Mapping Your County’s System

1. Mapping Your County’s System Using Strategic Planning to Improve Service Delivery ADAA Management Conference October 13-15, 2004

2. Workshop Purpose • Skill-building workshop • Designed to help you describe the system of services in your jurisdiction critical to strategic planning, and • How to use strategic planning to identify key stakeholders, assess needs, develop a comprehensive strategic plan, implement the plan, and evaluate its success.

3. Local Drug and Alcohol Advisory Councils • Mandated for all 24 political subdivisions • Membership to include at least 12 state or county agencies along with other interested and/or knowledgeable persons • Local health department required to survey all federal, state, city, county, fee for service and private health insurance dollars spent for treatment (ADAA will develop the survey instrument)

4. Maryland State Drug and Alcohol and Drug Abuse Council • The MD State Council is required to “promote collaboration and coordination by State drug and alcohol abuse programs with local Drug and Alcohol Abuse Councils….”

5. Local Council -- Duties • Submit a summary report to the Governor by Dec 1, 2004 containing info on: • Member name, title, agency reps and contact info • Organizational structure and council rules • Documentation about compliance to Senate Bill 194, Article 10, and progress toward development of the comprehensive plan (due in July 2005) • Develop a Comprehensive Plan for prevention, intervention, and treatment services due by July 1, 2005 and every two years thereafter • Provide an implementation progress report to ADAA; due to ADAA every six months

6. The Comprehensive Plan • Must include: • Strategies and priorities for meeting the identified needs of the general public and the criminal justice system for alcohol and other general drug abuse evaluation, intervention, prevention, and treatment services • Info on priority and target populations • Mission, principles, goals • Ability of treatment system to identify and treat all persons with co-occurring and substance abuse disorders • Contracts and referral agreements with related agencies

7. Strategic Planning A Framework for a Logic- and Outcome-Oriented Strategic Plan

8. Strategic Planning Elements • Community: The Constituent elements that have a stake in the pursuit • Strategy: Mechanism that allows Goals to be pursued • Budget: Mechanism that allows resources to be used for the pursuit of goals and objectives • Evaluation: Mechanism that guides the pursuit; research and evaluation; feedback loop provided through Performance Measurement Community (Stakeholders) Strategy (Comprehensive Plan) Budget (Implement) Evaluation (Feedback)

9. Parents Concerned Citizens Human Services ATODA Human Services Non ATODA Youth Other (e.g., media) Volunteer Organizations Colleges & Universities Senior Citizens Law Enforcement Local Government Religious Organizations Business Community Schools Community (stakeholders) Potential Stakeholders

10. Terminology • Vision defines the desired end-state. It is an inspirational description of the ultimate goal. • Mission defines an organization’s role or task in support of the Vision. • Goals define the major directives or directions in support of the Mission. • Objectives define major lines of action to achieve each strategic goal. • Targets (performance targets) define desired measurable end states/results against which to compare actual performance. • Measures (performance measures) are the data, variables and events used to track progress toward the Targets.

11. Strategy Framework Programs & Policies Performance Targets & Measures Objectives Goals Mission Vision

12. Vision Statement: Explains what you are striving to achieve “Ultimate” end state Inspirational The big picture Examples A life for everyone in the community A safe and drug free county Comprehensive Strategy: Start by Developing a Vision Statement

13. Strategy Framework Programs & Policies Objectives A Life for Everyone in the Community Or A Safe and Drug Free County Goals Mission Vision

14. Mission Statement: Defines your local Council’s role or purpose in relation to the Vision Statement Provides a sense of purpose. Examples: To reduce alcohol and drug abuse and its damaging consequences To reduce crime and substance abuse Comprehensive Strategy: Develop the Mission Statement

15. Comprehensive Strategy:Mission Statements Programs & Policies To Reduce Substance Abuse and Its Damaging Consequences Or Improving the quality and availability of prevention and treatment services for substance abuse and mental illness Objectives Goals Mission Vision

16. Comprehensive Strategy:Establish Goals Programs & Policies Goal #1: Educate and empower District of Columbia residents to live healthy and drug-free lifestyles. Goal #2: Develop and maintain a continuum of care that is efficient, effective, and accessible to individuals needing substance abuse treatment. Goal #3: Increase the public’s safety and improve treatment access for offenders to ensure fair and effective administration of justice in the District. Goal #4: Encourage a coordinated and focused regional response to the problem of substance abuse. Objectives Goals Mission Vision

17. Comprehensive Strategy:Establish Objectives • Goal #1: Educate and empower District of Columbia residents to live healthy and drug-free lifestyles. • Objectives…. • Expand prevention activities through the use of a broad cross-sector advisory group as well as through coalitions and neighborhood organizations • Increase the effectiveness of prevention activities through the development and strengthening of a planning, implementation, and evaluation infrastructure. • Increase the utilization of appropriate evidence-based prevention programs. • Utilize evidence-based environmental strategies to change individual and community norms Programs & Policies Objectives Goals Mission Vision

18. Comprehensive Strategy:Establish Performance Targets/Measures Programs & Policies Performance Targets & Measures Objectives Goals Mission Vision

19. Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy Goal Outcome Categories: For Drug Use: Performance Targets & Measures Addiction Current Use Initiation

20. Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy Goal Outcome Categories: For Drug Use: Performance Targets & Measures Addiction Current Use Initiation For Consequences: Crime Health

21. Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy Goal Outcome Categories: Performance Targets [performance measures] For Drug Use: Performance Targets & Measures Addiction Current Use Initiation For Consequences: Crime Health

22. Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy Goal Outcome Categories: Performance Targets [performance measures] Reduce the # of addicted persons [# of addicts] For Drug Use: Performance Targets & Measures Addiction Current Use Initiation For Consequences: Crime Health

23. Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy Goal Outcome Categories: Performance Targets [performance measures] Reduce the # of addicted persons [# of addicts] For Drug Use: Performance Targets & Measures Reduce prevalence; targets may be overall use (households), youth (usually 12-17), and Young adults (18-24) [% using, 30-day basis] Reduce Incidence (first-time use): target is usually youth (12-17) [# new users] Addiction Current Use Initiation For Consequences: Crime Health

24. Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy Goal Outcome Categories: Performance Targets [performance measures] Reduce the # of addicted persons [# of addicts] For Drug Use: Performance Targets & Measures Reduce prevalence; targets may be overall use (households), youth (usually 12-17), and Young adults (18-24) [% using, 30-day basis] Reduce Incidence (first-time use): target is usually youth (12-17) [# new users] Addiction Current Use Initiation Improve community health [# or % STDs, HIV/AIDS, Hepatitis, ER activity, Drug-related Deaths] For Consequences: Crime Health

25. Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy Goal Outcome Categories: Performance Targets [performance measures] Reduce the # of addicted persons [# of addicts] For Drug Use: Performance Targets & Measures Reduce prevalence; targets may be overall use (households), youth (usually 12-17), and Young adults (18-24) [% using, 30-day basis] Reduce Incidence (first-time use): target is usually youth (12-17) [# new users] Addiction Current Use Initiation Improve community health [# or % STDs, HIV/AIDS, Hepatitis, ER activity, Drug-related Deaths] For Consequences: Reduce drug related crime and violence [property crime rate per 100,000] Employment Status Living Situation Crime Health

26. Comprehensive Strategy:Putting It All Together Programs & Policies Program Output: Increase # media Ads by X % by 200X Pursue a vigorous public education media campaign 1. By 200x, increase to 80 the % of youth who perceive the harmful effects of illicit drugs 2. By 200x, increase to 90 the % of youth who disapprove of drug use 3. By 200x, double the # of anti-drug TV Media Messages To educate and enable youth to reject substance abuse To Reduce Substance Abuse and Its Damaging Consequences Reduce youth past month drug use by X% by 200X compared with 2000. A Safe and Drug Free County

27. Exercises Skill Building

28. Citizens of County XYZ: You are the stakeholder members of County XYZ’s Local Drug And Alcohol Advisory Council !!!

29. Exercise # 1 Assess Needs

30. Exercise # 2 Develop a Vision, Mission, and at least ONE Goal and supporting Objective for Your County’s Comprehensive Plan

31. Exercise # 3 Implementation (what effective programs do you recommend? Resources?)

32. Exercise # 4 Feedback/Evaluation (How do you evaluate for results?)

33. Resources to help you build your system:

34. Getting Started--Sources • Getting To Outcomes • www.rand.org/publications/TR/TR101/ • TA Available • Free Publication • Communities that Care • www.channingbete.com • TA & Services Available • $$$$ • Rensselaerville Model • www.rinstitute.org • TA & Srvices Available • $$$$e • Pathways to Outcomes • Available by calling 212-237-8620 • TA Available • Free Publication • Assets Model • www.search-institute.org/ • TA & Services Available • $$$$ • CASAT Model • www.casat.unr.edu • TA Available • Free Publication

35. Data Sources • www.mdp.state.md.us/msdc - Maryland State Data Center • www.census.gov – U.S. Census • www.dllr.state.md.us – MD Department of Labor, Licensing and Regulation • www.maryland-adaa.org – MD ADAA • http://mdpublichealth.org/vsa/ - MD Vital Statistics • www.marylandpublicschools.org/MSDE - MD Department of Education • www.cesar.umd.edu – U of M Center for Substance Abuse Research • http://dhmh.state.md.us – MD DHMH (AIDS, TB, Hepatitis, STD’s, etc.) • http://store.health.org/catalog/productDetails.aspx?ProductID=16010 • www.nachc.com – National Association of Community Health Centers • MD State Police arrest data – Uniform Crime Reporting – 410-298-3883

36. Strategy Examples Comprehensive Substance Abuse Strategies http://www.carnevaleassociates.com/rochesterstrategy.html http://www.carnevaleassociates.com/dcstrategy.html

37. John T. Carnevale, Ph.D. Carnevale Associates LLC 14501 Cervantes Ave. Darnestown, MD 20874 301-977-3600 (Office) 240-447-3970 (cell) www.carnevaleassociates.com William Rusinko Research Director ADAA 55 Wade Avenue, Catonsville, MD 21228 410-402-8661 rusinkow@dhmh.state.md.us Contact Us