Alcohol and Other Drugs Services Division
Strategic Plan for Contra Costa County Alcohol and Other Drugs Prevention 2007 – 2013
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
TABLE OF CONTENTS
Table of Contents
2
Alcohol and Other Drugs Prevention Collaborative Work Group
3
Acknowledgments
4
Introductions and County Overview
5
Strategic Prevention Framework Process
6
The Planning Process, Vision and Mission
7
Contra Costa County’s Prevention Principles
8
NEEDS ASSESSMENT AOD Indicator Trends
9-13
County Demographics 1. AOD Use and Consequences Among Youth 2. Contributing Environmental Factors 3. Adult AOD Use and Consequences 4. AOD Use Among Older Adults
Current Inventory of Prevention Services
14-15
IDENTIFICATION OF PRIORITIES Service Priority Decisions Problem Statements IOM Classification and Research Based Strategies
16 17 18-19
STRATEGIC PLAN 2007 Goals, Objectives and Activities
20-26
EVALUATION
26
Appendix CSAP PREVENTION STRATEGIES B BREAKDOWN OF PREVENTION SERVICES BY REGION FY05-06 C RESIDENTS WHO RECEIVED PREVENTION SERVICES FY05-06 D TABLES E REFERENCES A
F
GLOSARY OF PREVENTION TERMINOLOGY
G H
MAPS
LOGIC MODELS
2
27-28 29-33 34-35 36-45 46 47-53 54-59 60-63
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION CONTRA COSTA COUNTY ALCOHOL AND OTHER DRUGS STRATEGIC PREVENTION COLLABORATIVE WORK GROUP Loise Barbee CCC Office of Education, SDFSC/DATE
William Oye Diablo Valley College (DVC)
Harold Parsley Alcohol and Other Drugs Advisory Board
Tom Aswad Alcohol and Other Drugs Advisory B
Scott Gerbert San Ramon Unified School District
Allan Cantando Antioch Police Department
Robert Turner West Contra Costa Unified School District
Lillian Roselin Community Health Fund
Aron Sumii Homeless Project/Youth Shelter Calli House
Tiombe Mashama Public Health
Gabriela Gonzalez (youth) Discovering the Reality of Our Community (DROC)
Nichol Castellanos (youth) DROC
Chris Thorsen Oakley Police Department
Jim Burcio Antioch Unified School District
Nikki Alfaro (youth) Friday Night Live
Jeff Gould CCC Teenage Program (TAP)
Gayle Hansen DVC Student Addiction Studies Program
Vickie Rinehart Knightsen Unified School District
James Martinez Brentwood Police Department
Wanda Kelly Prevention Specialist, New Connections
Mickie Marchetti REACH Project
Agueda Philbin Prevention Specialist, REACH Project
Elaine Prendergast Center for Human Development (CHD)
Emily Justice Friday Night Live, Staff Youth Advisor
Anita Marquez Prevention Specialist, (CHD)
Dorene Paul Prevention Specialist, (CHD)
Salena Green Youth Advisor, Beyond the Youth- SDFSC
Sakima Williams Youth Advisor, Youth In Power- SDFSC
Barbara Bysiek Family Stress Center (FSC)
Andrea Foti Prevention Specialist, FSC
Stephanie Hochman Bay Area Community Resources
Aubryn Sidle DROC, Staff Youth Advisor
Beatrice Lee Asian Pacific Psychological Services
Sean Kirkpatrick Asian Pacific Psychological Services
Thom Martin Discovery Counseling Center of San Ramon ALCOHOL AND OTHER DRUGS SERVICES STAFF Fatima Matal Sol, Program Manager Laura Spaugy, Juvenile Drug Court Coordinator Melinda Moore- MK Associates, Community Prevention Initiative (CPI) Consultant
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
Acknowledgements The Alcohol and Other Drugs Services Division would like to express its gratitude to the Alcohol and Other Drugs Advisory Board, the Alcohol and Other Drugs Strategic Prevention Work Group Collaborative and specially the Friday Night Live and Discovering the Reality of Our Community Youth for their commitment and participation. It was through the input and collaboration of our community partners that this Five Year Plan was created; however, it was the collective energy, knowledge and concern about improving the health of the community that added a tremendous value to the process.
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION INTRODUCTION and COUNTY OVERVIEW Contra Costa County is geographically large and one of the fastest growing counties in California. During the past decade, the eastern part of the county has experienced the most substantial growth, along with the community of San Pablo in the western region of Contra Costa, changing the cultural and socioeconomic landscape of the county. Demographically, as a whole, Contra Costa looks more homogeneous than other counties in the State. However, a closer look at demographic data by region and city, indicate greater ethnic and cultural diversity within communities. Alcohol and other drugs problems are as complex as they are challenging. Substance abuse affects the health and social life of Contra Costa residents across cultural, geographical, age and economical differences. The Contra Costa County Alcohol and Other Drugs Services (AODS) Division is dedicated and committed to promote the well-being of those who suffer from alcohol and drug problems as the county’s population and AOD needs continue to change. The Alcohol and Other Drugs Services Division operates within a comprehensive System of Care in which, prevention services play an important role. While AODS recognizes that alcohol and other drug problems impact individuals of all ages, County data indicate that adolescents are at particularly high-risk for substance use and abuse. Although “drug trends” amongst youth sporadically emerge, alcohol and marijuana steadily remain the gateway drugs of most accessibility and availability to young people. The California Healthy Kids Survey (CHKS) results have consistently demonstrated this trend overtime. In order to maximize current funding, most of the prevention resources are allocated for adolescent services to reduce the problem at the onset and alleviate future treatment costs. Other additional prevention services include strategies implemented across family, community and societal domains aimed at positively influencing the behavior of adolescents. The Alcohol and Other Drugs Services Division, in collaboration with its community partners, prepared this Five-Year Strategic Prevention Plan, as a roadmap to data-driven and outcome-based planning, implementation and evaluation of evidence-based prevention services in Contra Costa County. AODS is committed to adopting comprehensive strategies designed to assist communities, families and individuals to reduce and prevent alcohol and other drugs; reduce youth access to alcohol; and support communities to change those conditions that contribute to AOD problems.
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION CONTRA COSTA COUNTY
STRATEGIC PREVENTION FRAMEWORK PROCESS ASSESSMENT OF NEEDS DATA COLLECTION PROBLEM IDENTIFICATION
IDENTIFICATION AND PRIORITIZATION OF ALCOHOL AND OTHER DRUG PROBLEMS
DEVELOPMENT OF AN ACTION PLAN
IMPLEMENTATION OF THE ACTION PLAN
EVALUATION
County staff, prevention providers and community stakeholders with the assistance of Melinda Moore a Consultant working under contract with Community Prevention Institute (CPI) compiled and reviewed a comprehensive collection of existing AOD community quantitative and qualitative data, including the current Strategic Plan.
