Community Anti-Drug Coalitions of America (CADCA ... · of America (CADCA) – Exploring Partnerships with PDMPs Mary Elizabeth Elliott Vice President, Communications, ... safe, healthy

Community Anti-Drug Coalitions

of America (CADCA) – Exploring

Partnerships with PDMPs

Mary Elizabeth Elliott

Vice President, Communications,

Membership and IT

December 18, 2013

Today we’ll cover… • CADCA Overview

• The Coalition Model

• A Coalition Case Study

• CADCA’s Actions on Prescription Drug

Abuse Prevention

• Open discussion –How Can We Help?

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• Founded in 1992 as a recommendation from the President’s Drug Advisory Council.

• Today, CADCA supports a comprehensive, data-driven approach to prevent the use of illicit drugs, underage drinking, youth tobacco use and the abuse of medicines.

• CADCA represents more than 5,000 community coalitions.

• CADCA’s Vision – A world of safe, healthy and drug-free communities.

• CADCA’s Mission – To strengthen the capacity of community coalitions to create and

maintain safe, healthy and drug-free communities globally.

CADCA History and Overview

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Core Services

• Public policy and advocacy

• Training and technical assistance

• Research dissemination and evaluation

• Special events and conferences

• Communications

• International programs

• Youth programs

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CADCA’s Public Policy Impact

CADCA’s

Public Policy

Expertise

CADCA’s

Network

Policies, Funding

& Laws That

Benefit

Prevention and

Treatment

+

=

Since FY 1994, CADCA has been responsible for the restoration of cuts and/or

funding increases for substance abuse prevention totaling

over $2.79 billion.

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CADCA's National Coalition Institute • Drug Free Communities Act reauthorization of 2002 provided for a National

Coalition Institute.

• CADCA participated in a competitive RFA and was selected to create the Institute and deliver services to the field.

• Federal Partners: ONDCP and SAMHSA/CSAP

• As per the DFC Act, the National Community Coalition Institute shall:

– “(1.) Provide education, training and technical assistance for coalition leaders and community teams, with emphasis on the development of coalitions serving economically disadvantaged areas;

– (2.) develop and disseminate evaluation tools, mechanisms and measures to better assess and document coalition performance measures and outcomes; and

– (3.) bridge the gap between research and practice by translating knowledge from research into practical information.”

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Annual Training Impact

• Over 13,000 individuals training

in 904 coalitions

• Over 1,200 technical assistance

sessions

• Over 150 coalitions graduate

from our year-long National

Coalition Academy

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CADCA Training is Effective

Coalitions receiving Training and TA from CADCA:

• Report higher levels of effectiveness.

• Are engaged in a more comprehensive set of strategies to address substance abuse.

• Are more likely to have in place the essential processes that are needed to create community change.

Source: Independent evaluation of the National Coalition Institute by Dr. Pennie Foster-Fishman, Michigan State University

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National Training Events

National Leadership Forum • The nation’s largest training, networking and

advocacy event for substance abuse prevention and treatment professionals and researchers.

• February 3-6, 2014 at the Gaylord National Harbor Conference Center, National Harbor, Md.

Mid-Year Training Institute

• An in-depth and unique coalition training experience, featuring 1, 2 and 4-day courses.

• July 21-24, 2014 in Orlando, Fla.

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1. Expand effective Prescription Drug Monitoring Programs to ensure adequate coverage in every state and interoperability to share data where appropriate.

2. Enhance education and training of medical and dental professionals in proper prescribing protocols.

3. Raise the general public’s awareness about the dangers of prescription drug abuse as well as the proper ways to store and dispose of them.

4. Enhance opportunities for prescription take back and other large scale disposal programs.

CADCA Recommendations

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Recommendations, Cont.

5. Support increased law enforcement and legal remedies to close down “pill mills.”

6. Require manufacturers to create abuse deterrent formulations for commonly-abused prescription painkillers.

7. Expand the number of DFC funded communities and train more communities to implement comprehensive, data driven strategies to effectively address their local prescription drug abuse problems.

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CADCA Supports the Office of National

Drug Control Policy (ONDCP) Plan

and

the National Governor’s Issue Brief

“Six Strategies for Reducing

Prescription Drug Abuse”

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Community anti-drug coalitions recognize that substance use/abuse prevention is unique and involves:

• Reducing access and availability;

• Enforcing consequences;

• Changing attitudes and perceptions;

• Changing social norms;

• Raising awareness about costs and consequences; and

• Building skills in youth, parents and communities to deal with these issues effectively.

CADCA Member Coalitions Address the

Prescription Drug Epidemic At the Local

Level

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A coalition is a formal arrangement for

cooperation and collaboration between groups

or sectors of the community, in which each

group retains its identity but all agree to work

together towards a common goal of building a

safe, healthy and drug-free community.

What are Coalitions?

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Coalitions convene and combine talent and resources to address local substance abuse and other issues,

working with:

Law enforcement

Schools

Parents

Youth

Youth-serving organizations

Businesses

Media

Military community

Treatment and Recovery

Faith community

Civic and volunteer groups

Health care professionals

State, local or tribal

agencies

Key Sectors

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• Scale – Population-level outcomes

• Multiple Causes – Identify and address all salient personal and

environmental risk factors

– Systems level solutions

• Actors – Coalition is neutral convener/coordinator

– Action taken by all members of the coalition

How Coalitions Differ from Programs

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The community coalition model, specifically

the Drug Free Communities program, has

proven successful in reducing substance

use/abuse, including the misuse and abuse of

prescription drugs.

