Tobacco Education Program Review

Prevention Updates FY20 DAODAS Prevention Team 02/12/2020 1 South Carolina Department of Alcohol and Other Drug Abuse Services What we will cover: DAODAS Staff Changes FY20 Funding and Compliance Contract New SAPT BG Primary Prevention Set Aside Formula IMPACT Closeout for FY19 and Set-Up for FY20 SOR One-Time Prevention Funding DEA Operation Prevention Curriculum and training Just Plain Killers Campaign-Year Three 02/12/2020 2 South Carolina Department of Alcohol and Other Drug Abuse Services What we will cover: DAODAS Standard Survey Evaluation Handbook New Employee Handbook PREP Synar/STEP

TEP CBD/Hemp/Kratom Training 02/12/2020 3 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract Staff: (page 2) Subgrantee shall secure all staff required in performing the services under the terms of this Contract. All of the services specified in this Contract and all personnel engaged in the work shall be fully qualified and authorized under state law to perform such services. Subgrantee shall further have in existence personnel standards and a personnel compensation and classification system. Subgrantee shall make reasonable efforts to ensure that employees working in any program component funded wholly or in part by SABG funds be afforded opportunities for continuing education per 45 CFR 96.132 (b). These opportunities should be designed to meet the staff certification and licensing requirements to provide services under any grant. Records of such continuing education shall be maintained by Subgrantee. 02/12/2020 4 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract

In the event that Subgrantee discontinues a program or will not be able to provide services for an extended period, Subgrantee must notify DAODAS immediately. Privileging and Certification All personnel providing services funded by DAODAS shall be privileged by Subgrantee to provide each service and shall meet the applicable standards enumerated in this contract. Privileging documentation shall be maintained in a separate file or a separate section of the personnel file. Allowable Costs (page 8) Allowable costs incurred under any DAODAS funded grant or contract shall be determined in accordance with the general principles and standards for selected cost items as set forth in the applicable OMB Circulars referenced under Audit Standards and Applicable Laws and Regulations. Non-Supplantation of Existing Programs (page 8) Subgrantee agrees that funds made available by DAODAS will be used by Subgrantee to implement or increase the level of funding in the specified services only. Funds received through a DAODASfunded grant shall not supplant any other federally funded projects. 02/12/2020 5 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract Travel (page 8) Subgrantee shall adhere to the travel policies and procedures of the State of South Carolina in all program areas that are funded partially or in full by DAODAS, except in instances where Subgrantee is operating under the policies and procedures of county government or when policies and procedures approved by the governing board of Subgrantee do not exceed the provisions of the State of South Carolina. Records Retention (pages 8 and 9) Records with respect to all matters covered by funding through DAODAS shall be made available to DAODAS or its duly appointed representatives for audit inspection or monitoring. All pertinent information, including financial records, supporting documents, statistical records,

and patient records, shall be retained for a minimum of three years after the final expenditure report. However, if any litigation, claim, or audit is started before the expiration of the threeyear period, then records must be retained for three years after the litigation, claim, or audit is resolved. Subgrantee shall adhere to DHEC regulations for storage of outpatient and residential patient records. 02/12/2020 6 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract Compliance Reviews (page 9) DAODAS reserves the right to perform on-site reviews of all programmatic/financial documentation to ensure compliance with Subgrantee monitoring guidelines as published in 2CFR 200 Uniform Guidance, Healthy Connections Provider Manual for Rehabilitative Behavioral Health Services, CARF, ASAM, and other standards that DAODAS may deem appropriate. DAODAS will notify Subgrantee of Coordinated County Review standards with as much advance notice as possible. At a minimum, this will include compliance, clinical quality assurance, and prevention activities. County Assistance Plan (page 10) DAODAS will monitor certain key performance indicators of Subgrantee and, when necessary, may direct Subgrantee to improve through the County Assistance Plan (CAP). This plan will be designed by DAODAS to assist Subgrantee in the early detection and resolution of problems related to performance. When staff interventions fail to correct the identified problem(s), Subgrantee will be placed under the Managed Improvement Plan (MIP) and will be expected to make progress in resolving the problem(s) in order to remain eligible for funding or other financial support from DAODAS. 02/12/2020 7

South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: ARTICLE IV - PREVENTION Staff Requirements for Prevention Services (page 37) In each county, agencies shall provide staff dedicated to the provision of primary prevention services as it relates to funding provided through the Substance Abuse Prevention and Treatment Block Grant in each county as delineated in 402.e. (Primary Prevention/Education Program). Minimum Qualifications:To provide or coordinate prevention services as an employee of a county alcohol and drug abuse authority, staff who were hired by a county authority after July 1, 2006, must hold a minimum of a bachelors degree from an accredited college or university, be certified or in the process of becoming certified, and be under active and ongoing prevention mentoring. New Hires/Position Changes: Subgrantee must inform the DAODAS prevention manager in writing within thirty (30) days of a new position hire/change in block grant or other DAODASfunded prevention staff positions. Agencies should submit the following information: name, position, e-mail address, and telephone number. Changes and or updates must also be made into IMPACT as soon as the change/hire takes effect. Certification:Staff shall be certified: by the South Carolina Association of Prevention Professionals and Advocates (SCAPPA) Certification Commission as a Certified Prevention Specialist (CPS); or by the SCAPPA Certification Commission as a Certified Senior Prevention Specialist (CSPS). Certified prevention staff must have a written training plan, updated annually, pertinent to maintaining SCAPPA certification. 02/12/2020 8 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: ARTICLE IV PREVENTION (pages 37/38)

In Process: Staff may be privileged to provide prevention services while in the process of earning certification. The in-process person: Must apply for certification by SCAPPA as a CPS or CSPS within six (6) months of hire. (Evidence of the employees application for SCAPPA certification must be placed in his/her privileging or personnel file.) Must have a detailed written training plan to obtain certification within thirty-six (36) months of his or her application for certification, and must achieve certification by the end of this three (3)-year period. The certification timeframe does not restart if the employee leaves the agency and joins a different agency. The application is transferable to another agency where the person is employed during the thirty-six (36)-month time period. (A copy of the written plan, signed by the staff member and his/her manager, must be retained in his/her privileging or personnel file and updated on an annual basis.) Must be under active and ongoing prevention supervision. Must be engaged in an active and ongoing prevention supervision process. Supervision must be provided by an individual approved by SCAPPA. A written plan that addresses information on the supervision progress shall be placed in the employees privileging or personnel file. Both the staff member and his/her manager must sign this plan and update it on an annual basis. Documentation that SCAPPA has approved the prevention supervisor must be attached. 02/12/2020 9 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: ARTICLE IV PREVENTION (page 38) Primary Prevention/Education Program (PREV-CG), Class Code 8001 Definition: Primary Prevention includes all services that reduce the risk of developing any and all substance use disorders, or services that enhance factors that protect individuals and groups from developing substance use disorders. Programs, services, and prevention strategies are directed at individuals who have been determined not to require treatment for substance use.

