1. 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

2. 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

3. 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

4. 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

5. 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 8 th 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%

6. 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%

7. 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.

8. 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

9. SAMHSA’s 10 Strategic Initiatives 1.Prevention of Substance Abuse and Mental Illness 2.Trauma and Justice 3.Military Families—Active, Guard, Reserve, and Veteran 4.Health Reform 5.Housing and Homelessness 6.Jobs and Economy 7.Health Information Technology for Behavioral Health Providers 8.Behavioral Health Workforce—In Primary and Specialty Care Settings 9.Data, Outcomes, and Quality—Demonstrating Results 10.Public Awareness and Support Source: www.samhsa.gov National Direction: SAMHSA

10. 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

11. 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)

12. National Direction: CADCA Public Policy & Advocacy CADCA’s Network Policies, Funding & Laws That Benefit Prevention and Treatment + = CADCA’s Public Policy Expertise Since FY 1994, CADCA has been responsible for the restoration and/or plus ups of substance abuse prevention funding totaling over $2.66 billion.

13. The branch of CADCA that is responsible for: What is the National Coalition Institute? 1 Dissemination & Coalition Relations Training & TA Evaluation & Research

14. 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

15. CADCA’s Approach to Community Problem- Solving and Population-Level Change The Substance Abuse and Mental Health Service Administration’s Strategic Prevention Framework

16. A. Assessment B. Capacity C. Planning D. Implementation E. Evaluation 1. Create and maintain coalitions and partnerships 3. Analyze problems and goals 4. Develop a framework or model of change 9. Develop strategic and action plans 6. Build leadership 10. Develop interventions 5. Increase participation and membership 7. Enhance cultural competence 11. Advocate for change 13. Write grant applications for funding 8. Improve organizational mgt. and development 14. Evaluate initiatives 15. Sustain projects and initiatives 12. Influence policy development 2. Assess community needs and resources Skills Required to Implement the Strategic Prevention Framework The relationship between SAMHSA’s Strategic Prevention Framework and the Core Competencies* supported by *Core Competencies 2004 © University of Kansas. Used by permission.

17. Best Processes 1 for Implementing the Strategic Prevention Framework 1. Analyzing Information About the Problem, Goals, and Factors Affecting Them 1.Analyzing Information About the Problem, Goals, and Factors Affecting Them 5. Developing and Using Strategic and Action Plans 8. Developing and Using Strategic and Action Plans 6. Arranging Resources for Community Mobilization 6. Arranging Resources for Community Mobilization 7. Developing Leadership 5. Developing Leadership 9. Assuring 4. Assuring Technical Assistance 10. Documenting Progress and Using Feedback 12. Documenting Progress and Using Feedback 11. Making Outcomes Matter 12. Sustaining the Work 10. Sustaining the Work A. Assessment B. Capacity D. Implementation C. Planning E. Evaluation 4. Developing a framework or model of change 7. Developing a framework or model of change 1 Best processes identified through a literature review conducted by Dr. Renee Boothroyd, University of Kansas – used with permission. 9. Implementing Effective Interventions 3. Defining Organizational Structure and Operating Mechanisms

18. 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 Seven Strategies for Community Change

19. Institute Training and Technical Assistance Enhanced Coalition Capacity Coalitions Pursuing Comprehensive Strategies Needed Community Changes CADCA National Coalition Institute’s Framework for Community Change Improved Population Level Outcomes Institute of Medicine, 2002; KU Work Group for Community Health and Development, 2007

20. 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

21. 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

22. 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

23. 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.

24. 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

25. 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.

26. 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

27. 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