HomeMy WebLinkAboutMINUTES - 07201993 - IO.2 TO: BOARD OF SUPERVISORS 1 .0.-2
Contra
FROM INTERNAL OPERATIONS COMMITTEE Costa
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DATE: July 12 , 1993 �,:;.::--..�;`�� County
� C'UUy
SUBJECT: STATUS REPORT ON THE IMPLEMENTATION, MONITORING AND EVALUATION
OF THE DRUG AND ALCOHOL ACTION PLAN
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1 . ACKNOWLEDGE the attached report from the Health Services
Director on the Drug & Alcohol Action Plan, Evaluation of the
Action Plan and meeting of the Countywide Coordinating
Committee.
2 . REEMPHASIZE that the Health. Services Department carries the
primary .responsibi1ity to implement the Drug & Alcohol Action
Plan, including not only the prevention aspect, but also the
treatment and law enforcement aspects of the Action Plan.
3 . ADD as a "primary focus" for the Partnership Coordinators, as
outlined on page 2 of the section of the attached report
entitled: Community Partnership Forum - A Proposal, the
following:
"To monitor and evaluate the implementation of the Drug. &
Alcohol Action Plan" .
4 . DIRECT the Health Services Director to convene the Countywide
Coordinating Committee in October, 1993 for the purpose of
providing the Coordinating Committee meeting as an opportunity
for the participants to take part directly in the evaluation
process by completing the evaluation forms designed to measure
the implementation of the Drug & Alcohol Action Plan, as the
Board of Supervisors directed on January 5, . 1993, and to
review the indicator data to determine which data appears to
most accurately measure the progress which has been made in
the implementation of the Drug & Alcohol Action Plan.
CONTINUED ON ATTACHMENT: X YES SIGNATURE: l
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD C IT
APPROVE OTHER /
SIGNATURE S: o
ACTION OF BOARD ON A PROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED oe / 3713
Contact: PHIL BATCH R,CL K OF THE BOARD OF
cc: Coun y .Administrator SU AND COUNTY ADMINISTRATOR
Health Services Director
Substance Abuse Coordinator
BY DEPUTY
I .O.-2
5 . DIRECT the Health Services Director to report further to our
Committee on October 11, 1993 on the following:
* The agenda for the Countywide Coordinating Committee
meeting.
* The results from the Partnership forums which are to be
held in September.
* The status of the evaluation plan.
* A general update on the activities which have taken place
since July in terms of implementing the Drug & Alcohol
Action Plan.
BACKGROUND:
Our Committee has been providing oversight to the implementation of
the Drug & Alcohol Action Plan for several years . Our last report
on this subject was approved by the Board of Supervisors on January
5, 1993 .
On July 12, 1993, our Committee met with Chuck Deutschman,
Substance Abuse Coordinator; Jerry Nava, Alcohol Program
Administrator; Kathy Padro, Prevention Coordinator for the Alcohol
Programs; and Amalia Gonzalez del Valle, the new Project
Coordinator for the Center ( formerly Office) for Substance Abuse
Prevention Project (CSAP) . The staff reviewed the attached report
with us in some detail .
We are somewhat concerned that the description of the activities
which have been taking place seem to emphasize the prevention
programs to the exclusion of the other elements of the Action
Program (treatment and law enforcement) . Since the Regional
Coordinators are apparently going to be called "Partnership
Coordinators" we are concerned that this may also place so much of
an emphasis on the CSAP grant and prevention activities that
treatment and law enforcement involvement will be pushed to a less
important level of activity. We have asked, therefore, that their
primary focus include monitoring and evaluating the implementation
of the Drug & Alcohol Action Plan. We are also trying to emphasize
that regardless of what the Partnership Coordinators are doing with
the CSAP grant, we are going to hold the Health Services Department
responsible for the implementation, monitoring and evaluation of
the Drug & Alcohol Action Plan.
In terms of the Countywide Coordinating Committee, plans for an
October meeting seemed not to have been solidified, nor has a date
or place been established. We are, therefore, trying to emphasize
the importance we place on having the Countywide Coordinating
Committee meet in October. A significant part of the reason for
this meeting should be for those who are present to complete
evaluation forms for the Drug & Alcohol Action Plan and provide
input on which indicators should be used in the final evaluation
report to demonstrate the progress which is being made in achieving
the objectives of the Drug & Alcohol Action Plan.
We emphasized again the three elements which we believe are
essential in order to complete the evaluation process :
* Are people from the community meeting with each other?
* Did the activities take place which were to take place?
* Are the outcomes changing in terms of people's behavior?
Despite the fact that the Countywide Coordinating Committee has not
yet had an opportunity to have input to the evaluation process, we
have been assured by staff that the evaluation will be completed on
schedule by the end of December, 1993 .
We are asking that the Health Services Director report back to our
Committee on October 11, 1993 on each of these issues so we can
continue to provide the necessary oversight on these activities .
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Contra Costa County
The Board of Supervisors HEALTH SERVICES DEPARTMENT OFFICE OF THE DIRECTOR
Tom Powers, 1st District Mark Finucane, Director
Jeff Smith,2nd District
Gayle Bishop,3rd District 20 Allen Street
Sunne Wright McPeak,4th District Martinez,California 94553-3191
Tom Torlakson,5th District (510)370-5003
o' ;z FAX(510)370-5098
County Administrator 4oe
Phil Batchelor � n *�
County Administrator
DATE: June 29, 1993
TO: Internal Operations Committee
FROM: Mark Fin A, 6*alt�rvices Director
SUBJECT: FOLLOW UP TO REPORT FROM INTERNAL OPERATIONS
COMMITTEE ON THE IMPLEMENTATION OF THE DRUG AND
ALCOHOL ACTION PLAN AND THE EVALUATION PROCESS
In response to the report from 10 approved by the Board of Supervisors on January 5, 1993, the following
is a brief summary of the actions taken to further the work of the Action Plan and its subsequent evaluation.
I. UPDATE ON THE COMMUNITYWIDE DRUG & ALCOHOL ACTION PLAN
A status report on current activities and strategies of the Action Plan and the Partnership for
a Drug Free Contra Costa County is attached. Without question the work of citizens across
the county has not only continued to gain momentum, but has also become more defined in
substance and purpose. In the early years of the Action Plan and the development of regional
Partnership groups, much time was spent in team building, resource assessment, and a
general exploration of the goals and identity of each individual steering committee. As the
movement matures into its fourth year (3rd year for the CSAP grant) the focus has evolved
to one of public policy and social change strategies, rather than simply creating activities.
This has far reaching implications in the overall effort to change attitudes and behaviors and
in creating a zero tolerance for substance abuse at the community level.
H. STATUS ON THE EVALUATION OF THE ACTION PLAN
The process for evaluating the Action Plan began immediately after the action plan was
implemented. Since that time a number of tools, documents, and instruments have been
developed. The enclosed information includes a final version of the survey instrument for
Action Plan group participants, criteria and questionnaire samples for key informant
interviews, and two timelines charting the course of the evaluation effort: one for general
consumption and one for use by the evaluation consultant and the Department.
III. COUNTYWIDE COORDINATING COMMITTEE
Partnership Coordinators will be presenting to their respective steering committees the
concept of a newly formed Partnership Forum which would provide a more cohesive planning
vehicle for future regional and countywide initiatives. The Forum will convene previous CCC
members in a Fall mini-conference to address topics requested by regional groups: Media,
Fund Raising,Volunteer Recruitment, and Public Policy.
Merrithew Memorial Hospital 8 Clinics Public Health • Mental Health • Substance Abuse Environmental Health
Contra Costa Health Plan Emergency Medical Services • Home Health Agency Geriatrics
A-345 (2/93)
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ACTION PLAN REPORT
UPDATE 1993
"THE PARTNERSHIP FOR A DRUG FREE CONTRA COSTA"
7 �
CONTENTS
I. CSAP Partnership Update
Executive Summary
A. Structure and Governance I
B. Membership 2
C. Prevention Strategies 2
1. Public Policy 2
2. Collaboration and Coalition Building 4
3. Media and Information Dissemination 5
D. Events and Activities 5
E. Project Administration and Evaluation 10
H. County-wide Coordinating Committee Update
Executive Summary
A Proposal for County-wide Partnership Coordination 1
III. Action Plan Evaluation Progress Report
Executive Summary
A. Purpose and Methodology 1
B. Progress to Date I
Tools and Instruments 1
Collection of Survey Data 2
Key Informant Interviews 3
Indicator Data 3
EXECUTIVE SUMMARY
CSAP PARTNERSHIP UPDATE
The "Partnership For A Drug Free Contra Costa County" project seeks to assist
major regions within the county to identify and define the extent and nature of
the substance abuse problems in their area and address the problems through
regional committees that utilize the "Action Plan" as a framework. The "Action
Plan" unifies all sectors of the community to implement strategies that will
ultimately lead to clear, consistently applied messages that attempt to change
social norms and conditions that sustain substance abuse.
In order to accomplish this, the work of the Partnership is centered around
three process-oriented goals and objectives:
Goal #1: To perpetuate, or institutionalize the operational framework of
the Partnership and encourage a county-wide collaborative process in the
continued development and implementation of the Partnership's 'Action
Plan'.
Developing the Partnership Structure
Since the 1990 grant award was received, much effort has been put forth to
bring meaning and legitimacy to the community prevention approach in
Contra Costa County. Creating a structure for cross pollination of ideas,
knowledge transfer, and county-wide policy implementation has been a
challenge, sustained to a large extent by the commitment of many volunteers
and concerned citizens.
The difference between early community action and what is happening today is
clear. For the most part early efforts in 1989-90 had as its reference point the
annual summits and quarterly County-wide Coordinating Committee meetings
designed to mobilize interested citizens and providers into action. Today, the
'Action Plan' Partnership initiative is based on forging dynamic relationships
with schools, police, businesses, clergy, housing, social services, and continue
to engage in on-going outreach efforts to sustain the momentum.
Though regional steering committees and representatives have championed
local efforts, building a "Partnership For A Drug Free Contra Costa County"
has not been a series of random events. Rather, the task has been to insure
that each of our regional strategies be a coordinated effort consistent with the
'Action Plan' goals that suggest an overall county-wide Partnership process.
The Partnership Coordinators have drafted a proposal to address the
Partnership's regional organization and county-wide linkages, the Partnership
Forum, which is included in this report, and will soon be presented to each of
the Regional Steering Committees. The purpose of this forum is to increase the
effectiveness of collaborative strategies and coordination of prevention planning
efforts through the use of media, training, public policy initiatives, fundraising
events, grant proposals, and recruitment of volunteers.
Goal #2: To increase the coordination of existing local prevention
resources, as well as 'Action Plan' initiatives to insure the consistent
communication of prevention messages to all segments of the
community.
Building the Membership
Since coordination of resources and activities requires much effort, the need
to re-vitalize the volunteer base is an important component of each regional
group's viability. As the 'Action Plan' Partnership evolves and the level of
involvement shifts, strategies to increase inclusion of community sectors and
to recruit members from underrepresented groups, are articulated as regional
goals and key priorities for 1993-94.
Goal #3: To encourage consistent, long term community involvement by
building self sufficiency into both the operational framework, and the
planning and implementation processes.
Prevention Strategies and Activities
Since the last 'Action Plan' Update, a variety of activities have taken place at
the local, regional, and larger community of Contra Costa County. Volunteer
efforts have been recognized and celebrated as the backbone of the Partnership
endeavors, and as the Partnership entered the third year of its existence,
prevention efforts gradually moved away from a 'short term' activities
framework to a more efficient 'long term' strategic planning rooted in public
policy and the environmental approach to substance abuse problems.
