Minority SA/HIV Initiative SPF Step 2 - Capacity Building Pam Tindall, CSAP’s Western CAPT Janer Hernandez, CSAP’s Northeast CAPT Marcus Bouligny, CSAP’s Southeast CAPT

Learning Objectives Review Strategic Prevention Framework Overview capacity Define types and levels of capacity Explore capacity in context of MAI grant Discuss the role of cultural competency in capacity building Explore sustainability as it relates to capacity

SPF – Step 1: Assessment Review Outcome-based prevention focus SPF process Step 1: Profile population needs, resources, and readiness to address needs and gaps Documenting findings in the online Management Reporting Tool (MRT)

Strategic Prevention Framework Step 1: Assessment Profile population needs, resources, and readiness to address needs and gaps Step 2: Capacity Mobilize and build capacity to address needs Step 3: Planning Develop a comprehensive strategic plan Step 4: Implementation Implement evidence-based programs, policies, practices Step 5: Evaluation Monitor, evaluate, sustain, and improve

Building Capacity- Is it Possible? A shoe factory sends two marketing scouts to the field to study the prospects for expanding business. One sends back a telegram saying, SITUATION HOPELESS STOP NO ONE WEARS SHOES The other writes back triumphantly, GLORIOUS OPPORTUNITY STOP THEY HAVE NO SHOES! Zander, R.S. and Zander, B. (2000). The Art of Possibility. Boston, MA: Harvard Business School Press.

Capacity  The ability to mobilize  stakeholders  resources …in order to implement programs, policies, and other changes designed to reduce the likelihood of substance abuse and transmission of HIV/AIDS

Mobilizing Stakeholders State SA, HIV/AIDS prevention authorities Service recipients (substance users, injection drug users, GLBTQ populations, recovering community) SA and HIV treatment providers, counseling services Community-based organizations (coalitions, minority organizations, etc.) Public health Media Business community Law enforcement and justice agencies Religious and fraternal organizations Healthcare providers State, local, tribal, Veteran’s governmental agencies Others with a stake in reducing SA & HIV/AIDS

Mobilizing Resources Resources: the types and levels of assets that exist in a community prevention system that can help meet SA & HIV/AIDS prevention planning and implementation demands

What Capacities Do We Assess? Human capacities Personnel Knowledge Skills Fiscal Technical Organizational

Assessing Capacity at the Community Level Determine what resources you have (human, technical, fiscal, and organizational) to… collect and analyze data assess and increase community readiness select strategies to address needs implement policies, programs, & practices evaluate effectiveness sustain efforts

Examples of Capacities State level Workforce knowledge, skills and competencies Infrastructure, Data systems Knowledge of cultural nuances in sub- populations Sub-populations’ capacity for prevention (people, skills, funds…) Community level Community orgs addressing SA and HIV/AIDS issues Infrastructure Leadership within the community Leadership within the organization Prevention knowledge at the community level Resources allocated and available to address SA & HIV/AIDS

How Do We Assess Capacity? Use capacity assessment tools to: Identify our strengths Identify gaps in knowledge and skills, and resources Focus capacity building where it will be most effective in meeting our goals

Capacity Assessment Form (Community Level) Communities assess their capacity to carry out effective prevention Assess areas of capacity Rate themselves currently Rate how important they believe each indicator is to the success of their prevention effort Large gap scores indicate focus areas for building capacity

Outcomes-Based Prevention Process: Strategic Prevention Framework Substance Abuse & HIV/AIDS Patterns & Consequences Contributing Factors & Intervening Variables Evidence- Based Programs, Policies & Practices Step : Focus Capacity Building Here

SPF Logic Model for Reducing Binge Drinking y/o Young Adult Binge Drinking Social Norms Accepting and/or Encouraging Binge Drinking Media Advocacy to Increase Community Concern About Binge Drinking Step 2: Focus Capacity Building Here Consumption Pattern Contributing Factors Strategies

Building Capacity Identify gaps from community capacity assessment Create an action plan to address gaps

MRT – Sample Entry: Advisory Group Our Project Advisory Board includes: State and federal representatives Service recipients Sub-population representatives SA & HIV/AIDS specialists State public health representatives State, Tribal, Veteran’s government representatives

