Ohio's PFS Initiative: Enhancing Prevention Services in Rural Areas

1. Promoting Wellness and Recovery John R. Kasich, Governor Tracy J. Plouck, Director Ready.. Set.. Go! Ohio’s Partnerships for SuccessJuly 31, 2015Dawn M. Thomas – OhioMHASDr. Holly Raffle – Ohio UniversityLara Belliston – OhioMHAS

2. Workshop Overview • Ohio’s PFS Initiative • Background – Focus of PFS • SPF Integration • PFS Team • Moving Forward • Discussion – Q & A

3. Ohio PFS Initiative Ohio’s PFS seeks to increase the access of high need rural areas to evidence-based prevention services by building workforce capacity and prevention system infrastructure.

4. Goals • Ohio’s PFS Initiative • Increase access to prevention services by enhancing prevention infrastructure • Prevent or reduce consequences of underage drinking for persons aged 12 to 20 • Reduce prescription drug misuse and abuse among persons aged 12-25

5. Rural and Appalachian Counties Counties shaded green are rural. Counties shaded blue are Appalachian. According to the Standard Metropolitan Statistical Area classifications.

6. Background • Why Rural & Appalachian Ohio? • Several years of need, resource and readiness assessment work conducted at the state and local levels. • Behavioral health organizations located in non-urban areas in Ohio were less likely to implement adaptive strategies to cope with the loss of resources resulting from the 2007-2009 recession.

7. Background cont’d • Why Rural & Appalachian Ohio? • Loss of behavioral health infrastructure and services in rural and Appalachian counties • Study recommends Ohio policy-makers consider targeting resources to these areas of the state where • Ohio’s PFS project will focus on these communities

8. Strategic Prevention Framework • The SPF Again??? • Supports Accountability, Capacity, and Effectiveness

9. SPF – Model for Ohio’s Future • Principles of SPF • Public health approach • Strategic planning process • Data used throughout the process to inform decisions • Prevention is a continuum • Successful prevention decreases risk factors and increases protective factors

10. SPF – Model for Ohio’s Future • Principles of SPF • Prevention requires adoption of known effective prevention practices within a framework that works • Data used throughout the process to inform decisions • Outcomes based prevention • Effective prevention is grounded in a solid understanding of alcohol tobacco and other drug consumption and consequence patterns • Population level changes in consumption and consequences

11. PFS Wraparound Team • Statewide Team - OhioMHAS • Dawn Thomas – Project Director • Lara Belliston – SEOW Coordinator • Ohio’s SPF Evaluation Team (OSET) • Dr. Holly Raffle – Lead Evaluator • Ohio University, PIRE, University of Cincinnati

12. PFS Wraparound Team • EBP Hub - Prevention FIRST! • Mary Haag • Coaches Collaborative Core • Drug Free Action Alliance – Derek Longmeier • Sandusky Prevention Partnership Coalition – Stacey Gibson • Additional Mentors/Coaches

13. Questions… If we received SPF/SIG funding for

14. Federal Reporting Requirements • With opportunity comes responsibility… • Community Outcomes Measures (COMs) • 3 underage drinking measures • 3 Rx drug measures • Baseline data collected by September 30, 2015

15. Federal Reporting Requirements

16. Underage Drinking Measures • Consumption • 30 day use & 30 day binge • Intervening Variables • Perception of: parental &/or peer disapproval • Perceived risk/harm of use • Family communication around drug use • Consequence • School suspensions &/or expulsions (SA) • Alcohol-related traffic crashes &/or injuries • Alcohol-related arrests • Alcohol-related ER visits

17. Rx Drug Measures • Consumption • 30 day use or past year use • Intervening Variables • Perception of: parental &/or peer disapproval • Perceived risk/harm of use • Family communication around drug use • Consequence • School suspensions &/or expulsions (SA) • Rx Drug-related traffic crashes &/or injuries • Rx Drug-related arrests • Rx Drug-related ER visits

18. Federal Reporting Requirements

19. Underage Drinking Measures • Consumption • 30 day use (Q41) & 30 day binge (Q43) • Intervening Variables • Perception of: parental (Q64) &/or peer disapproval (Q68) • Perceived risk/harm of use (Q60) • Family communication around drug use (Q59) • Consequence • School suspensions &/or expulsions (SA) • Alcohol-related traffic crashes &/or injuries • Alcohol-related arrests • Alcohol-related ER visits

