Strategic Prevntion Framework State Incentive Grant (SPF) Beverly Watts Davis Director, CSAP

1. Department of Health and Human Services (DHHS)Substance Abuse & Mental Health Services Administration (SAMHSA) Center for Substance Abuse Prevention (CSAP) Strategic Prevntion Framework State Incentive Grant (SPF) Beverly Watts Davis Director, CSAP

2. SAMHSAs’ Strategic Plan VISION A Life in the Community for Everyone MISSION Building Resilience and Facilitating Recovery ACCOUNTABILITY CAPACITY EFFECTIVENESS Measure and report program performance Increase service availability Improve service quality • Track national trends • Establish measurements and reporting systems • Develop and promote standards to monitor service systems • Achieve excellence in management practices • Assess resources and needs • Support service expansion • Improve services organization and financing • Recruit, educate, and retain workforce • Create interlocking systems of care • Promote appropriate assessment and referral • Assess service delivery practices • Identify and promote evidence-based approaches • Implement and evaluate innovative services • Provide workforce training and education

3. The SAMHSA Matrix3

4. The Strategic Prevention Framework(SPF) • Prevention is a Continuum – Prevention extends from deterring diseases and behaviors that contribute to them to slowing the onset and severity of illnesses when they do arise. • Prevention is Prevention is Prevention – The mechanisms of prevention are the same whether the target is on changing social, environmental or biological factors for many diseases. • Successful Prevention Decreases Risk Factors and Enhances Protective Factors – The same risk factors affect many health issues – from depression and substance use to heart disease and diabetes. Other factors can protect against these health problems. The goal: to reduce risk factors and enhance protective factors that can compromise health. • Prevention Requires Adoption of Known Effective Prevention Practices Within a Framework That Works – Research and experience have produced highly effective prevention programs to reduce risk factors and promote protective factors. • Systems of Prevention Services Work Better Than Service Silos – The best prevention results from partnerships; without collaboration, even the best prevention efforts will not leverage collective resources and can miss achieving their potential. • Common Data Sets Across Service Systems Can Help Asses Prevention Efficacy and Promote Accountability – Solid evaluation can help assess programs effectiveness and the value of engagement across service systems.

5. Operational Principles • Must rely on and recognize the important role states and communities play in coordinating prevention funding, establishing and implementing policies, strategic planning for results, and in developing infrastructure. • Must be anchored in the latest knowledge of risk and protective factors and promotes science and evidence-based practices to enable accountability for results. • Must utilize private sector support and solutions. • Must be comprehensive in that it addresses substance abuse through multiple strategies across multiple sectors that is sustainable.

6. The SPF Structure The Structure to Support a Prevention Planning Process Planning Capacity Develop the Prevention Plan (Activities, Programs, & Strategies) Implementation Mobilize the Community & Build Capacity to Address Needs Implement the Prevention Plan Assessment Evaluation Organize the Community to Profile Needs, Including Community Readiness Evaluate for Results and Sustainability Sustainability Prevention Structure A C E SAMHSA Prevention Tools >Grants >Contracts >Tools

7. SPF SIG Goals The SPF SIGs will provide funding to States to implement SAMHSA’s Strategic Prevention Framework in order to: • Prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking, • Reduce substance abuse-related problems in communities, and • Build prevention capacity and infrastructure at the State and community levels.

8. SIG Awards (cont.) • Approximately $45 million will be available to fund up to 20 awards in Fiscal Year (FY) 2004. • Annual awards are expected to be $3.0 million or less per year in total costs (direct and indirect). • Applicants may request a project period of up to five years. • Application Deadline – July 2, 2004

9. Strategic Prevention Framework Five-Step Process Step 1 • Profile population needs, resources, and readiness to address the problems and gaps in service delivery State Role: SPF SIG grantees must conduct a statewide needs assessment, through collection and analysis of epidemiological data. Importance of State Epidemiological Workgroups • To complete the statewide assessment, SPF SIG grantees will be required to form and manage a State Epidemiological Workgroup (or work with an existing Epidemiological Workgroup).

10. Strategic Prevention FrameworkFive-Step Process Step 1 (cont.) Community Role: Communities must accurately assess their substance abuse-related problems using epidemiological data provided by the State as well as other local data. • The epidemiological data must identify the magnitude of the problem to be addressed, where the problem is the greatest, and risk and protective factors associated with the problem. • Communities must also assess community assets and resources, gaps in services and capacity and readiness to act.

