Updated October 2014

Focus

•Current conditions•Defining prevention•What works & what doesn’t•What we’re doing in Lane

County

My path.

Leading Medical Conditions in the Trillium Medicaid Population 2012

$0

$2

$4

$6

$8

$10

$12

$14

$16

$18

$20

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

Depression Asthma BipolarDisorder

TobaccoUse

PTSD AttentionDeficit

Disorder

ChildObesity

Diabetes ChemicalDependency

AdultObesity

Tota

l Mem

ber C

ost i

n M

illio

ns o

f Dol

lars

Perc

ent o

f Mem

bers

% of Members

Total Cost

of Americans who meet the medical criteria for addiction started smoking, drinking, or using other drugs

before age 18.

of Americans who meet the medical criteria for addiction started smoking, drinking, or using other drugs

before age 18.

The top two drugs used by high school students in Lane County…

Alcohol is the drug of choice for youth…

Source: Student Wellness Survey, 2014

8th Grade Students – past 30 days

*College: reported as consuming 5 or more drinks in a sitting in the past 2 weeks

Source: Student Wellness Survey 2014; National College Health Assessment –University of Oregon 2012; BRFSS Data 2010

Norms

MOTOR VEHICLE INJURYis the leading cause of death among Oregonians age 10-24.

What is #2?

SUICIDE is the 2nd

leading cause of death among Oregonians age

10-24.

Source: Oregon Health Authority (2012) 

Tobacco, alcohol, and other drug use/abuse

Scientific consensus that we can prevent these problems

Delinquency and crime

Premature or unsafe sex

Depression and suicidality

School failure, dropout

contribute

If these programs continue to be

shown as not effective, why do we

continue funding them?

Pre-conceptio

n

Prenatal/ Infancy

Early Childhood Childhood Early

Adolescence Adolescence

Family• Prenatal care• Home visiting

• Evidence-based parenting programs• Evidence-based kernels

Schools

• High-quality preschool and daycare• Classroom-based prevention curricula• Evidence-based kernels• Afterschool programs

Community

• Community organizing to improve neighborhood environments• Support for evidence-based strategies• Support for out-of-school activities• Evidence-based kernels

Policy

• Community members have ensured access to services to meet basic needs• Promotion and support of healthy lifestyles• Policy to promote and support evidence-based strategies

Prevention strategies by developmental phase and domain

Evidence-based prevention is a good investment

$61 $120 $880 $1,200

$15

$30,828

$79,935 $94,900

$50

$5,050

$10,050

$15,050

$20,050

Annual cost per person per family

The right support to the right people

Ideally, we would have varying levels of support to meet the needs of diverse youth and their families.

Size of population affected

More intensive for at-risk youth and families

~15%

Most intensive interventions for the youth and families at highest risk

~10%

Universal supports for all youthand families

~75%

PREVENTION in action

In Lane County!

• PREVENTION• HARM REDUCTION

• DENORMALIZATION

On average, for

EVERY $1 SPENT,$35 IS SAVED

by playing what game?a) Candy Crush Sagab) Scrabblec) Call of Duty: Ghostsd) Monopolye) Good Behavior Game

The Good Behavior Game• K-2 Classroom teams in elementary school earn small

rewards for being on-task and cooperative• Impulse control

$35 is saved in future costs of:– 50% reduction in the use of tobacco or other

drugs over a child's lifetime– 50% to 70% reduction in mental health

difficulties (e.g. ADHD and conduct symptoms)– Reduction in observable symptoms

of Oppositional Defiance and Conduct Disorders

Source: http://www.slideshare.net/Drdennisembry/good-behavior-game-review

On average, for every $1 spent on the Good Behavior Game,

• PROTECTION .

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