A comprehensive prevention program includes a broad array of
prevention strategies directed at individuals who have not been identified
as needing treatment for substance abuse. The comprehensive prevention
programs shall include activities and strategies appropriate for the
target group and are provided in a variety of settings for both the
general population, as well as targeted sub-groups who are at high
risk for substance abuse.
(1) Universal Prevention. Universal prevention programs
promote a proactive process that addresses the health and wellness
of individuals, families, and communities by enhancing their protective
factors. Services are designed to deter the use of ATOD and to foster
the development of social and physical environments that facilitate
healthy ATOD-free lifestyles. This program type is designed to target
a very large audience or population, such as community, school or
neighborhood that has not been identified on the basis of individual
risk. The required strategies are as follows:
(A) information dissemination;
(B) education;
(C) alternative activities;
(D) problem identification and referral;
(E) community-based process; and
(F) environmental, as defined in 42 CFR, §96.125(b).
(2) Selective Prevention. Selective prevention programs
promote a proactive process to address and promote the health and
wellness of individuals, families, and communities by enhancing protective
factors and by averting factors that place an individual at risk for
substance abuse. Services target individuals or subgroups of the general
population who are determined to be at risk for substance abuse, such
as children of substance abusers. This program type is designed to
target individuals whose risk of developing a substance use or abuse
disorder is significantly higher than average. The required strategies
are as follows:
(A) information dissemination;
(B) education;
(C) alternative activities;
(D) problem identification and referral;
(E) community-based process; and
(F) environmental, as defined in 42 CFR, §96.125(b).
(3) Indicated Prevention. Indicated prevention programs
identify individuals who are experiencing early signs of substance
abuse and other related problem behaviors associated with substance
abuse. These individuals have not reached the point where a clinical
diagnosis of substance abuse can be made. This program type is designed
to target youth who are showing early warning signs of substance use,
such as experimenting or abuse, and/or exhibiting other problem behaviors
that may lead to substance use or abuse if not addressed. The required
strategies are as follows:
(A) information dissemination;
(B) education;
(C) alternative activities;
(D) problem identification and referral;
(E) community-based process; and
(F) environmental, as defined in 42 CFR, §96.125(b).
(4) Community Coalition Partnership. A community coalition
partnership is a collaborative partnership of individuals and/or organizations
that strives to prevent and reduce illegal and harmful use of ATOD
by implementing community- and evidence-based environmental prevention
strategies designed to affect the social, cultural, political, and
economic processes of communities. The required strategies are as
follows:
(A) information dissemination;
(B) community-based process; and
(C) environmental, as defined in 42 CFR, §96.125(b).
(5) Prevention Resource Center (PRC). A prevention
resource center is a regional prevention education materials clearinghouse,
and regional prevention training coordinating entity within each of
the eleven Health and Human Services Commission's public health regions.
The required strategies are as follows:
(A) information dissemination;
(B) community-based process; and
(C) environmental, as defined in 42 CFR, §96.125(b).
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Source Note: The provisions of this §321.7 adopted to be effective September 2, 2012, 37 TexReg 6600; transferred effective March 15, 2020, as published in the February 21, 2020 issue of the Texas Register, 45 TexReg 1240 |