Preventing prescription drug abuse

As I meet with community members, the topic of youth prescription drug abuse keeps coming up. People who work with teenagers report an increase in the number of young people who are abusing prescription drugs. According to the 2008 Healthy Youth Survey, 12% of Washington high school seniors abuse medicines.

A local coalition is advocating for drug take-back programs where Washington residents can bring their unwanted medicines to be properly destroyed. Their website includes fact sheets and other resources that community members can use to increase understanding and awareness of the issue.

In Seattle, the SAMA Foundation advocates for drug take-back programs, as well.

Strong coalitions support evidence-based prevention programs

Strong coalitions help communities implement evidence-based prevention programs, according to the results from a study conducted at Pennsylvania State University. Researchers found that the following coalition traits were significant when it comes to supporting local evidence-based programs:

• perceived strength of coalition leadership;
• task-oriented coalitions;
• positive relationships among members, staff, and community organizations.

Other factors included adhering to the CTC (Communities That Care -- similar to the SPF -- Strategic Prevention Framework used by Prevention WINS) process with ongoing technical assistance and funding for coalition staff, resources, and materials.

Free tobacco prevention webinar

Understanding Tobacco's Toll on Individuals, Families, and Communities
December 2, 2010
12:00 noon - 1:30 p.m.

Gain new tools to address tobacco policy and smoking cessation.

Understand the role and effectiveness of quit lines.

Learn about the available resources to help reduce smoking in your community.

Hear from local communities about their successes.

To register, visit www.CADCA.org.

Alcohol & marijuana use

Students in Washington State recently took the 2010 Healthy Youth Survey. Results should be available in the spring. Below are charts showing the 10th and 12th grade rates of current alcohol and marijuana use in the state, King County, Seattle Public Schools, Nathan Hale High School, and Roosevelt High School as reported in the 2008 Healthy Youth Survey.

More proof that prevention works

A multi-year study preformed at 14 universities found that community-based, well-publicized prevention strategies can significantly reduce drinking and intoxication at off-campus locations. Activities included nuisance party enforcement operations; minor decoy operations; DUI checkpoints; social host ordinances; and use of media to increase the visibility of the strategies.

More prevention principles

Last week I blogged about scientifically based principles that can guide communities to implement prevention strategies that work. Following are a few more principles about starting programs in communities.

1) Prevention programs aimed at general populations at key transition points, such as the transition to middle school, can produce beneficial effects even among high-risk families and children.

2) Community prevention programs that combine two or more effective programs, such as family-based and school-based programs, can be more effective than a single program alone.

3) Community prevention programs reaching populations in multiple settings—for example, schools, clubs, faith-based organizations, and the media—are most effective when they present consistent, community-wide messages in each setting.

These three principles point to the effectiveness of integrated, comprehensive prevention strategies rather than one-time events. Some examples are:

• providing structured time with adults through mentoring;


• increasing positive attitudes though community service;


• communicating clear policies on substance abuse;


• supporting a large number of prevention strategies or integrating strategies into already existing activities.

Data about youth treatment and marijuana

As I was going through my old files today, I came across a report on substance abuse treatment in the Seattle area. I remember when I first read the report, what struck me was that marijuana is the primary reason, by far, that people under the age of 18 are admitted into substance abuse treatment programs even though alcohol is the primary substance abused by youth.

It reminded me of something I had read recently about the younger a person starts smoking marijuana the higher the likelihood of addiction. The effects of marijuana on youth differ from the effects on adults.

It also reminded me that I wanted to create a link to the presentation that Stephen Bogan gave at this year's Prevention Summit: Getting High to Not Be Low - Adolescent Marijuana Abuse, Addiction, and Mental Health.

As we continue our discussion about the legal status of marijuana, it's important we include conversations about youth substance abuse prevention and treatment.

Preventing deaths & saving money

To follow up with the previous post . . . it is estimated that Washington's tobacco prevention program prevented 13,000 deaths over ten years and saved about $1.5 billion in health care costs. Prevention does work!

In the news

Tobacco Use Levels Off as States Slash Prevention Programs

When well-funded, youth substance abuse prevention programs work. We don't need to look further than the Washington State Tobacco Prevention and Control Program which has contributed to a 50% reduction in youth smoking rates since 2000. According to an article in the Wall Street Journal, public health expert fear that funding reductions will undermine the progress states have made in reducing tobacco use.

Teen brain more prone to drug, alcohol damage

"A study led by Staci Ann Gruber of Harvard Medical School found that people who began using marijuana before age 16 and who used it the most performed the worst on a test of cognitive flexibility. Cognitive flexibility means being able to change your response to something based on the context of the situation."

Prevention principles: in the community

As the Prevention WINS coalition starts planning youth substance abuse prevention activities under our new Drug Free Communities grant, we will be guided by information about what has proven to work.

The National Institute on Drug Abuse has identified several Prevention Principles intended to help people deliver research-based prevention programs at the community level. The first four principles cover risk and protective factors.

Principle 1: Prevention programs should enhance protective factors and reverse or reduce risk factors.

Risk and protective factors differ from community to community. The Prevention WINS coalition identified the following risk factors in our community:

• Favorable attitudes towards drug use among high school students (individual/peer domain);
• Poor family management -- parents monitor their children less and less as the get older (family domain);
• Youth who use are not caught and when they are very few consequences exist (community domain).

Principle 2: Prevention programs should address all forms of drug abuse . . . including underage use of legal drugs; the use of illegal drugs; and the inappropriate use of legally obtained substances.

The tested and effective prevention programs implemented by Prevention WINS over the past four years include Life Skills Training and Guiding Good Choices. Both of these programs address all forms of drug abuse. In the future, the coalition will continue to address all forms of substance abuse using environmental strategies.

Principle 3: Prevention programs should address the type of drug abuse problem in the local community.

In northeast Seattle, the top two drugs used by teenagers are alcohol and marijuana according to the Healthy Youth Survey. The coalition's action plan addresses both.

Principle 4: Prevention programs should be tailored to address risks specific to audience characteristics such as age, gender, and ethnicity.

This will especially be true as the coalition develops a social norms campaign and works on local advocacy issues as part of the DFC grant.

With these four principles in mind, community organizations are encouraged to:

• Develop integrated, comprehensive prevention strategies rather than one-time community-based events.
• Provide young people with structured time with adults through mentoring.
• Increase positive opportunities, skills, and recognition through community service and other activities.
• Communicate and enforce clear policies.
• Organize at the neighborhood level.