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Substance Abuse Prevention Strategic Prevention Plan
2018-2023 MATT GREEN, MPH
HEALTH PROMOTION & COMMUNITY WELLNESS BUREAU
SOLANO PUBLIC HEALTH
Strategic Prevention Plan 2018-2023
• Background
• Highlights of the Process
• Priority Areas
• Strategy Overview
• How to Get Involved
• Questions/Discussion
Background
History
• First Strategic Prevention Plan to Reduce Rates of Alcohol, Tobacco,
and Other Drugs (ATOD) developed in 2000-2001 upon Board of
Supervisors direction
• Updated in 2005 and 2008
• Strategic Prevention Plan (SPP) for FY 2012/13-2017/18 was
developed using Strategic Prevention Framework (SPF) process
• CA Department of Health Care Services (funder) requires use of SPF
process →
• SPF Process for new 5-year plan was initiated in 2016
Background
SPF Process 2017
• Worked with local Alcohol, Tobacco and Other Drugs (ATOD) prevention
coalitions on their respective Strategic Prevention Framework (SPF) process
• SPF Workshops/Trainings to ATOD Prevention Coordinators
Background
Goals:
• Delay initial use of alcohol, tobacco, and other drugs (ATOD) among youth in
Solano County
• Reduce the overall proportion of Solano County youth who use ATOD
• Reduce the impact of ATOD on communities, families, and individuals, largely
through policy and environmental prevention strategies.
Background
Overarching Strategies from the Spectrum of Prevention:
• Influencing policy and legislation
• Changing organizational practices
• Fostering coalitions and networks
• Educating providers
• Promoting community education
• Strengthening individual knowledge and skills
Highlights of the Process Strategic Prevention Framework
Assessment Profile population needs, resources, and readiness to address
problems and gaps in service delivery
Capacity Mobilize and/or build human, financial and organizational resource
capacity to address need; convene partnerships/coalitions; assess
readiness; and improve cultural competency.
Planning Develop a comprehensive strategic plan with goals, objectives and
strategies aimed at meeting prevention needs.
Implementation Implement prevention plan containing evidence-based prevention
programs, policies and practices, and infrastructure activities.
Evaluation Monitor and measure process and outcome data of implemented
programs, policies, and practices for effectiveness and sustainability
to continuously refine and improve prevention services, effectively
apply resources, and appropriately develop the work force.
Sustainability Integrate into ongoing operations to ensure that prevention values
and processes are firmly established, partnerships are strengthened,
and resources are secured long term.
Cultural
Competence
Be able to communicate with audiences with diverse geographic,
ethnic, racial, cultural, economic, social and linguistic backgrounds.
Highlights of the Process
Assessment
• Primary Data: Current ATOD prevention providers gathered local
information through key informant interviews, retailer compliance checks,
Healthy Stores for a Healthy Community data
Highlights of the Process
Assessment
Secondary Data:
• California Healthy Kids Survey (CHKS)
• California Health Interview Survey (CHIS)
• California State Board of Equalization
• California Department of Alcoholic Beverage Control
• American Lung Association State of Tobacco Control Report
• California Opioids Surveillance Dashboard
• DMV data on alcohol- and drug-impaired driving
Highlights of the Process
• Assessment Indicators
Highlights of the Process
Planning
• Prioritization of Risk & Protective
Factors:
• Importance
• Changeability
• Opportunities
• Reach to Population
• Acceptance of Strategies
Implementation
• Center for Substance Abuse Prevention Strategies
• Information Dissemination
• Education
• Alternatives
• Problem ID & Referral
• Community-Based Process
• Environmental
Enter (). (n/a), or (-) to measure resources for each priority area
Priority Areas
Alcohol Marijuana Tobacco Rx
Drugs
Community Resources
Community Awareness Limited -
Specialized knowledge about Pv
research, theory, and practice Limited - -
Practical experience Limited - -
Political/policy knowledge Limited - -
Fiscal Resources
Funding -
Equipment: computer, Xerox, etc. -
Promotion and advertising -
Human Resources
Competent Staff increasing
Training in progress Limited
Consultants in progress Limited
Volunteers - -
Stakeholders Limited Limited Limited
Other agency partners - Limited
Community leaders Limited - Limited
Organizational Resources
Vision and mission statement -
Clear and consistent organizational
patterns and policies - -
Adequate fiscal resources for
implementation
Can use
more
Can use
more -
Technological resources N/A N/A N/A N/A
Specialized knowledge about Pv
research, theory, and practice Limited Limited
Capacity Assessment: Resource Readiness
HPCWB completed a resource readiness assessment
Findings showed that there is
not sufficient capacity in all four priority areas
Tobacco prevention efforts will
be pursued through Solano County’s Tobacco Prevention and Education Program (TPEP)
Limited resources and limited
data for prescription drugs – may decide to add as a priority area later
Priority Areas
• Alcohol
• Cannabis (Marijuana)
• Tobacco
• Tobacco Prevention & Education Program
• Proposition 56 Funding
• Prescription Drugs (Opioids)
