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HomeMy WebLinkAboutFranklin County Needs Assessment Franklin County Drug and Alcohol Prevention Profile Date Submitted: March 31, 2010 Table of Contents PART ONE: COUNTY INFORMATION ........................................................................................ 2 PART TWO: PREVENTION NEEDS ASSESSMENT ................................................................... 4 I.Prevention Needs Assessment Process ....................................................................................... 4 A. Needs Assessment Team ........................................................................................................ 4 B. Data Sources Which Were Included in Assessing Need .......................................................... 4 C. BDAP Key Representative Survey on Alcohol, Tobacco and Other Drugs .............................. 5 D. BDAP Convenience Survey on Alcohol, Tobacco and Other Drugs ........................................ 5 E. Method(s) Used for Obtaining Additional Information ........................................................... 5 F. Data Gaps ............................................................................................................................... 6 G. Documenting Findings and Data Sources ................................................................................ 6 IIAnalyzing Magnitude and Changeability .................................................................................. . 7 IIICounty-wide Findings & Key Issues .......................................................................................... . 7 A. Summary of County-wide Preliminary Findings ..................................................................... 7 B. County-wide Key Issue(s) to be Addressed ............................................................................. 7 IV.Specific Target Communities with High Need .......................................................................... 8 A. Specific Community Identified as Having High Need ............................................................. 8 B. High Need Issue to be Addressed ........................................................................................... 9 C. Data Source(s) ........................................................................................................................ 9 D. Analysis Process ..................................................................................................................... 9 E. What Type of change is Necessary to Impact the High Need Issue that Has Been Identified? 10 V.County-wide and Community-level Capacity ......................................................................... 10 A. Resources (human and financial) Needed to Address Issues Identified .................................. 10 B. Existing Prevention Infrastructure in the County and Each Targeted Community ................. 10 C. Strengths and Weaknesses in the Community(s) that May Affect Prevention Effort .............. 10 D. Service Gaps that Have Been Noticed and/or Exist ............................................................... 11 E. Assessment of Cultural Competence throughout County? ..................................................... 11 F. Readiness and Leadership to Implement Policies, Programs and Practices ............................ 12 Appendix 3 - Needs Assessment Team .............................................................................................. 13 Appendix 4 - Documenting Preliminary Findings and Data Sources .................................................. 14 PART ONE: COUNTY INFORMATION Briefly describe the composition and history of the county(s) covered by the SCA (including SCA option and number of providers, demographics, geographic make-up, historical information, education, business, resources and any other important information). Response: Franklin County is located in south central Pennsylvania, approximately midway between Philadelphia and Pittsburgh and 55 miles south of Harrisburg, PA. Chambersburg is the county seat. The southern boundary of the County is also the boundary between Pennsylvania and Maryland, also known as the Mason-Dixon Line. The County encompasses an area of 300.1 square miles and had an estimated population in 2006 of 141,655 residents. The population is largely Caucasian, (94.7%) with smaller numbers of Black/African American (2.8%), Hispanic/Latino (2.7%) residents. Manufacturing and health/human services offer the largest employment opportunities available to residents (21 and 19.6% respectively). Median household income is $40,476 and 5.4% of families live below the poverty level. A 2007 Labor Market Analysis found that high school graduates make up the highest portion of the population. With the diversity of Franklin County’s economic base, the residents enjoy the advantages of both urban and rural opportunities within the County. Due to this diversified makeup and the rich history of Franklin County, tourism is a major component of the county’s economy. Since its establishment in 1784, Franklin County has enjoyed a steady, healthy growth and has become the financial and commercial center of much of the Cumberland Valley. With two major railroads, the Conrail and the CSX, and the meeting place for three major highways: Route 30, Route 11 and Interstate 81, Franklin County grows daily. In addition to commercial growth, Franklin County continues to support a healthy farm industry with the County ranking second in the state in the production of milk, meat, apples and peaches. There are currently 1,690 farms in the County consisting of 255,500 acres. The County also has 39,780 acres of state forest lands with approximately 15,178 acres as state game lands. The Falling Spring is one of the best natural trout streams in the nation, and it meanders through Chambersburg. The county is served by six public school districts and seven private schools. The public districts are: Chambersburg, Fannett-Metal, Greencastle, Shippensburg, Tuscarora and Waynesboro. The County has 77 students enrolled in PA Cyber Schools. Franklin County hosts three Universities. These include Penn State Mont Alto (located in Mont Alto), Wilson College (located in Chambersburg), and Shippensburg University (in Shippensburg). Shippensburg is a town in Northern Franklin County which lays in both Franklin and Cumberland counties. 