Arkansas Administrative Code › Agency 007 - ARKANSAS DEPARTMENT OF HEALTH › Division 25 - Bureau of Alcohol and Drug Abuse Prevention › Rule 007.25.94-001 - Arkansas Substance Abuse Prevention & Treatment Block Grant Application

Current through Register Vol. 49, No. 6, June, 2024
Attachment for Item 9
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I.
IDENTIFYING INFORMATION AND ASSURANCES
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II.
ACTUAL USE OF FFY 1991 BLOCK GRANT SUBSTANCE ABUSE FUNDS AND OBLIGATIONS
			 OF FFY 1991 SUBSTANCE ABUSE FUNDS
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1991 GOALS UPDATE
In FY'91, the Division of Alcohol and Drug Abuse Prevention
				utilized a planning format that was created in the middle 1970s. The goals were
				established in the enabling legislation that created the Office of Alcohol and
				Drug Abuse Prevention (Act 644 of 1977). These six goals, very broads in
				nature, are as follows:
1. To act as a
			 strong advocate for needed services for alcohol and drug abusers in Arkansas
			 and to assure that these needs are identified and presented to lawmakers and to
			 key decision makers.
2. To assure
			 the provision of comprehensive treatment and prevention services to citizens of
			 Arkansas who have alcohol and/or other drug abuse problems or potential
			 problems.
3. To assure that
			 comprehensive services are tailored to the specific needs of individuals within
			 each county and region of the State.
4. To assure that all services provided for
			 the alcohol and drug abuser meet minimum standards required for quality
			 care.
5. To allocate the available
			 limited dollars to local communities in the most cost-efficient and
			 cost-effective process available to the Agency.
6. to coordinate with other state agencies
			 and voluntary agencies to assure maximum utilization of available resources and
			 services.
Each goal and a review of its status are as follows:
1. To act as a strong advocate for needed
			 services for alcohol and drug abusers in Arkansas and to assure that these
			 needs are identified and presented to lawmakers and to key decision makers.
This goal was met in pan by two significant events. During
				1991, the Division of Alcohol and Drug Abuse Prevention provided leadership in
				founding The Interagency Coordinating Committee on Drug Abusing Pregnant Women
				and Drug Affected Infants. This 37 member committee has members from 25
				different state and private non-profit agencies and has served as the
				springboard for joint grant applications and ultimately the establishment of
				the SSA's three (3) Pregnant and Parenting Women Living Centers. Also, during
				this same period, the Division presented a legislative package for the 78th
				Session of the Arkansas General Assembly. Although a great many of the bills
				were passed, including a $3,593,010 expansion of adolescent and adult treatment
				services. However, due to the Revenue Stabilization Act, the Acts were placed
				in lower funding categories that were not implemented.
2. To assure the provision of comprehensive
			 treatment and prevention services to citizens of Arkansas who have alcohol
			 and/or other drug abuse problems or potential problems.
The Division funded a statewide treatment network of 25
				residential and outpatient treatment facilities during FY'91. These
				geographically located facilities provided treatment services to 13,483 men,
				women and adolescents throughout the State. Additionally, all treatment
				providers had to be able to provide comprehensive treatment services to their
				clients either through direct service provision, by sub-contract, or by
				referral. The Division, through a combination of funding sources, provided
				prevention programming through grants to private non-profit agencies. The basic
				prevention service was delivered through a group of 12 agencies which provided
				the Early Intervention Program. This skill building/decision making curriculum
				was available to all Arkansas citizens at no cost. Additionally, the Division
				funded approximately 21 Prevention Service Program grants with community-based
				organizations. This is in keeping with the SSA's philosophy that the local
				community knows best how to solve its own problems.
3. To assure that comprehensive services are
			 tailored to the specific needs of individuals within each county and region of
			 the State.
The Division of Alcohol and Drug Abuse Prevention sub-divided
				the State into 13 catchment areas for treatment services and eight (8) regions
				for prevention programming. Funded treatment programs were required to provide
				services to their entire catchment area, thus providing comprehensive services
				to all 75 counties in the state. In addition, the
Standards for the
				Accreditation of Alcohol and/or Other Drug Abuse Treatment
				Programs/Facilities
require that treatment program Boards of
				Directors have representation from all counties in their catchment area, thus
				assuring that geographic interests were represented. Prevention programming
				statewide coverage was assured by funding 12 private non-profit agencies to
				deliver the Early Intervention Program (EIP) in eight (S) regions throughout
				the state. Each provider of EIP services was mandated to serve the counties in
				their region or partial region. Additionally, the Division funded two
				Prevention Service Program (PSP) grants in each of the eight (8) regions and
				two extra PSPs in the Central Region (largest population concentration area)
				and three (3) larger PSP grants on an at-large basis.
