1 Planning Presented By: Tracy Johnson, Central CAPT

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Planning

Presented By:

Tracy Johnson, Central CAPT

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Key Principles of the SPF

Based on a public health approach

Focused on outcomes-based prevention

Widens the scope to population-based prevention

Follows a strategic planning process that uses epidemiological data throughout the process to drive decision-making

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SAMHSA’s Strategic Prevention Framework Steps

Cultural Competence &Sustainability

Assessment

Capacity

PlanningImplementation

Evaluation

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Planning Involves:

Creating a logic model Developing a comprehensive, logical, and data-

driven plan to address: The problem(s) and related risk and protective

factors and other underlying conditions Gaps in resources and capacity Further identification of risk and protective factors

and other underlying conditions The selection of strategies that will impact the

risk and protective factors and other underlying conditions and the problem

SPF Logic Model for Reducing High Risk Drinking 18-25

Consequence/Consumption Patterns

Risk and Protective Factors Strategies

Media advocacy to increase community concern about underage drinking

Social marketing

Young Adult Binge Drinking

Social norms accepting and/or encouraging underage drinking

SPF Logic Model for Reducing High Risk Drinking 18-25Consequence/ConsumptionPatterns

Risk & Protective Factors

Strategies

Media advocacy to increase community concern

Social marketing

Enforce underage retail sales law

Social event monitoring and enforcement

Parental education

Restrictions on alcohol advertising

Young Adult Binge Drinking

Young Adult Drinking and Driving

Early Intervention

Low perceived risk of alcohol

Social norms accepting and/or encouraging underage drinking

Low enforcement

Easy social access

Parental Monitoring/

Family Cohesion

Promotion and pricing

Availability of screening/early intervention

Goals

Goals are the long-term measurable changes that you are trying to achieve based on your needs and resources assessment & the state- identified priorities.

Example of a Logic Model - Goals

Goal Objectives Strategies Activities Outcomes

There is a decrease

in underage drinking

by 14-18 year olds

Objectives

Objectives are the specific, measurable results that you plan to achieve with specific strategies. They serve as the basis by which to evaluate your initiative:

A good objective includes Who or what is to change a date by when the change will be accomplished describes how much change you hope to see whether that indicator will increase or decrease

who will be affected

Example of a Logic Model - Objectives


Retail Availability

By June 2008a 15% decreasein the numberof youth who

gain access to alcohol

throughretail

establishments

There is a decrease in

underage drinkingin 14-18 year olds

Additional Sample Objective

Retail Availability By June 2008, there will be a 25% increase in

number of clerks that check IDs in retail establishments that sell alcohol

By June 2008, there will be a 50% increase in retail clerks who know how to identify fake IDs in retail establishments that sell alcohol

Example of a Logic Model - Strategies


Merchant Education

Retail Availability

By June 2008a 15% decreasein the number

of youth who gainaccess to

alcohol throughretail

establishments


underage drinking

among 14-18 year olds

in the communityof Lincoln

ComplianceChecks

ShoulderTaps

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Selecting Prevention Strategies

Key Questions How will the selected strategies address the risk

and protective factors and objectives identified in the assessment process?

Are the strategies evidence-based? What other strategies/programs exist in your

community to address the identified problem?

Can the strategies selected achieve your desired outcomes?

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Sample Criteria for Selecting Strategies

Effectiveness Matching strategy/program requirements with agency

capacities Resources Cultural assumptions Target population Organizational climate Community climate Evaluability Future sustainability

Source: CSAP’s Northeast CAPT. (2004). Enriching Prevention Using Evidence Based PracticesRetrieved July , 2003.

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Selecting Best Fit Prevention Interventions

Select Specific Programs,Practices & Policies

Ensure Effectiveness

IdentifyTypes of Strategies

Best FitPrevention

Interventions

Demonstrate Conceptual Fit

Demonstrate Evidence of Effectiveness

Demonstrate Practical Fit

Relevant? Practical? Effective?

