1 strategic prevention framework 101 november, 2013 shari sprong, ma, ms aleya martin, mph health...
TRANSCRIPT
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Strategic Prevention Framework 101 November, 2013
Shari Sprong, MA, MS
Aleya Martin, MPH
Health Resources in Action
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Prevention
"Prevention is an active, assertive process
of creating conditions and/or personal
attributes that promote the well-being of
people.” (William A. Lofquist)
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Prevention Continuum
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Behavioral Health Continuum of Care Model
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• Public Health Approach
• Data-Driven Community-Based Strategic Planning Process
• Outcomes-Based Prevention
Key Principles of the SPF
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Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness
Assessment Profile population needs,
resources, and readiness to address needs and gaps
Capacity Mobilize and/or build capacity
to address needsPlanning Develop a Comprehensive
Strategic PlanImplementation
Implement evidence-based prevention programs and activities
EvaluationMonitor, evaluate, sustain, and improve or replace those that fail
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AssessmentProfile population needs, resources, and readiness to address needs and gaps
EvaluationMonitor, evaluate, sustain, and improve or replace those that fail
ImplementationImplement evidence-based prevention programs and activities
PlanningDevelop a Comprehensive Strategic Plan
CapacityMobilize and/or build capacity to address needs
Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness
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1. Assessment
Diagnosis:
• Needs and risk & protective factors assessment
• Resource inventory
• Prioritization of community issues
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Data Triangle
Archival Data
Attitudes/Behaviors,Risk/Protective Factors
Community Perspective, Community Readiness
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Data Analysis
• Levels– Establish baseline
• Trends– Over time
• Patterns– By age, gender, race/ethnicity
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Resource Inventory
• Current community resources
• Who is being serviced
• Overlaps vs. gaps
Increase Collaboration – Decrease Duplication
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Prioritization of Community Issues
• Synthesize all 3 sources of data and resource inventory
• Identify areas of focus (1 – 2)
• Craft a problem statement– Drug (or other issue)– Target population– Baseline rate
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Risk & Protective Factors
• Definition: Characteristics that increase (risk) or decrease (protective) the likelihood of a negative outcome.
• Domains:– Community– School– Family– Individual/Peers
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Assessment Activity
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But Why?
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AssessmentProfile population needs, resources, and readiness to address needs and gaps
EvaluationMonitor, evaluate, sustain, and improve or replace those that fail
ImplementationImplement evidence-based prevention programs and activities
PlanningDevelop a Comprehensive Strategic Plan
CapacityCapacityMobilize and/or build capacity to address needs
Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness
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2. Capacity Building: The ability to mobilize community & resources
Build an inclusive community movement/coalition
• Membership
• Structure/function
• Engage community, include key decision makers & those affected by the problem
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Levels of Involvement
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Sample Organizational Chart
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Capacity Building
Program vs. Coalition
• Scale
• Focus
• Staff responsibility
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Capacity Building
Educate the group
• Leadership
• Effective prevention
• Cultural competence
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Capacity Building
Identify and secure resources
• Human resources
• Technical resources
• Management and evaluation resources
• Financial resources
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AssessmentProfile population needs, resources, and readiness to address needs and gaps
EvaluationMonitor, evaluate, sustain, and improve or replace those that fail
ImplementationImplement evidence-based prevention programs and activities
PlanningDevelop a Comprehensive Strategic Plan
CapacityMobilize and/or build capacity to address needs
Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness
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3. Planning
• Multiple strategies in multiple domains
• Logical
• Data- driven
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Planning
What is a Comprehensive Strategic Plan?
• Vision & Mission Statements• Problem Statement• Strategic Goals & Objectives • Outcomes • Logic Models • Evidence-Based Strategies• Action Plan & Timeline• Evaluation Plan
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Planning
Design comprehensive interventions to impact risk and protective factors
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• Comprehensive strategies include: - Programs
- Policies - Practices
• Strategies should be evidence-based (from entire body of prevention research)– Federal Model Program List– Peer-reviewed journal with proven
effectiveness– Documented effectiveness
Planning
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Planning Logic Model: Logical connection between the
problem, the Risk & Protective Factors and Strategies Implemented
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Planning Activity
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AssessmentProfile population needs, resources, and readiness to address needs and gaps
EvaluationMonitor, evaluate, sustain, and improve or replace those that fail
ImplementationImplement evidence-based prevention programs and activities
PlanningDevelop a Comprehensive Strategic Plan
CapacityMobilize and/or build capacity to address needs
Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness
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4. Implementation Putting your plans into practice
• Multiple strategies in multiple domains
• Fidelity
• Staffing
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Implementation
Role of Coalition
• Oversight of work
• Mutual accountability
• Monitoring
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AssessmentProfile population needs, resources, and readiness to address needs and gaps
EvaluationMonitor, evaluate, sustain, and improve or replace those that fail
ImplementationImplement evidence-based prevention programs and activities
PlanningDevelop a Comprehensive Strategic Plan
CapacityMobilize and/or build capacity to address needs
Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness
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• Community is unit of analysis – not the individual
• Trends over time
• Use evaluation results to realign strategies, as needed
Monitor progress and impacton selected change indicators
5. Evaluation
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Measuring Community Outcomes
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Logic Model Template
Theory of Change
Problem Statement Strategies Activities Outcomes
Problem But why? But why here?
