Comprehensive Community Plan · Comprehensive Community Plan 3 Summary of the Comprehensive Community Plan: ... The three problem statements to be addressed in the 2017-2020 CCP are

Comprehensive Community Plan

County: POSEY LCC: Promoting A Drug-Free Community in Posey County, Inc.

Date Due: July 31, 2017 Date Submitted: July 6, 2017 New Plan Plan Update - YEAR 2 (July 2019) LCC Contact: Donna M. Curtis Address: 905 Smith Road City: Mt. Vernon, IN 47620 Phone: 812-838-2591 Email: [email protected] County Commissioners: Posey County Commissioners Address: 126 W. Third Street City: Mt. Vernon, IN Zip Code: 47620

Governor’s Commission for a Drug Free Indiana A Division of the

Comprehensive Community Plan 2

Plan Summary

Mission Statement: To plan, develop, and implement a comprehensive strategy to educate about, to reduce, and to prevent tobacco, alcohol, and drug use in Posey County through community collaboration. History: The Posey County Drug-Free Local Coordinating Council (LCC) was formed in 1989 to address drug and alcohol issues in our community. These initial efforts were enhanced through collaboration with the Metropolitan School District of Mt. Vernon and Parent-to-Parent program. Their goal was to ensure ongoing programs and activities for youth and adults in the future to decrease drug/alcohol and tobacco use. 2019 began our 30th year of serving the Posey County community. The Drug-Free Council has provided funding and/or support to programs of local community organizations, law enforcement, youth, schools, and treatment centers. Youth programming has included participation in local fairs and demonstrations to raise awareness of the dangers of intoxicated driving, collaboration with local law enforcement and school districts to support D.A.R.E. (Drug Abuse Resistance Education) programs in schools, funding for after-prom activities, and funding for groups that work with youth such as the YWCA, Youth First, and Big Brothers Big Sisters. The agency has sponsored presentations on pertinent topics: trends in substance abuse and synthetic drugs, e-cigarettes and tobacco products and impact on youth, and research on drug and alcohol trends in our geographic area and understanding the culture. The agency has helped to purchase equipment for local law enforcement to aid in the arrest and conviction of drug and alcohol crimes. Our agency also provides financial assistance for individuals seeking drug and alcohol treatment. Posey County is a rural county in the southwest corner of Indiana, bordering Illinois and Kentucky, where the Wabash and Ohio Rivers converge. The population of Posey County is 26,061 (2018 data, www.indianahomelocator.com). Median household income is $60,817 (2018 data, www.indiana.hometownlocator.com). There are two public metropolitan school districts in the county, Mt. Vernon and North Posey, with a total of 3,580 children enrolled (www.indianahomelocator.com). There are three private schools up to 5th or 8th grade. About 35% of the public school children receive free or reduced-price lunch (2017 data), 15.3 % of the county’s children are considered food insecure (2016 data), and 11.9% of the children under age 18 live in poverty (2017 data) (www.datacenter.kidscount.org). Because Posey County is rural and has a declining population, there is no public transportation and it is medically underserved with limitations in healthcare access.

http://www.indianahomelocator.com/

http://www.datacenter.kidscount.org/


Summary of the Comprehensive Community Plan: The Promoting a Drug-Free Community in Posey County, Inc. (PDFC) Local Coordinating Council (LCC) is committed to the reduction of alcohol, tobacco, and other drug use by forming alliances with county agencies and resources to maximize efforts to promote a substance-free Posey County. The LCC has three areas of focus: prevention/education, intervention/treatment, and law enforcement/justice. The PDFC has a part-time paid Coordinator and an Executive Committee which oversees LCC functions. The Executive Committee of the LCC normally meets on the first Monday of each month. The LCC reviews supportive data and results versus objectives at monthly meetings and discusses activities to meet objectives. The 2017-2020 CCP was submitted July 6, 2017 and approved September 25, 2017. The three problem statements to be addressed in the 2017-2020 CCP are as follows: 1) Tobacco use is a significant issue in Posey County. 2) Operating While Intoxicated (OWI) and alcohol-related arrests are issues in Posey County. 3) Drug-related offenses continue to be significant issues in Posey County. The LCC is working with community organizations to plan and implement programs that address the problems and achieve the objectives stated in the CCP. The LCC is monitoring the progress of the programs throughout each year. This new plan reflects data review and results versus objectives in the past to continue efforts by both the LCC and the community at large to promote a substance-free Posey County. The Posey County CCP is the foundation for the granting process. The LCC makes the decisions regarding funding of grants based on how the grant directs its actions versus the problem statements in the CCP. Grant recipients are required to attend monthly meetings (this requirement is waived for funding of one-time events). A grant report is required for all agencies funded upon completion of the grant for the LCC to review the impact of the program on the community and input of results into the CCP.


Membership List

County LCC Name: Promoting a Drug-Free Community in Posey County, Inc. # Name Organization Race Gender Category 1 Donna Curtis-

Coordinator Posey County Deputy Clerk

Caucasian Female County Government

2 Beth Baro Willow Tree of Posey County

Caucasian Female Community Agency

3 Korben Sellers Mt. Vernon Police Department

Caucasian Male Law Enforcement

4 Melissa Stacer University of Southern Indiana

Caucasian Female Education

5 Meghan Trevino Southwestern Behavioral


6 Beth Russell Family Matters Caucasian Female Community

Agency 7 Courtney Horning Smokefree

Communities Caucasian Female Community

Agency 8 Beth Schilling Big Brothers Big

Sisters Caucasian Female Community

Agency 9 Michelle Lovelady-

Smith Southwestern Behavioral


10 Tom Latham Posey County Sheriff Department


11 Kyle Jones MSD of Mt. Vernon

Caucasian Male Education

12 Jeremy Fortune Posey County Sheriff Department


13 Melanie Reising Department of Child Services

Caucasian Female State Government

14 Martye Fitts Posey County

Public Health Department

Caucasian Female County Agency

15 Jill Hoskins Brentwood Springs Caucasian Female Community Agency

16 Angie Wannemuehler MSD of North Posey County

Caucasian Female Education

17 Kim Litkenhus Smokefree Communities


18 Scott Cochran Mt. Vernon Elks

#277 Caucasian Male Local

Organization


19 Grace Wilson Youth First Caucasian Female Community Agency

20 Cheryl Reich Posey County Health Department

Caucasian Female County Agency

21 John Campbell Posey County Community Foundation

Caucasian Male Community Agency

Problem Identification

A. Problem Statement #1: Tobacco use is a significant issue in Posey County. General Data (2017): Over one million adults in Indiana smoke (more than one in five). Indiana ranks 41 among states in overall health, with smoking as a primary factor for the low ranking (RaiseItForHealthIN.com, Fact Sheet, 2016). In the 2016 Indiana Youth Survey, cigarette and cigar use among middle and high school youth declined between 2000 and 2016. Smokeless tobacco use declined in middle school youth, but there was little change in smokeless tobacco use for high school youth between 2000 and 2016. E-cigarette use increased about four-fold among youth between 2012 and 2014, but declined significantly between 2014 and 2016. Despite this decline, e-cigarettes remain the most commonly used tobacco product among Hoosier youth (Tobacco Prevention and Cessation Commission, Indiana State Department of Health, November 2017, www.in.gov/isdh.tpc). General Data (2018): A proposal has been put forth by the FDA regarding cigarette smoking. The FDA plan is two-fold: drastically cut nicotine levels in cigarettes so that they are essentially non-addictive and for those who can’t or won’t quit, allow lower-risk products that deliver nicotine without the deadly effects of traditional cigarettes. One of the lower-risk products, called iQOS is a pen-like device that heats Marlboro-branded tobacco but stops short of burning it that reduces exposure to tar and other toxic by-products of burning cigarettes. This is different from e-cigarettes which don’t use tobacco at all but instead vaporize liquid usually containing nicotine (Matthew Perrone, Associated Press, published in Courier and Press, January 21, 2018). Cigarette smoking by teens continued to decline in 2017, and all measures are at historic lows (lifetime prevalence has fallen by 71%, 30-day prevalence by 81%, daily prevalence by 86%, and half-pack-per-day prevalence by 91%). Smokeless tobacco also showed a continuing decline in 2017 with 30-day prevalence reaching a low point for grades 8, 10, and 12. It has fallen for the grades combined by nearly two-thirds, from 9.7% in 1992 to 3.5% in 2017. Levels of nicotine vaping were considerable in 2017 (19% of 12th grade students, 16% of 10th grade students, and 8% of 8th grade students reported vaping during the past year (Monitoring the Future 2017 Survey, www.drugabuse.gov). General Data (2019): E-cigarette use continues to increase in youth: 17.6% of 8th graders; 32.3% of 10th graders; and 37.3% of 12th graders. The percent of youth vaping nicotine ranged from 11 to 21%; for 10th and 12th graders the percent doubled from 2017 to 2018, the largest one-year increase seen for any substance since the survey started in 1991 (Monitoring the Future 2018 Survey, www.drugabuse.gov).

http://www.in.gov/isdh.tpc

http://www.drugabuse.gov/



B. Supportive Data (2017): (Problem Statement #1): 1. In 2016, 16% of Posey County adults smoke (www.countyhealthrankings.org, 2017). 2. In 2016 for the Southwest region (includes Posey County; individual school district data are not available), monthly use rates for cigarettes ranged from 0.9% (Grade 6) to 16.6% (Grade 12) (IPRC, Indiana Youth Survey 2016, www.drugs.indiana.edu). 3. In 2016 for the Southwest region, monthly use rates for smokeless tobacco ranged from 1.3% (Grade 7) to 8.9% (Grade 12) (IPRC, Indiana Youth Survey 2016, www.drugs.indiana.edu). 4. In 2016 for the Southwest region, monthly use rates for electronic vapor products ranged from 4.0% (Grade 7) to 22.2% (Grade 12) (IPRC, Indiana Youth Survey 2016, www.drugs.indiana.edu). 5. In 2015, the percent of mothers in Posey County who reported smoking during pregnancy was 15.4% (2015 Indiana Natality Report, Indiana State Department of Health – Epidemiology Resource Center). 6. In 2016, there were no violations of selling tobacco to minors in Posey County. (www.IN.gov/atc/isep). 7. In 2016, tobacco outlet density in Posey County is 25 outlets (0.98 outlets/1000 persons; 1.11 outlets/1000 persons for the state) (IPRC, 2016 data, www.drugs.indiana.edu). 8. Tobacco spending per household in Posey County was $367 versus $340 in Indiana (IPRC, 2016 data, www.drugs.indiana.edu). 9. In 2016, the Mt. Vernon Police Department issued no juvenile tickets for possession of tobacco. 10. In 2016, 33 Posey County residents called the tobacco Quitline. Problem Statement #1 Supportive Data End of Year 1 Update (2018): 1. In 2017, 18% of Posey County adults smoke (www.countyhealthrankings.org, 2018). 2. The following data are available for MSD Mt. Vernon (8th - 12th grade) for 2016 and 2017 for “tobacco “use: Past month use: 2016 2017 Never (2017) Cigarettes 5.1-14.1 3.0-11.4 97.0-88.6 Smokeless tobacco 1.7-9.1 3.0-6.1 97.0-93.9 Electronic vapor products 13.9-23.3 12.1-24.7 87.9-75.3 >90% of the 8th-12th graders think it is wrong for someone their age to smoke cigarettes. >85% of the 8th-12th graders think their friends feel it would be wrong for them to smoke tobacco. 3. The following data are available for MSD North Posey (7th - 12th grade) for 2016 and 2017 for “tobacco” use: Past month use: 2016 2017 Never (2017) Cigarettes 1.1-27.7 0.0-22.4 100-77.6 Smokeless tobacco 2.3-11.4 0.0-5.9 100-94.1 Electronic vapor products 4.6-29.4 2.7-29.8 97.3-70.2 For 6th grade, cigarette use was 0.0% in 2016 and 1.2 % in 2017. >90 of the 7th-12th graders think it is wrong for someone their age to smoke cigarettes. >80% of the 7th-12th graders think their friends feel it would be wrong for them to smoke tobacco. 4. In 2018, North Posey students attending the after-prom party were surveyed about tobacco use. Results showed 81% of the students survey said they never used tobacco, 12% used occasionally, and 7% used daily. 5. In 2016, the percent of mothers in Posey County who reported smoking during pregnancy was 15.6% (www.datacenter.kidscount.org, 2016 data).

