Report Card to the Community2013

Safe Schools/Healthy Students &Coalition for a Drug-Free Nevada County

Draft April 11, 2013

Safe Schools/Healthy Students and Coalition for a Drug-Free Nevada County are working together on complementary efforts in Western Nevada County Reduce substance use / abuse in youth Youth development Violence prevention Increase youth connection / reduce youth

isolation Increase access to services and supports

Our Partnership

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Where We’re Going Today Who We Are Why We Do This Work Health & Wellness Social Norms Community Connectedness Successes & Challenges Systems Change & Sustainability Outcomes

Report Card to the Community

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Coalition for a Drug-Free Nevada County

History of the Coalition 2003 – Substance Abuse Advisory Board 2005 – Grand Jury Report “The Price You Pay

for Meth” 2006 – Coalition for a Drug-Free Nevada

County 2010 – Dissolution of SAAB and

establishment of AOD Evaluation Committee

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Coalition for a Drug-Free Nevada County Community partners include:

Parents and youth Business community Civic and Volunteer Organizations Law Enforcement Healthcare Media Faith-Based Organizations Local Government Youth-serving Organizations Schools Substance Abuse Treatment Professionals

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Coalition for a Drug-Free Nevada County

Goals

• Strengthen Community Collaboration

• Reduce Youth Substance Abuse

Key Strategies

• Policy• Education• Programs• Community

Engagement

Intermediate Outcomes

• Decreased access to drugs/alcohol

• Decline of social acceptance

• Greater connectedness

• Increased positive attitude toward non-use

• Increased effectiveness of referrals to mental health services

Long-Term Outcomes

• Increased perception of risk/harm

• Perception of parental disapproval

• Perception of peer disapproval

• Attitude toward peer use

• Reduction in youth use/abuse

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Lead Agency: NCSOS Community Partners:

All 10 school districts in W. Nevada County Community organizations such as DVSAC,

CoRR, First 5, Friendship Club & BBBS Local law enforcement Nevada County Juvenile Probation Dept. Nevada County Public Health Nevada County Behavioral Health

Safe Schools/Healthy Students

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Goals: Reduce violence and bullying in schools Increase access to Mental Health services

for students Decrease drug and alcohol use and abuse

by youth Support families to become more resilient Provide Early Intervention

Safe Schools/Healthy Students

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Strategies include: Collaboration Universal and targeted interventions Systems Change Evidence-based interventions

Safe Schools/Healthy Students

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Safe Schools/Healthy StudentsEvidence-based programs

Services for

Most At-Risk Youth

Services for At-Risk Youth

Universal Services

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A guiding principle for both SS/HS and DFC Program examples:

BH Therapists in schools Rx Takeback program

Sustainability

Systems Change

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Environmental prevention and early intervention are ideal strategies for long-term impact Emphasis on youth development Emphasis on supporting and educating youth Emphasis on supporting and educating parents Creating a community environment that

promotes positive behaviors and opportunities. Reduce access to alcohol and other drugs

Why We Do This Work

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Health & Wellness

The health and wellness of our youth impacts us all

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Where our information comes from California Healthy Kids Survey (CHKS)

1,927 students completed survey this year Olweus school surveys

1,357 students completed survey this year Other internal process measures Other external data sources (CDC, etc)

Health & Wellness

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Health & Wellness

Marijuana Alcohol Cigarette0

5

10

15

20

25

30

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CountyStateCountry

Comparing Nevada County AOD use to National and State use

9th Graders, by percentage.

