Developing Rural Epi Outcomes Workgroups- The Oklahoma Experience

1. Developing Rural Epi Outcomes Workgroups- The Oklahoma Experience

2. Need for Local Epi Workgroups • Evolving public health field • Shift to empowering communities

3. Purpose of the REOWs • Replicate State Epidemiological Outcomes Workgroup • Assess, • Prioritize • Help advise community coalitions on data findings that support the selection of appropriate prevention strategies

4. Adult Alcohol Consumption, 2010 BRFSS

5. REOW Membership • Local/State Health Agency • Other Prevention Agency • Non-Clinical Treatment Professionals • Community/Social Services • Law Enforcement/Highway Patrol • Education • Oklahoma Bureau of Narcotics • Oklahoma Juvenile Affairs • Healthcare/Professionals/Pharmacy • Youth • Oklahoma ABLE Commission • Other

6. REOW Tasks • SPF SIG Process • Assessment • Capacity • Planning • Implementation • Evaluation Role of REOW

7. Prioritization of Substances and Communities • SEOW identified underage drinking and nonmedical use of prescription drugs for SPF SIG; underage drinking, marijuana, adult binge drinking, methamphetamine, alcohol use during pregnancy, inhalants, and nonmedical prescription drugs for the Block Grant • SEOW made recommendation of priority and community • REOW was tasked to decide which priority and which community

8. Prioritization of Substances and Communities Cont. • Workbook created • Assessment done in 3 phases: • Collecting, analyzing, and prioritizing consumption and consequence data • Collecting, analyzing, and prioritizing around intermediate variables relegated to the chosen priority- community capacity and readiness were also assessed • RPC and REOW Coordinator compiled results and wrote an epi profile for the region

9. Prioritization Results • SEOW’s findings confirmed • 12 Regions selected nonmedical use of prescription drugs for the SPF SIG, 5 chose underage drinking • If they did not chose nonmedical use of prescription drugs for the SPF SIG, they chose it in at least one of their counties for the Block Grant

10. Prioritization Results Cont.

11. Prioritization Results Cont.

12. Prioritization Results Cont.

13. Prioritization Results Cont.

14. Challenges and Barriers • REOWs vary region by region • Shifting the focus of prevention framework • A REOW candidates did not exist in every region • Membership was hard to establish • Participation of REOW members was not always promised

15. Challenges and Barriers Cont. • Inconsistent attendance • Suppressed, missing, invalid, unreliable, or insensitive data • Inconsistencies in data collection methods • In some cases, no local data collection system existed at all • A lack of infrastructure for sharing data among state agencies

16. Successes • Identified and establish relations with different agencies and individuals • Develop an understanding and appreciation of the data collection process • Empowerment • Developed systematic ongoing monitoring system • Identified the gaps and limitations of community-level data • Identified and engage stakeholders in their communities

17. The Data Query System

18. Contact Information Young Onuorah, MPA, CPS Senior Prevention Program Manager OK Dept. of Mental Health and Substance Abuse Services 405-522-0075 yonuorah@odmhsas.org Jamie Piatt, MPH SEOW Coordinator OK Dept. of Mental Health and Substance Abuse Services 405-522-6785 jpiatt@odmhsas.org