Substance Abuse Prevention Strategic Prevention Plan

2018-2023 MATT GREEN, MPH

HEALTH PROMOTION & COMMUNITY WELLNESS BUREAU

SOLANO PUBLIC HEALTH

Strategic Prevention Plan 2018-2023

• Background

• Highlights of the Process

• Priority Areas

• Strategy Overview

• How to Get Involved

• Questions/Discussion

Background

History

• First Strategic Prevention Plan to Reduce Rates of Alcohol, Tobacco,

and Other Drugs (ATOD) developed in 2000-2001 upon Board of

Supervisors direction

• Updated in 2005 and 2008

• Strategic Prevention Plan (SPP) for FY 2012/13-2017/18 was

developed using Strategic Prevention Framework (SPF) process

• CA Department of Health Care Services (funder) requires use of SPF

process →

• SPF Process for new 5-year plan was initiated in 2016

Background

SPF Process 2017

• Worked with local Alcohol, Tobacco and Other Drugs (ATOD) prevention

coalitions on their respective Strategic Prevention Framework (SPF) process

• SPF Workshops/Trainings to ATOD Prevention Coordinators

Background

Goals:

• Delay initial use of alcohol, tobacco, and other drugs (ATOD) among youth in

Solano County

• Reduce the overall proportion of Solano County youth who use ATOD

• Reduce the impact of ATOD on communities, families, and individuals, largely

through policy and environmental prevention strategies.

Background

Overarching Strategies from the Spectrum of Prevention:

• Influencing policy and legislation

• Changing organizational practices

• Fostering coalitions and networks

• Educating providers

• Promoting community education

• Strengthening individual knowledge and skills

Highlights of the Process Strategic Prevention Framework

Assessment Profile population needs, resources, and readiness to address

problems and gaps in service delivery

Capacity Mobilize and/or build human, financial and organizational resource

capacity to address need; convene partnerships/coalitions; assess

readiness; and improve cultural competency.

Planning Develop a comprehensive strategic plan with goals, objectives and

strategies aimed at meeting prevention needs.

Implementation Implement prevention plan containing evidence-based prevention

programs, policies and practices, and infrastructure activities.

Evaluation Monitor and measure process and outcome data of implemented

programs, policies, and practices for effectiveness and sustainability

to continuously refine and improve prevention services, effectively

apply resources, and appropriately develop the work force.

Sustainability Integrate into ongoing operations to ensure that prevention values

and processes are firmly established, partnerships are strengthened,

and resources are secured long term.

Cultural

Competence

Be able to communicate with audiences with diverse geographic,

ethnic, racial, cultural, economic, social and linguistic backgrounds.

Highlights of the Process

Assessment

• Primary Data: Current ATOD prevention providers gathered local

information through key informant interviews, retailer compliance checks,

Healthy Stores for a Healthy Community data

Highlights of the Process

Assessment

Secondary Data:

• California Healthy Kids Survey (CHKS)

• California Health Interview Survey (CHIS)

• California State Board of Equalization

• California Department of Alcoholic Beverage Control

• American Lung Association State of Tobacco Control Report

• California Opioids Surveillance Dashboard

• DMV data on alcohol- and drug-impaired driving

Highlights of the Process

• Assessment Indicators

Highlights of the Process

Planning

• Prioritization of Risk & Protective

Factors:

• Importance

• Changeability

• Opportunities

• Reach to Population

• Acceptance of Strategies

Implementation

• Center for Substance Abuse Prevention Strategies

• Information Dissemination

• Education

• Alternatives

• Problem ID & Referral

• Community-Based Process

• Environmental

Enter (). (n/a), or (-) to measure resources for each priority area

Priority Areas

Alcohol Marijuana Tobacco Rx

Drugs

Community Resources

Community Awareness Limited -

Specialized knowledge about Pv

research, theory, and practice Limited - -

Practical experience Limited - -

Political/policy knowledge Limited - -

Fiscal Resources

Funding -

Equipment: computer, Xerox, etc. -

Promotion and advertising -

Human Resources

Competent Staff increasing

Training in progress Limited

Consultants in progress Limited

Volunteers - -

Stakeholders Limited Limited Limited

Other agency partners - Limited

Community leaders Limited - Limited

Organizational Resources

Vision and mission statement -

Clear and consistent organizational

patterns and policies - -

Adequate fiscal resources for

implementation

Can use

more

Can use

more -

Technological resources N/A N/A N/A N/A

Specialized knowledge about Pv

research, theory, and practice Limited Limited

Capacity Assessment: Resource Readiness

HPCWB completed a resource readiness assessment

Findings showed that there is

not sufficient capacity in all four priority areas

Tobacco prevention efforts will

be pursued through Solano County’s Tobacco Prevention and Education Program (TPEP)

Limited resources and limited

data for prescription drugs – may decide to add as a priority area later

Priority Areas

• Alcohol

• Cannabis (Marijuana)

• Tobacco

• Tobacco Prevention & Education Program

• Proposition 56 Funding

• Prescription Drugs (Opioids)

• Limited Resources & Data

Alcohol Marijuana TobaccoPrescription

Drugs

7th Grade 6% 4% 1% 3%

9th Grade 14% 10% 2% 5%

11th Grade 23% 18% 4% 7%

0%

5%

10%

15%

20%

25%

Per

cen

t o

f st

ud

ents

rep

ort

ing

use

Solano County Youth Past 30 Day Use

2015 - 2016

7th Grade 9th Grade 11th Grade

CHKS, 2016

Priority Areas-Alcohol

2003 2005 2007 2009 2014 2016

7th 34% 35% 40% 40% 31% 27%

9th 67% 62% 66% 64% 57% 51%

11th 80% 76% 77% 75% 71% 66%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Pe

rce

nt

of

stu

de

nts

re

po

rtin

g it

is "

very

eas

y"

or

"fai

rly

eas

y" t

o o

bta

in a

lco

ho

l

Solano County: Perceived Ease of Access to Alcohol

StoreAdult

purchase for

Olderfriends/siblings

At party/gathering

From home

7th 10% 20% 32% 40% 27%

9th 19% 38% 53% 60% 42%

11th 30% 55% 67% 74% 51%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% o

f St

ud

en

ts r

esp

on

din

g

"Ve

ry E

asy"

or

"Fai

rly

Easy

"

