The Prevention Landscape Recent Trends and Opportunities for Cross-System Partnership. We can no longer stand alone in our field. Opportunities for Cross-System Partnership

SUSTAINABLE INTEGRATED EVIDENCE BASED CULTURALLY COMPETENT Universal Maintenance Tx Modalities Indicated Assessment Selective Monitoring CLIENT COMMUNITY CENTERED SUSTAINABLE INTEGRATED EVIDENCE BASED CULTURALLY COMPETENT INTERVENTION SERVICE COORDINATION TREATMENT RECOVERY SUPPORT PREVENTION Guiding Frameworks and Principles Moving towards a Continuum of Service approach Historically At federal level: Integration of Universal, Selective, and Indicated

Prevention Treatment Recovery Bridging the Gap Prevention Treatment Recovery At state level: formation of COSSR, with intent to create a continuum of service approach within own field (substance abuse) to bridge service gaps between prevention, treatment, and recovery services.

IOM Categories Universal Indicated Selective Defining risk at different levels

strategies Environmental Selective and Indicated Advancement of environmental strategies through SIG and selective and indicated strategies through SDFSC. These funding initiatives allowed us to advance our strategies/learnings in these areas. Selective and Indicated

Substance Abuse Prevention’s Use of: Evidence Based Practice Data Driven decisions An evolving concept of documenting and adopting “evidence-based” prevention programs, practices, and policies. Historically At Federal Level: Growing numbers of more firmly documented models and practices based on the demonstration of positive outcomes. AND Paradigm shift from picking off lists to thinking more critically about evidence in relationship to local context, relevance, and appropriateness. Recognition and commitment that both Science to Service and Service to Science efforts are important.

Selecting Strategies—Context Matters Identify types of interventions (e.g. policies, programs, practices, educational, environmental) addressing populations that fit your data-based priority problems, goals & objectives Select policies, programs & practices that fit with community Resources Capacity Readiness, & Complement existing efforts Evidence of effectiveness Recognized practice Scientific reports Documented experience & judgment Policies, Programs, & Practices to Implement At State Level: Reluctance to develop absolute list of qualified programs/practices. Finding the balance between honoring local level needs/priorities/strategies while remaining committed to state prevention priorities and outcomes. Working with CADPAAC to develop core measures. Supporting locally developed innovative models demonstrate evidence. (For example Butte Committed and Riverside BRIM models) Effective? Appropriate? Adapted from Identifying & Selecting Evidence-Based Interventions, SAMHSA, January 2007 Relevant? 7

Working with Specific Populations Mentoring Working with Specific Populations Screening and Brief Intervention Conditional Use Permits (CUP) CA Strategies examples, E.P. CUP, SHO Etc. Foster Youth SBIRT Student Assistance Programs Social Host Ordinances Youth Development

Moving Forward Opportunities for partnership across systems Moving Forward: Opportunities for cross-system partnership Coordinating efforts with similar local level planning processes (e.g. MHSA PEI planning process, LEA LEAP) Moving Forward

SAMHSA’S Strategic Prevention Framework Increasingly firmer commitment to data driven planning, evidence-based implementation, and outcome-based decision making Historically At federal level: adoption of SPF, investment in SPF SIG initiatives, SAPT block grant requirements At state level: Since 2005 counties required to adopt SPF and develop Strategic Plans, including the identification of prevention priorities based on local needs.

Existing Planning Processes MHSA, PEI AOD, SPF CDE, LEAP DPH, CTCP Moving forward example slide

Cross System Partnership III. Summary This represents a brief glimpse into our field. Hopefully this helps to ground our discussions today Looking forward to learning more about your respective fields.