4th Floor, Conference Room 400 ATTENDANCE...2016. Representative Malaby suggested that Mike reach out to Elsie Flemings, Executive Director at Healthy Acadia, who can connect him with

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Substance Abuse Services Commission Meeting of February 8, 2017

Burton Cross Building, 111 Sewall Street, Augusta 4th Floor, Conference Room 400

ATTENDANCE

Members Present: Peter McCorison, Provider, Aroostook County, Chair for SASC (phone) Bill Lowenstein, Pres. Of the Board of Sexual Assault & Response Services Robert Rogers, Kennebec Behavioral Health (phone) Scott Gagnon, Director, AdCare Maine Tim Cheney, Education, Choopers Guide (phone) John Yasenchak, Associate Professor, Husson University (phone) Darren Ripley, Coordinator, Maine Alliance for Addiction Recovery Representative Richard Malaby, Legislature, House District 136 Members Absent/Excused: Matthew Braun, Young People in Recovery Diehl Snyder, MD, Mt. Desert Island, Behavior Health Irene Laney, Clinician in Private Practice Ann Giggey, Hope House Debra McIntyre, School Counselor, SAD #31 Howland Office of Substance Abuse and Mental Health Services (SAMHS) and Prevention Services, CDC: Sheldon Wheeler, Director, SAMHS was not available for this meeting. Christine Theriault, Prevention Manager, Maine CDC (phone) Guests: Molly Bogart, Legislative Aide, Office of the Speaker, Maine State Legislature Danielle Denis, Community Health Educator, Somerset Public Health (phone) Erin Dunne, Recorder, AdCare Maine Ashley Luszczki, Policy Assistant, Office of the President of the Senate, Maine State LegislatureMichael Parks, Associate Director, Operations, SAMHSMalory Shaughnessy, Executive Director, Alliance for Addiction & Mental Health Services (phone)Marci Sorg, Research Associate Professor, Department of Anthropology, Climate Change Institute, and Margaret Chase Smith Policy Center, University of Maine

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February 8, 2017 SASC Meeting DRAFT Summary Scott Gagnon, Acting Chairperson Introductions, Public Comments, Review draft minutes for November, December, and January, Review of preliminary agenda for February. Scott Gagnon welcomed and thanked members and guests for attending the meeting. Introductions were given. Scott asked if there were any additions people wanted to include with this agenda. There were no additional items added. Review of the November, December, and January SASC Minutes: There were not enough members present for a quorum, so the review of the draft minutes from November, December, and January meetings will be moved forward to the March meeting. Conclusions or Actions and Responsible Lead Person; timeline if applicable: Erin Dunne will make edits to the November, December, January, and February approved minutes after next month’s review and forward to Mickey Young for posting to the SAMHS website in the SASC section. NEW BUSINESS – February Agenda

• SAMHS Update, Sheldon Wheeler, Director, SAMHS Sheldon Wheeler was not available for this meeting, however Michael Parks, Associate Director, provided the update for SAMHS on Sheldon’s behalf. Mike provided the following updates: - Opioid STR Grant: SAMHS is continuing to work on this grant proposal. This is a 2 year

Federal Grant that would bring $2 million a year into Maine to target opioids, MAT treatment, and roll out a hub and spoke model by utilizing hospitals and behavioral health homes to provide medication treatment and underlying IOP and OP treatment. Mike clarified that 3 districts are being targeted for this grant: Downeast, Western, and Aroostook. The application needs to be submitted by February 17.

o Bill Lowenstein and Representative Richard Malaby mentioned the Downeast Substance Treatment Network, a Hub and Spoke model that was initiated in October 2016. Representative Malaby suggested that Mike reach out to Elsie Flemings, Executive Director at Healthy Acadia, who can connect him with this network. The Network meets on the first Monday of the month at 4:30pm at Ellsworth City Hall.

o Darren asked for clarification on the Behavioral Health Homes asking if those agencies providing the medication treatment will be licensed as substance abuse treatment agencies, in addition to having a license in mental health treatment services. Mike responded that the expectation is for them to either provide treatment for substance abuse in house as a licensed agency or be responsible for sub-contracting with a licensed agency that can provide substance abuse treatment.

