Evaluation Report Bedford County Drug and Alcohol Prevention Partnership Prepared by Community Systems Group Table of Contents Background .......................................................................................................................................2 Key Findings.......................................................................................................................................2 Areas of Strength ...........................................................................................................................2 Areas of Opportunity......................................................................................................................2 Issue Assessment ...............................................................................................................................2 The Big Picture ...............................................................................................................................3 Alcohol by Grade and Cohort ..........................................................................................................4 Programs and Strategies 2011-2012....................................................................................................7 Capacity Building ………………………………………………..………………………………………………………………………… 8 Alcohol ………………………………………………………………………………………………………………………………………. 11 Multiple Drugs …………………………………………………………………………………………………………………………… 13 Prescription Drugs ……………………………………………………………………………………………………………………… 14 Tobacco ………………………………………………………………………………………………….…………………………………. 15 1 Background Key Findings Areas of Strength The coalition has quality, multi-year PAYS data that is both representative and reliable. This data has been used in the “Big Picture” and “Issue Assessment” sections below to understand trends in the behavior of underage alcohol use and the established root causes (perception of harm, perception of parental disapproval, and perception of peer approval). As more data is collect, Community Systems Group will continue to track cohorts of students to determine if and how outcomes are improving. The Class of 2011 has experienced different outcomes compared to the Class of 2009. In particular, they were less likely to report past 30-day use of alcohol in the 12th grade. This is appears to be attributable to an increase in perception of harm and perception of parental disapproval as well as a decrease in perception of peer approval. The coalition can benefit from assessing if any interventions or key events (such as an alcohol-related peer death) were experienced by this cohort of students that the prior cohort (Class of 2009) did not experience as they may have contributed to this change in outcomes. If any interventions can be identified as contributing to this change in outcomes, the coalition would benefit from sustaining them and potentially expanding them to younger ages. Areas of Opportunity In the “Big Picture” and “Issue Assessment” sections below, certain questions are posed to the coalition that, if the coalition had answers for, could help the coalition determine the local conditions (attitudes, beliefs, norms) contributing to alcohol youth among use. The coalition would benefit from conducting listening sessions/focus groups among a representative sample of youth and adults to obtain answer these questions. Issue Assessment The issue assessment section below reports on data provided from the 2007, 2009, and 2011 Pennsylvania Youth Survey (PAYS) using a cohort analysis. A cohort analysis follows the same group of students, over time, to see how their responses change to particular questions – in this case, the DFC four core measures. Each group of students is unique in their personalities, their parents, home environment, and more. By following the same group of students, as is done with a cohort analysis, the chance that any changes in the data are a result of a different sample sizes and/or differences in sample characteristics is controlled. 2 The Big Picture The "Big Picture" 100 90 80 70 60 50 40 30 20 10 0 93 (Based on Weighted Cohort Averages) 82 67 55 41 34 31 37 30 24 12 4 3 14 8th 10th 2 6th 30-Day Use Harm Parental Disapproval 18 12th Peer Approval Past 30-Day Use. The analysis below is based on the weighted averages of the four student cohorts analyzed – the classes of 2009, 2011, 2013, and 2015. This analysis provides a “big picture” view of past 30-day alcohol use trends as well as trends in risk of harm, perception of parental disapproval, and peer approval. The trend in past 30-day alcohol use is important for understanding the behavior, when it emerges, and how it increases over time. Based on the cohort averages, it is clear that the behavior of underage alcohol use begins to emerge between 6th and 8th grade (from 4% to 12%) but shows a significant increase between the 8th and 10th grades (from 12% to 31%). This leads to two important questions that can help further assess this behavior: (1) what root causes and local conditions (attitudes, beliefs, and norms) encourage