1. Community Awareness and Prevention Association

2. Problem Statement Root Causes But Why? Local Conditions But Why Here? Non - Medical use of Prescription Drugs Accessibility Prescriptions stored at home Perception of Harm Information Build Skills Provide Support Reward/Consequences Access/Barriers Physical Change Policy Change Information Build Skills Provide Support Reward/Consequences Access/Barriers Physical Change Policy Change Youth sharing/ using others medicines

3. Comprehensive Strategies / Intervention Map StrategyIntervention Provide Information Educate community about proper disposal methods for prescription drug Distribute flyers to parents with education and information about take back day. Create and distribute materials for education and marketing of event (posters, table tents, banners) Build Skill Train coalition members participate in National Drug Take Back Day. Youth coalition members to create PSA to address proper disposal Provide Support Provided opportunity for individuals in the community for proper disposal, collaborating with local, state and federal law enforcement in development of OMC prescription drug take back day. Access / Barriers Provide multiple options for disposal day, marketing local and County drop off sites. Incentives / Disincentives Participants in drop off day given pins. Youth participants can use participation in PSA as community service for NHS and Keyclub. Physical Design Collaborating with local officials to determine if permanent drop off box would be feasible in communities of Brecksville and Broadview Heights Policies or Regulations Collaboration with the Cleveland Clinic to institute practice of having proper disposal methods printed on prescription drug bags. Problem: Rx medicines can be found in homes of family or friends, and parents don’t realize the connection between teen Rx abuse and easy availability. Risk Factor: Lack of education and disposal option for unused, expired or unwanted prescription drugs Local Condition: Survey of participants of OMC prescription disposal day reported that they would dispose of medication? 35% Trash, 5% Flushing, 40% Store at home, 25% Save for future ailments Community Awareness and Prevention Association

4. Comprehensive Strategies / Intervention Map Problem: Twenty percent of U.S. high school students say they have taken Rx drugs without consulting a doctor. Risk Factor: Lack of education about risk factors associated with sharing/using others prescription drugs. Local Condition: 18.5% of BBHHS students (2009) and 15.3% of BBHMS (2010) report having used prescription medication to relieve pain, relieve anxiety, stay awake, or alter mood. StrategyIntervention Provide Information Youth social marketing campaigns and messages focusing on the percentage of youth not using, proper disposal methods of prescription drugs, and the impact of prescription drugs on youth media to promote message. Build Skill HUDDLE students to educate middle school about dangers of non-medical use of prescription drugs. Educate high school students via social media on facebook, YouTube, BTV Provide Support Staff training on the signs and symptoms of drug use Access / Barriers Provide free drug assessment for adults and youth. Provide free drug testing kits Working with Police Department/ City Magistrates to increase referrals for Insight programming Incentives / Disincentives Collaboration with local Law Enforcement in the facilitation of random searches at the High School utilizing canine officers Physical Design n/a Policies or Regulations n/a Community Awareness and Prevention Association

5. Strategy: Provide Information

6. Strategy: Build Skill

7. Build Capacity Local Condition: Survey of participants of OMC prescription disposal day reported that they would dispose of medication? 35% Trash, 5% Flushing, 40% Store at home, 25% Save for future ailments Strategy: Youth coalition members to create PSA and education materials to address proper disposal Who within the coalition will take a leadership role in implementing this strategy (Chairperson, Quarterback, Champion)? Coalition Chairperson, Coalition director, Prevention Specialist Within the current coalition staff, members and partners, who will work to implement this strategy? Coalition Media representative (Pat Gallagher), Pharmacist (Angie Ortenzi), Youth coalition members Who else needs to be recruited to work with the coalition on this issue? Principal of High School, School Coordinator of Community Relations, Community Relations Coordinator for Cities Brecksville/Broadview Heights, District Director of Technology, Cleveland Clinic What financial and other resources do we have available for this strategy? Grant from Drug Free Action Alliance, Funding from McDonald’s, Drug Free Communities funding, In-kind support from school district. What additional resources are needed? Venue for taping psa; actors, script, props, editing equipment, in-kind printing support How will these individuals and/or organizations be organized to get the work done (committee, task force, full coalition meeting)? Youth Committee - for Script development/production Youth Committee for development of supplemental materials Schedule meeting with adult coalition committee members who are participating in strategy. What training will staff and volunteers need to be effective in implementing this strategy? Cleveland Clinic – Provide education to youth members Media Specialist – Train youth coalition members in PSA development, planning and production Community Awareness and Prevention Association

8. Strategy: Provide Support WEWS Live Web chat http://www.newsnet5.com/generic/news/webchat/live-chat-capa-operation-medicine-cabinet CAPA coalition members Angela Ortenzi, RPh, Assistant Director of Operations, Ambulatory Pharmacy Services and Vince Caraffi, Supervisor Cuyahoga County Board Health, Chairperson, Cuyahoga County Opiate Task Force.

9. Strategy: Rewards/Consequences Environmental Impact of Prescription Drugs

10. Strategy: Access/Barriers Marketed multiple take-back locations  Produced and recorded radio spot on  Direct link to www.DEA.govwww.DEA.gov  Fielded calls from local residents after segment on WEWS Spotlight 5

11. Strategy: Physical Change

12. Strategy: Policy Change