Mapping Your County’s System

Using Strategic Planning to Improve Service Delivery

ADAA Management Conference

October 13-15, 2004

Workshop Purpose

Skill-building workshop

Designed to help you describe the system of services in your jurisdiction critical to strategic planning, and

How to use strategic planning to identify key stakeholders, assess needs, develop a comprehensive strategic plan, implement the plan, and evaluate its success.

Local Drug and Alcohol Advisory Councils

Mandated for all 24 political subdivisions

Membership to include at least 12 state or county agencies along with other interested and/or knowledgeable persons

Local health department required to survey all federal, state, city, county, fee for service and private health insurance dollars spent for treatment (ADAA will develop the survey instrument)

Maryland State Drug and Alcohol and Drug Abuse Council

The MD State Council is required to

“promote collaboration and coordination by State drug and alcohol abuse programs with local Drug and Alcohol Abuse Councils….”

Local Council -- Duties

Submit a summary report to the Governor by Dec 1, 2004 containing info on:

– Member name, title, agency reps and contact info– Organizational structure and council rules– Documentation about compliance to Senate Bill 194, Article 10, and

progress toward development of the comprehensive plan (due in July 2005)

Develop a Comprehensive Plan for prevention, intervention, and treatment services due by July 1, 2005 and every two years thereafter

Provide an implementation progress report to ADAA; due to ADAA every six months

The Comprehensive Plan

Must include:

– Strategies and priorities for meeting the identified needs of the general public and the criminal justice system for alcohol and other general drug abuse evaluation, intervention, prevention, and treatment services

– Info on priority and target populations

– Mission, principles, goals

– Ability of treatment system to identify and treat all persons with co-occurring and substance abuse disorders

– Contracts and referral agreements with related agencies

Strategic Planning

A Framework for a Logic- and Outcome-Oriented Strategic Plan

Strategic Planning Elements

Community: The Constituent elements that have a stake in the pursuit

Strategy: Mechanism that allows Goals to be pursued

Budget: Mechanism that allows resources to be used for the pursuit of goals and objectives

Evaluation: Mechanism that guides the pursuit; research and evaluation; feedback loop provided through Performance Measurement

Strategy

(Comprehensive Plan)

Community

(Stakeholders)

Budget

(Implement)

Evaluation

(Feedback)

Community (stakeholders)

Religio

us

Org

aniz

ati

ons

Law EnforcementColleges & Universities

Other (e.g., media)

Human Services

Non ATODA

Hum

an Services

ATO

DA

Conce

rned

Citize

ns

Pare

nts

Youth

Volunteer

Organizations

Senior CitizensLocal Government

Busin

ess

Com

munity

Sch

oolsP

ote

nti

al S

takeh

old

ers

Terminology

Vision defines the desired end-state. It is an inspirational description of the ultimate goal.

Mission defines an organization’s role or task in support of the Vision. Goals define the major directives or directions in support of the Mission.

Objectives define major lines of action to achieve each strategic goal.

Targets (performance targets) define desired measurable end states/results against which to compare actual performance.

Measures (performance measures) are the data, variables and events used to track progress toward the Targets.

Strategy Framework

Vision

Mission

Goals

Objectives Performance

Targets

&

Measures

Programs & Policies

Comprehensive Strategy: Start by Developing a Vision Statement

Vision Statement:

– Explains what you are striving to achieve

– “Ultimate” end state

– Inspirational

– The big picture

Examples

– A life for everyone in the community

– A safe and drug free county

Strategy Framework

Vision

Mission

Goals

Objectives

Programs & Policies

A Life for Everyone in the Community

Or

A Safe and Drug Free County

Comprehensive Strategy: Develop the Mission Statement

Mission Statement:

– Defines your local Council’s role or purpose in relation to the Vision Statement

– Provides a sense of purpose.

Examples:

– To reduce alcohol and drug abuse and its damaging consequences

– To reduce crime and substance abuse

Comprehensive Strategy:Mission Statements

Vision

Mission

Goals

Objectives

Programs & Policies

To Reduce Substance Abuse and Its Damaging Consequences

Or

Improving the quality and availability of prevention and treatment services for substance abuse and mental illness

Comprehensive Strategy:Establish Goals

Vision

Mission

Goals

Objectives

Programs & PoliciesGoal #1: Educate and empower District of Columbia residents to live healthy and drug-free lifestyles.

