Many Voices ~ One Vision Partner Agencies Government Center Indianapolis, IN July 25, 2006 Barbara Seitz de Martinez, PhD, MLS, CPP Deputy Director Indiana

Many Voices ~ One VisionPartner Agencies Government Center

Indianapolis, INJuly 25, 2006

Barbara Seitz de Martinez, PhD, MLS, CPP

Deputy DirectorIndiana Prevention Resource Center

Prevention Planning and Grant-Writing

Using the SPF Logic Model Applied tothe Case of Methamphetamine

Acknowledgments

Special thanks to • Merrill Hatlen, MA, IPRC Grants

Consultant• Rosie King, IPRC Grant-Writer

The Indiana Prevention Resource Center is funded, in part, by a contract with Indiana Family and Social Services Administration, Division of Mental Health and Addiction, financially supported through HHS/Substance Abuse Mental Health Services Administration, Center for Substance Abuse Prevention, Substance Abuse Prevention and Treatment Block Grant. The IPRC is operated by Indiana University Department of Applied Health Science, School of Health, Physical Education and Recreation. It is affiliated with the Department’s Institute of Drug Abuse Prevention.

Strategic Prevention Framework:Outcomes-Based Prevention

Source: U.S. Department of Health and Human Services, SAMHSA, CSAP

Profile population needs, resources, and readiness to address

needs and gapsMonitor, evaluate,

sustain, and improveor replace those that

fail

Develop a Comprehensive Plan

Implement evidence-based prevention

programs andactivities

Mobilize and/or build capacity to address needs

Cultural CompetenceSustainability

Indiana Prevention Resource

Center

Cultural Competence:

Organizational Dimensions

Cultural Competency is:more than being sensitive to ethnic differences more than not being a bigotmore than the warm fuzzy feelingcrucial to provision of services and retention of clients

It is a set of congruent practical skills, attitudes, policies and structures which come together in a system, agency or among professionals which enables that system or those professionals to work effectively in cross-cultural situations. (Taylor, 2002)


Center

Cultural Competency Spectrum

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Dest

ruct

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ess

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Inca

paci

ty

Cu

ltu

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Bli

nd

ness

Cu

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Pre

com

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nce

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Pro

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Source: Taylor, Trusanda. “Effective Cross-Cultural Communication in DA Intervention. In Ethnicity and Substance Abuse Xueqin Ma & Henderson, 2002.


Center

Ethnocultural Competency

Valuing diversityUnderstanding one’s own ethnocultural background & values Basic knowledge about the ethnoculture of clients Commitment to working with diverse clientsAdapting practices/skills to fit client’s ethnocultural backgroundFlexibility in reaching out to appropriate cultural resources Source: Straussner, Shulamith Lala Ashenberg, ed. Ethnocultural Factors in

Substance Abuse Treatment. New York: Guilford Press, 2003.

“ability … to function effectively in the context of ethnocultural differences”

Ethnocompetency includes:

Profile Population


• Needs Assessment Worksheet

GIS in PreventionCounty Profile Fact Sheet

IPRC website: www.drugs.indiana.edu/resources/prev-stat/

GIS in PreventionCounty Profile (complete)

IntroductionPREV-STAT™ Overview Geographic and Historical NotesProtective FactorsBasic Demographics Archival Indicators of RiskCommunity Risk Factors

– Availability of Drugs – Laws and Norms – Transitions and Mobility – Extreme Economic and Social Deprivation – Family Risk Factors Management Problems

Complementary ResourcesAppendices

– Including Ranking Tables, Counties by Variable

IPRC website: www.drugs.indiana.edu/resources/prev-stat/

5.7 Educational Attainment

Table 5.7: Educational Attainment (AGS, 2004 est., 2005)

Educational Attainment, 2004 est. (AGS, 2005)

Dubois Co. Indiana U.S.

