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Home My WebLink AboutMINUTES - 10191993 - IO.10 TO: rz BOARD OF SUPERVISORS I .O.-10 INTERNAL OPERATIONS COMMITTEE y% :1 _L,; Contra FRG M.' Costa J DATE: October 11, 1993 Count �sq,��-N��_"� SUBJECT: REPORT ON THE STATUS OF THE EVALUATION AND MONITORING OF THE DRUG AND ALCOHOL ACTION PLAN AND PLANS FOR THE MEETING OF THE COUNTYWIDE COORDINATING COMMITTEE SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: 1 . ACKNOWLEDGE receipt of the attach_ed�report from the Health Services Director on the status of the implementation of the Drug and Alcohol Action Plan and other components of the County' s substance abuse Action Plan/Partnership Project. 2 . DIRECT the Health Services Director to insure that one of the principal outcomes from the November 9, 1993 Countywide Community Forum is discussion of the Drug & Alcohol Problem Indicators, and agreement to accept them as submitted, or to add to. them or otherwise to modify them before accepting them as appropriate indicators success in the implementation of the Drug and Alcohol Action Plan. 3 . DIRECT the Health Services Director to report back to our Committee again on January 3, 1994 on the status of the evaluation of the implementation of the Action Plan and other relevant Partnership Project activities . BACKGROUND: On July 20, 1993, the Board of Supervisors approved a report from our Committge on this subject, part of which included the following recommendation: "DIRECT the Health Services Director to report further to our Committee on October ll, 1993 on the following: * The agenda for the Countywide Coordinating Committee meeting. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD OM I E APPROVE OTHER � �o _A � SIGNATURE S : ACTION OF BOARD ON._ Go+bcr 19, 1993 APPROVED 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, p ATTESTED Contact: PHIL BATCHELOR,CLERK OF THE BOARD OF OC: County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR Health .Services Director Chuck .Deutschman Substance Abuse Program DirectorBY DEPUTY c_ r� I.O.-10 * 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. On October 11, 1993 we met briefly with Chuck Deutschman, the Substance Abuse Program Director for the Health Services Department and Amalia Gonzalez del Valle, CSAP Coordination for the Substance Abuse Division of the Health Services Department. Unfortunately, we were running so far by the time we were able to meet with Mr. Deutschman and Ms . del Valle that we had only the briefest opportunity to review the attached report. We have attached the majority of the report, including the evaluation component. Not included are all of the appendices referenced in the Table of Contents. These are available to any Board member who would like to review them. Because of the limited time we had in which to review this report with staff, we are not prepared to specifically endorse any of the detailed plans set forth in the report. We will continue to review the report and its appendices and will meet with staff again in January to complete our oversight review for 1993, following which we will make a further report to the Board. -2- j s Health Services Department SUBSTANCE ABUSE SERVICES DIVISION ADMINISTRATION - 595Center Ave.,Suite 200 01 Martinez, CA 94553-4639 Alcohol Programs (510) 313-6300 Drug Programs• (510)313-6350 sTA-coux� TO Internal ratioJ ttee PROW Mark Fifne, eavlces erector REI Update on Action Plan/Partnership Project ! July-September 1993 DATE October 6, 1993 This report is a follow-up to the July 14 1993 Report on the Action Plan/Partnership Project. It examines the current state of the Action Plan/Partnership Project in three priority areas: • Structure and Governance • Strategies and Activities • Action Plan Evaluation In response to the Internal Operations recommendations dated July 27 , 1993, the report describes the strategic plan developed by the Community Substance Abuse Services to (1) recruit and engage Treatment and Law Enforcement sectors in the Action Plan/Partnership Project; (2) Convene a County-wide Community Forum on November 9, 1993 ; and (3) develop an Agenda for the County-wide Community Forum that will provide participants with the opportunity to evaluate Action Plan implementation and to review indicator data collected by the Action Plan evaluator. A-371-A (3/93) Contra Costa Countv ACTION PLAN/PARTNERSHIP PROJECT REPORT 1993 UPDATE THE PARTNERSHIP FOR A DRUG FREE CONTRA COSTA COUNTY CONTENTS PART I: Update on Structure & Governance Introduction 2 1.1 The County-Wide Coordinanting Committee 2 1.2 The Partnership Forum 3 • Partnership Forum I 4 1.3 The County-Wide Community Forum 4 • The County-Wide Community Forum Agenda 4 1.4 The Regional Steering Committees 5 • Membership Inclusion and Representation 5 • Strategic Plan to Include Groups, Sectors, & 11 Populations • Racial/Ethnic Populations 11 • Law Enforcement 11 • Treatment 13 PART II: Update on Strategies & Activities 14 2.1 Community Forums and Special Events 15 2.2 Fund Raising and Grant Writing 18 2.3 Media and Marketing 19 2.4 Public Policy Initiatives and Advocay 22 2.5 Training and Interlinks Networks 22 2.6 Data Collection and Evaluation 25 PART III: Update on Action Plan Evaluation 3 .1 Second Progress Report - September 15 1993 Appendices #l: CSAP Proiect Goals and Objectives #2 : 1993 Partnership Calendar. #3 : 1993 Partnership Organizational Structure #4: Partnership Forum I #5: Needs Assessment CSAP Training Division #6: Action Plan/Partnership Protect Newsletter #7 : Partnership Interca_mbios #8: Information and Data Collection Forms Tables 1: Membership Distribution by Gender 2 : Membership Distribution by Aae Group 3 : Membership Race/Ethnic Distribution by Regions 4: Membership Composition by Sectors STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993' PART I: Update on Structure and Governance Introduction In 1989-1990, a County-wide Drug and Alcohol Action. Plan focused on Prevention, Treatment, and Law Enforcement was developed. by residents of Contra Costa County. The plan was adopted by the County Board of Supervisors, taken to the polls and ratified by voters as the County' s Alcohol and Drug Policy. The Action Plan is an integrated three pronged approach to reduce the incidence of Alcohol, Tobacco, and Other Drug Abuse [ATODA] through Prevention, Law Enforcement, and Treatment interventions. The Action Plan is based upon the premise that responsibility for ATODA prevention rests in the community itself. In 1990 The Center for Substance Abuse Prevention [CSAP] funded "The Partnership for a Drug Free Contra Costa County", a grant proposal submitted by the Health Services Department to implement the Action Plan in Contra Costa County. The five year demonstration project is one of 250 Community Partnership Grants funded by CSAP to develop and support + large-scale, community-wide, long-range strategic planning to reduce ATODA. The CSAP Community Partnership Demonstration Grants contain a strong local and national evaluation component to measure the overall impact of its community-wide approach to prevention. 1.1 The County-wide Coordinating Committee [CCC] During the initial stages of the Partnership Project a County-wide Coordinating Committee [CCC] appointed by the Board of Supervisors was vested with the responsibility to coordinate and evaluate the Action Plan. In June 1993 the Partnership Coordinators suggested an alternative to the CCC: a Partnership Forum comprised of district representatives appointed by Regional Steering Committees [RSC] and the Substance Abuse Advisory Board [SAAB] . In order to achieve the Partnership Project stated goals and objectives, Appendix #1 : CSAP Project Goals and Objectives, the Partnership will convene at least once a year a County-wide Community Forum and a County-wide Substance Abuse Prevention Summit. Invitations for these events will include membership from the CCC, the regional coalitions, local groups, agencies, and representatives from a variety of community sectors. The proposal submitted by the Partnership Coordinators to the Internal Operations Committee, July 12, 1993, transfers the coordinating function of the CCC to the Partnership Forum. The participatory community process to engage citizens in charting the Action Plan/Partnership Project is preserved by County-wide annual events and frequent regional community forums . See Appendix #2: 1993 Partnership Calendar. Regional forums are used to showcase the Partnership, recruit new members, inform, educate, and elicit feedback from community constituencies and local residents about the Partnership, ATODA problems, and other regional concerns. agdv:io:10:6:93 2 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 1.2 The Partnership Forum The Partnership Forum brings together fifteen community volunteers and nine paid staff. The volunteers are elected representatives of the Substance Abuse Advisory Board [one from each of the five County Supervisorial Districts] and the Regional Steering Committees [two from each of the five Regional Steering Committees] . Paid staff consists of five Partnership Coordinators, three CSAP Project staff i.e. Project Director and Project Evaluators, and one Community Substance Abuse Services [CSAS] staff i.e. Prevention Specialist. See Appendix #3 : 1993 Partnership Organizational Structure. The Partnership Forum is charged with the responsibility of providing County-wide coordination to implement the Action Plan/Partnership Project goals and objectives through the following strategies: • Community Forums and Special Events • Data Collection and Evaluation • Fund Raising and Grant Writing • Media and Marketing • Public Policy Initiatives and Advocacy • Training and Network Interlinks The Partnership Forum proposal approved by the Board of Supervisors, as stated in Internal Operations Committee Order dated July 27, 1993 includes the following provisions: Add as a "primary focus" for the Partnership Forum. . . . . to monitor and evaluate the implementation of Drug & Alcohol Action Plan. In August 17, 1993, the CSAP Project Director distributed to Partnership Coordinators copies of [1] Health Services Department Report to Internal Operations Committee [July 12, 19931 ; and [2] Follow-Up to Internal Operations Committee Report on Implementation of the Drug & Alcohol Action Plan [July 27, 19931 with instructions to inform Regional Steering Committees about these decisions. During August and September, the CSAP Project Director and the Partnership Coordinators presented a formal request to the Regional Steering Committees to nominate two of their members to represent regional interests at the Partnership Forum. The CSAP Project Director and the CSAS Prevention Specialist requested 'from the Substance Abuse Advisory Board nominations from each of the district representatives appointed by the Board of Supervisors to represent SAAB at the Partnership Forum. The CSAP Project Director and the CSAS Prevention Specialist develop a Partnership Forum Orientation Package and instructed the Partnership Coordinators to conduct orientation sessions with each of the Partnership Forum nominees. The CSAP Project Director and the CSAS Prevention Specialist conducted orientation sessions for SAAB members appointed to the Partnership Forum. agdv:io:10:6:93 3 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Partnership Forum I The first Partnership Forum was convened, September 21, 1993 . Invitation, agenda, educational materials, participatory process for agenda development, data generated by participants, and evaluation instrument are included in' Appendix #4: Partnership Forum I. The session was used to identify membership purpose and affiliation, to review CSAP Partnership prevention framework, to establish principles to be used in planning and making decisions to implement Partnership Forum responsibilities, and to review 1993 Action Plan/Partnership Project accomplishments. Partnership Forum members supported the CSAP Project Director suggestion to have a one day retreat during the month of December to [1] evaluate Partnership Forums and County-wide Community Forum; [2] define Partnership Forum purpose, principles, and organizational structure; [3] form Partnership Forum Work Groups according to areas of responsibility; and [4] develop a Partnership Forum Action Plan for 1994 to include goals and objectives, expected outcomes, data collection and evaluation procedures. 