maryland strategic prevention framework (mspf) core essentials training
TRANSCRIPT
• Understand and communicate the role of the coalition in achieving community-level change
• Engage coalition & community members to conduct a problem analysis and develop a logic model
• Work with the coalition to plan and implement comprehensive strategies to address local conditions
• Build capacity and engage in planning activities
• Establish a network of prevention professionals
Training Objectives
Training AgendaI. Overview – The Big Picture
II. Community Assessment Review & Report out
III. Community Problem Solving
IV. Logic Model
IV. Comprehensive Interventions
V. MSPF Processes
VI. Close and Evaluations
The branch of CADCA that is responsible for:
What is the National Coalition Institute?
1
Dissemination & Coalition
Relations
Training & TA
Evaluation & Research
How Does NCI Operate?
All trainings built around the Strategic Prevention Framework
The Institute helps coalitions “get smarter faster”
Substance-Related Consequences and Use
Intervening Variables/ Contributing Factors
Evidence Based Strategies, Programs, Policies & Practices
High incidence of alcohol use by Maryland youth under age 21
Enforcement of alcohol-related laws Commercial and social availability of alcohol to youth Community attitudes toward alcohol use Youth perceptions of the dangers of alcohol use Youth perceptions of the social acceptability of use Family use and attitudes towards alcohol use
Rigorous enforcement of MLDA and other alcohol laws Compliance checks Community mobilization to address community and
institutional underage drinking norms and attitudes Normative education emphasizing that most adolescents don’t
use ATOD Parent programs stressing setting clear rules against drinking,
enforcing those rules and monitoring child’s behavior High incidence of binge drinking by youth ages 18-25
Enforcement of alcohol-related laws Commercial and social availability of alcohol to youth Community attitudes toward alcohol use Youth perceptions of the dangers of alcohol use Youth perceptions of the social acceptability of use Family use and attitudes towards alcohol use Early onset of alcohol and/or drug use
Establishment or more enforcement of underage drinking party, keg registration, adult provider and social host laws
Alcohol excise taxes to reduce economic availability Education programs that follow social influence models and
include setting norms, addressing social pressure to use, and resistance skills
Multi-component programs that involve the individual, family, school and community
Interventions that identify and provide treatment for adolescents already using
High incidence of alcohol- crashes
Enforcement of drinking and driving laws Judicial drinking and driving decisions and practices Commercial and social availability of alcohol Community attitudes toward drinking and driving Perceptions of the risk of being caught and punished for
drinking and driving Availability and access to treatment in the community
Rigorous enforcement of drinking and driving laws Awareness regarding the increased risk of being caught and
punished for drinking and driving Enforcement campaigns with sobriety check points Court Watch Community wide media campaigns and task forces Police, judiciary, server, and business training Court-ordered and enforced treatment for DUI offenders
MSPF Community Logic Model
Substance Abuse
Consequences
Strategies (Policies, Practices,Programs)
Figure 1. Outcomes-Based Prevention
Substance Abuse
Consumption Patterns
Risk & Protective
Factors and Other
Underlying
Conditions
Strategies Targeting Individualized Environments
Socialize, Instruct, Guide, Counsel
Family School
Health Care
Providers
INDIVIDUALS
Faith Community
Strategies Targeting the
Shared Community Environment
Support, Enhance
Resources
RegulationsNorms
Systems
ENTIRE COMMUNITY
Underage DrinkingRigorous enforcement of MLDA and
other alcohol lawsCompliance checksCommunity mobilization to address
community and institutional underage drinking norms and attitudes
Normative education emphasizing that most adolescents don’t use ATOD
Parent programs stressing setting clear rules against d
Evidence Based Strategies, Programs, Policies & Practices
Alcohol Crashes• Rigorous enforcement of
drinking and driving laws• Awareness regarding the
increased risk of being caught and punished for drinking and driv
• Enforcement campaigns with sobriety check points
• Court Watch• Community wide media
campaigns and lice, judiciary, server, and business
10
Binge Drinking• Establishment or more
enforcement of underage drinking party, keg registration, adult provider and social host laws
• Alcohol excise taxes to reduce economic availability
• Education programs that follow social
Community Coalitions
“A coalition is a formal [voluntary] agreement and collaboration between groups or sectors of a community in which each group retains its identity but all agree to work together through a community building process toward a common goal of building a healthier community.” Community Anti-Drug Coalitions of America (CADCA)
Impact a Defined Community
Engage All Sectors of the Community
Address conditions & settings in the
community
Promote Comprehensive
Strategies
Achieve Positive Outcomes
Role of the Coalition in Achieving Community-level
Change
Difference Between Coalitions and ProgramsCoalitions Programs
ScaleCoalitions measure success by examining community-level indicators. This applies to all coalition outcomes (short & long- term).
