Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies West Regional Expert Team Mail Stop 279 University of Nevada, Reno Reno, Nevada (888) Republic of the Marshall Islands Advisory Council and Epi Work Group Orientation Joshua Phillip Kristen Clements-Nolle Alyssa O’Hair March 16,

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Overview of Today’s Meeting Overview of the SPF Review the role of the Advisory Council, Epi Work Group, and EBI Work Group Determine further T/TA needs related to Advisory Council, Epi Work Group, and EBI Work Group development 2

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Activity: Your Perspective of Prevention In your large group, take 5 minutes and have a short discussion on the following: Substance abuse prevention is… What do we want to prevent in RMI? Have one or two volunteers will share the thoughts of the group 3

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies The Role of Prevention To create healthy communities in which people have a quality life: Healthy environments at work and in school Supportive communities and neighborhoods Connections with families and friends Drug and crime-free 4

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies SPF & Prevention History Changes in Prevention Planning Over Time 1990’s Funding was available for the creation of Community-Based Coalitions Evidence-based strategies. Emphasis on implementing effectively with fidelity 5

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies SPF & Prevention History 2004/09 Strategic Prevention Framework Planning Process - Assessing, Capacity Building, Planning, Implementation and Evaluation Prevention Planning Today 6

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Multiple Levels of Influence 7

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Activity: Your Experience in Prevention Based on your experience in prevention at the state and/or at the community level: Mention 1-2 examples of prevention efforts that target the: Primary environment Near environment Broader environment In which level/s do you see a greater number of prevention efforts? What does it mean to you? 8

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies SAMHSA’s Strategic Prevention Framework 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 Assessment Capacity Planning Implementation Evaluation 9

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Why a Strategic Prevention Framework? Funding is not always directed to the greatest need in a state or community Planning with each step will ensure strategies selected will impact the problem in the community It creates better linkages between the State and local community 10

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies 4 Key Principles of the SPF 1.Public health approaches, widened to population-based prevention 2.Outcomes-based prevention that starts with the end in mind 3.Prevention is targeted across the lifespan (not just youth) 4.Data-driven planning process 11

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Key Principles of the SPF Community-Level Change Before: Changes at individual or small- group level Now: Looks for changes at the community level 12

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Key Principles of the SPF Outcomes-Based Prevention Starts with end in mind Looks at consequences of use and patterns of consumption 13

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Key Principles of the SPF Outcomes-Based Prevention Consumption How people drink, smoke, and use legal and illegal drugs 14

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Key Principles of the SPF Outcomes-Based Prevention Consequences What happens when people use substances 15

16 Substance Abuse & Related Problems Risk and Protective Factors Programs, Policies & Practices Planning, Monitoring, Evaluation and Re-planning Outcomes-Based Prevention 16

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Key Principles of the SPF Consumption Patterns Consequences Driver who drinks Heavy smokingLung cancer Traffic accidents Outcomes-Based Prevention 17

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Key Principles of the SPF Prevention Across Lifespan It’s never too early and never too late 18

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Key Principles of SPF Data-Driven Planning Use of data across all steps to: –identify problems and set priorities; –assess and mobilize capacity for using data; –inform prevention planning and funding decisions; –guide selection of strategies to address problems and goals; –monitor key milestones and outcomes and adjust plans as needed. 19

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Step 1 - Assessment Assessment of: Consumption Consequences Risk and protective factors Assessment of: Resources & Capacity Gaps Community readiness 20

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Step 2 – Mobilizing Capacity Types and levels of resources needed to address identified needs  Human, technical and financial resources Ability of agencies and organizations to work collaboratively to achieve and sustain targeted reductions in substance abuse behaviors 21

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Step 3 – Comprehensive Strategic Planning A comprehensive, logical, and data-driven plan to address the problems identified in Step 1 (Assessment) using the capacity built or mobilized in Step 2 (Capacity) –Requires: A shared vision and common understanding of what needs to change The engagement of key leaders 22

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Step 4 – Implementation Taking action as guided by the Strategic Plan developed in Step 3 Developing specific action plans for evidence-based interventions Developing a final detailed evaluation plan 23

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Step 5 – Evaluation Monitor, Evaluate, Sustain and Improve or Replace Those that Fail What does the Evaluation Step include? –Process evaluation –Outcome evaluation –Review of policy, program, and practice effectiveness –Development of recommendations for quality improvement 24

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies The SPF and Cultural Competence Why cultural competence? To improve the effectiveness and the quality of the programs, policies and practices chosen to achieve, outcomes in targeted populations. 25

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Activity: Cultural Competence List others who should be served by the SPF How can we included representatives of these groups in the SPF process? 26

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Sustainability Sustaining outcomes, not programs Think sustainability from the beginning Look to the system to sustain outcomes Sustain prevention by making it everyone’s job! 27

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Three Key Groups for Prevention Advisory Council Epidemiological (Epi) Work Group Evidence-Based Intervention (EBI) Work Group 28

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Advisory Council At least one representative from the following: –The Office of the Governor/President or Chief Executive Officer –A core group of drug and alcohol-related agencies identified by the State/PJ (including but not limited to public health, education, criminal justice, behavioral/ mental health) –A representative from SAMHSA/CSAP (Government Project Officer) –The Chair must be appointed by the President or Chief Executive Officer 29

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Advisory Council Role Must be involved in every aspect and full duration of the SPF SIG Work in collaboration with the Epi and EBI work groups Define the specific roles of the Advisory Council, for example: –Types, duties, and structure of sub-committees Develop timelines for completion of the Strategic Plan and share them with the Government Project Officer 30

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Epi Work Group Every State/Jurisdiction must have an Epi workgroup The relationship between the Epi work group and the Advisory Council varies by State and Jurisdiction The RMI Epi work group reports to the SSA and to the Advisory Council The Epi work group is expected to contribute to all phases of the SPF process (not just Step 1) 31

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Who Should be on the Epi Workgroup? Data “gatekeepers” Partners from other fields: –Dept. of Justice –Public Health Department –Transportation Department –Education –Hospitals Affected communities Think “outside the box” 32

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Epi Workgroup Role Develop Epi Profiles and other materials –Community profiles, fact sheets for policy makers Analyze and support priority setting –Work with Advisory Council throughout Support prevention resource allocation –Ensure that resource allocation is data driven Develop data monitoring systems –Assess and analyze prevention outcomes over time 33

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Other Roles for Epi work group? What else could the Epi work group do in RMI? 34

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Evidence-Based Intervention (EBI) Work Group/Role Make recommendations on the use of Evidence Based Interventions (EBIs) Utilize CSAP’s guidance document “Identifying and Selecting Evidence-Based Interventions” to guide efforts 35

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Examples of EBIs Reconnecting Youth - a semester long class for at risk youth geared towards decreasing drug use, anger, depression and suicidal behavior Family Matters - a home-based program designed to prevent tobacco and alcohol use in children 12 to 14 years old DARE To Be You (DTBY) - a multilevel, primary prevention program for children 2 to 5 years old and their families 36

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Advisory Council, Epi, and EBI Work Groups Each of the three groups should have the following: –Mission –Members –Operating Rules –Accomplishments Where is RMI in this process with each group? 37

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies What’s next? We’re here for you!!! Alyssa Joshua Kristen 38

Center for Substance Abuse Prevention (CSAP) Center for the Application of Prevention Technologies Joshua Phillip West RET CASAT/Mail Stop 279 University of Nevada, Reno Reno, Nevada