kristine bowers
DESCRIPTION
Successful Coalitions Across AmericaNational Rx Drug Abuse Summit 2-10-12TRANSCRIPT
Successful Coalitions Across America
April 10-12, 2012 Walt Disney World Swan Resort
Learning Objectives: 1.Describe principles of community-based coalition capacity development.
2. Relate nuances of rural drug use characteristics within the Appalachian context.
3. Illustrate innovative or best practice examples of community stakeholder involvement in community-based substance abuse prevention coalitions.
Disclosure Statement
• All presenters for this session, Kristine Harper Bowers and Peggy B. Sapp, have disclosed no relevant, real or apparent personal or professional financial relationships.
A Strategy for Coalition Effectiveness:
Enlarging the Table Kristine Harper Bowers
East Tennessee State University Office of Rural and Community Health and Community
Partnerships
Appalachia • 420 counties in 13 states • West Virginia, with counties of Alabama,
Georgia, Kentucky, Maryland, Mississippi, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, and Virginia
• 96 out of the 420 counties considered distressed in 2012*
*A county economic classification index calculation based on three-year average unemployment rate, per capita market income, and poverty rate—with national averages
Appalachian Regional Commission. http://www.arc.gov/appalachian_region/TheAppalachianRegion
The burden of substance abuse in the Region is rapidly rising.
The largest current issue in the Region is diversion of prescription drugs.
The primary drugs of use and causes of deaths keep changing.
Deaths from overdose have dramatically increased in recent years.
Recent increases in substance abuse deaths exacerbate Appalachia’s persistently high rates of premature mortality (before age 65).
Data from the Region is incomplete. More data is needed to completely describe the issues.
Local solutions target local problems.
Messages
Nonmedical Use of Pain Relievers in the Past Year among Persons Aged 12 or Older, by Substate Region. Percentages
Annual averages based on 2006, 2007, 2008 NDSUH
What is the difference?
Nonmedical Use of Pain Relievers in Substate Regions: 2004 to 2006
Nonmedical Use of Pain Relievers in Substate Regions: 2006 to 2008
Substance Abuse and Mental Health Services Administra=on, Office of Applied Studies (2010). Substate es)mates from the 2006-‐2008. Na)onal Surveys on Drug Use and Health. Rockville, MD. Web only report is available at: h*p://oas.samhsa.gov/substate2k10/toc.cfm
ARC Community-Based Substance Abuse Small Grant
Initiative 2011-12 • Application – Letters of Interest
– 60 applicants from 10 states
• Conference – Skills and plan of action development for 30 coalitions
• Implementation – 9 month turn around time
• Follow-up at 3-month intervals • Assistance as needed • Concluding conference
2011-12 ARC Community-Based Substance Abuse Small Grants
Initiative Counties
Strategy: Enlarging the Table
Mental Health Sheriff Schools
Media Hospital
Local Gov’t
Business
Faith
??
Stimulate coalition growth
Enhance capacity
and experience
Develop coalition
effectiveness
You
th
Recovery
Progression of Stakeholder Relationships
Networking
Coordination
Cooperation
Collaboration
The Community Plans
• Belief Statements • Problem statement • Statement of Change (goal) • Action Plan • Description of Activities • Proposed outcome(s) • Measure(s) of success • Budget
Coalition/Stakeholder Relationship
What Coalition GIVES What Coalition GETS Volunteer energy, time and resources
Recognition and appreciation for issues and success
Entry into community with knowledge of local issues and politics
Connections to external resources
What Stakeholder GIVES What Stakeholder GETS
Materials, technical expertise, training, resources field staff
Greater sense of participation in addressing the issue
Data and best practice examples Community-wide networking
Promoting Resisting Personal factors
Personal, family or community experience
Living on economic edge with competing priorities
Time limited with defined roles to “make a difference”
Mistrust of government and programs
Community organizations factors Good rapport with community Lack staff and money for activities Networking typical way of doing business in low resource community
Competing for volunteer time among many social issues
Available from: hLp://www.etsu.edu/kellogg/Cancer/Forum_Report/Part%201.pdf
Four-Step Communication Model Exercise
Team: ________ Stakeholder Group: _________________________ (Choose only one stakeholder)
SENDER (most appropriate)
MESSAGE (from flip chart)
CHANNEL (medium)
RECEIVER (who in stakeholder
group)
Building Relationships with Healthcare Professionals
• Monroe County CARES (KY) • Coalition for a Safe & Drug Free Cherokee County(NC) • Community Engagement Team (NC) • Community Prevention Coalition of Jackson County (TN) • Monroe County Alcohol and Drug Task Force (TN) • Appalachian Substance Abuse Coalition for Prevention
and Treatment (VA) • Barbour County Community Coalition (WV) • Estill County Substance Abuse Coalition (KY)
Monroe County CARES (KY) • Targeted stakeholder: Healthcare professionals • Targeted population: Doctors, nurse practitioners, dentists,
pharmacists
• CARES involved healthcare professionals by disseminating information regarding proper prescription storage, as well as providing pledge cards for patients who promise they will be responsible with storing, as well as taking, their medications.
