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Imperial County Alcohol & Drug Prevention
Strategic Prevention Framework 2011 - 2014
Imperial County Behavioral Health Services
Alcohol & Drug Programs
1295 State Street
El Centro, CA 92243
Imperial County Alcohol & Drug Prevention Strategic Prevention Framework, 2011-2014
Page 2
Table of Contents
Introduction........................................................................................................... 3
Background................................................................................................... 3
The Strategic Prevention Framework (SPF)............................................... 3
Community Profile........................................................................................ 4
Step 1: Assessment............................................................................................ 6
Overview of the Assessment Process........................................................ 6
Substance Abuse Risk Indicators............................................................... 6
Youth Substance Abuse Treatment Data.............................................. 7
Adult Substance Abuse Treatment Data............................................... 11
California Healthy Kids Survey............................................................. 23
Alcohol-Involved Motor Vehicle Accidents........................................... 28
Alcohol & Drug Related Felony Arrests................................................ 29
Alcohol & Drug Related Misdemeanor Arrests..................................... 31
Socioeconomic Risk Indicators................................................................... 32
Unemployment Data............................................................................ 32
Poverty Data........................................................................................ 33
Student Reporting................................................................................ 34
Environmental Risk Indicators..................................................................... 36
Local Crime Data................................................................................. 36
Mexico Border Crossings.................................................................... 38
Available Prevention Services............................................................. 39
Summary of Findings.................................................................................... 41
Step 2: Capacity................................................................................................... 42
Current Capacity........................................................................................... 42
Capacity Building.......................................................................................... 43
Step 3: Planning................................................................................................... 45
Overview of the Planning Process.............................................................. 45
ICBHS A&D Prevention Goals...................................................................... 45
Mission & Vision............................................................................................ 45
Step 4: Implementation..................................................................................... 46
Step 5: Evaluation............................................................................................... 47
Appendices............................................................................................................ 48
Imperial County Alcohol & Drug Prevention Strategic Prevention Framework, 2011-2014
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Introduction
Background
Substance Abuse Prevention and Treatment (SAPT) Block Grant funds are awarded to counties by the California Department of Alcohol & Drug Programs (ADP) to plan, implement, and evaluate activities and services to prevent and treat substance abuse. As part of the funding agreement, counties must expend at least 20% of their SAPT Block Grant funds on primary prevention1. In May 2004, the California Department of Alcohol & Drug Programs (ADP) received new policy direction from the Substance Abuse & Mental Health Services Administration (SAMHSA) and the Center for Substance Abuse Prevention (CSAP) for Substance Abuse Prevention and Treatment (SAPT) funded primary prevention services through the introduction of the Strategic Prevention Framework (SPF)2. The SPF is a planning and program design tool, developed by SAMHSA, which enables counties to build the infrastructure necessary for effective and sustainable prevention through a community-based approach. Use of the SPF steps became mandatory for all county and ADP prevention funded providers on July 1, 2006.
The Strategic Prevention Framework
The Strategic Prevention Framework (SPF) consists of five steps (Figure 1) which assist coalitions in developing the infrastructure necessary for effective, community-based approaches to the prevention of substance abuse. Additionally, sustainability and cultural competences have been included in the model as both are necessary in developing effective coalitions. The following five SPF steps provide a systematic approach to evidence-based and outcome-driven prevention planning:
Step 1: Assessment – Profile population needs, resources, and readiness to address needs and gaps in service delivery.
Step 2: Capacity – Mobilize and/or build capacity to address needs.
Step 3: Planning – Develop a comprehensive strategic plan.
Step 4: Implementation – Implement evidence-based programs, policies, and practices.
Step 5: Evaluation – Monitor, evaluate, sustain, and improve/replace those that fail.
1 Title 42 United States Code, Section 300 x-22. 2 ADP Bulletin 05-04.
Figure 1
Imperial County Alcohol & Drug Prevention Strategic Prevention Framework, 2011-2014
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Community Profile
Imperial County is located in the southernmost region of California, bordering San Diego County to the west, Riverside County to the north, the State of Arizona to the east, and Mexico to the south. It extends over approximately 4,597 square miles and is comprised of seven incorporated cities (Brawley, Calexico, Calipatria, El Centro, Holtville, Imperial, and Westmorland) and seven unincorporated area, some of which are located more than 45 minutes apart from each other. In 2000, Imperial County’s total population was 142,3613, with its distribution being as follows, including the most recent population estimates: Table 1
City U.S. Census 2000 Results
American Community Survey 2009 Estimates % Change
Population % of Total Population % of Total
Brawley 22,052 15.5 23,342 14.0 +5.9
Calexico 27,109 19.0 38,827 23.3 +43.2
Calipatria 7,289 5.1 7,685 4.6 +5.4
El Centro 37,835 26.6 41,241 24.7 +9.0
Holtville 5,612 3.9 5,487 3.3 -2.2
Imperial 7,560 5.3 13,878 8.3 +83.6
Westmorland 2,131 1.5 2,221 1.3 +4.2
Unincorporated Areas:
Bombay Beach
Desert Shores
Niland
Ocotillo
Salton City
Seeley
Winterhaven
32,733 23.0 34,193 20.5 +4.7
Total: 142,361 166,874 +17.2
Additionally, the U.S. Census Bureau estimates that in 2009, 77.3% of the population was Hispanic, 15.8% White (Not Hispanic), 3.2% Black, 2.1% Asian, and 1% American Indian or Alaskan Native. 68% of Imperial County’s residents are also estimated to have spoken a language other than English at home during 2009, with 68.2% of those being identified as Spanish speakers.
3 U.S. Census Bureau, “2000 US Census Report”, 2000.
Imperial County Alcohol & Drug Prevention Strategic Prevention Framework, 2011-2014
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Imperial County is one of the most diverse economic regions in the state4, with a rich collection of resources in the form of human power, infrastructure, and economic development. According to the U.S. Census Bureau, Imperial County’s economy is dominated by the educational, health, and social service industries, followed by retail trade, agriculture, and public administration, with the retail trade, public administration, and educational, health, and social service sectors growing by a margin of approximately 50% between 2000-2009. Table 2
Industry
U.S. Census 2000 Results
American Community Survey
2009 Estimates %
Change No. of
Workers % of Total
No. of Workers
% of Total
Agriculture, Forestry, Fishing & Hunting, and Mining
5,157 11.7 5,255 9.1 +1.9
Construction 2,342 5.3 2,739 4.8 +17.0
Manufacturing 2,110 4.8 2,908 5.4 +37.8
Wholesale Trade 2,378 5.4 1,752 3.0 -26.3
Retail Trade 5,423 12.3 8,419 14.6 +55.2
Transportation, Warehousing, and Utilities
2,836 6.4 3,159 5.5 +11.4
Information 579 1.3 925 1.6 +59.8
Finance, Insurance, Real Estate, and Rental and Leasing
1,640 3.7 3,047 5.3 +85.8
Professional, Scientific, Management, and Administrative Services
2,341 5.3 2,307 4.0 -1.5
Educational, Health, and Social Services
9,693 22.0 14,070 24.5 +45.2
Arts, Entertainment, Recreation, Accommodation, and Food Services
2,788 6.3 4,259 7.4 +52.8
Other Services (except public administration)
1,950 4.4 1,451 2.5 -25.6
Public Administration 4,855 11.0 7,177 12.5 +47.8
4 California Economic Strategy Panel, “Regions”, October 2006.
Imperial County Alcohol & Drug Prevention Strategic Prevention Framework, 2011-2014
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Step 1: Assessment
Overview of the Assessment Process
The Assessment Process involves the collection and analysis of data to define alcohol and other drug problems within a specific geographical area; to identify at-risk and underserved populations, service gaps, existing prevention infrastructure, and environmental risks; and to assess the implementation and sustainability of policies, programs, and practices. During the assessment phase, Imperial County Behavioral Health Services gathered and interpreted information from the following data sources: Local Primary Data
Community Prevention Services Survey
Imperial County Behavioral Health Services Substance Abuse Treatment Programs
County and State Secondary Data
California Department of Education
California Department of Justice
California Employment Development Department
California Healthy Kids Survey
California Highway Patrol
U.S. Census Bureau
U.S. Department of Transportation Based on the data collected, the information is organized into three categories: substance abuse risk indicators, socioeconomic risk indicators, and environmental risk indicators.
