FACILITATED BY: JANE GOBLE-CLARK CENTER FOR PREVENTION SERVICES Building Bridges Across the Spectrum: How Prevention Connects with Addiction Treatment
Jan 19, 2016
FACILITATED BY:
JANE GOBLE-CLARK
CENTER FOR PREVENTION SERVICES
Building Bridges Across the Spectrum: How Prevention Connects with Addiction
Treatment
Agenda
Hour 1 - Welcome and Introductions
- What is Prevention?- Prevention Strategies
BREAKHour 2 - Prevention 101 continued
- Shared Skills: Collaboration - Experiential learningBREAKHour 3 - Shared Skills: Cultural Competency
- Experiential learning
Introductions
WELCOME !
1. Facilitator and Agency background
2. Audience -- Why is this topic important and relevant to the work you do?
What will we accomplish today?
Discussion of how prevention spans and is relevant to addiction treatment
Discussion of the differences between collaboration and compromise and how to use that to find unity in the diversity of professions
Discussion of cultural competency as a professional tool and as a bridge between the fields of prevention and treatment
Create new networking opportunities and provide links
Q & A
Norms 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?
Group Activity
Circle of Friends
- Please form two circles with your classmates- Create a smaller circle of people to be the inner
loop- Create a larger circle of people to be the outer loop
- People in inner and outer circles face each other (like a dance!)
- The facilitator will give quick Q & A, then- Each group moves to their left after specified time
- Finishes when everyone has met each other!
Common 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.”
CSAP’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
NCSAPPB’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
Who Does Prevention?
Parents Grandparents
Aunts/Uncles
YouMe
Teachers
EVERYONE!!
Counselors
Treatment Providers
Preventionists
Community Members
Youth
“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.”
Why Provide Prevention Services?
The Continuum of Care
Different levels of prevention are distinguished by the level of risk of disorder/distress in various populations groups targeted.
Types of Prevention on the Continuum
Individual / Familial Indicated Selective
Environmental Universal
IOM Prevention Components
Universal Prevention: Addresses the entire population Aim is to prevent/delay use of ATOD. Deters
onset by providing individuals with information/skills
Selected Prevention: Targets subsets of the population considered at
risk by virtue of their membership in a particular segment of the population
Key Selected Prevention targets the entire subgroup regardless of the degree of risk of any individuals in the group
Indicated Prevention: Targets individuals who are exhibiting early
signs or consequences of ATOD use.IOM - Institute of Medicine
Prevention 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 strategies
School/Community/Society = Environmental strategies
Prevention Domains
IndividualFamilyPeerSchoolCommunitySociety
Why target each of these areas?
Experiential Learning:
Circle of Support
-Begin with one person in the middle-Add additional members to the
activity-How does this exercise answer the
question below?
The Community Wheel
CSAP’s Prevention Strategies
Information DisseminationPrevention EducationAlternativesProblem Identification & ReferralCommunity Based ProcessesEnvironmental Approaches
What are some examples of these strategies?
Strategies: Information Dissemination
Media CampaignsBrochuresVideosRadio and Television
Public Service Announcements
LecturesHealth FairsResource DirectoriesClearinghouses and
other information centers
One Time Talks
Got Questions?
Call Drug Line
704-375-DRUG (3784)
All calls are anonymous and confidential
Strategies: Prevention Education
Classroom and Small Group Sessions
Parenting and Family Management Classes
Peer Lead and Peer Helper Programs
Education Programs for Youth Groups
Groups for Children of Substance Abusers
Strategies: Alternatives
Mentoring ProgramsDrug Free Social and
Recreational Activities - Ex. SAAM Family FestivalCommunity Service
ActivitiesDrug Free Dances and
PartiesYouth and Adult
Leadership ActivitiesCommunity Drop-in
Centers
Strategies: Problem Identification and Referral
Driving-while-intoxicated Education Programs
Employee Assistance Programs
Student Assistance Programs
Strategies: Community Based Approaches
Building Interagency Collaboration
Training Community Members/Agencies in Substance Use Education and Prevention
Conducting Systematic Planning
Supporting Community Team-Building
Piedmont Area Substance AbuseProvider Association
Substance Abuse Training Series
Hosted by: PASAPA and PBH8:30 AM - 12:00 PM
Environmental Approaches
Community laws that prohibit alcohol and tobacco advertisements in close proximity to schools
The establishment and review of school drug policies
Technical assistance to communities to help them maximize law enforcement efforts to govern the availability and distribution of drugs
Community policies regarding access to alcohol and tobacco products
Community laws that increase punishments for DUIs
BREAK
Experiential Learning
Planning A Community Center
Rules:- Each person gets to make one line on the
board- No conversation allowed
- Complete the plan- The group processes the shared work
Public Health Model
Individual Prevention: Focuses on trying to change the host
Environmental Prevention: Focuses on trying to change the agent and the environment
Why 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
The Role of Prevention
To 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 lifestyles Addiction and crime-free individuals and
communities
The Roots of Prevention
1950s Scare Tactics
1960s Scare Tactics and Information
1970s Drug Education and Alternatives to Drug Use
1970s-1980s Education, Alternatives, and Trainings
1980s-1990s Parent, School, and Community Partnerships
1990s Use of Evidence-based “Model Programs”
2000s Strategic Prevention Framework and focus on cultural competency and sustainability
New Growth
Strategic Prevention FrameworkAssessment, Capacity, Planning,
Implementation, Evaluation, Sustainability, and Cultural Competence
Risk and Protective FactorsCommunity, School, Family, and
Peer/Individual
SAMHSA’s Strategic Prevention Framework
Steps
Sustainability & Cultural Competence
Profile population needs, resources, and readiness to
address needs and gapsMonitor, evaluate,
sustain, and improve or replace those that
fail
Implement evidence-based prevention
programs and activities
Develop a Comprehensive Strategic Plan
Mobilize and/or build capacity to address
needs
Assessment
Capacity
PlanningImplementation
Evaluation
SPF: A shared framework
Benefits of the Strategic Prevention Framework:
Creates an objective community profile
Identifies how to effectively and efficiently use resources
Assists in the selection and implementation of effective strategies
Unifies the power of individual citizens and institutions
Create a comprehensive plan in which everyone in the community has a stake
Holds community institutions accountable
Risk & 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 conditions
This Risk and Protective Factor approach follows the same model for prevention for our communities’ children
Risk Factors are listed to
the left.
