[PPT] - Jackson County Anti-Drug Coalition Ripley, West Virginia Amy RH PowerPoint Presentation

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Jackson County Anti-Drug Coalition Ripley, West Virginia

Amy RH Haskins, MA, SIT

Project Director, Jackson County Anti Drug Coalition Public Health Educator & Sanitarian, Jackson County Health Department

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29,000 residents
17.7% are over the age of 65 (state is 16%)
61% are between the ages of 19-64
22% are under 18 years of age
24.9% of children live in poverty
Per capita income is $21,855

Quick Facts on Jackson County

Jackson County

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Coalition Formation

Formed in 2006 originally
2005 – “isolated incident” of one youth overdosing in a gas

station bathroom

2006 – 2008 16 deaths DIRECTLY related to prescription

drugs ages 15-26.

In cars and in yards of local residents
Jackson County Health Department
Public health crisis
Forged the way for grant applications, research

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WV Office of Vital Statistics (2009)

Top 4 Drugs at Time of Death:

Methadone
Fentanyl
Hydrocodone
Diazepam (Valium)

Christopher J. Rhodes

Jan 6, 1989 – Dec 17, 2008

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Jackson County Anti-Drug Coalition

2009 Awarded Drug Free Communities Grant Funding
Active members include:
Law Enforcement (2 City offices and Sheriff’s Department)
2 Youth Coalitions (roughly 50 youth)
Substance Abuse Treatment Providers
Community Members/Concerned Parents
Other organizations working to reduce substance abuse
Religious/Fraternal Organizations
Board of Education
Medical Professionals
Civic Groups
Business community
Youth Serving Organizations
Media

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Coalition Training and Growth

Attended and Graduated from CADCA National Coalition Institute in

2011

Trained in 7 Environmental Strategies and achieving outcomes

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Problem #1:

Jackson County youth are dying from Prescription Drug Overdoses.

Root Cause #2 “But why?”: Ease of Availability Root Cause #3 “But why here?”: Low Perception of Danger or Harm Local Condition #4:

People take medication from excess supply in the home

Local Condition #3:

People provide family/friends, etc. with left over medications

Local Condition #1:

Prescription Drug supply is not monitored in the home

Local Condition #2:

Kids are obtaining and using prescription drugs in school

Local Condition #1:

Unable to monitor sales and/or prescriptions across state line

Local Condition #2:

Kids obtaining and using in school

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Strategies Implemented

1. Provide Information

a) Multifaceted media campaign aimed at parents, youth, seniors, providers, businesses, and general public

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Strategies Implemented

2. Enhance Skills

a) Classroom Presentations b) Pill Identification and Diversion Training for LE c) State Prescription Drug Monitoring Database d) Community Presentations e) Businesses – Abuse Identification Presentations f) Proper Disposal Presentations

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Strategies Implemented

3. Provide Support

a) Encouragement of access to WV Rx Quitline b) Mobilization of Resources within community to address local conditions ($50,000+) c) Development of disposal protocols d) Advocacy and Encouragement of use of WV Prescription Drug Monitoring Database

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4. Enhance Access/Reduce Barriers

a) Advocacy at State level for local Law Enforcement access to WV State Prescription Drug Monitoring Database b) Advocacy at State level for access to other state monitoring systems c) Training for School Employees on identification of substance abuse d) Integration of disposal information into regular community communication e) Static Take Back Sites f) Regular Disposal Days

Strategies Implemented

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Strategies Implemented

5. Change Physical Design

a) Purchase of an incinerator

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6. Modify/Change Policies

a) Development and implementation of policy for static and point in time take backs b) Advocacy work to mandate use of WV Prescription Drug Monitoring Database c) Expansion of random drug testing at middle and high schools to include specific Rx drug classes

Strategies Implemented

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Reducing Barriers for Disposal of Prescription Drugs

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Overdoses reported in Jackson County by Jackson County EMS

78 61

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Prescription Drug Use

14.4 8 7.8

2 4 6 8 10 12 14 16 2007 2009 2011 2013

Annual Use of Uppers/Downers

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Prescription Drug Use

8 3.7

1 2 3 4 5 6 7 8 9 2007 2009 2011 2013

30 Day Use Pain Killers

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Prescription Drug Use

3.8 3.3

3 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 2007 2009 2011 2013

Annual Use of Oxy

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Prescription Drug Use

3.4 1.9

0.5 1 1.5 2 2.5 3 3.5 4 2007 2009 2011 2013

30 Day Oxy Use

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Prescription Drug Use

5 10 15 20 6th 7th 8th 9th 10th 11th 12th

Annual Prescription Drug Use Jackson County vs. National Statistics PRIDE Survey 2013

Annual use Rx Drugs Nationally Annual use Rx Drugs Jackson County Monitoring the Future

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Prescription Drug Use

2 4 6 8 10 12 6th 7th 8th 9th 10th 11th 12th 30 Day Rx Drug Use Nationally 30 Day Rx Use Jackson County Monitoring the Future

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Jackson County vs. National Rates Prescription Drug Use Among 12th graders

6.5 9.2 7 14.8 2 4 6 8 10 12 14 16 30 Day Rx Use Annual Rx Use Jackson Co Nationally Jackson County 2012-2013 PRIDE Survey and 2012 Monitoring the Future

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In Conclusion…

 Important to encompass all ages in prevention efforts  Statistics that are “out of the box” can provide great insight into the community  Local partnerships + Coalitions = BIG CHANGE  Disposal reducing access, increases perception of harm, reduces overdose deaths