1. Partnerships for success (PFS)
Project Logic Model and Evaluation

2. Federal Efforts and Evaluation State Efforts and Evaluation
PFS Project Layers
Federal Efforts and Evaluation
State Efforts and Evaluation
Community Efforts
and
Evaluation
Broader in focus
3 distinct but coordinated project levels working together
The PFS project coordinator and state evaluators will have the vast majority the interaction with federal project officers and will be responsible for meeting federal requirements and submitting reports. The only federal requirement and involvement communities have directly is completing and submitting the CLI-R on October 15th and April 15th each year.
More specific in focus

3. Alaska PFS Logic Model
Conceptual map our PFS effort (state and borough level)
The changes we hope to bring about through our PFS program effort
Strategies & community factors that will contribute toward this change

4. Alaska PFS Logic Model Components
Direction of data assessment efforts
Community Strategies
“What strategies will we choose to address the community factors”
Community Factors
“Why specifically does Rx opioid misuse/abuse occur specifically in our community?”
Intervening Variables
“Why does Rx opioid misuse/abuse occur?”
Consumption
“Rx opioid misuse/abuse among year olds”
Consequences
“Consequences of Rx opioid misuse / abuse (i.e. Why do we care?)”
Direction of influence once implementation begins
 If-then statements

5. Alaska PFS Logic Model Components
Community Strategies
“What strategies will we choose to address the community factors”
Community
Factors
“Why does Rx opioid misuse/abuse occur specifically in our community?”
Intervening Variables
“Why does Rx opioid misuse/abuse occur?”
Consumption
“Rx opioid misuse/abuse among year olds”
Consequences
“Consequences of Rx opioid misuse / abuse (i.e. Why do we care?)”

6. See
indicators
handout

7. Alaska PFS Logic Model Components
Why the intervening variables were chosen:
Strength of relationship to Rx opioid misuse/abuse (and heroin)
Can be addressed by community coalitions with policy, systems, environmental strategies
Help keep the project focused and manageable given limited time and resources
Maintain a consistent focus across communities
Based on the potential for measurable community- level change within 4 years
Social Availability
Easy access to Rx opioids through social sources
Retail Availability
Easy access to Rx opioids through providers
Low Perceived Risk of Harm from Rx opioid misuse or abuse

8. See
indicators
handout

9. Data Sources for PFS Project Indicators
Data sources used by CBHRS to evaluate the project at the state and borough level (consumption, consequences and intervening variables)
Data is provided to communities through reports (in total / by demographic groups) when available at the borough level.
When baseline borough data will provided to funded communities
Young Adult Substance Use Survey (YASUS)
12/30/2016
National Survey on Drug Use and Health (NSDUH)*
N/A
Prescription Drug Monitoring Program (PDMP) ?
Youth Risk Behavior Survey (YRBS)
10/1/2016
Alaska Health Facilities Data Reporting program (HFDR)
10/30/2016

10. PFS Young Adult Substance Use Survey (YASUS)
Why?
No data on Rx opioid or heroin substance use for years olds at the borough level
Where and How?
7,500 randomly selected year olds from purchased mailing lists
All funded boroughs
Online and paper administration
Aim for 20% response rate / 1,500 completed surveys
Who?
State evaluators at CBHRS will conduct the survey
When?
Fall of 2016 and 2019

11. Young Adult Substance Use Survey (YASUS)
Rx Opioid Content
Consumption
Misuse of Rx opioids (past 30 days/year)
Frequency of misuse
Reasons for misuse
Social and Retail Availability
Ease of access to misused Rx opioids
How misused Rx opioids were acquired
Disposal practices
Provider interactions if prescribed opioids
Doctor shopping behavior
Perception of risk of harm
Perceived risk from trying once/twice
Perceived risk from using regularly
Other
Difficulties due to Rx opioid misuse
Awareness of prevention messages
Perceived problem in the community

12. Young Adult Substance Use Survey (YASUS)
Heroin Content
Consumption
Use of heroin (past 30 days/year)
Frequency of misuse
Reasons for misuse
Retail Availability
Ease of access to heroin
Perception of risk of harm
Perceived risk from trying once/twice
Perceived risk from using regularly
Other
Difficulties due to heroin use
Perceived extent of problem in the community

14. Low Perceived Risk of Harm
Rx opioids
Finding answers to questions such as : Why, how, when, what, where, and with whom
Social Availability,
Retail Availability,
Low Perceived Risk of Harm =
Community Factors
+ Strategies

18. a campaign to increase awareness and use of safe disposal sites
Evaluation of the STRATEGY TO increase the Number of safe disposal sites and
a campaign to increase awareness and use of safe disposal sites
Goal: Reduce Rx Opioid Misuse/Abuse among year olds
Community Factor: Lack of convenient and/or recognized sites for adult community members to dispose of Rx opioids safely
Intervening Variable: Social Availability of Rx opioids
CSAP Category
Strategy Target Population: Adults 18+
Create safe disposal sites:
Environmental
Campaign to promote safe disposal sites:
Information Dissemination
KEY strategy outcomes
Indicators
method / measure
Increase safe disposal sites to:
Increase access to safe disposal sites
Multi-level campaign to:
Increase awareness of safe disposal sites
Increase use of disposal sites
# of disposal sites created and # of days open (P)
# and reach of awareness products disseminated (posters, articles, etc.) (P)
% of adults aware of at least one local safe disposal site (O)
# visitors of visitors and/or pounds of Rx opioid pills discarded at disposal sites (O)
Activity tracking
Dissemination tracking
Quarterly random survey of 100 adults (e.g., DMV)
(O) Outcome indicators; (P) Process indicators

19. increase awareness and use of safe disposal sites
Evaluation of strategies to increase the number of safe disposal sites AND
increase awareness and use of safe disposal sites
# of disposal sites created and # of days open (P) ---Activity tracking
# and reach of awareness products disseminated (posters, articles, etc.) (P)---Dissemination tracking
% of adults aware of at least one local safe disposal site (O)---Quarterly random survey of 100 adults (e.g., DMV)
# visitors of visitors and/or pounds of Rx opioid pills discarded at disposal sites (O)---Activity tracking

20. Alaska PFS Logic Model Components
Direction of your data assessment efforts
Community Strategies
“What strategies will we choose to address the community factors”
Community Factors
“Why does Rx opioid misuse/abuse occur in our community?”
Intervening Variables
“Why does Rx opioid misuse/abuse occur?”
Consumption
“Rx opioid misuse/abuse among year olds”
Consequences
“Consequences of Rx opioid misuse / abuse”
Direction of influence during implementation