20. Rx Drug Measures • Consumption • 30 day use (Q52) or past year use (not on OHYES!, lifetime use) • Intervening Variables • Perception of: parental (Q67) &/or peer disapproval (Q71) • Perceived risk/harm of use (Q63) • Family communication around drug use (Q59) • Consequence • School suspensions &/or expulsions (SA) • Alcohol-related traffic crashes &/or injuries • Alcohol-related arrests • Alcohol-related ER visits

21. OHYES! - Ohio Healthy Youth Environments Survey • All Ohio youth in grades 7-12 • District superintendents/principals elect • Passive Consent • 111 Items (101 without “sensitive” questions) • Completion time: 15 minutes • Web-based app • Every 4 years (must be done annually in PFS communities)

22. http://www.ohyes.ohio.gov/

23. Promoting OHYES! Superintendent buy-in to OHYES! survey • How will this help my district? • Data for mental health team • Provide concrete details on how data is available • Real-time data that can inform current year work/services • We do not currently have data, but the biggest issues we responded to this year was suicide and cutting • Trend data • i.e. In Licking County we know that our biggest area of need/problem is drug addiction

24. Promoting OHYES! • How will this help students? • Underscore the family need that exists around students in their district • We MUST support families by making sure they’re informed proactively, and when a student issue arises • Meeting mental health needs will affect student achievement/growth • This information will lead to providing better responses and interventions to mental health concerns • Alleviate major behavioral issues in the classrooms

25. Promoting OHYES! • As educators, we identify behaviors • The survey allows us to do this • However, the key is to identify the antecedents to those behaviors • Student in nurse office • Missing instruction • Key: Why, what precedes this happening • Once we know this, then we can put supports in place, and make wise use of our FUNDS • Addressing the root cause • Increasing student engagement

26. Promoting OHYES! Emergency Operations Plan Ohio Districts are required to write a new Emergency Operations Plan (EOP) The new EOP focuses a great deal on specific school emergencies. Superintendents and principals can use this data to inform the EOP, and this level of specificity is an expectation

27. Promoting OHYES! What does the superintendent need to do? • Respond to OHYES! Email that came from Director Tracy Plouck • Communicate with district administrators (principals) in the buildings where the survey will be administered • Complete the registration page, selecting grade levels to be surveyed. • Total of a 10 minute commitment

28. This could be you…For more information go to:www.mha.ohio.gov/spf

29. Questions…

30. Questions… To reiterate, counties that received SPF SIG grant will NOT be eligible? -Brad

31. Questions… In hearing all of this great information, I'm trying to assess the programmatic capacity I should be considering. What are the anticipated award amounts per agency? -Andrea

32. Questions… For data collection do you mean September 2015 or September 2016? If you are doing a year of capacity building BEFORE the funding cycle why would we need data by this September? -Brad

33. Questions… What role does ODE play in promoting the survey? -Jamie

34. Questions… This is Reggie Robinson with Health Recovery Services. Is there any possibility for an extension of the August date for Superintendents to opt in to the OHYES survey? Many of the school personnel are just getting back into the office in mid-August, and are immediately swamped. -Reggie

35. Questions… What if it is not possible to complete the OHYES on web? Is there a paper version? -Midge

36. Questions… On the OHYES!, in determining the root cause of a problem, will the evaluation team conduct statiscial analysis by county and/school? Or will the analysis just be on a state-wide basis? -Tommy

37. Questions… As an ADAMH Board with many counties can we apply for each county? -Penny

38. Questions… Does the OHYES survey include the 4 core measures? -Allison

39. Questions… Who is eligible to apply for the Pfs grant? -Jennifer

40. Questions… If counties are unable to get buy-in from all local superintendents, how will that impact the overall quality/validity of data collected in the community? -Stacey

41. Questions… Are there any exceptions if superintendents don't register by August 24th? -Laura

42. Questions… Will there be a fee if the OHYES is done annually? -Midge

43. Questions… If we already have local youth data, can we schdule the OHYES survey in Spring 2016? Or do we need to get the survey completed in 2015? -Mircea

44. Questions… There are many school districts located near county lines so their students are from multiple counties. Are the survey results attributed to each of those counties? -Jennifer

45. Questions… Should all schools in county be doing the survey within same time frame for the best county results? -Laura

46. Contact Information Dawn M. Thomas, M.Ed., OCPS II Project Director/Prevention Systems Director dawn.thomas@mha.ohio.gov www.mha.ohio.gov/spf 614-644-8327