2 The top ten employers in Franklin County are Letterkenny Army Depot (3,400), Summit Health (2,800), Manitowoc Crane Group (1,800), Chambersburg Area School District (1,400), Franklin County Government, County Offices (950), Volvo Construction Equipment (800), Target Distribution Center (600), Johnson Controls, Inc. / Frick Co. (575), Food Lion, Inc. (550), Waynesboro Area School District (500). Of these employers, four demonstrated job growth, three remained steady and three experienced a decrease in employment numbers from 2008. Franklin County has a number of resources working to improve the quality of life in the county. The recently formed Community Coalition for the Prevention of Substance Use and Abuse (referred throughout as “The Coalition”) merged with the long standing Tobacco Coalition to fight the effects of the negative uses drugs and alcohol in both Franklin and Fulton Counties. The combined Coalition is working to educate youth on the dangers of substance use by providing alternative activities and information for youth and parents. The Coalition has also worked to administer the 2009 PAYS Survey. This information has been difficult to obtain in previous years and hence the county does not have the ability to establish strong trends from previous years. It is anticipated that by involving Coalition members in the process, we can involve local schools at a more intense level and create data that can be analyzed for trends in coming years. Additional resources include Healthy Communities Partnership, a community organization that brings together partnering programs in the county to better the health and wellness of county residents; Waynesboro Communities That Care, Parenting Coalition, five chambers of commerce, multiple community health fairs, civic clubs and organizations and faith based organizations. Health system supports come from both the Summit Health System and Keystone Health. 3 PART TWO: PREVENTION NEEDS ASSESSMENT The Prevention Needs Assessment is designed to profile population needs, resources and readiness to address needs and gaps. The process involves the collection and analysis of data to define problems within a geographic area. The SCAs must use a data driven decision-making process to determine which key issues will be addressed, as well as the risk and protective factors influencing this key issues. Effective prevention programs and strategies are essential to successfully reduce risk and enhance protective factors in specific targeted populations and geographic areas and to impact the identified issues. The SCA must submit their Prevention Needs Assessment to BDAP in accordance with the BDAP Report Schedule. Prevention Needs Assessment Process I. Needs Assessment Team A. (See Appendix 3) ______________________________________________________________ Data Sources Which Were Included in Assessing Need B. (List and describe each data source utilized for assessing your county’s ATOD needs.) Some examples could include: Surveys – National Outcome Measures, PA Youth Survey, Social Indicator/Archival data – Crime, poverty and school data, Non-traditional data sets – PBPS, local community data Response: PA Youth Survey Crime data from Pennsylvania State Police - Uniform Crime Reporting Key Representative Survey - PBPS Franklin County Probation Annual Report Franklin/Fulton County Drug and Alcohol Annual Report ______________________________________________________________ BDAP Key Representative Survey on Alcohol, Tobacco and C. Other Drugs Explain how the BDAP Key Representative Surveys was administered and provide justification regarding the number administered (to include the actual number administered) Response: Surveys were administered to key stakeholders in each community in each sector. In Franklin County more than 1600 surveys were distributed via Survey Monkey, an online survey tool, and more than 470 total responses were received. Four 4 communities were considered in the county including Chambersburg, Waynesboro, Greencastle, and Tuscarora/Fannett-Metal. Chambersburg had an overwhelming response with 336 surveys returned out of 1109 sent. Paper surveys were also issued to about 10 social service workers in Chambersburg who did not have internet access at work. Waynesboro had 55 surveys returned out of 198 sent. Greencastle had 51 surveys come back out of 217 distributed. Tuscarora/Fannett Metal, the most rural area, had 33 responses out of 95 surveys. Sector members were identified using several methods. A local coalition was asked to give contact information for acquaintances in the sectors. Local Chamber of Commerce listings were used contacting anyone with a valid e-mail address. Educator lists were acquired from the schools in each community. Social service contacts were gathered from the County’s list of attendees present at a large countywide training opportunity occurring annually. Law enforcement surveys were distributed to each police force. The