Community Health Action Plan 2012

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1 Community Health Action Plan 2012 Designed to address Community Health Assessment priorities County: Appalachian District (Watauga County) Partnership, if applicable: Western Youth Network, Watauga County Substance Abuse Prevention Collaborative, High Country Vision Council (Watauga), Project Lazarus Coalition, and Appalachian Regional Healthcare System Period Covered: July 1, 2012-June 30, 2014 LOCAL PRIORITY ISSUE Priority issue: Substance Abuse Prevention Was this issue identified as a priority in your county s most recent CHA? _X_ Yes No LOCAL COMMUNITY OBJECTIVE Please check one: _X_ New Ongoing (was addressed in previous Action Plan) By (year): 2014 Objective (specific, measurable, achievable, realistic, time-lined change in health status of population) : By June 30, 2014, reduce the percentage of high school students who had alcohol on one or more of the past 30 days from 34.3% to 26%. By June 30, 2014, increase the community policy, practice, and environmental change supports that prevent chronic prescription medication abuse by youth or adults from 0 to 6. Original Baseline: Watauga 34.3% Date and source of original baseline data: 2011 Youth Risk Behavior Survey in Watauga County (not state YRBS, local data report used for baseline) Updated information (For continuing objective only): Date and source of updated information: POPULATION(S) Describe the local population(s) experiencing disparities related to this local : Low income populations, youth, and those with chronic pain are more likely to be at-risk for substance abuse, including, alcohol and prescription drug abuse. Total number of persons (in the local disparity population(s): Watauga youth using alcohol based on students who participated in 2011 Watauga YRBS (464 students) Number you plan to reach with the interventions in this action plan: 8% 400 Watauga): 3000 HEALTHY NC 2020 FOCUS AREA ADDRESSED Tobacco Use Physical Activity and Nutrition _x_ Substance Abuse STDs/Unintended Pregnancy al Health Social Determinants of Health (Poverty, Education, Housing) Maternal and Infant Health Injury Mental Health Oral Health Infectious Diseases/ Food-Borne Illness Chronic Disease (Diabetes, Colorectal Cancer, Cardiovascular Disease) Cross-cutting (Life Expectancy, Uninsured, Adult Obesity) Check one Healthy NC 2020 focus area: (Which objective below most closely aligns with your local?)

2 List HEALTHY NC 2020 Objective: Reduce the percentage of high school aged students who had alcohol on one or more of the past 30 days from 35% to 26.4%. No HNC 2020 objective for chronic pain/prescription drug abuse prevention, yet this is a priority in our community and therefore, is included in this objective. (Detailed information can be found at website)

3 RESEARCH RE. WHAT HAS WORKED ELSEWHERE* List the 3-5 evidence-based interventions (proven to effectively address this priority issue) that seem the most suitable for your community and/or target group. *Training and information are available from DPH. Contact your regional consultant about how to access them. Intervention Describe the evidence of Source effectiveness (type of evaluation, outcomes) Community Prevention Invest in alcohol-free youth HNC 2020 Plan programs and volunteer opportunities; widely-publicize alcohol laws; develop and implement a comprehensive substance abuse prevention plan; support school-based and schoollinked health services Individual Be free from substance abuse, HNC 2020 Plan and seek help for substance abuse problems; use prescription medication as prescribed and be aware of prescription drug misuse Schools and Child Care Implement evidence-based HNC 2020 Plan substance abuse prevention programs; implement evidencebased healthful living curricula in schools; establish, review, and enforce rules about underage drinking with sufficient consequences WHAT INTERVENTIONS ARE ALREADY ADDRESSING THIS ISSUE IN YOUR COMMUNITY? Are any interventions/organizations currently addressing this issue? Yes_X No If so, please list below. Intervention Lead Agency Progress to Date School Prevention 3 Watauga County Schools July, 2012-June, 2014 Middle and high school students receive healthful living curricula and evidence-based education about substance abuse prevention Community Prevention Western Youth Network Data collection to develop a county wide substance abuse prevention plan WHAT RELEVANT COMMUNITY STRENGTHS AND ASSETS MIGHT HELP ADDRESS THIS PRIORITY ISSUE? Community, neighborhood, and/or demographic group Watauga County Individual, civic group, organization, business, facility, etc. connected to this group Watauga Healthnet/Appalachian Regional Healthcare System Community Outreach How this asset might help Leader in the community, experience building health safety networks, link to primary healthcare community in Watauga County Watauga County High Country Vision Council Cross sector leadership and connection with Avery County; an initiative that is part of the High Country United Way but also owned by the community Watauga County (and Appalachian District) Western Youth Network Leader in youth prevention programs, including lead in substance abuse prevention work

