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HomeMy WebLinkAboutFulton Prevention Needs Assessment FULTON COUNTY Drug and Alcohol Prevention Profile Date Submitted: March 31, 2010 Table of Contents PART ONE: COUNTY INFORMATION ........................................................................................... 1 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 ........................ 4 D. BDAP Convenience Survey on Alcohol, Tobacco and Other Drugs ................................... 5 E. Method(s) Used for Obtaining Additional Information ..................................................... 5 F. Data Gaps ............................................................................................................................... 5 G. Documenting Findings and Data Sources ........................................................................... 6 II. Analyzing Magnitude and Changeability ................................................................................. 6 III. County-wide Findings & Key Issues ..................................................................................... 6 A. Summary of County-wide Preliminary Findings ................................................................ 6 B. County-wide Key Issue(s) to be Addressed ......................................................................... 6 IV. Specific Target Communities with High Need .................................................................... 9 A. Specific Community Identified as Having High Need ........................................................ 9 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 ........ 11 C. Strengths and Weaknesses in the Community(s) that May Affect Prevention Effort ..... 11 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 ................... 11 Appendix 3 - Needs Assessment Team .......................................................................................... 13 Appendix 4 - Documenting Preliminary Findings and Data Sources ......................................... 26 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: I - Fulton County Information Fulton County is a small eighth (8th) class county located in south-central Pennsylvania in the Cumberland Valley. Fulton County is a rural community and has two (2) boroughs (McConnellsburg, and Valley-Hi) and eleven (11) townships (Ayr, Belfast, Bethel, Brush Creek, Dublin, Licking Creek, Taylor, Thompson, Todd, Union and Wells). The county is located in the Appalachian Mountains of south central Pennsylvania along the Maryland State line. Rectangular in shape, the county is approximately 15 miles wide and 29 miles long; and has an approximate land area of 278,400 acres or 435 square miles. Ray's Hill Mountain provides the common boundary between Fulton and Bedford Counties on the west, while the Majestic Cove and Tuscarora Mountains separate Fulton from Franklin County on the east. Huntingdon County bounds Fulton on the north while the Mason-Dixon Line between Pennsylvania and Maryland bounds the county on the south. Sideling Hill is the principal mountain within the county boundaries with an elevation of 2,345 feet. Typical of the Appalachian Mountain area, the county is a series of small, narrow, flat valleys surrounded by ridges running northeast and southwest The borough of McConnellsburg is the county seat with a population of 1,073. Fulton County’s other borough, Valley-Hi, is the county’s smallest municipality with a population of 20. Ayr Township is the largest municipality in Fulton County with a population of 1,982 followed by Licking Creek (1,532), Todd (1,488), Bethel (1,420) and Belfast (1,341) Townships. Fulton County is 100% rural and is served by three (3) school districts (Central Fulton, Forbes Road, Southern Fulton and two parochial schools). The County has 12 students enrolled in PA Cyber Schools. According to the 2000 U.S. Census, the total Fulton County population is 14,261 (which is a 3.1% increase over the 1990 Census number, just slightly under the Pennsylvania population increase of 3.4 %.) There are approximately 3,507 people under the age of 18 in Fulton County (which equals 25% of the total population.) The County’s population by race and ethnicity includes: 98.3% Caucasian, 0.7% African American, 0.4% Hispanic/Latino, 0.20% American Indian or Alaska Native, 0.11% Asian and 0.04% other. Fulton County has 6,790 housing units with a total of 5,660 households. There is an average of 2.5 persons per household. Median household income in Fulton County is $34,882.00 while the average earnings per job are $29,851. Approximately 1 10.72% of the County’s population and 8.2% of the County’s families live below the federal poverty level. Because of the extreme mountainous terrain surrounding the county, transportation and access to services always top the list in any needs assessments conducted in the county. Due to the current economic conditions, Fulton County’s largest employer, JLG Industries, has significantly decreased their workforce. This has caused the county to have a significantly high unemployment rate. In February 2009 Futon ranked highest in the state at 16%. Since then unemployment has remained consistently above the state average and within the top five of Pennsylvania counties. SCA Options and Providers The Drug and Alcohol Program (D&A) within Fulton County is comprised of two departments: Case Management and Prevention. Case management services for Fulton County is provided by the Franklin/Fulton County Drug & Alcohol Program. Case managers serve adolescents and adults of all ages. They conduct treatment assessments, and arrange for consumers to enter treatment facilities and after