Adolescent Substance Abuse Prevention and Treatment Services Briefing Legislative Committee on Health Care December 18, 2007

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1 Adolescent Substance Abuse Prevention and Treatment Services Briefing Legislative Committee on Health Care December 18, 2007 Department of Health and Human Services, Division of Mental Health and Developmental Services, Substance Abuse Prevention and (SAPTA)

2 Brief Update On: Trends in Adolescent Funding Need for Adolescent Substance Abuse Prevention and Treatment Services SAPTA s Support for Adolescent Substance Abuse Prevention Services SAPTA s Support for Adolescent Substance Abuse Treatment Services 2

3 Adolescent Funding Trend, SFY 2004 to SFY 2008 SFY 2007 total adolescent funding represents approximately 40% of the overall funding available for prevention and treatment 3

4 Need for Adolescent Substance Abuse Prevention and Treatment Services 4

5 Estimated Adolescent Need for Treatment SFY 2007 Includes abuse and dependence Population Estimated Unmet Total Need Met Need Age Estimate 2007 Need 12 to ,211 17,000 2,529 14, and Above 2,047, ,000 33, ,959 Total 2,274, ,000 35, ,430 Sources: State Demographer, Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, 2005 National Survey of Substance Abuse Treatment Services data. 5

6 Adolescent Treatment Wait List Information From July 1 through December 13, 2007, there have been 125 adolescents placed on wait lists. The most typical wait was 14 days, based on the median January

7 Need continued State Estimates of Adolescent Substance Use, Abuse and Dependence from the 2006 National Household Survey on Drug Use and Health (based on survey results): Nevadans ages 12 to 17: 14.7% have used marijuana in the past year, compared to 13.9% nationwide 10.2% have used an illicit drug in the past month, compared to 10.3% nationwide 4.8% have used an illicit drug other than marijuana in the past month, compared to 5.0% nationwide 8.4% have had illicit drug or alcohol abuse or dependence problems in the past year, which is equal to the national average In this age group, Nevada ranks 22 nd in the nation for substance abuse or dependence 7

8 The 2005 Youth Risk Behavior Survey (YRBS): Of Nevada students surveyed: Need continued 31.1% reported having had their first drink of alcohol, other than a few sips, before age 13 compared to a national value of 25.6% 10.4% reported having had driven a car, within the past 30 days one or more times when they had been drinking alcohol compared to a national value of 9.9% 6.8% reported having at least one drink of alcohol on school property on one or more of the past 30 days compared to the national value of 4.3% 11.7% reported using methamphetamines one or more times during their life compared to the national value of 6.2% 8

9 The 2005 Youth Risk Behavior Survey (YRBS): Of Nevada students surveyed: Need continued 12.4% reported trying marijuana for the first time before the age of 13 compared to the national value of 8.7% 39.3% reported using marijuana one or more times during their life compared to the national value of 38.4% 32.6% reported being offered, sold, or given illegal drugs on school property during the past 12 months compared to the national value of 25.4% 9.4% reported not attending school on one or more of the past 30 days because they felt unsafe at school or on their way to or from school compared to the national value of 6.0% 9

10 Substance Abuse Prevention 10

11 Adolescent Substance Abuse Prevention Participants, SFY (SAPT Block Grant) 11

12 Nevada State Prevention Infrastructure (SPI) The 2007 Nevada State Legislature included in the Substance Abuse Prevention and s budget for substance abuse prevention for SFY 2008 $2,248,536. Completed the RFA process and awarded subgrants to 12 community coalitions The purpose of this funding is the implementation of evidence based direct service substance abuse prevention programs, practices, and strategies at the community level All activities are for needs identified within the community and prioritized in the coalition s Comprehensive Community Prevention Plan (CCPP) 12

13 Nevada State Prevention Infrastructure Funding Allocation, SFY 2008 Coalition Name Funding Allocations Churchill Community Coalition 65,140 Community Council on Youth 87,955 Eastern Nevada Communities Coalition 55,692 Frontier Community Coalition 66,817 Goshen Community Development Coalition 905,863 Healthy Communities Coalition 91,973 Join Together Northern Nevada 361,445 Luz Community Development Coalition 298,489 NyE Community Coalition 77,369 Partners Allied for Community Excellence 80,698 Partnership of Community Resources 84,242 Statewide Native American Coalition 72,853 Coalition Total Awards $ 2,248,536 13

