Substance Use Prevention and RecoveryPlan of Work

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Johnson County CES

Title:
Substance Use Prevention and Recovery
MAP:
Food Nutrition and Health
Agents Involved:
Cockerham, Jeffiers, Reed
MAJOR PROGRAM 1:
Health
MAJOR PROGRAM 2:
Arts and Community Health
MAJOR PROGRAM 3:
Substance Use Prevention and Recovery General
MAJOR PROGRAM 4:
Active Living and Health Promotions General
Situation:

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 in early 2019.  Taken together, youth KIP survey data, data from the CES needs assessment, and data collected from the County/City listening sessions, demonstrate the need to address substance use prevention, recovery, stigma, and impact on families and communities.

Healthy living is one of three 4-H mission mandates and encompasses: physical activity, personal safety, mental health, addiction prevention, and diversity and inclusion.  In Kentucky 37% of youth 10-17 are overweight or obese, and 51% report not exercising regularly. 25% of youth report some form of emotional or behavioral condition and suicide rates are at record high (KY suicides per 100,000 people: 15.3, 10th highest in nation). Substance Use Disorder and Mental Health disease can affect anyone, with 1,160 reported opioid-involved deaths (a rate of 27.9 deaths per 100,000 persons) in Kentucky and Vaping nearly doubled among middle and high school students — with 27% of high school seniors reporting they had tried the product in 2018. Healthy living is one of three 4-H mission mandates and encompasses: physical activity, personal safety, mental health, addiction prevention, and diversity and inclusion.  In Kentucky 37% of youth 10-17 are overweight or obese, and 51% report not exercising regularly. 25% of youth report some form of emotional or behavioral condition and suicide rates are at record high (KY suicides per 100,000 people: 15.3, 10th highest in nation). Substance Use Disorder and Mental Health disease can affect anyone, with 1,160 reported opioid-involved deaths (a rate of 27.9 deaths per 100,000 persons) in Kentucky and Vaping nearly doubled among middle and high school students — with 27% of high school seniors reporting they had tried the product in 2018. Healthy living is one of three 4-H mission mandates and encompasses: physical activity, personal safety, mental health, addiction prevention, and diversity and inclusion.  In Kentucky 37% of youth 10-17 are overweight or obese, and 51% report not exercising regularly. 25% of youth report some form of emotional or behavioral condition and suicide rates are at record high (KY suicides per 100,000 people: 15.3, 10th highest in nation). Substance Use Disorder and Mental Health disease can affect anyone, with 1,160 reported opioid-involved deaths (a rate of 27.9 deaths per 100,000 persons) in Kentucky and Vaping nearly doubled among middle and high school students — with 27% of high school seniors reporting they had tried the product in 2018. Substance abuse statistics for adults are equally challenging.

Long-Term Outcomes:

The prevention and/or reduction of substance use and its related consequences.

Changed public perception of substance use via stigma reduction.

Increased number of youth and adults maintaining positive health habits;

Increased number of youth and adults at a lower risk for serious disease and illness;

Increased number of youth and adults at a lower risk for physical and emotional distress

Reduce the number of youth and adults reporting drug, alcohol, and tobacco use

Intermediate Outcomes:

Reduced stigma from local community members

Increased Opioid Stewardship (less rx’ing by doctors, appropriate Rx disposal, drug takebacks, etc.)

Community engagement of productive activities

Delayed age of first use among Kentucky youth

Improved access and utilization of resources

Improved perceived stress and ability to cope

Youth will contribute to their communities

Youth will practice refusal skills, 

Initial Outcomes:

Increased knowledge of substance use prevention, addiction, and recovery (or related subject matter)

Increased ability to use destigmatized language

Improved social skills and/or self-efficacy in KY citizens and youth

Improved in awareness of health concerns

Improved understanding of the consequences of risk behaviors

Promote optimal physical, social and emotional health habits

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 training

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

Indicator:  Number of students undergoing Botvin

Method:  Retroactive pre-post

Timeline: Following Botvin LifeSkills


Outcome: Youth gaining knowledge on healthy lifestyle choices

Indicator: Number of youth who indicated they learned about health and well-being choices.

Method of Evaluation: Number of youth who were educated on health and well-being through 4-H programs? (KOSA)Number of youth who indicated they made healthy lifestyle choices as are result of what they learned through 4-H programming? (PRACTICE)

Timeline: Annually as scheduled by schools and community partners 


Learning Opportunities:

Audience: Families impacted by addiction

Project or Activity:  Addiction PreventionTraining

Content or Curriculum: Addiction 101

Inputs: Advisory councils

Date: 2021-22


Audience: Families impacted by addiction

Project or Activity: Arts Activity

Content or Curriculum: Art of Recovery

Inputs: FCS Council

Date: 2021-22


Audience: Johnson County Youth

Project or Activity:  Prevention Program

Content or Curriculum: Botvin LifeSkills, Adolescent Brain Health

Inputs: Coordinate with Johnson County FCS Classes

Date: 2021


Audience: Johnson county youth 

Project or Activity:  Truth and Consequences

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

Inputs: Coordinate with  leaders, school representatives

Date: TBA


Audience: adults suffering from substance use

Project or Activity: Substance Abuse Task Force

Content or Curriculum: Selected activities, classes and programs recommended by group

Inputs: Johnson County Health Department, community volunteers, Mountain Comprehensive Care

Date: 2020-2024


Audience: Local citizens

Project or Activity: Mural project, Paint Creek Park Project, and other artistic projects and classes held throughout the county

Content or Curriculum: community arts

Inputs: FCS Council, Main Street, Route 23 Cultural Heritage Network

Date: 2020-2024


Audience: Reentry Program recipients and general public

Project or Activity: Newsletter

Content or Curriculum: Lifeskills 101

Inputs: 12 FCS agents from District 1 and FCS Curriculum

Date:2021-2024


Audience: Recovery Centers, Family Resource Centers 

Project or Activity: Financial Education

Content or Curriculum: Recovering Your Finances

Inputs: Coordination with community stakeholders

Date: 2021


Audience: Recovery Centers, Family Resource Centers

Project or Activity: Horticulture Therapy

Content or Curriculum: Recovery Gardens

Inputs: Big Sandy Prison

Date: 2020-21


Audience: 4-H Youth in Johnson County  

Project or Activity: 4-H Digital Problem Solvers 

Content or Curriculum: 4-H and FCS Health Curriculum

Inputs: Special Projects Coordinator, other Extension personnel, local county and city government officials,  local health organizations, volunteers, local substance use prevention organizations 

Date: 2020- 2023 as scheduled by DPS team and community partners


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