To sustain such efforts, regions are linking together to share resources and to
promote collaborative endeavors. Of particular interest is the recent work with
the media to both promote the work of Regional Steering Committees and to
assist in the process of information dissemination e.g. the Youth Media
Projects in three of the regions and planning of a county-wide Youth
Conference in the Spring. Also, the regions and the Substance Abuse Services
Division staff are currently involved in joint development of two grant proposals
e.g. Prevention in the Workplace and Tobacco Education Ethnic Specific
Technical Assistance.
Project Administration and Evaluation
New developments in the administration of the Partnership include securing
rollover moneys from the 1991 budget allocation, resignation of the former
CSAP Project Director and hiring of a new Project Director. Also, during the
past few weeks regional data has been collected and several reports generated
for the CSAP Project e.g. Bi-Annual Report, Continuation Grant, National
Evaluation, and COMPASS Training Need Assessment.
The second year evaluation report is scheduled to be presented to the Regional
Steering Committees in August. The "'Action Plan"' evaluation data collection
and local evaluation data analysis is currently in process. The Substance
Abuse Administration, CSAP Project Director, and Partnership members are
committed to an evaluation design that not only respects the diversity of
Contra Costa County Partnership, but accurately describes what is in place,
what is expected, and what needs to be developed to achieve "Action Plan"
Partnership stated goals and objectives.
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I. CSAP Partnership Update
A. Structure and Governance
Changes in one of the regional grant managers [Central], different perceptions
regarding Partnership responsibilities IWestI, and merging of two local planning
coalitions [South] has yielded a high level of involvement of the Regional Steering
Committees in the governance of the Partnership during this period.
• Acalanes/Lamorinda - Although in the original Partnership Grant
Application the T.O.Y.S Board of Directors was designated as the Regional
Steering Committee, the Board has been preoccupied with matters crucial to
the development of the organization. Recently the Board made a decision to
recruit members from the Acalanes Unified High School District DATE
Committee and other community representatives to convene a Regional
Steering Committee. The CSAP Project Director has offered technical
assistance to support this endeavor.
• Central County - During this period the Regional Steering Committee was
involved in creating a bid process to move the grant contract from the City of
Concord to a new grant manager. There was a strong competitive process
and ultimately a nationally known non-profit, the Center for Human
Development, was chosen to being operating last November. The Central
County Regional Steering Committee also conducted a search for a full time
Partnership Coordinator and a part time grant writer. At the end of April, Ms
Leslie Philbrook was hired as Coordinator and Ms Melody Jones as grant
writer.
• East County - Last December, the Regional Steering Committee voted to
continue to act as a networking body and as a brokerage/clearing house for
AOD information In East County. The Regional Steering Committee assessed
that 1992 goals had been accomplished, and developed new goals for 1993
that emphasize advocacy for local implementation of Tobacco Ordinances.
The Regional Steering Committee involvement with the City of Antioch's
Alcohol Demonstration Project funded by the State Department of Alcohol
and Drug Programs and conducted by the Institute for Social Change at the
University of California at Berkeley has continued. The Regional Steering
Committee was asked by the City of Antioch to take a lead role in the next
stage of the project, to convene problem-oriented task groups to address
issues of drinking and driving, drinking among youth, and public drinking.
• West County - The Regional Steering Committee and the leadership of
Contra Costa County Health Services met several times between December
1992 and June 1993, to establish a process by which to clarify expectations
and responsibilities that ensure achievement of Partnership goals and
objectives. As a result of these meetings, a Partnership Responsibility Chart
developed by CSAP was used by the Regional Steering Committee to
delineate roles, responsibilities, accountability, lines of communication,
decision-making, problem solving, and conflict resolution processes between
the coalition, the fiscal manager, United Way/Opportunity West, and the
County Health Services Department Substance Abuse Division.
• South County-The Regional Steering Committee folded into the San Ramon
Valley CASA and the membership is considering taking on the responsibility
of becoming the South County Regional Steering Committee. During the
month of May, at the SRV CASA General Meeting, the membership
unanimously voted to participate in a retreat at the end of September. The
purpose, to clarify the SRV CASA's mission and the responsibilities entailed
in becoming the South County Regional Steering Committee. The
Partnership Coordinator and the SRV CASA Board have already made
arrangements with the CSAP Training Technical Assistant Program to
request a facilitator for the follow-up retreat.
B. Membership
The Regional Steering Committees have identified the need to be more inclusive
and to recruit new members from underrepresented groups, community sectors,
and geographical areas that comprise the regions.
• East County - The Regional Steering Committee strategy for recruitment of
new members includes advertising through the Delta 2000 Newsletter, the
Regional Steering Committee monthly meetings, conducting meetings that
are open to all who wish to attend, encouraging speakers to request time in
the Regional Steering Committee agenda, taking on projects such as the
Antioch Community Alcohol Problem Prevention Planning [ACAPPPI, and
doing outreach to local organizations e.g. the local National Guard Unit.
• South County - Members of the former Regional Steering Committee and the
San Ramon Valley Health and Human Services Coordinating Council merged
with the San Ramon Valley CASA. San Ramon Valley CASA Board was
reconstituted last November and now includes several members of the SRV
Health and Human Services Coordinating Council. The merger was an effort
by the Regional Steering Committee to avoid duplication and a strategy
orchestrated by the Partnership Coordinator to make the future Regional
Steering Committee, San Ramon Valley CASA, more inclusive by recruting
members from cities other than San Ramon.
• West County - Last March, the Parchester Village Young Adult Association
formally joined the West County Regional Steering Committee providing the
Regional Steering Committee with a large contingent of African American
young adults that represent concerned citizens from the City of Richmond.
Also, one of the Regional Steering Committee Sub-Committees, the Inclusion
Committee, has been charged with the task of designing an action plan to
increase membership representation.
C. Prevention Strategies
1. Public Policy
Partnership public policy efforts are coming to the forefront. To aid in the
process, a survey instrument was developed by the former Project Director. Last
December, the "Contra Costa County Survey of Alcohol Related Regulations" was
distributed to all the regions and county administrators. Data collection is still
in process with completion targeted for the Fall. Findings will provide a public
policy blueprint for the regions.
A partnership with the County Public Health Tobacco Control Program has been
established at the regional level. The tobacco advocates have successfully
"infiltrated" the Regional Steering Committees which are now working to pass
tobacco control ordinances in a number of key cities in Contra Costa.
All regions are raising community awareness related to the sponsoring of
community fairs and other events by the alcohol and tobacco industries,
including the relationship of sponsorships to alcohol availability and the
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regulation of alcohol sales. Particular attention is paid to the various Fourth of
July celebrations, high school graduation parties, and summer recreational
activities i.e. drinking in public parks, boating, etc.
• Central County - The Regional Steering Committee encouraged Central
County cities to adopt legislation on alcohol consumption at juvenile parties.
CASA representatives drafted, promoted and helped pass the Juvenile Party
Ordinance in each of the Central County cities. The ordinance makes it a
misdemeanor to allow a party or gathering, in a private residence of
underage people who are consuming or in possession of alcohol. Police
records already show a decrease in the number of second response calls
prompted by juvenile unsupervised gatherings. Central County Regional
Steering Committee has also developed a designated driver program
accompanied by a video on the effects of drunk driving, and plans to target
the regional High School's Driver's Education classes to engage high school
students in the program before they even become eligible to get their driving
licenses.
• East County - The Regional Steering Committee is working on Conditional
Use Permits in the City of Antioch to address the problems identified by the
Alcohol Assessment Project. The Planning Commission agreed to include the
Permit language in the new zoning ordinances and Regional Steering
Committee members have met with City staff to draft the ordinance by May,
1993. This ordinance will give the City the authority to act against on
sale/off sale establishments which are serving minors, limit the number of
establishments within a given area, control proximity to schools and
churches, etc. The Steering Committee is also working with Brentwood,
Antioch and Pittsburg to develop tobacco control ordinances which ban
vending machines and mandate smoke-free work places. The Committee has
begun an ordinance campaign with members of Contra Costa County's
Tobacco Prevention Project to educate the community about the ordinances
with presentations to local church groups, service clubs, and PTA's.
• South County - The Substance Abuse Division provided impetus and
contacts for the creation of a Responsible Beverage Service Program in
Contra Costa County. With the support and interest of the South County
Partnership, the Substance Abuse Division submitted a grant proposal to the
Cowell Foundation. The proposal was not funded and, on the advice of the
HSD, a new proposal with a local approach was submitted by the South
County Partnership manager, the San Ramon Valley Community Services
Group. South County recently received confirmation of funding for a one
year, $21,000 grant award. The project is schedule to begin July 1, and will
consist of[a] training of trainers; [b] special events curriculum development;
and [c] ongoing training for special events permit holders. To bring legitimacy
to this training project the South County Partnership Coordinator is working
toward public ordinance approval in the Town of Danville and the City of San
Ramon, to mandate server training as a condition of receiving a Special
Events [one day use] permit. The South County Partnership Coordinator will
further the effort by engaging the business community in developing a
framework for a local RBS council which could include restaurant and hotel
owners and managers, chambers of commerce, etc. Also, the local
community task force group, San Ramon Valley CASA has made a
commitment to make this project a priority in their 1993-94 planning efforts,
thus, providing the community advocacy required for the passage of
ordinances in the region. Regional participation in all stages of the project
will provide an opportunity to develop a model that can be duplicated in
other communities across the county. For this purpose, the training of
trainers will include two representatives from each of the Regional Steering
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Committees. To sustain the effort and to ensure its application to other areas
of the county, the Substance Abuse Division will seek funding from a variety
of sources.
2. Collaboration and Coalition Building
Now that the grant is past the half-way point of its five years, it is imperative
that the regions determine what needs to be created for self sufficiency after the
funding ends. Most regions are discussing the issue and are engaged in some
level of fundraising or grant writing. For example, Central County hired a grant
writer to submit proposals as a way to generate new funding sources.
In the last few months, discussions regarding collaboration among regions has
surfaced as a commitment to bring together resources, to promote cross-
fertilization of ideas, approaches, and linkages among Contra Costa County
substance abuse prevention "stakeholders" i.e., volunteers, concerned citizens,
ADO community agencies and grass roots organizations, members of the
Regional Steering Committees, and the Substance Abuse Division.
• The Substance Abuse Services Division Grant Supervisor, Steve Loveseth
and the Project Director are discussing strategies for collaboration between
the Regional Steering Committees and the Substance Abuse Division. Mr.
Loveseth has already met with the Partnership Coordinators and provided
copies of recent RFT's pertinent to the Partnership. The Project Director has
convened two meetings between the Substance Abuse Division staff and the
Partnership Coordinators to initiate development of two grant proposals, the
CSAP Prevention in the Workplace Application, and the Smoking Cessation
Training with Ethnic Minorities Grant Application.
• Plans for a County-wide Youth Conference scheduled for Spring of 1994 are
underway. The effort brings together three regions Central, East, and West
that either had or currently have Youth Media Projects sponsored by United
Way. The planning team in collaboration with the Substance Abuse Division
prevention staff, drafted a list of community agencies and volunteers to mail
invitations asking them to participate in the planning process.
• Central County Regional Steering Committee is drafting a proposal to
coordinate quarterly Public Policy Interlink training meetings, to be rotated
through the regions. The purpose of these meetings will be to promote
cooperation, sharing and education among community volunteers in Contra
Costa County.
• South County's Responsible Beverage Service training will bring together
representatives from all the other regions and is tailored to produced a model
that can be adapted and replicated in other regions. Project is scheduled to
begin July 1st.
