Partnerships For Success Sarah Mariani, Behavioral Health Administrator Washington Department of Social and Health Services - Division of Behavioral Health & Recovery September 12, 2016 1 9/15/2016
Washington State • 7.1 Million Seahawks Fans (people) • 39 Counties • 29 Federally Recognized Tribes • State Baseball Team – Seattle Mariners • State Football Team – Seattle Seahawks • 5 volcanos: Mount Baker, Glacier Peak, Mount Rainier, Mount Adams, and Mount St. Helens • Forest covers half of our land area 9/15/2016 2
A BIT OF BACKGROUND 9/15/2016 3
Prevention Policy Consortium Advisory Council for PFS project • PFS implementation monitoring in Prevention Policy Consortium meetings Annual review and update of Prevention Policy Consortium actions plans • Tracking trends with new policies and initiatives • 2015 review of needs and resources assessment • Supported by SEOW data reports • http://www.theathenaforum.org/spe 9/15/2016 4
Prevention Policy Consortium Structure 9/15/2016 5
WA State Contractors/Providers • 26 Federally Recognized Tribes • 59 Total CPWI Coalitions – 54 SABG Funded Coalitions – 41 PFS Grantees (Coalitions) – 5 State Funded Coalitions – Prevention Intervention Specialist in each Community 9/15/2016 6
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THE COMMUNITY PREVENTION & WELLNESS INITIATIVE (CPWI) DESIGN 9/15/2016 8
Model for Successful Community Prevention 9/15/2016 9
CPWI – Brief Overview • Prevention delivery system redesign began in July 2011 and currently is made up of 59 communities. https://www.dshs.wa.gov/sites/default/files/SESA/publication s/documents/22-1464.pdf • Purpose: – To better target and leverage funding through active partnerships – To provide long-term support for positive community change – To measure impacts and build the case for greater investments in prevention 9/15/2016 10
CPWI – Brief Overview • Our Goal: Reduce substance use among middle and high school aged youth. – By reducing underage drinking, prescription drug abuse, underage marijuana use we also expect to reduce youth crime, mental health problems, and improve school performance. • Partnership effort among – Division of Behavioral Health and Recovery (DBHR); – County Human Services; – The Office of the Superintendent of Public Instruction (OSPI); – Educational Service Districts (ESDs); and – Local school districts 9/15/2016 11
County-wide Services to High-need Communities • Community risk ranking identified by DBHR using a risk profile score for each school district in the county. • Risk profiles were created using youth alcohol use data and levels of community problems that can increase youth risk for substance use and abuse. 9/15/2016 12
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CPWI Comprehensive Approach • Develop a Comprehensive Strategic Action Plans • Plans must include; – Community Based Process - Community Coalitions, – Information Dissemination Campaigns/Public Awareness, – Environmental Strategies, – Education & Alternatives (Direct Service Programs), – Problem Identification and Referral (PI Specialists). http://www.theathenaforum.org/cpwi_community_coalition_guide_updated_august_20 15_rvsd_10_12_15 9/15/2016 14
Intervening Long-Term Local Conditions Strategies & Behavioral Evaluation Plan Variables Outcome: and Contributing Local Health Problems – (Risk/Protective Consequences Factors Implementation (Consumption) • – Factors) • • – Community lacks cohesion These problems… These types of problems… Community Community engagement/ …and we will use these Let’s Draw the Line and is disorganized to address Disorganization/ Coalition development: – tools to measure our School performance Any Underage Drinking SA prevention - 30 All Coalitions – Community impact… 52 - Coalitions 52- Coalitions (All ) Lack of local resources in Connectedness – 44 – community to address many Public Awareness: 52 Bonding Healthy Beliefs concerns - 11 Youth Delinquency Underage Social Norms Campaign -17 and Clear Standards -7 50 - Coalitions (All ) Problem and Heavy Let’s Draw the Line -5 Community Increase in retailers due to Alcohol Availability: 52 – Above the Influence - 2 Drinking laws to increase alcohol sales engagement/ Talk They Hear You – 6 Retail Access 15 Mental Health 46-Coalitions (I-1182) and marijuana retail Coalition development: Be the Wall – 1 Social Access 29 51 - Coalitions market (I-502) - 11 Info Dissemination-52 Annual Coalition Survey