 Okay, so we are about a few minutes out from starting and now past S.A. will be streaming our presentation live, so at this time we're going to get some last minute coffee and some refreshments and some water before we get started, because you have refreshments on Also to please remember to sign in for the C.E.U.'s, there are sign-in sheets on the table that have boxes on each side So please go out of the box and have that ready. So we'll be starting in here in a few minutes, okay? Thank you I hope to be there in a moment. Thank you Can you eat that? Mandat Sorry Okay, good morning everyone. Can I please have a seat? We'll get started here shortly So good morning ladies and gentlemen My name is Gina Wadden and I am the PRC director of the San Antonio Council on Alcoholic Overuse It's a pleasure having you here today with us and welcome to the first ever Prevention Resource Center Region A community stakeholder meeting We hope you enjoy the presentation and we feel enriched and empowered by what you learned today By this time I would like to take the time to go over some general housekeeping Please silence your cell phones and feel free to use the lobby to take any phone calls The restrooms are located just outside the door and directly in the hallway and next to the water fountain Please be sure to sign in using the white sheet with the four boxes on it C.E.U.'s can be given at the end of the presentation We will add your email to the list if you aren't already receiving our emails Please write your questions on the index cards on the desk, so on each desk there are white index cards We will have a question and answer part to this presentation So as you start to write down your questions, if you can please pass those to the right We'll have our interns combine and address those at the end of the presentation So for all you social media people out there, we are using the hashtag TexasData to track our conversation So when you post and tweet or snap be sure to use hashtag TexasData We would like to thank our friends from now past S to A for providing live webcasts for today's presentations So to hello to all our online friends and other PRCs that are watching We're glad to have you here with us today A copy of today's presentation will be uploaded to Sakata's YouTube page and available to you at any time And thank you to our interns with all their help today and to all our Sakata family for all your support I know we've been running around very crazy these past couple of days But we could have done this without you all Okay, so before we start our meeting I would like to invite one of the most passionate people I know in this field To give our welcome message We've been working together for almost 10 years and she's just as motivated since the day she first started here at Sakata So ladies and gentlemen, I'd like to welcome Sakata Executive Director Abbie Delborn She has a 4 foot 10 if I stand right there All you see is a floating head So we don't want to do that, right? Again, welcome to our agency We're really really excited to share some of this information with everyone Because this information is out about us It's about providing it back to our community Empowering our community with the data That tells the picture of what our needs are, what our gaps are What the resources are available out there And how can we better leverage and work together and then see improvement in our community So, show of hands, I'd like to know who's here So if you directly work with individuals struggling with substance abuse Please stand up Directly Directly work with individuals struggling with substance abuse related issues Directly I mean not like you, but your agency If your agency does The people you represent So that's about half the group Now, no, stay standing Please, I'm sorry, stay standing So if you work with either children of substance abusers Parents of substance abusers Family members Or you indirectly work Or your agency Where it's with people that struggle with substance abuse Or the consequences of Please stand up Yeah, anywhere you'd like So these are the prevention folks The community Social workers that work with Okay So that is about 90% of the group Okay, so stay standing up And real quickly Some of our friends here that are What agency do you work with? Housing and community So sometimes people are meeting Housing and And I work with a senior Okay, over there Team pregnancy So sometimes kiddos that are drinking Tend to have unplanned sex And then the pregnancy What do you say? I think you can stand up I don't need to be bossy or anything And look, I just saw some of y'all standing up See, that's cheap Over here Who do you work with? I'm also a A moral and kind of a provider I want to do a little bit of everything As of right now, I'm not working at the Oh, okay, that's what I'm having for fun Thank you for having me here I work with the Texas Health Steps and Start programs We work with loans from families that receive Benefit, having them by the courts Preventing care of their children Of the 5,000 benefits So do you ever see substance abuse Related issues with health staff? Do you ever see substance abuse Related issues with those families? We can process it You should have said that I think you were kind of You see where I'm going, right? I think there's a A bad point on you What do you do, sir? I set the device and we do We run it through the MRTDs Really? Shut up and stand up I'm the consequence So thank you, everyone Please have a seat Do you see how we're all Related and connected? None of us really goes Through our day Somehow, some way That we're not impacted Either by someone's use Or hoping that someone doesn't use Think about it If our bus drivers That take our grandchildren to school Are taking prescription drugs And are abusing prescription drugs Even if they are prescribed to them Does that become a safety problem On our streets With our children With our community So again, the connection is huge And you've been here Just demonstrates how it really Impacts all of us And how we are all part of that solution So I want to do Any minute familiar with Stephen Covey Seven habits of highly effective people One of my favorite books In the whole world We can apply those Kind of principles to anything in life So Stephen Covey from up there Thank you for the book And I'm going to borrow a little bit of your stuff So, seven habits Of highly effective communities Let's go there Habit number one Habit is being proactive It's what? Everyone here is proactive Because you sh** You want to know what the data says You want to know how it is Going to impact your community Whether it's the senior Whether it's the families The need of services Whether it's What was it? Medicaid or Medicare? Yes, so we're wanting to know What the data says So being proactive Habit number one We both can check that off As a community Of being effective together Habit number two Begin with the end in mind So, what is the end in mind That we want in our community? Anybody? The community, right? Drug-free, thriving Safe Young people being successful Graduating from college All of those things Begin with the end in mind Our end is a well, healthy thriving community So we can all check that off We're here looking at We're all wanting to be part of that Habit number three Put first things first Well, what does our community look like? Addressing today The regional needs assessment Will help us look at Putting the first things first If we don't know what the data says If we don't know what the trends are If we don't know what the resources Or the gaps are How can we get to the end? Right? The end in mind Which is that healthy community Thriving families and children So we can all check that off We're all here together As a group Community Wanting to be a highly effective community Habit number four Think win-win We don't do things like Well, that's not what I do I'm gonna stay on this little silo No, we think win-win Because if we all come together We think win-win We get that community Of highly effective people Community where we're all thriving We're all healthy Our young people are being successful Our seniors are enjoying Being, you know, at that time of their life So we get Think win-win We can all check that off together Here in this group Habit number five Seek first to understand Then to be understood So today you're kinda gonna sit back You're gonna listen Get some information Get the data See what it says Help us identify what's missing You're very important And so your feedback on saying Wow, well maybe, you know, did you think about these trends Or could we add maybe this to it next year How can we strengthen it together This is about, this resource is for us So seek first to understand And then to be understood Is first listening, is that communication We're all here to learn And to identify what these gaps are And then we're gonna try to share Or get involved, advocate Maybe join the EPI Epidiology, I can't ever say that word Workgroup Thank you so much You know as the Latino and me But anyway, we do We need those people that know the numbers That know the data That can help us tell the story And then habit number six Synergy To synergize as a team It's about working together And again, if addiction impacts the family Is it gonna impact the kids' classroom at that school Is it gonna impact that whole little neighborhood Is it gonna impact that church So synergy, the opposite way that we take it positively Will help us be affected in that way as a community And then the last one, sharpening the soft How can we sharpen our soft As a community, as stakeholders Hello, here we are Learning to identify Learning to look at the data Learning to use it better And implement it around community So as I wrap up, one last thing I love to make people get involved Work with all, you know That's have fun And since you're gonna be sitting a while I'm gonna make you stand up All I need is about two minutes of your time Well, not yet, not yet So I am going to ask This row, this way Stand up, stand up with me This row There's a few of y'all sitting down You're about 40% sitting down 60% of secondary school children In Bear County Reported County