PFS Evaluation v Initial Findings (March 201 7 - July 201 9) - PowerPoint PPT Presentation

PFS Evaluation v Initial Findings (March 201 7 - July 201 9) Patty Martin August 28, 2019

SPF -P FS Log ic Mod e l P lan n in g Environmental Strategies ● Policy ● Laws ● Advocacy Non-Medical Fatal / Non-fatal -Information Prescription Use Social Availability Opioid Overdoses -Training (12-25 year olds) Support Strategies ● Coalition ● Lock boxes ● Disposal bags ● New drop box ● Take back events

SPF -P FS Log ic Mod e l Im p le m e n tation Environmental Strategies ● Policy ● Laws ● Advocacy Non-Medical -Information Fatal / Non-fatal Prescription Use Social Availability -Training Opioid Overdoses (12-25 year olds) Support Strategies ● Coalition ● Lock Boxes ● Disposal bags ● New drop box ● Take back events

Process evaluation SPF -P FS Evalu ation Environmental Strategies Outcome Evaluation ● Policy ● Laws ● Advocacy -Information Non-Medical -Training Fatal / Non-fatal Prescription Use Social Availability Opioid Overdoses (12-25 year olds) Support Strategies ● Coalition ● Lock Boxes OPNA Student and OPNA Student and CDC Prevention Vital ● Disposal bags Community Surveys Community Surveys Statistics and OSDH ● New drop box Non-fatal Hospitalizations ● Take back events BH Evaluation Plans

SPF -P FS Strate g y P lan n in g : P olicy -Which policies are needed? ● Do the policies already exist or are new ones needed? ● Are existing policies strong enough or do they need enhanced? ● Are strong/enhanced policies being enforced? (i.e., followed by staff; monitored by management)

SPF -P FS Strate g y Im p le m e n tation : P olicy - 33 New/Enhanced Policies Example Agencies Secondary Schools College Campuses Department of Human Services Health Department Senior Services Pharmacies Cherokee Nation Behavioral Health

SPF - P FS Strate g y P lan n in g : Le g al Syste m 1. What laws need to be in place? 2. Are laws being enforced adequately? 3. Is the court system applying appropriate penalties that will reduce the likelyhood of reoffending and prevent new offenders?

SPF -P FS Strate g y Im p le m e n tation : Le g al Syste m Title 63 Title 63: Chapter 2: Article 2: Section 2-402: Prohibited Acts B-Penalties Owning or obtaining a controlled dangerous substance without a prescription is illegal Title 63: Chapter 2: Article 2: Section 2-403: Prohibited Acts C-Penalties Larceny, burglary, or theft of controlled dangerous substances is illegal Title 63: Chapter 2: Article 2: Section 2-404: Prohibited Acts D-Penalties Provides explanation of what improper distributing or dispensing a controlled dangerous substance is considered illegal Title 63: Chapter 2: Article 2: Section 2-406: Prohibited Acts F-Penalties Distributing a controlled dangerous substance Schedule I or II in a manner outside of course of legitimate business is illegal Title 63: Chapter 2: Article 2: Section 2-407: Prohibited Acts G-Penalties Obtaining a controlled dangerous substance through fraud or deceit to be illegal Title 63: Chapter 2: Article 2: Section 3-415: Trafficking Offenses Penalties for Trafficking controlled dangerous substances

SPF -P FS Strate g y Im p le m e n tation : Le g al Syste m Title 47 Title 47: Section 761 Driving While Intoxicated (DWI)-lesser offense than DUI New Law 63 O.S.2-407(A)(2) New E-Script law (2020)

SPF -P FS Strate g y P lan n in g : Cap acity Bu ilin g an d Ad vocacy 1. Which community sectors need to support the prevention efforts? 2. What information do they need to understand the need for the prevention effort? 3. What advocacy message do they need to support and/or engage in the prevention effort (personal and community domains)?

SPF -P FS Strate g y P lan n in g : Cap acity Bu ilin g an d Ad vocacy Me ssag e s Non-medical Use of Prescription Medication (NMUPD) -Harms of not taking as prescribed -Harms of saving leftover prescriptions for later -Harms of prescription sharing Safe Storage and Disposal -Importance of locked storage -Importance of proper disposal Community Safety -Supporting strong agency policies -Supporting strong laws, enforcement and adjudication

SPF -P FS Strate g y: Coalition Cap acity (He alth ,Su b stan ce Ab u se , P FS, CDW /REOW ) - 87 Training events provided New Members Added City/County Court Clerk Drug Court Pharmacy Doctor Law Enforcement Treatment Counselors Tribal Members

