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CoRC 101

CoRC 101 . Dr. Milton H. Cambridge Demand Reduction Prevention and Outreach Coordinator. Overview. Review CoRC Foundational Principles Comprehensive Community Approach Leadership Driven ! CAIB/IDS 4 Tiered Approach Universal/Primary Prevention Selected/Secondary Prevention

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CoRC 101

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  1. CoRC 101 Dr. Milton H. Cambridge Demand Reduction Prevention and Outreach Coordinator

  2. Overview • Review CoRC Foundational Principles • Comprehensive Community Approach • Leadership Driven ! • CAIB/IDS • 4 Tiered Approach • Universal/Primary Prevention • Selected/Secondary Prevention • Targeted/Tertiary Prevention • CoRC Metrics • CoRC CONOPS and Toolkits: www.afcrossroads.com • 7 Steps of Prevention Planning Process • CoRC Logic Model

  3. Overview • “Best Practices/Lessons Learned” • Ideas for Improving CoRC Implementation

  4. Community Approach toPopulation Health Services Excellent 100% Leadership Supports Health Behavior Change Installation Policies Enhance Health Prevention and Education Helping Agency Support (IDS) POPULATION Primary Care HEALTH Early Intervention Specialty Care Treatment of Disease 0% Poor

  5. Community PreventionModel for Population Health Community Airmen/Families Military Treatment Facility Wing Leadership Installation Support IDS Unit CCs/First Sgt Squadrons Assuring the Conditions For Population Health Public Affairs Academia The Future of the Public’s Health in the 21st Century, November 2002

  6. CoRC:AF Functional Community Players Public Affairs Legal Security Forces Mission Support/ Services Senior Leadership CC/1st Sergeants Chaplains Medical Treatment Facility

  7. 2. INDIVIDUAL LEVEL 3.BASE COMMUNITY 4. LOCAL COMMUNITY 1. LEADERSHIP INTEGRATED 4-PRONGED COMMUNITY APPROACH

  8. CoRC Basics 1. Leadership Driven Program: Message and support from top down 2. Individual Level Opportunities for Change • Assessment/Screening of risk in all personnel • Education/awareness • Brief Interventions and treatment when needed • Responsibility and commitment 3. Base Community Opportunities for Change • Develop range of alternate activities • Consistent and equitable detection/enforcement • Media campaign promoting responsibility • Monitor AF metrics/consider base specific metrics 4. Local Community Opportunities for Change • Assess threat and availability of drugs and alcohol • Develop coalition with community agencies

  9. Surgeon General’s Toolkit:Bucket 1 Universal/Primary Prevention • Population outreach: • Screening population/surveillance • Take “temperature” of risk on base • Education and feedback at teachable moments

  10. Surgeon General’s Toolkit:Bucket 2 Selected/Secondary Prevention • Targeted, individualized, non-anonymous alcohol and drug screening at Primary Care and Flight Medicine • PHA: Everyone screened annually, feedback provided, and referred as needed • Routine Care: Options for screening, brief intervention and referral as part of routine care

  11. Surgeon General’s Toolkit:Bucket 3 Targeted/Tertiary Prevention • Screening, Assessment & Brief Intervention • Designed for behavioral health outside of ADAPT • Family Advocacy and Life Skills Support Centers • Tools to identify and treat “sub-clinical” alcohol misuse • Improved identification of substance use disorders • Options for screening at each new intake • Improved decision tree • When to refer to ADAPT and when to incorporate into existing treatment plan

  12. Surgeon General’s Toolkit:Bucket 4 Subject Matter Consultation • Guidance for ADAPT and DDR PMs about their role as CC consultants for CoRC implementation • Booklet with core consultant competencies • References and Resources • Resources and opportunities for training

  13. The 7 Steps of Program Planning • Assess the Readiness of the Community • Assess the Levels of Risks and Protective Factors • Translate the Risk and Protective Factors into Priorities • Examine the Resources in the Community • Select a Target Population • Apply “Best Practices and “Guiding Principles” • Evaluate the Program

  14. AF Readiness Level • Substance Misuse: A Clear and Present Danger • Alcohol Misuse is involved in • 33% of Suicides • 57% of Sexual Assaults • 28.5% of Domestic Violence Incidents • 44% of PMV Accidents • 33% of AD (17-24) commit 81% of ARIs

  15. AF Readiness Level • AD AF FY 04 – 0.45% Drug Positive Rate • Equals – 1,572 AD Airmen Drug Positive • Discharge over 1500 Airmen because Drug Positives • Costs – 36 – 79K to produce each trained Airmen • Cost to the AF – Over 93 Million Dollars per Year

  16. AF Readiness Level • CSAF- Must Reduce ARIs and Drug Positives via The Culture of Responsible Choices (CoRC)- July 2005

  17. Risk Factors AF- Wide • Age (17-24) * • Male* • Availability of Alcohol and Drugs* • Underage Drinking/Binge Drinking* • Single Status • High OPS TEMPO/Deployments • Stress • Sensation-Seeking • High Priority Risk Factors*

  18. Protective Factors AF- Wide • AF is a Family* • Excellent Health Care System* • Healthy Alternatives* • Fitness Activities • First Term Airmen Centers • Network of Helping Professionals* • Opportunities for Education and Training* • High Priority Protective Factors*

  19. Protective Factors AF- Wide • “Wingman’s Culture”* • “Culture of Airmen”* • Suicide Intervention Program* • Enforcement of Underage Drinking Laws* • AF Zero Tolerance Policy* • Strong Leadership* • Implementation of CoRC* • www.afcrossroads.com

  20. Examine Resources • Leadership • ADAPT/DR • Base Prevention Coalitions i.e. • CAIB, IDS, Cross-Functional Oversight, • CoRC Steering Committee under the IDS • Primary Care, Security Forces, OSI, Chaplains, Public Affairs, Health Educators, Family Advocacy, Outreach Managers and Other Helping Professionals

  21. Examine Resources • Off Base Coalitions- Community Anti Drug Coalitions of America (CADCA) • www.CADCA.org • Department of Justice Enforcing Underage Drinking Laws (EUDL) Grants • Community Prevention Agencies • Churches, Schools, etc.

