An Evidence-based Prevention Response to Pennsylvania s Opioid Epidemic: The Opioid Misuse Prevention Project Pennsylvania Department of Drug and Alcohol Programs (DDAP) Pennsylvania Department of Education (PDE) Pennsylvania Commission on Crime and Delinquency (PCCD) Evidence-based Prevention and Intervention Support Center (EPISCenter), Edna Bennett Pierce Prevention Research Center, Pennsylvania State University
Opioid Misuse Prevention Project (OMPP) Webinar Overview Funding for this project is made possible by the PA Department of Drug and Alcohol Programs via a State Opioid Response Grant from the Substance Abuse Mental Health Services Administration How serious is youth substance misuse in Pennsylvania? What works in prevention? What is the proposed approach and funding level? Who is eligible to apply? What are the specific expectations & components of the project? How to apply? Overview 2
Youth Substance Misuse in Pennsylvania Youth and the Opioid Crisis in Pennsylvania Misusing prescription opioids 2 5% of youth report misuse in their lifetime Access to prescription opioids 2 39% of those youth who misused gained access from the medicine cabinet of their family members 25% of all youth say prescription drugs are easy to get The danger? 25% of the youth who misused prescription drugs before age 14 were at elevated risk for developing a substance abuse disorder later in life 1. Pennsylvania Youth Survey, 2017 2. https://www.drugabuse.gov/publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide The Problem 3
Youth Substance Misuse in Pennsylvania Not Just Opioids Abuse of alcohol and other substances also matter! Rates of alcohol use in 8 th, 10 th and 12 th grade in Pennsylvania is HIGHER than the national average 2 Past month alcohol use 2 22.3% of 10 th graders 9.3% of 8 th graders Access to alcohol? 2 41% of 12th graders gave someone money to buy it for them 40% of 8 th and 10 th graders took it without permission from a family member The danger? Alcohol use before the age of 15 increases risk of developing a substance use disorder in adulthood 1 1. Pennsylvania Youth Survey, 2017 2. https://www.drugabuse.gov/publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide The Problem 4
Important Question for Potential Applicants: 1. How severe is youth substance use locally? What does your local school district PAYS data show? How does it compare to the state averages?
The good news is we know what works! and what doesn t work. The Problem 5
What Doesn t Work in Prevention Scare Tactics Don t Work for Kids Scare tactics or dramatic stories about overdoses can backfire, and tempt a youth to try the substance you are trying to prevent them from using. Adolescent brains are different This effects their risk-seeking and decision-making. They are more curious about scary or off-limit topics. What Works in Prevention 7
What Doesn t Work in Prevention What Works in Prevention 7
What Works in Prevention: Trifecta Approach What Works in Prevention 9
What Works in Prevention What Works in Prevention 9
What Works in Prevention Protective Factors: conditions that buffer against risk factors Risk Factors: predictors of problem behavior in adolescence What Works in Prevention 11
What Works in Prevention Prosocial or Antisocial Behaviors Community Family School Peer/Individual 2013 Center for Communities That Care, University of Washington What Works in Prevention 12
What Works in Prevention Cross-contextual approaches are more effective than school, family, or individual focused programs alone! What Works in Prevention 12
Effective Programs for Opioid Misuse Reduction Strengthening Families 10-14 (SFP 10-14) 7 Sessions One per week Two hours Caregivers and youth participate in fun, interactive skill and knowledge building activities. LifeSkills Training (LST) Level 1: 18 Sessions 1-2 per week 50 Minutes Youth participate in fun role plays, and activities to build skills and knowledge Effective Programs for Opioid Misuse Reduction 14
LST and LST/SFP10-14 Outcomes- Parents are Key For every $1 invested in LST and SFP 10-14 combined prevention approach Penn State s Prosper Project saved the state $1.89 in costs associated with the misuse of prescription opioids. https://www.drugabuse.gov/newsevents/nida-notes/2015/12/life-skillstraining-shields-teens-prescriptionopioid-misuse Effective Programs for Opioid Misuse Reduction 15
By applying what we ve learned from prevention science Schools, Communities, and Families Can Work Together to Prevent Substance Misuse Before it Starts. Prevention is Key to Combatting the Opioid Crisis 16