internet was used to research law office contact information as well as medical and media contact information. ______________________________________________________________ BDAP Convenience Survey on Alcohol, Tobacco and Other D. Drugs If administered, briefly explain how the BDAP Convenience Survey was administered and to whom Response: Convenience surveys were administered to two county groups. A group was surveyed at James Buchanan Middle School (Tuscarora/Fannet Metal.) Another middle school aged group was surveyed at Chambersburg’s YMCA after-school program. A free showing of “Twilight” was held as an alternative drug-free activity at the local theatre and convenience surveys were collected there as well. These included both youth and parents. ______________________________________________________________ Method(s) Used for Obtaining Additional Information E. (e.g. - public forums, listening sessions, focus groups, interviews, surveys, observations, etc.) Response: Information was gathered at the Community Coalition for the Prevention of Substance Use and Abuse for Franklin and Fulton County’s meetings. The Needs Assessment Team developed a list of community members identified as having key insight for information to be considered in this plan. The same list of four questions were asked to each of these individuals. Those interviewed included local police chiefs, the Pennsylvania State Police Station Commander, principals and other school staff, a Franklin County Mental Health Program Specialist, school board members, Chief of Adult Probation, and the Deputy Chief of Juvenile Probation. The questions administered by members of the Needs Assessment Team included: 5 1. What trends do you see regarding drug and alcohol use in your community/school? 2. What do you see as the greatest need in your community/school to reduce drug and alcohol use and abuse? 3. What strengths do you see in people/students who resist drug and alcohol use? 4. What do you see as barriers to reducing substance use and abuse in your community/school? In addition, the Needs Assessment Team researched local news reports of drug use and arrests in our area. ______________________________________________________________ Data Gaps F. (Briefly identify any data gaps that were identified) Response: No public health data was able to be obtained and/or was available for our County. Data was requested of the local health care facility, however due to data conversion and change in the collection method, necessary data could not be obtained for the preparation of this needs assessment. However, these facilities have demonstrated a willingness and cooperation with our agency to provide data for future reporting needs. Franklin County services are primarily located in Chambersburg, the county seat. This creates barriers in gathering responses in every sector in every community. This led to deficiencies in sector representation in the communities other than Chambersburg. Due to the large number of surveys in Chambersburg, Survey Monkey was used to analyze survey results since not all surveys were input into BDAP before the deadline to be included in the raw data from BDAP. ______________________________________________________________ Documenting Findings and Data Sources G. (See Appendix 4) 6 Analyzing Magnitude and Changeability II. (See Appendix 4) ______________________________________________________________ County-wide Findings & Key Issues III. Summary of County-wide Preliminary Findings A. Response: County-wide findings include higher than average youth lifetime alcohol usage, higher than average and increasing DUI rates, higher than average inhalant usage, higher than average lifetime tobacco usage (both cigarette and smokeless tobacco), a lack of availability of services in communities, a lack of transportation to services, and higher than average prescription drug usage. _____________________________________________________________ County-wide Key Issue(s) to be Addressed B. (Please provide the following information for each county-wide key issue that has been identify and will be addressed) County-wide key issue Response: Higher than average youth lifetime alcohol usage Baseline data & source Response: 61.4% of 8 graders, 67.7% of 10 graders, 77.8% of 12 graders (2007 ththth Pennsylvania Youth Survey) Influencing risk factor(s) (Please indicate the risk factors that have been identified as influencing this issue.) Response: Parental attitude Protective factor(s) to be enhanced (Please indicate the protective factors that have been identified as needing to be enhanced to impact issue.) Response: Perception of harm, Family involvement, Involved in extra-curricular activities County-wide key issue Response: Higher than average and increasing DUI rates Baseline data & source Response: In 2009, Franklin County had 885 adult DUI arrests and 22 youth DUI arrests. This is a 22% increase over 2008 adult data and a 100% increase in youth arrests from 2008 (Pennsylvania State Police, 2010). Data shows that 18% of Franklin County 12 graders report having driven under the influence of alcohol. th 23.4% in Franklin County have driven under the influence of marijuana. 