A Primer on SAMHSA

1
A Primer on SAMHSAs Strategic Prevention
Framework

• CSAPs Western CAPT
• Kris Gabrielsen
• May 10, 2006

2
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
3
Strategic Planning Framework (SPF) Goals

• Prevent the onset and reduce the progression of
  substance abuse, including childhood and underage
  drinking
• Reduce substance abuse-related problems in the
  communities
• Build prevention capacity and infrastructure at
  the State and local levels

4
SPF SIG vs. SIG

• Similarities
• Requires comprehensive planning approach
• Emphasized accurate reporting of efforts
• Recognizes prevention is still an evolving field
  though there is much that we know, there is still
  more we can learn

5
SPF SIG vs. SIG

• Differences - The SPF SIG
• Addresses the entire lifespan of the population
• Encourages programs, policies and practices
• Requires data-driven decision-making and
  facilitates development and utilization of
  monitoring and surveillance systems
• Requires community capacity building
• Consumption and consequences (prevent the problem
  associated with use)
• Outcomes measured at the population level (not
  just program level)

6
Outcomes-based Prevention
Substance abuse related problems
Intervening Variables
Programs, Policies Practices
Planning, Monitoring, Evaluation, and Replanning
7
SPF SIG New Mexico Community Logic ModelReducing
alcohol-related youth traffic fatalities
Intervening Variables
Strategies (Examples)
Substance-Related Consequences
Substance Use
Underage BINGE DRINKING
Easy RETAIL ACCESS to Alcohol for youth
Enforce underage retail sales laws
Low ENFORCEMENT of alcohol laws
Underage DRINKING AND DRIVING
Social Event Monitoring and Enforcement
High rate of alcohol-related crash
mortality Among 15 to 24 year olds
Easy SOCIAL ACCESS to Alcohol
Media Advocacy to Increase Community Concern
about Underage Drinking
Low PERCEIVED RISK of alcohol use
Young Adult BINGE DRINKING
SOCIAL NORMS accepting and/or encouraging youth
drinking
Restrictions on alcohol advertising in youth
markets
Young Adult DRINKING AND DRIVING
PROMOTION of alcohol use (advertising, movies,
music, etc)
Bans on alcohol price promotions and happy hours
Low or discount PRICING of alcohol
8
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
9
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

10
SPF SIG New Mexico Community Logic ModelReducing
alcohol-related youth traffic fatalities
Intervening Variables
Strategies (Examples)
Substance-Related Consequences
Substance Use
Underage BINGE DRINKING
Easy RETAIL ACCESS to Alcohol for youth
Enforce underage retail sales laws
Low ENFORCEMENT of alcohol laws
Underage DRINKING AND DRIVING
Social Event Monitoring and Enforcement
High rate of alcohol-related crash
mortality Among 15 to 24 year olds
Easy SOCIAL ACCESS to Alcohol
Media Advocacy to Increase Community Concern
about Underage Drinking
Low PERCEIVED RISK of alcohol use
Young Adult BINGE DRINKING
SOCIAL NORMS accepting and/or encouraging youth
drinking
Restrictions on alcohol advertising in youth
markets
Young Adult DRINKING AND DRIVING
PROMOTION of alcohol use (advertising, movies,
music, etc)
Bans on alcohol price promotions and happy hours
Low or discount PRICING of alcohol
11
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?

12
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
13
Step 2 Capacity What is it?

• Types and levels of resources needed to address
  identified needs including

• Human resources
• Technical resources
• Management and evaluation resources
• Financial resources

14
SPF SIG New Mexico Community Logic ModelReducing
alcohol-related youth traffic fatalities
Intervening Variables
Strategies (Examples)
Substance-Related Consequences
Substance Use
Underage BINGE DRINKING
Easy RETAIL ACCESS to Alcohol for youth
Enforce underage retail sales laws
Low ENFORCEMENT of alcohol laws
Underage DRINKING AND DRIVING
Social Event Monitoring and Enforcement
High rate of alcohol-related crash
mortality Among 15 to 24 year olds
Easy SOCIAL ACCESS to Alcohol
Media Advocacy to Increase Community Concern
about Underage Drinking
Low PERCEIVED RISK of alcohol use
Young Adult BINGE DRINKING
SOCIAL NORMS accepting and/or encouraging youth
drinking
Restrictions on alcohol advertising in youth
markets
Young Adult DRINKING AND DRIVING
PROMOTION of alcohol use (advertising, movies,
music, etc)
Bans on alcohol price promotions and happy hours
Low or discount PRICING of alcohol
15
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?

16
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
17
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

18
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?

19
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
20
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

21
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?

22
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
23
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

24
National Outcomes Measures (NOMs)for Prevention

• 30 day use
• Age of first use
• Perception of disapproval/attitude
• Perceived risk/harm of use
• Perception of workplace policy Workplace AOD
  use ATOD related suspensions and expulsions
  attendance and enrollment
• Alcohol-related car crashes and injuries alcohol
  and drug related crime

25
Prevention NOMs, continued

• Number of persons served by age, gender, race,
  and ethnicity
• Total number of evidence-based programs and
  strategies percentage of youth seeing, reading,
  watching, or listening to a prevention message
• Family communication around drug use
• Services provided within cost bands (cost
  effectiveness)
• Total number of evidence-based programs and
  strategies

26
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
27
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

28
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

29
SPF Discussion

• How is the SPF different from other planning
  processes you have used previously? How is it
  similar?
• What do you think are the strengths of the SPF?
• What will be some challenges?

30
Prevention Planning

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

31
Please complete the evaluation form
32
Contact Information

• Kris Gabrielsen
• CSAPs Western CAPT
• 470 NW Dyreka Ct
• McMinnville, OR 97128
• 503.474.0218
• kgabrielsen_at_casat.org
• http//captus.samhsa.gov/western/western.cfm