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