Sei sulla pagina 1di 35

Building Resilience and Decreasing Substance Abuse Among Families in Provo

December 2018

Nancy Aleccia, Katie Angerhofer, Lydia Rule, and Andy Wirkus

Table of Contents

Community Assessment……………………………….pg. 3

Intervention Plan………………………………………pg. 20

Implementation and Evaluation Guide………………

pg. 24

Community

Assessment

Foothills, Oakhills, Pleasant View, Provost, Provost South, & Wasatch Neighborhoods Building Resilience and
Foothills, Oakhills, Pleasant View, Provost, Provost South, & Wasatch Neighborhoods
Building
Resilience and
Decreasing
Substance
Abuse Among
Families in
Provo
Nancy Aleccia, Katie Angerhofer, Lydia Rule, & Andrew Wirkus

4

Community Snapshot

Population: 18,354

Poverty: 27.2%

76% White

Socioeconomic

Information

Socioeconomic Information 6

Needs and Capacity Assessment

Primary Data Collection Methods

Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness and addiction

Members of the group were supplied with a pre-made qualtrics survey

Multiple choice questions

Likert scales

Fill in the blank

Individuals in the group reached out to church members/leaders, public school administrators, and community organizations in the assigned areas

Facebook Groups

Email

In person

7

Primary Data Collection

Primary Data Collection
Primary Data Collection Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness
Primary Data Collection Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness
Primary Data Collection Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness
Primary Data Collection Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness
Primary Data Collection Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness
Primary Data Collection Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness
Primary Data Collection Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness
Primary Data Collection Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness

Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness

Goal: obtain data regarding neighborhoods, resilience, and attitudes related to homelessness

Members of the group were given a pre-made qualtrics survey

Questions:

Demographics

Community beliefs

Format:

Multiple choice questions

Likert scales

Fill in the blank

and addiction

Survey Methods

Facebook Groups

Email

In person

Populations surveyed

Church members/leaders

Public school administrators

Community organizations

8

Data Analysis

Sample size: 49

Surveys checked for outlying variables

neighborhoods outside specified area

Data compiled

broken down per question

graphs created per question

Needs analyzed

what are the primary issues in these neighborhoods?

how do individuals view their neighborhoods?

Results

Questions evaluating mental health, substance abuse, and homelessness

Results Questions evaluating mental health, substance abuse, and homelessness 10
Results Questions evaluating mental health, substance abuse, and homelessness 10

10

Resilience Community 4.41 Resilience Family and 4.49 Friends Resilience Personal 4.27 Resilience
Resilience
Community
4.41
Resilience
Family and
4.49
Friends
Resilience
Personal
4.27
Resilience

Individual resilience ranked lowest

Community resilience ranked second

Resilience

Participants were asked to rate their resilience on a scale from 1-5, 5 being the best. The scores are averaged results for all survey participants.

11

Neighborhood Analysis

Neighborhood Analysis ● Substance abuse and mental illness considered most prevalent problems in the communities
Neighborhood Analysis ● Substance abuse and mental illness considered most prevalent problems in the communities

Substance abuse and mental illness considered most prevalent problems in the communities surveyed

In-person interviews expounded on this data

Personal Interviews

Individuals Interviewed:

Interviewees agreed that substance abuse was a problem in their communities, however, they were not aware of specific individuals who had substance abuse problems.

2 Community Members

A community church leader

The assistant superintendent of Povo School Districts

Common Themes:

Religious groups are very strong in the area

Individuals have connections to neighbors through their church organizations

Homelessness has little effect on the community

Substance abuse and addiction are big problems in Utah Valley, and most likely within the communities

 

Root Cause Analysis:

Process

1. Look at survey responses of our

target community and validate

the information provided in the

interviews we conducted

2.

 

Use interviews to determine

 

anecdotal evidence

3.

 

Compare those primary sources

 

of data to the secondary data we

collected, and decide which areas

to target

15

Priority Setting

We sat down as a group and discussed what we thought would be the most important things that would need to change in our community based on the feedback from individual interviews and surveys.

Our criteria focused on amount of people affected, how severe consequences of implementing change (or not) would be, and the burden that it would pose economically on our communities.