SPF -P FS Strate g y: Com m u n ity an d Ag e n cy Cap acity Bu ild in g an d Ad vocacy - 887 Information Dessimination and Training events provided (total) Community and Agency Targets General community members Care takers 10-11 year olds Foster care parents 12-25 year olds Foster care agency staff School athletes School administration and staff Boys and girls clubs Health care professionals Boy scouts Law enforcement College students Emergency service managers University RAs Chamber of commerce Parents Employers Grandparents Faith based ministries Senior citizens Tribal members

SPF -P FS Strate g y: He alth Disp arate P op u lation Cap acity Bu ild in g an d Ad vocacy - 130 Information Dessimination and Training events provided (15%) Health Disparate Targets 18-25 year olds not attending college 18-25 year olds living in college residence hall Foster care homes Homeless youth Hispanics Marshallese Native Americans Rural communities Veterans

SPF -P FS Strate g y: Su p p ort Strate g ie s Health Disparate Population TOTAL 800 Lock boxes distributed (14%) 5600 Lock boxes distributed 617 Disposal bags distributed (10%) 6110 Disposal bags distributed 4 New drop boxes placed (17%) 23 New drop boxes placed 4 Take back events with 39 Take back events with 63 lbs of medication collected 2062 lbs of medication collected

SPF -P FS Strate g y: Su cce ss Story (P olicy or En force m e n t) Example Strategy: Policy Agency: School District Issue: Teacher prescription medication on campus Key To Success: School district had strong student policies but had never thought about the potential harm when teachers bring prescription medication to school

SPF -P FS Strate g y: Su cce ss Story (P olicy or En force m e n t) Activity – Report Out Strategy: Agency: Issue: Key To Success: *AEP sh ou ld also com p le te on e su cce ss story for a p olicy or e n force m e n t e ffort

SPF -P FS Strate g y: Su stain ab ility (P olicy, En force m e n t, Ad vocacy, or Su p p ort Strate g y) EXAMPLE Strategy: Lock boxes Who: Pharmacies What they will do to sustain the effort: Will have lock boxes available to sell

SPF -P FS Strate g y: Su stain ab ility ( P olicy, En force m e n t, Ad vocacy, Su p p ort Strate g y) Activity – Report Out Strategy: Who: What they will do to sustain the effort: *AEP should also complete one success story for a policy, enforcement, advocacy, or support strategy effort

Process evaluation SPF -P FS Evalu ation Environmental Strategies Outcome Evaluation ● Policy ● Laws ● Advocacy -Information Non-Medical Fatal / Non-fatal -Training Prescription Use Social Availability Opioid Overdoses (12-25 year olds) Support Strategies ● Coalition ● Lock Boxes OPNA Student and OPNA Student and CDC Prevention Vital ● community surveys Community surveys Disposal bags Statistics and OSDH ● Non-fatal Hospitalizations New drop box ● Take back events BH Evaluation Plans

Recom m endation 1 : Ne e d s Asse ssm e n t Th orou g h P olicy Data Colle ction -Which policies are needed? ● Do the policies already exist or are new ones needed? ● Are existing policies strong enough or do they need enhanced? ● Are strong/enhanced policies being enforced? (i.e., followed by staff; monitored by management)

Recom m endation 2: Ne e d s Asse ssm e n t Th orou g h Law s & En force m e n t Data Colle ction 1. What laws need to be in place? 2. Are laws being enforced adequately? 3. Is the court system applying appropriate penalties that will reduce the likelyhood of reoffending and prevent new offenders?

Recom m endation 3: Ne e d s Asse ssm e n t Th orou g h Cap acity Bu ild in g an d Ad vocacy Data Colle ction Coalition Members 1. What knowledge and skills are needed to understand and support the prevention efforts? 2. What knowledge and skills are needed to be an community advocate for stronger policies, new laws, increased enforcement and adjudication? Community Sectors 1. Which community sectors need to support the prevention efforts? 2. What information do they need to understand the need for the prevention effort? 3. What advocacy message do they need to support and/or engage in the prevention effort (personal and community domains)?

Recom m endation 4 : P lan n in g /Im p le m e n tation Com m u n ity Se ctor Cap acity Bu ild in g & Ad vocacy Me ssag e s Add Advocacy Messaging to Communication Plan Non-medical Use of Prescription Medication (NMUPD) -Harms of not taking as prescribed -Harms of saving leftover prescriptions for later -Harms of prescription sharing Safe Storage and Disposal -Importance of locked storage -Importance of proper disposal Community Safety -Supporting strong agency policies -Supporting strong laws, enforcement and adjudication