Project Overview and Funding Funding provided by: PA Department of Drug and Alcohol Programs via State Opioid Response Grant from the Substance Abuse Mental Health Services Administration Maximum award for initial 18 months: $390,000 Funding for additional four years, contingent on availability and satisfactory review 6 Month Planning, Hiring and Training Phase Begins January 1, 2019 First Year of Implementation of SFP 10-14 and LST July 2019 June 2020 Funding availability 10 sites Project Overview 17
Project Overview Proposed strategy for effective upstream prevention: 1. Evidence-based prevention infrastructure model such as Communities That Care CTC, PROSPER, Community Schools, or Drug Free Communities 2. Local prevention workforce development through provision of high quality training and technical assistance for local practitioners 3. Public health messaging campaign, featuring social development strategy. 4. Delivery of LifeSkills Training Middle School, and the Strengthening Families 10-14 programs 5. Evaluating program implementation and outcomes impact on reducing youth problems (e.g., opioid misuse) and promoting community health Project Overview 18
Project Goals Overarching Goal: Promote healthy youth development and prevent youth substance misuse. Objectives Promote healthy coping for youth and caregivers Decrease youth intention to try substances Promote youth caregiver communication about substance misuse Increase community use of drop boxes to decrease youth access to prescription drugs Decrease stigma associated with substance use disorder Promote awareness of the importance of early intervention Decrease the use of potentially harmful prevention strategies such as scare tactics Project Overview 18
Who is Eligible? School Districts, Single County Authorities, and non-profits: Schools are the ideal applicant SCA's and other Non-Profit Organizations are eligible to apply as coordinating and/or fiscal agents with approval from the school district. Evidence of strong collaborative relationships between Single County Authority, School, and Non-Profit(s) must be shown via partnership agreement (see appendix A in the funding announcement) Who is Eligible? 20
Who is Eligible? Other Eligibility Requirements: Able to commit to a five year project Past 2015 and 2017 PAYS Participation Commitment to participate in PAYS in 2019, 2021 and share summary reports for evaluation purposes Involvement of a community prevention infrastructure model, ideal examples include: Community Schools http://www.communityschools.org/aboutschools/what_is_a_community_school.aspx Communities That Care http://episcenter.psu.edu/ctc PROSPER http://helpingkidsprosper.org/ Drug Free Communities Coalition https://www.cadca.org/drug-free-communities-dfcprogram Who is Eligible? 21
Who is Eligible? Multiple School Districts: Joint applications from multiple school districts will be accepted All eligibility requirements must be met by all school districts All school districts must sign the Appendix A- partnership agreement Additional information must be provided within the proposal to show justification for a combined application. (See Multiple School District Application Questions) Who is Eligible? 22
Key Full Time Project Staff Project Coordinator Oversee all aspects of project implementation Work closely with the EPISCenter Participate in learning community meetings Complete program and fiscal reporting Serve as a facilitator for SFP 10-14 Administrative Support Staff Coordinate all logistics for trainings, meetings, etc. Coordinate pre/post administration and data collection Data entry for pre/post and fidelity measures Coordinate ordering and securing needed materials Serve as a facilitator for SFP 10-14 Specific Expectations and Components 23
Planning and Implementation EPISCenter Technical Assistance Intensive planning and readiness support for first 6 months, beginning January 1, 2019 Monthly Learning Community Calls for Project Leads and Administrative support staff One-Two site visits per year from Implementation Specialist and/or Evaluation Coordinator Coordination of Training Phone calls and email support as needed Coordinated development of public health campaign strategy and materials for local dissemination Specific Expectations and Components 24
Required Component Public Health Messaging Campaign Build awareness of healthy coping skills for stress and pain Build awareness of the risks that alcohol, tobacco, and marijuana pose to youth Build awareness of the importance of bonding, opportunities for pro-social activities, and rewards for prosocial activities to protect youth Promote the use of drop boxes for disposing of old medications Decrease stigma around substance misuse disorder and treatment Promote awareness of the importance of early intervention Specific Expectations and Components 25
