Floyd County CES

Title:

Substance Use Prevention and Recovery

MAP:

Improve Physical and Mental Health

Agents Involved:

Slone, Coleman, Hackworth

MAJOR PROGRAM 1:

Substance Use Prevention and Recovery General

MAJOR PROGRAM 4:

Health

Situation:

According to the National Institute of  Health, in 2018, Kentucky had a 79.5 opioid prescriptions for every 100 persons compared to the national average of 51.4 prescriptions.  Kentucky has seen a decline in opioid related deaths from 433 in 2017 to 315 in 2018, but an increase of diseases related to injected drug use. The recent statewide needs assessment identified substance use prevention and recovery as the most urgent priority for Cooperative Extension.  Moreover, substance use was the focal point of the CES Advisory Council Meeting and the Floyd County Focus Group in early 2019.  Taken together, youth KIP survey data and data from the CES needs assessment demonstrate the need to address substance use prevention, recovery, stigma, and impact on families, communities and the economy. 

Long-Term Outcomes:

1. The prevention and reduction of substance use and its related consequences.

2. Changed public perception of substance use via stigma reduction.

Intermediate Outcomes:

1. Reduced stigma from local community members
2. Increased Opioid Stewardship (less rx’ing by doctors, appropriate Rx disposal, drug takebacks, etc.)
3. Delayed age of first use among Kentucky youth

Initial Outcomes:

1. Increased knowledge of substance use prevention, addiction, and recovery (or related subject matter)
2. Increased ability to use destigmatized language
3. Improved social skills and/or self-efficacy in KY youth

Evaluation:

Outcome:  Increased knowledge of substance use    

Indicator:  Number of individuals attending programs         

Method:  Retroactive pre-post

Timeline: Following every addiction 101 training 

Outcome:  Increased ability to use destigmatized language

Indicator:  Number of individuals intend to change behavior

Method:  Retroactive pre-post

Timeline: Following any program that includes language or substance use prevention training

Outcome:  Improved social skills and/or self-efficacy in KY Youth

Indicator:  Number of students undergoing Botvin

Indicator:   Number of student undergoing Health Rocks

Method:  Retroactive pre-post

Timeline: Following Botvin LifeSkills

Timeline: Following Health Rocks

Learning Opportunities:

Audience: Families Impacted by Addiction

Project or Activity:  Addiction Training

Content or Curriculum: Addiction 101

Inputs: Agents, Homemaker Leaders, and paid staff

Date: year round

Project or Activity: Arts Activity

Content or Curriculum: Art of Recovery

Inputs: Agents, Homemaker Leaders, paid staff, and community partners

Date: year round 

Audience: KY Youth

Project or Activity:  Prevention Program

Content or Curriculum: Botvin LifeSkills, Adolescent Brain Health

Inputs: Coordinate with Floyd Co. School Staff

Date: Fall and Spring

Project or Activity:  Truth and Consequences

Content or Curriculum: T&C: The Choice is Yours

Inputs: Agents, Staff, Community Partners, Leaders

Date: Fall and Spring

Project or Activity:  Health Rocks, Grades 6-12 

Content or Curriculum: 4-H Health Rocks

Inputs: Coordinate with Floyd County Staff

Date: September-May

Audience: Recovery Centers

Project or Activity: Financial Education

Content or Curriculum: Recovering Your Finances

Inputs: Agents, Coordination with community stakeholders, Leaders

Date: year round

Project or Activity: Horticulture Therapy

Content or Curriculum: Recovery Gardens

Inputs: Agents, Extension Master Gardeners, Community Partners 

Date: Spring and Summer