Six x Les essons sons Lea earned ned From m Can annabis nabis - - PowerPoint PPT Presentation

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Six x Les essons sons Lea earned ned From m Can annabis nabis - - PowerPoint PPT Presentation

Jan 14, 2023 240 likes •570 views

Kevin n P. Hagger gerty ty, , MSW, PhD Univer Uni ersity ity of Washing hington on, , School ol of Social al Work rk Cannabis abis Legalization alization and Yout uth: : De Developing loping Clear ar Messages sages in an

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SLIDE 1

Six x Les essons sons Lea earned ned From m Can annabis nabis Legalization in Washington State….one resear earch cher ers s perspec spectiv tive

Kevin n P. Hagger gerty ty, , MSW, PhD Uni Univer ersity ity of Washing hington

  • n,

, School

  • l of Social

al Work rk Cannabis abis Legalization alization and Yout uth: : De Developing loping Clear ar Messages sages in an Evolv lving ing Polic licy y Clim imat ate Boulder lder, , CO Nov 15-16, 2018 18

  • Dr. Haggerty is the director of the UW Center for CTC and does receive payments for training and

consultation services

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SLIDE 2

Six Lessons from Washington State

  • 1. The sky hasn’t fallen….
  • 2. Parent’s make a difference
  • 3. Public Health Messaging is critical
  • 4. Defining Evidence Based Programs is difficult and

essential

  • 5. Communities bring it all together
  • 6. There is a lot we still don’t know.
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SLIDE 3

1.

  • 1. The sky hasn’t fallen….
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SLIDE 4

WSIPP

WSIPP, 2017

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SLIDE 5

For adults, use is increasing for those who have used in the past

Kosterman et. al., 2017

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SLIDE 6

Monitoring the Future, 2018

We need to focus

  • n increase in

frequency of use rather than ever use or single use in the last 30 days.

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SLIDE 7

AND…THC levels are going up…and we don’t know what that means….

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SLIDE 8
  • 2. Care

aregiv giver ers ca can n in infl fluence uence ri risk sk fac actor

  • rs

for

  • r ad

adolesc

  • lescent

ent ca cannabis nnabis us use

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SLIDE 9

Community Family School Individual/Peer

Risk factors for youth cannabis misuse

Catalano et al., (2018) Contemporary Health Issues on Marijuana, Oxford University Press Harrop & Catalano, 2016

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SLIDE 10

Our work at SDRG has shown…

■ Peer or sibling use ■ Prior alcohol use ■ Prior cigarette use

Cannabis Initiation

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SLIDE 11

Children who perceive their parents as having favorable attitudes toward drug use were…

5 X more likely to have tried cannabis

by 8th grade

6 X more likely to be a frequent user

by 10th grade

Parent Norms are an Important Risk Factor

Source: Washington State Division of Behavioral Health and Recovery, 2013

12

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SLIDE 12

Our work at SDRG has shown…

■ Good family management ■ Norms against use & perceived harm

Cannabis Initiation

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SLIDE 13

Tip ips f s for Par Paren ents: ts: Developing messages for parents

G =

= Cl

Clear and d Sp Speci cific ic Gui uide deli lines

M =

= Mon

  • nit

itor

  • r

C =

= Co

Conse seque uence nce & P & Prob

  • ble

lem-So Solv lvin ing

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SLIDE 14
  • 3. Pu

Publi blic c Health ealth Me Messa ssagin ging g is is Critical ritical

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SLIDE 15

What Parents Care About

Hanson, K., Haggerty, K. P., Fleming, C. B., Skinner, M. L., Casey-Goldstein, M., Mason, W. A., ... & Redmond, C. (2018). Washington State Retail Marijuana Legalization: Parent and Adolescent Preferences for Marijuana Messages in a Sample of Low-Income Families. Journal of studies on alcohol and drugs, 79(2), 309- 317.

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SLIDE 16

Listen to Your Selfie

You Can https://www.youcanwa.org/ Know This about Cannabis

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SLIDE 17
  • 4. Det

Determining ermining EB EBPs Ps is is es essent sential ial

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SLIDE 18

■ 19 Evidence Based Approaches – 16 Blueprints programs ■ 5 Promising – 3 Blueprints ■ 12 EBP recommendations for tribal communities – 4 have strongest research – 3 have some evidence (with concerns) – 5 have some evidence (pre-post only)

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SLIDE 19

5.

  • 5. Com
  • mmunities

munities Bri ring ng it it All ll Toge

  • gethe

ther

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SLIDE 20

22

Even when communities carefully select tested, effective programs/practices/policies well-matched to their community-identified needs, we need the support of public systems to create enabling contexts for strong implementation.

