Transcript Mat-Su Substance Abuse Prevention Coalition

Mat-Su Substance Abuse
Prevention Coalition
Community Assessment and Data Project
Trends in Youth Substance Use
Purpose
“Reduce substance abuse among youth
and, over time, among adults by
addressing the factors in a community
that increase the risk of substance abuse
and promoting the factors that minimize
the risk of substance abuse.”
-United Way of Mat-Su
Purpose
Project is Data Driven
Provide basis for evidencebased strategies
Sustainability!!!
Method
Data Review
• Collection of available local data from years
2002-2007
Community Assessment
• Economic impact of substance use
• Trends in youth substance use survey project
Data Review
Alaska State
Troopers Drug
Report
Palmer &
Wasilla Police
Departments
DEA Alaska
Drug Report
Alaska
Highway
Safety Office
Mat Su
Borough Crime
Report
State Substance
Abuse
Expenditure
Report
National Drug
Control Policy
State Meth
Information
SAMHSA
State Estimates
Substance Use
National Drug
Control Policy
Expenditure
report
Mat-Su
Regional
Medical Center
Census
Youth Risk
Behavior
Survey Mat-Su
Data
Mat-Su Youth
Court
Department of
Juvenile Justice
Community Assessment
Economic Impact of Substance
Abuse
• Development of comprehensive database
Trends in Youth Substance Use
• Implementation of youth survey
Trends in Youth Substance Use
Collect
information
on core
measures
including:
• Average age of onset of drug use,
and pathways to use
• Past 30 day use
• Perception of risk or harm
• Perception of parental
disapproval of use
• Defined resiliency-based
indicators
Selecting an Instrument
• Pride Institute Risk and Protective Factor
Questionnaire
• Pride Questionnaire for grades 6-12
• CSAP SARPF Student Survey
• ASD School Climate and Connectedness Survey
• Communities that Care Youth Survey
• Monitoring the Future
• Youth Risk Behavior Survey (YRBS)
• California Healthy Kids Survey (CHKS)
Evaluating an Instrument
Youth Risk Behavior Survey
• Does not include all core measures
• In-depth questions on sexual behavior
and physical health
ASD School
Climate and
Connectedness
• Does not ask about
substance use
• Information only on
school connectedness
Monitoring the
Future
• Overly Detailed
information substance
use
• Complete data
requires 6 surveys
California Healthy Kids Survey
California Healthy Kids Survey (CKHS)
• Assesses all major health-related risk behaviors
• Emphasis on preventing substance use and violence
• Emphasis on promoting positive youth development
Breadth of Data yields reliable results
• 1993-2003 data bank contains over 1,300,000 student
records representing 94% of state enrollment.
Creation of California Healthy Kids
Survey
YRBS
Monitoring
the Future
California
Student
Survey
California Healthy Kids Survey
CHKS: How does it work?
Ability to
survey grades
5-12
Secondary
school survey
High School
Version
Middle School
Version
Elementary
school survey
Why Give the CHKS?
• Meet program requirements for Federal Safe
and Drug Free Schools and Communities Act
• Provide a thorough understanding of the scope
and nature of local youth health risks
• Develop better, comprehensive health
programs
• Help schools address growing numbers of
children with health-related problems
CHKS and the Data Project
Local
Data
Driven
Sustainable
Alaska Healthy Kids Survey
Alaska Healthy Kids Survey (AHKS) is the
CHKS adapted to meet our needs
Core survey questions remain the same
Demographics have been changed to
reflect our diverse Alaska Native
population
Sample Characteristics
Survey will be administered borough-wide to
create a baseline for data
– Reveals actual numbers of prevalence for this area
– Informs prevention efforts
– Provides a comparison for post-intervention
analysis
– Informs coalition committees on areas of priority
Who will take AHKS?
• Grade 7 (age 12)
– Serves as a good baseline for studying onset of
student behaviors
• Grade 9 (age 14)
– Typically see a substantial increase in risk
behaviors
• Grade 11 (age 16)
– More representative sample of high-risk youth.
Onset of risk behaviors has peaked
What modules will they take?
AHKS
Core
Module
AHKS
Module B
• 124 Questions
• Assessment of health risks
• Alcohol/tobacco/drug use
• Youth Resilience
• School violence
• 33 Questions
• Resilience, Connectedness, Preventative
Factors
AHKS Core Module
– Demographic Information
• Age/sex/grade/ethnicity –Alaska Native Subgroups
– Alcohol, Tobacco, and Other Drug Use
• Lifetime use (frequency)
• Current use
• Use at school
– ATOD use correlates
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Perceived use of harm
Parent perception of use
Problems from alcohol and/or drug use
Perceived availability of substances
AHKS Core Module
– ATOD (Continued)
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Social disapproval
Perceived use by peers
Difficulty obtaining cigarettes, alcohol, marijuana
Drinking and Driving
Offered drugs at school
– Violence, Harassment, Safety & Crime
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Violence and victimization at school
Disapproval of carrying a weapon to school
Perceived safety at school
Gang membership
Dating related violence
AHKS Core Module
– External Assets (in school and community)
• Caring Relationships
• High Expectations
• Meaningful Participation
– Emotional health
• Feelings of sadness and loneliness
– Physical Health
• Breakfast eaten today
– Reliability Question
• How many questions were answered honestly
AHKS Module B
– Measures External Assets (at home and with peer groups)
• Caring Relationships
• High Expectations
• Opportunities for meaningful participation
– Measures Internal Assets
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Cooperation
Communication
Empathy
Problem solving
Self Efficacy
Self Awareness
Goals and Aspirations
School connectedness
AHKS Feedback
• Positive feedback
• Content
• Language
• Length
Youth Panel
Discussion
Community
Feedback
• Knik Tribal
Council
• Chickaloon Village
• Data committee
• Steering
Committee
Coalition
Review
AHKS Review
• Local, Sustainable, Empirically supported
instrument
• Gather data required by CADCA
• Acquire baseline for substance use
• Position coalition to
– Identify, Understand, and Respond to health risks
– Foster Comprehensive Health Programs
– Evaluate Success
References
CDC (2004). YRBS Methodology of the Youth Risk Behavior
Survey System, Morbidity and Mortality Weekly Report
Meyer, Patricia. Personal communication regarding
Monitoring the Future Survey, 5/7/08.
WestEd (2007). California Healthy Kids Survey Core Module
A, California Safe and Healthy Kids Program Office
WestEd(2007). Guidebook for the California Healthy Kids
Survey: Administration, California Safe and Healthy Kids
Office.
U.S. Census Bureau (2006). Matanuska-Susitna Borough
Demographic and Housing Estimates,
http://factfinder.cencus.gov/