Promotion of Alcohol - 10 Marijuana Use Sustainability Alcohol Laws: Suicide 41- Coalitions Alcohol & other drugs are Documentation Enforcement; Penalties; 3 Coalitions Enviro. Strategies: 97 prevalent at community – State Wide Reporting Regulations - 24 Retailer Education -5 Tobacco Use – events & home Community Laws and Compliance Checks – 4 Substances are easily – Other (Injury, Illness and 15- Coalitions norms Favorable Toward Review and Revision Group - – accessible at home - 14 Death 12 Youth Substance Use is a – Drug Use - 23 3 coalitions Prescription Use Media Education -3 Cultural Norm – 14 – Public Awareness: 14 - Coalitions Family Domain Let’s Draw the Line -3 – Ad placements that appeal to Process measures Poor Family Management Increase Visibility of youth and lack of clear – Other Drug Use Community Survey Enforcement -6 - 40 messages in the media - 6 – # of Impressions 6 - Coalitions Compliance Checks -4 – Family Favorable Family Domain Social Host Ordinance -3 – Attitudes Toward Parental attitudes tolerant of Drug Take Back -6 – Depression Environmental Substance Use – 13 substance use - 20 Parents to Host - 1 – 9 – Coalitions Strategies: Limited resources for families – Healthy Beliefs/Clear Process measures Annual – 13 School-based P/I Services: Standards - 4 Suicide Inconsistent messages Community Survey Project SUCCESS-52 7 - Coalitions School Domain related to SA/Lack of clear Biennium HYS Direct Services - 203 consequences -12 Low Commitment to Life Skills Training -27 School - 14 School Domain Strengthening Families -22 Academic Failure - 6 Absenteeism, skipping school Guiding Good Choices -19 Prevention/ Prosocial Opportunities - 4 and low commitement -4 Second Step -12 Intervention Services: Individual/Peer Domain Lack of consistent school Parenting Wisely -9 pre/post Favorable Attitudes/Low enforcement - 4 Good Behavior Game- 9 Mentoring - 11 Statewide Logic Model Perception of Harm - 43 Individual Peer Domain SPORT – 8 Friends Who Engage in the Youth do not see substance Curriculum Based Support Direct Services: Problem Behavior -22 Commonalities – use as risky or dangerous, Groups – 5 Assigned Program Early Initiation of Use -19 they do not thing they will get Positive Action – 5 Bonding - 12 pre/post and process Cohorts 1, 2, & 3 caugh t – 29 Case Management – 5 Intentions to Use – 5 High perception that measures; HYS Incredible Years - 4 9/15/2016 15 friends/peers use substances 2015-2016 Healthy Beliefs/Clear Nurse Family Partnership - 3 -12 Standards - 1 Peer Assistance and Leadership – 3
PFS ENHANCEMENTS TO WASHINGTON PREVENTION SERVICES 9/15/2016 16
PFS Staff Roles • Sarah Mariani, PFS Grant Director • Martha Perla, Lead Epidemiologist (SEOW) • Rebecca Grady, Lead Evaluator • Lucilla Mendoza, PFS Grant Coordinator • Prevention Policy Consortium, Advisory Council 9/15/2016 17
PFS Funding Overview Award Breakdown • Dedicated funding to support State Epidemiological Outcomes Workgroup (SEOW) • 85% of remaining funding to support Community-based Components. – CPWI enhancement and targeted enhancements. • 15% of remaining funding to support training and technical assistance at state-level; and required indirect. Ensure PFS Goals • Strengthen prevention capacity and infrastructure at state and local level Leverage and align funding streams and resources. • 9/15/2016 18
Support Local High Need Communities • Funding need from Original PFS Grant Application. 9/15/2016 19
Composite Consequence and Risk Scores Selected Communities Compared to State Selected High Need Communities Highlighted High Risk State Average Low Risk NOTES: 1. One outlier based on only six indicators was excluded. 2. School districts are used as a proxy for communities. Health Planning Areas are used as a proxy for CPWI sites in Seattle School District. Risk scores are not available for other urban CPWI sites that only cover a specific geographic area within a large school district. The risk scores for the entire school districts are 9/15/2016 20 used in for these area.
Overview Community-based Components • Enhance CPWI work - Combined support from SAPT funds and Partnerships Grant increased to $85,000/coalition per year. • Advance CPWI community coalition development and SPF implementation toward reaching Key Objectives benchmarks. • In 2015 leverage state funds to bring all coalitions up to $110,000. 9/15/2016 21
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