Consume.com Look at your peers in secondary school Okay Now, this group can sit down Up to here can sit down Stand up, right there Stay standing up, stay standing up Stay standing up Everybody, standing up So about 25% of these kids Again, reported using in the last 30 days These are kiddos in our schools Here in Bear County, Texas School Survey These kiddos have consumed alcohol In the last 30 days Big deal, isn't it? Thank you, have a seat Now, I'm going to ask From this row This way, to stand up These young people These young people in school Here in Bear County were asked Have you received prevention services In your school, in your community In your churches And then they were given the definition Of what prevention services were All of y'all did not In prevention services Only those few standing up did We have a lot of work to do And that's why I am so excited Thank you, you can sit down That we are here to do that together This is work that will strengthen our community That will make San Antonio Bear County In our region stronger So again, thank you We appreciate you being here And we'll open it up for questions Like Gina said, there's a little note card Write them down because we want to make sure That we articulate them correctly And share them with our friends that are online And I'm sorry that they didn't get to stand up I wish I could somehow make them stand up But I couldn't figure out how many we're on Again, thank you and welcome Apologies she was passionate Alright, thank you Miss Abigail Now I'm going to take this opportunity To introduce the PRC region So these ladies have worked very hard To the past months Meeting meetings, gathering data Shaving hands, going to communities Meeting people, crunching numbers And driving many miles To help gather this information So I'd like to introduce Teresa Stewart Who is our community liaison Vecti Jones who is a community liaison And is now our tobacco prevention specialist We have Ortencia Carmona Who is our regional evaluator And we have our newest member Alexis Lawrence who is our community liaison So again, this is our PRC region 18 Okay, so now the interactive part So each person should have a turning point clicker On your table So we are going to use this To answer some questions I'm about to show you So turning point is one of our favorite tools Because it's an interactive type of audience survey Not only does it allow audiences to interact But it also captures the data So all the answers that we're collecting today We're going to be able to save those And use those for later So now that I told you about turning point Let's go ahead and give it a try The poll is now open What is your favorite color? A is red B is orange C is green D is blue And B is yellow 67 responses It's about to be how many people are in this room Poll is closed and it looks like The favorite color of today is blue So that's how turning point works This is not the colors training, I promise Okay, so let's go on to our next question Oops, I'm sorry, I went too far Let's try this again Okay, so in dealing with the public What best describes your role? Would you say A? Substance Abuse Prevention Professional B, Substance Abuse Treatment Professional C, Educator D, Faith-Based E, Law Enforcement F, Healthcare Worker G, Mental Healthcare And H for Other Okay, our poll is closed And it looks like a majority We have a lot of prevention professionals In the room as well as a lot of other Can I get whoever, some of you Other to stand up and let me know who you're with You're like, go The University Health Systems Foundation The University Health Systems Foundation Thank you And Child Detective Services Thank you for being here today Okay, so that gives us a good idea Who's in the room? Moving on to the next question How much of a concern is there In your community for problems caused By alcohol, tobacco and other drugs Is there a great concern? Or no concern at all? So think about the communities that you work with And it looks at Everyone has answered And 71% of you say that there is a great concern So there is obviously a B that is stated there I want to ask the next question How would you rate your knowledge Of alcohol, tobacco and other drugs And mental health issues in your community Would you say there's low awareness B for some awareness Or C for high awareness How would you rate the knowledge Of your community? I'm sorry, I didn't open the poll Here we go And it's okay if you push the button more than once It'll only record your answer once 51% of you had said that there was A high awareness, 1% said low awareness And 18% had said Oh, I'm sorry, I had it wrong 18% has a high awareness And 51% said there's some awareness So maybe there's some issues going on But maybe not fully knowing what's going on That's where the data helps us Okay How would you rate knowledge of alcohol, tobacco And other drugs and mental health issues In your community? Still some votes coming in I'm going to close the poll As again, 51% had reported some awareness 35% said high awareness And 14% said low awareness So in your community What place would a person First turn to for help If they had substance abuse or mental health problems So would they be Call an A, crisis hotline B, a doctor C, faith based person or group D, law enforcement E, family member F, mental health worker G, counselor H, 12 step And I for other Those who poll it It looks like 50% had said Mental health worker 10% for crisis hotline 3% for a doctor 12% law enforcement 4% family member 4% counselor 4% 12 step 1% 12 step And 10% other It's hard to read It is hard to read I apologize Actually the 50% is on the mental health worker See how the Oh, okay It is family member I apologize Thank you So family member So we have to make sure Family members know what resources to turn to Okay Okay, we did this one Okay So what substance poses the biggest Problem in your community? Seeing that 44% of you said Alcohol Question There are anti prevention programs In my community So for example Dare After school programs Parents support programs Drug and alcohol prevention programs For youth and adults So I'm going to close the poll And it looks to see that a majority of us Are very or strongly disagree What about Let's see There are enough mental health And substance abuse treatment resources In my community For example Accounts and 12 step programs Treatment centers And I'm going to close the poll And it looks at 52% So our half of the students Strongly disagree That there are not enough treatment services Here In our community So does your community Utilize these programs So for example Dare after school programs Parents support programs Drug and alcohol prevention programs For youth and adults Do you have your community Utilize them Looks like all the votes are in 39% of you voted no And 39% 8% of you voted not sure So there is some data That we are meeting Is it our community centers Will be utilized at all Or your community programs Interesting Okay Going on to the next one How knowledgeable do you feel Members of the community Are regarding alcohol Tobacco and other drugs And mental health issues Such as signs and symptoms Drug trends The health risk I'm going to close the poll We have 83% of you voted That your community has some knowledge That's out there So how knowledgeable do you feel About alcohol, tobacco, other drugs And mental health issues Instead of you voted That you know you're knowledgeable And 42% said that you're very knowledgeable So we have the professionals In the house All right Okay So what are some top concerns For you and other leaders In the community So I apologize for the small print I couldn't fit them all on here But out of these categories up here Which Which of these are the top concerns For you and other leaders In your community Keep fluctuating Okay, the poll is now closed And the lead that says 34% of you have voted Mental health issues Are as the top concern For you and the community Leaders here in the community So, okay All right So you don't like that activity? All right, that's pretty good I got to see some numbers Anything that jumped out at you? Okay So This is the kind of information That we use to help us paint a picture With good qualitative data That we can take Especially having professionals Like you in the room This helps to give us a good perspective Of our audience And of our community So I'm now going to talk about The prevention resource centers So some of you might remember The prevention resource centers As being literature clearing houses We used to do red ribbon We used to give out materials And come out and do presentations Well, in 2014 The scope of work changed With prevention resource centers And we are now data repositories Data collectors We are to create a regional needs assessment Which is what we're talking about today To try and give a picture Of what's going on Out in the 28 counties And I don't know about you But I know that sometimes We get a little frustrated When we're out there Trying to get some information And there's nothing to be found If I'm going to do your presentation For our Maverick County Or for LaSalle County And I have no numbers to go by Then I try and use Texas numbers Or state numbers But what I really need Is county numbers Or county information So the purpose of this needs assessment Again, is to try and paint a picture Or to try and give an idea Of what's going on in those counties And so Kind of went on a little thing there But there's 11 of us in Texas 11 prevention resource centers And one for each Health and Human Service Regents So here are the PRCs for the state With the respective city That they're in So we are Region 8 The 28 counties of South Central Texas That are here in San Antonio So the PRC team rolls So we do have a statewide evaluator And his name is Albert Young With DSHS And what Albert does Is that he helps to guide The 11 other evaluators In creating the needs assessment So they talk about the indicators They talk about Which kind of data sources They're going to use They talk about the template So they work together Annually to produce A regional needs assessment So we do read Rs And let's say you read The Region 8 And you read Region 