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Prevention Planning

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Monitor, evaluate, sustain, and improve or replace those that fail. Implementation ... Replace those that Fail. What does the Evaluation Step include? Process ... – PowerPoint PPT presentation

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Title: Prevention Planning


1
Prevention Planning

2
Prevention 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
3
Activity7-Up
4
Community 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

5
Focus 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)

6
How 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

7
Focus of the Strategic Prevention Framework
  • Community development
  • Strategic planning
  • The change process at the community level

8
Key Principles of the Strategic Prevention
Framework
  • Public health approach
  • Strategic planning process
  • Data used throughout the process to inform
    decisions
  • Outcomes-based prevention

9
Outcomes-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

10
Outcomes-based Prevention
Substance abuse related problems
Intervening Variables
Programs, Policies Practices
Planning, Monitoring, Evaluation, and Replanning
11
SAMHSAs 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
12
ActivityGuided Walk
13
SAMHSAs 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
14
Step 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

15
Why 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?

16
How 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

17
Questions 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?

18
SAMHSAs 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
19
Step 2 Capacity What is it?
  • Types and levels of resources needed to address
    identified needs including
  • Human resources
  • Technical resources
  • Financial resources

20
Capacity Why Is it Important?
  • The resources, people, partnerships, coalitions,
    and skills are essential to the successful
    implementation of prevention plans

21
Capacity What does it involve?
  • Mobilizing resources
  • Engaging stakeholders
  • Partnerships with the community
  • Building coalitions
  • Developing readiness
  • Focus on cultural competency, sustainability and
    evaluation

22
Questions 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?

23
SAMHSAs 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
24
Step 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

25
Why 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

26
Institute 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)

27
How 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

28
Questions 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?

29
SAMHSAs 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
30
Step 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

31
Fidelity 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

32
Implementation 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

33
Questions 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?

34
SAMHSAs 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
35
Step 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

36
Why 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

37
How 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

38
Two 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

39
SAMHSAs 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
40
The 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

41
Cultural 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)

42
The 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!

43
Elements of Sustainability
  • Structures and formal linkages
  • Champion and leadership actions
  • Resources
  • Administrative policies and procedures
  • Expertise
  • Ownership among stakeholders

44
How 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

45
The 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

46
The 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

47
Case 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

48
Planning 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?

49
Prevention Planning
  • Allows us to act with intent, be thoughtful, and
    use our resources wisely

50
Prevention 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
51
QUESTIONS and DISCUSSION
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