Two Models on New Approaches for Community- Based Anti-Drug Coalition: State of Oregon and the US Military April 10-12, 2012 Walt Disney World Swan Resort
Two Models on New Approaches for Community-Based Anti-Drug Coalition:
State of Oregon and the US Military
April 10-12, 2012 Walt Disney World Swan Resort
Learning Objectives: 1. Describe multiple strategies community anti-drug coalitions in Oregon are employing to prevent prescription drug abuse. 2. Describe how substance abuse is affecting our military personnel and their families and explain the military’s Prevention, Treatment and Outreach prevention initiative. 3. Specify the successes and challenges of a variety of prevention strategies and explain how these strategies can be implemented in both rural and urban communities.
Disclosure Statement
• All presenters for this session, Judy Cushing and Peggy Quigg, have disclosed no relevant, real or apparent personal or professional financial relationships.
Introduction & Overview • Impact of Years at War
• Prescription Drug Abuse Problems
• Healthcare Disparities
• Role for Communities
Impact of PTSD/TBI Diagnosed Cases of PTSD
• 30% of Vietnam Vets (780,000)
• 10% of Desert Storm Vets (90,000)
• 18.5% of Post 911 Vets (425,500) - 6-11% of OEF Vets (Afghan) - 12-20% of OIF (Iraq) - 50% treated by VA
• 19.% OIF/OEF TBI (448,500)
Source: VA
Combat By The Numbers OIF/OEF • 2.3 million • 280,000 Women • 1 mil Guard/Res • 50% repeated deployments • 7,000 KIA • 1,650 Amps • 460,000 PTSD
Source: VA
Homelessness Impact on Veterans • 107k - 300k Homeless Every Night
• 500k – 840k Sometime/year
• 2 % OIF/OEF Vets - 21,000 – 60,000
• 47% Vietnam Vets - 50,290 – 141,000
• 76% Have AOD/MH/PTSD problems
• 67% Served 3 years or less **
• 33% Served in War Zones ** Source: VA
RX Drug Use By Military Personnel
Toll on Families & Children • 55% are married • 40% have two children • 63% of military families
live in over 4,000 communities • Parents of 200,000 children have
been deployed parent • 18% increase in behavior disorders • 19% increase in stress disorders • 11% increase in behavioral
health issues in 3-8 yr old Source: DOD
Opioid Meds & MH/PTSD
Opioid Meds & MH/PTDS
Complimentary & Alternative Medicine (CAMS)
• 2011 - 89% of VA offered CAMs
• 2002 - 2011 - 20% usage increase
• Acupuncture – highest quality
• 3 Studies on Breathing & Relaxation
Source: VA
Complimentary & Alternative Medicine (CAMS)
• 5 Most Common CAMS Meditation - 72% Stress Mgt/Relaxation – 66% Guided Imagery – 58% Progressive Muscle Relaxation – 53% Bio-feedback – 50%
Source: VA
The Vicious Cycle PTSD , Sleep & Attention Problems
Group Discussion
• Causes & Cures
Source: NY Magazine 2/6/11
Impact on National Guard
Caring For Service Members Military Installations
• Artificial Community
• “Soldier Care”
• Military Readiness
• Pre-Deployment
• Deployment
• Post-Deployment
Life in Community vs. Installation Guard & Reserves Lack
Traditional Installation Support Structure
Guard Prevention Approach
Adaptation of NREPP Team Awareness Universal & Selective Populations
Evidence-Based Prevention for Service Members & Families
Source: NGB
NG Prevention Program Universal Prevention
CADCA VetCorps Project Creating the
“community fabric”…
Vista/AmeriCorps Volunteers and coalition leaders use
community problem solving model to help “fill the gap”
of community services available military members
and their families
Source: CADCA/NGB
Health Service Disparities
Military Community Concern
• 12 % of 18-25 year-old workers, reported current illicit drug use
• 20 % of 18-20 year-olds & 27 % of 21-25 year-olds reported
driving under the influence of alcohol
• 13 % of 18-25 year-olds reported driving under the influence of illicit drugs
• High Risk Behaviors
18–25 Year Olds
Reflection of Community
• All politics are local… All drug problems are local…
• How is drug use a reflection of a community?
• 18–25 Year Olds
Thank You for Supporting Us