- The Confronting Maine's Opioid Crisis Conference is scheduled for March 6, 2017 at the Augusta Civic Center. Mike will be presenting a session with Sheriff Troy Morton of the

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Penobscot County Sheriff’s Office at the conference on a new vivitrol project in the Penobscot County Jail that is scheduled to start in June. This program would target pre-release women who are 30-60 days from release. PCHC will be providing the counseling and IOP services.

- Mike stated that from a larger scale optic, on the SA side of the Department, SAMHS is currently working to ensure that all of its practices are evidenced-based. They are specifically taking a close look at the residential treatment programs.

- Bill asked if the DEEP program was going to be moved to the Bureau of Motor Vehicles. Mike responded that at this time there is no scheduled move for the DEEP program and it will remain at SAMHS.

- Peter requested that Mike’s contact information is added to the minutes. Mike’s email address is [email protected]

• Prevention Update, Christine Theriault, Prevention Manager, Maine CDC

Christine Theriault provided the following updates: - Maine CDC team members along with Department of Labor (DOL) have begun

implementation of Drug Impairment Training for employers. There have been about 5 of these scheduled for 2017 with great success so far with more potentially to be scheduled. It is an opportunity to train on impairment detection, as well as what employers can do to direct people to help and provide direction on how to develop workplace policy.

- As a reminder, the new structure of prevention services (Maine Prevention Services) encompasses 4 domains (Substance Abuse, Tobacco, Youth Engagement and Media) all of which now have encumbered contracts. The CDC has finalized an organizational chart for Maine Prevention Services that encompasses all of the sub recipients of the four domains. The CDC meets with all domains quarterly. See attached organizational chart.

- There have been 4 prevention specialists who completed an Ethics train the trainer so that there is going to be increased capacity in Maine to provide ethics training for the prevention credential. There will also be another Substance Abuse Prevention and Skills Training (SAPST) coming up the week of March 21st.

- The annual Gambling Awareness conference is being held on March 13th at Hilton Garden Inn Riverwatch in Auburn. There are two great speakers and a panel planned. Individuals wanting to attend can go to the AdCare website to register.

- Marijuana Prevention: Maine CDC staff Caleb Gilbert participated in a National CDC meeting in CA this week to participate in a forum with other states that have already legalized marijuana and states that have recently legalized. Maine CDC has an internal workgroup meeting to discuss the legalization of marijuana. There is a federal CDC website that may be helpful to people for more information on marijuana: https://www.cdc.gov/marijuana/index.htm

- The Maine CDC is working on addressing Health Disparities for both Substance Abuse and Tobacco prevention. The populations of focus include: LGBTQ, Veterans/Service Members, MaineCare, rural, pregnant women. An ACE brochure developed and approved by the workgroup. The purpose of ACE (Ask Care Encourage) is to empower Service Members, Veterans and their Families to learn ways to prevent substance abuse, identify risky substance use behavior and find useful resources to help them take action. (ACE Brochure is attached to minutes.)

- The Maine CDC Prevention team is working with SAMHS on the Opioid STR grant. The Prevention component has a proposal to utilize the Prime for Life Curriculum in the

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community targeting at risk populations (such as child welfare, special populations, etc.) The goal would be to also have a referral source to the program from treatment as well as from the program to treatment.

- SPF Rx Opiate prevention grant: The Maine CDC and Hornby Zeller Associates are currently in the Strategic Planning phase of this grant.

- Substance Exposed Infant work: State steering committee has been meeting and the community level task force is being reinstated now that there is a facilitator. The prevention program is also beginning to collaborate with maternal and child health within CDC to work on common goals and tasks.

