2012 Needs Assessment

7/31/2019 2012 Needs Assessment

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Prevention/Treatment Needs Assessment

Bureau of Drug and Alcohol Programs

SCA Name: Franklin/Fulton Drug & Alcohol Program

Date Submitted: May 31, 2012



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Table of Contents

General Information/Instructions........................................................................................................... 3

SCA/County Information......................................................................................................................... 5

Objectives............................................................................................................................................. 14

Appendix A: Key Representative and Convenience Survey Administration Information

(needs to be completed by SCA) ........................................................................................................... 48

Appendix B: Prevalence of substance use disorders in the total population......................................... 50

Appendix C: Prevalence of substance abuse dependency disorders in special populations

(needs to be completed by SCA) ........................................................................................................... 54

Appendix D: BDAP Risk & Protective Factors ........................................................................................ 58

Appendix E: CIS Pattern of Referrals for SCA ........................................................................................ 59

Appendix F: CIS Treatment Admissions by Type of Service................................................................... 60

Appendix G: CIS: SCA Paid Admission by Primary Substance of Abuse ................................................. 61



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General Information/Instructions

Read all directions before completing this needs assessment.

It is the intent of the Bureau of Drug and Alcohol Programs (BDAP) to further enhance and improve

substance abuse prevention, intervention, treatment, and recovery policies and practices throughout

the commonwealth. This work is carried out in conjunction with Single County Authorities (SCAs), their

contracted providers and the community at large. As a result, the SCAs have flexibility to develop their

service delivery system in response to community needs. The SCA has the role of planning and

coordinating all substance abuse services in the county(ies) it serves. In order to effectively plan and

coordinate services, a needs assessment is required.

This needs assessment combines the former Prevention Needs Assessment and Treatment Needs

Assessment into one comprehensive needs assessment. The process involves the identification,

collection, analysis, and synthesis of data to define problems within a geographic area. This needs

assessment will be the foundation for your Prevention/Treatment Comprehensive Strategic Plan. Many

of the issues/needs/resources you identify here will become the focus of your plan. Although your

needs assessment will be used in planning, keep in mind that issues/needs/resources that you identify

need to be discussed regardless of whether they will be something you plan to address. This is

particularly important because BDAP will use the information from these needs assessments to help

guide the State Plan. The needs assessments will also be used by BDAP to identify common or unmet

needs across SCAs, and determine possible avenues for addressing these issues at the state level.

This needs assessment should utilize a data driven decision-making process. Areas of need/problemsthat are discussed in this needs assessment report must be identified using the best available data

sources. The needs assessment team that you assemble should work to identify and collect the data

necessary to determine the needs of your population. The needs assessment team should also work to

determine what resources are currently available to meet identified needs. When reviewing data it is

important the needs assessment team thinks about factors that may be skewing or biasing the data and

how representative the data may (or may not) be for certain populations. Suggested and required data

sources have been provided to you throughout this document. These are by no means an exhaustive list

of possible data sources. Feel free to seek out and discuss data other than what has been noted in this

document when responding to the questions and objectives within the document.

The SCA shall submit the combined Prevention/Treatment Needs Assessment to BDAP in accordance

with the BDAP Report Schedule. The SCA must submit the Prevention/Treatment Needs Assessment in

the template provided. Do not delete the headings, questions, objectives and sub-objectives from the

template; insert the corresponding narrative where directed. Directions are provided for the

completion of each section. These directions provide essential information to be able to respond

correctly to each section. Please read all directions before completing any section, appendix,



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question, or objective. Clarifying examples and definitions have been provided as a guide. Appendices

have also been provided for your reference to assist in the completion of each section. There are no

requirements regarding length of responses for any question or objective. It is understood that SCAs

cannot discuss every relevant data finding or other piece of information. SCAs are expected to use

their best judgment to determine the appropriate length of each response needs.

Included with this template document is a copy of the BDAP Key Representative Survey on Alcohol,

Tobacco and Other Drugs and the BDAP Convenience Survey on Alcohol Tobacco and Other Drugs along

with directions for these surveys. You are required to administer the Key Representative Survey, but the

Convenience Survey is optional. Information about how you administered these surveys must be

recorded on Appendix A. Please note that review and analysis of secondary data sources (i.e. data

collected by someone other than the SCA) must take place before starting the process of primary data

collection through the Key Representative Survey. Analysis of secondary data sources will provide the

information needed to identify the high risk communities where they Key Representative Survey should

be administered.

It may also be necessary to collect additional data (beyond the Key Representative and Convenience

Surveys) from focus groups, public forums, interviews, etc. Remember to cite the source of all data or

other findings that you refer to in your responses.

Please make sure your needs assessment addresses the entire county(ies) you serve. Even though you

may not be able to address all the issues identified through this needs assessment, this should be a

comprehensive process in which you examine all communities in each county you serve. While

completing this needs assessment include discussion of needs, resources, etc. for not just the SCA but

the county(ies)/communities as a whole.

* Note to Joinders SCAs who are joinders must address each element of the SCA/County Informationsection for each county. If information is the same for multiple counties be sure to note that. When

completing the objectives each county must also be addressed. Be sure to cite data and other findings

for each county.



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SCA/County Information

Reminder:

Please provide the requested information about each of the counties served by your SCA. Enter your

responses into the following template. Please note the source of any data you provide in yourresponses.

SCA Information:

a. Please describe how your SCA functions in terms of what services (e.g. prevention programming,

screenings, assessments, case management, treatment) are provided/conducted by the SCA and

which are contracted out to providers.

(Use space provided below. Add additional space as needed.)

Treatment/Case Management:

Franklin/Fulton Drug and Alcohol Program (FFDA) provides screening and assessment services primarily

for other county departments including Children and Youth, Jail, Day Reporting Center, the Behavioral Health Unit at the Chambersburg Hospital, and State Parole. Other case management services include

monitoring providers and ensuring necessary required paperwork is completed. Reviewing and managing

individual cases to provide necessary referrals to the appropriate level of care as individuals move

through the treatment continuum. Screening and LOC Assessments are also provided for the SCA through

contracted outpatient providers.

FFDA contracts with a variety of treatment providers for the following level of care service:

· Outpatient/Intensive Outpatient

· Short/Long-term Inpatient Rehabilitation (both medically monitored and medically managed)

· Partial Hospitalization

· Halfway House

· Detoxification

Prevention:

FFDA contracts with services providers in both Franklin and Fulton Counties to complete the activities

required for the provision of prevention services. Combined with an FFDA Prevention Specialist,

prevention services funded cover all six (6) of the Federal Strategies as required. The program uses data

collected through the PA Youth Survey along with UCR data to determine the problem behavior to

address with the limited funds. The following programs and curriculums have been implemented or are

in process of implementation for both counties:

· Too Good for Drugs/Too Good For Violence (elementary schools, middle schools, after-school and

community programs)

· Girls Circle/Boys Council (elementary, middle, and high schools)

· Mentoring/Leadership Programs (middle, and high schools)

· Alternative Activities (Skate and Dance, Kick Off Your Drug Free Summer)



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· Red Ribbon Week events

· Various speaking engagements

· Fulton County Communities That Care

· Waynesboro Communities That Care

· Community Coalition

· Student Assistance Program liaison services

Intervention:

FFDA provides intervention services through services at local schools and with providers for intravenous

drug use outreach programs.

· Student Assistance Program intervention groups

· Student Assistance Program screening and referrals

· Student Assistance Program Parent/Teacher consultations

· Elementary school intervention groups

· HIV intravenous drug users outreach

Population Trends and Demographics:

a. List trends in population growth/movement and demographics (i.e. rapid population growth,

changes in demographics such as an aging population or new populations coming in or leaving

area) List only trends that are impacting substance use/abuse and the prevention,

intervention, treatment of and recovery from substance abuse for the county(ies) you serve.

(Use space provided below. Add additional space as needed)

Franklin and Fulton counties are rural counties in South Central Pennsylvania, though covering a large

amount of land, bring together similar populations with similar goals, ideas and challenges. The make-up

of the area is overwhelmingly Caucasian (92%), though there has been a steady increase in the Hispanic

population over the past several years. The last census bureau estimates the Hispanic population in

Franklin County at 4.3% (2010), although taking into account the migrant population and undocumented

residents, this number is most likely higher. About 3.1% of the population is African American, while the

remaining population statistics come from Asian, Native American and persons more than one race.

The general population is nearly split between male and females (48.7 and 51.3 respectively). Residents

in each county under the age of 18 make up slightly more than 23.5% of the population, while residents

over age 65 are approximately 16% of the population. Specific statistics are not available related to

sexual orientation but there is nothing that would indicate that the GLTB populations in Franklin or

Fulton County are vastly different from nationally reported data (7% lesbian, 8% gay).



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The majority of adult persons in the counties are high school graduates (83.8%) with 18.3% in Franklin

County and 9.9% of Fulton county residents reporting have a bachelor s degree or higher education. The

median annual income in Franklin County is $46,929 while Fulton s median income is $43,069. According

to the Bureau of Labor and Statistics, the unemployment rates for Franklin County, as January 2012 was

6.1%, below the state rate 7.6%, while in Fulton County; unemployment for the same month was 8.6%. In

2010, a reported 17.1% of Franklin County residents were living at or below the poverty level. In Fulton

County, that number was 15.0%. In this primarily rural area, income levels play an important factor in

how the Coalition works to meet the needs of area residents. Information developed for the

communities, including coalition information reflects the state suggested reading level of approximately

the 8th grade, while other outreach efforts are directed at the low-income and underserved populations

in the area.

b. Outline cultural/religious/ethnic groups in your county(ies) that may be important

subpopulations or communities that need to be addressed as you plan prevention, intervention,

treatment, and recovery services. Cultural groups can be defined as groups of people that share

common ties of language, nationality, practices, or some other set of shared experiences.

(Use space provided below. Add additional space as needed.)

The make-up of the area is overwhelmingly Caucasian (92%), though there has been a steady increase in

the Hispanic population over the past several years. The last census bureau estimates the Hispanic

population in Franklin County at 4.3% (2010), although taking into account the migrant population and

undocumented residents, this number is most likely higher. About 3.1% of the population is African

American, while the remaining population statistics come from Asian, Native American and persons

more than one race.

The Hispanic culture is increasing in Franklin County; however it has not increased to the threshold

requiring most agencies to translate materials into Spanish. This leads to language barriers being a

common problem when accessing services. The Hispanic population tends to stick together and often

does not tend to reach out for help and services.

Ø Another important aspect to be noted is the strong traditional, conservative, values, belief systems and sense of religiosity. About 55% of residents in these areas have stated that they have

faith based ties. There are more than 230 religious congregations in the two counties, one faith

based school in Fulton County, and 3 faith based schools in Franklin County that collectively

house 1,001 students, making this a key cultural area to be addressed and considered. Activities

and services are promoted to congregations; however there are still many church leaders who

are uninterested in openly addressing drug and alcohol use with youth. Faith leaders often serve



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not only their congregations but provide counseling on family issues, drug and alcohol

dependence and have active youth groups. Outreach to youth has included contacting religious

leaders, as well as educating church youth and adult groups about abuse issues. Several church

leaders work and serve on the coalition and the coalition continually works to ensure successful

engagement of this population.

Community Changes:

a. List any significant changes in your county(ies) in the last five years. This could include social

and economic conditions, new businesses or loss of businesses, a new school or school closing,

new places of worship or closing of places of worship, etc. This could also include changes to

law enforcement including changes to local laws, ordinances, funding, etc. List only trends that

are impacting substance use/abuse and the prevention, intervention, treatment of and recoveryfrom substance abuse for the county(ies) you serve.


Ø Scotland School for Veterans Children closed its doors in 2009, displacing the approximately 350

kids and many employees.

Ø Chambersburg school district modified the distribution of their secondary students beginning

with the 2011/2012 school year. Previously, they had a high school for grades 10-12, a Jr. High

schools for grades 8-9, and a middle school for grades 6-7. This year, their high school is for

students in grades 9-12. They have changed the Jr. High building into a second middle school for

half of the districts 6-8th

grade students, which is called Chambersburg Middle School North(CAMS North). The original middle school houses the other half of the 6-8

thgrade students ,

which is now called Chambersburg Middle School South (CAMS South).

Ø In 2012, four new liquor licenses were made available by the PA State Liquor Control Board due

to increases in population for Franklin County. Three of the four licenses have been assigned to

new restaurants coming into the area. The final license is open for assignment and several area

restaurants are competing for the license.

Ø In the past few years, several of the area s Elementary Schools in Chambersburg Area School

District have been closed and students have been combined into larger elementary schools. The

district is moving away from the small, community elementaries.

Ø Unemployment rates have declined slightly in the last 12 months, however many of the counties

residents still remain out of work. Franklin County unemployment rates have declined from 7.4%

to 6.6% from March 2011 to March 2012. Fulton County rates have declined from 10.9% in

March 2011 to 9.3% in March of 2012. The relatively high unemployment rates continue to have

an effect on local economies.



