cultivating county partnerships through the strategic prevention framework:

Cultivating County Partnerships Through the

Strategic Prevention Framework:

Assessment and Capacity

IntroductionsAgendaAdditional training opportunities Housekeeping itemsParking LotCEU’s

Welcome!

SPF SIG Overview

•Federal Funding: SAMHSA and CSAP $2.13 Million for 5 years

•Iowa Department of Public Health 15% of funding for state level activities

•County Level Funding 85% of funding for county level activities

Dr. Ousmane Diallo, Epidemiologist, IDPH

Julie Hibben, SPF SIG Project Director, IDPH

Pat McGovern, Lead Evaluator, Iowa Consortium for Substance Abuse Research and Evaluation

Debbie Synhorst, SPF SIG Project Coordinator, IDPH

IDPH Project Team

Prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking

Reduce substance abuse-related problems in communities

Build prevention capacity and infrastructure at the State and local levels

Project Goals

SPF SIG CharacteristicsAdvisory Council

State Epidemiological Workgroup (SEW)

Capacity Coach Team

County Selection

Iowa SPF-SIG Priorities

Reduce underage alcohol use (under age 21)

Reduce adult binge drinking (18 and over)

SPF FeaturesOutcome-based Consumption and consequencesFocuses on population-level changePrevention across the lifespanData-driven decision makingLogic models used to select

effective strategies

Framework Overview

Collect data to define problems, resources and readiness within the county to address needs

Assessment

Mobilize and/or build capacity within the county to address needs

Capacity Building

Develop a comprehensive strategic plan that includes evidence-based strategies creating a logical data-driven plan to address problems identified in the assessment step

Planning

Implement evidence-based substance abuse prevention strategies

Implementation

Measure the impact of the SPF and the implementation of strategies, programs, policies and practices

Evaluation at the state level will be conducted by the Iowa Consortium for Substance Abuse Research and Evaluation

Evaluation

Must be incorporated into each SPF step

Does not solely focus on funding

Can include sustaining effort, outcomes, projects, initiatives, etc.

Sustainability

Must be incorporated into each SPF stepEncompasses more than race and ethnicityCan include gender, sexual orientation, religion, location (rural, urban, suburban), socioeconomic status, age, etc.

Cultural Competence

Framework Overview

Questions?

Assessment Step:

Learning ObjectivesParticipants will be able to:Describe how needs assessment fits in with the bigger picture of public health

Describe the expectations and responsibilities of the LEW

Identify key indicators and data sources associated with community needs assessment

Implement the Community Needs Assessment

Public HealthCore FunctionsFutureRoleMissionTreatment or Prevention?SubstanceDisease Prevention and Health Promotion

Standardizing Epi DataExposure vs. Outcome

RatesStandardized Mortality RatioProportionLevel of SignificanceMeasures of Association

Community NeedsAssessment

Applying the SPF

InterveningVariables

Consumption And

Consequences

Evidence Based

Strategies

Consumption And

Consequences

Purpose: To help SPF SIG project funded communities go through the outcome-based prevention model

Assess current problems using epidemiological data

Seek out factors that influence current problems

*The LEW Chair should not do it alone

County Needs Assessment Workbook (CAW)

Consequences Consumption Intervening Variables

Strategies

AlcoholDependenceand Abuse

AlcoholRelated Car

Crashes

AlcoholRelatedCrimes

UnderageDrinking &Adult Binge

Drinking

RetailAvailability

SocialAvailability

Promotion

CommunityNorms

IndividualFactors

CriminalJustice

Convictions

Evidence BasedPrograms,

Policies andPractices

AddressingEach Intervening

Variable

CAW Framework

Data SourcesData will come from both pre-populated data and original/local data

Examples:Consumption data

Behavior Risk Factor Surveillance SurveyIowa Youth Survey

Consequence dataConvictions and arrestsStudent suspensions

Intervening variablesIowa Youth Survey (perceptions and norms)Focus groupsEnvironmental Scans

Workbook OrganizationSeven parts:

–County Description (demographics)–Consequences data–Consumption–Intervening variables–Prioritization–Resource Assessment–Appendices: Focus Group or Town Hall meeting methodologies

Part 1: County DescriptionDescribe your county demographics: age distribution, gender, race, socioeconomic status

Include Map

Other information that will show what makes your county unique

Part 2: ConsequencesCrimes:

Adult and youth alcohol violations, OWI chargesAdult alcohol convictions

Alcohol related crashes% drivers involved in fatal crashes

Alcohol school expulsion and suspensionsAnswer questions comparing your county vs. state. Interpret results

Part 3: ConsumptionStudent underage drinking: Past month, binge drinking (IYS)

Adult 30 day use, heavy and binge drinking (BRFSS)

Questions?

Hands On: CAW Consequence and Consumption

Iowa’s Strategic Prevention Frameworkto Reduce Underage and Binge Drinking

County Assessment Workbook2011 Workbook

(Adapted from the Wyoming Epidemiological Workgroup)

Part 4: Intervening VariablesAlcohol Availability

Social AvailabilityPromotionCounty NormsIndividual Factors

Hands On: CAW Intervening Variables

Iowa’s Strategic Prevention Frameworkto Reduce Underage and Binge Drinking

County Assessment Workbook2011 Workbook

(Adapted from the Wyoming Epidemiological Workgroup)

Part 5: Setting Priorities

Prioritization Score Rank Intervening

Variables

Retail Availability (page 23)

Social Availability (page 26)

Promotion (page 29)

Community Norms (page 34)

Individual Factors (page 37)

Rank each intervening variable from 1-6 and justify prioritization

Part 6: Resource Allocations

Intervening Variable

Strategies Resources

Retail AvailabilitySocial AvailabilityPromotion

County Norms

Individual Factors

Identify resources already available: Money, Time, Other

Part 7: TargetAfter prioritization and resources allocations, determine combinations of Intervening Variables to target

Final conclusions

AppendicesLaw Enforcement Interview Protocol

County Meetings and Focus Groups

Questions ?

Assessing Community Readiness

Readiness is the degree to which a community is prepared to take action on an issue.

The Community Readiness ModelTri-Ethnic Center for Prevention

ResearchSage Hall, Colorado State UniversityFt. Collins, CO 80523800-835-8091

www.TriEthnicCenter.ColoState.edu

Barbara A. PlestedRuth W. EdwardsPamela Jumper-Thurman

Community ReadinessAssessing community readiness for change

Increasing community capacity

Creating a climate that makes change possible

Process

•Define “Community”

•Conduct Key Respondent Interviews

•Score to determine readiness level

•Develop readiness strategies•COMMUNITY CHANGE!

Dimensions of ReadinessA. Community EffortsB. Community Knowledge of the

EffortsC. LeadershipD. Community ClimateE. Community Knowledge about the

IssueF. Resources Related to the Issue

Who is interviewed?Minimum of 6 individuals, 26 questions, 30-60 minute interviewsSchool/University

City/County/GovernmentLaw EnforcementHealth/Medical Professions

Social ServiceSpiritual/ReligionMental Health and Treatment ServicesCommunity At LargeYouth

Stages of Readiness9. High Level of Community

Ownership 8. Confirmation/Expansion

7. Stabilization 6. Initiation 5. Preparation 4. Preplanning 3. Vague Awareness 2. Denial 1. No Awareness

Questions ?

What’s next?Lunch on your own

Afternoon training: Capacity