National Trends in ATOD Prevention

Kareemah AbdullahCommunity Anti-Drug Coalitions of America

(CADCA)Vice President, Training & Youth Programs

Deputy Director, Training & Technical AssistanceCADCA’s National Coalition Institute

TIPSS Conference Dallas, Texas ♦ June 15, 2010

Learning ObjectivesAt the end of this workshop, participants

will have increased information and understanding of:

• National direction of the Office of National Drug Control Policy (ONDCP), Substance Abuse Mental Health Services Administration (SAMHSA), and the Community Anti-Drug Coalitions of America (CADCA)

• National trends in prevention • Prevention in health care reform

National Direction

• Office of National Drug Control Policy (ONDCP)

R. Gil Kerlikowske, Director

• Substance Abuse & Mental Health Services Administration (SAMHSA)

Pamela S. Hyde, J.D., Administrator

• Community Anti-Drug Coalitions of America (CADCA)

MG Arthur T. Dean, Chairman and CEO

National Direction: ONDCPNational Drug Control Strategy: A New, Balanced

Approach 2010Key Strategy Objectives• Strengthen Efforts to Prevent Drug Use in Our

Communities• Seek Early Intervention Opportunities in Health Care• Integrate Treatment for Substance Use Disorders into

Health Care, and Expand Support for Recovery• Break the Cycle of Drug Use, Crime, Delinquency, and

Incarceration• Disrupt Domestic Drug Trafficking and Production• Strengthen International Partnerships• Improve Information Systems for Analysis, Assessment,

and Local Management

National Direction: ONDCP

National Drug Control Strategy Goals to be Attained by 2015

Goal 1: Curtail illicit drug consumption in America

1a. Decrease the 30-day prevalence of drug use among 12-17 year olds by 15% 1b. Decrease the lifetime prevalence of 8th graders who

have used drugs, alcohol, or tobacco by 15% 1c. Decrease the 30-day prevalence of drug use among young adults aged 18-25 by 10% 1d. Reduce the number of chronic drug users by 15%

National Direction: ONDCPNational Drug Control Strategy Goals to be

Attained by 2015

Goal 2: Improve the public health and public safety of the American

people by reducing the consequences of drug abuse

2a. Reduce drug-induced deaths by 15% 2b. Reduce drug-reduced morbidity by 15% 2c. Reduce the prevalence of drugged driving by 10%

National Direction: ONDCP

Contact ONDCP

For more information about the Office of National Drug Control Policy,

or to view the full text of the 2010 National Drug Control Strategy, visit:

www.WhiteHouseDrugPolicy.gov

Mission StatementONDCP seeks to foster healthy individuals and safe

communities by effectively leading the Nation’s effort to reduce drug use and its consequences.

SAMHSA’s MissionTo reduce the impact of substance abuse and

mental illness on America’s communities.

CentersCenter for Mental Health Services (CMHS)

www.mentalhealth.samhsa.gov/cmhsCenter for Substance Abuse Prevention (CSAP)

www.prevention.samhsa.govCenter for Substance Abuse Treatment (CSAT)

www.csat.samhsa.gov

National Direction: SAMHSA

SAMHSA’s 10 Strategic Initiatives

1. Prevention of Substance Abuse and Mental Illness2. Trauma and Justice3. Military Families—Active, Guard, Reserve, and

Veteran4. Health Reform5. Housing and Homelessness6. Jobs and Economy7. Health Information Technology for Behavioral

Health Providers8. Behavioral Health Workforce—In Primary and

Specialty Care Settings9. Data, Outcomes, and Quality—Demonstrating Results10. Public Awareness and Support

Source: www.samhsa.gov

National Direction: SAMHSA

National Direction: CADCA

About CADCA• Independent, non-partisan non-governmental

organization that represents more than 5,000 community anti-drug coalitions across the country.

• Founded in 1992 out of a recommendation from President’s Drug Advisory Council, today CADCA is one of the nation’s leading organizations involved in the demand reduction of illicit drugs.

• Our Mission: To build and strengthen the capacity of community coalitions to build safe, healthy and drug-free communities

National Direction: CADCA

CADCA’s Key Services

• Public Policy & Advocacy• Training and Technical Assistance• Research Dissemination & Evaluation• Membership & Communications • Special Events & Conferences• International Programs• National Youth Leadership Initiative

(NYLI)

National Direction: CADCA

Public Policy & Advocacy

CADCA’s Network

Policies, Funding & Laws That

Benefit Prevention and

Treatment

+=

CADCA’s Public Policy

Expertise

Since FY 1994, CADCA has been responsible for the restoration and/or plus ups of substance abuse

prevention funding totaling over $2.66 billion.

The branch of CADCA that is responsible for:What is the National Coalition

Institute?

1

Dissemination

& Coalition Relations

Training & TA

Evaluation & Research

National Trends in Prevention

Comprehensive Community Initiatives

•CADCA’s Community Problem Solving Approach•Drug Free Communities Support Program•Prevention Prepared Communities•Promise Neighborhoods•Community-Based Participatory Research

CADCA’s Approach to Community Problem-Solving and Population-

Level ChangeThe Substance Abuse and Mental Health Service Administration’s

Strategic Prevention Framework

A. AssessmentA. Assessment

B. CapacityB. Capacity

C. PlanningC. Planning

D. ImplementationD. Implementation

E. EvaluationE. Evaluation

1. Create and maintain coalitions and partnerships

3. Analyze problems and goals

4. Develop a framework or model of change

9. Develop strategic and action plans

6. Build leadership

10. Develop interventions

5. Increase participation and membership

7. Enhance cultural competence

11. Advocate for change

13. Write grant applications for funding

8. Improve organizational mgt. and development

14. Evaluate initiatives

15. Sustain projects and initiatives

12. Influence policy development

2. Assess community needs and resources

Skills Required to Implement the Strategic Prevention FrameworkThe relationship between SAMHSA’s Strategic Prevention Framework and the Core Competencies* supported by

*Core Competencies 2004 © University of Kansas. Used by permission.

