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1
Governors Commission for aDrug-Free Indiana
andCEASe of Scott County
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}Mission
Reduce the incidence andprevalence of substanceabuse and addictionsamong adults and childrenin Indiana
Mission and Goals
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}Advise Governor & General Assembly
} Provide public education & awareness
}
Educate & empower local communities}Assist Local Coordinating Councils
} Promote & support advocacy for
policies} Coordinate & facilitate collaboration
Goals
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Local Level
}
Work to strengthen local coordinatingcouncils, and assist in strategic &
comprehensive planning
} Mobilize communities to address
alcohol & other drug issues in their
communities
Commissions Purpose
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} County-wide citizen body approved byCommission to plan, monitor & evaluatecomprehensive local alcohol & drug abuse plans.
} Identify community drug programs, coordinatecommunity initiatives, design comprehensivecollaborative community strategies & monitoranti-drug activities at the local level.
} Assist the Commission in achieving its purposeand responsibility by collecting and monitoringlocal level data & evaluating supported programs.
Local CoordinatingCouncils LCC
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For more information,Contact CEASe at:
[email protected] call (812) 752-8466
Join CEASe of ScottCounty
On Facebook
Meetings are held on the firstThursday of each month in the
Stewart-Hoagland Meeting
Room from 12:00-1:00 pm andare open to everyone in the
community.
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Collaborative Effort to:
assess the impact of
substance abuse in the
community collect data
identify issues
evaluate existing & newservices
The Comprehensive Community Plan
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Community-Wide plan to address AODissues at local level. Development of thisplan is a process to:
Identify problems through needsassessments, data collection, communityinput
Develop & prioritize clear concise problemstatements
Develop measurable and realistic goals
The ComprehensiveCommunity Plan (CCP)
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The Comprehensive
Community Plan (Continued)
Develop objectives to address identifiedproblems
Advocate for change through the release offunds to local agencies and by influencingpolicies & enforcement
Evaluate the progress & redirect if needed
Report findings to state via annual planupdates
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2011 NEW Comprehensive
Community Plan Identified
3 Problem Statements:
1. Youth and Adults in Scott County use
and abuse Alcohol.2. Youth and Adults in Scott County use
and abuse Tobacco Products.
3. Young Adults in Scott County use andabuse prescription medications.
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#1: Youth and Adults in Scott County
use and abuse Alcohol
Goals:
1. Reduce the rate of youth alcohol
consumption as reported by the 2014IPRC Indiana Alcohol, Tobacco and Other
Drugs Survey.
2. Reduce the rate of adult alcohol
consumption as reported by the justice
system, 2014.
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Scott County Schools
Reported the Following:
Expulsions/Suspensions involving
drugs, weapons, or alcohol during2010-11 School year:
SCSD 1: 1 for AHS, 6 for AMS
SCSD 2: 4 for SHS, 5 for SMS(IDOE School Performance Reports)
ALCOHOL % f M hl U b G d
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0
10
20
30
40
6 7 8 9 10 11 12
%o
fMonthlyUse
Scott County Students Indiana Students
ALCOHOL: % of Monthly Use by Grade
Scott County Students, 2011
Mean Age of first time Use = 13.1 years old
GRADE
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0
10
20
30
40
6/7 7/8 8/9 9/10 10/11 11/12
Grade in 2010/Grade in 2011
2010 2011
ALCOHOL: % of Monthly Use Comparison of
Grade in 2010/2011, Scott County Students
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Arrests for Scottsburg Police Department
2009 2010
Illegal Consumption of alcohol 20 6Operating while intoxicated 22 25Public intoxication 56 62Illegal Consumption - Youth 4 3
Alcohol Use and Abuse inScott County
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Alcohol Use and Abuse inScott County
Arrests for Austin Police Department
2009 2010
Illegal Consumption of alcohol 3 2Operating while intoxicated 9 17Public intoxication 38 29
Illegal consumption - youth 4 2
16
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Alcohol Use and Abuse in
