Kristine Bowers

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Successful Coalitions Across America April 10-12, 2012 Walt Disney World Swan Resort

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Successful Coalitions Across AmericaNational Rx Drug Abuse Summit 2-10-12

Transcript of Kristine Bowers

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Successful Coalitions Across America

April 10-12, 2012 Walt Disney World Swan Resort

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Learning Objectives: 1.Describe principles of community-based coalition capacity development.

2. Relate nuances of rural drug use characteristics within the Appalachian context.

3. Illustrate innovative or best practice examples of community stakeholder involvement in community-based substance abuse prevention coalitions.

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Disclosure Statement

•  All presenters for this session, Kristine Harper Bowers and Peggy B. Sapp, have disclosed no relevant, real or apparent personal or professional financial relationships.

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A Strategy for Coalition Effectiveness:

Enlarging the Table Kristine Harper Bowers

East Tennessee State University Office of Rural and Community Health and Community

Partnerships

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Appalachia •  420 counties in 13 states •  West Virginia, with counties of Alabama,

Georgia, Kentucky, Maryland, Mississippi, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, and Virginia

•  96 out of the 420 counties considered distressed in 2012*

*A county economic classification index calculation based on three-year average unemployment rate, per capita market income, and poverty rate—with national averages

Appalachian Regional Commission. http://www.arc.gov/appalachian_region/TheAppalachianRegion

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  The burden of substance abuse in the Region is rapidly rising.

  The largest current issue in the Region is diversion of prescription drugs.

  The primary drugs of use and causes of deaths keep changing.

 Deaths from overdose have dramatically increased in recent years.

 Recent increases in substance abuse deaths exacerbate Appalachia’s persistently high rates of premature mortality (before age 65).

 Data from the Region is incomplete. More data is needed to completely describe the issues.

  Local solutions target local problems.

Messages

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Nonmedical Use of Pain Relievers in the Past Year among Persons Aged 12 or Older, by Substate Region. Percentages

Annual averages based on 2006, 2007, 2008 NDSUH

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What is the difference?

Nonmedical  Use  of  Pain  Relievers  in  Substate  Regions:  2004  to  2006  

Nonmedical  Use  of  Pain  Relievers  in  Substate  Regions:  2006  to  2008  

Substance  Abuse  and  Mental  Health  Services  Administra=on,  Office  of  Applied  Studies  (2010).  Substate  es)mates  from  the  2006-­‐2008.  Na)onal  Surveys  on  Drug  Use  and  Health.  Rockville,  MD.  Web  only  report  is  available  at:  h*p://oas.samhsa.gov/substate2k10/toc.cfm  

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ARC Community-Based Substance Abuse Small Grant

Initiative 2011-12 •  Application – Letters of Interest

–  60 applicants from 10 states

•  Conference – Skills and plan of action development for 30 coalitions

•  Implementation – 9 month turn around time

•  Follow-up at 3-month intervals •  Assistance as needed •  Concluding conference

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2011-12 ARC Community-Based Substance Abuse Small Grants

Initiative Counties

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Strategy: Enlarging the Table

Mental Health Sheriff Schools

Media Hospital

Local Gov’t

Business

Faith

??

Stimulate coalition growth

Enhance capacity

and experience

Develop coalition

effectiveness

You

th

Recovery

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Progression of Stakeholder Relationships

Networking

Coordination

Cooperation

Collaboration

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The Community Plans

•  Belief Statements •  Problem statement •  Statement of Change (goal) •  Action Plan •  Description of Activities •  Proposed outcome(s) •  Measure(s) of success •  Budget

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Coalition/Stakeholder Relationship

What Coalition GIVES What Coalition GETS Volunteer energy, time and resources

Recognition and appreciation for issues and success

Entry into community with knowledge of local issues and politics

Connections to external resources

What Stakeholder GIVES What Stakeholder GETS

Materials, technical expertise, training, resources field staff

Greater sense of participation in addressing the issue

Data and best practice examples Community-wide networking

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Promoting Resisting Personal factors

Personal, family or community experience

Living on economic edge with competing priorities

Time limited with defined roles to “make a difference”

Mistrust of government and programs

Community organizations factors Good rapport with community Lack staff and money for activities Networking typical way of doing business in low resource community

