Running head: COMMUNITY ANALYSIS PART TWO

Community Analysis Part Two

Keely Sopko
Access ID: FN 8459 / SW 4020
Wayne State University
November 19, 2015

COMMUNITY ANALYSIS PART TWO

The Problem
Substance use disorder (SUD) has presented as a problem in various communities.
However, many communities are faced with addressing this problem more strategically as a
result of the most recent spike in opioid overdoses over the past few years. According to State
View: Halt Prescription Drug Abuse in Mich. (2015), Michigans rate of heroin-related
overdose deaths has doubled from 2009 to 2014; overall overdose deaths have tripled since
1999 (para. 5). Most recently, the city of Adrian has also experienced loss of life due to heroin
overdoses. Heroin overdoses began by becoming more widely recognized through more heavily
populated areas. However, recently smaller communities similar to Adrian are also facing the
loss of residents because of illicit drug use As stated in State View (2015), over seven years,
Michigan has seen a four-fold, increase in the number of . . . pills, including opioids such as
oxycodone that have high potential for abuse and often are a precursor to heroin use (para. 3).
Although heroin use seems to have made a comeback throughout various communities, the focus
of this analysis will be focused on Lenawee County. According to the Lenawee County
Community Health Status Assessment (2014),
8% of adults had used medications not prescribed for them or they took more than
prescribed to feel good or high and/or more active or alert during the past 6 months,
increasing to 14% of those with incomes less than $25,000. When asked about their
frequency of medication misuse in the past six months, 30% of Lenawee County adults
who used these drugs did so almost every day, and 40% did so less than once a month (p.
54).
With an increase of prescriptions written for opioid painkillers, the inevitable is bound to occur.
Lenawee County residents will graduate to heroin use because it is cheaper and easier to attain.

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These types of escalations lead to deaths as explained in the article, Two Dead in Adrian of
Apparent Heroin Overdoses (2015), which stated two people died Friday of what appears to be
drug overdoses at a residence near downtown Adrian (para. 1).
There are various characteristics that make Lenawee County vulnerable to this problem.
One of the major characteristics is low socioeconomic status. According to the United States
Census Bureau (2015), approximately fourteen percent of Lenawee County residents live below
the poverty line and in Adrian alone, nearly thirty-one percent live in poverty (p. 1). Statistics
show that in Lenawee County residents who have a lower income are more likely to struggle
with drug use (Lenawee County, 2014, p. 54). Additionally, location is also a primary factor in
the substance abuse problem. Adrian, Michigan is located forty-five minutes away from Toledo,
Ohio and Ann Arbor, Michigan. For this reason, Adrian serves as a hub connecting these major
cities and serves as the primary location in Lenawee County to obtain illicit drugs.
Lenawee County has various strengths that may contribute to the alleviation of drug
abuse. Community strengths are assets from which one can draw Kretzmann and McKnight
explained (as cited in Netting et al., 2012, p. 183). Although the city of Adrian serves as a hub
and this is a weakness that contributes to the drug problem, Lenawee County is in a fairly remote
area. For this reason, it may present as a difficult task to acquire heroin or other substances that
are more readily available in a larger city. Additionally, the community is very small and
because of its size, the closeness of the community members may serve as a strength to combat
drug addiction and overdose problems. Another strength that is used to fight the drug problem in
all of Michigan is the recent implementation of the Medicaid expansion in Michigan (L.
Jameson-Heise, personal communication, November 18, 2015). According to Lenawee County
(2014), In 2014, 88% Lenawee County adults had health care coverage, leaving 12% who were

COMMUNITY ANALYSIS PART TWO

uninsured. The 2012 BRFSS reports uninsured prevalence rates for Michigan (14%) and the
U.S. (17%) (p. 13). With eighty-eight percent of Lenawees residents having health insurance,
this strength makes it easier to acquire treatment for SUD. Although there are many strengths
that fight against the drug problem in Lenawee County, there are also various programs and
institutions that assist as well. One large institution that helps residents with funding for SUD
treatment is the Lenawee County Community Mental Health Authority (L. Jameson-Heise,
personal communication, November 18, 2015). This agency is responsible for screening
individuals who suffer from SUD and allocating funds for their treatment (L. Jameson-Heise,
personal communication, November 18, 2015). Two more large institutions that address shortterm services for SUD and connect people with longer term services are ProMedica Bixby
Hospital and ProMedica Herrick Hospital (R. Hillard, personal communication, November 16,
2015). One program that is offered through some employers is the Employee Assistance
Program (L. Terlesky, personal communication, November 19, 2015). Many employers have
EAP representatives that can link them to SUD treatment services (L. Terlesky, personal
communication, November 19, 2015). Twelve-step programs are also available in Lenawee
County for those who struggle with SUD (L. Terlesky, personal communication, November 19,
2015). Two twelve-step programs that have meetings in Lenawee County are Narcotics
Anonymous and Alcoholics Anonymous (L. Terlesky, personal communication, November 19,
2015). In schools, social workers serve as school counselors, various sports, and recreational
activities such as dances and pep rallies assist in deterring students away from illicit drugs.
Various faith-based organizations also help this struggling population by allowing twelve-step
groups to host their meetings inside of the churches (L. Terlesky, personal communication,
November 19, 2015). Most of these institutions and organizations serve as a support for those