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Ø In the last two years, two new urgent care medical facilities have opened in Chambersburg. Both

MedExpress Urgent Care and Keystone Walk-In Clinic have opened their doors to urgent care to

offer a level of care between emergency rooms and waiting for doctors offices to be open.

History and Traditions:

a. Describe how the history of the county(ies) influences how people feel about the county(ies),

and how people view substance use/abuse and the prevention/treatment of substance abuse.

Note traditions and celebrations that are relevant to substance use/abuse and the prevention,

intervention, treatment of and recovery from substance abuse.


Because of the history dating back to Revolutionary times, Franklin and Fulton County would both be

considered conservative counties by many people. In addition, when driving through Franklin County,there are many churches and houses of worship. It is easy to see that Franklin County is in the bible

belt of PA. This conservative background causes many residents (especially older residents) to be

intolerant of substance use. There seem to be two prevailing viewpoints one of those who use

substances and find it acceptable, and the other view of those who are intolerant to any use. There

seem to be these two extreme viewpoints on drug and alcohol use.

Because of that label, many residents dont realize the extent of our drug and alcohol usage problems.

There are many residents who live in denial that there are drugs in our communities; however youth

would report high amounts of usage and a wide variety of drugs.

Although there are festivals and celebrations in the county annually, most do not include alcohol use

and are typically all family-friendly events. The exception to this would be the local private clubs

(Legion, Elks, Marine Corps, Moose, etc) often have events with alcohol included.

Educational Institutions:

a. Describe how engaged schools in your county(ies) are in prevention/intervention programming.

Also note if any schools offer on-site treatment services. Include public, private, and charter

schools in your discussion. Describe to what extent schools are willing to cooperate in providing

prevention, intervention, and treatment programs and services. Are schools unwilling to

provide any such programming? Are schools willing to work with the SCA and providers to

implement needed programs and services even if barriers such as lack of time exist?




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Prevention is not highly prioritized however some schools are engaged in accepting programming,

especially at the lower levels (elementary and middle). We are seeing an increase in interest and

collaboration between schools and prevention providers. There are several reasons for this recent

increase in acceptance. The first reason is school district budget and staff cuts. As the districts are trying

to work with less funding, they are beginning to reach out to others who can help to provide services for

their students. Another reason is the SCA has changed from being a functional unit with one prevention

specialist for two counties to an SCA with contracted providers in each county, therefore increasing the

number of people/staff who are available to offer services. With one prevention specialist providing all

of the prevention services, the number of programs and availability was much more limited. Now, the

prevention specialist provides fewer services, but monitors the services delivered by contracted

providers, which has caused an increase in the number of services available and completed.

In Franklin County there has been an increase since July 1, 2011; partly because our prevention services

provider in Franklin County also is the new contractor for Student Assistance Program (SAP) services in

both counties, which has also increased the collaboration between providers in the adjoining counties.

The SAP liaisons and SAP supervisor are becoming familiar faces to the school personnel and they aremore willing to work with someone who is in their school on a weekly basis than someone who only

comes occasionally or who does not have time available when needed. The supervisor for the SAP

Program at Healthy Communities Partnership Inc. (HCP) is also the supervisor of HCPs education and

prevention services. This makes is easier to coordinate programs with school personnel.

Fulton County is very engaged, especially at younger ages. I believe the reason for this is because the

contractor, Fulton County Center for Families (FCCF) is well known throughout the county and they have

offered other services for many years prior to becoming a prevention provider for the SCA. The

programs that FCCF offers in the community include child care, after-school program, and in-home

services to families. Early initiation of services offered by the provider increases the trust of families inthe provider to deliver services to their children. Also, Fulton County agencies are very collaborative,

therefore offering support and resources when necessary to each other in order to meet the needs of

the small county of residents who count on each other.

One lacking piece is school-based treatment, which no schools in either county have at this time.

Providers have discussed whether this will be a future endeavor in the upcoming school year, however

nothing definite is in place at this time.

The SCA has limited information regarding services for private and charter schools. The only services

that the SCA is aware of for that population are a few prevention services that are provided by the SCA

to Shalom Christian Academy and Cumberland Valley Christian School. Twice per year, the SCA

prevention specialist provides activities that include information dissemination via brochures and

speaking engagements to both middle and high school students at Shalom Christian Academy. Once per

year, the SCA prevention specialist provides educational programs in the form of a power point

presentation or other prepared program to teach about the dangers of ATOD, addiction, and how to

access treatment services for the students and/or family members and friends of students. In

2009/2010, 2010/2011, and 2011/2012 school year, SCA prevention specialist partnered with the



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Chamber of Commerce and other agencies to offer a county-wide youth leadership program in Franklin

County. In 2009/2010, two of the students who participated in the youth leadership program were

home schooled students who resided in the Shippensburg School District. In 2011/2012, one of the

students who participated was a student from Cumberland Valley Christian School. In the upcoming

2012/2013 school year, several students from Shalom Christian Academy will participate in the youth

leadership program.

There are school districts in both counties who implement evidence-based curriculums (Olweus Bullying,

Too Good for Drugs, etc.) to their students, but do not provide data to the SCA. The SCA has knowledge

of this information through anecdotal information received during conversations with people in schools

and the community. I think local schools would provide more prevention programming (if time

permitted) if the SCA had the resources to purchase the curriculums and offer the training to implement

the programs. Schools may even provide SCA with data if we purchased materials, however the SCA

does not have adequate staff to enter data for schools, especially if data entry would require a 14 day

deadline.

During 2011/2012 school year, multiple schools in both counties agreed to permit prevention providers

to teach Too Good for Drugs Programs, but the provider had to teach the curriculums, gather the data,

keep attendance, and enter the data for the programs, which is time consuming. There is not enough

staff or time to offer this type of service to all schools. This program has been implemented through a

prevention grant through PCCD and will continue throughout the remainder of 2012 and 2013. The

contractors are working to provide sustainability by training teachers (school district employees) to

implement the curriculum so that the use of the evidence-based curriculum can be expanded. So far,

schools have been open to receiving this service and have taken been agreeable to their staff taking an

active role in future teachings.

Overall, the relationship between prevention providers and school districts has greatly improved and we

look forward to continuing to build these strong bonds to increase prevention offerings in both counties.

b. Pennsylvania Youth Survey (PAYS) and Youth Risk Behavior Survey (YRBS) Participation Please

list the school districts you are aware of that are participating in PAYS and/or YRBS. For each

school district also note the school buildings and grades in which the surveys are administered.


All school districts participated in the 2011 PAYS survey, however two schools (one in each county) have

active consent, requiring written parent permission for students to participate. Those schools have

very low rates of participation.

Franklin County Schools

Chambersburg Area School District is one of the districts with active consent so few students

participate in the PAYS survey. All 6th, 8th, 10th, and 12th were provided permissions to take the survey,



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however only a small percentage of middle school students returned permissions and participated. No

high schools students participated. Some students at Chambersburg Area Middle School North and

Chambersburg Area Middle School South took the survey. Although offered the opportunity, no

Chambersburg Area Senior High School students participated.

Waynesboro Area School District had passive consent for the 2011 administration of the PAYS survey(although this will be changed to active consent by the next survey in 2013.) Almost all 6th, 8th, 10th, and

12th grade students completed the survey. School buildings participating include Waynesboro Area

Senior High School and Waynesboro Area Middle School. Waynesboro Area School District houses 6th

graders in their elementary schools, so all elementary schools participated including: Summitview

Elementary, Hooverville Elementary, Mowrey Elementary, and Fairview Elementary.

Greencastle-Antrim School District also participates in the PAYS administration and uses passive

consent. Almost all students in 6th, 8th, 10th, and 12th grades participated and completed the survey in

2011. Both Greencastle-Antrim Middle School and Greencastle-Antrim High School participated.

Tuscarora School District participated in the 2011 administration of PAYS. They had 6th, 8th, 10th, and

12th graders participate and both the James Buchanan High School and James Buchanan Middle School

buildings administered the survey with passive consent. This was the first year that Tuscarora School

District allowed their 6th graders to participate in the administration of the survey.

Fannett-Metal School District had 6th

, 8th

, 10th

, and 12th

graders participate in the 2011 PAYS survey.

Both Fannett-Metal High School and Fannett-Metal Middle School administered the survey with passive

consent.

Fulton County Schools

Southern Fulton has K-6th graders in their elementary schools. 7th-12th graders are in the junior/senior

high school. Students in 6th

, 8th

, 10th

, and 12th

grades participated in the survey. Southern Fulton

Elementary school participated with active consent, however Southern Fulton Jr/Sr high participated

with passive consent.

Central Fulton administered the surveys utilizing passive consent to 6th

, 8th

, 10th

, and 12th

graders in 2011

at Central Fulton Middle School and Central Fulton High School

Forbes Road had 6th, 8th, 10th, 12th graders participate in the 2011 administration of the PAYS survey. 6th

graders at Forbes Road are in the Forbes Road Elementary School and all other grades are in Forbes

Road Junior/Senior High. Forbes Road School District utilizes passive consent.

Resources:



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a. List all sources of additional grant funding for prevention, intervention, treatment and recovery

coming to the SCA (do not include pass through funding or funding that goes directly to your

contracted providers).

(Complete table below. Add rows to table as needed .)

Name of Funding Source Brief Description of Grant Start Date End DateHuman Services

Development Funds (HSDF)

Categorical grant used for Prevention July 1,

2010

June 30,

2011

PCCD Grant Restrictive Intermediate Punishment grant used

for Treatment and Case Management

July 1,

2010

June 30,

2011

Attorney General Grant Prevention grant December

2010

Decembe

r 2010

PLCB Grant PA Liquor Control Board grant used for Prevention January

2011

June

2011

TANF Received from Franklin/Fulton Mental Health.

Used for Case Management

July 2010 12/2010

b. Note whether the SCA had to return (to BDAP, the Hub, or other entity) any unused funds for

State Fiscal Year 2010/2011 for any of the sources of funding coming to the SCA for prevention,

intervention, treatment, and recovery (e.g. BHSI Funds, Act 152 Funds). List the name of the

funding sources and the amount that was unused or had to be returned. In instances where

unused funds had to be returned, please discuss the barriers to efficiently utilizing these funds

(i.e. what if anything hinders the SCAs ability to expend these funds within their required

timeframe).


ACT 152: SENT $50,000 TO THE HUB

PCCD: $51,019 UNUSED FUNDS FROM GRANT



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Objectives

Directions for 1a.

Utilizing a variety of data sources, discuss the use of ATOD for the counties you serve.

Information regarding substance use would include age at first use, past 30 day use, and other

rates of use for various populations. The goal is to determine what substances are being used,

at what rate, where, and by whom. Focus your response on issues and populations that the

data suggest may be the biggest concerns. Note any gaps in available data that you believe may

be obscuring to what extent certain issues/problems exist. Examples of data gaps include: the

ER department at the regional hospital was unable to provide any data regarding ER visits and

two school districts in your county have not participated in PAYS, which has limited your ability

to assess patterns of use for that population. Where possible, list not only county level data but

also community level data. (The term community can have many different meanings and can

carry different connotations. It can mean town, township, borough, certain number of blocks

within a city, or even a specific demographic group.)

Sources of this data include arrest reports, Uniform Crime Reporting System (UCR), emergency

room admissions, and surveys such as Pennsylvania Youth Survey (PAYS) and Youth Risk

Behavior Survey (YRBS). Data from AOPC (Administrative Office of Pennsylvania Courts) on

offenses charged for crimes such as DUI, drug-related offenses, and underage drinking for the

county(ies) you serve has been provided to you in tables posted to the BDAP Communicator.

You are required to discuss this provided AOPC data in your response. You are also required to

include data you have entered into PBPS such as NOMs surveys and pre/post tests in your

response. Utilize service location information in PBPS to link this data to specific communities.

1 To obtain a.) information regarding use of ATOD and b.) an estimate of the prevalence of

substance use disorder in the total population of an SCA.

Definitions

Estimate: A quantitative description of the current or past situation, based on data from known

sources relating to the same time period using a known method which can be replicated.

Prevalence: The number with a diagnosable condition at a given time.

Substance use disorder: A condition of substance abuse or dependency as defined by DSM IV-TR.

Total Population: All people who are located in the geographic region of the SCA.



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Please compare local data to state and national data. Other local data you have collected can

also be discussed in response to this objective.

Response to 1a.

(Insert response below.)

The most recent PAYS data available is from 2009 (summarized below) as 2011 data has not yet been

released).