In February and March 2007, the Prevention Collaborative Group analyzed a set of data pertaining to five main AOD Indicators including Demographic Factors for Contra Costa County: AOD Youth Among Youth Consequences of AOD Use Among Youth Contributing Environmental Factors to AOD Use AOD Use and Consequences of Use Among Adults AOD Use and Consequences of Use Among Older Adults
The Prevention Collaborative Work Group with the assistance of Melinda Moore, CPI Consultant prepared this Action Plan
This Action Plan covers the period from FY0708 to FY12-13. However, actual implementation will occur at the beginning of FY2008-2009 following a Request For Proposals (RFP) in the Winter of 2007
Each contract provider will conduct its own program evaluation on annual basis. At the end of the fifth year, the County will request technical assistance through the Alcohol and Drug Programs (ADP) to conduct a five-year evaluation by utilizing the most current results of the California Healthy Kids Survey.
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
THE PLANNING PROCESS The Alcohol and Other Drug (AOD) Services Division of Contra Costa County developed a Strategic Plan for primary prevention services in 2000. In the Fall of 2006, the Division convened a work group that met five times to create a road map and timelines to update and develop the Strategic Plan to address the current AOD needs of Contra Costa County residents. The work group was comprised by stakeholders representing youth, schools, counselors, prevention specialist, law enforcement, city staff, older adults, and members of the Contra Costa County Alcohol and Other Drugs Advisory Board. In February and March of 2007, Alcohol and Other Drugs Services held two Community Work Days aimed at soliciting input from the community at large to create the core material for the Five-Year Strategic Plan. Besides the Strategic Plan, the work group developed the Mission, Vision and Guiding Principles for Prevention Services in Contra Costa County. While Alcohol and Other Drugs Services operates under a Continuum of Care, this Five-Year Plan is exclusive of Primary Prevention services.
“Primary prevention includes a set of activities or strategies that are research based and have produced evident outcomes, and include principles of effectiveness directed at individuals who do not require treatment for alcohol and other drugs. Under the Substance Abuse Prevention and Treatment (SAPT) Block Grant statute, early intervention activities are not included as part of primary prevention.”
VISION Of Contra Costa County AODS Prevention Services is to build and support a safe and healthy environment by reducing alcohol and other drug use and abuse.
MISSION Of Contra Costa County Alcohol and Other Drugs Prevention Services is to engage diverse communities in a partnership to reduce the use and abuse of alcohol and other drugs through culturally competent, evidence-based prevention activities.
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
GUIDING PRINCIPLES FOR PREVENTION 1. STRENGTHEN COMMUNITY SKILLS, KNOWLEDGE, AND RESOURCES • Assess community readiness prior to program implementation. • Work with the community. • Create capacity-building opportunities for the community. • Promote shared leadership and decision-making. • Use a community organizing approach to challenge social norms regarding AOD. • Foster opportunities for joint planning, implementation, problem solving and evaluation of program outcomes. • Ensure that the populations most affected by the problems are represented and involved. • Acknowledge differential powers status between groups and populations. • Value everyone’s capabilities, skills, and experiences. • Promote equal and equitable access to resources and opportunities. • Promote an open and inclusive communication. • Implement policies and practices that encourage conflict resolution and problem solving. 2. VALUE DIVERSITY AND RESPECT DIFFERENCES • Reach populations in multiple settings e.g. homes, schools, faith-based organizations, housing complexes, youth organizations, neighborhoods businesses, criminal justice and other institutions. • Use multiple prevention strategies, e.g., environmental, alternatives, community based, education, information dissemination and problem identification and referral in order to best represent the community’s needs. • Promote strategic alliances and collaborative efforts between different community stakeholders. • Develop and nurture partnerships that are willing to share risks, resources, responsibilities, and rewards. 3. PROMOTE EFFECTIVE AND COMPREHENSIVE PREVENTION SERVICES COUNTYWIDE • Conduct community needs assessment to determine relevant risk and protective factors. • Plan, implement, and deliver evidence-based strategies, programs, and practices. • Address all forms of alcohol and drug abuse, alone or in combination, including underage drinking, use of illegal drugs, and inappropriate use of legally obtained substances, including prescription and over-the-counter drugs. • Evaluate and report program implementation outcomes. 4. DRIVE PUBLIC POLICY EFFORTS DESIGNED TO REDUCE THE USE AND ABUSE OF ALCOHOL
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
NEEDS ASSESSMENT-ALCOHOL AND OTHER DRUGS INDICATOR TRENDS METHODOLOGY In February and March 2007, the Prevention Collaborative Group analyzed a set of data pertaining to six main AOD Indicators for Contra Costa County. During the First Community Work Day, the group divided into six small groups to review and identify the problems regarding a specific set of data, including the County’s Demographics. Throughout the morning the groups rotated, until each group had an opportunity to review all six data sets. Each facilitator was provided with a list of questions to generate further discussion in the small groups. CONTRA COSTA COUNTY’S DEMOGRAPHICS 1. AOD USE AMONG YOUTH 2. CONSEQUENCES OF AOD USE AMONG YOUTH 3. CONTRIBUTING ENVIRONMENTAL FACTORS TO AOD USE 4. AOD USE AND CONSEQUENCES OF USE AMONG ADULTS 5. AOD USE AND CONSEQUENCES OF USE AMONG OLDER ADULTS KEY FINDINGS The following section provides an overview of the key findings.
COUNTY DEMOGRAPHICS Demographic factors and income vary dramatically according to the region of the county. The median income in some communities is more than 3 times that of other communities.
Demographic data for the county as a whole appears homogeneous. However, when the demographic data is analyzed by region and city, there are great differences in the circumstances of people depending on where they live. As a whole, Contra Costa looks “well off” compared to other counties in the State (Table 1.1 in Appendix)
The median income for the county is well above the median state income overall, and homeowners rates in the county are also higher than those in the state as a whole. (Table 1.1 in Appendix)
People of color are more than twice as likely to live in Pittsburg, Richmond or San Pablo than other cities in the county. The majority of residents in Pittsburg (56.5%), Richmond (68.6%) and San Pablo (68.6%) are NonWhite, compared to other cities where nearly two-thirds of all residents are White. (Table 1.2 in Appendix)
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
The median income for people in Danville is $114,064-- more than three times that of people in San Pablo, ($37,184 in San Pablo) and almost three times as much as people in Richmond ($44,210). (Table 1.2 in Appendix)
Walnut Creek has the highest percentage (25.3%) of elderly people who are 65 years of age or older, and the smallest percentage of children under the age of 5 (4.4%). In contrast, Antioch, Pittsburgh and San Pablo have the highest concentration of children under 5, and the smallest percentage of elderly residents (7.4%, 8.2% and 8.7%). (Table 1.2 in Appendix)
Home ownership rates in West County (Richmond and San Pablo) are well below those in the rest of the county (53.3% and 49.1% respectively). The percentage of people owning their homes is highest in Danville (89.1%) and Antioch (71.0%). (Table 1.2 in Appendix)
The greatest percentage of people living in poverty in the county reside in West County (16.2% in Richmond and 18.1% in San Pablo).