Strategies may include diverse outcome work plans in the universal, selected, and indicated prevention interventions. Strategies may also focus on strengthening the host or individual who may develop these problems, reducing the availability of the agent (alcohol, tobacco, and other drugs), or modifying the environment in which these problems occur. The primary focus of prevention strategies is on individuals, targeted high-risk groups, environmental policies and norms, and influencing behavior of persons within the community who are not patients with diagnoses. The Substance Abuse Prevention and Treatment Block Grant (SABG) requires the state to spend not less than twenty percent (20%) of SABG funds on a broad array of primary prevention strategies. Comprehensive primary prevention services should include, but are not be limited to, the six (6) CSAP strategies and the use of the IOM models of universal, selective, and indicated to target populations with different levels of risk and should be provided in a variety of settings for both the general population, and targeted sub-groups. 02/12/2020 10 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: ARTICLE IV PREVENTION (page 38) Outcomes-Focused Primary Prevention Service Activities: To assist the State in fulfilling federal expectations and mandates, Subgrantee should demonstrate how implemented prevention service outcome-focused work plans incorporate activities that fall under each of the strategies designated by the Center for Substance Abuse Prevention (CSAP) and as indicated by local needs assessment. These outcome service activities shall be developed using the Strategic Prevention Framework (SPF), which DAODAS has adopted as its planning model. Prevention services should follow the model for all services provided and be reflected and documented in the IMPACT reporting database. If Subgrantee is not utilizing all six (6) CSAP strategy areas, Subgrantee is asked to notify DAODAS regarding which strategy will not be utilized in its service area by completing and uploading the CSAP Strategy Checklist into BOX Enterprise by July 31. It is the responsibility of Subgrantee to

upload a revised checklist and to notify DAODAS if any plans change throughout the fiscal year. The notification should state which CSAP strategy area(s) are affected; a clear example of how the strategy is being met by another partner/organization; and/or documentation of the lack of need for the strategy to be conducted in the county based on relevant needs assessment data. Subgrantee is asked to work closely with its Regional Coach before submission of the form. The uploaded form will serve as documentation for DAODAS to incorporate in required federal reporting of the utilization of the SABG in South Carolina. 02/12/2020 11 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: ARTICLE IV PREVENTION(page 39/40) Target Priority Areas: Through the utilization of the Strategic Prevention Framework (SPF) model, South Carolina has identified the following priority areas being addressed throughout the state utilizing the SABG Primary Prevention funding: Reducing underage alcohol use and the consequences of use; Reducing alcohol-related car crashes (including youth crashes); Reducing youth tobacco use (including smokeless tobacco use); Preventing substance misuse and substance use disorder and improving the well-being of youth and families in South Carolina. Priority Substance: Alcohol (Required) Goal 1: To reduce underage alcohol use in South Carolina. Objectives: Decrease past-month alcohol use (30-day use) among South Carolina high school students to 30% or less. Reduce the underage alcohol buy rate for the state of South Carolina to twelve percent (12%) or less. Goal 2: To reduce alcohol-related car crashes in South Carolina.

Objective: Decrease the percentage of motor vehicle fatalities in which one or more driver had a BAC of 0.08% or higher to forty percent (40%) or less. 02/12/2020 12 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: ARTICLE IV PREVENTION(page 40) Outcomes: Subgrantee should implement evidence-based prevention programs, policies, and/or practices that reflect the utilization of the CSAP strategy areas for primary prevention. At a minimum, outcome plans should include the following evidence-based environmental prevention strategy to address youth access from retail sources: alcohol compliance checks (to include information dissemination and merchant education). These plans will be coordinated in collaboration with the circuit Alcohol Enforcement Team Coordinator for the county. Subgrantee is encouraged to work with its Regional Coach in identifying strategies that achieve the goals associated outcomes. DAODAS reserves the right to ask for an alcohol work plan if one is not submitted and if state needs assessment data so indicate. Alcohol outcome plans that are submitted must be completed in total. Technical assistance will be provided upon request by DAODAS in association with the Regional Coach. Priority Substance: Tobacco (Required) Goal: To reduce tobacco use among youth in South Carolina. Objectives: Reduce the state Retailer Violation Rate (RVR) to ten percent (10%) or less. Reduce past-month tobacco use (30-day use) among South Carolina high school students to fifteen percent (15%) or less. 02/12/2020 13

South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: ARTICLE IV PREVENTION(page 41) Outcomes: Subgrantee should implement evidence-based prevention programs, policies, and/or practices that reflect the utilization of the CSAP strategy areas for primary prevention. The tobacco plan should also address the Synar regulation of the SABG funding that must be implemented at the state and local levels as outlined by the Center for Substance Abuse Prevention. The Synar requirements are as follows: Enact laws prohibiting any manufacturer, retailer, or distributor of tobacco products from selling or distributing such products to any individual younger than age 18 (State). Enforce these state laws (State and Local). Conduct annual, unannounced inspections that provide a valid probability sample of tobacco sales outlets accessible to minors (Synar Study) (State and Local). Maintain a noncompliance rate of no more than twenty percent (20%) (State and Local). Submit an annual report detailing activities to enforce the law (State). At a minimum, outcome plans should include the following evidence-based environmental prevention strategy to address youth access from retail sources: tobacco compliance checks (to include information dissemination and merchant education). The representative of the agency conducting the study shall attend the required training and carry out the study following the guidelines provided by DAODAS. Subgrantee must follow the guidelines provided by DAODAS to ensure fidelity of the study. Subgrantee shall report to DAODAS the results of the Youth Access to Tobacco Study by the published deadline in order to be reimbursed for the cost incurred by Subgrantee in completing the annual study. 02/12/2020 14 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: ARTICLE IV PREVENTION(pages 41/42)

