Travis Fretwell, DBHDD
Director of the Office of Behavioral Health Prevention
Kay Manning, The Council on Alcohol and Drugs
Associate Director of Prevention/Intervention
Alejandro Caledron, CPACS
Kiva Hall, HEARTS for Families
Community Involvement Specialist
Krystal Lokkesmoe, Propectus Group
Workforce Development Coordinator
Molly Vance, GUIDE Inc
Sue Laney, HEARTS for Families
CEO/APP Project Director
Martha Tingen, Georgia Regents University
Donna Dent, DBHDD
Planning & Policy Development Spec/SPSF Coordinator
Nykia Greene-Young, DBHDD
Regional Prevention Specialist
Sheena Brown Berry, DBHDD
Regional Prevention Specialist
Mary Daise, MS, DBHDD
State Prevention Supervisor
Alcohol Prevention Project
The Underage Alcohol Prevention Project serves DBHDD’s goals to reduce underage drinking and keep kids safe from the ill effects of drug and alcohol abuse. The project targets Georgians between 9 and 25 years of age with the objectives of
- reducing early alcohol use among 9 to 20 year olds
- reducing access to alcohol and binge drinking by 9 to 20 year olds
- reducing binge and heavy drinking in 18 to 25 year olds
- enhancing state workforce development
- enhancing state policy development to support needed service system improvements
Generation Rx Project
The Generation Rx Project (GEN Rx) was created in response to the prescription drug overdose epidemic. GEN Rx aims to prevent the misuse/abuse of prescription drugs among 12-25 year olds in the counties of Catoosa, Early and Gwinnett.
GEN Rx is a three year project funded through a federal grant from the Substance Abuse Mental Health Services Administration (SAMHSA). The grant was awarded to DBHDD, which awarded subcontracts to Early Choices, Catoosa Prevention Initiative and CETPA to implement the program. These counties were selected based off the findings from a needs assessment conducted by Georgia State University.
Suicide, a major public health problem, is tragic and costly for Georgians. The burden of the problem of suicide in Georgia is more completely portrayed in the new report, Suicide in Georgia, 2005, as it contains data on deaths, hospitalizations and emergency room visits for self inflicted injury and associated costs.
From the Suicide in Georgia, 2005 report:
In 2002, 900 persons died, 2800 were hospitalized and 5400 visited hospital emergency departments because of intentionally self-inflicted injuries. These injuries resulted in approximately $40 million in hospitalization and emergency room charges.
Suicide is the eleventh leading cause of death for all Georgians and the third most common cause of death among youth 15-24 years old and young adults 25-34 years old.
Firearms were the most common method of suicide for both men and women, and young and old.
State Epidemiological Outcome Workgroup (SEOW)
The GA SEOW is derived from the ground-breaking work of two key subcommittees of the CAAC: the Needs Assessment and Evaluation Subcommittees. Through a series of monthly meetings, the GA SEOW Workgroup examined the available state- level data sources to address consequences and consumption indicators as specified by SAMHSA (e.g. Youth Risk Behavior Survey, Vital Records, Behavioral Risk Factor Surveillance System, Department of Revenue’s Division of Alcohol and Tobacco, National Survey on Drug Use and Health, and Uniform Crime Reports), reviewed additional data sources such as Pregnancy Risk Assessment Monitoring System, and examined data gaps and challenges utilizing data sources such as hospitalization and emergency room visits. When reviewing the data sources, the GA SEOW also discussed and agreed on the criteria for data inclusion - reliability, validity, and availability of the data in Georgia. Through a consensus process, the GA SEOW also agreed on the format and layout of the Epidemiological Profile, including table of contents, order of indicators in the report, and classification of indicator by age groups.
Prevention in the State of Georgia
Prevention is a proactive process that enables individuals to create and reinforce conditions that promote healthy behaviors and lifestyles. The Office of Behavioral Health Prevention (OBHP) supports the health and well being of individuals, families and communities by reducing the use and abuse of substances and their related consequences across the lifespan, and delaying the onset of substance use by youth using a data-driven planning process that targets high priorities for all categories of the population defined by the Institute of Medicine.
Continuum of Care
The Institute of Medicine’s Continuum of Care (also known as the mental health intervention spectrum) is a classification system that presents the scope of behavioral health services: promotion of health, prevention of illness/disorder, treatment, and maintenance/recovery.
Promotion involves interventions (e.g., programs, practices, or environmental strategies) that enable people “to increase control over, and to improve, their health.”10 As such, interventions that promote health occur independently as well as throughout the continuum of care as part of prevention, treatment, and maintenance/recovery.
Prevention focuses on interventions that occur prior to the onset of a disorder and which are intended to prevent the occurrence of the disorder or reduce risk for the disorder.14 Prevention is also about striving to optimize well-being.
Treatment interventions include case identification and standard forms of treatment (e.g., detoxification, outpatient treatment, in-patient treatment, medication-assisted treatment).
Maintenance includes interventions that focus on compliance with long-term treatment to reduce relapse and recurrence and aftercare, including rehabilitation and recovery support.
Recovery is a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.
About the Strategic Prevention Framework (SPF)
SAMHSA's Strategic Prevention Framework (SPF) is a 5-step planning process to guide the selection, implementation, and evaluation of effective, culturally appropriate, and sustainable prevention activities. The effectiveness of this process begins with a clear understanding of community needs and depends on the involvement of community members in all stages of the planning process.
SPF Logo The SPF includes these five steps:
- Step 1. Assess Needs
- Step 2. Build Capacity
- Step 3. Plan
- Step 4. Implement
- Step 5. Evaluation
These steps are guided by the principles of cultural competence and sustainability. The SPF is designed to help States, Jurisdictions, Tribes, and communities build the infrastructure necessary for effective and sustainable prevention. Each step contains key milestones and products that are essential to the validity of the process. Focused on systems development, the SPF reflects a public health, or community-based, approach to delivering effective prevention.
About Environmental Strategies
Environmental strategies are prevention efforts aimed at changing or influencing community standards, institutions, structures or attitudes that shape individuals’ behaviors. While individual approaches focus on helping people develop the knowledge, attitudes, and skills they need to change their behavior, environmental approaches focus on creating an environment that makes it easier for people to act in healthy ways.