The National Center on Addiction and Substance Abuse at Columbia University 2009

Transcription

1 The National Center on Addiction and Substance Abuse at Columbia University

2 The National Center on Addiction and Substance Abuse (CASA) at Columbia University is the only organization that brings together under one roof all of the professional disciplines needed to study and combat abuse of all substances alcohol, nicotine, illegal drugs prescription drugs, performance enhancing drugs in all sectors of society Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 2

3 CASA Activities Demonstration programs at 239 sites in 92 cities & counties, and 35 states, plus Washington, DC and 2 Native American reservations 19 CASA Conferences 70 reports and white papers 4 manuals; 172 published articles/book chapters in professional and peer reviewed publications; 14 articles pending; 3 books 380 presentations at scientific and professional conferences. Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 3

4 Preventable and Treatable Addiction is a chronic disease that is both preventable and treatable We have an obligation to do both, but most of our money for substance abuse goes into public systems that carry the burden for our failure to deal effectively with addiction Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 4

5 Youth Smoking Trends in New York City Teen cigarette smoking has gone down dramatically in New York City In 2007 only 8.5% of the teenagers in New York City smoked cigarettes compared to a national average of 23% Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 5

6 Use Trends Among 12 th Graders Marijuana Other illicit drugs Tobacco Alcohol Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 6 13

7 An Unexpected Paradigm Shift In 1989 the New York City Department of Juvenile Justice Refocused it s Mission From Custody and Care to Concentrate on the Prevention of Delinquency Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 7

8 Problem analysis and strategic planning are important Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 8

9 Juvenile Justice Pathway Corrections Detention Arrest Police Contact Community Usual Pathway Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 9

10 Lessons Learned Partnerships matter Identify mutual interests Prevention saves money Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 10

11 CASASTART SM Overview CASASTART SM (Striving Together to Achieve Rewarding Tomorrows) - combines teachers, police, social service and health-care workers under one umbrella to provide comprehensive services to 8-13 year-old high-risk children and their families. Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 11

12 CASASTART SM Aims to Improve the Lives of High-Risk Youth Increase participant attachment to school Improve grades Reduce substance use and abuse Reduce juvenile delinquency and violence Strengthen families Make communities safer Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 12

13 CASASTART SM Values Treat children as children, not problems to be solved More of a process than a program Relationships are key to success All youth can be helped to achieve to the best of their abilities Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 13

14 CASASTART SM Creates Partnerships A Common Vision A Common Mission A Common Language Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 14

15 Theoretical Bases Social structural strain Social learning Social control Youth development framework Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 15

16 Youth Development Framework Reduce Risk Factors/Increase Protective Factors Intellectually reflective Prepared for meaningful work Prepared to be a good citizen Develop caring and ethics Attain and maintain good health Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 16

17 Risk and Protective Factors Focuses on the relationship between risk and protective factors in a young person s life Individual Family Peer School Community Environment Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 17

18 CASASTART SM Serves High-risk youth 8 13 years of age School Risk Factors Family Risk Factors Personal Risk Factors Environmental Factors Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 18

19 Who CASASTART SM Serves CASASTART SM Tertiary Prevention Specialized Systems for Students with High-Risk Behavior or Conditions Secondary Prevention Specialized Responses for Youth presenting Risk Behavior or Conditions Primary Prevention for the General Student Population Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 19

20 CASASTART SM Model Targeted prevention for youth with multiple risk factors Intensive Case Management 1:15 ratio Key Partners 3 Meetings 8 Strategies Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 20

21 CASASTART SM 3 Meetings Case Conferences Youth Focus - Case manager, key personnel in the school, and law enforcement meet twice a month to problem solve around issues that arise with youth participants. Administrative Meetings Program Focus - CASASTART sm Program Manager meets with Principal and Police Lt. To discuss challenges and successes at the school level. Advisory Council Meetings Policy Focus - Key decision-makers in the community attend this meeting. They are charged with addresses broader community issues related to youth substance abuse, delinquency and other trends affecting youth as well as developing policies and securing funding to support the program. Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 21

22 CASASTART SM - 8 Strategies Academic support After school and summer programming Community Policing Juvenile Justice linkages Mentoring Family Support Incentives Intensive Case Management Social Support Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 22

23 CASASTART SM Mantra Community-based School-centered All the youth get all the services Partners attend CASASTART SM meetings regularly Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 23

24 Seattle, WA CASASTART SM Phase I Bridgeport, CT Newark, NJ Memphis, TN Austin, TX Savannah, GA Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 24

25 Urban Institute Evaluation Performed in 5 cities: Austin, Bridgeport, Memphis, Seattle, and Savannah, CASASTART SM Youth Were More likely to be promoted to next grade. More likely to have relationships with positive peers. Less likely to respond to negative peer pressure. Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 25

