ABOUT US

The Catoosa Prevention Initiative's (CaPI) primary focus is to create and nurture a community coalition, which will eventually include prevention strategies for all substances of abuse. We are striving to create a movement where "prevention" and "treatment" providers in our county and surrounding areas meet in the middle, providing each other with support and filling needs where there are gaps. We are also working to create an environmental change that will impact our community at large, stimulating healthy families and lives.

To be successful, CaPI needs volunteers to help us execute our programs and donations to fund some of our programs and initiative.

Click here to volunteer or go to volunteer link on the navigation bar.

CaPI is a strategy under the Catoosa County Family Collaborative and receives funding through grants from the Georgia Department of Behavioral Health and Development Disabilities (DBHDD).

CaPI is currently running two grants – an underage drinking prevention grant - The Alcohol Initiative, and a prescription drug abuse and misuse prevention grant targeted toward people ages 12 -25 - Generation Rx Project (GenRx).

The DBHDD requires CaPI to use an evidence based process called the Strategic Prevention System in order to carry out its work in the most scientific, solid, and responsible manner. Both grants go through the continuous process as outlined below.

       Strategic Prevention System (SPS)  
   

Assessment:
At the beginning of a grant, the first step in the Strategic Prevention System (SPS) is Assessment.

Assessment = Profile population needs, resources, and readiness to address needs and gaps.

Capacity:
The next step is to build Capacity.

Capacity Building = Mobilize and/or build capacity to address needs.

Planning:
Then we follow with Planning.

Planning = Develop a comprehensive strategic plan.

Implementation:
Next, we Implement the previously made plans.

Implementation = Implement evidence-based prevention programs and activities.

Evaluation:
The last SPS step is to Evaluate what we have done.

Evaluation = Monitor, evaluate, sustain, improve or replace those that fail.


But the last step brings us to the beginning again, and we start all over with Assessment and continuously go through the process in order to bring the best answers, help, and programs to our community.

Sustainability and Cultural Competence is taken into consideration during the entire SPS process.

The Alcohol Initiative
The GASPS grant focuses solely on alcohol. Why?
   - Most widely substance use among youth1
   - Health Consequences (2001-2005)
      -   157 youth <21 died each year from alcohol-related illness/injury
      -   46% of youth alcohol-attributable deaths were due to motor-vehicle crashes
      -   34% of youth alcohol-attributable deaths were due to homicide or suicide2 
      -   Youth ages 9-20 use it more than any other substance
      -   Average of 2,375 people in GA die from alcohol-related injuries or illness each year
      -   3rd leading cause of death in GA
          Sources:
           1.   U.S. Department of Health and Human Services. The Surgeon General's Call to Action to Prevent and Reduce
           Underage Drinking.
Rockville, MD: U.S.
 Department of Health and Human Services; 2007.

           2.   2001-2005 Alcohol-Related Disease Impact (ARDI) Software, Centers for Disease Control and Prevention
           (http://www.cdc.gov/alcohol/ardi.htm).


           Source: 1.   Youth Alcohol Use 2009 Georgia Data Summary.
           http://health.state.ga.us/pdfs/epi/cdiee/CDIEE%20Data%20Summaries%202009

           /2009%20Alcohol%20Data%20Summary.pdf
 
   - Youth alcohol use is also associated with increased risk for:
      - Physical assault
      - Sexual assault
      - Academic problems
      - Tobacco use
      - Drug Use
      - Unplanned and unprotected sexual activity


        Source: Youth Alcohol Use 2010 Georgia Data Summary
        http://health.state.ga.us/pdfs/epi/cdiee/CDIEE%20Data%20Summaries
%202010/YouthAlcoholUse2010.pdf 

  •  - Youth who consume alcohol are 5 times more likely to become dependent on or abuse alcohol than those who
       wait until 211
  • - Excessive alcohol use among youth is associated with brain damage, intellectual impairment, and memory
       problems2,3


        Sources:
        1.   Hingson RW, Heeren T, Winter MR. Age at drinking onset and alcohol dependence: age at onset, duration,
        and severity. Pediatrics 2006;160:739–746


        2.   U.S. Department of Health and Human Services. The Surgeon General's Call to Action to Prevent and Reduce
        Underage Drinking.
    Rockville, MD: U.S.
    Department of Health and Human Services; 2007.

        3.   Zeigler DW, Wang CC, Yoast RA, Dickinson BD, McCaffree MA, Robinowitz CB, Sterling ML.  The neurocognitive
        effects of alcohol on adolescents
    and college students.  Preventive Medicine 2005 40: 23-32.

  •  - Drinking Behaviors:
          - 21% of GA HS students had first drink before age 13
          - Approx 331,386 (34%) HS students had at least one drink in the last 30 days
          - Approx 181,634 (19%) GA HS students binge drink (consuming five or more drinks at one time)
          - Among GA HS who consumed alcohol:
            - 41% drank liquor rather than malt beverages
            - 17% beer
            - 14% other types of beverages (e.g. wine and wine coolers)
          Source: 2009 Georgia Youth Risk Behavioral Surveillance Survey
          http://health.state.ga.us/epi/cdiee/studenthealth.asp).


        - Drinking & Driving:
        - ~ 66,953 (7%) HS reported driving & driving
        - Among 12th graders, 12% reported driving after consuming alcohol

  •  - Youth Access to Alcohol:
        - 36% of HS who reported alcohol use got it from someone else
        - Among HS who consumed alcohol, 82% did so at their home or someone else's home
  •     Source: 2009 Youth Risk Behavioral Surveillance Survey (http://health.state.ga.us/epi/cdiee/studenthealth.asp).

