LT Daniel Bailey, M.S., M.B.A., USPHS Substance Abuse and Mental Health Services Administration U.S. Department of Healt

2. Objectives At the end of the session, participants will be able to: Understand the impact the program has had on the field of substance abuse prevention Describe the Fellows work experience in their respective public health roles Describe the Fellowship training curriculum Understand the requirements for applicants interested in applying for the program.

3. CSAP Prevention Fellowship Program The Prevention Fellowship Program (PFP) was created in 2006 by the Center for Substance Abuse Prevention (CSAP) within the Substance Abuse and Mental Health Services Administration (SAMHSA) in 2006.

4. CSAP Prevention Fellowship Program The PFP is: A workforce development program which promotes the Strategic Prevention Framework as the overarching vehicle for the planning, developing, and delivering evidence-based substance abuse prevention services to individuals and communities. A program that addresses the challenges facing the substance abuse field that has encountered many barriers to effective staff recruitment, retention, and maintenance of competencies.

5. CSAP Prevention Fellowship Program The PFP: Provides opportunities for individuals to strengthen and apply knowledge gained through their academic programs and work experience in prevention service programs, sharpen skills, and develop strong networks among a range of other public health professionals Covers all of the cross cutting principles in the SAMHSA Matrix of Priorities through formal educational experiences, training, work experience, coaching, mentoring, and research/literature review.

6. Directly addresses two SAMHSA Matrix areas: Workforce Development and SPF The program covers all of the cross cutting principles in the SAMHSA Matrix of Priorities through formal educational experiences, training, work experience, coaching, mentoring, and research/literature review. Directly addresses two SAMHSA Matrix areas: Workforce Development and SPF The program covers all of the cross cutting principles in the SAMHSA Matrix of Priorities through formal educational experiences, training, work experience, coaching, mentoring, and research/literature review.

7. Prevention Fellowship Program Goals To contribute to the development of a highly trained public health workforce of Prevention Specialist with public health experience and the management and leadership skills necessary to promote the health of populations at the Federal, State, and local levels

9. Role of Fellows Fellows: Carryout assignments as outlined in the Fellowship Accomplishment Plan and the job description provided by the State/Territory Commit a minimum of 128 hours/month (32 hours/week) towards working in prevention with the State/Territory Become involved with direct, hands-on prevention service work at the State level Complete web-based and face-to-face training in areas such as communication, health education and promotion, epidemiology, social marketing, cultural competency and other courses relevant for prevention certification

10. Role of Fellows (cont.) Fellows: Submit quarterly reports to monitor Fellowship progress Attend required trainings throughout the program Become exposed to diverse areas of public health practice and work with leading professionals in the field Develop critical research, writing, evaluation, and presentation skills

11. Role of Program Mentors The NPN/State Representative selects and assigns a mentor to consult with and guide the assigned Fellow throughout the program. Mentors: Collaborate with their Fellow on a Fellowship Accomplishment Plan that describes activities for the 12-month Fellowship period Oversee the day-to-day activities of their Fellow Review and sign the Monthly Progress Report and Monthly Payment Authorization Form and submit them to DB Consulting Group, Inc.

12. Fellowship ExperienceYear I Year 1 of the Program supports the development of competencies through activities and trainings utilizing the SPF. CSAP provides trainings in the following five steps of the SPF: Step 1 � Needs Assessment (profile population needs, resources, and readiness to address needs and gaps) Step 2 � Mobilization (mobilize and/or build capacity to address needs) Step 3 � Planning (develop comprehensive strategic plans) Step 4 � Implementation (implement evidence-based prevention programs, policies, and practices) Step 5 � Evaluation (monitor, evaluate, sustain, and improve or replace programs, policies, and practices that fail)

13. Fellowship ExperienceYear II Year II of the Program includes training and activities in specialized areas of concentration. The Program builds skills and increases knowledge in areas that fit the Fellow�s interest and the workforce needs of their states. Areas of concentration include: Substance abuse prevention across the life span Community prevention planning and service delivery at the State and community level, including coalition building Data, evaluation, and alcohol and drug epidemiology Environmental prevention strategies, systems change, and service delivery Social marketing and substance abuse prevention

14. Fellowship ExperienceYear II (cont.) In each concentration area, Fellows must achieve a competency level of Aware, Knowledgeable, or Proficient in the following domains: Analytic/Assessment Policy Development/ Program Planning Communication Cultural Competency Basic Prevention Leadership and Systems Thinking Community Dimensions of Practice

15. New Training for Fellowship Program National Incident Management System NIMS is a comprehensive, national approach to incident management that is applicable at all jurisdictional levels and across functional disciplines. It is intended to: Be applicable across a full spectrum of potential incidents, hazards, and impacts, regardless of size, location or complexity. Improve coordination and cooperation between public and private entities in a variety of incident management activities. Provide a common standard for overall incident management.

16. Prevention Fellowship Program Website

19. Prevention Specialist Certification Process All Program courses and training are aimed at certification. Fellows are tested once a year by International Certification & Reciprocity Consortium (IC&RC) for certification. 100% of the Fellows passed the Certified Prevention Specialist exam administered in March 2008!!!

20. Qualitative & Quantitative Analyses Program Outcomes

21. Target Outcomes CSAP is working to achieve the following outcomes through the PFP: 90% of the Fellows will participate in all SPF trainings during Year I. 30% of the Fellows will become certified prevention specialist while in the program or within 2 years of leaving the Program. 50% of the Fellows will continue working in prevention upon completion of the program.

