Overview June, 2010

 Sub-recipients grant applications will go to ADAMHS/ADAS Boards only.  ADAMHS/ADAS Boards will be expected to identify a primary partner coalition with whom to submit the application.  Selected ADAMHS/ADAS Boards must utilize the Strategic Prevention Framework process.

 Public health approach Agent- ATOD use & consequences of use Host- ATOD users Environment- Climate that encourages, discourages or sustains substance use  Strategic planning process  Data used throughout the process to inform decisions  Outcomes-based prevention Population level changes in consumption and consequences 3

 Effective prevention is grounded in a solid understanding of alcohol tobacco and other drug consumption and consequence patterns  Documenting the nature and extent of consumption (e.g., underage drinking) and consequences (motor-vehicle crashes) at the start is critical for determining intervening variables and aligning strategies to address them 4

5 Substance abuse & related problems Intervening Variables Programs, Policies & Practices Planning, Monitoring, Evaluation, and Replanning Outcomes-based Prevention

6 Assessment Profile population needs, resources, and readiness to address needs and gaps Evaluation Monitor, evaluate, sustain, and improve or replace those that fail Implementation Implement evidence-based prevention programs and activities Planning Develop a Comprehensive Strategic Plan Capacity Mobilize and/or build capacity to address needs

SAMHSA’s Strategic Prevention Framework Cultural Competence Sustainability 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

Cultural competence and sustainability are at the center of the Strategic Prevention Framework because they are integral to each step of the framework 8 Two Common Threads Throughout the Strategic Prevention Framework

Why cultural competence?  To eliminate service and participation disparities for people of diverse racial, ethnic, and linguistic populations  To consider culture, gender, ability levels, and sexual orientation in all aspects of the SPF  To improve the effectiveness and the quality of the programs, policies and practices chosen to achieve outcomes 9

 Applies to more than funding  Sustaining outcomes, not programs  Think sustainability from the beginning  Look to the system to sustain outcomes  Sustain prevention by making it everyone’s job! 10

 Structures and formal linkages  Champion and leadership actions  Resources  Administrative policies and procedures  Expertise  Ownership among stakeholders 11

 Prevention is a continuum  Prevention is prevention is prevention  Successful prevention decreases risk factors and enhances protective factors  Prevention requires adoption of known effective prevention practices within a framework that works 12

 Systems of prevention services work better than service silos  Common data sets across service systems can help assess prevention efficacy and promote accountability  Recognizes the importance of States and communities  Comprehensively address substance abuse 13

 SPF SIG Project Team has attended mandatory meetings related to start up and evaluation  SPF SIG Committee has been convened and has been meeting since March  SEOW has compiled and presented data to the SPF SIG Committee to assist them in identifying a priority population for the project  SPF SIG Project Team is currently working on the Ohio Strategic Plan, that once approved by CSAP, will serve as the guide for the project.

 We will propose to CSAP that our priority for this project is: 18 to 25 year old’s consumption of alcohol and other drugs  We recognize this will be a challenge.  This is a data driven process, focused on strengthening the capacity of the state and communities to make population level change.

PROCESS: Strategic Prevention Framework CONTENT: Outcomes-Based Prevention Assess Build Capacities PlanImplement Monitor & Evaluate Risk & Protective and Other Factors Strategies Programs, Policies & Practices Substance Abuse-Related Consequences and Substance Abuse

Risk & Protective and Other Factors Strategies Programs, Policies & Practices PROCESS: Strategic Prevention Framework CONTENT: Outcomes-Based Prevention Assess Build Capacities PlanImplement Monitor & Evaluate STATE ROLE:  Develop SEOW  Assess State SA problems  Determine State priorities  Develop SPF SIG Plan: define targets, allocate SPF SIG $  Guide/support community SPF implementation  Monitor/evaluate SPF SIG activities and outcomes

Substance Abuse-Related Consequences and Substance Abuse Risk & Protective and Other Factors Strategies Programs, Policies & Practices PROCESS: Strategic Prevention Framework CONTENT: Outcomes-Based Prevention Assess Build Capacities PlanImplement Monitor & Evaluate COMMUNITY ROLE:  Further analyze priority problems  Assess factors contributing to problems  Develop community strategic plans  Collaborate with State to monitor, evaluate activities  Select/implement evidence based strategies to address priority problems and factors that contribute to them

Assess Build Capacities PlanImplement Monitor & Evaluate Risk & Protective and Other Factors Strategies, Programs, Policies and Practices Substance Abuse - Related Consequences and Substance Abuse SPF SIG Collaborative Roles for Change Data-driven Prevention Priorities State SPF SIG Plan and Allocations Community Plans Improved State and Community Capacities and Outcomes Evidence- Based Strategies Community Application of SPF