Building Community Support for Law Enforcement National Rx Drug Abuse Summit 4-11-12

1. Building Community
Support for Law
Enforcement
April 10-12, 2012
Walt Disney World Swan Resort

2. Accepted Learning Objectives:
1. Outline drug abuse prevention and intervention strategies
relevant to all communities.
2. Describe the creation and implementation of community
education kits as an effective means of engaging multiple
stakeholders.
3. Explain opportunities for law enforcement officials to
enlist community partners in developing education and
prevention strategies.

3. Disclosure Statement
All presenters for this session, Officer Cully
Desmond and Rebecca Heuser, have disclosed
no relevant, real or apparent personal or
professional financial relationships.

4. • Rebecca Heuser, MBA,CPS
– County Prevention Coordinator
‒ 10 Years Prevention Experience
• Community Assessment
• Community Mobilization
• Grant Writing & Reviewing
• Technical Assistance &
Training

5. • Officer Cully Desmond
– McMinnville, Oregon
– 15 years
• DUII Prevention
• Citizens Academy Drug
Recognition Instructor
• Member of Tactical Support
Team
• Defensive Tactics Instructor
• Narcotics Detective

6. Yamhill County, Oregon
• Population – 100,000
• Seven Communities
• Unemployment Rate – 12%
• Free and Reduced Rate – 70% average
• Poverty Rate – 40% average
• Oregon 3rd in Nation on prescription drug
abuse

7. Why Prescription Drugs?
• Perception of Safety
– Local data reports that 75% of teenagers think that if a
medical provider has prescribed a substance that it is
deemed safe
• Accessibility
– Accessible through medical scripts. 60% of youth reported
that they obtain prescription pills from friends or family
– Financially Appealing
• When insurance is utilized prescriptions are cheaper then illicit
drugs

8. Rx Access Points—
Friends & Family Source of Concern
SAMHSA. (2008). Results from the 2007 National Survey on Drug Use and Health: National Findings

9. Where Are the Problems
• Look at the data and identify the biggest problem
areas
– When conducting focus groups the problem area can be
validated
• Looking at multiple points of data
– Schools, Emergency Department, Juvenile Department,
Corrections, and Parole & Probation Departments
– Beneficial in order to engage all audiences

10. Strategic Prevention Framework
Assessment
Evaluation Capacity
Sustainability &
Cultural Competence
Implementation Planning

11. Sustainability
Sustainability refers to the process through which a
prevention system becomes a norm and is integrated
into ongoing operations. Sustainability is vital to
ensuring that prevention values and processes are
firmly established, that partnerships are
strengthened, and that financial and other resources
are secured over the long term.

12. Cultural Competence
Cultural competence is the process of
communicating with audiences from diverse
geographic, ethnic, racial, cultural, economic, social,
and linguistic backgrounds. Becoming culturally
competent is a dynamic process that requires cultural
knowledge and skill development at all service levels,
including policymaking, administration, and practice.
-Why are the individuals that are affected the most
not proactively looking for a solution?

13. Assessment
• Needs Assessment
– Used in order to identify the needs of the
community
– What is there to find out
• With the data you gather you will need to look at the
attitudes, beliefs, behaviors and conditions in the
community that promote or condone substance abuse

14. Identify Stakeholders
• Law Enforcement • Treatment
• District Attorney • Mental Health
• Sheriff • Parents
• Local Police Department • Recovery Community
• Youth • Faith Based Organizations
• Hospitals • Media
• Schools • Water Treatment Facilities
• Public Health • Soil Conservation

15. Capacity
• The Capacity step involves more than just funding.
Capacity includes the following:
– Human resources
– Technical resources
– Management and evaluation resources
– Financial resources

16. Capacity Cont.
• The resources, people, partnerships, coalitions, and
skills are essential to the successful implementation
of prevention plans. All these are included in
capacity:
– Mobilizing resources
– Engaging stakeholders
– Partnerships with the community
– Building coalitions
– Developing readiness

17. Community Strategies
• Working with Health Care Providers
– Developing protocols and reporting policies
• Physicians & Emergency Departments, report patients that are
recognized as a fraudulently attempting to obtain scripts, monitor
caregivers or others authorized to request patient refills in order to
identify users and dealers.
• Make Dr.’s aware of what to look for in “script shoppers”.
• Pharmacists- Knowledge of identifying fraudulent scripts, what
does this look like, red flags and indicators. Increase need for
reporting.
– Increasing Communication
– Reporting people within healthcare field

18. Community Strategies Cont.
• Assisted Living Facilities
– Monitor living and request reporting of staff script thefts and/or abuse.
Instead of termination of an employee, law enforcement must be
notified of the allegations of theft in order to effectively track and
monitor.
– Proper ways to dispose of medications, no disposal procedures
increases liability to abuse or sell

19. Community Strategies Cont.
• Schools
– Reporting Information to Law Enforcement
– Utilizing School Resource Officers (SRO)
• Being aware of student trends and reporting information
• Reporting to SRO regarding specific students to monitor
• SRO’s teaching evidence based (EBP) curricula in schools
– School Administration to implement alternative to
suspension by having students attend classes where EBP’s
are taught
– On-site drug assessment’s for youth and referral to
treatment

20. Community Strategies Cont.
• Utilizing K-9 Dogs
– Poly Drug Users
• Locate other detectable drugs (heroine, meth, etc.) typically
common to find RX scripts that have been illegally obtained as well

21. Planning
• The Strategic Plan lays the groundwork for:
– Implementation activities
• Capacity Expansion
• Training
• Development of monitoring and evaluation systems
– The identification of strategies
– The selection of evidence-based programs, policies, and practices to be
implemented
– The evaluation plan

22. How Do I Create a Strategic Plan?
• Include a vision for prevention activities
– Documented needs
– Identified resources and strengths
– Measurable objectives and performance measures
– Baseline data
• Include a long-term strategy to sustain policies, programs, and
practices
• Adjust plans as the result of ongoing needs assessment and
monitoring

23. Implementation
• Developing detailed action plans for elements of your
intervention, including balancing fidelity of implementation
with adaptation
• Developing a final detailed evaluation plan that includes
process and outcome measurements and continual monitoring
of implementation fidelity
• Crafting detailed action plans for the elements of your
prevention intervention provides a step by step guide for how
you will implement your plans

24. Implementation
Toolkit: CSAP’s Prevention Strategies
• Information Dissemination
• Education
• Alternatives
• Problem Identification & Referral
• Community Based Process
• Environmental Strategies

25. Prescription Monitoring Programs
• State-instituted programs
• Electronic access to history of prescribed and filled
schedules drugs
– Required pharmacy data reporting
• States vary
– Reporting of schedules (II or IV)
• Response to inquiries
– Reactive or Proactive
• Safeguards for patient confidentiality

26. Local Initiatives
• Consistent Drug Take Back Events
• Disposal Boxes Located in Community
• Town Halls
• Media Awareness
• Campaigns
• Education to all Sectors of Community

27. Evaluation
• Monitor, Evaluate, Sustain, and Improve or Replace what Fails
• What does the Evaluation Step include?
– Process evaluation
– Collection of required outcome data (National Outcomes Measures)
– Review of policy, program, and practice effectiveness
– Development of recommendations for quality improvement
• Evaluation is crucial in prevention because it tells us:
– What works
– What doesn’t work
– What to improve
– How to improve it