The problem of youth substance abuse in Franklin and Fulton counties is real and increasingly

concerning. Overall, rural Franklin and Fulton counties in south central Pennsylvania have higher than

average youth usage rates for tobacco, alcohol, inhalants, and prescription drugs when compared to

national usage rates (Pennsylvania Commission on Crime and Delinquency, 2009). The same survey

indicates that more than one in five youth in 10

th

grade report being offered, given, or sold an illegaldrug on school property in the past year. Similarly, a 2009 bi-county-wide Needs Assessment Survey of

key representatives, indicated that tobacco, alcohol, inhalants, prescription drugs, and marijuana are all

very or somewhat easy for area youth to obtain. Survey respondents indicate that youth (age 13-18) and

young adults (age19-25) are most impacted by substance use and abuse in our counties.

The most recent data from PAYS, with a sample size just over 1450, shows high school students in both

counties, report higher lifetime alcohol usage than national usage rates in the same grades (Johnston,

et.al., 2009). Past-30-day cigarette usage by high school students is 50% higher than national averages in

both Franklin and Fulton counties. Smokeless tobacco usage in both counties in the past 30 days is near

150% the national rate in every grade surveyed. The tables below give additional details:

PAYS data 2009Table 1: Franklin County Past 30-day Substance Use (% within grade)

6th

grade 8th

grade 10th

grade 12th

grade

Alcohol 5.9 12.3 38.3 39.3

Cigarettes 0.8 2.9 20.7 29.5

Smokeless Tobacco 1.9 5.8 9.2 13.2

Marijuana 0.3 1.9 15.0 17.9

Pain Relievers 1.1 2.6 10.7 7.9

Tranquilizers 0.6 1.0 2.4 2.1

Stimulants 0.6 0.6 5.2 2.6

Table 2: Franklin County Youth who Reported Perception of Great Risk of Harm (% within grade)6

thgrade 8

thgrade 10

thgrade 12

thgrade

Drinking Alcohol Regularly 39.1 27.8 22.4 26.5

Smoking Cigarettes Regularly 68.9 69.3 56.j9 57.1

Trying Marijuana Once or Twice 40.5 37.4 21.0 17.9

Smoking Marijuana Regularly 81.0 81.0 58.6 49.0

Table 3: Franklin County Percentage of Youth Who Indicated Parental Disapproval of (% within grade)

6th

grade 8th

grade 10th

grade 12th

grade



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Drink Alcohol Regularly 93.3 85.8 67.0 60.3

Smoke Cigarettes 95.5 89.9 71.4 62.2

Smoke Marijuana 96.3 94.0 82.9 76.6

Table 4: Franklin County Percentage of Youth Who Indicated Peer Approval of (% within grade)

6th

grade 8th

grade 10th

grade 12th

grade


Smoking Cigarettes 2.3 3.0 11.0 10.9

Smoking Marijuana 2.6 2.7 15.7 15.4

Table 5: Franklin County Age of Onset as Reported by (reported by grade)

6th

grade 8th

grade 10th

grade 12th

grade

Trying Alcohol 10.5 11.6 12.8 14.1




Table 1: Fulton County Past 30-day Substance Use (% within grade)

6

th

grade 8

th

grade 10

th

grade 12

th

gradeAlcohol 9.6 26.4 31.8 52.4

Cigarettes 3.8 6.4 25.0 35.7

Smokeless Tobacco 1.9 13.0 14.6 24.4

Marijuana 1.9 5.5 18.2 9.5

Pain Relievers 3.8 2.7 7.3 4.9

Tranquilizers 0.0 0.9 7.5 4.9

Stimulants 1.9 0.9 2.4 0.0

Table 2: Fulton County Youth who Reported Perception of Great Risk of Harm (% within grade)

6th

grade 8th

grade 10th

grade 12th

grade


Smoking Cigarettes Regularly 71.2 70.9 60.5 54.8

Trying Marijuana Once or Twice 48.1 32.7 23.3 38.1Smoking Marijuana Regularly 82.7 85.5 55.8 64.3

Table 3: Fulton County Percentage of Youth Who Indicated Parental Disapproval of (% within grade)

6th

grade 8th

grade 10th

grade 12th

grade

Drink Alcohol Regularly 88.5 76.4 52.3 52.4

Smoke Cigarettes 94.2 88.2 63.6 69.0

Smoke Marijuana 94.2 90.9 75.0 85.7

Table 4: Fulton County Percentage of Youth Who Indicated Peer Approval of (% within grade)

6th

grade 8th

grade 10th

grade 12th

grade




Table 5: Fulton County Age of Onset as Reported by (reported by grade)6

thgrade 8

thgrade 10

thgrade 12

thgrade

Trying Alcohol 10.9 11.8 13.2 14.4






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Fulton County statistics indicate 31.7% of high school seniors report using smokeless tobacco in their

lifetime and 51.2% report using cigarettes (compared to 16.3% and 43.6% nationally). Franklin and

Fulton County students in 12th

grade show a higher than average past-30-day usage of cigarettes,

smokeless tobacco, and inhalants. Data on prescription drug use show Franklin County high school

students have a considerably higher than average usage of prescription medication. Lifetime use of pain

relievers by sophomores in both counties is almost double the statewide average (Pennsylvania

Commission on Crime and Delinquency, 2009).

In 2009 data shows that 13.2% of Franklin County and 26.8% of Fulton County 12th

graders report having

driven under the influence of alcohol. In Franklin and Fulton counties, 13.8% and 22.0% respectively,

have driven under the influence of marijuana (Pennsylvania Commission on Crime and Delinquency,

2009). Franklin County has an especially high DUI arrest rate compared to other counties in

Pennsylvania. From 2008 to 2010, Franklin and Fulton counties saw 23.7% and 78.1% increases,

respectively, in adult DUI arrests. Likewise, Franklin County saw a two-year increase of 22.5% and

Fulton County had a 14.2% increase in underage (under 21) DUI arrests (Pennsylvania State Police,

2012).

According to the 2009-2010 Annual Report by Franklin/Fulton Drug and Alcohol Program, an estimated

10% of clients receiving treatment are age 18 and younger. Alcohol, marijuana, and prescription drugs

make up over 70% of the primary substances used in those undergoing treatment for substance abuse.

In addition to these substances, anecdotal evidence from area police stations, state police, EMS and

school personnel suggest an increasing problem with prescription drug use among youth.

Additional data from the 2010 Franklin County Juvenile Probation Annual Report shows drastic increases

in several high-risk youth behaviors. For example, incidents of rape and indecent assault arrests

increased significantly from 2006 to 2010. Aggravated assault, simple assault and criminal mischief both

increased from 2009 to 2010. Possession of drug paraphernalia has increased tenfold from 2006 to

2010. The Franklin County Children and Youth Service 2010 Annual Report shows 106 referrals (out of

1,144 total referrals) had a drug and alcohol concern with parent (2010 Franklin County Juvenile

Probation and Children and Youth Services Annual Report, 2011).

Juveniles charged with driving under the influence of alcohol or a controlled substance in Franklin

County increased by about 150% from 2006 to 2010, while possession of weapons on school property

have increased 25% during that period of time (Franklin County Juvenile Probation, 2010). Data from

2001-2007 show both counties have high teen pregnancy rates, over 30% more than the overall state

average (Robert Wood Johnson, 2011).

Data from various sources shows Franklin and Fulton counties will greatly benefit from the combined

resources and strategies of the coalition. Both counties report higher than average youth usage of

tobacco, alcohol, and prescription drugs in high school, compared to national and state rates. In

addition, youth in these counties show an increase in high-risk behaviors (driving under the influence,

teenage pregnancy, sexual and other assault) indicating increased substance use. The increased threat



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for drug and alcohol use/abuse among the youth of Franklin and Fulton counties has greatly influenced

community mobilization and volunteer involvement on this issue.

AOPC data shows alarming trends as well. When looking at Franklin County trends, the DUI-alcohol rate

has increased from 21% from 2004 to 2010. DUI rates for minors have increased by 28% from 2009-2010. However the most disturbing DUI trends are those involving substances. 2010 DUI charges

involving alcohol and other substances have quadrupled since 2004. Also DUIs involving other

substances in 2010 were over six times the 2004 rate. Underage drinking, drug possession, and drug

sales have all remained fairly steady over the last 10 years. In addition, public drunkenness has

increased by 36% over recent years.

Fulton County has similar issues, however since the population is significantly smaller, data is often not

as revealing. In Fulton, DUI arrests for alcohol increased by 170% from 2004 to 2010. In addition driving

under the influence of substances was significantly higher in 2010 than any of the previous six years.

Drug possession arrests have increased by 259% since 2000.

The data gathered from AOPC shows alarming trends in drug and alcohol charges throughout both

counties. Increased DUI checkpoints and enforcement may play a role in the increases.

In addition, NOMS data from adults showed that all adults surveyed believed that cigarette use causes

moderate to great risk of physical harm. Most adults reported having their first alcoholic drink (more

than a sip) between the ages of 15-17 or 18-21. All adults except one agreed that there is a moderate to

great risk of physical harm from drinking five or more drinks once or twice per week. Surprisingly, only

half of adults reported never smoking marijuana, although all except one reported not using marijuana

in the last 30 days. Over 1/3 of adults and 13% of surveyed youth have taken a prescription drug not

prescribed for them. Of all adults surveyed, 18% believe there is only a slight risk of physical harm whentaking prescription drugs prescribed for others. Adults and youth both reported a moderate to great

risk of harm from using synthetic drugs, however anecdotal data shows heavy use of synthetic drugs by

both adults and youth. 96% of youth reported moderate or great risk of harm for smoking cigarettes,

compared to 93.2% reporting moderate or great risk for drinking five or more drinks once or twice per

week and 92% for inhalants. 86% of surveyed youth disapprove of someone their age trying marijuana.

Sadly, 54% of youth report not having any conversations at all with at least one parent in the last 12

months about the dangers of tobacco, alcohol, or drug use. This shows a great opportunity for

community leaders to educate parents on the importance of discussing these dangers with their

children.

Directions for 1b.

Appendix B provides a table showing the prevalence of substance use disorders in the total

population. Appendix C provides a table of the prevalence of substance use disorders by local

special populations. The table in Appendix B has been completed for you, but you must

complete the table in Appendix C. Instructions for the completion of the table in Appendix C



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have been included with the table. Certain special populations have been defined for you, but

you may include other special population categories (e.g. co-occurring) as desired. If you add

special populations, the additional populations must be added as new rows in the table. After

completing the table in Appendix C and reviewing the information in Appendix B and C, briefly

describe the extent of substance use disorders in the county(ies) you serve. You are not limited

to only the data sources provided to you in Appendix B and C. You may also collect and/or

discuss other local data sources that provide additional information regarding the extent of

substance use disorders in the county(ies) you serve.

Response to 1b.


According to Appendix B, the prevalence of substance use disorders is approximately 7.70% of the

population ages 12 and older. This places approximately 10,342 drug users in Franklin/Fulton Counties.

Additionally, in 2011, there were 266 arrests in Franklin County for drug charges for possession (outlined

in Appendix C). There were also 55 arrests in Fulton County for the same types of charges. Arrests for

violations including DUIs, liquor law violations, and public drunkenness numbered 1314 in Franklin

County and 116 in Fulton County. Seventy percent of the annual jail population is estimated to have a

drug and/or alcohol abuse problem. The Franklin County jail had 2317 Franklin County commitments in

2011 and 163 Fulton County residents committed in 2011. This means an estimated 1736 inmates are in

need of drug and/or alcohol treatment each year. Approximately 70% of the total population on county

probation is estimated to have a drug/alcohol abuse problem, numbering 1798 people in Franklin

County and 26 residents in Fulton County. State Probationers are also estimated to be drug abusers in

70% of cases and this amounts to an additional 1201 residents in Franklin County (638 state probation

and 563 state parole). In Fulton this has an additional 164 residents (83 on state probation and 81 on

state parole). Substantiated child abuse reports are estimated to involve alcohol or drug abuse in 50%

of cases. According to this estimate, 27 cases in Franklin County and 7 cases in Fulton County involve

drug and/or alcohol abuse. Protection from Abuse orders (PFA) also frequently involve alcohol and/or

drug abuse in 25% of cases. This would be an additional 43 residents in Franklin County with a

drug/alcohol problem. Additionally, 227 Day Reporting Center Clients (approximately 70% of the 324

intakes) participated in drug and alcohol treatment while at the Day Reporting Center.

As outlined above, Franklin and Fulton Counties have a wide extent of abuse. These numbers are likely

only a small portion of the total number of drug and/or alcohol abusers in the counties. There are a

number of reasons for possible discrepancies, including law enforcement amounts and the amount of

residents that go uncharged and unnoticed with a drug or alcohol problem and do not readily fall into

one of the above categories. It can be estimated that a relatively large population in the counties is in

need of help for a use or abuse problem.



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Directions for 2

Please use data such as Key Representative Surveys or focus groups to support your claims. SeeAppendix D for a list of risk and protective factors. Risk factors can increase a persons chances

for substance use/abuse, while protective factors can reduce the risk. For the risk and

protective factors you identify also remark on their changeability, i.e. how possible or difficult

would it be to change these factors.

