Daryl Fields Flo Hilliard Anthony alvarado Understanding the teenage drug epidemic within rural communities a collaboration between “Wisconsin Voices for recovery” and “rise together” Daryl Fields Flo Hilliard Anthony alvarado

Wisconsin’s opioid epidemic Rural-urban continuum codes which are based on 1) metropolitan population and 2) relative proximity to urban centers

Survey demographics Urban Rural Total Male 580 313 893 Female 754 400   Urban Rural Total Male 580 313 893 Female 754 400 1154 Other 13 4 17 1347 717 2064 8th grade 239 138 377 9th grade 364 128 492 10th grade 211 150 361 11th grade 291 147 438 12th grade 242 154 396

Have you previously used drugs/alcohol? 30.8% 38.5% 69.2% 61.5%

I started using at what age…

Risk factors for abuse Early aggressive behavior Lack of supervision Academic problems Peer substance abuse Peer rejection Drug availability

I started using because… I Continue using because…

Protective factors for abuse Emotional self regulation High self esteem Behavioral autonomy Strong social connections Strong family connections

I haven’t tried drugs/alcohol because… To live a healthier life I need…

Roadblocks to recovery Demographics Logistics

I have asked for help… 11% 11% 89% 89% Trended, but t-test was 0.0521…

What would help recovery…

rise together “…works to reduce negative attitudes toward people with mental health and substance use disorders. By changing the way young people are educated in today’s culture, they are igniting change and breaking the silence around suicide, bullying, mental illness, drugs, and alcohol.” Experienced speakers sharing personal stories Addressing multiple topics affecting teenagers Well connected with statewide and nationwide support resources Multi-platform approach Proven track record for effectiveness