some youth to begin drinking alcohol between the 6th and 8th grade? and (2) what root causes and local conditions (attitudes, beliefs, and norms) contribute to the significant increase in use between the 8th and 10th grade. In the sections below, the trends in root causes will become clearer and partially answer some of these questions. Perceived Risk of Harm. One of the root causes assessed is perceived risk of harm associated with alcohol use. In the PAYS survey, this is analyzed by determining the percent youth assigning “great risk” of harm associated with drinking alcohol regularly (one or two drinks nearly every day). The results indicate that students in the 6th grade already perceive a low risk of harm (41% of 6th grade students report a “great risk” associated with drinking alcohol regularly) and this perceived risk of harm begins to decrease between 6th and 8th grade. Between the 6th grade and 12th grades, the percentage of students reporting a great risk of harm decreases by 17%. To further assess this root cause, the coalition may want to ask: (1) Why, on average, do only 41% of the 6th graders believe there to be a “great risk” of harm associated with regular alcohol use and (2) What local conditions (attitudes, beliefs, and norms) contribute to the decrease in perceived risk of harm between the 6th and 12th grades? Are they the same local conditions that become more established among youth over time or do different local conditions emerge as students become older? 3 Perception of Parental Disapproval. Academic literature suggests two groups of individuals that youth historically look to for approval – parents and peers. This section analyzes the extent to which students believe their parents feel it would be very wrong for them to drink alcohol regularly. The results indicate that perception of parental disapproval is very high in the 6th grade. On average, 93% of 6th graders across all cohorts report that they perceive their parents would feel it would be very wrong for them to drink alcohol regularly. This perception, however, begins to decrease between the 6th and 8th grade where the percent of students perceiving perception of parental disapproval decreases from 93% to 82% (-11%). Between the 8th and 10th grades, the percent of students reporting a perception of parental disapproval begins to decrease at a more rapid pace (-15%). Overall, perception of parental disapproval decreases -38% between the 6th and 12th grades. To further assess this root cause, the coalition may want to ask: (1) why does students’ perception of parental disapproval start to decrease between the 6th and 8th grade, (2) what local conditions (attitudes, beliefs, and norms) contribute to the decrease in perception of parental disapproval of nearly 40% between 6th and 12th grade, and (3) Do parents become more accepting of alcohol use as youth become older and, if so, why? Perception of Peer Approval. Research shows that as youth become older they gravitate more toward following the norms established by their peer group. Perception of peer approval is assessed by analyzing the percentage of surveyed youth who said that there is a “pretty good” or “very good” chance that they would be seen as cool if they drank alcohol regularly (once or twice a month). The results indicate that perception of peer approval increases over time between 6th grade and 8th grade. However, the extent of peer approval is low across all grade levels – only increasing to approximately 18% of youth by the 12th grade. The trend in peer approval closely follows the trend in past 30-day use which is likely because the youth who reported using alcohol in the past 30-days are also a majority of the youth who answered that there is a “pretty good” or “very good” chance that they would be seen as cool if they drank alcohol regularly (once or twice a month). This assumption, however, cannot be proven without looking at the raw dataset which is not available to us at this time. That said, more youth report past 30-day use of alcohol than a perception of peer approval which indicates that other root causes are driving some youth to use. The coalition may benefit from further assessing: (1) What are the differences between middle school students and high school students in how their peers communicate about alcohol and what contributes to those differences? and (2) In the 12th grade, on average, 45 percent of the students believe that their parents would approve of their alcohol use but only 18 percent of students believe their peers would approve of it. Why would parents be more likely to approve of youth using alcohol than their peers? Alcohol by Grade and Cohort The analyses in the section below looks at the same metrics as in the section above but does so separately by cohort through each grade level. This analysis will help determine if outcomes are improving with each subsequent cohort of students. Year 2007 2009 Enrollment 2,848 2,728 Sample 2,215 1,663 Margin of Error +/-0.98 +/-1.50 4 2011 Total 2,358 7934 1,619 5497 +/-1.36 +/-0.73 In the