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who are seeking recovery from SUD. Additionally, these organizations help to address SUD in
Lenawee County. Although Lenawee County has many supports in place to assist with recovery
from SUD, there are also various risk factors in the community.
One primary risk factor is apparent when examining the socioeconomic status of the
residents. As stated before, according to Lenawee County (2014), the percentage of individuals
who abuse over-the-counter medication is higher for those who make less than $25,000.00 per
year (p. 54). According to the Lenawee Substance Abuse Prevention Coalition Coordinator, risk
factors include:
The overprescribing of opiates, little or no risk in using or selling drugs, . . . ease of
access and the social norms in cultures where poverty is high, low residential stability, . .
. bonds between family and school with youth are weak, and other family members use
drugs (L. Jameson-Heise, personal communication, November 18, 2015).
There are various risk factors that play a role in contributing to the use of illicit substances in
Lenawee County. However, substance abuse does not affect one specific population of people.
Although previously stated that the lower socioeconomic class struggles the most with SUD,
there is not one particular race that struggles with this more than another. According to Lenawee
County (2014), females and people in low socioeconomic class misuse prescription medications
the most in Lenawee County. These struggling populations are faced with becoming oppressed
as a result. Oppression occurs when severe constraints are placed on any group . . ., thus
restricting the groups ability to compete and making them vulnerable to exploitation (Barker as
cited in Netting et al., 2012, p. 189). Another important aspect to consider is that various people
are affected by SUD. Family members, friends and various other individuals are affected by
people who struggle with SUD. Random individuals could also fall victim to crimes that are

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committed by people who struggle with SUD. As a result of SUD, virtually anyone in the
community is at risk of becoming affected by the problem.

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Survey

1. Do you believe there is an issue with people in Lenawee County abusing drugs and/or
alcohol?
Yes
No
2. How long have you lived in Lenawee County?
1 to 5 years
More than 5 years but less than 10 years
More than 10 years but less than 15 years
More than 15 years
3. In your opinion, has drug use increased in Lenawee County since you became a resident?
Yes
No
Undecided
4. What drugs do you think are used the most and cause the most damage in Lenawee
County?
Opiates
Crack Cocaine or Cocaine
Alcohol
Marijuana
Synthetic Drugs
Methamphetamines
Other
5. In your opinion, is there a specific age of people who are using drugs or alcohol more
than others in Lenawee County?

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Teenagers
Age 20 - 24
Age 25 - 30
Age 31 - 40
Age 41 - 50
Over 50 years old
6. Do you know anyone residing in Lenawee County who abuses drugs or alcohol?
Yes
No
7. In your opinion, are there enough resources in Lenawee County to combat drug and
alcohol addiction?
Yes
No
8. Can you please take the time to list any specific resources you may be familiar with that
can assist people with a drug problem in Lenawee County? (For example, counseling
centers, inpatient centers, self-help groups, etc.)

9. In your opinion, what city in Lenawee County struggles with the highest rates of
substance abuse?

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Assessment of the Problem

While interviewing three lay leaders of the community, research uncovered that all three
leaders have varying perceptions. Laurie Terlesky, the Executive Director of the Daily Bread a
soup kitchen in Adrian, stated that in her opinion heroin use has become the most significant
illicit substance abused in Lenawee County (personal communication, November 19, 2015).
Leigh Jameson-Heise, the Coordinator of the Lenawee Substance Abuse Prevention Coalition,
acknowledges opiate addiction but refers to statistics when describing alcohol as the most abused
substance in Lenawee County (personal communication, November 18, 2015). Jameson-Heise
refers to opiates as the third highest ranking substance abused in Lenawee County (personal
communication, November 18, 2015). Ryan Hillard, a police officer in Lenawee County, states
that although opiates are not the most widely used substance they present as the most serious of
the illicit substances (personal communication, November 16, 2015). All of the leaders agree
that opiate abuse has led to recent overdoses and poses as a serious problem within the
community. The interviews with the leaders and the survey results for this assignment all point
to Adrian having the most significant substance abuse problem. Hillard was able to identify
Adrian as the city in Lenawee County whose police force accepts the most drug-related calls
(personal communication, November 16, 2015). Additionally, the results of the survey convey
that a majority of the participants believe that opiates are the most abused drug in Lenawee
County. All three of the leaders and most of the survey participants have become familiar with
the substance abuse problem for approximately fifteen to twenty years. The survey participants
and the lay leaders in this study were in agreement regarding that the substance abuse problem
has increased over the past fifteen to twenty years.

