Title: Prevention Planning
1Prevention Planning
2Prevention Planning
Why create a plan for action? Planning allows us
to create an objective profile of our community,
identify how to focus resources and efforts, and
to implement more effective strategies
3Activity7-Up
4Community Prevention Systems
- Bring the power of individual citizens and
institutions together - Create a comprehensive plan that everyone in the
community has a stake in and owns - Hold community institutions accountable
5Focus for Communities
- Consumption and consequences (prevent the problem
associated with use) - Across the lifespan (not just youth)
- Based on evidence-based research and empirical
data - Outcomes measured at the population level (not
just program level)
6How Can We Create a Comprehensive Plan?
- By using SAMHSAs Strategic Prevention Framework
(SPF) which outlines the elements that should be
included in a comprehensive planning model
7Focus of the Strategic Prevention Framework
- Community development
- Strategic planning
- The change process at the community level
8Key Principles of the Strategic Prevention
Framework
- Public health approach
- Strategic planning process
- Data used throughout the process to inform
decisions - Outcomes-based prevention
9Outcomes-based Prevention
- Effective prevention is grounded in a solid
understanding of alcohol tobacco and other drug
consumption and consequence patterns - Documenting the nature and extent of consumption
(e.g., underage drinking) and consequences
(motor-vehicle crashes) at the start is critical
for determining intervening variables and
aligning strategies to address them
10Outcomes-based Prevention
Substance abuse related problems
Intervening Variables
Programs, Policies Practices
Planning, Monitoring, Evaluation, and Replanning
11SAMHSAs Strategic Prevention FrameworkSupports
Accountability, Capacity, and Effectiveness
Assessment Profile population needs, resources,
and readiness to address needs and gaps
Capacity Mobilize and/or build capacity to
address needs
Planning Develop a Comprehensive Strategic Plan
Implementation Implement evidence-based
prevention programs and activities
Evaluation Monitor, evaluate, sustain, and
improve or replace those that fail
12ActivityGuided Walk
13SAMHSAs Strategic Prevention FrameworkSupports
Accountability, Capacity, and Effectiveness
Assessment Profile population needs, resources,
and readiness to address needs and gaps
Capacity Mobilize and/or build capacity to
address needs
Planning Develop a Comprehensive Strategic Plan
Implementation Implement evidence-based
prevention programs and activities
Evaluation Monitor, evaluate, sustain, and
improve or replace those that fail
14Step 1 Assessment
- What is Assessment?
- Assessment of substance use and related problems
of substance use - Assessment of resources, gaps, and readiness
- Leads to recommendations regarding community
priorities
15Why do we need to do an assessment?
- It answers the question, What is going on in my
community? - More specifically, it identifies
- How big and what type of a substance use problem
do I have in my community? - What resources currently exist in my community
that are addressing the identified problems
related to substance abuse? - What is supporting the substance abuse problem in
my community? - How ready is my community for prevention?
16How do I conduct an assessment?
- Create a needs assessment profile
- Define your community
- Implement a community readiness tool
- Assess available resources and gaps in services
17Questions to Consider
- Has your community used ATOD consequence data in
the past as part of its Assessment process? - Is community level consequence data readily
available? What is the utility of the currently
available data? - How does community readiness impact prevention
planning and interventions?
18SAMHSAs Strategic Prevention FrameworkSupports
Accountability, Capacity, and Effectiveness
Assessment Profile population needs, resources,
and readiness to address needs and gaps
Capacity Mobilize and/or build capacity to
address needs
Planning Develop a Comprehensive Strategic Plan
Implementation Implement evidence-based
prevention programs and activities
Evaluation Monitor, evaluate, sustain, and
improve or replace those that fail
19Step 2 Capacity What is it?
- Types and levels of resources needed to address
identified needs including -
- Human resources
- Technical resources
- Financial resources
-
20Capacity Why Is it Important?
- The resources, people, partnerships, coalitions,
and skills are essential to the successful
implementation of prevention plans
21Capacity What does it involve?