• Molly Bogart, Legislative Aide, Speaker’s Office & Ashley Luszczki, Policy Assistant,

Senate President's Office

Scott prefaced the discussion by informing Molly and Ashley of the Commission’s work to move the Opiate Taskforces recommendations forward, specifically developing strategies for the Commission to support the legislative bills related to Opioids and addiction that have been submitted this session. Scott asked Molly and Ashley what their respective office’s perspectives and initiatives are regarding the opiate crisis in the state: - Molly stated that the opiate crisis is a focus of the Speaker’s Office going into session and

that they are making sure the work of the Opiate Collaborative and the solutions they provided do not get left behind. Molly mentioned that they will have numerous bills coming to HHS and that she will be working with legislators on these bills. They are currently figuring out the best way to tap into all the available resources the office has available to them. Molly welcomed suggestions from the Commission.

- Ashley responded that the Senate President’s Office has been focusing a lot of its efforts on the legislation surrounding the legalization of recreational marijuana use and the opiate crisis and she asked the Commission for any input they could provide.

- Bill informed Molly and Ashley that the Commission is statutorily authorized as an advisory committee to DHHS, the Legislature, and the Governor and can be used as a resource to the Speaker’s and the Senate President’s offices. He added that due to the Commission’s makeup of members they are able to offer a comprehensive view and approach to current efforts and identify where the gaps in services and legislation exist.

- Peter echoed Bill’s comment and added that there needs to be a collaboration between Maine CDC, SAMHS, law enforcement, Department of Corrections, prevention providers and communities in order to formulate a multi-year strategy that focuses on the four pillars of prevention, intervention, treatment, and recovery.

- Scott mentioned the need to focus on workforce development and recruit young people into the field. He pointed out that 2 out of 3 Substance Use Prevention Specialists are age 45 and older. Ideas were shared on some strategies to recruit more people into the workforce, which included, high school career track programs, wage increases, reimbursement rate increases, and decreasing the rates of burnout among professionals in the field.

o John Yasenchak provided an update on Husson University’s Counselor Education Program. There are currently 80 students in the program going into the LCPC field. The program is a 3-year, 60- credit hour program with a 100% placement rate once students graduate. Graduates leave the program with a conditional license and have two years to gain 3,000 hours of supervised experience before they are eligible for full licensing. John has received feedback from providers in the community that when LCPCs come out of any program they do not have enough substance abuse treatment

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training and the program at Husson University has only one course in addictions counseling.

o John mentioned that, in an effort to try and increase interest in working in this field, Husson is holding an interprofessional collaboration training that includes a case conference presentation on an opioid case with an interview in front of 250 students in all the healthcare disciplines.

o John is working with Kate Chichester from the Co-Occurring Collaborative Serving Maine (CCSME) on planning a workforce development event in the Bangor area.

o Scott noted that last fiscal year, AdCare held a Behavioral Health career fair at the University of Southern Maine. This fiscal year, AdCare is planning to hold another career fair in Lewiston.

- Tim Cheney mentioned that Andrew Tatarsky, Ph.D., who is one of the pioneers of harm reduction psychotherapy, is scheduled to present a workshop on An Introduction to Integrative Harm Reduction Psychotherapy on March 17th at the University of Southern Maine.

- Other topics discussed: The need to increase access to treatment and recovery supports in the state, the PMP, palliative care, increasing public awareness and education, and the unintended consequences of not following the continuum of care.

BREAK

• Update on Maine State Fatal and Nonfatal Overdose Surveillance - Marci Sorg provided a

PowerPoint presentation on the data. Marci will provide a copy of her presentation, which will be attached to the minutes.

• Other items discussed: - Continued discussion regarding Commission’s Letter to SAMHS to request TA from

SAMHSA - Darren would like the Commission to invite MaineGeneral Medical Center Opiate Steering

Committee to the March meeting to provide an update on their work. - Darren requested that the Commission ask SAMHS to provide information from the WITS

reporting system. Darren provided Peter with the list of information to be requested. Peter will follow up with Sheldon Wheeler at SAMHS regarding this request.