Criteria Considered

Importance

a. Size of population it affects (score 0-6)

b. Severity of consequences (score 0-6)

c. Economic burden (score 0-6)

d. Rates are higher (or lower)

than Utah State rates (score 0-6)

Changeability

a. Cost to affect the change (score 0-6)

b. Community Support (score

0-6)

Prioritization Matrix
Prioritization Matrix

Priority Root Cause List

I.

Community lacking knowledge of substance abuse problems

II.

Absence of open discussion on substance abuse in community

III.

Mental health disorders stemming from isolation, depression, pressure for perfection

IV.

Religious pressures

V.

Social pressures/stigmas keep them in the dark

Intervention Plan

Building Resilience and Decreasing Substance Abuse Among Families in Provo In partnership with United Way

Building Resilience and Decreasing Substance Abuse Among Families in Provo

In partnership with United Way

Among Families in Provo In partnership with United Way "3 to 5" Program and Mommy Blogger

"3 to 5" Program and Mommy Blogger Initiative

Our goal is to reduce drug misuse and abuse while increasing resilience among our communities, families, and individuals in the Pleasant View, Oak Hills, Wasatch, Foothills, Provost, Provost South neighborhoods.

Risks and Causal Factors With a Solution

MENTAL HEALTH

Mental health issues such as depression and anxiety often spring out of social exclusion and cultural pressures to be perfect.

LACK OF KNOWLEDGE

Overprescription and misunderstanding of

danEers _and how

medicat10ns.

to dispose of unused

LACK OF OPEN COMMUNICATION

Because of a stigma surrounding drug use many people do not talk openly about opioids .

RELIGIOUS PRESSURE

In the predominant religious culture having a drug problem is frowned on. Additionally, there is pressure to be perfect and opioids can be used as an escape.

SOCIAL PRESSURE

Often drug use is seen as a male issue, however, with opioids it is often not the case. Many women struggle with opioids.

it is often not the case. Many women struggle with opioids. Community members will join with

Community members will join with us to form a coalition to raise awareness and offer resources for mental health issues.

awareness and offer resources for mental health issues. Coalition will spread information about opioids and the

Coalition will spread information about opioids and the importance of child supervision between the hours of 3 to 5 p.m.

of child supervision between the hours of 3 to 5 p.m. After school activities for children

After school activities for children and youth will be offered through our program.

for children and youth will be offered through our program. Our vision is to involve everyone

Our vision is to involve everyone in our community and reduce religious and social pressures by building resilience.

Implementation and Evaluation Guide

3 to 5 Program/Mommy Bloggers

Inputs

Intervention Strategies and Activities
Intervention Strategies and
Activities

Outputs

Short-term and Intermediate Outcomes

25% of mothers in the who read the blog in the community self report having conversations about opioid use with their children

of mothers in the who read the blog in the community self report having conversations about
having conversations about opioid use with their children 50% of mothers in the community can identify

50% of mothers in the community can identify at least 2 common drugs youth use

the community can identify at least 2 common drugs youth use 25% of respondents to our

25% of respondents to our survey have a better understanding and willingness to use alternative treatments

25% of respondents to our survey have a better understanding and willingness to use alternative treatments
Health Communication United Way Resources 10 mommy blogger Materials for participants: Mommy bloggers post material
Health Communication
United Way Resources
10
mommy blogger
Materials for
participants:
Mommy bloggers post material for
talking about opioids with children
on blogs
posts about opioids
- Information about ”3
to 5” through social
media posts
Mommy bloggers post survey
about “3 to 5” and drug
Receive at least 200
responses to surveys
sent by mommy
bloggers
awareness on blogs
- List of activities to do
with children during 3-5
pm
10
mommy blogger
posts about pain tx
alternatives
- Social media post for
mommy bloggers
Mommy bloggers post about
alternative pain treatments on
blogs
Community Mobilization
At least 200 parents
respond to survey about
Funding
“3 to 5” program
Survey parents in community
about “3 to 5” program awareness
Mommy Bloggers
Have 2 annual “3 to 5”
events run by the
School partnerships
Hold biannual events for “3 to 5”
coalition
coalition
PTA coalition
100% of schools provide
Develop and implement with
schools afterschool activities
Staff at United Way
after school activities 2-
3 times a week with
reporting to parents
Community participants
Create and hold red ribbon week
activities related to ”3 to 5” for
schools
20 schools hold a “3 to
5” activity during red
ribbon week
hold a “3 to 5” activity during red ribbon week 3-5 program awareness increases by 30%