More than a third of residents living in Pittsburg, Concord and Richmond speak a language other than English at home (38.5%, 30.3% and 36.2% respectively). More than half of the people living in San Pablo speak a language other than English at home (58.5%). (Table 1.2 in Appendix)
San Pablo has the lowest median income ($37,184) and the highest percentage of languages other than English spoken at home (58.5%). (Table 1.2 in Appendix)
White population in Antioch as a whole is higher than the population of white students in schools. While kindergarten age population has decreased the adolescent age group continues to increase.
AOD RISK INDICATORS
1.
AOD USE AND CONSEQUENCES AMONG YOUTH Alcohol is the first drug of choice and marijuana the second drug of choice most widely used by underage youth
41% of Contra Costa County 11th grade students report drinking alcohol in the past 30 days. This is twice the reported use of marijuana (18%) or any other drug. The same trend is true for 7th and 9th grade students. (Table 2.1 in Appendix)
Higher percentages of Contra Costa County 7th, 9th, and 11th grade students report using alcohol in the past 30 days than do their counterparts statewide (15%, 31%, 41% vs. 10%, 25% and 37% respectively.) (Table 2.1 in Appendix)
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION Marijuana was reported as the primary drug of choice by youth who entered AOD treatment
Marijuana was reported as the primary drug of choice during admission by youth served in publicly funded AOD treatment programs (60-72%), followed by alcohol (15-25%). (Table 2.2 in Appendix)
When, asked about a secondary drug of choice, alcohol is overwhelmingly the drug of choice for young people admitted to treatment, accounting for between 54-62% for youth under the age of 18 that stipulated a secondary drug of choice. (Table 2.3 in Appendix) Youth are engaging in high risk behaviors and binge drinking
22% of 11th graders report binge drinking in the past 30 days and 10% report binge drinking three or more days in the past month, suggesting a pattern of risky drinking. (Table 2.4 in Appendix)
The percentages of 7th and 9th graders participating in high-risk alcohol behaviors is higher in Contra Costa County than statewide. Rates of current alcohol use are higher among Contra Costa’s 11th graders (41% vs. 37% respectively), as compared to statewide rates, but the rates are lower regarding other high-risk behaviors. (Table 2.4 in Appendix)
The highest rates of current alcohol use and binge drinking rates were reported among 11th graders in South County (26% and 39% respectively) compared to the other three County regions. (Table 2.5 in
Appendix)
Marijuana arrests account for the greatest proportion of non-DUI related felony and misdemeanor arrests. (Table 3.1 in Appendix)
In 2003, 127 (23.6%) of total AOD arrests of youth under the age of 18 were ‘drunk in public’ (71) and ‘liquor law’ violations (56). In 2005, there were 163 arrests for both drunk and public and liquor law violations, accounting for 38.4% of total non-DUI arrests among youth under 18 years of age, an increase of 28%. (Table 3.1 in Appendix)
While total AOD (non-DUI related) decreased 12% between 2003 and 2005, misdemeanor alcohol arrests rose by 28% during the same period. (Table 3.1 in Appendix)
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
2. CONTRIBUTING ENVIRONMENTAL FACTORS Alcohol is widely available to underage Youth
79% of Contra Costa County 11th graders, 65% of 9th graders, and 35% of 7th graders report that it is “very easy” or “fairly easy” to obtain alcohol.
While the majority of Contra Costa County students report friends or other teenagers as a source for obtaining alcohol, a substantial percentage of students (48%) report that they “get adults to buy it for them.”
House parties are another way that youth report gaining access to alcohol. Alcohol is either provided directly by parents, older siblings, or older friends, or is available by virtue of parental absence. Drinking games are reported to be a common feature of private parties, encouraging over-consumption of alcohol.
Off-sale outlets are more likely not to comply with underage drinking laws than are on-sale outlets. (Table 4.1 in Appendix)
There is lack of enforcement on existing alcohol-related policies
Contra Costa County youth are able to purchase alcohol from stores, bars, or restaurants despite the fact that selling alcohol to minors is against the law. Between 2000 through January 2006, 34.5% (224) of Contra Costa County’s 650 off-sale alcohol outlets and 8.3% (85) of 1022 on-sale establishments licensed to sell alcohol had disciplinary actions filed against them by the state regulatory agency for license violations.
(Table 4.1 in Appendix)
The number of existing Retail Alcohol Outlets issued in a community is an indicator of alcohol availability and density. Research shows that increased availability increases the likelihood of higher drinking rates and alcohol related problems
There is higher concentration of retail alcohol outlets in low income areas. (Table 4.4 in Appendix)
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
3.
ADULT AOD USE AND CONSEQUENCES Adult binge drinking among adults is increasing in Contra Costa County (Table 5.1 in Appendix)
Except for Walnut Creek, the total of DUI arrests fell between 2003 and 2005 among other cities. (Table 5.3 in Appendix)
In 2003, drunk in public misdemeanor arrests constituted the greatest proportion of the total non-DUI AOD-related arrests among adults in Contra Costa County, followed by felony dangerous drugs (24.5%) and misdemeanor ‘other drug violations’ (24.1%). In 2005, in contrast, felony “dangerous drug” arrests constituted the greatest proportion of arrests (29.7%). (Table 5.4 in Appendix)
Persons 21-30 years of age constituted the greatest number of DUI arrests in 2003 1502 of 3845 total arrests (39.1%). (Table 5.5 in Appendix)
The number of adults in treatment decreased dramatically between 2001 and 2005
In 2001 a total of 8436 clients between 19 and 54 were admitted to publicly funded treatment in the county. By 2005, that total had fallen to 5595—a 33.6% decrease. (Table 5.8 in Appendix)
4.
