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PREVENTIONCOMMUNITY OF PRACTICE
Practical Approaches to Sustainability Planning
July 24, 2019
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WELCOME
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Purpose of Prevention CoPThe purpose of this CoP is to serve as a vehicle for the prevention workforce to:
1. increase best practice knowledge relative to effective prevention;
2. build collegiality and professional mentoring among those delivering prevention services;
3. improve communication between and within systems of care addressing substance misuse; and
4. promote a recovery and resiliency oriented set of principles and practice constructs.
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Components of Prevention CoP
Systems Focused Group Meetings
Conference Calls
Resources and Tools
Email Based Discussion Group
Technical Assistance
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Agenda
10:00 – 10:05 Welcome and Introduction
10:05 – 10:15 Discussion of prioritization
10:15 – 10:45 Program Perspectives: Presentations on Sustainability
10:45 – 11:05 Facilitated Q and A with Presenters
11:05 – 11:20 Cross Sharing Sustainability Successes
11:20 – 11:55 Activity
11:55 – 12:00 Wrap Up and Evaluations
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Objectives
1. Describe successes and challenges associated with sustainability.
2. Identify Substance Abuse Prevention Skills Training (SAPST) “Keys to Sustainability”.
3. Describe concrete examples for each Substance Abuse Prevention Skills Training (SAPST) “Keys to Sustainability”.
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Melissa Schoemmell, Project ManagerCommunity Health Institute
PREVENTION COMMUNITY OF PRACTICEPRIORITIZATION ACTIVITY
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Prioritization Activity ResultsTopic Votes
The impact of ACES on SUD - Approaching prevention with a population that has experienced trauma and adversity 24
Prevention strategies and initiatives specific to Marijuana 17
Sustainability planning 16
Addressing the social determinants of health through SUD prevention 14
Prevention strategies and initiatives specific to Vaping 12
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Prioritization Activity Results
Topic Votes
Prevention strategies for Young adults 11
Data collection and analysis for program planning and evaluation 10
Prevention strategies and initiatives specific to Alcohol 6
Prevention strategies for Individuals identifying LQBTQIA 6
The impact of ACES on SUD - Prevention of ACES 2
Prevention strategies and initiatives specific to Heroin 2
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SAPST Keys to Sustainability
Community SupportCommunity support refers to cultivating community buy-in for prevention and promotion and the positive outcomes they achieve.
Organizational CapacityOrganizational capacity refers to ensuring community organizations have the necessary resources and infrastructure to engage in prevention activities and achieve positive outcomes.
EffectivenessThis refers to ensuring that systems are organized and aligned to achieve positive outcomes.
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Dover Coalition for Youth
Case Study on Sustainability
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Coalition Workgroups
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13Funding and Key Decisions
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Funding Sources Today
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Local Civic Groups
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Business Support
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Large Volunteer Base
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Evaluations
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Young Adult Strategy SustainabilitySeacoast Public Health NetworkBureau of Drug and Alcohol Services
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• Maria Reyes, BA,CADC Substance Misuse Continuum of Care Supervisor• Maura Fitzpatrick, MPH, Young Adult Strategy Coordinator
• Funding: NH BDAS Partnership for Success Grant
• Study: The Voice of Young Adults done by the public health regions and Community
Health Institute, Bow, NH
• Outcome: The data supported the creation of the Young Adult Strategy which addresses
SUD/behavioral health and social determinants of health in 18-25-year-olds
• Participants expressed concerns about jobs, college, transportation, housing
affordability, depression, anxiety and how to cope.
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Is Anyone Stressed? Is Anyone Stressed?
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Spiritual my purpose in life, relationship to God or the universe, transcendence
Intellectual my curiosity and drive for life-long learning, creativity, discovery
Occupational/Work my love of work, mastering your job, financial or career growth
Social my relations with family, friends, community, coworkers, neighbors
Emotional my feelings, embracing all emotions, serenity, joy, awe; enjoying life
Physical my body: strength, flexibility, vitality, endurance, mind-body alignment
Right now, I am most attentive to or conscious of the presence or absence of
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ACHIEVING BALANCE
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Our ProgramOur Program• Dr. Joel Bennett
• 2 Training Programs: Team Resilience & Health
Consciousness
• National Wellness Institute (NWI, 2019)
• Organizational Wellness & Learning Systems (OWLS,
2019)
• Evidence-based
• Customizable
• Programs approved by SAMHSA and the Surgeon General
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• Identify the effects of stress • Identify signs of not coping well• Identify personal coping style• Identify how stress is a risk factor for:
absenteeism accidents
mistakes negative well-being
unhealthy habits
• Recognize healthy alternatives • Learn 5 steps to thrive from stress
Objectives
3
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Team ResilienceTeam Resilience• Employee training that shows your employees how to:
• Manage stress
• Develop coping skills
• Improve communication
• Address unhealthy alcohol & drug use
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Health ConsciousnessHealth ConsciousnessEmployee training that shows your employees how to:
• Define and assess “health consciousness” (as one key to preventing prescription drug misuse)
• Identify healthy alternatives that can diminish risks for misuse
• Take steps to implement healthy options for themselves and others who may be at risk
• Use the above skills to reduce prescription drug misuse and abuse in their own work setting
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Set-Point
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Our baseline for expected happiness or return point after positive or negative experiences
• What do you “settle” for?
