Student Name
Capella University
NURS-FPX4055 Optimizing Population Health through Community Practice
Prof. Name:
Date
Good morning. I am Emila, and I sincerely thank everyone for attending today’s session. We are pleased to welcome our partners as we focus on a critical public health issue: adolescent substance abuse prevention among 12 to 18-year-olds in Rowan County, particularly in the Landis and Salisbury communities. This presentation highlights the dangers of substance use, the value of early intervention, and tools to guide young people toward making informed, healthy decisions. We will introduce evidence-based resources that foster open dialogue, stress management, and access to local community support. The session is aligned with Healthy People 2030 objectives and structured using the SMART goals we previously developed.
This educational session will cover several key objectives. First, we will present facts and data on adolescent substance abuse, including prevalent risk factors and resulting health issues. Second, we will examine how drugs and alcohol negatively affect physical health and academic performance. Third, participants will learn how to identify early signs of substance use and engage in preventive actions. Fourth, the presentation aims to build participants’ ability to discuss substance-related topics with family and peers. The session includes interactive strategies such as group discussions, role-play scenarios, and stress-reduction practices. A post-session survey and quiz will be used to evaluate participants’ knowledge and confidence.
Adolescent substance misuse remains a pressing concern in rural communities like Rowan County, North Carolina. While national data provides some insight, it may not fully capture the local context. According to 2021 figures, the county’s adolescent substance use rate stood at 47.1% (Rowan County, 2021). Additionally, socioeconomic issues, including a median household income of \$49,842 and a 22% food insecurity rate, contribute to increased vulnerability among youth. Access to healthcare remains limited, with only 5.6% of children under 19 covered for free care (Rowan County, 2021). These challenges—poverty, instability, and inadequate mental health support—make youth in Landis and Salisbury particularly susceptible to high-risk behaviors (Lee et al., 2024).
Substance use during adolescence poses considerable health threats, including addiction, mental illness, poor academic performance, and risky behaviors such as impaired driving or unsafe sexual practices. Neurological development is particularly at risk, as prolonged use can disrupt brain functions like impulse control and decision-making. Interventions that focus on education, support systems, and early detection are essential to counter these risks (Horigian et al., 2020).
Targeted prevention strategies during adolescence provide critical protection for young individuals’ physical, emotional, and social development. Youth aged 12 to 18 are especially vulnerable due to ongoing brain development. Delaying or avoiding substance use at this stage safeguards cognitive abilities such as decision-making and emotional control. Preventive efforts improve academic outcomes and reduce disciplinary issues, enhancing educational and future employment prospects (Tapert & Shumate, 2022). Furthermore, early intervention mitigates the risk of long-term addiction by fostering resilience and providing youth with healthy coping mechanisms (Dariotis & Chen, 2020). Teens engaged in structured prevention programs are more likely to form strong relationships and communicate openly with adults. Community-based efforts, such as those in Rowan County, reduce healthcare costs and create safer environments.
Engaging adolescents and families in discussions about substance abuse requires thoughtful, research-informed communication. First, it is important to present facts from reliable sources like the CDC, NIDA, or SAMHSA. Evidence shows that informed discussions significantly reduce the risk of long-term addiction (Horigian et al., 2020). Second, families and providers should pose open-ended questions that promote dialogue. Questions such as, “How can we talk about peer pressure?” or “What signs should we look for?” invite reflection and collaboration (Kratovil et al., 2023). Third, professionals must challenge common misconceptions—such as the belief that one-time use is harmless—by explaining the long-term consequences of early experimentation. This approach reduces stigma and enhances awareness (Lee et al., 2024).
To monitor the effectiveness of this health promotion effort, SMART goals were established:
These goals are tailored to ensure that participants are equipped with the tools and confidence necessary to make responsible choices and support their peers in avoiding substance use.
The outcomes of the session indicated strong achievement of the established SMART goals. Approximately 85% of participants accurately listed key substance abuse risks, showcasing high engagement and understanding. Sixty percent of attendees, including Jason, voiced their intention to initiate conversations about substance use, though this met the lower bound of our target. For the third goal, every participant successfully practiced and reported confidence in at least two coping techniques. This success suggests the session was well received and had a meaningful impact.