7 Influencing risk factor(s) Response: social norms, perception of harm, parental attitude Protective factor(s) to be enhanced Response: Perception of harm, Family involvement, Involved in extra-curricular activities County-wide key issue Response: Higher than average inhalant usage Baseline data & source Response: 6.1% of 8 graders, 3.2% of 10 graders (2007 Pennsylvania Youth thth Survey) Influencing risk factor(s) Response: Parent knowledge Protective factor(s) to be enhanced Response: Family Involvement, Involved in extra-curricular activities County-wide key issue Response:igher than average lifetime tobacco usage (both cigarette and smokeless H tobacco) Baseline data & source Response: Lifetime cigarette usage - 35.7% of 8 graders, 43.8% of 10 graders, thth 50.9% of 12 graders. Lifetime smokeless tobacco usage - 12.5% of 8 graders, thth 24.1% of 10 graders, 23.9% of 12 graders. Past 30-day cigarette usage - 15.4% of thth 8 graders, 23.6% of 10 graders, 30.7% of 12 graders. Past 30-day smokeless ththth tobacco usage - 6.1% of 8 graders, 14.8% of 10 graders, 13.3% of 12 graders. ththth Influencing risk factor(s) Response: Perception of harm Protective factor(s) to be enhanced Response: Family involvement, Involved in extra-curricular activities Specific Target Communities with High Need IV. Please provide the following information for each community-level issue that has been identified and will be addressed based upon your community-level data. Specific Community Identified as Having High Need A. (A community is defined as a particular geographic location such as municipalities, cities, towns, boroughs, colleges/campuses, school districts, neighborhoods, etc.) Response: Chambersburg and Greencastle _____________________________________________________________ 8 High Need Issue to be Addressed B. Response: All school districts included in the 2007 PAYS report higher than average lifetime usage and past-30-day usage of steroids for at least one grade. Chambersburg and Greencastle had many key representatives report steroids as “available” to youth. _____________________________________________________________ Data Source(s) C. Response: 2007 Pennsylvania Youth Survey (PAYS), 2009 Prevention Needs Assessment Key Representative Survey ____________________________________________________________ Analysis Process D. (Briefly describe the process used for determining this community-level high need issue) Response: When analyzing Key Representative Survey data steroids were rated as most available in these two communities - much higher than the other communities in the county. Chambersburg did not participate in the 2007 PAYS. However, Greencastle did have higher than national average steroid usage for both 8 and 12 graders for thth lifetime and past 30-day. ___________________________________________________________ What Type of change is Necessary to Impact the High Need E. Issue that Has Been Identified? (Examples: Increase parental participation; increase perception of risk; decrease availability of alcohol; decrease 30-day use of marijuana) Response: Increase perception of risk, decrease past 30-day usage Influencing risk factor(s) (Please indicate the risk factors that have been identified as influencing this issue.) Response: Peer pressure, Social Norms Protective factor(s) to be enhanced (Please indicate the protective factors that have been identified as needing to be enhanced to impact issue.) Response: Family involvement Additional comments Response: n/a _____________________________________________________________ Specific Community Identified as Having High Need F. Response: Chambersburg, Greencastle, Waynesboro ( 9 ____________________________________________________________ High Need Issue to be Addressed G. Response: High perceived availability of heroin in Chambersburg, Greencastle, and Waynesboro (increase in heroin usage reported in Waynesboro). _____________________________________________________________ Data Source(s) H. Response: 2009 Prevention Needs Assessment Key Representative Survey, Interviews _____________________________________________________________ Analysis Process I. Response: Heroin availability and increasing usage were a recurring theme in 2009 Prevention Needs Assessment Key Representative Surveys. Interviews with Waynesboro community members whom are represented in the various data sources . __________________________________________________________ What Type of change is Necessary to Impact the High Need J. Issue that Has Been Identified? Response: Decrease perception of availability, decrease past 30-day usage Influencing risk factor(s) Response: Perception of harm, Proximity to high drug traffic highways Protective factor(s) to be enhanced Response: Family Involvement, Involved in extra-curricular activities Additional comments Response: _____________________________________________________________ County-wide and Community-level Capacity V. Resources (human and financial) Needed to Address Issues A. Identified Response: A prevention specialist available in each school district in order to dedicate time, energy and attention to the needs specific to each community; to reach every resident with effective prevention programs; Develop a centralized prevention center fully staffed for after school and weekend hours, providing healthy alternative 10 activities; sufficient funding to accommodate the above; restoration of tobacco prevention funding through master settlement funds. _____________________________________________________________ Existing Prevention Infrastructure in the County and Each B. Targeted Community Response: Franklin/Fulton SCA Administrator, Franklin/Fulton SCA Prevention Specialist, Waynesboro Communities That Care, Summit Health, Healthy Communities Partnership, Community Coalition for the Prevention of Substance Use and Abuse, Pennsylvania State Police Community Education Officers, school resource officers, Women In Need Education, Head Start, Keystone Health AIDS/HIV Education Program _____________________________________________________________ Strengths and Weaknesses in the Community(s) that May C. Affect Prevention Effort Strengths: Supportive county commissioners and advisory