4. To assure that ail services provided for
			 the alcohol and drug abuser meet minimum standards required for quality care.
As mentioned in item three (3) above, the Division of Alcohol
				and Drug Abuse Prevention has in place an accreditation process for the
				assurance of quality treatment services for all treatment providers in the
				State, both publicly funded and for-profit entities. These standards are
				applied using a peer-review process which includes Division staff as well as
				peer reviewers. The process is mandated by Act 597 of 1989 and applies to any
				entity holding itself out to be a provider of alcohol and or other drug
				treatment services. Additionally each program (treatment and prevention)
				receives at least one on-site monitoring visit each year and a desk review of
				monthly and quarterly reports.
5. To allocate the available limited dollars
			 to local communities in the most cost-efficient and cost-effective process
			 available to the Agency.
The Division of Alcohol and Drug Abuse Prevention has
				historically allocated treatment program funding on a per capita catchment area
				basis. Such was the case in FY'91. Any other distribution or re-distribution of
				treatment funding was based on program utilization. Prevention funding was
				allocated as described in item three (3) above.
6. To coordinate with other state agencies
			 and voluntary agencies to assure maximum utilization of available resources and
			 services.
The Division of Alcohol and Drug Abuse Prevention has continued
				its close association with the Arkansas Department of Health, the Divisions of
				the Arkansas Department of
Human Services, Arkansas Department of Correction, and other
				State agencies. As mention in item one (1) above the Division was a leader in
				establishing the Committee on Drug Abusing Pregnant Women and Drug Affected
				Infants. Additionally, the Division continued its working relationship with the
				University of Arkansas for Medical Sciences through its two Division-endowed
				professorships. The Division again served as a co-sponsor of the Mid-South
				Summer School on Alcohol and Other Drug Abuse Problems which brought together
				768 participants for a week of continuing education in 1991.
2. HOW SUBSTANCE ABUSE FUNDS WERE USED
			 -PREVENTION/EARLY INTERVENTION
The Arkansas Bureau of Alcohol and Drug Abuse Prevention (ADAP)
				continued to
contract
a significant portion of
the
				ADMS
Block Grants funds to support eleven community-based Early
				Intervention Programs during the period covered in this narrative. These
				programs are assigned specific geographical regions within the state to provide
				services which ensure that a variety of education/prevention/early intervention
				services are available to the public at no charge.
The EIP's, first funded in
1982,
were
				originally developed as community-based "diversion" programs which were
				intended to provide Arkansas with effective and less expensive alternatives to
				treatment for those youth who were experimental, casual recreational and/or
				moderate substance abusers. The core of each program was a four (4) foci
				curriculum intended for small, highly interactive group presentations following
				a skill building, structured learning format, targeting family, youth, parents
				and the community. The strategies employed through these curricula are designed
				to address characteristics that correlate positively with reduced risk of
				alcohol and other drug abuse. Some of the characteristics are as
				follows:
Strong identification with viable role models which enhance
				self concept and provide a positive reference group.
High identification with and responsibility for "family"
				process which provides an identity with things greater than self and involves
				shared investments and responsibility for achievement of outcomes and
				accountability to others for behavior.
Strong problem-solving skills which facilitate the ability to
				work through problems and enhance the belief that through the use of personal
				resources, solutions may be developed.
Strong interpersonal skills which enable the individual to
				effectively communicate, negotiate and adapt their interaction with
				others.
While the life-skills curricula remains at the core of the
				EIP's, ongoing assessment and evaluation as well as the application of
				prevention research from other studies has caused the program to change in the
				following manner:
1. Application has
			 shown that the EIP curricula represents an activity that can be more accurately
			 described as primary prevention and has been redirected to an audience younger
			 than that originally intended.
2.
			 The curricula as written was not readily embraced by minority, high-risk and
			 other, out of the mainstream populations. To begin to address this deficiency,
			 EIP personnel were provided training in cultural awareness and sensitivity and
			 shown ways to adapt materials to the specific needs of their target
			 population.
3. A K-5 curricula was
			 developed and distributed to further expand the materials available to enable
			 those programs to begin to reach populations not previously served.
4. A Late-Onset Alcoholism Training Model for
			 Formal and Informal Caregivers was accessed and is currently being field tested
			 to further enhance these programs' capabilities to respond to the ATOD needs of
			 our elder population.
5. Program
			 dissemination, which originally relied greatly on adult volunteers, has shifted
			 focus to now recruit and train youth to provide the EIP materials. This change
			 has shown extremely positive results as
* it empowers the youth by providing opportunities for
				meaningful participation and responsibility.
6. An Early Intervention Program was placed
			 in the Youth Services Centers to allow access to youth adjudicated by the
			 Juvenile Court System. This program is currenrly undergoing substantial
			 revision and redirection of program effort as the deficiencies note in the
			 community-based EIP's are magnified tenfold in the detention setting.
