Presentation on theme: "Facilitated by: Jane Goble-Clark Center for Prevention Services"— Presentation transcript:
1Facilitated by: Jane Goble-Clark Center for Prevention Services Building Bridges Across the Spectrum: How Prevention Connects with Addiction TreatmentFacilitated by:Jane Goble-ClarkCenter for Prevention Services
2Agenda Hour 1 - Welcome and Introductions - What is Prevention?- Prevention StrategiesBREAKHour 2 - Prevention 101 continued- Shared Skills: Collaboration- Experiential learningHour Shared Skills: Cultural Competency
3Introductions WELCOME ! Facilitator and Agency background Audience -- Why is this topic important and relevant to the work you do?
4What will we accomplish today? Discussion of how prevention spans and is relevant to addiction treatmentDiscussion of the differences between collaboration and compromise and how to use that to find unity in the diversity of professionsDiscussion of cultural competency as a professional tool and as a bridge between the fields of prevention and treatmentCreate new networking opportunities and provide linksQ & A
5Norms for Today’s Training Start and end on TIMEAsk for clarificationEach person is a resource to the whole groupBe respectful of each other’s opinions and expertiseHAVE FUN!!!What else?
6Circle of Friends Group Activity Please form two circles with your classmatesCreate a smaller circle of people to be the inner loopCreate a larger circle of people to be the outer loopPeople in inner and outer circles face each other (like a dance!)The facilitator will give quick Q & A, thenEach group moves to their left after specified timeFinishes when everyone has met each other!
7Common Prevention Quotes “An apple a day keeps the doctor away.”“An ounce of prevention is worth a pound of cure.”“Prevention is better than cure.”“A stitch in time saves nine.”
8CSAP’s Definition of Prevention “Prevention is a proactive process. It empowers, individuals, and systems to meet the challenges of life events and transitions by creating and reinforcing conditions that promote healthy behaviors and lifestyles.”- William Lofquist,CSAP - Center for Substace Abuse Prevention
9NCSAPPB’s Definition of Prevention “Substance Abuse Prevention is the reduction, delay, or avoidance of alcohol and other drug use. Prevention promotes positive environments and individual strengths that contribute to personal health and well-being over an entire life span. Effective prevention strategies encourage individuals, families, and communities to take part in assessing and changing their lifestyle and environments.”NCSAPPB - North Carolina Substance Abuse Professional Practice Board
10EVERYONE!! Who Does Prevention? Grandparents Preventionists Youth TeachersCounselorsTreatment ProvidersAunts/UnclesYouCommunity MembersMeEVERYONE!!
11Why Provide Prevention Services? “Drug use is not a national problem…it is a series of local epidemics.”~“Prevention is not about one program or activity…it is about making it part of the ground water—the way communities do business.”
12The Continuum of CareDifferent levels of prevention are distinguished by the level of riskof disorder/distress in various populations groups targeted.
13Types of Prevention on the Continuum Individual / FamilialIndicatedSelectiveEnvironmentalUniversal
14IOM Prevention Components Universal Prevention:Addresses the entire populationAim is to prevent/delay use of ATOD. Deters onset by providing individuals with information/skillsSelected Prevention:Targets subsets of the population considered at risk by virtue of their membership in a particular segment of the populationKey Selected Prevention targets the entire subgroup regardless of the degree of risk of any individuals in the groupIndicated Prevention:Targets individuals who are exhibiting early signs or consequences of ATOD use.IOM - Institute of Medicine
15Prevention Domains ► Individual/Peer ► Family ► School ► Community Substance abuse and mental illness are complex problems that develops in response to multiple influences.Each domain presents an opportunity for preventive action.Individual/Peer/Family = Individual-level strategiesSchool/Community/Society = Environmental strategies
16Experiential Learning: Prevention DomainsIndividualFamilyPeerSchoolCommunitySocietyWhy target each of these areas?Experiential Learning:Circle of SupportBegin with one person in the middleAdd additional members to the activityHow does this exercise answer the question below?