Programs measure change in individuals who have been directly affected by the intervention(s).
Addresses multiple causesCoalitions seek to ensure that all causes of identified problems are addressed
Programs are more focused on single strategies, e.g., parenting classes or peer mentoring.
ActorsCoalition activities are diffused and taken by all members with staff playing a coordinating or supporting role.
Program staff lead the process and are responsible for implementing interventions.
Workbook Page 44
Coalition Sharing
The “BIG PICTURE”1.How has the “BIG PICTURE” been shared
with your coalition?
2.What challenges / successes have you had in communicating the “BIG PICTURE” to your coalition?
3.As a table, identify one “lesson learned” that will help others communicate the “BIG PICTURE”
Best Processes1 for Implementing the Strategic Prevention Framework
8. Developing and Using Strategic
and Action Plans
6. Arranging Resources forCommunity Mobilization
5. Developing Leadership
4. Assuring Technical Assistance
12. Documenting Progress andUsing Feedback
11. Making Outcomes Matter
10. Sustaining the Work
A. Assessment
B. Capacity
D. Implementation C. Planning
E. Evaluation
7. Developing a framework or model of change
1Best processes identified through a literature review conducted by Dr. Renee Boothroyd, University of Kansas – used with permission.
9. Implementing Effective Interventions
3. Defining Organizational Structure
and Operating Mechanisms
1. Analyzing Information About the Problem, Goals and
Factors Affecting Them.
2. Establishing Vision and Mission.
Workbook Page
The Needs Assessment provides information on: Problem of
alcohol, tobacco and
other drug use
Consequences of
alcohol, tobacco and other drug
use
Root causes
Intervening Variables
(risk factors) of
the problemLocal conditions
provide evidence of the root causes in OUR community
Demographics provide information
about the population of the
defined community
COMMUNITY
Community Assessment
• Underage drinking (alcohol misuse) by youth ages 12-20
• Binge drinking by young persons, ages 18-25
• Alcohol-related crashes involving youth ages 16-25
Priorities
Priorities
CountyUnderage Drinking
Binge Drinking
Alcohol Related Crashes
Baltimore County- Dundalk
Carroll- Westminster
Cecil
Harford- Bel Air
Somerset
St. Mary’s
1. Coalition Name and Community
2. Describe the community assessment process conducted by the coalition:
a. How was the coalition involved?
b. Accomplishments and Challenges
3. Describe the priority (s) identified by your coalition.
Community Assessment – Report Out (2 minutes)
Underage Drinking (alcohol misuse) ages 12-20:
•Retail availability/access to alcohol •Social availability/access to alcohol•Level of enforcement and adjudication of alcohol laws•Social norms (youth, family and community norms)•Low perceived risks of alcohol use - youth•Pricing of alcohol•Promotion of alcohol
Intervening Variables (Root Causes)
But Why?
Priority
But Why Here?
Intervening Variables
(Root Causes)
Contributing Factors
(Local Conditions)
Problem Analysis
Criteria for good “But, why here?” Contributing Factors (Local Conditions)
1. Specific (not another risk factor)2. Identifiable3. Actionable
But Why?
Priority
But Why Here?
Intervening Variables
(Root Causes)
Contributing Factors
(Local Conditions)
You’ve already created your logic model by:
1. Clearly stating the priority (Problem statement).
2. Surfacing the Intervening Variables (Root Causes)
3. Identifying why these root causes exist in your community – Contributing Factors
(Local conditions)2.6
Logic Model
When should Intervening Variables & Contributing Factors make it to your logic model?
1. Data from your community
2. Prevention science
3. Current events or political opportunity
4. Community expectations or demands
Logic Model
Priority But Why? But Why Here?
Underage Drinking
Promotion(Marketing)
Store windows on Main Street are covered with
alcohol ads.
Alcohol industry sponsors main three community events.
Two Ways to Critique Your Logic Model1. Line Logic
• Is there a credible connection between each element? (science, community experience, logic?)
2. Completeness Check• Are all the pieces present?• Are there any missing risk factors or
important local conditions?