AOD USE AMONG OLDER ADULTS Binge Drinking Rates Among Older Adults are increasing (Table
6.1 in Appendix)
The percentage of older adults entering publicly funded treatment is increasing among older adults, a total of 256 people 55 years of age or older entered treatment in 2001. In 2005, the number rose to 291—an increase of 13.7%. (Table 6.1 in Appendix)
In 2005, nearly half (44%) of treatment admissions among older people are for alcohol (Table 6.3 in Appendix)
Among older adults (60 +), there was a total of 118 DUI arrests in 2003, compared to 124 in 2005—a 5.1% increase. (Table 6.4 in Appendix)
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
ASSESSING THE GAPS CURRENT INVENTORY OF
PREVENTION SERVICES
During the Fiscal year of 2005-2006, 73% of prevention services in Contra Costa County were allocated to EDUCATION prevention strategies; 13% to ALTERNATIVES (YOUTH DEVELOPMENT); and 15% a combination of ENVIRONMENTAL, COMMUNITY BASED AND INFORMATION DISSEMINATION. The Contra Costa County’s Office of Education receives from the Federal Government a portion of Safe and Drug Free School and Communities funding which allows them to provide school-based AOD prevention. Currently, school districts implement the following Best Practices: Towards No Drugs, Too Good for Drugs, and the Parent Project. PRIMARY PREVENTION CONTRACTS FY05-06
Strategy : EDUCATION
$ 1,093,939
PROVIDER
BEST PRACTICE
CONTRACT PAYMENT LIMIT
Asian Pacific Psychological Services
Project Success
$60,000
Center for Human Development
Project Success
$266,000
Discovery Counseling Center
Creating Lasting Family Connections
$84,988
Family Stress Center
Dare To Be You
$140,000
New Connections (East)
Project Success
$65,169
New Connections (Central)
Project Success
$65,169
REACH Project
Towards No Drug Abuse
$179,988
Tri Cities
Project Success
$106,482
Sojourne
Project Success
$126,143
Strategy : ALTERNATIVES
$183,641
PROVIDER
BEST PRACTICE
CONTRACT PAYMENT LIMIT
Center for Human Development
Youth Development/FNL/NL
$99,994
Bay Area Community Resources
Youth Development
$83,647
Strategy : ENVIRONMENTAL –COMMUNITY BASED I/D
$220,141
PROVIDER
BEST PRACTICE
CONTRACT PAYMENT LIMIT
Community Partnership
CMCA/Administration
$220,141
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION COUNTYWIDE FUNDING ALLOCATION PER CSAP PREVENTION STRATEGIES
15% Education
13%
Alternatives Envrmntl,ID 72%
Education
$1,028,770
72%
Alternatives
$183,000
13%
Environmental, Information Dissemination and Community Based
$220,141
15%
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
IDENTIFICATION AND PRIORITIZATION
SERVICE PRIORITY DECISIONS 2007
Based on the information that participants were provided at the second Community Work Day, Melinda Moore of the Community Prevention Initiative facilitated an interactive process whereby groups developed criteria for determining service priority recommendations RECOMMENDATION 1: Percentage of prevention funding that should be allocated on the following target populations 63% Youth 27% Adults 10% Older Adults RECOMMENDATION 2: Percentage of prevention funding that should be allocated on the following educational grade ranges 30% Elementary 37% Middle School 33% High School RECOMMENDATION 3: Percentage of prevention funding that should be allocated for alcohol vs. other drug use YOUTH 40% Alcohol 40% Marijuana 20% Other Drugs ADULTS 68% 32%
Alcohol Meth
RECOMMENDATION 4: Percentage of prevention funding that should be allocated on parity basis vs. needs/problem identification 25% Region 75% Identified Need RECOMMENDATION 5: Percentage of prevention funding that should be allocated on the following interventions 30% Individual Interventions (school-based curriculum) 30% Family Based - Parenting Programs 40% Community/Environmental
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
PROBLEM STATEMENTS and PRIORITY AREAS Based on the assessment of available data and community input the following priority areas were identified:
f
Problem Statement: ALCOHOL IS THE FIRST DRUG OF CHOICE AND MOST WIDELY USED BY UNDERAGE YOUTH 41% of Contra Costa County 11th grade students report drinking alcohol in the past 30 days The highest rates of alcohol use were reported among 11th graders in South County (26%) 22% of the 11th graders report binge drinking in the past 30 days, 10% report binge drinking three or more days in the past month. The highest rates of binge drinking were seen among South County youth PRIORITY AREA 1. Reduce Underage Drinking
f
Problem Statement: ALCOHOL IS EASILY AVAILABLE 79% of Contra Costa County 11th graders, 65% of 9th graders, and 35% of 7th graders report that alcohol is “very easy” or “fairly easy” to obtain PRIORITY AREA 2. Increase Community Awareness and Improve Social Norms to reduce youth access to alcohol
f
Problem Statement: MARIJUANA IS THE SECOND MOST WIDELY USED DRUG BY YOUNG PEOPLE 60%-72% of Contra Costa County youth served in AOD publicly funded treatment programs reported marijuana as the primary drug of choice during admission The rates of 7th through 11th graders reporting marijuana use during the past 30 days is too high PRIORITY AREA 3. Reduce Marijuana Use Among Youth
f
Problem Statement: BINGE DRINKING AMONG YOUNG ADULTS (19-25) ARE INCREASING The rates of binge drinking among young adults are increasing PRIORITY AREA 4. Reduce Binge Drinking Among Young Adults
f
Problem Statement: BINGE DRINKING RATES AMONG OLDER ADULTS 55+ ARE INCREASING In 2005, the number of older adults who entered AOD publicly funded treatment rose to 291—an increase of 13.7% PRIORITY AREA 5. Reduce High Risk and Binge Drinking Among Adults 55+
f
Problem Statement: SUSTAINING AOD PREVENTION SYSTEM CAPACITY AND SUSTAINABILITY WITH LIMITED RESOURCES IS CHALLENGING PRIORITY AREA 6. Increase County AOD Prevention System Capacity and Sustainability
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
IOM CLASSIFICATION AND RESEARCH BASED PREVENTION STRATEGIES Melinda Moore of the Community Prevention Institute, briefly reviewed information from the Institute of Medicine regarding the three classification for prevention and highlighted prevention strategies that research have proven to work.
In “Reducing the Risk for Mental Disorder Frontiers for Prevention Intervention Research”, the Institute of Medicine presented the full continuum of care model, which was adapted by Center for Substance Abuse Prevention in 2000, and required in 2003.
Universal Prevention: Addresses the entire population (national, local community, school, and neighborhood) with messages and programs aimed at preventing or delaying the use of alcohol and other drugs. Deterring the onset by providing individuals with skills, and limiting settings and circumstances in which alcohol is used. All members of the population share the same general risk for substance use/abuse, although the risk may vary greatly among individuals. Universal prevention programs are delivered to large groups without any prior screening for substance abuse risk. The entire population is assessed as at-risk for AOD and capable of benefiting from prevention programs. (Low dose)
Selected Prevention : Targets subsets of the population that are deemed to be at risk by virtue of their membership in a particular segment of the population --for example, children of adult alcoholics, dropouts, or students who are failing academically. Risk groups may be identified on the basis of biological, psychological, social, or environmental risk factors known to be associated with substance abuse (IOM 1994), and targeted subgroups may be defined by age, gender, family history, place of residence such as high drug-use or low-income neighborhoods, and victimization by physical and/or sexual abuse. Selective prevention targets the entire subgroup regardless of the degree of risk of any individual within the group. One individual in the subgroup may not be at personal risk for substance abuse, while another person in the same subgroup may be abusing substances. Indicated Prevention: Indicated prevention strategies are designed to prevent the onset of substance abuse in individuals who do not meet DSM-IV criteria for addiction, but who are showing early danger signs, such as falling grades and consumption of alcohol and other gateway drugs. The mission of indicated prevention is to identify individuals who are exhibiting early signs of substance abuse and other problem behaviors associated with substance abuse and to target them with special programs. The individuals are exhibiting substance abuse-like behavior, but at a sub-clinical level (IOM 1994). Indicated prevention approaches are used for individuals who may or
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION may not be abusing substances, but exhibit risk factors that increase their chances of developing a drug abuse problem. Indicated prevention programs address risk factors associated with the individual, such as conduct disorders, and alienation from parents, school, and positive peer groups. The aim of indicated prevention programs is not only the reduction in first-time substance use, but also reduction in the length of time the signs continue, delay of onset of substance abuse, and/or reduction in the severity of substance abuse. (High dose) Since 2001, Alcohol and Other Drugs Services shifted prevention priorities and resource allocation to promote early identification of youth at risk of alcohol and other drug problems, by decreasing the allocation of universal prevention services while increasing the number of selective and indicated prevention groups in settings that serve high risks groups.
