collaboration giving community 2018 HOUSTON OPIOID SUMMIT JULY 27, 2018 WHAT ARE WE DOING? IN-DEPTH LOOK AT SAMSHA PREVENTION CHANGES AT THE LOCAL LEVEL

Partnership for Success (PFS) Grant DETAILS Awarded on September 2015 $143,750.00 4 years duration 1 in 8 coalitions in Texas Underage drinking (ages 12-25) and Prescription drug misuse and abuse (ages 12-25) Pasadena, Texas

Partnership for Success (PFS) goals To promote emotional health, prevent onset, reduce the progression of substance abuse in high-need communities in Texas. To reduce substance abuse related consequences in Texas communities. To build substance abuse prevention capacity and infrastructure at the state and community levels. To align funding to support statewide efforts.

STRATEGIES Reduce access & availability Changing community norms Community organizing & mobilization Environmental policy changes Heightened enforcement Media advocacy & messaging School community partnerships

IMPORTANT TERMS ENVIRONMENTAL STRATEGY- Impact, access, availability, policy enforcement, community norms and media PROTECTIVE FACTORS- A characteristic at the individual, family or community level that is associated with a lower likelihood of problem outcomes RISK FACTORS-A characteristic at the biological, psychological, family, community, or cultural level that precedes and is associated with a higher likelihood of problem outcomes EVIDENCE BASED-included in a federal registry of evidence-based interventions, reported in peer reviewed journals with positive effects, there is documented effectiveness supported y other sources of information and the consensus experts.

Strategic Prevention Framework

STEP 1: WHAT TO ASSESS The nature and extent of substance use behavior and related problems. The Risk and Protective Factors that influence them. The existing resources and readiness of the community to address them.

STEP 2: ASSESSING CAPACITY RESOURCES + READINES = CAPACITY

COLLABORATORS PHARMACISTS EDUCATORS MEDICAL COMMUNITY COMMUITY PARTNERS

COMMUNITY PARTNERS Youth Young Adults Parents Media Schools Youth-serving organizations Law enforcement agencies Religious or fraternal groups Civic or volunteer groups Healthcare professionals Local, governments Other organizations interested in substance abuse prevention

STEP 3: PLANNING Effectiveness Is the intervention effective? Conceptual Fit Will the intervention(s) impact the selected risk factor(s)? Practical Fit Is the intervention feasible for the community?

PFS STRATEGIES RX Take Backs & Permanent Drop Box (access) Education (Perception of risk/harm, peer/parental approval) Media

TEXAS WE HAVE A PROBLEM… Opioids deaths shifting to younger demographics Abuse of prescribed pain relievers Oversupply of prescribed pain relievers Illegally obtained Highest maternal mortality rate Only 13 counties (254) enlist a medical examiner to determine the cause of death when a person dies outside of a heath care setting Prescription Monitoring Program not used by physicians *******Hurricane Harvey*******

LAWSUITS AGAINST OPIOID MANUFACTURES AND DISTRIBUTORS Overstating the benefits of prescription opioids Downplaying the risks of opioid use Aggressively marketing these drugs to physicians Failing to monitor, refuse, and report suspicious order of prescription opioids as required by law

PROPOSED STRATEGIES SAFE STORAGE & DISPOSAL MEDICAL EDUCATION AWARENESS OF DANGERS OF RX USE FOR NON-MEDICAL PURPOSES REVERSE OVERDOSE TRANSFORM POLICY

STEP 4: IMPLEMENTATION MOBILIZE SUPPORT AND BUILD CAPACITY CARRY OUT EVIDENCE BASED INTERVENTIONS MONITOR, EVALUATE AND ADJUST

STEP 5: EVALUATION PROCESS EVALUATION-Was the intervention completed as intended? OUTCOME EVALUATION- Did anything change?

Culture can be defined by: CULTURAL COMPETENCY Culture can be defined by: Gender Identity/Sexual Orientation Income Religion Education Gender Race/Ethnicity Geographic Location Disability Age

SUSTAINABILITY COMMUNITY SUPPORT ORGANIZATIONAL CAPACITY EFFECTIVENESS

P R O T E C T Prescriber Education Recovery Support Overdose Reversal Treatment Access Environmental Safe Disposal & Storage Community Education Texas Law and Policies

Call to Action We need your support… vanessa.ayala@bacoda.org 800-510-3111 (office) 713-256-8746 (cell phone)