North Carolina Strategic Prevention Framework State Incentive Grant

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North Carolina Strategic Prevention Framework
State Incentive Grant

• Invitational Meeting with
• Local Management Entities
• June 20-21, 2007

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Day 1 Objectives

• To introduce
• Background on the NC SPF SIG
• Whats Been Done So Far Needs Assessment and
  County Selection
• State and Community Roles
• Role of LME
• Major Community Level Contributors Roles,
  Responsibilities, Expectations, and Resources

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Day 2 Objectives

• Review of RFA
• Year 1 Activity
• County Advisory Panel (CAP)
• Needs Assessment Entity
• Community Year (CY) 1 Time Line
• Expectations for CY 2 3
• Contact Information
• Discussion and Wrap-Up

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What is the Strategic Prevention Framework?

• SAMHSA-wide planning model for prevention
• Relevant for substance abuse, mental health
  promotion, other areas
• Consists of 5 basic steps
• Needs Assessment
• Capacity Building
• Strategic Planning
• Implementation of Evidence-Based Programs,
  Policies, and Practices (EBPPPs)
• Evaluation and Monitoring

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SAMHSA Strategic Prevention FrameworkState and
Community Levels
1. Assess
2. Build Capacity
5. Monitor, evaluate
3. Plan
4. Implement
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What is the SPF State Incentive Grant (SIG)?

• SAMHSAs major SPF demonstration
• CSAPs flagship initiative
• Five-year cooperative agreements from CSAP
• Up to 2.35 million per year for five years
• Fund Distribution
• 85 of funds to Communities
• 15 of funds for State administration (including
  needs assessment and evaluation)
• Key components
• State epi workgroup (SEW)
• State advisory board (CAAB)
• Data driven planning to set state/local
  priorities
• Funding mechanism for targeting communities
• Must address underage drinking
• Outcome-based prevention

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National SPF SIG Goals

• Prevent onset and reduce the progression of
  substance abuse, including underage drinking
• Reduce substance-related problems in communities
• Build prevention capacities/infrastructure at
  State and community levels
• Implement a process of infusing data
• across all SPF steps for improved decision-
• making

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Outcome-Based Prevention
Substance-Related Consequences and Use
Intervening Variables (Risk and Protective
Factors/ Causal Factors)
Programs, Policies, Practices
Aim to guide relevant and effective prevention
strategies by first understanding the prevalence
and patterns of problems and the factors that
contribute to them.
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Why Outcomes Based Prevention?

• Increases the likelihood of targeting significant
  problems (data-guided)
• Identifies and targets key risk and protective
  factors/causal factors contributing to
  consequences/consumption
• Links strategies to key risk and protective
  factors/causal factors and ultimately
  consequences/consumption
• Builds a basis for ongoing monitoring and
  evaluation activities to track and improve
  prevention efforts
• Lead with results, not with programs

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Whats been done so far?
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North Carolinas State Epidemiological Workgroup
(SEW)

• Division established SEW in early 2006
• 10 Representatives from multiple fields
• Primary Secondary Education
• Public Health
• Crime
• Underage Drinking Liaison (UDEL)
• Single State Agency Liaisons
• Contracted Public Health Researchers (RTI)

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NC-SEW TasksDetermining State Priorities
What is the burden of substance use in North
Carolina?
DATA CONSTRUCTS DATA INDICATORS DATA ORGANIZATION
PRESENTATION PRIORITIZATION PROCESS
What is the States priority for preventing
substance-related problems?
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Epidemiological Profile

• SEW identified and reviewed constructs and data
  elements
• SEW assessed and prioritized substance
  abuse-related consequence data
• SEW identified six high-priority issues (DWI,
  alcohol-related traffic deaths, youth possession
  of controlled substance, adult arrests for drug
  violations, drug overdose, tobacco-related
  mortality)
• SEW recommended a single, high-priority issue to
  address using SPF SIG fundsalcohol-related
  traffic crashes/deaths
• For more informationwww.ncspfsig.org

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County Selection

• Combined single index of high need
• Rate of alcohol-related crashes per 1,000
• Percent of crashes that were alcohol-related
• Plus
• More than 5 fatal crashes over 5-year (2001-2005)
  period

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State and Community Roles
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STATE ROLE
Substance Abuse-Related Consequences and
Substance Abuse
Strategies Programs, Policies Practices
Risk Protective and Other Factors

• Develop SEW
• Assess state substance abuse consequences and
  consumption patterns
• Determine data-driven state priority
• Develop statewide SPF SIG plan (i.e., allocation
  strategy, training and TA mechanism, evaluation
  mechanism)
• Guide/support community SPF implementation
• Monitor/evaluate SPF activities and outcomes
  across state

PROCESS Strategic Prevention Framework
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COMMUNITY ROLE
Strategies Programs, Policies Practices
Substance Abuse-Related Consequences and
Substance Abuse
Risk Protective and Other Factors

• Further analyze priority problem at the county
  level (e.g., geographic, racial/ethnic, age
  distributions
• Assess factors contributing to problem
• Develop community strategic plan
• Select and implement evidence-based strategies to
  address contributing factors and priority problem
• Collaborate with state evaluator to
  evaluate/monitor activities and outcomes

PROCESS Strategic Prevention Framework
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Major Community Level Contributors