1.3 The County-wide Community Forum In regards to the . directive to Convene the County-wide Coordinating Committee, the CSAS, in collaboration with the Partnership Forum and Regional Steering Committees, will convene a County-wide Community Forum, November 9, 1993 ffom 10 a.m. to 2 p.m. The event will be hosted by the Central County Partnership, sponsored by the CSAS and the CSAP Project, and coordinated by the Partnership Forum. All former CCC members will be invited to attend this event. Also, special efforts will be made by CSAS staff to ensure participation from treatment and law enforcement sectors. County-Wide Community Forum Agenda In response to the Internal Operations directive to develop the agenda for the County-wide Community Forum, the CSAP Project -Director proposed to the Partnership Forum a participatory process to involve the Regional Steering Committees in setting the agenda, see Appendix #4: Partnership Forum I. Partnership Forum members agreed to implement the process and to convene Partnership Forum II on October 19, 1993 for the following purposes : to integrate regional agendas into a final product, to formulate agenda in terms of activities and expected outcomes, assignment of responsibilities, logistics, data collection and procedures needed to convene and evaluate the County-wide Community Forum. The CSAP Project Director and the CSAS Prevention Specialist clarified to Partnership Forum members their position as representatives from the Health Services Department, CSAS and the CSAP Demonstration Project, and as such, their contribution to Partnership Forum decisions regarding areas of responsibility would include recommendations from these constituencies e.g. , supporting the directive from Internal Operations Committee to Convene the County-wide Community Forum for the following -purposes: agdv:io:10:6:93 4 t STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 • To provide the opportunity for participants to take part directly in the Action Plan Evaluation by completing forms designed to measure implementation of the Drug & Alcohol Action Plan, as per Board of Supervisors directives on January 5, 1993 . • To review indicator data collected by Action Plan Evaluation to determine which data appears to most accurately measure the progress which has been made in the implementation of the Drug & Alcohol Action Plan. 1.4 The Regional Steering Committees The Partnership for a Drug Free Contra Costa County, from now on referred . as the Partnership Project or the Partnership, follows the structure of the Action Plan; most of the resources flow to the five Supervisorial Districts of the County according to a formula based on population size, demographic characteristics, and health status indicators. In each district a fiscal entity selected by the Regional Steering Committee manages the grant: T.O.Y.S. in Acalanes/Lamorinda; Center for Human Development in Central County; Delta 2000 in East County; San Ramon Valley Community Services Group in South County; and Opportunity West in West County. The purpose of the Partnership Project is to assist regions within the county to identify the extent and nature of the substance abuse problems in their area and to address the problems through Regional Steering 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. Membership Composition: Inclusion and Representation During the third year of the Action Plan/Partnership Project [19931 , Regional Steering Committees identified the need to broaden the coalition membership to include ethnic/racial representation. This representation is to be inclusive of demographic and population characteristics specific to each region, and also inclusive of as many community sectors as possible, see Appendix #4: Partnership .Forum I. . The following tables display data collected from the Regional Reports submitted by the Partnership Coordinators in June and September, 1993 . Data depicted in the tables show characteristics of the regional coalitions membership for the period January through September 1993 . agdv:io:10:6:93 5 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Table 1 Reaional Coalitions Membership Distribution by Gender ........... ...... ...... ...... .... ...... . .... ............. ...... ............ . ...... ............ X X. ........... ............ X XX ... ............. ..... .. ... ....... ........... ...... ........ ....... . ..... . ..... .................... ....... . ........... ...................... ...... x.t.x-. X X .... . . .. .. x ..... ............ ........... ........... ........... . . . X... .......... X ......... .............. .... ...... SM . ..... ............. . ....... ......... ..... .... .. .2-V M ......... ...... ......... ..... as. : ......... ........ ....... . . . ...... ..... ...... ......... . ............. . .. ...... .. .. ...... .. ...... . ..... .. .2 X . ... ......... ..... . .............. WKW*..........I ..... ....... ..... ..... . ....................... .. . . ....... .. N: ... ................ .. . ... X ..... ............ ... ...... ... .......... ................ ........ .i..... ............ ................. ix.. ................... ..... ..... ...... ...... . . ........... .. ............ ................. X. ..;.; ........... . .. ........ ............. X. X ............ ..... . . .. ......... . .................. . . . .....:•::::i. . . . .. ........... ................... ...... M". ............ Table 2 Reaional Coalitions Membership Distribution by Acre Group ... ......................... .. ........ ... ..... ......... ...... .................... ....... . ......... ......... X.. ... ....... ............ ... ................ .... ....... . .. .. ........ ........... ..............CXAI 3 S:::;<::>... ='.>::>::>:::>:>::><:.: ............... ...... ... .............. ............... .:iii:,- :: . ......... ..... . .... ....... . .......... t ... .......... .......... .. .......... ............ . ........... .......... ............... ...... .. . . ............. . ........................... . ... ..... ... ................ .................. .. ................. . .................... . . ... ............. ........... ....... ..................................................... .... .. ......... ..... ............... ...... X-X-X,. ............ .......... ... . ...... .............. .. ....... . .......... : .......... ... ....... ...... ............ .,a _X ...... ...... X:... .. .................... ....... ................... ....................%....... ..................... . .... ......... SEEM .......... . . ........... .. ...... ................. ................... . .... ................ .................................. ............ ........ X ............. . . ... ....... ... ....... ......... .. .. ...... .. ................. ......... . ......... .. .. .......... .......................................... X..... -X, ............ .. ......... X.: X ....................... X.. X.... N.- ............... .. . ........ . ......... .... .. j ...... :X. .......... ... ... ............ --,'.'-..:.-...-._- .......TOTAU : X. :,", ... ....... .... .. ::. .... .............. x. .. ........... ............ ... ...... ............. .................... ..... .......... X .................. : ................. ... ... ....... ........................................... .................. ................. ...... ..... ................................. ............. .X ... ... ............. ........................ ........ oaf.. .. . .X93.... NIA.� x ...... .. ...... Data displayed in Table 1 shows that out of a total of 154 Partnership coalition members, 58% are women and 42% are men. The Aca lanes/Lamor inda region has the smallest coalition with only 11 members or 7% of the county-wide Partnership coalition membership. West County has the second smallest coalition with 32 members or 21% of the county-wide membership followed by East [36] and Central [37] representing 23% and 24% of the total membership. South County has the agdv:io:10:6:93 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 largest coalition with 38 members or 25% of the total number of Partnership coalition members. Table 2 shows that adults are over represented in the Partnership coalitions; out of a total of 154 coalition members 96% are adults and only 4% are youth. In Acalanes/Lamorinda the ratio of adult to youth is 50/50 while in West County, youth represents 33% of the coalition membership and adults only 20%. The South County coalition membership consists of 17% youth and 25% adults. There are no youth representatives in Central County and East County coalitions. Information reported by the Public and Environmental Health Advisory Board Report on Status of Health in Contra Costa' [October 26, 19921 and PEHAB Retreat Backaround Information Material [September 30, 19931 indicate that youth in Contra Costa County which represented 25% of the population in the 1990 census, is particularly at risk. For example, in Contra Costa County approximately 15% of all infants test positive for drugs at birth; alcohol-related trauma, including auto crashes and violence, is the leading cause of death among those aged 1 to 19; firearms injuries are the leading cause of death for children 10 to 19 years old with 86% of the injuries intentionally inflicted. Compared to 57 other counties, Contra Costa is the 10th highest in homicide with one half of all homicides occurring in West County. In the Perinatal Substance Exposure Study Summary [1992] the state prevalence rate for any drug and/or alcohol was highest among women ages 18-24 with alcohol use peaking in women ages 18-24. Given that youth in Contra Costa County are a high risk group and there is a lack of inclusion of youth in the Regional Steering Committees, a top priority for 1994 is to recruit youth to join the regional coalitions. In response to this perceived,need three of the Regional Steering Committees [Central, East, and South] in