- Mobilizing resources
- Engaging stakeholders
- Partnerships with the community
- Building coalitions
- Developing readiness
- Focus on cultural competency, sustainability and
evaluation
22Questions to Consider
- Who are some of the key stakeholders in your
community? - Are all of the key stakeholders actively involved
in planning and implementing successful
prevention interventions? - Who is involved in evaluating the capacity to
meet identified needs? - Is cultural competence deliberately assessed as
part of current capacity evaluations?
23SAMHSAs Strategic Prevention FrameworkSupports
Accountability, Capacity, and Effectiveness
Assessment Profile population needs, resources,
and readiness to address needs and gaps
Capacity Mobilize and/or build capacity to
address needs
Planning Develop a Comprehensive Strategic Plan
Implementation Implement evidence-based
prevention programs and activities
Evaluation Monitor, evaluate, sustain, and
improve or replace those that fail
24Step 3 Develop a Comprehensive Strategic Plan
- What is a Comprehensive Strategic Plan?
- A comprehensive, logical, and data driven plan to
address the problems identified in Step 1 using
the capacity built or mobilized in Step 2 - The plan includes Strategic Goals, Objectives,
and Performance Targets, as well as Logic Models
and in some cases Action Plans
25Why Do I Need a Strategic Plan?
- The Strategic Plan lays the groundwork for
- Implementation activities, including
- Capacity Expansion
- Training
- Development of monitoring and evaluation systems
- The identification of strategies
- The selection of evidence-based programs,
policies, and practices to be implemented - The evaluation plan
26Institute of Medicine (IOM) Prevention
Classification
- UNIVERSAL
- Programs address the entire population
- (e.g. all 5th graders, all community members)
- SELECTIVE
- Programs focus on groups exposed to greater
levels of risk - (e.g. children of alcoholics, highly mobile
populations) - INDICATED
- Programs are designed for individuals who exhibit
risk-related behaviors - (e.g. students already experimenting with drugs)
27How Do I Create a Strategic Plan?
- Include a vision for prevention activities based
on - Documented needs
- Identified resources and strengths
- Measurable objectives and performance measures
- Baseline data
- Include a long-term strategy to sustain policies,
programs, and practices - Adjust plans as the result of ongoing needs
assessment and monitoring
28Questions to Consider
- What type of prevention intervention planning has
occurred in your community in the past? - What types of resources will your community need
in order to develop a strategic plan?
29SAMHSAs Strategic Prevention FrameworkSupports
Accountability, Capacity, and Effectiveness
Assessment Profile population needs, resources,
and readiness to address needs and gaps
Capacity Mobilize and/or build capacity to
address needs
Planning Develop a Comprehensive Strategic Plan
Implementation Implement evidence-based
prevention programs and activities
Evaluation Monitor, evaluate, sustain, and
improve or replace those that fail
30Step 4 Implementation What is it?
- Taking action as guided by the Strategic Plan
developed in Step 3 - Developing detailed action plans for elements of
your intervention, including balancing fidelity
of implementation with adaptation - Developing a final detailed evaluation plan that
includes process and outcome measurements and
continual monitoring of implementation fidelity
31Fidelity and Adaptation
- A sdtuy at Cmabrigde Uinervtisy raleveed that the
biarn can raed stenences with mexid up wrods just
fnie as lnog as the frist and lsat lrettes of
ecah word are in the cercort pclae. - Aazmning, huh?
- Maintain core components
- Consult the developers
- Evaluate the adaptations
32Implementation Planning Why?
- Crafting detailed action plans for the elements
of your prevention intervention provides a step
by step guide for how you will implement your
plans
33Questions to Consider
- What types of skills, knowledge and/or resources
will your community need in order to select
appropriate prevention strategies? - What processes has your community used for
selecting appropriate prevention strategies in
the past? - What will you need in terms of skills, knowledge
or other resources to provide the necessary
support to communities in your service area to do
select appropriate prevention strategies?
