Building Community Support for Law

Enforcement April 10-12, 2012

Walt Disney World Swan Resort

Accepted Learning Objectives: 1.  Outline drug abuse prevention and intervention strategies

relevant to all communities.

2.  Describe the creation and implementation of community education kits as an effective means of engaging multiple stakeholders.

3.  Explain opportunities for law enforcement officials to enlist community partners in developing education and prevention strategies.

Disclosure Statement

All presenters for this session, Officer Cully Desmond and Rebecca Heuser, have disclosed

no relevant, real or apparent personal or professional financial relationships.

•  Rebecca Heuser, MBA,CPS –  County Prevention Coordinator ‒ 10 Years Prevention Experience

•  Community Assessment •  Community Mobilization •  Grant Writing & Reviewing •  Technical Assistance &

Training

•  Officer Cully Desmond –  McMinnville, Oregon –  15 years

•  DUII Prevention •  Citizens Academy Drug

Recognition Instructor •  Member of Tactical Support

Team •  Defensive Tactics Instructor •  Narcotics Detective

Yamhill County, Oregon

•  Population – 100,000 •  Seven Communities •  Unemployment Rate – 12% •  Free and Reduced Rate – 70% average •  Poverty Rate – 40% average •  Oregon 3rd in Nation on prescription drug

abuse

Why Prescription Drugs?

•  Perception of Safety –  Local data reports that 75% of teenagers think that if a

medical provider has prescribed a substance that it is deemed safe

•  Accessibility –  Accessible through medical scripts. 60% of youth reported

that they obtain prescription pills from friends or family –  Financially Appealing

•  When insurance is utilized prescriptions are cheaper then illicit drugs

Rx Access Points— Friends & Family Source of Concern

SAMHSA. (2008). Results from the 2007 National Survey on Drug Use and Health: National Findings

Where Are the Problems

•  Look at the data and identify the biggest problem areas –  When conducting focus groups the problem area can be

validated

•  Looking at multiple points of data –  Schools, Emergency Department, Juvenile Department,

Corrections, and Parole & Probation Departments –  Beneficial in order to engage all audiences

Strategic Prevention Framework

Evaluation

Implementation Planning

Capacity

Assessment

Sustainability & Cultural Competence

Sustainability Sustainability refers to the process through which a prevention system becomes a norm and is integrated

into ongoing operations. Sustainability is vital to ensuring that prevention values and processes are

firmly established, that partnerships are strengthened, and that financial and other resources

are secured over the long term.

Cultural Competence

Cultural competence is the process of communicating with audiences from diverse geographic, ethnic, racial, cultural, economic, social, and linguistic backgrounds. Becoming culturally competent is a dynamic process that requires cultural knowledge and skill development at all service levels, including policymaking, administration, and practice.

-Why are the individuals that are affected the most not proactively looking for a solution?

Assessment

•  Needs Assessment – Used in order to identify the needs of the

community – What is there to find out •  With the data you gather you will need to look at the

attitudes, beliefs, behaviors and conditions in the community that promote or condone substance abuse

Identify Stakeholders

•  Law Enforcement •  District Attorney •  Sheriff •  Local Police Department •  Youth •  Hospitals •  Schools •  Public Health

•  Treatment •  Mental Health •  Parents •  Recovery Community •  Faith Based Organizations •  Media •  Water Treatment Facilities •  Soil Conservation

Capacity

•  The Capacity step involves more than just funding. Capacity includes the following: –  Human resources –  Technical resources –  Management and evaluation resources –  Financial resources

Capacity Cont.

•  The resources, people, partnerships, coalitions, and skills are essential to the successful implementation of prevention plans. All these are included in capacity: –  Mobilizing resources –  Engaging stakeholders –  Partnerships with the community –  Building coalitions –  Developing readiness

Community Strategies •  Working with Health Care Providers

–  Developing protocols and reporting policies •  Physicians & Emergency Departments, report patients that are

recognized as a fraudulently attempting to obtain scripts, monitor caregivers or others authorized to request patient refills in order to identify users and dealers.

•  Make Dr.’s aware of what to look for in “script shoppers”. •  Pharmacists- Knowledge of identifying fraudulent scripts, what

does this look like, red flags and indicators. Increase need for reporting.

–  Increasing Communication –  Reporting people within healthcare field

Community Strategies Cont.

•  Assisted Living Facilities –  Monitor living and request reporting of staff script thefts and/or abuse.

Instead of termination of an employee, law enforcement must be notified of the allegations of theft in order to effectively track and monitor.

–  Proper ways to dispose of medications, no disposal procedures increases liability to abuse or sell

Community Strategies Cont.

•  Schools –  Reporting Information to Law Enforcement –  Utilizing School Resource Officers (SRO)

•  Being aware of student trends and reporting information •  Reporting to SRO regarding specific students to monitor •  SRO’s teaching evidence based (EBP) curricula in schools

–  School Administration to implement alternative to suspension by having students attend classes where EBP’s are taught

–  On-site drug assessment’s for youth and referral to treatment

Community Strategies Cont.

•  Utilizing K-9 Dogs –  Poly Drug Users

•  Locate other detectable drugs (heroine, meth, etc.) typically common to find RX scripts that have been illegally obtained as well

Planning

•  The Strategic Plan lays the groundwork for: –  Implementation activities

•  Capacity Expansion •  Training •  Development of monitoring and evaluation systems

–  The identification of strategies –  The selection of evidence-based programs, policies, and practices to be

implemented –  The evaluation plan

How Do I Create a Strategic Plan?

•  Include a vision for prevention activities –  Documented needs –  Identified resources and strengths –  Measurable objectives and performance measures –  Baseline data

•  Include a long-term strategy to sustain policies, programs, and practices

•  Adjust plans as the result of ongoing needs assessment and monitoring

Implementation

•  Developing detailed action plans for elements of your intervention, including balancing fidelity of implementation with adaptation

•  Developing a final detailed evaluation plan that includes process and outcome measurements and continual monitoring of implementation fidelity

•  Crafting detailed action plans for the elements of your prevention intervention provides a step by step guide for how you will implement your plans

Implementation

Toolkit: CSAP’s Prevention Strategies •  Information Dissemination •  Education •  Alternatives •  Problem Identification & Referral •  Community Based Process •  Environmental Strategies

Prescription Monitoring Programs

•  State-instituted programs •  Electronic access to history of prescribed and filled

schedules drugs –  Required pharmacy data reporting

•  States vary –  Reporting of schedules (II or IV)

•  Response to inquiries –  Reactive or Proactive

•  Safeguards for patient confidentiality

Local Initiatives

•  Consistent Drug Take Back Events •  Disposal Boxes Located in Community •  Town Halls •  Media Awareness •  Campaigns •  Education to all Sectors of Community

Evaluation

•  Monitor, Evaluate, Sustain, and Improve or Replace what Fails •  What does the Evaluation Step include?

–  Process evaluation –  Collection of required outcome data (National Outcomes Measures) –  Review of policy, program, and practice effectiveness –  Development of recommendations for quality improvement

•  Evaluation is crucial in prevention because it tells us: –  What works –  What doesn’t work –  What to improve –  How to improve it