http://www.countyhealthrankings.org/

http://www.in.gov/atc/isep

http://www.drugs.indiana.edu/




6. In 2017, there were no violations of selling tobacco to minors in Posey County. (www.IN.gov/atc/isep). 7. In 2016, tobacco outlet density in Posey County is 25 outlets (0.98 outlets/1000 persons; 1.11 outlets/1000 persons for the state) (IPRC, 2016 data, www.drugs.indiana.edu). No update available. 8. Tobacco spending per household in Posey County was $367 versus $340 in Indiana (IPRC, 2016 data, www.drugs.indiana.edu). No update available. 9. In 2017, the Mt. Vernon Police Department issued no juvenile tickets for possession of tobacco. 10. In 2017, 29 Posey County residents called the tobacco Quitline. Problem Statement #1 Supportive Data End of Year 2 Update (2019): 1. In 2019, 18% of Posey County adults smoke (Indiana – 21%) (www.countyhealthrankings.org, 2019). 2. The following data are available for MSD Mt. Vernon (7th - 12th grade) for 2018 for “tobacco” use: Past month use: 2018 Never Cigarettes 1.0-11.3 99.0-88.7 Smokeless tobacco 0.0-6.3 100-93.8 Electronic vapor products 5.5-25.6 94.5-74.4 >85% of the 7th-12th graders think it is wrong for someone their age to smoke cigarettes. >85% of the 7th-12th graders think their friends feel it would be wrong for them to smoke tobacco. For 9th-12th graders, over the past 9 years, there is a trend for decreased use of cigarettes and smokeless tobacco. For electronic vapor products, use has been assessed for 3 or 4 years with rates remaining the same or increasing for all grades. 3. The following data are available for MSD North Posey (7th - 12th grade) for 2018 for “tobacco” use: Past month use: 2018 Never Cigarettes 1.8-14.0 98.2-86.0 Smokeless tobacco 0.0-8.3 100-91.7 Electronic vapor products 14.0-42.4 86.0-57.6 >65% of the 7th-12th graders think it is wrong for someone their age to smoke cigarettes. >75% of the 7th-12th graders think their friends feel it would be wrong for them to smoke tobacco. For 7th-12th graders, over the past 7-9 years, there is a trend for decreased use of cigarettes. For electronic vapor products, use has been assessed for 3 years with rates remaining the same or increasing for all grades. 4. The following data are available for MSD North Posey (6th grade) for 2018 for tobacco use: Past month use: 2018 Cigarettes 2.5 5. In 2019, North Posey students attending the after-prom party were surveyed about tobacco use. Results showed 33% of the students have not participated in risky behaviors (tobacco products, drug, alcohol) in the past. 6. In 2017, the percentage of livebirths to mothers (living in Posey County) who smoked during pregnancy was 22.7% (The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2018). 7. In 2018, there were 22 Posey County students suspended or expelled in 23 incidents due to tobacco use (The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2018). 8. In 2018, there were no violations of selling tobacco to minors in Posey County (www.IN.gov/atc/isep).







9. In 2018, Mt. Vernon Police Department reported one juvenile tobacco offense. 10. In 2018, there were 25 Posey County residents contacted the tobacco Quitline. Problem Statement #1 Supportive Data Final Update End of Year 3 (2020): C. Goals (Problem Statement #1): 1. Reduce tobacco use in adults 2. Reduce use of cigarettes, e-cigarettes, and smokeless tobacco by youth. 3. Reduce use of cigarettes, e-cigarettes, and smokeless tobacco by pregnant women. 4. Increase the number of calls to 1-800 Quit Now. Problem Statement #1 Annual Benchmarks – End of Year 1 (2018): 1. In 2017, 18% of Posey County adults smoke (Indiana – 21%) (www.countyhealthrankings.org, 2018). 2a. The following data are available for MSD Mt. Vernon (8th - 12th grade) for 2016 and 2017 for “tobacco” use: Past month use: 2016 2017 Never (2017) Cigarettes 5.1-14.1 3.0-11.4 97.0-88.6 Smokeless tobacco 1.7-9.1 3.0-6.1 97.0-93.9 Electronic vapor products 13.9-23.3 12.1-24.7 87.9-75.3 >90% of the 8th-12th graders think it is wrong for someone their age to smoke cigarettes. >85% of the 8th-12th graders think their friends feel it would be wrong for them to smoke tobacco. 2b. The following data are available for MSD North Posey (7th - 12th grade) for 2016 and 2017 for “tobacco” use: Past month use: 2016 2017 Never (2017) Cigarettes 1.1-27.7 0.0-22.4 100-77.6 Smokeless tobacco 2.3-11.4 0.0-5.9 100-94.1 Electronic vapor products 4.6-29.4 2.7-29.8 97.3-70.2 For 6th grade, cigarette use was 0.0% in 2016 and 1.2 % in 2017. >90 of the 7th-12th graders think it is wrong for someone their age to smoke cigarettes. >80% of the 7th-12th graders think their friends feel it would be wrong for them to smoke tobacco. 2c. In 2018, North Posey students attending the after-prom party were surveyed about tobacco use. Results showed 81% of the students survey said they never used tobacco, 12% used occasionally, and 7% used daily. 2d. In 2017, the Mt. Vernon Police Department reported no juvenile tobacco offenses (if tobacco is found with a student in school, it is reported directly to the County Prosecutor’s Office). 3. In 2016, the percent of mothers in Posey County who reported smoking during pregnancy was 15.6% (www.datacenter.kidscount.org, 2016 data). 4a. There were 29 calls/web referrals to the Indiana Quitline during 2017 (33 in 2016). 4b. Southwestern Behavioral Healthcare became a preferred provider in 4Q 2017.

Problem Statement #1 Annual Benchmarks – End of Year 2 (2019): 1a. In 2019, 18% of Posey County adults smoke (www.countyhealthrankings.org, 2019). 1b. In August 2018, the Posey County Health Department was awarded grant funds to purchase a carbon dioxide monitor to be used in smoking cessation programs to determine compliance. It is anticipated that 30 people per year will be enrolled.





1c. The two county newspapers were contacted December 12, 2018 about publishing a Letter to the Editor about quitting smoking and contacting 1-800-Quit-Now or QuitNowIndiana.com. The Letter was published in the Posey County News December 18, 2018. 1d. Gilda’s Club Evansville and Smokefree Communities (PDFC members) participated in National “Kick Butts Day”, March 20, 2019. Information was provided on health risks of smoking and e-cigarette use, the problems with smoking, smoking cessation, and cancer resources. 2a. The following data are available for MSD Mt. Vernon (7th - 12th grade) for 2018 for “tobacco” use: Past month use: 2018 Never Cigarettes 1.0-11.3 99.0-88.7 Smokeless tobacco 0.0-6.3 100-93.8 Electronic vapor products 5.5-25.6 94.5-74.4 >85% of the 7th-12th graders think it is wrong for someone their age to smoke cigarettes. >85% of the 7th-12th graders think their friends feel it would be wrong for them to smoke tobacco. For 9th-12th graders, over the past 9 years, there is a trend for decreased use of cigarettes and smokeless tobacco. For electronic vapor products, use has been assessed for 3 or 4 years with rates remaining the same or increasing for all grades. 2b. The following data are available for MSD North Posey (7th - 12th grade) for 2018 for “tobacco” use: Past month use: 2018 Never Cigarettes 1.8-14.0 98.2-86.0 Smokeless tobacco 0.0-8.3 100-91.7 Electronic vapor products 14.0-42.4 86.0-57.6 >65% of the 7th-12th graders think it is wrong for someone their age to smoke cigarettes. >75% of the 7th-12th graders think their friends feel it would be wrong for them to smoke tobacco. For 7th-12th graders, over the past 7-9 years, there is a trend for decreased use of cigarettes. For electronic vapor products, use has been assessed for 3 years with rates remaining the same or increasing for all grades. 2c. The following data are available for MSD North Posey (6th grade) for 2018 for tobacco use: Past month use: 2018 Cigarettes 2.5 2d. In 2018, Mt. Vernon Police Department reported one juvenile tobacco offense. 2e. The two county newspapers were contacted December 12, 2018 about publishing a Letter to the Editor about quitting smoking and contacting 1-800-Quit-Now or QuitNowIndiana.com. The Letter was published in the Posey County News December 18, 2018. 2f. The two county newspapers were contacted March 9, 2019 about publishing a Letter to the Editor about the e-cigarette use epidemic among youth and asking lawmakers to ban flavored tobacco products in conjunction with “Kick Butts Day”, March 20th. The Letter was published in the Posey County News March 19, 2019. 2g. In March 2019, North Posey High School was awarded grant funds to assist with an after-prom party. Pamphlets (E-cigarettes, “Vapes”, and JUULs, What Teens Should Know and Tips for Teens – Tobacco) were available and a poster about e-cigarettes was on display. There was a hypnotist show with a message to abstain from tobacco use, surveys were completed, t-shirts were provided with the theme of staying tobacco free, and advertisement for the party detailed a tobacco-free evening of entertainment. Pre-prom survey results: 50% would rather go to a party with alcohol and tobacco products than to the after-prom party, 26% undecided, 16% unlikely to or would not go to a party with alcohol and tobacco products. Party survey results: 40% participated and 33% did not participate in risky behaviors (alcohol, drugs, tobacco products) in the past; 61% agreed and 19%