14 Methamphetamine Prevention Education and Public Awareness Funding, SFY 2008 The 2007 Nevada State Legislature included in the Substance Abuse Prevention and s budget $1,000,000 each year of the biennium for methamphetamine prevention. Completed the RFA process and awarded subgrants to 12 community coalitions The purpose of the funding is to provide prevention education and increase public awareness of methamphetamine at the local level and across the state All twelve of the coalitions are participating in a statewide media campaign as well as providing services in their local areas 14

15 Methamphetamine Prevention Education and Public Awareness Funding, continued Coalition Name Funding Amount Churchill Community Coalition 47,758 Community Council on Youth 54,608 Eastern Nevada Communities Coalition 44,668 Frontier Community Coalition 47,998 Goshen Community Development Coalition 238,032 Healthy Communities Coalition 55,808 Join Together Northern Nevada 136,728 Luz Community Development Coalition 167,348 Nye Community Coalition 51,428 Partners Allied for Community Excellence 52,068 Partnership of Community Resources 53,488 Statewide Native American Coalition 50,068 Coalition Total Awards $1,000,000 15

16 Strategic Prevention Framework State Incentive Grant (SPF SIG), SFY 2008 Update Initiative continues from the Substance Abuse and Mental Health Administration s (SAMHSA) Center for Substance Abuse Prevention (CSAP) at $2,350,965. In its third year with implementation in the community expected this year. Infrastructure grant that focuses on reducing alcohol-related motor vehicle fatalities (ARMVF) among year-olds Complex and new way of conducting prevention planning, service implementation, and evaluation, both at the national level and in Nevada Population-based, encourages evidence-based environmental strategies and implementation of effective programs, practices, policies, and strategies Emphasis is on data-driven decision-making and outcomes-based prevention, which sets the SPF SIG apart from federal previous grants 16

17 SPF Funding Allocation, SFY 2008 Coalition Service Area/Counties Total Coalition SPF SIG Funding Best Coalition $ 81,542 Churchill Coalition $ 98,425 Community Council on Youth $ 107,159 Eastern Nevada Communities Coalition $ 92,589 Frontier Community Coalition $ 99,541 Goshen Coalition $ 615,428 Healthy Communities Coalition $ 106,930 Inter-Tribal Council of Nevada $ 103,932 Join Together Northern Nevada $ 271,088 Luz $ 356,422 Nye Community Coalition $ 101,184 Partners Allied for Community Excellence (PACE) $ 110,262 Partnership of Community Resources $ 104,731 Total: $ 2,249,233 17

18 Substance Abuse Treatment 18

19 Adolescent Treatment Admissions SFY

20 Adolescent Admissions 20

21 Wait List Reduction SFY 2008 The Nevada State Legislature included in SAPTA s budget $3,830,625 over the biennium for a statewide wait list reduction initiative for presently funded treatment providers. Request for Applications have been reviewed and subgrants issued to reduce time spent on the wait list, reduce the number of no shows for admission, and increase the total number of individuals receiving substance abuse treatment admissions. Projects started October 1, Two programs were able to increase bed capacity while other programs are increasing the number of locations where outpatient services are offered. SAPTA expects longer lengths of treatment engagement and is monitoring for improved treatment outcomes. 21

22 Wait List Reduction continued Program Scope of Work Wait List Funding Adult Adolescent Bristlecone Family Resources - Reno 108, Community Counseling Center Carson City 266, Family Community and Child Counseling Treatment Center (FACT) Las Vegas Las 170, Vegas 93, Las Vegas Indian Center 69, Lyon Council on Alcohol and Other Drugs - Lyon 74, Sierra Recovery Center So. Lake Tahoe 129, The Ridge House, Inc. - Reno 88, Vitality Unlimited Reno and Elko 343, WestCare Nevada, Inc. Las Vegas 187, Totals: $ 1,532,250 1,

23 Co-Occurring Disorder Treatment Funding Pilot Project The Nevada State Legislature included in the Substance Abuse Prevention and s budget in SFY 2008 $1,000,000 for services in Clark County for pilot projects to serve severely mentally ill (SMI) adults and seriously emotionally disturbed (SED) adolescents with serious substance use disorders. Request for Applications (RFAs) have been reviewed and subgrants issued for services for adults and adolescents in Clark County. Projects were to start as close to October 1, 2007 as possible. WestCare Nevada, Inc. in Las Vegas was awarded $300,000 to provide the services for 90 adolescents. The level of contracted services for adolescents are Intensive Outpatient, and Individual and Group Outpatient at locations in Clark County provided by WestCare. Client referrals will come from DCFS and from Clark County Juvenile Justice Services. WestCare will be responsible for providing both mental health and substance abuse treatment services in an integrated manner for these clients. 23

24 Thank you. 24

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