1. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies West Regional Expert Team Mail Stop 279 University of Nevada, Reno Reno, Nevada 89557-0258 (888) 734-7476 Epidemiology and the SPF Kristen Clements-Nolle Joshua Phillip Alyssa O’Hair July 6, 2010 1

2. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Epidemiology and the SPF 2

3. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies What is Epidemiology? “Epidemiology is concerned with the distribution and determinants of health and diseases, morbidity, injuries, disability, and mortality in populations” --Friis, R.H., & Sellers, T. (2008). Epidemiology for Public Health Practice, Fourth Edition. Sudbury, MA: Jones and Bartlett. 3

4. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Distribution Descriptive Epidemiology / Surveillance Observing the distribution of: 4

5. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Person What populations are most affected? –Age –Race/ethnicity –Gender –Occupation 5

6. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Place What geographic areas are most affected? –National comparison –Regional comparison –Community comparison 6

7. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Time Have key indicators changed over time? –Consumption –Consequences –Risk and Protective Factors 7

8. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Epi Trends by Maybelline & Jay 8

9. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies What is Epidemiology? “Epidemiology is concerned with the distribution and determinants of health and diseases, morbidity, injuries, disability, and mortality in populations” --Friis, R.H., & Sellers, T. (2008). Epidemiology for Public Health Practice, Fourth Edition. Sudbury, MA: Jones and Bartlett. 9

10. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Determinants Risk Factors increase the likelihood of substance use and it’s consequences –Risk Factors in RMI? Protective Factors reduce the potential for substance use and it’s consequences –Protective Factors in RMI? 10

11. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies General Epi Concepts: Morbidity vs. Mortality Morbidity refers to disease, illness, or disability Mortality refers to death 11

12. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies General Epi Concepts: Incidence vs. Prevalence Prevalence quantifies number of existing cases in a population at a point or during a period of time. Incidence quantifies the number of new cases that develop in a population at risk during a specified time period. 12

13. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Incidence Prevalence

14. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Epi Profile Focus Consumption – Use and high-risk use of alcohol, tobacco, and/or drugs Consequences – Adverse social, health, and safety consequences associated with alcohol, tobacco, and drug use Risk and Protective Factors – Factors that increase or decrease the potential for substance use and it’s consequences 14

15. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies You have an epi profile…now what? What data do you have? What data are missing? What resources are available in your communities? What’s missing? What services already exist? Where are their gaps in services? 15

16. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies You have an epi profile…now what? How knowledgeable are the communities about substance use-related problems? How ready are your communities for implementing prevention interventions? Are you ready to prioritize your substance use issues and populations? 16

17. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies What’s next? We’re here for you!!! Alyssa Joshua Kristen 17

18. Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Joshua Phillip West RET CASAT/Mail Stop 279 University of Nevada, Reno Reno, Nevada 89557 jphillip@casat.org jphillip@casat.org 1-775-682-8554 18