collaboration with the CSAP Project, the CSAS Division, the Battered Women' s Alternatives Youth Media Project, the Alcohol and Drug Abuse Council' s Friday Night Live Program, and the Tobacco Prevention Project are involved in bringing together youth representatives from all the regions to design and implement a Youth Summit scheduled for next Spring. The West County Partnership has expressed an interest in joining the Youth Summit planning effort but the recent death and shooting of some of the young adult members of their coalition has limited their participation in the planning process. T.O.Y.S. , the Partnership Project fiscal agency in Acalanes/Lamorinda Partnership, is experiencing financial difficulties that limit the time commitment of the Partnership Coordinator, who is also the Executive Director of T.O.Y.S. , to plan the Youth Summit. Also, the T.O.Y.S. Board of Directors have formally informed the CESAP Project Director of their decision not to participate in the current planning or recruitment efforts needed to coordinate this event. Table 3 below, shows that of 154 Action Plan/Partnership Project coalition members, 116 are Non Hispanic White, 33 are African American, 4 are Hispanic/Latino and only 1 member is Asian/Pacific Islander. In contrast to this distribution, data from the U. S. Bureau of the Census show that in 1990 the Racial/Ethnic distribution of Contra Costa County population was 9% African Americans; 9% Asian/Pacific Islanders; 11% Latino/Hispanic; 1% Native American/Alaskan; and 70% Non Hispanic White. Also, projections from the California Department of Finance and P. G. & E. indicate that in the year 2000 the African American population in Contra Costa will increase to 10%; the Latino population to 16%; and the Non-Hispanic White population will decrease to 64%. agdv:io:10:6:93 7 t STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Table 3 Reaional Coalitions Membership Race/Ethnic Distribution by Reaions :...:..:........................... ......::::.....................;:<;.::.:.:.:::.::.;;:.:.:.:::.;:.;:.;;:>:;;;= ...... :... :::::::.:::::.:::::. ..:::::::::. ::r.:. -:::.::_::::.: :. .:.::::::::::.:::::::::::. :.::::::: .::::::.::: ..r. :Q. .:. : ..:.. ... ... ..: es .ca ......... ........... ........ .. ........:.. ........... ..... . >ii'..:.S:yiiiii:iii:::•:'-:i:6ii+:.i.i: iiiii:?iiiii iii::viiiii}:i:•::•iiii:-iii'.1:::•ii:4iiS: 4ii:ilii'::..qqr,i.:.. ii:ii:v?i!Gi: ii?i'::ii}}:i:4'r':i':-iii' -iY.4::::}:i.i'�i .:.:5:�..i:: ..::•'-i:..iii ........:'::ii: .. .. ....... .. 1Y ........::::::...... ......................... :iii•::::::....:. :::::::.............. .,......:....:.:.....::: ......:... ] Q................... ............ ......................... .... .... ......................... ..... ............. ................... ................. . .................. .........3. ....1. .. 1..(.. . Yk�rtfsxr ��! '�- r�xs' 3?,ar;nr{}:�:.:::::::.. ............... .:�t?.::...::.::....:.::::•:.:.:.+'�::::::�:::'�:�14��:.;:.r�>3::::::�;..ri.::�-n�.:�n.:::�:�;tY.;:-i:-:�•::::.��'•:::z.hs.#..:::::::::�:::�af:.i:.;i>:•>:.:>:.iii: :`�>�cF�:::?s :':>� �'::;:'<?'::�:::�_':,:�:'Y:;;:$z:::: :<:::>5::� >:<<<��:t�«;:z;>:::: '�•:;>:;> ;':::;i#i«::'��;:;::;�:;:� :;:::t:;:: �:<<i<i$i::<ir::�`::>�';>:;:: :->:}-.'<z<��::``:'<:::eE��_'"��'.��> > ``�'z> ` '`•` Data displayed in Table 3 show that in terms of racial/ethnic representation the Partnership total coalition membership does not correspond to the racial/ethnic distribution of the population in Contra Costa County. For example, American Indians constitute 1% of the population but have no representation in the coalitions; Asian/Pacific Islanders 9% vs. 1%; and Hispanic/Latinos 11% vs . 3%. Thus, American Indians, Asian/Pacific Islanders, and Hispanic/Latinos are under represented. On the other hand, at the county-wide level African Americans constitute 9% of the population and 21% of the coalition membersh�p. In the same fashion, Non Hispanic/Whites constitute 70% of the county population and 75% of the coalition membership. Both African Americans and Non Hispanic/Whites are over represented in the total membership of the Partnership coalitions. At the regional level the distribution of racial/ethnic minorities in the coalitions show that people of color are either not included or their numbers do not correspond to the racial/ethnic distribution of the population in Contra Costa County. At this time regional data is not available to compare each of the coalitions in terms of district population but data displayed in Table 3 still suggests a deficit in inclusion of racial/ethnic minorities in the Action Plan/Partnership Project coalitions. Acalanes/Lamorinda coalition is the most homogeneous with a 100% Non Hispanic White membership. In South and Central County, 97% of the membership is Non Hispanic White and only 3% is African American. East County membership shows 69% Non Hispanic Whites; 22% African Americans; and 8% Hispanic/Latinos. West County has the greatest racial/ethnic diversity among its members : 72% African Americans, 22% Non Hispanic Whites, 3% agdv:io:10:6:93 8 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Asian/Pacific Islanders, and 3% Hispanic/Latinos. Still, representation from Hispanic/Latinos [3%] and Asian/Pacific Islanders [3%] in the West County membership is insignificant given the number of Latinos, South East Asian, and Pacific Islanders living in West County. Findings reported by the State-Wide Perinatal Substance Abuse Prevalence Study show that in 1992 of the 2450 women that used substance abuse treatment services in Contra Costa County 48% were White, 44% African American, 6% Hispanic, and 2% Other. Data from the 1993 Contra Costa County HIV/AIDS Eoidemioloav Report regarding distribution of AIDS cases in Contra Costa County by race and ethnicity show that 26.2% of adult/adolescent cases are African Americans and 9.4% are Latinos. Among pediatric cases, African Americans represent 25% of the AIDS cases and Latinos 50%. In Contra Costa County heterosexual injection drug users account for 18% of the cases and currently the rate of infection among African American injection drug users is 30%. The report states that increasingly AIDS/HIV infection is occurring in West County and East County. Given the conditions described above, the argument for agressively recruiting racial/ethnic membership to join the Action Plan/Partnership Project coalitions is not only self evident but imperative. The Partnership Project Director Bi-Annual Report to CSAP, due at the end of October, will be distributed to the regions with instructions to develop regional plans for 1994 addressing recruitment, orientation, and retention of racial/ethnic representatives in the Action Plan/Partnership Project coalitions. Data displayed in Table 4 shows that of a total of 154 Partnership coalition members, 42% are identified as providers of prevention services, 17% represent treatment services, 10% local government, 8% law enforcement, 5% schools, and 3% . religious organizations. Fifteen percent of the Partnership coalition membership fall into the category of "other" e.g. volunteers, citizens, business, and civic groups. Acalanes/Lamorinda has no Regional Steering Committee, thus T.O.Y.S. Advisory Board currently serves the function of an "ad hoc" regional coalition. Seventy three percent of the T.O.Y.S. Advisory Board is made of parents that have school age children and school age students that attend the local schools [73%] , one DARE officer that defines herself as a concerned parent, and the Partnership Coordinator who is the only representative of the prevention sector. In Acalanes/Lamorinda, the local school district' s D.A.T.E. program works very closely with T.O.Y.S. in many of the youth oriented activities conducted in the school setting and targeted to school based constituencies. D.A.T.E. has proposed to merge with T.O.Y.S. Advisory Board to serve as the Partnership Regional Steering Committee. The CSAP Project Director has explained to the T.O.Y.S. Board, the need to build a regional structure in Acalanes/Lamorinda that follows the CSAP Project guidelines regarding community-wide, multi-level, coalition building, community development planning- approach. The existing structure is driven by school based activities, school age youth programs, and fund raising efforts to sustain the fiscal agency. The Project Director has accessed CSAP technical assistance services for the Acalanes/Lamorinda Partnership to provide an objective diagnostic assessment of the current status of the region. The diagnosis will include recommendations and support in the development and implementation of a plan to recruit and organize a Regional Steering Committee more in line with the Action Plan/Partnership Project framework. agdv:io:10:6:93 9 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993, Table 4 Regional Steerina Committee Membership Composition bv. 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Table 4 shows that 79% of the South County Partnership coalition membership represent the prevention sector, the other 22% is evenly distributed between treatment [11%] and law enforcement [11%] . South County has recently merged the San Ramon Valley CASA's with the former Regional Steering Committee to be more inclusive of other communities e.g. Danville, Alamo, etc. The new organizational structure of the Partnership coalition in South County consists of an Executive Cabinet, the SRV CASA' s Board, and the SRV CASA' s Community Forum. The Forum brings together on a regular basis local programs, concerned citizens, volunteers, providers, and elected officials, and in turn periodically convenes the community at large to look at ATODA issues and concerns, and to inform, educate, and recruit new members to join the Partnership. Central County membership sector has no representation from schools and religious organizations . Twenty four percent of the membership represent prevention, 22% are volunteers, citizens, business, and civic groups, 22% are law enforcement agents, 16% represent local government, and another 16% are treatment providers. The regional CASA's Network, a group of community based prevention cells in each of the cities in Central County, are constituted as task forces made of volunteers charged with the responsibility to assess, recommend, and implement Central County Partnership regional action plans. East County and West County membership does not include representation from law enforcement or schools [although one of the West County providers identified in the prevention sector is a D.A.T.E. agdv:io:10:6:93 10 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Coordinator for the School District] . West County membership largest constituency is volunteers and concerned citizens (28%] followed by prevention services (25%] , local government (25%] , treatment providers (19%] , and religious organizations (3%) Forty four percent of East County membership represents prevention services followed by treatment providers (28%] , volunteers and concerned citizens (14%] , religious organizations [8%] and local government (6%] . It is important to note that the low level of