18CSAP’s Prevention Strategies Information DisseminationPrevention EducationAlternativesProblem Identification & ReferralCommunity Based ProcessesEnvironmental ApproachesWhat are some examples of these strategies?
19Strategies: Information Dissemination Media CampaignsBrochuresVideosRadio and Television Public Service AnnouncementsLecturesHealth FairsResource DirectoriesClearinghouses and other information centersOne Time TalksGot Questions?Call Drug LineDRUG (3784)All calls are anonymous and confidential
20Strategies: Prevention Education Classroom and Small Group SessionsParenting and Family Management ClassesPeer Lead and Peer Helper ProgramsEducation Programs for Youth GroupsGroups for Children of Substance Abusers
21Strategies: Alternatives Mentoring ProgramsDrug Free Social and Recreational Activities- Ex. SAAM FamilyFestivalCommunity Service ActivitiesDrug Free Dances and PartiesYouth and Adult Leadership ActivitiesCommunity Drop-in CentersSAAM FAMILY FESTIVAL
22Strategies: Problem Identification and Referral Driving-while-intoxicated Education ProgramsEmployee Assistance ProgramsStudent Assistance Programs
23Strategies: Community Based Approaches Building Interagency CollaborationTraining Community Members/Agencies in Substance Use Education and PreventionConducting Systematic PlanningSupporting Community Team-BuildingPiedmont Area Substance AbuseProvider AssociationSubstance Abuse Training SeriesHosted by: PASAPA and PBH8:30 AM - 12:00 PM
24Environmental Approaches Community laws that prohibit alcohol and tobacco advertisements in close proximity to schoolsThe establishment and review of school drug policiesTechnical assistance to communities to help them maximize law enforcement efforts to govern the availability and distribution of drugsCommunity policies regarding access to alcohol and tobacco productsCommunity laws that increase punishments for DUIs
26Experiential Learning Planning A Community CenterRules:Each person gets to make one line on the boardNo conversation allowedComplete the planThe group processes the shared work
27Public Health ModelIndividual Prevention: Focuses on trying to change the hostEnvironmental Prevention: Focuses on trying to change the agent and the environment
28Why Plant the Seed of Prevention? Those who consume alcohol before the age of 15 are 5 times more likely to have an alcohol problem later in life.Youth drug use is associated with suicide, violence, unwanted pregnancies, school failure, delinquency, and transmission of sexually transmitted infections
29The Role of PreventionTo create communities in which people have a quality life:Healthy environments at work & in schoolSupportive communities and neighborhoodsConnected to families and friendsAlcohol, tobacco, and other drug-free lifestylesAddiction and crime-free individuals and communities
30The Roots of Prevention Scare Tactics1960sScare Tactics and Information1970sDrug Education and Alternatives to Drug Use1970s-1980sEducation, Alternatives, and Trainings1980s-1990sParent, School, and Community Partnerships1990sUse of Evidence-based “Model Programs”2000sStrategic Prevention Framework and focuson cultural competency and sustainability
31New Growth Strategic Prevention Framework Risk and Protective Factors Assessment, Capacity, Planning, Implementation, Evaluation, Sustainability, and Cultural CompetenceRisk and Protective FactorsCommunity, School, Family, and Peer/Individual
32SAMHSA’s Strategic Prevention Framework Steps AssessmentSustainability &Cultural CompetenceProfile population needs, resources, and readiness to address needs and gapsMonitor, evaluate, sustain, and improve or replace those that failImplement evidence-based prevention programs and activitiesDevelop a Comprehensive Strategic PlanMobilize and/or build capacity to address needsEvaluationCapacityPlanningImplementation
33SPF: A shared framework Benefits of the Strategic Prevention Framework:Creates an objective community profileIdentifies how to effectively and efficiently use resourcesAssists in the selection and implementation of effective strategiesUnifies the power of individual citizens and institutionsCreate a comprehensive plan in which everyone in the community has a stakeHolds community institutions accountable
34Risk & Protection Approach In past century, doctors have discovered factors that:Put people at risk for such things as heart disease and diabetes.Protect people from such conditionsThis Risk and Protective Factor approach follows the same model for prevention for our communities’ children
35Risk Factors are listed to the left. What are some Protective Factors?