Goal #2: Develop and maintain a continuum of care that is efficient, effective, and accessible to individuals needing substance abuse treatment.

Goal #3: Increase the public’s safety and improve treatment access for offenders to ensure fair and effective administration of justice in the District.

Goal #4: Encourage a coordinated and focused regional response to the problem of substance abuse.

Comprehensive Strategy:Establish Objectives

Vision

Mission

Goals

Objectives

Programs & Policies

Goal #1: Educate and empower District of Columbia residents to live healthy and drug-free lifestyles.

Objectives….i) Expand prevention activities

through the use of a broad cross-sector advisory group as well as through coalitions and neighborhood organizations

ii) Increase the effectiveness of prevention activities through the development and strengthening of a planning, implementation, and evaluation infrastructure.

iii) Increase the utilization of appropriate evidence-based prevention programs.

iv) Utilize evidence-based environmental strategies to change individual and community norms

Comprehensive Strategy:Establish Performance Targets/Measures

Vision

Mission

Goals

Objectives

Programs & Policies

Performance

Targets

&

Measures

For Drug Use:

Addiction

Current Use

Initiation

Goal Outcome Categories:

Performance

Targets

&

Measures

Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy

For Drug Use:

Addiction

Current Use

Initiation

For Consequences:

Crime Health

Goal Outcome Categories:

Performance

Targets

&

Measures

Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy

For Drug Use:

Addiction

Current Use

Initiation

For Consequences:

Crime Health

Goal Outcome Categories:

Performance Targets [performance measures]

Performance

Targets

&

Measures

Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy

For Drug Use:

Addiction

Current Use

Initiation

For Consequences:

Crime Health

Goal Outcome Categories:

Reduce the # of addicted persons [# of addicts]

Performance Targets [performance measures]

Performance

Targets

&

Measures

Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy

For Drug Use:

Addiction

Current Use

Initiation

For Consequences:

Crime Health

Goal Outcome Categories:

Reduce the # of addicted persons [# of addicts]

Performance Targets [performance measures]

Reduce prevalence; targets may be overall use (households), youth (usually 12-17), and Young adults (18-24) [% using, 30-day basis]

Reduce Incidence (first-time use): target is usually youth (12-17) [# new users]

Performance

Targets

&

Measures

Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy

For Drug Use:

Addiction

Current Use

Initiation

For Consequences:

Crime Health

Goal Outcome Categories:

Reduce the # of addicted persons [# of addicts]

Performance Targets [performance measures]

Reduce prevalence; targets may be overall use (households), youth (usually 12-17), and Young adults (18-24) [% using, 30-day basis]

Reduce Incidence (first-time use): target is usually youth (12-17) [# new users]

Improve community health [# or % STDs, HIV/AIDS, Hepatitis, ER activity, Drug-related Deaths]

Performance

Targets

&

Measures

Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy

For Drug Use:

Addiction

Current Use

Initiation

For Consequences:

Crime Health

Goal Outcome Categories:

Reduce the # of addicted persons [# of addicts]

Performance Targets [performance measures]

Reduce prevalence; targets may be overall use (households), youth (usually 12-17), and Young adults (18-24) [% using, 30-day basis]

Reduce Incidence (first-time use): target is usually youth (12-17) [# new users]

Improve community health [# or % STDs, HIV/AIDS, Hepatitis, ER activity, Drug-related Deaths]

Reduce drug related crime and violence [property crime rate per 100,000]

Employment Status

Living Situation

Performance

Targets

&

Measures

Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy

Comprehensive Strategy:Putting It All Together

A Safe and Drug Free County

To Reduce Substance Abuse and Its Damaging Consequences

Programs & Policies

To educate and enable youth to reject substance abuse

Pursue a vigorous public education media campaign

Reduce youth past month drug use by

X% by 200X compared with

2000.

1. By 200x, increase to 80 the % of youth who perceive the harmful effects of illicit drugs

2. By 200x, increase to 90 the % of youth who disapprove of drug use

3. By 200x, double the # of anti-drug TV Media Messages

Program Output:

Increase # media Ads by X % by 200X

Exercises

Skill Building

Citizens of County XYZ:

You are the stakeholder members of County XYZ’s Local Drug And Alcohol Advisory Council !!!

