PURPOSE: This rule identifies the expected outcomes, strategies and operational requirements for prevention programs.

1. (1) Program Description. A prevention program offers a planned, organized set of activities designed to reduce the risk of and incidence of illegal or age-inappropriate use or abuse of alcohol, tobacco and drugs.

   1. (A) Prevention activities and services are provided to an identified target population within a designated geographic area.
   2. (B) The target population may include individuals, groups, organizations, communities, and the general public. The target population may include individuals or groups considered to be at-risk or high-risk in their potential for substance use; however, prevention activities are not specifically or primarily directed to persons who need treatment for substance abuse.
   3. (C) A prevention program shall provide services that are comprehensive, research based and culturally sensitive and relevant.
   4. (D) A prevention program should serve all age groups and populations, including special populations.

2. (2) Use of Risk Reduction Strategies. A prevention program shall implement strategies which reduce the risk of and the incidence of illegal or age-inappropriate use or abuse of alcohol, tobacco and drugs. The program shall implement the following risk reduction strategies in accordance with the type of prevention services and programming it offers:

   1. (A) Increase awareness of the nature and extent of such substance use or abuse and their effects on individuals, families, and communities;
   2. (B) Inform others about available prevention and treatment services;
   3. (C) Develop social and life skills which reduce the potential for such substance use or abuse;
   4. (D) Provide constructive and healthy activities to offset the attraction of such substance use or abuse or to meet needs which otherwise may be fulfilled by these substances;
   5. (E) Identify persons who may have become involved in the initial, inappropriate or illegal use of alcohol, tobacco, and drugs and then arrange support and other referrals, as needed;
   6. (F) Assess community needs and assist in the development of community planning and action;
   7. (G) Establish or change community attitudes, norms and policies known to influence the incidence of such substance use or abuse;
   8. (H) Actively intervene with individuals and populations who have multiple risk factors for such substance use or abuse; and
   9. (I) Organize, coordinate, train and assist other community groups and organizations in their efforts to reduce such substance use or abuse.

3. (3) Types of Certified Programs. An agency may be certified to provide one (1) or more of the following types of prevention programs:

   1. (A) Primary Prevention Program;
   2. (B) Targeted Prevention Program; or
   3. (C) Statewide Prevention Resource Center.

4. (4) Requirements for Certification. A prevention program shall comply with those rules and standards listed under 9 CSR 30-3.032 Certification of Substance Abuse Programs.

   1. (A) Requirements under 9 CSR 10-7.120 Physical Plant and Safety shall be applicable based on the type of services provided by the prevention program and whether services are offered to individuals and groups at the program site.

   2. (B) The following rules and standards shall be waived for prevention programs, unless the department determines that a specific requirement is applicable due to the unique circumstances and service delivery methods of a program:

      1. 1. 9 CSR 10-7.010 Treatment Princi-

ples and Outcomes;

1. 2. 9 CSR 10-7.020 Rights, Respon-

sibilities and Grievances;

1. 3. 9 CSR 10-7.030 Service Delivery

Process and Documentation;

1. 4. 9 CSR 10-7.060 Behavior Manage-

ment;

1. 5. 9 CSR 10-7.070 Medications;
2. 6. 9 CSR 10-7.080 Dietary Services;
3. 7. 9 CSR 30-3.100 Service Delivery

Process and Documentation (ADA); and

1. 8. 9 CSR 30-3.110 Service Definitions

and Staff Qualifications (ADA).

1. (5) Qualifications of Staff. Services shall be provided by a qualified prevention specialist who demonstrates substantial skill by being—

   1. 1. A graduate of an accredited college or

university with a bachelor’s degree in community development, education, public administration, public health, psychology, sociology, social work or closely related field and have one (1) year or more of full-time equivalent professional experience in education, public health, mental health, human services, or a closely related area. Additional years of experience may be substituted on a year for year basis for the education requirement; or

1. 2. An alcohol and drug abuse prevention

professional credentialed by an agent acceptable to the department.

1. (6) Documentation of Resources and Services. All prevention programs shall maintain—

   1. (A) A current listing of resources within the geographic area in order to readily identify available substance abuse treatment and prevention resources, as well as other resources applicable to the target population;

   2. (B) Informational and technical materials that are current, relevant and appropriate to the program’s goals, content, and target population.

      1. 1. Materials and their use shall accom-

modate persons with special needs, or the materials can be readily adapted to meet those needs.

1. 2. Materials shall be periodically

reviewed by staff and advisory board to ensure relevance to the target population and consistency with current prevention research. The advisory board shall include members of the target population and a broad range of 9 CSR 30-3

representatives from other community groups and organizations; and

1. (C) A record of all service activities. The record shall—

   1. 1. Identify the presenter and partici-

pants;

1. 2. Describe the service activity;
2. 3. State how the activity meets the spe-

cific needs of the individual, group, or community organization served;

1. 4. Include consents for participation or

releases of information, as applicable; and

1. 5. Include or summarize participant

evaluations, as applicable.

1. (7) Primary Prevention Program. A Primary Prevention Program shall offer comprehensive services and activities to a specified target population(s) in its effort to reduce the risk of and incidence of illegal or age-inappropriate use or abuse of alcohol, tobacco and drugs.

   1. (A) A primary prevention program shall offer all of the following types of prevention services: information, education, alternatives, problem identification and referral, community-based process, and environmental services.

      1. 1. Unless otherwise indicated, the target

population for information, education, alternatives, and problem identification and referral services shall include, but is not limited to, one (1) or more of the following: persons who are at risk for substance abuse; families or friends, or both, of persons at risk for a substance abuse problem; school officials or employers of persons at risk for a substance abuse problem; caretakers and families of elderly or populations with other special needs.

