Prevention; Federal Initiatives 2010

Federal InitiativesThe Future of Prevention

12-6-2010Frank G. Magourilos, SCPS

New initiatives that will impact our work!!!New White House National Drug Control Policy New IOM ReportSAMHSA’s 10 Strategic InitiativesHealthy People 2020

National Drug Control PolicyCreate a national prevention systemCreate primary care role in early interventionUse treatment interventions that work, and get the right people to those interventionsProvide effective treatment within criminal justice systemImprove and use data to create better programs and more collaborative community plans

NATIONAL DRUG CONTROL POLICYDr

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INSTITUTE OF MEDICINE MODELPr

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Preven

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Treatment

Maintenanc

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Promotion

Universal

SelectiveIndicated Ca

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Iden

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Stand

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Treatm

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Compliance with

Treatment

After-care

Preventing Mental, Emotional, and Behavioral Disorders Among Young People (2009 IOM Report)

Contains a summary of the latest findings about what works and recommendations about practice and policy--Create parity between prevention and treatment research --Intervene earlier--Use broad prevention approach across multiple content areas--Create collaborative approaches--Incorporate screening for risk factors and early symptoms of disorders--Link healthy developmental milestones and the family, school, and

community factors associated with them

Interventions by Developmental Phase

Interventions by Developmental Phase

(Continued)

← Pregnancy →Prevention

← Prenatal →Care

← Home Visiting →

← Early Childhood → Interventions

Parenting Skills Training

← Prevention of Depression →

← Prevention of → Schizophrenia

← Social and Behavioral → Skills Training

← Classroom-based curriculum to → prevent substance abuse, aggressive

behavior, or risky sex

Prevention focused on specific family adversities(Bereavement, divorce, parental psychopathology, parental

substance use, parental incarceration)

Community Interventions

Policy

SAMHSA’s 10 Strategic InitiativesPrevention of Substance Abuse and Mental Illness

Create prevention prepared communities where individuals, families, schools, workplaces, and communities take action to promote emotional health and prevent and reduce mental illness, substance about including tobacco, and suicide across the lifespan

Trauma and JusticeReduce the pervasive, harmful, and costly health impact of violence and trauma by integrating trauma-informed approaches throughout health and behavioral healthcare systems and to divert people with substance use and mental disorders from criminal and juvenile justice systems into trauma-informed treatment and recovery

SAMHSA’s 10 Strategic Initiatives(continued)Military Families – Active, Guard, Reserve, and Veteran

Support of our service men and women and their families and communities by leading efforts to ensure needed behavioral health services are accessible and outcomes are successful

Health ReformBroaden health coverage and the use of evidence based practices to increase access to appropriate and high quality care, and to reduce disparities that currently exist between the availability of services for substance use and mental disorders and other medical conditions

SAMHSA’s 10 Strategic Initiatives(continued)Housing and Homelessness

Provide housing and reduce the barriers that homeless persons with mental and substance use disorders and their families experience to accessing effective programs that sustain recovery

Jobs and EconomyPromote the behavioral health of individuals, families, and communities affected by the economic downturn; the employment of people with mental and substance use disorders, and policies for employers that support behavioral health in the workplace

Health Information Technology for Behavioral Health Providers

Ensure the behavioral health provider network, including prevention specialists and consumer providers, fully participates with the general health care delivery system in the adoption of health information technology

Behavioral Health Workforce - Primary & Specialty Care Settings

Provide a coordinated approach to address workforce development issues affecting the behavioral health and general health services delivery community to promote the integration of services and the training and use of behavioral health screening, brief intervention and referral for treatment in primary care settings

SAMHSA’s 10 Strategic Initiatives(continued)

Data, Outcomes, and Quality – Demonstrating ResultsRealize an integrated data strategy that informs policy, measures program impact, and results in improved quality of services and outcomes for individuals, families and communities

Public Awarenesss and SupportIncrease understanding of mental and substance use disorder prevention and treatment services to achieve the full potential of prevention and help people recognize and seek assistance for these health conditions with the same urgency as any other health condition

SAMHSA’s 10 Strategic Initiatives(continued)