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Resources in the Community

There are only a couple of federally funded programs in this community that could assist
with eliminating the substance abuse problem in Lenawee County. The first one is called
Developing, Testing, and Demonstrating Promising New Programs located in Clinton, Michigan
(Map My Community, n.d., p. 1). This program could assist in implementing new programs to
assist in combatting substance abuse. Another federally funded program that contributes to the
prevention of substance abuse in schools is the Safe and Drug-Free Schools and Communities
(Map My Community, p. 1). This program is run by the Department of Education and provides
education regarding illicit substances (Map My Community, p. 1). Upward Bound is an
additional federally funded program that helps first generation and low socioeconomic class
children prepare for higher education (Map My Community, p. 1). This program is also
designated by the Department of Education (Map My Community, p. 1). Although federally
funded programs assist with combatting substance abuse in Lenawee County, voluntary, faithbased initiatives, and other services are equally imperative.
Some of the voluntary organizations that help with battling against substance abuse
include Alcoholics Anonymous, Lenawee County Substance Abuse Prevention Coalition, MidSouth Substance Abuse Commission, and Lenawee County Community Mental Health Authority
(County Information, Organizations, and Resources, 2011, p. 1). These organizations are led by
adults, and they aid people who are trying to get sober by providing supports, funding for
treatment, education on prevention, and other various services (County Information,
Organizations, and Resources, 2011, p. 1). Additionally, two homeless shelters located in
Adrian include the Salvation Army and the Lenawee County Mission. These could assist low
socioeconomic class individuals who struggle with substance abuse and as a result, become

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homeless. Another organization that can help individuals who are recovering from SUD or still
struggling with it is the Michigan Department of Health and Human Services. This agency can
help by providing applications for food and medical assistance. Programs for people who
struggle with SUD are important, but funding for substance abuse treatment is equally essential.
A funding program that is available to those who are medically uninsured includes block
grant funds (L. Jameson-Heise, personal communication, November 18, 2015). These funds are
overseen by the agency that provides screening for substance abuse treatment (L. Jameson-Heise,
personal communication, November 18, 2015). In Lenawee County, this agency is the Lenawee
County Community Mental Health Authority (L. Jameson-Heise, personal communication,
November 18, 2015). This agency determines what level of care the individual needs and how
much funding they qualify for if uninsured (L. Jameson-Heise, personal communication,
November 18, 2015). More funding is available on a state level, and this funding is delegated
through the Bureau of Substance Abuse Services and other coordinating agencies (L. JamesonHeise, personal communication, November 18, 2015). Monies for inpatient drug rehabilitation
are available through these funds if a person qualifies and all other funding attempts have been
exhausted (L. Jameson-Heise, personal communication, November 18, 2015). Funding
presented as an obstacle for those suffering from SUD before the Medicaid expansion in
Michigan was implemented (L. Jameson-Heise, personal communication, November 18, 2015).
Analysis
Most of the community members who responded to the research survey agreed that there
was a lack of resources in Lenawee County to assist in combatting the substance abuse problem.
One strength this community possesses is the closeness of the residents. A possible action that
could assist in eliminating this problem would include the implementation of more faith-based