Priority Substance: Marijuana, Prescription Drugs, Heroin, Cocaine, Synthetic Drugs Goal: To provide primary prevention programs and practices to prevent substance misuse and substance use disorder and improve the well-being of youth and families in South Carolina. Objectives: To ensure that ninety-five percent (95%) or more of the participants served in primary prevention educational programs will be served using evidence-based universal, selected, and indicated programs. To reduce the percentage of South Carolina high school students reporting the use of any substance in the past thirty (30) days to forty-five percent (45%) or less. Outcomes: Subgrantee may have work plan(s) targeting other substances as outlined above, and as indicated by the local needs assessment. The work plan(s) should address the state goals outlined above, or other local goals, and include local outcomes related to reduced number of high school students reporting the use of any other substance. 02/12/2020 15 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: AET- (Pages 42/43) Definition: The AET Coordinators shall collaborate with the prevention coordinators and law enforcement partners in each county located in the circuit to implement evidence-based environmental strategies to reduce underage alcohol use and its harmful consequences, coupled with an active public education and prevention strategy. These teams impact the goal established by South Carolina of reducing underage alcohol use on the state and local levels. Reporting Requirements: DAODAS has developed a cloud-based environmental reporting system that is utilized for reporting all prevention strategies implemented by the AETs at the local, county, and circuit levels. The AET Coordinator will work to ensure all prevention strategies are reported for the circuit through the environmental strategies reporting system. Subgrantee is required

to use the online reporting system for any prevention strategies implemented by the AETs in all counties throughout the circuit for the previous month. Monthly data shall be submitted electronically to the cloud-based IMPACT system on the eighth working day of the following month. The AET Coordinator shall submit all service activity information to IMPACT for prevention strategies completed by the AETs in each county throughout the circuit in accordance with the guidelines of the MOSAIX IMPACT system. The AET Coordinator should collaborate with the prevention coordinator for each county authority served through the circuit to either obtain a log-in for IMPACT to enter data directly or ensure that all data is provided to the local prevention coordinators for county data entry into IMPACT. Prevention forms, templates, etc., can be accessed at http://ncweb.pirpppe.org/scdocuments. 02/12/2020 16 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: Reporting Requirements- (Pages 44/45) Primary Prevention services will submit all service activity information to the cloud-based IMPACT system in accordance with the guidelines of MOSAIX IMPACT. IMPACT will be used by DAODAS as a grants management system to collect the required prevention information to meet the reporting requirements for the Substance Abuse Prevention and Treatment Block Grant (SABG). Any employee partially or fully funded through the SABG Primary Prevention set-aside is to be entered as a staff person with their funding allocations correctly reported in the IMPACT system. All prevention personnel funded through the SABG Primary Prevention set-aside (regardless of percentage of salary funded) are required to enter direct/indirect and administrative service hours into IMPACT each month. The majority, fifty percent (50%) or more, of staff time entered is expected to be direct/indirect service time in order to accomplish the agencies goals/objectives that have been set for primary prevention. Each agency is required to complete the Prevention Staffing Capacity Plan and upload into BOX Enterprise by July 31. It is the responsibility of the agency to upload a revised Prevention Staffing Capacity Plan and notify DAODAS if there are any personnel changes, staff funding changes, etc., that occur throughout the fiscal year. Quarterly IMPACT reviews

will be based on the Prevention Staffing Capacity Plan submitted by the agency and approved by DAODAS. If staff funded through the SABG Primary Prevention set-aside are not reporting into IMPACT based on the approved plan, DAODAS maintains the authority to withhold reimbursement, require technical assistance, and/or place the county authority on a County Assistance Plan until the issues are resolved. 02/12/2020 17 South Carolina Department of Alcohol and Other Drug Abuse Services FY20 Funding and Compliance Contract: Reporting Requirements(Pages 44/45) Minimum standards for accuracy of monthly data entered into the IMPACT system are as follows Accurate use of prevention service codes provided by DAODAS; Correct application of service codes and categories (direct vs. indirect, single vs. recurring services, service hours vs. administrative hours, etc.); and Monthly documentation in IMPACT of service hours for any organizational member who is providing prevention services. Six (6)-month benchmarks should be entered into the MOSAIX IMPACT system for all process objectives no later than the eighth working day of January. Year-end benchmarks should be entered into the MOSAIX IMPACT system for all process and outcome objectives no later than the eighth working day of July. Subgrantee shall appropriately document funding and report to ensure compliance. 02/12/2020 18 South Carolina Department of Alcohol and Other Drug Abuse Services

FY20 Funding and Compliance Contract: Evaluation (page 45) Prevention providers are required to use the DAODAS Standard Survey (provided separately) as an evaluation tool for any multi-session education program aimed at youth ages 10 to 20. This applies to research-based and non-research-based programs. Program exceptions for the use of the DAODAS Standard Survey are noted and defined in the South Carolina Prevention Evaluation Handbook. The DAODAS Standard Survey pre-/post-test must be submitted to DAODAS at the conclusion of a program. Minimum standards are as follows: All prevention programs using the DAODAS Standard Survey that are administered July-December are required to submit their data to DAODAS by the published date in January. All prevention programs using the DAODAS Standard Survey that are administered January-May are required to submit their data to DAODAS by the published date in June. FY20 Funding and Compliance Contract (Contract) Acknowledgement Form (page 58) 02/12/2020 19 South Carolina Department of Alcohol and Other Drug Abuse Services New SAPT BG Primary Prevention Set Aside Formula Memo sent out by Director Goldsby on July 18th to County Directors DAODAS answered questions and provided additional information at the BHSA Directors meeting on July 24 Highlights from the memo: A standard formula for the distribution of the SABG primary prevention set-aside funding was adopted by DAODAS in July 2013 and went into effect with state Fiscal Year 2014 (FY14). The adopted allocation method was developed by DAODAS to achieve a base funding amount for each county, along with a population-adjusted figure to ensure that prevention services are

