1. Coalition Sustainability The Keys to Success Adapted from Coalition Sustainability: The Keys to Success, (2008) from The Center for Substance Abuse Preventions Southeast Center for the Application of Prevention Technologies.

2. Participant Outcomes Define sustainability in the context of a community task force, group, or coalition Identify the three keys to sustainability Identify ten actions related to the three keys Relate the three keys to sustainability to the steps of the Strategic Prevention Framework Pose questions that are relevant to the development of a sustainability plan At the end of this workshop, participants will be able to:

3. My take… Dandelions represent wishes …and the means for sowing seeds to grow resilient communities! -- LB

4. Sustainability Defined Sustainability is the process of ensuring an adaptive prevention system and a sustainable innovation that can be integrated into ongoing operations to benefit diverse stakeholders. (SAMHSA) CADCA defines sustainability as the ability to maintain the human, social, and material resources to achieve your coalitions long-term goals. Ultimately, sustainability is about maintaining positive outcomes in communities.

5. Once Outcomes Are Achieved Achieving outcomes from prevention programs, policies, and practices is the initial desired result. Once positive outcomes occur from these strategies, there is a need to sustain the outcomes.

6. Importance of Sustainability Typically, there is limited emphasis on building support for outcomes during strategy implementation Positive outcomes of each strategy must be sustained to reduce substance abuse behaviors and related problems at the community level

7. Prevention strategies should be continued because… There are documented reductions in substance abuse behaviors. They are more cost effective when compared to treatment and incarceration costs. The cost savings and impact on related problems will be clear to funders and community members.

8. Implications for Practice Sustainability is more than funding. Sustainability planning should be integrated into the program implementation process – if possible from the beginning! Connection to a well-functioning group or coalition can be a great facilitator for sustainability, particularly for community and family prevention programs. Source: Evidence-based Prevention and Intervention Support Center, Penn State University

9. Moving from Program Orientation to Outcomes Orientation Changing drug or substance consumption behaviors at a population level will require a mix of strategies carefully targeted to reduce risks -- relying primarily on environmental and other population-influencing strategies.

10. SAMHSAs Strategic Prevention Framework SAMHSAs Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness 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

11. SAMHSAs Strategic Prevention Framework Steps 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

12. The prevention system must have capacities necessary to: plan strategically for, carry out, and sustain prevention strategies with adequate effectiveness, scope, and intensity. achieve targeted reductions in substance using behaviors and related consequences experienced by the community.

13. Community agencies, institutions, and organizations must work together to: strategically leverage and target the systems existing resources, assets, and capacity. continually expand the communitys ability to effectively respond to changing patterns of substance use consumption and consequences.

14. Understanding Your Community – Community needs are regularly assessed. – Community resources and assets are regularly assessed. – The project addresses key community needs. – Community resources are effectively utilized by the project. – Project goals are matched with community needs. – Project needs are matched with community resources. – The projects accounts for diversity in the community. – The project has strong local governmental support. – Community members are involved in program design or implementation. Marek and Mancini (2005)

15. Intentional Sustainability Includes... Leadership Collaboration Community engagement Evaluation Funding strategies Staff development Adaptability and flexibility Source: Marek & Mancini (2007)

16. Sustainability Planning Sustainability requires a comprehensive plan to address a relevant problem. Sustainability planning is the process of identifying and securing resources to maintain this plan. Source: CADCA

17. Research Points to Three Key Objectives and Ten Related Actions Necessary for Sustainability

18. The Three Key Objectives for Sustainability are: 1.Organizational Capacity 2.Effectiveness 3.Community Support

19. The Ten Related Actions: 1.Structures and Formal Linkages 2.Policies and Procedures 3.Resources 4.Expertise 5.Quality and Accountability 6.Document Outcomes 7.Reach and Alignment 8.Relationships 9.Champions 10.Ownership Organizational Capacity Effectiveness Community Support

20. Organizational Capacity 1.Develop administrative structures and formal linkages 2.Adopt supportive policies and procedures 3.Secure diverse resources 4.Acquire appropriate expertise Key # 1

21. Effectiveness 5.Assess Implementation Quality. 6.Assure that the Strategy being implemented is documented as effective for achieving the desired outcomes. 7.Assess the Reach and Alignment. Key # 2

22. Community support 8.Develop and Nurture Positive Relationships 9.Turn Stakeholders into System Leaders and Champions 10.Encourage Ownership Key # 3

23. Activity – Analyzing Internal and External Partnerships This activity helps to assess potential partners and explore opportunities for building relationships.

24. Results of Planning for Sustainability A community system that can flexibly respond to problems by providing ongoing support for a strategic approach to achieve positive results and sustain them. A plan and process that builds the community prevention coalitions capacity as an effective problem-solving group.

25. Continued... Results of Planning for Sustainability A forum for successful integration of the Strategic Prevention Framework into the community prevention system Effective use of limited resources to reduce substance use consumption and consequences

26. Remember... The Keys to Sustainability are about recognizing, assessing, and building the many strengths your communities have to offer. ODMHSAS

27. Sources Center for Substance Abuse Prevention (CSAP), Unlocking the Door to Sustainability: Keys to Sustaining Effective Prevention and Positive Outcomes in Your Community. www.samhas.govwww.samhas.gov Community Anti-Drug Coalition Institute (CADCA). (2007). Sustainability Primer: Fostering Long-Term Change to Create Drug-Free Communities. http://cadca.org. http://cadca.org Community Anti-Drug Coalition Institute (CADCA). 2008. Sustainability Webinar #3. www.coalitioninstitute.orgwww.coalitioninstitute.org Johnson, K., Hays, C., Center, H., & Daley, C. (2004). Building Capacity and Sustainable Prevention Innovations: A Sustainability Planning Model. Journal of Evaluation and Program Planning, Marek, L., & Mancini, J. (2007). Sustaining Community-Based Programs: Relationships Between Sustainability Factors and Program Results. Department of Human Development, Virginia Polytechnic Institute and State University Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS). Keys to Sustainability: Unlocking the Doors to Effective Prevention and Positive Outcomes. Penn State EPISCenter, http://www.episcenter.psu.eduhttp://www.episcenter.psu.edu

28. Contact Information Luanne Beaudry, M.S., C.P.C.-R. Prevention Network PO Box 4458 East Lansing, MI 48826-4458 800-968-4968 ext 112 pamcampaign@preventionnetwork.org