board, youth aide panel, law enforcement partners, Healthy Community Partnership One By One Committee, Community Coalition for the Prevention of Substance Use and Abuse, YMCA, Boys and Girls Club Weaknesses: Only one FTE (Full-Time Equivalent) prevention specialist to address the prevention needs for two counties, funding, dismantling of Enough Is Enough (a community group dedicated to the education of the public about dangers of drug use and abuse). _________________________________________________________ Service Gaps that Have Been Noticed and/or Exist D. Response: One prevention specialist for two counties, limited resources and funding. Inconsistent participation of all public schools in the County in the PAYS. Lack of data available from the local hospital facilities and indicated early in this plan. Procedural changes within county partners have created a data gap. __________________________________________________________ Assessment of Cultural Competence throughout County? E. Response: The Hispanic population of the County is rising and bringing with it the need for cultural awareness to reduce racial/ethnic issues. Prevention services need to available in the Spanish language. This is an area that is currently lacking within the County’s prevention program. There are few local interpreters available. One resource has been The Chambersburg Hispanic American Center, however, services are limited. The Hispanic community has many resources for their population, but there is limited collaboration between the Spanish and English speaking communities and service agencies. 11 _____________________________________________________________ Readiness and Leadership to Implement Policies, Programs F. and Practices Response: Key leaders, motivated community members, and concerned citizens in both Franklin and Fulton counties are coming together to discuss prevention efforts and participate in the community coalition for the prevention of substance use and abuse that started in August 2009 and is gaining momentum daily. 12 Needs Assessment Team Appendix 3 - SCA: Franklin/Fulton County Drug and Alcohol Program (Individuals assisting with your Prevention Needs Assessment Process) (Please provide the following information for each member of your county’s Needs Assessment Team) Job Title / Agency/ Role / Name Occupation Organization Responsibility Becky Greenawalt SCA, Program Franklin/Fulton County Data analysis, reviewer, AdministratorDrug and Alcoholsubmit plan to BDAP Christy Russell SCA, Fiscal Officer Franklin County Human Data analysis, reviewer Services Lauri Ryder SCA, Prevention Franklin/Fulton County Data analysis, reviewer, SpecialistDrug and Alcoholteam lead, combine plans, submit plan to SCA Admin and BDAP Alaina Ingels Grant Writer Franklin County Grants Interviews, data Managementanalysis, reviewer Carrie Jenkins Grant Writer Franklin County Grants Data analysis Management Jean Snyder County Human Service Fulton County Data analysis, reviewer Administrator Christy Unger Prevention Education Healthy Communities Data analysis, research, Coordinator, Coalition Partnership, Community administration of SecretaryCoalition for the surveys, interviews, Prevention of Substance data entry, document Use & Abusewriter Stacy McCole Grants Coordinator, Healthy Communities Research, Coalition 1 ChairPartnership, Community Administration of st Coalition for the surveys, data analysis, Prevention of Substance data entry Use & Abuse Elen Ott Executive Director Fulton County Center for Data analysis, research, Familiesadministration of surveys, interviews, data entry, document writer Debbie Hiller Family Education Fulton County Center for Data analysis, research, CoordinatorFamiliesadministration of surveys, interviews, data entry Jamie Taylor Communities That Care Fulton County Center for Data analysis, reviewer Community MobilizerFamilies Julie Dovey Executive Director Fulton County Data analysis, reviewer Partnership Sheri Morgan Parent, Coalition Community Coalition for Interviews, data memberthe Prevention of analysis Substance Use & Abuse **please see below** **Additional members from many organizations and sectors participated in the process of reviewing Needs Assessment work at Community Coalition for the Prevention of Substance Use and Abuse meetings over the past months. Attendance ranges from 15-35 members from many backgrounds including local government, elected officials, healthcare officials, media, educators, law enforcement, youth, civic groups, parents, business owners, and other organizations involved in prevention efforts. 13 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) Finding: Youth in Franklin County have higher than average lifetime alcohol usage Data Source: 2007 Pennsylvania Youth Survey (PAYS) Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Magnitude & Changeability How many people are affected by the problem and the severity of its effects? (Include information on the amount, age, gender and race of those affected, if known.) Students in 6, 8, 10, and 12 grade surveyed in PAYS report lifetime alcohol thththth usage higher than national rates (Monitoring the Future, 2007). How feasible is it to address this issue? Alcohol usage is currently being targeted by the educator on staff at the county. The bi-county coalition working to prevent substance abuse will also be targeting the underage drinking. A large part of the addressing of this issue is the need to educate parents on the hazards and laws surrounding providing alcohol to minors. How important is this issue to the community? Alcohol use and abuse is a huge issue in our county. Usage in Franklin County has led to very high DUI rates in the county. Key representatives surveyed stated that alcohol was very accessible to youth. Youth that start drinking at a young age have higher addiction rates. What are the possible impacts and/or consequences of addressing the problem? Addressing the problem will decrease the number of Franklin County youth engaged in underage drinkingecrease the number of alcohol-related crimes and costs to and d community. Also addressing would increase school achievement and attendance. What barriers / resistance might there be to solving this issue & how might they be minimized? Youth frequently get alcohol from their parents in the home. Parents need to be educated about the laws surrounding serving alcohol to minors so that they can fully understand the consequences. Funding and staff-time is a barrier to more people receiving prevention programming. 