7. Finally, ongoing training is provided to
			 the EIP Coordinators and staff to allow them to more appropriately address the
			 specific needs of alcohol and other drug education/prevention/intervention
			 services within their catchment areas. During the period of this report, EIP
			 Coordinators and their staff participated in an intensive Training of Trainers
			 (TOT) using curricula developed by CSAP for their Community Partnership grant
			 recipients. This training follows the previous year's TOT conducted by
			 NASADAD/MACRO/The Circle.
The Early Intervention Programs provide the ADAP's only
				contracted/directed education/prevention/intervention services. ADMS Block
				Grant funding accounts for 66% of the funding costs allocated for this effort.
				Over 72,000 Arkansans were in receipt of these services in state fiscal year
				1992. The Early Intervention program would be discontinued in the following
				fiscal year. These funds will be used to support the creation of Prevention
				Resource Centers.
Education, training and providing information and referral
				services to personnel from a variety of disciplines continues to occupy an
				important role in the attainment of our ADMS Block Grant prevention/early
				intervention goals. The ADAP continues to support teacher training programs
				housed at the University of Arkansas - Fayetteville and the University of
				Central Arkansas to instruct classroom teachers in innovative methods of
				infusing a holistic health education message into curricula for students in
				grades K-12. Specific funding is targeted to two local educational agencies
				(LEA's) to address the needs of those students in an Alternative classroom
				setting. The ADAP also provides block grant to support a consortium of
				representatives from the states' 41 campuses of higher education. This
				constitutes the states sole effort to provide coordinated ATOD prevention
				programs on these campuses. The Bureau continues to support the Mid-South
				Summer School on Alcohol and Other Drug Problems which entered its 19th year by
				providing topical presentations on a variety of ATOD issues to the almost 800
				in attendance. Also included in this category is the ongoing support of the
				Arkansas Substance Abuse Certification Board which ensures quality standards
				are achieved by the AOD treatment community.
The ADAP also provides funds to twenty-two Chemical Free Living
				Centers (CFLC's) across the state to assist those individuals that have
				recently completed a state-certified AOD residential program in maintaining a
				drug-free lifestyle while they reintegrate into mainstream society. A Substance
				Abuse Treatment Program (SATP) is also provided to inmates housed at seven
				units within the State Department of Correction.
The ADAP strives to assess on an ongoing basis those
				populations, areas and locations in the state with the greatest need for
				alcohol and other drug abuse prevention/intervention services and to target
				programs, resources and services accordingly. Most of the progress we have made
				in addressing these needs have been through the utilization of funds from
				sources other than the ADMS Block Grant, such as, the Department of Education
				Drug-Free Schools and Communities Act - Governor's Portion, CYAP Block Grant
				funds and through collaborative efforts with other state governmental agencies
				to maximize the tenuous levels of funds available to address these tasks. An
				inhouse evaluation of the type of services and programs currently supported
				through the use of ADMS Block Grant funds is underway. It is anticipated that
				portion of the funding available to certain efforts will be redistribute to
				further target identified prevention/intervention needs.
UPDATE ON FY 1993 GOALS
The following are the goals listed in last year's application
				and a progress report on their objectives:
Goal #1 To develop and implement a comprehensive statewide
				needs assessment process.
Objectives 1 and 2 were based on ADAP being awarded a CSAT
				Needs Assessment Grant. ADAP did not receive this grant and therefore these
				objectives were not attained.
Objective 3 was to continue the ADAP process for receiving
				public input. This was attained.
Comment
: Currently, the ADAP is
				participating in the development of a needs assessment for the entire
				Department of Health. The most useful component of this needs assessment for
				the ADAP's purposes will be a mailed survey of the general public. The ADAP has
				never had this type of information before.
Goal #3 To monitor all prevention and treatment grants and to
				make any necessary changes to improve their quality and appropriateness.
Objectives 1 and 2 stated the ADAP's system of monitoring
				programs on-site and at the ADAP office. Both of these objectives were
				attained.
Comment
: Monitoring has been enhanced
				this past year due to ADAP's move to the Health Department. As part of this
				process 4 financial personnel were transferred to the ADAP. All 4 staff members
				are experienced in alcohol and other drug grants and PC skills.
Goal #4 Address the treatment needs of substance abusers in the
				State.
Objective 1 addressed the need to provide treatment
				options.
Objective 2 addressed the needs of options for injection drug
				users. These objectives were attained.
Objective 3 addressed the need for continuous dissemination of
				current HIV information to treatment providers. This objective was
				attained.
Comment
: In January, 1994 the ADAP and
				UAMS opened an injection drug users clinic with methadone services. This is the
				first in the state.