disagreed that the party kept them from engaging in those behaviors; 41% probably will and 47% probably will not engage in those risky behaviors in the future. There were 214 students attending the after-prom party (246 attended prom), keeping them tobacco products free. 2h. In March 2019, Mt. Vernon High School was awarded grant funds to assist in funding an after-prom party. Pamphlets (E-cigarettes, “Vapes”, and JUULs, What Teens Should Know and Tips for Teens – Tobacco) were available and a poster about e-cigarettes was on display. There were 124 students attending the party, keeping them tobacco products free. 2i. Gilda’s Club Evansville and Smokefree Communities (PDFC members) participated in National “Kick Butts Day”, March 20, 2019. Information was provided on health risks of smoking and e-cigarette use, the problems with smoking, smoking cessation, and cancer resources. 3a. The two county newspapers were contacted December 12, 2018 about publishing a Letter to the Editor about quitting smoking and contacting 1-800-Quit-Now or QuitNowIndiana.com. The Letter was published in the Posey County News December 18, 2018. 3b. Gilda’s Club Evansville and Smokefree Communities (PDFC members) participated in National “Kick Butts Day”, March 20, 2019. Information was provided on health risks of smoking and e-cigarette use, the problems with smoking, smoking cessation, and cancer resources. 3c. In August 2018, the Posey County Health Department was awarded grant funds to purchase a carbon dioxide monitor to be used in smoking cessation programs to determine compliance. It is anticipated that 30 people per year will be enrolled. If pregnant women are enrolled, carbon dioxide can also be monitored in the fetus. 3d. In 2017, the percentage of livebirths to mothers (living in Posey County) who smoked during pregnancy was 22.7% (The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2018). 4a. From January through December 2018, there were 25 contacts to the Indiana Quitline. 4b. The two county newspapers were contacted December 12, 2018 about publishing a Letter to the Editor about quitting smoking and contacting 1-800-Quit-Now or QuitNowIndiana.com. The Letter was published in the Posey County News December 18, 2018.

Problem Statement #1 Annual Benchmarks - Final Report End of Year 3 (2020): D. Objectives (Problem Statement #1): 1. Work with the two county school districts to ensure that the Indiana Youth Survey is completed to monitor tobacco use in youth. 2. Support programs and treatment options for reducing smoking among Posey County adults, pregnant women, and youth. 3. Provide and post information at county health care facilities, public events, employers, and public bulletin boards about tobacco cessation programs and the dangers of using tobacco products. 4. Partner with the two county school newspapers to provide information about tobacco cessation programs and the dangers of using tobacco products. 5. Work with TPC/Smoke-free Communities to provide in-school education about tobacco use and prevention for the two Posey County school districts. 6. Work with one county school to complete the Youth Tobacco Survey in 2018. Problem Statement #1 Results versus Objectives - End of Year 1 Update (2018): 1. Both MSDs of Mt. Vernon and North Posey completed the Indiana Youth Survey in 2018.


2a. Southwestern Behavioral Healthcare became a preferred provider during 4Q2017. 2b. Big Brothers Big Sisters of the Ohio Valley serving Posey County was granted funds in March 2017. Data were collected in 2017 from mentors, a school counselor (school program), guardians (community program), and mentored children with respect to substance use and abuse. A majority of the mentors, guardians, and counselor indicated that avoiding substance abuse was not a problem for the children in the programs. When the children in the program were asked about using tobacco (cigarettes, cigars, and smokeless/chewing tobacco), they indicated that it was not okay and continued to maintain this positive attitude in subsequent surveys. 2c. The two county newspapers were contacted December 12, 2018 about publishing a Letter to the Editor about quitting smoking and contacting 1-800-Quit-Now or QuitNowIndiana.com. The Letter was published in the Posey County News December 18, 2018. 3a. Information on tobacco products was provided to parents and students at an open house at North Posey Schools (10/25/2017). 3b. Information on drug interactions with tobacco smoke was provided to Posey County healthcare providers (12/15/2017). 4a. Indiana Quitline initiated a digital and radio campaign, “Make Someday Today”, January 29 through March 1, 2018. The radio campaign was aired on 6 local radio stations. 4b. The two county newspapers were contacted December 12, 2018 about publishing a Letter to the Editor about quitting smoking and contacting 1-800-Quit-Now or QuitNowIndiana.com. The Letter was published in the Posey County News December 18, 2018. 5. Smoke-free Communities provided education about electronic vapor products; point of sale; first, second, and third hand smoke; and smokeless tobacco to 130 to 150 students and 5 adults in health classes at North Posey Junior High School (1/30/2018). 6. Selection of and scheduling with school(s) in Posey County to participate in the Youth Tobacco Survey in 2018 will occur in 3Q2018.

Problem Statement #1 Results versus Objectives - End of Year 2 Update (2019): 1. The Indiana Youth Survey was not conducted in 2019 at either school district in Posey County because it was not administered by IPRC. 2. In August 2018, the Posey County Health Department was awarded grant funds to purchase a carbon dioxide monitor to be used in smoking cessation programs to determine compliance. It is anticipated that 30 people per year will be enrolled. If pregnant women are enrolled, carbon dioxide can also be monitored in the fetus. 3a. Information about tobacco cessation and the dangers of using tobacco products was available at River Days (through Elks DAP) September 7, 2018. 3b. A presentation “Underage Smoking & E-Cigarettes” was held at the public library in Mt. Vernon, November 8, 2018 [sponsored by Gilda’s Club Evansville and Smokefree Communities (PDFC members)]. There were 5 attendees, and one of these was a MSD Mt. Vernon administrator that was provided resources for students and families. 4a. Information about a program through the Indiana Tobacco Quitline to help residents of Indiana to quit tobacco use was provided to the LCC (September 2018) to give to their employers and for providers. In addition, this information was provided to the county newspapers and was published in the Posey County News September 4 and 11, 2018 and in the Mt. Vernon Democrat September 5, 2018. 4b. “Tips” campaign commercials aired in the local area in September and through October 4, 2018.


4c. A Red Ribbon Week Essay Contest was held in the 8 county elementary schools in September 2018. Information about Red Ribbon Week and pictures of the winners of the essay contest were published in the Mt. Vernon Democrat October 10, 2018 and in the Posey County News October 23, 2018 that included publishing the winning essays. The overall winner’s school received a Red Ribbon Week banner for display. 4d. The two county newspapers were contacted March 9, 2019 about publishing a Letter to the Editor about the e-cigarette use epidemic among youth and asking lawmakers to ban flavored tobacco products in conjunction with “Kick Butts Day”, March 20th. The Letter was published in the Posey County News March 19, 2019. 5a. In March 2019, North Posey High School was awarded grant funds to assist with an after-prom party. Pamphlets (E-cigarettes, “Vapes”, and JUULs, What Teens Should Know and Tips for Teens – Tobacco) were available and a poster about e-cigarettes was on display. There was a hypnotist show with a message to abstain from tobacco use, surveys were completed, t-shirts were provided with the theme of staying tobacco free was provided, and advertisement for the party detailed a tobacco-free evening of entertainment. Pre-prom survey results: 50% would rather go to a party with alcohol and tobacco products than to the after-prom party, 26% undecided, 16% unlikely to or would not go to a party with alcohol and tobacco products. Party survey results: 40% participated and 33% did not participate in risky behaviors (alcohol, drugs, tobacco products) in the past; 61% agreed and 19% disagreed that the party kept them from engaging in those behaviors; 41% probably will and 47% probably will not engage in those risky behaviors in the future. There were 214 students attending the after-prom party (246 attended prom), keeping them tobacco products free. 5b. In March 2019, Mt. Vernon High School was awarded grant funds to assist in funding an after-prom party. Pamphlets (E-cigarettes, “Vapes”, and JUULs, What Teens Should Know and Tips for Teens – Tobacco) were available and a poster about e-cigarettes was on display. There were 124 students attending the party, keeping them tobacco products free. 5c. MSD Mt. Vernon submitted an application for a Capacity Building grant 1Q2019 and in May 2019 was awarded $60,000 over two years. These funds will support an individual to provide tobacco education throughout the county and be an advocate for a tobacco-free community. 5d. Smokefree Communities personnel provided “Sweet Deception” training (e-cigarettes dangers) to 18 Mt. Vernon High School students. Presentations were given to elementary, junior high, and high school students. 6. MSD Mt. Vernon Senior High School took the Youth Tobacco Survey October 2018. The results of this survey are not available at this time. Problem Statement #1 Results versus Objectives - Final Update End of Year 3 (2020): A. Problem Statement #2: Operating While Intoxicated (OWI) and alcohol-related arrests are issues in Posey County. General Data (2017): In the Monitoring the Future 2016 Survey (www.drugabuse.gov), results show the trend for alcohol use among teens surveyed continues to decline (7.3% for 8th graders, 19.9% for 10th graders, and 33.2% for 12th graders). In the 2016 Indiana Youth Survey, alcohol use among 6-12th graders continues to decline over almost 25 years (IPRC, Indiana Youth Survey 2016 data, www.drugs.indiana.edu). General Data (2018): In 2017, lifetime prevalence, annual prevalence, 30-day prevalence, and daily prevalence of alcohol use showed little or no change for any grade (8, 10 and 12) or for the three