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Substance Abuse Risk Indicators
The data included in this section represents that which may be indicative of the local community’s predisposition to substance abuse: Youth Substance Abuse Treatment Data
Imperial County Behavioral Health’s Adolescent Outpatient Drug Free (ODF) and Expanded Programs provide substance abuse treatment services to local youth between the ages of 12-18. Treatment is provided in an integrated clinic to youth who are diagnosed with a substance abuse disorder, as well as to youth who are diagnosed with both a mental health disorder and a substance abuse disorder. The services provided include group, individual, and crisis intervention counseling, case management, HIV early intervention, and aftercare, all of which are provided at the local clinic site and at 15 satellite clinics located throughout the community. In FY 07-08, 628 youths received services; in FY 08-09, 657 youths; and in FY 09-10, 555 youths. The following data is based on internal service records collected by the Adolescent ODF and Expanded Programs during FY 07-08, FY 08-09, and FY 09-10: Figure 2 During the last three fiscal years, male youth have been the primary recipients for substance abuse treatment, as they consistently comprised over 60% of the population served, with female youth making up the other approximately 30%.
Imperial County Alcohol & Drug Prevention Strategic Prevention Framework, 2011-2014
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Figure 3
As indicated by Figure 3, Hispanic youth have overwhelmingly been the majority ethnic population served, having made up over 70% of the total population during the last three fiscal years, which is indicative of Imperial County’s overall population. While the other ethnic populations have maintained the same percentage during the last three fiscal years, the Hispanic population increased by 17%.
Figure 4 Figure 4 reflects a continuous change in youth’s identification of their primary language in the last three fiscal years. Between FY 07-08 and FY 08-09, the amount of clients who spoke English decreased by 6% and the amount of clients who spoke Spanish increased by 7%. Likewise, FY 08-09 and FY 09-10 also saw a 6% decrease in English speaking clients and a 6% increase in Spanish speaking clients.
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Figure 5 During the last three fiscal years, the Adolescent ODF and Expanded programs saw a steady increase in admission rates for youth between the ages of 11-15 (Figure 5). Between FY 07-8 and FY 09-10, the increase was approximately 35%.
Figure 6 Figure 6 indicates that youth served between FY 07-08 and FY 09-10 lived primarily in the El Centro, Brawley, and Calexico regions, which is consistent with the population distribution for Imperial County. It should be noted that youth identified as being non-county residents are those who were in out-of-home placement.
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Figure 7a
Figure 7b
Between FY 07-08 and FY 09-10, the vast majority of youth served were diagnosed with cannabis abuse, followed by alcohol abuse, as identified in Figure 7a. Between FY 07-08 and FY 09-10, the number of clients abusing cannabis increased by 11%. Moreover, youth were consistently identified with continuous use patterns as Figure 7b indicates.
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Adult Substance Abuse Treatment Data
Imperial County Behavioral Health’s Adult Outpatient Drug Free (ODF) Program provides substance abuse treatment services to local adults ages 18 and up. Treatment is provided in an integrated clinic to adults who are diagnosed with a substance abuse disorder, as well as to those who are diagnosed with both a mental health disorder and a substance abuse disorder. The services provided include group, individual, and crisis intervention counseling, case management, and HIV early intervention, all of which are provided at the local clinic site. In FY 07-08, 452 adults received services; in FY 08-09, 241 adults; and in FY 09-10, 209 adults. The following data is based on internal service records collected by the Adult ODF Program during FY 07-08, FY 08-09, and FY 09-10: Figure 8 As was seen with the adolescent population, males have tended to be the predominate population seeking substance abuse treatment (Figure 8). In both FY 07-08 and FY 08-09, male adults comprised over 60% of the treatment population; however, in FY 09-10 they accounted for 56%, while the female adult population increased to 44%.
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Figure 9
As indicated by Figure 9, Hispanic adults were the majority ethnic group served, making up approximately 75% of the total population during the last three fiscal years, which is indicative of Imperial County’s overall population. Whites were the next largest ethnic population served at approximately 19%. Figure 10 Figure 10 indicates a slight increase in the number of adults served who identified Spanish as their primary language. Between FY 07-08 and FY 09-10, the number of Spanish speaking clients increased by approximately 33%.
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Figure 11 Figure 11 indicates a variation in age groups served between FY 07-08 and FY 09-10. In FY 07-08, the majority population served was adults between the ages of 22-30; however, during FY 08-09 and FY 09-10, the population shifted to those between the ages of 31-40. Young and older adults continue to be the least served populations.
Figure 12
The city of residence identified by adults served is consistent with the distribution of Imperial County’s population, with the majority having lived in the El Centro, Brawley, and Calexico regions. As Figure 12 indicates, the adult population represents more of the outlying region than does the adolescent population (see Figure 6).
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Figure 13a
Figure 13b
Between FY 07-08 and FY 09-10, amphetamine, alcohol, and cannabis were the primary substances for abuse and dependence, as identified in Figure 13a. Figure 13b indicates that the majority of adults served were identified with patterns of either continuous or episodic use.
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Imperial County Behavioral Health’s Substance Abuse & Crime Prevention Act (SACPA) Program provides substance abuse treatment services to first or second time non-violent drug offenders who use, possess, or transport illegal drugs. SAPCA was designed to preserve jail and prison cells for serious and violent offenders; enhance public safety by reducing drug-related crime; and improve public health by reducing drug abuse through proven and effective treatment strategies. In FY 07-08, 315 individuals received services; in FY 08-09, 199 individuals; and in FY 09-10, 179 individuals. The following data is based on internal service records collected by the SACPA Program during FY 07-08, FY 08-09, and FY 09-10:
Figure 14 During the last three fiscal years, adult males consistently made up the majority of the treatment population served (Figure 14). During FY 07-08 and 08-09, adult males made up approximately 80% of the total population served; however, in FY 09-10, the amount of male clients decreased to 70% as a result of the female population increasing by 45% between FY 08-09 and FY 09-10.
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Figure 15
Figure 15 represents similar trends in ethnicity between FY 07-08 and FY 09-10. Hispanics were consistently the largest ethnic population served at over 70% each year, followed by Whites at approximately 19%.
Figure 16 As seen in Figure 16, the primary languages identified by SACPA clients remained the same throughout the last three fiscal years, with English having been the most dominant amongst clients at approximately 90%.
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Figure 17 Figure 17 indicates a shift in the age groups served within the last three fiscal years. In FY 07-08, individuals between the ages of 31-40 made up the majority population at 33%, followed closely by individuals between the ages of 41-50 and 22-30 at approximately 26%-28%, respectively. In FY 08-09, individuals between the ages of 31-40 again made up the majority age group served; however, the second largest age group served was the 22-30 age range at approximately 32%. In FY 09-10, individuals between the ages of 22-30 were the largest age group served at 34%.
Figure 18 The residency distribution of clients receiving services from the SACPA program is similar to that of Adult ODF – the majority of clients live in the major population areas. Again, the adult substance abuse treatment population better represents the outlying regions than does the adolescent population.
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Figure 19a
Figure 19b Between FY 07-08 and FY 09-10, amphetamines, opioids, and cannabis, respectively, were the most prevalent substances used by SACPA clients, as seen in Figure 19a. Figure 19b indicates that approximately 50% of clients were identified with continuous patterns of use, followed by episodic use at approximately 30%-35%. It should be noted that the number of clients using continuously increased by 20% between FY 07-08 and FY 09-10.
