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Regional Action Council Learning Communities Series: Building Capacity to Produce Epidemiological Profiles. Janet Storey, Prevention Data Infrastructure Manager, CT Department of Mental Health and Addiction Services, Prevention and Health Promotion Division
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Regional Action CouncilLearning Communities Series: Building Capacity to Produce Epidemiological Profiles Janet Storey, Prevention Data Infrastructure Manager, CT Department of Mental Health and Addiction Services, Prevention and Health Promotion Division May Yamate, Regional Epidemiologist , CAPT Northeast Regional Team
Overview of Today’s Session • Why are we here • Objectives and Goals for Session 2 • Leaning Community Session 1 Summary: Feedback from RAC Directors • Group Activity—Developing a Subregional Epidemiological Profile
Why Are We Here and Goals/Objectives Why are we here? • Feedback received from the 2010 Subregional profiles • CSAP • DMHAS Objectives • Know the components that go into a subregional epidemiological profile Goals • Construct a subregional epidemiological profile
Learning Community Session 1 Summary:Feedback session from RAC Directors • 2010 process in producing SubregionalEpi Profile • Had less structure and guidance when compared to the 2008 process • Tight timeline • Addition of two indicators: suicide and problem gambling • Overwhelmed by information received from DMHAS • no guidance from DMHAS on what to do with all this information
Learning Community Session 1 Summary:Feedback session from RAC Directors (cont) • Resulted in: • RAC Directors losing credibility from their community • Not being able to disseminate their subregional region profiles
Learning Community Session 1 Summary:Feedback session from RAC Directors (cont) • Challenges RAC Directors face • Meeting the needs of three audiences • CSAP • DMHAS • Community • What to do when there is lack of data or no data
Learning Community Session 1 Summary:Feedback session from RAC Directors (cont) • What RAC Directors want from DMHAS • Clear guidance and instruction on how to put together the subregionalepi report SUMMARY: “Fixing what has been broken”
Group Activity Creating a Subregional Epidemiological Profile
SubregionalEpi Profile Outline • Overall skeleton • Front • Introduction • Middle • Back
SubregionalEpi Profile--FRONT • Cover page • Title • Year • Organization • Table of contents • Executive summary
SubregionalEpi Profile--INTRODUCTION • Data selection process • Steps used to decide what data to include and not include • List of data source used • BRFSS, YRBS, NSDUH, MTF, local or state surveys • Indicator: alcohol consumption and consequence, drug consumption and consequence • Construct: current use, past year use, lifetime use, age of first use, mortality, vehicle crashes, crime, dependence or abuse • Time period
SubregionalEpi Profile: INTRODUCTION (cont) • Data Limitations and data gaps • Response rate to surveys • Small numbers once you get down at the local level • Lack of data for specific subpopulations • older adults • Race/ethnicity • Young adults not in college • Youths not in school
SubregionalEpi Profile: MIDDLE • Sociodemographic • Population size • Total • Breakout by: • Gender • Age • Race/Ethnicity • Median household income • Individuals below the poverty line
SubregionalEpi Profile: MIDDLE (cont) CONSUMPTION • Size/magnitude • Trends over time • Relative comparisons • National level • State level • Seriousness/Severity • Years of potential life lost (YPLL) • Economic costs CONSEQUENCES • Size/magnitude • Trends over time • Relative comparisons • National level • State level • Seriousness/Severity • Years of potential life lost (YPLL) • Economic costs
SubregionalEpi Profile: MIDDLE (cont) • Risk and Protective Factors (some examples) • Age of onset • Peers engaging in problem behavior • Low perception of harm • Perceived risk
SubregionalEpi Profile: MIDDLE (cont) • Risk and Protective Factors (some examples--cont) • Parental monitoring (or perception of monitoring) • Parent or older sibling drug use (or perception of use) • Strong parent and adolescent relationship and family cohesion
SubregionalEpi Profile: MIDDLE (cont) • Risk and Protective Factors: Alcohol • Perceived risk of using alcohol • Easy retail access • Low enforcement of laws or perceived risk of getting caught • Lack of parental monitoring • Promotion and pricing
SubregionalEpi Profile: BACK • Conclusions • Appendices
Group Activity (Continued)
Learning Community: Part 3 • Discuss homework assignment • Begin thinking about selecting data indicators Next Meeting March 30, 2011 8:30 am – 12:30 pm