Short Term Intermediate Long-Term
[1
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Logic Model Template
Theory of Change
Alcohol related crashes among HS youth will decrease by decreasing the binge drinking rates among athletes and other youth and decreasing the high rates of drinking and driving.
Problem Statement Strategies Activities Outcomes
Problem But why? But why here?
Short Term Intermediate Long-Term
High Rates of Alcohol Related Crashes among HS students 10/year High Rates of Binge Drinking among HS students 23% High Rates of Drinking and Driving among HS drivers 17%
Early Initiation first Use 30% used before 13
Limited Activities in town for HS youth to get to using public transportation
Collaborate with Transportation Department to increase access to public transportation to HS activities Meet with interfaith youth group to provide field trips with access to activities outside of town
5 bus routes changed 5 field trips coordinated on weekends to out of town destinations
Increase access to exisiting activities for HS youth (nondriving) Youth are involved in meaningful activities
Decrease in % of HS youth who report initiating use before age 13 30% to 25%
Decrease Binge Drinking Rate from 23% to 15%
Decrease rates of Drinking and Driving17% to 10%
ULTIMATEReduce number of alcohol related crashes by 50% (5/year)
Social Norms Encourage Binge Drinking 90% students believe most athletes binge drink
Vocal minority of Athletea regularly boast about weekend drinking
Implement Atlas and Athena EBS Social Norms Marketing Campaign at High School
3 sports teams selected to pilot Atlas and Athena curriculum Design Social Norms media campaign based on youth survey data and athletes norms
10 senior level captains and coaches hold after practice A&A sessions reaching 60 JV athletes Accurate athlete binge drinking norms communicated via positive majority messages saturating school and reaching 80% of students.
High School misperception of athletes binge drinking rates decreases to 70% 90% to 70%
Little Enforcement of Drinking and Driving 10 or fewer arrests of youth for DUI/year
No checkpoints for DUI during high risk times for youth on weekends
Meet and Strategize with Chief of Police to increase DUI check points
Police agree to DUI checkpoints 2 Saturday evenings per month
At least 2 DUI checkpoints /month on weekends occur
10% increase in number of arrests for youth DUI
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Strategic Prevention Framework
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Cultural Competence
• Eliminates service & participation disparities
• Improves effectiveness & quality of programs, policies and practices
Meets the Needs of the People With
Whom You Are Working
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• Think sustainability from the beginning
• Look to community resources to sustain outcomes
• Sustain prevention by making it everyone’s job
Sustain outcomes, not programs
Sustainability
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Bringing It Home
How can you start doing some of this
now, to prepare you for future funding
opportunities?
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Contact Information
Aleya [email protected] Health Resources in Action (HRiA)617-451-0049 x53395 Berkeley StreetBoston, MA 02116
Shari [email protected] Resources in Action (HRiA)617-451-0049 x50295 Berkeley StreetBoston, MA 02116
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Steps Required to Implement the SPF
Assessment:• Create and maintain coalitions and partnerships• Assess community needs and resources• Analyze problems and goals• Develop a framework or model of change
Capacity:• Increase participation and membership• Build leadership• Enhance cultural competence• Improve organizational management and
development
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Steps Required to Implement the SPF
Planning:• Develop strategic and action plans
Implementation• Develop interventions• Advocate for change• Influence policy development• Write grant applications for funding
Evaluation• Evaluation initiatives• Sustain projects and initiatives
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Measuring Community Outcomes
School-Based
Strategy
Program 1
Family-Based
Strategy
Community-Based
StrategyProgram 2
Program 1
Program 2
Program 1
Program 2
Inputs Outputs Short TermOutcomes
IntermediateOutcomes
Long TermOutcomes