• Limited Resources & Data
Alcohol Marijuana TobaccoPrescription
Drugs
7th Grade 6% 4% 1% 3%
9th Grade 14% 10% 2% 5%
11th Grade 23% 18% 4% 7%
0%
5%
10%
15%
20%
25%
Per
cen
t o
f st
ud
ents
rep
ort
ing
use
Solano County Youth Past 30 Day Use
2015 - 2016
7th Grade 9th Grade 11th Grade
CHKS, 2016
Priority Areas-Alcohol
2003 2005 2007 2009 2014 2016
7th 34% 35% 40% 40% 31% 27%
9th 67% 62% 66% 64% 57% 51%
11th 80% 76% 77% 75% 71% 66%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Pe
rce
nt
of
stu
de
nts
re
po
rtin
g it
is "
very
eas
y"
or
"fai
rly
eas
y" t
o o
bta
in a
lco
ho
l
Solano County: Perceived Ease of Access to Alcohol
StoreAdult
purchase for
Olderfriends/siblings
At party/gathering
From home
7th 10% 20% 32% 40% 27%
9th 19% 38% 53% 60% 42%
11th 30% 55% 67% 74% 51%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
% o
f St
ud
en
ts r
esp
on
din
g
"Ve
ry E
asy"
or
"Fai
rly
Easy
"
Perceived Ease of Access to Sources of Alcohol
CHKS, 2016
Priority Areas
Alcohol Consequences
• Neurodevelopment
• DUI
• Injury & Death
• Long-Term Health Risks
• Development of Chronic Diseases: high blood pressure, stroke, liver disease,
digestive problems, cancer, and heart disease
• Solano County Hospitalization Rate for Heart Disease is 234.79 per 10,000,
which is higher than the state benchmark of 222.00 per 10,000
% of Driving Deaths with Alcohol Involvement
County Health Rankings and Roadmaps, 2017
Priority Areas
Priority Areas
Cannabis (Marijuana)
At SchoolOlder friends/
siblingsAt party/gathering
From homeMedical
marijuanadispensary
7th 19% 25% 29% 13% 12%
9th 47% 49% 55% 25% 19%
11th 60% 64% 69% 34% 31%
0%10%20%30%40%50%60%70%80%90%
100%
Pe
rce
nt
resp
on
din
g it
is "
very
eas
y" o
r "f
airl
y e
asy"
to
ob
tain
mar
ijuan
a
Perceived Ease of Access to Sources of Marijuana
CHKS, 2016
Priority Areas
Cannabis Consequences
• Cannabis use negatively affects the developing brain in areas that are
involved in executive functions like memory, attention, learning,
retention, and impulse control (CDPHE, 2016)
• DUI
• Edible Poisoning
Priority Areas
Strategies
Cannabis (Marijuana) will be primary policy focus for years 1-2
• Social Access: Social Host Ordinance Policy, Media Campaigns, Parent
Education Program
• Overall Access: Retailer Compliance Checks, Responsible Seller Ordinance
& Training, Educational Campaigns, Policy Trainings for Local Coalitions
• Youth Perception of Harm: Peer Leader Program, Media Campaigns
• Community Connectedness: Alternative activity options for youth (Friday
Night Live), Community Trainings, Youth ATOD Prevention Summit
• Capacity Building: Coalition Development and Policy
Strategies
Alcohol
• Retail Access: Compliance Checks, Responsible Beverage Service Training, Healthy Stores for a Healthy Community Campaign, Retail Density Policy
• Social Access: Parent Education Program, Media Campaigns
• Youth Perception of Harm: Peer Leader Program, Media Campaigns
• Community Connectedness: Alternative Activity Options for youth (Friday Night Live), Youth ATOD Prevention Summit
• Capacity Building: Coalition Development and Policy
(Policy focus will begin in year 3)
Cultural Competence
• We aim to communicate with audiences of diverse geographic, ethnic, racial,
cultural, economic, social and linguistic backgrounds
• Plan incorporates Solano County Racial Equity Toolkit to guide development,
implementation, and evaluation of strategies
• Efforts Include:
• Media Campaigns
• Program Recruitment
• Community Outreach
How to Get Involved
Join a Local Coalition- vibesolano.com/alcohol-tobacco-other-drugs-prevention
• Benicia Youth Action Coalition
• Patti Baron: [email protected] (707) 746-4268 www.ci.benicia.ca.us/police
• Dixon ATOD Prevention Coalition
• Nicollette Morales: [email protected] (707) 648-4231
• Rio Vista Alliance
• Coordinator: (707) 374-6451
• Suisun City ATOD Prevention Coalition
• Coordinator: (707) 421-7201
• Vacaville AWARE (Advocating for Wellness, Adolescent Recovery & Education)
• Judith Franco: [email protected] (707) 449-1859 http://www.ci.vacaville.ca.us/residents/vacaville-youth/aware
• Vallejo Community Change Coalition
• Dante De La Cerna: [email protected] (707) 648-4165 www.facebook.com/VallejoCommunityChangeCoalition
• Solano County ATOD Prevention Collaborative , Mark Mora: [email protected] 707-553-7267
How to Get Involved
• Procurement Process for Services
• Expected Release: January 2018
• Check www.SolanoCounty.com and click “Bids & RFP’s” under “Quick Links”
• Click Purchasing
• Need to register as a bidder to see details
• Follow Bidder Registration Procedure outlined in the 2nd paragraph
Questions?
References
• California Healthy Kids Survey (2015-2016). California Healthy Kids Survey, Solano
County Secondary 2015-2016 Main Report. Retrieved from
http://surveydata.wested.org/resources/Solano_County_1516_Sec_CHKS.pdf
• Colorado Department of Public Health Environment (2016). Monitoring Health
Concerns Related to Marijuana in Colorado: 2016. Retrieved from
https://drive.google.com/file/d/0B0tmPQ67k3NVQlFnY3VzZGVmdFk/view
• County Health Rankings and Roadmaps 2017. Retrieved from
http://www.countyhealthrankings.org/reports/2017-county-health-rankings-key-
findings-report
Thank you!
Feel free to contact me:
Matt Green, MPH
Health Education Specialist
Health Promotion & Community Wellness Bureau
707-784-8637