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The Oklahoma Rural Epidemiological Outcomes Workgroups (REOWs) aim to empower local communities through data-driven public health initiatives. By assessing and prioritizing community health challenges such as underage drinking and prescription drug misuse, REOWs help guide community coalitions in selecting effective prevention strategies. The process involves collecting and analyzing data, fostering agency collaboration, and addressing challenges such as inconsistent attendance and data collection issues. Through these efforts, Oklahoma has seen successes in building relationships and engaging stakeholders for sustainable public health improvement.
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Developing Rural Epi Outcomes Workgroups- The Oklahoma Experience
Need for Local Epi Workgroups • Evolving public health field • Shift to empowering communities
Purpose of the REOWs • Replicate State Epidemiological Outcomes Workgroup • Assess, • Prioritize • Help advise community coalitions on data findings that support the selection of appropriate prevention strategies
REOW Membership • Local/State Health Agency • Other Prevention Agency • Non-Clinical Treatment Professionals • Community/Social Services • Law Enforcement/Highway Patrol • Education • Oklahoma Bureau of Narcotics • Oklahoma Juvenile Affairs • Healthcare/Professionals/Pharmacy • Youth • Oklahoma ABLE Commission • Other
REOW Tasks • SPF SIG Process • Assessment • Capacity • Planning • Implementation • Evaluation Role of REOW
Prioritization of Substances and Communities • SEOW identified underage drinking and nonmedical use of prescription drugs for SPF SIG; underage drinking, marijuana, adult binge drinking, methamphetamine, alcohol use during pregnancy, inhalants, and nonmedical prescription drugs for the Block Grant • SEOW made recommendation of priority and community • REOW was tasked to decide which priority and which community
Prioritization of Substances and Communities Cont. • Workbook created • Assessment done in 3 phases: • Collecting, analyzing, and prioritizing consumption and consequence data • Collecting, analyzing, and prioritizing around intermediate variables relegated to the chosen priority- community capacity and readiness were also assessed • RPC and REOW Coordinator compiled results and wrote an epi profile for the region
Prioritization Results • SEOW’s findings confirmed • 12 Regions selected nonmedical use of prescription drugs for the SPF SIG, 5 chose underage drinking • If they did not chose nonmedical use of prescription drugs for the SPF SIG, they chose it in at least one of their counties for the Block Grant
Challenges and Barriers • REOWs vary region by region • Shifting the focus of prevention framework • A REOW candidates did not exist in every region • Membership was hard to establish • Participation of REOW members was not always promised
Challenges and Barriers Cont. • Inconsistent attendance • Suppressed, missing, invalid, unreliable, or insensitive data • Inconsistencies in data collection methods • In some cases, no local data collection system existed at all • A lack of infrastructure for sharing data among state agencies
Successes • Identified and establish relations with different agencies and individuals • Develop an understanding and appreciation of the data collection process • Empowerment • Developed systematic ongoing monitoring system • Identified the gaps and limitations of community-level data • Identified and engage stakeholders in their communities
Contact Information Young Onuorah, MPA, CPS Senior Prevention Program Manager OK Dept. of Mental Health and Substance Abuse Services 405-522-0075 yonuorah@odmhsas.org Jamie Piatt, MPH SEOW Coordinator OK Dept. of Mental Health and Substance Abuse Services 405-522-6785 jpiatt@odmhsas.org