Less than 9th grade 9.1 5.3 7.6

9th to 12th grade, no diploma 10.8 12.6 12

Total, Less Than 9th or Less Than HS Diploma 19.9 17.8 19.6

High school graduate 44.7 37.2 28.6

Some college, no degree 13.9 19.8 21.1

Associate degree 7.4 5.8 6.3

Bachelor's degree 9.2 12.2 15.6

Graduate or profession degree 4.9 7.2 8.9

Rank for % of Pop 25+ w/ less than HS diploma 39 26th of 51

Rank for % of Pop 25+ w/ a college degree 22 43rd of 51

Source: IPRC, GIS in Prevention, Series 3, Dubois County Profile, Bloomington: Indiana Prevention Resource Center, 2006.

5.8 Households

Table 5.8: Median Age and Household Income (AGS, 2004 est., 2005)

Households, Families, and Income, 2004 est.

Fayette Indiana U.S.

Households (2004) 10,462 2,465,349 112,708,665

Families (2004) 7,191 1,659,694 75,740,018

Households with children (2004) 3,482 864,296 40,102,709

Average Household Income 51,906 57,000 63,396

Per capita income 22,059 22,807 24,583

Rank for Ave HH Income High-Low 57 28th of 51

Rank for Per Cap Income H-L 31 25th of 51

Average Age of Householder 45-54 yrs. 45-54 yrs.

Source: IPRC, GIS in Prevention, Series 3, Fayette County Profile,

Bloomington: Indiana Prevention Resource Center, 2006.

5.9 Families (by type)

Table 5.9a: Types of Households with Children (AGS, 2004 est., 2005); Median Family Income (AGS, 2004 est., 2005)

Types of Households w/ Children and Median Family Income, 2004 est. (AGS, 2005)

County Hamilton Co. Indiana U.S.

HHs w/ children (2004) 36,645 864,296 40,102,709Married Couple Family (Percent) 84.1 70 69Lone Parent Male (Percent) 3.9 6.9 6.8Lone Parent Female (Percent) 11.4 21.8 23.2Non-family Male Head (Percent) 0.5 1.1 0.8Non-family Female Head (Percent) 0.1 0.2 0.2Median Family Income 86,222 54,393 54,087Rank for Married Couple Family (% of HHs w/ children) 1 26th of 51 Rank for Median Family Income 1 21st of 51

Source: IPRC, GIS in Prevention, Series 3, Hamilton County Profile, Bloomington: Indiana Prevention Resource Center, 2006.

Map: Education, Any College

Degree

Source: IPRC, GIS in Prevention, Series 3, Hamilton County Profile, Bloomington: Indiana Prevention Resource Center, 2006.

Complementary Resources

• IPRC PREV-STAT Service (www.drugs.indiana.edu/resources/prev-stat)

• STATS Indiana (www.stats.indiana.edu) • Indiana Youth Institute (www.iyi.org)• Indiana Department of Education

(ideanet.doe.state.in.us)• Indiana Criminal Justice Institute (www.icji.in.gov)• FBI Uniform Crime Report

(fisher.lib.virginia.edu/collections/stats/crime/)• U.S. Census Bureau American Factfinder

(www.census.gov)• SAVI (www.savi.org)• Social Indicator System (www.sis.indiana.edu)• Indiana State Department of Health (www.in.gov/isdh/)

Methamphetamine:

Data for Problem Description

SPF SIG Logic Model

Substance-RelatedConsequences

and Use

Intervening Factors

Strategies

Adapted from CSAP, Strategic Prevention Framework, Indianapolis, Feb. 21, 2006

www.in.gov/dcs/policies/dec.html

Who?

• *Rural / urban / suburban

• *White / Hispanic / African-Americans

• Heterosexual / homosexual

• Young adult, mature adult, youth, child

• Male and female

• Substance users / polydrug users

“There’s no such thing as a typical meth user.” -- recovering meth addict

Consequences of Use


and Use

Community• Crime• Family services• School• Healthcare, environment

Individual• Physical damage• Psychological damage• Harm loved ones• Family disintegration


Consequences of Use


and Use

Addiction,brain damage,HIV/STDs,weight loss,paranoia,hallucination,dental damage, fetal effects,Familydisintegration,

Other effects to community: violent crime, child abuse, child neglect, strain on child services, school personnel, healthcare services, law enforcement, judicial system

burns,loss of

children,loss of job,loss of

marriage,imprisonment

Ill effects to addict:

Short-term Effects

Dopamine is normally recycled in the body. Once fired, cocaine blocks the return of the dopamine. Meth, too, blocks its return. But meth also destroys terminals that fire the dopamine. Permanent damage results from improper regrowth of tissue.

