Substance Misuse and Substance UseDisorderPreventionGovernor’s Substance Abuse Services CouncilGail TaylorDirector, Office of Behavioral Health WellnessVirginia Department of Behavioral Health and Developmental ServicesWednesday, April 12, 2017
Evolution .Prevention is in an environment that has EVOLVED
Historical PreventionScared Straight
Behavioral Health Continuum of CareModel Promotion: These strategies aredesigned to create environmentsand conditions that supportbehavioral health and the ability ofindividuals to withstand challenges.Promotion strategies also reinforcethe entire continuum of behavioralhealth services.Prevention: Delivered prior to theonset of a disorder, theseinterventions are intended toprevent or reduce the risk ofdeveloping a behavioral healthproblem, such as underage alcoholuse, prescription drug misuse andabuse, and illicit drug use.Institute of Medicine (IOM)
Hawkins and Catalano
Key ConceptIndividual Strategies Individual strategies, such as drug education classes, are based on the premise thatsubstance abuse develops because of deficits in knowledge about negativeconsequences, inadequate resistance skills, poor decision making abilities and lowacademic achievement. Individuals do not become involved with substances solely on the basis of personalcharacteristics. They are influenced by a complex set of factors, such asinstitutional rules and regulations, community norms, mass media messages andthe accessibility of alcohol, tobacco and other drugs (ATOD). But these efforts, while important in a multiple strategy approach, do little toindependently alter the overall environment in which people live and work.- Community Anti-Drug Coalitions of AmericaCADCA
Individual Strategies SAMHSA CSAPInformation DisseminationEducation/Skill BuildingAlternative ActivitiesProblem ID and ReferralCADCA Provide information Enhance Skills Provide support
Key ConceptsEnvironmental Strategies Environmental strategies are effective in modifying the settings where aperson lives, which plays a part in how that person behaves. Costs associated with implementation, monitoring and political action within acommunity can be considerably lower than those associated with ongoingeducation, services and therapeutic efforts applied to individuals. Finally, environmental strategies are cost effective given the potentialmagnitude of change. Community mobilization is central to creatingpopulation level change.
Effective Community and Environmental StrategiesSAMHSA CSAP Coalitions/CommunityMobilization Environmental ApproachCADCA Enhance access/reduce barriers Change consequences(Incentives/Disincentives) Physical design Modifying/changing policies
Prevention Today Strategic Prevention Framework Coalitions Environmental Strategies to impact Population Health Prevention across the Lifespan Integration of mental health and primary care
Office of Behavioral Health WellnessPrevent mental and/or substanceuse disorders and suicide throughthe promotion of mental healthand reduction of community riskindicators for these conditions byimplementing individual,community and environmentalstrategies across the lifespan. Director 2 Behavioral Health WellnessConsultants Mental Health First AidCoordinator Suicide Prevention Coordinator Workforce DevelopmentSpecialist Data Manager
Local Prevention SystemPartner with Community CoalitionsSAMHSA CSAP Prevention Set Aside- 8,098,544 (Annually)SAMHSA Partnership for Success - 9,244,000 (5 years)SAMHAS Opiate STR- 1,7 (2 years)
Substance misuseand abuse is acommunity issuethat requires acommunityresponse
Shifting the Paradigms Integration of substance abuse prevention, mental healthpromotion and primary care across the lifespan Shifting from the delivery of prevention services to thedevelopment of Prevention Systems that deliver preventionservices based on the Strategic Prevention Framework Focus more on population level or environmental changestrategies complimented by individual/family strategies thattarget those at greatest risk
Strategic Prevention Framework- SPF
AssessmentState Epidemiological Outcomes Workgroupstate agency epi leadsSocial Indicator Study- Data linked to risk andprotective factor indicators, consumption andconsequences at the State and County/City/Regionallevels for Substance Abuse, Mental Health and AdverseChildhood Experiences (ACE) factors. County/CityEpidemiological Profiles that are aligned.Needs Assessments- 40 CSBs for their catchmentareasWhy is this important? Allows to establish priorities based on data, i.e.target populations, substances, key issues,geographic areas, etc. Outcome measures for State and communityperformance Informed decisions around resource allocations
Capacity Building Policy- CSB Prevention Staff are required topartner with local community coalitions Infrastructure Enhancements Partnerships Training and Workforce Development
Strategic Planning CSBs are in the process of creatinga Strategic Plan based on needsassessment data in partnershipwith their community coalitions Logic model
Implementation Focus more on population level orenvironmental change strategiescomplimented by individual/familystrategies that target those atgreatest risk Evidenced based programs,practices and strategies identifiedby an Evidenced Based Work Group
EvaluationOMNI Institute Creating data matrices for consistent dataentry across CSBs Creating an evaluation plan for each CSB andDBHDS OBHW Five Regional Technical Assistance providersWe need to be able to measure systemperformance and the behavioral outcomesachieved for our investment!
Contact InformationGail TaylorDirector, Office of Behavioral Health Wellnessgail.firstname.lastname@example.org
Integration of substance abuse prevention, mental health promotion and primary care across the lifespan Shifting from the delivery of prevention services to the development of Prevention Systems that deliver prevention services based on the Strategic Prevention Framework Focus more on population level or environmental change
Describe how substance misuse affects military readiness and resiliency. Outline gaps in understanding and assessing the impact of substance misuse in the military including data limitations and collection methodologies. Identify the Department of Defense's (DoD) multi-pronged approach to addressing substance misuse, including policies,
The United States has a serious substance misuse problem. Substance misuse is the use of alcohol or drugs in a manner, situation, amount, or frequency that could cause harm to the user or to those around them. Alcohol and drug misuse and related substance use disorders affect millions of Americans and impose enormous costs on our society.
national design principles. The vision and principles apply to the substance misuse sector as much as any other area. Our substance misuse agenda requires the Health and Social Care sector to work together, alongside other partners, to give the most appropriate help to an individual, based on their needs and circumstances.
ALCOHOL AND SUBSTANCE MISUSE WORKING GROUP COUNSELLING IN SUBSTANCE MISUSE A REVIEW of the LITERATURE Robin Davidson1, Richard Velleman2, Willm Mistral2 and
the impact of non-dependent parental substance misuse upon children; identify effective and cost-effective interventions to reduce parental substance misuse and share examples of 1 To note, this figure will include double counting where one or more children are living in a household where both parents have an opiate dependency.
Aberdeen City Health Promoting Schools – Substance Misuse Education Guidance (2017) 3 Introduction Substance misuse affects the whole community and as such it must be addressed, not in isolation, but by the community as a whole. Within this, schools have been identified
needed to address use, misuse and relapse. Managers in the addictions treatment and recovery field walk a fine line when it comes to dealing with staff who may be experiencing problems related to substance misuse. They know how to use their skills to manage and supervise staff, but common wisdom says that managers should not take on the role of
Substance Use . Individuals with substance use disorders (SUDs) are particularly susceptible to suicide and suicide attempts. Indeed, suicide is a leading cause of death among people who misuse alcohol and drugs (SAMHSA, 2008; HHS, 2012; Wilcox, Conner, & Caine, 2004; Pompili et al., 2010). Substance misuse