1 Even though they're in Lubbock They're going to have The same state material So the data that The evaluators choose They try to have the same language So they want to measure Apples to apples And so you'll see A lot of the same state information All the PRC regional needs assessment However, they will start to differ Once we start to get Into the regional part So Orson Stewart Cremona Is our regional evaluator And she's our numbers cruncher So when we go out To the community And we bring back information We give the data to her And she starts to crunch Those numbers And starts to paint That picture So our community liaisons Are the go-getters So these individuals are out Going into communities And to meetings Building the trust Of those in the Outer Counties Some of you who work With the 28 county regions Know that you have to Get a community's trust Before we can start Working with that program We've got to get buy In from the community So that we know That they're given data To us That that data is going To be protected And it's going to be used For good So this is what The community liaisons do And the tobacco Prevention specialist Has a big job They go out And they visit 1800 That's 1800 Tobacco retailers Here in our region So they make sure That they're complying With the state laws They make sure that they're Not selling to minors And the consequences That come with that And then too We'll talk a little bit More about that When we get to Get to that portion So that's what The PRC does So now Talking about the purpose So the regional needs Assessment is a document Developed with state, Regional and local data To provide the community At large with a comprehensive View of information About trends, outcomes And consequences Associated with drug use So basically The regional needs assessment Is a tool box Full of valuable data tools Ready to be utilized To build something great And if we leave Unutilized It will benefit no one So as we're talking About data sources And data trends Is there something That you think may be Of a resource Or that may be available Or maybe there's data That you need We want you to request That from us Or to let us know And so here we have We provide you all The prevention resource folder That has our information In there And there is A data request form So we're encouraging Because you use that form To request any type of data And a lot of the data You're going to be Undergot data as regional But we do have County specific So again Use that data form To not only request a data But also to Want to get a request Of the regional needs Assessments Which will be ready On July 30 Alright So why is a data Inflation important? Well let me give you An example So let's say There was a fish That was sick And our first instinct Would protect the fish To see if something's wrong But then another Fish gets sick And then another fish And then another fish So fish are continuing To get sick So we have to think That maybe it's not the fish That are getting sick But rather What's making them sick And so data helps To give a clue To the bigger picture So now I'd like to Introduce our regional Evaluator Artin Diplomona To speak more About the methodology Behind the regional needs Assessments So I even thank you Everybody for attending Can y'all hear me? Yes okay Today I'll be discussing The methodology Which was developed in 2015 Retail 18 Assessment on drug use But first I would like to go over The role of the evaluators And the project goals Regional PRC evaluators Are responsible for Developing data collection strategies Convexing surveys And focus groups We're also analyzing the data Creating reports And databases And central data repository The data repositories Where we're storing All the data that we collect From our community And from our associates We also collaborate With the DSHS State White Prevention Evaluator In providing the state The state data For them to connect as well We work with our community Azons and prevention specialists To identify potential Collaborators And provide data resources Who are responsible For gathering alcohol And drug consumption data And related risks And factors That affect our communities Our work is tracking Substance abuse patterns And key findings And our disseminated Doing a variety of methods To improve back sheets Presentations For courts such as The regional needs assessment And an example Of those Comments are also included In the folder that you Will provide This work serves to promote And to provide State and local agencies That will prevent your data To access target Communities and high-risk populations In the need of prevention And statistical services As one reads this document Two guiding concepts will appear Throughout the RNA The reader will become familiar With a focus on the new population The adolescent ages Between the ages of 12 and 17 And an approach From the public health framework Also known as epidemiology The mission of the Provincial Resource Center 8 Is to serve as a central data Repository and substance abuse Training the age of the regional Community. As a central data repository The PRC has developed a storage To maintain all sorts of data Not just related to substance abuse But to all kinds that we can Assist you in fighting. The PRC has developed The RNA in hope that it will Take the story of the 28 counties. The data collected and used For the RNA includes the state's Three main priorities which are Alcohol, marijuana, and Prescription drugs. Region 8 focused on secondary Data for the 2015 RNA. We hope to focus on primary Data for the upcoming 2016 RNA, which is more focused Group and for hopefully More within the community Within our region. Data from the RNA provides National, state, and regional Level estimates for the use of Tobacco products, alcohol, Illicit drugs to improve Not medical use of prescription Drugs, which is over the counter And other social factors In retained. In keeping with post-studies This data continues to provide The drug prevention and the Treatments and research within The communities with current Relevant information on the status Of drug research. Many government agents and the Public in large use this data. For instance, many state health Agencies use data to estimate The need for treatment facilities. Other federal, state, and local Agencies use the information to Support prevention programs and Monitor drug control strategies. The purpose of the RNA was to Provide relevant substance abuse, Prevention data in region A And throughout Texas. Specifically, adolescents and This regional assessment serves To discover patterns in substance Use and monitor changes In trend over time, specifically With the youth. To identify the gas and data Where critical substance Abuse information is missing. We also tried to determine the Differences and disparities Throughout the state. We tried to identify substance use Issues, uniques the communities And region within the state. We provide a comprehensive resource We are providing a comprehensive Resource tool for local providers To design, target, relevant Data-driven prevention, Intervention and treatment in State of Texas. The report will include and Overview regional substance abuse Information as well as more Specific drugs. Upon request, more specific data On any subject can be obtained Or stored in our data repository. Which means if anybody has Any type of data and would like To share with us, we would be Glad to have it with us in Case anybody else within the Community, agency, local state Are wanting that information as Well. Epidemiology is a theoretical Framework for which this Evaluates the impact of drug and Alcohol use on public at large. As a study of disease when applied To drugs and alcohol, it uses Trends. Epidemiology underscores This public health concern as Both preventable and treatable. Many states have evaluated drug And alcohol use from an Epidemiological Perspective for Last several years. And have changed ground For more information work as a result. By investigating risk Factors, protective factors and Consequences of substance abuse Related issues society Can address positively Rather than nearly identifying Symptoms. On point surveillance Of data and necessities. The standardization of Measurement with regard to Indicators. Which means the methodological Process of the state and Regional levels. One of the main concerns that we Have been noticing going out to the Communities is confidentiality. Both Sakura and PRCA Are committed to assuring the Confidentiality of all data. Our interest is only In the combination of all statistical Collected not on individual Answers. Or personal information. Full names are never reported Or associated with participants Answers. Confidentiality of the answers provided To the questions are protected By the confidential information Protection and statistical Efficiency Act of 2002. Bylaw all responses can only be used For statistical purposes. Regional evaluators and Statewide prevention evaluator Show secondary data sources as the Main focus of this document. Based on relevance, timeliness, Methodological Soundness, Representive Representiveness And accuracy. In the needs assessment for Region 8 Surveys and other qualitative Data will be mentioned to add Narrative to each section. Data employed into the tables Comes from the most recently Available data sets reflecting The criteria mentioned. Some of the used data sources Including data protection systems And organizations with numerous reports Included the U.S. Census Bureau, National Vival Statistics System, The Behavioral Risk Hector Surveys, Other Surveillance Programs, World Health Organizations, Private Organizations Universities Just to name a few. When we call the data is imperative In epidemiology. Evaluating and documenting frequency type And distribution of incidents is key In the use of substance use and abuse. We'll cause them. Who is it effective? And how to prevent further recurrences. Understanding data allows communities, Public officials and stakeholders To target causes, effective citizens And gaps in resources. The state and regional evaluators Collect the data at the county region And state levels between September First