Substance Abuse Prevention - 2010 Winners
Alcohol, Drug Addiction & Mental Health Services (ADAMHS) Board of Cuyahoga County
The Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County in Cleveland, Ohio, is responsible and accountable for the planning, funding and monitoring of public mental health and alcohol and other drug addiction services delivered to the residents of Cuyahoga County. The Family and Schools Together (FAST) is a nationally recognized researched and values based model with an alcohol/drug prevention component which emphasizes parent empowerment and family development.
As the legislative convener of children’s programming throughout Cuyahoga County, the Family and Children’s First Council (FCFC) awarded funding to the ADAMHS Board and works in concert with the implementation of the FAST program for residents throughout Cuyahoga County. The target population varies throughout the program as participants are involved on a voluntary basis, which is why on average 94% of families participating in FAST are satisfied. The data (pre and post evaluations) is captured at the beginning and end of a phase revealed that parents feel their relationship with the school (teacher and principle) has improved, as well as their child’s behavior at home and school. FAST programming is provided throughout Ohio and includes the Cleveland Metropolitan School District (CMSD)-one of the largest urban school districts in the county. Based on need, catchment areas may receive bi-lingual support to ensure the benefits of the program are received cross culturally.
Since the program’s ten year inception, the overall goal of the program is to improve families and communities. In the transition of the FAST program from the Alcohol and Drug Board, now in the provision and oversight of the combined Board (ADAMHS), the program has been sustained by the dedication and oversight of the former coordinator, Dabney Conwell. Fidelity to the program’s model was maintained and indoctrinated for sustainability purposes, as it is embraced by many of the participating school districts. This approach is believed to enhance all life domains of children and their families, which will improve communities at large.
Borinquen Health Care Center, Inc.
Borinquen Health Care Center is a federally qualified health center serving a culturally diverse and historically underserved population in Miami, Florida for over 40 years. BHCC provides a comprehensive range of health, behavioral health, and social services through a multi-disciplined approach, accessible to all residents in Miami-Dade County.
BHCC’s Substance Abuse Targeted Outreach & Pretreatment Program (STOPP) provides outreach and pretreatment services to high-risk substance using minorities. The targeted population includes African-American, Haitian and Hispanic adults and their children. STOPP staff members deliver culturally competent, integrated services that support clients’ individual needs and facilitate sustained recovery. The evidenced-based interventions used are the NIDA Community-Based Outreach Model and Comprehensive Risk Counseling and Services (CRCS). STOPP outreach staff provides the NIDA model’s two fundamental components: community-based outreach and HIV pre/post-test education and counseling. STOPP counselors use a client-centered approach, and incorporate Motivational Interviewing to engage clients to reduce their risky behaviors and stem the spread of HIV in the community.
During three years of operation, STOPP has administered nearly 10,000 rapid HIV tests, enrolled more than 600 clients in its counseling and pretreatment programs, and provided a range of services including substance abuse education, screening, referrals, and counseling. An external program evaluation documents positive results on SAMHSA’s National Outcome Measures and a remarkable follow-up rate of over 90%.
CAB Health & Recovery Services, Inc. (978) 968-1700
CAB Health & Recovery Services (CAB) is a 52 year old community-based, not-for-profit substance use disorder treatment and prevention organization located in Peabody, Massachusetts. Over the course of its history, the organization has developed a full continuum of care to meet the needs of the communities it serves. CAB currently operates two detoxification programs, several short and long term residential treatment programs, two women and children’s residential treatment programs, outpatient methadone and suboxone treatment, a street outreach program, and a number of outpatient and intensive outpatient treatment programs.
Project ALERT is a school-based substance use prevention program for middle school students that addresses alcohol, tobacco, and marijuana use. The content of the program focuses on helping youth to understand the consequences of drug use, to recognize the benefits of not using drugs, to build norms against drug use, and to identify and resist pro-drug pressures to use drugs. Project ALERT consists of 11 lessons as well as three booster sessions. Lessons involve small-group activities, question and answer sessions, role-playing, and the rehearsal of new skills to stimulate youths’ interest and participation.
Utilizing a 23-item questionnaire that was developed based upon the Project ALERT curriculum, a positive impact on students’ attitudes about alcohol and drug use and knowledge of the dangers of drug use was seen. Some specific examples include an increase in the percentage of students who knew that marijuana was addicting and that "a lot" of danger could result from smoking cigarettes, smoking marijuana, and drinking. Students’ beliefs about the percentage of students that engage in drinking and drug use all decreased to more accurate levels.
Missouri Division of Alcohol & Drug Abuse
Missouri Institute of Mental Health
The Missouri Department of Mental Health (DMH) Division of Alcohol and Drug Abuse (ADA), in Jefferson City, Missouri, is the single state agency responsible for overseeing a statewide network of substance abuse prevention, treatment and recovery support services. The ADA partners with the Missouri Institute for Mental Health (MIMH) for the evaluation of the School-based Prevention Intervention and Resources Initiative (S.P.I.R.I.T. ) program.
In 2002, ADA launched the S.P.I.R.I.T. program in five school districts in Missouri. The SPIRIT program goals are to delay the onset and decrease the use of substances, improve overall school performance, and reduce incidents of violence among youth. To achieve these goals, prevention agencies are paired with participating school districts to provide technical assistance in implementing evidence-based substance abuse prevention programming and referral and assessment services as needed.
The evaluation results over the eight years of SPIRIT implementation demonstrate that the program has had a positive impact on both attitudes and behaviors of students in the participating districts. SPIRIT youth have: improved their decision-making skills, became more aware of the dangers of drugs, had a significant drop in bullying, reduced their use of substances, delayed the age of first use, and improved overall school performance.
NAFI Connecticut, Inc.
Based in Farmington, Connecticut, NAFI Connecticut, Inc. is a multi-service agency that provides programming, consultation and individualized support services to youth families, and adults in a variety of settings. Foster care, in-home services, residential services and developmental services are provided by the agency with the mission of creating diverse and innovative services for people. There is a continuous focus on utilizing best practices and family centered treatment that allows our clients to experience success in their future goals.
NAFI CT implemented Multisystemic Therapy (MST) in 2000 and has expanded to now operate ten teams throughout Connecticut. MST is an evidence-based model that provides intensive family based treatment for youth with identified substance abuse and/or behavioral challenges. The program promotes behavior change in a youth’s natural ecology by using the strengths of the individual, family and extra-familial systems to facilitate positive change.
Post treatment outcomes in 2009 demonstrate extremely positive results. 85% of our clients were discharged while living at home; 85% of our youth were enrolled in school or a vocational program at the time of discharge and 73% of our youth were not arrested during treatment with MST. For the three teams that gather substance abuse data, 80% of our clients demonstrated a clear reduction in substance use and100% of clients had no new arrests for substance abusing offenses at the time of discharge.
Last updated: 11/25/2010