Overview of the Strategic Prevention Framework

1. Overview of the Strategic Prevention Framework June 22, 2011 Monty Williams, CAPT Associate Michelle Frye-Spray, Associate Coordinator CAPT West Resource Team

2. Objectives • Workshop participants will: • Learn about the five steps of SAMHSA’s Strategic Prevention Framework (SPF) • Share Nooksack progress implementing the SPF • Obtain lessons to apply to Nooksack’s SPF TIG • Review the role of the SPF Advisory Council, Epidemiological Work Group, and Evidence-based Practices Work Group

3. Agenda 9:30 - 10:00 Principles of the Strategic Prevention Framework 10:00 - 10:15 Break 10:15 - 10:45 Step 1: Assessment 10:45 - 11:30 Step 2: Capacity Building 11:30 - 12:00 Step 3: Planning 12:00 - 12:30 Step 4: Implementation & Step 5: Evaluation 12:30 Close

4. SPF & Prevention History Changes in Prevention Planning Over Time 1999-2004 Focus on evidence-based strategies; Emphasis on implementing with fidelity 1990’s Funding was available to create community-based coalitions

5. SPF & Prevention History Prevention Planning Today 2004-2009Strategic Prevention Framework– Assess Needs, Building Capacity, Planning, Implementation, and Evaluation

6. Prevention Planning Why create a plan for action?

7. Steps of the SPF Step 1: Assessment Profile population needs, resources, and readiness to address needs and gaps Step 2: Capacity Mobilize and/or build capacity to address needs Step 3: Planning Develop a comprehensive strategic plan Step 4: Implementation Implement evidence-based prevention programs and activities Step 5: Evaluation Monitor, evaluate, and sustain

8. CSAP’s Strategic Prevention Framework State Incentive Grants by Cohort I-V WEST CENTRAL Montana Wyoming Tribal Leaders Council Nooksack Indian Tribe Confederate Salish and Kootenai Tribes Red Lake Nation Oglala Sioux Tribe NORTHEAST Leech Lake Band of Ojibwe Northern Arapaho Tribe Little Traverse Bay Band of Odawa Indians Lower Brule Sioux Tribe Great Lakes Inter-Tribal Council California Native American Health Center WA ME Grand Traverse Band ND MT VT MN NH OR WI NY MA Northern Mariana Islands ID SD RI MI WY CT PA IA NJ DE NV IN OH IL NE UT MD WV Marshall Islands CA CO VA District of Columbia KS KY MO NC Palau TN AZ OK SC AR NM SOUTHEAST AL GA MS Federated States of Micronesia Tohono O’dham Nation LA Puerto Rico TX Pueblo of Acoma Hawaii First Nations Community Health Source FL AmericanSamoa Winnebago Tribe Cook Inlet Tribal Council US Virgin Islands Cherokee Nation OK Inter-Tribal Consortium (ITC) Guam Dena Nena Henash (TCC) AK SOUTHWEST Cohort V Partnerships for Success Northeast: ME,NY,NH,VT,MA,CT,RI,PA,NJ,MD,DE Southeast: KY,VA,TN,NC,SC,MS,AL,GA,FL, District of Columbia, Puerto Rico, US Virgin Islands Central: ND,SD,MN,IA,WI,IL,MI, IN,OH,WV, Lower Brule Sioux Tribe, Great Lakes Inter-Tribal Council, Little Traverse Bay Band of Odawa Indians, Grand Traverse Band, Oglala Sioux Tribe, Leech Lake Band of OjibweSouthwest: NE,CO,KS,MO,NM,OK,AR,LA,TX, Cherokee Nation, Winnebago Tribe, First Nations Community Health Source, Pueblo of Acoma, Oklahoma Inter-Tribal Consortium West: WA, MT,OR,WY,CA,NV,UT,AZ,AK,HI, California Native American Health Center, Northern Arapaho Tribe, Montana Wyoming Tribal Leaders Council, Tohono O’dham Nation, Confederate Salish and Kootenai Tribes, Nooksack Indian Tribe, Dena NenaHenash, Cook Inlet Tribal Council, Northern Mariana Islands, Guam, Marshall Islands, Micronesia, American Samoa, Palau Cohort IV Cohort I Cohort III Cohort II

