b'GREATER MONADNOCK COMMUNITY HEALTH IMPROVEMENT PLAN 2015-2018 abuseandaddiction. 21 However,researchshowsthatforeachcombatsubstanceabuseproblems.Thekeyisfindingtheright dollar invested in prevention, a savings of up to $10 in treatmentindividual, family, school, and community-level interventions.Both the for alcohol or other substance abuse can be seen. 22 research and leading experts in the field emphasize the importance of this comprehensive approach in order to maximize impact. \x01NH has consistently used earmarked prevention dollars for other purposes.While 5% of gross profits of the NH Liquor CommissionImplementingtheRROSCwillnotonlyhaveasignificantimpacton aredesignatedforpreventionandtreatment,thelegislaturereducing stigma and misuse and increasing access to comprehensive consistently suspends this appropriation.The appropriation to theservices, it will help the Monadnock Region reach its goal of becoming GovernorsFundforAlcoholAbuse,PreventionandTreatmenttheHealthiestCommunityintheNation.However,acontributing dropped from $5.6 million in 2009 to $1.8 million in 2014, a yearbarrier is that current community organizations and resources struggle when the Commission reported an all-time record in sales ($626to keep their doors open as they compete for the few available dollars. million).ThisranksNHassecondlowestinthenationinWhile the will to work collaboratively exists, the pressures of reduced expenditures for prevention of substance misuse.staff, increased work responsibilities and the drive to bring dollars in thedoormakeitdifficultforstafftofindthetimetoplanand What Can Be Done?implement new collaborative models. What Are We Doing? Given the large scale of social and financial impacts of substance abuse, theMonadnockRegionrecognizestheurgencyandneedtowork collectively.Prevention, treatment, and recovery efforts need to be\x01MonadnockVoicesforPrevention(MVP)isaregionalnetwork allied to increase efficiencies and expand impacts as we address issuesworkingtoreducesubstancemisuseintheGreaterMonadnock from multiple sides.Complex community health problems includingRegion.The network has expanded to involve numerous partners underagedrinking,tobaccouse,illegaldrugs,andthemisuseofand includes regional and local prevention coalitions, volunteers, prescriptiondrugsrequirecomprehensive,collaborative,culturallyschools, law enforcement, business, social service agencies, health appropriate solutions to achieve wide scale community benefits.care, civic groups, government and programs that work to address drug,tobaccoandalcoholuse,andabuse.Someofthemany TheSubstanceAbuseandMentalHealthServicesAdministrationactivities of MVP and its partners organizations include: (SAMHSA) has developed a new recovery focused model to enhance the availability and quality of addiction treatment in the United States. The promotion of social host laws and prom/graduation safety This model is called the Resiliency and Recovery Oriented Systems ofcampaigns Care(RROSC).TheRROSChasopenedadoorofopportunityforAnnual compliance checks governmentsandcommunitiestoimplementeffectivestrategiestoAlignment with national prevention activities Facilitating Town Hall meetings/community forums on alcohol 21 Ibid. p 116. and other drugs awareness and education 22 Aos et al. 2001; Hawkins et al. 1999; Pentz 1998; Spoth et al. 2002a; Jones et al. 2008;Partnershipswithlocalcollegesonpreventionstrategiesfor Foster et al. 2007; Miller and Hendrie 2009 reducing alcohol and prescription drug misuse on campus 34'