3-5 program awareness increases by 30% from baseline pretest

Have 40% increase in parents who are aware of what kids are doing between 3-5PM

Increase quality/quantity of structured school activities involved with “3 to 5”

Long-term Outcomes

Decrease the growth rate of new substance misusers among mothers and youth by 15% from the baseline we will measure

Decrease percent of youth (12-18 yrs. old) that begin misusing substance in the community due to the efforts of the “3 to 5” program by 10%

Intervention Strategy Key:

Mommy bloggerIntervention Strategy Key: “3 to 5” Program Materials & participants

“3 to 5” ProgramIntervention Strategy Key: Mommy blogger Materials & participants

Materials &

participantsIntervention Strategy Key: Mommy blogger “3 to 5” Program Materials &

25

Timeline

Timeline Mommy Blogger Program "3 to 5" Program Both Programs Key Months Tasks Purchase supplies:

Mommy

Blogger

Program

"3 to 5" Program

Both

Programs

Key

Months

Tasks

Purchase supplies:

printer, computers, paper, etc.

Recruit interns for mommy blogger and "3 to 5" programs

Collect data on importance of 3 to 5 pm for child supervision/activity

Create mommy blog survey (include topics such as prefered Mommy blogger and opioid knowledge)

Create 3 parental awareness of child's activities between times of 3 and 5 pm

Send out survey to mothers in community (about Mommy bloggers and opioid knowledge)

Send out "3 to 5" survey to parents

Create and develop "3 to 5" website (including the programing side, and the resources to be used on the site)

Contact top 20 Mommy bloggers reported in our survey, partner with them to share our resources

Create opioid related posts for mommy bloggers (social media posts, blog posts, infographics etc)

1

2

3

4

5

6

7

8

for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6
for mommy bloggers (social media posts, blog posts, infographics etc) 1 2 3 4 5 6

9

10

11

12

18 months 24 months

Set up meetings and meet with PTA presidents from schools in communities to invite them to join "3 to 5" programs

Set up meetings and meet with school administration to create "3 to 5" coalition

Meet with schools about providing after school activities 2-3 times a week

Meet with school about providing Red Ribbon week activities

Create "3 to 5" program related posts for mommy bloggers (social media posts, blog posts, infographics, etc)

Share opioid posts with mommy bloggers

Continue to create opioid and "3 to 5" related social media posts for the mommy bloggers to periodically post

Create parent-child communication survey

Share "3 to 5" posts with mommy bloggers

Reach out to community members and organizations to form "3 to 5" coalition

Partner with organizations to sponsor annual gatherings for coalition

Distribute parent-child communication survey

Partner with organizations to sponsor annual gatherings for coalition Distribute parent-child communication survey 2 7
Create follow-up survey for alternative pain management, blog reading, and opioid conversations Create follow-up
Create follow-up survey
for alternative pain
management, blog
reading, and opioid
conversations
Create follow-up survey
about popular drugs
among youth, and "3 to
5" program awareness
Create substance misuse
survey for mothers and
youth
Distribute survey for
alternative pain
management, blog
reading, and opioid
conversations
Distribute survey about
about popular drugs
among youth, and "3 to
5" program awareness
Distribute substance
misuse survey
Conduct post evaluation

Budget Summary

 

Amount

Personnel

 

Project Manager

$56,500

Consultant

$1,500

Benefits

 

Intern Stipend (x4)

$6,000

Travel

 

Mileage Reimbursement ($0.56 per mile x 150)

$85

Equipment

 

Computer (x5)

$2,500

Supplies

 

Ream of Paper (x4)

$15

Printer

$2,000

Sponsorships ($50 per post each month x 10 bloggers)

$6,000

Misc.

$400

Total

$75,000

Evaluation Plan Table

Objective (What is to be achieved?)

Indicator/Statistic

Data Collection

Data Collection Plan

(Specifically, what

Source(s) and

(Who will collect data? By when and how?)

will be measured?)

