Northern Berkshire Substance Abuse Prevention Collaborativenb21

Looking Upstream: Primary Prevention as a Tool to Address the Opiate Epidemic

nbCC Community Forum May 13, 2016

Substance Abuse Prevention Collaborative Clusters (SAPC)

South Berkshire is new SAPC Cluster

EARLY ALCOHOL USE INCREASES LIKELIHOOD OF

ILLICIT DRUG USE AND DEPENDENCE*
100%
Ever Used Illicit Drugs
(n=6,102)

80%
60%

49%

47%

Ever Illicit Drug

Dependent (n=2,480)

43%
35%

40%
20%

28%
17%

13%

19%
9%

7%

4%

18%
2%

11%
3%

9%
1%

1%

0%
<14

14

15

16
17
18
Age at Alcohol Onset

19

20

>21

* Hingson, R.W., Heeren, T., & Edwards, E.M. (2008). Age at drinking onset, alcohol dependence, and their relaBon to drug use and dependence, driving under the inuence of drugs, and motor-vehicle
crash involvement because of drugs. Journal of Studies on Alcohol and Drugs, Mar;69(2):192-201.

WHAT IS SPF?
The Strategic Prevention Framework (SPF) uses a
five-step planning process to guide communities
in the selection, implementation, and evaluation of
effective, culturally appropriate, and sustainable
prevention activities.

ASSESSING YOUTH SUBSTANCE USE

Student Health Surveys
Hospital Data
Key Informant Interviews
Small Group Discussions
Parent Survey
Census Data
BSAS Contracted Treatment Admissions
Compliance Checks
Pediatrician Survey
North Berkshire Superintendents

A Student Health
Survey
Substance use
Other risky
behaviors
Risk and protection
8th, 10th and 12th
Every two years
Countywide

2015
PREVENTION
NEEDS
ASSESSMENT
T H E N O RT H B E R K S H I R E T E E N
EXPERIENCE

* With thanks to RSYP for Powerpoint format

3 0 D AY U S E B Y G R A D E
Our youth enter 8th grade using
alcohol, marijuana, and cigarettes
at above national rates

By 12th grade 46% are drinking

habitually (reporting one or
more uses within the last 30
days)

8 T H , 10 T H AND 12 T H GRADE 30 DAY ALCOHOL USE 2002-2015

Use of Alcohol During Past 30 Days

70%

60%

50%

39% Decline
40%

30%

53% Decline
20%

32% Decline
10%

0%

2002

2003

2004

2005

2006

2007

2009

2011

2013

2015

12th grade

65%

63%

55%

58%

60%

65%

53%

60%

50%

46%

10th grade

53%

42%

43%

42%

49%

40%

43%

39%

31%

27%

8th grade

29%

23%

24%

24%

23%

19%

20%

16%

14%

15%

8 T H , 10 T H AND 12 T H GRADE 30 DAY CIGARETTE USE 2002-2015

Use of CigareYes During Past 30 Days

35%

30%

25%

20%

61% Decline

15%

60% Decline
10%

5%

0%

67% Decline

2002

2003

2004

2005

2006

2007

2009

2011

2013

2015

12th grade

30%

31%

27%

30%

23%

23%

20%

22%

20%

14%

10th grade

20%

25%

21%

22%

17%

16%

16%

15%

14%

12%

8th grade

15%

17%

11%

14%

11%

8%

10%

7%

6%

4%

8 T H , 10 T H AND 12 T H GRADE 30 DAY MARIJUANA USE 2002-2015

Use of Marijuana During Past 30 Days

45%
40%
35%

18% Decline

30%
25%

34% Decline

20%
15%

15% Decline
10%
5%
0%

2002

2003

2004

2005

2006

2007

2009

2011

2013

2015

12th grade

38%

40%

32%

35%

39%

27%

27%

31%

35%

32%

10th grade

38%

29%

21%

27%

23%

19%

21%

23%

22%

21%

8th grade

15%

12%

12%

8%

10%

6%

9%

7%

7%

11%

8 T H , 10 T H AND 12 T H GRADE 30 DAY BINGE DRINKING 2002-2015

Binge Drinking
45%
40%

33% Decline

35%
30%
25%

58% Decline

20%
15%

46% Decline

10%
5%
0%

2006

2007

2009

2011

2013

2015

12th grade

45%

43%

30%

44%

34%

30%

10th grade

33%

23%

24%

21%

19%

14%

8th grade

13%

7%

10%

7%

6%

7%

PROTECTION UP

RISK AND
P R OT E C T I O N
Overall, in North Berkshire
County the number of youth who
are highly protected has risen from
50% in 20011 to 54% in 2015.
Protection rates are higher than
the national average by 8 points.
The number of high-risk youth in
the North Berkshire is dropping
(58% - 2011 to 54.5%-2015).