section below, margin of error is an important calculation that describes the confidence one should have that the data reported. Based on enrollment figures and sample sizes, the margin of error has been calculated at approximately +/-1. Therefore, when differences exist between groups in the graphs below – even if they are just slight differences, we can be confident that they are not by chance. Past 30-Day Use. The trend is past 30-day use of alcohol is fairly similar for each cohort of students. In particular, all cohorts had 31% of the students in the 10th grade report past 30 day use of alcohol. However, difference exists with the class of 2011 where slightly fewer students (36%) reported past 30-day use of alcohol in the 12th grade compared to the class of 2009 (39%). This slight change may be indication that an intervention or key event had impact. As such, the coalition should determine if this cohort of students were exposed to an intervention or key event that the prior cohort did not experience – in particular, an intervention or key event that occurred between the 10th grade and 12th grade (or approximately after 14 years of age). Likewise, the Class of 2015, in the 8th grade, has shown an even greater decline in past 30-day use of alcohol compared to the Classes of 2011 (-5%) and 2013 (4%). As such, the coalition should determine if this cohort of students were exposed to an intervention or key event between 6th grade and 8th grade (approximately 11-14 years of age) that the prior cohorts did not receive. Alcohol: Past 30-Day Use 100 90 80 70 60 50 40 30 20 10 0 39 31 31 31 36 14 4 4 6th Class of 2009 13 9 8th Class of 2011 10th 12th Class of 2013 Class of 2015 Perception of Harm. In the section above, one request made of the coalition was to determine if the Class of 2011 was exposed to an intervention or key event that the prior cohort (Class of 2009) did not receive – in particular, an intervention or key event that occurred between the 10th and 12th grades (or approximately after 14 years of age) where the percent of students reporting past 30-day use of alcohol decreased. This section may help further identify what to assess as, for the Class of 2011, perception of harm stabilized between the 10th and 12th grade whereas in the prior cohort (Class of 2009) it decreased by 25 percent in the same time frame. As such, an intervention or key event that can 5 explain a change in perception of harm may have occurred that was first experienced by the Class of 2011. Conversely, increased perception of harm does not seem to be contributing to the decrease in past 30-day use experienced, in the 8th grade, by the Class of 2015 as perception of harm for this cohort decreased by 9% in this period of time. If the coalition can determine that an intervention contributed to the increase in perception of harm, in the Class of 2011, the coalition may be able to learn from it and/or expand it to younger ages. Alcohol: Risk of Harm 100 90 80 70 60 50 40 30 20 10 0 45 44 43 31 27 37 28 20 6th Class of 2009 8th Class of 2011 10th Class of 2013 28 19 12th Class of 2015 Perception of Parental Disapproval. The Class of 2015, in the 8th grade, has shown a decline in past 30-day use of alcohol compared to the Classes of 2011 (-5%) and 2013 (-4%). This may be, in part, attributable to an increase in perception of parental disapproval as the Class of 2015 reported a slightly higher (+2%) perception of parental disapproval, in the 8th grade, compared to the Class of 2013. This increase, small in size, may only partially explain why this cohort of students have reported a decrease in past 30-day use of alcohol. Therefore, when assessing what interventions or key events may have contributed to the decrease in past 30-day use of alcohol among the students in this cohort, a good place start may be to review if any interventions were placed in the community, that addressed parental disapproval, that were first experienced by youth in this cohort. The Class of 2011, who reported a decreased in past 30-day use and an increase in perception of harm compared to the Class of 2009, also reported a 6% increase in perception of parental disapproval. As such, the decline in past 30-day use seems to be attributable to both an increase in perception of harm and a perception of parental disapproval. The coalition would benefit from assessing what interventions or key events, pertaining to parental disapproval, were recently experienced by this cohort that may have contributed to these outcomes. Across all remaining cohorts, it is hard to determine what differences exists since there is only 2 years of perception of parental disapproval data. Generally, the trend shows that, for each cohort, perception of parental disapproval declines at a regular pace between 6th grade and 8th grade. 