care for individuals. The Intensive Case Management Program is a specialized program designed for certain clients who are dually diagnosed, heavily involved with criminal justice system, individuals involved with child welfare, intravenous drug users, clients who continually relapse, pregnant women, and women with children. Case managers adopt the Disease Concept of chemical dependency, which sees addiction as progressive and, if left untreated, as life- threatening. Franklin/Fulton County Drug & Alcohol Prevention Program contracts with the Fulton County Center for Families for prevention work within Fulton County. The Center for Families operates a number of prevention-based activities each year, including: The Reality Tour, a quarterly drug-prevention program targeting at-risk youth and their families. The Reality Tour provides students and their parents with a dramatic look at the consequences of drug use and abuse. Project Alert, a drug prevention curriculum used with all 6 graders at Central Fulton th Schools. Presentations in the area senior centers, which provide local seniors with information on a range of topics related to prescription drug safety. Other county agencies and organizations collaborate to expand the coverage of prevention activities in the area, particularly within the county’s three school districts. Examples include: 2  Fulton County Medical Center’s Tobacco Prevention program offers prevention programs in the county’s schools.  Forbes Road School District recently implemented a drug and alcohol testing program for student athletes.  The local Student Assistance Program coordinates Keeping It Real prevention curriculum in each of the schools  The Susan Byrnes Center provides education and anti-drug, alcohol and tobacco messages through the Drug Smart program for 5 graders in the three county th school districts.  Forbes Road School District has received a “Safe and Drug Free Schools” grant to provide for prevention services in the classroom for the last couple of years.  The county’s Children & Youth agency, Human Services Administration and Center for Families offer an annual conference in April (in recognition of Child Abuse Prevention month) dedicated to various child abuse/neglect problems being experienced in the county. Conference topics have included: 2009 – “Broken Families, Broken Dreams: High, Drunk & Parenting”, 2008 - “Protecting Children 2008”, 2002 – “Children First”, 2000 – “No Escape” (Kids and Substance Abuse), 1998 – “When Home Isn’t Safe”, 1997 – “The Impact of Change”, 1996 – “Keeping Promises To Our Children”, 1994 – “Times of Change, New Solutions”, 1993 – “Forming New Partnerships, Exploring New Options.” 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: Social Indicator - Uniform Crime Report PA Police Report Adult and Juvenile Crime 2009, 2007 PAYS surveys Community surveys BDAP Key Representative Surveys & BDAP Convenience Surveys _____________________________________________________________ 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: The BDAP Key Representative Survey was administered to members of Fulton County based on their expert knowledge in various areas of the community affected by substance use. These individuals were identified during a Community 4 Partnership meeting on 11/17/09 utilizing BDAP’s suggested categories including: D&A Providers, Human Service Organizations, Youth and Youth Organizations, Law Enforcement, Schools in the district, Medical Service and Professionals, Business and Industry Members, Local Government Representatives, Legal and Court System Providers, Parent Groups, Service Organizations in the County, Community Coalition Members and Clergy and Faith Based Organizations. Surveys were completed via hard copy surveys and distribution through email utilizing survey monkey. A total of 36 completed Key Representative Surveys were collected; this represents approximately 12 representatives from each of the three county school districts identified as communities for the survey. _____________________________________________________________ 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: The Convenience Survey was administered to the Fulton County Local Inter-Agency Coordinating Council (LICC) in hard copy format and was completed by individuals who participate in PTO meetings, Early Head Start Policy Council and Parent (KISS) Group. _____________________________________________________________ Method(s) Used for Obtaining Additional Information E. (e.g. - public forums, listening sessions, focus groups, interviews, surveys, observations, etc.) Response: The method used to gather additional information was conducted by distributing interview questions to specific focus groups who were deemed as pivotal community members. We enlisted the assistance of the following representatives: Fulton County State Police, the school Principals at Forbes Road High School, Central Fulton High School and Southern Fulton High School and the Fulton County Probation Department. Those participating were asked to discuss their personal opinions on drug use trends, needs, and the community strengths and barriers to reducing substance abuse. _____________________________________________________________ Data Gaps F. (Briefly identify any data gaps that were identified) Response: 5 The data gaps in identifying information during this survey process occurred in two areas: surveys that were distributed and were not completed or returned, and the surveys that were returned but were incomplete. Due to the absence of municipal police, there was no municipal police data available for Fulton County. _____________________________________________________________ Documenting