Exercise # 1

Assess Needs

Exercise # 2

Develop a Vision, Mission, and at least ONE Goal and supporting Objective for Your County’s Comprehensive Plan

Exercise # 3

Implementation (what effective programs do you recommend? Resources?)

Exercise # 4

Feedback/Evaluation (How do you evaluate for results?)

Organize the Community to Profile Needs, Including Community Readiness

Mobilize the Community & Build Capacity to Address Needs

Develop the Prevention Plan (Activities, Programs, & Strategies)

Implement the Prevention Plan

Evaluate for Results and Sustainability

Getting to Outcomes (GTO)

Needs and Resources CapacitiesSustain

GoalsBest PracticesFit

PlanningImplementation

OutcomesContinuous Quality Improvement (CQI)Sustain

Pathways to Effective Programs & Positive Outcomes (Path)

Determine Needs and Resources

Build Capacity Select/Adapt/ Innovate Programs

Implement and Assess Programs Complete an Evaluation

Communities that Care (CTC)

Getting StartedDeveloping a Community Profile

Organizing, Introducing, Involving

Creating a Community Action Plan

Implementing and Evaluating the Community Action Plan

Implementing and Evaluating the Community Action Plan

Center for the Application of Substance Abuse Technologies (CASAT)

Needs Assessment Resource Assessment

Community Readiness and Mobilization

PrioritizingFocusing EffortsBest Practices

Select and Implement Evaluation

Rensselaerville Institute (REN)

Profile communityIdentify target populationDevelop outcome statements

Mobilize Investors Develop performance targetsSelect product to be offered to customers

Develop product steps, milestones and projectionsAssess essential elements and advantages Outline intensity and duration Identify key people and outline delivery strategy

Track progress toward milestones using simple verifications Report progress to funding sources quarterly

Assets Model (Assets)

Develop community-wide profile of developmental assets, risk behaviors and “thriving”

Create cross-sector and intergenerational leadership team; Build shared vision; Disseminate vision and profile to community

In response to vision and profile, blend community-wide asset-building initiative with prevention programs

Launch, monitor and refine coordinated roll out of prevention programs within a community-wide asset-building initiative

Conduct change-over-time assessments of Youth assetsYouth risk behaviorsCommunity indicators

Resources to help you build your system:

Getting To Outcomeswww.rand.org/publications/TR/TR101/•TA Available •Free Publication

Communities that Carewww.channingbete.com•TA & Services Available•$$$$

Assets Modelwww.search-institute.org/•TA & Services Available•$$$$

Pathways to OutcomesAvailable by calling 212-237-8620•TA Available•Free Publication

Rensselaerville Modelwww.rinstitute.org•TA & Srvices Available•$$$$e

CASAT Modelwww.casat.unr.edu•TA Available•Free Publication

Getting Started--Sources

Data Sources

www.mdp.state.md.us/msdc - Maryland State Data Center www.census.gov – U.S. Census www.dllr.state.md.us – MD Department of Labor, Licensing and

Regulation www.maryland-adaa.org – MD ADAA http://mdpublichealth.org/vsa/ - MD Vital Statistics www.marylandpublicschools.org/MSDE - MD Department of Education www.cesar.umd.edu – U of M Center for Substance Abuse Research http://dhmh.state.md.us – MD DHMH (AIDS, TB, Hepatitis, STD’s,

etc.) http://store.health.org/catalog/productDetails.aspx?ProductID=16010 www.nachc.com – National Association of Community Health Centers MD State Police arrest data – Uniform Crime Reporting – 410-298-

3883

Strategy Examples

Comprehensive Substance Abuse Strategies

http://www.carnevaleassociates.com/rochesterstrategy.html

http://www.carnevaleassociates.com/dcstrategy.html

Contact Us

John T. Carnevale, Ph.D.

Carnevale Associates LLC

14501 Cervantes Ave.

Darnestown, MD 20874

301-977-3600 (Office)

240-447-3970 (cell)

www.carnevaleassociates.com

William Rusinko

Research Director

ADAA

55 Wade Avenue,

Catonsville, MD 21228

410-402-8661

rusinkow@dhmh.state.md.us