State Epidemiological Outcomes Workgroup Audio Conference Call

1. State Epidemiological Outcomes Workgroup Audio Conference Call

2. Agency � Community Partnerships California Department of Alcohol and Drug Programs (ADP) California Department of Public Health (CDPH) - EPIC Branch State Epidemiological Outcomes Workgroup members

3. The Public Health Approach CDPH has a strong tradition of partnering with other agencies make a measurable impact on the health and well being of Americans. As many of you know, our mission at the EPIC Branch is to prevent injuries, disabilities, and death. We accomplish this mission in four steps: -First, we assess the problem using sound science and epidemiology. 1ST AT A POPULATION LEVEL -Next, we identify the causes of violence that need to be addressed in prevention programs and policies. -Then, we evaluate interventions and policies to determine which approaches are working. -And Finally, we encourage widespread adoption of programs and policies based on scientific evidence. .The public health approach is very dynamic in that each stage is intended to provide the knowledge and information to inform the next step. It�s a very logical approach and a very effective one.CDPH has a strong tradition of partnering with other agencies make a measurable impact on the health and well being of Americans. As many of you know, our mission at the EPIC Branch is to prevent injuries, disabilities, and death. We accomplish this mission in four steps: -First, we assess the problem using sound science and epidemiology. 1ST AT A POPULATION LEVEL -Next, we identify the causes of violence that need to be addressed in prevention programs and policies. -Then, we evaluate interventions and policies to determine which approaches are working. -And Finally, we encourage widespread adoption of programs and policies based on scientific evidence. .The public health approach is very dynamic in that each stage is intended to provide the knowledge and information to inform the next step. It�s a very logical approach and a very effective one.

4. Value of surveillance Population-level data to inform policy and program planning Magnitude and nature of the ATOD problem in California Trends in ATOD consumption and consequences Identification of emerging problems Hypotheses generating ideas for targeting interventions effectively

5. SEOW Project Objectives California-specific objectives Build state capacity to conduct ongoing and sustained statewide ATOD surveillance and epidemiological analyses to inform and assist in state prevention policy and program planning and development Provide county level surveillance data to inform and assist counties in prevention policy and program planning and development Build local capacity to conduct ongoing ATOD surveillance to inform and assist in prevention policy and program planning and development

6. California State & Community Profiles Criteria for data quality and relevance Population-based Available Valid Consistent measurement Collected over time Sensitive to change Data source inventory Data indicators

7. Data Source Inventory

8. List of Data Indicators by Construct

9. List of Data Indicators by Substances

10. Community Level Epidemiological Profile County level focus County level data sources Data indicators for county-level data County level profiles Three pilot counties: Alameda, Fresno, and Riverside Comparison counties State comparison data

11. Outline for County Level Profiles Consumption Youth Adult Access Consequences Health Traffic Crime Treatment Risk Factors

12. County Level Profiles: Selected ATOD data indicators Consumption Adolescent Lifetime Use California Health Interview Survey Fresno, Comparison Counties & California BRFSS small area estimation

13. Percent of Adolescents with Lifetime Use of Alcohol, Tobacco, and Other Drugs in Fresno, Comparison Counties, and California, 2003-2005

14. Percent of Adults with Past 30-Day Use of Alcohol, Tobacco, and Other Drugs in Fresno, Comparison Counties, and California, 2003-2005

15. County Level Profiles: Selected ATOD data indicators Consequences Health Hospitalizations Fresno, comparison counties & state Monthly Arrest Citation Register Fresno, comparison counties & state

16. Drug-related Hospitalization Rates (per 100,000) for Fresno, Comparison Counties, and California 2000-2006

17. Adult Felony Arrests, Fresno, 2006

18. Adult Felony Arrests for Narcotics in Fresno, Comparison Counties1, and California, 2002-2006

19. Analytic Capacity to Interpret and Use Data Theoretical and conceptual frameworks Individual and societal Intervention and prevention Targeting and population based Technical skills and capacities Strengths and limitations of data sources Numbers and rates Small numbers and significance Trends

20. Next Steps Project-specific steps Completion of project deliverables Dissemination plan California-specific steps Expansion of county-level profiles State capacity building partnership Local capacity building