Project WEAVE Lane County

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WEAVE Lane County Weaving Environments and Actions that Value Everyone Oregon Research Institute Lane County Health and Human Services

description

Presented to the Eugene City Club on December 16, 2011 by Anthony Biglan. Anthony Biglan is a Senior Scientist at Oregon Research Institute, Director of the Center on Early Adolescence, and the Co-Director of the Promise Neighborhood Research Consortium. He has been conducting research on the development and prevention of child and adolescent problem behavior for the past 30 years. WEAVE Lane County is a collaboration of Oregon Research Institute (www.ori.org) and Lane County Prevention Program at Health & Human Services (www.preventionlane.org).

Transcript of Project WEAVE Lane County

Page 1: Project WEAVE Lane County

WEAVELane County

Weaving Environments and Actions that Value

Everyone

Oregon Research Institute Lane County Health and Human Services

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Imagine…

All our young people reach adulthood with the skills, interests, assets, and healthy habits needed to live happy and productive lives—in caring relationships with other people

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What do we mean by prevention?

Creating conditions in families, schools, and communities that promote the wellbeing of people

Emotional and behavioral health Physical health

To prevent a problem before it happens, we must change the factors that contribute to it

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Problem behaviors develop over time

By age 6: aggressive behavior, difficulty managing strong feelings, weak academic skills

In elementary school: academic difficulties, poor bonding to school, rejection by peers

By early adolescence: drifting toward other troubled peers, experimentation with problem behaviors

The earlier these problems begin, the more chronic and serious they become throughout adolescence

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Gambling Alcohol Binge Marijuana Cigarettes & Tobacco

Depression* Attempted Suicide

Were in phyiscal fight

on school property

0

5

10

15

20

25

30

35

40

45

50

6th

8th

11th

Binge Drinking

2010 Lane County Student Wellness Survey

Physical Fighting on School Property

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Good news!

0

20

40

60

80

100

6th8th11th

Teachers notice when I do a good job

At least one teacher or other adult at school

really cares about me

I get many chances to join in sports, clubs, and

other activities outside class

At home, my parent or

another adult always wants me to do my

best*

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These problem behaviors are COSTLY

Estimated costs of behavior problems in Oregon in 1998Antisocial behavior 2 billion

Binge drinking 516 million

Cocaine/heroin abuse 267 million

High-risk sexual behavior 591 million

Smoking 5.1 million

High school dropout 1.7 billion

Suicide attempt 193 million

Total $5.3 billion

Source: Miller, 2004

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Tobacco, alcohol, and other drug use and abuse

Delinquency and crime Premature or unsafe

sex Depression and

suicidality School failure, dropout

Scientific consensus that we can prevent these problems

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…and raise healthy, successful youth?

How can we reduce problems, nurture wellbeing…

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By creating nurturing environments using evidence-based prevention practices

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Nurturing environments help raise successful youth. They: Minimize biologically and

psychologically toxic conditions

Teach, promote, and richly reinforce prosocial behavior

Monitor and set limits on opportunities to be involved in problems

Promote psychological flexibility--taking valued action even in the face of obstacles

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Child

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Pre-concepti

on

Prenatal/ Infancy

Early Childhood Childhood

Early Adolescenc

e

Adolescence

Family• Prenatal care• Home visiting

• Evidence-based parenting programs• Evidence-based kernels

Schools

• High-quality preschool and daycare• Classroom-based prevention curricula• Evidence-based kernels• Afterschool programs

Community

• Community organizing to improve neighborhood environments• Support for evidence-based strategies• Support for out-of-school activities• Evidence-based kernels

Policy

• Community members have ensured access to services to meet basic needs• Promotion and support of healthy lifestyles• Policy to promote and support evidence-based strategies

Prevention strategies by developmental phase and domain

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Positive Parenting Program—Triple P* A community-wide system of parenting

supports that includes Brief media communications Brief advice for specific problems More extensive interventions when needed

Multiple randomized trials showing benefit Including an RCT in 18 counties in South

Carolina

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Substantiated child maltreatment

0

4

8

12

16

Rat

es p

er 1

,000

Chi

ldre

n (0

-8 Y

ears

)

Triple P Counties Control Counties

Effect size = 1.09, p <.03. Triple P stopped a rising trend of substantiated child-maltreatment in counties using Triple P, compared to counties not receiving Triple P.

Before Triple P

After Triple P

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The Family Check-Up*

Provides parenting support to families of adolescents through a family resource center in middle schools

Effects as much as 5 years later Decrease in substance

use and arrests Increase in school

attendance and academic performance

11 12 13 14 16/170

2

4

6

8

10

12

14

16

FCU/ATP Control

Age

Mari

juan

a u

se (

past

mon

th,

# u

ses)

* Connell, Dishion et al., 2007

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The Good Behavior Game

Classroom teams in elementary school earn small rewards for being on-task and cooperative

Randomized trial in Baltimore Inner City Schools Had preventive effects even into young adulthood Substance abuse disorders Antisocial personality

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The right support to the right people

Ideally, we would have varying levels of support to meet the needs of diverse youth and their families.

L evel of

pro

fess

ional s u

ppor t

Size of population affected

More intensive for at-risk youth and families

~15%

Most intensive interventions for the youth and families at highest risk

~10%

Universal supports for all youthand families

~75%

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Evidence-based prevention is a good investment

$50

$5,050

$10,050

$15,050

$20,050

$61 $120 $880 $1,200

$30,828

$79,935 $94,900

Annual cost per person per family

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Evidence-based prevention programs save money

On average, for every dollar invested in these evidence-based prevention programs nationwide… $8 was saved with Family Check-UP $8 was saved with Triple P - Positive Parenting

Program $35 was saved with Good Behavior Game

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The bottom line

Preventing youth problems with evidence-based approaches is more successful, cost effective, and nurturing than punitive approaches

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In Lane County, prevention efforts are fragmented and frayed

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Weave the fabric … in your daily life

Recognize the positive acts of youth everyday

Volunteer to help youth

Provide opportunities for youth to engage in positive activities

Bring evidence-based prevention strategies into your organization

Support prevention efforts

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Lane County Is Implementing a Number of Evidence-Based Prevention Practices

Family Interventions The Incredible Years Strengthening Families Program

School Interventions The Good Behavior Game

Reward and Reminder program to reward clerks for not selling tobacco to young people.

Media counter-advertising to reduce tobacco, alcohol, and other drug use

Implementation of Community-wide efforts such as Communities that Care

Training on suicide prevention for mental health gatekeepers.

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WEAVE Lane County A CALL TO ACTION

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Every agency relevant to youth adopt the following resolution:

Within the significant financial constraints of the current era, it will be our policy to determine whether evidence-based prevention is in use for families and schools and to encourage the adoption, implementation, maintenance and ongoing evaluation of evidence-based practices

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WEAVE Lane County

Oregon Research Institute

Lane County Health and Human Services

For more information, visit: www.preventionlane.org www.earlyadolescence.orgwww.promiseneighborhoods.org