Method(s)

 

(What technique will be used to get

 

data?)

Process Evaluation

1a) Survey 200 (or until we reach saturation) women about which mommy bloggers, if any, they follow by February, 2019. Included in this survey are questions to form our baseline for basic information this population has on opioid use.

# of women surveyed

Knowledge of opioids and blogger preference survey (Qs 8-10)

Project interns. Surveys will be administered to mothers in community electronically, reaching them through social media and community contacts (community social media groups etc) Surveys to be collected in February 2019.

This is where we will establish the baseline for our intervention.

1b) Develop social media posts, a blog post, and infographics to present to bloggers related to opioid use including the opioid epidemic, connections to mental health, and other suggested topics of discussion by April,

Completion of media post, blog post, and infographic creation.

Project manager report

Project manager. Materials to share will be created and completed by April 2019.

2019

1c) At least 10 of the mommy bloggers contacted shared “3 to 5” resources to educate other moms by June, 2019.

# of mommy bloggers sharing “3 to 5” resources on blogs

Monthly social

Interns. Closely monitor mommy bloggers(that were contacted) accounts and submit report by June 2019.

media posts

report

1f) At least 200 survey responses to posts from Mommy bloggers gathering information on attitudes towards different pain management alternatives by January 2020.

#

of completed

Alternative pain management survey (Qs 15)

Peer leaders/interns. Surveys will be distributed throughout the year to followers of mommy bloggers, surveys will be posted on blog and sent directly to account followers. Surveys will be collected in January 2020.

mommy blog surveys regarding

This will happen after the mommy bloggers have already posted about the subject.

2.1a) Partner with each school district in Utah County to promote 3 to 5pm supervision by April

2019.

#

of schools

Membership records (specific look at schools)

Project manager. Membership will be reviewed each week to get accurate counting of school membership. Report to be submitted by April 2019.

partnered with “3

to 5”

 

2.1b) Survey families in area to collect awareness of the “3 to 5” program by December 2020.

Community awareness of “3 to

“3 to 5” awareness survey (Qs 15)

Peer leaders/interns. Surveys will be administered electronically, reaching them through social media and community contacts (community social media groups etc) Survey submitted by December 2020.

5”

2.2a) Form a “3 to 5” coalition of at least 5 community leaders, including school leaders and PTA presidents in community, by July,

2019.

#

of community

Attendance logs and membership report

Project manager. Membership will be reviewed each week to get accurate counting of community member involvement (school administration, PTA presidents) in coalition. Report to be submitted by July 2019.

members involved in coalition

 

2.2b) Partner with other organizations in the area and sponsor 2 annual gatherings run by the 3 to 5

#

of annual

Attendance logs and project manager report

Project Manager. Attendance to be taken at each gathering. Report to be submitted by December 2019.

gatherings

organized

coalition (to increase awareness and popularity in the community) by December 2019.

     

2.3a) Contact PTA presidents of the 23 public schools in Provo School District to form a 3 to 5 coalition encouraging parental supervision during 3-5 pm hours by April, 2019.

#

of PTA presidents

Attendance logs and membership report

Project manager. Membership will be reviewed each week to get accurate counting of PTA presidents in coalition. Report to be submitted by April 2019.

participants in “3 to 5” coalition that

encourage parental supervision

 

2.3b) Have 100% of schools provide after school activities 2-3 times a week from 3 to 5 pm by August, 2019 in order to give families more options of structured activities for their children.

% of schools the provide programs at least 2-3 times a week during 3-5 pm

School activity report and intern activity report

Interns. Interns will work with schools to create at least 2-3 after school activities for students. Report to be submitted by August

2019.

2.3c) 20 schools hold a “3-5” activity during Red Ribbon week (starting 2020) to promote wholesome activities and discourage drug use by Oct 2020.

#

of schools

Red ribbon week activity log for each school and attendance log.

