State Epidemiological Outcomes Workgroup (SEOW)

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SEOW Deliverable Overview State Epidemiological
ProfileSandeep Kasat, PIREAlisa Male,
SMDINathan Drashner, ID SEOW
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Deliverable Purpose

• Provide a concise, clear picture (snapshot) of
  burden of substance abuse (ATOD) in your state,
  jurisdiction or tribe
• Begin thinking about key mental/behavioral
  indicators associated with substance abuse

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SEOW Core Tasks

• Develop SEOW with expertise and focus on
  substance abuse prevention (enhanced focus see
  below)
• Determine data needs to establish magnitude/
  distribution of ATOD consequences and consumption
  patterns and associated risk/protective/intervenin
  g variables across life-span
• Collect, analyze and provide ATOD data to
  states/communities for planning, monitoring and
  evaluation purposes
• Assist states in determining data guided
  prevention prioritization and planning
• Develop/enhance substance abuse monitoring system

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Uses of State Profile

• Becomes basis of upcoming deliverables
• Community epidemiological profile
• Data gap plan
• Dissemination plan
• Monitoring/Surveillance system
• Used by SEOWs for
• Reference document
• Generating fact-sheets
• Publications
• Used by CSAP/Synectics/PIRE
• Learn about state substance abuse/snapshot
• Summary reports for SPO, TOO, directors, etc.

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Todays call

• Present deliverable outline and requirements
  (Sandeep Kasat)
• Adding Mental/Behavioral health indicators and
  Risk/Protective factors (Alisa Male)
• Example of state epidemiological profile (Nathan
  Drashner, ID SEOW)

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Deliverable Outline

• Table of Contents
• Executive Summary
• Purpose, data reviewed and key findings
• Introduction
• Whats coming
• Demo-geographic context
• Data Sources, Indicators and Selection Criteria
• Table of key sources
• Selection/exclusion process

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Deliverable Outline

• Body of Report (Data)
• ATOD consequences and consumption
• Risk/protective/intervening factors
• Mental/behavioral health indicators
• Data Limitations/Gaps
• Limitations of sources/indicators
• Data gaps (i.e. no adult ATOD data, etc.)
• Limitations of report
• Conclusions
• Take-home messages
• Appendices

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Key Points

• Focus on Alcohol, Tobacco and Drugs
• Start with consequences and consumption patterns
• Life-span approach
• Epidemiological Dimensions
• Number, Percent, Rate, Trend
• Subgroup Analyses
• Age, gender, race/ethnicity, sub-state (region,
  county, etc.)

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Key Differences from SPF Needs Assessment

• Focus on widespread surveillance as opposed to
  priorities or problem statements
• Should include all key indicators
• Stand-alone, formal reference document as opposed
  to addendum to SPF SIG state plan
• Process for selecting set of indicators for
  profiling/surveillance no need for
  prioritization matrix
• Adding Mental/Behavioral health indicators and
  risk/protective/intervening variables

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Adding R/P/Intervening Variables

• After ATOD consequences and consumption
• Logical next step in outcomes based prevention
  model
• Each SEOW expected to come up with a set related
  to the ATOD consequences/consumption patterns
  they track

Risk and Protective Factors/ Causal Factors
Substance-Related Consequence and Use
Programs/Policies/ Practices
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Adding MH/BH indicators

• After R/P/I variables
• Moving target goal is to improve and enhance
  MH/BH surveillance every year
• Include BHIS/SEDS indicators at a minimum
• Example NSDUH, Suicide
• MH indicator committee
• Meeting tomorrow
• Include SEOW folks from the field in future

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Updates

• Updated state SEDS data packets will be available
  contact Sandeep
• BHIS
• SEDS update will be reflected by end of April
  2011
• MH/BH indicators from
• MH indicator committee
• State epi profiles
• Risk/protective/intervening variables
• From SEDS sources
• State epi profiles

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Behavioral Health Indicator System
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Reminders

• Due on April 30th
• For questions on deliverable, please contact
  Sandeep Kasat (skasat_at_pire.org) or Alisa Male
  (alisam_at_smdi.com)
• For questions accessing the SharePoint website
  (with link to BHIS), contact Logan Ingels
  (logani_at_smdi.com)
• For audiocall related questions, please contact
  Jenee Cannady (jcannady_at_pire.org)

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Process

• Use your SEOW!!!
• Direction
• Criteria
• Review

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Process

• Constructs/Indicators
• Consumption
• Consequences

- see page 4 of PIRE guidance document for more
detail
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Resources

• State Agencies
• Research Repositories
• Universities
• Contractors
• Stakeholder Organizations
• Federal Resources
• Synectics/PIRE
• SEDS

- see Appendix A1 of PIRE guidance document for
more detail
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Product

• Differences
• Treatment Data

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Differences
PIRE Outline
Idaho Outline
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Treatment Data

• Explanation

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Strengths and Challenges

• Strengths
• Provided documentation
• Opportunity to review database relationships
• Brought purpose to workgroup
• Challenges
• Stakeholder Identification
• Concise dissemination format

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Risk/Protective Factors MH Data

• Same SEOW Process
• Identification
• Meta analysis
• Multivariate Analysis
• Integration
• Commonality with Constructs/Indicators

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Next Steps

• State to Community Profile Link
• Stakeholder Relevance
• Legislative/Executive Nature
• Data Organization
• Fact sheet format
• Contractor Flexibility