6 Alcohol: Perception of Parental Disapproval 100 90 80 70 60 50 40 30 20 10 0 83 93 68 81 66 6th Class of 2009 8th Class of 2011 10th Class of 2013 58 52 12th Class of 2015 Perception of Peer Approval. Perception of peer approval is relatively low across grade levels among all cohorts of students. Starting with the Class of 2011, as with perception of harm and perception of parental disapproval, there has been a slight change in perception of peer approval. The Class of 2011 reported a lower perception of peer approval compared to the Class of 2009 (-4%). This was also the case with the Class of 2013 in the 8th grade (-5%) and 10th grade (-4%) compared to the Class of 2011. However, this difference does appear to have translated into lower past 30-day use of alcohol for the Class of 2013. The coalition may benefit from further assessing what may be causing students to perceived less approval of alcohol use among their peers – it may be the result of an effective intervention or campaign. Alcohol: Peer Approval 100 90 80 70 60 50 40 30 20 10 0 16 2 2 6th Class of 2009 5 20 16 7 12 2 8th Class of 2011 10th Class of 2013 12th Class of 2015 Programs and Strategies 2011-2012 Capacity Building: Funding and Funder Requirements. 7 BDCAPP documented their successful completion of all reporting requirements needed to remain in good standing with their funder, the Office of National Drug Control Policy Drug Free Communities Program, as demonstrated below: 11/23/2011 12/21/2011 5/23/2012 8/7/2012 8/10/2012 8/29/2012 3-year sustainability plan submitted. Coalition Classification Tool for DFC Workstation completed. COMET reporting system training webinar attended. Coalition Classification Tool for DFC Workstation completed. COMET report submitted. COMET Report approved by CSAP Project Officer Ammie Bonsu. DFC grantees are also required to complete Community Anti-Drug Coalition’s National Coalition Academy. Zeta Adcock completed the three-week process that began in October, continued in February, and completed in July. Zeta will graduate from the Coalition Academy – Cohort 16 in a ceremony at the National Leadership Forum in February, 2013. In September, there was an additional online meeting which Zeta also attended. BDCAPP took full advantage of their membership and involvement with CADCA, from calling on them for Technical Assistance on a variety of issues from logic model revisions to conflict resolution, to submitting the Annual Survey of Coalitions, to participating in webinars, and finally to submitting a Got Outcomes! Award Application. This process began in April when Zeta attended a CADCA "Got Outcomes Competition" webinar to learn more about the application process. In May, Zeta submitted the Phase I application for CADCA's Got Outcomes competition, received TA in August, and submitted the Phase II application in late August. In March, BCDAPP submitted a STOP Act Grant Application. While not awarded, the application work supplies BCDAPP with a strong base from which to work and improve. Capacity Building: Trainings Attended. Additional training involvement is described below in detail. In general the trainings are well-paced, address issues about which the coalition is concerned, and are a good mix of local, state and national involvements. Staff were primarily involved in these trainings, although in several cases there was evidence of additional coalition members participation. 11/10/2011 PA DUI conference in Lancaster, PA. 1/12/2012 2-day Core Essentials for Exceptional Coalitions training at Camp Hill, PA, organized by the PA DFC Coalitions Collaborative. 2/6/2012 Julie Black (volunteer member-youth serving organizations sector) attended the 4-day CADCA Leadership Forum at National Harbor, MD. BDCAPP chose to participate in the Ideas Fair Showcase with a display about "Engaging the Hard-to-Reach Sectors in Rural Communities.” 3/20/2012 E-communications training sponsored by Bedford County Chamber of Commerce. 6/6/2012 BCDAPP staff members attended a 3-day Commonwealth Prevention Alliance conference at State College. A PA DFC Collaborative Coalitions meeting was held during the conference. 5 BCDAPP staff attended. 7/17/2012 PA DFC Collaborative Coalitions "Engaging the Faith-based Sector" Webinar. 8/15/2012 All-day training for CTPM mini-grant conducted by PCCD and Communities in Schools. 9/19/2012 National Prevention Network Conference in Pittsburgh, PA. Capacity Building: Build Coalition Membership. 8 In 2011-12, BDCAPP appears to have concentrated particularly on three sectors: faith, youth-serving organizations and business. Involvement in developing a relationship with the faith community shows up immediately, beginning with an introductory meeting with Recovery Through Christ in October, 2011. This relationship evolved into on-going presence with this group: 1/19/2012 Zeta Adcock attended a "Recovery Through Christ" faith-based sector meeting with guest speaker Denny Williamson,certified counselor, speaking about "Addiction and the Family." 2/16/2012 Zeta Adcock attended the “Recovery Through Christ” faith-based sector meeting with Kyle Kane, BAHS Principal, guest speaker, who presented information on "Drugs and Alcohol in the School Environment." 3/15/2012 Zeta Adcock attended a “Recovery Through Christ”, BCDAPP faith-based sector planning meeting. 