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Imperial County Behavioral Health’s Perinatal Program provides substance abuse treatment services to decrease the incidence and prevalence of alcohol, drugs, and tobacco among pregnant and parenting women. Services provided include group, individual, and crisis intervention counseling, case management, HIV early intervention, transportation assistance, and child care. In FY 07-08, 47 women received services; in FY 08-09, 41 women; and in FY 09-10, 40 women. The following data is based on internal service records collected by the Perinatal Program during FY 07-08, FY 08-09, and FY 09-10:
Figure 20 Figure 20 illustrates that Hispanic women have made up approximately 70% of the population served between FY 07-08 and FY 09-10. White women make up the next largest ethnic group at approximately 30%, with the exception of FY 07-08, when they comprised only 19% of the population.
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Figure 21
Between FY 07-08 and FY 08-09, 98% of clients identified their primary language as English. During FY 09-10, this percentage decreased to 93%, as approximately 8% of clients identified Spanish as their primary language.
Figure 22
As Figure 22 indicates, the primary group for services during FY 07-08 and FY 09-10 was women between the ages of 22-30. It should be noted that between FY 08-09 and FY 09-10, the age range served slightly shifted, with a small percentage of women between the ages of 16-21 receiving services and no women between the ages of 51-60 receiving services.
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Figure 23 Figure 23 reflects that women who received services through the Perinatal Program predominantly lived in the El Centro and Brawley areas; a small percentage lived in the Calexico region, while an even smaller percentage reflected the outlying areas of Imperial County.
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Figure 24a
Figure 24b
Figure 23a indicates that the majority of Perinatal clients were diagnosed with amphetamine abuse and dependence between FY 07-08 and FY 09-10, with a small numbering being diagnosed with cannabis dependence. In FY 07-08, nearly 50% of clients were identified as being in remission for their drug use (Figure 24b); however, in the next two fiscal years, that number decreased as more clients were diagnosed with continuous and episodic patterns of use.
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California Healthy Kids Survey
The California Healthy Kids Survey (CHKS) is a comprehensive, youth risk behavior and resilience data collection service available to all California local education agencies. CHKS addresses: alcohol, tobacco, and other drug use; school safety, harassment, and violence; nutrition and physical health; sexual behavior and attitudes; suicide and gang involvement; youth resilience and developmental supports; and school-connectedness, truancy, and self-reported grades. During 2007-2009, 1,517 7th grade, 1,497 9th grade, and 1,224 11th grade students from Imperial County participated in CHKS, which was administered to 202,714 students statewide. The following tables illustrate 7th, 9th, and 11th grade students’ responses to questions regarding alcohol and other drug use in comparison to statewide results, as reported in the 2007-2009 Imperial County CHKS Secondary Main Report: Q: During your life, how many times have you used or tried…? (NA=not asked of middle school students.)
Imperial County California Gr. 7
% Gr. 9
% Gr. 11
% NT* %
Gr. 7 %
Gr. 9 %
Gr. 11 %
NT %
Alcohol (one full drink) 0 times 71 45 35 19 75 53 37 19
1 time 11 10 8 8 9 10 7 6
2-3 times 9 14 11 11 7 12 12 10
4 or more times 10 31 46 62 9 25 43 64
Marijuana 0 times 93 77 72 40 90 75 63 30
1 time 2 6 6 9 3 5 6 6
2-3 times 2 5 6 8 2 5 7 8
4 or more times 3 12 16 43 4 14 24 56
Cocaine
0 times NA 93 91 77 NA 94 92 72
1 time NA 2 2 4 NA 2 2 6
2-3 times NA 2 2 7 NA 2 2 7
4 or more times NA 3 4 11 NA 2 4 15
Amphetamines
0 times NA 95 94 84 NA 95 94 80
1 time NA 2 2 5 NA 2 2 5
2-3 times NA 2 1 4 NA 1 1 5
4 or more times NA 1 2 7 NA 2 3 10
Heroin
0 times NA 95 97 92 NA 96 97 91
1 time NA 1 1 2 NA 1 1 2
2-3 times NA 2 1 2 NA 1 1 3
4 or more times NA 1 1 4 NA 1 2 4
Table 3
*NT= continuation, community day, and other alternative school types.
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Q: During the past 30 days, on how many days did you drink alcohol… use marijuana?
Imperial County California Gr. 7
% Gr. 9
% Gr. 11
% NT %
Gr. 7 %
Gr. 9 %
Gr. 11 %
NT %
Alcohol (one full drink) Never 82 67 61 44 85 73 64 44
1-2 days 12 17 19 21 10 15 18 22
3-9 days 3 8 13 17 2 6 11 17
10-19 days 2 5 4 11 1 3 4 9
20 or more days (daily) 2 3 3 7 2 3 3 7
Marijuana Never 95 88 89 68 94 87 81 55
1-2 days 3 5 5 11 3 5 7 12
3-9 days 1 3 3 4 1 3 4 8
10-19 days 0 2 1 6 1 2 2 6
20 or more days (daily) 1 2 3 9 1 3 5 18
When questioned about their lifetime use of alcohol and other drugs, the majority of Imperial County 7th and 9th graders indicated that they had never used any illegal substance (Table 3). Likewise, most Imperial County 11th graders indicated that they had not used any illegal drugs in their lifetime; however, 46% had had one full glass of alcohol at least four times. Additionally, 62% of alternative education students had had one full glass of alcohol at least four times in their lifetime; 43% of alternative education students had also used marijuana four or more times in their lifetime. Table 3 illustrates that the majority of Imperial County 11th grade and alternative education students had drank a full glass of alcohol and/or used marijuana at least four times in their lifetime; however, Table 4 indicates that such usage is not habitual, as the majority of all students surveyed indicated that they had not drank alcohol or used marijuana in the last 30 days.
Table 4
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Q: About how old were you the first time you had a full drink of alcohol… used marijuana… used any other illegal drug?
Imperial County California Gr. 7
% Gr. 9
% Gr. 11
% NT %
Gr. 7 %
Gr. 9 %
Gr. 11 %
NT %
Alcohol (one full drink) Never 66 43 34 19 69 49 34 18
10 or under 13 10 8 13 13 12 9 16
11-12 years old 16 13 7 11 15 14 9 17
13-14 years old 4 28 18 28 3 23 21 24
15-16 years old 0 5 30 22 0 2 26 20
17 years or older 1 0 3 7 0 1 2 5
Marijuana Never 94 79 74 42 92 78 65 32
10 or under 2 2 2 5 2 3 2 9
11-12 years old 2 6 3 11 5 6 4 14
13-14 years old 1 11 8 19 1 12 12 23
15-16 years old 0 3 12 20 0 2 16 18
17 years or older 0 0 2 4 0 0 1 4
Other Illegal Drug Never 96 88 89 68 95 88 83 58
10 or under 1 1 1 3 1 2 1 4
11-12 years old 1 3 1 5 3 3 2 7
13-14 years old 1 7 4 9 1 7 5 13
15-16 years old 0 2 5 12 0 1 8 15
17 years or older 0 0 1 3 0 0 1 3
Most Imperial County secondary students indicated that they had never used alcohol or other drugs; however, those who did experimented for the first time between the ages of 11-16 years of age, as seen in Table 5. Of 7th grade students, the majority of students first experimented with alcohol and/or other drugs when they were 11-12; 9th graders when they were 13-14; 11th graders when they were 15-16; and alternative education students when they were 13-16. Based on students’ survey responses, the trend in alcohol and other drug experimentation is beginning at an increasingly younger age.
Table 5
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Q: How much do people risk harming themselves physically and in other ways when they drink alcohol… use marijuana?