Findings and Data Sources G. (See Appendix 4) ______________________________________________________________ Analyzing Magnitude and Changeability II. (See Appendix 4) _____________________________________________________________ County-wide Findings & Key Issues III. Summary of County-wide Preliminary Findings A. Response: Accessibility of alcohol and extensive use by youth – driving under the influence High inhalant use by youth Limited local prevention programming Higher than average tobacco usage, both cigarette and smokeless tobacco Lack of transportation to access prevention programming High number of youth using prescription drugs for non-medical uses High number of youth reporting symptoms of depression ______________________________________________________________ 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: Alcohol is easily accessible and prevalently used by Fulton County youth. Baseline data & source Response: 59.9% youth reported lifetime prevalence-of-use rate, 14.3 students reported using alcohol in past 30 days, 9.2% students reported being drunk or high at school in the past year (2007 PAYS) 6 Key representative surveys Influencing risk factor(s) (Please indicate the risk factors that have been identified as influencing this issue.) Response: Parent 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: High number of youth driving under the influence of alcohol Baseline data & source Response: 18.8% of Forbes Road 12 grade students reported driving after th alcohol use. 25.5% of Central Fulton 12 grade students reported driving after th alcohol use (2007 PAYS). Community member reports Influencing risk factor(s) Response: Availability of ATOD, Perceived Risk/Harm of Substance Abuse, Lack of Monitoring/Supervision, Family Management Problems Protective factor(s) to be enhanced Response: Healthy Beliefs and Clear Standards, High Monitoring of Youth Activities, No ATOD use/Abuse County-wide key issue Response: High inhalant use among Fulton County youth. Baseline data & source Response: 7.8% youth reported lifetime use (2007 PAYS) 84.7% Key Representative Respondents reported easy accessibility. Influencing risk factor(s) Response: Availability of ATOD Protective factor(s) to be enhanced Response: Healthy Beliefs and Clear Standards, No ATOD Use/Abuse County-wide key issue Response: Limited availability of prevention programming locally Baseline data & source Response: 2010 BDAD needs assessment, convenience surveys, and interviews with high school principles, PSP, and Probation. 7 Influencing risk factor(s) Response: Perceived risk/harm of substance abuse, favorable attitudes toward substance use. Protective factor(s) to be enhanced Response: Healthy Beliefs and Clear Standards, No ATOD Use/Abuse, norm of positive behavior County-wide key issue Response: Fulton County youth have higher than average tobacco usage, both cigarette and smokeless tobacco Baseline data & source Response: Combined use of tobacco products ranked highest among Fulton County students who reported lifetime prevalence-of-use rates for cigarettes at 39.1% and smokeless tobacco at 28.9% for a combined rate of 68%. 96.2% Fulton Key representatives in all three communities felt that tobacco products were easily obtained by youth. 39.1% of Fulton County students have used cigarettes at least once in their lifetime. 28.9% of Fulton County students have used smokeless tobacco at least once in their lifetime. (2007 PAYS) Influencing risk factor(s) Response: Perceived risk/harm of substance abuse, favorable attitude toward substance use, availability of ATOD Protective factor(s) to be enhanced Response: Healthy Beliefs and Clear Standards, Norm of positive behavior, No ATOD Use/Abuse County-wide key issue Response: High number of Fulton County youth abusing prescription drugs Baseline data & source Response: 77% key representative respondents reported easy access, 2007 PAYS showed higher than national average use. Influencing risk factor(s) Response: Availability of ATOD, Perceived risk/harm of substance abuse Protective factor(s) to be enhanced Response: Healthy Beliefs and Clear Standards, Autonomy, Sense of purpose and belief in a bright future, No ATOD use/abuse County-wide key issue Response: High number of youth reporting feeling symptoms of depression Baseline data & source Response: 2007 PAYS data shows that students consistently report feelings of sadness, worthlessness and failure across all grades. 8 Influencing risk factor(s) Response: Lack of Clear Healthy Beliefs and Standards from Parents, Schools, and Community, Family Management Problems, Low Neighborhood Attachment Protective factor(s) to be enhanced Response: Community Bonding, Healthy Beliefs and Clear Standards, Availability of constructive recreation, norms of positive behavior, pro-social opportunities, sense of purpose and belief in a bright future ___________________________________________________________ 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. The communities whose data established a high need exists where all three areas surveyed in Fulton County including Forbes Road School District, Central Fulton School District and Southern Fulton School District. 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: Central Fulton School District ______________________________________________________________ High Need Issue to be Addressed B. Response: Limited opportunities for youth to engage in positive after-school activities. ______________________________________________________________ Data Source(s) C. Response: The high need areas of Fulton County were determined by the data utilized from the Key Representative Surveys and classification of offenses from the Uniform Crime Report 2009. ______________________________________________________________ Analysis Process D. (Briefly describe the process used for determining this community-level high need issue) Response: Two analytical strategies employed. One qualitative: coding responses to open- ended questions asked in key representative surveys and identified community leader surveys. One quantitative: key representative responses above 60% were chosen as high need issues. 