grades combined. This is the first time this has occurred in many years and may indicate the end of a long-term decline in adolescent alcohol use. However, two measures of heavy drinking, having been drunk in the past 30 days and binge drinking, did not decline in 2017. Binge drinking was reported in 4% of 8th graders, 10% of 10th graders, and 17% of 12th graders (Monitoring the Future 2017 Survey (www.drugabuse.gov). General Data (2019): Daily alcohol use and binge drinking have decreased significantly between 2013 and 2018 in all three grades. Past-month use: 8.2% for 8th graders; 18.6% for 10th graders; and 30.2 % for 12th graders. Binge drinking: 3.7% for 8th graders; 8.7% for 10th graders; and 13.8% for 12th graders (Monitoring the Future 2018 Survey www.drugabuse.gov). B. Supportive Data (2017) (Problem Statement #2): 1. In 2016, there were 106 arrests for operating a motor vehicle while intoxicated by the Posey County Sheriff’s Department. 2. In 2016, the Mt. Vernon Police Department reported 3 juvenile offenses and 2 adult offenses for minor in possession/consumption of alcohol, 9 offenses for public intoxication, and 19 offenses for operating while intoxicated. 3. Of motor vehicle crash deaths in Posey County, 30% (2011-2015data) were alcohol-impaired driving deaths versus 26% (2010-2014 data) versus 24% (2009-2013 data) (www.countyhealthrankings.org). 4. Excessive drinking was reported in 17% of Posey County adults (www.countyhealthrankings.org, 2017). 5. In 2016 for the Southwest region (includes Posey County; individual school district data are not available), monthly use rates for alcohol ranged from 3.1% (Grade 6) to 35.7% (Grade 12) (IPRC, Indiana Youth Survey 2016, www.drugs.indiana.edu). 6. In 2016 for the Southwest region, binge drinking during the last two weeks ranged from 2.2% of 7th graders to 19.1% of 12th graders (IPRC, Indiana Youth Survey 2016, www.drugs.indiana.edu). 7. In Posey County, $581 per household income is spent on alcohol (Indiana – $525) (IPRC, 2016 data, www.drugs.indiana.edu). 8. In 2016 in Posey County, there were four violations of selling alcoholic beverages to minors (www.IN.gov/atc/isep). 9. Alcohol outlet density in Posey County is slightly higher than that in the state: 1.92 per 1,000 persons for Posey County versus 1.76 per 1,000 persons for Indiana (IPRC, 2016 data, www.drugs.indiana.edu, no update available). 10. According to Posey County Community Corrections in 2016, 9 individuals were involved with the community corrections program with an alcohol-related charge. 11. In 2016, Posey County Department of Child Services received 254 drug- and/or alcohol-related reports. Problem Statement #2 Supportive Data - End of Year 1 Update (2018): 1. In 2017, there were 45 arrests for operating a motor vehicle while intoxicated by the Posey County Sheriff’s Department. 2. In 2017, the Mt. Vernon Police Department reported no juvenile offenses and 1 adult offense for minor in possession of alcohol, 3 offenses for public intoxication, and 19 offenses for operating while intoxicated. 3. The following data are available for MSD Mt. Vernon (8th - 12th grade) for 2016 and 2017 for “alcohol” use: Past month use: 2016 2017 Never (2017) Alcohol 14.0-33.8 12.5-28.2 87.5-71.8





Binge drinking 4.3-16.4 6.1-14.1 93.9-85.9* Binge drinking is defined as consuming five or more alcoholic drinks in a row during the past two weeks. *Did not binge drink in the past 2 weeks >85% of the 8th-12th graders think it is wrong for someone their age to drink alcohol regularly. >80% of the 8th-12th graders think their friends feel it would be wrong for them to have one to two alcoholic drinks every day. 4. The following data are available for MSD North Posey (7th - 12th grade) for 2016 and 2017 for “alcohol” use: Past month use: 2016 2017 Never (2017) Alcohol 8.2-45.7 9.8-45.1 90.2-54.9 Binge drinking 1.2-26.5 3.6-23.2 96.4-76.8* Binge drinking is defined as consuming five or more alcoholic drinks in a row during the past two weeks. *Did not binge drink in the past 2 weeks For 6th grade, alcohol use was 3.1% in 2016 and 2.5% in 2017. >80% of the 7th-12th graders think it is wrong for someone their age to drink alcohol regularly. >75% of the 7th-12th graders think their friends feel it would be wrong for them to have one to two alcoholic drinks every day. 5. In 2018, North Posey students attending the after-prom party were surveyed about alcohol use. Results showed 73% of the students survey said they never used alcohol, 19% used occasionally, and 8% used weekly. 6. Of motor vehicle crash deaths in Posey County, 26% (2012-2016 data) were alcohol-impaired driving deaths versus 30% (2011-2015 data) versus 26% (2010-2014 data) (Indiana – 22%) (www.countyhealthrankings.org). 7. In Posey County, $581 per household income is spent on alcohol (Indiana – $525) (IPRC, 2016 data, www.drugs.indiana.edu). No update available. 8. In 2017 in Posey County, there was one violations of selling alcoholic beverages to minors (www.IN.gov/atc/isep). 9. Alcohol outlet density in Posey County is slightly lower than that in the state: 1.65 per 1,000 persons for Posey County versus 1.95 per 1,000 persons for Indiana (IPRC, 2017 data, www.drugs.indiana.edu). 10. Excessive drinking was reported in 18% of Posey County adults (Indiana – 19%) (www.countyhealthrankings.org). 11. According to Posey County Community Corrections in 2017, 20 individuals were involved with the community corrections program with an alcohol-related charge. 12. In 2017, Posey County Department of Child Services received 259 alcohol- or drug-related reports. Problem Statement #2 Supportive Data - End of Year 2 Update (2019): 1. In 2018, there were 27 arrests for operating a motor vehicle while intoxicated, one arrest for minor in possession of alcohol, and one arrest for public intoxication by the Posey County Sheriff’s Department. 2. In 2018, the Mt. Vernon Police Department reported 1 minor in possession of alcohol, 1 offense for public intoxication, and 12 offenses for operating while intoxicated.






3. The following data are available for MSD Mt. Vernon (7th - 12th grade) for 2018 for “alcohol” use: Past month use: 2018 Never Alcohol 2.1-30.1 97.9-69.9 Binge drinking 1.0-14.6 99.0-85.4* Binge drinking is defined as consuming five or more alcoholic drinks in a row during the past two weeks. *Did not binge drink in the past 2 weeks >90% of the 7th-12th graders think it is wrong for someone their age to drink alcohol regularly. >75% of the 7th-12th graders think their friends feel it would be wrong for them to have one to two alcoholic drinks every day. For 8th-12th graders, alcohol use rates have decreased since the peaks in 2010 (23.1-51.9). 4. The following data are available for MSD North Posey (7th - 12th grade) for 2018 for “alcohol” use: Past month use: 2018 Never Alcohol 10.5-43.4 89.5-56.6 Binge drinking 5.3-19.5 94.7-80.5* Binge drinking is defined as consuming five or more alcoholic drinks in a row during the past two weeks. *Did not binge drink in the past 2 weeks >80% of the 7th-12th graders think it is wrong for someone their age to drink alcohol regularly. >70% of the 7th-12th graders think their friends feel it would be wrong for them to have one to two alcoholic drinks every day. 5. The following data are available for MSD North Posey (6th grade) for 2018 for alcohol use: Past month use: 2018 Alcohol 3.9 6. In 2019, North Posey students attending the after-prom party were surveyed about alcohol use. Results showed 33% of the students have not participated in risky behaviors (alcohol, drugs, and tobacco products) in the past. 7. In 2019, Mt. Vernon students attending the after-prom party were surveyed about alcohol use. Results showed 93% have not and 7% have tried alcohol in the past 6 months; 27% had and 73% had not been offered alcohol in the past 6 months; 79% offered did not try alcohol; about 95% said reviewing the pamphlet will help them stay alcohol-free prom night, in the future, and help them encourage friends to make good choices. 8. Of motor vehicle crash deaths in Posey County, 26% (2019 data) were alcohol-impaired driving deaths (Indiana – 21%) (www.countyhealthrankings.org). 9. In 2018 in Posey County, there were no violations of selling alcoholic beverages to minors (www.IN.gov/atc/isep). 10. Excessive drinking was reported in 18% of Posey County adults (Indiana – 19%) (www.countyhealthrankings.org). 11. According to Posey County Community Corrections in 2018, 14 individuals were involved with the community corrections program with an alcohol-related conviction. 12. In 2018, Posey County Department of Child Services received 323 reports of alleged alcohol or drug use. 13. In 2018 for Posey County residents, there were 90 treatment episodes for alcohol use and 48 treatment episodes for alcohol dependence at admission (The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2018).




Problem Statement #2 Supportive Data - Final Update End of Year 3 (2020):

C. Goals (Problem Statement #2): 1. Reduce Operating While Intoxicated rates in Posey County. 2. Reduce the percentage of students reporting alcohol consumption in Posey County. 3. Increase the number of individuals accessing alcohol treatment in Posey County. Problem Statement #2 Annual Benchmarks – End of Year 1 (2018): 1a. In 2017, there were 45 arrests for operating a motor vehicle while intoxicated by the Posey County Sheriff’s Department. 1b. In 2017, the Mt. Vernon Police Department 19 offenses for operating while intoxicated. 2a. The following data are available for MSD Mt. Vernon (8th - 12th grade) for 2016 and 2017 for “alcohol” use: Past month use: 2016 2017 Never (2017) Alcohol 14.0-33.8 12.5-28.2 87.5-71.8 Binge drinking 4.3-16.4 6.1-14.1 93.9-85.9*

Binge drinking is defined as consuming five or more alcoholic drinks in a row during the past 2 weeks. *Did not binge drink in the past 2 weeks >85% of the 8th-12th graders think it is wrong for someone their age to drink alcohol regularly. >80% of the 8th-12th graders think their friends feel it would be wrong for them to have one to two alcoholic drinks every day. 2b. The following data are available for MSD North Posey (7th - 12th grade) for 2016 and 2017 for “alcohol” use: Past month use: 2016 2017 Never (2017) Alcohol 8.2-45.7 9.8-45.1 90.2-54.9 Binge drinking 1.2-26.5 3.6-23.2 96.4-76.8* Binge drinking is defined as consuming five or more alcoholic drinks in a row during the past 2 weeks. *Did not binge drink in the past 2 weeks For 6th grade, alcohol use was 3.1% in 2016 and 2.5% in 2017. >80% of the 7th-12th graders think it is wrong for someone their age to drink alcohol regularly. >75% of the 7th-12th graders think their friends feel it would be wrong for them to have one to two alcoholic drinks every day. 2c. In 2018, North Posey students attending the after-prom party were surveyed about alcohol use. Results showed 73% of the students survey said they never used alcohol, 19% used occasionally, and 8% used weekly. 3a. In September 2017, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to provide individual and group therapy for substance abuse patients who cannot afford to pay for various aspects of the treatment. Treatment may also include enrollment in the Relapse Prevention Group. 3b. In May 2018, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to purchase breathalyzer equipment to evaluate clients (randomly) in groups or as part of an intake assessment or individual session if use is suspected. Problem Statement #2 Annual Benchmarks – End of Year 2 (2019): 1a. In 2018, there were 27 arrests for operating a motor vehicle while intoxicated, one arrest for minor in possession of alcohol, and one arrest for public intoxication by the Posey County Sheriff’s Department.