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Health & Wellness

Marijuana Alcohol Cigarette05

101520253035404550

CountyStateCountry

Comparing Nevada County AOD use to National and State use11th Graders, by percentage

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Health & Wellness

07/08 09/10 12/130

5

10

15

20

25

30Any AOD Use

Alcohol

Tobacco

Marijuana

Meth/Other Amphetimine

Percentage of Nevada County 9th Graders AOD Use

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Health & WellnessPercentage of Nevada County 11th Graders AOD Use

07/08 09/10 12/1305

101520253035404550

Any AOD Use

Alcohol

Cigarettes

Marijuana

Meth/Other Amphetimine

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Alcohol use, last 30 days

7th Graders: Little change: 7% to 6% 9th Graders: Down! 24% to 19%

11th Graders: Little change: 37% to 38%

Health & Wellness

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Health & WellnessPercentage of Nevada County Students who Have

NOT engaged in Binge Drinking

07/08 09/10 12/1350556065707580859095

100

7th Grade9th Grade11th Grade

Question…..

What percentage of local 9th graders report having smoked marijuana in the last 30 days?• 6%• 14%• 27%• 31%31%

Answer…..What percentage of local 9th graders have smoked marijuana in the last 30 days?

14%

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Marijuana use, last 30 days

7th Graders: No change, 5% to 4%

9th Graders: Increase, 9% to 14%

11th Graders: Increase, 23% to 27%

Health & Wellness

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Prescription drug use (without a prescription), last 30 days2012/13 7th Graders: 3%

9th Graders: 7%

11th Graders: 8%

Health & Wellness

Use of Painkillers: 4+ times

2007-2008 2009-2010 2010-2011 2011-2012 2012-2013-5%

15%

35%

55%

75%

11% 12% 14% 14% 9%

24%21% 24%

18%

18%

58%

45%

54%

34%

47%

9th grade 11th grade NT

Health & Wellness

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Strategies to Impact Youth Access Alcohol, Marijuana & Rx Access at Home

The Adults Committed to Youth Survey: 500 Prescription drug disposal sites:

5 sites at 3 pharmacy chains Collecting 90 lbs per week (first in the

state)

Health & Wellness

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Youth reporting ease of access to…Alcohol2007/08 to 2012/13

7th Graders: Down! 41% to 24%

9th Graders: Down! 66% to 62%

11th Graders: Down! 76% to 72%

Health & Wellness

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Strategies to Impact Access to Alcohol Alcohol Retail Access

Merchants Committed: 2, and 2 more to come

Compliance Checks Alcohol & Rx Access at Home

The Adults Committed to Youth Survey: 500

Health & Wellness

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Youth reporting ease of access to…Marijuana

2007/08 to 2012/13

7th Graders: No change, 20%

9th Graders: Increase, 51% to 61%

11th Graders: Increase, 72% to 76%

Health & Wellness

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Strategies to Impact Access to Marijuana

Moratorium on dispensaries Ordinance restricting residential

cultivation Encouraging parents to reduce youth

access in the home

Health & Wellness

Draft 2013.04.08 31

Focus on prevention Early Childhood Mental Health Consultation Parenting classes, support and education Universal pre-School curriculum Family Resource Centers Behavioral Health Early Childhood Educator Workshops

Health & Wellness

Early Intervention

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School Safety Impacts academic, social and emotional success Perception of safety is critical Interventions:

School-based mental health services Aggression Replacement Training Support groups School Resource Officers Re-connecting Youth Curriculum Probation Officers

Health & WellnessSchool Safety

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Student Harassment on School Campuses

Outcomes: Improvement was noted for all three

grade levels 35% less for 7th graders 34% less for 9th graders 29% less for 11th graders

Health & WellnessSchool Safety

Participation in a Physical Fight on school campus in the Past 12 Months

2007-2008 2009-2010 2010-2011 2011-2012 2012-2013

7th grade 0.2 0.23 0.23 0.19 0.18

9th grade 0.17 0.16 0.16 0.13 0.11

11th grade 0.15 0.16 0.15 0.09 0.09

0%

20%

Health & WellnessSchool Safety

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SSHS School-based Mental Health Services/Programs

Behavioral Health Therapists at 3 schools/FRCs Crisis-counselors at NJUHSD Sources of Strength Suicide Prevention Program The number of students who received school-

based mental health services increased by 203% between 2009/10 and 2011/12

Support Groups

Health & WellnessMental Health

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Health & WellnessMental Health