9 _____________________________________________________________ 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: The types of changes necessary to impact the high need issues identified in the analysis of Fulton County’s data include: Increasing mandatory school programs for education of drug prevention; establishing a scared-straight series for high impact of consequences; possible increase fines and consequences for all offenses of drug use, DUI’s, loitering, and other crimes of concern to send a message of intolerance on the part of the police and community; increase parental participation in educational programs; increase parental responsibility for fines and arrests of minor children; provide opportunities for positive youth activities in the community; develop local AA and NA affiliated programs in Fulton County; offer a local drug and alcohol facility in the community; increase funding to support law enforcement and prevention resources; establish a community watch program; offer qualified outpatient treatment providers in the community; and increase community transportation availability with a fleet of bus transportation services. Influencing risk factor(s) (Please indicate the risk factors that have been identified as influencing this issue.) Response: Low Neighborhood Attachment, Laws and Norms Favorable to Substance Abuse, Perceived Risk/Harm of Substance Abuse, Favorable Attitudes Toward Substance Abuse, Family Management Problems, Favorable Parental Attitudes Toward ATOD Abuse. Protective factor(s) to be enhanced (Please indicate the protective factors that have been identified as needing to be enhanced to impact issue.) Response: Community Bonding, Healthy Beliefs and Clear Standards, Community Supported Substance Abuse Prevention Efforts and Programs, Norm of Positive Behavior, Pro-social Opportunities, Sinse of Purpose and Belief in a Bright Future, Positive Family Dynamics, No ATOD Use/Abuse. Additional comments Response: County-wide and Community-level Capacity V. Resources (human and financial) Needed to Address Issues A. Identified Response: A prevention specialist for each school district is needed in order to coordinate, facilitate and direct the prevention efforts. This is necessary in order to reach every resident with effective prevention programs; develop and implement a centralized 10 prevention center fully staffed during after school and weekend hours to provide healthy alternative activities; sufficient funding to accommodate the above; and 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, Fulton County Center for Families, Fulton County Partnership, Fulton County Communities That Care, Community Coalition for the Prevention of Substance Use and Abuse, Susan Byrnes Center, Fulton County Medical Center, Women In Need, Head Start, McConnellsburg Middle School evidenced-based curriculum. ______________________________________________________________ Strengths and Weaknesses in the Community(s) that May C. Affect Prevention Effort Strengths: Strong collaborative board- Fulton County Partnership, CTC, and school district administration, as well as county commissioners. Weaknesses: Transportation, favorable community attitudes, isolation of individuals, lack of effective local law enforcement, funding limitations, limited choice of local service providers, no in-county prevention specialist, limited ability to provide prevention services in the school day due to academic requirements. ______________________________________________________________ Service Gaps that Have Been Noticed and/or Exist D. Response: in addition to the above (c), no comprehensive prevention programming exists, low community involvement in prevention efforts, not all schools participate in the PAYS survey. ______________________________________________________________ Assessment of Cultural Competence throughout County E. Response: Have had an increase in Spanish speaking citizens, as noted by increased attendance of Spanish speaking children in early childhood child care. ______________________________________________________________ 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 through meetings and activities of the Community Coalition for the 11 Prevention of Substance Use and Abuse. Additionally, Fulton County was awarded seed money to start a local Communities That Care. 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/OrganizatioRole / Name Occupation n 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 administrator 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, data Prevention of Substance entry, document writer Use & Abuse 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 analysis memberthe Prevention of Substance Use and 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) #1 Finding: Alcohol is easily accessible and prevalently used by Fulton County youth. Data Source: 2007 PAYS 2010 BDAP Key Representative Survey 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.)  Over 97% of Key Representative Respondents felt that alcohol was easily accessible to youth in all three county communities.  Fulton County youth reported a 59.9% lifetime prevalence-of-use rate.  14.3 Fulton students reported using alcohol within the past 30 days.  