Imperial County California Gr. 7
% Gr. 9
% Gr. 11
% NT %
Gr. 7 %
Gr. 9 %
Gr. 11 %
NT %
Alcohol – Drink Occasionally Great 26 29 29 28 27 28 26 27
Moderate 21 24 24 27 23 25 25 24
Slight 23 27 29 22 26 29 33 29
None 30 21 17 23 24 19 16 20
Alcohol – 5 or more drinks or twice a week Great 39 40 43 29 45 48 49 36
Moderate 21 24 27 29 23 25 27 27
Slight 9 14 13 18 10 11 12 19
None 31 21 16 24 22 16 11 19
Marijuana – Smoke Occasionally Great 44 43 44 31 45 42 37 28
Moderate 17 21 22 18 22 24 23 19
Slight 7 12 15 20 10 15 21 24
None 32 23 20 30 23 19 19 30
Marijuana – Smoke once or twice a week Great 48 48 52 28 53 52 48 29
Moderate 13 17 17 19 16 19 21 20
Slight 7 11 10 22 8 11 14 21
None 32 24 20 30 23 18 17 30
Among the 7th grade students surveyed from Imperial County, the majority (30%) perceived no harm in drinking alcohol in any amount; however, nearly 50% perceived great harm in using any marijuana (Table 6). Adversely, most Imperial County alternative education students (28%-29%) perceived great harm in drinking any amount of alcohol; whereas most (30%) perceived no harm in smoking marijuana on an occasional to weekly basis.
Table 6
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Q. How difficult is it for students in your grade to get any of the following substances if they really want them?
Imperial County California Gr. 7
% Gr. 9
% Gr. 11
% NT %
Gr. 7 %
Gr. 9 %
Gr. 11 %
NT %
Alcohol Very Difficult 12 9 6 7 13 7 5 8
Fairly Difficult 8 8 6 7 11 8 6 8
Fairly Easy 16 22 22 23 17 23 23 21
Easy 19 39 51 54 19 39 51 50
Don’t Know 45 22 15 9 40 24 15 14
Marijuana Very Difficult 18 10 6 9 22 9 5 8
Fairly Difficult 8 8 6 4 10 8 5 4
Fairly Easy 9 18 19 18 10 18 19 13
Easy 13 32 44 56 13 34 50 61
Don’t Know 51 32 24 14 45 30 20 14
As seen in Table 7, the majority of 9th grade, 11th grade, and alternative education students identified that it easy or fairly easy to access both alcohol and marijuana. Of those students, 10% or fewer indicated that it very difficult to gain access to alcohol and marijuana. Nearly 50% of all 7th grade students indicated they do not know how accessible either alcohol or marijuana are.
Table 7
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Alcohol-Involved Motor Vehicle Accidents
The following information was taken from the Statewide Integrated Traffic Records System (SWITRS), which was gathered by the California Highway Patrol: Figure 25 Table 8
2004 2005 2006 2007 2008
Total Collisions 1,785 1,681 1,589 1,476 1,307
Total Alcohol-Involved Collisions 93 91 99 79 70
Alcohol-Involved Collisions as a Percent of Total 5.2 5.4 6.2 5.4 5.4
Number of Injuries 126 120 158 114 87
Number of Fatalities 20 11 5 17 7
During 2004-2008, the number of alcohol-involved collisions made up approximately 5%-6% of all collisions in Imperial County (Table 8). In total, 605 people were injured and 60 people killed in alcohol-involved collisions. As Figure 25 illustrates, the number of fatalities in alcohol-involved collisions is relatively low compared to the number of alcohol-involved collisions that occurred between 2004-2008. It should be noted, though, that the number of alcohol-involved injuries has consistently remained higher than the number of alcohol-involved collisions during this time.
Imperial County Alcohol & Drug Prevention Strategic Prevention Framework, 2011-2014
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Alcohol & Drug Related Felony Arrests
The information below pertains to the number of juvenile and adult felony arrests in Imperial County, as gathered by the California Department of Justice: Figure 26
Figure 27
As seen in both Figure 26 and 27, the percentage of felony DUI arrests compared to total felony arrests was very low for both juveniles and adults between 2004-2008. The number of juvenile felony drug offense arrests slightly decreased during this time; however, the number of adult felony drug offense arrests maintained at about 30%-35%.
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Figure 28
Figure 29 Figures 28 and 29 indicate that both juveniles and adults were primarily arrested between 2004-2008 for using dangerous drugs. Juveniles also show a high tendency to use marijuana, while adults’ next highest drug of use was narcotics. Figures 28 and 29 also show that the use of dangerous drugs decreased, while marijuana usage sharply increased, particularly for juveniles.
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Alcohol & Drug Related Misdemeanor Arrests
The information below pertains to the number of juvenile and adult misdemeanor arrests in Imperial County, as gathered by the California Department of Justice:
Figure 30
Figure 31 Figure 30 and 231 both indicate that misdemeanor arrests related to alcohol and other drugs accounted for no more than 25% of all misdemeanor arrests for both juveniles and adults during 2004-2008. As Figure 30 illustrates, the most prevalent AOD-related misdemeanor arrests amongst juveniles were those pertaining to marijuana, followed by drunkenness. Amongst adults, 20%-25% of all misdemeanor arrests pertained to other drugs, while marijuana and drunkenness each accounted for less than 8%.
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Socioeconomic Risk Indicators
The data included in this section represents socioeconomic conditions that may predispose the community to abuse alcohol and other drugs: Unemployment Data
As of September 2010, Imperial County had the highest unemployment rate in the nation at 30.4%5. The latest figures from the Employment Development Department indicate that one in four workers in Imperial County is unemployed. Being an agriculturally-oriented area, Imperial County tends to have a high unemployment rate due to seasonal variations in employment; however, the current recession has exacerbated the county’s employment conditions.
Table 9
2007 2008 2009 Aug. 2010
% Change
No. in Labor Force 66,300 72,700 76,200 77,600 +17.0
No. Employed 54,400 56,500 54,700 54,100 -.55
No. Unemployed 11,900 16,300 21,500 23,600 +98.0
Unemployment Rate 18.0% 22.4% 28.2% 30.4% +69.0
As seen in Table 9, Imperial County’s labor force has grown by 17% between 2007-August 2010; however, the number of unemployed laborers has also increased during this time (by 98%). The percentage of change in Imperial County’s unemployment rate between 2007-2010 is currently 69%. In addition to the 30.4% unemployment rate, as of August 2010, Imperial County had a 1.58% bankruptcy rate, 3.81% foreclosure rate, and an economic stress index of 34.116.
5 Bureau of Labor Statistics 6 Associated Press, “Economic Stress Index”, http://hosted.ap.org/specials/interactives/_national/stress_index/
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Poverty Data
The U.S. Census Bureau estimates that in 2008, the poverty rate for Imperial County was at 21.2%, a 3% increase from the 2007 estimate. Table 10 represents the U.S. Census Bureau’s poverty estimates for 2007 and 2008:
Subject
2007 2008
Total No. No. Below
Poverty % Below Poverty
Total No. No. Below
Poverty % Below Poverty
Population 147,851 30,334 20.5 150,426 31,853 21.2
Age
Under 18 45,994 12,261 26.7 46,531 12,820 27.6
18-64 85,617 16,178 18.9 87,211 17,004 19.5
65 and older 16,240 1,895 11.7 16,684 2,029 12.2
Sex
Male 72,386 13,650 18.9 73,488 14,280 19.4
Female 75,465 16,684 22.1 76,938 17,573 22.8
Race
White 107,463 21,643 20.1 117,229 25,489 21.7
Black 3,194 970 30.4 3,111 1,231 39.6
American Indian 2,460 986 40.1 2,319 873 37.6
Asian 2,746 103 3.8 NA NA NA
Other 28,359 6,439 22.7 21,210 3,711 17.5
1+ races 3,566 193 5.4 3,693 437 11.8
Education Population 25 years + 83,880 13,653 16.3 84,995 14,362 16.9
Less than High School Graduate 30,861 8,187 26.5 30,612 8,280 27.0
High School Graduate 21,149 2,697 12.8 20,297 2,920 14.4
Some College 22,478 2,235 9.9 23,795 2,699 11.3
Bachelor’s Degree or Higher 9,392 534 5.7 10,291 463 4.5
Additionally, the U.S. Census Bureau estimates that the 2008 median family income for Imperial County was $36,894, which is 40% lower than California’s $61,017 median family income.
