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Republic of the Marshall Islands Advisory Council and Epi Work Group Orientation

Republic of the Marshall Islands Advisory Council and Epi Work Group Orientation. Joshua Phillip Kristen Clements- Nolle Alyssa O’Hair March 16, 2010. Overview of Today’s Meeting. Overview of the SPF Review the role of the Advisory Council, Epi Work Group, and EBI Work Group

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Republic of the Marshall Islands Advisory Council and Epi Work Group Orientation

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  1. Republic of the Marshall IslandsAdvisory Council and Epi Work Group Orientation Joshua Phillip Kristen Clements-Nolle Alyssa O’Hair March 16, 2010

  2. Overview of Today’s Meeting • Overview of the SPF • Review the role of the Advisory Council, Epi Work Group, and EBI Work Group • Determine further T/TA needs related to Advisory Council, Epi Work Group, and EBI Work Group development

  3. Activity: Your Perspective of Prevention • In your large group, take 5 minutes and have a short discussion on the following: • Substance abuse prevention is… • What do we want to prevent in • RMI? • Have one or two volunteers will share the thoughts of the group

  4. The Role of Prevention To create healthy communities in which people have a quality life: • Healthy environments at work and in school • Supportive communities and neighborhoods • Connections with families and friends • Drug and crime-free

  5. SPF & Prevention History Changes in Prevention Planning Over Time 1990’s Funding was available for the creation of Community-Based Coalitions 1999-2004 Evidence-based strategies. Emphasis on implementing effectively with fidelity

  6. SPF & Prevention History Prevention PlanningToday 2004/09Strategic Prevention Framework Planning Process- Assessing, Capacity Building, Planning, Implementation and Evaluation

  7. Multiple Levels of Influence

  8. Activity: Your Experience in Prevention • Based on your experience in prevention at the state and/or at the community level: • Mention 1-2 examples of prevention efforts that target the: • Primary environment • Near environment • Broader environment • In which level/s do you see a greater number of prevention efforts? What does it mean to you?

  9. SAMHSA’s Strategic Prevention Framework Profile population needs, resources, and readiness to address needs and gaps Sustainability & Cultural Competence Monitor, evaluate, sustain, and improve or replace those that fail Mobilize and/or build capacity to address needs Implement evidence-based prevention programs and activities Develop a Comprehensive Strategic Plan Assessment Capacity Evaluation Planning Implementation

  10. Why a Strategic Prevention Framework? • Funding is not always directed to the greatest need in a state or community • Planning with each step will ensure strategies selected will impact the problem in the community • Itcreates better linkages between the State and local community

  11. 4 Key Principles of the SPF • Public health approaches, widened to population-based prevention • Outcomes-based prevention that starts with the end in mind • Prevention is targeted across the lifespan (not just youth) • Data-driven planning process

  12. Key Principles of the SPF Community-Level Change Before:Changes at individual or small-group level Now:Looks for changes at the community level

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

  14. Key Principles of the SPF Outcomes-Based Prevention Consumption • How people drink, smoke, and use legal and illegal drugs

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

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

  17. Key Principles of the SPF Outcomes-Based Prevention Consequences Traffic accidents Driver who drinks Heavy smoking Lung cancer Consumption Patterns

  18. Key Principles of the SPF Prevention Across Lifespan It’s never too early and never too late

  19. Key Principles of SPF Data-Driven Planning Use of data across all steps to: • identify problems and set priorities; • assess and mobilize capacity for using data; • inform prevention planning and funding decisions; • guide selection of strategies to address problems and goals; • monitor key milestones and outcomes and adjust plans as needed.

  20. Step 1 - Assessment • Assessment of: • Consumption • Consequences • Risk and protective factors • Assessment of: • Resources & Capacity • Gaps • Community readiness

  21. Step 2 – Mobilizing Capacity • Types and levels of resources needed to address identified needs • Human, technical and financial resources • Ability of agencies and organizations to work collaboratively to achieve and sustain targeted reductions in substance abuse behaviors

  22. Step 3 – Comprehensive Strategic Planning 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

  23. Step 4 – Implementation • Taking action as guided by the Strategic Plan developed in Step 3 • Developing specific action plans for evidence-based interventions • Developing a final detailed evaluation plan

  24. Step 5 – Evaluation • Monitor, Evaluate, Sustain and Improve or Replace Those that Fail • What does the Evaluation Step include? • Process evaluation • Outcome evaluation • Review of policy, program, and practice effectiveness • Development of recommendations for quality improvement

  25. The SPF and Cultural Competence Why cultural competence? • To improve the effectiveness and the quality of the programs, policies and practices chosen to achieve, outcomes in targeted populations.

  26. Activity: Cultural Competence • List others who should be served by the SPF • How can we included representatives of these groups in the SPF process?

  27. Sustainability • Sustaining outcomes, not programs • Think sustainability from the beginning • Look to the system to sustain outcomes • Sustain prevention by making it everyone’s job!

  28. Three Key Groups for Prevention • Advisory Council • Epidemiological (Epi) Work Group • Evidence-Based Intervention (EBI) Work Group

  29. Advisory Council • At least one representative from the following: • The Office of the Governor/President or Chief Executive Officer • A core group of drug and alcohol-related agencies identified by the State/PJ (including but not limited to public health, education, criminal justice, behavioral/ mental health) • A representative from SAMHSA/CSAP (Government Project Officer) • The Chair must be appointed by the President or Chief Executive Officer

  30. Advisory Council Role • Must be involved in every aspect and full duration of the SPF SIG • Work in collaboration with the Epi and EBI work groups • Define the specific roles of the Advisory Council, for example: • Types, duties, and structure of sub-committees • Develop timelines for completion of the Strategic Plan and share them with the Government Project Officer

  31. Epi Work Group • Every State/Jurisdiction must have an Epi workgroup • The relationship between the Epi work group and the Advisory Council varies by State and Jurisdiction • The RMI Epi work group reports to the SSA and to the Advisory Council • The Epi work group is expected to contribute to all phases of the SPF process (not just Step 1)

  32. Who Should be on the Epi Workgroup? • Data “gatekeepers” • Partners from other fields: • Dept. of Justice • Public Health Department • Transportation Department • Education • Hospitals • Affected communities • Think “outside the box”

  33. Epi Workgroup Role • Develop Epi Profiles and other materials • Community profiles, fact sheets for policy makers • Analyze and support priority setting • Work with Advisory Council throughout • Support prevention resource allocation • Ensure that resource allocation is data driven • Develop data monitoring systems • Assess and analyze prevention outcomes over time

  34. Other Roles for Epi work group? What else could the Epi work group do in RMI?

  35. Evidence-Based Intervention (EBI) Work Group/Role • Make recommendations on the use of Evidence Based Interventions (EBIs) • Utilize CSAP’s guidance document “Identifying and Selecting Evidence-Based Interventions” to guide efforts

  36. Examples of EBIs • Reconnecting Youth - a semester long class for at risk youth geared towards decreasing drug use, anger, depression and suicidal behavior • Family Matters - a home-based program designed to prevent tobacco and alcohol use in children 12 to 14 years old • DARE To Be You (DTBY) - a multilevel, primary prevention program for children 2 to 5 years old and their families

  37. Advisory Council, Epi, and EBI Work Groups Each of the three groups should have the following: • Mission • Members • Operating Rules • Accomplishments Where is RMI in this process with each group?

  38. What’s next? We’re here for you!!! Alyssa Joshua Kristen

  39. Joshua Phillip West RET CASAT/Mail Stop 279 University of Nevada, Reno Reno, Nevada 89557jphillip@casat.org 1-775-682-8554

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