Required Component Communities That Care Social Development Strategy (SDS) Develop at least one SDS facilitator (Spring 2019) Participate in parts one and two of the SDS training (4 hours) Participate in one day training of trainers (7 hours Organize SDS Trainings for Community (Spring 2019) Specific Expectations and Components 26
Required Component LifeSkills Training Program (LST) Train all middle school health teachers by June 2019 Fall 2019- Begin Delivery to all students over the following three year schedule: Level 1: 18 sessions, Plus Prescription Drug Abuse Prevention Module Level 2: 10 sessions Level 3: 5 sessions Administer pre/post measures for all youth Observe 20% of lessons for model fidelity Specific Expectations and Components 27
Required Component Strengthening Families Program for Youth 10-14 (SFP 10-14) Partner with one or more provider organizations Train 15 facilitators by June 2019 Goal: All 6 th grade families participate Fall 2019 Begin delivery: 8 cycles, serve approximately 96 families per year 7 Weekly sessions, 2.5 hours per session Administer pre/post measures for all youth and families Observe 20% of lessons for model fidelity Specific Expectations and Components 28
Determining Program Impact and Success: EPISCenter will provide training and support for local impact assessment Local Site Coordinator will work closely with EPISCenter staff to Assess program impact using pre/post measures Assess model fidelity using fidelity checklist tools Use this data to maintain and/or improve quality of implementation Use this data to communicate project successes to the community Ensure PAYS survey is administered for grades 6, 8, 10 & 12 in 2019 and 2021 Track Social Development Strategy Trainings Track public health campaign messaging activities Overall Project Evaluation will be completed by EPISCenter and PSU, with participation from project and site staff Specific Expectations and Components 29
How to Apply PCCD Funding Announcement released in Egrants Oct. 4 th https://www.pccd.pa.gov/funding/pages/default.aspx Application due in Egrants Nov. 15th Required Partnership Agreement 1. County Drug and Alcohol Office or Single County Authority 2. School district superintendent, middle school building principals, health teachers 3. Local youth and family serving partner organization(s) Letter of support from Prevention Infrastructure Model Ideal examples include: Communities that Care, Drug Free Communities, Prosper, or Community Schools How to Apply 30
How to Apply Proposal Narrative: Due to the prescribed nature of this project, a detailed timeline has been developed with a list of key deliverables. It is strongly recommended that applicants take the time to review this timeline and the full Funding Announcement prior to starting to write their proposal. For each required component, applicants are asked to share: Strengths Plans for staffing Plans for meeting key deliverables How to Apply 31
How to Apply Additionally applicants are asked to anticipate potential barriers and areas where they will need support. Important Note: the description of barriers within your proposal will not result in a loss of points in your application score. Failure to anticipate any barriers could be viewed as a lack of a thoughtful application, and may result in a lower score. How to Apply 32
Opioid Misuse Prevention Project (OMPP) www.episcenter.psu.edu/ompp How to Apply 32
Questions? 1. All questions should be submitted to PCCD by emailing: RA-PCCD-OJJDP@pa.gov Use the Subject Line: Opioid Misuse Prevention Project 2. Questions and answers will be posted for the benefit of all applicants here: www.pccd.pa.gov/funding/pages/fundingannouncement-qa.aspx Select: Opioid Misuse Prevention Project 3. The EPISCenter will be unable to respond to questions about the project while the funding announcement is open. How to Apply 33
Not sure how to get started in Egrants? Watch this five minute tutorial! https://youtu.be/hqb98cggre8 How to Apply 34
Project Budget Planning Resources Excel Worksheet Brief Tutorial Located on EPISCenter s OMPP website http://www.episcenter.psu.edu/ompp
Thank you! The EPISCenter is a collaborative partnership between the Pennsylvania Commission on Crime and Delinquency (PCCD), the Pennsylvania Department of Human Services (DHS), and the Bennett Pierce Prevention Research Center, College of Health and Human Development, Penn State University. The EPISCenter is funded by DHS and PCCD. This resource was developed by the EPISCenter through PCCD grant VP-ST- 28768. /EPISCenterPSU @EPIS_Center 206 Towers Building, University Park, PA 16802 Phone : (814) 863-2568 Email: EPISCenter@psu.edu www.episcenter.org