LT Daniel Bailey, M'S', M'B'A', USPHS

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Preparing the Next Generation of Substance Abuse
Prevention Professionals
LT Daniel Bailey, M.S., M.B.A., USPHS Substance
Abuse and Mental Health Services
Administration U.S. Department of Health and
Human Services Rockville, Maryland Randolph
Edmead, M.S. DB Consulting Group, Inc. Silver
Spring, Maryland
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Objectives

• At the end of the session, participants will be
  able to
• Understand the impact the program has had on the
  field of substance abuse prevention
• Describe the Fellows work experience in their
  respective public health roles
• Describe the Fellowship training curriculum
• Understand the requirements for applicants
  interested in applying for the program.

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CSAP Prevention Fellowship Program

• The Prevention Fellowship Program (PFP) was
  created in 2006 by the Center for Substance Abuse
  Prevention (CSAP) within the Substance Abuse and
  Mental Health Services Administration (SAMHSA) in
  2006.

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CSAP Prevention Fellowship Program

• The PFP is
• A workforce development program which promotes
  the Strategic Prevention Framework as the
  overarching vehicle for the planning, developing,
  and delivering evidence-based substance abuse
  prevention services to individuals and
  communities.
• A program that addresses the challenges facing
  the substance abuse field that has encountered
  many barriers to effective staff recruitment,
  retention, and maintenance of competencies.

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CSAP Prevention Fellowship Program

• The PFP
• Provides opportunities for individuals to
  strengthen and apply knowledge gained through
  their academic programs and work experience in
  prevention service programs, sharpen skills, and
  develop strong networks among a range of other
  public health professionals
• Covers all of the cross cutting principles in the
  SAMHSA Matrix of Priorities through formal
  educational experiences, training, work
  experience, coaching, mentoring, and
  research/literature review.

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SAMHSA Matrix Workforce Development and
Strategic Prevention Framework
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Prevention Fellowship Program Goals

• To contribute to the development of a highly
  trained public health workforce of Prevention
  Specialist with public health experience and the
  management and leadership skills necessary to
  promote the health of populations at the Federal,
  State, and local levels

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Prevention Fellowship Program
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Role of Fellows

• Fellows
• Carryout assignments as outlined in the
  Fellowship Accomplishment Plan and the job
  description provided by the State/Territory
• Commit a minimum of 128 hours/month (32
  hours/week) towards working in prevention with
  the State/Territory
• Become involved with direct, hands-on prevention
  service work at the State level
• Complete web-based and face-to-face training in
  areas such as communication, health education and
  promotion, epidemiology, social marketing,
  cultural competency and other courses relevant
  for prevention certification

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Role of Fellows (cont.)

• Fellows
• Submit quarterly reports to monitor Fellowship
  progress
• Attend required trainings throughout the program
• Become exposed to diverse areas of public health
  practice and work with leading professionals in
  the field
• Develop critical research, writing, evaluation,
  and presentation skills

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Role of Program Mentors

• The NPN/State Representative selects and assigns
  a mentor to consult with and guide the assigned
  Fellow throughout the program.
• Mentors
• Collaborate with their Fellow on a Fellowship
  Accomplishment Plan that describes activities for
  the 12-month Fellowship period
• Oversee the day-to-day activities of their Fellow
• Review and sign the Monthly Progress Report and
  Monthly Payment Authorization Form and submit
  them to DB Consulting Group, Inc.

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Fellowship ExperienceYear I

• Year 1 of the Program supports the development of
  competencies through activities and trainings
  utilizing the SPF. CSAP provides trainings in the
  following five steps of the SPF
• Step 1 Needs Assessment (profile population
  needs, resources, and readiness to address needs
  and gaps)
• Step 2 Mobilization (mobilize and/or build
  capacity to address needs)
• Step 3 Planning (develop comprehensive
  strategic plans)
• Step 4 Implementation (implement
  evidence-based prevention programs, policies, and
  practices)
• Step 5 Evaluation (monitor, evaluate, sustain,
  and improve or replace programs, policies, and
  practices that fail)

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Fellowship ExperienceYear II

• Year II of the Program includes training and
  activities in specialized areas of concentration.
  The Program builds skills and increases knowledge
  in areas that fit the Fellows interest and the
  workforce needs of their states. Areas of
  concentration include
• Substance abuse prevention across the life span
• Community prevention planning and service
  delivery at the State and community level,
  including coalition building
• Data, evaluation, and alcohol and drug
  epidemiology
• Environmental prevention strategies, systems
  change, and service delivery
• Social marketing and substance abuse prevention

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Fellowship ExperienceYear II (cont.)