RISK DOWN

BUT we have persistently higher

rates of youth at high-risk than the
nation by around 10 points.

INDIVIDUAL & PEER EXPERIENCE

WERE (51%) MORE LIKELY THAN OUR U.S. PEERS (44%) TO

THINK WE WILL BE REWARDED FOR ANTISOCIAL BEHAVIOR.
BUT NO MORE LIKELY TO THINK ANTI-SOCIAL BEHAVIOR IS
GOOD (37%) OR BE AROUND PEERS WHO DO IT (27.%).

IM MORE LIKELY TO HAVE

SYMPTOMS OF
DEPRESSION (41%) THAN
OTHER U.S. TEENS (35%).
MY FRIENDS
(40%) ARE NO
MORE LIKELY
TO USE
DRUGS THAN
U.S. TEENS
(39%).

MOST (63%) OF US THINK USING DRUGS ISNT

THAT DANGEROUS. NATIONALLY FEWER THAN
HALF OF PEERS (46%) THINK THIS.

INDIVIDUAL & PEER EXPERIENCE

FEW OF US (35%)
HAVE PROSOCIAL
INTERACTIONS
WITH OUR PEERS IN
THE N. BERKSHIRES,
ESPECIALLY
COMPARED TO U.S.
TEENS AS A WHOLE
(56%).
MY CLASSMATES AND I ARE
MORE LIKELY NOW (49%)
THAN TEENS IN THE
BERKSHIRES IN 2011 (45%) TO
EXPERIENCE REWARDS FROM
FRIENDS FOR PROSOCIAL
INVOLVEMENT. BUT STILL LESS
LIKELY THAN MY NATIONAL
PEERS(54%)

AT SCHOOL I AM
LESS LIKELY THAN OTHER TEENS IN THE U.S. TO
- HAVE CHANCES FOR PROSOCIAL ENGAGEMENT
- OR FEEL REWARDED FOR SUCH ENGAGEMENT

SCHOOL EXPERIENCE

AND MORE LIKELY TO FEEL

- LOW COMMITMENT TO SCHOOL.

NATION

COUNTY

NORTH
COUNTY

PROSOCIAL
OPPORTUNITY

63%

55%

57%

REWARDS FOR
PROSOCIAL
ENGAGEMENT

58%

57%

54%

43%

52%

51%

38%

38%

40%

LOW
COMMITMENT TO
SCHOOL
ACADEMIC FAILURE

IN MANY WAYS,YOUTH EXPERIENCE OF FAMILY IN

THE NORTH BERKSHIRE IS JUST LIKE OTHER TEENS
IN THE U.S. BUT NOT ALL

FAMILY EXPERIENCE

POOR FAMILY MAMANGEMENT/

COMMUNICATIONS (44% 8TH GRADE) THAN
THEIR NATIONAL PEERS (40%)

SIBLING DRUG USE IS

PERSISTENTLY HIGHER
(47%) THAN THE NATION
(43%).

PARENT ATTITUDES
ARE MORE FAVORABLE
TO DRUG USE (39%)
THAN THEIR NATIONAL
PEERS (34%).

COMMUNITY EXPERIENCE

DECREASING REWARDS
FOR PROSOCIAL
INVOLVEMENT

PERSISTENT NORMS
FAVORABLE TO DRUG USE

IN 2009, 37% OF YOUTH

REPORTED REWARDS,
COMPARED TO 30% IN 2015

52% OF BERKSHIRE YOUTH

PERCEIVE NORMS FAVORABLE
TO DRUG USE IN THEIR
COMMUNITY

47% OF YOUTH
NATIONALLY REPORT
REWARDS

COMMUNITY

44% OF YOUTH NATIONALLY

SHARE SUCH A PERCEPTION

IDENTIFYING A PLAN

PROPOSED STRATEGIES
HEALTHCARE INITIATIVE (low perception of harm)
SUPPORT K-12 HEALTH AND WELLNESS EDUCATION (low perception of harm)
PARENT EDUCATION (family management/communication)
POSITIVE YOUTH ENGAGEMENT (rewards and opportunities for prosocial involvement)

COMMUNITY LAWS AND NORMS

What strategies can we employ to change how youths believe adults in the community view
youth substance use?