through May 30 Of that year for the Regional needs assessment. Different works were created For instance, I participated In the strategic plan and data source committee. I helped the state develop The strategic planning For all 11 evaluators Along with all the other co-workers. Relevant data elements were determined And reliable sources identified Through a collaborative process among committees. With support by the Southwest Regional Center For applied prevention technologies. Subsequent to understanding the reasons For the target youth demographic And public health approaches Research Will be presented with a discussion About other key concepts. Such as risk and protective factors. Consequences, consumption factors And conceptual indicators. Substance use is not Restricted to any age, Gender identification, Race, ethnicity, cultural experience Or religious affiliation. While the incidence of covariance Brings a substance use among All demographics are concerning Evidence indicates a prevention Work done with adolescents Has a positive and sustainable Community impact According to the treatment Research Institute. Most concerning are the effects That substance use has on youth. Brand development, The potential for high risk behaviors Possible injuries, substances Include the focus on following factors. Age of initiation, early initiation, Current use, lifetime use And consequences. There are some gaps within the Research. And they have been identified And will be made available in the RNA. Some of those gaps that have been Identified are inaccurate data Being presented. Contradicting data. Overlapping of information, Misconceptions and misinterpretations Of data. So not only is data important To be attained, But we have to make sure that We're getting a clearer picture. Because right now, it's very hard To say, to re-genate How bad our substance abuse is With our youth If the data is not being presented. Also another Gap that we have noticed Is the minimal availability of local Data or sharing of information That was also identified. The data we collect Serves as a useful tool in data Driven decision making. Over the past two years the PR Scoutines have taken the cause of The data initiative into the Community's presentations, work Groups, meetings and media awareness Activities to inform decision makers And others about the significance of Data. Once published, the analysis in this Report will be made available to People who can be used as a regional tool. We also hope to provide The RNA and Spanish version as well As we do see a gap In our language barriers With our public. So at this time, I'm going to conclude With the methodology and I'm going to Pass it over to Gina To further continue. Alright, thank you, Artencia. There's a lot of numbers, folks. I mean, we, she's been an Excellent job in coming in And really taking on a lot of A lot of duties And trying to capture that data. Just think about it. Think about all the sources And all the things that we could be collecting. So it's really good that we had her on board And she was able to process that data. Okay, so moving on to The regional needs assessment. So what we're going to present are The key to 2015. The actual full report of the needs assessment Will be available on July 30th. So in a couple of weeks. The full report is about A little over 100 pages. So it's big, it's very Thorough And it's very informative. So after the 30th, our own 30th Will have that available on our website. However, on the USBs, you do have All the documents in electronic form That are in the folders. And we will have our presentation Available to be able to be uploaded Onto your USB. So the data is mostly regional We do have county specific data. So if you're looking for that county Specific, don't fret. We have our data repository. And again, through the data request You can answer that county specific data. So let's talk about the demographics Of our population. So the regional population in 2014 Was a little over 2.7 million. So the population density Is 87 persons per square mile And Region 8 is over 31,000 Square miles. So again, to those of you Who are working in the counties You know a couple of miles under car Going through different communities. Okay, so the population ranking. So how do we rank The state and the nation? So these are our Region 8 communities Ranked by population. There are 254 counties And in Region 8 Their county is the largest County that we have. And Edwards is the smallest Ranked at 236 Of the 254 Total Counties. So Region 8 ranks 4th In population when compared to the state And We rank In Texas rank 2nd In the nation in population. Compared to the nation. Alright, so the median household Income from Region 8 was About $45,000 Which is $6,200 lower Than the median household Income for the state which is $51,000 In April of 2015 Unemployment was at 4.1% Which is down from 4.6% From last year And the weekly wage in Region 8 Was $750 Which is lower than the Texas Average of $988 Compared to language About 61% Of Region 8 Citizens 5 and older Speak English at home as their first language There's more Than 36% That speaks Spanish as their first language So it's imperative That we do have programs and services Available in Spanish Criminal activity So in Region 8 The total offenses by males Accounted for almost 70% of the crimes Committed in 2013 Drug abuse violations Were the highest category with 20% Of the total offenses that ended in Region 8 Drug possessions account for 18% of the Rest during this time frame And all this at drug-related offenses Drug abuse violations Drug sale manufacturing Drug possession account for 40% Of the rest in Region 8 Dropout rates So annual dropout rates By grade span 2012 to 2013 For the state of Texas Was an average of 1.6% Which is lower Than the Region 8 Of 2.1 According to the data collected From the Texas Education Agency Region 8 accounts for an alarming 44% If not more of 7th or 8th grade Dropouts for the state Within 2012 to 2013 school year Of the amount of students Who dropped out between 7th and 8th grade In the state of Texas For Region 8 account for almost half Team pregnancy So Texas has the Big highest birth rate among teenagers Behind Arkansas, Mississippi, Oklahoma And New Mexico And Texas, where schools are not Required to teach sex education Has the highest rate of repeat Births among teenagers From 2015 to 2019 The Center for Disease Control Prevention Has examined a troubled subgroup Of teens who give birth To a second, third, or even fourth child These are repeat teens' births Of all 50 states Texas ranks number one In this phenomenon Teenage birth cost Texas taxpayers $1.1 billion in healthcare Foster care Revenue in 2010 According to the national campaign On planned pregnancy The teen birth rate Of females 15 to 19 Years old Was at 3.1% in Region 8 Which is lower than The Texas rate of 3.8 But higher than the national rate Of 2.4 Birth mothers ages 15 to 19 Resulted in 4,668 Firsts in the region Suicides So self-harm by far Had the highest method Followed by self-harm by hanging Data was collected from The Center for Disease Control Prevention National Biostatistic Systems And Texas Department of State Health Services Counties with 9 or less total Numbers of suicide were suppressed The regional annual Summative total From 1999 to 2013 Was 3,912 suicides Given Region 8 A higher mortality rate Of 3.6 I apologize for this slide It's a little small But this chart depicts past year Depression treatment among adolescents 12 through 17 With major depressive episodes in Texas From the span of 2003 to 2013 The goal represents The 35% of adolescents Who received treatment for depression And the room represents the 64% Who did not receive any treatment at all And I want to interject Information was really hard for us to define Who went on a lot of state and national data So as we move into the 2016 information And because substance abuse and mental health Are so co-related, this is one of our Priorities in gathering more mental health Information So this chart tells us that Over almost 400,000 individuals In Region 8 Received Medicare with Part A and B And of those 38,000 have depression Which represent about 13% Of those who would have Medicare Beneficiaries who are depressed And this Had so much information that I wanted to put it all But basically this is talking about The type and quality of drugs seized in 2013 And this information came From the Texas Department of Public Safety In 2013 So the can of the noise Which is from this marijuana There was over 15,000 pounds That was collected in Region 8 Behind that Was The second highest that was confiscated Here in Region 8 was the methamphetamine That 148 pounds So again if you Want to download the presentation We can provide that for you And you can have this information Again this came from the Texas Department of Public Safety So this chart is from the U.S. Customs And Border Protection and represents A number of apprehensions and drug seats Through the border. As a local office Of the United States Border Patrol Is responsible for detecting and preventing Smuggling and unlawful entry of undocumented Immigrants into the United States Along 210 miles Of the Rio Grande River and Lake Homestad That forms the border between the U.S. And Mexico So this area of responsibility Covers 59,000 Square miles of Texas And reaches 300 miles of Texas Into from the U.S. and Mexican border The 41 counties and sectors Consist primarily of farms and ranches So my question was about Why, you know, Del Rio is the only one Only city listed on here But it turns out that it's the Del Rio sector And that the Del Rio sector Accounts for Averly, Bracketville Carrizo Springs, Comstock Del Rio, Eagle Pass, Rock Springs San Angelo and Uvaldi So all those checkpoints report their Information to the Del Rio sector So what they recorded in 2014 Is that they confiscated over 21,000 pounds of marijuana And 24 pounds of cocaine And we were talking about this earlier About how there's data numbers And the federal information And how the two can overlap So again, that was the gap On trying to report accurate data Because different agencies report to Different databases That's pretty eye-opening