Table 10
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Student Reporting
The following information represents the number of Imperial County students who are involved in special programs and are high school dropouts, as recorded by the U.S. Department of Education: Figure 32
Imperial County Student Special Programs
Special Program
2006-7 2007-8 2008-9
No. of Students
% of Enroll-ment
% of CA Enroll-ment
No. of Students
% of Enroll-ment
% of CA Enroll-ment
No. of Students
% of Enroll-ment
% of CA Enroll-ment
English Learners
15,644 43.1 25.0 15,432 42.5 24.7 15,390 42.4 24.2
Free/Reduced Price Meals
25,160 69.3 50.3 25,221 69.4 50.2 25,179 69.4 52.6
Compensatory Education
33,649 92.7 52.3 34,681 95.4 51.5 34,497 95.1 53.0
As seen in Table 11, the percentage of special programs students in Imperial County was much higher when compared to the percentage total for California during 2006-2009. The percentage of Imperial County students participating in special programs has remained the same throughout the last three school years, with approximately 43% being English learners, 69% receiving free/reduced price meals, and 92%-95% participating in compensatory educational services.
Table 11
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Table 12 Imperial County High School Dropout Reporting
2006-7
Category Grade
9 Grade
10 Grade
11 Grade
12 Dropout
Total Total
Enrollment Dropout
Rate
American Indian 1 1 0 0 2 109 1.8%
Asian 0 0 0 1 1 105 1.0%
Hispanic 20 44 44 103 211 10,413 2.0%
African American 1 0 1 0 2 153 1.3%
White 1 1 4 4 10 1,126 0.9%
Multiple/No Response 0 0 1 0 1 66 1.5%
County Total 23 46 50 108 227 12,013 1.9%
Statewide 12,426 12,862 15,864 43,209 84,603 1,997,181 4.2%
2007-2008
Category Grade
9 Grade
10 Grade
11 Grade
12 Dropout
Total Total
Enrollment Dropout
Rate
American Indian 1 1 0 2 4 109 3.7%
Asian 1 0 0 1 2 89 2.2%
Filipino 0 0 0 1 1 29 3.4%
Hispanic 51 74 62 127 314 10,398 3.0%
African American 1 1 2 2 6 157 3.8%
White 5 7 8 9 29 1,053 2.8%
Multiple/No Response 2 1 0 3 6 113 5.3%
County Total 61 84 72 145 362 11,956 3.0%
Statewide 9,737 10,995 14,657 42,794 78,369 2,015,720 3.9%
Table 12 represents local dropout data by ethnicity and grade level. Between 2006-2008, Hispanics were identified as the majority ethnic group to drop out of high school, while 12th graders were identified as the majority grade level. During the 2006-2007 school year, the county dropout rate was 1.9%, which increased to 3.0% in the 2007-2008 school year.
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Environmental Risk Indicators
The data included in this section represents environmental conditions that may predispose the community to abuse alcohol and other drugs: Local Crime Data
The following information pertains to the occurrence of crime in Imperial County, as collected by the California Department of Justice: Table 13
Crime in Imperial County 2004 2005 2006 2007 2008
Total Violent Crime 687 785 663 545 474
Homicide 4 0 3 4 8
Forcible Rape 34 37 18 28 22
Robbery 123 111 139 95 127
Aggravated Assault 526 637 503 418 317
Total Property Crime 3,551 4,017 4,121 3,796 3,810
Burglary 1,913 2,217 2,192 1,956 1,948
Motor Vehicle Theft 992 1,068 1,142 1,160 1,087
Larceny-Theft Over $400 646 732 787 680 775
Total Larceny-Theft 2,714 2,944 3,054 2,950 3,193
Over $400 646 732 787 680 775
$400 and Under 2,068 2,068 2,267 2,270 2,418
Total Arson 49 93 82 28 41
Total Crime 7,001 7,839 7,920 7,319 7,518
Between 2004-2008, over 50% of crimes committed were property crimes, followed closely by larceny-theft. Both categories increased in the past years, with property crime increasing by 7% and larceny-theft by 18%. As Table 13 indicates, the number of both violent crimes and arson decreased between 2004-2008, with violent crimes decreasing by 31% and arson by 16%. Although some crimes decreased during 2004-2008, the number of overall crimes has increased overall by 7%.
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Figure 33
Figure 33 represents all arrests made by law enforcement during 2008. Arrests made were categorized by city; the “other” category represents arrests made by the California Highway Patrol, Imperial County Sheriff’s Department, and the Union Pacific Railroad. Amongst adults, the majority of arrests, including both felony and misdemeanor, fall into the “other” category”. The city with the highest adult arrest rate is El Centro at approximately 18%, followed by Calexico (for felony arrests) at approximately 17%, and Brawley (for misdemeanor arrests) at approximately 14%. Although the 2008 adult arrests are divided between felony and misdemeanor, the juvenile arrests include both in the same category. In 2008, Calexico had the highest rate of juvenile arrests at approximately 32%, followed closely by El Centro at approximately 29%.
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Mexico Border Crossings
Imperial County borders Mexico for 105 miles and has three ports of entry: the Andrade Port of Entry, the Calexico Port of Entry, and the East Port of Entry. The Andrade Port of Entry is located in the east part of the county near Yuma, while the latter two are located in Calexico. Calexico’s sister city, Mexicali, is the capitol of the Mexican state of Baja California. According to the 2005 Mexico Census, Mexicali has a population of 653,046, which makes it approximately five times larger than the population of Imperial County. Hundreds of people cross the international border at Imperial County’s three ports of entry on a daily basis. Table 14 details the amount of crossings made on a yearly basis: Table 14
Personal Vehicle Pedestrian
2008 2009 2008 2009
Andrade Port of Entry 981,916 883,929 279,496 1,517,727
Calexico Port of Entry 9,432,447 8,625,713 1,745,978 3,904,913
East Port of Entry 7,144,168 5,731,129 9,147 33,930
Total 17,558,531 15,240,771 2,034,621 5,456,570
In 2009, a total of 20,697,341 crossings (vehicle and pedestrian) were made, a 6% increase from 2008’s 19,593,152 crossings. Many U.S. residents cross the international border into Mexico for commerce, healthcare, and entertainment. A large number of underage youth also visit Mexico for their bars and clubs, as the legal drinking age in Mexico is 18 versus the 21 age limit in the United States.
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Available Prevention Services
During January – March 2010, Imperial County Behavioral Health Services, Alcohol & Drug Programs, conducted a countywide survey to determine what substance abuse prevention services exist in Imperial County. Both public and private agencies were surveyed, including educational entities; health service, law enforcement, and social service agencies; and faith-based and non-profit organizations. Furthermore, those surveyed were asked to identify additional agencies that may be providing substance abuse prevention services to the community should any potential providers be mistakenly excluded from the original list of surveyed agencies. Of the approximately 200 surveys that were mailed out, 79 responses were received, with 29 agencies being identified as substance abuse prevention providers. Follow-up phone calls were made to those agencies that did not reply; however, few survey responses were able to be obtained. The following information pertains to the data collected from the survey responses: Figure 34
Figure 34 illustrates that agencies most identify themselves as educational entities (20 responses; 54.1%), followed by non-profit organizations (5 responses, 13.5%) and health service agencies (4 responses; 10.8%).
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Figure 35
Figure 35 shows that providers primarily target school-aged youth, with 16 providers (20.3%) focusing on elementary school students and 11 providers (13.9%) each focusing on preschool, kindergarten, middle school, and high school students. Figure 36
Figure 36 indicates that the most common target areas are Calexico and El Centro (14.4%), followed by Brawley (10.3%) and Imperial (8.2%). Areas minimally targeted include the outlying regions of Bombay Beach, Ocotillo, Salton City, Salton Sea Beach, Slab City, Blythe, and West Shores. No services are provided in Bard, Desert Shores, or Palo Verde.