14 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) Finding: Youth in Franklin County have higher than average prescription drug usage Data Source: 2007 Pennsylvania Youth Survey (PAYS) Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Magnitude & Changeability How many people are affected by the problem and the severity of its effects? (Include information on the amount, age, gender and race of those affected, if known.) Students in 6, 8, 10, and 12 grade surveyed in PAYS report lifetime, past-12- thththth month, and past-30-day prescription drug usage are all higher than national rates (Monitoring the Future, 2007). How feasible is it to address this issue? Prescription drug use and abuse is a growing problem in the county. The issue can be addressed in schools and at parent education events. Prescription drug abuse is often misunderstood and education is vital to addressing the issue. The bi-county coalition working to prevent substance abuse will also be targeting prescription drug use. A large part of the addressing of this issue is the need to educate parents on the hazards of prescription drug use. The availability of these drugs in many households also needs to be addressed and changed. How important is this issue to the community? Many key representatives surveyed listed prescription drugs as available in their communities for both youth and adults. Many youth can find these drugs in their home medicine cabinets. This is an important issue for the community to address. What are the possible impacts and/or consequences of addressing the problem? Addressing the problem will decrease the availability of these drugs for youth in Franklin County. By addressing this problem, parents could be educated to discard or lock up unused prescription drugs. What barriers / resistance might there be to solving this issue & how might they be minimized? Prescription drug use and abuse is still a relatively unknown and unspoken form of drug use in the county. Many community members may not realize this is a problem 15 in the community and may be resistant to attending education events. Funding and staff-time is a barrier to more people receiving prevention programming. County-wide key issue Response: Higher than average prescription drug use Baseline data & source Response: Baseline data for Past-12-month use: Amphetamines - 4.3% of 8 th graders, 4.0% of 10 graders, 14.4% of 12 graders; Sedatives - 5.1% of 8 ththth graders, 2.8% of 10 graders, 9.3% of 12 graders; Tranquilizers - 1.5% of 8 ththth graders, 2.8% of 10 graders, 5.6% of 12 graders; Other Narcotics - 3.7% of thth 8 graders, 6.0% of 10 graders, 14.0% of 12 graders (2007 Pennsylvania ththth Youth Survey) Influencing risk factor(s) (Please indicate the risk factors that have been identified as influencing this issue.) Response: Parent knowledge, Social norms Protective factor(s) to be enhanced (Please indicate the protective factors that have been identified as needing to be enhanced to impact issue.) Response: Perception of harm, Family involvement, Involved in extra- curricular activities 16 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) Finding: Franklin County has one of the highest DUI rates in the state. Eighteen percent of high school seniors report having driven under the influence of alcohol and 23.4% report having driven under the influence of marijuana. DUI rates continue to increase for both juveniles and adults. Adults showed a 22% increase from 2008 to 2009 and there was a 100% increase in youth DUI arrests from 2008 to 2009. Data Source: UCR Police Crime Reporting in PA 2007 Pennsylvania Youth Survey (PAYS) Franklin County 2008 Juvenile Probation Annual Report Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Magnitude & Changeability How many people are affected by the problem and the severity of its effects? (Include information on the amount, age, gender and race of those affected, if known.) PAYS survey showed an overwhelming number of high school seniors drive while under the influence of alcohol or marijuana. Franklin County also has one of the highest DUI arrest rates in the state. UCR data show an increasing number of DUI arrests in the county, meaning the problem is affecting an increasing number of families. How feasible is it to address this issue? This issue should be addressed to many populations. Adults and high school students need to be educated about the dangers of driving under the influence. Influential, state approved effective strategies such as “Save a Life” tour should be presented to high school students. Over-serving of intoxicated patrons should also be examined at local bars and restaurants. Education should be provided to employees of area alcohol-serving restaurants about the danger and liabilities involved in over-serving patrons. How important is this issue to the community? The issue is of major concern to the community because DUI accidents are often fatal. What are the possible impacts and/or consequences of addressing the problem? Decreasing the number of drivers that get behind the wheel of a car while intoxicated will make the county a safer place. 