1b. In 2018, the Mt. Vernon Police Department reported 1 minor in possession of alcohol, 1 offense for public intoxication, and 12 offenses for operating while intoxicated. 2a. The following data are available for MSD Mt. Vernon (7th - 12th grade) for 2018 for “alcohol” use: Past month use: 2018 Never Alcohol 2.1-30.1 97.9-69.9 Binge drinking 1.0-14.6 99.0-85.4* Binge drinking is defined as consuming five or more alcoholic drinks in a row during the past two weeks. *Did not binge drink in the past 2 weeks >90% of the 7th-12th graders think it is wrong for someone their age to drink alcohol regularly. >75% of the 7th-12th graders think their friends feel it would be wrong for them to have one to two alcoholic drinks every day. For 8th-12th graders, alcohol use rates have decreased since the peaks in 2010 (23.1-51.9). 2b. The following data are available for MSD North Posey (7th - 12th grade) for 2018 for “alcohol” use: Past month use: 2018 Never Alcohol 10.5-43.4 89.5-56.6 Binge drinking 5.3-19.5 94.7-80.5* Binge drinking is defined as consuming five or more alcoholic drinks in a row during the past two weeks. *Did not binge drink in the past 2 weeks >80% of the 7th-12th graders think it is wrong for someone their age to drink alcohol regularly. >70% of the 7th-12th graders think their friends feel it would be wrong for them to have one to two alcoholic drinks every day. 2c. The following data are available for MSD North Posey (6th grade) for 2018 for alcohol use: Past month use: 2018 Alcohol 3.9 2d. A Youth Worker Café, “Reject” Documentary & Discussion, was held November 1, 2018 at a facility in Mt. Vernon (PDFC was a Community Partner). This presentation provided for a screening of the film “Reject” followed by a discussion about the effects of rejection and ostracism (surges of anger and aggression and higher rates of delinquency, arrest, violent behavior, and substance abuse). There were about 25 attendees from various agencies. 2e. In March 2019, North Posey High School was awarded grant funds to assist with an after-prom party. Underage Drinking, Myths vs. Facts pamphlet was available. There was a hypnotist show with a message to abstain from alcohol use, surveys were completed, t-shirts were available with the theme of staying alcohol free, and advertisement for the party detailed an alcohol-free evening of entertainment. Pre-prom survey results: 50% would rather go to a party with alcohol and tobacco products than to the after-prom party, 26% undecided, 16% unlikely to or would not go to a party with alcohol and tobacco products. Party survey results: 40% participated and 33% did not participate in risky behaviors (alcohol, drugs, tobacco products) in the past; 61% agreed and 19% disagreed that the party kept them from engaging in those behaviors; 41% probably will and 47% probably will not engage in those risky behaviors in the future. There were 214 students attending the party (246 attended prom), keeping them alcohol free. 2f. In March 2019, Mt. Vernon High School was awarded funds to assist with an after-prom party. The pamphlet Underage Drinking, Myths vs. Facts was available; t-shirts were provided with a visual representation of a community-sponsored drug- and alcohol-free event; and a survey was completed. Survey results showed 93% have not and 7% have tried alcohol in the past 6 months; 27% had and


73% had not been offered alcohol in the past 6 months; 79% offered did not try alcohol; about 95% said reviewing the pamphlet will help them stay alcohol-free prom night, in the future, and help them encourage friends to make good choices. There were 124 students attending the party, keeping them alcohol free. 3a. In September 2017, Southwestern Behavioral Healthcare was provided grant funds to assist clients with screens and/or therapy sessions. During the grant period, 23 individuals were assisted. Seven individuals completed the program; seven individuals dropped out of the program before completion; and nine individuals are completing treatment. 3b. In December 2018, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to provide individual and group therapy for substance abuse patients who cannot afford to pay for various aspects of the treatment. Treatment may also include enrollment in the Relapse Prevention Group. 3c. In May 2018, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to purchase breathalyzer equipment to evaluate clients (randomly) in groups or as part of an intake assessment or individual session if use is suspected. Approximately 60 clients were tested during a 12-month period, and all tests were negative for alcohol. It is likely that the possibility of a random test was a deterrent and clients refrained from drinking. Having the breathalyzer equipment available is likely an effective tool in ensuring compliance with the substance abuse treatment program. Problem Statement #2 Annual Benchmarks - Final Report End of Year 3 (2020): D. Objectives (Problem Statement #2): 1. Increase awareness of intoxicated driving and its dangers through distribution of educational materials throughout the county. 2. Collaborate with local schools to provide educational materials and activities to increase awareness of the dangers of underage drinking and intoxicated driving, and fund school programs that promote alcohol-free activities. 3. Provide funding and support for enforcement of intoxicated driving. 4. Partner with community to provide funding and support to treatment agencies for individuals with alcohol-related disorders. 5. Work with the two county school districts to ensure that Indiana Youth Survey is completed to monitor alcohol use in youth. Problem Statement #2 Results versus Objectives - End of Year 1 Update (2018): 1. Big Brothers Big Sisters of the Ohio Valley serving Posey County was granted funds in March 2017. Data were collected in 2017 from mentors, a school counselor (school program), guardians (community program), and mentored children with respect to substance use and abuse. A majority of the mentors, guardians, and counselor indicated that avoiding substance abuse was not a problem for the children in the programs. When the children in the program were asked about drinking alcohol, they indicated that it was not okay and continued to maintain this positive attitude in subsequent surveys. 2a. In September 2017, the Mt. Vernon Police Department was awarded grant funds to purchase promotional materials (stickers, erasers, crayons, mini sports balls, backpacks) to provide school-age children when members of the department speak at schools about the dangers of alcohol and the effects that alcohol have on the students and their families.


2b. Educational material, “Hidden In Plain View” was provided to MSDs of Mt. Vernon and North Posey (12/9/2017). This information shows how youth hide alcohol. 2c. In February 2018, North Posey High School was awarded grant funds to assist in funding an after-prom party. The after-prom party included food, prizes (for attendance and drawings to help increase attendance), inflatables, and entertainment. There were 200 students attending the prom, and 155 students attended the after-prom party, keeping them alcohol free. Students attending the party were surveyed about alcohol use. Results showed 73% of the students survey said they never used alcohol, 19% used occasionally, and 8% used weekly. 2d. In February 2018, Mt. Vernon High School was awarded grant funds to assist in funding an after-prom party to keep students alcohol free. The after-prom party was held at a local pizza establishment and included video games, laser tag, bumper cars, movies, table games, food, and prizes. There were 343 students attending prom and 172 students attending the after-prom party, keeping them alcohol free. 2e. For Red Ribbon activities in October, plans are underway to have a presentation and demonstration by Addiction is Real. In conjunction with these activities, the principals of eight county elementary schools have been contacted (5/24/2018) to request participation of their 5th grade classes in an essay contest about the importance of Red Ribbon Week. 3. In September 2017, the Posey County Sheriff’s Department was awarded grant funds to purchase a thermal drone to assist in determining the location of intoxicated perpetrators who are attempting to elude arrest. This service is also available to jurisdictions that have a signed mutual aid agreement with the Posey County Sheriff’s Department. During the grant cycle period, practice and scenario-based training occurred. In addition, an active and intense scenario occurred in which one suspect was located in a corn field in the dark, not only from the air but by utilization of the thermal imaging equipment. 4a. In September 2017, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to provide individual and group therapy for substance abuse patients who cannot afford to pay for various aspects of the treatment. Treatment may also include enrollment in the Relapse Prevention Group. 4b. In May 2018, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to purchase breathalyzer equipment to evaluate clients (randomly) in groups or as part of an intake assessment or individual session if use is suspected. 5. Both MSDs of Mt. Vernon and North Posey completed the Indiana Youth Survey in 2018. Problem Statement #2 Results versus Objectives - End of Year 2 Update (2019): 1. Educational materials about intoxicated driving and its dangers were available at River Days (through Elks DAP) September 7, 2018. 2a. In September 2017, the Mt. Vernon Police Department was provided grant funds to purchase items to give to school-age students that educate them on the dangers of alcohol and that promote an alcohol-free life. The items were given out at a safety fair and will be important items for the newly hired School Resource Officer (starting the 2018-2019 school year). 2b. A Youth Worker Café, “Reject” Documentary & Discussion, was held November 1, 2018 at a facility in Mt. Vernon (PDFC was a Community Partner). This presentation provided for a screening of the film “Reject” followed by a discussion about the effects of rejection and ostracism (surges of anger and aggression and higher rates of delinquency, arrest, violent behavior, and substance abuse). There were about 25 attendees from various agencies. 2c. A Red Ribbon Week Essay Contest was held in the 8 county elementary schools in September 2018. Information about Red Ribbon Week and pictures of the winners of the essay contest were


published in the Mt. Vernon Democrat October 10, 2018 and in the Posey County News October 23, 2018 that included publishing the winning essays. The overall winner’s school received a Red Ribbon Week banner for display. 2d. In March 2019, North Posey High School was awarded grant funds to assist with an after-prom party. Underage Drinking, Myths vs. Facts pamphlet was available. There was a hypnotist show with a message to abstain from alcohol use, surveys were completed, t-shirts were provided with the theme of staying alcohol free, and advertisement for the party detailed an alcohol-free evening of entertainment. Pre-prom survey results: 50% would rather go to a party with alcohol and tobacco products than to the after-prom party, 26% undecided, 16% unlikely to or would not go to a party with alcohol and tobacco products. Party survey results: 40% participated and 33% did not participate in risky behaviors (alcohol, drugs, tobacco products) in the past; 61% agreed and 19% disagreed that the party kept them from engaging in those behaviors; 41% probably will and 47% probably will not engage in those risky behaviors in the future. There were 214 students attending the party (246 attended prom), keeping them alcohol free. 2e. In March 2019, Mt. Vernon High School was awarded funds to assist with an after-prom party. The pamphlet Underage Drinking, Myths vs. Facts was available; t-shirts were provided with a visual representation of a community-sponsored drug- and alcohol-free event; and a survey was completed. Survey results showed 93% have not and 7% have tried alcohol in the past 6 months; 27% had and 73% had not been offered alcohol in the past 6 months; 79% offered did not try alcohol; about 95% said reviewing the pamphlet will help them stay alcohol-free prom night, in the future, and help them encourage friends to make good choices. There were 124 students attending the party, keeping them alcohol free. 3. There were no grants submitted for enforcement of intoxicated driving (08/2018 – 07/2019). 4a. In September 2017, Southwestern Behavioral Healthcare was provided grant funds to assist clients with screens and/or therapy sessions. During the grant period, 23 individuals were assisted. Seven individuals completed the program; seven individuals dropped out of the program before completion; and nine individuals are completing treatment. 4b. In December 2018, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to provide individual and group therapy for substance abuse patients who cannot afford to pay for various aspects of the treatment. Treatment may also include enrollment in the Relapse Prevention Group. 4c. In May 2018, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to purchase breathalyzer equipment to evaluate clients (randomly) in groups or as part of an intake assessment or individual session if use is suspected. Approximately 60 clients were tested during a 12-month period, and all tests were negative for alcohol. It is likely that the possibility of a random test was a deterrent and clients refrained from drinking. Having the breathalyzer equipment available is likely an effective tool in ensuring compliance with the substance abuse treatment program. 5. The Indiana Youth Survey was not conducted in 2019 at either school district in Posey County because it was not administered by IPRC. Problem Statement #2 Results versus Objectives - Final Update End of Year 3 (2020):