DFC Program

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• National program, created by Congress in 1997

• Reauthorized in 2001 and again in 2006

• Recognizes the importance of multi-sector

community coalitions in reducing substance

abuse

• Establishes funding for local community coalitions

– (local coalitions can apply for up to $125,000

dollars per year for a period of up to five years -

renewable)

DFC Program

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To be eligible to compete for a DFC grant, a coalition must:

• Have the reduction of substance abuse among youth as its principal

mission, and must target multiple drugs

• Have been in existence for at least 6 months

• Have representation from the each of the 12 sectors

• Be able to demonstrate through its meeting minutes that it functions as a unique entity and is more than a group of agency and organization representatives or a board of directors of a direct service delivery organization

• Coalitions are only eligible to receive as much federal funding as they can match, dollar for dollar, with non- Federal support, up to $125,000

DFC Program Requirements

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Rates of Substance Use Have Declined Significantly in DFC Communities:

• Prevalence of past 30-day use declined significantly across all substances (alcohol, tobacco, marijuana) and school levels (middle and high school) between DFC coalitions’ first and most recent data reports.

National Drug Free Communities (DFC)

Program Evaluation Findings

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• Taking a comprehensive, data driven approach that appropriately mobilizes each of the key sectors and actors who have a role in reducing inappropriate access to and availability of OTC and prescription drugs

• Changing social norms about the harm that misuse and abuse of these substances can cause is also critical

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Keys To Pushing Back Against The

Misuse and Abuse of Medicines

1. Providing Information

2. Enhancing Skills

3. Providing Support

4. Enhancing Access/ Reducing Barriers

5. Incentives/Disincentives

6. Physical Design

7. Modifying/Changing Policies

Environmental

strategies

Seven Strategies that CADCA Trains Coalitions to Follow for Effective Community Change

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1. Providing Information:

– Initiated a media campaign and leveraged

resources.

2. Enhancing Skills:

– Developed a “Teens as Teachers” training

with high school students

– Provided “Pharmacology, Polypharmacy and

Addiction” training for Healthcare

Professionals.

Case Study: Carter County Drug Free

Coalition

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3. Providing Support:

– Formed and funded a task force

– Identified funding for counselor to deal

with increases in school-age Rx drug

abuse

4. Enhancing Access/ Reducing Barriers:

– Participates in DEA take back days they

called “Dump the Junk”

5. Incentives/Disincentives:

– Youth who were drug tested and passed received “Too Fly to Get High” shirts

Case Study, Cont.

Carter County Drug Free Coalition

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6. Physical Design:

– Installed a permanent drop box at the

sheriff’s station

7. Modifying/Changing Policies:

– Worked with their legislators on local, state

and federal Rx policy Restricted pain clinics

and eliminated doctors shopping at pill mills

in Kentucky

Case Study, Cont.

Carter County Drug Free Coalition

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Engaging Coalitions to Effect Change

• Coalitions can…

– Provide an important community reality

check

– Help reinforce PDMPs requirements with

their prescriber partners

– Be valued partners to advance sound

policy changes that may be needed

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CADCA’s Resources and Action

Published first Rx abuse prevention toolkit in 2002

Dose of Prevention Toolkit on cough medicine abuse in 2006

Town hall meetings

Stopmedicineabuse.org with partner CHPA

Informational video developed for communities

5 CADCA TV shows

Strategizer publication with ONDCP in 2008

Rx Abuse Prevention Toolkit: From Awareness to Action in

2010National Medicine Abuse Awareness Month

General Dean testifies before Congress

Hosted two half-day Rx specific trainings at the 2012 Mid-Year

New online course launched October 2012 28

Online Medicine Abuse

Prevention Course for Coalitions

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• http://learning.cadca.org/

• 10 modules – estimated 6 hours to

complete

• Certificate upon completion, continuing

education credits.

• Take the course at no cost –and give us

feedback at [email protected].

National Medicine Abuse Awareness Month

• CADCA’s partner is the Consumer Healthcare Products Association

• Annual CADCA 50 Challenge encourages coalitions to host educational events throughout NMAAM in October.

• Dose of Prevention Award recognizes best practices in OTC and Rx Medicine Abuse Prevention

• selected as winner of Dose of Prevention award for their comprehensive efforts during National Medicine Abuse Awareness Month.

• CADCA hosts town hall meetings, Twitter chats, and webinars each October to raise awareness.

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Visit us on the Web at www.cadca.org

Call us at 1-800-54-CADCA

Email Membership: [email protected]

Email Training and TA: [email protected]

Join us via Social Media: • Facebook: facebook.com/CADCA

• Twitter: @cadca

• Connected Communities Network: http://connectedcommunities.ning.com

• YouTube: youtube.com/cadca09

• Flickr: flickr.com/photos/cadca

• Linkedin: Linkedin/company/cadca

Stay Connected with CADCA

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