In Fulton County, 9.2% of students report being drunk or high at school in the past year making it the most prevalent of anti-social behaviors.  46% of Key Representatives surveyed replied that alcohol use by minors is tolerated in our community. How feasible is it to address this issue?  Expanded use of already available school-based curriculums including “Project Alert” and “PATHS” could assist efforts.  Newly established (1/2010) CTC program in Fulton will be an asset to prevention programming.  County leaders are actively participating in a bi-county Community Coalition for the Prevention of Substance Use and Abuse.  County leaders are supportive of expanding alcohol prevention programming. Local non-profit organization is researching the possibility of sponsoring the “Save A Life” program.  Fulton County Center for Families is currently providing some prevention services through Franklin/Fulton SCA funds. 14 How important is this issue to the community?  Alcohol is consistently listed as one of the leading concerns in our community as noted by the Fulton County Partnership (collaborative board) and Fulton County Human Service Administrator. What are the possible impacts and/or consequences of addressing the problem?  Decrease in number of Fulton County youths engaged in underage drinking  Decrease in number of alcohol related crimes and costs to community  Increased school achievement and attendance What barriers / resistance might there be to solving this issue & how might they be minimized?  Parental Attitudes favorable toward Antisocial Behavior  Limited parent support for prevention efforts 15 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) #2 Finding: High number of youth driving under the influence of alcohol Data Source: 2007 PAYS BDAP Key Representative Survey Responses by county high-school Principals and PA State Police to survey 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.)  At Forbes Road School 18.8% of 12 grade students reported driving after alcohol th use.  At Central Fulton 25.5 of 12 grade students reported driving after alcohol use. th  Community members report that alcohol is easily accessible to minors. How feasible is it to address this issue?  Expanded use of already available school-based curriculums including “Project Alert” and “PATHS” could assist efforts.  Newly established (1/2010) CTC program in Fulton will be an asset to prevention programming.  County leaders are actively participating in a bi-county Community Coalition for the Prevention of Substance Use and Abuse.  County leaders are supportive of expanding alcohol prevention programming. Local non-profit organization is researching the possibility of sponsoring the “Save A Life” program.  Fulton County Center for Families is currently providing some prevention services through Franklin/Fulton SCA funds.  Student SADD groups active in 2 of the 3 county schools How important is this issue to the community?  Alcohol is consistently listed as one of the leading concerns in our community as noted by the Fulton County Partnership (collaborative board) and Fulton County Human Service Administrator.  School Administration reports high concerns about the number of students involved in alcohol use when driving. 16 What are the possible impacts and/or consequences of addressing the problem?  Decrease in number of Fulton County youths engaged in underage drinking  Decrease in number of alcohol related crimes and costs to community  Increased school achievement and attendance What barriers / resistance might there be to solving this issue & how might they be minimized?  Challenges to involve parents in prevention efforts  May be difficult to change community perceptions/acceptance of behavior  Alcohol is easily accessible to minors in our community 17 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) #3 Finding: High inhalant use among Fulton County youth Data Source: 2007 PAYS 2010 BDAP 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.)  84.7% of Key Representative Respondents reported that inhalants were easily accessible to youth in all 3 Fulton communities. The remaining 15.3% were unable to determine availability; answering “Don’t Know”.  Fulton youth report lifetime inhalant use at 7.8%. How feasible is it to address this issue?  Expanded use of already available school-based curriculums including “Project Alert” and “PATHS” could assist efforts.  Newly established (1/2010) CTC program in Fulton will be an asset to prevention programming.  County leaders are actively participating in a bi-county Community Coalition for the Prevention of Substance Use and Abuse. How important is this issue to the community?  Inhalant use is one of the top 4 concerns related to ATOD by our County Administrator and Partnership Collaborative Board. What are the possible impacts and/or consequences of addressing the problem?  Decrease in the number of youth using inhalants  Decrease in the availability of inhalants to youth  Increase in youth’s awareness of the dangers associated with inhalant use  Increase in adult’s of signs/symptoms of inhalant use  Increase in adult’s knowledge of ways to limit youth’s access to inhalants What barriers / resistance might there be to solving this issue & how might they be minimized?  Parental apathy  Limited parent/community awareness of signs/symptoms of use  Funding limitations to wide-spread prevention programming 18 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) #4 Finding: Limited availability of prevention programming locally Data Source: 2010 BDAP Needs Assessment – Key representatives, convenience surveys and antidotal information collected from county high school principles, PSP and Probation. 