• West County Steering Committee is interested in meeting with other Regional
Steering Committees to share information and identify mutual concerns. In
the last few days, members of the Regional Steering Committee met with the
Health Services Director, the Substance Abuse Director, and the Partnership
Project Director to discuss strategies in how to best approach the AIDS/HIV
epidemic in West County. As a first step in this direction, an AIDS
presentation is scheduled for the next Regional Steering Committee meeting,
July 14.
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3. Media and Information Dissemination
The Partnership contracted with the firm of Fischer and Hardwicke to develop a
marketing strategy to increase awareness of the Action Plan. In collaboration
with Partnership members, the firm developed a logo, newsletter, and media
outreach project which included an Action Plan poster/essay contest. Winners of
the contest were awarded savings bonds donated by Rotarians Against
Substance Abuse and were honored in the Board of Supervisors Chambers.
Acalanes/Lamorinda, East, South and West publish newsletters to disseminate
information regarding resources, activities, and special events. To increase
awareness of the Action Plan and to more effectively coordinate prevention
efforts for information dissemination, the Project Director has requested that all
regional newsletter, mailings, flyers, and brochures include the Action Plan
Partnership For A Drug Free Contra Costa-County name and logo.
The Partnership Coordinators have.agreed to engage the Regional Steering
Committees in developing a mechanism that assures County-wide participation
and distribution of the Action Plan Newsletter, at least twice a year. The next
issue is planned for the Fall.
Another tool to increase public awareness of the 'Action Plan' was created for the
media and general public. A Fact Sheet [attached] designed by the Substance
Abuse Division was distributed to the public through the Public and
Environmental Health Advisory Board during Public Awareness Week.
D. Events and Activities
Fun Fest '93: A Party With A Purpose-Celebrating Families and
Communities - This special event, billed as a "health fair in a carnival
environment" was planned by the Health Services Department in collaboration
with representatives from the five Partnership Regional Steering Committees.
The planning committee consisted of 35 public and private agency
representatives and concerned citizens from across the county. The event was
designed to highlight the Action Plan, promote the partnership for A Drug Free
Contra Costa, and provide an opportunity to disseminate information on
substance abuse issues, programs, etc. The Fund Fest drew approximately
4,000 participants to the Richmond Auditorium and engaged over 150 non-profit
service organizations many of whom had never been previously involved in
Action Plan/Partnership activities. The Action Plan contest winners received
awards at the Fun Fest event and recognition ceremonies for both the contest
winners and the Fun Fest Planning Committee took place in the Board of
Supervisors chambers which was filmed for airing on local cable stations.
Community Education Videos - The Substance Abuse Division sponsored the
production of three educational videos in collaboration with Central County
Partnership to be aired across the county. This included videos on the use of the
Family Substance Abuse Agreement, a local DARE graduation and celeveration,
and Friday Night Live's recent Youth Conference.
Alcohol Awareness Month - Several activities took place around the county to
observe Alcohol Awareness month. Presentations were made to the Board of
Supervisors, the Substance Abuse Advisory Board, regional Partnership groups
and local prevention task force groups. Press releases and fact sheets were sent
to media representatives around the county; alcohol free recipes and
Responsible Beverage Service tips were sent to service clubs; resource
information on the special needs of Children of Alcoholics was sent to over 200
schools.
5
Mother's Day Restaurant Campaign - Fifteen volunteers from three of the five
regional Partnership groups worked with Substance Abuse Division prevention
staff in canvassing their neighborhoods to engage the hospitality industry in a
prevention effort honoring pregnant patrons with complimentary alcohol free
beverages on Mother's Day. Approximately 90 establishment got involved. Two
PSA's were aired on local cable stations the week prior to the event. Press
releases were sent out and Channel 5 covered La Cantina's participation on the
6:00 p.m. news.
Sober Graduation - Partnership groups, Friday Night Live, and the Substance
Abuse Division all developed their own strategies to support local efforts around
alcohol and drug free graduation celebrations, This included party tips,
presentations to parents a t the Center for Human Development, and
information sent to schools and to PTA's.
Acalanes/Lamorinda
• The first annual parent conference "Building Awareness: Tools for Effective
Parenting" was held March 27, 1993, the result of collaboration between six
area school districts with support from city councils and service
organizations.
• Business Partnership Day was held April 29, at Miramontes, Acalanes, and
Campolinda High Schools. Open Gym, a coed summer program funded by
the Orinda Women's Club in collaboration with Acalanes Union High School
was organized and currently managed by the Acalanes/Lamorinda
Partnership Coordinator.
• Yellow Pages Resource Binders were produced, updated and disseminated.
The first edition of a monthly Newsletter, designed to showcase successful
programs while educating the community on important issues around
parenting and role modeling was mailed in December to local schools and
service organizations.
• The second annual fundraising for T.O.Y.S, a "Tee Off for Teens" golf
tournament was held March 22, at Round Hill Country Club. The activity
raised $4, 500 and was sponsored by more than 30 local business, 49er
Dwight Hicks, and retired Oakland Athletics Shooty Babbit, Steve McCatty
and Duane Murphy from Pro's For Kids led the field of 80 golfers.
Central County
• More Family Substance Abuse Agreement brochures have been printed and a
distribution plan was developed which includes a promotional video and two
PSAs ready to air in July. The second version of the brochure addresses
diversity, and will be translated into Spanish.
• The Designated Driver Program is targeted to increase the number of
establishments with alcohol permits participating in the program to 100.
Table tents have been printed for each city, they include the CASA and local
police logos, and are periodically distributed to local establishments. Due to
the fact that DUI arrests were at an all-time high in 1992, the Regional
Steering Committee voted to produce materials that drinking establishments
could post and facilitated an alliance between law enforcement and
businesses. The rate of DUI in the past six months has significantly gone
down.
6
• The Concord CASA got involved in a Mini-Mart Alcohol License Protest to
prevent sale of alcohol at a Shell Mini-Mart in an area with an over
concentration of businesses serving alcohol. Although the ABC tried to
dissuade Ms Elizabeth Anello, who spearheaded this effort, with the support
of CASA she gathered 200 signatures and letters, bureaucratic paper work,
etc. in preparation for a license hearing held in September of 1992. The
license was denied but the Mini-Mart has appealed and there is another
hearing scheduled for June-July.
• The Virginia Lane Neighborhood Rehabilitation Project, a coalition between
residents and law enforcement was formed to improve and clean up crime in
the neighborhood by making apartment owners more responsible for each
other and their place of residence. Becky Hale, a Virginia Lane resident
organized this effort which according to the Concord police and area
residents made possible a 100% turn around of the neighborhood. The
perception is supported by crime statistics. . . .
• Central County Recognition Program celebrated and honored the
accomplishments and efforts of individual citizens in curtailing AOD
problems. The purpose is to reinforce specific kinds of activities that support
the Partnership for a Drug Free Contra Costa. The program developed and
formalized by Howard Herbert, and members of the Regional Steering
Committee, has been institutionalized with funds allocated for awards. More
than 30 awards have been given to individuals and agency projects.
• United Way Youth Media Project will produce two videos created by students,
one in Spanish, that will help other young people understand the
relationship between substance abuse and violence, and teach strategies in
how to resolve conflicts. It will enlist 25+ at-risk students in a summer
school class to write, act in, shoot and produce ten minutes videos.
East County
• Delta 2,000 and members of the Regional Steering Committee co-sponsored
a Chemical Dependency and Managed Care panel discussion on May 10,
1993. Over 40 providers and concerned citizens attended.
• A Community Forum was held at Antioch's City Council Chambers. Over 33
interested citizens attended a discussion about the purposes of the
Partnership Regional Steering Committees and the plans for developing
strategies to address substance abuse issues.
• Neighborhood Prevention Trainings were conducted in Pittsburg April 17
which drew 21 participants, and in Antioch April 21 which drew 28
participants. The purpose was to educate residents in a particular
neighborhood on how to deal with drug sales in their neighborhoods e.g. use
of small claims courts, citizen's petitions, etc.
• The Partnership, in collaboriation with the City of Pittsburg, the Pittsburg
School District, Law Enforcement, and Fire Services participated in the
Community Relations Day that took place in May.
• Delta 2000 Youth and Family Committee and the East County Regional
Steering Committee, in collaboration with Viacom Cablevision and HBO, are
producing a series called "Life Stories" a documentary that looks at a variety
of youth issues. Public screenings of the films are set up and panel
discussions after the showing will be taped. Viacom will combine Life Stories
7
with the panel discussions to create one hour specials to be aired on
Channel 36.
• The East County Youth Media Project, a collaboration between Delta 2000,
the American Heart Association, REACH Project, and the Boys and Girls
Club Drug and Alcohol Prevention. The target populations is youth 12-17
from the Latino and African American communities to write, act in, and
shoot videos.
• Organizational development, technical assistance, and AOD prevention
training was provided to the Midnight Basketball League, the local Alano
Club, the National Guard, and a group of parents from Vintage Park
Elementary School.
• The Regional Steering Committee distributed CSAP funds allocated for direct
services to the following programs: Midnight Basketball League; Women of
Commitment Conference; CASA Delta; Mother's vs. Gangs; Joy of Life Youth
Conference; GATO; Live Large Youth Talent Show; Parent Educator Program;
Alano Club. Planning for two fund raising events are well under way: Hot
Antioch Nights and Back-To-School Project.
South County
• For the past three-four months the Partnership Coordinator, in response to
the June 1993 projected closing of the John Muir Adolescent Treatment
Center in San Ramon, has been the moving force behind community
organization efforts to form a Regional Coalition for Adolescent Drug and
Alcohol Treatment. The coalition consists of several committees: Steering,
Provider Search, Insurance, Business Plan, Fund Raising & Grants, and
Community Involvement. The coalition is supported by the San Ramon Police
Department, San Ramon City Council, Town of Danville, and Contra Costa
County Board of Supervisors. Two fund raising events "The Ice Cream
Social", February 28 and the 'Youth Dance", March 26 supported the
coalition efforts. The results, New Bridge Foundation of Berkeley and
Hazeldon Foundation of Minnesota will offer comprehensive Adolescent Drug
& Alcohol treatment services at the site of former John Muir Adolescent
Treatment Center. The Coalition Community Committee is rethinking its
mandate in. terms of ongoing interface and support for new providers,
fundraising efforts, and strategies to be inclusive rather than exclusive.
• Plans have begun to join the Youth Media Project with East and West County
Media Projects to look at a county-wide video featuring all three regions. As
part of the Fun Fest a workshop was devoted to the Media Project creating
an opportunity to share work done to date. South and East are working on a
Spanish speaking video for release summer of 1993.
• The Partnership Coordinator and the San Ramon Valley CASA are currenly
supporting the following local prevention efforts: RBS Grant and Public
Policy Ordinances; Youth At Risk CSAP Grant; Red Ribbon Week, Mother's
Day Campaign, Youth Recreation, Clique I, DARE, Youth to Youth, Youth
Educator, Friday Night Live, Challenge Days and Gaylene Sullivan Award
Breakfast.
West County
• The Social Justice Committee, a grass roots group formed six months ago is
composed of a few members from the West County Regional Steering
Committee and one CSAP staff, Bobby Bowens. Some of the members are ex-
8
gang members with the expertise of engaging young adults from high risk
areas in working together to find alternative ways of dealing with conflict,
violence, relations with the criminal justice system etc. The Committee was
recently awarded a $20,000 grant from the San Francisco Foundation to
create employment opportunities for young adults from high risk areas.
