Prevention & Youth Treatment Services
To build and support a safe and healthy environment by reducing alcohol and other drug use and abuse.
To engage diverse communities in a partnership to reduce the use and abuse of alcohol and other drugs through culturally competent, evidence-based prevention activities.
"Primary prevention includes a set of activities or strategies that are research based and have produced evident outcomes, and include principles of effectiveness directed at individuals who do not require treatment for alcohol and other drugs. Under the Substance Abuse Prevention and Treatment (SAPT) Block Grant statute, early intervention activities are not included as part of primary prevention."
Video: Binge DrinkingSource: Centers for Disease Control and Prevention (CDC)
Running Time: (4:23)
The video explores the health risks of BINGE DRINKING - including unintended pregnancy, sexually transmitted diseases, injury, car crashes, violence and HIV/AIDS - and discusses effective community prevention strategies such as increasing alcohol excise taxes. The video also features experts who debunk common myths including the belief that BINGE DRINKING is only a problem among youth.
Video: Preventing Teen Alcohol Abuse
Video length is 8:25, and may take several minutes to load over slow connections. Please be patient.
Lock It Up: An Environmental Prevention Project
Bay Point and Rodeo teens describe their campaign to limit alcohol access for minors in an eight-minute mini-documentary video that made its broadcast in Contra Costa Television (CCTV), the county cable station.
- Brochure: Lock It Up | Spanish
- Video download: Windows Media format | MP4
Guiding Principles For Prevention
1. Strengthen Community Skills, Knowledge, and Resources
- Assess community readiness prior to program implementation.
- Work with the community.
- Create capacity-building opportunities for the community.
- Promote shared leadership and decision-making.
- Use a community organizing approach to challenge social norms regarding AOD.
- Foster opportunities for joint planning, implementation, problem solving and evaluation of program outcomes.
- Ensure that the populations most affected by the problems are represented and involved.
- Acknowledge differential powers status between groups and populations.
- Value everyone's capabilities, skills, and experiences.
- Promote equal and equitable access to resources and opportunities.
- Promote an open and inclusive communication.
- Implement policies and practices that encourage conflict resolution and problem solving.
2. Value Diversity and Respect Differences
- Reach populations in multiple settings e.g. homes, schools, faith-based organizations, housing complexes, youth organizations, neighborhoods businesses, criminal justice and other institutions.
- Use multiple prevention strategies, e.g., environmental, alternatives, community based, education, information dissemination and problem identification and referral in order to best represent the community's needs.
- Promote strategic alliances and collaborative efforts between different community stakeholders.
- Develop and nurture partnerships that are willing to share risks, resources, responsibilities, and rewards.
3. Promote Effective and Comprehensive Prevention Services Countywide
- Conduct community needs assessment to determine relevant risk and protective factors.
- Plan, implement, and deliver evidence-based strategies, programs, and practices.
- Address all forms of alcohol and drug abuse, alone or in combination, including underage drinking, use of illegal drugs, and inappropriate use of legally obtained substances, including prescription and over-the-counter drugs.
- Evaluate and report program implementation outcomes.
4. Drive Public Policy Efforts Designed to Reduce the Use and Abuse of Alcohol
— IOM Classification and Research Based Prevention Strategies —
In "Reducing the Risk for Mental Disorder Frontiers for Prevention Intervention Research", the Institute of Medicine presented the full continuum of care model, which was adapted by Center for Substance Abuse Prevention in 2000, and required in 2003.
Universal Prevention: Addresses the entire population (national, local community, school, and neighborhood) with messages and programs aimed at preventing or delaying the use of alcohol and other drugs. Deterring the onset by providing individuals with skills, and limiting settings and circumstances in which alcohol is used. All members of the population share the same general risk for substance use/abuse, although the risk may vary greatly among individuals. Universal prevention programs are delivered to large groups without any prior screening for substance abuse risk. The entire population is assessed as at-risk for AOD and capable of benefiting from prevention programs. (Low dose)
Selected Prevention: Targets subsets of the population that are deemed to be at risk by virtue of their membership in a particular segment of the population — for example, children of adult alcoholics, dropouts, or students who are failing academically. Risk groups may be identified on the basis of biological, psychological, social, or environmental risk factors known to be associated with substance abuse (IOM 1994), and targeted subgroups may be defined by age, gender, family history, place of residence such as high drug-use or low-income neighborhoods, and victimization by physical and/or sexual abuse. Selective prevention targets the entire subgroup regardless of the degree of risk of any individual within the group. One individual in the subgroup may not be at personal risk for substance abuse, while another person in the same subgroup may be abusing substances.