• And built a relationship with this sector by distributing personal lock boxes and information to the providers to issue to their patients; collaborating on resources.
Monroe County CARES (KY)
PSAs were run in the local newspaper, as well as an
article written on the placement of the
permanent drop box, including interviews with
coalition members and the sheriff.
The coalition hosted a dinner for healthcare professionals, highlighting measures they
could take in alleviating prescription drug abuse,
including handing out lock boxes to patients.
Students in a digital media class at the local high school designed the
graphics on a permanent drop box housed at the
Sheriff’s Office.
Building Relationships with Community Members and Parents
• Hart County Champions Coalition (KY) • Cherokee Action for a Safer Tomorrow (SC) • Dickenson County Partners Coalition (VA) • Burke County Substance Abuse Network
(NC)
Burke Substance Abuse Network (NC)
• Targeted stakeholder : Community members • Targeted population: Leaders from community
groups
• BSAN involved community leaders by creating a Community Leadership Team within the coalition. This sub-committee meets only to discuss what each of them can do within their sector to decrease substance abuse issues in the county. Team members stated this allows them to be held accountable and therefore encourages them to take a more active role.
Burke Substance Abuse Network (NC)
Each month, about 40 community
leaders meet and discuss measures
they can take in their positions to relieve prescription drug
abuse in the county.
Interviews with Coalition members
regarding prescription drug
abuse in a series of newspaper articles that the leadership team alerted to the
public
Cherokee (SC) Action for a Safer Tomorrow (CAST)
• Targeted stakeholder: Community members • Targeted populations: Seniors and Hispanics
• Through various community organizations, CAST involved seniors by educating them on the importance of proper medication storage. CAST also worked to include the minority Hispanic population in their efforts, translating materials into Spanish, as well as collaborating with local churches and grocery stores on coalition activities.
Cherokee (SC) Action for a Safer Tomorrow
The coalition held a take-back event October 29th, and reached out to the large Spanish population through flyers, newspaper ads, and radio PSAs played on the Latino radio stations in the county.
Dickenson County (VA) Partners Coalition
• Targeted stakeholder: Community members • Targeted population: Youth and parents in
Centennial Heights apartment complex
• Recognizing the stigma attached to this housing complex, as well as the risk and dangers of substance abuse in the area, the coalition reached out to parents and children to develop resistance skills, positive relationships within the family and community, and personal responsibility.
Upon accruing points through activities like completing chores,
homework, and community service,
qualifying youth were rewarded with a trip to
Dollywood, a first for many.
Youth from Centennial Heights met with the local
police department’s K9 unit, reshaping the
kids’ perception of law enforcement.
The coalition hosted a summer program providing
the youth of Centennial Heights, a local low-
income housing complex, positive activities while
educating them and their parents on substance
abuse issues and deflection skills.