3/23/2012 A 2-day Faith-based Women's Retreat for issues including addiction was sponsored in part by “Recovery Through Christ.” 5/17/2012 Zeta Adcock attended a “Recovery Through Christ” faith-based meeting with "Breaking Free" recovery group leaders as guest speakers. Additionally, in September there was a meeting with Bethany Christian Services representative, Sheri Shoemaker concerning the development of a faith-based training for clergy to help families with addiction and trauma. A relationship was developed with the Bedford County Outdoor Education Association to create outdoor activities and a positive youth initiative event at Shawnee Park. Meetings were attended in December, January, February (included a tour of business partner REI’s facility), and April. In April, Dawn Housel and Zeta Adcock attended the BCDAPP(co-sponsored) Bedford County Chamber of Commerce's Youth Leadership Bedford County Project Day at Hoss’s Restaurant. Students were completing a social media project that targeted bullying in their high schools. 26 students from all of the Bedford County Schools were present. The relationship with the Chamber was continued in September when Zeta Adcock and Dawn Housel attended a networking breakfast meeting with Bedford Chamber of Commerce members intended to build capacity and increase business sector partners. Other important membership efforts include attending the Bedford County Safe Kids Coalition at UPMC Bedford Memorial Hospital in January to explore a relationship with this group. In June, Don Penatzer, trauma nurse and educator was interviewed about volunteering for educational prevention programs with youth and parents. Capacity Building: Support and Participate in Other Community and State Organizations. In May, BCDAPP hosted the PA DUI Association Region 3 meeting at Hoss's Restaurant. Zeta Adcock coordinated arrangements for the DUI association members to meet at the Bedford County location. Zeta Adcock serves as the chair of the PA DFC Collaborative Coalitions group. In June, BCDAPP took on the responsibility of delivering 450 Human Services Directories to area agencies and individuals to provide access to and awareness of services and the agencies that provide them. This was the first time that BCDAPP had the capacity to host the delivery of this essential community service. 9 Local Safe and Drug Free Schools: for additional information, BDCAPP should review the reporting done for this special program for which BDCAPP provides technical assistance and funding. BDCAPP host regular meetings, which occasionally include additional TA, as follows: 11/16/2011 Local Safe and Drug Free Schools Advisory Council Meeting at Bedford High School. 12/1/2011 BCDAPP staff attended a work day for Youth Leadership Bedford County's Social Norm Campaign to provide technical assistance for YLBC's final project which included bullying and safe school environments in the county. The purpose of our involvement is to enhance strong student leadership in the Bedford County School Districts in order to decrease alcohol and substance abuse and to create positive social norms in the schools. 2/20/2012 2-day training by private consultant, Coleen Helm on Crisis Management for substance abuse and mental health-related violence for Student Assistance Programs teams and Bedford Area School District Crisis Management Teams. This training was part of the Safe Crisis Management Plan adopted by Bedford Area School district and is important for crises where students (or other individuals) may attend school drunk or high, thereby causing a dangerous situation. 5/9/2012 Local Safe and Drug Free Advisory Council Meeting at Bedford Area High School . 9/10/2012 Met with Bedford County School Districts' superintendents at Northern Bedford County elementary school library to discus MOUs to be signed by superintendents formalizing the partnership between BCDAPP and individual school districts. 9/11/2012 Distributed applications to all 5 public school districts. 9/27/2012 Provided technical assistance to Chestnut Ridge School District representative, Jen Romano, for Local Safe and Drug Free Schools and Communities initiative. Tobacco Coalition: BDCAPP staff attended meetings in October and July. Capacity Building: Stable and productive meetings. Appropriate structure. The registration of the meetings is helpful to especially a young coalition to understand that they are getting work done using a committee structure. Throughout this section, future evaluation will search for evidence that the meetings led to or created an accomplishment that furthers Goal 2: Reduce Substance Abuse goals/objectives. In other words, the meeting itself isn’t as important as what happens as a result of it. Regular meetings of the coalition, held on a quarterly basis were completed in October, January, April, and July. CADCA trainer Dave Shavel attended in July to provided technical assistance. The Media Committee began meeting in November to discuss options concerning a radio media campaign in the spring of 2012. The Planning Committee met in December to outline and plan spring 2012 events and activities, in February to handle a membership conflict, The Steering Committee met in January to continue plans for a spring fundraising event. Later in January, the BCDAPP fundraising committee met to discuss options for a fundraising event for Spring 2012. Professional fundraiser, Juls Bratton, donated her services as a consultant for this meeting. Meetings continued in February, and March. In April, the Steering Committee decided to delay and reschedule the event. Capacity Building: Evaluation. 