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initiatives and community driven support groups for substance abusers or family members of
people who struggle with SUD. If more supports were put in place by community members, this
would allow them to rely on one another to overcome this problem. Some of these programs
already exist such as Alcoholics Anonymous and Narcotics Anonymous. These programs are led
by volunteers who are recovering from SUD. Faith-based initiatives would help those in this
community who have a strong bond with God or a specific church. Challenges could occur
when attempting to create more social support or faith-based programs. Some of these include
the communitys willingness to address the problem and implement these supports. Another
challenge is the stigma that most substance abusers face. This stigma could eliminate the
communitys willingness to volunteer for such a cause. Some primary protective factors that can
help the community include substance abuse prevention and education in the schools, churches,
and local organizations aimed at combatting drug abuse. The geographic area that is affected the
most by all of these is Adrian. Since it is the largest city, it struggles with the problem more, but
it also has the most resources to fight against illicit drug use. The data from the research survey
is aligned with the initial perspective of the issue. Most of the Lenawee County residents who
participated in the survey identified opiates as the most significant drug abused. The participants
also identified Adrian as the city in Lenawee County that is the most affected by illicit substance
abuse. To effectively identify the scope of issues surrounding this problem, it is imperative to
collect more recent data from county morgues regarding causes of death among substance
abusers. This data would efficiently represent the number of people who died from opiate
overdoses. Additionally, this information would paint a clear image of how serious the opiate
abuse problem is in Lenawee County.

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Another possible action that could assist in deteriorating the illicit use of opiates in
Lenawee County is providing further education on substance abuse. More educational programs
in the schools, churches, and treatment agencies would allow community members to become
knowledgeable about the problem. These programs would allow the community members to
make better decisions when faced with using illicit substances and decrease the stigma
surrounding substance abusers. Challenges faced with educating the community can include
obtaining funding for these types of programs. A strength to consider when creating these kinds
of programs includes the use of state or county grants to help with funding. Another strength is
the presence of two colleges in Adrian. These colleges could help by implementing educational
programs to inform the community more efficiently. One example of an educational program
was created by Catholic Charities and is called the School-Based Substance Abuse Prevention
Education program (Substance Abuse Treatment, 2015, p. 1). This program teaches students
how to resist peer influences, improving general life skills, involving families, and providing
opportunities to become involved in positive experiences with others in the school and
community (Substance Abuse Treatment, p. 1). Risk factors remain among the youth
population because they face struggles such as bullying, and their brains are not fully developed
to assist in good decision-making. A protective factor that may assist in the fight against drug
abuse consists of authority figures and parents approaching their teens from a non-judgmental
standpoint, along with remaining open and close with the kids throughout their youth. Research
and statistics on the effectiveness of educational and preventative programs would need to be
reviewed to consider whether they would be an efficient means of fighting against drug abuse.
Since the rate of people living below the poverty line is extremely high in Adrian, the
creation of more employment opportunities might assist in preventing substance abuse. One big

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challenge facing this plan of action is the limited number of entrepreneurs looking to open
businesses in this area. On the other hand, a strength is the high number of people who are
actively seeking employment, and for this reason, it would be effortless for new employers to
find workers. One risk factor when considering opening more businesses in Lenawee County to
fight against substance abuse is the possibility of financial failure due to the small population and
struggling economy. Research data on failed businesses would need to be examined to prevent
possible failure and create successful outcomes.
Action Plan
The best action against substance abuse is preventing it through educational programs.
Some community factors that would support this action are the Lenawee County Substance
Abuse Prevention Coalition, Alcoholics Anonymous, and Narcotics Anonymous. According to
Netting et al. (2012), It is important to impress on decision makers that there are long-term costs
associated with doing nothing (p. 338). In this situation, if no changes are executed, more
people will likely die from drug overdoses. Changes would need to be made at all educational
levels to support these types of programs that focus on prevention and education. People who
stigmatize individuals who suffer from SUD may discourage this plan of action claiming that
taxpayers would be responsible for funding it and their families are not at risk. Additionally,
people who are from a higher socioeconomic class may be more resistant to these types of
programs because the primary target population would be from the lower socioeconomic class.
This factor may discourage people who are high socioeconomic class from attending or
supporting such programs. Various organizations in the community are addressing the SUD
problem. Some of these include the Lenawee County Community Mental Health Authority,
Lenawee County Substance Abuse Prevention Coalition, and Catholic Charities. These agencies

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are the partners that can assist in implementing more educational and prevention programs.
Additionally, the federally funded Safe and Drug-Free Schools and Communities program could
also partner up to create these programs within the schools. Funding and volunteers would be
the most needed to create these programs. Trained employees from the partnering agencies
would need to be willing to volunteer their time to kick start these programs. Additionally, these
trained employees would need to be knowledgeable regarding grant writing to assist in the
application for state and county grant money to pay for these programs. The specific outcome
desired is that fewer adults and youth engage in the use of illicit substances. Another preferred
outcome would be to make sure the general population in Lenawee County is made aware of
medical doctors willingness to overprescribe medications. Additionally, educating the
community of the stigma surrounding substance abuse would be crucial in eliminating any
alienated feelings of those struggling with SUD. Research data should be collected before the
program's implementation to determine the success of the action. Following the implementation,
research should be done during and after involvement in the program. This data will prove the
effectiveness or ineffectiveness of the program and what alterations need to be made to make it
more effective. Another imperative action that should take place to gather extra data is
interviewing the people who struggle with SUD. According to Netting et al. (2012), it is
important to get information from the people who are experiencing the problem first hand (p.
108).

