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Sustainability: Planning for the Future. Pam Imm, Ph.D. Associate, Center for the Application of Prevention Technologies Southwest Resource Team. March 22, 2012 Regional Technical Expert Panel Webinar. Learning Objectives.

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sustainability planning for the future

Sustainability: Planning for the Future

Pam Imm, Ph.D.

Associate, Center for the Application of Prevention Technologies

Southwest Resource Team

March 22, 2012

Regional Technical Expert Panel Webinar

learning objectives
Learning Objectives
  • Participants will review relevant State and community models for planning, evaluation and sustainability.
  • Participants will review selection issues (decision points) related to environmental strategies.
  • Participants will examine challenges of current funding/required tasks.
  • Participants will learn factors related to sustainability.
getting to outcomes conceptual map






(Needs & Resources)








Getting to Outcomes ™

Getting to Outcomes Conceptual Map


getting to outcomes gto
Getting to Outcomes (GTO)

Ten step model for general prevention

Spanish version:

Getting to Outcomes for Underage Drinking Prevention

what is getting to outcomes
What is Getting to Outcomes

System of Accountability Questions that if addressed produce desired outcomes.

poll question
Poll Question
  • How many of you have heard of or used the Getting to Outcomes model to work the Strategic Prevention Framework steps?
accountability questions
Accountability Questions

1. How will communities get organized? (COMMUNITY ORGANIZATION)

2. What are the underlying needs and conditions that must be addressed? (NEEDS/CONDITIONS)

3. What goals and desired outcomes should be developed based on the identified needs? (GOALS)

accountability questions1
Accountability Questions
  • What evidence-based environmental strategies will help meet your goals? (Evidence Based Prevention)

5. How do you assess the current levels of capacity and develop plans for enhancing? (CAPACITY)

6. How will you ensure that the current strategies “fit” the context? (FIT)

7. What is the plan for implementation? (PLAN)

accountability questions2
Accountability Questions
  • How will the quality of the plan be monitored? (PROCESS EVALUATION)
  • How well are the strategies working? (OUTCOME QUESTION)
  • How are continuous quality improvement (CQI) strategies incorporated? (CQI)
  • If the strategies are successful, how will they be sustained over time? (SUSTAIN)
organizations coalitions 1
Organizations/Coalitions (#1)
  • State/Tribe and community level work not always linked well.
  • SPF-SIG coalitions vary in their capacities.
  • Sizes of States/Tribe/communities vary in sizes and in types of people (e.g., Tribal).
  • Inclusivity is important especially in community-based efforts.
needs and conditions 2
Needs and Conditions (#2)
  • Various strategies for collecting data on priority areas (e.g., underage drinking).
  • Methods for selecting sites varied.
  • Needs/resources assessments were not as thorough as they could be.
  • Challenge of regularly updating epidemiology profiles.
poll question1
Poll Question
  • Did your State/Tribe identify SPF SIG sites primarily from the Request for Proposal (RFP) process or from data showing high consequences or consumption patterns, or both?
strategies for prioritizing needs
Strategies for Prioritizing Needs
  • Determine what conditions/factors are major sources of serious consequences?
  • What conditions/factors are modifiable within the timeframe and budget?
  • What conditions/factors are easily measurable?
  • Which environmental strategies show the greatest likelihood for positive results?
strategies for prioritizing needs1
Strategies for Prioritizing Needs
  • What conditions/factors are not being addressed effectively with other initiatives?
  • Know existing laws/ ordinances that are already “on the books” for each strategy.
  • Pay attention to the political processes underlying many of the environmental strategies.
goals outcomes 3
Goals/Outcomes (#3)
  • Goals and populations of focus were clear.
  • Identification and measurement of desired outcomes challenging.
  • Changes in environmental outcomes takes times.
  • State Epidemiology Outcomes Workgroups (SEOW) varied in their interactions with State and communities.
evidence based strategies 4
Evidence-Based Strategies (#4)
  • Environmental strategies requires a change in focus for States/Tribes and communities.
  • Need for sufficient reach and dosage for comprehensive plan.
  • Resources: Getting to Outcomes, Mayatech, PIRE, previous programs (Communities Mobilizing for Change on Alcohol (CMCA)), Surgeon General’s Report
poll question2
Poll Question
  • What evidence-based programs, other than CMCA, did your State/Tribe use to affect population level change?
capacity 5
Capacity (#5)
  • Human, technical, fiscal, relational
  • Determine plan for enhancing capacities enhanced
    • Training
    • Technical assistance
    • Guidance Documents/reports
    • Additional resource development
plan 7
Plan (#7)
  • Planning tools to use from federal, State/Tribe, or others
  • Training and technical assistance
  • Change/turnover in staff
  • Modifications of plans need to be made
  • Modifications should be documented
monitor plan 8
Monitor Plan (#8)
  • Monitoring environmental strategies perceived as more difficult.
  • Fidelity, quality, dosage.
  • Requires deeper understanding and more buy in from partners (law enforcement).
  • Rely on access of existing data (timeliness)
outcome question 9
Outcome Question (#9)
  • Relies on reporting baseline and changes in outcomes.
  • Outcomes take time and sustained effort.
  • Difficult to definitely attribute your intervention if no comparison community.
  • Document contribution of results.
continuous quality improvement 10
Continuous Quality Improvement (#10)
  • Ask and answer the first 9 accountability questions.


sustainability 10
Sustainability (#10)
  • Make sure you are getting outcomes.
  • Develop a sustainability committee/plan.
  • Consider what you want to sustain.
  • Be prepared to negotiate.
  • Develop champions and new leadership.
  • Develop a financial self-sufficiency plan.
  • How many of your States/Tribe or sub recipients have developed a sustainability committee?
models of sustainability
Models of Sustainability
  • Research on sustainability of prevention interventions is relatively new and sparse.
    • A resource sheet will be sent to you.
models of sustainability1
Models of Sustainability
  • Infrastructure
  • Programs/Interventions
  • Outcomes

Models FOCUS on:

research factors related to sustainability
Research Factors Related to Sustainability
  • Effectiveness
  • Problem area still exists
  • Intervention is compatible with the lead agency (endorsed from the top)
  • Program champions are in place
  • Adaptable to local needs
  • Clear strategies for gradual financial self-sufficiency

American Journal Public Health Fall 2011

  • What tools are/have you provided your sub recipients to plan for sustainability?
initial sustainability planning
Initial Sustainability Planning
  • Step 1 – Develop a sustainability team
  • Step 2 – Document current sustainability of programs, practice, strategies, policies
  • Step 3 – Develop existing and new partnerships
initial sustainability planning1
Initial Sustainability Planning
  • Step 4 – What additional strategies/programs need to be sustained? Where is this data?
  • Step 5 – Gradual plan for financial self sufficiency
ways to get money resources
Ways to get money/resources

Let’s generate examples

  • Share
  • Ask
  • Charge
  • Earn
questions and discussion
Questions and Discussion
  • What additional questions and/or comments are there today?
    • Raise your hand or type your question in the chat box to the left of your screen.