34SAMHSAs Strategic Prevention FrameworkSupports
Accountability, Capacity, and Effectiveness
Assessment Profile population needs, resources,
and readiness to address needs and gaps
Capacity Mobilize and/or build capacity to
address needs
Planning Develop a Comprehensive Strategic Plan
Implementation Implement evidence-based
prevention programs and activities
Evaluation Monitor, evaluate, sustain, and
improve or replace those that fail
35Step 5 Monitor, Evaluate, Sustain, and Improve
or Replace those that Fail
- What does the Evaluation Step include?
- Process evaluation
- Collection of required outcome data
- Review of policy, program, and practice
effectiveness - Development of recommendations for quality
improvement
36Why Do I Need Evaluation?
- Evaluation is crucial in prevention because it
tells us - What works
- What doesnt work
- What to improve
- How to improve it
37How Do I Accomplish This Step?
- Collect and analyze evaluation data as delineated
in evaluation plan - Write evaluation report
- Provide recommendations on quality improvements
based on evaluation data
38Two Common Threads Throughout the Strategic
Prevention Framework
- Cultural competence and sustainability are at the
center of the Strategic Prevention Framework
because they are integral to each step of the
framework
39SAMHSAs Strategic Prevention FrameworkSupports
Accountability, Capacity, and Effectiveness
Assessment Profile population needs, resources,
and readiness to address needs and gaps
Capacity Mobilize and/or build capacity to
address needs
Planning Develop a Comprehensive Strategic Plan
Implementation Implement evidence-based
prevention programs and activities
Evaluation Monitor, evaluate, sustain, and
improve or replace those that fail
40The SPF and Cultural Competence
- Why cultural competence?
- To eliminate service and participation
disparities for people of diverse racial, ethnic,
and linguistic populations - To consider culture, gender, ability levels, and
sexual orientation in all aspects of the SPF - To improve the effectiveness and the quality of
the programs, policies and practices chosen to
achieve outcomes
41Cultural Competence
- Can be defined as a set of congruent behaviors,
attitudes and policies that come together in
system, agency or among professionals and enable
that system agency or those professionals to work
effectively in cross-cultural situations. - (The Lewin Group, 2002)
42The SPF and Sustainability
- Applies to more than funding
- Sustaining outcomes, not programs
- Think sustainability from the beginning
- Look to the system to sustain outcomes
- Sustain prevention by making it everyones job!
43Elements of Sustainability
- Structures and formal linkages
- Champion and leadership actions
- Resources
- Administrative policies and procedures
- Expertise
- Ownership among stakeholders
44How Can the SPF Steps Be Completed?
- Epidemiology Workgroupcollects and distributes
appropriate data - Capacity Workgroupidentifies skills and
processes needed to do comprehensive planning
(community training and TA) - Strategies Workgroupidentifies evidence-based
policies, practices, and programs that make sense
for communities
45The SPF Principles
- Prevention is a continuum
- Prevention is prevention is prevention
- Successful prevention decreases risk factors and
enhances protective factors - Prevention requires adoption of known effective
prevention practices within a framework that
works
46The SPF Principles (continued)
- Systems of prevention services work better than
service silos - Common data sets across service systems can help
assess prevention efficacy and promote
accountability - Recognizes the importance of States and
communities - Comprehensively address substance abuse
47Case Studies
- Form your case study groups
- Identify the substance-abuse related behavior of
focus in your sample community - Select a priority risk factor for your sample
community - Identify an existing program in the community
that addresses that risk factor - Discuss how you could use the communitys
capacities to support implementation of that
program
48Planning for Action
- Which steps do you think are the ones most often
neglected? - Why do you think they are neglected?
- Why is it important that all the steps be
followed thoroughly? - What are some things you can do to assure that
the process is followed in your own communities?
49Prevention Planning
- Allows us to act with intent, be thoughtful, and
use our resources wisely
50Prevention Planning
Why create a plan for action? Planning allows us
to create an objective profile of our community,
identify how to focus resources and efforts, and
implement more effective strategies
51QUESTIONS and DISCUSSION