to me Alright, in regards to Substance Abuse Treatment Which is 12 through 18 years old In Region 8 there were 351 Treatment admissions Which represented 7% of the state's total Age admissions into treatment In Region 8 for 2014 Was 38% were 16 year olds 21% were 15 year olds 18% 17 year olds 14% were 14 year olds 7% were 13 year olds And 1% were 12 years old What really stood out to us Was that 89% of treatment Admissions were for marijuana and Sheesh 3% that the phenomines and alcohol And other cannabinoids each accounted For 2% of the treatment admission So if the argument is that marijuana Is not addictive, then the numbers Of adolescents admitted to treatment Is telling us otherwise So that concludes my portion And now Teresa Stewart will talk about The data findings from the Texas Good morning and welcome Again, I'm Teresa Stewart One of the community liaisons For the prevention resource center The purpose of the regional needs assessment Is to improve and enhance The current substance abuse programs Across the state of Texas So the Texas school survey plays A very important role in the RNA As it addresses many topics About our youth as it pertains To alcohol, marijuana, Tobacco and other drugs The Texas Department of State Health Services contracts with Texas AMS universities Public Policy Research Institute PPRI To survey schools, colleges And universities regarding Students self-reporting Of alcohol, drugs Prescription, drugs and tobacco use So you're going to see a difference In why Gina just Reported to you compared to what The kids are saying they're really doing So you're going to see a little bit of a difference Over two million students Have been surveyed across Texas Since it began in 1988 The 2014 Texas school survey is Unique this year For the first time the state was divided Into 11 geographical areas With region 8 being our area Of covering 28 counties In south central Texas The survey findings continue To provide state policy makers Information for planning And prioritizing drug education programs And other initiatives Throughout the state The Texas school survey is the most Comprehensive recording Texas For surveying our youth The types of reports published Include state, regional Border, non-border and district level The types of substances Reported honor many And include illicit, prescription And over-the-counter drugs The report measures Frequency of use, age of Initiation, peer use Driving under the influence Access, perceived danger Parental approval And related behaviors The complete report is 114 pages of raw Numbers The first part will focus on A particular substance The second part Focuses on a subpopulation And finally the third part Focuses on tables and charts The school survey is conducted in two parts The state and local The state is conducted during Even years Between the date of December 1 Through the end of the school year The local is administered As well as colleges and Universities during the odd years During the same time period Of December through the end Of the school year The survey is designed to be responsive To questions of specific interest To Texas educators, policymakers Parents and community groups Participation for the Texas school survey has been declining Over the past few years So Texas A&M universities Public policy research institute Conducted focus groups In five areas across Texas To determine what the barriers were For school participation Their findings were Not required to collect this information In the past Many school districts received grant Monies from the safe and drug free schools Which had a requirement For schools to collect substance use data So during these Times schools participated Now that there are no more Safe and drug free school grant Monies schools no longer participate In addition Here is conflict with district And state testing windows that Disclined participation As a result of the declining Participation our region was Combined with Region 7 Here you see a map of Region 7 And 8 which depict The counties that have school Participation historically since 2010 to present Notice the pink triangles These are the counties in which Schools participated Most recently in the 2014 survey Bayer County Our most populated area Had zero schools to participate All but one of the schools Were to the east of our region Would you call that a gap? It's a very good gap Five gives a comparison Of the nation state and region The regional and state data Came from the Texas school survey For 2014 And the national data came from The CDC's morbidity And mortality weekly report Dated June 2014 Alcohol continues to be The most abused substance What was the number one substance? Alcohol So they're the same It's followed by tobacco And marijuana kind of You're going to see it something here Amazing As previously stated What is the most abused substance? Alcohol It continues to be the most commonly used substance However For the first time ever Marijuana surpassed Tobacco across the state of Texas Marijuana surpassed tobacco Tobacco leads by a very small Margin at 0.4% For the state Use also brings number one Followed by marijuana then tobacco Marijuana leads tobacco By 0.8% The largest gap Between the three geographical areas For our region Alcohol use Rates number one followed by tobacco Then marijuana Tobacco leads by a very small margin Of 0.2% Now remember the stuff I'm reporting on Is what the kids say they're doing This is what the kids say they're doing We just hadn't caught on yet For the state In regional data of substances Ever used Our region rates below the state In all areas except Meth and steroids And we've heard the number Of meth it was very high It was like the second highest Compostated It wasn't in 14 almost half of the Student surveyed in region 7 and 8 Recorded having used alcohol at some Point in their lives In the past 30 days 11% of Students 7 and 8 And 7 and 8 had at least One binge drinking episode of drinking Five or more drinks at one setting 44% of students Report alcohol is somewhat Easy to very easy to give Compared to tobacco at 32% and marijuana at 30% When we compare The access To reported use We can see a pattern If it's easy access We'll use 74% reported that marijuana Is somewhat To very dangerous And whenever there's A perception that something is harmful To you You're less likely to use So this depicts that when we compare To tobacco which is higher in Texas Right now Which drug is higher right now across Texas Marijuana you can see They don't think it's dangerous So then you can look and see The number on the bottom You're using it more compared to tobacco Okay so now I know My slides are on the back To comparing males and females Females surpassed boys In alcohol usage for the past 30 days or the entire School year and as recording As having ever used So the girls have caught up and surpassed The boys Students not living with two parents Using marijuana more than twice As much as those living in a Two-parent household And this was true for most of the drugs Across the board. The region were very Similar in reporting their use of prescription Drugs and over-the-counter drugs Not prescribed for them. Students reported cocaine, cough syrup Lean nods ACDC Is the most used Followed by Vicodin, lore tab Lore set and hydrocodone And finally Xanax DXM, triple season skittles Were recorded as used more Than Vicodin and Xanax In Palin students reported as used For Texas and our region were also very similar Whiteout, correction fluid Magic markers were most Recorded as used Followed by helium, butane Propane, whippets Nitrous oxide, refrigerants Free on gas And finally spray paint to get high Do any of those surprise you In order? I personally thought it would be Came in general All substance use increases By grade level However, for our sixth and seventh Grade students we see the opposite Effect. More sixth And seventh grade students reported That they were more likely to use Inhalance. So I want to stop For a minute. Now we have some data And I'm going to pretend for a moment As a superintendent This is the results From our survey As a superintendent I'm going to look very seriously At this and I'm probably Going to start thinking about Prevention For the other students on my campus I may even go so far To even back up a couple of grades Prior to. So the Texas School survey is very important to use I might even consider Addressing the PTA The PTO I might be trying to come up with alternative Activities for the kids To do after school. So the Texas school survey is very important 15-year-old students reported usage The most in both the state and region The largest gap Between the state and region Surveys noted Were that 11-year-olds Listen to this 11-year-olds Were seven times More likely to report usage 12-year-olds Were twice as likely to report Usage in our region Now I'm looking at it And I'm thinking for sure As a superintendent I'm going to look for prevention education On my campus The students in our region were surveyed That if you had a drug or alcohol Problem and needed help Who would you go to? Over half of the students Survey reported That they would not seek help Over half of the students Would not seek help The 48% of those That reported that they would Seek help would not Seek help from school But rather from a parent Friend, another adult Or medical doctor So once again I'm a superintendent Am I going to push my money into counseling At school? Probably not I'm going to look at the other avenues A huge gap existed Prevention education across the region 73% of students surveyed Recorded that they received No prevention education at all Prevention education does work As recorded by the Texas School Survey from its beginning In 1988-2014 There has been a gradual decline In substance usage The public policy research Institute concluded We still need to continue With need assessments in our communities This concludes my portion And I will be followed by Betsy And Betsy Jones, I'm the Tobacco Prevention Specialist here In the PRC Okay, in 1992 The rate of tobacco sales to minors In the United States Was 40% That means that of all the kids Who tried to buy cigarettes in 1992 40% of them were able to do it So the