FACILITATED BY:

JANE GOBLE-CLARK

CENTER FOR PREVENTION SERVICES

Building Bridges Across the Spectrum: How Prevention Connects with Addiction

Treatment

Agenda

Hour 1 - Welcome and Introductions

- What is Prevention?- Prevention Strategies

BREAKHour 2 - Prevention 101 continued

- Shared Skills: Collaboration - Experiential learningBREAKHour 3 - Shared Skills: Cultural Competency

- Experiential learning

Introductions

WELCOME !

1. Facilitator and Agency background

2. Audience -- Why is this topic important and relevant to the work you do?

What will we accomplish today?

Discussion of how prevention spans and is relevant to addiction treatment

Discussion of the differences between collaboration and compromise and how to use that to find unity in the diversity of professions

Discussion of cultural competency as a professional tool and as a bridge between the fields of prevention and treatment

Create new networking opportunities and provide links

Q & A

Norms for Today’s Training

Start and end on TIMEAsk for clarificationEach person is a resource to the whole groupBe respectful of each other’s opinions and

expertiseHAVE FUN!!!What else?

Group Activity

Circle of Friends

- Please form two circles with your classmates- Create a smaller circle of people to be the inner

loop- Create a larger circle of people to be the outer loop

- People in inner and outer circles face each other (like a dance!)

- The facilitator will give quick Q & A, then- Each group moves to their left after specified time

- Finishes when everyone has met each other!

Common Prevention Quotes

“An apple a day keeps the doctor away.”“An ounce of prevention is worth a pound of

cure.”“Prevention is better than cure.”“A stitch in time saves nine.”

CSAP’s Definition of Prevention

“Prevention is a proactive process. It empowers, individuals, and systems to meet the challenges of life events and transitions by creating and reinforcing conditions that promote healthy behaviors and lifestyles.”

- William Lofquist,

CSAP - Center for Substace Abuse Prevention

NCSAPPB’s Definition of Prevention

“Substance Abuse Prevention is the reduction, delay, or avoidance of alcohol and other drug use. Prevention promotes positive environments and individual strengths that contribute to personal health and well-being over an entire life span. Effective prevention strategies encourage individuals, families, and communities to take part in assessing and changing their lifestyle and environments.”

NCSAPPB - North Carolina Substance Abuse Professional Practice Board

Who Does Prevention?

Parents Grandparents

Aunts/Uncles

YouMe

Teachers

EVERYONE!!

Counselors

Treatment Providers

Preventionists

Community Members

Youth

“Drug use is not a national problem…it is a series of local

epidemics.”~

“Prevention is not about one program or activity…it is about

making it part of the ground water—the way communities do business.”

Why Provide Prevention Services?

The Continuum of Care

Different levels of prevention are distinguished by the level of risk of disorder/distress in various populations groups targeted.

Types of Prevention on the Continuum

Individual / Familial Indicated Selective

Environmental Universal

IOM Prevention Components

Universal Prevention: Addresses the entire population Aim is to prevent/delay use of ATOD. Deters

onset by providing individuals with information/skills

Selected Prevention: Targets subsets of the population considered at

risk by virtue of their membership in a particular segment of the population

Key Selected Prevention targets the entire subgroup regardless of the degree of risk of any individuals in the group

Indicated Prevention: Targets individuals who are exhibiting early

signs or consequences of ATOD use.IOM - Institute of Medicine

Prevention Domains

► Individual/Peer

► Family

► School

► Community

Substance abuse and mental illness are complex problems that develops in response to multiple influences.

Each domain presents an opportunity for preventive action.

Individual/Peer/Family = Individual-level strategies

School/Community/Society = Environmental strategies

Prevention Domains

IndividualFamilyPeerSchoolCommunitySociety

Why target each of these areas?

Experiential Learning:

Circle of Support

-Begin with one person in the middle-Add additional members to the

activity-How does this exercise answer the

question below?

The Community Wheel

CSAP’s Prevention Strategies

Information DisseminationPrevention EducationAlternativesProblem Identification & ReferralCommunity Based ProcessesEnvironmental Approaches

What are some examples of these strategies?