OLD BUSINESS:

• Open Commission seats – continued updates on search for new members.

o The appointments for Representative Richard Malaby and Representative Patricia Hymanson have been confirmed.

o Molly noted that the Speaker’s Office has nominated Representative Anne Perry and Representative Colleen Madigan.

• Prepare agenda items for meeting on March 8, 2017 Meeting Adjourned: 12:00 Next Meeting: Wednesday, March 8, 2017 from 9:00 AM to 12:00 Noon Location: Burton Cross Building, 111 Sewall Street, Augusta, 4th Floor, Conference Room 400

MAINE PREVENTION SERVICES 2017

An organizational chart of

funded vendors, sub

recipients and district

support teams.

Maine Prevention Services: Overview of Programs

Domain 1: Substance Use Prevention

(University of New England)

Description of Intended work: The interventions in this Domain will

focus on substance use prevention among the youth and young adult

population. Indicators identified to measure success are: reductions

in prescription drug abuse which includes opioids and heroin,

underage alcohol use and binge drinking, and marijuana use.

UNE and its Sub-recipients must follow the Strategic Prevention

Framework Model and create district level assessments before making

their selection of interventions and activities.

Domain 2: Tobacco Use and Exposure Prevention

(MaineHealth)

Description of Intended Work: District Tobacco Prevention Partners in

each district will implement strategies and activities related to the

following areas of focus:

1. Prevention of any source of tobacco initiation

2. Prevention of involuntary second hand smoke exposure

3. Promotion of tobacco treatment available through the Maine

Tobacco HelpLine

Domain 3: Youth Engagement/Empowerment

(The Opportunity Alliance/Maine Youth Action Network)

Description of Intended work: MYAN will create a statewide network

of prevention-focused youth-adult partnerships and youth groups with

the overall goals of increasing resilience among youth and reducing

youth substance use.

Youth groups will include youth policy boards at the district and state

level designed to research and implement public health policy change

projects, as well as youth groups working more generally on health-

and prevention-related efforts. MYAN will also provide technical

assistance to bolster and develop youth-adult partnerships across the

state through education and training grounded in positive youth

development and social-emotional learning principles.

Domain 4: Mass Reach Health Communications

(Rinck)

Description of Intended Work: Rinck will provide Mass-Reach Health

Communications for tobacco and substance use prevention and

tobacco treatment. Rinck will manage, oversee, develop and

administer Mass-reach Health Communication efforts to achieve

measureable results in the prevention of opioid/substance use and

prevention and treatment of tobacco use and exposure with the

following goals:

1. Stem the rising tide of opioid use and abuse and decrease

substance affected infants;

2. Ensure that Maine has the lowest smoking rates in the nation; and

3. Prevent the development and progression of chronic disease

related to, or affected by, tobacco and substance use.

Domain 5: Obesity (Let’s Go!)

Description of Intended Work: Let’s Go!, a program of The Barbara Bush Children’s Hospital at Maine Medical Center, will expand and

enhance the implementation of programs and policies that help to prevent overweight and obesity through increased access to healthy eating

and active living opportunities among Maine’s youth.

The focus of efforts in the first year of the contract will be to establish statewide support for the immediate provision of professional

development and technical assistance to licensed childcare facilities and school administrative units in order to increase access to physical

activity and healthy nutrition offerings in these settings.

