy Trainings for Local Coalitions • Youth Perception of Harm: Peer Leader Program, Media Campaigns • Community Connectedness: Alternative activity options for youth (Friday Night Live), Community Trainings, Youth ATOD Prevention Summit • Capacity Building: Coalition Development and Policy
Strategies Alcohol • Retail Access: Compliance Checks, Responsible Beverage Service Training, Healthy Stores for a Healthy Community Campaign, Retail Density Policy • Social Access : Parent Education Program, Media Campaigns • Youth Perception of Harm: Peer Leader Program, Media Campaigns • Community Connectedness: Alternative Activity Options for youth (Friday Night Live), Youth ATOD Prevention Summit • Capacity Building: Coalition Development and Policy (Policy focus will begin in year 3)
Cultural Competence • We aim to communicate with audiences of diverse geographic, ethnic, racial, cultural, economic, social and linguistic backgrounds • Plan incorporates Solano County Racial Equity Toolkit to guide development, implementation, and evaluation of strategies • Efforts Include: • Media Campaigns • Program Recruitment • Community Outreach
Where to Find the Full Plan • Check out www.vibesolano.com/ATOD
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