Successful Coalitions Across America National Rx Drug Abuse Summit 2-10-12

1. Successful Coalitions
Across America
April 10-12, 2012
Walt Disney World Swan Resort

2. Learning Objectives:
1.Describe principles of community-based
coalition capacity development.
2. Relate nuances of rural drug use
characteristics within the Appalachian context.
3. Illustrate innovative or best practice examples
of community stakeholder involvement in
community-based substance abuse prevention
coalitions.

3. Disclosure Statement
• All presenters for this session, Kristine
Harper Bowers and Peggy B. Sapp,
have disclosed no relevant, real or
apparent personal or professional
financial relationships.

4. A Strategy for Coalition
Effectiveness:
Enlarging the Table
Kristine Harper Bowers
East Tennessee State University
Office of Rural and Community Health and Community
Partnerships

5. Appalachia
• 420 counties in 13 states
• West Virginia, with counties of Alabama,
Georgia, Kentucky, Maryland, Mississippi, New
York, North Carolina, Ohio, Pennsylvania,
South Carolina, Tennessee, and Virginia
• 96 out of the 420 counties considered
distressed in 2012*
*A county economic classification index calculation based on three-year
average unemployment rate, per capita market income, and poverty rate—
with national averages
Appalachian Regional Commission.
http://www.arc.gov/appalachian_region/TheAppalachianRegion

7. Messages
 The burden of substance abuse in the Region is
rapidly rising.
 The largest current issue in the Region is
diversion of prescription drugs.
 The primary drugs of use and causes of deaths keep
changing.
 Deaths from overdose have dramatically increased
in recent years.
 Recent increases in substance abuse deaths
exacerbate Appalachia’s persistently high rates of
premature mortality (before age 65).
 Data from the Region is incomplete. More data is
needed to completely describe the issues.
 Local solutions target local problems.

8. Nonmedical Use of Pain Relievers in the Past Year among Persons Aged 12
or Older, by Substate Region. Percentages
Annual averages based on 2006, 2007, 2008 NDSUH

9. What is the difference?
Nonmedical
Use
of
Pain
Relievers
in
Nonmedical
Use
of
Pain
Relievers
in
Substate
Regions:
2004
to
2006
Substate
Regions:
2006
to
2008
Substance
Abuse
and
Mental
Health
Services
Administra=on,
Office
of
Applied
Studies
(2010).
Substate
es)mates
from
the
2006-­‐2008.
Na)onal
Surveys
on
Drug
Use
and
Health.
Rockville,
MD.
Web
only
report
is
available
at:
h*p://oas.samhsa.gov/substate2k10/toc.cfm

11. ARC Community-Based
Substance Abuse Small Grant
Initiative 2011-12
• Application – Letters of Interest
– 60 applicants from 10 states
• Conference – Skills and plan of action
development for 30 coalitions
• Implementation – 9 month turn around
time
• Follow-up at 3-month intervals
• Assistance as needed
• Concluding conference

12. 2011-12 ARC Community-Based
Substance Abuse Small Grants
Initiative Counties

13. Strategy: Enlarging the Table
Mental
Sheriff Schools Hospital
Health
Youth
Stimulate Enhance
Develop
coalition capacity
coalition
growth and
effectiveness
??
experience
Faith
Gov’t
Media Recovery Business
Local

14. Progression of Stakeholder
Relationships
Collaboration
Cooperation
Coordination
Networking

15. The Community Plans
• Belief Statements
• Problem statement
• Statement of Change (goal)
• Action Plan
• Description of Activities
• Proposed outcome(s)
• Measure(s) of success
• Budget

16. Coalition/Stakeholder Relationship
What Coalition GIVES What Coalition GETS
Volunteer energy, time and Recognition and appreciation for
resources issues and success
Entry into community with Connections to external resources
knowledge of local issues and
politics
What Stakeholder GIVES What Stakeholder GETS
Materials, technical expertise, Greater sense of participation in
training, resources field staff addressing the issue
Data and best practice examples Community-wide networking

17. Promoting Resisting
Personal factors
Personal, family or community Living on economic edge with
experience competing priorities
Time limited with defined roles to Mistrust of government and
“make a difference” programs
Community organizations factors
Good rapport with community Lack staff and money for activities
Networking typical way of doing Competing for volunteer time
business in low resource among many social issues
community
Available
from:
hLp://www.etsu.edu/kellogg/Cancer/Forum_Report/Part%201.pdf

