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1 Strategic Prevention Framework 101 November, 2013 Shari Sprong, MA, MS Aleya Martin, MPH Health Resources in Action.

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Presentation on theme: "1 Strategic Prevention Framework 101 November, 2013 Shari Sprong, MA, MS Aleya Martin, MPH Health Resources in Action."— Presentation transcript:

1 1 Strategic Prevention Framework 101 November, 2013 Shari Sprong, MA, MS Aleya Martin, MPH Health Resources in Action

2 Prevention "Prevention is an active, assertive process of creating conditions and/or personal attributes that promote the well-being of people.” (William A. Lofquist) 2

3 Prevention Continuum 3

4 Behavioral Health Continuum of Care Model 4

5 5 Public Health Approach Data-Driven Community-Based Strategic Planning Process Outcomes-Based Prevention Key Principles of the SPF

6 6 Strategic Prevention Framework Supports 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

7 7 Assessment Profile population needs, resources, and readiness to address needs and gaps Evaluation Monitor, evaluate, sustain, and improve or replace those that fail Implementation Implement evidence-based prevention programs and activities Planning Develop a Comprehensive Strategic Plan Capacity Mobilize and/or build capacity to address needs Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

8 8 1. Assessment Diagnosis: Needs and risk & protective factors assessment Resource inventory Prioritization of community issues

9 Data Triangle Archival Data Attitudes/Behaviors, Risk/Protective Factors Community Perspective, Community Readiness

10 10 Data Analysis Levels –Establish baseline Trends –Over time Patterns –By age, gender, race/ethnicity

11 11 Resource Inventory Current community resources Who is being serviced Overlaps vs. gaps Increase Collaboration – Decrease Duplication

12 12 Prioritization of Community Issues Synthesize all 3 sources of data and resource inventory Identify areas of focus (1 – 2) Craft a problem statement –Drug (or other issue) –Target population –Baseline rate

13 Risk & Protective Factors Definition: Characteristics that increase (risk) or decrease (protective) the likelihood of a negative outcome. Domains: –Community –School –Family –Individual/Peers 13

14 14 Assessment Activity

15 But Why? The problem is … But why? But why here? But why? But why here?

16 16 Assessment Profile population needs, resources, and readiness to address needs and gaps Evaluation Monitor, evaluate, sustain, and improve or replace those that fail Implementation Implement evidence-based prevention programs and activities Planning Develop a Comprehensive Strategic Plan Capacity Mobilize and/or build capacity to address needs Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

17 17 2. Capacity Building: The ability to mobilize community & resources Build an inclusive community movement/coalition Membership Structure/function Engage community, include key decision makers & those affected by the problem

18 Levels of Involvement Core Leadership Active Membership Don’t Attend Meetings, but Give Their Input 18

19 Sample Organizational Chart Steering Committee General Membership Data STAT Youth Outreach STAT Parent Outreach STAT

20 20 Capacity Building Program vs. Coalition Scale Focus Staff responsibility

21 21 Capacity Building Educate the group Leadership Effective prevention Cultural competence

22 22 Capacity Building Identify and secure resources Human resources Technical resources Management and evaluation resources Financial resources

23 23 Assessment Profile population needs, resources, and readiness to address needs and gaps Evaluation Monitor, evaluate, sustain, and improve or replace those that fail Implementation Implement evidence-based prevention programs and activities Planning Develop a Comprehensive Strategic Plan Capacity Mobilize and/or build capacity to address needs Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

24 3. Planning Multiple strategies in multiple domains Logical Data- driven

25 25 Planning What is a Comprehensive Strategic Plan? Vision & Mission Statements Problem Statement Strategic Goals & Objectives Outcomes Logic Models Evidence-Based Strategies Action Plan & Timeline Evaluation Plan

26 Planning Substance- Related Problems Risk and Protective Factors Evidence Based Strategies Design comprehensive interventions to impact risk and protective factors

27 27 Comprehensive strategies include: - Programs - Policies - Practices Strategies should be evidence-based (from entire body of prevention research) –Federal Model Program List –Peer-reviewed journal with proven effectiveness –Documented effectiveness Planning

28 High Rate of Youth Alcohol- Related Crashes High Rates of Binge Drinking Early Initiation of Alcohol Use Community- based recreation opportunities Social Norms Encouraging Binge Drinking Media campaign in school to correct perceptions of ‘normal’ consumption High Rates of Drinking and Driving Little Enforcement of Drinking and Driving Enforcement Checkpoints RELATED PROBLEMS SUBSTANCE USE RISK & PROTECTIVE FACTORS STRATEGIES Logic Model: Logical connection between the problem, the Risk & Protective Factors and Strategies Implemented