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
STRATEGIC PLAN This Strategic Plan was developed using the findings of the needs assessment, which shows the magnitude of Contra Costa County’s AOD problems along with the review of existing community resources and gaps in primary prevention services. PRIORITY AREA 1 PRIORITY AREA 1.
REDUCE UNDERAGE DRINKING
PROBLEM STATEMENT: Too many youth 7th through 11th graders in Contra Costa County are using alcohol.
GOAL 1: REDUCE UNDERAGE DRINKING BY 5% INDICATORS: Alcohol past 30 days use, past 30 days binge drinking, and parental/peer perception MEASURE: CHKS 7TH, 9TH, 11TH , and locally developed survey Objective 1.1 Decrease 30 days past use amongst 7th, 9th and 11th graders by 5%
Estimated Timeframe
2013
ACTIVITIES By July 2008/09 implement culturally appropriate evidence-based and interactive AOD prevention programs for youth and parents By July 2010 expand the number of youth and parents receiving AOD prevention services By July 2011 develop survey to assess youth perception of parental and peer disapproval of alcohol use by youth By July 2013, increase youth perception of parental and peer disapproval of alcohol use amongst 7th, 9th, and 11th graders (locally developed survey implemented in prevention programs) Estimated Timeframe Objective 1.2 th th th Reduce past binge drinking rates amongst 7 , 9 and 11 By 2013 graders by 5% ACTIVITIES By July 2010, integrate binge drinking components into prevention services By July 2011, increase perception of harmful consequences of binge drinking amongst youth
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION PRIORITY AREA 2 PRIORITY AREA 2. INCREASE COMMUNITY AWARENESS AND IMPROVE SOCIAL NORMS TO REDUCE YOUTH ACCESS TO ALCOHOL
PROBLEM STATEMENT: Alcohol is easily available. 79% of Contra Costa County 11th graders, 65% of 9th graders, and 35% of 7th graders report that alcohol is “very easy” or “fairly easy” to obtain
GOAL 2: REDUCE YOUTH ACCESS TO ALCOHOL BY 5% INDICATORS: Reports of ease of youth access to alcohol, number of violations of alcohol sales to minors by off-sale outlets MEASURE: CHKS 7th, 9th, 11th, ABC reported data Estimated Timeframe Objective 2.1 Increase community awareness and improve social norms By 2013 regarding underage and binge drinking by 5% ACTIVITIES By July 2008-09, implement culturally appropriate evidence-based AOD prevention services to target groups By July 2010, prevention programs will implement a social norms campaign targeting adults during April’s Alcohol Awareness Month focusing on the consequences of underage drinking. By July 2013, providers will conduct presentations about environmental or community factors that endorse youth drinking
Estimated Timeframe Objective 2.2 Decrease Youth Access to Alcohol at off-sale outlets by By 2013 5% ACTIVITIES Develop or support 4 regional Alcohol Policy Working Groups to implement all of the activities under this goal following a Best Practice Model such as: Communities Mobilizing for Change on Alcohol, Community Trials Intervention to Reduce High Risk Drinking, Taking Charge: Managing Alcohol and Drug Risk Environments, etc. The following activities will be implemented by each Alcohol Policy Working Group: By July 2009, begin formation of Alcohol Policy Working Groups (APWG) Work in conjunction with local law enforcement to request consistent Impact Inspection Team operations By July 2009, APWG will have developed a rapport with merchants. Conduct periodic visits to retail alcohol outlets to educate and/or develop a relationship with merchants. Promote the display of the Performance Operation Standards in each establishment By July 2009, staff will receive RBS training By 2010, staff will conduct an annual RBS trainings with merchants to promote responsible sales of alcohol Advocate to ABC for conducting regular decoy operations including shoulder taps, etc
21
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION Maintain documentation on problem outlets and follow-up with appropriate agencies Place limits on alcohol outlets location and availability. Develop an inventory of local community ordinances intended to restrict alcohol availability and density: CUPs, DAOs, Special Use Permits, etc and advocate for their enforcement Facilitate enforcement of existing policies restrict alcohol access through on sale/off sale – density control Target and challenge specific community settings where selling alcohol is a “normal” part of the cultural landscape and establish policies for alcohol-free and alcohol-safe events such as: festivals, fairs, etc. Encourage local law enforcement agencies to submit grant applications to ABC for enforcement and inspections of retail alcohol outlets Facilitate Impact Inspections
Estimated Timeframe Objective 2.3 Decrease Youth Access to Alcohol at on-sale outlets by By 2013 5% ACTIVITIES The Alcohol Policy Working Groups will monitor alcohol density, maintain written records of accusations for appropriate and timely follow up, and to develop targeted interventions
Objective 2.4 Decrease Youth Access to Alcohol from Social Sources 5%
Estimated Timeframe
By 2013
ACTIVITIES The Alcohol Policy Working Groups will assess through data collection the unique social sources for youth access to alcohol: house parties, parks, parking lots, kegger parties, sports, fraternities, hazing, etc., and will: 1) By July 2009 Increase parent education about underage drinking from social sources 2) By July 2010 Assist communities in the development, implementation and/or facilitate enforcement of Social Host Ordinances By July 2010, explore the possibility of adding questions about access, availability, cost, etc. in the California Healthy Kids Survey By July 2008/09, implement culturally relevant evidence-based programs that involve both youth and parents to educate them about the adverse consequences of alcohol use and binge drinking
22
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION PRIORITY AREA 3 PRIORITY AREA 3.
REDUCE MARIJUANA USE AMONGST YOUTH PROBLEM STATEMENT: The number of 7th through 11th graders in Contra Costa reporting marijuana and other drug use during the past 30 days is too high. Marijuana is the second most widely used drug by youth.