provided equitably across the state. This fiscal year, due to an increase in the SABG primary prevention set-aside and the re-allocation of the HIV set-aside (since South Carolina is no longer a designated state and not required to fulfill that set-aside) DAODAS has re-evaluated the current formula with updated figures The state will provide SABG primary prevention set-aside dollars solely based on the funding formula that can be replicated and articulated across all county authorities. 02/12/2020 20 South Carolina Department of Alcohol and Other Drug Abuse Services New SAPT BG Primary Prevention Set Aside Formula FY14 Formula 1. The floor was $40,000 for each county authority. 2. County authorities that serve more than one county receive a bump of $10,000 per county. 3. Population adjustments range from $4,856 to $158,039. 4. Additional funds which will be used for performance bonuses in future years were allocated proportionally in FY14 to minimize the impact to agencies that lost 10% or more of county prevention funding. FY20 Formula 1. The floor (base) will be $60,000 for each county authority. 2. County authorities that serve more than one county receive an additional $15,000 per county. 3. Revised population-based estimates for July 1, 2018, were set by the U.S. Census Bureau on April 18, 2019. The percentages did not change from Fiscal Year 2013. These range from 0.42% to 13.98%. The funding range changed from $6,300 to $209,700 due to an increase in the funding allotted to this part of the funding formula and the population estimates. (https://www.census.gov/quickfacts/fact/table/US/PST045218) At a minimum, population adjustments will be revised every five years. 02/12/2020

21 South Carolina Department of Alcohol and Other Drug Abuse Services New SAPT BG Primary Prevention Set Aside Formula Central Tenets Certain statewide or state-level commitments are funded off the top. This did not change from the previous formula. These include: 1. Alcohol Enforcement Teams, which are funded at $35,000, $40,000, or $50,000, based on the population of the judicial circuit (divided into three tiers); and 2. DAODAS prevention-related contracts, operations, provision of prevention materials statewide (such as PREP materials), and personnel. In addition, state base prevention funding has been reallocated, and each county authority will receive $1,500 per county in base funding. In future years, county authorities may request supply/material and training costs in their submitted County Plans, and DAODAS will consider one-time funding for these items if funds are available to allocate and spend from a previous SABG award. Funding requests related to personnel will not be considered unless new federal or state resources are made available to DAODAS. If there are increases to the federal SABG award in the future, DAODAS will make adjustments to allocated amounts based on the elements set forth in the funding formula. 02/12/2020 22 South Carolina Department of Alcohol and Other Drug Abuse Services IMPACT Closeout for FY19 and Set-Up for FY20 Instructions were sent out via email on July 10 th Reminders: Run reports on a regular basis to verify data entry

Review Excel File to ensure the data string lines up and all entries have been entered correctly and no information or time is missing Review all guidance documents and ask for technical assistance as needed Ensure time is entered in the correct categories (direct, indirect and administrative) Ensure volunteer/coalition members are registered in the coalition module Remember multi-session education programs must be entered as recurring services 02/12/2020 23 South Carolina Department of Alcohol and Other Drug Abuse Services SOR One-Time Prevention Funding Memo sent out by Michelle Nienhius on July 31 st to County Directors A sub-grant (up to $25,000.00 per county), on a reimbursement basis, to use the Strategic Prevention Framework (SPF) model to implement a minimum of two pre-approved evidence-based and promising opioid prevention strategies in partnership with a local government leaders and entity(s), such as: County or Town School District County or Town Manager School District Superintendent

County or Town Council Sheriff County or Town Council Chairperson Mayor Town Police Department Chief of Police The grantee (county authority), should use the Strategic Prevention Framework (SPF) to ensure that opioid prevention programs, polices, and practices are visibly implemented in collaboration and partnership with a local government official(s) and organization(s). The partnership(s) should be highly visible to residents within the area that is selected for implementation. The primary focus of the sub-grants is the general population. 02/12/2020 24 South Carolina Department of Alcohol and Other Drug Abuse Services SOR One-Time Prevention Funding

DAODAS will conduct quarterly reviews of budget spending. If budget is not spent in a timely manner, funds could be reduced up to 10%. The one-time sub-grant award period is July 1, 2019-June 30, 2020 Develop a Memorandum of Agreement/Understanding (MOA/MOU) with the identified local government partner(s). If you serve a multi-county agency, a MOA/MOU must be developed for each county in your service area. Submit Memorandum of Agreement/Understanding (MOA/MOU) with the identified local government partner(s), budget and implementation plan for each county to DAODAS by September 30, 2019. This will be submitted in Box Enterprise. Implement a minimum of two pre-approved opioid prevention strategies in each county. In addition, funds can also be utilized to build capacity of agency staff and local government partners. Complete the Quarterly Implementation & Finance Report for each county (submit in Box Enterprise). Due dates are: October 31, 2019; January 31, 2020; April 30, 2020; and July 31, 2020. 02/12/2020 25 South Carolina Department of Alcohol and Other Drug Abuse Services SOR One-Time Prevention Funding ECHO SOR One-Time funds cannot be used to supplant existing funds. Monies disbursed under ECHO SOR One Time funding must be used to fund new projects, or expand or enhance existing projects. Defining "Supplant" and "Supplement": Supplement means to build upon or add to; supplant means to replace or take the place of. Federal law prohibits recipients of federal funds from replacing state, local, or agency funds with federal funds. Existing funds for a project and its activities may not be displaced by federal funds and reallocated for other organizational expenses. This is illegal. On the other hand, federal agencies encourage supplementing

that is, adding federal funds to what is available in state, local, or agency funds. 02/12/2020 26 South Carolina Department of Alcohol and Other Drug Abuse Services SOR One-Time Prevention Funding: Pre-Approved Strategies CSAP Strategy Category Environmental Environmental 02/12/2020 Strategy Intended Audience Drug Take Back Events (Funds can be used to advertise/promote the event, provide overtime for law enforcement officers, etc.) Provision of drug deactivation bags/buckets (Deterra, DiposeRx, etc.) General population Law Enforcement, Coroners, General population General population