Scott CountyArrests for Scott County Sheriff s Department
2010
Illegal Consumption 2Operating while intoxicated 21Public intoxication 13
17
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15 Cases of Possession of alcohol by a
minor 40% of juvenile cases handled in court
were substance abuse related
80 counts filed on 53 diferentdefendants for operating with ACE of +.08
2010
Prosecution Handled:
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Scott County 2010
Treatment Center Data:Life Springs served 260 people, 32% of
which had a substance abusediagnosis
Samaritan Behavioral Health treated 19
people for alcohol dependence and 6for alcohol abuse
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2010 Scott County
Department of Child Services
146 children/youth (66%) were
removed from their homes as a
result of substance use byguardians
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Scott Memorial ER
2010 Visits
Overdose Unknown 16
Accidental Rx Overdose 1
Intentional Rx Overdose 10
Accidental OTC Overdose 7
Poly-Substance Abuse 74Alcohol Abuse 83
Psych Related Visits 251
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Arrests for Substance Use:
SPD Austin Sheriff
Dealing Controlled Substance 2 1 2
Possession of Cocaine 2
Possession of Marijuana 14
Possession of controlled subst. 18 33 15
Substance use Impact onLaw Enforcement: 2010
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45%
Percentage of those whobegin drinking alcoholbefore the age
of 14 become alcohol ordrug dependent at some
time in their lives
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10%
Percentage ofAdults whowill go on to develop analcohol or drug addiction
who wait at least until age21 to begin using alcohol(Source: Archives of Pediatric and Adolescent Medicine)
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#2: Youth and Adults in Scott County Use
and Abuse Tobacco Products
Goals:
1. Reduce the percentage of Scott County youth
using tobacco by 1% in each grade 6-12 based uponreports from the IPRC Survey by 2014.
2. Scott County will have at least one adult cessation
program added each year, along with the addition of a
youth cessation program.
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} 2011 County Health Rankings: Adult smoking rate
is 24.5%, with 4,500 adults smoking. Higher than
US rate of 17.2%.} Scott Co. tobacco outlets = 185 or 7.73 outlets
per 1000 (higher than state average of 0.72/1000)
} Scott Co. pregnant mothers who reportedsmoking=28.1%
SPD reports 7 juvenile arrests for possession of
tobacco
IN State Excise Police: TRIP (Tobacco Retailer
Inspection Program) Scott Co Noncompliance
Rate = 6.1% for 2010
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0
10
20
30
40
6 7 8 9 10 11 12
Scott County Indiana
CIGARETTES: % of Monthly Use by Grade
Scott County Students, 2011
Mean Age of First Time Use = 12.7
GRADE
CIGARETTES: % of Monthly Use Comparison of
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0
10
20
30
40
6/7 7/8 8/9 9/10 10/11 11/12
2010 2011
CIGARETTES: % of Monthly Use Comparison of
Grade in 2010/2011, Scott County Students
Grade in 2010/Grade in 2011
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SMOKELESS TOBACCO: % of Monthly Use by Grade
Scott County Students, 2011
Mean Age of First Time Use = 13.2
0
7.5
15
22.5
30
6 7 8 9 10 11 12
Scott County Indiana
GRADE
SMOKELESS TOBACCO: % of Monthly Use
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SMOKELESS TOBACCO: % of Monthly Use
Grade in 2010/2011, Scott County Students
0
7.5
15
22.5
30
6/7 7/8 8/9 9/10 10/11 11/12
2010 2011
Grade in 2010/Grade in 2011
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Substance Issues Identifiedin Scott County
} Juvenile Arrests for 2010
Sburg Austin
Possession of controlled substance 2 1
Minor Alcohol Consumption 3 2
Possession of Marijuana 7
Possession of Tobacco 7
31
MARIJUANA: % of Monthly Use by Grade
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0
7.5
15
22.5
30
7 8 9 10 11 12
%o
fMonthlyU
se
Scott County Indiana
MARIJUANA: % of Monthly Use by Grade
Scott County Students, 2011
Mean Age of First Time Use = 13.8 Years Old
Indiana Prevention Resource Center, 2011 ATOD Survey
MARIJUANA: % of Monthly Use Comparison of
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0
7.5
15
22.5
30
6/7 7/8 8/9 9/10 10/11 11/12
2010 2011
MARIJUANA: % of Monthly Use Comparison of
Grade in 2010/2011, Scott County Students
Grade in 2010/Grade in 2011
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The scientific literature points to the factthat there is an irrefutable link between the
consumption of cannabis and the mental
and physical health of teenagers.