representation from the school sector is more a function of unclear criteria for data collection than lack of representation. To a large extent the prevention sector represented in the coalitions operates in the school system and with school age groups almost exclusively. A large percentage of prevention services and providers in the Partnership are either part of school programs, conduct programs in the schools, or provide services in the schools. Throughout the Partnership, with exception of West County, school age youth are identified as the group most at risk and the school system is portrayed as the best context in which to intervene, educate, and change ATODA values. Strategic Plan to Include Groups, Sectors, and Populations In response to the Internal Operations directive to the Health Department "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", the CSAS has developed a strategic plan, described below, with projections to increase representation from community sectors directed specifically to regional coalitions that show absence or low levels of representation in a particular sector. Representation from local government and law enforcement is absent from two of the coalitions, religions organizations are not represented in three of the coalitions, the business sector is absent from all the coalitions, and schools representatives are only identified in one region. More significantly, the lack of inclusion and representatives of racial/ethnic groups in the coalitions requires that all initiatives to recruit, engage, and retain Action Plan/Partnership Project membership be targeted to those populations. Racial/Ethnic Populations By January 1994, Regional Steering Committees in collaboration with the Partnership Forum Work Groups most appropriate to the task at hand, will develop a plan specific to racial/ethnic groups in their area. Also, by March 1993, the Action Plan/Partnership Project members will increase their skills in cultural competence, the capacity to function effectively across cultures, to respect and value cultural differences through a series of training events to be conducted in Contra Costa County by the CSAP Training Division, Appendix #5: Letter to Joseph Motter. Director CSAP Trainina Division. Law Enforcement By June 1994 the CSAS will increase the percentage of members in the Regional Steering Committees that represent law enforcement from 8% to 10% . through implementation and evaluation of the following strategies: agdv:io:10:6:93 11 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Short Term • By October 15, 1993 the CSAS Prevention Specialist compiles a mailing list data base of Contra Costa County Law Enforcement community. The purpose: to send invitations to Law Enforcement community members to attend the County-wide Community Forum planned for November 9, 1993 and use the event as an opportunity to recruit and engage this sector in the Partnership. • By November 1, 1993 CSAP Project Director and the CSAS Prevention Specialist interviews key leaders from Contra Costa County Law Enforcement Community. The purpose: [a] to provide information on the Action Plan/Partnership Project; [b] to gather information about Contra Costa County Law Enforcement leadership and coalitions; and [c] to elicit guidance for recruitment strategies that are relevant and specific to this constituency. • By November 1, 1993, CSAP Partnership Project Director submits a report of findings from interviews and mailing list data base to the CSAS Director. • From October 1993 through February 1994, the CSAP Partnership Project Director and the CSAS Prevention Specialist provide coordination and technical assistance to the Substance Abuse Advisory Board [SAAB] for convening a County-wide Community Forum in East County. The purpose: to educate and promote an integrated approach to Substance Abuse treatment, prevention, and law enforcement in Contra Costa County. The Forum is planned for January-February 1994 and the event is expected to draw between 200 and 300 members of the', Law Enforcement, Treatment, and Prevention sectors. The guest speaker designated for this event is the Drug Czar, Mr. Lee Brown, a personal friend of one of the SAAB members, Mr. Rollin Klink. Loner Term • By November 30, 1993, the CSAS Director contracts a part-time Law Enforcement Prevention Specialist, to develop [a] an inventory of Law Enforcement groups and coalitions [name, purpose, meeting schedule, contact person] ; [b] a mailing list data base of- Contra Costa County Law Enforcement leadership and coalitions; [c] a marketing plan to educate and raise awareness among the Law Snforcement community about the Action Plan/Partnership Project; and [d] a strategy to recruit members from the Law Enforcement community to join the Action Plan/Partnership Project. • By December 15, 1993, the Law Enforcement Prevention Specialist submits a report of findings and a proposal, that includes timeline and criteria for evaluation, to implement strategies to recruit members from the Law Enforcement sector to join the Action Plan/Partnership Project. • By December 30, 1993 , the CSAP Partnership Project Director submits to the CSAS Director a plan to monitor and evaluate Law Enforcement proposal. agdv:io:10:6:93 12 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Treatment By June 1994 the CSAS will increase the percentage of members in the Regional Steering Committees that represent Treatment from 17% to 19%, through implementation and evaluation of the following strategies: Short Term • In August 1993 the CSAS Director informs Substance Abuse Treatment Directors plan to use the American Public Health Association document, Healthy Communities 2000 Model Standards. Guidelines and Obiectives to develop a substance abuse outcome indicator data map specific to the CSAS treatment and prevention programs. • In September 1993 the CSAS Outpatient Treatment Supervisor and the CSAP Project Director present the topic to Substance Abuse Treatment Directors Forum. The purpose: to engage treatment providers in the development of criteria and procedures to effectively document, monitor, and evaluate treatment outcomes. • By September 30, 1993, the CSAS Outpatient Treatment Supervisor, the CSAP Project Director, and the CSAP Evaluation Team review the American Public Health Association document, Healthy Communities 2000 Model Standards, to develop a substance abuse indicator data map inclusive of variables pertinent to the CSAS prevention, treatment, and law enforcement sectors. • By October 15, 1993 the CSAS Prevention Specialist compiles a mailing list computerized data base of Contra Costa County Treatment sector. The purpose: to invite members from the Treatment sector to participate in the County-wide Community Forum planned for November 9, 1993 . and to use the event as an opportunity to recruit and engage this sector in the Action Plan/Partnership Project. • By October 15, 1993 the CSAP Evaluation Team collects information from local and state agencies to determine substance abuse indicator data availability, format, and expression. Action Plan evaluation findings are integrated into a "County-wide Substance Abuse Impact Index" . -- • By October 30, 1993 the CSAS Outpatient Treatment Supervisor and the CSAP Project Director submit report of findings to the CSAS Director. • By November 9, 1993 the CSAP Project Director and Evaluation Team submit Action Plan evaluation findings to County-wide Community Forum. • By December 30, the CSAP Project Director submits a "County-wide and Regional Substance Abuse Impact Index" specific to Treatment, Prevention, and Law Enforcement variables to Regional Steering Committees. • By December 30, the CSAS Outpatient Treatment Supervisor submits a "County-wide and Regional Substance Abuse Impact Index" specific to Treatment, Prevention, and Law Enforcement variables to Treatment Program Directors. agdv:io:10:6:93 13 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 • By December 30, 1993, the CSAS Substance Abuse Prevention Specialist and the CSAP Project Director develop [a] an inventory of Treatment groups and coalitions [name, purpose, meeting schedule, contact person] ; [b] a mailing list data base of Contra Costa County Treatment providers and coalitions; and [d] a strategy to recruit members from the Treatment community to join the Action Plan/Partnership Regional Steering Committees. Lona Term • From January 1994 to April 1994 CSAP Director and the CSAS Outpatient Treatment Supervisor interview Treatment Program Directors. The purpose, [a] to establish standards to measure successful completion of treatment that are specific to program goals and objectives; [b] to provide information and to determine if 'County-wide and Regional Substance Abuse Impact Indexes" are adequate for program planning and evaluation; [c] to assess training needs in relationship to variables impacting service delivery outcome indicators i.e. , client's addiction severity, socio-economic status, racial/ethnic characteristics, etc. and program/staff diversity, cultural competence, service mix, etc. • By May 1994 CSAP Evaluation Team submits report of findings regarding "County-wide and Regional Substance Abuse Impact Indexes" . The report integrates feedback and recommendations from Regional Steering Committees and Treatment Programs Directors. • By June 1994, the CSAS Outpatient Treatment Supervisor and the CSAP Project Director develop a training program based on findings from above interviews. The purpose: provide training and technical assistance to treatment providers to further develop skills for effectively document, monitor, and evaluate treatment outcomes. • The CSAS Outpatient Treatment Supervisor and the CSAP Project Director provide training and technical assistance to Treatment Programs. The training to include the Action Plan Model, the CSAP Community Partnership Framework, and a systems approach to treatment that promotes a continuum of services inclusive of prevention, assessment, case management, treatment, aftercare, relapse prevention, etc. PART II Update on Strategies & Activities The following list of Action Plan/Partnership strategies is not exhaustive or reflective of all the ongoing programs, events, and planning processes during the period June-September 1993 . The selection of items from Regional Reports is based on attempt to present new programs and activities incorporated into the repertoire of prevention strategies. agdv:io:10:6:93 14 •: STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 1.1 Community Forums/Special Events Youth Summit The Youth Media Subcommittee of the United Way Task Force on Adolescent Violence and Substance Abuse Prevention, the Friday Night Live Program of the Alcohol and Drug Abuse Council's Friday Night Live, the Tobacco Prevention Program, the Action Plan/Partnership Project, and the Community Substance Abuse Services Division have joined together to convene a Youth Summit in late April of 1994. The overall goal of the conference is to reduce violence and substance abuse among youth in Contra Costa and to celebrate the diversity of the five regions in Contra Costa County. The proposed outcomes are: [1] to showcase