MRT – Sample Entry: Governing Board Our Project Governing Board includes: Project Manager Substance abuse experts HIV/AIDS experts Other public health experts Evidence-based interventions, planning & implementation experts Epidemiologist Evaluator

MRT – Sample Entry: Collaborators Our Project Collaborators include: Service recipients Sub-population representatives Specialists in SA, HIV/AIDS, GLBTQ, and other health care/service providers Local public health representatives Business representatives Law enforcement and justice reps Local, tribal, government representatives

MRT – Sample Entry: Guiding Principles Cultural Competence Sustainability Continuous Quality Improvement Participatory Involvement Our project is fully imbedded in the community. Our collaborators provide input into each SPF step, and sub- population focus groups review all project reports, recommendations and materials.

MRT – Sample Entry: Accomplishment & Barrier Accomplishment An active coalition of community stakeholders with the knowledge, skills and resources to accomplish a comprehensive needs assessment has been established. This accomplishment enhanced our project’s capacity to collect and analyze data, involve our focus population in our needs assessment processes, and identify resources and service gaps.

MRT – Sample Entry: Accomplishment & Barrier Barrier No centralized state or local data management system exists. This barrier impacted our project’s capacity to easily access data across silos, centrally archive data, and compare data documented using differing protocols.

MRT – Sample Entry: T/TA Report Data management TA was delivered to address data recording, storage and access across silos. Topics included: Online data reporting system Cross-silo collaboration for data sharing Data access protocols

MRT – Sample Entry: Conclusions & Recommendations Conclusion A strong coalition has the knowledge, skills and resources to perform a comprehensive needs assessment. The effectiveness of this coalition enhances our project’s capacity to understand the impact of SA and HIV/AIDS within our target population and our community, & to utilize focus groups to understand what is required in order to address these needs.

MRT – Sample Entry: Conclusions & Recommendations Recommendation A coordinated data management system is needed to enhance the utility and application of needs assessment data. A coordinated data management system would enhance our project’s capacity to ensure a comprehensive, accurate needs assessment, easy access to data recorded using common protocols, and effective data comparisons.

Integrating Cultural Competence into Capacity Building Key Questions: How do we examine community resources and readiness? How do we examine community resources and readiness? ► Key Stakeholders ► Gate Keepers and Gate Openers ► Collaborating Partners ► Existing Services and Resources ► Non-traditional Networks and Support Systems

Integrating Cultural Competence into Capacity Building Key Questions (continued) : What policies are in place or need to be developed to improve cultural competence? What policies are in place or need to be developed to improve cultural competence? ► Recruitment ► Retention ► Training ► Communications ► Community Input

Ensuring Cultural Competence in Capacity Building How do we identify and mobilize mutually acceptable goals and objectives? How do we identify and mobilize mutually acceptable goals and objectives? ► Collaborative Process ► Dynamic and Fluid ► Sometimes feels “messy” ► Negotiating Differences ► Representation

Ensuring Cultural Competence in Capacity Building How do we check cultural representation? How do we check cultural representation? ► Race/Ethnicity ► Language ► Gender ► Age ► Disability ► Sexual orientation and gender identity How do we ensure tools and technology are culturally competent? How do we ensure tools and technology are culturally competent? How do we ensure a safe and supportive environment for all participants? How do we ensure a safe and supportive environment for all participants?

Elements of Sustainability in SPF Step 2: Capacity Building What elements of sustainability are present in Step 2? How do we know if those elements are present? What are possible indicators, and how can we begin to measure them? >>>Guiding questions

Action Areas For SPF Step 2: Capacity Building 1.Structures and Formal Linkages 2.Policies and Procedures 3.Resources (step 2) 4.Expertise 5.Quality and Accountability 6.Effectiveness 7.Reach and Alignment 8.Relationships (step 2) 9.Champions 10.Ownership

Guiding Questions for Step 2: Capacity Building  Are key community stakeholders supportive of the goals and efforts of the SPF process?  Are any of these relationships creating a barrier to achieving, demonstrating, or sustaining the strategy’s positive outcomes of our SPF process?  Which current resources are needed to carry out a plan to address the issues identified in Step 1?  Of these resources, which is insufficient or is vulnerable?  How have you communicated your evaluation needs and expectations to your evaluator?