Identifying and Selecting Evidence Based Interventions Guidance for the SPF SIG Program Substance Ab

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Identifying and Selecting Evidence-Based
InterventionsGuidance for the SPF SIG Program
Substance Abuse and Mental Health Services
AdministrationCenter for Substance Abuse
PreventionJanuary 24, 2007
Cohort III Strategic Prevention Framework State
Incentive Grant Program (SPF SIG) New Grantees
Meeting
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Strategic Prevention Framework (SPF)State
Incentive Grant Program (SIG)

• GOALS
• Prevent onset and reduce progression of substance
  abuse, including childhood and underage drinking
• Reduce substance abuse-related problems in
  communities
• Build prevention capacity and infrastructure at
  State and community levels

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SAMHSA/CSAP Expert Workgroup on Evidence-Based
Programming

• Convene nationally recognized prevention
  researchersdiverse theoretical backgrounds and
  perspectives
• Develop recommendations and guidelines for
  prevention plannersSPF SIG Program
• Need broad array of evidence-based interventions,
  and
• Flexibility to choose options that fit community
  circumstances

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Implications for Community Planning to Select
Best Fit Interventions

• Community Logic Model key conceptual
  toolStrategies target relevant risk/protective
  factors
• Community Needs/Resource Assessment key data
  toolStrategies are appropriate for community
  circumstances
• SPF SIG Definitions of Evidence-based
  resources Strategies work are effective

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Community Logic ModelOutcomes-Based Prevention

• guides selection of strategies that fit
  conceptual
• logic model
• Address salient risk and protective
  factors/conditions
• Drive positive outcomes in the priority problem

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Comprehensive Community Plans

• select a mix of strategies
• Targeted to multiple domains or contexts across
  the life span

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Community Needs and Resource Assessment

• guides selection of interventions to fit
  practical considerations
• Utility checks
• Feasibility checks
• Readiness issues
• Reinforcement and synergism vs. duplication and
  isolated efforts

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Community Logic Model Example Preventing
Alcohol-Involved Traffic Crashes (15- to
24-year-olds)
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SPF SIG Program Definitions Evidence-Based Status

• public resources or review mechanisms that
  assess or provide information on strength of
  evidence
• 1) Included on Federal Lists or Registries
• 2) Reported (with positive effects) in
  peer-reviewed journals
• 3) Documented evidence of effectiveness based on
  new guidelines developed by SAMHSA/CSAP
• Distinct advantages and challenges associated
  with using each.

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New Guidelines for Documented Evidence of
Effectiveness

• Three new guidelines, all of which must be met.
• grounding in theory
• Guideline 1 The intervention is based on a solid
  theory or
• theoretical perspective that has been validated
  by research,
• and

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New Guidelines for Documented Evidence of
Effectiveness

• empirical track record
• Guideline 2 The intervention is supported by a
  documented
• body of knowledgea converging of empirical
  evidence
• of effectivenessgenerated from similar or
  related
• interventions that indicate effectiveness, and

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New Guidelines for Documented Evidence of
Effectiveness

• consensus among informed experts
• Guideline 3 The intervention is judged by a
  consensus among
• informed experts to be effective based on a
  combination of
• theory, research and practice experience.
• Informed experts may include key community
  prevention
• leaders, and elders or other respected leaders
  within indigenous
• cultures.

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Paradigm Shift Selecting Evidence-Based
Interventions

• From picking off lists to thinking critically
  about needs
• From categorical labels to ratings along a
  continuum
• From relying on strength of evidence alone to
  assessing the relative importance of strength of
  evidence in a broader context
• From stand-alone intervention selections to
  comprehensive community plans

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Analytic Process to Select Best Fit Prevention
Interventions
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SPF SIG Program Guidance Roles and Expectations

• SAMHSA/CSAP
• Partner with States and Tribes to strengthen
  prevention systems to achieve outcomes and reduce
  substance use in communities.
• Provide leadership to States and Tribes and
  provide technical assistance (TA) through the
  CAPTs to assist States and Tribes with supporting
  community selection of appropriate evidence-based
  interventions.

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SPF SIG Program Guidance Roles and Expectations
(continued)

• States and Tribes
• Strengthen States and Tribes infrastructure and
  capacity in order to assist communities in
  selecting evidence-based interventions for their
  plans
• Establish process to review comprehensive
  community plans and logic models and provide
  appropriate technical assistance to strengthen
  community plans

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SPF SIG Program Guidance Roles and Expectations
(continued)

• Communities
• Develop comprehensive data-driven strategic
  community plans to address substance abuse
  indicators and resource needs
• Develop appropriate logic models to guide
  selection of evidence-based programs, practices,
  and policies
• Partner with States and their TA providers who in
  turn will partner with SAMHSA/CSAP TA providers
  to provide effective and appropriate technical
  assistance