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A Primer on SAMHSA

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A Primer on SAMHSA

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    1. A Primer on SAMHSA’s Strategic Prevention Framework CSAP’s Western CAPT Kris Gabrielsen May 10, 2006

    3. Strategic Planning Framework (SPF) Goals Prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking Reduce substance abuse-related problems in the communities Build prevention capacity and infrastructure at the State and local levels

    4. SPF SIG vs. SIG Similarities: Requires comprehensive planning approach Emphasized accurate reporting of efforts Recognizes prevention is still an evolving field; though there is much that we know, there is still more we can learn

    5. SPF SIG vs. SIG Differences - The SPF SIG: Addresses the entire lifespan of the population Encourages programs, policies and practices Requires data-driven decision-making and facilitates development and utilization of monitoring and surveillance systems Requires community capacity building Consumption and consequences (prevent the problem associated with use) Outcomes measured at the population level (not just program level)

    7. SPF SIG New Mexico Community Logic Model Reducing alcohol-related youth traffic fatalities

    8. SAMHSA’s Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

    9. Step 1 – Assessment What is Assessment? Assessment of substance use and related problems of substance use Assessment of resources, gaps, and readiness Leads to recommendations regarding community priorities

    10. SPF SIG New Mexico Community Logic Model Reducing alcohol-related youth traffic fatalities

    11. Questions to Consider Has your community used ATOD consequence data in the past as part of its Assessment process? Is community level consequence data readily available? What is the utility of the currently available data? How does community readiness impact prevention planning and interventions?

    12. SAMHSA’s Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

    13. Step 2 – Capacity: What is it? Types and levels of resources needed to address identified needs including:

    14. SPF SIG New Mexico Community Logic Model Reducing alcohol-related youth traffic fatalities

    15. Questions to Consider Who are some of the key stakeholders in your community? Are all of the key stakeholders actively involved in planning and implementing successful prevention interventions? Who is involved in evaluating the capacity to meet identified needs? Is cultural competence deliberately assessed as part of current capacity evaluations?

    16. SAMHSA’s Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

    17. Step 3 – Develop a Comprehensive Strategic Plan What is a Comprehensive Strategic Plan? A comprehensive, logical, and data driven plan to address the problems identified in Step 1 using the capacity built or mobilized in Step 2 The plan includes Strategic Goals, Objectives, and Performance Targets, as well as Logic Models and in some cases Action Plans

    18. Questions to Consider What type of prevention intervention planning has occurred in your community in the past? What types of resources will your community need in order to develop a strategic plan?

    19. SAMHSA’s Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness Each step feeds into the next and a non-ending cycle is created. Next we will focus on implementing evidence-based prevention programs and activities. Each step feeds into the next and a non-ending cycle is created. Next we will focus on implementing evidence-based prevention programs and activities.

    20. Step 4 – Implementation: What is it? Taking action as guided by the Strategic Plan developed in Step 3 Developing detailed action plans for elements of your intervention, including balancing fidelity of implementation with adaptation Developing a final detailed evaluation plan that includes process and outcome measurements and continual monitoring of implementation fidelity

    21. Questions to Consider What types of skills, knowledge and/or resources will your community need in order to select appropriate prevention strategies? What processes has your community used for selecting appropriate prevention strategies in the past? What will you need in terms of skills, knowledge or other resources to provide the necessary support to communities in your service area to do select appropriate prevention strategies?

    22. SAMHSA’s Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

    23. Step 5 – Monitor, Evaluate, Sustain, and Improve or Replace those that Fail What does the Evaluation Step include? Process evaluation Collection of required outcome data Review of policy, program, and practice effectiveness Development of recommendations for quality improvement

    24. National Outcomes Measures (NOMs) for Prevention 30 day use Age of first use Perception of disapproval/attitude Perceived risk/harm of use Perception of workplace policy; Workplace AOD use; ATOD related suspensions and expulsions; attendance and enrollment Alcohol-related car crashes and injuries; alcohol and drug related crime

    25. Prevention NOMs, continued Number of persons served by age, gender, race, and ethnicity Total number of evidence-based programs and strategies; percentage of youth seeing, reading, watching, or listening to a prevention message Family communication around drug use Services provided within cost bands (cost effectiveness) Total number of evidence-based programs and strategies

    26. SAMHSA’s Strategic Prevention Framework Supports Accountability, Capacity, and Effectiveness

    27. Two Common Threads Throughout the Strategic Prevention Framework Cultural competence and sustainability are at the center of the Strategic Prevention Framework because they are integral to each step of the framework

    28. How Can the SPF Steps Be Completed? Epidemiology Workgroup—collects and distributes appropriate data Capacity Workgroup—identifies skills and processes needed to do comprehensive planning (community training and TA) Strategies Workgroup—identifies evidence-based policies, practices, and programs that make sense for communities

    29. SPF Discussion How is the SPF different from other planning processes you have used previously? How is it similar? What do you think are the strengths of the SPF? What will be some challenges?

    30. Prevention Planning Allows us to act with intent, be thoughtful, and use our resources wisely

    31. Please complete the evaluation form

    32. Contact Information Kris Gabrielsen CSAP’s Western CAPT 470 NW Dyreka Ct McMinnville, OR 97128 503.474.0218 kgabrielsen@casat.org http://captus.samhsa.gov/western/western.cfm

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