22. Target Outcomes (Cont.) CSAP is working to achieve the following outcomes through the PFP: 15% of the Fellows will be offered prevention positions with their State offices to work in prevention upon completion of the program. 60% of the Fellows will complete all 2 years of the Program.

23. For this contract year, five fellows who have departed from the program have been hired by their State/territory agencies indicating the Prevention Fellowship Program�s capability to enhance the field of prevention. One hundred percent of the Fellows stay in the substance abuse prevention field by means of being hired by their State/territory agency or by going back to school to pursue a degree relevant to the prevention field. Fellows are provided skill-building training courses in the areas of comprehensive strategies, strategic prevention planning, coalition/partnership development and governance, communications and social marketing, data collection and evaluation, and cultural diversity to name a few. Accomplishments of the Prevention Fellowship Program

24. There is a critical shortage of individuals trained to meet the needs of children and youth, and their families. The Federal government has projected the need for 12,624 child and adolescent psychiatrists by 2020, far exceeding the projected supply of 8,312. Currently there are only 6,300 such psychiatrists nationwide, and relatively few are located in rural and low-income areas (American Academy of Child and Adolescent Psychiatry [AACAP] Task Force, 2001). Rationale of need for the Prevention Fellowship Program

25. Behavioral health professionals who have been trained to provide behavioral health prevention and intervention in the nation�s schools are in significantly short supply, or are hindered by the constraints of their position to use such skills. Training programs that focus on prevention and treatment for children and youth, and their families have not kept pace with current trends in the field, which have been shifting toward strengths-based and resilience-oriented models, a systems-of-care approach, and the use of evidence-based practices (Curie, Brounstein, & Davis, 2004; McLellan & Meyers, 2004; Meyers, Kaufman, & Goldman, 1999). Rationale of need for the Prevention Fellowship Program

26. Rationale of need for the Prevention Fellowship Program Workforce distribution issues relate not only to geography but also to race and culture. U.S. Census figures indicate that 30% of the nation�s population is drawn from four major ethnic groups: Latinos, African Americans, Asian American/Pacific Islanders, and Native Americans. However, the behavioral health workforce lacks such cultural diversity, particularly in mental health. For example, non-Hispanic Whites currently account for 75.7% of all psychiatrists, 94.7% of psychologists, 85.1% of social workers, 80% of counselors, 91.5% of marriage and family therapists, 95.1% of school psychologists, and 90.2% of psychiatric nurses (Duffy et al., 2004).

27. Transitions from the Prevention Fellowship Program to the Workforce Washington Fellow � Position with the Division of Alcohol and Substance Abuse� July 2008 New Mexico Fellow � Position with the New Mexico Office of Substance Abuse Prevention � September 2008 Michigan Fellow � Position with the Michigan Public Health Institute � January 2009

28. Current Fellow Profiles Alabama American Samoa Arizona Arkansas CADCA Colorado Connecticut Delaware District of Columbia F.S. Micronesia Florida Georgia Guam Idaho Indiana Kansas N. Mariana Islands Massachusetts Oklahoma Palau

29. Current Fellow Profiles

30. Current Fellow Profiles

31. Current Fellow Profiles

32. HIGHEST EDUCATION LEVEL EARNED The following graph represents the HIGHEST degree each Fellow has earned to date. (Currently, two Fellows are pursuing Bachelor�s Degrees, 11 Fellows are pursuing Master�s Degrees, and 1 Fellow is pursuing a Doctorate Degree.)

33. Comments (cont.) Current Fellows report� �The program has given me a new appreciation for the work that prevention specialists do and will continue to do to provide a healthy environment for all�. �The Fellowship has helped me establish relationships and get my foot in the door at the level that I would like to work. It has given me opportunities to attend national and local trainings that will enhance my skills and make me a more marketable individual�.

34. Comments (cont.) Current Fellows report� �Through this Fellowship, I have become more knowledgeable and been exposed to cutting-edge programming in the prevention field; without it, I would not have such opportunities. I feel I will be able to contribute to the prevention field because of this invaluable hands-on education�. �Although my career goals are not set in stone, the Program is really making an investment in me and providing me with the kind of opportunities that can help me grow, learn, and develop as a professional�.

35. Comments on the Prevention Fellowship Program Former Fellows report� The Fellowship was a wonderful experience. I believe I would not have my present position without having had the opportunity to work at the State level. I gained knowledge and experience through the Fellowship trainings and day-to-day activities, while accomplishing my plan goals. I learned valuable information about prevention initiatives at the State and Federal levels.

36. Application Requirements Candidates must have the following qualifications: U.S. citizenship At least two (2) years of college from an accredited academic institution and a minimum of two (2) years paid work experience in public health, behavioral health, clinical or social science areas Bachelors or higher degree from an accredited college or university with emphasis in public health, behavioral health, clinical or social science areas.

37. For more information Please contact: LT Daniel Bailey, M.S., M.B.A., USPHS Government Project Officer Daniel.bailey@samhsa.hhs.gov 240-276-2439 (telephone) Randolph Edmead, M.S. Project Director DB Consulting Group REdmead@dbconsultinggroup.com 301-589-4020 (telephone)