CaPI surveyed 1260 people in Walker and Catoosa Counties (as part of the Needs Assessment step) and took those results along with secondary data from the Student Health Survey, the Department of Juvenile Justice, the Sheriff’s Office, and Catoosa DUI School and combined it with the knowledge of CaPI’s Community Prevention Advisory Workgroup (CPAW). The results showed that we could best serve our community under the GOAL to REDUCE THE EARLY ONSET OF ALCOHOL USE AMONG 9 – 20 YEAR OLDS.

The diagram below shows how CaPI will tackle the issue and the strategy CaPI uses to look at it.

The diagram shows the underage alcohol prevention issue broken down into three larger bird’s eye views – The Individual Level, Social Availability, and Social and Community Norms listed across the top (Intervening Variables).

Underneath, the diagram shows some causes (Contributing Factors) that lead to the Intervening Variables. CaPI will focus its energy on the Contributing Factors and use programs, education, and the media in order to reach the goal of reducing the early onset of alcohol use among 9 – 20 year olds.



                               Georgia Strategic Prevention System

                                              Goal: Reduce the early onset of alcohol use among 9 - 20 year olds.

 

 

 

 

 

 

 

 

 

 



 

CaPI is moving along with the next steps in the Strategic Prevention Framework to decide the best programs and methods of education and media use for our communities. To view the Alcohol Prevention Project strategies click here.

GenRx
Over the last few years during CaPI’s monthly workgroup (CPAW) meetings, the law enforcement members consistently informed the group that prescription drug abuse and misuse is a big problem in our schools and community. They really wanted to work on the issue, but the grants were focused on alcohol alone. CaPI had no funding for the Rx issue.

But as Providence would have it, the Department of Behavioral Health and Development Disabilities approached CaPI (due to CaPI’s past experience with the SPF-SIG grant and the Strategic Prevention Framework) and asked if they would be interested in taking on the Generation Rx Project Grant. CaPI immediately said, “YES!”

CaPI so eagerly agreed because of some alarming statistics:
   - Every day 2,500 youth ages 12 - 17 abuse (use other than the intended purpose) a pain reliever for the first time.
   - In 2008, more than 2.1 million teens ages 12 - 17 reported abusing prescription drugs.
   - Among 12 and 13 year olds, prescription drugs are THE drug of choice.
   - The majority of teens who abuse prescription drugs get them easily, primarily from friends and relatives (70%) and
     often without their knowledge.
     Source: SAMHSA, 2009

   - The number of infants born addicted to prescription drugs every year has also tripled in the past 10 years, to
     approximately 13,500, according to a report in the Journal of American Medical Association (2009).

Prescription drug abuse and misuse occurs across all racial and social boundaries. Following are some reasons teens use prescription drugs for non-medical purposes:

   - They believe prescription drugs are a "safe" way to party and get high.
   - Less shame is attached to using them.
   - There is a perception that parents won't care as much if they get caught (If Mom uses it for pain in her knee, what's
      the harm?)
   - They're legal.
   - They're widely available and easier to obtain than illicit drugs.
   - Parents are not aware of the extend of prescription drug abuse by young people.
      Source: National Survey on Drug Use and Health. Summary of national findings, 2008 - 2009.
      http//www.oas.samhsa.gov.

Treatment admissions for prescription drug abuse rose 430% from 1999 to 2008. Source: Join Together, December 12, 2011.


And let's not forget this list of a few famous people with vast amounts of money and power at their fingertips who died from prescription drug overdose. It's an overcoming, overwhelming addiction.
   - Heath Ledger
   - Whitney Houston
   - Anna Nicole Smith
   - Brittany Murphy (Clueless)
   - Corey Haim (child star)
   - Marilyn Monroe
   - Dana Plato (Different Strokes)
   - Elvis Presley
   - Michael Jackson

So, the GOAL for the Generation Rx grant is reduce prescription drug abuse and misuse in people ages 12 -25.

CaPI tackles this issue with the same type of diagram as the GASPS grant above. Below is the GenRx diagram of the larger issues (Intervening Variables – listed across the top of diagram) and the underlying causes which lead up to and feed the problem (Contributing Factors).


                                             Generation Rx Project
                                   Goal: Reduce prescription drug misuse and abuse among 12-24 year olds


 

 



Once again, CaPI will follow the Strategic Prevention System (SPS) and conduct a Needs Assessment of our community. This time, it will probably be accomplished by conducting focus groups.

CaPI will follow with the additional SPS steps, and at this point, we know we will be educating community members in various ways with the following ground floor information:
   - Education
   - Monitoring
   - Proper Medication Disposal
   - Enforcement
 To view the Generation RX Project strategies click here.

CaPI's Grant History and Currently Maintained Strategies
CaPI’s first grant was SPF-SIG (Strategic Prevention Framework State Incentive Grant) which was funded by DBHDD and gave CaPI its first exposure to the Strategic Prevention Framework. Similar to GASPS, the SPF-SIG grant worked to prevent underage drinking. CaPI used the strategies below and still manages to maintain them today even though the SPF-SIG grant ended at the end of September 2012.

Be the Wall

Nurturing Parenting

Stay on Track

Click here to read more about these strategies.



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