GOAL 3: DECREASE MARIJUANA AND OTHER DRUG USE AMONG YOUTH INDICATORS: Reports of marijuana past 30 day use MEASURE: CHKS 7th, 9th, 11th, Estimated Timeframe Objective 3.1 Decrease 30 days marijuana use for 9th, 10th, 11th By 2013 grades by 5% ACTIVITIES By July 2008/09, implement culturally relevant evidence-based AOD prevention programs that include marijuana curricula for target populations By July 09/10, establish a benchmark of conducted screenings and referrals to AOD treatment By July 2012, increase number of referrals to AOD treatment by 5% By July 2011, increase the number of youth served in prevention services By July 2013, increase perception of peer and parental disapproval of marijuana use amongst 7th, 9th, and 11th graders by 5% Estimated Timeframe Objective 3.2 Increase data collection for marijuana use, access and By 2013 availability ACTIVITIES By July 2009, explore the possibility of adding questions about marijuana access, availability, cost, etc. in the California Healthy Kids Survey
23
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION PRIORITY AREA 4 PRIORITY AREA 4.
REDUCE BINGE DRINKING AMONG YOUNG ADULTS PROBLEM STATEMENT: Binge drinking among adults 19-25 is increasing in Contra Costa County
GOAL 4: DECREASE HIGH RISK AND BINGE DRINKING AMONG YOUNG ADULTS INDICATORS: Binge drinking rates among adults MEASURE: Reports of California Healthy Interview Survey Estimated Timeframe Objective 3.1 Decrease adult binge drinking among adults 19-25 by 5% By 2013 ACTIVITIES Facilitate at least one annual meeting between the Alcohol and Other Drugs Advisory Board and the Addiction Studies program By July 2010, engage at least one college campus to initiate dialogue and assess college readiness By July 2009, participate in a college fair to share AOD treatment resources and information By July 2011, develop and conduct an access to alcohol survey By July 2012, increase data collection regarding alcohol use by networking with local Community Colleges to survey students about alcohol attitudes, availability and accessibility By July 2012, gather the number of alcohol related incident reports on campus By July 2013, complete needs assessment
24
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION PRIORITY AREA 5 PRIORITY AREA 5. REDUCE BINGE DRINKING AMONG OLDER ADULTS 55+ PROBLEM STATEMENT: Binge drinking rates among older adults 55+ are increasing
GOAL 5: DECREASE HIGH RISK AND BINGE DRINKING AMONG OLDER ADULTS 55+ INDICATORS: Binge drinking rates among adults 55 years of age and older in Contra Costa County MEASURE: Reports of California Healthy Interview Survey Objective 5.1 Raise public awareness of the dangers of interactions between prescription drugs and alcohol among the county’s older adults by 10%
Estimated Timeframe
By 2013
ACTIVITIES By July 2008/09 conduct two trainings to providers and counselors By July 2009, participate in Older Adults prop 63- Mental Health Act efforts By July 2010, work with Senior Centers and at least one (1) County Health Clinic to make AOD prevention information available
Objective 5.2 Reduce binge drinking among older adults by 5%
Estimated Timeframe
2013 ACTIVITIES By July 2010, Increase data collection regarding alcohol use by older adults in at least one (1) County Health Clinic
25
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION PRIORITY AREA 6 PRIORITY AREA 6.
INCREASE AOD PREVENTION SYSTEM CAPACITY AND SUSTAINABILITY PROBLEM STATEMENT: Sustaining AOD prevention system capacity and sustainability with limited resources is challenging
GOAL 5: DEVELOP SYSTEMS CAPACITY FOR EFFECTIVE PRIMARY PREVENTION SERVICES ACTIVITIES Maintain Youth, Family and Community System of Care quarterly meetings to promote network and collaboration and to provide technical assistance Support the Summer Institute during the last week of August to increase prevention capacity By September 2007, use needs assessment and outcome data to select, deliver, and continually improve prevention policies, programs and services Involve stakeholders in the identification of Best Practices that support and further the goals of the Prevention Strategic Plan Facilitate access to Evidence-Based trainings to maintain the integrity of the programs through free resources, or sharing the cost between providers and county, if funds are available.
EVALUATION
Preliminary short term, intermediate and long term outcomes have been identified within each Logic Model (Refer to Appendix G). Full evaluation, including an Evaluation Plan will be developed after Evidence-Based models and contract providers are selected following the Request For Proposals. Each contract provider will be responsible for collecting information and evaluating program outcomes and effectiveness on annual basis. At the end of fifth year of Strategic Plan implementation, the Alcohol and Other Drugs Administration, will request technical assistance through the Alcohol and Drug Programs (ADP) to conduct a five-year evaluation, by utilizing the most current results of the California Healthy Kids Survey.
26
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION APPENDIX A
CENTER FOR SUBSTANCE ABUSE PREVENTION CSAP STRATEGIES EDUCATION 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. The services under this strategy aim to improve critical life and social skills, including decision-making, refusal skills, critical analysis, and systematic judgment abilities. Since 2002, Contra Costa implemented SAMSHA’s Best Practices for all Education Strategies. ALTERNATIVE STRATEGY Provides for the participation of target populations in activities that exclude alcohol, tobacco, and other drug use. The assumption is that constructive and healthy activities offset the attraction to or otherwise meet the needs usually filled by alcohol, tobacco, and other drugs and would, therefore, minimize or remove the need to use these substances. Alternative programs and activities redirect individuals from potentially problematic settings and activities to situations free from the influence of alcohol and other drugs. In Contra Costa County, since 2002 all alternative strategies programs that were awarded through an RFP process shifted to a youth development framework focusing on environmental prevention .The change allowed us to impact broader populations while maximizing youth participation. COMMUNITY-BASED PROCESS 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 services implementation, interagency collaboration, coalition building, and networking. ENVIRONMENTAL This strategy establishes or changes written and unwritten community standards, codes, and attitudes, thereby influencing incidence and prevalence of the abuse of alcohol, tobacco, and other drugs used in the general populations. INFORMATION DISSEMINATION STRATEGY This strategy provides awareness and knowledge of the nature and extent of alcohol, tobacco, and drug use, abuse, and addiction and the effects on individuals, families, and communities. It increases knowledge and provides awareness of available prevention programs and services. Information dissemination is characterized as “one-way” communication from the source to the audience. A message is delivered, but there is little opportunity for an exchange of information with those who receive the message. Examples of
