1. PAF101 PAF 101 Skill Set Number 10: Problem Solving 1.Identify the Problem 2.Develop Solutions 3.Launch Solutions Module 5, Lecture 8

2. Class Agenda Announcements Daily Dose of Dale Community Service forms are DUE! Review of Module #5 Paper Exercise 11.1 and Memo

4. Extra Credit Extra Credit Speaker Online forms due 4/27 by 8pm 15 points possible – Up to 3 points a submission

5. Receipts Needed on Final Paper 10 points at risk! Take a screenshot of filled out test BEFORE you submit it Attach the screenshot directly behind the references section of the mod 5 paper Course evaluation: You will receive an email with the URL. Once completed print off the confirmation page and attach it behind the post test screenshot

6. Competition Points GroupPoints A24 G21 B19 C17 E14 F11 H8 I8 D7 As of 4/20/2015

7. Daily Dose of Dale Don’t criticize, condemn, or complain

8. Prince Analysis Steps 1. Identify Necessary Actions 2. Identify Key Players 3. Estimate Position (-5 to +5) 4. Estimate Power (1 to 5) 5. Estimate Priority (1 to 5) 6. Calculate Probabilities 7. Formulate Prince Strategies Ex. 9.1 Ex. 9.2 Ex. 9.3 Ex. 9.4 Chapter 10

9. Hints for Prince Analysis - 9.1B: players for legislative actions = legislature + top executive. For schools it is the school board that is the legislature. Groups of lobbyist can be players - 9.1D: budget decisions are usually administrative - 9.2: always include person with veto power, state legislature (House and Senate), and maybe lobbyist groups (but don't use the word lobby/lobbyist!) - choosing a player is based on POWER; justification should reflect power - 9.3: justification for SCORE, not player choice - 10.2: no arguments (don’t use the word lobbying!) - 10.3B: use same guidelines as in 9.4B

10. Exercise 11.1 Worth 40 points Worth 29% of your Module 5 grade!!!!!!!!!

11. Exercise 11.1 Exercise 11.1 Policy Memorandum Based on What You Have Learned this Semester Your Total Score:_____ (Maximum: 40 points) Write a policy memo of no more than 350 words. Read the Policy Memo section of Chapter 11 and follow the guidelines closely. Societal Problem Proposed Policy Benchmarks Political Feasability

12. SURPRISE COMPETITION! Groups need to find mistakes Get out your directions from the module to follow along

13. Memo Debriefing TO: Joanne Mahoney Onondaga County Executive SUBJECT: Implement a Syringe Exchange Program in Onondaga County

14. Revised TO: Joanne Mahoney Onondaga County Executive FROM: William Coplin SUBJECT: Implement a Syringe Exchange Program in Onondaga County

15. Societal Problem: Dear Joanne, Societal Problem The Oneida County Health Assessment published in 2010 reports that the total number of AIDS cases among residents of Oneida County has consistently increased between 2000 and 2010. The Centers for Disease Control and Prevention report that there is no cure for the disease resulting in a 100% mortality rate.

16. Revised Societal Problem The Onondaga County Health Assessment published in 2010 reports that the total number of AIDS cases among residents of Onondaga County has consistently increased between 2000 and 2010. Nearly 40% of these cases are a result of intravenous drug users sharing contaminated syringes which results in the transmission of HIV. The Centers for Disease Control and Prevention report that there is no cure for the disease resulting in a 100% mortality rate.

17. Proposed Policy: Proposed Policy Since 1992, free and anonymous syringe exchange programs (SEPs) have been legal in the state of New York. Since that time seven New York cities or boroughs have established at least one SEP, each with great success.

18. Revised Proposed Policy The Onondaga County Health Department will establish free and anonymous syringe exchange programs (SEPs) that would provide sterile syringes and other necessary sterile injection accessories, in accordance with the already established New York State Department of Health guidelines governing SEPs. Additional resources are required to implement this policy.

19. Benchmarks: Benchmarks National researchers at both the CDC and the University of California have shown SEPs to reduce HIV infection rates by nearly 50%. Similar results have been reported for New York State. Assuming implementation in 2014, the percentage of HIV infections from intravenous drug use should decrease to 28% in 2016 and 14% in 2018, and 7% in 2020. This will result in a 7% annual decrease in infection rate.

20. Revised Benchmarks This policy will be able to be implemented quickly; however, it will take time show the effect on the number of AIDS cases. Therefore, the benchmarks for this policy will be set at 5, 10, and 15 years from the date of the SEP opening. National researchers at both the CDC and the University of California have shown SEPs to reduce HIV infection rates by nearly 50%. Similar results have been reported for New York State. Assuming implementation in 2013, the percentage of HIV infections from intravenous drug use should decrease to 28% in 2019, 14% in 2024, and 7% in 2029. This policy would be proved effective if these benchmarks were reached, resulting in a significant reduction of AIDS cases in Onondaga County.

21. Political Feasibility: Political Feasibility According to the Centers for Disease Control and Prevention the cost per HIV infection prevented by SEPs is between $4,000 and $12,000, considerably less than the estimated $190,000 spent in treating a single person infected with HIV. Upon approval by the AIDS Institute and the NYS Health Commissioner, state and federal funds cover most of the costs. The financial pressure on the county budget would create substantial political opposition to the policy. Sincerely, William Coplin

22. Revised Political Feasibility This policy has a medium feasibility. There will be initial opposition to this policy because of tight budgetary conditions and demands for other programs. However, the program has a relatively small price tag and strong support from the Department of Health should be enough to allow the approval of the program especially the reports indicate the high cost of treating aids patients. (313)

23. For Next Class Finish Exercises 9.1-9.6 by next class. Read Chapter 10 and first part of Chapter 11 in Maxwell Manual http://classes.maxwell.syr.edu/paf101