and display youth media projects; [2] to provide a forum for youth prevention messages and workshops; (3] to promote youth leadership to get involved in ATODA prevention; and (4] to increase participation of youth in future clean and sober activities. The conference planning is youth generated, with several youth from each part of the county serving on the planning committee and adults facilitating the process as advisors to the youth. Planning started in April, it has brought together approximately 45 adults and 15 youth to over ten times meetings conducted in four regions: Central, East, West and South. Convening the County-Wide Community Since 1989, the Community Substance Abuse Services in Contra Costa County has convened county-wide events or summits to engage citizens and local leadership in a dialogue around substance abuse issues. The process generates opportunities for information sharing, showcasing, training, and networking to promote awareness and commitment for change at the community level. The Action Plan/Partnership Project in collaboration with the Community Substance Abuse Services Division is Convening the County-Wide Community on November 9, 1993 at Faith Lutheran Church. The event will be hosted by Central County Partnership and attended by the Contra Costa County Board of Supervisors. Partnership Forums -- Partnership Forum I convened, September 21, 1993 . The Forum is a federation of regional representatives nominated at the local level to coordinate and evaluate the Action Plan/Partnership Project. The Forum operates on principles of participation and collaboration; essential ingredients of a community-wide, multi-level, bottoms-up, system approach to social action. Forum members represent the interests and diversity of many constituencies in Contra Costa County, specifically in the areas of practice concerned with substance abuse prevention, treatment, and law enforcement. The next Partnership Forum II is scheduled to convene, October 19, 1993, to develop Agenda for Convening the County-Wide Community and to for Task Forces in the following areas of responsibility: Media and Marketing Strategies; Community Forums and Special Events; Public Policy Initiatives and Advocacy; Fundraising and Grant Writing; Training and Interlinks Networks; Data Collection and Evaluation. In December, the Partnership Forum III will convene for a day of dialogue and interchange that will set up the agenda for 1994 and agdv:io:10:6:93 15 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 establish the commitment for leadership needed to move the Action Plan/Partnership Project forward in the next year. South County Community Forums: Plannina the Social Agenda The SRV-CASA Board of Directors now constituted as the South County Regional Steering Committee sponsored a work day on September 15, 1993 . The purpose: to provide the opportunity for various organizations, groups and individuals to set a "social agenda" for South. County. The work day was facilitated by CSAP trainer Gwen Briscoe and Community Substance Abuse Services staff. Supervisor Bishop, and ' Mayors from Danville Major and San Ramon Major welcomed over 36 participants. The result of the work was formulation of three community priorities for study and development in 1993-94: [1] The need for comprehensive and mandatory training, skill building, and:, support for parents, staff, and teachers in grades K-12; [2] the lack of individual and community education regarding accountability and responsibility i.e. , respect for self and others; [3] the lack of awareness of attractive alternatives to substance abuse. Task forces were constituted with elected chairs for each of the areas identified in the work day, and dates set for meetings in October [11, 12, 14] . South County Regional Steering Committee will present the results at Supervisor Gayle Bishop's Liaison Meeting on October 14. East County C Violence The Antioch Anti-Violence Task Force meets to develop a strategic plan to reduce youth, family, and community violence in Antioch and neighboring communities. The Regional Steering Committee was approached tie the City and the School District o assist with the planning process of a conference. A Community Forum is planned for October 2, 1993 at Golden Hills Church, Antic. The purpose is to present task force recommendations to the community before making a final presentation to the City. Projected attendance is 200. The event has been promoted by PSA' s on Viacom Cablevision, Press Releases, school announcements, and school district newsletters. The outcome is to develop a plan to reduce violence. West County Community Forums: Police Relations & AIDS This event took place on Wednesday, September 29th. at the Hilltop Counseling Center. It's purpose was to begin a commuity dialogue around issues raised by a segment of West County's youth around their relationship to the law enforcement community. It is the intent of the West County Steering Committe to seek a role in assisting the West County Community to become more aware of and participate in a process that informs the larger West County community about the AIDS epidemic. The Forum seeks to inform the provider, business, educational, religious and medical community of the extent of the West County AIDS crisis. The Forum is scheduled to take place October 13 at the Richmond Convention Center, Bermuda Room from 3 to 6. The Community Substance Abuse Services Division contribution to this event included cost of some of the mailing to 500-1000 individuals, organization, and agencies, and securing presenters from the Public Health Division, Juan Reardon and Rusty Kilch. agdv:io:10:6:93 16 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 NAACP Anti-Violence Campaign - Richmond Branch The overall purpose of this collaborative effort is to seek solutions that will reduce the violence affecting West County neighborhoods. The NAACP provides the leadership and holds meetings in each of the affected communities on a regular basis . The approach is to identify leaders in each community and facilitate a process by which the community designs and implements the most appropriate strategy to curb the violence. The Partnership role is to provide support, staffing, and technical assistance. 'Also, to convene community forums around topics that are specific to each of the neighborhoods involved in this campaign. The campaign is designed to affect the overall West County community, however, the Partnership focus continues to be on at-risk communities like the Parchester Village, Kennedy Manor, Iron Triangle, and particularly youth in those communities. The campaign has been underway since July with meetings being held in various locations throughout the City of Richmond. At each meeting there has been approximately 40 to 50' participants. At the most recent meeting on September 9, the guest speaker was Dr. Jesse Brown, a nationally known advocate for the cessation of alcohol billboard advertising in the African American community. Iron Triangle Action Team To organize and assists in the organizational effort of the Iron Triangle Community to bring about a reduction in the violence and drug related incidents in this neighborhood. This is an ongoing coalition driven by residents of the area that have a sense of what needs are to be addressed in their community. The West County Partnership, student interns from the Urban Planning Program in the University of California at Berkeley, and local business owners meet regularly, twice a month, at a church in Central Richmond. The coalition has been meeting for over a year and attendance runs between 12 and 16. Recently the East Bay Funders announced their intent to award to the Iron Triangle Action Team a grant to continue their efforts. One of the members recently completed a six month crime analysis of the area that compared the year 1993 with the year 1992 . This work was a reflection of the dedication and commitment of this group that has been working for the betterment of their neighborhood. Rivertown Resource Center A one stop shop for all human service needs. The East County Partnership conducted a community needs assessment that indicated the need for this type of center. The Old Antioch Police Station was converted into a resource center during October, 1993 . More than 125 people participated in the need assessment and 23 were part of a planning group that included City Government, Agencies, Chamber of Commerce, and citizens. The Center features several community rooms, a computer center, and grounds open to all groups working in the community. An opportunity for training' s, networking, educational seminars, and community organization efforts. agdv:io:10:6:93 17 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Community Relations Day A day for North Pittsburg community to interact in a positive way with law enforcement. The idea came from the Law Enforcement Summit sponsored by the East County Regional Steering Committee and the Community Substance Abuse Services Division in September, 1992. The event was a community celebration on May 8 at Pittsburg High School that offered a free Bar-B-Que and a prevention fair with activities for kids. 250 people attended, primarily Latino and African Americans. The event was advertised through local churches, City Proclamations, and a newspaper article. Families Task Force This particular Task Force from Opportunity West in West County is charged with presenting a community forum that addresses family, children, and youth issues within West County, the area of Rodeo, to highlight the need for additional services in that community. The members of this group is West County service providers e.g. , the Rodeo Senior Club, the Bayo Vista Tenants Council, Rodeo Boys and Girls Club, New Connections, Bayo Vista Head Start; West Contra Costa Youth Service Bureau, Planned Parenthood, and Opportunity West. This ongoing group meets once a month and about 10-12 people attend. Walnut Festival The Community Substance Abuse Services Division supported the desire of the Substance Abuse Advisory Board in securing a boot at this year' s Walnut Festival. The Partnership Project provided the funds for booth rental and the Division staff provided printed materials, banner, and other support services needed for the event . This was the first collaborative effort between the Action Plan/Partnership Project and the Substance Abuse Advisory Board. Healthy Cities Proiect A project to coordinate resources in the City of Pittsburg emerged as a commitment from members of the Regional Steering Committee to sit at many tables. One of the outcomes was Children' s Day at Small-World Park, June 6, were more than 7, 000 children and families participated. The event provided a Safety Village, an entire area set-up for teaching children about all types of preventative health and safety measures. 