4 INTERVENTIONS: SETTING, & TIMEFRAME INTERVENTIONS SPECIFICALLY TARGETING HEALTH DISPARITIES Intervention: Community prevention youth programs Intervention: Community prevention programs that involve middle and high school youth will be offered. Start Date End Date (mm/yy): 07/12- _X_ Individuals _X_ Policy &/or COMMUNITY PARTNERS Roles and Responsibilities Lead Agency: Western Youth Network Role: provide youth prevention programs aimed at substance abuse prevention and self esteem/character building Partners: Watauga County Schools Role: refer at-risk youth to WYN for services Partners: Appalachian District Role: provide technical assistance as needed to support a broad array of youth program opportunities including physical activity, community garden volunteer time, etc. Partners: High Country Vision Council Role: Develop substance abuse prevention promotion opportunities as a shared part of the HCVC Plan Partners: Other community agencies (DSS,, County government, etc) Role: Provide cross-collaborative environment to support individual and family prevention strategies across programs in other agencies PLAN HOW YOU WILL EVALUATE EFFECTIVENESS 1. Quantify what you will do 2 events to engage youth will be offered annually in substance abuse prevention, in addition to routine youth prevention programs being offered by WYN 400 students will be reached with substance abuse prevention messages through healthful living curricula annually 2. Expected outcomes: Explain how Increasing alternative involvement opportunities for youth who are at-risk will support their success, academic achievement, and reduce the opportunity for substance abuse INTERVENTIONS: SETTING, & TIMEFRAME ENVIRONMENTAL/POLICY CHANGE Intervention: Community Prevention-Data Collection with YRBS Intervention: Community Prevention- Conduct the Youth Risk Behavior Survey at Watauga High School to assess risk behaviors, inc. substance abuse Start Date End Date (mm/yy): 06/12- _X_ Individuals _X_ Policy &/or COMMUNITY PARTNERS Roles and Responsibilities Lead Agency: Appalachian District Role: lead efforts in organizing YRBS data collection and seek funding to support data analysis Partners: Western Youth Network Role: Assist in coordinating YRBS and data report dissemination Partners: Watauga County Schools Role: Review and approve process for YRBS, support data collection with staff/faculty involvement; disseminate permission forms to students; review data with community partners and SHAC Partners: Other community agencies Role: support funding for YRBS; support action and awareness for community intervention for SA prev. PLAN HOW YOU WILL EVALUATE EFFECTIVENESS 3. Quantify what you will do One additional data report will be developed and disseminated with YRBS data by November, 2012 YRBS will be conducted with 90% participation from students at WHS by July, Expected outcomes: Explain how By understanding baseline, intermediate, and future data, the community can understand the state of youth risk in the community

5 Intervention: Community Prevention- Community Wide Prevention Strategy Intervention: The Watauga County Substance Abuse Prevention Collaborative (WCSAPC) will develop and implement a long term prevention strategy plan Start Date End Date (mm/yy): 06/12- _X_ Individuals _X_ Policy &/or Lead Agency: Western Youth Network Role: lead efforts in organizing WCSAPC and development of the plan with community buy in and input Partners: Appalachian District Role: Assist in development of prevention strategy plan Partners: Watauga County Schools Role: Participate in community planning process Partners: Other community agencies Role: define supporting roles in activities outlined within the WCSAPC strategic plan 5. Quantify what you will do One community wide prevention strategy plan will be developed and adopted by June 30, 2013 One good neighbor campaign will be launched to train community members in being the watchdog for underage drinking/teen alcohol abuse by June 30, 2013 Three action steps within the community wide plan will be achieved by June 30, Expected outcomes: Explain how A community wide strategy will support policy change across multiple sectors to prevent substance abuse prevention, and in particular, alcohol abuse in youth Intervention: Community Prevention- Project Lazarus Intervention: Project Lazarus Coalition will develop a prescription drug abuse prevention plan and implement the plan Start Date End Date (mm/yy): 06/12- Individuals _X_ Policy &/or 5 Lead Agency: Appalachian Regional Healthcare System Role: lead efforts in organizing the Project Lazarus Coalition and implementing the plan objectives Partners: Appalachian District Role: Assist in development of Project Lazarus plan, including prevention messages in the media and in clinical settings Partners: Watauga Medical Center Role: Adopt new procedures for physicians prescribing drugs that may be linked to prescription drug abuse in the emergency department Partners: NC Access Care of the Blue Ridge Role: implement chronic pain management toolkit for physician practices to use with patients Partners: Project Lazarus Role: Provide training, technical assistance to community partners through the Project Lazarus Coalition July, 2012-June, Quantify what you will do 100% of the physician practices participating in NC Access Care of the Blue Ridge will establish access to the CSRS (registry to see prescribed drugs and patient) will be completed by November 30, 2013 One permanent drop box location will be developed for routine prescription drug drop off will be established by June 30, 2013 Increase the number of prescription drugs collected in a permanent drop box location from 0 to 1000 by June 30, Expected outcomes: Explain how A community wide strategy will support policy change across multiple sectors to prevent substance abuse prevention, and in particular, alcohol abuse in youth

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