9. American IndianSPF TIG Grantees Awarded in 2010 • Nooksack Indian Tribal Council • Confederated Salish and Kootenai Tribe • Oglala Sioux Tribal Council • Pueblo of Acoma • First Nations Community Health Source • Oklahoma City Inter-Tribal Health Board • Leech Lake Band of Ojibwe

10. Structure of the SPF TIG • 5-year Cooperative Agreement • Tribal Advisory Group • Tribal Epidemiological Workgroup • Evidence-Based Practices Workgroup

12. Outcomes-Based Prevention Starts with end in mind Looks at consequences of use and patterns of consumption Key Principles of the SPF

13. Outcomes-Based Prevention What happens when people use substances? Key Principles of the SPF Consequences

14. Outcomes-Based Prevention Programs, Policies & Practices Substance Abuse & Related Problems Risk and Protective Factors Planning, Monitoring, Evaluation and Re-planning

15. Mapping the Problem In small group, discuss the following: • One problem your community is facing that is caused by substance use. • What is the substance being used? • What is allowing or causing this substance to be used? • What might be done about this? Please post responses on the wall.

16. Why Do We Need to Do an Assessment? To answer the question, “What is going on in my community?”

17. Step 1: Assessment Profile population needs, resources, and readiness to address needs and gaps

18. Step 1 – Assessment • Size and type of substance use problem in the community • Existing resources available to address the identified substance abuse-related problems • Factors contributing to the substance abuse problem in the community • “Readiness” of community to address the problem

19. Successes and Lessons Learned

20. Step 2: Capacity Mobilize and/or build capacity to address needs

21. Step 2 –Capacity Types and levels of resources and readiness needed, to address the needs identified in Step 1 including: • Human resources • Technical resources • Management and evaluation resources • Financial resources

22. Building Capacity: What Does it Involve? • Mobilizing resources • Engaging stakeholders • Establishing partnerships

23. Building Capacity: What Does it Involve? (cont’d.) • Building coalitions • Developing readiness • Focusing on cultural competency, sustainability, and evaluation

24. Successes and Lessons Learned

25. Step 3: Planning Develop a comprehensive strategic plan

26. Step 3: Planning Develop a comprehensive, logical, and data-driven plan to address the problems identified in Step 1 (Assessment) using the capacity built or mobilized in Step 2 (Capacity) • Requires: • A shared vision and common understanding of what needs to change • The engagement of key leaders

28. Successes and Lessons Learned

29. Step 4: Implementation Implement evidence-based prevention programs and activities

30. Step 4 - Implementation • Taking action, as guided by the strategic plan developed in SPF Step 3 • Developing specific action plans to implement selected evidence-based interventions • Creating a detailed evaluation plan that includes both process and outcome measurements, and allows you to monitor implementation fidelity

31. Successes and Lessons Learned

32. Step 5: Evaluation Monitor, evaluate, sustain, improve or replace those programs, policies or practices that fail to demonstrate desired outcomes.

33. Successes and Lessons Learned

34. Common Threads

35. The SPF and Cultural Competence Why cultural competence? • To consider culture, gender, ability levels, and sexual orientation and other cultural factors in all aspects of the SPF • To improve the effectiveness and the quality of selected programs, policies, and practices

36. The SPF and Sustainability Key principles of sustainability: • Applies to more than funding • Sustains outcomes, not programs • Think sustainability from the beginning • Looks to the system to sustain outcomes • Sustains prevention by making it everyone’s job!

37. Successes and Lessons Learned

38. Relationship Between Workgroups

39. Relationship Between Workgroups

40. Questions and Discussion