Logic Model
Seven behavior change strategies:
1.Provide Information
2.Build Skills
3.Provide Support
4.Enhance Access / Reduce Barriers
5.Change Incentives / Disincentives
6.Change the Physical Design of the Environment
7.Change Policies or Regulations
Developing Interventions
Workbook Page 43
Store windows on Main Street
are covered with alcohol ads
Alcohol industry sponsors three
community events
Intervention/Action
Leaflets
Training
L. E. Partnership
Recognition
Alternative Ads
Sign Removal
City Ordinance
Promotion
Underage Drinking
1. Provide Information: Presentations, workshops, brochures, billboards, social norms campaigns, town hall meetings, Web-based communications, etc.
2. Enhance Skills: Workshops/seminars designed to teach skills needed to achieve population-level outcomes.
3. Providing Support: Assisting others to conduct training, obtaining funding for equipment, training, reach specific target audiences.
Seven Strategies for Community Change
4. Changing Access/BarriersAccess:
- Provide instructions/training in multiple languages
- Give scholarships to training programs- Provide training at vendor locations
Barriers:- Enhance law enforcement operations for
dealing with MIP- Remove tobacco machines from public venues- Place pseudoephedrine behind the counter
Incentives: • Provide awards to businesses/organizations
who pass Compliance Checks• Public Recognition (as part of a overall
effort)
Disincentives:• Increase Citations/Fines• Increase Excise Taxes• Use/Lose Laws
5. Changing Consequences (Incentives/ Disincentives)
6. Physical Design
- Lighting in parks
- Signage
- Alcohol Outlet Density/Proximity
- Advertising (Restrictions)
- Product Placement
- Packaging
7. Modify/Change Laws, Policies, Procedures, By-Laws
Laws: Social Host Liability, Keg Registration
Policies: 24/7 Zero Tolerance policy in a school district, Drug Free Workplace Policies, Mandatory Merchant Education with License Re-Application
Procedures: MIP Arrest Processing by Law Enforcement,
By-Laws: Civic organization use of alcohol, collaboration & networking
CADCA Environmental Strategies Guide: Page 8
Intervention Mapping—Worksheet
Behavior Change Strategy Intervention
Providing Information
Building Skills
Providing Support
Changing Barriers/ Access
Changing Consequences/ Incentives
Changing the Physical Design of the Environment
Changing Policy
Priority:
Intervening Variables (But Why?):
Contributing Factor (But Why Here?):
ExampleContributing Factor: Emphasis and availability of
alcohol at the local festivals/fairs.
1. Provide Information—Educate event organizers about the issue
2. Build Skills—Train event staff to check and monitor IDs - free
3. Provide Support—Identify non-alcohol sponsors for events
4. Access / Barriers—Establish ID bracelet system for access
5. Incentives / Disincentives—Paid advertising for events
6. Physical Design—Roped-off beer garden away from center
7. Policies or Regulations—Change alcohol serving policy at public events
Environmental Strategies can:
• Reach entire populations
• Impact the overall environment
• Create lasting change in community norms and systems
• Produce “quick wins”
• Instill commitment toward long-term impact
Evidence Based Strategies, Programs, Policies & Practices
Intervention Mapping—Worksheet
Behavior Change Strategy Intervention
Providing Information
Building Skills
Providing Support
Changing Barriers/ Access
Changing Consequences/ Incentives
Changing the Physical Design of the Environment
Changing Policy
Priority:
Intervening Variables (But Why?):
Contributing Factor (But Why Here?):
WB:
Goodness of FitContributing Factor: Emphasis and availability of
alcohol at the local festivals/fairs.
1. Provide Information—Educate event organizers about the issue
2. Build Skills—Train event staff to check and monitor IDs - free
3. Provide Support—Identify non-alcohol sponsors for events
4. Access / Barriers—Establish ID bracelet system for access
5. Incentives / Disincentives—Paid advertising for events
6. Physical Design—Roped-off beer garden away from center
7. Policies or Regulations—Change alcohol serving policy at public events
Coalitions must think comprehensively
even if they cannot act
comprehensively.
Grantors do not fund the greatest need, they
fund an opportunity to make a difference.
Strategic Planning
Community Assessment
Logic
Model
Comprehensive Strategies
Community-level Outcomes
Goal
Reduce substance
abuse among youth
Short-Term Objectives
Decrease retail outlets selling alcohol to minors as measured by compliance check results
by 25% by 2011.