Reminder: Please complete Appendix A Key Representative and Convenience Survey

Administration Information.

Response to 2


Key Representative Surveys give an overall glimpse of the county and associated issues and behaviors.

Twenty-nine total representatives completed at least part of the survey. Of those, 82% strongly agree or

agree that residents feel at home in our communities. Additionally, 64% agree residents feel safe in the

community. However, 41% of respondents agree or strongly agree that drug use is tolerated in the

community. Social norms are conducive to drug and alcohol use, a definite risk for area youth.

Safety topics have a variety of responses. 86% of respondents agree that laws against having weapons

on school property are strictly enforced. Most respondents believed schools (79%), churches (68%), law

enforcement (86%) support no use policies. However, only 39% believe that businesses in the

communities support no use policies. This could be in part due to the number of businesses that profitfrom alcohol use (bars, restaurants, etc).

Only 50% of respondents agree that people in the community share the same values and 54% believe

that if there is a problem in the community, people living here will work together to solve it. Over 60%

agree that healthy behaviors are encouraged in our community. Healthy behaviors are encouraged by

local agencies and organizations, but are not always accepted by residents.

2 To identify risk and protective factors, in regard to the prevention of substance abuse, that

are present in the communities served by your SCA.

Definitions

Risk Factor: Risk factors are individual characteristics and environmental influences associated with

an increased vulnerability to the initiation, continuation, or escalation of substance use.

Protective Factor: Protective factors include individual resilience and other circumstances that are

associated with a reduction in the likelihood of substance use.



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With regards to drug and alcohol problems, a startling 96% of those surveyed agree there is a drug or

alcohol problem in the community. Only 43% of respondents agree that people in the community view

addiction as a disease, and just over a third of people agree that the community views tobacco use as a

problem. When surveyed about the availability of various drugs to youth, 100% of respondents think it

is easy or fairly easy for youth to get tobacco in our communities. Many youth tobacco users report

parents are aware of their use and even help them obtain tobacco products. Others hide it from

families but report buying it on their own (without being asked for age identification) or stealing it from

family and friends.

Many drugs were rated as very or fairly available to youth, including: alcohol (93%), inhalants (86%),

marijuana (86%), steroids (61%), and prescription drugs (89%). When surveyed about drug availability

for adults, 100% of thought marijuana and prescription drugs were easy or fairly easy to obtain.

Additionally, over 50% of respondents thought the following drugs were easy for adults to access:

cocaine/crack, heroin, methamphetamine, steroids, and date rape drugs. Key respondents definitely

feel that a broad variety of drugs are readily available in the counties.

When it comes to risky behaviors, many respondents felt that several negative behaviors somewhat or

definitely described our communities, including crime (96%), drug-selling (93%), fights (86%),

empty/abandoned buildings (71%), graffiti (51%), and drug overdoses (89%).

Protective factors were also surveyed and the respondents found the following to somewhat or

definitely describe the communities: drug and alcohol laws are enforced (96%), schools support youth

(96%), churches support youth (100%), schools and families work with each other (93%), media provides

messages that discourage drug use (61%), and media provides messages that discourage alcohol use

(50%).

When asked how severe the impact of drug and alcohol use is in our communities, 40% of keyrepresentatives reported that it is a major problem, 56% reported it to be somewhat of a problem, and

only 4% felt like it is not at all a problem. When asked to rate which age groups are most affected by

drug use, the ages between 16-25 were the most frequently chosen ages affected. However, every age

range listed was chosen by at least one respondent.

Based on the data from the key representatives surveys as described above, the highest risk factors are

availability of ATOD as well as perceived availability. Additionally, anecdotal data from Student

Assistance and other youth-serving programs outline these additional risk factors: perceived risk/harm,

family management, lack of monitoring, and favorable parental attitudes toward ATOD use. Family and

parent disorganization and acceptance of ATOD use are major problems in our communities and definiterisk factors for our youth.

The protective factor most apparent from the key representative data include community supported

substance abuse prevention efforts and programs. The Community Coalition, together with the SCA and

providers work hard to provide community based education and substance abuse prevention efforts. In

addition, consistency in rule enforcement (particularly law enforcement) and reinforcement for pro-

social involvement are protective factors in the counties.



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Directions for 3

Describe local, state, and national trends that may impact the SCA and may influence

prevention, intervention, treatment and recovery efforts. Examples of local, state, or national

trends may include a move to integrated health/behavioral health care, local unemployment

rates, aging of baby boomers, electronic medical records, implementation of evidence-

based/promising practices, focus on special initiatives (i.e., Underage Drinking, offender re-

entry, co-occurring), medication management, political priorities, changes in laws or local

ordinances, school policies and federal education requirements, etc.

Response to 3


It is important to consider trends that influence the abil ity of the SCA to provide drug and alcohol

services, including treatment and case management to residents needing these services. The economic

situation of the country, state, and communities has had a broad effect on the prevention, intervention,

treatment, and recovery efforts. Although the unemployment rates in Franklin and Fulton County have

decreased since 2011, rates remain fairly high. The table below details unemployment trends.

Unemployment Rates

March 2011 March 2012

3 To identify local, state, and national trends that may impact the SCA and may influence

prevention, intervention, treatment and recovery efforts.

Definitions:

Local, state, and national trends: A prevailing tendency or information relating to the economy,

government, legal issues, technological and medical advances, or socio-cultural patterns that may

influence business practices of the SCA.

Intervention: Intervention focuses on providing individuals who engage in hazardous substance use

services to develop the skills necessary to reduce their risk. Intervention services may also be

provided for individuals who need substance use disorder treatment but are unable to access

treatment. The goal of intervention is to enhance and maintain the individuals motivation to access

and engage with appropriate substance use services. Intervention also includes Early Intervention,

which is defined as follows: Early Intervention is a term generally used to describe those early

efforts to intervene where an individual is seen as being at risk. An early intervention is often brief,designed to assess and provide some initial feedback to the individual about his or her alcohol or

other drug (AOD) use and its consequences. Early Intervention takes place prior to a Level of Care

Assessment. Examples: Student Assistance Program, Underage Drinking Program, DUI Offender

Program.



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pharmacies that make it easy to get the prescription drugs without a prescription a tactic that works

even for youngsters. In addition, doctors today are prescribing more drugs for more health problems

than ever before and it is becoming increasingly more common for the prescribed patient to sell, rather

than use, the prescribed medication.

The local trends in prescription drug use are still under investigation. The SCA is currently working withHealth Choices to mine data from their systems in order to better understand the scope of the problem.

The data can be quantitatively and qualitatively analyzed to identify trends as well as improve outreach,

identification, treatment and prevention practices.



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A review of emerging treatment needs for the FY 2009-2010 (see Appendix G) reveals that

Franklin/Futon Counties fair worse with respect to use of heroin, other opiates/synthetics, and

benzodiazepine abuse.

Franklin/Fulton County SCA clients report heroin as the primary substance in 28.4% of cases (compared

to a state rate of 22.4%). This trend is alarming as it has continued to increase. In addition, primarydrugs have been reported as opiates/synthetics at a higher rate than state average 17.7% compared to

12.7%. Benzodiazepine also is reported at a rate of 4.3% (compared to 1.0% statewide).

While the statistics included with the report do not shed light on the patterns of prescription medication

abuse, our treatment providers and health professionals report anecdotally that use and abuse of

prescription drugs continues to rise in Franklin/Fulton Counties. Persons abusing prescription drugs are

difficult to quantify, in part due to the manner in which data are recording at the SCA and in CIS.

While outside supply routes (Interstates 70, 81, 522, and turnpike), make obtaining illegal drugs easy for

some Franklin/Fulton residents, the availability of legal prescription drugs is influenced mostly by

pharmacies and physicians. A range of research is needed to combat prescription drug abuse.

Anecdotal data suggests huge increases in newer synthetic drugs, including synthetic marijuana and

bath salts. Local police departments and hospitals report huge increases in usage of these drugs.

Local SAP data also suggests a large number of youth reporting usage of the synthetic drugs and that

students are unaware of the long-term consequences of these synthetic drugs. Students believe that

since the drugs are sold in stores (gas stations, head shops, etc) the drugs must be safer than other,

illegal drugs. In addition, students are using and abusing prescription drugs at a frightening rate,

believing that since the drugs are medicines they must be safe. Youth often pay little heed to which

drugs they are combining, often forming lethal combinations by prescription drugs of various types, andalcohol.



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Directions for 5a.

Discuss the number of organizations or individuals that requested specific prevention services or

programs from the SCA and your contracted providers for the past state fiscal year (2010/2011).

Identify who the requests came from, and the number of requests received. Note whether you

have been able to meet this demand or if there are requests for prevention services that you are

unable to address due to a lack of resources. Resources can be money, staff, time, etc.

Example: A local school district has requested that you provide Project Northland, but you do

not currently have the funding to do so. It is understood that you may not have been formally

tracking these types of requests. In this case please provide, based on any informal records you

may have, information regarding requests for prevention services or programs. You will be

required in your Prevention/Treatment Comprehensive Strategic Plan to describe your plan for

how you will track this information.

Response to 5a.


Fulton County:

· In 2011-2012, school education was provided in all three school districts (Forbes Road, Central

Fulton, and Southern Fulton) as requested. Education was requested in all districts and all

needs were met. The following prevention was completed Susan Byrnes Tobacco Prevention

Program in 6th-8th grades in Central Fulton, 3rd, 4th, and 6th grades in Forbes Road, and 5th and 7th

5 To identify demand.

a. Identify demand for prevention services.

b. Identify demand for intervention services.

c.

Identify demand for treatment services.d. Identify demand for recovery support services.

Definitions

Prevention Demand: Organizations or individuals seeking specific prevention services or

programming.

Intervention Demand: Organizations or individuals seeking specific intervention services or

programming.

Treatment Demand: The number of people who will seek treatment for a substance use disorder.

Recovery Demand: The number of people who will seek recovery support services.



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· Boys and Girls Club also requested recurring education services for their afterschool program

all needs were met.

· NETwork Ministries afterschool program has also requested education and needs have been

met using various evidence-based curricula.

· Chambersburg YMCA requested recurring education for their afterschool Teen Club. The need

was met utilizing the evidence-based Too Good For Violence program.

· Chambersburg YMCAs Sams Club (evening program for at-risk kids) requested recurring

education and needs were met utilizing evidence-based programming.

· Library teen programming requested drug and alcohol education and were provided with the

Above the Influence program.

· Greencastle-Antrim School District requested education for their high school Peer Leaders

program. These students were offered the Above the Influence program and all needs weremet.

· ARC requested prevention education and needs were met.

· Boy Scouts request education and attend local Reality Tour offerings all needs were met.

· Girl Scouts request education and attend local Reality Tour offerings all needs were met

· Community Forum requests presentations on drug/alcohol services and trends. All requested

presentations are provided.

· Vision Quest requested the Project Alert curriculum and all needs were met. They also

requested Above the Influence education and this need was also met.

· Human Service Training Days annually requests sessions like drug/alcohol data and trends.

These requests have been fulfilled.

· Lion's Club requested a drug/alcohol prevention speaker to provide information about local

needs and services. This was provided.

· Women In Need requested an in-service for staff on prevention and treatment and available

services. This need was met.

· Juvenile Probation occasionally requests prevention education, however due to lack of

resources (mainly time), materials are now supplied to Probation and prevention education is

taught by internal staff who have previous drug and alcohol backgrounds.

· Children & Youth requests education for Independent Living classes, however materials were

provided to internal CYS staff due to lack of resources (money and time).



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· Chambersburg Hospital requested drug and alcohol education on new drug trends and diversion

and this need was met.

· Exchange Club also requested drug/alcohol education and this need was met.

· Church Youth Groups requested education and several participated in Reality Tour. All needs

were met.

Directions for 5b.

Discuss the number of organizations or individuals that requested specific intervention services

from the SCA and your contracted providers for the past state fiscal year (2010/2011). Identify

who the requests have come from, and the number of requests received. Note whether you

have been able to meet this demand or if there are requests for intervention services that you

are unable to address due to a lack of resources. Resources can be money, staff, time, etc.Please address this objective in regard to intervention and early intervention as defined in

Objective 3. Example: A Boys & Girls Club would like to start an underage drinking program for

adolescents who have related charges against them. The Boys & Girls Club contacts a local

provider to see if they could provide such a program. The provider is unable to provide the

program because they would need additional qualified staff in order to make the program

available. It is understood that you may not have been formally tracking these types of

requests. In this case please provide, based on any informal records you may have, information

regarding requests for intervention services. You will be required in your Prevention/Treatment

Comprehensive Strategic Plan to describe your plan for how you will track this information.

Response to 5b.


