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Community Chosen -- Mt. Horne, Given form current and historical evidence for intervention

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Community Chosen -- Mt. Horne, Given form current and historical evidence for intervention

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1. Very close knit community (tribal / clannish)

2. Has demonstrated academic growth over time. Increasing numbers of persons entering secondary school

3. High rates of self-employment, especially in agriculture

4. The MP lives in the community and is very supportive

5. Has access all the basic utilities

6. Had a recent intervention that yielded good results

7. Has a number of successful community members from various professions that "give back" to the community

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Country :
Grenada, Carriacou & Petite Martinique, a beautiful  tri island state located in the Eastern Caribbean. Its 134.6 sq miles, with a population of 114,000; with 60% under the age  of 50.
We are known in our hearts as  the Isle of Spice and documented worldwide as Pure Grenada.

The substances most prevalent Marijuana and Alcohol Marijuana resulting in the following general social problems affecting our society:
1. Crime & Incarceration
2. High alcohol consumption amongst the male populace
3. Mental health disorders amongst the younger population due  marijuana use and abuse.
4. Unemployment / underemployment
5. Truancy
6. Juvenile  Delinquency
7. Dysfunctional Families
8. Increase in chronic and acute preventable illnesses
9. High School dropouts
10.  Poverty
11. Lack motivation to find a job.
10. Transactional sex and prostitution

Community :
Mt. Horne is a close-knitted agricultural community or about 3000 people in the north East of Grenada close to Mt. St. Catherine, the highest point of the Island.

It emerged as the result of a split between two communities, Paraclete and La Fillette. It is a very "tribal" community, known for producing great sports persons in cricket, football among others.

There is a large Cocoa drying station in the community that provided valuable services to farmers from a wide geographical area.

The community consists of poor working class individuals, mainly either as a Government worker, farm worker, Imani worker, or with the community's drug lord.

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The drug problem in Mt. Horne is widespread in its prevalence, with widespread use of marijuana and alcohol. There has been an increase in foreign nationals living in Mt. Horne that are related to the drug trafficking ring there.

Persons are initiated into marijuana and alcohol use at an early age, even as early as pre-teen.

It appears that the pre-teen users are aware of their drug habits, and are not making any intervention due to lack of oversight and business with work and other interests. In fact, some parents might even be the initiators of the drug and alcohol use.

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Substance use is for the most part an accepted norm in Mt. Horne. Alcohol drinking is a cultural practice and our population has been classically conditioned to drink at most social and other events.

At present there is even the great impetus to decriminalize the use of marijuana, which will greatly exaggerate the problem.

There also is the lack of political will to address the growing drug and alcohol prevention and rehabilitation problems

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Pre-teens, adolescents, especially males.

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Mt. Horne needs the range of prevention and intervention services, universal, selective and indicated.

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1. Impediments include, lack of political will to implement evidence based sustainable drug prevention and rehabilitation programs and services at the national and community levels

2. Widespread acceptance of drug and alcohol use

3. Economic benefits to many persons, including the drug lords who engender loyalty from community members by their support for many persons and programs in the community

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1. Any prevention intervention implemented will have to be comprehensive in nature.  It will need to take a life Skill Training approach, which addresses the personal social, behavioral/cognitive, and moral reasoning aspects of the human.  (this make take in parenting session, selective group sessions etc)

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Some recent interventions in the community have addressed some of the needs.

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MPOWER
Project FLY
STAR PROGRAM

None of these programs were evidenced based.

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1. Delayed reactions.
2. Poor concentration/ short attention span. (Inability to hold coherent conversations).
3. Short tempered.

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MPOWER
Project FLY
STAR  intervention program

NB. None of these programs were evidenced based.