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Summary of Findings
Adolescents In assessing the treatment data as reported by the Adolescent ODF and Expanded programs, Imperial County Behavioral Health Services, Alcohol & Drug Programs, found that marijuana is the main drug of choice amongst adolescents in Imperial County, followed by alcohol – trends that are reflected in local crime arrest rates amongst juveniles. It was also identified that amphetamine use is growing at an increasingly steady rate. Additionally, assessment results indicated that drug use in Imperial County is beginning at an early rate, as the number of youth between the ages of 12-15 has also been on the rise. The California Healthy Kids Survey results were consistent with the findings outlined from the Adolescent ODF and Expanded treatment programs. When asked if they had ever used or tried alcohol or marijuana, over 40% of 11th graders and alternative education students responded that they had used both at least four times in their lifetime. Survey results also indicated that the age of experimentation is beginning at an early stage, with 7th graders first using between the ages of 11-12, 9th graders between the ages of 13-14, 11th graders between the ages of 15-16, and alternative education students between the ages of 13-16. Moreover, survey results also showed signs of decreasing rates of perceived harm regarding alcohol and marijuana use amongst 7th and 9th graders. Lastly, The California Healthy Kids Survey indicated that the majority of 14-18 year old youth find access to both alcohol and marijuana to be easy to gain. Due to Imperial County’s proximity to the Mexican border, underage youth are able to easily gain entrance into the country and obtain alcohol and other drugs, as laws there are not as strictly enforced as they are in the United States. Adults In assessing the treatment data as reported by the Adult ODF, SACPA, and Perinatal programs, Imperial County Behavioral Health, Alcohol & Drug Programs, found that amphetamines, alcohol, and marijuana are the main drugs of abuse and dependence in Imperial County, which aligns with the local crime arrests rates amongst adults. While males adults have been the primary gender to receive services from the Adult ODF and SACPA program, the rates of females accessing services over the past three years has steadily increased. Likewise, the 22-30 age population also increased in its access of treatment services. Conclusion As seen above, the rates of substance abuse continues to grow amongst varying groups of adolescents and adults. Likewise, the rates of individuals who are impoverished, unemployed, or are arrested are also continuing to rise, which may both result from and contribute to local substance abuse. Less than 15% of prevention providers target adolescents and adults (both parenting and non-parenting), focusing primarily on elementary youth. Additionally, the main focus areas for service are the Brawley, Calexico, and El Centro regions.
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Step 2: Capacity
Current Capacity
Building capacity refers to the mobilization of resources within a geographic area to address the needs established during the assessment process. Capacity includes financial and organizational resources, as well as the convening or partnerships and/or coalitions. In its function as the central provider of primary prevention services to Imperial County residents, Imperial County Behavioral Health Services, Alcohol & Drug Programs (ICBHS-ADP), has implemented four comprehensive prevention strategies that are primarily provided through both of its adolescent and adult outpatient clients:
1. Information Dissemination: this strategy provides awareness and knowledge of the nature and extent of alcohol, tobacco, and drug use, abuse, and addiction, including their effects on individuals, families, and communities. Information dissemination is characterized by one-way communication from the source to the audience, with limited contact between the two.
2. Education: this strategy involves two-way communication and is distinguished from the Information Dissemination strategy by the fact that interaction between the educator/facilitator and the participants is the basis of its activities. Activities under this strategy aim to improve critical life and social skills, including decision-making and refusal skills, critical analysis (e.g. media messages), and judgment abilities.
3. Problem Identification & Referral: this strategy aims at identifying those
individuals who have indulged in illegal/age-inappropriate use of tobacco or alcohol and those individuals who have indulged in the first use of illicit drugs, assessing whether their behavior can be reversed through education. This strategy does not include any activity designed to determine if a person is in need of treatment.
4. Community-Based Process: this strategy aims to enhance the ability of the
community to more effectively provide prevention and treatment services for alcohol, tobacco, and drug abuse disorders. Activities in this strategy include organizing, planning, and enhancing efficiency and effectiveness of service implementation, interagency collaboration, coalition building, and networking.
ICBHS-ADP has two outpatient clinics, which are centrally located at 1295 State Street in El Centro, CA, that serve both adults and adolescents, respectively. In addition, ICBHS-ADP has 15 satellite outpatient clinics that are co-located in the following school districts to better serve adolescents:
Brawley Elementary School District
Brawley Union High School District
Calexico Unified School District
El Centro Elementary School District
Central Union High School District
Imperial County Office of Education – Alternative Education
San Pasqual Valley Unified School District
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Moreover, Imperial County complements its primary prevention efforts by contracting with local service providers, such as the Imperial County Office of Education Friday Night Live and Club Live Clubs and the Sure Helpline Center. The Imperial County Office of Education is contracted for the provision of substance abuse prevention materials for dissemination to the community. Due to being accessible on a 24-hour basis, Sure Helpline Center is contracted for the provision of information to the entire community in Imperial County, providing information on substance abuse, prevention, and local and regional resources.
Capacity Building
ICBHS-ADP continues to build capacity by actively participating in local coalitions and prevention oriented meetings to inform the community and local stakeholders of the Strategic Prevention Framework assessment process, findings, and prevention efforts. ICBHS-ADP is committed to partnering with local community stakeholders who share an interest in preventing alcohol and drug-related problems in Imperial County. Imperial County currently has an Alcohol & Drug Prevention Coalition in place, which consists of representation from the following agencies:
ICBHS Adolescent ODF & Expanded Programs
ICBHS Adult ODF Program
Clinicas de Salud del Pueblo
Fort Yuma Alcohol and Drug Abuse Prevention Program
Imperial County Interagency Steering Committee
Imperial County Office of Education
Imperial Valley Regional Occupational Program
Imperial County Probation Department
Imperial County Public Health Department
Imperial County Sheriff’s Office
Sure Helpline Center The Alcohol & Drug Prevention Coalition meets on a quarterly basis to identify and assess the needs of the community, collaborate on prevention services and activities, and discuss current and emerging substance abuse trends to better implement and develop Imperial County’s Strategic Prevention Framework. In addition to the Alcohol & Drug Prevention Coalition, ICBHS-ADP has an Alcohol & Drug Prevention Workgroup in place that actively works to evaluate current services ensuring that goals and objectives are being met. The Alcohol & Drug Prevention Workgroup consists of ICBHS-ADP management, supervisors, and treatment and prevention staff.
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The Alcohol & Drug Prevention Coalition is also linked to Imperial County’s Interagency Steering Committee, which is the most diversified and complete representative body in Imperial County. The Interagency Steering Committee includes the following agencies:
Imperial County Office of Education
Imperial County Department of Social Services
Imperial County Probation Department
Imperial County Behavioral Health
Imperial County Sheriff’s Office
Local Coordinating Committee (LCC)
Imperial Valley College
San Diego State University-IV Campus
Employment Development Department
Imperial County Public Health Department
County Executive Office
Imperial County Superior Court
District Attorney’s Office The Alcohol & Drug Prevention Coalition is currently working to expand by coordinating the participation of the following agencies, which identified themselves as providers in the ICBHS-ADP Prevention Services survey:
CHARLEE Family Care, Inc.