Intermediate Objectives
Increase “youth perception of harm from alcohol use” by 25% as measured by the
ABC Youth survey by 2011.
Long-term Objectives
Decrease underage drinking in ABC County by
5% as measured by the ABC Youth survey by
2014.
Evaluation
Contributing Factor
“But, why here?”
Information
Build Skills
Provide Support
Reward / Consequence
Access / Barriers
Policy Change
Physical ChangeIntervening Variable
“But why?”
Priority
Intervention/Action
- Data 1 & Source
- Data 2 & Source
Information
Build Skills
Provide Support
Reward / Consequence
Access / Barriers
Policy Change
Physical Change
Intervention/Action
Information
Build Skills
Provide Support
Reward / Consequence
Access / Barriers
Policy Change
Physical Change
Intervention/Action
- Data 1 & Source
- Data 2 & Source
- Data 1 & Source
- Data 2 & Source
- Data 1 & Source
- Data 2 & Source
- Data 1 & Source
- Data 2 & Source
- Data 1 & Source
- Data 2 & Source
Long-Term Objectives(3-10 years)
Intermediate Objectives(1-4 years)
Short-Term Objectives(6-24 months)
Strategic Planning
Intervening Variable
“But why?”
Contributing Factor
“But, why here?”
Contributing Factor
“But, why here?”
Coalition Objectives• What will be changed? • By when?• By how much? • Baseline?• How will it be measured?
Example: Long-term Objective (Priority)Decrease underage drinking by 10% as measured by the
ABC Youth survey (reported 30-day use) by 2013.Baseline 2011: 34% of 8-12 graders report “use of alcohol within the last 30 days of the survey”Target 2017: 24% of 8-12 graders report “use of alcohol within the last 30 days of the survey”
Coalition Objectives• What will be changed? • By when?• By how much? • Baseline?• How will it be measured?
Example: Intermediate Objective (Intervening Variable)Decrease perceived availability of alcohol by 25% as
measured by the ABC Youth survey by 2014.Baseline 2011: 50% of 8-12 graders report “alcohol is easy or very easy to get”Target 2014: 25% of 8-12 graders report report “alcohol is easy or very easy to get”
Coalition Objectives• What will be changed? • By when?• By how much? • Baseline?• How will it be measured?
Example: Short-term Objective (Contributing Factor)Decrease in retailers selling alcohol to minors as
measured by the retailer compliance checks by 2014.Baseline 2011: 45% of retailers failed compliance checksTarget 2013: 100% of retailers passed compliance checks
Coalition Objectives
Priority: Underage Drinking
Long-term Objective:
Measure: 30-day use of alcohol reported by 10th graders on ABC Youth Survey
Baseline 2010: 36% Target 2016: _____%
Coalition Objectives
Intervening Variable: Availability of Alcohol
Intermediate-term Objective:
Measure: Perceived availability of alcohol “reported as very easy to get” by 10th graders on the ABC Youth
Survey
Baseline 2010: 52% Target 2013: _____%
Coalition Objectives
Contributing Factor: Retailers selling alcohol to minors
Short-term Objective:
Measure: Failed compliance checks by retailers reported by Alcohol Beverage Control.
Baseline 2010: 35% of retailers failed their compliance checks
Target 2012: _____% of retailers failed their compliance checks
Strategic Planning
Community Assessment
Logic
Model
Comprehensive Strategies
Community-level Outcomes
Goal
Reduce substance
abuse among youth
Short-Term Objectives
Decrease retail outlets selling alcohol to minors as measured by compliance check results
by 25% by 2011.
Intermediate Objectives
Increase “youth perception of harm from alcohol use” by 25% as measured by the
ABC Youth survey by 2011.
Long-term Objectives
Decrease underage drinking in ABC County by
5% as measured by the ABC Youth survey by
2014.
Evaluation
Building Coalition Capacity (Form)
Building coalition capacity includes addressing:
• Coalition Membership• Coalition
Organization/ Structure
• Leadership • Cultural Competence
Taking it home:
1. How should you engage your coalitions?
2. How should your coalitions be included in the planning?
3. When should you do it?
4. Who should be involved in implementation?
5. What additional training and T/A do they need?
Next Steps
ResourcesCADCA – Community Anti-Drug Coalitions of
America
www.cadca.org
Help & Technical Assistance – Contact:
800-54CADCA x240