Source: Richard Rawson, “Meth: A Focus on Women and Children,” Women and Children in Recovery Conference of the Indiana Family and Social Services Administration, Division of Mental Health and Addiction, IN Government Building, April 7, 2005.

Source: Bill O’Dell, Community Prevention Specialist, West Virginia Prevention Resource Center, “What’s Up with Meth” PowerPoint, 2004



Source: DOJ, DEA, Pseudoephedrine Brochure, Aug. 2003

Source: Michael G. Heavican, U.S. Attorney for District of Nebraska, Photos taken by Lincoln police of persons arrested for meth possession.

1999 2001

Consequences of Use


and Use

Binge Phase: Physical Abuse – agitated, violent behavior Sexual Abuse – libido increasedNeglect – intensely self-centered

Effects upon Parenting:

Crash Phase:

1. Insomnia2. Intense sleep3. Intense hunger4. Depression

Physical Abuse – violent, easily agitatedSexual Abuse – children unprotected from othersNeglect – no supervision, neglect of child’s needs

Consequences for Children


Use: Consumption Patterns


and Use

Overall consumption dataAcute, heavy consumption dataConsumption in risky situations• Parties• Homes with children• Unsafe sex (STDs, HIV)

Consumption by high-risk groups

• Pregnant Women• Youth, college students




Age of 1st Use -- U.S.

Source: National Survey of Drug Use and Health, 2005

Year Age of 1st Use

2002 18.9

2003 20.4

2004 22.1

Past Year Use

Source: SAMHSA, 2006

Year Who Percent

2002-4 12-17 0.7%

2002-4 18-25 1.6%

2002-4 26+ 0.4%

2002-4 Males 0.7%

2002-4 Females 0.5%

Past Year Use, Ages 12-17, U.S.


Year Past Year Use

2002 0.9%

2004 0.5%

Past Month Use, Ages 12-17, U.S.

Source: http://www.whitehousedrugpolicy.gov/drugfact/methamphetamine/index.html Last up-dated 6/3/05. (Accessed 6/4/05)


Year Past Month Use

2002 0.3%

2003 0.3%

2004 0.2%

http://www.whitehousedrugpolicy.gov/drugfact/methamphetamine/index.html

Indiana Youth Gr. 9-12, Life Time Ues

Source: YRBS, 2005

Year IN US

2003 8.2% 7.6%

2005 7% 6.2%

Only increase was for IN 10th Graders, 6.9% up from 6.6%.

Prevalence – Youth, U.S.

Source: http://www.whitehousedrugpolicy.gov/drugfact/methamphetamine/index.html Last up-dated 6/3/05. (Accessed 6/4/05)

Source: National Institute on Drug Abuse and University of Michigan, Monitoring the Future 2004 Data from In-School Surveys of 8th-, 10th-, and 12th-Grade Students, December 2004

Source Year Group Time % SubstYRBSS 2003 HS Life 7.6 Meth

MFS 2003 College

Life 5.8 Meth

MFS 2003 19-28 Life 8.9 Meth

MFS 2003 College

Yr. 2.6 Meth

MFS 2003 19-28 Yr. 2.7 Meth

MFS 2003 College Mo. 0.6 Meth

MFS 2003 19 to28 Mo. 0.7 Meth

MFS 2004 HS-Snr Life 4 Ice

http://www.whitehousedrugpolicy.gov/drugfact/methamphetamine/index.html

http://monitoringthefuture.org/data/04data.html#2004data-drugs

http://monitoringthefuture.org/data/04data.html#2004data-drugs

Methamphetamine Use byIndiana 6th – 12th Graders, 2005

6th 7th 8th 9th 10th 11th 12th0

20

40

60

80

100

per

cen

t o

f st

ud

ents

usi

ng

Monthly Annual Lifetime

Source: Indiana Prevention Resource Center at Indiana University, 2005

We have better things to do than drugs!

