1. The Prevention Landscape
Recent Trends and Opportunities for Cross-System Partnership. We can no longer stand alone in our field.
Opportunities for Cross-System Partnership

2. SUSTAINABLE INTEGRATED EVIDENCE BASED CULTURALLY COMPETENT
Universal
Maintenance
Tx Modalities
Indicated
Assessment
Selective
Monitoring
CLIENT
COMMUNITY
CENTERED
SUSTAINABLE
INTEGRATED
EVIDENCE BASED
CULTURALLY COMPETENT
INTERVENTION
SERVICE COORDINATION
TREATMENT
RECOVERY SUPPORT
PREVENTION
Guiding Frameworks and Principles
Moving towards a Continuum of Service approach
Historically
At federal level: Integration of Universal, Selective, and Indicated

3. Prevention Treatment Recovery
Bridging the Gap
Prevention Treatment Recovery
At state level: formation of COSSR, with intent to create a continuum of service approach within own field (substance abuse) to bridge service gaps between prevention, treatment, and recovery services.

4. IOM Categories Universal Indicated Selective
Defining risk at different levels

5. strategies Environmental Selective and Indicated
Advancement of environmental strategies through SIG and selective and indicated strategies through SDFSC. These funding initiatives allowed us to advance our strategies/learnings in these areas.
Selective and Indicated

6. Substance Abuse Prevention’s Use of:
Evidence Based Practice
Data Driven decisions
An evolving concept of documenting and adopting “evidence-based” prevention programs, practices, and policies.
Historically
At Federal Level: Growing numbers of more firmly documented models and practices based on the demonstration of positive outcomes. AND Paradigm shift from picking off lists to thinking more critically about evidence in relationship to local context, relevance, and appropriateness. Recognition and commitment that both Science to Service and Service to Science efforts are important.

7. Selecting Strategies—Context Matters
Identify types of interventions (e.g. policies, programs, practices, educational, environmental) addressing populations that fit your data-based priority problems, goals & objectives
Select policies, programs & practices that fit with community
Resources
Capacity
Readiness, &
Complement existing efforts
Evidence of effectiveness
Recognized practice
Scientific reports
Documented experience & judgment
Policies, Programs, & Practices to Implement
At State Level: Reluctance to develop absolute list of qualified programs/practices. Finding the balance between honoring local level needs/priorities/strategies while remaining committed to state prevention priorities and outcomes. Working with CADPAAC to develop core measures. Supporting locally developed innovative models demonstrate evidence. (For example Butte Committed and Riverside BRIM models)
Effective?
Appropriate?
Adapted from Identifying & Selecting Evidence-Based Interventions, SAMHSA, January 2007
Relevant? 7

8. Working with Specific Populations
Mentoring
Working with Specific Populations
Screening and Brief Intervention
Conditional Use Permits (CUP)
CA Strategies examples, E.P. CUP, SHO Etc. Foster Youth SBIRT
Student Assistance Programs
Social Host Ordinances
Youth Development

9. Moving Forward Opportunities for partnership across systems
Moving Forward: Opportunities for cross-system partnership
Coordinating efforts with similar local level planning processes (e.g. MHSA PEI planning process, LEA LEAP)
Moving Forward

10. SAMHSA’S Strategic Prevention Framework
Increasingly firmer commitment to data driven planning, evidence-based implementation, and outcome-based decision making
Historically
At federal level: adoption of SPF, investment in SPF SIG initiatives, SAPT block grant requirements
At state level: Since 2005 counties required to adopt SPF and develop Strategic Plans, including the identification of prevention priorities based on local needs.

11. Existing Planning Processes
MHSA, PEI
AOD, SPF
CDE, LEAP
DPH, CTCP
Moving forward example slide

12. Cross System Partnership III. Summary
This represents a brief glimpse into our field.
Hopefully this helps to ground our discussions today
Looking forward to learning more about your respective fields.