18. Four-Step Communication Model Exercise
Team: ________ Stakeholder Group: _________________________
(Choose only one stakeholder)
SENDER MESSAGE CHANNEL RECEIVER
(most appropriate) (from flip chart) (medium) (who in stakeholder
group)

19. Building Relationships with
Healthcare Professionals
• Monroe County CARES (KY)
• Coalition for a Safe & Drug Free Cherokee County(NC)
• Community Engagement Team (NC)
• Community Prevention Coalition of Jackson County (TN)
• Monroe County Alcohol and Drug Task Force (TN)
• Appalachian Substance Abuse Coalition for Prevention
and Treatment (VA)
• Barbour County Community Coalition (WV)
• Estill County Substance Abuse Coalition (KY)

20. Monroe County CARES (KY)
• Targeted stakeholder: Healthcare professionals
• Targeted population: Doctors, nurse practitioners, dentists,
pharmacists
• CARES involved healthcare professionals by
disseminating information regarding proper
prescription storage, as well as providing pledge
cards for patients who promise they will be
responsible with storing, as well as taking, their
medications.
• And built a relationship with this sector by distributing
personal lock boxes and information to the providers
to issue to their patients; collaborating on resources.

21. Monroe County CARES (KY)
Students in a digital media
class at the local high
school designed the
graphics on a permanent
drop box housed at the
Sheriff’s Office.
The coalition hosted a dinner
PSAs were run in the local for healthcare professionals,
newspaper, as well as an highlighting measures they
article written on the could take in alleviating
placement of the prescription drug abuse,
permanent drop box, including handing out lock
including interviews with boxes to patients.
coalition members and the
sheriff.

22. Building Relationships with
Community Members and Parents
• Hart County Champions Coalition (KY)
• Cherokee Action for a Safer Tomorrow (SC)
• Dickenson County Partners Coalition (VA)
• Burke County Substance Abuse Network
(NC)

23. Burke Substance Abuse Network
(NC)
• Targeted stakeholder : Community members
• Targeted population: Leaders from community
groups
• BSAN involved community leaders by creating
a Community Leadership Team within the
coalition. This sub-committee meets only to
discuss what each of them can do within their
sector to decrease substance abuse issues in
the county. Team members stated this allows
them to be held accountable and therefore
encourages them to take a more active role.

24. Burke Substance Abuse Network (NC)
Interviews with
Coalition members
regarding
prescription drug
abuse in a series of
newspaper articles
that the leadership
team alerted to the
public
Each month, about
40 community
leaders meet and
discuss measures
they can take in their
positions to relieve
prescription drug
abuse in the county.

25. Cherokee (SC) Action
for a Safer Tomorrow (CAST)
• Targeted stakeholder: Community members
• Targeted populations: Seniors and Hispanics
• Through various community organizations,
CAST involved seniors by educating them
on the importance of proper medication
storage. CAST also worked to include the
minority Hispanic population in their
efforts, translating materials into Spanish,
as well as collaborating with local
churches and grocery stores on coalition
activities.

26. Cherokee (SC)
Action for a Safer Tomorrow
The coalition held a take-back event October 29th,
and reached out to the large Spanish population through flyers, newspaper ads,
and radio PSAs played on the Latino radio stations in the county.

27. Dickenson County (VA)
Partners Coalition
• Targeted stakeholder: Community members
• Targeted population: Youth and parents in
Centennial Heights apartment complex
• Recognizing the stigma attached to this
housing complex, as well as the risk and
dangers of substance abuse in the area, the
coalition reached out to parents and children
to develop resistance skills, positive
relationships within the family and community,
and personal responsibility.

28. Dickenson County (VA)
Partners Coalition
The coalition hosted a
summer program providing
Youth from the youth of Centennial
Centennial Heights Heights, a local low-
met with the local income housing complex,
police department’s positive activities while
K9 unit, reshaping the educating them and their
Upon accruing points
parents on substance
kids’ perception of through activities like
abuse issues and
law enforcement. completing chores,
deflection skills.
homework, and
community service,
qualifying youth were
rewarded with a trip to
Dollywood, a first for
many.