The 2005 survey was the first in this series to include questions on methamphetamine use. Current use of methamphetamines increases with age.

Annual Use of Meth Indiana and U.S.

Source: Indiana Prevention Resource Center at Indiana University, 2005 Johnston, et al., National Institute on Drug Abuse, 2004

8th 10th 12th0

5

10

perc

en

t o

f st u

de

nts

usi n

g

Indiana National

Monthly Use of Meth Indiana and U.S.

Source: Indiana Prevention Resource Center at Indiana University, 2005 Johnston, et al., National Institute on Drug Abuse, 2004

8th 10th 12th0

5

10

perc

en

t o

f s

t ud

en

ts u

si n

g

Indiana National

Intervening/Causal Factors


and Use

Intervening Factors

Community• Crime• Family

services• School• Healthcare

Individual• Physical damage• Psychological damage• Harm loved ones• Family disintegration

Community• Availability

– Price– Local labs, street, retail– Social

• Social Norms• Enforcement

Individual• Perceptions of risk• Perceptions of harm


Map: Meth Lab Busts, 2004

Total lab busts:

14,133

Indiana Prevention Resource Center

Map: Meth Lab Busts, 2005

Total lab busts:

12,226


Map: Meth Lab Busts 2004

Total lab busts, 1539


Source: IN State Police, 2005

Map: Meth Lab Busts 2004

Total lab busts, 1539 Indiana Prevention Resource Center Source: IN State Police, 2005

Map: Meth Busts Jan-Oct 15, 2005

Total lab busts to mid October, 846


Source: IN State Police, 2005

Map: Meth Busts, 2004, 2005

Total lab busts to mid October, 846

Indiana Prevention Resource CenterSource: IN State Police, 2005

Total lab busts, 1539

Intervening/Causal Factors


and Use

Intervening Factors



Individual• Physical damage• Psychological

damage• Harm loved ones• Family

disintegration

Social Values• Overachievement• Thinness ideal• Economic success• Letting others set your goals• Seeking the ‘high’• Thrill of risk taking

Individual• Coping mechanism • Peer pressure


Strategies


and Use

Intervening Factors





disintegration


– Price– Retail– Social


Individual• Perceptions of

risk• Perceptions of

harm

Strategies

Address problems identified and causal factors


Activity

• Review federal requirements of Drug-Free Communities grant application

• Note your community concerns and relevant data on worksheet

Grant-Writing Tips


Assessment:CONVINCE THEM

OF THE NEEDCapacity:

Highlight AWARENESS, WHAT YOU BRINGWHAT YOU GAIN

•Good writer

•Easy to read

•Team ideal

•Investment opportunity

•Show cultural competency

•Document process

•Address sustainability

Grant-Writing Tips



OF THE NEED

Describe Your Plan:Base on Literature, Logic Model

Step-by-Step BlueprintBuild in Evaluation

Capacity:Highlight AWARENESS,

WHAT YOU BRINGWHAT YOU GAIN

•Use Logic Model

•Support w/ research

•Gain investor confidence

•Detail steps in plan

•Address cultural competency


•Connect the dots (parts)

Anticipate the Future

Cultural Competence


Profile population needs, resources, and readiness to address

needs and gaps

Develop a Comprehensive Plan

Mobilize and/or build capacity to address needs

Sustainability

Monitor, evaluate, sustain, and improveor replace those that

fail



Grant-Writing Tips: Anticipate the Future

Cultural Competence


Sustainability

Monitor, evaluate, sustain, and improveor replace those that

fail



•Explain rationale for selection of evidence-based program/policy/practice.

•Show you understand the need for fidelity

•Explain how you will monitor for fidelity

•Build evaluation into the plan.