All Franklin and Fulton County school districts requested secondary Student Assistance Program (SAP)

services, including liaison services for Core Team meetings, screenings for referred students, and SAP

prevention and intervention groups. SAP liaison services are funded through Franklin/Fulton County

Drug & Alcohol Program and Franklin/Fulton Mental Health/Intellectual Disabilities/Early Intervention,

provided through a contract with Healthy Communities Partnership. All districts had all needs met

including the following:

· Chambersburg Area School District receives l iaison services in four secondary school buildings Chambersburg Area Senior High School (CASHS), Chambersburg Area Middle School North

(CAMS North), Chambersburg Area Middle School South (CAMS South), and Chambersburg

Academic Wing of the FCCTC. The liaisons provide professional knowledge and information at

all Core Team meetings on a weekly basis at CAMS North and CAMS South. CASHS has meetings

once every other week and twice on the other weeks. The Academic Wing meets every other

week. In addition, screenings were carried out in every school building for all referred students



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for which the school had parent and student permission for screening. Finally, SAP groups were

offered at both CAMS North and CASHS as requested (other buildings did not request).

· Waynesboro Area School District receives liaison services in two secondary buildings

Waynesboro Area Senior High School (WASHS) and Waynesboro Area Middle School (WAMS).

The liaison provides professional knowledge and input at all Core Team meetings (occurringweekly at both schools) as well as screenings for all referred students for which the school has

signed permission for screening from both child and parent. SAP groups were not requested

from WAMS or WASHS this year.

· Greencastle-Antrim School District receives liaison services in two secondary buildings

Greencastle-Antrim Middle School (GAMS) and Greencastle-Antrim High School (GAHS). The

liaisons provide assistance at all Core Team meetings (weekly). They also provide screenings for

all referred students with parent and student permission. In addition, liaison and other

education staff work closely with GAHS Peer Leaders to give them the tools and resources to

effectively provide peer education and awareness events.

· Fannett-Metal School District has one SAP team for their Fannett-Metal Junior/Senior High

School. This team meets bi-weekly and has been provided with all requested services, including

Core Team meeting attendance, screenings and referrals.

· Franklin County Career And Technology Center has a SAP team that meets weekly. Liaisons

attend these meetings as well as provide screenings and referrals for appropriate students. SAP

groups are also led by the liaison at this school including two Teen Pregnancy groups this year.

· Southern Fulton School District has a SAP team for the Junior/Senior High School. The liaison

attends the weekly Core Team meetings and provides screenings for appropriate students. Inaddition, two groups have been led in the district by the SAP liaison Social Skills group and a

New Student group.

· Central Fulton School District has a SAP team for the Middle/High School. The liaison attends

Core Team meetings weekly. In addition, screenings are provided.

· Forbes Road School District has a Jr/Senior High SAP Core team meeting every other week which

is attended by the SAP liaison. Screenings are provided for appropriate groups. And Girls Circle

groups were facilitated by the liaison.

Directions for 5c.

Tables with information needed to address this objective have been provided to you in

Appendix E, F, and G. These tables provide a description of treatment demand for the SCA.

Data from the CMRR can be used to identify demand for both assessment and treatment

services. It will show where the gaps are in the availability of specific levels of care. There are

three specific questions you must respond to in regard to your CMRR data. The three questions



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have been provided to you in the response section below. Please enter your response below

each question (bullet).

Appendix E provides a table with data from CIS on the pattern of referrals. Review this table

and discuss the pattern of referrals (i.e. why a particular referral source is the most or least

common.) Also highlight where your percentages differ greatly from the state percentages andthe reason(s) why those differences exist.

Appendix F provides a table with CIS data on treatment admissions by type of service. Review

this table and discuss to which level of care individuals are most commonly or least commonly

admitted and why. Also highlight where your percentages differ greatly from the state

percentages and the reason(s) why those differences exist.

Appendix G provides two tables with CIS data on admissions by primary substance of abuse for

ages under 18 and 18 and over. Review these tables and compare SCA percentages to state

percentages. Discuss possibilities for why your percentages differ from state percentages (e.g.

alcohol is higher due to inappropriate court-stipulated treatment for person arrested for DUI).

To the extent that CIS data in Tables E, F, and G are rendered invalid by reporting issues,

describe the issues and what the SCA is doing to correct them. Include concerns about the

validity of your CIS data in the discussion of the aforementioned tables (i.e. note that differences

between SCA percentages and state percentages may be due to CIS data reporting issues.) If

the SCA collects data it deems to be more accurate than CIS data, the SCA may use such data

to respond to Objective 5c. However, the alternate data must be included as a table and

attached in the corresponding appendix. It is also permissible for the SCA to discuss CIS data

along with other local data that speaks to demand if it is determined that CIS data may not be

invalid but is still not sufficient to get a clear picture of demand.

Response to 5c.

(This response has multiple components. Enter your response below each bulleted item.)

· Enter below for state fiscal year 2010/2011 the number of individuals waiting longer

than 7 days for an assessment, and discuss/explain why individuals had to wait longer

than 7 days for an assessment.

In 2010/2011, 12 people waited longer than seven days for an assessment. However, this was due to

client choice. Our providers have been documenting clients who chose to wait longer than 7 days. We

addressed this issue at a provider meeting and has since not been an issue. So in reality, no one waited

longer than seven days due to an SCA or provider issue.

· Enter below for state fiscal year 2010/2011 the number of individuals recommended for

treatment that did not receive the recommended level of care, and provide reasons why

individuals recommended for treatment did not receive the recommended level of care.

(Your response should provide as much detail as possible, to elaborate on responses

already provided in the monthly CMRR reports.)



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In 2010/2011, the total number of individuals who did not receive the recommended LOC was 113. This

was due to client choice and/or legal issues. Those clients waiting due to client choice typically are

recommended for a level of care of treatment but don t think they need the recommended treatment

so they dont return for service. Legal issues include clients who go to jail and are unable to start

services. This frequently occurs with DUI assessments.

· Enter below for state fiscal year 2010/2011 the number of individuals recommended for

treatment that had to wait longer than two weeks to access the recommended level of

care, broken down by level of care. Discuss the reasons why individuals had to wait

longer than two weeks to access treatment.

According to 2010/2011 data, the following numbers of clients waited longer than two weeks for the

recommended level of care: 1 - Detox, 10 - Outpatient, 1 - Methadone, 1 Intensive Outpatient, 11

Short-Term Rehabilitation. There are several reasons for the wait time for recommended levels of care,

including three clients waiting due to capacity Issues (at treatment facilities), one due to lack of

appropriate service (Methadone is not provided locally), two due to clients

choices, two for otherreasons, and sixteen due to legal issues.

· Enter below your discussion on the table in Appendix E.

According to 2009/2010 patterns of referral (Appendix E), almost half of SCA clients are referred from

Drug & Alcohol Abuse providers. This is much higher than the statewide average of 24%. This is

because providers are contracted to provide LOC assessments for the SCA, which has increased the

number of clients referred for levels of care. There were no referrals from either employers or religious

organizations. Perhaps no referrals are coming from employers due to pre-employment drug

screenings. It may also be possible that individuals labeled as clients friends are actually congregants

but prefer the friend title when they are asked how they are associated with the client. Self-referralsand friend referrals are also slightly higher than the state average (25.6% vs 21%). Referrals come from

the criminal justice system refers clients to the SCA (16.7%) less often than state average of 36%. This

rate has increased three-fold, possibly due to collaboration with the Criminal Justice Advisory Board,

which have been working with D/A staff to ensure clients do not fall through the cracks. Only one

juvenile client was referred for admission funded by the SCA, possibly because children in the counties

have a relatively low rate of non-insurance.

· Enter below your discussion on the table in Appendix F.

When looking at 2009/2010 treatment admission data (Appendix F) several differences are noted

between state and local statistics. Franklin/Fulton SCA sends almost four times the state average of

clients to non-hospital detox (47.1% vs 13%). However, Franklin/Fulton SCA sends 1/3 of the clients to

outpatient drug free treatment (15.4% vs 45%) when compared with the state. In addition, the SCA

sends 22.8% of clients to short-term non-hospital rehab, compared to just 15% averages across the

state. This data indicates that Franklin/Fulton Counties are responding to the demand for treatment

differently than the average level of care provided throughout the state: this SCA is placing more clients



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into short-term, non-hospital rehabilitation and non-hospital detox than the state. Overall in PA, more

clients are receiving an outpatient drug-free level of care. In turn, this may mean a higher per-client cost

for treatment in the SCA. However, placing more clients in short-term non-hospital rehab versus

outpatient drug-free treatment may also mean that clients served in the counties are receiving more

intense treatment. It is thought that a future shift from non-hospital rehab will be seen as economic

trends continue to influence referrals for less costly treatment options such as outpatient drug-free.

Franklin/Fulton SCA also admits fewer clients to halfway house, partial hospitalization, intensive

outpatient, and methadone maintenance. This is for a variety of reasons, including lack of a partial

hospitalization, halfway house or methadone clinic locally.

· Enter below your discussion on the tables in Appendix G.

A review of admissions by primary substance of abuse for adults in the FY 2009-2010 (see Appendix G)reveals that Franklin/Futon Counties fair worse than state averages with respect to use of heroin, other

opiates/synthetics, and benzodiazepine abuse.

In this SCA, alcohol was most frequently reported primary substance of abuse for those 18 and older.

Franklin/Fulton adults reported alcohol as the primary substance of abuse at a rate of 34.8% which is

similar to the state rate of 38.3%.

Franklin/Fulton County SCA clients report heroin as the primary substance in 28.4% of cases (compared

to a state rate of 22.4%). This trend is alarming as it has continued to increase. In addition, primary

drugs have been reported as opiates/synthetics at a higher rate than state average 17.7% compared to

12.7%. Benzodiazepine also is reported at a rate of 4.3% (compared to 1.0% statewide).

· Enter below your description of CIS data reporting issues and what the SCA is doing to

correct them.

At this time no data reporting issues are being reported by the new administrative officer of the SCA.

Directions for 5d.

Discuss the number of individuals in need of recovery support services. While it is understood

that this may be difficult to assess, provide your best estimate based on any data you may have

available. The estimate of the prevalence of substance use disorders provided in Appendix B

may be your best estimate of the number of individuals in need of recovery support services. If

you have other data available that provides information about the potential demand for (i.e.

number of people in need of) recovery support services, please discuss it below. Recovery

Support Services (RSS) are non-clinical services that assist individuals and families to recover

from alcohol and other drug problems. These services complement the focus of treatment,

outreach, engagement and other strategies and interventions to assist people in recovery in



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gaining the skills and resources needed to initiate, maintain, and sustain long-term recovery.

Services may include Mentoring Programs, Training & Education Programs, Family Programs,

Telephonic Recovery Support, Recovery Planning, Support Groups, Recovery Housing, Recovery

Centers, Childcare, and Transportation.

Response to 5d.


According to estimates of the Prevalence of Substance Abuse Disorders based on the 2009 National

Survey on Drug Use and Health, approximately 10,342 residents of Franklin and Fulton Counties have a

substance abuse disorder. This represents almost 7.7% of the entire population of the two counties.

While it is understood that many of these residents will not receive treatment due to denial and non-

identification, this is the overall potential for those in need of recovery services. According to the 2010-

2011 Franklin/Fulton Drug & Alcohol Annual Report, approximately 1324 residents in the two counties

had public funded (SCA and Managed Care) treatment. Privately funded treatment numbers are

unavailable, however this shows that at a minimum 1324 clients were in need of recovery services in thecounties (this is very under-estimated due to the lack of private insurance funded treatment data).



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Directions for 6a.

List and describe the assets or resources available to prevent substance abuse. Assets and

resources are many and varied (e.g. financial, social, human, organizational). Please consider

the wide range of assets and resources that may be available and discuss those that will be most

important to preventing substance abuse. Examples of assets/resources are: numerous after-

school programs, supportive law enforcement, engaged elected officials, active coalitions, local

company/business foundations that have made drug and alcohol prevention a priority, good

public transportation system, all schools willing to share PAYS data, most licensed

establishments have had Responsible Alcohol Management Program (RAMP) training, good

relationships with media, numerous volunteers for mentoring programs, community is willing

and able to pull together to address problems, community is willing to change, and recovery

community is involved in prevention efforts. Also note resources respondents to the Key

Representative and Convenience surveys marked in question 5 of these surveys.

Response to 6a.


Franklin and Fulton counties have a variety of assets and resources available to prevent

substance abuse. Chambersburg Area School District and Central Fulton School District (the

biggest districts in each county, both of which are also in the county seats) have a variety of after-school programs, both free and at a charge. Many other districts, particularly the rural

ones do not have this asset.

In addition there is a bi-county Community Coalition (for the Prevention of Substance Use and

Abuse). Many local agencies and organizations are involved with this coalition that meets

monthly to address local prevention efforts and events. This coalition began in 2009 and was

spurred out of a workgroup began in 2007. The coalition has also applied for Drug-Free

6 To identify assets or resources available in the county(ies) or region.

a. Identify assets or resources available to prevent substance abuse.

b. Identify intervention services that are currently available.

c.

