Cultivating County Partnerships Through the Strategic Prevention Framework: Assessment and Capacity

Introductions Agenda Additional training opportunities Housekeeping items Parking Lot CEU’s Welcome!

SPF SIG Overview Federal Funding: SAMHSA and CSAP $2.13 Million for 5 years Iowa Department of Public Health 15% of funding for state level activities County Level Funding 85% of funding for county level activities

Dr. Ousmane Diallo, Epidemiologist, IDPH Julie Hibben, SPF SIG Project Director, IDPH Pat McGovern, Lead Evaluator, Iowa Consortium for Substance Abuse Research and Evaluation Debbie Synhorst, SPF SIG Project Coordinator, IDPH IDPH Project Team

 Prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking  Reduce substance abuse-related problems in communities  Build prevention capacity and infrastructure at the State and local levels Project Goals

SPF SIG Characteristics Advisory Council State Epidemiological Workgroup (SEW) Capacity Coach Team

County Selection

Iowa SPF-SIG Priorities Reduce underage alcohol use (under age 21) Reduce adult binge drinking (18 and over)

SPF Features  Outcome-based  Consumption and consequences  Focuses on population-level change  Prevention across the lifespan  Data-driven decision making  Logic models used to select effective strategies

Framework Overview

Collect data to define problems, resources and readiness within the county to address needs Assessment

Mobilize and/or build capacity within the county to address needs Capacity Building

Develop a comprehensive strategic plan that includes evidence-based strategies creating a logical data-driven plan to address problems identified in the assessment step Planning

Implement evidence-based substance abuse prevention strategies Implementation

Measure the impact of the SPF and the implementation of strategies, programs, policies and practices Evaluation at the state level will be conducted by the Iowa Consortium for Substance Abuse Research and Evaluation Evaluation

Must be incorporated into each SPF step Does not solely focus on funding Can include sustaining effort, outcomes, projects, initiatives, etc. Sustainability

Must be incorporated into each SPF step Encompasses more than race and ethnicity Can include gender, sexual orientation, religion, location (rural, urban, suburban), socioeconomic status, age, etc. Cultural Competence

Framework Overview

Questions?

Assessment Step: Learning Objectives Participants will be able to:  Describe how needs assessment fits in with the bigger picture of public health  Describe the expectations and responsibilities of the LEW  Identify key indicators and data sources associated with community needs assessment  Implement the Community Needs Assessment

Public Health Core Functions  Future  Role  Mission  Treatment or Prevention?  Substance  Disease Prevention and Health Promotion

Standardizing Epi Data  Exposure vs. Outcome  Rates  Standardized Mortality Ratio  Proportion  Level of Significance  Measures of Association

Community Needs Assessment

Applying the SPF Intervening Variables Consumption And Consequences Evidence Based Strategies Consumption And Consequences

Purpose: To help SPF SIG project funded communities go through the outcome-based prevention model  Assess current problems using epidemiological data  Seek out factors that influence current problems *The LEW Chair should not do it alone County Needs Assessment Workbook (CAW)

Priorities State Priorities Underage Drinking Adult Binge Drinking And related consequences Local Priorities: Can be more specific after implementation of CAW

Consequences Consumption Intervening Variables Strategies Alcohol Dependence and Abuse Alcohol Related Car Crashes Alcohol Related Crimes Underage Drinking & Adult Binge Drinking Retail Availability Social Availability Promotion Community Norms Individual Factors Criminal Justice Convictions Evidence Based Programs, Policies and Practices Addressing Each Intervening Variable CAW Framework

Data Sources Data will come from both pre-populated data and original/local data Examples: Consumption data Behavior Risk Factor Surveillance Survey Iowa Youth Survey Consequence data Convictions and arrests Student suspensions Intervening variables Iowa Youth Survey (perceptions and norms) Focus groups Environmental Scans

Workbook Organization Seven parts: – County Description (demographics) – Consequences data – Consumption – Intervening variables – Prioritization – Resource Assessment – Appendices: Focus Group or Town Hall meeting methodologies

Part 1: County Description Describe your county demographics: age distribution, gender, race, socioeconomic status Include Map Other information that will show what makes your county unique

Part 2: Consequences  Crimes: Adult and youth alcohol violations, OWI charges Adult alcohol convictions  Alcohol related crashes % drivers involved in fatal crashes  Alcohol school expulsion and suspensions  Answer questions comparing your county vs. state.  Interpret results

Part 3: Consumption Student underage drinking: Past month, binge drinking (IYS) Adult 30 day use, heavy and binge drinking (BRFSS)

Questions?

Hands On: CAW Consequence and Consumption Iowa’s Strategic Prevention Framework to Reduce Underage and Binge Drinking County Assessment Workbook 2011 Workbook (Adapted from the Wyoming Epidemiological Workgroup)

Part 4: Intervening Variables Alcohol Availability Social Availability Promotion County Norms Individual Factors

Hands On: CAW Intervening Variables Iowa’s Strategic Prevention Framework to Reduce Underage and Binge Drinking County Assessment Workbook 2011 Workbook (Adapted from the Wyoming Epidemiological Workgroup)

Part 5: Setting Priorities

Prioritization ScoreRank Intervening Variables Retail Availability (page 23) Social Availability (page 26) Promotion (page 29) Community Norms (page 34) Individual Factors (page 37) Rank each intervening variable from 1-6 and justify prioritization

Part 6: Resource Allocations Intervening Variable StrategiesResources Retail Availability Social Availability Promotion County Norms Individual Factors Identify resources already available: Money, Time, Other

Part 7: Target After prioritization and resources allocations, determine combinations of Intervening Variables to target Final conclusions

Appendices Law Enforcement Interview Protocol County Meetings and Focus Groups

Questions ?

Assessing Community Readiness Readiness is the degree to which a community is prepared to take action on an issue.

The Community Readiness Model Tri-Ethnic Center for Prevention Research Sage Hall, Colorado State University Ft. Collins, CO Barbara A. Plested Ruth W. Edwards Pamela Jumper-Thurman

Community Readiness  Assessing community readiness for change  Increasing community capacity  Creating a climate that makes change possible

Process Define “Community”Conduct Key Respondent InterviewsScore to determine readiness levelDevelop readiness strategiesCOMMUNITY CHANGE!

Dimensions of Readiness A.Community Efforts B.Community Knowledge of the Efforts C.Leadership D.Community Climate E.Community Knowledge about the Issue F.Resources Related to the Issue

Who is interviewed? Minimum of 6 individuals, 26 questions, minute interviews  School/University  City/County/Government  Law Enforcement  Health/Medical Professions  Social Service  Spiritual/Religion  Mental Health and Treatment Services  Community At Large  Youth

Stages of Readiness 9. High Level of Community Ownership 8. Confirmation/Expansion 7. Stabilization 6. Initiation 5. Preparation 4. Preplanning 3. Vague Awareness 2. Denial 1. No Awareness

Questions ?

What’s next? Lunch on your own Afternoon training: Capacity