Partnerships for success (PFS) Project Logic Model and Evaluation

Federal Efforts and Evaluation State Efforts and Evaluation PFS Project Layers Federal Efforts and Evaluation State Efforts and Evaluation Community Efforts and Evaluation Broader in focus 3 distinct but coordinated project levels working together The PFS project coordinator and state evaluators will have the vast majority the interaction with federal project officers and will be responsible for meeting federal requirements and submitting reports. The only federal requirement and involvement communities have directly is completing and submitting the CLI-R on October 15th and April 15th each year. More specific in focus

Alaska PFS Logic Model Conceptual map our PFS effort (state and borough level) The changes we hope to bring about through our PFS program effort Strategies & community factors that will contribute toward this change

Alaska PFS Logic Model Components Direction of data assessment efforts Community Strategies   “What strategies will we choose to address the community factors” Community Factors “Why specifically does Rx opioid misuse/abuse occur specifically in our community?” Intervening Variables “Why does Rx opioid misuse/abuse occur?” Consumption “Rx opioid misuse/abuse among 12-25 year olds” Consequences “Consequences of Rx opioid misuse / abuse (i.e. Why do we care?)” Direction of influence once implementation begins  If-then statements

Alaska PFS Logic Model Components Community Strategies   “What strategies will we choose to address the community factors” Community Factors “Why does Rx opioid misuse/abuse occur specifically in our community?” Intervening Variables “Why does Rx opioid misuse/abuse occur?” Consumption “Rx opioid misuse/abuse among 12-25 year olds” Consequences “Consequences of Rx opioid misuse / abuse (i.e. Why do we care?)”

See indicators handout

Alaska PFS Logic Model Components Why the intervening variables were chosen: Strength of relationship to Rx opioid misuse/abuse (and heroin) Can be addressed by community coalitions with policy, systems, environmental strategies Help keep the project focused and manageable given limited time and resources Maintain a consistent focus across communities Based on the potential for measurable community- level change within 4 years Social Availability Easy access to Rx opioids through social sources   Retail Availability Easy access to Rx opioids through providers Low Perceived Risk of Harm from Rx opioid misuse or abuse

See indicators handout

Data Sources for PFS Project Indicators Data sources used by CBHRS to evaluate the project at the state and borough level (consumption, consequences and intervening variables) Data is provided to communities through reports (in total / by demographic groups) when available at the borough level. When baseline borough data will provided to funded communities Young Adult Substance Use Survey (YASUS) 12/30/2016 National Survey on Drug Use and Health (NSDUH)* N/A Prescription Drug Monitoring Program (PDMP) ? Youth Risk Behavior Survey (YRBS) 10/1/2016 Alaska Health Facilities Data Reporting program (HFDR) 10/30/2016

PFS Young Adult Substance Use Survey (YASUS) Why? No data on Rx opioid or heroin substance use for 18-25 years olds at the borough level Where and How? 7,500 randomly selected 18-25 year olds from purchased mailing lists All funded boroughs Online and paper administration Aim for 20% response rate / 1,500 completed surveys Who? State evaluators at CBHRS will conduct the survey When? Fall of 2016 and 2019

Young Adult Substance Use Survey (YASUS) Rx Opioid Content Consumption Misuse of Rx opioids (past 30 days/year) Frequency of misuse Reasons for misuse Social and Retail Availability Ease of access to misused Rx opioids How misused Rx opioids were acquired Disposal practices Provider interactions if prescribed opioids Doctor shopping behavior Perception of risk of harm Perceived risk from trying once/twice Perceived risk from using regularly Other Difficulties due to Rx opioid misuse Awareness of prevention messages Perceived problem in the community

Young Adult Substance Use Survey (YASUS) Heroin Content Consumption Use of heroin (past 30 days/year) Frequency of misuse Reasons for misuse Retail Availability Ease of access to heroin Perception of risk of harm Perceived risk from trying once/twice Perceived risk from using regularly Other Difficulties due to heroin use Perceived extent of problem in the community

Low Perceived Risk of Harm Rx opioids Finding answers to questions such as : Why, how, when, what, where, and with whom Social Availability, Retail Availability, Low Perceived Risk of Harm = Community Factors + Strategies

a campaign to increase awareness and use of safe disposal sites Evaluation of the STRATEGY TO increase the Number of safe disposal sites and a campaign to increase awareness and use of safe disposal sites Goal: Reduce Rx Opioid Misuse/Abuse among 12-25 year olds Community Factor: Lack of convenient and/or recognized sites for adult community members to dispose of Rx opioids safely Intervening Variable: Social Availability of Rx opioids CSAP Category Strategy Target Population: Adults 18+ Create safe disposal sites: Environmental Campaign to promote safe disposal sites: Information Dissemination KEY strategy outcomes Indicators method / measure Increase safe disposal sites to:   Increase access to safe disposal sites Multi-level campaign to: Increase awareness of safe disposal sites Increase use of disposal sites # of disposal sites created and # of days open (P) # and reach of awareness products disseminated (posters, articles, etc.) (P) % of adults aware of at least one local safe disposal site (O) # visitors of visitors and/or pounds of Rx opioid pills discarded at disposal sites (O) Activity tracking Dissemination tracking Quarterly random survey of 100 adults (e.g., DMV) (O) Outcome indicators; (P) Process indicators

increase awareness and use of safe disposal sites Evaluation of strategies to increase the number of safe disposal sites AND increase awareness and use of safe disposal sites # of disposal sites created and # of days open (P) ---Activity tracking # and reach of awareness products disseminated (posters, articles, etc.) (P)---Dissemination tracking % of adults aware of at least one local safe disposal site (O)---Quarterly random survey of 100 adults (e.g., DMV) # visitors of visitors and/or pounds of Rx opioid pills discarded at disposal sites (O)---Activity tracking

Alaska PFS Logic Model Components Direction of your data assessment efforts Community Strategies   “What strategies will we choose to address the community factors” Community Factors “Why does Rx opioid misuse/abuse occur in our community?” Intervening Variables “Why does Rx opioid misuse/abuse occur?” Consumption “Rx opioid misuse/abuse among 12-25 year olds” Consequences “Consequences of Rx opioid misuse / abuse” Direction of influence during implementation