• The West County Steering Committee approved support for the Social Justice
Committee's proposal to the Honorable Richard Patsey, Judge of the
Superior Court, that three individuals with pending charges be placed on
felony probation under the supersion of the Social Justice Committee. The
intent is to involve these young adult males in the North Richmond
Neighborhood House Out-Patient Drug Program and at the same time the
Justice Committee will use the San Francisco Foundation grant to subsidize
their full time employment working with Richmond youth that live in at risk
communities. Bobbie Bowens, CSAP alcohol, drug and violence prevention
specialist will supervise the staff positions and provide them with
opportunities for involvement in community organizing activities to prevent
AOD problems.
• The Parchester Village Project, is a community organization effort
spearheaded by Marilyn Dillihant, one of the CSAP prevention workers in
West County. The project started as a community forum convened by area
leadership, seeking expertise and assistance from CSAP staff to address
concerns regarding activities of youth, issues of drug traffic, senior safety,
etc. After meeting with major sub-groups in the Village e.g. seniors,
homeowners, and resident council members, a Young Adult Association was
formed. The association meets regularly and is involved in raising money,
networking with the community, and conducting job skills workshops on a
regularl basis. One of the Association projects is to establish a partnership
with the city's Department of Human Services to upgrade and fix the
Parchester Village Recreation Center. Another project involves the city's
Employment and Training Services. The director, a lifetime Parchester
resident, has linked members of the Association with opportunities for job
training and employment.
• Parchester Village Round-Up Party, a successful event held on May 29, drew
more than 300 area residents including the Mayor of Richmond and other
elected officials. The event was planned and organized by the Partnership
staff in collaboration with the Regional Steering Committee, the Parchester
Village Young Adult Association in partnership with the Parchester Village
Homeowner Association, the Parchester Village Seniors, the Bradford
Drive/Leke Way Homeowners, the Concerned Citizens Association, local
businesses, and city of Richmond Human Services Department.
• The Sheriffs Department in collaboration with the Social Justice Committee,
and the Richmond Unified School District hosted a Youth Conference in
April. The event took place at Kennedy High School and brought together
members of three rival local youth gangs that after months of negotiations
promoted by the CSAP prevention specialists, agreed to participate in a
series of youth panel presentations. The purpose was to present to parents,
teachers, and other adults, the views and concerns from the perspective of
the young adults.
• In March the West County Steering Committee and CSAP staff planned and
participated in the "Celebrates the Family" campaign. One of the month long
events was the dedication of Shields/Reid play groups which was resurfaced
and remodeled through the generosity of Nike.
9
• A proposal was presented to Kennedy Manor Housing Project to allow youth
residents involved in training provided by CSAP prevention staff, to provide
maintenance services for the Projects units and grounds. Decision is still
pending.
• "Lie, Cheat & Steal" presentations on "Everything You Wanted To Know
About How the Alcoholic Beverage Industry Markets to African Americans"
conducted in Coronado Neighborhood Council, Kennedy Manor and
Parchester Village.
• Seventy five young males participated in the Twilight Basketball League at
the Shields/Reid Community Center. This effort is supported by a
partnership between CSAP staff, Richmond Parks and Recreation, and the
Neighborhood House of North Richmond. The purpose is to offer young
adults in high risk communities an alternative to violence. Surrounding
neighborhoods support the league and agreed to extend the Center's curfew
to 10 p.m. Also, a woman's group, the Ebony Shades of Color, supply the
league with refreshments and profits are donated to North Richmond
community programs. An effort is underway to bring other organizations to
help with the League e.g. Richmond Police Athlethic League [PAL].
E. Project Administration and Evaluation
• 1991 CSAP Rollover -After a lengthy process the Substance Abuse Division
was able to secure 90% of non-personnel CSAP rollover moneys from the
1991 CSAP Partnership Project allocation. The rollover, was proportionally
distributed among Central, East,West and the CSAP Project.
• New CSAP Project Director - In December, the former Project Director, Vic
Colman resigned. The RFP process to hire a new Project Director was quite
inclusive, involving representation from the Regional Steering Committees
and the Substance Abuse Division. The new CSAP Project Director, Amalia
Gonzalez del Valle was hired at the end of March.
• Federal CSAP Reports - During the month of June, the Partnership
Coordinators met several times with the Project Director to assess project
status and collect regional data needed for CSAP reports i.e., Annual Non-
Competing Continuation Grant, Bi-Annual Report, COMPASS Training Needs
Assessment, National Partnership Evaluation, and Partnership Management
Information Format Report. The Project Director in collaboration with
Partnership Coordinators is developing a proposal to be submitted to the
Regional Steering Committees to formalize a feedback process that ensures
participation and dissemination of information involved in data collection,
analysis, and reporting procedures required by CSAP.
• CSAP Project Evaluation - The CSAP evaluation contract with Center for
Applied Local Research was terminated in February 28, 1993. The Project
Director has drafted a short contract to hire the former CSAP Project
evaluator, Geoffrey Hunt, to present second year evaluation report findings
to the Regional Steering Committees during the month of August, and to
generate reports from data collected during last year evaluation needed to
complete CSAP Continuation Grant and Bi-Annual Report. In order to hire a
new evaluator, the Project Director is recruiting members for an Evaluation
Committee to develop and implement an RFP process to begin in July and be
completed by the end of September.
• Regional Evaluation - The Substance Abuse Division staff and the CSAP
local evaluator, Sheila Tarbett designed a survey for South County to
10
examine the existing regional organizational resources. Survey respondents
included community organizations, service clubs, parent-teacher
associations, churches and church groups, homeowners associations, public
employers, and SRV CASA membership. Results of the survey will lead a
1993-95 restructuring of the Partnership in South County to address
regional prevention issues and concerns. Data collection stage is completed,
data analysis in process, results to be presented at San Ramon Valley CASA
retreat planned for late September. Other local evaluation activities were
conducted in Acalanes/Lamorinda, West and East County.
EXECUTIVE SUMMARY
COUNTY-WIDE COORDINATING COMMITTEE UPDATE
The Partnership Coordinators drafted the enclosed proposal for a Partnership
Forum with the intent to submit to the Regional Steering Committees and the
Board of Supervisors. The proposal recommends that a Partnership Forum be
convened as an alternative to the coordinating function assigned to the
County-wide Coordinating Committee.
The primary focus of the Partnership Forum would be public policy,
fundraising, media/marketing, development of a strong relationship with the
Substance Abuse Advisory Board, and regional collaboration twice a year with
the Substance Abuse Services Division to plan and implement county-wide
special events.
Proposed membership would include Partnership Coordinators, CSAP Project
Director, Substance Abuse Services Division Prevention Coordinator, 2
representatives from the Substance Abuse Advisory Board, and 2
representatives from each of the Regional Steering Committees.
gv:kp:6:28:93
COMMUNITY PARTNERSHIP FORUM
A PROPOSAL
What do we mean when we use the tern "Community Partnership"?Are we referring to
our own regional group or the county-wide movement?
In attempting to form a common language around what we call ourselves as
coordinators, groups or a large county-wide entity, it was mentioned that whatever
terms are agreed on for common understanding and consistency should not rob the
regional groups of their identity.
1. Regional Coordinators
It recommended that the term Regional Coordinator be replaced with
Partnership Coordinator and that all of us will refer to the regional
representatives as Partnership Coordinators. Further, it is recommended that we
make this name known to the Board of Supervisors and to ask that it be made
an action item which recognizes "CSAP Partnership Coordinators" rather than
Regional Coordinators as the principal staff to the county-wide Partnership
within the regions that represent the voice of regional membership to the larger
county-wide Community Partnership.
2. Regional Partnership Groups
It is recommended that each regional group be called a Regional Steerints
Committee for purposes of internal discussion at various meetings. In order to
create a public awareness of the overall partnership effort, it is suggested that
each group use the name of their organization or group as they feel appropriate
and that the following tag line be included at the bottom of the heading or at the
end of the page of all stationary, newsletters, etc.:
ACALANES/LAMORINDA PARTNERSHIP FOR A DRUG FREE
CONTRA COSTA COUNTY
CENTRAL COUNTY PARTNERSHIP FOR A DRUG FREE
CONTRA COSTA COUNTY
EAST COUNTY PARTNERSHIP FOR A DRUG FREE
CONTRA COSTA COUNTY
WEST COUNTY PARTNERSHIP FOR A DRUG FREE
CONTRA COSTA COUNTY
3. Community Partnership Forum
There is a need for some form of excessive committee to make decisions on
common goals, create opportunities for cross-region pollination of ideas and
strategies, and the sharing of regional activities.
It is the recommendation of the group that such a leadership committee will be
important to the future of the Partnership and that it be called the Community
Partnership Forum.
Meetings:
The Community Partnership will meet every other month. Meetings will rotate
between regions.
Membership:
The suggested membership of the Community Partnership Forum is as follows:
• Partnership Coordinators
• Partnership Project Director
• Partnership Evaluation Team
• Substance Abuse Division Prevention Coordinator
• Two representatives from the Substance Abuse Advisory Board
• Two citizens selected by each Regional Steering Committee to
represent regional perspectives, concerns and interests.
Primary Focus:
• Public Policy
• Fund-raising and grant proposals
• Media/Marketing
• Establish formal link to the Substance Abuse Advisory Board
• Training
• Bi-annual Special Events
4. Request for Board Action
It is suggested that we request that the Board of Supervisors recognize the Community
Partnership Forum as the leadership body of the Partnership. This recommendation to
be presented to the Internal Operations Committee, July 12, 1993. The Forum will be
used to convene other groups, coalitions, organizations and the larger county
constituency in moving forward the prevention strategies and activities developed by
the Forum.
EXECUTIVE SUAEMEARY
'ACTION PLAN EVALUATION UPDATE
Since the proposal for 'Action Plan' evaluation design and implementation was
submitted to the Internal Operations Committee on January 4. 1993 and in
collaboration with the Substance Abuse Services Division staff, timelines,
instruments, and procedures for data collection have been developed. At each
stage of the process, feedback from the Partnership Coordinators and Regional
Steering Committees has been requested and incorporated into the final
product.
The survey instrument is currently being administered to local, regional, and
county-wide 'Action Plan' groups. Visits were scheduled to each of the 'Action
Plan' groups that meet regularly: the Richmond Anti-Drug Task Force, the San
Ramon Valley CASA, three of the Partnership's Regional Steering Committees,
and three of the five CASA's in Central County. The evaluation design was
explained and the surveys distributed. On the advise of some group leaders,
visits have been supplemented with mailings. In the Acalanes/Lamorinda
region, a decision must be made about which is the most appropriate group to
complete the survey. Depending on return rate, surveys may also be mailed
out to members of the County-wide Coordinating Committee and the Master
Plan Advisory Board.
Criteria for the selection of key informants has been established and questions
to guide the semi-structured interviews with key members of 'Action Plan'
groups developed. Key informants from East County. Central County, and
West County have been identified and interviews will begin in July. Additional
key informants speaking from a county-wide perspective have been identified
by staff from the Substance Abuse Services Division and interviews with all five
members of the Board of Supervisors will be requested.
Indicator data has been compiled and a data base has been created in Access,
a computer program that will also be used to input survey responses. Data
from the Master Plan study completed in 1991, has been updated with data
from the State Department of Alcohol and Drug Programs for 1987, 1990, and
1991 depicting the number of county residents by region hospitalized with a
principal diagnosis relating to alcohol or other drugs. Data has been put into
table format. Data on alcohol/drug related arrests by region for 1990 and 1991
has been collected from the State Bureau of Criminal Statistics but is not yet
entered into a tabular form. County data still needs to be collected.
gv:kp:6:28:93
Drug and Alcohol Action Plan Evaluation-Contract #24-645-1
First Interim Progress Report
June 15, 1993
By Sheila F. Tarbet, Ph.D.