Sinar Amendment Which was enacted in 1992 Was enacted to reduce Youth access and marketing to youth Of tobacco products The amendment requires the states To enact and enforce laws That prohibit sales and distribution Of tobacco to minors And also requires states to conduct Random checks of tobacco retailers To ensure that they're not selling To minors As of 2013, the national rate Of sales to minors had dropped And leveled off at about 9.6% The states report their progress To the U.S. Department of Health And Human Services And states that do not hold their Rate of sales to minors Or their retailer violation rate Below 20% Will lose some of their money That the states received in the block Grants that were funded by the Tobacco Industry settlements Back in the late 90s There was no money from the settlements And the 11 PRCs Conduct regional compliance checks And follow-up visits So all 11 of the Texas Prevention Resource Centers Have a tobacco specialist And we basically go out to convenience stores And 7-Elevens and grocery stores all over the state And make sure that The marketing and sales to minors Are kept down Prevention Resource Center in Region 8 Is responsible for 1,800 Follow-up visits And at least 20 follow-up visits To non-compliant details Texas settled with the tobacco Industry in 1998 We were the third state to settle And over the next Over 25 years following 1992 We received $17.3 Billion from the block Grants as compensation For the health costs that The state incurred as a result Of tobacco Texas legislature used 1.5 Billion of those settlement monies As endowments For the health and human services And higher education departments So I've got a chart here That shows some of the money That came to Region 8 From those endowments This is the money that was given To hospitals and healthcare facilities To offset the costs Of their tobacco-related Healthcare expenditures All of these un-reimbursed Un-reimbursed healthcare expenditures Were all set by some money Obviously Big County with a large Number of hospitals received several million But the other counties that Have hospital facilities also Received some money from those settlements The endowments also generate $9 million per year In interest for education And enforcement programs That's where the tobacco prevention specialist Comes from and all the tobacco prevention That we have in schools. For tobacco law violations We have sales to minors Obviously we don't sell cigarettes Or try not to sell cigarettes To minors under 18 We want Approved state signage In all of the In all of the retail outlets The state signage Looks like this And if you go to a tobacco I'm sorry to a convenience store Look up around the tobacco displays And you should see these blue signs somewhere You don't always But hopefully you see the blue signs somewhere Tobacco companies provide A lot of their own signs That we put next to Or that the sellers will put next To the tobacco displays They range from ineffective The We Check ID sign Is the smallest and least effective All the way to Some signs that are basically Reminders to kids that the cigarettes are here And you're not supposed to buy them We're not supposed to sell them to you But the cigarettes are right here So these are the State approved signs that we put up We also prevent outdoor Advertising within 1,000 Feet of a school or a church The stores have to have A posted permit that's not expired A valid permit to sell tobacco And they're not allowed to sell unpackaged Cigarettes or Lucy's They're not allowed to sell packages Of fewer than 20 cigarettes And obviously minor and possession is a crime Miners are not allowed to Possess it, purchase it, Consume it, receive it, accept it Or represent their ages falsely In order to get tobacco products And we also have A few other criminal activities Tobacco smuggling, counterfeit permits Tax fraud The other tobacco related Violations So, as the Prevention Resource Center Region 8 tobacco specialist I do 150 voluntary Tobacco checks per month I look for these signs to be Posted near the cigarette display And what I tell the retailers is When I'm looking at the cigarette display This needs to be in my line of sight I look at the displays themselves To be sure that they're either locked Or out of reach So the tobacco cigarette displays Have to be locked Or they have to be behind the counter So that customers can't reach them The tobacco products have to be handed To the customer by the employee The other thing I check for is about The original posted permit With the correct address The correct business name And an expiration date I advise the managers or employees That this is a voluntary check I don't deliver citations To punish anybody But I do voluntary checks To ensure that they're in compliance And later on when the state auditors And the federal auditors come through They're the ones who actually cite And punish The sellers Who are not in compliance with the laws I hand out these packets of information These are my packets I've got all kinds Of educational materials For tobacco retailers And tobacco laws And also some fresh signs A lot of times the reason why the signs disappear Is because they look ugly They start to get torn And the retailers don't like to have them posted Or just because there's a lot of employee turnover In that type of business And they don't realize that those signs are required by law So In fiscal year 2015 The Region 8 PRC has conducted So far 1,416 retailer compliance checks 384 are still remaining To be finished by August We found in that time Over 1,200 valid permits That's about an 85% compliance rate We've got some copies 15 copies 54 expired permits 41 that were valid but not displayed Things kind of had a behind the counter And 96 we just couldn't find the thing at all That was usually an employee Who wasn't aware that It was missing So most of what we find Is that retailers Want to comply with us They're not doing Maliciously losing their permits They're not refusing to show us their permits They just don't always know the rules Which is why we go at least once a year To everyone we can find And give them more signs and more packets So we've conducted 106 follow-up visits And 23 visits to non-compliant retailers As far as the signage, about 30% Are not in compliance with the signs Often because the signs are damaged Or get thrown away So we pass out more of those blue signs Every chance we get And If you look on our website Or go to the Department of State Health Services website You'll find the tobacco hotline So if you happen to be In a convenience store And you want to report missing signage Or you see a tobacco retailer Selling to minors Or you know of one selling to minors Or selling loose cigarettes There's a tobacco hotline, it's anonymous You can call or email the state Comptroller and Report those violations I'm going to use my phone Okay, thank you Betsy So at this time I want you all to Kind of stretch and as you stretch If you can please pass the sign-in sheet And your turning point clickers to the right Our interns will come along And you'll see that data can be draining So we're going to make sure That it's up and flowing Okay, so as I was I mean, you are being picked up I want to talk about The data request form that's in your folder So I had to repeat this a number of times About How the data request form Again, we are a simple data repository And this is the form that you would use To request county specific data To request The regional needs assessment To request Any information from our auditory So this is going to be available Online And We encourage you again if you want Any kind of data to use this type of form Okay So we want you to partner with us So we have A community agreement in each of your folders So we do have A good number of community Partners with us now But we are inviting you to partner with us So what does it mean to be a community partner? Well, providing data That may contribute to the data repository So perhaps you have a data source That you think might be able to Benefit the repository Or maybe there's a community that you want to bring data to By becoming a community partner You have access to this data As well as the regional needs assessment We also come out and do presentations About data What the concerns are And how those Science and symptoms can cause Those types of percentages and such But we do those types of things I want you to take a look At that community Community agreement And partner with us today It's a non-legally binding agreement And it's a partnership on paper So think of it like a handshake That handshake Is showing that we are partners And if you build one of those out today You can please leave it on the table Before you leave today Does it have to be agencies or individuals? It could be Either or Either agencies or individuals Good question Also So as we're moving into our second year Of our needs assessment We will be looking for focus groups So these focus groups will be bundled With professionals and in the community And we will be measuring One, how well the RNA was used If you liked the RNA, if it was useful What things could be added to it These are some of the questions that we want to be asking the community Because again, we need to develop this tool for ourselves We develop it for the community And the community can't use it Our professionals don't understand it Or need something else We need to know that so we know what improvements to make For focus groups in the fall of this coming fall So after the meeting today We will be sending out an email About these focus groups And you can send your information Through that way Okay, so we are at the question And answer part of the Presentation And there are any note cards Out there, okay Alexis is passing out a note card So if you have a question That you would like to ask You can please hand that to her If you have a question, can you please Raise it Or if you have a one they haven't turned in The worker is going out into the community And what about their seat So for us, that's a good question But for us, we're not necessarily Going out into the community As an agency that is doing The Local and Regional needs assessment