Calexico High School
City of El Centro
Dool Elementary School
Fremont Primary School
Imperial County Public Authority
IV Methadone Clinic
Niland Family Resource Center
Rockwood Elementary School Additionally, the Alcohol & Drug Prevention Coalition would like to further expand its law enforcement, substance abuse provider, and social service provider representation by inviting the following agencies to participate:
Alcoholics Anonymous
Border Patrol
CalWORKs
California Highway Patrol
Center for Family Solutions
Child Abuse Prevention Council
El Centro Police Department
Family Resource Centers
IV Drug Rehabilitation
IV Ministries
New Creations
Sheriff’s Athletic League
Sober Roads
Turning Point Ministries
Victory Outreach
Volunteers of America
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Step 3: Planning
Overview of the Planning Process
The Planning Process is the development of the Strategic Prevention Framework, which involves applying assessment results to develop policies, programs, and practices based on evidence-based theories. The plan should address the issues/problems and priorities identified during the assessment process, utilizing strategic goals, objectives, measurements, performance targets, and logic models to meet community needs. In the development of the 2011-2014 Strategic Prevention Framework, ICBHS-ADP built upon the plan originally put in place in 2007. In reviewing the data gathered during the assessment process, it was agreed upon by the Alcohol & Drug Prevention Coalition, Alcohol & Drug Prevention Workgroup, and partners that the target areas would remain the same, which are to reduce substance abuse, reduce underage drinking, and enhance the prevention system (Appendices A & B).
ICBHS A&D Prevention Goals
Priority Area 1: Reduction of Substance Abuse
Goal 1: Reduce substance abuse and its associated risks amongst children, adolescents, transition-age youth, adults, and older adults.
Priority Area 2: Reduction of Underage Drinking
Goal 1: Reduce alcohol use associated with cultural and social access. Priority Area 3: Enhance the AOD Prevention System
Goal 1: Expand the participation and collaboration of community organizations in preventing illegal AOD use and its related problems.
Goal 2: Increase prevention providers’ awareness of AOD trends and evidence-based practices.
Goal 3: Improve prevention implementation and evaluation.
Mission & Vision
Imperial County Behavioral Health Services, Alcohol & Drug Programs’ mission is to provide quality professional services that respect individuality and cultural diversity. Our services, offered in a nonjudgmental environment, will promote dignity and self-empowerment for individuals on their journey of wellness and recovery. Our goal is independence and community integration for individuals with the support of family, peers and the community. Imperial County Behavioral Health Services, Alcohol and Drug Programs’ vision is to eradicate harmful alcohol and illegal drug use among children and adults by providing awareness, education, and treatment to the individual, their families, and the community by assisting them in becoming capable persons who are able to make effective personal choices resulting in successful life management practices.
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Step 4: Implementation
Based on the listed priority areas and goals, it is the intention of ICBHS-ADP to utilize all evidence-based prevention services currently being provided by ICBHS-ADP and by both the Sure Helpline Center and the Imperial County Office of Education. Through this arrangement, ICBHS-ADP’s prevention efforts will focus primarily on implementing the four strategies listed in the capacity process, which will target those local areas identified in the planning process. Additionally, ICBHS-ADP will work with its partners to identify additional evidence-based practices to better implement current prevention strategies, as well as expand to incorporate the alternative and environmental prevention strategies. ICBHS-ADP understands that partnering with local community stakeholders who share an interest in preventing alcohol and drug-related problems in Imperial County is essential in both planning and implementing Imperial County’s Strategic Prevention Plan. ICBHS-ADP will provide technical assistance and resources (i.e. funding or training materials), as they are made available, to implement the different prevention components mentioned above. All technical assistance provided by ICBHS-ADP will primarily focus on the program content of the specific prevention service, strategy, or component, and outcomes/evaluation tools that should be used to gauge the impact of the prevention efforts in our local communities.
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Step 5: Evaluation To measure the progress made toward the goals identified in the planning process, ICBHS-ADP will utilize the data sources included in this plan, paying particular attention to local substance abuse treatment admissions data, California Healthy Kids Survey results, yearly alcohol-involved collisions, yearly drug-related arrests, and local crime data. Additionally, ICBHS-ADP will closely monitor CalOMS Prevention data to ensure that provided services are on target. ICBHS-ADP will also work to establish the collection of more primary data, which will include the development of substance abuse/use and perception surveys and the development of additional partnerships for the sharing of local information.
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Appendix A Imperial County Alcohol & Drug Prevention
Goals & Objectives Priority Area 1: Reduction of Substance Abuse
Goal 1: Reduce substance abuse and its associated risks amongst children, adolescents, transition-age youth, adults, and older adults.
Objective 1.1: Educate youth about the risks associated with substance abuse as measured by the number of direct services provided.
Objective 1.2: Educate adults about the risks associated with substance abuse as measured by the number of direct services provided.
Objective 1.3: Increase community awareness about substance abuse and its associated risks as evidenced by the amount of outreach and engagement activities conducted.
Priority Area 2: Reduction of Underage Drinking
Goal 1: Reduce underage alcohol use associated with cultural and social access.
Objective 1.1: Educate youth about the risks associated with underage drinking as measured by the number of direct services provided.
Objective 1.2: Educate adults about the risks and behaviors associated with underage drinking as measured by the number of direct services provided.
Objective 1.3: Increase community awareness about underage drinking and its associated risks as evidenced by the amount of outreach and engagement activities conducted.
Priority Area 3: Enhance the AOD Prevention System
Goal 1: Expand the participation and collaboration of community organizations in preventing illegal AOD use and its related problems.
Objective 4.1.1: Increase community awareness of the existence of local prevention programs, as measured by the amount of outreach and engagement provided.
Objective 4.1.2: Expand the Imperial County Prevention Coalition to include the active participation of community members and sectors such as law enforcement, schools, youth, parents, and other prevention organizations, as measured by Prevention Coalition meeting attendance.
Goal 2: Increase prevention providers’ awareness of AOD trends and evidence-based practices.
Objective 4.2.1: Distribute information to providers on new AOD trends and evidence-based practices, as measured by the number of informational services provided.
Goal 3: Improve prevention implementation and evaluation. Objective 4.3.1: Regularly monitor progress on identified goals and objectives, as evidenced by implemented measurement and evaluation tools.
Objective 4.3.2: Research, identify, and/or develop materials for use by ICBHS Prevention staff, as evidenced by the amount of new materials utilized.
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Appendix B Goals & Objectives Work Plan
Priority 1: Reduction of Substance Abuse Goal 1: Reduce substance use and its associated risks amongst children, adolescents, transition-age youth, adults, and older adults.
Identified Problem Contributing Factors Objectives Strategy Examples Short-Term Outcomes
Long-Term Outcomes
Evaluation
Adolescents, transition-age youth, adults, and older adults are at risk for abusing illegal substances, resulting in increased risk to individual health,
safety, and home and school functioning, as well as community
impacts such as crime and vandalism.
The community has been responding inconsistently to substance abuse and its associated risks, including
individual safety and wellness, crime, and vandalism.
The availability of illicit substances due to proximity to
Mexico.
Lack of perceived harm regarding the use of illicit
substances.
Educate youth about the risks associated with substance abuse as
measured by the number of direct services
provided.
Information Dissemination Provide information to youth, through
pamphlets, brochures, presentations, etc., to raise awareness and increase knowledge of the nature and extent of substance abuse.
Education
Engage in small group sessions or lessons with youth in order to educate on the effects and risks associated with substance abuse.
Problem ID & Referral
Problem ID & Referral may be used as needed.
Increased youth awareness of the
effects and risks of substance abuse
Decreased rates of substance abuse among
youth
CalOMS Pv Data
CHKS
ICBHS Admissions
Data
Local Crime Data
“Too Good for Drugs”
Evaluation Tool
Youth & Adult Drug
Perception Survey
Educate adults about the risks associated with substance abuse as
measured by the number of direct services
provided.
Information Dissemination Provide information adults, through
pamphlets, brochures, presentations, etc., to raise awareness and increase knowledge of the nature and extent of substance abuse.
Education
Engage in small group discussions or lessons with adults in order to educate on
the effects and risks associated with substance abuse.
Problem ID & Referral
Problem ID & Referral may be used as needed.
Increased adult awareness of the
effects and risks of substance abuse
Decreased rates of substance abuse among
adults
Individuals are unaware of many of the effects and risks associated with substance
abuse.