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.)  All Fulton County youth, their parents, businesses, schools and community at large are impacted negatively by the limited prevention education.  Youth by the negative health impacts, school performance, tendency towards delinquency, low academic achievement, involvement in violence and increased anxiety and depression.  Parents by the added stressors of parenting youth who are involved with use/abuse of ATOD, expenses related to treatment, strains on the parent/child relationship and limited knowledge of appropriate prevention strategies that could asset them to effectively parent their child.  Business and community members are affected by the decrease in viable employment candidates, limited ability to develop economic community development and increase in theft/violence.  Schools are forced to spend increased amount of the annual budget on disciplinary/supervision of students and grounds and are also impacted by higher dropout rates and lower student academic performance. How feasible is it to address this issue?  Newly funded (as of 1/2010) Communities That Care program in Fulton County will assist in addressing prevention planning/programming.  County leaders are actively participating in a bi-county Community Coalition for the Prevention of Substance Use and Abuse. How important is this issue to the community?  Over 66% of county-wide key representative express concern about anti-social behaviors including crime, drug selling, fights and drug overdoses. 19 What are the possible impacts and/or consequences of addressing the problem?  Providing prevention/educational programming to increase the protective factors in our county that would result in a decrease in ATOD usage and risky youth behaviors. What barriers / resistance might there be to solving this issue & how might they be minimized?  Limited funding provided to bi-county SCA supports only one prevention specialist for both counties.  Discontinuation of tobacco prevention programming delivered locally by Fulton County Medical Center is a huge blow to prevention programming in Fulton County. 20 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) #5 Finding: Fulton County youth have higher than average tobacco usage, both cigarette and smokeless tobacco. Data Source: 2007 PAYS 2010 BDAP Key Representative Survey 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.)  Combined use of tobacco products ranked highest among Fulton County students who reported lifetime prevalence-of-use rates for cigarettes at 39.1% and smokeless tobacco at 28.9% for a combined rate of 68%.  96.2% Fulton Key representatives in all 3 communities felt that tobacco products were easily obtained by youth.  39.1% of Fulton County students have used cigarettes at least once in their lifetime.  28.9% of Fulton County students have used smokeless tobacco at least once in their lifetime. How feasible is it to address this issue?  This could be addressed by providing increased public awareness of effects of tobacco use, increasing educational programming beginning in schools with elementary students combined with parent education.  Expand use of “Clean Air for Healthy Children” with families of preschool children in educational programs and by health care providers. How important is this issue to the community?  Tobacco use has been a priority of Fulton. Since the inception of the Tobacco Prevention Program funded through PA DOH we have actively fought to reduce the numbers of our youth using tobacco products, parent tolerance and reduce the accessibility to tobacco by youth.  Fulton County Partnership (collaborative board) served as the Tobacco Prevention Board during the time funding permitted activity. What are the possible impacts and/or consequences of addressing the problem?  Improved health of residents throughout county  Decrease health costs due to tobacco-related diseases 21 What barriers / resistance might there be to solving this issue & how might they be minimized?  Discontinuation of Tobacco Prevention funding through local providers  Parent apathy and acceptance of behavior  Increase in number of business selling tobacco products to youth due to termination of compliance checks 22 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) #6 Finding: Lack of public transportation Data Source: 2010 BDAP Community Assessment 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.)  86% of key representatives responded that public transportation was not available in our county.  Fulton has no public transportation system in this 100% rural county  Availability of prevention services are generally limited by participants access to transportation. How feasible is it to address this issue?  Public transportation would not be a priority at this time for Fulton; however creative programming that is incorporated into existing community or school- based initiatives or school-based, combined with utilization of internet to offer self-study options to parents/youth could effectively address accessibility issues. How important is this issue to the community?  Addressing the transportation issues of Fulton County is one of the agenda items of the Fulton County Partnership Collaborative Board. What are the possible impacts and/or consequences of addressing the problem?  Increased parent and youth attendance and completion compliance at preventing programming events.  Increase in number and variety of prevention opportunities available for residents.  Decrease in number of youth participating in ATOD use and exhibiting risky behaviors. What barriers / resistance might there be to solving this issue & how might they be minimized?  