A. Problem Statement #3: Drug-related offenses continue to be significant issues in Posey County. General Data (2017): The opiate epidemic in Indiana has resulted in the number of deaths from opioid overdose nearly doubling from 2010 to 2015, rising to 529 from 283 (Indiana State Department of Health). In addition, about 4% (200,000) of the state’s adults report misusing opiate drugs (Family and Social Services Administration) (Evansville Courier & Press, February 5, 2017). From April to June 2017, the following data were reported for Posey County opiate prescription use: the average number of pills per county resident is 47; slightly higher than the State average (40) and the average number of pills per prescription in the county is 84; significantly higher than the State and surrounding counties average (66-73) (Presentation by Katy Adams from Stepping Stone, held at Annual Dinner, Southwestern Behavioral Healthcare, Inc., October 2017). In the Monitoring the Future 2016 Survey (www.drugabuse.gov), marijuana use trends remain steady among surveyed teens (5.4% for 8th graders, 14.0% for 10th graders, and 22.5% for 12th graders). About 70% of 12th graders do not view marijuana smoking as harmful but about the same number say that they disapprove of regular marijuana smoking. The following shows the percent of 12th graders surveyed that have used drugs over the past year: 36% - marijuana, 4.3% - hallucinogens, 3.5% - synthetic marijuana, 2.7% - ecstasy, 2.3% - cocaine, 1.8% - salvia, and 1.7% - inhalants. In the 2016 Indiana Youth Survey, marijuana use increased in 12th graders, but rates for all grades have declined since the peak in 1996 (IPRC, Indiana Youth Survey 2016 data, www.drugs.indiana.edu). General Data (2018): In the Monitoring the Future 2017 Survey (www.drugabuse.gov), marijuana use edged upward in 2017, the first significant increase in seven years. Overall, past-year use was 10.1% for 8th grade, 25.5% for 10th grade, and 37.1% for 12th grade. The risk of marijuana use perceived by adolescents is now at its lowest level in four decades. Levels of marijuana vaping are considerable; 10% for 12th grade, 8% for 10th grade and 3% for 8th grade. Heroin use by adolescents in 2017 did not change significantly, with annual use rates at 0.4% or lower for 8, 10, and 12th grades. Misuse of prescription opioids for 12th graders continued a decade-long decline, decreased 0.5% to 4.2% in 2017. Use of inhalants (sniffing glue, gases, sprays) by 8th graders increased in 2017. The percentage of 8th graders ever using inhalants was 8.9% and 4.7% of the students used inhalants in the past 12 months. General Data (2019): In the Monitoring the Future 2018 Survey (www.drugabuse.gov), 5-year trends in daily marijuana use remains steady for 10th (3.4%) and 12th (5.8%) graders, but declined for 8th graders (0.7%). However, daily use of marijuana vaping significantly increased from 2017 to 2018 (2.6%, 7.0%, and 7.5% for 8th, 10th, and 12th graders, respectively). These 2018 rates are at least 50% higher than 2017 rates. Misuse of prescription opioids dropped significantly over the past 5 years in 12th graders. In the past 5 years, Vicodin® use dropped approximately 60 to 75% for all 3 grades. In addition, teens think these drugs are not as easy to obtain as they were previously. Past year use of synthetic cannabinoids has dropped significantly in the past 5 years in all 3 grades. B. Supportive Data (2017) (Problem Statement #3) 1. In 2016, the Posey County Sheriff’s Department reported a total of 67 drug-related charges: dealing/possession/possession of paraphernalia - methamphetamine – 31; possession/dealing/public intoxication - marijuana – 20; possession/dealing of scheduled/controlled/look-a-like substances and syringe – 16. 2. In 2016, the Mt. Vernon Police Department reported a total of 21 drug-related offenses: possession of marijuana – 6, possession of paraphernalia – 8, possession of controlled substance – 2,






possession of a synthetic or look-alike drug – 4, and possession of methamphetamine – 1. There were 2 juvenile offenses for possession of marijuana. 3. In 2016 for the Southwest region (includes Posey County; individual school district data are not available), monthly use rates for marijuana ranged from 0.5% (Grade 6) to 14.3% (Grade 12) (IPRC, Indiana Youth Survey 2016, www.drugs.indiana.edu). 4. In 2016 for the Southwest region, monthly use rates for “other drugs” (synthetic marijuana, cocaine/crack, inhalants, methamphetamine, heroin, and hallucinogens/ecstasy) ranged from 0.1 to 0.7% (Grade 7) to 0.3 to 2.5% (Grade 12) (IPRC, Indiana Youth Survey 2016, www.drugs.indiana.edu). 5. In 2016 for the Southwest region, monthly use rates for prescription drugs ranged from 1.6% (Grade 6) to 4.7% (Grade 12) (IPRC, Indiana Youth Survey 2016, www.drugs.indiana.edu). 6. In 2016 for the Southwest region, monthly use rates for OTC drugs ranged from 2.5% (Grade 7) to 2.4% (Grade 12); the monthly use rate for OTC drugs was highest for Grade 9 (2.8%) (IPRC, Indiana Youth Survey 2016, www.drugs.indiana.edu). 7. In Posey County, the number of methamphetamine lab busts was 4 (data from Indiana State Police and other law enforcement agencies; Source: Indiana State Police, 2016) reported in The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2015, Indiana State Epidemiology and Outcomes Workgroup. There was no update for this information. 8. According to Posey County Community Corrections during 2016, 29 individuals were involved with the community corrections program with a drug-related charge. 9. In 2016, Posey County Department of Child Services received 254 reports that were drug-and/or alcohol-related. Problem Statement #3 Supportive Data - End of Year 1 Update (2018): 1. In 2017, the Posey County Sheriff’s Department reported a total of 52 drug-related charges: dealing/possession of methamphetamine – 27; possession of paraphernalia – 15; possession of controlled substance 3; possession of a drug-look-alike substance – 2; dealing Schedule I, II, III drugs – 2; possession of cocaine – 1; possession of marijuana – 1; possession of synthetic drug – 1. 2. In 2017, the Mt. Vernon Police Department reported a total of 41 drug-related offenses: possession of marijuana – 11, possession of paraphernalia – 17, possession of controlled substance – 0, possession of a synthetic or look-alike drug – 2, and possession of methamphetamine – 8, dealing methamphetamine – 1, and possession of a legend drug - 2. There was 1 juvenile offense for possession of marijuana. 3. The following data are available for MSD Mt. Vernon (8th - 12th grade) for 2016 and 2017 for “drug” use: Past month use: 2016 2017 Never (2017) Marijuana 6.0-13.2 0.0-22.0 100.0-78.0 Synthetic marijuana 0.0-2.8 0.0-1.2 100.0-98.8

Inhalants 0.0-1.7 0.0-2.5 100.0-97.5 Hallucinogens/Ecstasy 0.0-2.2 0.0-2.5 100.0-97.5 Prescription drugs not 0.9-4.4 0.0-6.1 100.0-93.9 prescribed to you OTC drugs to get high 0.9-3.4 0.0-3.4 100.0-96.6 In 2017, all grades reported never using cocaine/crack, methamphetamine, or heroin in the past month. >70% of the 8th-12th graders think it is wrong for someone their age to smoke marijuana; >93% of the 8th-12th graders think it is wrong for someone their age to use illegal drugs.


>75% of the 8th-12th graders think their friends feel it would be wrong for them to smoke marijuana; >90% of the 8th-12th graders think their friends feel it would be wrong for them to misuse prescription drugs. 4. The following data are available for MSD North Posey (7th - 12th grade) for 2016 and 2017 for “drug” use: Past month use: 2016 2017 Never (2017) Marijuana 0.0-31.9 1.8-21.2 98.2-78.8 Synthetic marijuana 0.0-1.8 0.0-3.2 100.0-96.8

Inhalants 0.0-2.9 0.0-2.1 100.0-97.9

Methamphetamine 0.0-2.9 0.0-0.0 100.0-100.0 Heroin 0.0-2.9 0.0-0.9 100.0-99.1 Hallucinogens/Ecstasy 0.0-8.8 0.0-3.5 100.0-96.5 Prescription drugs not 0.9-6.4 0.0-5.3 100.0-94.7 prescribed to you OTC drugs to get high 1.8-5.7 0.0-5.3 100.0-94.7

For 6th grade, marijuana use was 0.0% in 2016 and 2.5% in 2017; inhalants use was 3.1% in 2016 and 0.0% in 2017; prescription drugs use was 3.2% in 2016 and 2.5% in 2017; other illegal drugs use was 0.0% in 2016 and 2017. In 2017, all grades reported never using cocaine/crack in the past month. >80% of the 7th-12th graders think it is wrong for someone their age to smoke marijuana; >97% of the 7th-12th graders think it is wrong for someone their age to use illegal drugs. >70% of the 7th-12th graders think their friends feel it would be wrong for them to smoke marijuana; >90% of the 7th-12th graders think their friends feel it would be wrong for them to misuse prescription drugs. 5. In Posey County, there were 10 non-fatal emergency room visits due to opioid overdose from 2011 to 2015; in 2016, there were 5 visits (www.in.gov/isdh/27393/htm). 6. The number of opioid prescriptions per 100 residents in Posey County was lower than the Indiana State numbers: 57.6 in 2015 and 55.7 in 2016 in Posey County compared with 89.1 in 2015 and 83.9 in 2016 in the state (www.cdc.gov/drugoverdose/maps/rxcounty2016.html). 7. In Posey County, the number of methamphetamine lab busts was 3 (data from Indiana Methamphetamine Investigative System, www.IN.gov/meth). 8. According to Posey County Community Corrections during 2017, 37 individuals were involved with the community corrections program with a drug-related charge. 9. In 2017, Posey County Department of Child Services received 259 reports that were drug- or alcohol-related. Problem Statement #3 Supportive Data - End of Year 2 Update (2019): 1. In 2018, the Posey County Sheriff’s Department reported a total of 40 drug-related arrests: possession of methamphetamine – 14; possession of marijuana – 12; possession of paraphernalia – 6; dealing or manufacturing methamphetamine – 3; possession of a controlled substance – 3; dealing marijuana – 1; dealing cocaine – 1. 2. In 2018, the Mt. Vernon Police Department reported a total of 36 drug-related offenses: 12 for possession of marijuana, 10 for possession of paraphernalia, 2 for possession of controlled substance, 2 for possession of a synthetic or lookalike drug, and 10 for possession of methamphetamine. There were no juvenile offenses for drugs.

http://www.in.gov/isdh/27393/htm

http://www.cdc.gov/drugoverdose/maps/rxcounty2016.html


3. The following data are available for MSD Mt. Vernon (7th - 12th grade) for 2018 for “drug” use: Past month use: 2018 Never Marijuana 0.9-14.5 99.1-85.5 Synthetic marijuana 0.0-2.4 100-97.6