Environmental Prescription Drug Drop Boxes- provision of boxes and/or promotion of current locations Information Dissemination Town Hall meeting/community Forumsfunds could be used for promotion of the event, supplies/materials to host event, room rental, speaker fees, etc. General Population Information DisseminationPromote Safe use of medication, proper storage, disposal, etc. Public Awareness campaign-local branding of Statewide Just Plain Killers campaignplacing ads on local cable channels, radio PSAs, local billboards in high need areas, information packets for dentists/doctors/pharmacists, etc. General population 27 South Carolina Department of Alcohol and Other Drug Abuse Services

SOR One-Time Prevention Funding: Pre-Approved Strategies 02/12/2020 Community-Based Process Professional Education for Health Professionals; Law Enforcement, school personnel, etc. such as Drug Impairment Training for Educational Professionals (DITEP), Advanced Roadside Impaired Driving Enforcement (ARIDE), Safe prescribing practices, use of the SC SCRIPTS system, etc. Health-related professionals (i.e. prescribers and dispensers), School Resource Officers, School Nurses, Guidance Counselors, Teachers, Law Enforcement Officers, etc. Education Curriculum-based programs that have a focus on prescription drugs such as the Operation Prevention (DEA Prescription Drug Program), Botvins Life Skills and Strengthening Families.

Youth and families 28 South Carolina Department of Alcohol and Other Drug Abuse Services SOR One-Time Prevention Funding Capacity: Funds can be utilized to build capacity of agency staff and local government partners. Funds can be budgeted to cover travel to attend state and national conferences (listed below). National Association of Drug Diversion Investigators Conference (November 13-15, 2019) https://www.naddi.org/events/2019-naddi-30th-anniversary-conference/ CADCA Leadership Forum (February 3-6, 2020) National Rx Drug Abuse and Heroin Summit (April 13-16, 2020) https://www.rx-summit.com/ CADCA Mid-Year Training Institute (July 26-30, 2020) South Carolina Governors Opioid Summit (September, 2020) Interest in attending a conference not listed above requires approval from DAODAS. 02/12/2020 29 South Carolina Department of Alcohol and Other Drug Abuse Services DEA Operation Prevention Curriculum and training The DEA and Discovery Education have joined forces to combat a growing epidemic of prescription opioid misuse and heroin use nationwide. Operation Prevention's mission is to educate students about the true impacts of opioids

and kick-start lifesaving conversations in the home and classroom. DEA and Discovery Education are grateful to the National Institute on Drug Abuse (NIDA) and the Substance and Abuse and Mental Health Services Administration's (SAMHSA) Center for Substance Abuse Prevention for their contributions to the development of Operation Prevention. To help educators better prepare for conversations with students about the opioid epidemic, this webinar walks through Operation Prevention's vital resources and provides strategies to empower students and kick-start lifesaving conversations in the classroom. https://www.operationprevention.com/classroom 02/12/2020 30 South Carolina Department of Alcohol and Other Drug Abuse Services Just Plain Killers Campaign-Year Three New commercial was filmed last week Working with Chernoff Newman on new ideas that will be unveiled at the Governors Opioid Summit in September Evaluation data from year two will be shared in upcoming months as well Review county drop box locations so additions/corrections can be made on the JPK website 2018 data will be updated in next month (anticipate this will be completed before the Governors Summit) DAODAS will have a booth at the SC State Fair- October 9-20 th Additional support needed for FY20? 02/12/2020 31

South Carolina Department of Alcohol and Other Drug Abuse Services DAODAS Standard Survey and Evaluation Handbook PIRE Contract update DAODAS Standard survey for FY20 will be new survey that was piloted and tested well in York County with 400 students There will be two versions of the survey- one for middle school students and one for high school students PIRE will be scheduling a webinar in September to review changes (if a county is implementing prior to webinar, contact DAODAS for technical assistance) Technical assistance can be provided by PIRE team throughout the year Revised Evaluation Handbook will be available after webinar on SC Documents website 02/12/2020 32 South Carolina Department of Alcohol and Other Drug Abuse Services New Employee Handbook Developed by regional capacity coaches Reviewed by DAODAS and the field. Feedback that was given has been incorporated. In final stages of review by DAODAS and will be placed on SC Documents site in upcoming month How can this tool be used? Other resources needed? Training or webinar when completed? 02/12/2020

33 South Carolina Department of Alcohol and Other Drug Abuse Services PREP PREP Committee is reviewing curriculum and materials to ensure it meets the requirements of the Responsible Alcohol Server Training Act (S342) Timeline- Complete update and training for field by November Prevention Quarterly meeting Materials that have been ordered for County agencies: The SUM-IT-CUP (Standard Unit of Measure) Complete is an alcohol educational tool designed to allow adults, 21 years of age and older, to pour and measure a volume of liquid and determine the number of standard drink units represented by the liquid for various types of popular alcohol beverages. https://www.fatalvision.com/product/sum-it-cup-complete-with-master-bartender/ Retractable You Call The Shots tabletop banner is 32 wide x 40 high and comes standard with a protective carrying bag. https://www.fatalvision.com/product/you-call-the-shots-tabletop-banner/ Other materials or information to consider as curriculum is updated? 02/12/2020 34 South Carolina Department of Alcohol and Other Drug Abuse Services What led to the changes to the Synar Study? The SABG guidelines mandates: States fulfill the following five key requirements: 1) Have in effect laws prohibiting any manufacturer, retailer, or distributor of

tobacco products from selling or distributing such products to any individual younger than age 18; 2) enforce their laws; 3) conduct annual random, unannounced inspections in a way that provides a valid probability sample of outlets accessible to minors; 4) negotiate interim targets and a date to achieve a noncompliance rate of no more than 20 percent; and 5) submit an Annual Synar Report detailing State activities to enforce their laws (About Synar,2017). *The five SABG tobacco regulation requirements must be met in order for States to receive full SABG funding. 02/12/2020 35 South Carolina Department of Alcohol and Other Drug Abuse Services What are the changes to the Synar Study? The biggest change in the Annual Synar Study is the implementation timeframe. This used to be January 1 February 28. But, the new study timeframe will take place between November 1 January 15 or March 1 May 15. This is dependent upon which group you are randomized into (i.e., Group 1 or Group 2) each year. FY21 groups are below. Group 1: Region 4 and Region 1 are November 1 January 15. Paperwork must be mailed to DAODAS by February 1. Group 2: Region 2 and Region 3 are March 1 May 15. Paperwork must be mailed to DAODAS by June 1. Additionally, this means that you will need to complete the