IN Meth Strategies

Meth Strategies


and Use

Intervening Factors





disintegration


– Price– Retail– Social


Individual• Perceptions of

risk• Perceptions of

harm

Strategies

Reduce availabilityLegislation/PolicyDye in anhydrous

Awareness campaignsCommunity actionCurricula / programsTrainings – CPS, SchoolProvisions for ChildrenHealthcare workersLaw enforcement


Meth Strategies


and Use

Intervening Factors

Strategies

IN Drug Endangered Children (DEC) Response Protocol (8/05)

•Initial Discovery: Removal of Children •Preliminary Medical Assessment of Children•Emergency Transport of Children to Medical Facility•Photograph and Decontaminate Child from Meth Lab•Obtain Urine Sample from Child w/in 12 hrs.•Forensic Interview of Children •Transfer to Shelter, Locate other Children, Document, •Complete Medical Evaluation, Prosecution•Follow-up Care for Children


Meth Strategies


and Use

Intervening Factors

Strategies

IN Drug Endangered Children (DEC) Comprehensive Care (8/05)

•Preliminary medical assessment -- immediate to 2 hrs.•Emergency care -- immediately for any critical needs•Complete evaluation and care -- w/in 24 hrs. of removal•Initial follow-up exam and care -- 30 days from removal•Long-term follow-up exam and care -- 12 mo. after removal



Meth Strategies


and Use

Intervening Factors

Strategies

Legislation controlling the sale of ephedrine by retailers (July ‘05)

•Limits amount of purchase•Records names of purchasers•Database to track purchases•Tracking log books



Meth Strategies


and Use

Intervening Factors

Strategies

Policy Goals and Objectives for Indiana:

•Local and State Coordination•Policy and Planning Strategies•Enforcement Strategies•Precursor Chemical Control Strategies•Prevention/Drug Demand Reduction Strategies•Property Remediation/Meth Lab Clean-up Strategies•Treatment Strategies



Meth Strategies


and Use

Intervening Factors

Strategies

Meth Tip Hotline (CJI, 877-855-6384)IN Criminal Justice InstituteIndiana Meth Watch Program (Criminal Justice Institute, Sept)Meth Free Indiana CoalitionWorking Group of Meth Free Indiana CoalitionPrecursor Chemical Control Strategies (glowtel to turn pink)Be Aware/Be Safe ProgramMeth RepositoryMidwest Governors Association Regional Meth Summit



Grant-Writing Tips

• Take advantage of IPRC and other help– To ID best resources (Grant Consultant)– For help with literature search (Library)– To help with population profile (PREV-STAT)

• Look locally first, e.g., local foundations

• Then outer layers, state, regional, national

• Federal is longest shot

Grant-Writing Tips



OF THE NEEDCapacity:

Highlight AWARENESS, WHAT YOU BRINGWHAT YOU GAIN

•Good writer

•Make easy to read

•Form a Team

•Show investment opportunity

•Show cultural competency

•Document process


Grant-Writing Tips



OF THE NEED

Describe Your Plan:Base on Literature, Logic Model


Capacity:Highlight AWARENESS,


•Use Logic Model

•Support w/ research

•Gain investor confidence

•Detail steps in plan

•Address cultural competency


•Connect the dots (parts)

Grant-Writing Tips: Anticipate the Future

Cultural Competence


Sustainability

Evaluation: Plan for on-going Monitoring

and Evaluation

Implementation:Evidence-based strategy

with fidelity

•Explain your rationale for selection of evidence-based program/policy/practice.

•Show you understand the need for fidelity

•Explain how you will monitor for fidelity

•Build evaluation into the plan. Explain steps clearly.

Grant-Writing Tips:


Assessment CONVINCE THEM

OF THE NEED

Describe Your PlanBase on Literature, Logic Model


CapacityHighlight AWARENESS,


Evaluation: Plan for on-going Monitoring

and Evaluation

Implementation:Evidence-based strategy

with fidelity

Cultural CompetenceSustainability

Thank you!

Barbara Seitz de Martinez, PhD, MLS, CPPDeputy Director, Head LibrarianIN Prevention Resource Center800 / 346-3077812 / [email protected]

Documents

Many Voices ~ One Vision Partner Agencies Government Center Indianapolis, IN July 25, 2006 Barbara Seitz de Martinez, PhD, MLS, CPP Deputy Director Indiana