27
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION this strategy include print and electronic media, speaking engagements, resource directories, clearinghouses, or health fairs/promotions. PROBLEM IDENTIFICATION AND REFERRAL STRATEGY This strategy aims at identification of 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 and to assess whether their behavior can be reversed through education. This strategy however, does not include any activity designed to determine if a person is in need of treatment. A key aspect of the strategy is that the service is educational for behavioral
change, not therapeutic for AOD abuse or dependency treatment For a full description and examples of each strategy visit the Cal OMS Prevention website under Knowledge Base – Prevention 101
28
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION APPENDIX
B
BREAKDOWN OF PREVENTION SERVICES BY COUNTY REGION FY05-06
CENTRAL COUNTY COMMUNITY BASED PROVIDER
EDUCATION STRATEGY
UNIVERSAL
SELECTED
INDICATED
Center for Human Development
Project Success
Project Success
Project Success
Olympic Continuation H Concord
Center for Human Development
Project Success
Project Success
Project Success
Glenbrook Middle SchoolConcord
Center for Human Development
Creating Lasting Family Connections
Creating Lasting Family Connections
New Connections
Project Success
Project Success
Project Success
Golden Gate Cont. Martinez
New Connections
Project Success
Project Success
Project Success
Diablo Community Day Concord
New Connections
Residential Student Assistance Program
Residential Student Assistance Program
Residential Student Assistance Program
Juvenile Hall-Sequoia Martinez
Family Stress Center
Dare To Be You
Dare To Be You
Dare To Be You
Meadow Homes Head StartConcord
Family Stress Center
Dare To Be You
Dare To Be You
Dare To Be You
Cambridge Head Start Concord
CENTRAL COUNTY COMMUNITY BASED PROVIDER
UNIVERSAL
SCHOOL/SITE
Martinez Junior High Martinez
ALTERNATIVES STRATEGY SELECTED
INDICATED
SCHOOL/SITE
Center for Human Development
Friday Night Live Youth Development
Oak Grove Middle School - Concord
Center for Human Development
Friday Night Live Youth Development
Youth Council Pleasant Hill
SOUTH COUNTY COMMUNITY BASED PROVIDER
EDUCATION STRATEGY UNIVERSAL
SELECTED
INDICATED
San Ramon Discovery Council Center
Creating Lasting Family Connections
Creating Lasting Family Connections
Creating Lasting Family Connections
Charlotte Wood Middle School- Danville
San Ramon Discovery Council Center
Creating Lasting Family Connections
Creating Lasting Family Connections
Creating Lasting Family Connections
Diablo Vista Middle School- Danville
San Ramon Discovery Council Center
Creating Lasting Family Connections
Creating Lasting Family Connections
Creating Lasting Family Connections
Los Cerros Middle SchoolDanville
San Ramon Discovery Council Center
Creating Lasting Family Connections
Creating Lasting Family Connections
Creating Lasting Family Connections
Pine Valley Middle SchoolSan Ramon
San Ramon Discovery Council Center
Creating Lasting Family Connections
Creating Lasting Family Connections
Creating Lasting Family Connections
Stone Valley Middle School- Alamo
San Ramon Discovery Council Center
Creating Lasting Family Connections
Creating Lasting Family Connections
Creating Lasting Family Connections
Windemere Ranch MiddleSan Ramon
29
SCHOOL/SITE
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION WEST COUNTY COMMUNITY BASED PROVIDER
EDUCATION STRATEGY UNIVERSAL
SELECTED
INDICATED
SCHOOL/SITE
Asian Pacific (APPS) Psychological Services
Project Success
Project Success
Project Success
Lavonya DeJean, Midddle Richmond
Asian Pacific Psychological Services
Project Success
Project Success
Project Success
Helms Middle School San Pablo
Asian Pacific Psychological Services
Project Success
Project Success
Project Success
APPS Office Richmond
Center for Human Development
Project Success
Project Success
Project Success
Adams Middle School Richmond
Center for Human Development
Project Success
Project Success
Project Success
Portola Middle School El Cerrito
Project SuccessAdapted
Stop Drop High School Richmond
Center for Human Development Tri Cities
Project Success
Project Success
Project Success
Pinole Valley High Pinole
Tri Cities
Project Success
Project Success
Project Success
Sigma Continuation H Pinole
Tri Cities
Project Success
Project Success
Project Success
North Campus Continuation High San Pablo
SDFSC = The Safe and Drug Free Schools and Communities grants in Bay Point and Rodeo are funded through June 30, 2007 WEST COUNTY COMMUNITY BASED PROVIDER
EDUCATION STRATEGY UNIVERSAL
SELECTED
INDICATED
Family Stress Center
Dare To Be You
Dare To Be You
Dare To Be You
Balboa Head Start Richmond
Family Stress Center
Dare To Be You
Dare To Be You
Dare To Be You
George Miller III Head Start Richmond
Bay Area Community Resources-Gateway
Creating Lasting Family Connections
Creating Lasting Family Connections
Creating Lasting Family Connections
Carquinez Middle Crockett/Rodeo
Creating Lasting Family Connections
Willow Continuation Crockett/Rodeo
Creating Lasting Family Connections
Bayo Vista Housing Rodeo
Bay Area Community Resources-Gateway Bay Area Community Resources-Gateway
Creating Lasting Family Connections
30
SCHOOL/SITE
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION WEST COUNTY COMMUNITY BASED PROVIDER Bay Area Comm. Rsrces-Gateway
ALTERNATIVES STRATEGY UNIVERSAL
SELECTED
INDICATED
SCHOOL/SITE
Youth Development/Leadership
De Anza High School Richmond
Youth Development/Leadership
El Cerrito High School El Cerrito
Bay Area Comm. Rsrces-Gateway
Youth Development/Leadership
Hercules High School Hercules
Bay Area Comm. Rsrces-Gateway
Communities Mobilizing for Change on Alcohol
Carquinez Middle Crockett/Rodeo
Center for Human Development
Friday Night Live Youth Development
John Swett High Sch Rodeo/Crocket
Center for Human Development
Friday Night Live Youth Development
Portola Middle School El Cerrito
Asian Pacific Psychological Services
Project Success
Bay Area Comm. Rsrces-Gateway
Project Success
Project Success
APPS Office Richmond- SUMMER
SDFSC = The Safe and Drug Free Schools and Communities grants in Bay Point and Rodeo are funded through June 30, 2007 WEST COUNTY COMMUNITY BASED PROVIDER AODS
ENVIRONMENTAL STRATEGY UNIVERSAL
SELECTED
INDICATED
SCHOOL/SITE
Greater West County
West County Alcohol Policy Working Group
31
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION EAST COUNTY COMMUNITY BASED PROVIDER
EDUCATION STRATEGY UNIVERSAL
SELECTED
