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David K. Mineta Deputy Director Office of National Drug Control Policy

The Convergence of Events & the Need for Readiness: Leveraging Change to Serve & Support Young People in or Seeking Recovery. David K. Mineta Deputy Director Office of National Drug Control Policy Association of Recovery Schools Twelfth Annual Conference , Delmar, CA July 11, 2013.

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David K. Mineta Deputy Director Office of National Drug Control Policy

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  1. The Convergence of Events & the Need for Readiness:Leveraging Change to Serve & Support Young People in or Seeking Recovery David K. Mineta Deputy Director Office of National Drug Control Policy Association of Recovery Schools Twelfth Annual Conference , Delmar, CA July 11, 2013

  2. A Time of Transition • Times of transition entail both threats and opportunities • Windows of opportunity: • Act too quickly and one may follow the wrong path • Wait too long and the window of opportunity may already be closed or the range of options reduced • Fail to act and others voices and plans will take the place of yours

  3. Demand Reduction Prevention • Strengthen and coordinate prevention across community, school, workplace, and higher education settings • Strengthen Drug Free Communities program Treatment • Support robust essential benefits packages under health reform, inclusion of SUDs in EHRs, advance evidence-based practices, including use of MAT, and promote innovation Recovery • Celebrate recovery, raise awareness, reduce stigma surrounding addiction and recovery • Expand Recovery Support Services/Recovery-Oriented Systems of Care (ROSC) • Eliminate barriers to recovery

  4. Converging Factors • Ongoing fiscal constraints • “Medical” marijuana & legalization • RX medication abuse & overdose deaths • Increasingly mobilized recovery community • Growing recognition of the need to: • Adopt chronic care approaches and integrate recovery support services • Integrate SUD and broader behavioral health services with primary care and other mainstream health care sectors

  5. Converging Factors • Emergence of new players: • Stacie Mathewson Foundation • National Youth Recovery Foundation • Young People in Recovery • Association of Recovery in Higher Education • Affordable Care Act implementation: • Expansion of Medicaid & affordable private insurance • Integration of SUD, mental health, primary care • Rapid growth in collegiate recovery community start-ups

  6. Why Young People? • Susceptibility to SUDs during young adulthood: • Nearly 1 out of 5 (18.6%) of young adults aged 18 to 25 estimated to have substance use disorder • Rate among youths aged 12 to 17 (6.9% ) higher than that of adults aged 26 or older (6.3%) (SAMHSA, 2012) • Intervening early reduces costs and saves lives • Schools provide nexus for: • Focusing education, prevention, treatment and recovery support services • Mobilizing families and communities • Substance abuse and addiction among students reduce school safety and efficacy

  7. Why Young People? • We can’t arrest our way out of the drug problem • When we don’t offer second chances to young people, we: • Fail them their families, and the broader community • Deprive ourselves of the future these young people could have helped bring about.

  8. Why Young People? • New mechanisms to create and sustain community (SMS/MMS, social media, etc.) • Greater openness and inclusivity and less stigma around addiction and recovery—young people question many traditional perspectives; they are “changing the conversation” on a range of issues • Passion, drive, willingness and ability to take on a cause and advance it to the benefit of all • You—the young people here today —are building our future right now!

  9. Health Care Reform • Affordable Care Act (ACA) requires plans sod in exchanges and expanded Medicaid to include SUD services. • Requires SUD & MH services be provided at parity with medical-surgical services • Extends access to an estimated 62 million Americans • Will likely create a need for expanded service networks HealthCare.gov

  10. Health Reform • Opportunity to: • Expand Screening, Brief Intervention, and Referral to Treatment (SBIRT) in school and primary care settings • Provide Medicaid and possibly third party payer coverage for peer-to-peer services • Lift financial burdens related to health care from many student’s families • Cover young people under parents’ plans up to the age of 26

  11. Readiness • Who will determine the bounds of local service networks? • Will anyone systematically conduct outreach to schools about the role ACA might play in: • Improving student health? • Covering SUD services? • Improving school outcomes? • Who are your allies and who needs to become one? • National and local coalitions essential to effectively leveraging converging events

  12. The Path Forward • Inclusive coalitions: • State, local, and tribal officials (e.g.,): • Researchers • Students and families in recovery and those who have lost loved ones to the disease of addiction • Prevention coalitions, the broader recovery community, mental health and primary care • Local and national press and media outlets

  13. Thank you! David K. Mineta Office of National Drug Control Policy FaceBook.com/AmericansInRecovery

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