cultivating county partnerships through the strategic prevention framework:
DESCRIPTION
Cultivating County Partnerships Through the Strategic Prevention Framework: Assessment and Capacity . Welcome!. Introductions Agenda Additional training opportunities Housekeeping items Parking Lot CEU’s. SPF SIG Overview. IDPH Project Team. Dr. Ousmane Diallo , Epidemiologist, IDPH - PowerPoint PPT PresentationTRANSCRIPT
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Cultivating County Partnerships Through the
Strategic Prevention Framework:
Assessment and Capacity
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IntroductionsAgendaAdditional training opportunities Housekeeping itemsParking LotCEU’s
Welcome!
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SPF SIG Overview
•Federal Funding: SAMHSA and CSAP $2.13 Million for 5 years
•Iowa Department of Public Health 15% of funding for state level activities
•County Level Funding 85% of funding for county level activities
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Dr. Ousmane Diallo, Epidemiologist, IDPH
Julie Hibben, SPF SIG Project Director, IDPH
Pat McGovern, Lead Evaluator, Iowa Consortium for Substance Abuse Research and Evaluation
Debbie Synhorst, SPF SIG Project Coordinator, IDPH
IDPH Project Team
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Prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking
Reduce substance abuse-related problems in communities
Build prevention capacity and infrastructure at the State and local levels
Project Goals
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SPF SIG CharacteristicsAdvisory Council
State Epidemiological Workgroup (SEW)
Capacity Coach Team
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County Selection
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Iowa SPF-SIG Priorities
Reduce underage alcohol use (under age 21)
Reduce adult binge drinking (18 and over)
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SPF FeaturesOutcome-based Consumption and consequencesFocuses on population-level changePrevention across the lifespanData-driven decision makingLogic models used to select
effective strategies
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Framework Overview
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Collect data to define problems, resources and readiness within the county to address needs
Assessment
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Mobilize and/or build capacity within the county to address needs
Capacity Building
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Develop a comprehensive strategic plan that includes evidence-based strategies creating a logical data-driven plan to address problems identified in the assessment step
Planning
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Implement evidence-based substance abuse prevention strategies
Implementation
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Measure the impact of the SPF and the implementation of strategies, programs, policies and practices
Evaluation at the state level will be conducted by the Iowa Consortium for Substance Abuse Research and Evaluation
Evaluation
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Must be incorporated into each SPF step
Does not solely focus on funding
Can include sustaining effort, outcomes, projects, initiatives, etc.
Sustainability
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Must be incorporated into each SPF stepEncompasses more than race and ethnicityCan include gender, sexual orientation, religion, location (rural, urban, suburban), socioeconomic status, age, etc.
Cultural Competence
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Framework Overview
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Questions?
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Assessment Step:
Learning ObjectivesParticipants will be able to:Describe how needs assessment fits in with the bigger picture of public health
Describe the expectations and responsibilities of the LEW
Identify key indicators and data sources associated with community needs assessment
Implement the Community Needs Assessment
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Public HealthCore FunctionsFutureRoleMissionTreatment or Prevention?SubstanceDisease Prevention and Health Promotion
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Standardizing Epi DataExposure vs. Outcome
RatesStandardized Mortality RatioProportionLevel of SignificanceMeasures of Association
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Community NeedsAssessment
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Applying the SPF
InterveningVariables
Consumption And
Consequences
Evidence Based
Strategies
Consumption And
Consequences
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Purpose: To help SPF SIG project funded communities go through the outcome-based prevention model
Assess current problems using epidemiological data
Seek out factors that influence current problems
*The LEW Chair should not do it alone
County Needs Assessment Workbook (CAW)
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Consequences Consumption Intervening Variables
Strategies
AlcoholDependenceand Abuse