It's mainly collecting the data And the information And then sharing it with the people That do go out to the community That do go to the homes And do the services Direct services So for us as an organization We don't really do that That's always a concern And What we try to do is Connect people to people that provide We have the prevention resource center Also does a list of Local trainings for prevention Recovery and Treatment support services So sometimes there are those types of Trainings that are scheduled Safety, making you know Safe calls when you do home visits And things like that Okay, so the next question That I have from the audience Should we talk to our school districts About the Texas school survey They're sending Letters They prompt all the school districts Within our Region 8 geographical area We've been sending letters We've been addressing PTA The counselors Any way that we can get it out there We've been trying and Currently the Texas A&M PPRI Is also hitting the school district To pay them a stipend this year So And then I also understand That our coalition May have some money put aside for Bear County To help pay for it If they're not selected If they apply They didn't say I don't know how much the stipend Is going to be They didn't say Probably the best way to get that And then as school is through Their school health advisory council Or their shack And so possibly even trying to Become a member of the local shack Would be an awesome way to Move this initiative forward And we're doing that, thank you And if that's even hard to find A complete list It's very time consuming But yes, we're working on that, thank you And we've been working on Region 22 And I'm glad you're here We've been informed that We cannot partner with CICADA Or bring in CICADA Slash other prevention resources Due to the use of surveys that May reveal incriminating information About our students What steps are being taken to open Communication with districts about Allow students to receive Preventive prevention programs Big area and not just for our Organization, SCOTIC, but for other Organizations that want to go in All of the data that Whether it's a survey that the kids Do, that the parents School counselors This is all confidential information And it's taken, aggregated And shared as a whole So if that information Is never given out Like this one kid, Robert Said this in his response To that question We provide that information as a whole Just like they do the Texas School Survey But I believe that parents That go to school board meetings And talk to their school board And say hey, no one in Bear County did the Texas School Survey We don't know what our kids are doing Or using since 2012 The last time someone in Bear County Took the Texas School Survey So parents, who here's a parent Who here's a grandparent An uncle or an aunt So that's all of us We need to go to those Board meetings, school board meetings And create a little bit of rocket And say, prevention is Important, we can bring Prevention unless we can tell the numbers About what's happening in our school But sometimes, you know, school Districts are scared to Show, oh, our kids are using At age, you know, 11 Or 12 years old, but prevention Is key, and so if we We do not, we cannot allow Our school districts to Stick their head in the sand And do nothing, so Let's go visit our school board If you want someone to go with you We have a whole team that show up So, but yeah, those are Things that we do have to address And it is a barrier I also say that the DEA Website schools Are already reporting Your discipline actions through there So if you wanted to Find out whether or not you want your School, your child to go to that school You go to their website and do your own research So that's already out for the public To use. We also add, as an argument To some of the barriers, that some Of the school districts do have Prevention Programs and curriculum But they're not Testing it, they're not Testing to see, assessing where their Students are, how are they going to be Showing that their prevention Program curriculum is effective And so that could be an argument We already do conventions But you're not anything way You're effective enough, so this will Help you do that. Great point, and there is also Steps documenting how to Keep the data confidential And they're going to mention earlier There is an active privacy To make sure The next question is How is the data being collected And by whom, for the children? Data Well, the second question Is related to the status How do you account for the validity Of the responses of the population Of children? Like we mentioned earlier, we're Primarily collecting secondary data Which is data that's already been Processed. The primary data that we're going to Collect next year is more focus groups In those focus groups, we're going to Try to keep the confidentiality And we won't be asking for personal Information, so it will be firsthand Receiving that information. Right now, the secondary Data source that we're Collecting is by Valid and reliable Sources like the U.S. departments The U.S. census And other Already Yes Already identifying as Reliable and valid information That answers the question Okay, so the very next question For the panel, and I think this would Be direct for you as well Since San Antonio's military Country, do you have any data that Includes the military children Or families? Yes, one of the special focuses that we Did address in the RNA Because San Antonio's Considered to be military USA We have several of the Faces and some of their Information in this RNA as well Because there is a High rate And prevalence Of incidents being reported to the Military veterans associated with Substance abuse and mental health We felt that it was an issue that Was needed to be addressed in this Here's the RNA as well So you're saying that you give some of the data Assurance from the military bases To San Antonio, they collect that data? Yes, but because it is The Department of Defense Some of that data was not Available to us, so we had to go Through other reliable sources To get that information Last question Should more of the Sinar money be earmarked For medical prevention? That was mine Yes That's an easy one That's the song Yes, and one of The problems that we Are starting to see now The 2013 numbers that I mentioned earlier The 9.6% Of students being allowed to purchase Cigarettes That's actually gone up a little bit Since 2012, it's A little percent higher than it was In 2012 The way it looks is that Starting with 40% of Miners being allowed to purchase in 1992 We've eliminated The low hanging fruit We've had prevention classes In combination with Reducing sales to minors And now we're at the hardest 10% But some school officials Are prevention providers seeing that Not the providers, we know better We see that and say We've gone from 40% down to 9.6% That's great So let's take some of the money and put it someplace else When those prevention programs are actually What's causing us to get down To 9.6% So yes, absolutely As much as we can do to work on The remaining 9% And every year we have New youth New smokers and the tobacco company Would like us to make more smokers So we need to continue to Do tobacco prevention Even though we're doing that So, kind of a related question What about, I mean you guys are going to These convenience stores and so on But what about These vape stores And hookah bars And e-cigarette centers I mean A That's the one Asking about the vaping stores And hookah bars And liquids up until last month Were completely legal in Texas For youth to buy So up until now There hasn't been a whole lot we can do Other than keep an eye on it As of now, the governor just signed Into law last month that Those products will be included Under tobacco laws So I'll be able to check that And I'm assuming that those stores And shops will be on my list for next year Yeah, that's great I am busy, yes But we're doing the best we can And a lot of education There's a lot more kids interested In e-cigarettes and hookahs because they look cool And that's the point I mean they look cool because kids like it So we're doing the best we can With education and Just chasing down as many retailers As we can So I imagine our department is that adding E-cigarettes to your data Because I know that that's Your value at data We already have that data as well And we do have a section That's going to be discussing the E-cigarettes and the baking And how it has affected our youth In the RNA as well And the Texas School Survey In their 2016 survey They will include E-cigarettes and baking What age do you And I apologize What age do you Children take this I think again in grade 6 That this coming cycle They're going to just collect from 740 to 940 I think somebody had a question And you were worried about the validation Of a young kid reporting On the Texas School Survey side They have tricked questions in there So if they answer one of the questions Sunny for a big drug that isn't out there They'll totally eliminate That person's information Yes sir Why did they take out 6th graders I thought you wanted to have 6th graders I don't know But we can ask the PPRI Because it's really clear that Starting at a younger age Like that trend Is to continue 7-5 When you want it Including maybe 4th graders You got a kindergarten Because they do know That's part of the Texas School Survey But one thing that we're going to be looking into Next up here Is also the YP program Since they do address some of those questions And it is for other ages We'll be also looking into that data as well To have another source But I will pass it onto the PPRI And when she says YP data should mean future prevention data So we have prevention providers In our area We're funded by the Department of State Health Services To be able to capture what they're recording Because they're going out and they're doing curriculum And they're reporting to the state But we want to see how we can Fit that into our RNA Because we want to see how the needle Is moved So to that When I was a school nurse Weekly readers Used to do an elementary Survey for alcohol and drug use And so Maybe At