Best Processes1 for Implementing the Strategic Prevention Framework

1. Analyzing Information About the Problem, Goals, and Factors Affecting Them

1. Analyzing Information About the Problem,Goals, and Factors Affecting Them

5. Developing and Using Strategic and Action Plans

8. Developing and Using Strategic and Action Plans

6. Arranging Resources for Community Mobilization

6. Arranging Resources forCommunity Mobilization

7. Developing Leadership5. Developing Leadership

9. Assuring 4. Assuring Technical Assistance

10. Documenting Progress and Using Feedback

12. Documenting Progress and Using

Feedback

11. Making Outcomes Matter11. Making Outcomes Matter

12. Sustaining the Work10. Sustaining the Work

A. AssessmentA. Assessment

B. CapacityB. Capacity

D. ImplementationD. ImplementationC. PlanningC. Planning

E. EvaluationE. Evaluation

4. Developing a framework or model of change

7. Developing a framework or model of change

1Best processes identified through a literature review conducted by Dr. Renee Boothroyd, University of Kansas – used with permission.

9. Implementing Effective Interventions

3. Defining Organizational Structure and Operating Mechanisms

1.Provide Information

2.Build and Enhance Skills

3.Provide Support

4.Enhance Access / Reduce Barriers

5.Change Incentives / Disincentives

6.Alter Physical Design of the Environment

7.Modify / Change Policies

Seven Strategies for Community Change

Institute Training and

Technical Assistance

Enhanced Coalition Capacity

Coalitions Pursuing Comprehensive

Strategies

Needed Community Changes

CADCA National Coalition Institute’sFramework for Community Change

Improved Population Level Outcomes

Institute of Medicine, 2002; KU Work Group for Community Health and Development, 2007

Drug Free Communities• The President's FY 2011 Budget includes

proposed funding of $85.5 million for this initiative.

• Sponsored by ONDCP in partnership with SAMHSA to support the development of community drug-free community coalitions throughout the U.S.

• Originally funded by Congress in 1997 with the understanding that local problems need local solutions, the Drug Free Communities program now supports over 700 drug-free community coalitions across the United States.

• www.ondcp.gov/dfc/index.html

Prevention Prepared Communities

• The President's FY 2011 Budget includes proposed funding of $22.6 million for this new initiative

• Would operate initially in 30 communities to supplement existing community-based efforts focused on youth ages 9-25

• Grantees would be expected to conduct epidemiologic needs assessments, create a comprehensive strategic plan, implement evidence-based prevention services, and address common risk factors for mental, emotional, and behavioral problems.

• www.whitehousedrugpolicy.gov

Promise Neighborhoods

• Launched in April through the Department of Education

• $10 million available for FY 2010 • Cradle-to-career services• Designed to improve educational

outcomes for students in distressed neighborhoods

• Based on programs such as the Harlem Children's Zone

• www2.ed.gov/programs/promiseneighborhoods/index.html

Community Based Participatory Research• A collaborative approach to research that

equitably involves all partners in the research process.

• CBPR begins with a research topic of importance to the community; combines knowledge with action to achieve social change to improve health outcomes and eliminate health disparities.

• National initiatives that have invested in CBPR include; the CDC's urban and prevention research centers, the National Institute of Environmental Health Sciences' translational research grants, and the WK Kellogg Foundation's Community-Based Public Health Initiative and Community Health Scholars Program.

Prevention in Health Care Reform

Basic Benefits Package

• Plans in individual and small group markets are now required to cover substance use disorder and mental health services

• All plans must now cover substance use disorder and mental health benefits in the same way that all other medical and surgical benefits are covered

Prevention in Health Care Reform

Substance Use Disorder Provisions Contained in Chronic Disease Prevention Initiatives

• Substance use disorders are listed as a national priority for the newly created National Prevention Council.

• SAMHSA must be consulted on issues related to preventing substance use disorders.

• Grants authorized for school-based community health centers-- these centers must provide substance use disorder and mental health services.

• Authorization for the Secretary of Health & Human Services (HHS) to provide grants to State or local health departments and Indian tribes to carry out 5 year pilot programs to provide public health community interventions, screenings, and clinical referrals for individuals between the ages of 55 and 64.

Prevention in Health Care ReformCommunity Health Team Grants

• The legislation authorizes grants for community health teams. Substance use disorder prevention, treatment, and mental health service providers are eligible to apply for these grants, which will support medical homes.

Substance Use Disorder in Workforce Development Initiatives

• The legislation includes the capacity of the behavioral health and mental health workforce as high-priority topics in the bill’s National Workforce Strategy section.

More Information on Health Care Reform: www.healthreform.gov

Learn more about CADCA at www.cadca.org

Call us! (800) 54-CADCA ext. 240(800) 542-2322 ext. 240

or email: training@cadca.org