The use of cannabis in late adolescence
and early adulthood has emerged as the
strongest risk factor for later involvement inother illicit drugs.
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13
#3: Young Adults in Scott County use
and abuse prescription medications
Goals:
1. Reduce the number of annual drug overdose
deaths in Scott County by half of the 2011 deaths, in
2014.
2. Reduce Scott Countys 2010 Oxycodone Retail
Distribution from 48.79 per capita dosage units to 30per capita dosage units for 2014 for our county of
24,000.
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2010, 50% of clients served at Scott CountyCommunity Clearinghouse had substance
abuse problems.
2010, Samaritan Behavioral Health treated
16 for opioid dependence, 1 for other
substance dependence, 12 for poly-
substance dependence, and 4 for opioid
abuse.
Every day, about 2,500 American youth trytheir first pain pill to get high
PRESCRIPTION PAINKILLERS % f M thl U
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0
3.75
7.5
11.25
15
6 7 8 9 10 11 12
Percen
tageofMonthly
Use
Scott County Students Indiana Students
PRESCRIPTION PAINKILLERS: % of Monthly Use
by Grade, Scott County Students, 2011
Mean Age of First Time Use = 12.7 Years Old
GRADE
PRESCRIPTION PAINKILLERS: % of Monthly Use
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0
3.75
7.5
11.25
15
6/7 7/8 8/9 9/10 10/11 11/12
2010 2011
PRESCRIPTION PAINKILLERS: % of Monthly Use
Comparison of Grade in 2010/2011
Grade in 2010/Grade in 2011
19 of 39 (48%) Scott County Coroner
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19 of 39 (48%) Scott County CoronerCases were Prescription Drug
Overdose Deaths in 2011
Drugs involved in Cause of Death:
Xanax: 13
Opana: 10
Oxycodone: 6
Methodone: 5
Hydrocodone: 3
Alcohol: 3
Morphine: 239
Indiana Drug Enforcement
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Indiana Drug EnforcementAssociations Dennis Wichern
Reported:
Scott County's Oxycodone Retail Distribution
(pharmacies, hospitals, practitioners)
January 1 - December 31, 2010
48.79 per capita dosage units
EQUALS1.25 Million doses of Oxycodone
sold in our county of 24,000
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Overdoses involving Rx painkillers now kill
more Americans than heroin and cocaine
combined, CDC Director
Centers for Disease Control 11/2011:
Prescription painkiller overdoses at
epidemic levels.
Almost 5,500 people start to misuse Rx
painkillers every day.
Less than 1% of Physicians are trained in
addiction
A di t D E i W i ht Ch i f th I di
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12+ Age Group = Fastest growing Rx Drugabuse rate in Self-Reporting measures
Alarming growth of first time use by children,teens, and young adults
Over 1,000,000 Hoosiers abusing Rx, withOPIATES being primary abused substance
Recent decrease in Opiate use and increasein stimulant use, Ritalin and Aderall (9.9%prevalence)
According to Dr. Eric Wright, Chair of the Indiana
State Epidemiology Outcomes Workgroup and
Director of the Center for Health Policy:
P t f C ll St d t R ti R
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Percentage of College Students Reporting RxMisuse in the Past Six Months in Indiana, 2011
Rx Drug Prevalence
Adderall 9.9%
Vicodin 4.3%
Xanax 3.0%
Codeine 3.0%
Ritalin 1.5%
Lortab 1.1%
Percocet 1.1%
Oxycontin 1.0%
Morphine 0.6%Methadone 0.3%
Steroids 0.2%
Key:Opioid
StimulantCNS DepressantOther
Source: Indiana Collegiate Action Network, 2011
The INSPECT Program
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The INSPECT Program[Indiana Board of Pharmacy, n.d.]