Competing for volunteer time among many social issues

Available  from:  hLp://www.etsu.edu/kellogg/Cancer/Forum_Report/Part%201.pdf  

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Four-Step Communication Model Exercise

Team: ________ Stakeholder Group: _________________________ (Choose only one stakeholder)

SENDER (most appropriate)

MESSAGE (from flip chart)

CHANNEL (medium)

RECEIVER (who in stakeholder

group)

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Building Relationships with Healthcare Professionals

•  Monroe County CARES (KY) •  Coalition for a Safe & Drug Free Cherokee County(NC) •  Community Engagement Team (NC) •  Community Prevention Coalition of Jackson County (TN) •  Monroe County Alcohol and Drug Task Force (TN) •  Appalachian Substance Abuse Coalition for Prevention

and Treatment (VA) •  Barbour County Community Coalition (WV) •  Estill County Substance Abuse Coalition (KY)

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Monroe County CARES (KY) •  Targeted stakeholder: Healthcare professionals •  Targeted population: Doctors, nurse practitioners, dentists,

pharmacists

•  CARES involved healthcare professionals by disseminating information regarding proper prescription storage, as well as providing pledge cards for patients who promise they will be responsible with storing, as well as taking, their medications.

•  And built a relationship with this sector by distributing personal lock boxes and information to the providers to issue to their patients; collaborating on resources.

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Monroe County CARES (KY)

PSAs were run in the local newspaper, as well as an

article written on the placement of the

permanent drop box, including interviews with

coalition members and the sheriff.

The coalition hosted a dinner for healthcare professionals, highlighting measures they

could take in alleviating prescription drug abuse,

including handing out lock boxes to patients.

Students in a digital media class at the local high school designed the

graphics on a permanent drop box housed at the

Sheriff’s Office.

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Building Relationships with Community Members and Parents

•  Hart County Champions Coalition (KY) •  Cherokee Action for a Safer Tomorrow (SC) •  Dickenson County Partners Coalition (VA) •  Burke County Substance Abuse Network

(NC)

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Burke Substance Abuse Network (NC)

•  Targeted stakeholder : Community members •  Targeted population: Leaders from community

groups

•  BSAN involved community leaders by creating a Community Leadership Team within the coalition. This sub-committee meets only to discuss what each of them can do within their sector to decrease substance abuse issues in the county. Team members stated this allows them to be held accountable and therefore encourages them to take a more active role.

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Burke Substance Abuse Network (NC)

Each month, about 40 community

leaders meet and discuss measures

they can take in their positions to relieve prescription drug

abuse in the county.

Interviews with Coalition members

regarding prescription drug

abuse in a series of newspaper articles that the leadership team alerted to the

public

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Cherokee (SC) Action for a Safer Tomorrow (CAST)

•  Targeted stakeholder: Community members •  Targeted populations: Seniors and Hispanics

•  Through various community organizations, CAST involved seniors by educating them on the importance of proper medication storage. CAST also worked to include the minority Hispanic population in their efforts, translating materials into Spanish, as well as collaborating with local churches and grocery stores on coalition activities.

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Cherokee (SC) Action for a Safer Tomorrow

The coalition held a take-back event October 29th, and reached out to the large Spanish population through flyers, newspaper ads, and radio PSAs played on the Latino radio stations in the county.

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Dickenson County (VA) Partners Coalition

•  Targeted stakeholder: Community members •  Targeted population: Youth and parents in

Centennial Heights apartment complex

•  Recognizing the stigma attached to this housing complex, as well as the risk and dangers of substance abuse in the area, the coalition reached out to parents and children to develop resistance skills, positive relationships within the family and community, and personal responsibility.

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Upon accruing points through activities like completing chores,

homework, and community service,

qualifying youth were rewarded with a trip to

Dollywood, a first for many.

Youth from Centennial Heights met with the local

police department’s K9 unit, reshaping the

kids’ perception of law enforcement.

The coalition hosted a summer program providing

the youth of Centennial Heights, a local low-

income housing complex, positive activities while

educating them and their parents on substance

abuse issues and deflection skills.