Domain 1: Opioid & Other

Substance Use Prevention

University of

New England

Domain 4

Mass-Reach Health

Communications for

Prevention Services

Rinck Advertising

Domain 2: Tobacco Use

Exposure & Prevention

MaineHealth

Domain 5

Obesity

Let’s Go!/

Maine Medical Center

Domain 3:Youth

Engagement &

Empowerment

The Opportunity Alliance

Northern Regions

Sub Recipient: Eastern Maine

Health Care Systems

Aroostook District

Aroostook County Action Program

Cary Medical Center

Downeast District

Healthy Acadia

Penquis District

Bangor Public Health & Community

Services

Wabanaki District

Wabanaki Public Health

Aroostook District

Aroostook County Action

Program

Downeast District

Healthy Acadia

Penquis District

River Coalition

Wabanaki District


Central District

Healthy Communities of the

Capital Area

Cumberland District


___________________________

Midcoast District

Out as I Want To Be

Western District

Healthy Communities Coalition

of Greater Franklin County

York District

Partners for Healthier

Communities

No Sub Recipients

Collaboration to occur

with Domains 1-3

Aroostook District


Program

Downeast District

Healthy Acadia

Penquis District

Bangor Public Health &

Community Services

Wabanaki District


Central District

Somerset Heart Health/RFGH


Capital Area

Cumberland District

City of Portland Public Health

Midcoast District

Access Health

Coastal Health Alliance

Western District

Healthy Androscoggin

Healthy Oxford Hills

York District


Communities

ME CDC PH Initiative 2017

Maine Prevention Services - Center for Disease Control and Prevention

January 2017

Southern Regions

University of New England

Central District

Kennebec Behavioral Health

Healthy Communities of the Capital

Area

MaineGeneral Health

Somerset Public Health/RFGH

Cumberland District


Access Health

Casco Bay CAN


Midcoast District

Access Health

Pen Bay YMCA/Knox Cnty. CHC

Western District


Healthy Community Coalition of

Greater Franklin County

York District

Coastal Healthy Communities

Coalition

York Hospital Choose to be Healthy

Partners for Healthier Communities

Northern Regions

Sub Recipient: Eastern Maine

Health Care Systems

Aroostook District

Aroostook County Action Program

Downeast District

Healthy Acadia

Penquis District


Community Services

Wabanaki District


Southern Regions

MaineHealth

Central District


Capital Area

Somerset Heart Health/RFGH

Cumberland District


Midcoast District

Access Health

Pen Bay YMCA/Knox County

Community Health Coalition

Coastal Community Coalition

Western District



Healthy Community Coalition

York District


Communities at SMHC

The Domain 1 sub-grantee listed

first for each district is leading the

assessment process


Maine Center for Disease Control and Prevention

Domain 1

Opioid & Other Substance Use Prevention

University of New England

Sub Recipient

Eastern Maine Healthcare Systems

AROOSTOOK


Program

Cary Medical Center

DOWNEAST

Healthy Acadia

PENQUIS


Community Services

WABANAKI


NORTHERN REGIONS SOUTHERN REGIONS

YORK Coastal Healthy

Communities Coalition

York Hospital

Choose to be Healthy


Communities/Southern Me.

Healthcare

CUMBERLAND


Access Health

Casco Bay CAN


MIDCOAST Access Health



CENTRAL

Kennebec Behavioral Health


Capital Area

Somerset Public Health/

Redington Fairview General

Hospital

WESTERN


Healthy Community

Coalition of Greater Franklin

County Sub-grantee’s that are bold and listed first in each district

are leading the assessment process for the District



Domain 2

Tobacco Use, Exposure and Prevention

MaineHealth

Sub Recipient

Eastern Maine Healthcare Systems

AROOSTOOK


Program

DOWNEAST

Healthy Acadia

PENQUIS


Community Services

WABANAKI


NORTHERN REGIONS SOUTHERN REGIONS

YORK


Communities

CUMBERLAND

City of Portland

MIDCOAST

Access Health



Coastal Community Coalition

CENTRAL


Capital Area

Somerset Heart Health/

Redington Fairview General

Hospital

WESTERN



Healthy Community Coalition



Domain 3

Youth Engagement & Empowerment


AROOSTOOK

Aroostook County

Action Program

DOWNEAST

Healthy Acadia

PENQUIS

River Coalition

WABANAKI


YORK


Communities

CUMBERLAND


MIDCOAST

Out As I Want To Be

CENTRAL

Healthy Communities of

the Capital Area

WESTERN

Healthy Communities

Coalition of Greater

Franklin County



Domain 5

Obesity

Let’s Go!/Maine Medical Center

AROOSTOOK

Aroostook County

Action Program

DOWNEAST

Healthy Acadia

PENQUIS


Community Services

WABANAKI


YORK


Communities

CUMBERLAND


MIDCOAST

Access Health

Coastal Health Alliance

CENTRAL

Somerset Heart Health/

Redington Fairview

General Hospital

Healthy Communities of

the Capital Areas

WESTERN Healthy Androscoggin



District Health Liaisons (DL)

District Coordinators (DC)

*Please direct all communication to the District Health Liaisons.