2.2 Fund Raising/Grant Writing CCTV Grants The Community Substance Abuse Services Division approved a grant request for the services of Contra Costa Television in providing equipment and technical assistance to the Youth Media Project in Central County. Three local high schools will be collaborating on a video planned and produced by students on the topic of substance abuse and violence prevention. T.O.Y.S. Membershin Drive Fund Raisina agdv:io:10:6:93 18 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Outreach effort through a membership drive to bridge the gap in funding. was initiated by a master list developed through key players in the T.O.Y.S. committees and board members. A mailing of over 1, 000 requests were sent out and during June 21 and 22, Youth Cabinet members joined the board to phone the contact persons. Approximately $4, 000- $5, 000 is expected from donations that consist primarily of $25 membership fees. Central County 1994 Initiative A letter of intent for a planning and community organizing grant proposal from the Central County Steering Committee to launch a 1994 Initiative with three components: Needs Assessment, Service Delivery, and Evaluation, was submitted to Robert Wood Johnson Foundation in August, 1993 . Healthy Start Prosect Centralize prevention and other services at school site in North Pittsburg, primarily targeted to families in Parkside School area. A planning grant proposal was developed, submitted and funded for $150, 000 per year. Thirty seventy parents, teachers, administrators, agency representatives were part of the planning process. Meet the Funders Conference Bring foundations to East County to meet agencies to discuss funding options, targeted specifically for East County providers. Funds are needed to institutionalize prevention activities beyond CSAP funds, thus, the Regional Steering Committee decision to take this first step. Conference is planned for October 15, 1993 at Ambrose Community Center in Bay Point . Eight foundations have agreed to participate and the expected attendance is between 80 and 90. 2.3 Media/Marketing Media Subcommittee Bay Area Partnership and Fighting Back Proiect To develop a regional public relations campaign to assist the Bay Area's Community Partnerships and Fighting Back in their local efforts to promote alcohol, tobacco and other drug abuse prevention activities. This is an ongoing collaborative effort that grew out of a Bay Area Workshop held in Fort Mason last January. The sub-committee has been meeting since June in an attempt to forge a' memorandum of understanding that will increase the capacity of each of the Partnerships/Fighting Back ability to market their local programs and activities. Representatives from the Vallejo, Berkeley, San Francisco, and Contra Costa, and a representative from the Join Together organization meet to develop a prototype media packet and memorandum of understanding to support collaborative media efforts. agdv:io:10:6:93 19 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Positive Imagery Committee - Richmond Chapter To decrease the number of alcohol billboard advertisements within the West County African American community and to increase the ability of the African American community within West County to observe itself in a positive light. This Committee grew out of a West County "Lie, Cheat, & Steal" presentation. The Committee recently joined with the NAACP Anti-Violence Committee and hosted the Reverend Jesse Brown, who heads the National Positive Imagery for African Americans National Committee. This particular meeting had over 60 participants in attendance. The committee meets regularly and draws a diverse mix of participants from various parts of West County. The primary sector represented in these meetings are prevention specialists from the alcohol and tobacco communities, along with communities leaders interested in limiting the advertisement of these products in the minority community. The committee has assisted in increasing the community's awareness of the boycott being implemented in 15th and Cutting Avenue in Richmond. Life Stogies The development of one hour television specials on a variety of issues affecting teens age 11-19. The Regional Steering Committee was approached by HBO and Viacom to develop series of videos which could then be used by agencies, libraries, schools to spread prevention messages. Four videos were developed on Eating Disorder, Drinking and Driving, AIDS, Teen Pregnancy. Drinking and Driving video aired on Channel 36 just prior to High School Graduation. Estimated audience, 45, 000 Viacom Cable subscribers. Also, activity received newspaper coverage and Viacom purchased ads in local paper telling when shows would air. Media Proiect Development of youth driven anti-tobacco media campaign resulted in two videos PSA's, 4 radio PSA's, and two posters. Young children ages 10-13 and teens aged 13-19 became involved, a total of 30 youth and 6 adults. The rationale for involvement in this project was that treatment providers on RSC needed assistance in working with kids who gave up alcohol and other drug for cigarettes. The effort was tied in to the tobacco ordinance, media coverage, 10 classroom presentations, and public recognition by all East County Cities. Action Plan/Partnership Newsletter The Community Prevention Newsletter is a tool for marketing the Action Plan/Partnership both to active members and to the general public.See Appendix #6: Action Plan/Partnership Project Newsletter DRAFT The goals of producing and distributing the newsletter are: (a] raise community and agency awareness regarding regional prevention activities; [b] highlight through a Community Calendar information on conferences and community events taking place in Contra Costa County and the Bay Area; and [c] create opportunities for community education, and special announcements with a primary focus on substance abuse prevention strategies and alerts. agdv:io:10:6:93 20 STATUS ON ACTION PLAN%PARTNERSHIP PROJECT 1993 The Newsletter is a collaborative process between members of the Partnership Forum, the Regional Steering Committees, and the Community Substance Abuse Services Division. Funding is provided by the CSAP Partnership Project. , Partnership for a Drug Free Contra Costa Information Package A packet of materials depicting the philosophy, purpose, structure, and membership of the Action Plan/Partnership Project has been developed, reproduced, and distributed to different constituencies. The packet includes a Partnership Reader with the Action Plan, the Partnership Grant, and a series of articles that present the theory and practice of prevention promoted by CSAP. The purpose is both dissemination of information and an educational approach to raise awareness of the CSAP Prevention Framework. Care Card The Substance Abuse Advisory Board made a request to the Community Substance Abuse Services Division to develop a "pocket size" treatment resource guide to be used specifically by law enforcement providers in their work with the homeless community. The resource brochure, called a "Blueprint For Recovery" includes information on HIV testing, perinatal services, 12 step meetings, and services for veterans. The Care Card has been requested by several agencies, individuals, and civic groups that find this mini-brochure to be a handy, user friendly way to pass on information. Red Ribbon Week Celebration The Community Substance Abuse Division plans a series of activities to promote Drug Free Communities during the Red Ribbon Week Celebration: • Proclamation and ribbon presentation to Board of Supervisors. • Information table set up Board Chambers Lobby. • Presentations to Substance Abuse Advisory Board, Regional Steering Committees, and local groups include provision of Red Ribbon -- How To Packages. • Distribution of 6, 000 red ribbons and resource information to all County employees. • PSA' s from Partnership for a Drug Free California aired over local cable stations the week before on MTV, CNN, etc. • Press advisories sent to 300 media representatives to alert them to the local activities planned throughout Contra Costa County. • Collaborate with Partnership Coordinators in each region to request that each City Council issue a proclamation declaring the week of October 23-30 Red Ribbon Week: Supporting Drug Free Communities. agdv:io:10:6:93 21 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 2.4 Public Policy/Advocacy Healthy Cities Proiect A project to coordinate resources in the City of Pittsburg emerged as a commitment from members of the Regional Steering Committee to sit at many tables. One of the outcomes was Children's Day at Small World Park, June 6, were more than 7,000 children and families participated. The event provided a Safety Village, an entire area set-up for teaching children about all types of preventative health and safety measures. East County Ordinance Proiects To develop stronger tobacco and alcohol ordinances in East County Cities, the RSC established collaborative relationships with local government. This area was identified as a priority by members of the RSC that participated in the Alcohol Problem Assessment Planning Process . Tobacco was included in the effort to prevent youth access to legal drugs. Antioch adopted 100% workplace/restaurant smoking ban, controlled vending machines placement. Antioch and Pittsburg are adopting conditional use for permits for all alcohol sales. Thirty one people worked on Tobacco Ordinance and 17 worked on Conditional Use Permit. The committee used press releases to advertise that the City will use police calls for service as one way to document impact of ordinances. 2.5 Training/Interlinks County-wide Partnership Trainina Proposal Central County Partnership Coordinator wrote a proposal to hold quarterly, county-wide networking meetings for all Partnership members to get together to facilitate the sharing of ideas and information among the regions . The meetings would rotate throughout the year, to be--held from 3 to 5, with a light snack or hors d'oeuvres served, and sitting arrangements in round tables to encourage discussion. The format would be a pre-announced topic and guest speaker to introduce a topic and generate discussion that would educate and allow for sharing of ideas. Dealing with Negative Group EneLav Yellow Pages Community Exchange in Acalanes/Lamorinda region sponsors a conference for service providers, parent education representatives, law enforcment, school and church officials, interested parenst and community members. The conference will take place at Del Valle High School, Wednesday, October 13, 9:30 to 11:30 . The purpose of the conference is to learn from a panel of local child behavior specialists what is behind the overt disrespect and disrutptive behaviors parents and teachers are oberving in the classroom, not more than in previous years from the early elementary ages through the high school years. The panel will discuss the early warning signs of anti-social behavior and factors that lead to those patterns. agdv:io:10:6:93 22 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Celebratina the Family Conference To provide low cost parenting workshops with free child care to East County families. This is an opportunity for raising community awareness about resources available, later on there will be a one day conference at t Los Medanos College, November 6, 1993 . Expected attendance is 312 adults and teens, 147 children, and 49 providers. Free