Indiana Scheduled Prescription Electronic Collection &
Tracking Program (Indianas Rx drug monitoring program)
Collects information on all controlled substances
(schedules II-V) dispensed in Indiana
Mandatory reporting by dispensers Maintained by the Indiana Professional Licensing Agency/
Board of Pharmacy
Doesnt distinguish between legitimate and illegitimate
(nonmedical) use Only 35% of all IN Physicians are utilizing INSPECT!
Florida just instituted their PDMP October 2011
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Sources of Rx Drugs
Among the U.S. population ages 12 and older who used pain
relievers nonmedically in the past year: 55.0% got the pain relievers they most recently
used from a friend or relative for free
17.3% got the pain relievers they most recently used
through a prescription from one doctor 11.4% bought them from a friend or relative
4.8% took them from a friend or relative without asking
4.4% got them from a drug dealer or other stranger
0.4% bought them on the Internet[Substance Abuse and Mental Health Services Administration, Office of Applied Studies,
n.d.], National Survey on Drug Use and Health (NSDUH)
Nonmedical Rx Use Reported at Admission
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Indiana Family and Social Services Administration, Revenue Enhancement and Data, 20106
Nonmedical Rx Use Reported at Admission,Rate per 1,000 Population (TEDS, 2010)
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Center for Health PolicyThe Center for Health Policy collaborates with state and local government, as
well as public and private healthcare organizations in health policy andprogram development to conduct high quality program evaluation and appliedresearch on critical health policy-related issues.
Eric R. Wright, PhD
Director, Center for Health Policy
Professor and Interim Chair
Department of Public Health, IU School of Medicine
Indiana University-Purdue University Indianapolis (IUPUI)
714 N Senate Ave, Suite 220
Indianapolis, IN 46202
317-274-3161
www.healthpolicy.iupui.edu
Wh i t t i k?
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Obtaining multiple controlled substance prescriptions
from multiple providers (doctor shopping) Taking high daily dosages of Rx painkillers and
misusing multiple abuse-prone Rx drugs.
Low-income people and those living in rural areas.
People on Medicaid are prescribed painkillers at twice therate of non-Medicaid patients and are at six times the riskof Rx painkillers overdose. One Washington State studyfound that 45% of people who died from Rx painkilleroverdoses were Medicaid enrollees.
People with mental illness and those w/ history ofsubstance abuse.
(Centers for Disease Control and Prevention)
Who is most at risk?
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Prescription Drug Monitoring Programs (PDMPs)
Patient Review and Restriction Programs(Rep. Steve Davisson introducing Legislation in 2012 toaddress Drug Testing for those on public assistance.)
Health Care Provider Accountability
Laws to Prevent Rx Drug Abuse and Diversion Better Access to Substance Abuse Treatment
Centers For Disease Control Recommendations:
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PRESCRIPTION DRUG ABUSE is
now THE #1 Drug Abuse IssueFacing Hoosiers today.
At the rate we are going, it maycatch up and exceed Alcohol and
Tobacco Abuse within 5 years.
Phil Wickizer, Indiana Pharmacy Board
Dr. Eric Wright, Center for Health Policy
Th D F C it F d
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IC 5-2-11
Monies collected through the courts are held in acounty drug free communities fund by thecounty auditor
The Local Coordinating Council (CEASe) is theadministrator of these funds & is responsiblefor its distribution back into the communityaccording to their approved ComprehensiveCommunity Plan
Grants are awarded to agencies & entities basedon needs/services identified by the LCC
through its comprehensive planning process
The Drug Free Community Fund
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} , emphasizing theuse of evidence-based programs in the preventionof substance use & the education of the generalpublic regarding substance use/abuse in the
county.
} includingeducation & training of personnel, special patrols& operations & court programs
} designed toidentify & assist those who have substance abuseissues secure and benefit from service providers.