Inhalants 0.0-1.2 100-98.8 Hallucinogens/Ecstasy 0.0-1.8 100-98.2 Any prescription drugs 0.0-4.1 100-95.9 OTC drugs 1.0-4.9 99.0-95.1 In 2018, 7th, 8th, and 11th grades reported never using cocaine/crack, methamphetamine, or heroin in the past month. For the other grades, use of these substances ranged from 0.8-1.2%. >85% of the 7th-12th graders think it is wrong for someone their age to smoke marijuana; >95% of the 7th-12th graders think it is wrong for someone their age to use illegal drugs. >75% of the 7th-12th graders think their friends feel it would be wrong for them to smoke marijuana; >90% of the 7th-12th graders think their friends feel it would be wrong for them to misuse prescription drugs. 4. The following data are available for MSD North Posey (7th - 12th grade) for 2018 for “drug” use: Past month use: 2018 Never Marijuana 1.8-17.6 98.2-82.4 Synthetic marijuana 0.0-1.2 100-98.8

Inhalants 0.0 – 1.8 100-98.2 Hallucinogens/Ecstasy 0.0-2.4 100-97.6 Any prescription drugs 1.0-3.5 99.0-96.5 OTC drugs 0.0-5.1 100-94.9 In 2018, all grades reported never using cocaine/crack, methamphetamine, or heroin in the past month. >75% of the 7th-12th graders think it is wrong for someone their age to smoke marijuana; >95% of the 7th-12th graders think it is wrong for someone their age to use illegal drugs. >65% of the 7th-12th graders think their friends feel it would be wrong for them to smoke marijuana; >85% of the 7th-12th graders think their friends feel it would be wrong for them to misuse prescription drugs. 5. The following data are available for MSD North Posey (6th grade) for 2018 for “substance” use: Past month use: 2018 Marijuana 2.5 Inhalants 1.3 Prescription drugs 1.4 Other illegal drugs 0.0 6. In 2019, North Posey students attending the after-prom party were surveyed about drug use. Results showed 33% of the students have not participated in risky behaviors (alcohol, drugs, and tobacco products) in the past. 7. In 2019, Mt. Vernon students attending the after-prom party were surveyed about marijuana and other harmful substances use. Results showed 98% have not and 2% have tried marijuana in the past 6 months; 17% had and 83% had not been offered marijuana in the past 6 months; 86% offered did not try marijuana. Only one student of 124 tried other harmful substances; 8 students offered did not try other harmful substances. About 95% said reviewing the pamphlets will help them stay drug-free prom night, in the future, and help them encourage friends to make good choices. 8. In 2018, the number of opioid dispensations/1,000 population for Posey County was 279.7 (opioids included analgesics, antidiarrheals, and antagonists/medications for addiction) (The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2018).


9. In 2017 in Posey County, the number of methamphetamine clandestine lab incidents was 2 (The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2018). 10. In 2018 for Posey County residents, there were 86 treatment episodes for marijuana use and 42 treatment episodes for marijuana dependence at admission (The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2018). 11. In 2018 for Posey County residents, there were 33 treatment episodes for prescription opioid misuse, 13 treatment episodes for prescription opioid dependence, less than 5 treatment episodes for heroin use and less than 5 treatment episodes for heroin dependence (The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2018). 12. In 2018 for Posey County residents, there were less than 5 treatment episodes for cocaine use, less than 5 for cocaine dependence, 75 treatment episodes for methamphetamine use, 44 treatment episodes for methamphetamine dependence, 6 treatment episodes for prescription stimulant use, and less than 5 treatment episodes for stimulant dependence (The Consumption and Consequences of Alcohol, Tobacco, and Drugs in Indiana: A State Epidemiological Profile 2018). 13. According to Posey County Community Corrections during 2018, 40 individuals were involved with the community corrections program with a drug-related conviction. 14. In 2018, Posey County Department of Child Services received 323 reports that alleged drug or alcohol use. Problem Statement #3 Supportive Data - Final Update End of Year 3 (2020): C. Goals (Problem Statement #3): 1. Reduce the percentage of Posey County students reporting marijuana and other drug use including prescription drug abuse in the last 30 days. 2. Reduce the number of individuals involved in drug-related crimes in Posey County. 3. Increase the number of individuals accessing substance treatment in Posey County. Problem Statement #3 Annual Benchmarks – End of Year 1 (2018): 1a. The following data are available for MSD Mt. Vernon (8th - 12th grade) for 2016 and 2017 for “drug” use: Past month use: 2016 2017 Never (2017) Marijuana 6.0-13.2 0.0-22.0 100.0-78.0 Synthetic marijuana 0.0- 2.8 0.0-1.2 100.0-98.8

Inhalants 0.0-1.7 0.0-2.5 100.0-97.5 Hallucinogens/Ecstasy 0.0-2.2 0.0-2.5 100.0-97.5 Prescription drugs not 0.9-4.4 0.0-6.1 100.0-93.9 prescribed to you OTC drugs to get high 0.9-3.4 0.0-3.4 100.0-96.6 In 2017, all grades reported never using cocaine/crack, methamphetamine, or heroin in the past month. >70% of the 8th-12th graders think it is wrong for someone their age to smoke marijuana; >93% of the 8th-12th graders think it is wrong for someone their age to use illegal drugs. >75% of the 8th-12th graders think their friends feel it would be wrong for them to smoke marijuana; >90% of the 8th-12th graders think their friends feel it would be wrong for them to misuse prescription drugs.


1b. The following data are available for MSD North Posey (7th - 12th grade) for 2016 and 2017 for “drug” use: Past month use: 2016 2017 Never (2017) Marijuana 0.0-31.9 1.8-21.2 98.2-78.8 Synthetic marijuana 0.0-1.8 0.0-3.2 100.0-96.8

Inhalants 0.0-2.9 0.0-2.1 100.0-97.9

Methamphetamine 0.0-2.9 0.0-0.0 100.0-100.0 Heroin 0.0-2.9 0.0-0.9 100.0-99.1 Hallucinogens/Ecstasy 0.0-8.8 0.0-3.5 100.0-96.5 Prescription drugs not 0.9-6.4 0.0-5.3 100.0-94.7 prescribed to you OTC drugs to get high 1.8-5.7 0.0-5.3 100.0-94.7

For 6th grade, marijuana use was 0.0% in 2016 and 2.5% in 2017; inhalants use was 3.1% in 2016 and 0.0% in 2017; prescription drugs use was 3.2% in 2016 and 2.5% in 2017; other illegal drugs use was 0.0% in 2016 and 2017. In 2017, all grades reported never using cocaine/crack in the past month. >80% of the 7th-12th graders think it is wrong for someone their age to smoke marijuana; >97% of the 7th-12th graders think it is wrong for someone their age to use illegal drugs. >70% of the 7th-12th graders think their friends feel it would be wrong for them to smoke marijuana; >90% of the 7th-12th graders think their friends feel it would be wrong for them to misuse prescription drugs. 2a. In September 2017, the Posey County Sheriff’s Department was awarded grant funds to purchase a thermal drone to assist in determining the location of clandestine production and cultivation of marijuana and perpetrators who are attempting to elude arrest. This service is also available to jurisdictions that have a signed mutual aid agreement with the Posey County Sheriff’s Department. During the grant cycle period, practice and scenario-based training occurred. In addition, an active and intense scenario occurred in which one suspect was located in a corn field in the dark, not only from the air but by utilization of the thermal imaging equipment. 2b. In 2017, the Posey County Sheriff’s Department reported a total of 52 drug-related charges: dealing/possession of methamphetamine – 27; possession of paraphernalia – 15; possession of controlled substance 3; possession of a drug-look-alike substance – 2; dealing Schedule I, II, III drugs – 2; possession of cocaine – 1; possession of marijuana – 1; possession of synthetic drug – 1. 2c. In 2017, the Mt. Vernon Police Department reported a total of 41 drug-related offenses: possession of marijuana – 11, possession of paraphernalia – 17, possession of controlled substance – 0, possession of a synthetic or look-alike drug – 2, and possession of methamphetamine – 8, dealing methamphetamine – 1, and possession of a legend drug - 2. There was 1 juvenile offense for possession of marijuana. 3. In September 2017, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to provide individual and group therapy for substance abuse patients who cannot afford to pay for various aspects of the treatment. Treatment may also include enrollment in the Relapse Prevention Group.

Problem Statement #3 Annual Benchmarks – End of Year 2 (2019): 1a. The following data are available for MSD Mt. Vernon (7th - 12th grade) for 2018 for “drug” use: Past month use: 2018 Never Marijuana 0.9-14.5 99.1-85.5 Synthetic marijuana 0.0-2.4 100-97.6

Inhalants 0.0-1.2 100-98.8


Hallucinogens/Ecstasy 0.0-1.8 100-98.2 Any prescription drugs 0.0-4.1 100-95.9 OTC drugs 1.0-4.9 99.0-95.1 In 2018, 7th, 8th, and 11th grades reported never using cocaine/crack, methamphetamine, or heroin in the past month. For the other grades, use of these substances ranged from 0.8-1.2%. >85% of the 7th-12th graders think it is wrong for someone their age to smoke marijuana; >95% of the 7th-12th graders think it is wrong for someone their age to use illegal drugs. >75% of the 7th-12th graders think their friends feel it would be wrong for them to smoke marijuana; >90% of the 7th-12th graders think their friends feel it would be wrong for them to misuse prescription drugs. 1b. The following data are available for MSD North Posey (7th - 12th grade) for 2018 for “drug” use: Past month use: 2018 Never Marijuana 1.8-17.6 98.2-82.4 Synthetic marijuana 0.0-1.2 100-98.8

