Project WEAVE Lane County
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Transcript of Project WEAVE Lane County
WEAVELane County
Weaving Environments and Actions that Value
Everyone
Oregon Research Institute Lane County Health and Human Services
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
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
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
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
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*
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
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
…and raise healthy, successful youth?
How can we reduce problems, nurture wellbeing…
By creating nurturing environments using evidence-based prevention practices
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
Child
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
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
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
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
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
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%
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
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
The bottom line
Preventing youth problems with evidence-based approaches is more successful, cost effective, and nurturing than punitive approaches
In Lane County, prevention efforts are fragmented and frayed
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
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.
WEAVE Lane County A CALL TO ACTION
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
WEAVE Lane County
Oregon Research Institute
Lane County Health and Human Services
For more information, visit: www.preventionlane.org www.earlyadolescence.orgwww.promiseneighborhoods.org