lunch will be provided to all participants. Managed Care Conference To assist treatment providers in developing linkages with medical community, this event was requested by those members of the Regional Steering Committee that are treatment providers. The need was identify and prioritize due to the fact that there are so very few treatment options left in Contra Costa County. The Conference took place in May 1993 panelist included Health Net, PGE-EAP, John Muir Medical Center, and Contra Costa Medi-Cal. Oben Gyms and Summer Jobs for Youth Proarams The Acalanes region used area media and the City Chamber of Commerce Newsletter to advertise the programs. Unfilled jobs from the High School Career Centers were turned over to T.O.Y.S. and the Acalanes Area National Charity League provided support for the program by sponsoring a mother/daughter volunteer drive. By the end of June 60 jobs had been secured and many students had registered and taken job led. Responsible Beverage Service Project The San Ramon Valley Community Services Group, . on behalf of the Contra Costa County Community-Wide Drug and Alcohol Action Plan/Partnership Project, obtained a grant from the S. H. Cowell Foundation to build a responsible hospitality training component for special events held in Contra Costa County. The project, which targets south County but will also be applicable to the entire county, is intended to improve the positive role of hospitality in the community. The project consists of an instructor development program initiative in November. At least five instructors will be trained to provide ongoing special event technical assistance. Ideally each region will locate at least one instructor for this portion of the project, members of the Partnership Regional Steering Committees or their recruits are welcomed. The initial training is a two-day event. A stipend of $200 will be offered to each instructor, additionally, the training requires involvement in experiential events, including at lest one special event as an alcohol beverage server. The second stage of the project involves moving into a more public mode. Special event training's and technical assistance will be offered to the community in January-June 1994. It is anticipated that the instructors, with support from the Action Plan/Partnership Project in each regions, could be directly involved in marketing and promoting these events. agdv:io:10:6:93 23 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Neighborhood Proiect To train neighborhood leaders in prevention tactics to help reduce drug use and sales in neighborhoods . The target was Antioch and Pittsburg communities with heavy drug sales. The purpose was to involve adults in prevention activities. Six neighborhood groups went through three training's and three of the groups were able to work with landlords and police to close down crack houses. Another result of the training was that threats of small claims court suits worked twice when property collect documentation and reports were sent to .property owners to clean-up property unit. A total of 46 citizens made up the six trainees. The effort was in collaboration with the Police Commission, the City, the Police Department, and local residents. Women and Children in Crisis II Conference West County Regional Steering Committee participated in a collaborative planning process with the Youth Services Bureau to engage the Bay Area community in a constructive dialogue around the continuing crisis facing women and children. The overall purpose of this one day conference was to forge an agenda for action, seeking a lasting solution to issues affecting these populations. The conference was held at the Oakland Airport Hilton on June 18, 1993 . The target audience was Bay Area service providers, elected officials, and local leadership. West County community represented the majority of over 200 participants, among others, Supervisor McPeak served as Conference Moderator and George Miller Jr. was a keynote speaker. The conference featured fourteen workshops with topics such as "It Takes a Whole Village to Raise a Child", "Through Children Eyes: Has Education Failed Our Minority Students?" . East County Partnership DAPP Staff Training The East County Partnership Coordinator provided a full day orientation on primary prevention to eleven treatment staff of the DAPP Program on June 3rd. In response to a request from the DAPP administrators, the day also focused on personality types and identifying he way each type can contribute to an overall prevention program. AIDS and Substance Abuse Conference The Community Substance Abuse Services Division sponsored a day long training on the issue of Substance Abuse and HIV> The keynote speaker was Dr. German Maisonet, house physician for the Federal Corrections Facility in Pleasanton. Other speakers covered issues such as alternative methods for detoxification, communicable diseases with primary emphasis on the growing TB epidemic in Contra Costa. The event took place at Heather Farms and was attended by 85 providers, caregivers, clergy, and substance abuse staff. Video of the event can be access from the Division. DUI Instructors and Primary Prevention The providers of DUI classes across Contra Costa County will be incorporating the Family Substance Abuse Agreement into their activities agdv:io:10:6:93 24 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 and expanding their curriculum to include information and strategies aimed at primary prevention of alcohol related injuries. The Community Substance Abuse Division Prevention staff will provide training, technical assistance, material and mixed media as needed. Staff Development The Community Substance Abuse Services Division prevention staff provided technical assistance, printed materials, informational resources, and an educational video to the Staff Manager of the Contra Costa Housing Authority to train housing supervisors on the issues of substance abuse. 2.6 Data Collection and Evaluation Participatory Process for Data Collection and Strategic Planning In April 1993 , the CSAP Project Director instituted a participatory process for data collection and information dissemination. The CSAP Project Director meets with the Partnership Coordinators twice a month, a one-to-one site visit and a group session or "intercambios" i.e. , structured small group experiences to facilitate group work and decision making through dialogue, reflection, and action, Appendix 47 : Partnership Intercambios. The purpose of regular meetings with Partnership Coordinators is to collect data, monitor Partnership Project goals and objectives, and promote the CSAP Framework and Health Services Department guidelines . There is an explicit understanding; articulated by the CSAP Project Director and reflected in materials distributed to the Partnership Coordinators [Appendix #8 : Partnership Information and Data Collection Formsl that they are charged with the responsibility to represent the Regional Steering Committee, thus, expected to do the following: [13 secure opinions, concerns, and recommendations from the RSC; and [2] inform the Regional Steering Committee members about guidelines, requirements, findings, and recommendations discussed individually or in group sessions with the CSAP Project Director. In the same fashion, Regional Steering Committees are expected to be inclusive of regional constituencies and community sectors, thus, members of the Regional Steering Committees are charged with the responsibility (1] to secure opinions and concerns from their constituencies; [2] to represent the interests of their constituencies; [3] to provide them with information; and (4) to create conditions to ensure involvement of different community constituencies in the Partnership. The CSAP Project Director has instructed the Partnership Coordinators to develop and promote strategies to engage the Regional Steering Committee members in building "partnerships " through participatory processes to achieve the following goals: [a] to promote inclusion of groups and populations that are not represented in the coalition membership or in regional prevention networks; [b] to develop collaborative partnerships with other community sectors, in particular law enforcement and treatment; [c] to engage in self-assessment and evaluation of coalition structure, governance, composition, planning and decision making processes; and [c] to conduct self-assessment and evaluation of regional action plans purpose, goals, objectives and expected outcomes. agdv:io:10:6:93 25 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 Partnership Internal Evaluation Design data collection method to evaluate Partnership Forums [4] to be convened in September, October, November, and December 1993 . Use the CSAP National Evaluation, the CSAP Partnership Manaaement Information Form. and the CSAP Project Reportina Forms to evaluate Regional Steering Committees internal functions: [1] structure and governance; [2] membership composition; [3] inclusion of community sectors and populations; [4] planning of regional prevention activities. Use CSAP Continuation Grant, Internal Operations Reports, and data collected during the 1993 Partnership Forums to evaluate County-wide Partnership Forum internal functions: [1] structure and governance; [2] membership composition; [3] inclusion of regional representatives from prevention, treatment, and law enforcement sectors; [4] planning of county-wide prevention strategies. Use 1993 CSAP Project regional data [CSAP PMIF, Bi-Annual Reports, and National Evaluation Form; Partnership Project Regional Proposals, Monthly Reports; Regional Steering Committee Agenda and Minutes] to design five [5] regional prevention plans. Draft regional plans that include [1] a theoretical framework derived from regional prevention activities reported during 1993; and [2] analysis of relationships between regional prevention activities reported during 1993 and substance abuse indicator data i.e. , Master Plan Regional Data, Action Plan Evaluation Data, Substance Abuse Indicator Data Map Submit plans to Regional Steering Committees and engage members in participatory process [1] to identify substance abuse indicator data needed to establish outcome measures- and evaluation criteria specific to regional goals; and [2] to facilitate development of 1994 regional plans. Write up Regional Steering Committee recommendations regarding: [1] substance abuse indicator data needed for regional planning; [2] regional outcome measures; and [3J timeline for development of 1994 regional plans. Develop retrospective data to describe County-wide prevention strategies relevant to Partnership Forum responsibilities i .e. , Community Forums/Special Events, Data Collection/Evaluation, Fund Raising/Grant Writing, Media/Marketing, Public Policy/Initiatives, Training/Interlinks ` Submit to Partnership Forum retrospective data report, CSAP Continuation Grants, Master Plan Data, Action Plan Evaluation Data, and Substance Abuse Indicator Data Map. Partnership Forum process is used [1] to identify substance abuse indicator data needed to establish outcome measures specific to County- wide goals and