  22. Examine Resources • Center for Substance Abuse Prevention (CSAP) • Model Programs • Online Prevention Training • Centers For The Advancement of Prevention Technologies (CAPTs) • Strategic Prevention Framework (SPF) • National Survey on Drug Use and Health (NSDUH)

  23. Examine Resources • NIAAA 2002 – “A Call to Action” Changing the Culture of Drinking on College Campuses” • National Academy of Sciences, Institute of Medicine (IOM) – “Reducing Underage Drinking: A Collective Responsibility” • Research Triangle Institute (RTI) – “Survey of Health-Related Behaviors Among Military Personnel” (1980 – 2005) • IC & RC

  24. Examine Resources • Other ADAPT and DR Folks • Networking • AF Best “Practices and Lessons Learned” • ADADT/DR World-wide Conferences • CoRC Tactical Communication Plan – Dec 2006 • CoRC Steering Committee • CAIB/IDS • CoRC CONOPS and Toolkits • www.afcrossroads.com

  25. Examine Resources • All 72 SG toolkit documents found at: www.afcrossroads.com • Bucket 1: Resources for universal/primary prevention through population-level outreach and screening • Bucket 2: Resources for selected/secondary prevention through targeted, individualized, non-anonymous alcohol and drug screening at Primary Care/Flight Medicine during PHA and routine care • Bucket 3: Resources for Behavioral Health targeted prevention through assessment for alcohol related problems (misuse, abuse, and dependence) and drug use at all Life Skill's intakes • Bucket 4: Resources for ADAPT/DDR staff to use in their role as the Commanders' substance use subject matter experts

  26. CoRC Target Populations • Primary – 17-24 AD • Secondary - > 24 AD • Tertiary – Civilians, Retirees, and Family Members

  27. Best Practices • CoRC is based on the adaptation of the Best Practice and nationally acclaimed F.E. Warren’s “0-0-1-3” Responsible Drinking Program

  28. Guiding Principles • 2005 CORONA Tasker • Community Prevention Model to Population Health • CoRC 4 Tiers • CSAP 6 Prevention Strategies

  29. Guiding Principles • Prevention Research • NIAAA 2002- “A Call to Action: Changing the Culture of Drinking on College Campuses • IOM 2003 – “Reducing Underage Drinking: A Collective Responsibility”

  30. Evaluation • CoRC Metrics • 25% reduction in ARMs from Baseline Year • 25% reduction in Drug Positives from Baseline Year • Other Measures • Process, Outcome and Impact Program Evaluation

  31. CoRC Logic Model • What are the Risk and Protective Factors to be addressed ? (The Goals) • Reduce ARMs by 25% • Reduce Drug Positive by 25%

  32. CoRC Logic Model • What services and activities will be provided ? • 6 CSAP Prevention Strategies: • Dissemination of Information, Prevention Education, Alternative Activities, Community-based Processes, Environmental Approaches, and Problem Recognition and Referral • Urinalysis – “Smart Testing”

  33. CoRC Logic Model • Who will participate in or be influenced by the program ? • AD 17-24

  34. CoRC Logic Model • How will the activities lead to expected outcomes ? • If CoRC is implemented AF-wide according to the CONOPs than AD 17-24 will be more informed • With Strong Command support and if all 6 CSAP Prevention Strategies and “Smart Testing” are implemented than we will achieve the CoRC goals AF-wide

  35. CoRC Logic Model • What immediate changes are expected for AD ? (The short-term outcomes) • A 25 % reduction in ARMs and UA+s

  36. CoRC Logic Model • What changes will CoRC ultimately like to create? ( The long-term impacts) • A change in the AF Culture

  37. Summary: 7 steps for a Prevention Planning Process • Assess the Readiness of the Community • Assess the Levels of Risks and Protective Factors • Translate the Risk and Protective Factors into Priorities • Examine the Resources in the Community • Select a Target Population • Apply “Best Practices and “Guiding Principles” • Evaluate the Program

  38. CoRC • Best Practices: Kadena Air Base, PACAF

  39. Best Practices • Davis Monthan AFB - EUDL Project, Leadership Tier • Barksdale AFB - Individual Tier • Little Rock AFB - Base Community Tier • Malstrom AFB - EUDL Project, Local Community Tier

  40. Other Best Practices/Lessons Learned • A monthly listing of those turning 21 are sent to First Sergeants from Alpha roster- ACC • Placing 0-0-1-3 stickers on menus and doors of local establishments –ACC • Attending Underage Drinking Task Force and University Task Force Meeting to share ideas and gain synergy – ACC • Responsible Choices through Education, Support and Accountability – USAFE • Integrating CoRC into the Air Commando Culture - AFSOC

  41. Ideas for Improving CoRC Implementation • Strong Leadership Commitment !!! • Implement under CAIB/IDS • Appoint Base-level CoRC POC • Do a local Needs Assessment • Comprehensive Community Approach

  42. Ideas for Improving CoRC Implementation • Add a Best Practices/Lessons Learned section to CoRC Website • Use CoRC CONOPS to train • Periodically Update Toolkits on CoRC Website • Increase the pool of Resources at the CoRC Website

  43. Questions ?

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