Professional Documents
Culture Documents
Meth Minutes
The National Summit, con- vices; Prevention/Public Aware- communities in their re-
Inside this issue: vened by SAMHSA and Federal ness; Rural; and Treatment, sponse to methamphetamine
Partners, was held on Novem- Aftercare/Recovery Manage- use in critically affected
Did You Know? 1 ber 16-19, 2008 at the Hilton ment and Support Services. populations.
Washington. The National It is evident in the work being 3. Forge collaborations across
Summit utilized a facilitated done in each state and territory Federal, State, Local and
action-planning process for that a real commitment to the Tribal government agencies
participating states and territo- following Summit goals exists: and with community part-
Action Team 2 ries to develop action plans ners, and establish a mecha-
incorporating evidence-based 1. Synthesize local successes,
Highlights move states/territories to nism for the creation of col-
and culturally appropriate prac- laborative plans with all Fed-
tices and policies to respond to action and promote the de-
velopment of national strate- eral partners.
methamphetamine use among
justice-involved individuals, gies that participants can use Action Teams are designing,
Conclusion 8
lesbian, gay, bisexual and trans- to strengthen and expand implementing and revising ac-
gender (LGBT) individuals, and existing efforts back home. tion plans that meet the unique
women. challenges of their communi-
2. Identify culturally and linguis-
ties. Most team leaders con-
In addition strategies and ac- tically appropriate and rele-
tinue to participate in follow up
Action Team 9 tion steps integral to the action vant products that reflect
conference calls and request
plan focused on six domains: promising areas of research
Leaders and technical assistance.
Criminal Justice; HIV/AIDS and and evidence-based practices
Team Members in prevention, intervention,
Other Sexually Transmitted
Diseases; Mental Health Ser- treatment and recovery man-
agement in order to assist
Idaho Idaho continues to focus on the three critical populations across all four topic areas. Highlights include:
Idaho continues a very active media outreach to increase awareness of the dangers of methamphetamine and the treatment options
available. Recently they have begun to tailor the media campaign to address gang activity and the connection to Mexican gangs.
Idaho uses a common data and reporting system as of July 09, web information technology. However, they have added a short
screener with 98% reliability that can be used by law enforcement or other first responders. The screening tool has contributed to
the increase in treatment admissions and the decrease in incarceration rates.
Idaho continues to engage partners to address the criminal justice population and women. They have more challenges related to the
LGBT population and are building relationships in this area, including a representative from the department of health to serve on the
Action Team.
Idaho has a strong focus on data collection with the new reporting system and they are particularly interested in analyzing data con-
nected to the new short screener.
The goal in strategizing about cultural competency is to go beyond Spanish language translations.
Idaho no longer has ATR resources but the program has been sustained using state tax dollars. This actually allows Idaho to enhance
the program because they are no longer restricted by requirements related to the federal funding.
The long term goal related to best practices is to create a framework for best practices and utilize higher education to assist with
training.
The strongest prevention intervention has been the investment in the media campaign with significant outreach. The challenge they
face is how to track results of the media campaign and outcomes.
Within the past year, Idaho has worked with a group of researchers to analyze the mental health system at the state level and in
December of 2009 the behavioral health transformational workgroup will release the preliminary strategic plan.
Idaho has a strong focus on rural issues and hopes to host the national rural methamphetamine summit in Spring of 2010.
In FY 2008 substance abuse treatment services were provided to 12,000 and in FY 2009 the numbers are 14,355 with longer treat-
ment plans and more wrap around services. Concurrently there were 1000 fewer inmates in the corrections facilities.
METH MINUTES Page 4
Ohio There are some changing priorities to reflect a focus on opiates but the Action Team remains committed to a focus on methamphetamine.
Highlights include:
The number of lab seizures has already surpassed the total number for 2008 with 211 as of June 18, 2009. Using 2005 as the year
with the highest number of labs the numbers already reflect an increase and will surpass that.
Anecdotally Ohio reports that the typical scenario is “the person cooking is the person using” but, they are starting to hear more
reports about the “one pot” method and this may change the dynamic described here.
ATR continues to be successful and Ohio is interested in expanding matrix training to other treatment providers.
The focus in Ohio is to incorporate all three critical populations into training activities and professional development for providers at
a Directors Conference.
Specific to women, they are looking to strengthen data collection and will release a report detailing the “women’s network” of pro-
viders.
The criminal justice focus is in 7 specific counties with high methamphetamine lab seizures – Summit (Akron), Adams and Scioto
(second highest but with only 100,000 population between both counties), Highland, Portage, Perry and Preble (borders IN). The
predisposition of the system is toward prison and not treatment, if you get caught you will go to prison.
Much of the state is rural and 6 of the 7 highest methamphetamine counties are rural which drives creative strategies to address the
rural population.
The Action Team is partnering with the Department of Health to address HIV/AIDS issues.
Prevention and mental health initiatives are ongoing and working to coordinate training efforts.
ATR is in four counties, including Akron which is historically the highest for methamphetamine use.
Currently, data collection efforts are extensive but heavily focused in the criminal justice field. The Action Team is working to expand
data sources.
Ohio is fortunate to have a Division within the department with the sole responsibility to address cultural competence. They will
work closely with them to ensure training is provided at upcoming Director’s conference.
State funds for treatment have been reduced 30% resulting in some programs closing but more likely, programs are reducing to
mission critical components.
There are pieces of best practices happening across the state to include but not be limited to matrix training and implementation,
ATTC training in motivational interviewing, Seeking Shelter or Seeking Safety trauma informed care.
Okla- Oklahoma joins many of the other teams in implementing state-wide systems changes that alter every aspect of addressing the challenges
homa of methamphetamine. Highlights include:
Focus on criminal justice is driven by the number of persons entering the system who report methamphetamine use has increased
with 5898 offenders entering the system between Nov. 07 and 08 and 1,937 (25%) report methamphetamine as the drug of choice.
OK has increased outreach to four mental health centers and twenty-two substance abuse providers to increase awareness and edu-
cation related to methamphetamine.
Continue to focus on identifying and compiling all the data sources prior to formalizing a plan.
METH MINUTES Page 8
Conclusion
In conjunction with the success that Action tive efforts have resulted in a number of Team Leader has been pulled away to
Teams have been celebrating, there are states reducing FTE’s as well as program- work on other priorities.
challenges that serve to remind us of the matic initiatives. This has also resulted in
Action Teams are frequently meeting
importance of engaging key stakeholders, a limited number of substance abuse
by conference call or e-mail only, as
the importance of identifying and meeting providers no longer being funded or able
travel has been restricted.
the needs of addiction-impacted individuals to provide services. Some states have
and families, and the importance of strate- reduced budgets and are working dili- Having fewer resources has limited
gically determining and clearly communi- gently to make sure that service delivery the scope of work that Action Teams
cating data-driven strategies with measure- and access to services is not negatively are able to address.
able outcomes. impacted. This has directly impacted
Budget reductions and unsuccessful legisla- Action Teams in the following ways:
METH MINUTES Page 9
Transition among leadership and staff coordinated. Often the approach at the first step in some states to explore true
has resulted in less participation on Ac- state level works hard to “braid funding” collaboration and coordination of ef-
tion Teams, gaps in representation from and those efforts are curtailed by forts as opposed to in name only. With
all key stakeholders and/or significant “siloed” funding at the federal level that this shift comes trial and error and pa-
knowledge and institutional history has does not appear to coordinate across tience is needed as agencies learn to
been lost. federal agencies. In addition, the very work together in a different way.
nature of bringing together directors of
Action Teams have also expressed a desire
multiple agencies has functioned as the
for funding at the federal level to be more