SAMHSA’s Strategic Plan VISION A Life in the Community for Everyone MISSION Building Resilience and Facilitating Recovery GOALS: Accountability Capacity Effectiveness

The Role of Prevention To create communities in which people have a quality life: healthy environments at work & in school supportive communities and neighborhoods connected to families and friends ATOD, HIV and crime free

Outcomes: NOMs COMMUNITY ATOD Abstinence Employment / Education Crime / Criminal Justice Social Connectedness SYSTEM Access-participants served, etc. Cost-effectiveness Evidence based strategies

Substance Abuse is LOCAL The federal government and states should implement systems to support communities in reducing substance abuse and related problems. Every community needs a comprehensive community wide plan---the community is the unit of analysis.

Single State Authority A servant–leadership role supporting the growth of community prevention systems by Creating a State prevention system Creating an infrastructure to support communities State success is dependent on community success!

State Infrastructure State Advisory/Policy Group Strategic Plans Epidemiological workgroup Training and Technical Assistance Evidence-based workgroup Funding Mechanisms Data Collection Systems Evaluation-Outcome/Process Community infrastructure

Community Infrastructure Leadership – community stakeholders & Citizens Community coalitions/workgroup/task forces Youth Parents Business Media Schools Service providers Law Enforcement Faith community Civic – volunteer groups Healthcare professionals Governmental agencies Other organizations Comprehensive Community Plan

Community Prevention System Bring the power of individual citizens and institutions together Create a comprehensive plan that everyone in the community has a stake in and owns Foster continued systems approaches as the community experiences the outcomes of its investments Hold community institutions accountable

SAMHSA’s Strategic Prevention Framework Steps Assessment Sustainability & Cultural Competence Profile population needs, resources, and readiness to address needs and gaps Monitor, evaluate, sustain, and improve or replace those that fail Implement evidence- based prevention programs and activities Develop a Comprehensive Strategic Plan Mobilize and/or build capacity to address needs Evaluation Capacity Planning Implementation

Outcome-Based Prevention Substance- Related Consequence and Use Intervening/ Causal Variables Programs/Policies/ Practices The project is organized around outcomes-based prevention principles This perspective identifies -what you are trying to affect- outcomes What you do to affect it -strategies What the intervening mechanisms are that you might change-intervening variables Implementing the Strategic Prevention Framework Planning, Monitoring, Evaluation and Replanning

Logic Model for Reducing Underage Drinking Substance-Related Consequences Substance Use Causal Factors Strategies (Examples) Educate retailers to check ID and enforce underage sales law Easy Retail Access to Alcohol for youth Low enforcement of alcohol laws Enforce underage alcohol laws (compliance checks, sobriety checkpoints) Alcohol-related crash fatalities Alcohol Poisoning Violence/Crime School Problems Teen Pregnancy Easy Social Access to Alcohol (parties, peers, family) Social Event Monitoring and Enforcement Underage drinking Social Norms accepting and/or encouraging youth drinking (peer, family, community) Media Advocacy to Increase Community Concern about Underage Drinking Restrictions on alcohol advertising in youth markets Promotion of alcohol use (advertising, movies, music) Low or discount pricing of alcohol Bans on alcohol price promotion/happy hours

Focus for States and Communities Consumption and consequences (prevent the problem associated with use) Across the lifespan (not only youth) Decisions based on evidence-based research and empirical data Outcomes measured at the population level (and the program level) If we prevent use, we prevent the problem!!

Developing and supporting community capacity to operate a local prevention system will result in the appropriate mix of programs, environmental strategies, and system policies to generate outcomes and to effectively create…. A Life in the Community for Everyone.