Posit itiv ive e Child and Family ily Outcomes comes Effecti ective Implement mplementat ation ion Met ethods hods Enabling ng Contexts xts

Ef Effectiv ective e Inter erventions entions

Commun munit ity Coalit litions ions Communit munities ies that Care

National Implementation Resource Network

Creating Opt ptim imal al Enablin ing g Contexts xts for Tested, Effective Programs/Pratice s/Policies Within Public Systems

Blueprints registry

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SLIDE 21

The Challenge for Community Prevention: Different Communities, Different Needs

Different Norms & Values

Different youth problem behaviors

Different levels of risk and protection Different resources & capacity

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SLIDE 22

Communities that Care Builds Prevention Capacity and Infrastructure

■ Build a coalition of diverse stakeholders ■ Assess and prioritize risk, protection, and behavior problems with student surveys ■ Address locally prioritized risk and protection with tested, effective preventive interventions ■ Support/sustain high fidelity implementation of interventions delivered at scale

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SLIDE 23

Promo

  • moti

ting g Wel ell Bei eing u g usin ing g the e Socia ial l Devel elopm

  • pmen

ent t Strategy egy

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SLIDE 24

What is the evidence that CTC has a collective impact?

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SLIDE 25

24 incorporat rporated d towns ns in 7 states s ~ Matched in pairs within state ~ Randomly assigned to CTC or control condition 4407 students ents followed d through ugh age 23 ~ All 5th graders in public schools ~ Surveyed annually from grade 5

Supported by grants from the National Institute on Drug Abuse, National Cancer Institute, the Center for Substance Abuse Prevention, National Institute on Child Health and Human Development, National Institute of Mental Health, National Institute on Alcohol Abuse and Alcoholism

Randomized Trial of Communities That Care 2003-2017

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SLIDE 26

Significant community-wide reductions in drug use and delinquency compared to control communities by end of grade 8.

CTC Reduced Behavioral Health Problems After 3 Years (Grade 8)

tobacco – 33% alcohol – 32% antisocial behavior – 25% binge drinking - 37%

Hawkins et al. (2009). Arch Pediatr Adolesc Med.163(9):789-798.

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SLIDE 27

CTC EFFECTS ON YOUTH OUTCOMES

Age 11

Grade 5

Age 12

Grade 6

Age 13

Grade 7

Age 14

Grade 8

Age 16 Grade

10

Age 18 Grade

12

Age 19 Age 21 Age 23 2004 2005 2006 2007 2009 2011 2012 2014 2016

Risk

Baseline

✓

ns

✓

ns

Protection

✓

ns

Delayed Initiation and Sustained Abstinence Antisocial Behavior Baseline

✓ ✓ ✓ ✓ ✓ ✓

✓ Violence

✓ ✓

ns

✓

✓ Gateway Drugs#

✓ ✓

✓ Alcohol

✓ ✓ ✓

ns ns

✓ males

Cigarettes

✓ ✓ ✓ ✓males ✓ males ✓ males

Marijuana

ns ns ns ns

✓ males

ns Any Drugs+

ns

✓ ✓males

ns ✓ Reduced Prevalence of Recent Behavior (Past-month/Past-Year) Antisocial Behavior Baseline

✓ ✓

ns ns ns ns

Violence

✓

ns ns ns ns

Alcohol

✓

ns ns ns ns ns

Binge Drinking

✓

ns ns ns ns ns

Cigarettes

✓

ns ns ns ns

Smokeless Tobacco

✓

ns ns ns ns ns

✓ = significant CTC effect ns = not significant empty cells = CTC effect not tested

# Gateway drugs = alcohol, cigarettes, or marijuana. + Any drugs include gateway drugs, nonmedical use of prescription drugs, inhalants, LSD, cocaine, stimulants, ecstasy,

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SLIDE 28

ARR= 1.21 ARR= 1.07

Sustained Effects: % who have never Used Marijuana

ARR=Adjusted Risk Ratio *p < .05 Among baseline (grade 5) non-initiators (91% of sample) Among baseline (grade 5) non-initiators (92% of sample)

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SLIDE 29
  • 6. A few things we still don’t know….

■ He Health lth and d beha ehavior vior conseq nsequences uences of incredibly redibly high gh doses ses of THC HC and d the e impa mpact ct on pare renti nting ng beha havi vior

  • rs

■ The e costs sts of moderat derate e canna nnabis bis use, , impa pact ct on pare renting nting ■ Is alcohol cohol sneaking eaking through

  • ugh the

e back ck door

  • or

■ Impact ct of evidence dence based sed pro rogra grams s in a lega galized lized cann nnabi bis s cont ntext xt ■ The e syne nergi rgistic stic effect ect of commu mmuni nity ty suppor pported d eviden idence ce based sed program,

  • gram, policies

licies and d practices actices to prevent ent yout

  • uth

h cann nnabis abis use ■ What at indus dustr try will l do to reduc duce e regu gula lation tion and nd how w com

  • mmunities

munities can n advoca

  • cate

e for r strong

  • ng regul

gulation tion

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SLIDE 30

The book is coming… December 3rd, 2018

For more information visit www.communitiesthatcare.net

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SLIDE 31

Six x Les essons sons Lea earned ned From m Can annabis nabis Legalization in Washington State….one resear earch cher ers s perspec spectiv tive

Kevin n P. Hagger gerty ty, , MSW, PhD Uni Univer ersity ity of Washing hington

  • n,

, School

  • l of Social

al Work rk Cannabis abis Legalization alization and Yout uth: : De Developing loping Clear ar Messages sages in an Evolv lving ing Polic licy y Clim imat ate Boulder lder, , CO Nov 15-16, 2018 18

  • Dr. Haggerty is the director of the UW Center for CTC and does receive payments for training and

consultation services