CEASe Supports:
The YEAR in Review: 2011
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The YEAR in Review: 2011
CEASe Meeting ProgramsJanuary: Shannon Mount, Counselor at SES, present
Life Skills Training for SCSD 2 Elementary Students
February: Lori and Lin got feedback from members
on CEASe Goals/Objectives for 2011
March: Dr. Shane Avery discussed a primary care
initiative that involves implementing a pain
management program to cut prescription drug
diversion
April: Circles Campaign presented on how they are
helping people rebuild their lives
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May: Meeting at Marianns to celebrate them
going Smoke Free and Dr. Deardorff shared
about where the Health Outcomes Committee isgoing from here
June: Community Forum
August: Carolyn King, Coordinator, presented
the Communities That Care plans for the
upcoming year and Rhonda shared about the
Gary Sandifur Tobacco Free School Award
September: The 2011 CEASe Mini-Grant
Recipients gave their mid-year reports
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October: Brent Calloway share about the
ministry Fishermens Paradise has going onin Austin
November: The entire LCC brainstormed
about CEASes strengths, weaknesses, andtechnical assistance needed to function.
December: Jeremy Stevens and others with
New Creation Addiction Ministries sharedabout My Life on Drugs: Then and Now.
2011 Chair/CEASe Communit Efforts:
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Booth, Back to School Bash
Booth, Scott Memorial Hospital
Womens Health Fair
Booth, Scottsburg Fire Station
Community Trick or Treating
Applied for Drug Free Comm Grant
Spoke to all SMS 8th gradestudents/parents
Reached 340 people through 2
Community Forums
Reached 1600 middle and high
school students w/ Rx Drug info
Adopted CEASe By-Laws and
Policies and Procedures
Established Part Time LCC
Coordinator Position
Spoke to SMS Parent Chaperones
on Social Hosting/Marijuana and
Teens
Spoke to Teen Parents at Austinand Scottsburg High Schools
Spoke to 4-6th graders at
Afternoons Rock re: Rx Drugs
Spoke to Kiwanis
Participated in the First Ever
Smoke Free Day at the Scott
County Fair
Attended Rx Drug Symposium inIndy
Attended Coordinator Training at
ICJI
2011 Chair/CEASe Communit Efforts:
A Community Free of Substance Abuse:
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CEASe of Scott CountyCoalition to Eliminate the Abuse of Substances
LotsofdoorprizesincludinganAppleiPAD!
A FREE community event to
help families identify substance abuse
risk factors and resources
Thursday, June 2
6:00pm to 8:00pm
First Southern Baptist Church
Seating is Limited- RSVP to [email protected]
FREE Dinner sponsored by Scott Memorial Hospital
A Community Free of Substance Abuse:
Downloading Resources for Scott County
57
Scott County Unites to
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58
Karen PerryExecutive Director, NOPE
Task Force. Lost her
son to prescription
drug overdose
December 7, 7-8 pmFirst Southern BaptistChurch, Scottsburg
December 8, 11:30-1 pmGrace Covenant Church,
Austin, FREE Italian Buffet
Seating Limited, so [email protected]
17 DEADIn 2011 of Prescription
Drug Overdose
Scott
CountyIs States Highest
Oxycodone RetailDistribution Rate
48.79 per capita dosage units
or
1.25 Million
Scott County Unites to
Battle PrescriptionDrug Abuse
January: Annual Meeting and Report 2012
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January: Annual Meeting and Report 2012
February: Communities That Care--Plan for Scott Co.
March: Prosecutions Role in the FightAgainstDrugs
April: Drug/Alcohol Free during Prom and Graduation
May: Law Enforcements Role in the FightAgainstDrugs
June: Community Forum
August: ____________________________________
September: Mini-Grant Recipients Mid-Year Reports
October: Rx Epidemic: Reaching Those Who Need Help
Nov: Treatment Options for those w/ Addiction Issues
December: Community Forum
Scott County Prosecutors Office
SCSD 2 J t S N Cl b Partners of:
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SCSD 2: Just Say No Club
SMS SADD Chapter
SHS SADD Chapter
Big Brothers Big Sisters of Scott Co.
New Hope Services/Connections
New Creation Addiction Ministries
Department of Child Services
Scott Memorial Hospital
Samaritan Behavioral Health
Scott County Partnership/Americorp
New Washington State Bank
Scott County Ministerial Association
Indiana State Police
Austin and Scottsburg Police Depts.
Scott County Sheriffs DepartmentScott Co. Tobacco Prevention &
Cessation Coalition
Greater Scott Co. Chamber
Communities That Care
Partners of:
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