Indentify assets or resources available to help respond to treatment demand.d. Identify recovery support services that are currently available.

e. Please list the trainings you and your providers have had to prepare for addressing

the issues and problems identified in Objectives 1-4.

Reminder: These lists should not be limited to assets and resources of only the SCA and its

contracted providers but should include any applicable/relevant assets and resources within the

entire county(ies).



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Communities federal grant monies which would enable a much more active and involved

coalition role in the communities.

Franklin and Fulton Counties are both fortunate to have supportive law enforcement and

engaged elected officials. Many of these officials are actively involved in the Community

Coalition. In addition, many of our law enforcement entities participate in the DEA drug take-back initiatives. Local law enforcement and criminal justice authorities are strict enforcers of

the local DUI laws and help create a very supportive environment for prevention efforts.

Schools are all involved in prevention efforts in varying degrees. All schools share PAYS data

with county agencies.

Local media outlets are also involved in Coalition efforts and both a local radio talk host (Kelly

Spinner) and local newspaper (Public Opinion) are supportive of prevention efforts, highlighting

local initiatives and activities on the air and on print.

A local mentoring program is also in place, however at this time resources and assets only applyfor mentoring efforts in one school district.

A county-wide Youth Leadership program is also offered in Franklin County, with specially

selected 10th grade students from every district participating in leadership development and

educational opportunities.

Directions for 6b.

List and describe the intervention and early intervention services that are available in the

county(ies) served by your SCA. Examples of intervention services could be DUI programs,

Student Assistance Programs, Employee Assistance Programs, or a provider run substance useeducation group for individuals who are waiting to access treatment services.

Response to 6b.

(Provide response in the space below. Add space as needed.)

At this time, the primary intervention services available in the county include the Student Assistance

Program in secondary schools. Programming with elementary interventions including elementary

support and intervention groups has been piloted in the 2011-2012 year using Integrated Children s

Services Plan funding. In addition, SCA and contractors are working with the Criminal Justice Advisory

Board to begin utilizing a monthly DUI Victim Impact Panel through MADD.

The Aids Community Alliance provided outreach services. The agency uses empirical evidence-based

programming to reach ID users in the community. They conduct and maintain accurate community

observation records that include the location of drug activity, identification of types and levels of drug

activity, and drug usage. Aids Community Alliance developed and implemented a community-based HIV

prevention program targeting injection drug users and their partners.



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Directions for 6c.

List and describe the assets or resources available to help respond to treatment demand.

Resources include money, staff, assessment and treatment capacity, capacity to serve acute and

chronic need, the capability to provide various types, level, and intensities of care, funds and/or

services available through other systems (i.e. Children, Youth & Families, Office of VocationalRehabilitation, HealthChoices, PA Commission on Crime & Delinquency, Liquor Control Board,

federal grants, Centers for Disease Control, Department of Education, private industry), regional

or local partnerships, other service systems that are meeting part of the treatment demand, etc.

Complete the table below by listing the number of treatment (inpatient and outpatient)

providers and the number of licensed and unlicensed case management providers in the

county(ies) you serve and the number with whom the SCA contracts.

Total # in the

County(ies)

Served by the

SCA

# SCA Contracts

with

Licensed Inpatient Treatment Providers 1 1

Licensed Outpatient Treatment Providers 6 6

Licensed and Unlicensed Case Management Providers 0 0

Response to 6c.


Franklin/Fulton Drug/Alcohol Program employs three full-time case managers during the FY10/11 year.

One case manager works solely for clients in the Drug and Alcohol Probation Partnership (DAPP) for

individuals referred to the Restricted Intermediate Punishment Program (RIPP) program. Two case

managers are for general public clients entering the systems of treatment. These case managers served

878 individuals through their treatment and recovery process during this period. Providers are each

assigned an SCA case manager, who then manages referrals coming in and discharging out of the

provider agencies.

HealthChoices continues to be a major asset providing reimbursement for Drug & Alcohol treatment

that previously may have been the responsibility of the SCA. Through our involvement on the

Integrated Children Service Plan in both counties, we work closely with MH/ID/EI, Children & Youth, and

Juvenile Justice. Together we identify addicted youth by broadening and standardizing behavioral

health screening efforts, including drug and alcohol problems.

FFDA has an agreement with our inpatient provider, White Deer Run, to utilize a 24-hour hotline for

after-hours crisis. These services are a great benefit. The hospital staff, instead of providing services

directly, provides individuals with the White Deer Run contact information. By calling the toll-free

number, individuals are screened over the phone. If in need of detoxification, transportation is provided

to the facility from the individuals location.



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The SCA also works closely with the countys Grants Management department to identify and apply for

D&A treatment/criminal justice grants.

The local Day Reporting Center (DRC) provides treatment to clients with a need and approximately 70%

of their clients (227 of 324 intakes in 2011) received treatment while participating in the program.

Clients pay back the cost of their treatment through fines and fees. The Day Reporting Center has beena huge asset in the justice system and has reduced jail crowding. The DRC program also assists

offenders in accessing necessary treatment.

Directions for 6d.

List and describe recovery support services that are currently available. Resources include

money, staff, recovery centers, recovery houses, transportation, tutoring, volunteers,

community agencies, support groups, etc. Examples of recovery resources may include, but are

not limited to the following: mentoring programs in which individuals newer to recovery are

paired with more experienced people in recovery to obtain support and advice on an individual

basis and to assist with issues potentially impacting recovery (these mentors are not the same as

12-step sponsors), training and education utilizing a structured curriculum relating to addiction

and recovery, life skills, job skills, health and wellness that is conducted in a group setting, family

programs utilizing a structured curriculum that provides resources and information needed to

help families and significant others who are impacted by an individuals addiction, telephonic

recovery support (recovery check-ups) designed for individuals who can benefit from a weekly

call to keep them engaged in the recovery process and to help them maintain their commitment

to their recovery, recovery planning to assist an individual in managing their recovery, and

support groups for recovering individuals that are population focused (i.e. HIV/AIDS, veterans,

youth, bereavement, etc.). Please list the number of recovery support providers in the

county(ies) you serve and the number of recovery support providers with whom the SCA

contracts.

Response to 6d.


There are few resources and assets in Franklin and Fulton Counties at this time those that are in place

include Narcotics Anonymous, Alcoholics Anonymous, and Dual Recovery Anonymous. Online support

groups have become very popular with clients throughout the treatment and recovery process due to

anonymity and availability. Individuals who have MA are able to utilize county transportation to maketreatment appointments. We do not have any recovery housing in the two counties. Pyramid

Healthcare in Chambersburg is currently operating a recovery based group with no more than 10

participants at a time.

Directions for 6e.



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Directions for 7a.

Identify the resources needed to effectively prevent the issues/problems/trends identified in

Objectives 1-4. Only discuss the resources needed to address issues you identified in Objectives

1-4. In your response note what issue/problem/trend the resource is needed to address. Please

discuss more than just needs in terms of funding and staff. For example, a needed resource that

you do not currently have may be strong relationships with school district administrators or

support from district justices.

7 To identify and quantify the resources needed/necessary.

a. Identify the resources needed to effectively prevent the issues/problems/trends

identified in Objectives 1-4.

b. Identify the resources needed to provide effective intervention services for

issues/problems/trends identified in Objectives 1-4.

c. Identify and quantify the resources necessary to meet the estimated treatment

demand and any trends identified in Objectives 3, 4 and 5 that impact this demand.

d. Identify recovery support services that the SCA needs in developing a Recovery

Oriented System of Care (ROSC).

e. Identify any areas where training for staff would be needed, given

issues/problems/trends identified in Objectives 1-4.

Definitions:

Needed Resources: Needed resources are resources that the SCA, its providers, the community, etc.

do not already have. Needed resources would not be those assets/resources that are currently

available and were discussed in Objective 6.

Recovery Oriented System of Care: A recovery management model of care, also known as a chronic

care approach to recovery. The foundation of this approach includes: accessible services; a

continuum of services rather than crisis-oriented care; culturally competent care that is age and

gender appropriate; and where possible, is embedded in the persons community and home using

natural supports. Creating a ROSC requires a transformation of the service system as it shifts to

becoming responsive to meet the needs of individuals and families seeking services. Recovery-

oriented systems support person-centered and self-directed approaches to care that build on

strengths and resilience. Individuals, families, and communities take responsibility for theirsustained health, wellness, and recovery from alcohol and other drug related issues through the

various life phases of recovery. This system refers to the larger cultural and community environment

in which long-term recovery is nested and offers a complete network of formal and informal

resources that support long-term recovery of individuals and families.



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acute need and chronic need, the capability to provide various types, levels, and intensities of

care, etc.

Response to 7c.


We have a need to educate physicians to properly prescribe and utilize Buprenorphine. Also, we are

currently working on introducing our local medical professionals to Vivitrol for alcohol and opiate

addiction. The hard part is finding providers who can administer the monthly injection. We currently do

not have a drug court. Therefore, we get an overwhelming number of individuals from the forensic

system that need assessed. However, we do not receive any funds from that system to help use pay for

these individuals. It is something that we are currently looking into, especially with our DUI clients. We

do not currently have a good representation of the levels of care. Our providers are only able to offer

one or two levels and there are serious gaps in the system. For example, we do not have any partial

(adult or youth)programs, IOP for youth, early intervention for youth; and all our contracted providers

offer group treatment. Therefore, getting a client seen on an individual basis is very difficult.

Directions for 7d.

Identify what specific recovery services would be necessary to support the development of a

ROSC.

Response to 7d.


One challenge and necessary resource is a peer mentoring program. Providers engaged in the past have

been unable to provide the capacity needed in the community. We would highly benefit from building a

peer-support mentoring program. However, our efforts do not seem to gain enough interest. It seems

that individuals in recovery are highly interested in having this type of support. However, there seems

to be no way of funding this type of program due to lack of community interest. In addition, recovery

housing would allow us to provide the full continuum of care for the residents of our county. Telephonic

recovery support would also be a great option, including check-ups, for individuals needing extra help

with maintaining their recovery.

Directions for 7e.

Given issues/problems/trends identified in Objectives 1-4, list any areas where training for staff

would be needed. Only list trainings you and your providers need that directly relate to theissues and problems you identified in Objectives 1-4. For example if you found upon

examination of various data sources that substance abuse among the elderly in your county has

been increasing for the past four years, then list training you need about treatment and

prevention of substance abuse among the elderly.

Response to 7e.




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Continued and expanded trainings on abuse of over the counter medications and prescription drug

abuse are needed. In addition, synthetic drugs are a growing trend on which training would be very

helpful. Trainings on co-occurring competency and medication assisted treatment would also be helpful

in addressing needs.



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Directions for 8a.

Identify barriers that would impede the ability to meet the prevention needs of your

communities. Be sure to note barriers specific to the issues/problems identified in Objectives 1-

4 and reflect on their changeability. Barriers may be not having those items you stated were

needed in Objective 7 or there may be other barriers, for example: strong community beliefs of

underage drinking as a harmless rite of passage or schools and parents will not accept certain

prevention programming because they do not want the schools issues with drug use known to

the general public. There is no need to repeat your response to Objective 7; instead, use this

space to discuss the changeability of these barriers. How easy or difficult will it be to remove or

get over these barriers? Where possible, cite data such as data from Key Representative surveys

that provides evidence of the barrier.

Response to 8a.


One huge barrier to effective prevention is funding levels. A large increase in funding would be

necessary to meet the demand that our large counties have. Another barrier is the time that schools

have available to offer for prevention programming. Schools are under such rigid and demanding levels

of testing and other requirements that it is often difficult to schedule time with students to do

prevention education. Although strong relationships with the schools have helped decrease this barrier,

schools are bound by instructional time and testing requirements and have difficulty fitting in drug and

alcohol education in all grades. Some schools are hesitant to accept drug and alcohol education,thinking their kids dont need the lessons yet. Residents of both counties are often in denial and

unwilling to accept that drug use is happening in their communities.

Another barrier remains the long-held norms and beliefs that underage drinking is a rite of passage and

parents who think that as long as kids are drinking with them at home it is not a problem. These social

norms and expectations take a lot of effort and time to change. Tobacco is another drug with a social

8 To identify barriers to addressing the needs that have been identified.

a. Identify barriers that would impede the ability to meet the prevention needs of your

communities.

b. Identify barriers that would impede the ability to meet the intervention needs of

your communities.

c. Identify barriers that would impede the ability to meet the assessment and

treatment demand in the SCA.

d. Identify barriers that would impede the ability to meet the recovery support services

demand in the SCA.



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norm problem, as many adults in the area are tobacco users and are not concerned with youth tobacco

usage.

Directions for 8b.

Identify barriers that would impede the ability to meet the intervention and early intervention

needs of your communities. Barriers may be not having those items you stated were needed in

Objective 7, or there may be other barriers such as stigma associated with identifying oneself as

someone with a potential substance use problem. There is no need to repeat your response to

Objective 7; instead, use this space to discuss the changeability of these barriers. How easy or

difficult will it be to remove or get over these barriers? Where possible, cite data that provides

evidence of the barrier.

