SAMHSAs Strategic Prevention Framework

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SAMHSAs Strategic Plan
VISION A Life in the Community for Everyone
MISSION Building Resilience and Facilitating
Recovery
GOALS
Accountability Capacity Effectiveness
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The Role of Prevention

• To create communities in which people have a
  quality life
• healthy environments at work in school
• supportive communities and neighborhoods
• connected to families and friends
• ATOD, HIV and crime free

3
Outcomes NOMs

• COMMUNITY
• ATOD Abstinence
• Employment / Education
• Crime / Criminal Justice
• Social Connectedness

• SYSTEM
• Access-participants served, etc.
• Cost-effectiveness
• Evidence based strategies

4
Substance Abuse is LOCAL

• The federal government and states should
  implement systems to support communities in
  reducing substance abuse and related problems.
• Every community needs a comprehensive community
  wide plan---the community is the unit of analysis.

5
Single State Authority
A servantleadership role supporting the growth
of community prevention systems by

• Creating a State prevention system
• Creating an infrastructure to support communities

State success is dependent on community success!
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State Infrastructure

• State Advisory/Policy Group
• Strategic Plans
• Epidemiological workgroup
• Training and Technical Assistance
• Evidence-based workgroup
• Funding Mechanisms
• Data Collection Systems
• Evaluation-Outcome/Process
• Community infrastructure

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Community Infrastructure

• Leadership community stakeholders Citizens
• Community coalitions/workgroup/task forces

• Youth
• Parents
• Business
• Media
• Schools
• Service providers

• Law Enforcement
• Faith community
• Civic volunteer groups
• Healthcare professionals
• Governmental agencies
• Other organizations

• Comprehensive Community Plan

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Community Prevention System

• Bring the power of individual citizens and
  institutions together
• Create a comprehensive plan that everyone in the
  community has a stake in and owns
• Foster continued systems approaches as the
  community experiences the outcomes of its
  investments
• Hold community institutions accountable

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SAMHSAs Strategic Prevention Framework Steps
Assessment
Evaluation
Capacity
Planning
Implementation
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Outcome-Based Prevention
Substance-Related Consequence and Use
Intervening/Causal Variables
Programs/Policies/ Practices
Implementing the Strategic Prevention
Framework Planning, Monitoring, Evaluation and
Replanning
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Logic Model for Reducing Underage Drinking
Substance-Related Consequences
Substance Use
Causal Factors
Strategies (Examples)
Educate retailers to check ID and enforce
underage sales law
Easy Retail Access to Alcohol for youth
Low enforcement of alcohol laws
Enforce underage alcohol laws (compliance checks,
sobriety checkpoints)
Alcohol-related crash fatalities Alcohol
Poisoning Violence/Crime School Problems Teen
Pregnancy
Easy Social Access to Alcohol (parties, peers,
family)
Social Event Monitoring and Enforcement
Underage drinking
Media Advocacy to Increase Community Concern
about Underage Drinking
Social Norms accepting and/or encouraging youth
drinking (peer, family, community)
Restrictions on alcohol advertising in youth
markets
Promotion of alcohol use (advertising, movies,
music)
Bans on alcohol price promotion/happy hours
Low or discount pricing of alcohol
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Focus for States and Communities

• Consumption and consequences (prevent the problem
  associated with use)
• Across the lifespan (not only youth)
• Decisions based on evidence-based research and
  empirical data
• Outcomes measured at the population level (and
  the program level)

If we prevent use, we prevent the problem!!
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Developing and supporting community capacity to
operate a local prevention system will result in
the appropriate mix of programs, environmental
strategies, and system policies to generate
outcomes and to effectively create. A Life in
the Community for Everyone.