1. Welcome to Developing a Comprehensive Strategic Plan A Webinar for Cohort IV Strategic Prevention Framework Tribal Grantees March 2, 2011 We will begin shortly!

2. Housekeeping Mute your line when you are not speaking –To mute, press *6; to un-mute, press *7 Online Feedback Form –We will provide a surveymonkey.com link at the end of the webinar for you to complete. We will also send an automated follow-up email. PowerPoint Slides –We will email these files to all (logged in) webinar participants, following the webinar

4. Facilitators Damaris A. Richardson State Project Officer /Public Health Advisor SAMHSA/CSAP/DSP Michelle Frye-Spray Associate Coordinator, CAPT West Regional Team Kristen Clements-Nolle Regional Epidemiologist, CAPT West Regional Team Jan Hofmann Associate Coordinator, CAPT Central Regional Team Wanda West Training and Technical Assistance Specialist, CAPT Southwest Regional Team

5. FL MS AL GA KY TN NC VA WV SC ME NY PA VT NH NJ MA CT RI DE MD ND SD IA IL WI OH IN MI MN CA NV WY MT ID AZ WA UT OR NM CO NE KS OK MO TX LA AR CSAP’s Strategic Prevention Framework State Incentive Grants by Cohort I -V WEST Montana Wyoming Tribal Leaders Council Northern Arapaho Tribe California Native American Health Center Lower Brule Sioux Tribe Little Traverse Bay Band of Odawa Indians Great Lakes Inter-Tribal Council Grand Traverse Band Winnebago Tribe NORTHEAST CENTRAL Puerto Rico US Virgin Islands SOUTHEAST Cherokee Nation Tohono O’dham Nation SOUTHWEST AK Dena Nena Henash (TCC) Cook Inlet Tribal Council Hawaii American Samoa Guam Palau Northern Mariana Islands Marshall Islands Federated States of Micronesia Northeast: ME,NY,NH,VT,MA,CT,RI,PA,NJ,MD,DE  Southeast: KY,VA,TN,NC,SC,MS,AL,GA,FL, District of Columbia, Puerto Rico, US Virgin Islands  Central: ND,SD,MN,IA,WI,IL,MI, IN,OH,WV, Lower Brule Sioux Tribe, Great Lakes Inter-Tribal Council, Little Traverse Bay Band of Odawa Indians, Grand Traverse Band, Oglala Sioux Tribe, Leech Lake Band of Ojibwe  Southwest: NE,CO,KS,MO,NM,OK,AR,LA,TX, Cherokee Nation, Winnebago Tribe, First Nations Community Health Source, Pueblo of Acoma, Oklahoma Inter-Tribal Consortium  West: WA, MT,OR,WY,CA,NV,UT,AZ,AK,HI, California Native American Health Center, Northern Arapaho Tribe, Montana Wyoming Tribal Leaders Council, Tohono O’dham Nation, Confederate Salish and Kootenai Tribes, Nooksack Indian Tribe, Dena Nena Henash, Cook Inlet Tribal Council, Northern Mariana Islands, Guam, Marshall Islands, Micronesia, American Samoa, Palau District of Columbia Cohort ICohort IVCohort IIICohort II Cohort V Partnerships for Success Oglala Sioux Tribe Leech Lake Band of Ojibwe First Nations Community Health Source Pueblo of Acoma OK Inter-Tribal Consortium (ITC) Confederate Salish and Kootenai Tribes Nooksack Indian Tribe Red Lake Nation

6. Introductions Introduce yourself Tell us about where you are in the process of developing your SPF Plan

7. Participant Agreements One speaker at a time Information shared within call stays within call Ask questions Learn from each other

8. Objectives Review CSAP’s Strategic Prevention Framework State Incentive Grant Program Guidance Document for Developing the Tribal Strategic Plan Hear other grantees’ share their experiences developing their SPF plans Explore strategies for avoiding common pitfalls Provide information on tools, resources, and approaches to writing a comprehensive strategic plan

9. Tribal Strategic Plan Outline Table of contents Executive summary Introduction Assessment –Epidemiological data (profile) –Capacity and infrastructure –Criteria –Description of priorities

10. Tribal Strategic Plan Outline Capacity Building –Areas needing strengthening –Tribal activities –Role of Tribal Epidemiological Workgroups Planning Implementation Evaluation Conclusions

11. Assessment Section Assessing the Problem (Epidemiological Profile) –List and briefly describe data indicators used to assess 1) consumption; and 2) consequences –Discuss policies, procedures, and processes considered or utilized to identify and collect data indicators and develop epidemiological profile –Describe consumption and consequence patterns using graphs, tables, and narrative. o Can include full epidemiologic profile as an appendix.