Purpose of the Contract
As detailed in the proposal submitted to the I.O. Committee on
January 4, the purpose of this contract is to complete the design
and implementation of an evaluation of the county' s Drug and
Alcohol Action Plan. The process and products of the evaluation
will provide information helpful to Action Plan participants as the
future directions of Action Plan activities are developed.
Methodology
The Drug and Alcohol Action Plan evaluation process will collect
and analyze data from three sources:
a) a survey distributed to the members of all designated local,
regional, and county-wide Action Plan groups throughout the county;
b) interviews of selected key members of these groups; and
c) compilation of indicator data available from state and county
sources.
Progress to Date
Several documents and instruments have been created for the
evaluation, and steps have been taken to collect data in all three
of the above categories.
Evaluation tools, documents and instruments developed
The following tools, documents, and instruments have been developed
for use in the evaluation:
1. two timelines charting the course of the evaluation effort--
one more general for public consumption, and one more detailed
for use by the consultant and the Department (attached) ;
2. a final version of the survey instrument for Action Plan group
participants (attached) ;
3. a set of questions to guide the semi-structured key informant
interviews (attached) ;
4 . criteria for the selection of key informants (attached) .;
5. a data base on the program Access for the responses to the
surveys.
Collection of survey data
The evaluator has scheduled visits to each of the Action Plan
groups that meet ! regularly. The purpose of these visits is to
distribute the surveys and to provide an overview of the purpose of
the evaluation effort, the questions the evaluation will address,
and the methodology it will use to answer the questions. Following
is a- list of the groups visited and dates of the visit:
Delta 2000 Substance Abuse Advisory Board--April 19
West County Regional Steering Committee--June 9
Central County Steering Committee--May 10
Concord CASA--June 10
Walnut Creek CASA--May 17
Pleasant Hill CASA--May 11
Richmond Anti-Drug Task Force--June 21
San Ramon Valley CASA--June 17
On the advise of some group leaders, these visits have been
supplemented with mailings to Central County Steering Committee
members, some members of Concord CASA, and some members of the West
County Regional Steering Committee. Some surveys may be mailed out
to members of the San Ramon Valley CASA. Surveys may also be
mailed out to members of the CCC and the Master Plan Advisory
Board. The consultant is obtaining input from county staff on
these questions.
In the Acalanes region, a decision must be made about which is the
most appropriate group to complete the survey. The board of
directors of The Organization for Youth Services (T.O.Y.S. ) had
been designated as the Acalanes regional steering committee, but
has been preoccupied with matters crucial to the development of
T.O.Y.S. Recently a decision was made to designate a new group as
the steering committee. This group is being made up of the
Acalanes Unified High School District DATE Committee and other
community representatives. Given that the group is just forming,
now is not an appropriate time to distribute a survey asking
questions about ongoing group functioning.
Key Informant Interviews
As noted, the questions to be explored with key informants have
been developed. Groups have been asked to identify key informants
as the survey has been distributed and an overview has been
provided of the evaluation process. Representatives to be
interviewed have been identified to date from East County, Central
County, and West County. Representatives should be soon identified
from South County. Additional key informants speaking primarily
from a county-wide perspective are being identified with the help
of Health Services staff. It has been decided that interviews will
be requested of all five members of the Board of Supervisors.
Because the supervisors have many demands on their time, we are
requesting the I.O. Committee to assist by alerting the members of
the Board to the evaluation process and to the request that they be
interviewed.
Indicator Data
To update the Master Plan study completed in 1991, data on the
number of county residents by region hospitalized with a principal
diagnosis relating to alcohol or other drugs have been received
from the state Department of Alcohol and Drug Programs. These
data--for 1989, 1990, and 1991--have been put into table format and
are attached. Data presenting the alcohol/drug related arrests by
region for 1990 and 1991 have been collected from the state Bureau
of Criminal Statistics. These data have not yet been entered into
a tabular format. County data still need to be collected.
Attachments
Two timelines
Survey
Criteria for Selection of Key Informants
Questions for Key Informant Interviews
Indicator Data Tables
Acalanes Residents Hospitalized with Drugs as the Principal
Diagnosis, 1989-1991
Acalanes Residents Hospitalized with Alcohol as the Principal
Diagnosis, 1989-1991
Central County Residents Hospitalized with Drugs as the
Principal Diagnosis, 1989-1991
Central County Residents Hospitalized with Alcohol as the
Principal Diagnosis, 1989-1991
East County Residents Hospitalized with Drugs as the Principal
Diagnosis, 1989-1991
East County Residents Hospitalized with Alcohol as the
Principal Diagnosis, 1989-1991
South County Residents Hospitalized with Drugs as the
Principal Diagnosis, 1989-1991
South County Residents Hospitalized with Alcohol as the
Principal Diagnosis, 1989-1991
West County Residents Hospitalized with Drugs as the Principal
Diagnosis, 1989-1991
West County Residents Hospitalized with Alcohol as the
Principal Diagnosis, 1989-1991
TIMELINE
Drug and Alcohol Action Plan Evaluation
March to December, 1993
I. Data Collection and Analysis
A. Survey of Action Plan group participants
1. Finalize survey draft. Obtain input from C-SAP regional staff and finalize by April
30.
2. Produce copies of the questionnaire. April 30.
3. Distribution to Action Plan groups throughout the county. May through June.
a. Obtain assistance from regional C-SAP staff at the April Community
Partnership staff meeting.
b. Ask each group to put the Action Plan evaluation on the agenda of at
least one meeting between April and June and allows meeting time to
complete the survey.
C. The evaluator, Sheila Tarbet, will attend one meeting of each group to
present the questionnaire, introduce the evaluation process, ask the
group to select representatives who can be key informants, and talk
about next steps.
d. A follow-up plan for missing group members and members of groups
who do not currently meet will be developed with county HSD and
regional C-SAP staff.
4. Data entry. April through August.
a. Data will be coded as it is collected, and entered on a data base
program.
b. All data will be collected and entered on the data base by August 31.
5. Data analysis. August through September.
a. Data will be summarized by group, regionally where appropriate, and for
Action Plan participants as a whole.
B. Interviews of key informants
1. Design key informant interview format. By April 30.
2. Develop criteria for selection of key informants. By April 30.
3. Distribute criteria. April through June.
a. Criteria will be distributed to each Action Plan group, and an agreement
will be made with each group so that they each designate at least 2 key
Informants before the end of July.
4. Schedule and conduct interviews. From May through September.
5. Analyze and summarize key informant interview data. September through
October.
C. Analysis of available indicator data
1. Finalize list of desired and possible indicator data. April through May.
a. List all possible indicators of interest and identify sources.
2. Obtain assistance from county staff and others. April through August.
a. Get relevant input from Alcohol Research Group.
b. Contact state and county sources for data.
3. Collect indicator data. April through August.
4. Analyze indicator data. April through September.
a. Prepare an interim summary of indicator data findings for a tentatively
scheduled meeting of the CCC in the spring.
Ii. Reporting Out Findings
A. Written reports
1. Prepare local and regional written reports. September through November.
2. Draft county-wide written report. September through December.
3. Finalize county-wide report. December.
B. Verbal reports
1. Meet with local, regional, and county-wide groups. October through December.
a. Schedule meetings with each local, regional, and county-wide group
that participated in the data collection process.
Throughout the Drug and Alcohol Action Plan Evaluation process, the evaluator will meet on an ongoing
basis with county staff. Interim progress reports will be presented to county staff on June 15 and
September 15.
ACTION PLAN EVALUATION TIMELIN
The following calendar outlines the activities surrounding the
evaluation of the Action Plan. The design and implementation
of the evaluation includes on-going communication between
evaluators, department staff, and Regional Partnership
Coordinators.
******************************************************************************
DATE ACTIVITY
MARCH 1993 SURVEY DESIGN MODIFICATIONS COMPLETED
MARCH-SEPT. INDICATOR DATA COLLECTION/ANALYSIS
APRIL EVALUATION MINI-RETREAT (Staff& Regions)
APRIL-JUNE HISTORICAL DOCUMENT REVIEW
MAY SURVEYS PRINTED BY HEALTH SERVICES
MAY-JUNE SURVEY DISTRIBUTION, COMPLETION, COLLECTION
MAY-SEPT KEY INFORMANT INTERVIEWS
JUNE-SEPT. SURVEY DATA ENTRY/ANALYSIS
JULY INTERIM REPORT TO I.O. (Per Board Order)
SEPTEMBER PLANNING MEETING FOR CCC REPORT OUT
OCTOBER CCC MEETING: =PAftW**AWan fth
(Evaluation Overview/Prelim. Reports
NOVEMBER REPORT PREPARATION
DEC/JAN '94 REGIONAL AND COUNTYWIDE FINAL REPORTS
The Action Plan
A Partnership for a Drug-Free Contra Costa County
TO: Members of Partnership For A Drug Free Contra Costa
FROM: Partnership Coordinators:
Dave Stegman (Sounth County)
Sherry'Sterrett (Central)
Caroline Kelly (Acalanes/Lamorinda)
Chuck Stephenson (West)
Jim Becker (East)
DATE: April 29, 1993
RE: ACTION PLAN EVALUATION SURVEY
In response to both community members and the Board of Supervisors, County Health Services is
providing an evaluation of the countywide Drug and Alcohol Action Plan. As an active member of
your community's task force group, it is crucial that we have your comments as a part of the
evaluation process.
Please take a few moments to complete this survey and either hand it in to your Regional Partnership
Representative (above) or mail it to the address on the document. If you receive a copy of the survey
at more than one meeting in your area, please complete one survey only.
As results from the survey are collected, analyzed, and summarized, the data will be made available
to each of the Regional Partnership groups who will than have an opportunity to discuss them and
what they mean to your community.
NOTE: You are one of many people that have supported safe and healthy lifestyles through your
volunteer time. The overall effort in Contra Costa county by citizens like you is what has brought
funding from the Federal government for continued planning and coalition building. It is time to
check our pulse to see what's working and to, perhaps, understand where our successes and special
needs are reflected.
Your willingness to help with this survey is greatly appreciated. If you have any questions about the
evaluation process, call Substance Abuse Administration at (510) 313-6300.
Please submit survey no later than May 30, 1993.
Mailing address: Partnership For A Drug Free Contra Costa
595 Center Avenue Suite 200
Martinez, CA 94553
1
Contra Costa County
Drug and Alcohol Action Plan Evaluation
PART I
ALL GROUP PARTICIPANTS
1. Contra Costa County's Drug and Alcohol Action Plan process began in 1989, and
several major community meetings have been held since then. Please circle the
numbers next to the meetings you attended.
1 Drug Summit I in February, 1989
2 Alcohol Summit I in May, 1989
3 West County Summit in May, 1989
4 East County Summit in September, 1989
5 Central County Summit in September, 1989
6 Drug and Alcohol Summit in January, 1990
7 FunFest in February, 1993
2. Which of the following best describes your participation in Drug and Alcohol Action
Plan activities? Please circle all the responses below that apply.
1 I'm designated as an official representative to the Action Plan process from
my organization.
2 Participating is part of my paid duties for an organization.
3 1 am a County or city employee and my participation is funded.through a
contract with the county or city (subcontract, consultant, etc.).
4 1 am a concerned citizen and am not receiving payment for participating.