Goal #5 Insure that comprehensive treatment services are
				available in Arkansas for drug abusing pregnant women and women with small
				children.
Objective 1 was to award specific grants for residential
				centers for this client population. This was attained.
Objective 2 was to continue and enhance interagency cooperation
				for issues involving this client population. This was attained.
Comment
: In 1993 the ADAP awarded 3
				grants to establish Pregnant and Parenting Women Living Centers. These are
				comprehensive, residential treatment centers where pregnant women and women
				with small children may stay for a maximum of 2 years.
Also, in July of 1993 the ADAP sponsored a team to participant
				in the Community Team Training Institute.
Goal #6
To seek out potential applicants for the
				Revolving Loan Fund
.
Objectives 1 and 2 addressed the promotion and assistance to
				potential applicants for this fund. These objectives were attained, but the
				number of applicants has not increased significantly.
Comment
: During 1993, ADAP arranged
				for a volunteer representative of Oxford Houses, Inc. to address various groups
				within the state.
GENERAL COMMENT
: For FFY'91, the base
				for services to pregnant omen with dependent children, tuberculosis services
				and for HIV early intervention was S0.0. However, as noted above and in other
				sections of this application, the ADAP is moving forward on all these
				requirements in our current fiscal year.
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Detailing expenditures on prevention and early intervention
				(Row 4)
There are
six
prevention strategies typically
				funded by principal agencies administering the block grant. Here are
				definitions of those strategies:
Information - This strategy provides knowledge and increases
				awareness of the nature and extent of alcohol and other drug use, abuse, and
				addiction, as well as their effects on individuals, families, and communities.
				It also provides knowledge and increases awareness of available prevention and
				treatment programs and services. It is characterized by one-way communication
				from the source to the audience, with limited contact between the two.
Education - This strategy builds skills through structured
				learning processes. Critical life and social skills include decision making,
				peer resistance, coping with stress, problem solving, interpersonal
				communication, and systematic and judgmental abilities. Tnere is more
				interaction berween facilitators and participants than in the information
				strategy. .
Community and professional mobilization - This strategy
				provides ongoing networking activities and technical assistance to community
				groups or agencies. It encompasses neighborhood-based, grassroots empowerment
				models using action planning and collaborative systems planning.
Alternatives - This strategy provides participation in
				activities that exclude alcohol and other drugs. The purpose is to meet the
				needs tilled by alcohol and other drugs with heaithy activities, and to
				discourage the use of alcohol and drugs through these activities.
Social policy and environmental change - This strategy
				establishes or changes written and unwritten community standards, codes, and
				attitudes, thereby influencing alcohol and other drug use by the general
				population.
Early intervention - This strategy is designed to come between
				a substance user and his or her actions in order to modify behavior. It
				includes a wide spectrum of activities ranging from user education to formal
				intervention and referral to treatment from a substance abuse
				professional.
Now refer back to Form 04 and look at all "the entries you made
				on row 4 (prevention and early intervention). Use the table below to indicate
				how much funding supported each of the six strategies. Enter in whole dollar
				amounts.
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ENTITY INVENTORY LIST
1. City of North Little Rock
Sherman Park Recreation Ctr. 624 North Beech Street North
				Little Rock, AR 72114
25. Arkansas Community Cornerstone Foundation P. O. Box 5822
Pine Bluff, AR 71611
26. Community Service, Inc. P. 0. Box 679 Morrilton, AR
				72110
27. Ouachita Children1 s Center 339
				Charteroak
Hot Springs, AR 71901
28. Youth Bridge P. 0. Box 668 Fayetteville, AR 72702
29. Arkansas College Personnel Association
SAU Box 1364 Magnolia, AR 71753
30. Jonesboro School District 1307 Flint Street Jonesboro, AR
				72401
31. Malvern School District 525 East Highland Malvern, AR
				72104
32. University of Central AR Department of Health Education P.
				O. Box
5016
Conway, AR 72035-0001
33. University of Arkansas-Fayetteville
HPER 326-A Fayetteville, AR 72701
34. " University of Arkansas-
Little Rock 2801 University Little Rock, AR 72204
35. Division of Children and Family Services -Youth Services
				Ctr.
P. O. Box 1437
Little Rock, AR 72203-1437
36. New Futures for Little Rock Youth 209 W. Capitol
2nd Floor Annex
Little Rock, AR 72201-3630
37. Office of the Governor Arkansas Drugs Don't Work State
Capitol
Building Little Rock, AR 72201
38. Boys,
Girls,
Adults Community Development
				Center P. O. Box 1356
Marvel, AR 72366
39. City of Dermott P. O. Box 371 Dermott, AR 71638
40. Massey D. Jordan Youth
Development 1314 S. Cherry Pine Bluff, AR 71601
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