12. Assessment Section Assessing the System (Capacity and Infrastructure) –Describe the current substance abuse prevention systems at the Tribe and community levels (if appropriate) Personnel, resources, and systems Significant gaps Capacity to implement the SPF Capacity to collect, analyze, and report data to support data driven, decision-making in each step of the SPF –Community readiness and resource inventory findings can be presented and described in this section

13. Tribal Strategic Plan Outline Table of contents Executive summary Introduction Assessment –Epidemiological data (profile) –Capacity and infrastructure –Criteria –Description of priorities

14. Assessment Section Epidemiological Criteria Size/magnitude Time trends Seriousness/severity Other relative comparisons Economic costs/social impact Other Criteria Capacity Existing services and resources Community readiness Political will Preventability/changeability Cultural factors Criteria and Rationale for Setting SPF TIG Priorities

15. Assessment Section Description of SPF TIG priorities: –Describe results obtained after applying prioritization criteria. If more than one prioritization step is used, show results of each step (e.g., in a table or summary of results). –Provide a clear description of the processes and procedures used to arrive at the final priority(s) including who made the final decisions (e.g., advisory council or epidemiological workgroup and advisory council) –Provide a clear description of the final priority area(s). Provide an explanation if final priority area(s) represents a shift from epidemiological areas of high need.

16. Assessment Section Questions? Next Steps for T/TA

17. Capacity Building Section Propose a plan for ensuring on-going capacity building to address the priority need(s) identified in the assessment step Clearly Describe: –Areas of the prevention system that require strengthening, based on assessment findings –Tribal capacity-building activities that will be implemented to strengthen identified gaps –Expected role of Tribal Epidemiological Workgroup (TEW) in the remaining years of the grant

18. Capacity Building Section Examples of capacity building activities include plans to develop the following: –Technical assistance system to support sub-recipients –Advisory Council to ensure cultural inclusiveness and appropriate expertise –Coalitions at the local level –A surveillance and monitoring system –Criteria for defining evidence-based programs, practices and policies –Implementation of a workforce development plan –Enhancement and/or implementation of data infrastructure

19. Capacity Building Section Describe the expected role of the TEW in the remaining 5 years of the grant. Potential role(s) may include: –Determining ways to fill data gaps –Identifying additional prevention priorities –Consistently updating and revising the Epidemiological Profile –Working with sub-recipients to identify intervening variables –Developing a data depository –Monitoring consequences and consumption patterns

20. Capacity Building Section Questions? Next Steps for T/TA

21. Planning Section Describe the proposed approach that you will use to build infrastructure and explain how the plan will ensure that you reach your proposed outcomes. This component should include at least three elements: 1) Description of tribal community activities 2) Allocation approach 3) Implications of allocation approach

22. Planning Section Clearly describe the following elements: –Infrastructure Development Plan –Tribal Action Plan –Allocations Approach

23. Planning Section The Infrastructure Development Plan should describe in detail the following: –The proposed communities the Tribe intends to fund –The data and processes used to determine the selection –The parameters of the selected Tribe/community –The readiness of the Tribe/communities to address the priority need(s) and intended outcomes

24. Planning Section The Infrastructure Development Plan should also describe (in detail): –Strategies to increase readiness and address gaps identified in the capacity-building section –How the proposed strategies will build the necessary infrastructure to meet overall goals and objectives –How the Tribe will coordinate and/or leverage all prevention resources (SPF SIG and non-SFP SIG funded)

25. Planning Section Action Plan –Clearly describe how the Tribe will address the priority need(s) including goals, measurable objectives and outcomes –Provide a comprehensive list of intervening variables that are associated with the priority need and how they relate to the particular underlying conditions in the identified Tribe –Include a logic model that identifies strategies to be implemented to address the intervening variables

26. Planning Section The SPF Logic Model –Things to consider: o Identify the priority need(s) as it relates to consequences and consumption patterns o Develop a logic model for each Tribe or location (community) identified o Describe in detail how cultural considerations will be addressed in all programs, policies, and practices o Describe in detail the proposed policies, programs, and practices that will address intervening variables

27. Planning Section Describe any evidence that is associated with the chosen policies, programs, and practices and how that evidence verifies that the interventions are the best fit for addressing identified intervening variables and priority need(s).