36Risk & Protection Approach A Simple Premise What are Risk Factors?Conditions or situations that increase the likelihood that a child will develop one or more health and/or behavior problems in adolescence.What are Protective Factors?Conditions or situations which decrease the likelihood of future behavior problems.Where are they found?In four domainsCommunity, School, Family, Peer/individual
37Prevention: Where We Are Now Prevention planning is strategicBased on risk and protective factorsPrevention movements, rather than individual programsStrategies are evidence-basedAddresses the whole community culture“Prevention is Health Reform”
38Science-Based Prevention Programs Identified and or substantiated through an expert consensus or analytical process using commonly agreed on criteriaNational Registry of Effective Practices and Programs (NREPP)Why is science-based important?
40Prevention Agencies or Programs Centers for Prevention Resources Prevention ServicesPrevention Agencies or ProgramsCenters for Prevention ResourcesPrevention Policy AllianceTRUSpecialty ContractsYouth Suicide PreventionMethamphetamine Prevention Initiative
41Prevention Services Safe and Drug Free Schools and Communities Fetal Alcohol Spectrum Disorders PreventionUnderage Drinking PreventionEarly InterventionsBullying PreventionViolence PreventionSuicide PreventionJuvenile Crime Prevention
42Community Prevention 24/7 Social Host Youth Leadership Community PolicingAlcohol Compliance ChecksTobacco Reward/Reminder VisitsResponsible Beverage Sales and Service
43Prevention Outcomes Youth Drug Survey Synar Tracks trends in use and abuseCovers 40 years2010 data is most recentSynarDecrease in sales of tobacco to minors from 48.3% to 8.2%
44Things to Remember about Prevention It is a process, it doesn’thappen overnightEnvironmental preventionis more effective than an IndividualapproachIt spans SA, MH and DD
45What Can You Do? Call your local prevention service providers Become active in your local coalitionsCall your school board members, city officials and state officials asking them to support prevention initiativesTalk to your children, grandchildren, niece, and nephewsBe active in your community and in children’s livesRaise awareness in your own professionShare resources with clients
47Crossing the Bridge Relationship-building Collaboration vs. Compromise Cultural Competency
48Strategies for Relationship-building Experiential Learning: The Head-band Activity Volunteers Needed! You won’t look as “stylish” as this guy. . . but you will have fun!
49Strategies for Relationship-building The Head-band Activity: DISCUSSIONWhat observations do you have about the actions and behaviors in the role play?How does this scenario exemplify the process of creating collaborations?Other questions?
50Strategies for Relationship-Building Active listeningAsk questionsBe open to suggestionsWillingness to learn new perspectives without judgmentRespectFocused body language or tone of voiceAuthentic desire for collaboration
51Ugli Orange Case (10 minutes) Pair upNegotiate and make the best deal you canChoose carefully how much information you will reveal
52Collaborative vs. Compromise “Let’s meet both our needs and interests.”“Let’s split the difference.”Problem solving attitude50/50 solutionsSharing informationNobody fully gets what they wantMutual satisfaction & investment of timeBlaming and resentment
53Principled Negotiation People: Separate the people from the problemInterests: Focus on interests not positionsOptions: Generate a variety of possibilities before deciding what to doCriteria: Result based on a fair standard, independent of either side
54Relationship between individuals Seize the Day: Recognizing and Maximizing an Opportunity to CollaborateRelationship between individualsWillingness to acknowledge historical/ cultural/organizational back-storiesWillingness to create a new storyTrust that everyone’s best interest will be represented