Annual Synar Study training on Relias between Monday, September 16 and Thursday, October 16st. If an outlet you have received exists, as far as you know, but it is not in your county, you must inform state Synar staff by October 25, 2019. You can lose your bonus for not doing this. 02/12/2020 36 South Carolina Department of Alcohol and Other Drug Abuse Services What is Synar Tobacco Enforcement Partnerships (STEP)? STEP aims to reduce youth access to tobacco products and enforce state and federal access laws through tobacco prevention best practices. STEP is an incentive program that financially rewards the local alcohol and drug abuse authority prevention staff for their efforts. STEP has been revamped for FY20! 02/12/2020 37 South Carolina Department of Alcohol and Other Drug Abuse Services

Synar Tobacco Enforcement Partnerships (STEP) Update Based on feedback from the STEP Improvement Survey, the field gave us the following recommendations: **DAODAS may want to consider adding in ENDs, chewing tobacco, and other emerging tobacco products into the STEP incentive system. **DAODAS may want to consider allocating more points for outlets that sell traditional and nontraditional nicotine products. **DAODAS may want to consider new approaches to educate the prevention field on what the STEP program is and why it is important for tobacco enforcement. **DAODAS may want to consider restructuring the points system and examine what items receive the most points. DAODAS may want to specify how local behavioral health agencies can spend STEP financial allocations. Furthermore, the finance departments must advise the prevention staff how much money they received from DAODAS and give full discretion to the prevention departments on how to spend this reimbursement. 02/12/2020 38 South Carolina Department of Alcohol and Other Drug Abuse Services STEP Component New Syste m

02/12/2020 Large County Points Per Occurrence (county has 100 tobacco retailers) Maximum Points Per Year Tobacco Compliance Checks (CCs) 4 pts / for 10% of CC = to 10% of tobacco outlets 4 pts / set of 10 CC 16 pts/year SCS - List Cleaning 1 pt for every new tobacco outlet reported 1 pt for every new tobacco outlet reported 12 pts/year

Tobacco Education Program 0.5 pt for every TEP class taught 0.25 pt for every TEP class taught 3 pts/year POS Taskforce 2 pts if the county provides documentation of a POS policy goal, charge, list of members, and any meeting agendas/draft reports. 2 pts if the county provides documentation of a POS policy goal, charge, list of members, and any meeting agendas/draft reports. 2 pts/year Merchant Pledge Merchant Education 0.1 pt for each pledge 1 pt for every 5 merchants taught 0.1 pt for each pledge

1 pt / every 10 merchants taught 2 pts/year 8 pts/year Multi-jurisdictional Agreements 7 pts if the county provides a time stamped copy of the MJ agreement that includes specific tobacco enforcement. *The agreement must be renewed every two years. Beginning in calendar year 2020, agreement(s) must be refiled for credit. 7 pts if the county provides an dated copy of the MJ agreement that includes specific tobacco enforcement. *The agreement must be renewed every two years. Beginning in calendar year 2020, agreement(s) must be refiled for credit. 7 pts/year STEP Point Small County Points Per Occurrence

(county has <100 tobacco retailers) 3.5 pts for cleaning the list (i.e., identifying if TRs are open, closed, sell OTC/VM, and verify what products are sold) 5 pts for cleaning the list (i.e., identifying if TRs are open, closed, sell OTC/VM, and verify what products are sold) 39 South Carolina Department of Alcohol and Other Drug Abuse Services 2019 Tobacco Education Program Review 02/12/2020 40

South Carolina Department of Alcohol and Other Drug Abuse Services What is the Tobacco Education Program (TEP)? The South Carolina Tobacco Education Program (SC TEP) is offered as an alternative to students who face suspension for violation of a school tobacco-use policy or who break the law (It is unlawful for a minor under the age of 18 to purchase, possess, or attempt to possess tobacco products and/or to present false proof of age in order to purchase a tobacco product). SC TEP was developed by the South Carolina Department of Alcohol and Other Drug Abuse Services (DAODAS) and prevention professionals from across the state. 02/12/2020 41 South Carolina Department of Alcohol and Other Drug Abuse Services TEP Objectives: The SC 2019 TEP curriculum has three objectives: 1) To educate youth on the dangers of tobacco use, alternative nicotine products, and/or electronic nicotine delivery system use 2) To address possible motivations for considering quitting using any nicotine-containing products 3) To introduce participants to cessation resources 02/12/2020

42 South Carolina Department of Alcohol and Other Drug Abuse Services What units of the Stanford Tobacco Prevention Toolkit are The program utilizes: included in the TEP curriculum? 1. Two Truths and a Myth 2. A Little History to Set the Stage 3. E-Cigarette and Vape Pens 101 4. Whats in E-Cigarettes and Vape Pens 5. Pod-Based Systems 6.

Unit-1-Brain-101 The Stanford Tobacco Prevention Toolkit includes lessons (with talking points), PowerPoints, worksheets, and activities which cover an array of topics from a history of tobacco products to the emerging public health threat of young electronic cigarettes users. 02/12/2020 43 South Carolina Department of Alcohol and Other Drug Abuse Services How can you utilize TEP and/or the Stanford Tobacco Prevention Toolkit? Use of Stanford Tobacco Prevention Toolkit If you attended the Stanford Tobacco Prevention Toolkit (STPT) Training, then you are free to share the STPT materials and do TOTs with parents, teachers, law enforcement, etc. for the STPT. That is part of what the STPT Training is intended for. TEP Facilitation or Aspiring TEP Trainer-of-Trainers If you need more TEP training after reading the manual, reviewing the curriculum, and attending the STPT training, the TEP Committee will continue to provide more in-depth technical assistance. Therefore, DAODAS strongly encourages TEP facilitators to reach out to their Regional TEP Committee member(s) to ensure that they are teaching the curriculum with fidelity. DAODAS recommends the TEP facilitator to schedule a TOT with their Regional TEP Committee member to become a TEP TOT.