10 In November, BCDAPP was placed in charge of gathering and mailing the PA Youth Survey for 2011 from all 5 Bedford County School Districts and one charter school. Initial training for the ODSS system was provided by Bryce Jones, CSG Evaluator, in March. Alcohol: Community and Social Norms Favorable. In October, BCDAPP staff members attended the Bedford County Township Supervisors' Annual Conference at Breezewood Fire Hall to present a message about underage drinking and drug use to more than 80 attendees. This message is specific to prohibiting alcohol and drug use in recreational areas and restricting access to areas where youth gather to drink. We also provided information on how underage drinking and drug use increase property damage, crime, illness and injuries, health care costs and other issues. The attendees of this conference are acting municipal directors and fiscal agents of their townships. To provide support about using an alternative perspective on holiday punch, BDCAPP chose to host a NonAlcoholic Punch Recipe Contest for the community. The contest began in November when ads soliciting entries were placed the PSI newsletter The Broadcast, as well as the Bedford Gazette and the Bedford County Shopper’s Guide. Tasting and judging was done by a team of senior citizens and high school students. Prizes were donated by local businesses. 1400 adults and 875 youth participated in this event. In April, for the first time 1,500 bookmarks to prevent underage drinking during prom season were distributed by flowershops, and gown and tuxedo shops. Following the prom theme, Chestnut Ridge High School TATU and SADD groups hosted a Prom Promise signing event in the cafeteria. To provide support, especially to provide an alternative activity for youth that engages them in being outside, in April, Shawnee State Park was the site of “Outdoor Education for Substance Abuse Prevention.” BCDAPP provided an educational display with Corn Hole Game using Fatal Vision Drunken Driving goggles. This event, attended by 100 people, was the end result of planning and new partnerships noted in the Capacity Building discussion. Several health fairs / community events were participated in for the primary purpose of distributing information designed to address alcohol use and the social acceptability of its use by Bedford youth. These include: UPMC Bedford Memorial Hospital Health in April Allegany Lutheran Social Ministries Family Fun Fair in April Bedford Ambulance Association Community Event in May “National Night Out” in August Alcohol: High Availability. Local condition: Adults (family, neighbor, friend) purchase and/or provide alcohol for youth to consume. In October, the Parents Who Host Lose the Most Media Campaign was launched to provide the wider community with information on the subject. 600 “Broadcast” quarterly newsletters focused on the campaign. 6 billboards were posted. "Underage Drinking--It's Everybody's Problem" Training presented to: 75 Northern Bedford Lions' Club members in February. 80 Northern Bedford Senior Citizens' Club members in April. 11 45 Everett Brethren in Christ Church social night in May (to include prescription drugs). In April, BDCAPP began running a “Safe Homes” pledge campaign. This included 11,538 newspaper inserts. Additonally, a full-page advertisement for substance abuse awareness was placed in the Bedford County Township Supervisors' Official Guide. The Guide was distributed to 2,500 adults, and included information about signing the Safe Home Pledge. In May, the first-ever Everett Town Hall Meeting was held at the Everett Masonic Lodge to address underage drinking in and around Everett area. A panel of experts (county coroner, district attorney, police chief, borough mayor, and the mother of an Everett teen injured seriously when hit by a drunken driver) answered questions by the audience. A local journalist served as the emcee. Local businesses donated hot dogs and other refreshments. Approximately 40 people attended the event. Brochures and pamphlets were available at a display table. Advertisements for the event were run in all the local newspapers. Local condition: County liquor establishments fail to card properly. Responsible Alcohol Mangement Procedures (RAMP) training for owners and managers of retail establishments across Bedford County was offered in October. BCDAPP and Personal Solutions Inc. sponsor this training for all interested owners and managers in the county, and it is taught by PA Liquor Control Board trainers . This was the first time that BCDAPP collaborated with PSI to host this training, which is very different than that for server/sellers. The 8 hour class served 25 people. In November, the course was taught again at Personal Solutions for six hours to 25 people. Alcohol: Low perception of risk. Local Condition: Role models drink around youth in areas where they strongly influence youth behavior. To build youth skills, the 45-minute "Stay on Track" curriculum was provided for 91 seventh graders in Bedford County Schools in October. To build youth skills, the 185 Afterschool Program students were taught refusal and decision-making skills to atrisk students at all Bedford County Schools in October. During Red Ribbon Week in October, a decision making class was taught for 60 students at Northern Bedford School District. Recovery Through Christ presented an informational program for the community at Bedford High School in November featuring Jason Harpster, recovery speaker and Cpl. Mike Swartzwelder, PA State Police. "Addiction in the Family" training, is designed to help professionals and the community at large understand how youth get the impression from family members that alcohol use is okay (local condition), and acceptable even for minors. It was provided to: 14 classroom support and paraprofessionals at Northern Bedford School District. 55 Bedford County Head Start staff and teachers. 11 Everett Area High School professional and support staff. 12 The Youth Alcohol Awareness Progra builds skills for youth in order to increase their perception of risk about alcohol and drug use. The two one-hour classes were offered for youth offenders who are referred by courts, and were held in February for 8 youth. Bedford County Children and Youth Services offered the 4 one-hour Independent Living Youth classes for alcohol, tobacco, prescription drugs and decision making skills to 40 students in June. Refusal and decision making class were taught for 12 Boy Scout Webelos in June. Local condition: Youth are drinking and driving or riding with drunk people. In July, a Dangerous Driving/Drinking Driving PSA developed by the PA DUI Association with quotes filled in by local experts was placed in the Broadtop Bulletin newspaper (6,000 subscribers). Multiple drugs at once: Increase perception of risk of drugs. In October 2011, a relationship was developed with Allegany College of Maryland's Student Services Coordinator, Robin Swindell. The relationship resulted in use of informational displays on a variety of themes being placed for the purpose of exposing the student body to the information, as shown in the table below: Date Theme # Exposed 11/8/11 Underage and Binge Drinking 25 2/21/12 Marijuana 22 1/20/12 Prescription Drug Abuse 60 4/3/12 Tobacco (“Spring into Health”) 46 4/10/12 Tobacco 21 All youth and parents in all Bedford County school districts (1,117) received brochures and pamphlets for Red Ribbon Week drug awareness. An anti-prescription drug/tobacco message was taught twice to 24 students in their Health Classes at Bedford Middle School. Prescription drug prevention, underage drinking, tobacco use and drug use recognition were covered at the 2.75 hour training for 11 Professional Family Services foster parents and staff. Zeta Adcock and BCDAPP member Don Penatzer delivered the training in August using the new CADCA prescription drug awareness materials. On 8/23/12, with the soundtrack to Pink Floyd's "Another Brick in the Wall" playing in the background, a tenacious squad of ponytailed cheerleaders chanted, "We don't need no drugs in our town!" and "Hey, drug dealers! Leave our kids alone!" A standing ovation from the crowd confirmed that attendees at the Bedford County Drug and Alcohol Prevention Partnership's (BCDAPP) pep rally supported the energizing message portrayed by the Awesome Alpaca Lovers 4-H Club leaders in support of their youth program. The group of high-spirited moms captured the $500 first-place prize handily, with PIAA officials Mike Whitcomb and Greg Spiker donating their time to judge the 13 August 23rd event held at Crossroads Bible Church. BCDAPP Chairperson Phyllis Johnson welcomed attendees, noting that the mission of the BCDAPP is to prevent substance abuse by the young people of Bedford County. Johnson also noted that the BCDAPP is proud to provide positive activities and events such as this one for area youth. Guest speaker and master of ceremonies Fred Glasgow discussed his life as Bedford County farm boy to college football standout and Navy Top Gun pilot and instructor. Glasgow admitted to the audience, which included a large number of youth from local organizations, "None of these things I've told you about would have ever happened if I had been involved in drugs and/or alcohol." Without the support of caring individuals, businesses and benevolent organizations in Bedford County, the BCDAPP would not remain a sustainable presence in the fight against substance abuse by young people," Johnson said. Following a pork roast buffet by the Jean Bonnet Tavern, the evening concluded