• In each concentration area, Fellows must achieve
  a competency level of Aware, Knowledgeable, or
  Proficient
• in the following domains
• Analytic/Assessment
• Policy Development/ Program Planning
• Communication
• Cultural Competency
• Basic Prevention
• Leadership and Systems Thinking
• Community Dimensions of Practice

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New Training for Fellowship Program

• National Incident Management System
• NIMS is a comprehensive, national approach to
  incident management that is applicable at all
  jurisdictional levels and across functional
  disciplines. It is intended to
• Be applicable across a full spectrum of potential
  incidents, hazards, and impacts, regardless of
  size, location or complexity.
• Improve coordination and cooperation between
  public and private entities in a variety of
  incident management activities.
• Provide a common standard for overall incident
  management.

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Prevention Fellowship Program Website
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• E-Learning for the
• Fellowship Program

• An open, web-based teaching and learning platform
  for engaging and assessing learners in and beyond
  the classroom
• 3,500 clients
• 15 million active users
• Easy to use quick to implement
• Local or hosted deployment
• A worldwide community of practice

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• The Bb Learn teaching and learning technology
  platform is used for
• Course delivery
• Community engagement
• Content management
• Fellows will use Bb Learn in blended learning
  environments to
• Enhance and shorten classroom sessions
• Enable instructor-led online courses
• Deliver self-paced e-Learning

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Prevention Specialist Certification Process

• All Program courses and training are aimed at
  certification.
• Fellows are tested once a year by International
  Certification Reciprocity Consortium (ICRC)
  for certification.
• 100 of the Fellows passed the Certified
  Prevention Specialist exam administered in March
  2008!!!

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Program Outcomes

• Qualitative Quantitative Analyses

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Target Outcomes

• CSAP is working to achieve the following outcomes
  through the PFP
• 90 of the Fellows will participate in all SPF
  trainings during Year I.
• 30 of the Fellows will become certified
  prevention specialist while in the program or
  within 2 years of leaving the Program.
• 50 of the Fellows will continue working in
  prevention upon completion of the program.

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Target Outcomes (Cont.)

• CSAP is working to achieve the following outcomes
  through the PFP
• 15 of the Fellows will be offered prevention
  positions with their State offices to work in
  prevention upon completion of the program.
• 60 of the Fellows will complete all 2 years of
  the Program.

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Accomplishments of the Prevention Fellowship
Program

• For this contract year, five fellows who have
  departed from the program have been hired by
  their State/territory agencies indicating the
  Prevention Fellowship Programs capability to
  enhance the field of prevention.
• One hundred percent of the Fellows stay in the
  substance abuse prevention field by means of
  being hired by their State/territory agency or by
  going back to school to pursue a degree relevant
  to the prevention field.
• Fellows are provided skill-building training
  courses in the areas of comprehensive strategies,
  strategic prevention planning, coalition/partnersh
  ip development and governance, communications and
  social marketing, data collection and evaluation,
  and cultural diversity to name a few.

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Rationale of need for the Prevention Fellowship
Program

• There is a critical shortage of individuals
  trained to meet the needs of children and youth,
  and their families.
• The Federal government has projected the need for
  12,624 child and adolescent psychiatrists by
  2020, far exceeding the projected supply of
  8,312. Currently there are only 6,300 such
  psychiatrists nationwide, and relatively few are
  located in rural and low-income areas (American
  Academy of Child and Adolescent Psychiatry
  AACAP Task Force, 2001).

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Rationale of need for the Prevention Fellowship
Program

• Behavioral health professionals who have been
  trained to provide behavioral health prevention
  and intervention in the nations schools are in
  significantly short supply, or are hindered by
  the constraints of their position to use such
  skills.
• Training programs that focus on prevention and
  treatment for children and youth, and their
  families have not kept pace with current trends
  in the field, which have been shifting toward
  strengths-based and resilience-oriented models, a
  systems-of-care approach, and the use of
  evidence-based practices (Curie, Brounstein,
  Davis, 2004 McLellan Meyers, 2004 Meyers,
  Kaufman, Goldman, 1999).