29 29 Planning Activity

30 30 Assessment Profile population needs, resources, and readiness to address needs and gaps Evaluation Monitor, evaluate, sustain, and improve or replace those that fail Implementation Implement evidence-based prevention programs and activities Planning Develop a Comprehensive Strategic Plan Capacity Mobilize and/or build capacity to address needs Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

31 31 4. Implementation Putting your plans into practice Multiple strategies in multiple domains Fidelity Staffing

32 32 Implementation Role of Coalition Oversight of work Mutual accountability Monitoring

33 33 Assessment Profile population needs, resources, and readiness to address needs and gaps Evaluation Monitor, evaluate, sustain, and improve or replace those that fail Implementation Implement evidence-based prevention programs and activities Planning Develop a Comprehensive Strategic Plan Capacity Mobilize and/or build capacity to address needs Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

34 34 Community is unit of analysis – not the individual Trends over time Use evaluation results to realign strategies, as needed Monitor progress and impact on selected change indicators 5. Evaluation

35 Measuring Community Outcomes 35 Logic Model Template Theory of Change Problem StatementStrategiesActivitiesOutcomes Problem But why?But why here? Short TermIntermediateLong- Term [1

36 36 Logic Model Template Theory of Change Alcohol related crashes among HS youth will decrease by decreasing the binge drinking rates among athletes and other youth and decreasing the high rates of drinking and driving. Problem StatementStrategiesActivitiesOutcomes ProblemBut why?But why here? Short TermIntermediateLong-Term High Rates of Alcohol Related Crashes among HS students 10/year High Rates of Binge Drinking among HS students 23% High Rates of Drinking and Driving among HS drivers 17% Early Initiation first Use 30% used before 13 Limited Activities in town for HS youth to get to using public transportation Collaborate with Transportation Department to increase access to public transportation to HS activities Meet with interfaith youth group to provide field trips with access to activities outside of town 5 bus routes changed 5 field trips coordinated on weekends to out of town destinations Increase access to exisiting activities for HS youth (nondriving) Youth are involved in meaningful activities Decrease in % of HS youth who report initiating use before age 13 30% to 25% Decrease Binge Drinking Rate from 23% to 15% Decrease rates of Drinking and Driving 17% to 10% ULTIMATE Reduce number of alcohol related crashes by 50% (5/year) Social Norms Encourage Binge Drinking 90% students believe most athletes binge drink Vocal minority of Athletea regularly boast about weekend drinking Implement Atlas and Athena EBS Social Norms Marketing Campaign at High School 3 sports teams selected to pilot Atlas and Athena curriculum Design Social Norms media campaign based on youth survey data and athletes norms 10 senior level captains and coaches hold after practice A&A sessions reaching 60 JV athletes Accurate athlete binge drinking norms communicated via positive majority messages saturating school and reaching 80% of students. High School misperception of athletes binge drinking rates decreases to 70% 90% to 70% Little Enforcement of Drinking and Driving 10 or fewer arrests of youth for DUI/year No checkpoints for DUI during high risk times for youth on weekends Meet and Strategize with Chief of Police to increase DUI check points Police agree to DUI checkpoints 2 Saturday evenings per month At least 2 DUI checkpoints /month on weekends occur 10% increase in number of arrests for youth DUI

37 37 Strategic Prevention Framework

38 38 Cultural Competence Eliminates service & participation disparities Improves effectiveness & quality of programs, policies and practices Meets the Needs of the People With Whom You Are Working

39 39 Think sustainability from the beginning Look to community resources to sustain outcomes Sustain prevention by making it everyone’s job Sustain outcomes, not programs Sustainability

40 40 Bringing It Home How can you start doing some of this now, to prepare you for future funding opportunities?

41 41 Contact Information Aleya Martin amartin@hria.org Health Resources in Action (HRiA) 617-451-0049 x533 95 Berkeley Street Boston, MA 02116 Shari Sprong ssprong@hria.org Health Resources in Action (HRiA) 617-451-0049 x502 95 Berkeley Street Boston, MA 02116

42 42

43 43 Steps Required to Implement the SPF Assessment: Create and maintain coalitions and partnerships Assess community needs and resources Analyze problems and goals Develop a framework or model of change Capacity: Increase participation and membership Build leadership Enhance cultural competence Improve organizational management and development

44 44 Steps Required to Implement the SPF Planning: Develop strategic and action plans Implementation Develop interventions Advocate for change Influence policy development Write grant applications for funding Evaluation Evaluation initiatives Sustain projects and initiatives

45 45 Measuring Community Outcomes School- Based Strategy Program 1 Family- Based Strategy Community- Based Strategy Program 2 Program 1 Program 2 Program 1 Program 2 Inputs Outputs Short Term Outcomes Intermediate Outcomes Long Term Outcomes


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