objectives; and [2] to facilitate development of a County-wide implementation plan. Write up Partnership Forum recommendations regarding: [1] substance abuse indicator data needed for County-wide planning; [2] County-wide outcome measures; and [3] timeline for development of 1994 Partnership Forums. Substance Abuse Division Data Base An extensive Community Substance Abuse Services Division mailing list data base has been created and organized according to sectors, areas of interest, and geographical locations. agdv:io:10:6:93 26 STATUS ON ACTION PLAN/PARTNERSHIP PROJECT 1993 The data base offers the opportunity to do target mailings, action alerts, and broad information dissemination, specific to interest groups or a particular target audience. In the near future, the data base will be used as a tool for data collection and evaluation purposes in tracking attendance, dissemination, network analysis, etc. The Community Substance Abuse Services Division is in the process of developing a ATODA Coalition and Meeting Schedule Inventory data base that includes information on groups, coalitions, tasks forces, and networks involved in substance abuse prevention, AIDS/HIV, Communicable Diseases, Violence Prevention, Tobacco Prevention, Environmental Prevention, Perinatal Services, etc. A Community Calendar Inventory data base is also in process of development to include summary of information collected from announcements, brochures, and bulletins that advertise special events, conferences, training, etc. The Calendar will be distributed periodically as a service to Partnership and Division networks. All these inventories will be used to assist health providers and community organizers coordinate efforts; to provide information that can enhance linkages and networking between different groups, sectors, and regions in the county; to raise awareness about the variety of efforts taking place in Contra Costa; and to promote the Partnership both in terms of visibility and resource exchange. PART III: Update on Action Plan Evaluation See next page for Ms Sheila's Tarbet Report, September 15, 1993 agdv:io:10:6:93 27 Drug and Alcohol Action Plan Evaluation Contract #24-645-1 Second Interim Progress Report September 15, 1993 Purpose of the Contract As detailed in the proposal submitted to the 1.0. 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 is collecting and analyzing 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; 8) interviews of selected key members of these groups; and C) compilation of indicator data available from state and county sources. Progress to Date A) The survey. The survey has been distributed to each of the Action Plan groups throughout the county. To date, approximately the following numbers of surveys have been received from the various Action Plan groups: Substance Abuse Action Committee (SAAC) in East County: 8 Central County Steering Committee: 12 Pleasant Hill CASA: 9 Walnut Creek CASA: 8 Concord CASA: 5 West County Steering Committee: 4 Richmond Anti-Drug Task Force: 2 San Ramon Valley CASA: 4 County-wide groups: 5 Total number returned: Approximately 50. The data from these surveys has been entered on to a data base to facilitate 1 summary and analysis. B) Interviews. Four interviews have been completed with Action Plan participants in East County. No more interviews are planned for that region. Three interviews have been conducted with participants in West County. Approximately 3 to 5 more are planned. Five interviews have been conducted with participants in Central County groups. Six to eight additional interviews are planned for Central County. No interviews have yet been conducted with South County participants, although four people have been designated. No interviews have yet been conducted with Lamorinda-Acalanes Action Plan participants. C) Indicator Data. A great deal of time during this reporting period has been focused on collecting, assessing, and graphing indicator data. Preliminary memos were written, and after a meeting with Amalia Gonzalez del Valle and Chuck Deutschman, the attached August 27 memo was prepared recommending that specific data be included in an indicator data document to be available for the next county-wide CCC meeting in November. After the research I have conducted since the memo of August 27, 1 am now recommending that the indicator data document include the following state and county rates per 10,000 population for the period from 1986 to 1991: Health data 1) deaths due to all drugs 2) alcohol-related deaths 3) CAL-DADS admissions to drug treatment programs 4) hospital discharges for drugs 5) hospital discharges for alcohol 6) cases of hepatitis B 7) HIV-AIDS cases that are drug-related Criminal Justice data 1) adult drug-related arrests: felonies 2) adult drug-related arrests: misdemeanors 3) juvenile drug-related arrests 4) alcohol-related arrests California Highway Patrol data: 1) alcohol-involved accidents 2) accidents with DUI primary collision factor Graphs of all the above but the HIV-AIDS cases have been drafted and are attached. Each graph needs to be finalized with brief explanatory remarks and a statement of source. At this point, modifications in format may be made if so desired. D) Other Activities. The evaluator has attended all scheduled meetings of the 2 Community Partnership staff. She has provided information for a funding proposal developed on behalf of the Central County Steering Committee. Numerous meetings of Action Plan groups have been attended to distribute the survey and get names of designated key informants to be interviewed. A description of the development of the Substance Abuse Advisory Committee in East County has been drafted. 3 TO: Amalia FROM: Sheila DATE: September 28, 1993 SUBJ: Indicator Data The following is a list of indicator data charts for the years 1986 to 1991 prepared for you for my interim report of September 15. Each of these charts presents Contra Costa County data and state data adjusted for population (rate per 10,000 persons). I also have data I obtained from Juan Reardon showing the new AIDS/HIV cases, and I can put that into a similar format if we would like to include it. Drug and Alcohol Action Plan Evaluation Indicator Data Health - Related Indicators Hospital Discharges for Drugs Deaths Due to All Drugs Cases of Hepatitis Type B -CAbEQA-B€ Admissions to Drug Treatment Programs Hospital Discharges for Alcohol Alcohol-Related Deaths (All AAFs) Criminal Justice System Indicators Adult Drug-Related Arrests: Felonies -- Adult Drug-Related Arrests: Misdemeanors Juvenile Drug-Related Arrests Alcohol-Related Arrests California Highway Patrol Data Alcohol-Involved Accidents Accidents with DUI Primary Collision Factor Contra Costa County Drug and Alcohol Action Plan Drug and Alcohol Problem Indicator index November, 1993 INTRODUCTION The purpose of the Drug and Alcohol Problem Indicator Index is to 2 Health-Related Indicator#1 Annual number of hospital discharges for treatment related to drugs other than alcohol, per 10,000 population, as reported to the Office of Statewide Health Planning and Development. Souce: California Department of Alcohol and Drug Programs. Technical Note: The appropriate technical note to be drafted. Perhaps get input from Sally Jew at ADP or Carolyn Cates at Far West Labs for this and other technical notes. 3 l Hospital Discharges for Treatment Related to Drugs Other Than Alcohol 12 10 Aii j Intl i>iH�'!� 8 wy�,i!in :aSF. f'T,: Rate per 10,000 y;. r yg= State Rate Population lP:;Nr: h�A pj is X•`:" y.:S,gyy .y:n{Gi ❑CCC Rate Y rt'i'r u'^X. i4 w 2 ia �y ;iGl .5�e. xr Q ..:. .. 1986 1987 1988 1989 1990 1991 Year Remarks: State and county data both show that hospital discharges peaked in 1987 and 1988, and then declined. Contra Costa County's rate has remained substantially lower than the state rate throughout the entire period. 4 Health-Related Indicator#2 Deaths due to all drugs per 10,000 as reported on the death certificate completed by the attending physician or coroner. Source: California Department of Alcohol and Drug Programs. Technical Note: To be drafted. 5 Deaths per Deaths Due to All Drugs 10,000 1 0.9 0.8 State Rate 0.7 0.6 ❑ County Rate �� ou 05 0.4 03 0.2 0.1 0 1986 1987 1988 1989 1990 1991 Year Remarks: Contra Costa County's rate has increased very slightly since 1986. County rates have been lower than state rates for all years but 1990. 6 Health-Related Indicator#3 Number of new cases of hepatitis type B per 10,000 population, as reported to ???????. Source: California Department of Alcohol and Drug Programs. Technical Note; To be drafted. 7 Cases per Cases of Hepatitis Type B ❑ State Rate 10,000 ❑ County Rate 2 1 .8 1 .6 1 .4 1 .2 1 08 0.6 0.4 0.2 0 1986 1987 1988 1989 1990 1991 Year Remarks: The number of new cases of hepatitis type B adjusted for population have been steadily declining statewide. For Contra Costa County, they have declined from 1986 to 1988, peaked at 1989, and declined from 1989 to 1991. For most of this period, Contra Costa's rate has been lower than state rates. 8 ti Health-Related Indicator#4 The number of clients entering programs dispensing methadone or receiving state and/or federal funds for drug treatment, per 10,000 population. Source: California Department of Alcohol Programs and the CAL-DADS or CADDS data reporting systems. Technical Note: To be drafted. Will include change in data reporting systems. 9 Admissions to Drug Treatment Programs 45 40 35 30 Ra Rate r 10 000 25 P State to e , Population ..... 20 ❑ CCC Rate 15 10 5 0 EM 1986 1987 1988 1989 1990 1991 Year Remarks: While state rates remained between 30 and 40 per 10,000 population, Contra__ Costa County's rates increased substantially from 1986 to 1991. In 1986, approximately 10 persons were admitted to drug treatment programs for every 10,000 population. In 1991, approximately 35 people were admitted for every 10,000 population. These increased rates may not simply reflect an increased drug problem. They may reflect an increased awareness of the problem and a willingness to obtain treatment. In short, they may indicate a lower level of denial. 10 Health-Related Indicator#5 The annual number of in-patient hospital discharges for alcohol treatment from all nonfederal acute care hospitals, as reported to the Office of Statewide Health Planning and Development. Source: State Department of Alcohol and Drug Programs. Technical Note: Freestanding chemical dependency recovery hospitals plus distinct units of acute care hospitals treating patiens for alcohol abuse are included in the data. 11 Hospital Discharges for Treatment for Alcohol Abuse 16.00 I:atii!li' Ili!µ': 14.00 �f .a 4 14 Iilw 'w4yr 12.00 10.00 "9�bRH ixl4 Yxo 'xe:+ +'fliN"I State Rate Rate per 10,000 Il lr �`iti a 00 8. Population wa Lw '" " p II` r Iia h 'I ❑CCC Rate 6.00 �;Y�';+yli Y yAJia�.l iir�, :,Wrnyr ,I ii:C,IINNpp�II I�u� r6;�1� `k:� ,j�iP 1;p�I 4.00 - 2.00 .00 2.00 i�"9i j ilii�wAbl 1 '�lhr I i!�1:1:i �;�;luuaw Hl;u;,i., jiN�j�i� �yav+e �"lAn;II 0.00 1986 1987 1988 1989 1990 1991 Year Remarks: Contra Costa County's rate has been consistently lower than the state rate. The county rate has remained relatively constant, however, while the state rate has declined. 12