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Rationale of need for the Prevention Fellowship
Program

• Workforce distribution issues relate not only to
  geography but also to race and culture.
• U.S. Census figures indicate that 30 of the
  nations population is drawn from four major
  ethnic groups Latinos, African Americans, Asian
  American/Pacific Islanders, and Native Americans.
  However, the behavioral health workforce lacks
  such cultural diversity, particularly in mental
  health. For example, non-Hispanic Whites
  currently account for 75.7 of all psychiatrists,
  94.7 of psychologists, 85.1 of social workers,
  80 of counselors, 91.5 of marriage and family
  therapists, 95.1 of school psychologists, and
  90.2 of psychiatric nurses (Duffy et al., 2004).

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Transitions from the Prevention Fellowship
Program to the Workforce

• Washington Fellow Position with the Division
  of Alcohol and Substance Abuse July 2008
• New Mexico Fellow Position with the New Mexico
  Office of Substance Abuse Prevention September
  2008
• Michigan Fellow Position with the Michigan
  Public Health Institute January 2009

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Current Fellow Profiles
States/Agencies Represented

• Florida
• Georgia
• Guam
• Idaho
• Indiana
• Kansas
• N. Mariana Islands
• Massachusetts
• Oklahoma
• Palau

• Alabama
• American Samoa
• Arizona
• Arkansas
• CADCA
• Colorado
• Connecticut
• Delaware
• District of Columbia
• F.S. Micronesia

• Puerto Rico
• Tennessee
• Texas
• Vermont
• Virginia
• Wyoming

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Current Fellow Profiles
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Current Fellow Profiles
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Current Fellow Profiles
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HIGHEST EDUCATION LEVEL EARNED

• The following graph represents the HIGHEST degree
  each Fellow has earned to date. (Currently, two
  Fellows are pursuing Bachelors Degrees, 11
  Fellows are pursuing Masters Degrees, and 1
  Fellow is pursuing a Doctorate Degree.)

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Comments (cont.)

• Current Fellows report
• The program has given me a new appreciation for
  the work that prevention specialists do and will
  continue to do to provide a healthy environment
  for all.
• The Fellowship has helped me establish
  relationships and get my foot in the door at the
  level that I would like to work. It has given me
  opportunities to attend national and local
  trainings that will enhance my skills and make me
  a more marketable individual.

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Comments (cont.)

• Current Fellows report
• Through this Fellowship, I have become more
  knowledgeable and been exposed to cutting-edge
  programming in the prevention field without it,
  I would not have such opportunities. I feel I
  will be able to contribute to the prevention
  field because of this invaluable hands-on
  education.
• Although my career goals are not set in stone,
  the Program is really making an investment in me
  and providing me with the kind of opportunities
  that can help me grow, learn, and develop as a
  professional.

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Comments on the Prevention Fellowship Program

• Former Fellows report
• The Fellowship was a wonderful experience. I
  believe I would not have my present position
  without having had the opportunity to work at the
  State level. I gained knowledge and experience
  through the Fellowship trainings and day-to-day
  activities, while accomplishing my plan goals.
• I learned valuable information about prevention
  initiatives at the State and Federal levels.

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Application Requirements

• Candidates must have the following
  qualifications
• U.S. citizenship
• At least two (2) years of college from an
  accredited academic institution and a minimum of
  two (2) years paid work experience in public
  health, behavioral health, clinical or social
  science areas
• Bachelors or higher degree from an accredited
  college or university with emphasis in public
  health, behavioral health, clinical or social
  science areas.

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For more information

• Please contact
• LT Daniel Bailey, M.S., M.B.A., USPHS
• Government Project Officer
• Daniel.bailey_at_samhsa.hhs.gov
• 240-276-2439 (telephone)
• Randolph Edmead, M.S.
• Project Director
• DB Consulting Group
• REdmead_at_dbconsultinggroup.com
• 301-589-4020 (telephone)