Economic and geographic challenges are significant barriers to effectively addressing transportation issues in Fulton county.  Funding to support expanded prevention programming menu. 23 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) #7 Finding: High number of Fulton County youth abusing prescription drugs Data Source: 2007 PAYS 2010 BDAP Key Representative Survey 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.)  77% of key representatives reported that youth in Fulton County have easy access to prescription drugs for non-medical reasons.  2007 PAYS survey demonstrated higher than national average nonmedical prescription drug use in both school districts participating in the survey. 2009 Data not yet available. How feasible is it to address this issue?  A sustained community approach to reducing youth’s access to prescription drugs for non-medical use could be implemented.  This was included as one of the areas of concern in a recent application to Drug Free Communities grant which was submitted by Healthy Communities Partnership to fund the Franklin/Fulton Community Coalition for the Prevention of Substance Use and Abuse. How important is this issue to the community?  Prescription drug abuse has been listed as one of four leading concerns by Fulton County’s Human Service Administrator and other leaders surveyed in the BDAP Needs Assessment.  On the list of concerns of Community Coalition. What are the possible impacts and/or consequences of addressing the problem?  Improvements to the overall health and well-being of youth  Decrease in violence and crime in our communities  Increased school performance and attendance rates  Decreased burden on our health care system 24 What barriers / resistance might there be to solving this issue & how might they be minimized?  It is anticipated that it will be difficult to enlist the cooperation of health providers and pharmacies.  Limited funding could reduce the impact of our efforts.  May encounter challenges in securing parental involvement in prevention effort. 25 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) #8 Finding:  High number of youth reporting feeling symptoms of depression. Data Source: 2007 PAYS survey 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.)  2007 PAYS data shows that students consistently report feelings of sadness, worthlessness and failure across all grades. At Southern Fulton 40.4% and at Forbes Road 31.3% of students overall grades 6 through 12 reporting feelings thth of depression. How feasible is it to address this issue?  Could be included in new Communities That Care Initiative formed in Fulton 1/2010. How important is this issue to the community?  Strong community, school & church support of youth.  Strong support of county administration for mental health/healthy behaviors programming in community.  Good collaborative working relationships among providers: schools, community- based organizations, county programming. What are the possible impacts and/or consequences of addressing the problem?  Decrease in number of youth resorting to use of drugs and alcohol to mask their problems.  Decrease in incidents of youth violence related to use of drugs and alcohol.  Increase in academic achievement and school attendance.  Increase parental support to encourage youth to seek services to deal with mental health issues.  Increase in professionals of mental health resources and signs/symptoms of anxiety and depression. 26 What barriers / resistance might there be to solving this issue & how might they be minimized?  Limited access to mental health services related to distance and transportation.  Possible reluctance among youth and parents to utilize mental health services due to stigma.  Difficulty obtaining permission from parents to allow students into existing SAP program.  Parent apathy and economic may make success challenging. 27 Appendix 4 - Documenting Preliminary Findings and Data Sources (Please provide the following information for each of your preliminary findings) #9 Finding: Limited opportunities for youth to engage in positive after-school activities. Data Source: BDAP Key Representative Survey Level of Impact: County-level Community-level issue If community-level, please indicate community(s) impacted: Central Fulton School District - McConnellsburg 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.)  83.3% of key representatives from Central Fulton report that there are large number of youths loitering on streets in McConnellsburg and surrounding areas. How feasible is it to address this issue?  Existing Parks and Recreation Committee in Fulton could assist in providing more positive opportunities for youth.  One of the goals of the Community Coalition for the Prevention of Substance Use and Abuse is to provide more youth oriented positive activities with educational topics.  CTC could assist in addressing this area.  May be able to identify more community resources willing to provide youth activities i.e.: churches and community organizations. How important is this issue to the community?  As demonstrated by the buy in from local municipalities to the Parks and Recreation Commission our local leaders value positive recreations opportunities for youth. What are the possible impacts and/or consequences of addressing the problem?  More positive parent/child interactions  Increased participation in positive activities among youth  Decreased number of youth feeling detached from community 28 What barriers / resistance might there be to solving this issue & how might they be minimized?  Funding may limit provision of opportunities for youth.  Distance and limited transportation may limit youths’ ability to participate in activities. 29