2. 2 Cross-systems integration in Behavioral Health Mental Health (PEI) Alcohol & Drug (ADP) Prevention Building complementary strategic plans with common objectives SPF Process Can Aid Integration Efforts

3. 3 Two great tastes

4. 4 Simply layering…

5. 5 Or transforming!

6. 6 Strategic Prevention Framework SAMHSA priority is ‘Upstream’, including prevention portion of Affordable Care Act SPF can be used across Behavioral Health Increasing Integration Examples of how SPF supports linkages SAMHSA supported process

7. 7 Key Similarities, Important Differences Key Similarities Common objectives- “Prevent and delay onset of MHP/SUD” Common continuum- IOM “Universal, Selective and Indicated” Increasingly focused on pro-active, “upstream” Rely on SAMHSA-approved Strategic Prevention Framework Important Differences MHSA Prop 63 funds PEI efforts, while Federal Block Grant largely support ADP Prevention Efforts PEI uses mental health promotion as well as disease prevention, while ADP funding draws definitive line at activities leading to Dx PEI is completely stakeholder driven, ADP requirements for formal approval vary

8. 8 Key Idea - “Take the Best of Both Worlds!” “We have different processes and funding streams, but we are working them, together, to achieve best effects” Examples of convergence: - Use of Prevention CSAP Six Strategies -More standardized quarterly meetings and monthly reporting -Use of both Program and Community data sets

9. 9 Prevention Continuum of Services Institutes of Medicine – I.O.M. Individual interventions for those with early signs of SUD/MHD but “sub-clinical” / “prodromal” Specialized or Culture Specific strategies for high-risk groups at elevated risk for problems (e.g. 18-24 y.o. latinas, suicide) Universal strategies to address broad array of LOCAL problems among an entire community or population Danger Signs/Use Elevated Risk For Substance Use, Family Setting, SES, etc. Entire Population- Prevent Onset or Delay Age of First Use, Alter Community or Group Norms To Support Public Health and Safety

10. 10 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 programs and activities Develop a comprehensive strategic plan Mobilize and/or build capacity to address needs ASSESSMENT CAPACITY PLANNING IMPLEMENTATION EVALUATION Strategic Prevention Framework

11. 11 Place of Last Drink survey info, traffic data from State OTS, DUI injury crashes. Formative– media, prizes Summative – year-over year decrease injury crashes Launched DUI summit, RBS training, Be the DD, media-> local change services Used local data: Ventura County bars-> DUI: OTS grants > $480K Convene key agencies, align staff & resources, links with LE, OTS ASSESSMENT CAPACITY PLANNING IMPLEMENTATION EVALUATION SPF local example- DUI Prevention PROBLEM STATEMENT: Thousands of individuals are arrested each year for impaired driving in Ventura County, causing harms to themselves and their passengers, and threatening community safety. impaired driving results in serious injury and fatal traffic crashes.

12. 12 Medical Examiner, ER and Hospital Data, Crisis calls, Self-Harm Ideation Program: # people MHFA trained able to intervene Community: # self-harm MHFA and Intervention training reaches people closest to high-risk group Plans for increasing resident responses; Feasible ways to reduce attempts Convene key agencies, align staff & resources, local messaging, MHFA ASSESSMENT CAPACITY PLANNING IMPLEMENTATION EVALUATION SPF example- Suicide Prevention PROBLEM STATEMENT: Every year there are nearly 1,000 emergency room visits and hospital admissions in Ventura County due to suicide attempts and related self-injury. 100 residents lose their lives annually, each leaving devastated family members and mourning friends

13. 13 Prevention Program Implementation and Measurement Assessing program/initiative effects is key to understanding what’s working, both individually at the program level, as well as collectively. COLLECTIVE IMPACT 5 Conditions Shared by Initiatives Achieving Large Scale Change through Collective Impact: 1. Common Agenda 2. Mutually Reinforcing Activities 3. Backbone Support 4. Continuous Communication 5. Shared Measurement “Collective impact is not just a fancy name for collaboration, but represents a fundamentally different, more disciplined, and higher performing approach to achieving large-scale social impact.” (Brown, Kania & Kramer, 2012, p. 2)

14. 14 Underage & Binge Drinking Impaired Driving Initiative Rx Drugs/Over-the-Counter Drug Misuse and Prevention Marijuana & Other Drugs Alcohol & Drug Programs Mental Health PEI Community Coalitions Mental Health First Aid Triple P Parenting Early Signs of Psychosis Project Crisis Intervention Training WellnessEveryDay.org More Integrated Prevention – Universal Efforts

15. 15 Bullying Photo Novella

16. 16 Cyber-bullying

17. 17 Shared Measurement: Outcomes, Impacts  Two tiers or levels of shared measurement 1. Program-specific 2. Universal Both are key to identifying “what’s working” and any gaps in service provision or impacts Collected data used to evaluate and strengthen programs and initiatives PLAN IMPLEMENTEVALUATE