A Public Health
Approach to Drug
Policy
March 12, 2015
General Arthur T. Dean
Chairman and CEO,
CADCA
www.cadca.org
Building Safe, Healthy, and Drug Free Communities
What Is CADCA?
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Building Safe, Healthy, and Drug Free Communities
What is a Coalition?
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Building Safe, Healthy, and Drug Free Communities
How do Coalitions Work?
By mobilizing diverse sectors of the
community to analyze local data and
implement comprehensive strategies that
foster effective programs, policies and
practices to create population level
reductions in substance abuse.
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Building Safe, Healthy, and Drug Free Communities
Coalitions Engage Diverse Community Partners
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Youth
Parents
Businesses
Media
Schools
Youth serving organizations
Faith based community
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Civic and volunteer groups
Law enforcement
Health care professionals
State, local or tribal
agencies
Other organizations
involved in reducing
substance abuse
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Building Safe, Healthy, and Drug Free Communities
Coalitions are Strategic and Data-Driven
Coalitions use the Strategic Prevention
Framework to guide their planning.
Coalitions that complete CADCA’s
rigorous National Coalition Academy
develop Five essential products:
1. community assessment,
2. logic model,
3. strategic & action plan,
4. evaluation plan, and
5. sustainability plan.
Sources: Substance Abuse and Mental Health Services Administration;
CADCA National Community Anti-Drug Coalition Institute
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Social Ecological Model
Coalitions engage at each step within this Public
health model.
Source: U.S. Centers for Disease Control and Prevention;
http://www.cdc.gov/obesity/health_equity/culturalrelevance.html
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How Coalitions Achieve Impact
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Building Safe, Healthy, and Drug Free Communities
The U.S. Drug-Free Communities Program
• The U.S. has invested a total of $1.25 billion in the DFC program
since it began in 1998.
• The DFC Program has funded more than 2,000 coalitions since
it began.
• Currently, the U.S. has 680 DFC Grantees.
• CADCA was the driving force behind the passage of this
program and is the primary training and technical assistance
provider for the program.
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Building Safe, Healthy, and Drug Free Communities
DFC Coalitions Are Effective
Source: Office of National Drug Control Policy, National Evaluation of the Drug-Free Communities Support Program
Summary of Core Outcome Findings through 2013
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A Coalition Example: Carter County, Kentucky
Reduced Past 30 Day Use of Prescription Drugs
Strategies Implemented to Achieve Outcomes:
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Supported use of prescription drug monitoring programs
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Led regular drug take back days and installed permanent
drop boxes.
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Implemented a social norms media campaign
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Provided education to parents, teachers, youth and
healthcare professionals
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Convened a key leader community forum to educate about
the growing prescription drug problem.
Past 30 day use of prescription drugs among high school seniors
decreased at a rate of 83.3%, from 12% in 2004 to 2% in 2012.
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CADCA’s Framework is Published
• CADCA’s problem-solving framework featured in
Journal of Community Psychology
• Article, “Testing A Comprehensive Community
Problem-solving Framework for Community
Coalitions,” published in August 2012
• Describes process coalitions use to contribute to
population-level reductions in targeted
substance abuse problems.
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A Global Coalition Movement
• CADCA began building anti-drug coalitions internationally
in 2005
• Support from the U.S. Department of State, Bureau of
International Narcotics and Law Enforcement
• Helped build over 130 coalitions
• Trained in 22 countries, on five continents
• Training and technical assistance delivered in seven
languages
• The coalition model is adaptable around the world
• Effective on problems associated with illicit drugs, alcohol,
tobacco, and the abuse of medicines.
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Building Safe, Healthy, and Drug Free Communities
Stay Connected with CADCA
Engage with CADCA –
Visit: www.cadca.org
Call: 1+1-800-54-CADCA
Arthur T. Dean
Major General, U.S. Army, Retired
CADCA Chairman and CEO
Email: adean@cadca.org
Join via Social Media:
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Facebook: facebook.com/CADCA
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Twitter: @cadca
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Connected Communities Network:
http://connectedcommunities.ning.com
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YouTube: youtube.com/cadca09
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Linkedin: Linkedin/company/cadca
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Building Safe, Healthy, and Drug Free Communities