• Are you just “getting by”?
• How can you thrive?
Thriving
EffectiveCoping
Adapting(Getting by)
TensionRelease
Distress
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WHAT IS CULTURE’S ROLE IN STRESS
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Our ApproachOur Approach• Chose to focus on YA’s in hospitality industry
• Hired a consultant
• Became certified in evidence-based Resiliency and Health Consciousness trainings (you can’t give away what you don’t have)
• Developed an approach and marketing materials
• Identified collaborators (Safe Harbor, Austin 17 House, Chambers of Commerce, Raymond Coalition For Youth, Recovery Friendly Workplace)
• Identified champions (proclamation & funding)
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Community SupportCommunity Support
Austin17House
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Organizational CapacityOrganizational Capacity
INDEPENDENT CONSULTANT
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EffectivenessEffectiveness• Evidence-based
• Customizable
• Programs approved by SAMHSA and the Surgeon General
• Evaluation and Data
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Effectiveness – Evaluation & Data
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73%
40%
50% 50%44%
56% 56%
67%70%
60%
77% 77%
69%
77%
69% 69%
77%
69%
77%
69%
1. I know my own earlywarning signs for stress.
2. I am confident that Ican recognize these
signs before Iexperience too much
stress.
3. It is important to meto slow down, stop, andevaluate the stressors in
my life.
4. I am confident that Ican evaluate these
stressors effectively.
5. I can recognize whenI am engaging in
unhealthy coping andcorrect the situation.
6. For me, coping isnot just about releasingtension but a life-style of
healthy coping.
7. I know the signs ofnot coping well.
8. I have healthy life-style and coping factorsthat help me keep stress
from building up.
9. I understand the linkbetween unhealthy
coping and addiction orsubstance abuse.
10. Overall, I amconfident that I can keepstress from affecting my
performance at work.
PRE POST
Dunkin Donuts Managers Pre-to-Post Rating of Stress Competency (% Agree)
Managers made ratings on a “1” (Completely Agree) to “10” (Completely Disagree”). Percent calculated is for items rated “4” or less.
(N varies; N = 10 at Pre and N = 13 at post)
(Marker Item)
Secret Power of Stress Training(Maura Fitzpatrick Facilitator)
Total Average at Pre = 56%Total Average at Post = 73%
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Year 1: What We Learned• Hospitality Industry is a tough nut to crack
• Hospitality culture
• Limited season on seacoast
• 2 distinct audiences
• Marketing is key
• Maybe we should change our approach?
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SPHN and SustainabilitySustainability: A community’s ongoing capacity and resolve to work together to establish, advance, and maintain effective strategies that continuously improve health and quality of life for all (CDC, 2019). Sustainability Action
Belief in your program - passion If you don’t believe it no one else will
Not just about funding Search for potential funders outside the norm
Network of stakeholders Always building/stay in touch
Creative use of resources Use of resources to train others (RFW), creative marketing
Redefine your scope Hospitality to all businesses/schools
Continuous evaluation Feedback from trainings, partners, champions, each other, Dr. Bennett & staff
Build momentum Workshop October 7, 2019
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Evaluate Your Own Sustainability
Center for Public Health Systems Science (CPHSS)
Sustainability Assessment Tool (CPHSS, 2019)
Sustainability Sample Report (CPHSS REPORT, 2019))
HANDOUT
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References
CDC. (2019). Sustainability Guide for Health Communities. Retrieved from cdc.gov: https://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/pdf/sustainability_guide.pdf
CPHSS. (2019). Program Sustainability Assessment Tool. Retrieved from sustaintool.org: file:///C:/Users/maura/Desktop/SUSTAINABILITY/Sustainability-ToolV2_w-scoring_12.11.13.pdf
CPHSS REPORT. (2019). Sustainability Report Example. Retrieved from sustaintool.org: https://sustaintool.org/wp-content/uploads/2018/10/Example-Indiv-Report.pdf
OWLS. (2019). Organizational Wellness & Learning Systems. Retrieved from organizational wellness.com: https://organizationalwellness.com/
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Group Activity
Break into groups and each group discuss one of the SAPST Keys to
Sustainability
• Community Support
• Organizational Capacity
• Effectiveness
Discussion Questions: 20 minutes
Report Out: 15 minutes
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CoP Meeting Schedule
10:00am – 12:00pm
September 11
November 6
All meetings will be in the Concord area.
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Final Thoughts
• 2 CEUs for CPS - Please hand in your evaluation!• Approved for 2 CEUs toward Prevention Specialist
Certification for Domain 1
Thank you for coming!
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MELISSA SCHOEMMELL, MPH ADELAIDE MURRAY [email protected] [email protected]
REKHA SREEDHARA, MPH JILL BURKE, [email protected] [email protected]
ROB O’HANNON, MS C.M.P JULIE YERKESrobert.o’[email protected] [email protected]
ELIZABETH O’[email protected]