prevention: interventions that occur prior to the onset of a disorder that are intended to prevent...
TRANSCRIPT
A Common Language
Prevention: Interventions that occur prior to the onset of a disorder that are intended to prevent or reduce risk for the disorder.
Preventing MEB Disorders, 2009
A Common Language
Risk Factor: A characteristic at the biological, psychological, family, community or cultural level that precedes and is associated with a higher likelihood of problem outcomes.
Preventing MEB Disorders, 2009
A Common Language
Resilience: the ability to recover from or adapt to adverse events, life changes and life stressors.
Preventing MEB Disorders, 2009
A Common Language
Protective Factors: a characteristic at the biological, family or community level that is associated with a lower likelihood of problem outcomes or that reduces the negative impact of a risk factor on problem outcomes.
Preventing MEB Disorders, 2009
Effective prevention focuses on building protective factors aimed at mitigating the emotional and behavioral effects of adverse situations…such as resiliency skills and meaningful relationships…
…rather than focusing on identifying existing deficits.
Waxman, H., Gray, J., and Padron, Y., 2003
A Common Language
Universal Populations: targeted to the general public or a whole population group and the intervention is desirable for everyone.
Preventing MEB Disorders, 2009
A Common Language
Selective: targeted to at risk groups or individuals whose risk is above average based on biological, psychological or social risk factors that are known to be associated with the disorder.
Preventing MEB Disorders, 2009
A Common Language
Indicated: targeted to high risk individuals who are identified as having detectable signs.
Preventing MEB Disorders, 2009
2009
75% of mental, Emotional &
behavioral health disorders in US begin
prior to age 24.
50% of mental, emotional & behavioral health disorders in the
US begin PRIOR TO AGE 14!
National Research Council & Institute of Medicine of the National
Academies, March, 2009
Center for Substance Abuse Treatment Prevention
StrategiesSTRATEGY COMPONENTS
Prevention Education
• Promote and develop life skills, decision-making and problem-solving skills
• Provide accurate information regarding harmful effects
• Curriculum based
Information Dissemination
• Promote awareness and knowledge• Brochures, pamphlets, resource directories,
literature, information regarding resources• Presentations
Alternative Activities • Encourage and foster bonding with peers, family and community
• Adult/youth interaction• Skill development, relationships, cultural
understanding
Center for Substance Abuse Treatment Prevention
StrategiesSTRATEGY COMPONENTS
Problem Identification and Referral
• Ensure the participant and/or family is provided with information and resources to access support services
Community-Based Process
• Formal linkages between service providers to build a continuum of substance abuse services in the community
Environmental and Social Policy
• Establishing and/or changing written and unwritten standards, codes and attitudes within the community
• Facilitated through a local ATOD coalition
• Involve members of the community and other key stakeholders
Grades 4-6 and 7-12 135,084 students and 78 school districts
Approximately 3% of students and 6% of school districts
(Texas Department of State Health Services and Pubic Policy Research
Institute at Texas A&M University)
Texas School Survey of Substance Use (2012)
Use of alcohol and tobacco continues to drop:◦ 1990 81%◦ 2010 62%◦ 2012 58%
Tobacco use continues to drop:◦ 1990 56%◦ 2010 31%◦ 2012 28%
Marijuana most widely used illegal drug – remained level ◦ 26.2% secondary students
Secondary School Usage
Texas School Survey of Substance Use (2012)
Substance Abuse Block Grant Funds
$134,956,016 = 2012 SAPT Award
53%
12%
25%
5%5%
Treatment: Adult & YouthIntervention: RBI, PPI, OSARS, & HIVOutreachPrevention: Education Service Center
Women's Services (subset of Tx)*
Primary Prevention
HIV Early Intervention(SAPT-5% min/max)
Administration
Mental Health Block Grant Funds
$35,096,299 = 2012 MHBG Award
55%
20%
1%
1%
4%
1%
1%
2% 10%
5%
MH/Adult Community Services
MH/Child Community Services
MH/Adult Consumer Operated Services
MH/Child ConsumerTraining and TechnicalAssistance
MH/Adult ConsumerTraining and TechnicalAssistance
Regional Educational Service Centers
SA/MH Co-Occuring Services
CMBHS 2011 Budget
NorthSTAR
Salaries,Fringe,Indirect, Operating
General Revenue Makeup
Department of State Health Services (DSHS)
Program Type Area of Impact
Universal (YPU – Youth Prevention Universal)
General public or whole population
Selective (YPS – Youth Prevention Selective)
Subgroups known to have specific risks
Indicated Individuals experiencing early signs of problems
Community Coalitions • Collaborative partnership • Promotes and conducts community-
based environmental or social norm prevention strategies
Prevention Resource Centers Centralized data repository serving all communities in their region
Programs Funded Numbers Served
YPU, YPS, YPI – Prevention Education Services
142,732 – children and youth 3,260 – adults
All CSAP Strategies 1,274,235 – children, youth and adults
Total number of programs – 184
• YPU• YPS• YPI• Community Coalitions• PRCs
Department of State Health Services (DSHS)
Department of State Health Services (DSHS) – Regional
BreakdownRegion Types of Programs Number
1 YPU YPS YPI CCP PRC
21121
2 YPU YPS YPICCPPRC
11111
3 YPUYPSYPICCPPRC
1113971
Region Types of Programs Number
4 YPU YPS YPI CCP PRC
13271
5 YPU YPS YPICCPPRC
12131 (pending)
6 YPUYPSYPICCPPRC
1091071
Department of State Health Services (DSHS) – Regional
Breakdown
Region Types of Programs Number
7 YPU YPS YPI CCP PRC
57641
8 YPU YPS YPICCPPRC
56511 (pending)
9 YPUYPSYPICCPPRC
11121 (pending)
Department of State Health Services (DSHS) – Regional
Breakdown
Region Types of Programs Number
10 YPU YPS YPI CCP PRC
22121 (pending)
11 YPU YPS YPICCPPRC
53461
Department of State Health Services (DSHS) – Regional
Breakdown
Texas Population #’s Served
25,843,786 • 5% receive at least 1 of the CSAP prevention strategies
• .0056% receive Prevention Education strategy
Texas School Survey • 3% of students and 6% of school districts participate
Funding • Majority of funds are from federal government
• No federal funding for school based programs
Prevention Works!But we Need to DO MORE!!
A Few Policy Implications Prevention works but there is great disparity
between the amount of funding compared to the population
Geography of Texas - all 11 HHSC Regions have prevention services but again they are inadequate to meet need/demand
Schools - since the dismantling of Safe and Drug Free Schools there is no statewide prevention strategy in schools
Schools - small number of districts participate in Texas School Survey—need more participation
Cathey Brown, Developer/Founder/CEO
Rainbow Days, Inc.8150 N. Central Expressway, Suite 1600
Dallas, TX 75206214-459-1700
Cynthia Humphrey
Association of Substance Abuse Programs
830-792-4541- [email protected]
www.asaptexas.org