INDICATED
SCHOOL/SITE
Center for Human Development
Project Success
Project Success
Project Success
Central Junior High Pittsburg
Center for Human Development
Project Success
Project Success
Project Success
Hillview Junior High Pittsburg
Center for Human Development
Creating Lasting Family Connections
Creating Lasting Family Connections
New Connections
Project Success
Project Success
Project Success
Riverside High School Pittsburg
New Connections
Project Success
Project Success
Project Success
Riverside MiddleSchool Pittsburg
New Connections
Riverview Middle SchoolBay Point
Residential Student Assistance Program
Orin Allen Byron’s Ranch
Reach Project
Towards No Drugs (TND)
Towards No Drugs (TND)
Antioch Middle School Antioch
Reach Project
Towards No Drugs (TND)
Towards No Drugs (TND)
Dallas Ranch Middle School Antioch
Reach Project
Towards No Drugs (TND)
Towards No Drugs (TND)
Black Diamond Middle School Antioch
Reach Project
Towards No Drugs (TND)
Towards No Drugs (TND)
Liberty High School Brentwood
Reach Project
Towards No Drugs (TND)
Towards No Drugs (TND)
La Paloma High School Brentwood
Reach Project
Towards No Drugs (TND)
Towards No Drugs (TND)
Freedom High School Oakley
Reach Project
Towards No Drugs (TND)
Towards No Drugs (TND)
Heritage High School Brentwood
Reach Project
Parent Project
Reach Office Antioch
Reach Project
Parent Project
Reach Office Oakley
Reach Project
Parent Project
Reach Office Brentwood
Reach Project
Strengthening Youth and Families (SYF)
Antioch Police Department
Reach Project
Strengthening Youth and Families (SYF)
Oakley Police Department
Reach Project
Strengthening Youth and Families (SYF)
Brentwood Police Department
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION EAST COUNTY COMMUNITY BASED PROVIDER
EDUCATION STRATEGY UNIVERSAL
SELECTED
INDICATED
SCHOOL/SITE
Reach Project
Strengthening Youth and Families (SYF)
Far East County SARB
Reach Project
Strengthening Youth and Families (SYF)
Antioch Schools SARB
Family Stress Center
Dare To Be You
Dare To Be You
Dare To Be You
Lavonia Allen Head Start- Bay Point
Family Stress Center
Dare To Be You
Dare To Be You
Dare To Be You
Fairgrounds Head Start Antioch
EAST COUNTY COMMUNITY BASED PROVIDER
ALTERNATIVES STRATEGY UNIVERSAL
SELECTED
INDICATED
SCHOOL/SITE
Center for Human Development
Friday Night Live Youth Development
Antioch High School Antioch
Center for Human Development
Friday Night Live Youth Development
Antioch Middle School Antioch
Center for Human Development *
Communities Mobilizing for Change on Alcohol
Riverview Middle SchoolBay Point
33
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION APPENDIX
C
NUMBER OF CONTRA COSTA RESIDENTS WHO RECEIVED PREVENTION SERVICES IN FY 05-06 The most recent Prevention Activities Data System (PADS) report submitted to the Alcohol and Drug Programs (ADP) for the period of July 1, 2005 through June 30, 2006 indicated that a total of 23,913 individuals received AOD prevention services in Contra Costa County through multiple prevention strategies. Under the education strategy 16,143 Contra Costa residents received services, and 846 youth participated in alternative activities with a focus on environmental prevention. Under Community Based process we served 3,646 residents, and a total of 3,278 individuals received information dissemination services. The number of units under education strictly refers to service activities listed under this strategy; however, in Contra Costa as a result of Best Practice implementation we failed to capture and consequently under-reported other prevention units that simultaneously occurred in combination with the best practice. For example, Alternatives could also generate Community Based, Environmental, Information Dissemination, etc. service units. Tables 1 and 2 show totals per ethnicity and age. As compared to previous years, not only have we increased services to Latinos, but we also provided services to our younger populations (5-18 years old). Race/Ethnicity Black White Latino Asian Pacific Islander Native Mixed Total Table 1.
Total 3,678 10,388 5,772 2,879 255 941 23,913
Age Groups Under 5 6-9 10-12 13-15 16-18 19-25 26-54 55+ Total Table 2.
Total 568 625 1,955 3,183 2,007 2,452 11,412 1,711 23,913
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION PREVENTION PARTICIPANTS’ GENDER
Male Female Other
15,063 FEMALE 8,849 MALE 1 OTHER
(59%) (41%)
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CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION APPENDIX
D
Table 1.1 Comparison of Demographic Data- State to County Census Data California Contra Costa County Race/Ethnicity 36,132,147 1,017,787 White 77.0% 72.7% African American 6.7% 9.6% American Indian 1.2% 0.7% Asian 12.2% 13.1% Native Hawaiian, Pacific Islander 0.4% 0.4% Multi-racial 2.4% 3.4% Persons of Hispanic Origin 35.2% 21.1% Age Persons< 5 yrs of age 7.4% 6.7% Persons 65 yrs or older Income Median household income (2003) Home ownership rate (2000) Language Language other than English spoken at home, % 5 and older Poverty Persons below poverty, % 1999 2005 Population Estimates, U.S. Census
36
10.7%
11.4%
$48,440 56.9%
$64,424 69.3%
39.5%
26.0%
13.8%
7.5%
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
Table 1.2 2005 Comparison of Demographic Data by City and Region – Contra Costa County East County Central County South Co. West County Census Data Antioch Pittsburg Concord Walnut Danville Richmond San Creek Pablo Population 101,124 61,004 124,977 65,151 42,647 102,327 31,041 estimates White 65.3% 43.5% 70.7% 83.9% 86.3% 31.4% 31.6% African 9.7% 18.9% 3.0% 1.1% 0.9% 36.1% 18.3% American American 0.9% 0.8% 0.8% 0.3% 0.2% 0.6% 0.9% Indian Asian 0.4% 12.6% 9.4% 9.4% 9.0% 12.3% 16.4% 7.4% 0.8% 0.5% 0.1% 0.1% 0.5% 0.5% Native Hawaiian, Pacific Islander Other race 9.2% 16.1% 9.7% 2.0% 0.9% 13.9% 25.4% Multi-racial 7.0% 7.2% 5.9% 3.2% 2.5% 5.3% 6.8% Persons of 22.1% 32.2% 21.8% 6.0% 4.7% 26.5% 44.6% Hispanic Origin Persons< 5 yrs 8.6% 8.3% 7.1% 4.4% 7.1% 7.7% 9.1% of age Persons 65 yrs 7.4% 8.2% 10.7% 25.3% 10.3% 9.9% 8.7% or older Median $60,359 $50,557 $55,597 $63,228 $114,064 $44,210 $37,184 household income (2003) Home 71.0% 62.8% 62.6% 68.3% 89.1% 53.3% 49.1% ownership rate (2000) 22.1% 38.5% 30.3% 19.4% 13.2% 36.2% 58.5% Language other than English spoken at home, % 5 and older Persons below 8.5% 11.5% 7.6% 3.7% 2.2% 16.2% 18.1% poverty, % 1999
Table 2.1. Percent Contra Costa County Youth Reporting Substance Use in Past 30 Days, 2006 Contra Costa County California Grade Substance Alcohol Marijuana Tobacco
7th
9th
11th
7th
% Yes
% Yes
% Yes
% Yes
15 4 3
31 12 9
41 18 13
10 4 5
Source: California Healthy Kids Survey, Contra Costa County, 2004
37
9th % Yes
25 12 10
11th % Yes
37 20 15
Alternative schools County State % Yes
58 38 35
% Yes
51 39 39
CONTRA COSTA COUNTY STRATEGIC PLAN FOR ALCOHOL AND OTHER DRUGS PREVENTION
Table 2.2 Percent Treatment Admissions by Primary Drug of Choice,
