Strategic Prevention Framework Training

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Strategic Prevention Framework Training

• Florida Substance Abuse Response Guide (SARG)
• September 5, 2007

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• It is our choices...that show what we truly are,
  far more than our abilities.
• Harry Potter and the Chamber of SecretsSpoken by
  Albus Dumbledore.

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Strategic Prevention Framework isOutcome Based
Prevention

• Starts with a focus on and attention to the SPF
  goals (reducing use and related problems)
• Increases the likelihood of targeting significant
  problems (data-guided)
• Identifies and targets key risk and protective
  factors/causal factors contributing to
  consequences and 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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How?

• Florida
• Substance Abuse Response Guide
• Assemble your data
• Ask 3-5 people to meet as the assessment
  committee and present your data
• Decide if you are missing data necessary to begin
  completing the logic model

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First step - Data

• Were asking you to collect information on
• Consequences evidence of the problem
• Consumption the behavior that is related to the
  problem
• Intervening Variables those things that
  contribute to the problem (contributing factors)
• Capacity resources (human, technical and
  financial) available to address the problem

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What to do with your data

• Form some initial priorities for
• Consequence most costly to your community
• Behavior related to that consequence
• Write your problem down in a sentence (remember
  the elevator talk)
• Who does it impact (target population, geographic
  area, etc.)
• What are the costs associated with it

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The Coalition Reviews

• Assessment Committee prepares its recommendations
• The coalition takes the time to review the data
  and ask questions
• The coalition comes to an agreement that this is
  the problem.

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Consequences

• Consequences Defined as the ultimate outcome
  lack of school success, sexually transmitted
  disease, alcohol related accidents (crashes),
  teen pregnancy, violence
• Grantees are expected to locate local data to
  create a picture that is deeper than just
  county-level data, based on populations involved
  in consequences
• Discussion point why consequences??

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Substance-Related Consequences (Examples)
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Underage Drinking

• Consumption The behavior that is the precursor
  to consequences (i.e. binge drinking)
• Must be studied by age, gender, and ethnic
  groups, with distinct data for underage use and
  for binge drinking
• Multiple sub-populations in the community must be
  assessed in whatever ways are available
• Discussion Why consumption?

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Consumption Patterns

• Overall consumption
• Acute, heavy consumption
• Consumption in risky situations
• Drinking and driving
• Smoking around young children
• Consumption by high risk groups
• Youth, college students, older groups
• Pregnant women

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Underage Drinking

• Intervening Variables are not things you can
  point to instead, they are made up of
  Contributing Factors
• Each Intervening Variable will have multiple
  contributing factors, each of which could be
  measured, studied, and addressed by one or more
  strategies
• A logical plan must be developed to collect data
  on these contributing factors, and then the
  community must seek to understand them, as a
  system, and how they impact substance use
• Only then can strategies be effectively planned
• Why Intervening Variables?

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Contributing Factors

• Community Level Factors
• Availability of substances (price, retail,
  social)
• Promotion of substances
• Social Norms regarding use (community, family and
  peer)
• Enforcement of Policies and Social Norms
• Individual Level Factors
• Perceptions of risk and harm
• Positive attitude toward drug use

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Contributing Factors

• Availability
• Economic Availability - Price
• Retail Availability - ATOD accessibility from
  retail sources (money is exchanged).
• Social Availability ATOD accessibility from
  non-retail sources (money rarely exchanged --
  family and friends).
• Promotion- Attempts to increase the
  attractiveness of drinking, smoking or using
  illicit drugs and/or the substances themselves

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Contributing Factors

• Norms - Informal standards or values regarding
  the acceptability or unacceptability of certain
  behaviors, including substance use.
• Enforcement - Of laws and regulations beyond the
  passage of the law.
• Individual characteristics - Genetics, values,
  attitudes, and social associations that influence
  individual decisions to use

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Community Role

• Goal Develop outcome-based logic models that
  outline a strategic response for addressing state
  priorities as locally defined
• Understand problem to be addressed
• Assess Contributing Factors (Intervening
  variables) for planning purposes that best fit
  community context and definition of the problem
• Determine priority contributing factors to
  address with interventions
• Choose/implement strategies (effective and
  relevant) to address contributing factors

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Outcome-Based Prevention
Programs/ Policies/ Practices
Substance-Related Consequences and Use
Intervening Variables (Contributing Factors)
Implementing the Strategic Prevention
Framework Planning, Monitoring, Evaluation and
Replanning
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SPF Phase I

• Problem Assessment
• Get a few community experts together to help
• Pull together existing data
• Look for patterns and trends
• Be ready to tell me in an elevator to the 5th
  floor the following

Data Hounds
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Elevator Talk

• In three minutes be able to explain
• The problem (consequence)
• Why it is a problem How big it is
• Where it is in your community (geography)
• Who it is impacting (target population)

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Community Data Partners

• Local Entities and Stewards Who Can Assist with
  Local Data Collection
• Information or other value this Steward can bring
  to the data collection/analysis process
• Value representation from this entity could bring
  to a data/needs assessment team of the coalition
• Comments

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We Might You Have?

• FYSAS
• Census Bureau Report
• School violence data
• Compliance rates from ABT for your area
• Motor vehicle reports
• Other look at your Phase I data partners sheet

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We Might You Need?

• Listening sessions with youth, parents, law
  enforcement
• Brief survey on social access
• Focus group with teachers
• Other look at your Phase I data partners sheet
• Brainstorm with your assessment committee

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Committee Tracking

• This is the first of several youll need.
• Committee Member
• Affiliation
• Role/Responsibility                               
                                           

What is a DEN?
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FloridaUnderage Drinking Logic Model
Consequence
Consumption
Intervening Variables (contributing factors)
Individual Attitudes and Beliefs about Alcohol
Use
Examples Lack of school/work success Alcohol
Related crashes, injuries, deaths Risky Sexual
Behavior, Teen pregnancy, STDs Falls and other
injuries Violence, including Suicide Attempts,
Death Crime Addiction, Co-occurring disorders
Youth early initiation of alcohol use
Social Norms favorable to alcohol use
Youth 30 day alcohol use
Easy Social Availability
Youth Binge Drinking
Easy Retail Availability
Low or discount pricing of alcohol
Drinking in risky situations and contexts
Laws, policies dont limit access, possession,
use
Promotion of alcohol use (advertising, movies,
music, etc.)
Low enforcement and adjudication of alcohol laws
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Next Training

• What Phase III Strategy Selection
• When Oct. 2, 130-430 p.m.
• Where Prevention Conference, Antiqua 1
• Materials Available on site

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Many thanks

• Carol Hays, SECAPT, developing SARG and Resource
  Assessment tools
• Harold Holder, SECAPT, and Jo Birkmeyer, SECAPT,
  compiling research on EB strategies
• FL Substance Abuse Prevention Advisory Council,
  providing input for resource assessment
• Sherese Bleechington, CSAP Fellow working with
  Florida Department of Children and Families,
  assisting Carol Hays with Resource Assessment
• Floridas Community Coalitions, connecting the
  dots for their communities

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Call Your Coach

• Senta Goudy
• Florida SPF SIG Coordinator
• 850-413-6666
• senta_goudy_at_dcf.state.fl.us