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

Fatal / Non-fatal Opioid Overdoses Non-Medical Prescription Use (12-25 year olds) Social Availability Environmental Strategies

• Policy
• Laws
• Advocacy
• Information
• Training

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

Fatal / Non-fatal Opioid Overdoses Non-Medical Prescription Use (12-25 year olds) Social Availability Environmental Strategies

• Policy
• Laws
• Advocacy
• Information
• Training

Support Strategies

• Coalition
• Lock Boxes
• Disposal bags
• New drop box
• Take back

events

SPF-P FS Evalu ation

Fatal / Non-fatal Opioid Overdoses Non-Medical Prescription Use (12-25 year olds) Social Availability Environmental Strategies

• Policy
• Laws
• Advocacy
• Information
• Training

Support Strategies

• Coalition
• Lock Boxes
• Disposal bags
• New drop box
• Take back

events Outcome Evaluation Process evaluation

OPNA Student and Community Surveys OPNA Student and Community Surveys BH Evaluation Plans CDC Prevention Vital Statistics and OSDH Non-fatal Hospitalizations

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

TOTAL 5600 Lock boxes distributed 6110 Disposal bags distributed 23 New drop boxes placed 39 Take back events with 2062 lbs of medication collected Health Disparate Population 800 Lock boxes distributed (14%) 617 Disposal bags distributed (10%) 4 New drop boxes placed (17%) 4 Take back events with 63 lbs of medication collected

SPF-P FS Strate g y: Su cce ss Story

(P olicy or En force m e n t)

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

Example

SPF-P FS Strate g y: Su cce ss Story

(P olicy or En force m e n t)

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

Activity – Report Out

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)

Strategy: Lock boxes Who: Pharmacies What they will do to sustain the effort: Will have lock boxes available to sell EXAMPLE

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)

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

Activity – Report Out

SPF-P FS Evalu ation

Fatal / Non-fatal Opioid Overdoses Non-Medical Prescription Use (12-25 year olds) Social Availability Environmental Strategies

• Policy
• Laws
• Advocacy
• Information
• Training

Support Strategies

• Coalition
• Lock Boxes
• Disposal bags
• New drop box
• Take back

events Outcome Evaluation Process evaluation

OPNA Student and community surveys OPNA Student and Community surveys BH Evaluation Plans CDC Prevention Vital Statistics and OSDH Non-fatal Hospitalizations

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

Recom m endation 5: P lan n in g /Im p le m e n tation Ag e n cy P olicy an d Law En force m e n t Cap acity Bu ild in g & Ad vocacy Me ssag e s

Add Relationship Building Strategies and Advocacy Messaging to Communication Plan Agency Policy Relationship building strategy (who, when, what advocacy message)

• New or enhanced polices
• Ensuring staff are following policies

Law Enforcement Policy Relationship building strategy (who, when, what advocacy message)

• Increased enforcement
• Ensuring officers are following enforcement policy

Judicial System Relationship building strategy (who, when, what advocacy message)

• Appropriate adjudication to prevent reoffenders and new offenders

Questions?