1. 2. Unless otherwise indicated, the target

population for community-based process and environmental services shall include, but is not limited to, persons at risk for substance abuse; community groups mobilizing to combat substance abuse, include civic and volunteer organizations; church; schools; business; healthcare facilities and retirement communities; state and municipal governments; and other related community organizations.

1. (B) Information services shall increase awareness of the nature, extent, and effects of such substance use or abuse.

   1. 1. Information services are character-

ized by one (1)-way communication from the presenter to the target population.

1. 2. In addition to the target populations

listed in subsection (7)(A), the target population formation services may include the general public.

1. 3. Examples of information service

activities include: distributing written materials such as brochures, pamphlets, newsletters, resources directories, and other relevant materials; distributing audiovisual materials such as films, tapes, public service announcements and other relevant materials; functioning as information resource center or clearinghouse; arranging speakers and presentations; and operating as a designated access point for computerized information networks.

1. (C) Education services shall develop social and life skills, such as conflict resolution, decision-making, leadership, peer resistance and refusal skills.

   1. 1. Education services are characterized

by interaction between the facilitator and the participants to promote certain skills and behaviors.

1. 2. Examples of education service activi-

ties include classroom or small group sessions for person of any age, peer leader and helper programs, and parenting and family management classes.

1. (D) Alternatives shall provide healthy and constructive activities to offset the attraction of such substance use or abuse or to meet needs which otherwise may be fulfilled by these substances.

   1. 1. Alternative services engage the target

population in recreational and other activities that exclude such substance use or abuse.

1. 2. Examples of alternative service activ-

ities include developing and supporting alcoholand drug-free dances and parties, community service activities, teen institutes and other leadership training and activities for youth, adults, parents, school faculty, or others.

1. (E) Problem identification and referral services shall assist in arranging support, education and other referrals, as needed, for persons who have become involved in the initial, inappropriate or illegal use of alcohol, tobacco, and drugs.

   1. 1. This service does not include a pro-

fessional or comprehensive assessment and determination of the need for substance abuse treatment.

1. 2. Examples of specific problem identi-

fication and referral activities include training and consultation to student assistance programs, employee assistance programs, medication support programs for the elderly and other programs and organizations that may intervene with persons in the target population.

1. (F) Community-based process shall involve the assessment of community needs and the promotion of community planning and action in order to enhance other prevention and treatment services and to reduce the incidence of such substance use or abuse.

2. 1. The target population shall include community action teams, such as Community 2000 Teams. A community action team must have broad-based community representation and participation, such as civic organizations, neighborhood groups, churches, schools, law enforcement, healthcare and substance treatment facilities, businesses, and governmental organizations.

   1. 2. Examples of community-based

process activities include assessing community needs and risk factors and recruiting, training, and consulting with community action teams.

1. (G) Environmental services shall positively effect community policies, attitudes, and norms known to influence the incidence of such substance use or abuse.

   1. 1. Environmental services may address

legal/regulatory initiatives, service/action initiatives, or both.

1. 2. Examples of environmental services

include maintaining current information regarding environmental strategies; training and consulting with community action teams in the development and implementation of such strategies; serving as a resource to school, businesses, and other community organizations in the development of policies; and providing information regarding alcohol and tobacco availability, advertising and pricing strategies.

1. (8) Targeted Prevention Program. A Targeted Prevention Program shall actively intervene with individuals and populations that have multiple risk factors for the illegal or ageinappropriate use or abuse of alcohol, tobacco and drugs. The program shall reduce risk factors and reduce the likelihood of such substance use or abuse.

   1. (A) The target population shall include:

      1. 1. Persons at risk of substance abuse,

such as out-of-school youth, youth dropouts, or persons prone to violence; and

1. 2. Individuals and groups that influence

those persons at risk for substance abuse, such as parents; teachers, families and caretakers of elderly or populations with other special needs; and school based and community groups, including civic and volunteer organizations, churches and other related community organizations.

1. (B) The program may be located in school or other community settings.
2. (C) The program shall provide and promote social and emotional support, skill development, counseling, and other preventive services for persons and populations with multiple risk factors.
3. (D) Examples of specific services and activities include early identification and intervention; efforts to prevent dropping out of school; after-school recreational and educational activities; development of social and life skills such as conflict resolution, decision making, leadership, peer resistance and refusal skills; group counseling or individual counseling, or both; parent training and consultation with school staff or other community organizations.

1. (9) Prevention Resource Center. A prevention resource center shall organize, coordinate, train, assist and recognize community, regional and state resources in their efforts to reduce the illegal or age-inappropriate use or abuse of alcohol, tobacco and drugs.

   1. (A) The target population shall include community action teams, such as Community 2000 Teams; other community organizations including primary prevention program; and other community and state resources.

   2. (B) Examples of specific activities include:

      1. 1. Conducting statewide and regional

workshops and conferences;

1. 2. Where applicable, distributing a state-

wide newsletter that contains current information about prevention activities and issues;

1. 3. Providing information and technical

assistance regarding effective prevention strategies that are based on research findings;

1. 4. Recognizing accomplishments by

community action teams and sponsoring recognition events;

1. 5. Coordinating prevention activities and

resources development with other state level organizations and state agencies; and

1. 6. Expanding and strengthening the net-

work of community and state organizations involved in prevention activities.

AUTHORITY: section 630.655, RSMo 2000.* This rule was originally filed as 9 CSR 30- 3.630. Original rule filed May 13, 1983, effective Sept. 13, 1983. Rescinded and readopted: Filed June 27, 1995, effective Dec. 30, 1995. Moved to 9 CSR 30-3.300 and amended: Filed Feb. 28, 2001, effective Oct. 30, 2001. Amended: Filed Oct. 15, 2001, effective April 30, 2002.

*Original authority: 630.655, RSMo 1980.