Priority: Behavioral Health
In 2007, The Health Council expanded the definition of the Substance Abuse priority to 'Behavioral Health.' Substance abuse is a small portion of the larger issue of lack of behavioral health options in the community, a concern that faces many rural areas in the nation.
Substance Abuse Community Action Team
Substance Abuse- Substance use and abuse seriously affects Grant County from crime and punishment with Judge Ron Hall reporting that 85% of all his felony cases involve substance abuse to basic family environments with the Child, Youth and Families Department estimating that 89% of abuse and neglect cases involved parents with a substance abuse problem and 5% were born drug and/or alcohol affected in our region from 2000 to 2001, according to the 2003 New Mexico Child Abuse and Neglect Citizen Review Board Report. In 2004, 57% of fatal crashes in Grant county involved alcohol, an 17% increase in fatal cashes from the pervious year.
GCCHC's Substance Abuse Core Team has been in existence for three years and their primary focus was assessing the continuum of care for substance use in the county. It immediately became apparent that the lack of a social detoxification center in the region was seriously impacting the wellness of the community because only in-patient treatment was available leaving people under the influence only the jail as an option for `drying out.' The core team worked with a wide scope of the community to assess the need for a social detox center, partnered with all agencies/organizations that would be involved in utilizing a social detox center and secure funding. The endeavor was successful with the social detox center opening to serve the four-county region (Catron, Grant, Hidalgo & Luna Counties). Their newest efforts focus on aligning systems, securing increase Federal grant dollars for creating a strategic framework on substance abuse issues, and a subgroup assessing community underage social drinking norms.
GCCHC sector reports reveal that the number one priority effecting Grant County is substance abuse.
AIM: To reduce the incidence of substance use in Grant County.
Outcome Measure: A reduction in self-reported an systems reported incidence of substance use.
Strategy 1: Initiate change in environmental and social norms in Grant County.
Outcome Indicator: Lower the number of events that receive dispensation for public alcohol sales in Grant County. Increase age of initiation for youth of substance use. Decrease the number of reported times youth socializes with alcohol in last 30 days on data assessment survey.
Evidence Based Approach: Children with involved caring adults in their lives display lower at-risk behaviors throughout life, including lower rate of substance use.
Activity: GCCHC will coordinate with the DWI council the investigation of policy changes regarding outside signage dealing with alcohol and tobacco and advocate for sign ordinance changes this investigation will begin in July 07 and health council staff will report to the Health Council on its progress. GCCHC, Substance Abuse Core Team, DOH staff and behavioral health providers will investigate the social costs/business costs as involved in alcohol vending in conjunction with public events and then promote this knowledge to the community, city and county officials. GCCHC proposes begin this process in August 07 and requests funds for health council to provide this assessment and evaluation to Grant County.
Strategy 2: Align systems and create a “continuum of care” of substance abuse services.
Outcome Indicator: Grant County residents seeking substance abuse services will be able to access those services from prevention to treatment to aftercare service.
Evidence Based Approach: An aligned system of care highlighting prevention, intervention and treatment enable a community to better support those dealing with substance use issues and allow the level of care that best fits personal needs for services.
Activity: GCCHC and the Substance Abuse Core Team will partner with DOH (Fort Bayard-Yucca Lodge) and provider agencies to assess Grant County gaps and needs in Transitional services/care. GCCHC proposes to assess substance abuse services and gaps and needs during the community survey to evaluate community needs for transitional behavioral health and substance abuse services and transitional housing. The data will be collected beginning in July 07 and evaluated in November 07 by and external evaluator and the health council. GCCHC is requesting funds for the cost of the community assessment and external evaluator of the data to be presented to the health council and community and then to update the CHI FY07 Plan and Profile.
Strategy3: Increase court and Law Enforcement Congruency
Outcome Indicator: Increase arrest/referrals for substance abuse complaints,
keep (an increase in compliance with mandatory sentencing), # of jail substance abuse treatments.
Activities: collaborate to collect data on increase arrest/referrals for substance complaints. Advocate for continued funding/activities with Judge Hall's substance abuse treatment center in jail. Advocate for space for treatment in new jail.
Substance Abuse Core Team
Continuum of Care
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