1
Contra Costa County
Drug and Alcohol Action Plan Evaluation
PART I
ALL GROUP PARTICIPANTS
1. Contra Costa County's Drug and Alcohol Action Plan process began in 1989, and
several major community meetings have been held since then. Please circle the
numbers next to the meetings you attended.
1 Drug Summit I in February, 1989
2 Alcohol Summit I in May, 1989
3 West County Summit in May, 1989
4 East County Summit in September, 1989
5 Central County Summit in September, 1989
6 Drug and Alcohol Summit in January, 1990
7 FunFest in February, 1993
2. Which of the following best describes your participation in Drug and Alcohol Action
Plan activities? Please circle all the responses below that apply.
1 I'm designated as an official representative to the Action Plan process from
my organization.
2 Participating is part of my paid duties for an organization.
3 1 am a County or city employee and my participation is funded through a
contract with the county or city (subcontract, consultant, etc.).
4 1 am a concerned citizen and am not receiving payment for participating.
2
3. Which of the following sectors best identifies your primary affiliation to Action Plan
groups and activities? Please circle one.
1 TREATMENT SERVICES (mental health center,alcohol/other drug abuse program)
2 HEALTH CARE PROVIDER (health care provider,public health clinic, private mental
health organization, hospital)
3 SPIRITUAL (church, temple, synagogue, mosque, other religious organization)
4 LAW ENFORCEMENT/JUDICIAL SYSTEM (probation, juvenile justice, police
department, district attorney, courts)
5 EDUCATION '(public & private schools, colleges)
6 CIVIC/VOLUNTEER (chamber of commerce, service groups, neighborhood, tenant,
and community organizations, parent and youth groups, volunteer groups)
7 HUMAN/SOCIAL SERVICES (youth and children's services, welfare/public
assistance, family service agency, other alcohol and other drug prevention group)
8 RECREATION AND PARKS
9 GOVERNMENT (elected local and county officials, community development,
transportation, housing, and planning departments)
10 BUSINESS (including media, chamber of commerce)
4. Do you regularly inform people other than Action Plan participants of the
proceedings of Action Plan groups (people in your.workplace, schools, church,
etc.)?
1 Yes 2 No
5. If you answered yes above, how do you do that? Circle all that apply.
1 Regularly written reports
2 Regularly scheduled meetings or presentations
3 Memoranda as needed
4 Information conversations
5 Other:
3
PART 11
LOCAL ACTION PLAN GROUPS
1. Do you participate in any of these local Action Plan groups? Please circle the
number next to one group only.
1 Richmond Anti-Drug Task Force
2 Walnut Creek C.A.S.A.
3 Pleasant Hill C.A.S.A. 6 Clayton C.A.S.A.
4 Martinez C.A.S.A. 7 Delta C.A.S.A.
5 Concord C.A.S.A. 8 Other
IF YOU DO NOT PARTICIPATE IN ANY OF THESE LOCAL GROUPS, PLEASE SKIP
TO PART III ON PAGE 7. IF YOU DO, PLEASE CONTINUE WITH THE QUESTIONS
BELOW.
2. What year did you first begin participating in this group?
3. In your opinion, who are the primary leaders of this local group? Circle up to two
categories below.
1 Unpaid community volunteers
2 Elected community leaders and officials
3 County or city staff
4 Staff of nonprofit organizations
5 Other public servants
6 Representatives from the business community
7 Others (specify):
4
4. How effective has this local group been since you've been a member? (Circle one
response.)
1 2 3 4
Very Somewhat Not very Not at all
Effective Effective Effective Effective
5. Do you think the following sectors of the community are under-represented, over-
represented, or represented adequately in this local Action Plan group? Place a
check in the appropriate boxes.
Under- Adequately Over-
Community Sector Represented Represented Represented
Treatment services
Health care providers
Spiritual organizations
Law enforcement
Education
Civic/volunteer
Human/social services
Recreation and parks
Government
Business organizations
Ethnic groups
Grassroots representatives
Homeowners'/neighborhood
Associations
6. How representative of the community is this local group (in terms of ethnicity, age,
income level, etc.)?
1 2 3 4
Very Somewhat Not very Not at all
Representative Representative Representative Representative
5
7. What, if any, populations would you like to see more fully represented in this group
(i.e., youth, the elderly, members of particular ethnic groups, lower income people,
parents, etc.)?
8. In your opinion, how often does this local group: (please check the appropriate
space)
TAlways Often Sometimes Seldom Never
have clear leadership
offer members
opportunity to
assume leadership
offer everyone
opportunity to
express ideas &
opinions
set clear goals &
objectives
reach agreement
through consensus
constructively express
& resolve conflict
hold organized &
timely meetings
take decisive action
make constructive
change in the
community
keep you informed of
county-wide efforts
keep you informed of
other local & regional
efforts
allow you to
participate in the
county-wide Action
Plan process
s
9. What are the barriers that keep people from regular attendance and involvement
in this local group?
10. What would you say is this local group's greatest success to date?
11. What assistance or support does this local group need in order to be most
successful?
12. How has this local group benefitted from its connection to county-wide Action Plan
efforts?
13. Please use this space below to add anything else you feel is important about this
local Action Plan group.
PART III - REGIONAL LEVEL EFFORTS
1. Implementation
n of the Drug and Alcohol Action Plan is also occurring thr(
groups operating at the regional level (by supervisorial district) within the COL
Circle one number - n the left to indicate the regional group you currE
participate in. On the right, indicate the year you began participating in this gr(
Currently Year Began
Participate Participating
Regional Steering Committee:
1 West County Regional Steering Committee . . . . . .
2 Delta 2000 Substance Abuse Action
Committee. . . . . . . . . .
3 Central County Regional Steering Committee. . . .
4 San Ramon Valley C.A.S.A. . . . . . . . . . . . . . . . .
5 Board of The Organization for Youth Services
in Acalanes/Lamorinda . . . . . . . . . . . . . . . . . . .
IF YOU DO NOT BELONG TO ANY OF THE REGIONAL STEERING COMMITTEE,,
LISTED ABOVE, PLEASE SKIP TO PART IV ON PAGE 11. F YOU DO BELONG TC
ANY OF THESE, CONTINUE WITH QUESTION 2 BELOW.
2. In your opinion, who are the primary leaders of this regional group. Circle up to
two categories below.
1 Unpaid community volunteers
2 Elected community leaders and officials
3 County or city staff
4 Staff of nonprofit organizations
5 Other public servants
6 Representatives from the business community
7 Others (specify):
8
3. In your view, are the following sectors of the community under-represented, over-
represented, or represented adequately in this regional Action Plan group? Place
a check in the appropriate boxes.
Under- Adequately Over-
--Community Sector Represented Represented Represented
Treatment services
Health care providers
Spiritual organizations
Law enforcement
Education
Civic/volunteer
Human/social services
Recreation and parks
Government
Business organizations
Ethnic groups
Grassroots representatives
Homeowners'/neighborhood
associations
4. In your opinion, how effective has this regional steering committee been since
you've been a member? (Circle one response.)
1 2 3 4
Very Somewhat Not very Not at all
Effective Effective Effective Effective
5. In your opinion, how representative is this regional steering committee of the
community (in terms of ethnicity, age, income level, etc.)?
1 2 3 4
Very Somewhat Not very Not at all
Representative Representative Representative Representative
9
6. What, if any populations would you like to see more fully represented in this group
(i.e., youth, the elderly, members of ethnic groups, lower income people, parents,
etc.)*?
7. In your opinion, how often does this group: (please check the appropriate space)
Always often Sometimes Seldom Never
have clear leadership
offer members
opportunity to
assume leadership
offer everyone
opportunity to
express Ideas &
opinions
set clear goals &
objectives
reach agreement
through consensus
constructively express
& resolve conflict
hold organized &
timely meetings
take decisive action
make constructive
change inthe
community
keep you informed of
county-wide efforts
keep you informed of
other local & regional
efforts
allow you to
participate in the
county-wide Action
Plan process
10
B. What are the barriers that keep people from regular attendance and involvement
in this regional steering committee?
9. What would you say is this regional group's greatest success to date?
10. What assistance or support does this regional group need in order to succeed?
11. How has this regional group benefitted from its connection to county-wide Action
Plan efforts?
12. Please use this space below to add anything else you feel is important about this
regional.Action Plan group.
r ,
11
PART IV
COUNTY-WIDE EFFORTS
1. Have you participated in any of the following county-wide Drug and Alcohol Action
Plan groups? Please circle the appropriate numbers.
1 County-wide Coordinating Committee (CCC)
2 Five Year Master Plan Advisory Board
3 Substance Abuse Advisory Board
IF YOU HAVE NOT PARTICIPATED IN ANY OF THESE COUNTY-WIDE DRUG AND
ALCOHOL ACTION PLAN GROUPS, PLEASE SKIP TO PART V ON PAGE 14.
2. If you have participated in more than one of these county-wide groups, which one
have you participated in the most? Please circle.
1 County-wide Coordinating Committee (CCC)
2 Five Year Master Plan Advisory Board
3 Substance Abuse Advisory Board
4 f have only participated in one of the above groups.
PLEASE ANSWER THE FOLLOWING QUESTIONS REFERRING TO THE ONE
COUNTY-WIDE GROUP YOU HAVE PARTICIPATED IN, OR THE ONE COUNTY-WIDE
GROUP YOU HAVE PARTICIPATED IN THE MOST.
3. How effective has this county-wide group been in providing leadership on policy
regarding alcohol and other drugs?
1 2 3 4
Very Somewhat Not very Not at all
Effective Effective Effective Effective
r
12
4. Are the following sectors of the community under-represented, over-represented,
or represented adequately in this county-wide Action Plan group?
Under- Adequately Over-represented
Community Sector represented represented
Treatment services
Health care providers
Spiritual organizations
Law enforcement
Education
Civic/volunteer
Human/social services
Recreation and parks
Government
Business organizations
Ethnic groups
Grassroots representatives
Homeowners'/neighborhood
associations
5. What, if any, populations (i.e., youth, the elderly, members of particular ethnic
groups, lower income people, parents, etc.) would you like to see more fully
represented in this county-wide group?
6. Please describe in your own words below any barriers you perceive to members
maintaining regular attendance and involvement in this county-wide Action Plan
group.
13
7. What would you say is this county-wide group's greatest success to date?
8. What assistance or support does this county-wide group need in order to maximize
its effectiveness?
9. Please use this space below to add anything else you feel is important about
county-wide Action Plan groups or efforts.
14
PART V
PERCEPTIONS OF OUTCOME
ALL PARTICIPANTS IN ACTION PLAN GROUPS SHOULD ANSWER
THE REMAINING QUESTIONS.
1. Please read through these statements and circle a response to indicate the degree
to which you agree or disagree.
SA = strongly agree; A = agree; U = uncertain;
D = disagree; SD = strongly disagree
a. The Drug and Alcohol Action Plan process has not had a discernable
impact on safety in my community.
SA A. U D SD
b. The Action Plan process has empowered ordinary citizens in my community
to take responsibility for reducing the use and abuse of alcohol and other
drugs.
SA A U D SD
C. The Action Plan process has empowered community organizations to take
responsibility for reducing the use and abuse of alcohol and other drugs.
SA A U D SD
d. The Drug and Alcohol Action Plan process has empowered key civic
leaders in my community to take responsibility for reducing the use of
alcohol and other drugs.
SA A U D SD
e. The ordinary citizen is no more aware now of the problems of use and
abuse of alcohol and other drugs than s/he was before the Action Plan
process began.
