Two Models on New Approaches for Community-Based Anti-Drug Coalition National Rx Drug Abuse Summit 4-10-12

1. Two Models on New
Approaches for Community-
Based Anti-Drug Coalition:
State of Oregon and
the US Military
April 10-12, 2012
Walt Disney World Swan Resort

2. Learning Objectives:
1. Describe multiple strategies community anti-
drug coalitions in Oregon are employing to
prevent prescription drug abuse.
2. Describe how substance abuse is affecting
our military personnel and their families and
explain the military s Prevention, Treatment
and Outreach prevention initiative.
3. Specify the successes and challenges of a
variety of prevention strategies and explain
how these strategies can be implemented in
both rural and urban communities.

3. Disclosure Statement
• All presenters for this session, Judy
Cushing and Peggy Quigg, have
disclosed no relevant, real or apparent
personal or professional financial
relationships.

4. Introduction & Overview
• Impact of Years at War
• Prescription Drug
Abuse Problems
• Healthcare Disparities
• Role for Communities

5. Impact of PTSD/TBI
Diagnosed Cases of PTSD
• 30% of Vietnam Vets (780,000)
• 10% of Desert Storm Vets (90,000)
• 18.5% of Post 911 Vets (425,500)
- 6-11% of OEF Vets (Afghan)
- 12-20% of OIF (Iraq)
- 50% treated by VA
• 19.% OIF/OEF TBI (448,500)
Source: VA

6. Combat By The Numbers
OIF/OEF
• 2.3 million
• 280,000 Women
• 1 mil Guard/Res
• 50% repeated
deployments
• 7,000 KIA
• 1,650 Amps
• 460,000 PTSD
Source: VA

7. Homelessness Impact on Veterans
• 107k - 300k Homeless Every Night
• 500k – 840k Sometime/year
• 2 % OIF/OEF Vets
- 21,000 – 60,000
• 47% Vietnam Vets
- 50,290 – 141,000
• 76% Have AOD/MH/PTSD problems
• 67% Served 3 years or less **
• 33% Served in War Zones **
Source: VA

8. RX Drug Use By Military Personnel

9. Toll on Families & Children
• 55% are married
• 40% have two children
• 63% of military families
live in over 4,000 communities
• Parents of 200,000 children have
been deployed parent
• 18% increase in behavior disorders
• 19% increase in stress disorders
• 11% increase in behavioral
health issues in 3-8 yr old
Source: DOD

10. Opioid Meds & MH/PTSD

11. Opioid Meds & MH/PTDS

12. Complimentary & Alternative
Medicine (CAMS)
• 2011 - 89% of VA offered CAMs
• 2002 - 2011 - 20% usage increase
• Acupuncture – highest quality
• 3 Studies on Breathing & Relaxation
Source: VA

13. Complimentary & Alternative
Medicine (CAMS)
• 5 Most Common CAMS
Meditation - 72%
Stress Mgt/Relaxation – 66%
Guided Imagery – 58%
Progressive Muscle Relaxation – 53%
Bio-feedback – 50%
Source: VA

14. The Vicious Cycle
PTSD , Sleep & Attention Problems
Group Discussion
• Causes & Cures
Source: NY Magazine 2/6/11

15. Impact on National Guard

16. Caring For Service Members
Military Installations
• Artificial Community
• Soldier Care
• Military Readiness
• Pre-Deployment
• Deployment
• Post-Deployment

17. Life in Community vs. Installation
Guard & Reserves Lack
Traditional Installation Support Structure

18. Guard Prevention Approach
Evidence-Based Prevention for
Service Members & Families
Adaptation of NREPP Team Awareness
Universal & Selective Populations
Source: NGB

19. NG Prevention Program
Universal Prevention

20. CADCA VetCorps Project
Creating the
community fabric …
Vista/AmeriCorps Volunteers
and coalition leaders use
community problem solving
model to help fill the gap
of community services
available military members
and their families
Source: CADCA/NGB

21. Health Service Disparities

22. Military Community Concern
18–25 Year Olds
• 12 % of 18-25 year-old workers,
reported current illicit drug use
• 20 % of 18-20 year-olds &
27 % of 21-25 year-olds reported
driving under the influence of alcohol
• 13 % of 18-25 year-olds
reported driving under the
influence of illicit drugs
• High Risk Behaviors

23. Reflection of Community
• All politics are local…
All drug problems are local…
• How is drug use a reflection of
a community?
• 18–25 Year Olds

24. Thank You for Supporting Us