Activities

Activities are the specific steps and actions that are necessary to implement each strategy

Example of a Logic Model - Activities


Merchant Education

Retail Availability




establishments


underage drinking among

14-18 year olds

in the communityof Lincoln

- Determine content of program

-Determine incentives

-Assess who to train, barriers to training

-Outreach to merchants

Short-Term Outcomes

What are the measurable changes you expect to see in the identified risk and projective factors (i.e. objectives)

Outcomes should contain the following elements: What will change? For Whom? By how much (magnitude of change) By when (what time period) will the change

occur?


Goal Objectives Strategies Activities Short-term

Outcomes Merchant Education

Compliance among

merchants will increase by 30%

by 2008 as measured

compliance rate checks

Retail Availability




establishments


underage drinking

among14-18 year

oldsin the

communityof Lincoln

- Determine content of program




Long-Term Outcomes

Describe the extent of the change (the percentage of increase or decrease) you hope for;

Identify the target population or group you want to impact;

Specify the behavior, condition, or knowledge you hope to change; and,

Include a timeframe in which the change can be expected.


Goal Objectives Strategies Activities Short-term Long-term Outcomes OutcomesMerchant

EducationCompliance

among merchants

will increase by 30%

by 2008 as measured

Compliance rates checks

Retail Availability

By June 2008a 15%

decreasein the numberof youth who

gainaccess to alcohol throughretail

establishments


underage drinking

among14-18 year

oldsin the

communityof Lincoln

-Determine content of program




A decrease in 30 day use among youth

ages 14-18as measured by the YRBS

Guiding Principles related to planning

Cultural Competency Sustainability Participatory Involvement Continuous Quality Improvement

You are to add the four guiding principles here.

Cultural Competence and Planning

Cultural Competence:Cultural Competence:

““A set of behaviors, attitudes and policiesA set of behaviors, attitudes and policies

that come together in a system, agency, orthat come together in a system, agency, or

program or among individuals, enablingprogram or among individuals, enabling

them to function effectively in diversethem to function effectively in diverse

cultural interactions and similarities within,cultural interactions and similarities within,

among, and between groups.”among, and between groups.”Sources: U.S. Department of Health and Human ServicesSources: U.S. Department of Health and Human Services

Culturally Competent Goals, Objectives, Strategies, Activities, & Evidence Based Approaches

How do we ensure that cultural awareness How do we ensure that cultural awareness exists in effective program planning?exists in effective program planning?

How do the decisions made by the planning How do the decisions made by the planning process directly affect people’s lives?process directly affect people’s lives?

How would you involve your priority population in their development?

Culturally Competent Goals, Objectives, Strategies, and Activities

■ Is the process reflective of the interests of the priority population?

■ What are some of the cultural beliefs and attitudes What are some of the cultural beliefs and attitudes towards prevention and how may they be different in towards prevention and how may they be different in diverse sub-populations?diverse sub-populations?

■ Do they account for cultural elements such as language, Do they account for cultural elements such as language, attitudes, rites of passage, gender roles, values, norms, attitudes, rites of passage, gender roles, values, norms, customs, etc?customs, etc?

■ Are there cultural considerations that need to be Are there cultural considerations that need to be considered in the adaptation and tailoring of evidence-considered in the adaptation and tailoring of evidence-based approaches?based approaches?

Elements of sustainability in SPF step 3 Planning

- What elements of sustainability are present in step 3

- How do we know if those elements are present (what indicators might be present)

>>>What are some guiding questions…

1.Structures and Formal Linkages

2.Policies and Procedures

3.Resources

4.Expertise

5.Quality and Accountability

6.Effectiveness (step 3)

7.Reach and Alignment (step 3)

8.Relationships

9.Champions

10.Ownership

Action areas for SPF step 3 Planning …

Guiding questions

• Does the strategy address problems identified through the data-driven process?

• Does the strategy match the characteristics of the target population?

• What, if anything, needs to be done to increase alignment between the needs of the target population and the strategies implemented to address these needs?

Documents

1 Planning Presented By: Tracy Johnson, Central CAPT