AROOSTOOK

Stacy Boucher - DL

Megan Gendreau - DC

DOWNEAST

Alfred May - DL

James Fisher - DC

PENQUIS

Jessica Fogg - DL

Celia Demos - DC

WABANAKI

Kristi Ricker - DL

Clarissa Sabattis - DC

YORK

Adam Hartwig - DL

Laura Overton - DC

CUMBERLAND

Kristine Jenkins - DL

Robin Hetzler - DC

MIDCOAST

Drexell White - DL

Vacant - DC

CENTRAL

Paula Thomson - DL

Joe Bushey- DC

WESTERN

Jamie Paul - DL

Tess Cote - DC

CARE

.

-

Substance Abuse Prevention for

Service Members, Veterans

and their Family Members

I

The purpose of ACE

is to empower Service Members, Veterans and

their Families to learn ways to prevent substance

abuse, identify risky substance use behavior and

find useful resources to help them take action.

The acronym ACE (Ask, Care, Encourage) was adapted from the U.S.

Department of Veteran Affair's ACE brochure for suicide prevention.

T ips f o r Us ing t he ACE Card

The Department of Health and Human Services (DHHS) does not discriminate

on the basis of disability, race, color, creed, gender, sexual orientation, age, or

national origin, in admission to, access to, or operations of its programs,

services, or activities, or its hiring or employment practices. This notice is

provided as required by Title II of the Americans with Disabilities Act of 1990

and in accordance with the Civil Rights Act of 1964 as amended, Section 504

of the Rehabilitation Act of 1973, as amended, the Age Discrimination Act of

1975 and the Maine Human Rights Act. Questions, concerns, complaints, or

requests for additional information regarding the ADA may be forwarded to

DHHS's ADA Compliance/EEO Coordinator, 11 State House Station, Augusta,

Maine 04333, (207) 287-4289 (V), (207) 287-2000 (TTY). Individuals who need

auxiliary aids for effective communication in program and services of DHHS

are invited to make their needs and preferences known to the ADA

Compliance/EEO Coordinator.

This product was supported by Grant No. 1U79SP020789-01, awarded by the

Substance Abuse and Mental Health Services Administration

For Treatment

Call 211 or visit: www.211maine.org

Call 1-800-342-9647 or visit:

www.militaryonesource.mil *For those currently serving

Maine VA Medical Center

Call 1-877-421-8263

Maine Bureau of Veterans’ Services

http://www.maine.gov/veterans/resources

IF YOU OR SOMEONE ELSE IS IN CRISIS Veterans Crisis Line: 1-800-273-8255

Statewide Crisis Line: 1-888-568-1112

Information About Substance Use

Screening for Mental Health

https://mentalhealthscreening.org/

After Deployment

www.afterdeployment.dcoe.mil

SAMHSA Alcohol, Tobacco, and Other Drugs

www.samhsa.gov/atod

Show the person that you care about their

wellbeing and that you are not passing

judgement on their behavior.

Actively listen to their story.

Nod your head and encourage them to tell

you more.

Accept that their situation is serious and

deserving of attention.

If the person thinks they may be

experiencing problems related to substance

use, encourage them to seek help.

For those currently serving, contacting the Unit’s

Substance Abuse Program sooner rather than

later may help avoid some negative

consequences.

For those not currently serving, Dial 211 for local

treatment resources.

Encourage the person to seek more

information if they want to learn about

substance use and substance use disorders.

ASK Is the person’s use causing problems? Here

are some things to consider:

Are they using illegal drugs or misusing

prescription drugs or alcohol?

Have they lost interest in other things that

were important to them?

