Extension
It Starts With Us
Substance Use Prevention and Recovery
Food Nutrition and Health
Cockerham, Jeffiers, Reed
Health
Arts and Community Health
Substance Use Prevention and Recovery General
Active Living and Health Promotions General
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.
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
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,
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
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
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