Dickenson County (VA) Partners Coalition

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Building Relationships with Youth and Schools

•  Partnership for a Drug Free DeKalb (AL) •  Pike County Summit on Children (OH) •  Scioto County Rx Drug Action Team (OH) •  Vinton County Drug Abuse Coalition (OH) •  Clay County Anti-Drug Coalition (TN) •  Hancock County Substance Abuse Coalition (TN) •  ICARE-Union County (TN) •  McDowell County HOPE Coalition (WV) •  Pocahontas County Drug Abuse Prevention

Advisory Group (WV) •  Taylor County Breaking the Cycle (WV) •  Twin Counties Prevention Coalition (VA)

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Scioto County (OH) Rx Drug Action Team

•  Targeted stakeholder: Youth •  Targeted population: Area high school

students

•  Youth participate in coalition efforts after being trained in peer mentoring skills. Students collaborate with the coalition by educating and influencing their peers about substance abuse issues within the school system.

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The Drug Action Team held a Youth Ambassador seminar for 85 high school students from eight different schools who were trained in

drug and alcohol issues, as well as resistance skills. These students will operate as peer mentors within their respective schools.

Scioto County (OH) Rx Drug Action Team

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Taylor County (WV) Breaking the Cycle

•  Targeted stakeholder: Youth •  Targeted population: High School students

•  Breaking the Cycle worked to build relationships within Grafton High School by educating youth, raising awareness and interest in the correlation between substance abuse and the high dropout rate in the county.

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During the summit, youth coalition

members “zombied out on drugs”

provided information and

answered questions for students

Students were able to experience

drunk driving with “beer goggles”

and bicycles

Information was presented at a youth summit regarding the effects of drugs and alcohol on teenage brains and bodies

Taylor County (WV) Breaking the Cycle

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Building Relationships with Law Enforcement

•  Estill Substance Abuse Coalition (KY) •  Partners for Prevention in Allegany

County (NY) •  Monroe County Alcohol and Drug Task

Force (TN)

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Partners for Prevention Allegany County (PPAC) (NY)

•  Targeted stakeholder : Law enforcement •  Targeted population: New York State

Police and Cuba Police Department

•  PPAC collaborated with both law enforcement entities in their community to create awareness of efforts to diminish incidences of drunk driving and underage drinking.

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Prescription take back events in 2011

resulted in over $300,000 in

medication being incinerated.

Newspaper and radio ads highlighted the collaborative efforts

of PPAC, Cuba Police Dept., and NY State

Police during the holidays.

Upon completion of compliance checks,

PPAC made thank you calls to businesses

who ID’d for alcohol sales.

Partners for Prevention Allegany County (NY)

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Building Relationships with the Faith-Based Community

•  Lewis County (KY) Recovery Coalition •  Magoffin Local Board for KY-ASAP (KY)

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Building Relationships with Business

•  Strong Through Our Plan, Mingo County (WV)

•  Carter County Drug Task Force (KY)

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Strong Through Our Plan (STOP) (WV)

•  Targeted stakeholder: Business •  Targeted population: local county and

corporate businesses

•  STOP incorporated members of the business sector by helping them understand how substance abuse issues in the community affect the local workforce and economy. Persons from the business sector have become active members in the coalition.

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Presented a PowerPoint

program focusing on the importance of business

collaboration to build relationships with business

owners, as well as to provide substance abuse education

and resources for employees.

seeking treatment……

Strong Through Our Plan Mingo County (WV)

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Results •  All 30 coalition teams increased

capacity by adding the targeted stakeholder group

– Coalition membership increased – Volunteer base increased – Community awareness of the issues and

the efforts of coalitions increased – Longstanding membership was revitalized,

encouraging innovative ideas and projects

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0

5

10

15

20

25

30

Initial status At 3 months At 6 months

Himmelman Hierarchy of Partnerships

Networking

Cooperating

Coordinating

Collaborating

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Outcomes Stimulated coalition growth

Through small grants for targeted membership

Enhanced capacity and experience With self determination and flexibility by participation in ARC grant process

Developed coalition effectiveness Through knowledge growth and cross state linkages

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CONTACT

East Tennessee State University Office of Rural and Community Health and Community Partnerships

PO  Box 70412 Johnson City, TN 37614

www.etsu.edu/kellogg/Substance%20Abuse.asp Kristine Harper Bowers

Substance Abuse Projects Coordinator Coalition on Appalachian Substance Abuse Policy (CASAP)

423-439-7156 423-737-6276 cell

http://www.facebook.com/pages/Coalition-on-Appalachian-Substance-Abuse-Policy/182665785092560

www.appalachiancoalition.com