1. Strategic Prevention Framework Overview Paula Feathers, MA

2. Training Overview Emphasis on what outcome-based substance abuse prevention is. What it means to be strategic. How the Strategic Prevention Framework will guide your work to produce outcomes. 2

3. Assessment Each group will compile the data from the assessments your receive. Present the data on a flip chart for the large group. For example: What was the average score of each scaled question? What % had experience in the yes or no questions? 3

4. Assessment As a facilitator, what could I do with the information I received from this data? 4

5. Expectations On a sticky note, please write 1 specific thing you hope to leave the training with. If you have more than 1 thing, please each item on a separate sticky note (no more than one per sticky). 5

6. Evolution of Substance Abuse Prevention Data driven Consumption & Consequences (prevent the problem associated with use) Across the lifespan (not just youth) Based on evidence-based research & empirical data Outcomes measured at the population level (not just program level) 6

7. Evolution of Substance Abuse Prevention 7 Pre SPF Needs Assessment: Primarily focused on individual level risk factors Conducted by an organization for the organization Programs were the primary strategy selected. SPF Needs Assessment: Focused on community level indicators Leveraging of resources to complete a thorough community needs assessment Programs, practices and policies are selected based on data

8. Guiding Principles of the SPF Data drives decisions Comprehensive approach using a public health model System is developed or strengthened that works towards outcomes 8

9. Outcome-based Substance Abuse Prevention Goal 1: Reduce the early onset of alcohol use among 9-20 year olds Goal 2: Reduce access to alcohol and binge drinking among 9-20 year olds Goal 3: Reduce binge drinking and heavy drinking among 18-25 year olds 9

10. Outcome-based Substance Abuse Prevention 10 Short Term Outcomes Knowledge and skills Medium Outcomes Use of knowledge, skills Long Term Outcomes Georgia’s goals

11. Outcome-based Substance Abuse Prevention Short term outcomesKnowledge Skills Perceptions Attitudes 11

12. Outcome-based Substance Abuse Prevention Medium OutcomesUse of or adoption of Knowledge Skills Perceptions Attitudes 12

13. Outcome-based Substance Abuse Prevention Long term outcomes Reduce the early onset of alcohol use among 9-20 year olds Reduce access to alcohol and binge drinking among 9-20 year olds Reduce binge drinking and heavy drinking among 18-25 year olds 13

14. 14 Goal: Reduce the early onset of alcohol use among 9-20 year olds Goal: Reduce the early onset of alcohol use among 9-20 year olds Long Term Outcome Intervening Variable: Social Access Intervening Variable: Social Access Intervening Variable: Social & community Norms Intervening Variable: Social & community Norms Intervening Variable: Perception of Risk Intervening Variable: Perception of Risk

15. Outcome-based Substance Abuse Prevention 1.Using social access with the contributing factor of youth report getting alcohol from their parents identity both a short term and medium term outcome. 15

16. Infrastructure and System Development The SPF is about building systems in communities that support evidence-based substance abuse prevention that produces outcomes. 16

17. Infrastructure and System Development What systems do you see everyday that work to create or produce something? From the list, choose one example and draw a picture of how it works on p. 9. Define what a system is to you. 17

18. Prevention Systems Community Organizations Funders (federal, state, etc.)

19. Benefits of a Strategic Planning Process Consensus building Improved decision making Enhanced organizational effectiveness Reduced conflict Creates public value 19(Bryson, 2004)

20. What “Strategic”is Systemic information gathering about internal and external environment (data). Examining successes and failures. Clarifying future direction. Establishment of priorities for action. Acquisition and use of knowledge and skills. (Bryson, 2004)20

21. Being Strategic Using your example and the “strategic” bullets, identify how you would be strategic in approaching your assigned goal. Provide specific examples of each bullet. 21

22. Using the SPF to Achieve Outcomes The SPF will be used to help Georgia achieve its goals in your communities. 22

23. Public Health Epi Triad 23

24. Public Health Model in Your Community On pg. 14 write down examples of programs, practices, and policies round each area of this model. 24

25. Public Value “Creating public value means producing enterprises, policies, programs, projects, services, or infrastructures…that advance the public interests and the common good at a reasonable cost.” 25(Bryson, 2004)

26. Assessment 26

27. “When we see individuals talking to themselves, we often suspect mental illness. When we see organizations talking primarily to themselves, we should suspect some sort of pathology as well.” John M. Bryson 27

28. Assessment Gather useful data to assist in making strategic decisions around a goal at the local level. The assessment is the foundation of your work. How effective you will be be with your strategies is directly tied to this foundational component of the SPF. 28

29. 29 Goal: Reduce the early onset of alcohol use among 9-20 year olds Goal: Reduce the early onset of alcohol use among 9-20 year olds Long Term Outcome Intervening Variable: Social Access Intervening Variable: Social Access Intervening Variable: Social & community Norms Intervening Variable: Social & community Norms Intervening Variable: Perception of Risk Intervening Variable: Perception of Risk

30. Assessment 1.Choose 1 of the logic models on pgs. 5-7. 2.Looking at the activities and key products (pg. 15) how would you approach assessment strategically? 3.Record your answers and we will discuss. Using the community level logic model to approach it strategically 30

31. Assessment Community Readiness Assessment Resource Assessment 31

32. Capacity 32

33. Capacity In your own words, individually, what does it mean to build capacity? 33

34. Capacity Remember: Data-Driven Strategic Planning Process to inform decisions. Capacity is built around the needs you have identified in your assessment phase. 34

35. Capacity Looking at pg. 17. identify specific things you would do to build capacity in each of the areas of the logic model. (Use pg. 19 as a resource) On a piece of flip chart paper, record your specifics. We will review each other’s flip chart papers. 35

36. The program is facilitated by knowledgeable and competent staff The program is based on sound theory and uses practices grounded in research The program is systematically planned and assessed The program is evaluated The program is sensitive to participants from a variety of backgrounds and cultures The program is developmentally appropriate The program incorporates the media The program uses a code of ethics Building Blocks for Successful Prevention

37. Capacity Collaboration Leveraging of resources 37

38. Planning 38

39. Planning Data is used to select programs, practices and polices. The SPF balances strategies with the goal of implementing a comprehensive community prevention system: both individual level interventions and environmental strategies should be included. 39

40. Planning 1.Choose one of the goals. 2.On a piece of paper, draw the public health triangle. 3.Write down the programs, practices, and policies currently occurring in your community directly related to the 3 goal you selected. 40

41. Planning A well developed plan assists us in being effective not just busy. Developing a mission and goals assist in decreasing conflict. Linking strategies directly to the data we have collected in our communities can lead to outcomes, increasing our public value. 41

42. Implementation 42

43. Implementation Monitoring activities/progress Assessing fidelity 43

44. Evaluation 44

45. Evaluation Develop mechanisms to evaluate your strategies. Use information to guide the implementation Share evaluation findings and recommendations with community Monitor data throughout implementation 45

46. “Strategic” Evaluation is an integral part of our evolving science. Evaluation findings are beneficial even if they show your strategy isn’t working-use that information to get better. Don’t leave evaluation to the evaluator- integrate evaluation activities into everyone’s scope of work. 46

47. Questions or Comments?