Using Data to Determine Priorities

1. Using Data to Determine Priorities and Data Considerations for Planning

2. Substance-Related Consequences and Use Risk & Protective/ Causal Factors Strategies: Programs, Policies, Practices Epi Profile Communities: Implement SPF: assess factors that contribute to priorities, and determine and implement strategies to address them Determine State/Tribe Priority(s) Data –guided State/Tribe Plan allocates SPF SIG $ to address priority(s) SPF & Outcomes Based Prevention

3. “Two Phase” Prioritization Process Phase 1 • Identify consequence and consumption data • Analyze and interpret data according to certain epidemiological dimensions/criteria • Determine epidemiological data priorities Phase 2 • Identify other data/criteria and apply • Determine final State/Tribe priorities

4. DETERMING STATE/TRIBE PRIORITIESEpidemiological Dimensions • Size/Magnitude of the problem • Time trends • Other relative comparisons • Severity • Economic costs/social impact

5. PRIORITIZATIONProcess Considerations • Define criteria, rules for application • Develop scoring guidelines, format (e.g., worksheet) • Apply (e.g., assign points/scales, individual reflections and group dialogue) • Overall, establish rules for interpreting scores

6. Setting Up Prioritization • Summarize consequence and consumption data and preliminary data implications • according to key dimensions and • in a way that is concise, informative, and sets up decision making • For example,

7. PRIORITIZATIONPhase 1: Illustrative Example Individuals determine Problem Importance Scores for set of substance-related issues by assigning and summing points for a number of criteria, then examine relative scores.

8. PRIORITIZATIONOther Possible Questions “Phase 2” Upon epidemiologically understanding need . . . • Is additional refinement necessary for differentiating an understanding of need? • What other information may help to indicate differences in need?

9. PRIORITIZATION Phase 2Other Data/Broader Criteria Competencies, skills. Human, institutional, financial Evidence of and feasibility to change Capacity/Resources Preventability/Changeability Readiness/ Political Will Awareness, concern, interest (public, organizational) NEED

10. PRIORITIZATIONPhase 2: Illustrative Example

11. FORESHADOWING . . .Data Applications: Planning

12. DATA APPLICATIONSState Planning Ex.: New Mexico

13. DATA APPLICATIONSState Planning Ex.: Texas

14. DATA APPLICATIONSState Planning Ex.: Maine

15. DATA APPLICATIONSState Planning Ex.: Pennsylvania

16. DATA APPLICATIONSState Planning Ex.: Vermont

17. SPF SIG: Current SEOW ActivitiesAssessment (Step #1) • SEOW assessment of State/Tribe substance-related consequences and consumption data (Epi Profile) • Gather, analyze, interpret, and summarize data on substance use and related consequences • SEOW role in/contribution to identifying SPF SIG priorities • Criteria, process • Application, interpretation • SEOW contribution to development of SPF SIG Plan for CSAP approval that defines data-guided approach for allocations to address priorities

18. PRIORITIZATIONSome Considerations • In such a developmental and dynamic process, aim to be well-defined, systematic, transparent. • Both the process and the results of the process are important – it will be necessary to explain both. • Complete each stage before going to the next. • Using State/Tribe data, identify priority(s); then • Use data about priority(s) to guide resource allocations (the “where” and “for what”) (SPF SIG Plan)