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Developing Rural Epi Outcomes Workgroups- The Oklahoma
Experience
Need for Local Epi Workgroups
• Evolving public health field• Shift to empowering communities
Purpose of the REOWs
• Replicate State Epidemiological Outcomes Workgroup
• Assess, • Prioritize • Help advise community coalitions on data
findings that support the selection of appropriate prevention strategies
Adult Alcohol Consumption, 2010 BRFSS
REOW Membership
• Local/State Health Agency• Other Prevention Agency• Non-Clinical Treatment Professionals• Community/Social Services• Law Enforcement/Highway Patrol• Education• Oklahoma Bureau of Narcotics• Oklahoma Juvenile Affairs• Healthcare/Professionals/Pharmacy• Youth• Oklahoma ABLE Commission• Other
REOW Tasks
SPF SIG Process• Assessment• Capacity• Planning• Implementation• Evaluation
Role of REOW
Prioritization of Substances and Communities
• SEOW identified underage drinking and nonmedical use of prescription drugs for SPF SIG; underage drinking, marijuana, adult binge drinking, methamphetamine, alcohol use during pregnancy, inhalants, and nonmedical prescription drugs for the Block Grant
• SEOW made recommendation of priority and community
• REOW was tasked to decide which priority and which community
Prioritization of Substances and Communities Cont.
• Workbook created• Assessment done in 3 phases:1. Collecting, analyzing, and prioritizing consumption
and consequence data2. Collecting, analyzing, and prioritizing around
intermediate variables relegated to the chosen priority- community capacity and readiness were also assessed
3. RPC and REOW Coordinator compiled results and wrote an epi profile for the region
Prioritization Results
• SEOW’s findings confirmed• 12 Regions selected nonmedical use of
prescription drugs for the SPF SIG, 5 chose underage drinking
• If they did not chose nonmedical use of prescription drugs for the SPF SIG, they chose it in at least one of their counties for the Block Grant
Prioritization Results Cont.Region 1 NCBH Woods Underage Drinking
Woodward Non-medical Use of Prescription DrugsSPF-SIG Texas Non-Medical Use of Prescription Drugs
Region 2 Preventionworkz Garfield Underage DrinkingLogan Non-medical Use of Prescription Drugs
SPF-SIG Garfield Non-Medical Use of Prescription Drugs
Region 3 OSU PANOK Osage Underage DrinkingKay Non-medical Use of Prescription Drugs
SPF-SIG Payne Underage Drinking
Region 4 ROCMND Ottawa Underage DrinkingDelaware Underage Drinking
Alcohol Use Among Pregnant WomenSPF-SIG Rogers Non-Medical Use of Prescription Drugs
Region 5 Cherokee Nation Cherokee Adult Binge DrinkingWagoner Non-medical Use of Prescription Drugs
SPF-SIG Cherokee Underage Drinking
Prioritization Results Cont.
Region 6 SOIC McCurtain Non-medical Use of Presciption DrugsMeth
Le Flore Non-medical Use of Presciption DrugsSPF-SIG McCurtain Underage Drinking
Region 7 Neighbors, McAlester Atoka Non-medical Use of Prescription DrugsPittsburg Underage Drinking
SPF-SIG Pittsburg Non-Medical Use of Prescription Drugs
Region 8 OU Cleveland Underage DrinkingNorman (Main Street & Campus Corner) Adult Binge Drinking
SPF-SIG Cleveland Non-Medical Use of Prescription Drugs
Region 9 OSU Tri-County Creek Underage DrinkingOkmulgee Adult Binge Drinking
SPF-SIG Creek Non-Medical Use of Prescription Drugs
Prioritization Results Cont.
Region 10 WMPN, Ardmore Bryan MarijuanaCarter Underage Drinking
Non-medical Use of Prescription DrugsSPF-SIG Pontotoc Non-Medical Use of Prescription DrugsRegion 11 WMPN, Lawton Comanche Underage Drinking
Stephens Non-medical Use of Prescription DrugsSPF-SIG Comanche Non-Medical Use of Prescription Drugs
Region 12 Red Rock, Clinton Caddo Non-medical Use of Prescription DrugsBeckham Alcohol Use Among Pregnant Women
SPF-SIG Caddo Underage Drinking
Region 13 Red Rock, Yukon Canadian Underage DrinkingAdult Binge Drinking
Grady Underage DrinkingSPF-SIG Canadian Non-Medical Use of Prescription Drugs
Prioritization Results Cont.
Region 14 Gateway Pottawatomie Underage DrinkingOkfuskee Meth
SPF-SIG Pottawatomie Non-Medical Use of Prescription Drugs
Region 15 Neighbors, Muskogee Muskogee Adult Binge DrinkingMcIntosh Non-medical Use of Prescription Drugs
SPF-SIG Muskogee Non-Medical Use of Prescription Drugs
Region 16 Eagle Ridge Oklahoma City Adult Binge Drinking Oklahoma City Non-medical Use of Prescription Drugs
SPF-SIG Oklahoma Underage Drinking
Region 17 TCCHD City of Tulsa Adult Binge DrinkingCity of Tulsa Underage Drinking
SPF-SIG
Tulsa Non-Medical Use of Prescription Drugs
Challenges and Barriers
• REOWs vary region by region• Shifting the focus of prevention framework• A REOW candidates did not exist in every
region• Membership was hard to establish• Participation of REOW members was not
always promised
Challenges and Barriers Cont.
• Inconsistent attendance• Suppressed, missing, invalid, unreliable, or
insensitive data• Inconsistencies in data collection methods• In some cases, no local data collection system
existed at all• A lack of infrastructure for sharing data
among state agencies
Successes
• Identified and establish relations with different agencies and individuals
• Develop an understanding and appreciation of the data collection process
• Empowerment • Developed systematic ongoing monitoring system• Identified the gaps and limitations of community-
level data• Identified and engage stakeholders in their
communities
The Data Query System
Contact Information
Young Onuorah, MPA, CPSSenior Prevention Program ManagerOK Dept. of Mental Health and Substance Abuse [email protected]
Jamie Piatt, MPHSEOW CoordinatorOK Dept. of Mental Health and Substance Abuse [email protected]