Strategies: Information Dissemination

Media CampaignsBrochuresVideosRadio and Television

Public Service Announcements

LecturesHealth FairsResource DirectoriesClearinghouses and

other information centers

One Time Talks

Got Questions?

Call Drug Line

704-375-DRUG (3784)

All calls are anonymous and confidential

Strategies: Prevention Education

Classroom and Small Group Sessions

Parenting and Family Management Classes

Peer Lead and Peer Helper Programs

Education Programs for Youth Groups

Groups for Children of Substance Abusers

Strategies: Alternatives

Mentoring ProgramsDrug Free Social and

Recreational Activities - Ex. SAAM Family FestivalCommunity Service

ActivitiesDrug Free Dances and

PartiesYouth and Adult

Leadership ActivitiesCommunity Drop-in

Centers

Strategies: Problem Identification and Referral

Driving-while-intoxicated Education Programs

Employee Assistance Programs

Student Assistance Programs

Strategies: Community Based Approaches

Building Interagency Collaboration

Training Community Members/Agencies in Substance Use Education and Prevention

Conducting Systematic Planning

Supporting Community Team-Building

Piedmont Area Substance AbuseProvider Association

Substance Abuse Training Series

Hosted by: PASAPA and PBH8:30 AM - 12:00 PM

Environmental Approaches

Community laws that prohibit alcohol and tobacco advertisements in close proximity to schools

The establishment and review of school drug policies

Technical assistance to communities to help them maximize law enforcement efforts to govern the availability and distribution of drugs

Community policies regarding access to alcohol and tobacco products

Community laws that increase punishments for DUIs

BREAK

Experiential Learning

Planning A Community Center

Rules:- Each person gets to make one line on the

board- No conversation allowed

- Complete the plan- The group processes the shared work

Public Health Model

Individual Prevention: Focuses on trying to change the host

Environmental Prevention: Focuses on trying to change the agent and the environment

Why Plant the Seed of Prevention?

Those who consume alcohol before the age of 15 are 5 times more likely to have an alcohol problem later in life.

Youth drug use is associated with suicide, violence, unwanted pregnancies, school failure, delinquency, and transmission of sexually transmitted infections

The Role of Prevention

To create communities in which people have a quality life:

Healthy environments at work & in schoolSupportive communities and neighborhoodsConnected to families and friendsAlcohol, tobacco, and other drug-free lifestyles Addiction and crime-free individuals and

communities

The Roots of Prevention

1950s Scare Tactics

1960s Scare Tactics and Information

1970s Drug Education and Alternatives to Drug Use

1970s-1980s Education, Alternatives, and Trainings

1980s-1990s Parent, School, and Community Partnerships

1990s Use of Evidence-based “Model Programs”

2000s Strategic Prevention Framework and focus on cultural competency and sustainability

New Growth

Strategic Prevention FrameworkAssessment, Capacity, Planning,

Implementation, Evaluation, Sustainability, and Cultural Competence

Risk and Protective FactorsCommunity, School, Family, and

Peer/Individual

SAMHSA’s Strategic Prevention Framework

Steps

Sustainability & Cultural Competence

Profile population needs, resources, and readiness to

address needs and gapsMonitor, evaluate,

sustain, and improve or replace those that

fail

Implement evidence-based prevention

programs and activities

Develop a Comprehensive Strategic Plan

Mobilize and/or build capacity to address

needs

Assessment

Capacity

PlanningImplementation

Evaluation

SPF: A shared framework

Benefits of the Strategic Prevention Framework:

Creates an objective community profile

Identifies how to effectively and efficiently use resources

Assists in the selection and implementation of effective strategies

Unifies the power of individual citizens and institutions

Create a comprehensive plan in which everyone in the community has a stake

Holds community institutions accountable

Risk & Protection Approach

In past century, doctors have discovered factors that: Put people at risk for such things as heart disease

and diabetes. Protect people from such conditions

This Risk and Protective Factor approach follows the same model for prevention for our communities’ children

Risk Factors are listed to

the left.

What are some

Protective Factors?

Risk & Protection ApproachA Simple Premise

What are Risk Factors?Conditions or situations that increase the

likelihood that a child will develop one or more health and/or behavior problems in adolescence.