17 What barriers / resistance might there be to solving this issue & how might they be minimized? Youth are probably the easiest and most feasible to target with education as adults are less impressionable. Also some restaurant and bar owners are hesitant to encourage employees to flag customers as this can result in a negative financial impact. Funding and staff-time is a barrier to more people receiving prevention programming. 18 19 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) Finding: Higher than average inhalant use in Franklin County High perceived availability of inhalants Data Source: 2007 Pennsylvania Youth Survey (PAYS) 2009 Prevention Needs Assessment Key Representative Surveys Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Magnitude & Changeability How many people are affected by the problem and the severity of its effects? (Include information on the amount, age, gender and race of those affected, if known.) Franklin County youth report 11.1% lifetime usage for inhalants according to 2007 PAYS. Inhalants were also considered by key representatives surveyed to be very accessible to youth. 8 and 10 graders had highest usage rates according to PAYS. thth How feasible is it to address this issue? This issue is addressed with youth as part of the in-classroom programs taking place in the county. Addressing parents is vital to this issue but is more difficult. How important is this issue to the community? It is important to address the issue since inhalants often have a reputation among youth as being safer than other drugs. Inhalants ranked as the third or fourth most available drugs to youth in Key Representative Surveys in each community surveyed in Franklin County. What are the possible impacts and/or consequences of addressing the problem? Inhalants are dangerous and the lack of knowledge of health consequences of these drugs influences teen perception about inhalant use. Awareness of the health effects and laws Increasing parental surrounding inhalant use will hopefully decrease youth inhalant use. awareness of what household products youth are using as inhalants is vital. What barriers / resistance might there be to solving this issue & how might they be minimized? Adults in the community often are not well-educated on the usage and effects of inhalants. Adults are often difficult to get to educational events. Funding and staff- time is a barrier to more people receiving prevention programming. 20 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) Finding: Higher than average steroid use in Franklin County High availability of steroids in Greencastle, Chambersburg Data Source: 2007 Pennsylvania Youth Survey (PAYS) 2009 Prevention Needs Assessment Key Representative Surveys Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Greencastle, Chambersburg Magnitude & Changeability How many people are affected by the problem and the severity of its effects? (Include information on the amount, age, gender and race of those affected, if known.) All school districts included in the 2007 PAYS report higher than average lifetime usage and past-30-day usage of steroids for at least one grade. Chambersburg and Greencastle had many key representatives report steroids as “available” to youth. How feasible is it to address this issue? Steroid education could be targeted to community athletes. How important is this issue to the community? Steroids have less negative consequences on the community than many other drugs but still can have devastating effects on users. What are the possible impacts and/or consequences of addressing the problem? Educating athletes, the group at the highest risk for use, would decrease youth usage in the targeted communities. What barriers / resistance might there be to solving this issue & how might they be minimized? Funds and staff time to do programs that affect smaller numbers of youth are not generally available at Drug and Alcohol at this time. Funding and staff-time is a barrier to more people receiving prevention programming. 21 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) Finding: High perceived availability of heroin Increasing heroin usage reported in Waynesboro Data Source: 2009 Prevention Needs Assessment Key Representative Surveys Interviews Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Chambersburg, Greencastle, Waynesboro Magnitude & Changeability How many people are affected by the problem and the severity of its effects? (Include information on the amount, age, gender and race of those affected, if known.) Key representatives report perception of high availability of heroin. When asked about availability of heroin (if “Don’t Know” answers are removed) 84% of Greencastle respondents, 69% of Waynesboro respondents and 70% of Chambersburg respondents say heroin is “Very Available” or “Fairly Available”. Community members interviewed in Waynesboro report increasing heroin use and heroin arrests in their area. How feasible is it to address this issue? This issue can be addressed using in-school programming in place. Due to limitations in staff and funding not all schools and grades are receiving programming currently. Heroin could be targeted as an important topic in these prevention education classes. How important is this issue to the community? The communities perceiving availability are located along major north/south Interstate-81. Availability and use are increasing as the drug is transported further from major cities and into these regions by way of local highways. What are the possible impacts and/or consequences of addressing the problem? Increasing local knowledge at all ages about the consequences of heroin usage may decrease use. What barriers / resistance might there be to solving this issue & how might they be minimized? 