with a silent auction. There were 48 people in attendance. Multiple drugs at once or other non-prioritized drugs to address community norms favorable to drug use. Five inhalant-themed presentations were made to 126 6th graders attending Chestnut Ridge. In April, BCDAPP placed an full-page advertisement for substance abuse awareness in the Bedford County Township Supervisors' Official Guide. The Guide was distributed to 2,500 adults, and included information about signing the Safe Home Pledge. In May, Tim Raider, a drug and alcohol prevention/motivational speaker, provide information about addiction and substance abuse for parents and community members at the Chestnut Ridge High School. In June, sports water bottles with an anti-tobacco message printed on the outside were stuffed with brochures and band aid holders with anti-drug and underage drinking prevention messages printed on them, and were distributed to the 1,200 Bedford County American Youth Soccer Organization (AYSO) players in Bedford County. AYSO was chosen because it includes all ages of youth; boys and girls; public, private and homeschooled youth; students of all ethnic and socio-economic backgrounds; and, physically and mentally-challenged youth. It was thus the most comprehensive organization of county youth found. Prescription Drugs: High Availability. Take Back Events Date Place Sponsors Participation 10/29/11 UPMC Bedford Memorial Hospital 4/28/12 Saxton Market in Saxton DEA, State Police Troop G, Saxton Borough PD., PSI 30 cars and 2 pedestrians turned in 4 large boxes / approx. 120 pounds. 9/29/12 Alum Bank Volunteer Fire Hall PA State Police 28 cars with 90 pounds. The January 5 issue of The Broadcast quarterly newsletter sent to 600 people focused on the high availability of prescription drugs. 14 In February, the cover story of "In Bedford County" magazine distributed to 49,000 people was about the BCDAPP-sponsored prescription drug take back program. This was the first time BCDAPP received such high profile attention in an “earned media” manner. In April, BCDAPP’s table at the Chestnut Ridge School District Health Fair attended by 84 people focused soley on prescription drug abuse prevention. In June, BCDAPP’s table at the Bedford County Court House Health Fair attended by 115 people also focused on this subject. At the April Take Back, a participant and supporter of the event, Louann Heath, Tussey Mountain Elementary School Nurse exclaimed, ""The Take Back Event is an extremely worthwhile project and I was happy it was held in Saxton. The Tussey Mountain School District rallied around it and contributed their expired medications 2007 two-sided flyers were stuffed in the Bedford Gazette to alert people to the Prescription Drug Take Back Event with a message that said, "Kids don't always get drugs on the street. Sometimes they get them at home." The flyer included the time and location of the Take Back. On the flip side of the flyer was a save-the-date notice for an upcoming Prescription Drug Abuse Town Hall meeting at Bedford H.S. to be held on October 23. to the program. This is so very important to our environment as well as the health and safety of each member of the community." Packets of information were handed out to participants at the Prescription Drug Take Back Event at Alum Bank Volunteer Fire Hall in September. The focus of the information was on prescription drug abuse, and it included outreach brochures, and PWHLTM campaign materials for a total of 184 pieces of material disseminated. Tobacco: Chestnut Ridge T.A.T.U members placed 3 Anti-Tobacco message posters in high traffic areas in Chestnut Ridge schools, where 750 people could be counted on to view the message(s) in November 2011. The "Young Lungs at Play" initiative to ban tobacco use from 2 publics parks in Bedford County began in January, when permanent signs prohibiting tobacco use in the parks, and bearing fine amounts, were placed. The initiative was approved by the Bedford Borough Council and other appropriate municipal agencies. The 9-session "PRIME for Life" classes were taught for 10 at-risk youths at Bedford Children and Youth Services in January. "Not on Tobacco" (N.O.T) classes were taught for 14 Chestnut Ridge high school students identified as school tobacco policy violators. In May, 12 Youth Coalition members from T.A.T.U and S.A.D.D groups at 4 Bedford County Schools traveled to Harrisburg to advocate against tobacco use and support policies. Youth met with PA members of Congress to discuss the dangers of tobacco use and toured the Capitol Building. PACT--a statewide advocacy group for tobacco prevention helped to organize the trip. In May, The Broadcast quarterly newsletter was sent to 600 people with a focus on encouraging adults to acknowledge the risks of youth tobacco use. In September, BCDAPP provided 300 sports water bottles with a “Go for the Goal, Stay Tobacco Free” message to participants in the Fall Foliage Race at Bedford. The race is organized by Love INC., a non-profit organization in Bedford County that serves families in need. 15