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References

Adrian (city) quickfacts from the US Census Bureau. (2015). Retrieved from:
http://quickfacts.census.gov/qfd/states/26/2600440.html.
County information, organization, and resources. (2011). Retrieved from:
http://www.lenawee.mi.us/links-and-services/lenawee-county-organizations-andresources.
Lenawee County community health status assessment 2014. (2014). Retrieved from:
http://www.hcno.org/pdf/counties/Lenawee FINAL Health Assessment Report 3-2415.pdf.
Lenawee County quickfacts from the US Census Bureau. (2015, October 14). Retrieved from:
http://quickfacts.census.gov/qfd/states/26/26091.html.
Map my community. (n.d.). Retrieved from: http://youth.gov/map-my-community.
Netting, F., Kettner, P., McMurty, S., & Thomas, M. (2012). Social work macro practice (5th
ed.). Upper Saddle River, New Jersey: Pearson Education (pp. 338).
State view: halt prescription drug abuse in Mich. (2015, November 11). Retrieved from:
http://www.lenconnect.com/article/20151111/OPINION/151119828/0/SEARCH.
Substance abuse treatment. (2015). Retrieved from:
http://www.catholiccharitiesjlhc.org/counseling/substance-abuse-treatment/.
Two dead in Adrian of apparent heroin overdoses. (2015). Retrieved from:
http://www.lenconnect.com/article/20151103/NEWS/151109780/0/SEARCH.

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X__Jeff Proffitt_________________________ Date: _____11/20/15___________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X__Dustin Gagnon________________________ Date: _____11/20/15___________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X__Hillari Gawron-Proffitt_________________ Date: _____11/20/15___________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X____Mary K. Gawron______________ Date: __11/16/15______________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X____Joseph Gawron Jr____________________ Date: ___11/15/15_____________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X_ Viola Hebert________________ Date: _______11-15-2015_________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X_LuAnn Morast_________________

Date:11/13/15________________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X___Stephen Morast_________________

Date:11/13/15________________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X_LuAnn Morast_________________

Date:11/13/15________________

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26

Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X______________Brandi York_____________ Date: 11/12/2015________________

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Wayne State University Informed Consent

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COMMUNITY ANALYSIS PART TWO

Wayne State University Informed Consent

28

COMMUNITY ANALYSIS PART TWO

Wayne State University Informed Consent

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X_ Vicki Hall___________________ Date:

11/14/2015________________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X____Carrie Ferree___________________ Date: 11/16/2015________________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X___Deana Jackson___________________ Date: 11/18/2015________________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X______Mike Vescelius___________________ Date:

11/20/2015________________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X________Michelle Hillner-Doerfler_____________Date: 11/15/2015________________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X_____Jamie Bledsoe_____________

Date:

11/19/2015________________

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Wayne State University Informed Consent

I agree to participate in this survey regarding substance abuse in Lenawee County, Michigan. By
signing this document, I understand that my survey and the informed consent form will be used
by Keely L. Sopko and the Wayne State School of Social Work for educational purposes only.

X___Jeremy Bennett____________ Date:

11/18/2015________________

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Wayne State University School of Social Work Informed Consent

I agree to participate in a survey and an interview conducted by Keely Sopko regarding
substance abuse in Lenawee County. By signing this document, I agree that information
gathered in the interview and survey can be used by Keely Sopko and the Wayne State
University School of Social Work for educational and research purposes.
X Laurie Terlesky

Date: Nov. 19, 2015

COMMUNITY ANALYSIS PART TWO

Wayne State University School of Social Work Informed Consent
I agree to participate in a survey and an interview conducted by Keely Sopko regarding
substance abuse in Lenawee County. By signing this document, I agree that information
gathered in the interview and survey can be used by Keely Sopko and the Wayne State
University School of Social Work for educational and research purposes.

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COMMUNITY ANALYSIS PART TWO

Wayne State University School of Social Work Informed Consent
I agree to participate in a survey and an interview conducted by Keely Sopko regarding
substance abuse in Lenawee County. By signing this document, I agree that information
gathered in the interview and survey can be used by Keely Sopko and the Wayne State
University School of Social Work for educational and research purposes.

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