AlcoholRelated Car
Crashes
AlcoholRelatedCrimes
UnderageDrinking &Adult Binge
Drinking
RetailAvailability
SocialAvailability
Promotion
CommunityNorms
IndividualFactors
CriminalJustice
Convictions
Evidence BasedPrograms,
Policies andPractices
AddressingEach Intervening
Variable
CAW Framework
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Data SourcesData will come from both pre-populated data and original/local data
Examples:Consumption data
Behavior Risk Factor Surveillance SurveyIowa Youth Survey
Consequence dataConvictions and arrestsStudent suspensions
Intervening variablesIowa Youth Survey (perceptions and norms)Focus groupsEnvironmental Scans
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Workbook OrganizationSeven parts:
–County Description (demographics)–Consequences data–Consumption–Intervening variables–Prioritization–Resource Assessment–Appendices: Focus Group or Town Hall meeting methodologies
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Part 1: County DescriptionDescribe your county demographics: age distribution, gender, race, socioeconomic status
Include Map
Other information that will show what makes your county unique
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Part 2: ConsequencesCrimes:
Adult and youth alcohol violations, OWI chargesAdult alcohol convictions
Alcohol related crashes% drivers involved in fatal crashes
Alcohol school expulsion and suspensionsAnswer questions comparing your county vs. state. Interpret results
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Part 3: ConsumptionStudent underage drinking: Past month, binge drinking (IYS)
Adult 30 day use, heavy and binge drinking (BRFSS)
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Questions?
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Hands On: CAW Consequence and Consumption
Iowa’s Strategic Prevention Frameworkto Reduce Underage and Binge Drinking
County Assessment Workbook2011 Workbook
(Adapted from the Wyoming Epidemiological Workgroup)
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Part 4: Intervening VariablesAlcohol Availability
Social AvailabilityPromotionCounty NormsIndividual Factors
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Hands On: CAW Intervening Variables
Iowa’s Strategic Prevention Frameworkto Reduce Underage and Binge Drinking
County Assessment Workbook2011 Workbook
(Adapted from the Wyoming Epidemiological Workgroup)
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Part 5: Setting Priorities
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Prioritization Score Rank Intervening
Variables
Retail Availability (page 23)
Social Availability (page 26)
Promotion (page 29)
Community Norms (page 34)
Individual Factors (page 37)
Rank each intervening variable from 1-6 and justify prioritization
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Part 6: Resource Allocations
Intervening Variable
Strategies Resources
Retail AvailabilitySocial AvailabilityPromotion
County Norms
Individual Factors
Identify resources already available: Money, Time, Other
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Part 7: TargetAfter prioritization and resources allocations, determine combinations of Intervening Variables to target
Final conclusions
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AppendicesLaw Enforcement Interview Protocol
County Meetings and Focus Groups
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Questions ?
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Assessing Community Readiness
Readiness is the degree to which a community is prepared to take action on an issue.
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The Community Readiness ModelTri-Ethnic Center for Prevention
ResearchSage Hall, Colorado State UniversityFt. Collins, CO 80523800-835-8091
www.TriEthnicCenter.ColoState.edu
Barbara A. PlestedRuth W. EdwardsPamela Jumper-Thurman
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Community ReadinessAssessing community readiness for change
Increasing community capacity
Creating a climate that makes change possible
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Process
•Define “Community”
•Conduct Key Respondent Interviews
•Score to determine readiness level
•Develop readiness strategies•COMMUNITY CHANGE!
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Dimensions of ReadinessA. Community EffortsB. Community Knowledge of the
EffortsC. LeadershipD. Community ClimateE. Community Knowledge about the
IssueF. Resources Related to the Issue
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Who is interviewed?Minimum of 6 individuals, 26 questions, 30-60 minute interviewsSchool/University
City/County/GovernmentLaw EnforcementHealth/Medical Professions
Social ServiceSpiritual/ReligionMental Health and Treatment ServicesCommunity At LargeYouth
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Stages of Readiness9. High Level of Community
Ownership 8. Confirmation/Expansion
7. Stabilization 6. Initiation 5. Preparation 4. Preplanning 3. Vague Awareness 2. Denial 1. No Awareness
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Questions ?
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What’s next?Lunch on your own
Afternoon training: Capacity