Preventing Substance Use and Mental Health Disorders

Transcription

1 Preventing Substance Use and Mental Health Disorders Examining Shared Risk and Protective Factors Sandra Del Sesto, M.Ed, CPSS

2 Learning Objectives Define shared risk and protective factors List 3 reasons for addressing shared risk and protective factors List at least 3 strategies for overcoming common barriers to collaboration around shared factors

3 Review: Risk and Protective Factors Risk factor: a characteristic at the biological, psychological, family, community, or cultural level that precedes and is associated with a higher likelihood of problem outcomes Protective factor: a characteristic associated with a lower likelihood of problem outcomes or that reduces the negative impact of a risk factor on problem outcomes 3 Source: National Research Council and Institute of Medicine. (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities (O Connell, M.E., Boat, T., & Warner, K. E., Eds.) Washington, D.C: National Academies Press.

4 Shared Factors Early predictors that relate to and/or influence the occurrence of both substance abuse and mental health disorders Focus on factors across life-span Socio-ecological Framework Handout 1: Shared Risk and Protective Factors 4

5 Examples of Shared Risk Factors Socio- Ecological Level Shared Risk Factors Data Sources Society Prejudice/discrimination Lack of cultural identify Community Chronic community stress Problems/difficulties in school Relationship Parental substance use Child abuse/maltreatment (ACEs handout) Individual Illness/poor physical health Poor social/problem solving skills Community surveys Uniform Crime Reports School records National Survey of Children s Health (NSCH) National Survey on Drug Use and Health (NSDUH) Monitoring the Future (MTF) Behavioral Risk Factor Surveillance System ( NSDUH, MTF 5

6 Examples of Shared Protective Factors Socio- Ecological Level Shared Protective Factors Data Sources Society Culture Surveys Community Availability of or opportunities for social activities (clubs, school or community sports) Relationship Parental support and bonding Access to mentors Individual Religiosity/spirituality Stable housing NSCH, Youth Risk Behavior Survey NSCH NSCH, YRBS NSCH, NSDUH U.S. Census 6

7 Example of a Shared Risk Factor: 7 Family Disruption Shared Risk Factor States/Tribes/Jurisdictions Epidemiology Focus Family Disruption Heavy Alcohol Use Depression Substance Abuse Problem Mental Disorder 7

8 Example: Influence of a Factor Across the Lifespan Social Support Suicide Attempts in Adolescence Substance Abuse in Young Adulthood Mental Illness in Older Adulthood 8

9 Example of Shared Consequences: Substance Use, Depression and Suicide 9 Substance Use Other Risk Behaviors (Alcohol-Related Consequences) Suicide- Related Behavior 3 Depression

10 Shared Factors, Shared Interventions 10 Shared R/P Factors Substance Use (SA) Disorders Mental Health (MH) Disorders Risk/Protective Factors Shared Interventions Risk/Protective Factors 10

11 Example: Mental Health & Substance Abuse Prevention-Adolescents Problems and Related Behaviors Risk and Protective Factors Interventions Short-term Outcomes Long-term Outcomes Increase Alcohol Use Poor Problem Solving Skills Evidence-Based Education Program in Secondary Schools (U) (Short-term) Increase Problem Solving Skills Decrease Alcohol Use by 10% in 3 yrs Increase in Self-Report of Depression Low social competency Skills SAC Skill Building Groups (S) (Short-term) Increase Social Competency Skills Decrease in Self-Report of Depression By 10% in 3 yrs 11

12 Shared Risk/Protective Factors: Examples from the Community

13 Considerations and Caveats The relationship between factors and outcomes may be mediated by other factors Mental disorders are risk factors for substance abuse and vice versa 13

14 Considerations and Caveats (cont.) Abuse Risk factors and protective factors tend to cluster Risk factors and protective factors can have a cumulative effect Neglect Family Dysfuncti on ACE s 14

15 Getting Ready to Collaborate

16 Readiness to Engage in Collaboration Adaptation of Stages of Community Readiness,Tri- Ethnic Center for Prevention Research, Colorado State University

17 Poll: What is your community s current stage of readiness to work together to address shared factors? a) No awareness/denial b) Vague awareness c) Pre-planning d) Preparation e) Initiation Handout: Strategies to Increase Readiness

18 Strategies to Increase Readiness to Collaborate No Awareness Raise awareness of the connection between substance abuse and other behavioral disorders Denial Raise awareness that substance abuse prevention and other behavior health providers can collaborate Vague Awareness Increase motivation to take action to increase collaboration 18

19 Strategies to Increase Readiness to Collaborate Pre-Planning Detail possible efforts or actions that promote collaboration around jointly addressing shared factors Preparation Create an action plan for collaboration and commit to moving forward Implementation Implementing an approach to collaborate 19

20 20 Planning: Examples of Successful Behavioral Health Collaborations 20

21 21 Strategies for Overcoming Common Barriers to Collaboration 21

22 Final Poll: Over the next several months, I will a) Learn more about the connection between substance abuse prevention and other behavioral health issues in my community b) Determine what is already happening in my community regarding substance abuse prevention and other behavioral health issues c) Reach out to a new partner d) Educate the community on both issues

23 Thank You!!