2. 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

3. 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

4. Resilience: the ability to recover from or adapt to adverse events, life changes and life stressors. Preventing MEB Disorders, 2009

5. 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

6. 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

7. Universal Populations: targeted to the general public or a whole population group and the intervention is desirable for everyone. Preventing MEB Disorders, 2009

8. 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

9. Indicated: targeted to high risk individuals who are identified as having detectable signs. Preventing MEB Disorders, 2009

10. 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

11. STRATEGYCOMPONENTS 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

12. STRATEGYCOMPONENTS 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

13.  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)

14.  Use of alcohol and tobacco continues to drop: ◦ 1990 81% ◦ 201062% ◦ 201258%  Tobacco use continues to drop: ◦ 199056% ◦ 201031% ◦ 201228%  Marijuana most widely used illegal drug – remained level ◦ 26.2% secondary students Secondary School Usage

18. Program TypeArea of Impact Universal (YPU – Youth Prevention Universal) General public or whole population Selective (YPS – Youth Prevention Selective) Subgroups known to have specific risks IndicatedIndividuals experiencing early signs of problems Community Coalitions Collaborative partnership Promotes and conducts community- based environmental or social norm prevention strategies Prevention Resource CentersCentralized data repository serving all communities in their region

19. Programs FundedNumbers Served YPU, YPS, YPI – Prevention Education Services 142,732 – children and youth 3,260 – adults All CSAP Strategies1,274,235 – children, youth and adults Total number of programs – 184 YPU YPS YPI Community Coalitions PRCs

20. RegionTypes of ProgramsNumber 1YPU YPS YPI CCP PRC 2112121121 2YPU YPS YPI CCP PRC 1111111111 3YPU YPS YPI CCP PRC 11 13 9 7 1

21. RegionTypes of ProgramsNumber 4YPU YPS YPI CCP PRC 1327113271 5YPU YPS YPI CCP PRC 1 2 1 3 1 (pending) 6YPU YPS YPI CCP PRC 10 9 10 7 1

22. RegionTypes of ProgramsNumber 7YPU YPS YPI CCP PRC 5764157641 8YPU YPS YPI CCP PRC 5 6 5 1 1 (pending) 9YPU YPS YPI CCP PRC 1 2 1 (pending)

23. RegionTypes of ProgramsNumber 10YPU YPS YPI CCP PRC 2 1 2 1 (pending) 11YPU YPS YPI CCP PRC 5346153461

24. 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

25.  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

26. Cathey Brown, Developer/Founder/CEO Rainbow Days, Inc. 8150 N. Central Expressway, Suite 1600 Dallas, TX 75206 214-459-1700 catheyb@rainbowdays.org www.rainbowdays.org Cynthia Humphrey Association of Substance Abuse Programs 830-792-4541- chumphrey@asaptexas.org www.asaptexas.org