National Trends in ATOD Prevention
Kareemah Abdullah
Community Anti-Drug Coalitions of America (CADCA)
Vice President, Training & Youth Programs
Deputy Director, Training & Technical Assistance
CADCA’s National Coalition Institute
TIPSS Conference
Dallas, Texas ♦ June 15, 2010
Learning Objectives
At 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: ONDCP
National Drug Control Strategy: A New, Balanced Approach 2010
Key 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: ONDCP
National 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 Statement
ONDCP seeks to foster healthy individuals and safe communities by effectively
leading the Nation’s effort to reduce drug use and its consequences.
National Direction: SAMHSA
SAMHSA’s Mission
To reduce the impact of substance abuse and
mental illness on America’s communities.
Centers
Center for Mental Health Services (CMHS)
www.mentalhealth.samhsa.gov/cmhs
Center for Substance Abuse Prevention (CSAP)
www.prevention.samhsa.gov
Center for Substance Abuse Treatment (CSAT)
www.csat.samhsa.gov
National Direction: SAMHSA
SAMHSA’s 10 Strategic Initiatives
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Prevention of Substance Abuse and Mental Illness
Trauma and Justice
Military Families—Active, Guard, Reserve, and Veteran
Health Reform
Housing and Homelessness
Jobs and Economy
Health Information Technology for Behavioral Health Providers
Behavioral Health Workforce—In Primary and Specialty Care Settings
Data, Outcomes, and Quality—Demonstrating Results
Public Awareness and Support
Source: www.samhsa.gov
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
Public Policy
Expertise
CADCA’s
Network
=
Policies, Funding
& Laws That
Benefit
Prevention and
Treatment
Since FY 1994, CADCA has been responsible for the restoration
and/or plus ups of substance abuse prevention funding
totaling over $2.66 billion.
What is the National Coalition Institute?
The branch of CADCA that is responsible for:
1
Training
& TA
Evaluation &
Research
Dissemination
& Coalition
Relations
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 ProblemSolving and Population-Level Change
The Substance Abuse and Mental Health Service Administration’s
Strategic Prevention Framework
Skills Required to Implement the Strategic Prevention Framework
The relationship between SAMHSA’s Strategic Prevention Framework and the Core Competencies* supported by
1. Create and maintain coalitions and partnerships
A. Assessment
2. Assess community needs and resources
3. Analyze problems and goals
4. Develop a framework or model of change
15. Sustain projects and initiatives
14. Evaluate initiatives
B. Capacity
5. Increase participation and membership
E. Evaluation
6. Build leadership
13. Write grant applications for funding
7. Enhance cultural competence
12. Influence policy development
8. Improve organizational mgt. and development
11. Advocate for change
10. Develop interventions
C. Planning
9. Develop strategic and action plans
D. Implementation
*Core Competencies 2004 © University of Kansas. Used by permission.
Best Processes1 for Implementing
the Strategic Prevention
AnalyzingInformation
Information About
thethe
Problem,
1. 1.
Analyzing
About
Problem,
Framework
Goals, and Factors Affecting Them
Goals, and Factors Affecting Them
A.
Assessment
12. Documenting Progress and
10. Documenting Progress and
Using Feedback
Using Feedback
B. Capacity
3. Defining Organizational Structure
and Operating Mechanisms
11. Making Outcomes Matter
11. Making Outcomes Matter
4.9.
Assuring
Technical Assistance
Assuring
E. Evaluation
10. Sustaining the Work
12. Sustaining the Work
9. Implementing Effective
Interventions
5. Developing Leadership
7. Developing Leadership
6. Arranging Resources for
6. Arranging Resources for
Community Mobilization
Community Mobilization
C. Planning
D. Implementation
8. Developing and Using Strategic
5. Developing and Using
and Action Plans
Strategic and Action Plans
7. Developing a framework
4. Developing a framework or
or model of change
model of change
1Best
processes identified through a
literature review conducted by Dr. Renee
Boothroyd, University of Kansas – used
with permission.
Seven Strategies for Community Change
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
CADCA National Coalition Institute’s
Framework for Community Change
Institute
Training and
Technical
Assistance
Enhanced Coalition
Capacity
Coalitions Pursuing
Comprehensive
Strategies
Improved Population
Level Outcomes
Needed Community
Changes
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 Reform
Community 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