1. SAMHSA’s Strategic Plan
VISION
A Life in the Community for Everyone
MISSION
Building Resilience and Facilitating Recovery
GOALS:
Accountability Capacity Effectiveness

2. 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 servant–leadership 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!

6. 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

7. 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

8. 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

9. SAMHSA’s Strategic Prevention Framework Steps
Assessment
Sustainability &
Cultural Competence
Profile population needs, resources, and readiness to address needs and gaps
Monitor, evaluate, sustain, and improve or replace those that fail
Implement evidence- based prevention programs and activities
Develop a Comprehensive Strategic Plan
Mobilize and/or build capacity to address needs
Evaluation
Capacity
Planning
Implementation

10. Outcome-Based Prevention
Substance- Related Consequence and Use
Intervening/ Causal Variables
Programs/Policies/
Practices
The project is organized around outcomes-based prevention principles
This perspective identifies
-what you are trying to affect- outcomes
What you do to affect it -strategies
What the intervening mechanisms are that you might change-intervening variables
Implementing the Strategic Prevention Framework
Planning, Monitoring, Evaluation and Replanning

11. 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
Social Norms accepting and/or encouraging youth drinking (peer, family, community)
Media Advocacy to Increase Community Concern about Underage Drinking
Restrictions on alcohol advertising in youth markets
Promotion of alcohol use (advertising, movies, music)
Low or discount pricing of alcohol
Bans on alcohol price promotion/happy hours

12. 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!!

13. 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.