General Arthur T. Dean Chairman and CEO, CADCA May 30, 2019

1. General Arthur T. Dean Chairman and CEO, CADCA May 30, 2019 Building Drug-Free Communities—The CADCA Model Arkansas Prevention Summit

2. CADCA History and Overview CADCA’s Vision • A world of safe, healthy and drug-free communities CADCA’s Mission To strengthen the capacity of community coalitions to create and maintain safe, healthy and drug-free communities globally • Founded in 1992 as a recommendation from the President’s Drug Advisory Council • CADCA represents more than 5,000 community coalitions in the United States and more than 500 around the world.

3. CADCA’s Core Services

4. CADCA’s International Programs Currently Support Communities in 23 countries on 5 continents​ CADCA assists government, non-government organizations and community groups in developing effective community coalitions to prevent and reduce rates of illicit drug use.

5. CADCA’s Youth Leadership Initiative • Trainings are youth-led, adult-guided, which helps coalitions build capacity to foster youth leadership in design, implementation, and evaluation of action strategies addressing community problems • “Youth In Action” projects employ seven evidence-based behavioral change strategies with an emphasis on environmental change to effectively address the problem behavior identified. • Engage. Develop. Inspire • CADCA's Youth Leadership is adaptable and has been evaluated by Michigan State University.

6. CADCA’s Youth Leadership – ‘Youth Led – Adult Guided’ Youth trained by CADCA’S Youth Leadership experience an increase and significant change in the following aptitudes: • Leadership Competencies • Community Organizing • Problem-Solving Abilities • Current and Future Civic Activism • Civic and Political Engagement • Youth-Adult Partnerships

7. What are Coalitions? A coalition is a formal arrangement for cooperation and collaboration between groups or sectors of the community, in which each group retains its identity but all agree to work together towards a common goal of building a safe, healthy and drug-free community.

8. CADCA’s Coalition Model Essential Sectors for Success

9. Assess prevention needs Build prevention capacity Develop strategic plan Implement effective community prevention programs, policies, and practices Evaluate efforts for outcomes Coalition 5-Step Evidence-Based Process

10. Seven Strategies for Community Change • Provide information • Build skills • Provide social support Individually focused • Reduce barriers/enhance access • Change consequences/incentives • Alter the physical design of the environment • Change policies and rules Environmentallyfocused

11. CADCA’s Framework for Community Change Institute of Medicine, 2002; KU Work Group for Community Health and Development, 2007

12. CADCA Training is Effective • Coalitions receiving Training and TA from CADCA: • Report higher levels of effectiveness • Are engaged in a more comprehensive set of strategies to address substancemisuse • Are more likely to have in place the essentialprocessesto create community change • Source: Independent evaluation of the National Coalition Institute by Dr. Pennie Foster-Fishman, Michigan State University We train 10,000 individuals and 2,000 youth each year!

13. Signature Training Events • 2019 National Leadership Forum • SAMHSA 15th Annual Prevention Day – held in February 2018 • 29th Annual Forum held February 4-7, 2019 at the Gaylord Hotel and Convention Center, National Harbor, Md. • Over 3,000 attendees last year – record crowd • All federal agencies involved in substance abuse prevention, treatment, interdiction and research played a role • Members of Congress participated in plenary roundtable • 2019 Mid-Year Training Institute • July 14-18, 2019 in Dallas, Texas – 2,000 attendees • In-depth courses, application-based training • International attendees received specialized training as well as peer-to-peer learning and dialogue opportunities with U.S. attendees

14. Drug-Free Communities Program

15. National Evaluation of the DFC Program

16. Impacting Change in Communities

17. Coalition Composition

18. What’s Happening in Arkansas?

19. Arkansas rate of overdose deaths—prescription opioids

20. Prevention – Needed More Than Ever • While teen drug use in many categories is down, youth marijuana use has rapidly increased over the past few years. • Youth perceptions of risk related to marijuana continue to decline. • The rapid rise in the use of electronic nicotine delivery systems (e-cigarettes) is disconcerting. • Despite positive news of reductions in youth prescription drug abuse, opioid addiction and overdose deaths remain a major national epidemic.

21. Challenges • Opioid and heroin addiction usually start with young people who misuse alcohol and marijuana. Therefore, a focus on prevention is even more critical • Focus on environmental strategies continues to be a barrier • Funding for substance use needs to be a higher priority • Inconsistent messaging related to prevention

22. Increasing Awareness • “The most important thing that we can do with any public health intervention is what CADCA does—focus on prevention.” • Dr. Nora Volkow • Director, National Institute on Drug Abuse

23. Prevention Efforts

24. Call to Action!

25. Two New Best Practice Publications (Opioids & Ends) The Practical Theorist is part of a series of publications designed to summarize field research on key substance misuse issues, and to present it in a concise, practical format, with strategies for using the data to mobilize communities and support the mission of coalitions.  

26. Stay Connected and Join the Conversation! CADCA @CADCA CADCA @CADCAcoalitions CADCAorg Building Safe, Healthy, and Drug Free Communities