22 It is difficult to affect the availability of heroin in these communities. The trend of transporting drugs on major interstates is difficult to contain. Communities with a heroin problem often have trouble admitting there is a problem due to stigma. Funding and staff-time is a barrier to more people receiving prevention programming. 23 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) Finding: Franklin County youth have higher than average past 30-day tobacco usage (both cigarette and smokeless tobacco) Data Source: 2007 Pennsylvania Youth Survey (PAYS) Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Magnitude & Changeability How many people are affected by the problem and the severity of its effects? (Include information on the amount, age, gender and race of those affected, if known.) PAYS survey data was based on 8, 10, and 12 grade students at schools ththth throughout the county and shows significantly higher tobacco usage than national data according to Monitoring the Future. How feasible is it to address this issue? The program can be addressed by doing more in-school tobacco education in middle and high schools throughout the county. Funding is an increasing problem since state funding was cut last year for tobacco prevention programming. How important is this issue to the community? Tobacco usage costs taxpayers a large amount of money each year in healthcare costs and lost wages. This issue is especially important to the community as usage is so much higher than national averages. What are the possible impacts and/or consequences of addressing the problem? Increasing tobacco education often raises the age of onset of tobacco use. People who start using tobacco products at younger ages are more likely to have lifelong addictions to nicotine What barriers / resistance might there be to solving this issue & how might they be minimized? Parents are often a barrier to tobacco education as many adults use tobacco in our county as well and often youth acquire tobacco products from adults purchasing the products for them. The state budget impasse last year resulted in significant cuts in tobacco funding. PA Department of Health removed tobacco prevention completely from their budgeted Master Settlement monies, choosing to focus on tobacco cessation. Funding and staff-time is a barrier to more people receiving prevention programming. 24 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) Finding: Lack of availability of services in Franklin County Data Source: 2009 Prevention Needs Assessment Key Representative Surveys Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Magnitude & Changeability How many people are affected by the problem and the severity of its effects? (Include information on the amount, age, gender and race of those affected, if known.) Key representative survey respondents in every community (with the exception of Chambersburg, the county seat) reported a lack of availability of services in their communities. This affects a large percentage of the population of Franklin County. How feasible is it to address this issue? This issue is not feasible to address within Drug and Alcohol Prevention. How important is this issue to the community? This issue was a recurring theme in the communities in the county. People feel as if the services are not available in communities other than Chambersburg. What are the possible impacts and/or consequences of addressing the problem? Adding services or transportation would impact availability. What barriers / resistance might there be to solving this issue & how might they be minimized? Funding necessary to increase services and providers in communities other than Chambersburg would be tremendous. 25 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) Finding: Lack of public transportation to services in Franklin County Data Source: 2009 Prevention Needs Assessment Key Representative Surveys Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Magnitude & Changeability How many people are affected by the problem and the severity of its effects? (Include information on the amount, age, gender and race of those affected, if known.) Key representative respondents from every community reported a lack of public transportation to services throughout the county. The county does have an integrated transportation system that is free to Medicaid recipients but the service is highly expensive ($16 one-way) for other county residents. There is no other public transportation throughout the county. How feasible is it to address this issue? Other organizations and groups have been trying to address the issue with little success. How important is this issue to the community? Transportation offerings for low-income residents have greatly improved in previous years. Affordable transportation for other residents is severely lacking. What are the possible impacts and/or consequences of addressing the problem? Increasing transportation within the county from other communities to Chambersburg would affect the availability of services problem that currently exists in Franklin County. What barriers / resistance might there be to solving this issue & how might they be minimized? Finding an alternative, affordable public transportation within the county other than those currently offered for low-cost residents would be costly and a very large-scale project. 26