Imperial County Alcohol & Drug Prevention...Alcohol & Drug Programs 1295 State Street El Centro, CA...

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

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


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


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 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.


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.


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%.


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.


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.


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.


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%.


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%.


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).


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.


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.


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%.


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.


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.


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.


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.


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.


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.


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


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


Table 3

*NT= continuation, community day, and other alternative school types.


Q: During the past 30 days, on how many days did you drink alcohol… use marijuana?


% 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


Q: About how old were you the first time you had a full drink of alcohol… used marijuana… used any other illegal drug?


% 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


Q: How much do people risk harming themselves physically and in other ways when they drink alcohol… use marijuana?


% 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


Q. How difficult is it for students in your grade to get any of the following substances if they really want them?


% 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


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.


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%.


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.


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%.


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/

http://hosted.ap.org/specials/interactives/_national/stress_index/


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


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


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.


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%.


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%.


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.


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%).


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.


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.


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


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.


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


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.


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.


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.


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.


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


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.



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


Priority 2: Reduction of Underage Drinking Goal 1: Reduce underage alcohol use associated with cultural and social access.


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


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.



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


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


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.


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


drinking

CalOMS Pv Data

CHKS

ICBHS Admissions

Data

Local Crime Data

Youth & Adult Alcohol

Perception Survey


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.


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.


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.


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


Survey


Priority 3: Enhance the AOD Prevention System Goal 3: Improve prevention planning and evaluation.


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


Survey

ICBHS Admissions

Data

Imperial County

Prevention Coalition

Attendance

Local Crime Data


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

Imperial County Alcohol & Drug Prevention...Alcohol & Drug Programs 1295 State Street El Centro, CA...

Documents

Transcript of Imperial County Alcohol & Drug Prevention...Alcohol & Drug Programs 1295 State Street El Centro, CA...