02/12/2020 44 South Carolina Department of Alcohol and Other Drug Abuse Services *REMINDER* If you didn't attend the STPT Training, then it is mandatory for you to contact the TEP Committee to receive the necessary training as well as receive your agencys TEP binder and TEP flash drive. DAODAS encourages their Regional Capacity Coaches help TEP Committee members provide additional TEP training or TEP TOT training. 02/12/2020 45 South Carolina Department of Alcohol and Other Drug Abuse Services Who are my regional TEP Committee members? Current TEP Committee members: Ashley Bodiford McAninch, Jeff Bertsch, Amanda 'Veronica Dadzie-Edmonds' Joe Pinilla Region 3 Representative - TBD

Region 4 Representative - TBD 02/12/2020 46 South Carolina Department of Alcohol and Other Drug Abuse Services How do I enter these activities into Impact? Program Title Program Description Stanford Tobacco Prevention Toolkit Information /Education / Awareness Media Campaigns; training for targeted populations; information dissemination for targeted population; and printed materials. Stanford Tobacco Prevention Toolkit: Modules for tobacco and nicotine

education Tobacco Education Program (TEP) 02/12/2020 Program Type Local/ Innovative Primary Strategy Information Dissemination Note Multi-session evidence-based curriculum delivered consecutively to individuals within a population. Must use the DAODAS Standard Survey (Pre- and Post-Test) Evidencebased Education Evidence-based curriculum titles are listed in the EvidenceBased drop down menu

Problem ID & Referral educational program for substance use Local/ Innovative Problem ID & Referral If you group problem ID and referral strategies into a single program, be sure to select all objectives that apply and enter all relevant program outcomes. If you choose to group information dissemination strategies into a single program, be sure to select all objectives that apply and enter all relevant program outcomes. 47 South Carolina Department of Alcohol and Other DrugUse Abuse

Services IMPACT Entry: of the Stanford Tobacco Prevention Toolkit for Information Dissemination Activities Program Title Single Service Title Objectiv e Service Date Single Service Duration Service Type Code Service Population Demographic Service Information Service Location

Choose Your Countys Community Awareness Plan (Information Dissemination) Create title using location and activity. For example: Speaking Engagement using Stanford Tobacco Prevention Toolkit for Sunny County School District 54 administrators Date service took place Time spent in front of the audience delivering

the information STN17ASpeaking Engagements Teachers/ Administrators /Counselors Count would be # of administrators receiving information and demographics would be reflective of the audience Government Offices (For example if held at school district headquarters) Direct time-time in front of audience delivering presentation.

This is same for all types of information dissemination This would change based on type of dissemination and audience Choose objective that closely mirrors the service. For example: To increase knowled ge of harmful effect of tobacco use. This could be samebased on how you have

your objective written This is same unless only doing planning for event- then the service duration is equal to your indirect time This would change based on type of information dissemination and/or if you are implementing or planning This would change based on audience you were providing information to. If planning

only, there would be no demographic service information This would change based on where you are providing service This would remain same 02/12/2020 This is same This would change based on audience you were providing information to Staff/Volunteers Hours Indirect timepreparation for presentation, travel to and from

location, etc. 48 South Carolina Department of Alcohol and Other Drug Abuse Services IMPACT Entry: Use of the Stanford Tobacco Prevention Toolkit for Recurring Educational Services Before adding recurring service time, you must add the program and activities related to this strategy. You may also need to modify your goals and objectives if this program will not fit under your current goals and objectives. DAODAS has added this as an evidence-informed program (listed as evidence-based in IMPACT) for you to select from the drop down menu. The start date would be 7/1/2019 and the end date would be 6/30/2020 to match up with the 5 year cycle. IOM category would be Universal Direct and the Primary Strategy would be Education. Service Codes would be STE06 and STE06P Program Title Recurring Service Title Stanford Tobacco Prevention Toolkit: Modules for Tobacco and Nicotine Education Create title using program and session number. Mar want to include school and

class name. For example: Tobacco the Basics, unit 1 using Stanford Tobacco Prevention Toolkit for Ms. Smiths 6th grade class at Sunny County Middle School Must implement the following: Tobacco: The Basics- Unit 1 and 2; E-Gigs/Vapes and Pod-Based Systems: Units 16; and Nicotine Addiction Units 13 for this to be used as an evidence-informed program 02/12/2020 Group Recurring Service Status Choose Active from drop

down list accordingly Objective Service Type Code Service Population Choose STE06 or objective STE06P if that planning closely mirrors the program. High School Students or Middle/Jr High School Students This is same unless only doing planning for eventthen the service duration is

equal to your indirect time This would change based on audience you were providing information to This would change based on type of information dissemination and/or if you are implementing or planning Service Event Duration Direct time implementing unit(s) in to participants Service Location School SiteMiddle School or School SiteHigh School

Staff/Volunteers Hours Direct time-time in front of audience delivering presentation. Indirect timepreparation for presentation, travel to and from location, etc. This would change based on where you are providing service This would remain same 49 South Carolina Department of Alcohol and Other Drug Abuse Services IMPACT Entry: Use of the Stanford Tobacco Prevention Toolkit for Problem Identification and Referral/TEP Edit your program page to reflect the following: Program Type: Local/Innovative, Program Title: Tobacco Education Program (TEP); Start Date: 7/1/2015 Target Completion Date: 6/30/2020 Program Objectives: Choose from your drop down list the one(s) associated with this program, Program IOM: Indicated, Primary Strategy: Problem Identification and Referral, Service Codes: STP03 and STP03P

Program Title Single Service Title Tobacco Education Program Create title using location and activity. For example: TEP class using the Stanford Tobacco Prevention Toolkit for referred youth from Sunny County High School 02/12/2020 Objective Choose objective(s) that are associated

with the program Service Date Date service took place Single Service Duration Time spent in front of the audience delivering the information If planning, this is the total time spent planning Service Type Code STP03 or STP03P if

planning Service Population High School Students Demographic Service Information Service Location Staff/Volunteers Hours Count would be # of students receiving information and demographics would be reflective of the audience School SiteHigh School Direct time-time in front of audience

delivering presentation. Indirect timepreparation for presentation, travel to and from location, etc. 50 South Carolina Department of Alcohol and Other Drug Abuse Services SC Code of Laws: Youth Access to Tobacco Prevention Act of 2006 (and amendments) 02/12/2020 51 South Carolina Department of Alcohol and Other Drug Abuse Services Youth Access to Tobacco Prevention Act of 2006 amended effective April 26, 2019 to strengthen age verification requirements for the internet sale of tobacco and alternative nicotine products, to prohibit minors from entering retail establishments that primarily sell such products, with exceptions, and to create related criminal penalties... 02/12/2020