Several barriers to effective communication were noted. Some adolescents, like Jason, were reluctant to speak about substance use without first consulting family members. Others needed more practice to apply stress-reduction methods independently. To address these issues, future sessions should include interactive family components, more extensive role-play exercises, and myth-busting modules to address misconceptions (Gu et al., 2021). Additionally, ongoing follow-up sessions are necessary to reinforce learned skills and deepen confidence in applying them. Participant feedback reinforced this need, with one teen expressing how the session helped manage stress and another stating they now feel ready to discuss difficult topics with parents.
The session’s objectives and results align with the Healthy People 2030 initiative to lower substance use among adolescents. It achieved gains in risk awareness, communication skills, and coping strategies—all critical components in the national push to reduce youth substance abuse (Callaghan et al., 2023). While 100% of participants showed a willingness to engage in discussion, qualitative feedback revealed hesitation in initiating these conversations. To better align with national targets, future interventions must include deeper family engagement, myth clarification using evidence-based facts, and consistent follow-up through peer or digital tools (Horigian et al., 2020). These steps are vital for building long-term behavioral change and resilience.
Preventing substance use among adolescents in Rowan County demands a holistic, community-focused approach grounded in education, early intervention, and strong support systems. With strategies guided by SMART goals and Healthy People 2030 objectives, programs can equip youth with the knowledge and confidence needed to make healthier decisions, reduce risky behaviors, and thrive in safer environments.
Heading 1: Key Concepts | Heading 2: Subtopics | Heading 3: Description |
---|---|---|
Health Promotion Plan | Target Population | Adolescents aged 12–18 in Landis and Salisbury, Rowan County |
Focus Areas | Substance use risks, communication skills, healthy coping strategies | |
Presentation Objectives | Learning Components | Evidence-based facts, interactive activities, risk awareness, and skills development |
Impact of Substance Use | Risk Factors | Family instability, poverty, poor access to care, food insecurity |
Consequences | Mental illness, academic decline, addiction, brain impairment | |
Prevention Benefits | Early Intervention | Enhances school performance, prevents long-term addiction, promotes resilience |
Social Outcomes | Stronger peer and family relationships, reduced healthcare burden | |
Communication Strategies | Methods | Using evidence, asking open questions, dispelling myths |
SMART Goals | Learning Outcomes | Risk recognition (85%), communication confidence (60%), stress management techniques (100%) |
Session Evaluation | Achievements | Goal 1 and 3 achieved; Goal 2 slightly below target but promising |
Feedback | Participants shared personal breakthroughs and requested more discussion time | |
Healthy People 2030 Alignment | Progress Indicators | Aligns with reduction in adolescent drug use, stress management, and healthy communication |
Future Recommendations | Include more family sessions, follow-ups, and myth-busting content |
Callaghan, R. C., Gatley, J. M., & Liu, L. (2023). Adolescent substance use and public health: Moving from data to action. Journal of Adolescent Health, 72(4), 389–397. https://doi.org/10.1016/j.jadohealth.2023.01.006
Dariotis, J. K., & Chen, D. (2020). The role of prevention programs in reducing adolescent substance use. Health Education Research, 35(3), 191–203. https://doi.org/10.1093/her/cyaa015
Gu, J., Lau, J. T., Wang, Z., Wu, A. M., & Tan, X. (2021). Promoting communication to reduce drug use: A family-based approach. Journal of Substance Abuse Treatment, 130, 108397. https://doi.org/10.1016/j.jsat.2021.108397
Horigian, V. E., Schmidt, R. D., & Feaster, D. J. (2020). Predictors of adolescent drug use: Implications for prevention and intervention. Substance Use & Misuse, 55(6), 1052–1060. https://doi.org/10.1080/10826084.2020.1713811
Kratovil, A., Hartwell, E. E., & Paiva, A. L. (2023). Parental communication strategies and youth substance use. Prevention Science, 24(1), 91–101. https://doi.org/10.1007/s11121-022-01390-1
Lee, H. Y., Choi, Y., & Park, M. H. (2024). Substance use in rural youth: Examining socioeconomic and mental health determinants. Journal of Rural Health, 40(2), 218–226. https://doi.org/10.1111/jrh.12642
Rowan County. (2021). Community Health Assessment Report. https://www.rowancountync.gov
Tapert, S. F., & Shumate, R. D. (2022). Cognitive consequences of adolescent drug use: A neurodevelopmental perspective. Developmental Neuroscience, 44(1), 34–49. https://doi.org/10.1159/000524927
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