What are Protective Factors?Conditions or situations which decrease the

likelihood of future behavior problems.Where are they found?In four domains

Community, School, Family, Peer/individual

Prevention:Where We Are Now

Prevention planning is strategic

Based on risk and protective factors

Prevention movements, rather than individual

programs

Strategies are evidence-based

Addresses the whole community culture

“Prevention is Health Reform”

Science-Based Prevention Programs

Identified and or substantiated through an expert consensus or analytical process using commonly agreed on criteria

National Registry of Effective Practices and Programs (NREPP) www.nrepp.samhsa.gov

Why is science-based important?

Past and Present Prevention

Prevention Services

Prevention Agencies or ProgramsCenters for Prevention ResourcesPrevention Policy AllianceTRUSpecialty ContractsYouth Suicide PreventionMethamphetamine Prevention Initiative

Prevention Services

Safe and Drug Free Schools and Communities

Fetal Alcohol Spectrum Disorders PreventionUnderage Drinking PreventionEarly InterventionsBullying PreventionViolence PreventionSuicide PreventionJuvenile Crime Prevention

Community Prevention

24/7Social HostYouth LeadershipCommunity PolicingAlcohol Compliance ChecksTobacco Reward/Reminder VisitsResponsible Beverage Sales and

Service

Prevention Outcomes

Youth Drug Survey Tracks trends in use and abuse Covers 40 years 2010 data is most recent

Synar Decrease in sales of tobacco to

minors from 48.3% to 8.2%

Things to Remember about Prevention

It is a process, it doesn’t happen overnight

Environmental prevention is more effective than an Individual approach

It spans SA, MH and DD

What Can You Do?

Call your local prevention service providersBecome active in your local coalitionsCall your school board members, city officials

and state officials asking them to support prevention initiatives

Talk to your children, grandchildren, niece, and nephews

Be active in your community and in children’s lives

Raise awareness in your own professionShare resources with clients

BREAK

Crossing the Bridge

Relationship-buildingCollaboration vs. CompromiseCultural Competency

Strategies for Relationship-building

Experiential Learning: The Head-band Activity

Volunteers Needed!

You won’t look as “stylish” as this guy. . . but you will have fun!

Strategies for Relationship-building

The Head-band Activity: DISCUSSION

What observations do you have about the actions and behaviors in the role play?

How does this scenario exemplify the process of creating collaborations?

Other questions?

Strategies for Relationship-Building

Active listeningAsk questionsBe open to suggestionsWillingness to learn new perspectives

without judgmentRespectFocused body language or tone of voiceAuthentic desire for collaboration

Ugli Orange Case(10 minutes)

Pair upNegotiate and make

the best deal you canChoose carefully

how much information you will reveal

Collaborative vs. Compromise

““Let’s meet both our Let’s meet both our needs and interests.”needs and interests.”

““Let’s split the Let’s split the difference.”difference.”

Problem solving Problem solving attitudeattitude

50/50 solutions50/50 solutions

Sharing informationSharing information Nobody fully gets Nobody fully gets what they wantwhat they want

Mutual satisfaction & Mutual satisfaction & investment of timeinvestment of time

Blaming and Blaming and resentmentresentment

Principled Negotiation

People: Separate the people from the problem

Interests: Focus on interests not positionsOptions: Generate a variety of possibilities

before deciding what to doCriteria: Result based on a fair standard,

independent of either side

Seize the Day:Recognizing and Maximizing an Opportunity to

Collaborate

Relationship between individuals

Willingness to acknowledge historical/ cultural/organizational back-stories

Willingness to create a new story

Trust that everyone’s best interest will be represented

Q & A

Resources

Substance Abuse and Mental Health Services Administration – www.samhsa.gov/prevention

National Institute on Drug Abuse – www.drugabuse.gov

Foundation for a Drug Free World - www.drugfreeworld.org

National Multicultural Institute – http://www.nmci.org/

Teaching Tolerance- http://www.tolerance.org/

Contact Information

Jane Goble-Clark, Executive Director

goble-clark@preventionservices.org

Office: 704.375.3784

Web: www.preventionservices.org