52 South Carolina Department of Alcohol and Other Drug Abuse Services Youth Access to Tobacco Prevention Act of 2006 amended effective April 26, 2019 to change the definition for Alternative Nicotine Products and added a definition for Electronic Smoking Device, E-Liquid, and Vapor Product... "(6) 'Alternative nicotine product' means any vaping product, whether or not it includes nicotine, including electronic smoking devices, that can be ingested into the body by chewing, smoking, absorbing, dissolving, inhaling, or by any other means. 'Alternative nicotine product' does not include: (a) a cigarette, as defined in Section 12-21-620, or other tobacco products, as defined in Section 12-21-800; (b) a product that is a drug pursuant to 21 U.S.C. 321(g)(1); (c) a device pursuant to 21 U.S.C. 321(h); or (d) a combination product described in 21 U.S.C. 353(g)." C. Section 16-17-501(7) of the 1976 Code is amended to read: "(7) 'Electronic smoking device' means any device that may be used to deliver any aerosolized or vaporized substance, including e-liquid, to the person inhaling from the device, including, but not limited to, an e-cigarette, e-cigar, e-pipe, vape pen, vapor product, or e-hookah. 'Electronic smoking device' includes any component, part or accessory of the device, and also includes any substance intended to be aerosolized or vaporized during the use of the device, whether or not the substance includes nicotine. 'Electronic smoking device' does not include drugs, devices, or combination products authorized for sale by the U.S. Food and Drug Administration, as those terms are defined in the Federal Food, Drug and Cosmetic Act." D. Section 16-17-501 of the 1976 Code is amended by adding appropriately numbered items at the end to read:

"(8) 'E-liquid' means a substance that: (a) may or may not contain nicotine; (b) is intended to be vaporized and inhaled using a vapor product; and (c) is a legal substance under the laws of this State and the laws of the United States; E-liquid does not include cannabis or CBD as defined under the laws of this State and the laws of the United States. (9) 'Vapor product' means a powered vaporizer that converts e-liquid to a vapor intended for inhalation." 02/12/2020 53 South Carolina Department of Alcohol and Other Drug Abuse Services Youth Access to Tobacco Prevention Act of 2006 amended effective April 26, 2019 to add section 59-1-380 so as to require local school districts to adopt, implement, and enforce a written policy prohibiting the use of tobacco and alternative nicotine products on school campuses and at school events Every school district in S.C. has to adopt or modify their tobacco product and/or alternative nicotine product use policies for their facilities and grounds. 02/12/2020

54 South Carolina Department of Alcohol and Other Drug Abuse Services CBD/Hemp/Kratom In the news: https://wpde.com/news/local/is-smokable-hemp-legal-in-sc https://www.greenvilleonline.com/story/news/2019/07/29/confusion-swirls-following-sc-ag-alan-w ilson-opinion-raw-hemp-cbd-store-raids/1805084001 / https://agriculture.sc.gov/scda-regulators-to-notify-industry-regarding-cbd-and-hemp-in-food-and-f eed-products-in-the-market-place / https://agriculture.sc.gov/divisions/consumer-protection/hemp/ https://www.live5news.com/2019/07/24/smokable-hemp-pulled-shelves-across-south-carolina/ Updates from SLED and the Attorney General on Hemp What do you need? How can we help? Do you know the laws? Have you conducted any environmental scans of stores/products? 02/12/2020 55 South Carolina Department of Alcohol and Other Drug Abuse Services CBD/Hemp/Kratom Resources: https://www.samhsa.gov/marijuana https://www.drugabuse.gov/publications/drugfacts/kratom https://www.fda.gov/news-events/public-health-focus/fda-and-kratom

https://nccih.nih.gov/health/marijuana https://www.drugabuse.gov/publications/drugfacts/marijuana-medicine 02/12/2020 56 South Carolina Department of Alcohol and Other Drug Abuse Services Training 2019 Prevention of Youth Substance Abuse Conference: August 7-9, 2019 University of South Carolina Lancaster https://www.eventbrite.com/e/2019-prevention-of-youth-substance-abuse-conference-tickets-5466 1250271 2019 IACP Drugs, Alcohol, & Impaired Driving; Aug. 10-12, 2019l; Anaheim, CA; https://www.theiacp.org/events/conference/iacp-annual-training-conference-on-drugs-alcohol-andimpaired-driving-daid National Prevention Network Research Conference: August 27-29, 2019: Chicago, IL https://npnconference.org/ South Carolina Governors Opioid Summit September 5-6, 2019 Columbia Metropolitan Convention Center http://scopioidsummit.org/ DAODAS/Regional Capacity Coaches Opioid Training- September 18, 2019 Wingate by Wyndham Lexington Substance Abuse Prevention Skills Training (SAPST)- September 30-October 3, 2019 at the National Safety Council Training Center in Columbia 02/12/2020 57 South Carolina Department of Alcohol and Other Drug Abuse Services

Training Prevention Quarterly Meeting, November 7 in Columbia Prevention Ethics November 19-20 at National Safety Council Training Center in Columbia 2019 Drug Symposium; Nov. 4, 2019; Boise, ID; hosted by the Northwest Alcohol Conference NLLEA Conference; November 4-6, 2019; Biloxi, Mississippi http://www.nllea.org/index.html National Association of Drug Diversion Investigators; November 12-15, 2019 https://www.naddi.org/events/2019-naddi-30th-anniversary-conference/ SCAPPA Annual Meeting December 12, 2019 in Columbia Tall Cop training December 13, 2019 in Columbia 02/12/2020 58 Questions? 02/12/2020 59 1801 Main Street, 4th Floor Columbia, South Carolina 29201 telephone: 803-896-5555 fax: 803-896-5558 www.daodas.sc.gov 02/12/2020 60

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