26 Urban Institute Findings (cont d) CASASTART SM youth were approximately 20 percent less likely to use drugs in the past 30 days compared to youth in the control group. CASASTART SM youth were approximately 60 percent less likely to sell drugs. CASASTART SM youth were approximately 20 percent less likely to commit violent acts. Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 26

27 An Evidence-Based Program Exemplary and Model Program Office of Juvenile Justice & Delinquency Prevention (ODJJ) U.S. Department of Education (DOE) Substance Abuse and Mental Health Services Administration (SAMSHA) National Dropout Prevention Center Promising Program Blueprints Project at the University of Colorado Office of the U.S. Surgeon General and Centers for Disease Control and Prevention (CDC) Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 27

28 Lessons Learned Greater family participation Strengthen ties to the school Pays greater attention to the predictability and quality of communications Work with younger children Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 28

29 CASASTART SM HELPS SCHOOLS SUCCEED A Tipping Point is reached when seven percent (7%) of a school s student population is involved in the program. Scores on standardized tests go up, and disciplinary incidents go down for the entire school. Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 29

30 Strengths of the CASASTART sm Model Targeted population It reaches youth early It uses a risk and protective factor model It uses a comprehensive program design It engages families and builds a community support network It is designed by the local community It is flexible It works in urban, suburban, rural and frontier settings Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 30

31 The Massachusetts DYS CASASTART SM Adaptation DYS CASASTART SM Locations: Metro Boston (Dorchester and Roxbury) West (Springfield and Holyoke) Northeast (Lawrence) Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 31

32 DYS CASASTART SM Team Clinical Coordinator District Managers Case Manager Family Intervention Specialist Substance Abuse Specialist Resource Specialist Site Support Specialist Residential Care Provider Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 32

33 What is unique to the DYS CASASTART SM Models of Care Residential Assessment: Prevention and treatment curriculum will NOT be provided in the assessment units. Community Youth leaving residential on the treatment track will be sent to a treatment provider in the community for a substance abuse assessment and recommendation of treatment. Substance Abuse Services Treatment Track Committed youth in need of substance abuse treatment based on assessment, history and committing offense receive services that address the clients physical and/or psychological dependence on substances. Prevention Track Committed youth not in need of substance abuse treatment receive educational classes on substance use/abuse issues, individual education, and other educational modalities as deemed necessary to enhance the clients knowledge of substancerelated issues. Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 33

34 What is unique to the DYS CASASTART SM Assessment of Youth and Families Substance use screening tool GAIN-SS - Global Appraisal of Individual Needs Short Screen GAIN-CORE Global Appraisal of Individual Needs Core version Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 34

35 DYS CASASTART SM Core Services Insurance/ Other Benefits Education Jobs** Food CLIENT Vocational Training** Housing Medical Behavioral Health Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 35

36 DYS CASASTART SM Pro-social Services Recreation Community Service Faith Based Civic Engagement CLIENT Gender Specific Arts Mentoring Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 36

37 Kentucky Department of Juvenile Justice CASASTART SM Adaptation In 1995 KY DJJ Created a system of 8 Prevention Councils covering 11 counties of the state using a Community Juvenile Justice Community Partnership Grant (CJJCPG) The Department will develop eight councils which represent the eleven counties in the Commonwealth whose juvenile crime data represents 76% of all juvenile arrests (1995). CJJPG funding council coordination and programs for delinquency prevention at risk youth and families. Formed for the purpose of: Encouraging the initiation of, or supporting ongoing, interagency cooperation and collaboration in addressing juvenile crime and juvenile status offenses. Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 37

38 Kentucky DJJ Prevention Council Membership Law Enforcement Cabinet for Health and Family Services Department of Community Based Services (DCBS) Court of Justice (Administrative Office of the Courts) Commonwealth s Attorney County Attorney Juvenile Detention Department of Public Advocacy School System Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 38

39 Kentucky DJJ selected CASASTART SM as the evidence-based prevention model for the state CASA provided program orientation and training conducted with leadership from all councils DJJ developed and disseminated an RFP for CASASTART SM to be created as a diversion and prevention model in all PC counties THEN Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 39

40 The Recession caused the department to pull back the RFP State prevention funding was rerouted to support detention and correctional beds Livingston County set up a CASASTART SM program using federal funds DJJ plans to reissue the statewide CASASTART SM solicitation when the economic picture brightens Copyright 2009 by The National Center on Addiction and Substance Abuse at Columbia University. All rights reserved. May not be used or reproduced without the express written permission of The National Center on Addiction and Substance Abuse at Columbia University. 40

41 The National Center on Addiction and Substance Abuse at Columbia University