Indicated Prevention: Indicated prevention strategies are designed to prevent the onset of substance abuse in individuals who do not meet DSM-IV criteria for addiction, but who are showing early danger signs, such as falling grades and consumption of alcohol and other gateway drugs. The mission of indicated prevention is to identify individuals who are exhibiting early signs of substance abuse and other problem behaviors associated with substance abuse and to target them with special programs. The individuals are exhibiting substance abuse-like behavior, but at a sub-clinical level (IOM 1994). Indicated prevention approaches are used for individuals who may or may not be abusing substances, but exhibit risk factors that increase their chances of developing a drug abuse problem. Indicated prevention programs address risk factors associated with the individual, such as conduct disorders, and alienation from parents, school, and positive peer groups. The aim of indicated prevention programs is not only the reduction in first-time substance use, but also reduction in the length of time the signs continue, delay of onset of substance abuse, and/or reduction in the severity of substance abuse. (High dose)
Since 2001, Alcohol and Other Drugs Services shifted prevention priorities and resource allocation to promote early identification of youth at risk of alcohol and other drug problems, by decreasing the allocation of universal prevention services while increasing the number of selective and indicated prevention groups in settings that serve high risks groups.
COUNTY PREVENTION GOALS
|GOAL 1. Reduce Underage Drinking.|
|PROBLEM:||Too many youth 7th through 11th graders in Contra Costa County are using alcohol.|
|Objective 1.1||Reduce youth access to alcohol from alcohol outlets.
Alcohol is easily available. 79% of Contra Costa County 11th graders, 65% of 9th graders, and 35% of 7th graders report that alcohol is "very easy" or "fairly easy" to obtain.
|Objective 1.2||Decrease (alcohol) 30 days past use by 5%.|
|Objective 1.3||Reduce past binge drinking rates by 5%.|
|Objective 1.4||Increase community awareness and improve community norms regarding underage drinking and binge drinking.|
|Objective 1.5||Increase the number of screenings to provide access to expedite prevention, intervention and referrals.|
|GOAL 2. Reduce Marijuana Use Among Youth.|
|PROBLEM:||The number of 7th through 11th graders in Contra Costa reporting marijuana and other drug use during the past 30 days is too high. Marijuana is the second most widely used drug by youth.|
|Objective 2.1||Decrease reports of marijuana use.|
|Objective 2.2||Increase data collection of marijuana use, access and availibility.|
|GOAL 3. Increase and Sustain AOD Prevention System Capacity.|
|PROBLEM:||Sustaining AOD prevention system capacity and sustainability with limited resources is challenging.|
|Objective 3.1||Increase effective collaboration and sharing of resources among service providers.|
|Objective 3.2||Ensure that prevention efforts are accessible and relevant to those at greater risk for poor health outcomes thereby reducing health disparities.|
Prevention Strategies Overview
The Partnership Information and Referral Line, the Community Partnership, as well as AOD community based agencies provide information and referrals, produce and disseminate materials of available resources and existing services. Every year, the Community Partnership coordinates and supports community based campaigns to raise awareness such as Alcohol Awareness Month (April), People Who Make a Difference (May), National Recovery Month (September), Red Ribbon Week, and National DUI Prevention Month (December).
Prevention education services are directed to affect critical life and social skills, improve decision making and refusal skills, enhance adolescents resilience, increase knowledge about alcohol and other drugs, decrease adolescent's use of alcohol and other drugs, delay onset use of alcohol and other drugs, increase knowledge about environmental factors that promote AOD use including alcohol outlet density, alcohol marketing, irresponsible sales of alcohol, sale of paraphernalia etc. Most of the educational programs are based on Middle Schools, for example Project Success, Creating Lasting Family Connections, Towards No Drug and Alcohol Abuse, and the Parent Project.
Problem Identification and Referral
The Partnership Information and Referral Line provides resources and information to the community. All education based prevention programs also incorporate components of screening and brief intervention, including the Women's Prevention program at 3 Health Clinics. The Community Partnership staff acts as a broker/facilitator working in collaboration with the Alcohol and Other Drugs Advisory Board, Communities Against Substance Abuse (CASA), Resident Councils, Healthy Neighborhoods Groups, Police Departments, Municipal Advisory Councils, PIRA, youth groups, etc.
Alcohol and drug free events are activities and trainings that promote healthy life styles, develop leadership skills among youth, community residents, parents and persons in recovery. Some examples are Friday Night Live, Club Live, Community Initiatives, and public forums, etc.
Utilizing the public health approach to prevention, this strategy aims to establish or change community standards as a way to influence the incidence and prevalence of alcohol and other drugs abuse among the general population. The Community Partnership provides technical assistance, access to training, resources and coordination to support the alcohol and other Drugs Advisory Board, and the Partnership's Forum environmental initiatives. The Community Partnership staff is actively involved in mapping the number of alcohol outlets, building resident coalitions, providing responsible merchant education, window signage and store compliance with the Alcoholic Beverage Control (ABC) regulations. The staff, in collaboration with other public service organizations, in particular ABC, collects factual information to enable local decision making groups to approve or deny incoming alcohol licenses, tracking substance abuse indicators in Contra Costa County, facilitates ABC 101 trainings to local residents, support community residents in the development of policies aimed at regulating alcohol sales.