11. Strategic Prevention Framework Process • Inclusion of Underage Drinking • Recent studies—including a major undertaking by the National Academy of Science—indicates a severe and persistent problem with the use of alcohol by children and youth under the age of 21. • The Department of Health and Human Services, through SAMHSA/CSAP, is committed to bringing down the rates of underage drinking and is working toward a target of $30 million in FY 2004 funding for communities to address this problem.

12. Strategic Prevention Framework Process • Inclusion of Underage Drinking • The SPF SIG grant offers an excellent vehicle for supporting the goals of this underage drinking initiative. • States must include the prevention of underage alcohol consumption as part of their SPF SIG project and provide a comprehensive strategy that addresses this problem, along with other SPF SIG priorities. (This will mean addressing underage drinking and other substance abuse.)

13. Resources Substance Abuse and Mental Health Services Administration • SAMHSA focuses attention, programs, and funding on improving the lives of people with or at risk for mental and substance abuse disorders. http://www.samhsa.gov SAMHSA Model Programs • These programs have prevented or reduced substance abuse and other related high-risk behaviors and have been reviewed by SAMHSA's National Registry of Effective Programs (NREP). This site serves as a comprehensive resource for anyone interested in learning about and/or implementing these programs. http://modelprograms.samhsa.gov/

14. Resources • PrevTech (Prevention Technology) Interactive technical support for effective prevention programs (in process) http://www.prevtech.samhsa.gov • SAMHSA’s National Clearinghouse for Alcohol and Drug Information National resource for effective substance abuseprevention, intervention, and treatment policies, programs, and practices. http://www.ncadi.samhsa.gov

15. Resources • CSAP's Centers for the Application of Prevention Technologies In depth prevention training and technical assistance resources for communities. http://captus.samhsa.gov

16. CSAP: Grant Programs & Resources(www.samhsa.gov) State Grants State Block Grants SPF State Incentive Grants Administration of SYNAR Youth Tobacco Use Prevention Initiative Discretionary Grants HIV/AIDS Prevention Starting Early Starting Smart High Risk Youth Family Strengthening Mentoring Community Initiated Prevention and Intervention Partnerships Methamphetamine and Ecstasy Initiative Substance Abuse Prevention and Treatment Block Grant Fetal Alcohol Spectrum Disorders Center for Excellence Workplace Programs White House Minority Health Initiatives Capacity Building Tools and Resources Centers for the Application of Prevention Technology (CAPTs) Alaskan/Native American Resource Center CAPT Evaluation Contract National Registry of Effective Programs (NREP) Coalition Institute National Program Development Initiative Materials Development and Support Contract Web-Based Outcomes Training Web-Based Reporting for States and Communities PrevTech RADAR Networks National Education Programs National Clearinghouse for Alcohol, Drug Information (NCADI) Prevention Online (PREVLINE) Too Smart to Start Building Blocks (0-6) Soy Unica Hispanic Initiative Underage Alcohol Initiative Faith Initiative

17. CSAP: New Grant Programs(HIV/AIDS & SA Prevention) • Targeted Capacity for Substance Abuse Prevention (SAP) and HIV/AIDS Prevention in Minority Communities: Services Grants • Five-year grant program that builds on CSAPs’ Minority Substance Abuse and HIV Prevention Services and Planning initiatives. • Minority Educational Institutions Initiative • 12-month program to enhance and strengthen existing HIV/AIDS and SA Prevention services in Student Health Centers across Historically Black Colleges and Universities (HBCU) and Hispanic Association of Colleges and Universities. • Expansion includes training to implement rapid HIV testing, pre/post counseling and referral for supportive services to students and their partners with a positive HIV test or at risk for contracting and spreading HIV/AIDS. • Planning Grants for HIV/AIDS & SA Prevention Services to Post-Incarcerated Persons • 12-month program designed to assist communities in planning for the expansion of existing HIV/AIDS and SA prevention services for previously incarcerated persons who may be at high-risk for contracting or spreading HIV/AIDS.

18. CSAP: New Grant Programs (cont.) • Strategic Prevention Framework (SPF) State Incentive Grant Program • This five-year initiative will fund the establishment of State and community epidemiology workgroups to address statewide alcohol, tobacco and other illicit drug problems. • Service To Science Cooperative Agreement • A five-year cooperative agreement to fund selected locally-driven, innovative programs that demonstrate and document defensible evidence of effectiveness for prevention whereby increasing the number of program recognized by NREP. • Center For Excellence on Sustainability • This Center will provide technical assistance to grantees on how to sustain their prevention and treatment efforts.