Increase community awareness about
substance abuse and its associated risks as
evidenced by the amount of outreach and
engagement activities conducted.
Information Dissemination Provide information to the community,
through pamphlets, brochures, presentations, etc., to raise awareness and
increase knowledge about substance abuse.
Education Engage in small group sessions or lessons with community agencies/members in order
to educate on the effects and risks associated with substance abuse.
Community-Based Process
Collaborate with community agencies to increase outreach regarding substance
abuse to high-risk individuals
Increased community
knowledge and awareness of the effects, risks, and
symptoms associated with
substance abuse
Decreased rates of substance
abuse
CalOMS Pv
Data
CHKS
ICBHS Admissions
Data
Local Crime Data
Youth & Adult Drug
Perception Survey
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Priority 2: Reduction of Underage Drinking Goal 1: Reduce underage alcohol use associated with cultural and social access.
Identified Problem Contributing Factors Objectives Strategy Examples Short-Term Outcomes
Long-Term Outcomes
Evaluation
Youth are obtaining and consuming alcohol in social settings, which
results in risks to individual health, safety, and home and school
functioning, as well community impacts such as crime and
vandalism.
The community has been responding inconsistently to the underage use of
alcohol and its associated risks, including individual safety and
wellness, crime, and vandalism.
Youth are crossing the border into Mexico in order to obtain
and consume alcohol, as underage drinking laws aren’t
strictly enforced there.
Youth are consuming alcohol at home parties with their
peers.
Educate youth about the risks associated with underage drinking as
measured by the number of direct services
provided.
Information Dissemination Provide information to youth, through
pamphlets, brochures, presentations, etc., to raise awareness and increase knowledge of the risks associated with underage drinking.
Education
Engage in small group sessions or lessons with youth in order to educate on the effects and risks associated with underage drinking.
Problem ID & Referral
Problem ID & Referral may be used as needed.
Increased youth awareness of the
effects and risks of underage alcohol
use
Decreased rates of underage
alcohol consumption
CalOMS Pv Data
CHKS
ICBHS Admissions
Data
Local Crime Data
“Too Good for Drugs”
Evaluation Tool
Youth Alcohol Perception
Survey
Youth are being given access to alcohol by their parents at home or at social settings.
Educate adults about the risks and behaviors
associated with underage drinking as measured by
the number of direct services provided.
Information Dissemination Provide information to adults, through
pamphlets, brochures, presentations, etc., to raise awareness and increase knowledge of the nature and extent of underage alcohol
use.
Education Engage in small group discussions or
lessons with adults in order to educate on the effects and risks associated with
underage drinking and how to modify the behavior.
Increased adult awareness of the
effects and risks of underage alcohol
use
Decreased rates of underage
alcohol consumption
Adult Alcohol Perception
Survey
CalOMS Pv Data
CHKS
ICBHS Admissions
Data
Local Crime Data
Individuals are unaware of many of the effects and risks
associated with alcohol abuse.
Increase community awareness about
underage drinking and its associated risks as
evidenced by the amount of outreach and
engagement activities conducted.
Information Dissemination Provide information to the community,
through pamphlets, brochures, presentations, and media outlets, etc., to
raise awareness and increase knowledge of the nature and extent of underage alcohol
use.
Education Engage in small group sessions or lessons with community agencies/members in order
to educate on the effects and risks associated with underage drinking.
Community-Based Process
Collaborate with community agencies to increase outreach to youth and
parenting/mentoring adults on the risks associated with underage drinking.
Increased community
knowledge and awareness of the effects, risks, and
symptoms associated with
underage alcohol consumption
Decreased rates of underage
drinking
CalOMS Pv Data
CHKS
ICBHS Admissions
Data
Local Crime Data
Youth & Adult Alcohol
Perception Survey
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Priority3: Enhance the AOD Prevention System Goal 1: Expand the participation and collaboration of community organizations in preventing illegal AOD use and its related problems.
Identified Problem Contributing Factors Objectives Strategy Examples Short-Term Outcomes
Long-Term Outcomes
Evaluation
Current levels of participation and collaboration between ICBHS and other agencies results in less than
efficacious Prevention programming in Imperial County.
Many community agencies may not be aware of the
existence of the A&D Prevention Coalition or of the prevention services available
through ICBHS.
Increase community awareness of the existence of local
prevention programs, as measured by the amount
of outreach and engagement provided.
Information Dissemination Provide information to the community,
through pamphlets, brochures, presentations, etc., to raise awareness of
the existence of community prevention programs.
The community will have a fuller
awareness of the existence of local
prevention services.
The community will have
decreased rates of substance abuse due to
better access to prevention services.
Community Prevention
Survey
Lack of participation in prevention planning and
activities by outside agencies.
Expand the Imperial County Prevention
Coalition to include the active participation of
community members and sectors such as law
enforcement, schools, youth, parents, and other prevention organizations,
as evidenced by Prevention Coalition
attendance.
Information Dissemination Provide information (brochures, flyers, meeting minutes, etc.) to community
agencies on the A&D Prevention Coalition.
Community-Based Process Collaborate with community agencies to
encourage and solicit their active participation in the Prevention Coalition.
Increased awareness of the Imperial County
Prevention Committee amongst
community agencies
Participation and involvement from
a wide representation of
community agencies
Imperial County Prevention
Coalition Meeting Attendance
Priority 3: Enhance the AOD Prevention System Goal 2: Increase prevention providers’ awareness of AOD trends and evidence-based practices.
Identified Problem Contributing Factors Objectives Strategy Examples Short-Term Outcomes
Long-Term Outcomes
Evaluation
Prevention providers may not be offering the evidence-based services they could be due to lack of training
and/or limited resources and analysis of outcomes.
There is a lack of communication and
collaboration between providers.
There is potential lack of
access by providers to new information on AOD trends and
evidence-based practices.
Distribute information to providers on new AOD trends and evidence-based practices, as
measured by the number of informational services
provided.
Information Dissemination Provide information and training support to
prevention providers.
Community-Based Process Provide training and technical assistance to
prevention providers on current and new prevention practices.
Prevention providers will have a fuller awareness
of prevention practices used to
counter substance abuse
Prevention providers will
implement new practices that
effectively counter substance abuse
trends
CalOMS Pv Data
Community Prevention
Survey
Imperial County Alcohol & Drug Prevention Strategic Prevention Framework, 2011-2014
Page 52
Priority 3: Enhance the AOD Prevention System Goal 3: Improve prevention planning and evaluation.
Identified Problem Contributing Factors Objectives Strategy Examples Short-Term Outcomes
Long-Term Outcomes
Evaluation
Systematic, evidence-based, and outcome-driven prevention practices
are an emerging process that necessitates reorganization of local
resources, policies, and programming. ICBHS recognizes that
additional performance and organizational development is
necessary to manage this emerging system.
ICBHS has found difficulty in successfully tracing outcome
data and progress toward identified goals and objectives.
Regularly monitor progress on identified
goals and objectives, as evidenced by implemented
measurement and evaluation tools.
Community-Based Process Assessing community needs; assessing
community services; evaluation; systematic planning; etc.
Improved tracking of data and outcomes
Met goals and objectives; better implemented SPF
CalOMS Pv Data
CHKS
Community Prevention
Survey
ICBHS Admissions
Data
Imperial County
Prevention Coalition
Attendance
Local Crime Data
“Too Good for Drugs”
Evaluation Tool
Youth & Adult Alcohol & Drug
Perception Survey
A lack of systematic Prevention programming has
limited the development of resources necessary for
Prevention staff.
Research, identify, and/or develop materials for use
by ICBHS Prevention staff, as evidenced by the amount of new materials
utilized.
Community-Based Process Assessing community needs; assessing
community services; evaluation; systematic planning; technical assistance; training
services; etc.
The development and selection of
specific prevention material geared toward meeting
identified goals and objectives
More cohesive and reliable evaluation of
identified goals and objectives.
CalOMS Pv Data
Recommended