Response to 8b.

(Provide response in the space below. Add space as needed.)

In addition to funding, other barriers to youth intervention include the relationship between child and

parent, and the schools resistance to labeling youth as having a need for intervention services. Often

students are unwilling to have their parents know about drug use and therefore will not take part in

intervention programs and groups. Many times even when parents know a child is using they are

unwilling to believe or accept their child may have a potential problem and deny intervention and/or

treatment. Schools are often unwilling to single out students they are concerned about to schedule

interventions. School administration members often hesitate to select or label students, even for group

interventions. Social and community stigma are also a barrier to implementing effective interventions.

Many families are unaware (or unwilling to admit) that youth alcohol use is a problem (when socialnorms make youth alcohol use seem acceptable).

In addition, by the time adults get to the case managers or providers, they are often at the level of

needing treatment. The SCA and providers do provide limited intervention for adults who HIV/AIDS, as

well as pregnant mothers who are using drugs. However, most of the adults coming into the SCA have

progressed so far into their use that treatment is necessary. The adults served seem to have difficulty

acknowledging that there is a substance abuse issue; therefore, intervention services are not

appropriate for their current stage of change.

Directions for 8c.

Describe the barriers that impede or prevent the SCA from meeting assessment and treatment

demands. Barriers may be not having those items you stated were needed in Objective 7 or

there may be other barriers. Examples of barriers include lack of access, quality and

appropriateness of care, insurance denials, childcare, transportation, location, language, zoning

restrictions, payment for co-occurring services outside of managed care, parental resistance to

permitting SAP assessments, interface with county systems, to include confidentiality issues



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(i.e., courts, CY&F), length of time from application to acceptance for HealthChoices, restrictions

of available funds, ineffectual tracking of individuals between payers, varied perceptions of

medical necessity criteria, SCA protocols/policies & procedures, etc. There is no need to repeat

your response to Objective 7; instead, use this space to discuss the changeability of these

barriers. How easy or difficult will it be to remove or get over these barriers? Provide any

objective data that is evidence of the barrier. For example if lack of childcare is a barrier, cite

data such as the length of the waiting list for state subsidized child day care.

Response to 8c.


Due to the rural nature of both counties, the lack of both transportation and providers are barriers to

being successful in meeting treatment demand. Those convicted of DUIs who do not have a license are

most affected by the rural nature since neither county has a solid public transportation system.

Another barrier can be the relatively small variety of providers to choose from. We currently do not

have enough providers doing each specific Level of Care, and it is difficult to attract providers due to the

rural nature of the counties. Start-up costs are relatively high and prospective providers fear they maylack the steady volume of clients necessary to have a successful business. Current providers all provide

outpatient services. However, IOP for adults is limited to two providers. Intensive outpatient for youth

does not exist in either county. Early intervention for youth also does not exist. No one provides partial

hospitalization in either county. With such a small pool of agencies to pick from, individuals needs are

not always met. We have had issues with Spanish speaking clients because none of our providers offer

Spanish (or translation) services.

Directions for 8d.

Describe the barriers that impede or prevent the SCA from meeting recovery support services

demand. Barriers may be not having those items you stated were needed in Objective 7 orthere may be other barriers. Examples of barriers include: limited understanding of recovery

support services and ROSC, lack of community and family involvement, need to mobilize the

recovery community, concern that recovery support services will take the place of clinical

services, need to expand and develop new linkages in the community, conflicting priorities and

limited funding. There is no need to repeat your response to Objective 7; instead, use this space

to discuss the changeability of these barriers. How easy or difficult will it be to remove or get

over these barriers? Provide any objective data that is evidence of the barrier.

Response to 8d.


There are huge barriers to recovery support services. None of the current providers are able to take on

the capacity needed to provide these services. They are busy providing treatment services and do not

have the capacity necessary to expand to recovery services. Individuals are engaging in AA and NA for

support, however, this does not work for everyone so we do have a need for more support services. A

new provider in Fulton County is working on developing a recovery support group that operates itself.

Franklin County also had a Dual Recovery Anonymous group start on May 15 of this year. Historically, it



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seems that our rural community does not take a strong interest in D&A needs. Therefore, we do not

have community-based resources needed for our individuals in recovery.

Appendix A

Key Representative and Convenience Survey Administration Information

BDAP Key Representative Survey on Alcohol, Tobacco and Other Drugs

a. Total Number of Surveys Given Out: __34___

b. Total Number of Surveys Completed: __29___

c. Explain how the Key Representative Survey was administered and provide justification regarding

the total number administered.

(Use the space below. Add additional space as needed.)

The key representative surveys were printed out and given to key representatives at a strategic planningmeeting. Some completed them that day and returned them, while others took the survey with them

and returned it to the SCA. For those who returned the hard copy of the survey, the prevention

specialist entered their surveys into PBPS for them. For those who did not return the hard copy of the

survey, the prevention specialist entered them into PBPS and sent an email with link to the survey

through PBPS. Multiple email reminders were sent to those who still did not complete the survey.

We asked that 34 people take the survey because we had representation from 12 of the 13 community

role categories.

d. If you were unable to obtain a survey from a Key Representative for one of the defined

community roles (see list of roles on page 3 of survey instructions), please provide

explanation/justification for why you were not able to get a Key Representative for the

particular community role.

(Use space below. Add additional space as needed.)

The key representative requested to fill this one role did not complete and return the survey.

BDAP Convenience Survey on Alcohol, Tobacco and Other Drugs (The use of this survey is optional. If you did not utilize this survey, please check did not use convenience survey below.)

_x_ Did not use convenience survey

a. Total Number of Surveys Completed: __0__

b. Explain how the Convenience Survey was administered and discuss to whom it was

administered.



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(Use the space below. Add additional space as needed.)

Convenience surveys were not required by the state and none were administered.



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Appendix B

Prevalence of substance use disorders in the total population

The Department of Health has provided data for each SCA (see table below) based on surveys which

yield valid estimates of the prevalence of substance abuse disorders. Only 7% to 10% of the estimated

number of dependent people presented in this table would admit to having a substance abuse problem,

but the larger number may be thought of as those whose behavior is creating personal consequences

and affecting their associates. They are also the pool of people, who eventually, under the right

circumstances, may present for treatment services.

These numbers may be used by SCAs to describe need (as distinguished from demand) and the extent of

the problem. They show the potential for demand for services.



Estimates of the Prevalence of Substance Use Disorders (Dependence or Abuse)1

Pennsylvania, Single County Authorities and State

Based on 2009 National Survey on Drug Use and Health (NSDUH)2

SCATotal 2009

Population

Age 12+ Age 12-17 Age 18-25 Age 26+

PopulationPrevalence

( Rate =

7.7% )


( Rate =

7.1% )


( Rate =

20.4% )

PopulationPrevalenc

( Rate =

5.7% )

Allegheny 1,218,494 1,056,102 81,320 96,210 6,831 138,863 28,328 821,029 46,79

Armstrong / Indiana / Clarion 194,780 169,075 13,019 15,548 1,104 28,849 5885 124,678 7,10

Beaver 171,673 149,425 11,506 13,196 937 16,516 3,369 119,713 6,82

Bedford 49,579 42,538 3,275 3,893 276 3,972 810 34,673 1,97

Berks 407,125 340,836 26,244 34,635 2,459 45,561 9,294 260,640 14,85

Blair 126,122 108,639 8,365 9,615 683 13,182 2,689 85,842 4,89

Bradford / Sullivan 67,271 57,660 4,440 5,800 412 5,728 1,169 46,132 2,63

Bucks 626,015 534,091 41,125 50,892 3,613 55,477 11,317 427,722 24,38

Butler 184,694 157,576 12,133 15,615 1,109 19,535 3,985 122,426 6,97

Cambria 143,998 126,079 9,708 10,581 751 15,517 3,165 99,981 5,69

Cameron / Elk / McKean 80,370 69,956 5,387 6,691 475 7,302 1,490 55,963 3,19

Carbon / Monroe / Pike 290,749 251,929 19,399 25,487 1,810 32,850 6,701 193,592 11,03

Centre 146,212 131,607 10,134 10,562 750 47,366 9,663 73,679 4,20

Chester 498,894 417,709 32,164 44,572 3,165 52,889 10,789 320,248 18,25

Clearfield / Jefferson 126,958 110,700 8,524 9,222 655 11,699 2,387 89,779 5,11Columbia / Montour / Snyder / 164,905 144,692 11,141 13,011 924 27,097 5,528 104,584 5,96

Crawford 88,521 75,681 5,827 7,559 537 9,781 1,995 58,341 3,32

Cumberland / Perry 277,985 240,735 18,537 22,274 1,581 38,036 7,759 180,425 10,28

Dauphin 258,934 218,333 16,812 20,557 1,460 24,124 4,921 173,652 9,89

Delaware 558,028 474,502 36,537 46,980 3,336 67,139 13,696 360,383 20,54

Erie 280,291 239,642 18,452 23,736 1,685 36,270 7,399 179,636 10,23

Fayette 142,605 123,708 9,526 11,184 794 12,638 2,578 99,886 5,69

Forest / Warren 47,413 41,632 3,206 3,686 262 4,600 938 33,346 1,90

Franklin / Fulton 159,846 134,315 10,342 12,336 876 16,370 3,340 105,609 6,02

Greene 39,245 34,528 2,659 2,851 202 4,527 923 27,150 1,54



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Estimates of the Prevalence of Substance Use Disorders (Dependence or Abuse)1

Pennsylvania, Single County Authorities and State

Based on 2009 National Survey on Drug Use and Health (NSDUH)2

SCATotal 2009

Population

Age 12+ Age 12-17 Age 18-25 Age 26+


( Rate =

7.7% )


( Rate =

7.1% )


( Rate =

20.4% )

PopulationPrevalenc

( Rate =

5.7% )

Huntingdon / Mifflin / Juniata 114,450 98,040 7,549 8,954 636 11,370 2,319 77,716 4,43

Lackawanna 208,801 180,978 13,935 16,111 1,144 23,854 4,866 141,013 8,03

Lancaster 507,766 425,089 32,732 44,976 3,193 59,163 12,069 320,950 18,29

Lawrence 90,160 77,969 6,004 7,414 526 9,575 1,953 60,980 3,47

Lebanon 130,506 111,593 8,593 9,881 702 14,744 3,008 86,968 4,95

Lehigh 343,519 292,542 22,526 28,229 2,004 39,934 8,147 224,379 12,79

Luzerne / Wyoming 340,653 296,823 22,855 25,159 1,786 37,815 7,714 233,849 13,32

Lycoming / Clinton 153,637 133,102 10,249 12,111 860 19,556 3,989 101,435 5,78

Mercer 116,071 100,033 7,703 9,885 702 12,847 2,621 77,301 4,40

Montgomery 782,339 662,286 50,996 60,854 4,321 72,413 14,772 529,019 30,15

Northampton 298,990 255,549 19,677 25,688 1,824 36,285 7,402 193,576 11,03

Northumberland 91,311 79,049 6,087 7,056 501 7,538 1,538 64,455 3,67

Philadelphia 1,547,297 1,296,728 99,848 133,480 9,477 222,703 45,431 940,545 53,61

Potter 16,714 14,223 1,095 1,365 97 1,592 325 11,266 64

Schuylkill 146,952 128,818 9,919 10,626 754 13,103 2,673 105,089 5,99

Somerset 76,953 67,581 5,204 5,570 395 6,731 1,373 55,280 3,15

Susquehanna 40,646 35,421 2,727 3,446 245 3,670 749 28,305 1,61

Tioga 40,875 35,091 2,702 3,883 276 5,489 1,120 25,719 1,46

Venango 54,183 46,544 3,584 4,482 318 4,467 911 37,595 2,14

Washington 207,389 179,262 13,803 15,708 1,115 22,316 4,553 141,238 8,05

Wayne 51,337 45,247 3,484 3,478 247 4,381 894 37,388 2,13

Westmoreland 362,251 316,496 24,370 27,572 1,958 32,608 6,652 256,316 14,61

York / Adams 531,260 451,332 34,753 43,457 3,085 53,915 10,999 353,960 20,17

Pennsylvania 12,604,767 10,781,486 830,174 1,026,078 72,852 1,451,954 296,199 8,303,454 473,29



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1. Past year dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

2. The National Survey on Drug Use and Health (NSDUH), formerly known as the National Household Survey on Drug Abuse (NHSDA), is an annual survey conducted by

SAMHSA's Office of Applied Studies. NSDUH is the primary source of statistical information on the use of illicit drugs by the U.S. civilian population aged 12 or older, based on

face-to-face interviews at their place of residence. The survey covers residents of households, non-institutional group quarters (e.g., shelters, rooming houses, dormitories), and

civilians living on military bases. Persons excluded from the survey include homeless people who do not use shelters, active military personnel, and residents of institutional

group quarters, such as prisons and long-term hospitals.