• LME
• Needs Assessment Entity
• Implementation Organization
• With assistance provided by.
• RTI
• PIRE
• CPRs

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Roles, Responsibilities, and Expectations of LME

• Acts as fiduciary agent for county funds
• Establishes County Advisory Panel (CAP)
• With CAP, identifies Needs Assessment Entity
  (NAE)
• With CAP, identifies Implementation Organization
  (IO)
• Executes contracts with NEA and IO
• Provide fiscal and programmatic monitoring
• Oversee required reporting by contractors
• Serve as liaison between Division and county
  throughout SPF
• Completes non-competitive continuation
  applications
• Designates a Project Coordinator
• Attends all NC SPF SIG trainings

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Roles, Responsibilities, and Expectations of
Needs Assessment Entity (NAE)

• Conducts the countywide needs assessment
• Generates summary of findings
• Develops the county strategic plan (with CAP,
  LME)
• Attends required NC SPF SIG trainings

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Roles, Responsibilities, and Expectations of
Implementation Organization (IO)

• Serves as lead organization for coordinating
  implementation, possibly among multiple
  organizations
• Implements the county strategic plan
• Builds capacity
• Implements evidence-based programs, policies,
  practices
• Collaborates with state evaluator
• Completes reporting requirements of CSAP,
  Division
• Designates a Project Coordinator and other staff
• Attends NC SPF SIG training

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NC SPF SIG Resources

• RTI Needs assessment training, tools, and
  technical assistance
• PIRE Evaluation training, tools, and technical
  assistance
• Centers for Prevention Resources (CPRs)
• First line of technical assistance for LMEs, IO,
  and NAE
• Coastal Horizon, Eastern Region
• Chemical Dependency Center, Western Region
• Unlimited Success, North Central Region
• TBD, South Central Region

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Community Year (CY) 1 Activity

• SPF Step 1 (Needs Assessment)
• Identify where the problem is greatest in the
  county (e.g., geographic areas, age groups,
  ethnic groups)
• Assess the contributing factors (i.e.,
  intervening variables) that most influence the
  problem (e.g., underage drinking, social access
  to alcohol, limited law enforcement, community
  norms) and
• Assess community assets and resources, gaps in
  services, capacity, and readiness to act to
  address the problem.

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CY 1 Activity (continued)

• SPF Step 3 (Strategic Plan)
• Synthesize needs assessment results (what does it
  say? what does it mean?)
• Identify appropriate (i.e., logically connected
  and culturally competent) evidence-based
  programs, policies, and practices to address
  alcohol-related traffic crashes/deaths
• Plan how to build capacity to implement planned
  activities
• Identify an Implementation Organization (IO) and
  other prevention partners
• Collaborate with the state evaluator to develop
  evaluation plan

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County Advisory Panel (CAP)

• During Needs Assessment Core group that
  represents countywide interests (not special
  interest groups)
• After Needs Assessment Focuses on results of
  needs assessment and expands membership to
  reflect target populations

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Selecting CAP Members

• Who best knows your county?
• Who knows the significant sub-populations within
  the county (based on age, ethnic, socioeconomic,
  geographic, or other important groupings within
  the county)?
• Who is most concerned and involved with alcohol
  use in the county (e.g., prevention advocates,
  people in the alcohol business)?
• Who knows the most about drinking and driving in
  the county?

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Selecting the Needs Assessment Entity

• Who in the county has training/experience in
  needs assessments and data collection?
• Who has time and staff to complete task in the
  next 6 months?
• Who is knowledgeable about the county?
• With whom do you have history of a positive
  working relationship?

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Potential Needs Assessment Entities

• Community coalitions
• University faculty/staff/researchers
• Prevention agencies/certified prevention
  specialists
• Health department/health care providers
• Private evaluation/consulting organizations
• Some county-level data will be provided to the
  communities for the needs assessment.

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The Next Year Important Dates

• July 23, 2007 Submit RFA
• August, 2007 Needs Assessment Training
• December 31, 2007 Submit Needs Assessment
• January 2008 Training on strategic
  planning/identifying and selecting appropriate
  strategies/building capacity
• February 2008 Learning Community (including
  basic evaluation training)
• April 1, 2008 Submit draft strategic plan
• June 1, 2008 Submit final strategic plan

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Community Year (CY) 1 Time Line
July 23, 2007
December 31, 2007 April 1, 2008
June 1, 2008
Needs Assessment
Strategic Planning
Needs Assessment
Draft of Plan
Submit RFA
Final Plan
Deliverables
Trainings
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CY 2 3 Expectations (Steps 2, 4, 5)

• Division, LMEs, CPRs, contractors build
  prevention capacity in SPF SIG communities and
  around the state
• Implementation Organization (IO) implements the
  strategic plan, including capacity building
  activities and evidence-based strategies to
  reduce alcohol-related traffic crashes/deaths
• IO and LME collaborate with state evaluator to
  collect community level process and outcome data
• IO and LME meet periodically with CAP
• LME oversees community level activity and acts as
  liaison between Division and county partners
• Cultural Competence and Sustainability!!

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NC SPF SIG Contacts

• NC SPF SIG Website www.ncspfsig.org
• Needs Assessment
• State Strategic Plan
• Tools for data collection
• Contact information for Office of Prevention,
  RTI, PIRE, CAAB, and SEW