this stage But if it may be That there are mechanisms That we could read your text If we're doing it and they send data somewhere To my Data What I noticed I did a very extensive literature review And Omega analysis on previous literature Some of the data that was conducted Years and years ago And I need very good data Is no longer being done For no reason That data is not current So I was unable to use This data That is We need that data And that's the whole point Of doing the RNA and through them To be going on to the community Is to get this data from our local And our community So the marijuana And tobacco use More or less similar To make a difference Do we have any data yet On the states Where it's been legalized And how that's changing Use with youth and even against adults Because if this is happening with adults It's going to follow through with youth What we have data yet on them So we can see whether That would make a difference They're just starting to In Colorado They didn't have a lot of plans in place There weren't a lot of plans In place when they legalized marijuana So they didn't have the regulation Or the survey information available But they are starting To examine that in our findings I don't have the statistics on hand But they're finding that in states Where medical marijuana is legal A higher percentage Of youth are using marijuana So the states where It's recreational illegal It's even higher And especially with the edibles The gummies and the cookies and candies That are attractive to kids They're having a lot more issues Of youth overdose So I think we're going to put some part numbers on that In the assessment They do have an age limit in those states 18 to be able to buy it They do, they're not allowed to buy it legally But they're not allowed to buy tobacco Legally either There is a section in the RMA Where misconception Is being addressed Because kids nowadays Think that marijuana is legal Which is not It's playing also a big factor Into the usage of marijuana It goes back to the perceived damage Of the harm And so you have got it's legal So it must be okay Okay, so Question I know Marijuana is widely known As the gateway drug I was wondering Like tobacco I thought it was more of a gateway drug Because it already instills That psychological Like the smoking addition Even if you have to put a victim to it And so I was wondering Is there any data on Like Did you have your Cigarette Did you have a cigarette first Or like a joint first or whatever Because that could show If tobacco really is what's Influencing marijuana Or maybe it's even by itself One thing that we do address Is that all substance Use for a minor Is illegal, regardless So all of them would be considered A gateway drug Even if they use tobacco Or are you So I mean that's one Point that we stress out That regardless of what it is It's illegal for it to happen Yeah, I guess I was just Worrying about like The behaviors as far as like The most start smoking cigarettes first And then they're like well I'm already smoking this You know what I mean Some of that data will be available And I would have to get back with you So if you can send me an email Or get A director We'll be able to address that Join our focus group We'll make it Thank you Thank you all for writing down your questions We are going to get to these so we're going to post these on our website All everybody who have written these down So that you get your answers So don't worry we're going to get to them But we have to move forward with our closing message And this Abigail Marvel Okay So you just got tiny Little snippets of the data So remember the report is 100 and how many pages More data In our repository that we can share with you So it's endless what you can get Not endless but we've got more And we need you to help us get more Call the action Call the action So either our Children are in school Our nephews and nieces are in school We need to visit those school boards We let Our team know We can get you a one sheet Information About the importance Of participating in the Texas school Survey to be able to see Is your school being effective Because then you have a baseline And you can see the next year Our numbers went down Our prevention is working Our community partners Because the school district may not have the dollars But bring in the partners that are Experts in that field In those areas to do the Prevention work And then again they do the Texas school survey And they see a baseline change They see a change What are the trends improving Are they still needing to be addressed So again first part call the action Let's talk to our schools Let's talk to our school board Let's take that message in Bayer County Zero unacceptable So I believe that us together Remember begin with the end in mind We want to be able to tell the picture Of where our community Will we want our community to be But we need to get the information Now to change that And to set a new pace for it So we can partner together You're not doing this alone But you are In your circle of influence It can't be Teresa It can't be back It can't be Portencia We are the influencers Of our circle of influence So let us give you some of the information Let us give you the tools Let us go with you We want to talk to your neighbor That's on the school board Those things make a change And I want to be able to say Don't you want to Be able to say next year When we're sitting here doing this again That at least two or three schools In Bayer County took the school survey Then we As a group move the needle Call the action number one Call the action number two Share your data So once you get the report It's on you, you can go home Take a look at it, you know Put a pot of coffee on it, have some donuts Take a look at this with your jammies So this is the data You have it As far as the regional needs Assessment So then you're going to ask the question Well if you have the data We need you to share it Or if you know where to get it Again you've got that sheet on there That says the data request for you Fill it out and send it to us Number three call the action Now that you have the data You've got to tell the story In your community How can we help you tell the story We did something really simple at the beginning Remember when We had About seven percent Of the people sitting down And the other ninety percent Ninety three percent had to stand up And we said These individuals in the schools Did not get prevention That's a simple way to tell the story I think it's pretty powerful We need to take it to the people That are our circle of employees Okay So then Share the data Get in the data telling the story Let's help We can do this together We've got to move our school districts To start taking this information And yes in the past There have been surveys done But if they didn't continue to get done Then that baseline data Exists and there's nothing else That measures that same thing So the Texas school survey Is something that A&M University does For the state of Texas And they're trained Empirical making sure That the test subjects That there's no abuse Of how we're asking the questions Again it's The professionals that do that So our kids are not in danger But this information is important For us to be able to tell the story And then If you have other stakeholders Call action final, final If you have other Within your circle of influence Whether it's your county Or whether it's another place That we can go in Give snippets of the data And you want us to go along with you We would be more than happy to Have a convention resource center So again, this was our first year We thank you for showing up Because again, as The highly effective community That we want to be Seven habits, being proactive Doing something and not just sitting around Let somebody else do it, we showed up We are proactive here So now we're going to come together And synergy To change our community That our community is safer Of course, because if you look at Some of the numbers like Betsy and Theresa were saying Those numbers are beginning to go down As far as the tobacco But we're getting new smokers New communities because we are Military city USA New families coming in New children beginning to be Exposed and experiment So we can't stop, the efforts cannot stop We have to continue on And one last thing All of this is interconnected I asked individuals in the beginning Who does team prevention work Who does suicide, who works in the criminal justice All of those Areas Are interconnected To substance use Mental health, young people Struggling with depression ADHD, they said They self-medicate Adults, criminal justice Area There's research that shows That they began smoking at HDEC The tobacco And then they moved on to the other things And so now they're in the system We ask individuals in treatment facilities There's questionnaires that have asked Individuals in treatment facilities When was your age of first use? And you hear 9, 10, 11 years old So prevention is key We can do this together And the data helps you Regardless if you're working with senior citizens Because there are senior citizens Raising grandchildren So they need this information as well We need it in our schools In our churches, in our communities It helps us all So the data repository Has information not only in regards to What's in the needs assessment in your little job drive But we have others And if you need it We are here for you That's bottom line Prevention Resource Center It's here to provide that information And we're also going to need partners I am Committing one right here To To our epidemiology work group Coming together Three times a year and looking at Where were the gaps and how can we Identify partners to help us Deal those gaps So thank you very much I don't know if I heard thunder Because it's lunchtime and we're all hungry Is there an evaluation? Anything else that they need to feel? Thank you and have a blessed day Ladies and gentlemen Thank you for attending today I'm going to have the entrance to collect your evaluations You can stand by the door Your certificates are out and on the hallway At the entrance of the lobby Thank you again for coming Thank you