State level estimates are based on a survey-weighted hierarchical Bayes estimation approach.

Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008 and 2009, Table 5.4B.

Population Data Source: Penn State Data Center 2009 Population Estimates.

County-level estimates prepared by the Division of Statistical Support, Pennsylvania Department of Health. Estimates may not sum to totals due to rounding.

Use of the data: These estimates may be used to describe the need for treatment services (as distinguished from demand) and the extent of the problem. They show potential fo

demand for services.



Appendix C

Prevalence of substance abuse dependency disorders in special populations

Each SCA will be responsible for developing prevalence estimates of substance abuse disorders (for its service area) for the special population

groups listed in the table below. These numbers may be used by the SCA to describe the possible need (as distinguished from demand) and the

extent of the problem. The special population groups listed in column 1 are the minimum requirements for this needs assessment. SCAs may

include other special population groups, as desired. Add these other special populations as rows in the table below. Be sure to list the source

of the data in column 2.

The Department of Health will provide appropriate web links for county level population data for the criminal justice and family court categories

in column 2 (items 1-3, 6, and 7). The SCA is then responsible for adding the statistical information relevant for each category.

Based on Department of Corrections (DOC) and national estimates, approximately 70% of all inmates are substance dependent and require

some form of treatment. This information will be used to provide the estimates needed for columns 4 & 5, where appropriate (items 3-5).

Based on The National Center on Substance Abuse & Child Welfare, approximately 50% of substantiated child abuse cases have an underlying

substance abuse issue and require some level of treatment. This information will be used to provide the estimates needed for columns 4 & 5,

where appropriate (item 6). Based on SAMHSA Substance Abuse Treatment & Domestic Violence TIP 25, approximately 25% of Protection From

Abuse (PFA) orders issued by the court have an underlying substance abuse issue and require some level of treatment. This information will be

used to provide the estimates needed for columns 4 & 5, where appropriate (item 7).

To get similar estimates for County Jail Population and Persons on State Probation or Parole in the county, phone calls should be made to local

contacts to ask: What is the annual caseload (Column 4)? Based on Department of Corrections (DOC) and national estimates, approximately

70% of all inmates are substance dependent and require some form of treatment.



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Local Special Population Need Data

As reported by (SCA name)

Special Population

Category

(Column 1)

Source of Data and

web link

(Column 2)

How to Locate Data

(Column 3)

(Column 4)

Enter Total

Number

from

Column 1

(Column

5)

Percent

of these

persons

who havesubstance

abuse

problems.

(Column 6)

Estimated number

who have substance

abuse problems

=Col 4 x Col 5 foreach category

1. Drug Possession Arrests: 18E-Drug Possession - OpiumCocaine;18F-Drug PossessionMarijuana;18G-Drug Possession

Synthetic;18H-Drug Possession- Other (Total Arrests Adult &Juvenile)

Pennsylvania

Uniform Crime

Reporting Program

http://ucr.psp.state.pa.us/

UCR/Reporting/Monthly/

Summary/MonthlySumAr

restUI.asp

1) Select Arrests by Age

& Sex 2) Select Year 3)

Select Month (December)

4) Select YTD 5) Select

County 6) Select

Appropriate UCR Codes

7) Click Submit 8)

Record Total

2011

Franklin 18E,

18F, 18G, 18H

total 266

Fulton 18E,

18F, 18G, 18H

total 55

100% 2011

Franklin 266

Fulton 55

2. Arrests for 210-Driving Underthe Influence; 220-Liquor Law;230-Drunkenness (Total Adult &

Juvenile Arrests)

Pennsylvania UniformCrime Reporting Program

http://ucr.psp.state.pa.us/ UCR/Reporting/Monthly/ Summary/MonthlySumArrestUI.asp

1) Select Arrests by Age

& Sex 2) Select Year 3)

Select Month (December)

4) Select YTD 5) Select

County 6) Select

Appropriate UCR Codes

7) Click Submit 8)

Record Total Arrests

2011

Franklin 210,

220, 230 total1314

Fulton 210,

220, 230 total

116

100% 2011

Franklin 1314

Fulton 116

3. Adult County Probation andParole

Pennsylvania Board of Probation and Parole

http://www.pbpp.state.pa.us/portal/server.pt/community/reports_and_publicat

1) Open 2009 CAPP

Report and go to Table 1

on Page 7 Caseload

Information 2009

2)Locate the county or

2010 Franklin

County total

caseload 2569

2010 Fulton

70%(DOC

estimate) 2010 Franklin County

1798



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ions/5358/county_adult_probation_and_parole_information/502401

counties 3)Record the

Total Caseload.

County total

caseload - 366

2010 Fulton County 26

4. County jail population SCA to provide fromlocal contacts

Contact Local Source 2011 Franklin

County total

commitments

2317

2011 Fulton

County total

commitments -163

70%(DOC

estimate)

2011 Franklin County

1622

2011 Fulton County - 114

5. Persons on state probation orparole in county

SCA to provide fromlocal contacts

Contact Local Source 2010 Franklin

County

Probation 911

2010 Franklin

County Parole

804

2010 Fulton

County

Probation 119

2010 Fulton

County Parole -116

70%(DOC

estimate)

2010 Franklin CountyProbation 638

2010 Franklin CountyParole 563

2010 Fulton CountyProbation 83

2010 Fulton County Parole81

Local Special Population Need Data

As reported by (SCA name)Special Population

Category

(Column 1)

Source of Data and

web link

(Column 2)

How to Locate Data

(Column 3)(Column 4)

Enter Total

Number

from

Column 1

(Column

5)

Percent

of these

persons

who have

(Column 6)

Estimated number

who have substance

abuse problems

=Col 4 x Col 5 for



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substance

abuse

problems.

each category

6. Reported Substantiated ChildAbuse & Neglect Cases (Total)

Pennsylvania Departmentof Public Welfare

http://www.dpw.state.pa.us/ucmprd/groups/webcontent/documents/report/d_00536.pdf

1) Select Annual Report

Year 2) Click on Table

and Charts 3) Locate

status of evaluation, rates

of reporting and

substantiation by county

Table 4) Locate your

County 5) Record Total

Substantiated Cases

2011 Franklin

County 54

2011 Fulton

County - 14

50 %

(National

Center on

Substance

Abuse and

Child

Welfare

April 2005)

2011 Franklin County 27


7. Domestic Violence (PFA) Administrative Office of Pennsylvania Courts

http://www.pacourts.us/T/ AOPC/ResearchandStatistics.htm

Then click on 2007AOPC Caseload Statistics

1) Select the Caseload

Statistics Year 2) Click

on Common Pleas 3)

Click on Family Court 4)

Click on Filings &

Dispositions 5) Click on

Protection From Abuse 6)

Locate County or

Counties 7) Record Total

Number of Final Order by

Stipulation or Agreement

2010 Franklin

County 85

2010 Fulton

County - 0

25%(SAMHSASubstanceAbuseTreatment &DomesticViolenceTIP 25)

2010 Franklin County 43


8. Other Categories * - DayReporting Center

Day Reporting Center

from local contacts

2011 Franklin

County Day

Reporting

Center clients

324 intakes

Varies(approximat

ely 70% in2011)

2011 Franklin County Day

Reporting Center 227

had Drug/Alcohol

treatment in 2011

* SCAs should include other special population categories that are identified, e.g. co-occurring. Other special populations that are discussed

elsewhere in the needs assessment must be included in this table.



Appendix D

BDAP Risk & Protective Factors

Risk Factors:

Low Neighborhood Attachment

Community Disorganization

Availability of ATOD

Laws and Norms Favorable To Substance Abuse

Lack of Clear Healthy Beliefs and Standards from Parents, Schools and Communities

Perceived Availability

Lack of Clear, Enforced Policy on the Use of ATOD

Availability of ATOD in School

Laws and Norms Favorable to Substance Abuse

Perceived Risk/Harm of Substance Abuse

Favorable Attitudes Toward Substance Use

Family Management Problems

Lack of Monitoring/Supervision

Favorable Parental Attitudes Toward ATOD Abuse

Protective Factors

Community Bonding

Healthy Beliefs and Clear Standards

Community Supported Substance Abuse Prevention Efforts and Programs

Availability of Constructive Recreation

High Monitoring of Youth Activities

Strong Classroom ManagementNorm of Positive Behavior

Pro-Social Opportunities

Social Bonding

Social Skills Competency

Academic Achievement

Regular School Attendance

Social Competence

Autonomy

Sense of Purpose and Belief in a Bright Future

Problem Solving Abilities

Consistency in Rule Enforcement

Reinforcement for Pro-social Involvement

High Parental Monitoring

Strong Parental Bonding

Strong Family Bonding

Positive Family Dynamics

No ATOD Use/Abuse

Extended Family Networks



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Appendix F

CIS: Treatment Admissions by Type of Service

This table is slightly different from the referral source tables and will be specific for each SCA. Sample

SCA data is provided in this example. Again, the table is limited to SCA clients as defined by the

Referring SCA item in CIS. However, what are counted are treatment admissions which began during

the year, rather than individual clients. We would expect to see differences in the pattern of services

provided by individual SCAs, compared to the statewide data, since we know that some SCAs simply do

not utilize certain levels of care.

SFY 09/10

Service Strategy for SCA (Franklin/Fulton)

Level of Care Usage for Treatment Admissions Number of

Admissions

Percentage

of SCA

Percentage

of Statewide

Hospital Detox 0 0% 1%

Hospital Rehab 0 0% 0%

Non-Hospital Detox 64 47.1% 13%

Short-term Non-Hospital Rehab (30 days or less) 31 22.8% 15%

Long-Term Non-Hospital Rehab 19 14% 8%

Halfway house 1 0.7% 2%

Partial Hospitalization 0 0% 5%

Intensive Outpatient 0 0% 9%

Outpatient drug free 21 15.4% 45%

Methadone Maintenance 0 0% 2%

Total Admissions paid by SCA 136 100% 100%



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Appendix G

CIS: SCA Paid Admissions by Primary Substance of Abuse

These two tables are also limited to SCA clients as defined by the Referring SCA (paying SCA) item in

CIS. It shows the treatment admissions that began during the year, rather than individual clients, based

on the primary drug of choice at admission. The percentage of admissions attributed to each substance

is compared with the percentage of statewide admissions for that substance for age categories: under

18 and age 18+.

SFY 09/10

Demand for Service by Primary Substance of Abuse

SCA Paid Admissions (Under Age 18) for: SCA (Franklin/Fulton)

Primary Substance of Abuse

Number of

Admissions

(Under Age

18)

Percentage of

SCA

Admissions

(Under Age

Percentage of

Statewide

Admissions (Under

Age 18)

Alcohol 0 0% 18.0%

Cocaine/Crack 0 0% 1.4%

Marijuana/Hashish 0 0% 67.0%

Heroin 0 0% 2.9%

Non-Prescript. Methadone 1 100% 0.2%

Other Opiates/Synthetics 0 0% 5.0%

PCP 0 0% 0.0%

Other Hallucinogens 0 0% 0.3%

Methamphetamine 0 0% 0.3%

Other Amphetamines 0 0% 0.3%

Other Stimulants 0 0% 0.0%

Benzodiazepine 0 0% 1.0%

Other Tranquilizers 0 0% 0.1%

Barbiturates 0 0% 0.0%

Other Sedatives/Hypnotic 0 0% 0.3%

Inhalants 0 0% 0.3%Over-The-Counter 0 0% 0.3%

Other 0 0% 2.6%

Total paid by SCA 1 100% 100%



SFY 09/10

Demand for Service by Primary Substance of Abuse

SCA Paid Admissions (Age 18+) for: SCA (Franklin/Fulton)

Primary Substance of Abuse

Number of

Admission

s (Age

18+)

Percentage

of SCA

Admission

s (Age

Percentage

of

Statewide

Admission

Alcohol 49 34.8% 38.3%

Cocaine/Crack 8 5.7% 10.0%

Marijuana/Hashish 5 3.5% 12.5%

Heroin 40 28.4% 22.4%

Non-Prescript. Methadone 0 0% 0.3%

Other Opiates/Synthetics 25 17.7% 12.7%

PCP 0 0% 0.3%

Other Hallucinogens 0 0% 0.2%

Methamphetamine 0 0% 0.3%

Other Amphetamines 0 0% 0.1%

Other Stimulants 0 0% 0.1%

Benzodiazepine 6 4.3% 1.0%

Other Tranquilizers 0 0% 0.1%

Barbiturates 0 0% 0.1%

Other Sedatives/Hypnotic 0 0% 0.2%

Inhalants 0 0% 0.1%

Over-The-Counter 0 0% 0.1%

Other 8 5.7% 1.2%

Total paid by SCA 141 100% 100%

2012 Needs Assessment

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