02040

Nevada County

Nevada County

Percentage of 9th Graders who have Considered Suicide

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Health & WellnessMental Health

05

101520253035404550

2007/082009/102012/13

Percent of 9th Graders who Report Sad or Hopeless Feelings in the Past 12 Months

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Social Norms

How our expectati ons infl uence our behavior

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Social Norms

2007/08 2009/10 2012/130

10203040506070

UsePercieved Harm

Marijuana Use Compared to Perceived Harm of Use9th Graders

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Strengthening our Community

Collaborati on & Connectedness

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Connectedness:

Olweus Bullying Prevention Curriculum School-based substance abuse prevention & treatment

programs Sources of Strength Suicide Prevention Program School-based Mental Health Services Family Resource Centers NEO Overtime Hangout 40 Developmental Assets Social/Emotional Curriculum at schools/pre-schools Mentors

Strengthening our Community

Our goal: Reduce the percentage of

7th, 9th & 11th graders who report that they consider themselves a member of a gang by 30%

Connectedness

GREAT ProgramGang Resistance, Education & Training Program

Connectedness

Overall reduction in the Percentage of Students Reporting Gang Membership

Between 2008 and 2013• 38% decrease for 7th grade• 13% decrease for 9th grade• 43% decrease for 11th

grade

School climate transformation program Fewer students report being bullied on playground 37% improvement in rates of physical fights on

school campus among 7th graders in districts where Olweus taught

More students helped a student who was bullied More students told an adult when they have been

bullied

Olweus Bully Prevention Program

Connectedness

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Family Resource Centers: 3 school-based FRCs Co-located services Over 5,000 people

served since 2010 Over 17,000 combined

visits for services or referrals since 2010

Connectedness

San Juan Ridge FRC

Core services include… Parenting classes and support Behavioral Health Therapists Baby and Me Lending libraries Clothes closets and food

pantry Computer lab Employment assistance

Family Resource CentersConnectedness

Penn Valley FRC

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School-Based Drug Use Prevention & Treatment Programs Multiple school-based interventions around

youth substance use and abuse Average of 422 students served per year 332 students have completed their contract In addition, 61 went on to a higher level of

care On average, only 7% of program graduates

reoffend This year, down to 3%

Connectedness

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Healthcare-Based Mental Health Services 211 healthcare professionals have been trained in SBIRT

(Screening, Brief Intervention & Referral) Sierra Nevada Memorial Hospital, Western Sierra

Medical Clinic (Miners) and local physicians now use SBIRT

Connectedness

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NEO Empowering youth to make a healthy lifestyle Total attendance over 3 yrs: 20,000+ people

Friday Night Live Partnership Leadership Training 40 Developmental Assets On-campus Events

Connectedness

Youth Development

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Overtime: Hosted 41 open gyms in

2012 699 volunteers 3,684 total youth attendedThe Hangout: 40-50 kids per day 5,000 kids so far this year

Connectedness

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Sustainability

Moving Forward

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Sustainability Grant funds some activities until September

30, 2016 Prevention funding with healthcare changes Systems change approach (e.g. SBIRT) Capacity building (e.g. 40 Developmental

Assets) Sectors, sector members take leadership (e.g.

Rx; NEO) Policy

Coalition for a Drug-Free Nevada County

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Grant ends June 30, 2013 Systems Change One year No-Cost Extension begins July 1, 2013 501(c)3 Private and public grants First 5 Commission Medi-Cal funds Fundraisers

Safe Schools/Healthy Students

Sustainability

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Talk to kids in your life about drug use and abuse, safety and bullying on school campuses

Express support for prevention and intervention in public forums

Become a mentor Volunteer at your local Family Resource Center Contact your child’s school to become involved in

bullying prevention efforts Attend DF Coalition meetings Join the Coalition Sustainability Committee Volunteer with NEO, Health Fairs, and other events

What We Need from You

Thank you