Perceived Ease of Access to Sources of Alcohol

CHKS, 2016

Priority Areas

Alcohol Consequences

• Neurodevelopment

• DUI

• Injury & Death

• Long-Term Health Risks

• Development of Chronic Diseases: high blood pressure, stroke, liver disease,

digestive problems, cancer, and heart disease

• Solano County Hospitalization Rate for Heart Disease is 234.79 per 10,000,

which is higher than the state benchmark of 222.00 per 10,000

% of Driving Deaths with Alcohol Involvement

County Health Rankings and Roadmaps, 2017

Priority Areas

Priority Areas

Cannabis (Marijuana)

At SchoolOlder friends/

siblingsAt party/gathering

From homeMedical

marijuanadispensary

7th 19% 25% 29% 13% 12%

9th 47% 49% 55% 25% 19%

11th 60% 64% 69% 34% 31%

0%10%20%30%40%50%60%70%80%90%

100%

Pe

rce

nt

resp

on

din

g it

is "

very

eas

y" o

r "f

airl

y e

asy"

to

ob

tain

mar

ijuan

a

Perceived Ease of Access to Sources of Marijuana

CHKS, 2016

Priority Areas

Cannabis Consequences

• Cannabis use negatively affects the developing brain in areas that are

involved in executive functions like memory, attention, learning,

retention, and impulse control (CDPHE, 2016)

• DUI

• Edible Poisoning

Priority Areas

Strategies

Cannabis (Marijuana) will be primary policy focus for years 1-2

• Social Access: Social Host Ordinance Policy, Media Campaigns, Parent

Education Program

• Overall Access: Retailer Compliance Checks, Responsible Seller Ordinance

& Training, Educational Campaigns, Policy Trainings for Local Coalitions

• Youth Perception of Harm: Peer Leader Program, Media Campaigns

• Community Connectedness: Alternative activity options for youth (Friday

Night Live), Community Trainings, Youth ATOD Prevention Summit

• Capacity Building: Coalition Development and Policy

Strategies

Alcohol

• Retail Access: Compliance Checks, Responsible Beverage Service Training, Healthy Stores for a Healthy Community Campaign, Retail Density Policy

• Social Access: Parent Education Program, Media Campaigns

• Youth Perception of Harm: Peer Leader Program, Media Campaigns

• Community Connectedness: Alternative Activity Options for youth (Friday Night Live), Youth ATOD Prevention Summit

• Capacity Building: Coalition Development and Policy

(Policy focus will begin in year 3)

Cultural Competence

• We aim to communicate with audiences of diverse geographic, ethnic, racial,

cultural, economic, social and linguistic backgrounds

• Plan incorporates Solano County Racial Equity Toolkit to guide development,

implementation, and evaluation of strategies

• Efforts Include:

• Media Campaigns

• Program Recruitment

• Community Outreach

Where to Find the Full Plan

•Check out

www.vibesolano.com/ATOD

How to Get Involved

Join a Local Coalition- vibesolano.com/alcohol-tobacco-other-drugs-prevention

• Benicia Youth Action Coalition

• Patti Baron: pbaron@ci.benicia.ca.us (707) 746-4268 www.ci.benicia.ca.us/police

• Dixon ATOD Prevention Coalition

• Nicollette Morales: NMorales@fight-back.org (707) 648-4231

• Rio Vista Alliance

• Coordinator: (707) 374-6451

• Suisun City ATOD Prevention Coalition

• Coordinator: (707) 421-7201

• Vacaville AWARE (Advocating for Wellness, Adolescent Recovery & Education)

• Judith Franco: Judith.Franco@cityofvacaville.com (707) 449-1859 http://www.ci.vacaville.ca.us/residents/vacaville-youth/aware

• Vallejo Community Change Coalition

• Dante De La Cerna: ddlcerna@fight-back.org (707) 648-4165 www.facebook.com/VallejoCommunityChangeCoalition

• Solano County ATOD Prevention Collaborative , Mark Mora: mmora.fbp@gmail.com 707-553-7267

How to Get Involved

• Procurement Process for Services

• Expected Release: January 2018

• Check www.SolanoCounty.com and click “Bids & RFP’s” under “Quick Links”

• Click Purchasing

• Need to register as a bidder to see details

• Follow Bidder Registration Procedure outlined in the 2nd paragraph

Questions?

References

• California Healthy Kids Survey (2015-2016). California Healthy Kids Survey, Solano

County Secondary 2015-2016 Main Report. Retrieved from

http://surveydata.wested.org/resources/Solano_County_1516_Sec_CHKS.pdf

• Colorado Department of Public Health Environment (2016). Monitoring Health

Concerns Related to Marijuana in Colorado: 2016. Retrieved from

https://drive.google.com/file/d/0B0tmPQ67k3NVQlFnY3VzZGVmdFk/view

• County Health Rankings and Roadmaps 2017. Retrieved from

http://www.countyhealthrankings.org/reports/2017-county-health-rankings-key-

findings-report

Thank you!

Feel free to contact me:

Matt Green, MPH

Health Education Specialist

Health Promotion & Community Wellness Bureau

707-784-8637

MCGreen2@solanocounty.com