29. Building Relationships with
Youth and Schools
• Partnership for a Drug Free DeKalb (AL)
• Pike County Summit on Children (OH)
• Scioto County Rx Drug Action Team (OH)
• Vinton County Drug Abuse Coalition (OH)
• Clay County Anti-Drug Coalition (TN)
• Hancock County Substance Abuse Coalition (TN)
• ICARE-Union County (TN)
• McDowell County HOPE Coalition (WV)
• Pocahontas County Drug Abuse Prevention
Advisory Group (WV)
• Taylor County Breaking the Cycle (WV)
• Twin Counties Prevention Coalition (VA)

30. Scioto County (OH)
Rx Drug Action Team
• Targeted stakeholder: Youth
• Targeted population: Area high school
students
• Youth participate in coalition efforts after
being trained in peer mentoring skills.
Students collaborate with the coalition by
educating and influencing their peers
about substance abuse issues within the
school system.

31. Scioto County (OH)
Rx Drug Action Team
The Drug Action Team held a Youth Ambassador seminar for 85 high
school students from eight different schools who were trained in
drug and alcohol issues, as well as resistance skills. These students
will operate as peer mentors within their respective schools.

32. Taylor County (WV)
Breaking the Cycle
• Targeted stakeholder: Youth
• Targeted population: High School students
• Breaking the Cycle worked to build
relationships within Grafton High School
by educating youth, raising awareness
and interest in the correlation between
substance abuse and the high dropout
rate in the county.

33. Taylor County (WV)
Breaking the Cycle
During the summit,
Information was youth coalition
presented at a youth members “zombied
summit regarding the out on drugs”
effects of drugs and provided
alcohol on teenage information and
brains and bodies answered questions
for students
Students
were able to
experience
drunk driving
with “beer
goggles”
and bicycles

34. Building Relationships with
Law Enforcement
• Estill Substance Abuse Coalition (KY)
• Partners for Prevention in Allegany
County (NY)
• Monroe County Alcohol and Drug Task
Force (TN)

35. Partners for Prevention
Allegany County (PPAC) (NY)
• Targeted stakeholder : Law enforcement
• Targeted population: New York State
Police and Cuba Police Department
• PPAC collaborated with both law
enforcement entities in their community
to create awareness of efforts to diminish
incidences of drunk driving and
underage drinking.

36. Partners for Prevention
Allegany County (NY)
Newspaper and radio
ads highlighted the
collaborative efforts Upon completion of
of PPAC, Cuba Police Prescription take compliance checks,
Dept., and NY State back events in 2011 PPAC made thank you
Police during the resulted in over calls to businesses
holidays. $300,000 in who ID’d for alcohol
medication being sales.
incinerated.

37. Building Relationships with the
Faith-Based Community
• Lewis County (KY) Recovery Coalition
• Magoffin Local Board for KY-ASAP (KY)

38. Building Relationships with
Business
• Strong Through Our Plan, Mingo
County (WV)
• Carter County Drug Task Force (KY)

39. Strong Through Our Plan
(STOP) (WV)
• Targeted stakeholder: Business
• Targeted population: local county and
corporate businesses
• STOP incorporated members of the
business sector by helping them
understand how substance abuse issues
in the community affect the local
workforce and economy. Persons from
the business sector have become active
members in the coalition.

40. Strong Through Our Plan
Mingo County (WV)
Presented a
PowerPoint
program focusing on
the importance of business
collaboration to build
relationships with business
owners, as well as to provide
substance abuse education
and resources for
employees.
seeking treatment……

41. Results
• All 30 coalition teams increased
capacity by adding the targeted
stakeholder group
– Coalition membership increased
– Volunteer base increased
– Community awareness of the issues and
the efforts of coalitions increased
– Longstanding membership was revitalized,
encouraging innovative ideas and
projects

42. Himmelman Hierarchy of Partnerships
30
Networking
25
Cooperating
Coordinating
20
Collaborating
15
10
5
0
Initial status At 3 months At 6 months

43. Outcomes
Stimulated coalition growth
Through small grants for targeted membership
Enhanced capacity and experience
With self determination and flexibility by
participation in ARC grant process
Developed coalition effectiveness
Through knowledge growth and cross state
linkages

44. CONTACT
East Tennessee State University
Office of Rural and Community Health and Community Partnerships
PO Box 70412
Johnson City, TN 37614
www.etsu.edu/kellogg/Substance%20Abuse.asp
Kristine Harper Bowers
Substance Abuse Projects Coordinator
Coalition on Appalachian Substance Abuse Policy (CASAP)
423-439-7156
423-737-6276 cell
http://www.facebook.com/pages/Coalition-on-Appalachian-Substance-Abuse-Policy/
182665785092560
www.appalachiancoalition.com