28. Planning Section Clearly describe your allocation approach in detail: –How will your allocation mechanisms enable the Tribe to address the identified priorities? –How will you ensure that relevant and appropriate policies, practices, and programs are funded? –How will you ensure that all funded activities are culturally competent and culturally inclusive? –How will you ensure that funded activities are sustainable upon completion of funding?

29. Planning Section Describe in detail the allocation plan, including : –How funds will be allocated to support activities to address prior need(s) based on consequence and consumption data –The proposed funding mechanism o Contract o Cooperative agreement o Purchase Order –The procurement process for securing services

30. Planning Section Describe in detail the allocation plan, including: –The procurement process for securing services –If serving more than one Tribe, how many sub-recipient grants/contracts will be made and the allocations formula by which multiple Tribes will be funded –How the allocations formula will enable the Tribe(s) to address identified priorities

31. Planning Section Describe in detail the allocation plan, including : –How the Tribe(s) will ensure that relevant and appropriate policies, practices, and programs are funded –How the Tribe(s) will ensure that all funded activities are culturally competent and culturally inclusive –How the Tribe will ensure that funded activities are sustained once grant funding has ended.

32. Planning Section Implications of Allocation Approach –Describe in detail implications of the allocation approach described above for addressing the scope and nature of the problems identified.

33. Planning Section Questions? Next Steps for T/TA

34. Implementation Section Focus on the approach the Tribe will take to implementing activities, including SPF TIG policies, programs, and practices. Describe in detail any other organization that will participate in the proposed Tribal project –Include roles and responsibilities –Include commitment letters that describe what organization will provide to support implementation of the plan

35. Implementation Section Describe in detail how the Tribe will implement evidence-based policies, programs, and practices consistent with the definition and guidelines provided by SAMHSA/CSAP. Discuss the planned implementation activities that will occur and how that implementation will take place. Tribes must ensure that all policies, programs, and practices being implemented make culturally competent adaptations without sacrificing their core elements.

36. Implementation Section Questions? Next Steps for T/TA

37. Evaluation Section Provide in detail the proposed evaluation plan for the project. –The evaluation plan should be designed to help determine whether Tribes are achieving the goals, objectives, and outcomes they intend to achieve and whether adjustments need to be made to their project.

38. Evaluation Section Discuss the Tribal-level surveillance, monitoring, and evaluation activities that will be implemented. Describe what will be tracked and how tracking will occur. Discuss what is expected to change.

39. Evaluation Section Grantees must consider outcome and process questions such as (but not limited to) the following: –Outcome Questions o What was the effect of the interventions on the Tribe? o What program/contextual factors were associated with outcomes? o What individual factors were associated with outcomes? o How durable were the effects?

40. Evaluation Section –Process Questions How closely did implementation match the plan? What types of deviation from the plan occurred? What led to the deviations? What effect did the deviations have on the planned interventions and evaluations? What process did you use to organize the Advisory Council? What process did you use to organize the epidemiological workgroup? What process did you use to organize the evidence- based workgroup?

41. Evaluation Section Describe how required SAMHSA/CSAP National Outcome Measures (NOM’s) data will be collected and submitted to CSAP. Provide a statement to the effect that the Tribal SPF grantee will fully cooperate with the SPF TIG cross- site evaluation.

42. Evaluation Section Questions? Next Steps for T/TA

43. Cross-Cutting Components and Challenges Describe how your strategic plan will: –Include cultural competence of all SPF steps. –Address the sustainability of your SPF TIG efforts. Describe any challenges... –You encountered when applying a “need-based” allocation process. –You expect during implementation of the plan.

44. Conclusions Questions? Next Steps for T/TA

45. Contact Information Damaris A. Richardson State Project Officer /Public Health Advisor SAMHSA/CSAP/DSP 1 Choke Cherry Road Rm 4-1050 Rockville, MD 20857 240-276-2437 Phone 249-276-2430 FAX damaris.richardson@samhsa.hhs.gov

46. CAPT Contacts Michelle Frye-Spray Associate Coordinator, CAPT West Regional Team mfryespray@casat.org Kristen Clements-Nolle Regional Epidemiologist, CAPT West Regional Team kclements@casat.org Jan Hofmann Associate Coordinator, CAPT Central Regional Team jhofmann@miph.org jhofmann@miph.org Wanda West Training and Technical Assistance Specialist, CAPT Southwest Regional Team w.west@ou.org

47. Evaluation (survey monkey link)