Are they experiencing problems in their

personal relationships?

Are they experiencing problems at

school/work?

Do they want to cut down or stop using but

can’t?

Ask in a direct and non-judgmental manner

if they have thought about getting help for

their substance use.

ENCOURAGE

Resources

http://www.211maine.org/

http://www.militaryonesource.mil/






http://www.afterdeployment.dcoe.mil/

http://www.samhsa.gov/atod

Does the person:

Use in larger amounts or for longer than

intended?

Want to cut down or stop using but can’t?

Spend a lot of time using substances or

recovering from substance use?

Give up important family, social, recreational or

work-related activities because of use?

Continue to use, even while knowing that it may

be putting them in danger or contributing to

health problems?

Use increasingly more amounts to get the

wanted effect?

Have withdrawal symptoms, which can be

relieved by using more?

(Some withdrawal symptoms can be obvious, but

others can be more subtle—like irritability or

nervousness.)

The benefits of not using illegal drugs, taking

medications as prescribed and using alcohol

responsibly after the age of 21 are many, including:

For Prospective Service Members:

The ability to enlist or pursue officer candidacy

Obtaining certain security clearances

Eliminating need to seek waivers for substance use

Expanding military job opportunities

For Service Members:

Maintaining advancement eligibility

Advancing to and/or maintaining leadership positions

Keeping security clearances

Improving unit morale and performance

For Veterans:

Keeping strong social and professional relationships

Improving civilian career potential

Maintaining physical and mental health

Maintaining quality of life

For Families:

Keeping strong relationships with family

Promoting a healthy lifestyle among family members

Maintaining a supportive environment at home

Building resiliency and protective factors among family

members

I

ASK Are they using too much?

Have they thought about getting help for their

substance use?

CARE Show the person that you care about their wellbeing.

Show them their situation is deserving of attention.

ENCOURAGE Them to seek help if they are experiencing problems.

Contact the Unit Substance Abuse Program or Call 211

Below are some things that may help individuals

avoid experiencing substance use problems: Participation in sports, athletics or exercising

Assertively refusing peer pressure to use substances

Having greater perception of substance use risks

Strong bonds between youth and parents/guardians

Parental disapproval of substance use

Committing to do well in school and/or occupation

Community and neighborhood cohesion

Attending an educational course on substance abuse

prevention

Below are some things that may put individuals

at risk* for experiencing substance use problems:

Early onset of tobacco, alcohol and other substance

use

Access to tobacco, alcohol and other substances

Family history of substance use disorder

Peer substance use

Experiencing high levels of acute or chronic pain

Experiencing mental health disorders

Personal experience with substance use problems

Low commitment to academic and/or occupational

success

*Risk factors do not cause substance use problems.

For more information on risk and protective factors visit:

http://samhsa.gov/capt/practicing-effective-

prevention/prevention-behavioral-health/risk-protective-

factors The stress of everyday life affects us all, but

seeking positive ways to cope with stress can be

beneficial. Consider suggesting the following

healthier ways to manage stress and anxiety:

Get enough sleep

Talk problems over with someone you trust

Welcome humor

Yoga

Meditation

Deep breathing

Take a break to clear your head

Participate in regular physical activity:

Running, hiking, biking, swimming, weight training,

team sports., etc.

Why Care?

Caring for fellow Service Members, Veterans

and Family members by encouraging healthy

lifestyles improves social, family and work

environments.

R i sk Fac to rs

Warn ing S igns t o Cons ider

Dea l i ng W i t h S t ress

P ro tec t i ve Fac to rs

Maintain a positive attitude:

By hunting the good stuff, we can manage

stress in positive ways instead of using

drugs and alcohol.

http://samhsa.gov/capt/practicing-effective-prevention/prevention-behavioral-health/risk-protective-factors














Documents

4th Floor, Conference Room 400 ATTENDANCE...2016. Representative Malaby suggested that Mike reach out to Elsie Flemings, Executive Director at Healthy Acadia, who can connect him with