SA A 'U D SD
15
2. Since citizens have begun developing local, regional, and county-wide groups to
implement the Drug and Alcohol Action Plan, the degree to which communities are
willing to tolerate use and abuse may have changed. Please indicate how you
think tolerance in your community has changed since 1989 by checking one box
to the right of each phrase on the left.
Minor Moderate Major
No change Decrease Decrease Decrease
Community tolerance of
illegal use of alcohol.
Community tolerance of
abuse of alcohol
Community tolerance of
illegal use of other drugs
Community tolerance of
crime related to drug
use and sales
3. The Drug and Alcohol Action Plan process may have resulted in changes in
relationships among participating organizations and groups. As a result of
participating in Action Plan groups, to what degree have you personally observed
changes in the following kinds of linkages between organizations? Check the
appropriate boxes.
No Minor Moderate Major
Kind of Linkage . change Increase Increase Increase
Networking and exchanging information
Referrals with other
organizations/agencies
Sharing resources (e.g., materials,
space)
Co-sponsoring events
Coordinating services
Implementing joint projects
16
4. Since you have been involved with the Drug and Alcohol Action Plan process, your
personal knowledge, beliefs, and skills concerning alcohol and other drugs may
have changed. Please indicate the degree to which you feel each of the following
has changed for you personally as a result of participating in local, regional, or
county-wide Action Plan groups.
No Minor Moderate Major
Change Increase Increase Increase
Understanding prevention concepts
Knowledge of risk factors for substance abuse
Belief that prevention of substance abuse is
possible
Awareness of resources for prevention,
intervention, and treatment
Skills in designing and implementing
prevention strategies
Understanding the role of law enforcement in
prevention and intervention
Understanding how to access intervention and
treatment resources
Belief that effective intervention and treatment
is possible
Understanding the role of treatment providers
in prevention
Awareness of public policy efforts to
discourage illegal use of alcohol and other
drugs
Understanding the benefits of collaboration
with other Action Plan groups
Knowledge of trends in substance abuse
Other (specify):
17
5. In your view, how has each of the following specific alcohol or drug related
problems in your community changed as a result of the Drug and Alcohol Action
Plan process?
Alcohol/Drug Related Problem No change Minor Moderate Major
Decrease Decrease Decrease
Impaired driving
Alcohol use among children 12 and
under
Drug use among children 12 and
under
Alcohol use by teenagers
Other drug use by teenagers
Child neglect due to alcohol or drug
dependence
Youth or gang involvement in drug
sales
Drug affected births
Fetal alcohol syndrome
Drug use in the community generally
Alcohol misuse in the community
generally
Violence related to drug sales
Drug use in specific groups or
localities
Alcohol availability at community
events
Alcohol misuse at community events
Alcohol misuse among the elderly
Drug use among the elderly
Over-concentration of retail alcohol
outlets/gas stations/mini-marts
18
6. If there is anything else you would like to add about the Drug and Alcohol Action
Plan process please do so in the space below.
THIS SURVEY IS ONE COMPONENT OF AN EVALUATION DESIGNED TO
HELP YOU AND OTHER COMMUNITY MEMBERS EVALUATE THE EFFECT OF
ACTION PLAN EFFORTS TO REDUCE PROBLEMS RELATED TO ALCOHOL AND
OTHER DRUGS THROUGHOUT THE COUNTY. A SUMMARY OF THE EVALUATION
FINDINGS WILL BE PRESENTED TO YOU. YOUR GROUP WILL BE NOTIFIED OF
SPECIAL MEETINGS TO CHART A COURSE FOR FUTURE ACTION PLAN
ACTIVITIES.
THANK YOU VERY MUCH FOR COMPLETING THIS SURVEY.
DEADLINE MAY 30, 1993
MAIL TO: PARTNERSHIP FOR A DRUG FREE CONTRA COSTA
595 CENTER AVENUE, SUITE 200
MARTINEZ, CA 94553
17, !
ACTION PLAN EVALUATION TIMELIN ' {
The following calendar outlines the activities surrounding the
evaluation of the Action Plan. The design and implementation
of the evaluation includes on-going communication between
evaluators, department staff, and Regional Partnership
Coordinators.
DA TE ACTIVITY
MARCH 1993 SURVEY DESIGN MODIFICATIONS COMPLETED
e
MARCH-SEPT. INDICATOR DATA COLLECTION/ANALYSIS
APRIL EVALUATION MINI-RETREAT (Staff & Regions)
APRIL-JUNE HISTORICAL DOCUMENT REVIEW
MAY SURVEYS PRINTED BY HEALTH SERVICES
MAY-JUNE SURVEY DISTRIBUTION, COMPLETION, COLLECTION
MAY-SEPT KEY INFORMANT INTERVIEWS
JUNE-SEPT. SURVEY DATA ENTRY/ANALYSIS
JULY INTERIM REPORT TO 1.0. (Per Board Order)
SEPTEMBER PLANNING MEETING FOR CCC REPORT OUT
OCTOBER CCC MEETING:WW 14t PAft OVO A0M Ma
(Evaluation Overview/Prelim. Reports_
NOVEMBER REPORT PREPARATION
DEC/JAN '94 REGIONAL AND COUNTYWIDE FINAL REPORTS
Criteria for Selection of "Rey Informants"
A. At least one of the two identified key informants should
have participated in the initial efforts in 1989.
B. At least one of the two should have participated at the
beginning of this particular group.
C. Between them, the two key informants should be able to
talk about the actions and accomplishments of this group
from the time it began to the present.
D. As much as possible, they should be aware of how members
of the group think and feel about it.
E. If there are subgroups with perspectives that differ from
those of the majority, key informants should as much as
possible represent those subgroups. If there is a
minority perspective within the group, it should if
possible be represented in the key informant interviews.
F. If group members with a treatment or law enforcement
perspective fit these criteria, it would be especially
helpful to interview them.
Questions for Rey Informant Interviews
I. History
A. When was this group first formed? How did it happen to be
formed? Who was behind its formation? Who was initially part
of it?
(Review discussion of each group in Hunt evaluation reports to
prepare for interviews in each region. )
II. Formal Goals, Objectives, Budget, Etc.
A. How formal is the group? Does it set and prioritize goals and
quantitative, verifiable objectives? If so, how? What
information or process is used? Does it adopt annual budgets
and work programs? If so, how are decisions then made about
who does what? How are goals shared with other Action Plan
groups in the county?
B. Is there documentation of past goals and objectives? Is there
a historical record of past goals, objectives, budgets, and
work programs?
C. To what extent has the group accomplished its objectives?
III. Representation/Composition/Involvement/Leadership
A. How representative is the group of the community?
B. To what degree has the group involved representatives of
prevention, treatment, law enforcement?
C. Has there been a process to make the group inclusive of
various community sectors, ethnic groups, and local
geographical regions? What if any other groups or community
sectors should have more representation in this Action Plan
group? How can their participation be encouraged?
D. Has the group been staffed consistently? Have group members
been mostly volunteers, or mostly paid staff of various
community organizations?
E. How does the composition of the group today compare to its
original composition? Are the same people involved in the
group, or new and different people, or both?
F. Describe the leadership process in the group. Do people feel
included? Do they feel that they have an opportunity to
provide leadership and to take on leadership roles and
responsibilities?
G. How often is there conflict in the group? What do the
conflicts in the group tend to be about? How is conflict
handled? How is it resolved?
H. Is the group a safe place to express controversial views?
I. How are decisions made in the group? Do they tend to be made
by vote or by consensus?
J. In your view, what kind of support might help the group
function as effectively as possible?
IV. Relationship to Other Efforts
A. What is the group' s link to DATE committees?
B. What is the group' s link to the county-wide Action Plan?
C. What is this group' s relationship to other local and regional
groups?
D. Does the group see itself as part of a larger county-wide
Action Plan?
E. Is the group interested in being involved in regional and
county-wide efforts?
F. If so, what can be done to facilitate these efforts?
G. If not, why not?
H. What if any issues or problems do you see with the current
Action Plan governance and structure? What suggestions do you
have to resolve them?
V. Actions and Outcomes
A. What actions has the group carried out? What projects has it
undertaken? What has it accomplished?
B. What are the biggest successes of the group?
C. How has the group addressed the issues of prevention,
treatment, law enforcement?
D. What specific outcomes have you seen of the group' s
activities?
E. What facilitating factors do you see helping the group take
effective action?
F. What barriers do you see to the group taking effective action?
G. What kind of support might help the group take effective
actions and bring about desired outcomes?
Acalanes Residents Hospitalized with Drugs as the Principle Diagnosis
Year 1989 1990 11 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region Total Co. Total Co.
Drag Category
Cocaine 7 158 4.43 5 75 6.67 13 95 13.68
Opiatetheroin 4 81 4.94 6 58 10.34 5 86 5.81
Amphetamine 1 50 2.00 2 56 3.57 0 54 0.00
Barbituate 3 27 11.11 0 25 0.00 1 18 5.56
Cannabis 4 27 14.81 8 42 19.05 1 26 3.85
Halluginogen 0 1 0.00 0 1 0.00 0 1 0.00
Fetal damage by drugs 0 7 0.00 0 0 0.00 0 1 0.00
Methadone 0 0 0.00 0 1 0.00 0 1 0.00
Other sedative 1 8 12.50 0 15 0.00 0 4 0.00
Other 7 218 3.21 12 165 7.27 5 153 1 3.27
Total 27 1 577 1 4.68 11 33 1 438 1 7.53 11 25 439 1 5.69
Acalanes Residents Hospitalized with Alcohol as the Principal Diagnosis
Year 1989 1990 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region Total Co. Total Co.
Alcohol Category
Alcoholic psychoses 9 146 6.16 7 142 4.93 6 145 4.14
Alc.dependency syndrome 37 548 6.75 47 545 8.62 38 524 7.25
Non-dep.use of alc. 1 37 2.70 3 49 6.12 1 37 2.70
Alcoholic gastritis 0 0 0.00 0 0 0.00 0 1 0.00
Alc.fatty liver 0 0 0.00 0 2 0.00 0 1 0.00
Acute alc.hepatitis 4 41 9.76 1 36 2.78 2 55 3.64
Alc.cirrhosis of the liver 9 136 6.62 2 97 2.06 2 117 1.71
Uns .alc.liver damage 0 13 0.00 0 13 0.00 0 9 0.00
Total 60.00 921.00 6.51 11 60.00 884.00 6.79 1 49.00 889.00 5.51
Central County Residents Hospitalized with Drugs as the Principal Diagnosis
Year 1989 1990 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region Total Co. Total Co.
Drug Category
Cocaine 33 158 20.89 15 75 20.00 23 95 24.21
Opiatetheroin 26 81 32.10 13 58 22.41 21 86 24.42
Amphetamine 20 50 40.00 14 56 25.00 15 54 27.78
Barbituate 6 27 22.22 8 25 32.00 4 18 22.22
Cannabis 6 27 22.22 10 42 23.81 11 26 42.31
Halluginogen 0 1 0.00 1 1 100.00 1 1 100.00
Fetal damage by drugs 0 7 0.00 0 0 0.00 0 1 0.00
Methadone 0 0 0.00 0 1 0.00 0 1 0.00
Other sedative 2 8 25.00 4 15 26.67 1 4 25.00
Other 46 218 21.10 32 165 19.39 33 153 21.57
Total 11 139 1 577 24.09 11 97 1 438 1 22.15 11 109 1 439 24.83
Central County Residents Hospitalized with Alcohol as the Principal Diagnosis
Year F 1989 1 1990 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region Total Co. Total Co.