Inhalants 0.0 – 1.8 100-98.2 Hallucinogens/Ecstasy 0.0-2.4 100-97.6 Any prescription drugs 1.0-3.5 99.0-96.5 OTC drugs 0.0-5.1 100-94.9 In 2018, all grades reported never using cocaine/crack, methamphetamine, or heroin in the past month. >75% of the 7th-12th graders think it is wrong for someone their age to smoke marijuana; >95% of the 7th-12th graders think it is wrong for someone their age to use illegal drugs. >65% of the 7th-12th graders think their friends feel it would be wrong for them to smoke marijuana; >85% of the 7th-12th graders think their friends feel it would be wrong for them to misuse prescription drugs. 1c. The following data are available for MSD North Posey (6th grade) for 2018 for “substance” use: Past month use: 2018 Marijuana 2.5 Inhalants 1.3 Prescription drugs 1.4 Other illegal drugs 0.0 1d. A Youth Worker Café, “Reject” Documentary & Discussion, was held November 1, 2018 at a facility in Mt. Vernon (PDFC was a Community Partner). This presentation provided for a screening of the film “Reject” followed by a discussion about the effects of rejection and ostracism (surges of anger and aggression and higher rates of delinquency, arrest, violent behavior, and substance abuse). There were about 25 attendees from various agencies. 1e. In March 2019, North Posey High School was awarded grant funds to assist with an after-prom party. Pamphlets (Opioid Facts for Teens, Tips for Teens – Marijuana, Tips for Teens – Heroin, Drug Facts – Bath Salts, and Drug Facts – Spice) were available. There was a hypnotist show with a message to abstain from drug; surveys were completed; t-shirts were provided with the theme of staying drug free; and advertisement for the party detailed a drug-free night of entertainment. Survey results: 40% participated and 33% did not participate in risky behaviors (alcohol, drugs, tobacco products) in the past; 61% agreed and 19% disagreed that the party kept them from engaging in those behaviors; 41% probably will and 47% probably will not engage in those risky behaviors in the future. There were 214 students attending the party (246 attended prom), keeping them drug free. 1f. In March 2019, Mt. Vernon High School was awarded funds to assist with an after-prom party. Pamphlets (Opioid Facts for Teens, Tips for Teens – Marijuana, Tips for Teens – Heroin, Drug


Facts – Bath Salts, and Drug Facts – Spice) were available; t-shirts were provided with a visual representation of a community-sponsored drug- and alcohol-free event; and a survey was completed. Survey results showed 98% have not and 2% have tried marijuana in the past 6 months; 17% had and 83% had not been offered marijuana in the past 6 months; 86% offered did not try marijuana. Only one student of 124 tried other harmful substances; 8 students offered did not try other harmful substances. About 95% said reviewing the pamphlet will help them stay drug-free prom night, in the future, and help them encourage friends to make good choices. There were 124 students attending the party, keeping them drug free. 2a. In 2018, the Posey County Sheriff’s Department reported a total of 40 drug-related arrests: possession of methamphetamine – 14; possession of marijuana – 12; possession of paraphernalia – 6; dealing or manufacturing methamphetamine – 3; possession of a controlled substance – 3; dealing marijuana – 1; dealing cocaine – 1. 2b. In 2018, the Mt. Vernon Police Department reported a total of 36 drug-related offenses: 12 for possession of marijuana, 10 for possession of paraphernalia, 2 for possession of controlled substance, 2 for possession of a synthetic or lookalike drug, and 10 for possession of methamphetamine. There were no juvenile offenses for drugs. 3a. In September 2017, Southwestern Behavioral Healthcare was provided grant funds to assist clients with drug screens and/or therapy sessions. During the grant period, 23 individuals were assisted. Seven individuals completed the program; seven individuals dropped out of the program before completion; and nine individuals are completing treatment. 3b. In December 2018, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to provide individual and group therapy for substance abuse patients who cannot afford to pay for various aspects of the treatment. Treatment may also include enrollment in the Relapse Prevention Group. Problem Statement #3 Annual Benchmarks - Final Report End of Year 3 (2020): D. Objectives (Problem Statement #3): 1. Partner with community to provide funding and support to treatment agencies for individuals requiring substance abuse treatment. 2. Provide funding and support for enforcement of drug-related crimes. 3. Increase awareness of negative consequences of drug use through dissemination of educational materials throughout the county. 4. Collaborate with local schools to increase awareness of drug use and its dangers and consequences, and fund school programs that promote drug-free activities. 5. Work with county school districts to ensure that the Indiana Youth Survey is completed to monitor drug use in youth.

Problem Statement #3 Results versus Objectives - End of Year 1 Update (2018): 1. In September 2017, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to provide individual and group therapy for substance abuse patients who cannot afford to pay for various aspects of the treatment. Treatment may also include enrollment in the Relapse Prevention Group. 2. In September 2017, the Posey County Sheriff’s Department was awarded grant funds to purchase a thermal drone to assist in determining the location of clandestine production and cultivation of marijuana and perpetrators who are attempting to elude arrest. This service is also available to jurisdictions that have a signed mutual aid agreement with the Posey County Sheriff’s Department.


During the grant cycle period, practice and scenario-based training occurred. In addition, an active and intense scenario occurred in which one suspect was located in a corn field in the dark, not only from the air but by utilization of the thermal imaging equipment. 3a. Information on “local” opiate use was provided to Posey County healthcare providers (12/15/2017). 3b. Big Brothers Big Sisters of the Ohio Valley serving Posey County was granted funds in March 2017. Data were collected in 2017 from mentors, a school counselor (school program), guardians (community program), and mentored children with respect to substance use and abuse. A majority of the mentors, guardians, and counselor indicated that avoiding substance abuse was not a problem for the children in the programs. When the children in the program were asked about taking drugs that were not given to them by a doctor or parent, they indicated that it was not okay and continued to maintain this positive attitude in subsequent surveys. 4a. In September 2017, the Mt. Vernon Police Department was awarded grant funds to purchase promotional materials (stickers, erasers, crayons, mini sports balls, backpacks) to provide school-age children when members of the department speak at schools about the dangers of alcohol and the effects that alcohol have on the students and their families. 4b. Educational material, “Hidden In Plain View”, was provided to MSDs of Mt. Vernon and North Posey (12/9/2017). This information shows how youth hide drugs. 4c. In February 2018, North Posey High School was awarded grant funds to assist in funding an after-prom party. The after-prom party included food, prizes (for attendance and drawings to help increase attendance), inflatables, and entertainment. There were 200 students attending the prom and 155 students attended the after-prom party, keeping them drug free. 4d. In February 2018, Mt. Vernon High School was awarded grant funds to assist in funding an after-prom party to keep students drug free. The after-prom party was held at a local pizza establishment and included video games, laser tag, bumper cars, movies, table games, food, and prizes. There were 343 students attending prom and 172 students attending the after-prom party, keeping them drug free. 4e. For Red Ribbon activities in October, plans are underway to have a presentation and demonstration by Addiction is Real. In conjunction with these activities, the principals of eight county elementary schools have been contacted (5/24/2018) to request participation of their 5th grade classes in an essay contest about the importance of Red Ribbon Week. 5. Both MSDs of Mt. Vernon and North Posey completed the Indiana Youth Survey in 2018. Problem Statement #3 Results versus Objectives - End of Year 2 Update (2019): 1a. In September 2017, Southwestern Behavioral Healthcare was provided grant funds to assist clients with drug screens and/or therapy sessions. During the grant period, 23 individuals were assisted. Seven individuals completed the program; seven individuals dropped out of the program before completion; and nine individuals are completing treatment. 1b. In December 2018, Southwestern Behavioral Healthcare, Inc. was awarded grant funds to provide individual and group therapy for substance abuse patients who cannot afford to pay for various aspects of the treatment. Treatment may also include enrollment in the Relapse Prevention Group. 2. There were no grants submitted for enforcement of drug-related crimes (08/2018 – 07/2019). 3. Educational materials about the negative consequences of drug use were available at River Days (through Elks DAP) September 7, 2018. 4a. In September 2017, the Mt. Vernon Police Department was provided grant funds to purchase items to give to school-age students to increase awareness of drug use and its dangers and


consequences and promote a drug-free life. The items were given out at a safety fair and will be important items for the newly hired School Resource Officer (starting the 2018-2019 school year). 4b. A Youth Worker Café, “Reject” Documentary & Discussion, was held November 1, 2018 at a facility in Mt. Vernon (PDFC was a Community Partner). This presentation provided for a screening of the film “Reject” followed by a discussion about the effects of rejection and ostracism (surges of anger and aggression and higher rates of delinquency, arrest, violent behavior, and substance abuse). There were about 25 attendees from various agencies. 4c. A Red Ribbon Week Essay Contest was held in the 8 county elementary schools in September 2018. Information about Red Ribbon Week and pictures of the winners of the essay contest were published in the Mt. Vernon Democrat October 10, 2018 and in the Posey County News October 23, 2018 that included publishing the winning essays. The overall winner’s school received a Red Ribbon Week banner for display. 4d. In March 2019, North Posey High School was awarded grant funds to assist with an after-prom party. Pamphlets (Opioid Facts for Teens, Tips for Teens – Marijuana, Tips for Teens – Heroin, Drug Facts – Bath Salts, and Drug Facts – Spice) were available. There was a hypnotist show with a message to abstain from drug, surveys were completed; t-shirts were provided with the theme of staying drug free; and advertisement for the party detailed a drug-free night of entertainment. Survey results: 40% participated and 33% did not participate in risky behaviors (alcohol, drugs, tobacco products) in the past; 61% agreed and 19% disagreed that the party kept them from engaging in those behaviors; 41% probably will and 47% probably will not engage in those risky behaviors in the future. There were 214 students attending the party (246 attended prom), keeping them drug free. 4e. In March 2019, Mt. Vernon High School was awarded funds to assist with an after-prom party. Pamphlets (Opioid Facts for Teens, Tips for Teens – Marijuana, Tips for Teens – Heroin, Drug Facts – Bath Salts, and Drug Facts – Spice) were available; t-shirts were provided with a visual representation of a community-sponsored drug- and alcohol-free event; and a survey was completed. Survey results showed 98% have not and 2% have tried marijuana in the past 6 months; 17% had and 83% had not been offered marijuana in the past 6 months; 86% offered did not try marijuana. Only one student of 124 tried other harmful substances; 8 students offered did not try other harmful substances. About 95% said reviewing the pamphlet will help them stay drug-free prom night, in the future, and help them encourage friends to make good choices. There were 124 students attending the party, keeping them drug free. 5. The Indiana Youth Survey was not conducted in 2019 at either school district in Posey County because it was not administered by IPRC.

Problem Statement #3 Results versus Objectives - Final Update End of Year 3 (2020): Next Annual Update Due: July 31, 2020 Next Comprehensive Community Plan Due: July 31, 2020 Disclaimer: You agree that the information provided within this Plan is subject to the following Terms and Conditions. These Terms and Conditions may be modified at any time and from time to time; the date of the most recent changes or revisions will be established by the Commission and sent electronically to all Local Coordinating Councils.


Terms and Conditions: The information and data provided is presented as factual and accurate. I hereby acknowledge that I can be asked to submit proper documentation regarding the data submitted within the Plan. Failure to do so could result in a “denied approval” by the Commission under IC 5-2-6-16. The Local Drug Free Communities Fund must be spent according to the goals identified within the plan. I hereby acknowledge that I can be asked to submit proper documentation regarding funds that are collected, allocated, and disbursed within the county. Failure to do so could result in a “denied approval” by the Commission under IC 5-2-6-16. Initials: MR

Documents

Comprehensive Community Plan · Comprehensive Community Plan 3 Summary of the Comprehensive Community Plan: ... The three problem statements to be addressed in the 2017-2020 CCP are