Dickenson County (VA) Partners Coalition
Building Relationships with Youth and Schools
• Partnership for a Drug Free DeKalb (AL) • Pike County Summit on Children (OH) • Scioto County Rx Drug Action Team (OH) • Vinton County Drug Abuse Coalition (OH) • Clay County Anti-Drug Coalition (TN) • Hancock County Substance Abuse Coalition (TN) • ICARE-Union County (TN) • McDowell County HOPE Coalition (WV) • Pocahontas County Drug Abuse Prevention
Advisory Group (WV) • Taylor County Breaking the Cycle (WV) • Twin Counties Prevention Coalition (VA)
Scioto County (OH) Rx Drug Action Team
• Targeted stakeholder: Youth • Targeted population: Area high school
students
• Youth participate in coalition efforts after being trained in peer mentoring skills. Students collaborate with the coalition by educating and influencing their peers about substance abuse issues within the school system.
The Drug Action Team held a Youth Ambassador seminar for 85 high school students from eight different schools who were trained in
drug and alcohol issues, as well as resistance skills. These students will operate as peer mentors within their respective schools.
Scioto County (OH) Rx Drug Action Team
Taylor County (WV) Breaking the Cycle
• Targeted stakeholder: Youth • Targeted population: High School students
• Breaking the Cycle worked to build relationships within Grafton High School by educating youth, raising awareness and interest in the correlation between substance abuse and the high dropout rate in the county.
During the summit, youth coalition
members “zombied out on drugs”
provided information and
answered questions for students
Students were able to experience
drunk driving with “beer goggles”
and bicycles
Information was presented at a youth summit regarding the effects of drugs and alcohol on teenage brains and bodies
Taylor County (WV) Breaking the Cycle
Building Relationships with Law Enforcement
• Estill Substance Abuse Coalition (KY) • Partners for Prevention in Allegany
County (NY) • Monroe County Alcohol and Drug Task
Force (TN)
Partners for Prevention Allegany County (PPAC) (NY)
• Targeted stakeholder : Law enforcement • Targeted population: New York State
Police and Cuba Police Department
• PPAC collaborated with both law enforcement entities in their community to create awareness of efforts to diminish incidences of drunk driving and underage drinking.
Prescription take back events in 2011
resulted in over $300,000 in
medication being incinerated.
Newspaper and radio ads highlighted the collaborative efforts
of PPAC, Cuba Police Dept., and NY State
Police during the holidays.
Upon completion of compliance checks,
PPAC made thank you calls to businesses
who ID’d for alcohol sales.
Partners for Prevention Allegany County (NY)
Building Relationships with the Faith-Based Community
• Lewis County (KY) Recovery Coalition • Magoffin Local Board for KY-ASAP (KY)
Building Relationships with Business
• Strong Through Our Plan, Mingo County (WV)
• Carter County Drug Task Force (KY)
Strong Through Our Plan (STOP) (WV)
• Targeted stakeholder: Business • Targeted population: local county and
corporate businesses
• STOP incorporated members of the business sector by helping them understand how substance abuse issues in the community affect the local workforce and economy. Persons from the business sector have become active members in the coalition.
Presented a PowerPoint
program focusing on the importance of business
collaboration to build relationships with business
owners, as well as to provide substance abuse education
and resources for employees.
seeking treatment……
Strong Through Our Plan Mingo County (WV)
Results • All 30 coalition teams increased
capacity by adding the targeted stakeholder group
– Coalition membership increased – Volunteer base increased – Community awareness of the issues and
the efforts of coalitions increased – Longstanding membership was revitalized,
encouraging innovative ideas and projects
0
5
10
15
20
25
30
Initial status At 3 months At 6 months
Himmelman Hierarchy of Partnerships
Networking
Cooperating
Coordinating
Collaborating
Outcomes Stimulated coalition growth
Through small grants for targeted membership
Enhanced capacity and experience With self determination and flexibility by participation in ARC grant process
Developed coalition effectiveness Through knowledge growth and cross state linkages
CONTACT
East Tennessee State University Office of Rural and Community Health and Community Partnerships
PO Box 70412 Johnson City, TN 37614
www.etsu.edu/kellogg/Substance%20Abuse.asp Kristine Harper Bowers
Substance Abuse Projects Coordinator Coalition on Appalachian Substance Abuse Policy (CASAP)
423-439-7156 423-737-6276 cell
http://www.facebook.com/pages/Coalition-on-Appalachian-Substance-Abuse-Policy/182665785092560
www.appalachiancoalition.com