Interns. Interns will work with school in planning red ribbon week activity and log will be kept of events carried out and attendance at events. Report submitted by October 2020.

holding a “3 to 5” activity during Red Ribbon week

2.4a) Survey 200 parents in our population about their knowledge of activities their children are involved in from the hours of 3 and 5pm by Feb 2019. Include at the end of

#

of parents

Parental awareness survey (Qs 20)

Peer leaders/interns. Surveys will be administered to parents in community for pre- test baseline. Surveys will be collected in February 2019.

surveyed about knowledge of children's activities between 3 to 5 pm

this survey ideas that their children could be do during those hours.

     

Summative Evaluation: Impact/Short and Intermediate Objectives

1.1) 50% of mothers in the community can identify at least 2

%

of community

Knowledge of opioids survey(Qs

Peer leaders/interns. Surveys will be administered via email to mothers in community electronically, reaching them through social media and community contacts (community social media groups etc ). Surveys will be collected in January

2020.

mothers that can

identify at least 2 common drugs

8-10)

common drugs youth use by January 2020.

Baseline will be established from the survey outlined in the process objective

1a

1.2) Have 25% of moms in our community who reported raeding the blogs, self report having conversations about opioid use with

their children. by July

%

of moms who

Blog reading/opioid conversation survey (Qs 15-20)

Peer leaders/interns. Surveys will be distributed throughout

the year to followers of mommy bloggers, surveys will be posted on blog and sent directly to account followers. Report submitted by July

report having read “3 to 5” posts on mommy blogs and having conversations with children about opioid usage

2020.

 

2020.

 

%

of survey

Alternative pain management survey (Qs 15)

Pre-test information will come from the baseline collected as outlined in the process objectives 1a as well as the follow up in 1f

Peer leaders/interns. Surveys will be distributed throughout the year to followers of mommy bloggers, surveys will be posted on blog and sent directly to account followers

1.3) 25% of respondents to the

survey report having better understanding and willingness to use alternative pain treatments by Dec

2020.

respondents who report greater understanding and willingness to use alternative pain treatments

digitally. Surveys will be collected in December

2020.

2.1

Increase the

%

of “3 to 5”

“3 to 5” awareness survey (Qs 15)

Peer leaders/interns. Survey will be distributed digitally as pretest and again distributed at end of 2020 to compare posttest data to pretest data. Survey report submitted by January

2021.

number of parents who know of the “3 to

program awareness from

5” program and can describe it, by 30% from baseline pretest data by January 2021

baseline

 

measurement

2.2

% survey

%

of respondents

Quality and quantity parent- child communication survey (Qs 25-30)

Pre-test information will come from the survey outlined in the process objective 1a

Peer leaders/interns. Surveys will be distributed throughout the year to followers of mommy bloggers, surveys will be posted on blog and sent directly to account followers digitally. Survey to be collected by July 2019.

respondents who report improved quality and quantity of parent-child communication by 50%, , by July 2019.

who report at least 50% improvement in quality and quantity of parent- child communications

2.3

Have 40%

%

of parents who

Parental awareness survey (Qs 20)

Peer leaders/interns. Surveys will be sent out to parents digitally to collect pretest data and then again at beginning of January 2020 for

increase in parents who are aware of what their kids are doing from the hours of 3pm-5pm by

know what children are doing between 3 to 5 pm

January 2020.

 

posttest data to compare % increase. Surveys to be collected in January

2020.

Summative Evaluation: Outcome Evaluation

 

1. Decrease the growth rate of new substance misusers among mothers and youth (12-18 yrs old) by 15% from the baseline we will collect by January

% of substance misusers among mothers and youth compared to % before bloggers

Substance misuse survey for mothers and youth (Qs 15-17)

Project manager. A survey will be administered digitally to youth (12-18 yrs old) and mothers to collect data to compare to pretest data gathered.

2021 (baseline to be collectedas outlined in objective 1a of the process evaluation).

   

Survey to be collected in January 2021.

2. Decrease percent of youth (12-18 yrs old) that begin misusing substances in the community through efforts of “3 to 5” program by 10% from collected baseline by January 2021(baseline to be collected as outlined in objective 1a of the process evaluation).

% of youth that misuse substances as compared to % from baseline measurement

Substance misuse survey for 12-18 yr olds (Qs 10-12)

Project manager. Survey will be sent out digitally to youth (12-18 yrs old) and data compared to

before “3 to 5” implementation

baseline data. Survey to be collected in January

2021.