Alcohol Category
Alcoholic psychoses 53 146 36.30 52 142 36.62 65 145 44.83
No.dependency syndrome 200 548 36.50 168 545 30.83 168 524 32.06
Non-dep.use of ale. 19 37 51.35 22 49 44.90 13 37 35.14
Alcoholic gastritis 0 0 0.00 0 0 0.00 0 1 0.00
Aic.fatty liver 0 0 0.00 1 2 50.00 1 1 100.00
Acute alc.hepatitis 14 41 34.15 12 36 33.33 22 55 40.00
Alc.cirrhosis of the liver 39 136 28.68 40 97 41.24 45 117 38.46
Uns .alc.liver damage 4 1 13 30.77 4 1 13 30.77 2 1 9 22.22
Total 11 329.00 1 921.00 35.72 299.00 1 884.00 33.82 71 316.00 1 889.00 35.55
East County Residents Hospitalized with Drugs as the Principal Diagnosis
Year 1989 1990 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region Total Co. Total Co.
Drug Category
Cocaine 39 158 24.68 18 75 24.00 11 95 11.58
Opiatetheroin 21 81 25.93 13 58 22.41 18 86 20.93
Amphetamine 15 50 30.00 19 56 33.93 10 54 18.52
Barbituate 6 27 22.22 5 25 20.00 5 16 27.78
Cannabis 5 27 18.52 8 42 19.05 3 26 11.54
Halluginogen 1 1 100.00 0 1 0.00 0 1 0.00
Fetal damage by drugs 2 7 28.57 0 0 0.00 0 1 0.00
Methadone 0 0 0.00 0 1 0.00 0 1 0.00
Other sedative 0 8 0.00 6 15 40.00 2 4 50.00
Other 36 218 16.51 26 165 15.76 18 153 11.76
Total 125 577 21.66 95 1 438 1 21.69 67 439 1 15.26
East County Residents Hospitalized with Alcohol as the Principal Diagnosis
Year 1989 1 1 1 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region Total Co. Total Co.
# # % # # % # # %
Alcohol Category
Alcoholic psychoses 23 146 15.75 21 142 14.79 21 145 14.48
Alc.dependency syndrome 77 548 14.05 94 545 17.25 87 524 16.60
Non-dep.use of alc. 8 37 21.62 7 49 14.29 6 37 16.22
Alcoholic gastritis 0 0 0.00 0 0 0.00 1 1 100.00
Alc.fatty liver 0 0 0.00 0 2 0.00 0 1 0.00
Acute alc.hepatitis 6 41 14.63 11 36 30.56 13 55 23.64
Alc.cirrhosis of the liver 27 136 19.85 29 97 29.90 29 117 24.79
Uns .alc.liver damage 2 13 15.38 2 1 13 15.38 6 9 66.67
Total 11 143.00 1 921.00 15.53 164.00 1 884.00 18.55 163.00 889.00 1 18.34
South County Residents Hospitalized with Drugs as the Principal Diagnosis
Year 198 1 1990 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region Total Co. Total Co.
Drug Category
Cocaine 21 158 13.29 9 75 12.00 10 95 10.53
Opiatetheroin 3 81 3.70 3 58 5.17 12 86 13.95
Amphetamine 2 50 4.00 2 56 3.57 3 54 5.56
$arbituate 3 27 11.11 5 25 20.00 2 18 11.11
Cannabis 9 27 33.33 13 42 30.95 8 26 30.77
Halluginogen 0 1 0.00 0 1 0.00 0 1 0.00
Fetal damage by drugs 0 7 0.00 0 0 0.00 0 1 0.00
Methadone 0 0 0.00 0 1 0.00 0 1 0.00
Other sedative 1 8 12.50 2 15 13.33 0 4 0.00
Other 14 218 6.42 11 165 6.67 11 153 7.19
Total 53 1 57-7--T--9-,1-9-j 45 438 10.27 46 439 10.48
South County Residents Hospitalized with Alcohol as the Principal Diagnosis
Year 1989 11 1990 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region Total Co. Total Co.
Alcohol Category
Alcoholic psychoses 13 146 8.90 9 142 6.34 15 145 10.34
Alc.dependency syndrome 81 548 14.78 50 545 9.17 57 524 10.88
Non-dep.use of alc. 3 37 8.11 6 49 12.24 5 37 13.51
Alcoholic gastritis 0 0 0.00 0 0 0.00 0 1 0.00
Alc.fatty liver 0 0 0.00 0 2 0.00 0 1 0.00
Acute aic.hepatitis 1 41 2.44 0 36 0.00 3 55 5.45
Alc.cirrhosis of the liver 4 136 2.94 1 97 1.03 9 117 7.69
Uns .alc.liver damage 0 13 0.00 2 13 15.38 0 9 0.00
Total 102.00 921.00 11.07 68.00 884.00 7.69 89.00 889.00 10.01
( ♦
West County Residents Hospitalized with Drugs as the.Pdncipai Diagnosis
Year 1989 1990 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region .Total Co. Total Co.
# # % # # % # # %
Drug Category
Cocaine 58 158 36.71 28 75 37.33 38 95 40.00
Opiatetheroin 27 .81 33.33 23 58 39.66 30 86 34.88
Amphetamine 12 50 24.00 19 56 33.93 26 . 54 .48.15
Barbituate 9- 27 33.33 7 25 28.00 6 18 33.33
Cannabis 3. 27 11.11 3 42 7.14 3 26 11.54
Halluginogen 0 1 0.00 0 1 0.00 0 1 0.00
Fetal damage by drugs 5 7 71.43 0 0 0.00 1 1 100.00
Methadone 0 0 0.00 1 1 100.00 1 1 100.00
Other sedative 4 8 50.00 3 15 20.00 1 4 25.00
Other 115 218 52.75 84165 50.91 86 153 56.21
Total 233 577 1 40.38 168 1 438 38.36 192 439 43.74
West County Residents Hospitalized with Alcohol as the Principal Diagnosis
Year1989 19 F 1991
Description Region Total Co. Total Co. Region Total Co. Total Co. Region Total Co. Total Co.
# # % # # % # # %
Alcohol Category
Alcoholic psychoses 48 146 32.88 53 142 37.32 38 145 26.21
Ale.dependency syndrome 153 548 27.92 186 545 34.13 174 524 33.21
Non-dep.use of ale. 6 37 16.22 11 49 22.45 12 37 32.43
Alcoholic gastritis 0 0 0.00 0 . 0 0.00 0 1 0.00
Ale.fatty liver 0 0 0.00 1 2 50.00 0 1 0.00
Acute ale.hepatitis 16 41 39.02 12 36 33.33 15 55 27.27
Ale,cirrhosis of the liver 57 136 41.91 25 97 25.77 32 117 27.35
Uns .ale.liver damage 7 13 53.85 5 13 38.46 1 9 11.11
Total 11 287.00 1 921.00 31.16 293.00 884.00 1 33.14 11 272.00 1 889.00 30.60
SUBSTANCE ABUSE
• In a survey of women using prenatal services
WHAT'S THE PROBLEM? in Contra Costa, 14%admitted to using alcohol
or other drugs. Because of self-reporting,the
• Approximately 80,000 Contra Costans are actual number is probably higher.
dependent upon or are serious abusers of Approximately 15%of all infants in Contra
alcohol and other drugs. Costa test positive for drugs at birth
• The National Institute on Alcohol Abuse and • Alcohol-related trauma,including auto crashes
Alcoholism estimates that at least 25%of all and violence,is the leading cause of death in
hospitalized persons have alcohol-related Contra Costa among those aged 1 to 19.
problems alone.
• Sixty percent of adolescents in drug abuse
• In Contra Costa County,nearly 1,200 residents treatment have parents who abused drugs or
were hospitalized in one year for medical alcohol. Individuals with a family history of
complications induced by the use of alcohol and alcohol,especially males,are at four times the
other drugs. risk of alcoholism.
The Action Plan
A Partnership for a Drug-Free Contra Costa County
• Approximately 2,000 Contra Costa women are ' Female alcoholics die at a younger age than
estimated to use drugs duringre each male alcoholics and African-American
year and the extent of alcoholluse among pregnancy cy alcoholics die earlier than their White
pregnant women is unknown. counterparts.
• Eighteen percent of all county AIDS cases • Youth are at particular risk for substance abuse.
involve IV drug use. Nationally,over two-thirds of high school
seniors are current drinkers,with 33%reporting
• Alcohol and other drugs are involved in 641/6 binge drinking—the consumption of five or
of the suicides,85%of the homicides and 58%of more drinks at a sitting within the past two
the fatal motor vehicle crashes occurring in the weeks. Alcohol companies actively develop
county. and promote products aimed at these younger
consumers.
WHO'S MOST AFFECTED?
WHAT'S THE IMPACT ON OUR
• From 1988-1992, the percent of drug abuse CO ?
clients in Contra Costa who are women has
risen,as has the percent of clients who are over Alcohol and other substance abuse is
age 30. The ethnic mix of clients has remained tremendously costly to the community,not only
relatively stable,with Whites continuing to in terms of criminal justice,incarceration and
account for over half of drug abuse clients.
more • more • more
treaftu;ea t costs,but from the indirect costs of Future planning needs to continue
motor vehicle accidents,injuries and mortality, emphasizing collaboration with many sectors of
lost productivity and employment,and crimes the community:
committed under the influence. For substance
exposed infants and children raised by substance- • Schools,the workplace,government,the
abusing parents,there are also costs due to criminal justice system,the health care delivery
developmental delays,disabilities,and potential system,the business and religious communities,
lifetime impairments. individuals and families,and the political
system must all be involved in developing
Service providers report that the number of services and strategies aimed at the reduction of
extended families trying to care for children of
substance abusing parents is rising,with alcohol and other drug problems.
grandparents increasingly assuming the burden • Public health,substance abuse,HIV,social'
of raising their grandchildren. services and mental health providers need to
• It costs an average of$19,000-$28,000 to treat work together to develop multidisciplinary,
one drug-pacross-programs meeting the needs ofxposed,low birthweight infant in a underserved and at-risk populations.
neonatal intensive care unit. Costs can go as
high as$150,000 per infant. Lifetime medical • Communities must continue to organize and
and rehabilitative services alone cost over call for reforms in the marketing practices of the
$400,000 for a fetal alcohol syndrome(FAS) alcohol industry. This is currently taking place
baby. at the community level through local CASA
• Children born to drug-addicted parents, (Communities Against Substance Abuse)groups.
particularly crack users,are reaching school age . The Health Services Department must continue
and have special needs related to learning to facilitate the implementation of all
disabilities and psycho-social difficulties. These facets of the County-Wide Action Plan
children can also be unfairly stigmatized by a
system unprepared to deal with them
appropriately. SOURCES: Available upon request.
• In Contra Costa,nearly 1,200 residents were
hospitalized in 1988 with documented substance CONTACT PERSONS:
abuse-induced medical conditions,costing$8.2 Cluck Deutschman
million in medical care expenses. The actual Substance Abuse Program
number of hospitalizations related to substance Contra Costa Health Services Department
abuse is probably higher. 313-6350
WHAT NEEDS TO BE DONE? Kathy Padro
Substance Abuse Program
The County has been at the forefront in Contra Costa Health Services Department
responding to the substance abuse crisis. The 313-6399
COUNTY WIDE ACTION PLAN was developed
by local citizens to reduce the incidence of abuse of
alcohol and other drugs through prevention and
education,intervention and treatment,and law
enforcement/ interdiction The Health Services
Department has also initiated an unprecedented
collaboration project entitled Q12tions for
Recovery,which links community-based perinatal
and substance abuse services with women in need.