What are some
Protective Factors?
Risk & Protection ApproachA 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 domains
Community, School, Family, Peer/individual
Prevention:Where We Are Now
Prevention planning is strategic
Based on risk and protective factors
Prevention movements, rather than individual
programs
Strategies are evidence-based
Addresses the whole community culture
“Prevention is Health Reform”
Science-Based Prevention Programs
Identified and or substantiated through an expert consensus or analytical process using commonly agreed on criteria
National Registry of Effective Practices and Programs (NREPP) www.nrepp.samhsa.gov
Why is science-based important?
Past and Present Prevention
Prevention Services
Prevention Agencies or ProgramsCenters for Prevention ResourcesPrevention Policy AllianceTRUSpecialty ContractsYouth Suicide PreventionMethamphetamine Prevention Initiative
Prevention Services
Safe and Drug Free Schools and Communities
Fetal Alcohol Spectrum Disorders PreventionUnderage Drinking PreventionEarly InterventionsBullying PreventionViolence PreventionSuicide PreventionJuvenile Crime Prevention
Community Prevention
24/7Social HostYouth LeadershipCommunity PolicingAlcohol Compliance ChecksTobacco Reward/Reminder VisitsResponsible Beverage Sales and
Service
Prevention Outcomes
Youth Drug Survey Tracks trends in use and abuse Covers 40 years 2010 data is most recent
Synar Decrease in sales of tobacco to
minors from 48.3% to 8.2%
Things to Remember about Prevention
It is a process, it doesn’t happen overnight
Environmental prevention is more effective than an Individual approach
It spans SA, MH and DD
What Can You Do?
Call your local prevention service providersBecome active in your local coalitionsCall your school board members, city officials
and state officials asking them to support prevention initiatives
Talk to your children, grandchildren, niece, and nephews
Be active in your community and in children’s lives
Raise awareness in your own professionShare resources with clients
BREAK
Crossing the Bridge
Relationship-buildingCollaboration vs. CompromiseCultural Competency
Strategies 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!
Strategies for Relationship-building
The Head-band Activity: DISCUSSION
What 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?
Strategies for Relationship-Building
Active listeningAsk questionsBe open to suggestionsWillingness to learn new perspectives
without judgmentRespectFocused body language or tone of voiceAuthentic desire for collaboration
Ugli Orange Case(10 minutes)
Pair upNegotiate and make
the best deal you canChoose carefully
how much information you will reveal
Collaborative vs. Compromise
““Let’s meet both our Let’s meet both our needs and interests.”needs and interests.”
““Let’s split the Let’s split the difference.”difference.”
Problem solving Problem solving attitudeattitude
50/50 solutions50/50 solutions
Sharing informationSharing information Nobody fully gets Nobody fully gets what they wantwhat they want
Mutual satisfaction & Mutual satisfaction & investment of timeinvestment of time
Blaming and Blaming and resentmentresentment
Principled Negotiation
People: Separate the people from the problem
Interests: 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
Seize the Day:Recognizing and Maximizing an Opportunity to
Collaborate
Relationship between individuals
Willingness to acknowledge historical/ cultural/organizational back-stories
Willingness to create a new story
Trust that everyone’s best interest will be represented
Q & A
Resources
Substance Abuse and Mental Health Services Administration – www.samhsa.gov/prevention
National Institute on Drug Abuse – www.drugabuse.gov
Foundation for a Drug Free World - www.drugfreeworld.org
National Multicultural Institute – http://www.nmci.org/
Teaching Tolerance- http://www.tolerance.org/
Contact Information
Jane Goble-Clark, Executive Director
Office: 704.375.3784
Web: www.preventionservices.org