PREVENTIONCOMMUNITY OF PRACTICE

Practical Approaches to Sustainability Planning

July 24, 2019

WELCOME

Purpose of Prevention CoPThe purpose of this CoP is to serve as a vehicle for the prevention workforce to:

1. increase best practice knowledge relative to effective prevention;

2. build collegiality and professional mentoring among those delivering prevention services;

3. improve communication between and within systems of care addressing substance misuse; and

4. promote a recovery and resiliency oriented set of principles and practice constructs.

Components of Prevention CoP

Systems Focused Group Meetings

Conference Calls

Resources and Tools

Email Based Discussion Group

Technical Assistance

Agenda

10:00 – 10:05 Welcome and Introduction

10:05 – 10:15 Discussion of prioritization

10:15 – 10:45 Program Perspectives: Presentations on Sustainability

10:45 – 11:05 Facilitated Q and A with Presenters

11:05 – 11:20 Cross Sharing Sustainability Successes

11:20 – 11:55 Activity

11:55 – 12:00 Wrap Up and Evaluations

Objectives

1. Describe successes and challenges associated with sustainability.

2. Identify Substance Abuse Prevention Skills Training (SAPST) “Keys to Sustainability”.

3. Describe concrete examples for each Substance Abuse Prevention Skills Training (SAPST) “Keys to Sustainability”.

Melissa Schoemmell, Project ManagerCommunity Health Institute

PREVENTION COMMUNITY OF PRACTICEPRIORITIZATION ACTIVITY

Prioritization Activity ResultsTopic Votes

The impact of ACES on SUD - Approaching prevention with a population that has experienced trauma and adversity 24

Prevention strategies and initiatives specific to Marijuana 17

Sustainability planning 16

Addressing the social determinants of health through SUD prevention 14

Prevention strategies and initiatives specific to Vaping 12

Prioritization Activity Results

Topic Votes

Prevention strategies for Young adults 11

Data collection and analysis for program planning and evaluation 10

Prevention strategies and initiatives specific to Alcohol 6

Prevention strategies for Individuals identifying LQBTQIA 6

The impact of ACES on SUD - Prevention of ACES 2

Prevention strategies and initiatives specific to Heroin 2

SAPST Keys to Sustainability

Community SupportCommunity support refers to cultivating community buy-in for prevention and promotion and the positive outcomes they achieve.

Organizational CapacityOrganizational capacity refers to ensuring community organizations have the necessary resources and infrastructure to engage in prevention activities and achieve positive outcomes.

EffectivenessThis refers to ensuring that systems are organized and aligned to achieve positive outcomes.

Dover Coalition for Youth

Case Study on Sustainability

Coalition Workgroups

12

13Funding and Key Decisions

14

Funding Sources Today

Local Civic Groups

5

Business Support

Large Volunteer Base

16

Evaluations

17

Thank YouVicki Hebertv.hebert@dover.nh.gov603-516-3279

Young Adult Strategy SustainabilitySeacoast Public Health NetworkBureau of Drug and Alcohol Services

• Maria Reyes, BA,CADC Substance Misuse Continuum of Care Supervisor• Maura Fitzpatrick, MPH, Young Adult Strategy Coordinator

• Funding: NH BDAS Partnership for Success Grant

• Study: The Voice of Young Adults done by the public health regions and Community

Health Institute, Bow, NH

• Outcome: The data supported the creation of the Young Adult Strategy which addresses

SUD/behavioral health and social determinants of health in 18-25-year-olds

• Participants expressed concerns about jobs, college, transportation, housing

affordability, depression, anxiety and how to cope.

Is Anyone Stressed? Is Anyone Stressed?

Spiritual my purpose in life, relationship to God or the universe, transcendence

Intellectual my curiosity and drive for life-long learning, creativity, discovery

Occupational/Work my love of work, mastering your job, financial or career growth

Social my relations with family, friends, community, coworkers, neighbors

Emotional my feelings, embracing all emotions, serenity, joy, awe; enjoying life

Physical my body: strength, flexibility, vitality, endurance, mind-body alignment

Right now, I am most attentive to or conscious of the presence or absence of

22

ACHIEVING BALANCE

Our ProgramOur Program• Dr. Joel Bennett

• 2 Training Programs: Team Resilience & Health

Consciousness

• National Wellness Institute (NWI, 2019)

• Organizational Wellness & Learning Systems (OWLS,

2019)

• Evidence-based

• Customizable

• Programs approved by SAMHSA and the Surgeon General

• Identify the effects of stress • Identify signs of not coping well• Identify personal coping style• Identify how stress is a risk factor for:

absenteeism accidents

mistakes negative well-being

unhealthy habits

• Recognize healthy alternatives • Learn 5 steps to thrive from stress

Objectives

3

Team ResilienceTeam Resilience• Employee training that shows your employees how to:

• Manage stress

• Develop coping skills

• Improve communication

• Address unhealthy alcohol & drug use

26

Health ConsciousnessHealth ConsciousnessEmployee training that shows your employees how to:

• Define and assess “health consciousness” (as one key to preventing prescription drug misuse)

• Identify healthy alternatives that can diminish risks for misuse

• Take steps to implement healthy options for themselves and others who may be at risk

• Use the above skills to reduce prescription drug misuse and abuse in their own work setting

Set-Point

27

Our baseline for expected happiness or return point after positive or negative experiences

• What do you “settle” for?

• Are you just “getting by”?

• How can you thrive?

Thriving

EffectiveCoping

Adapting(Getting by)

TensionRelease

Distress

WHAT IS CULTURE’S ROLE IN STRESS

29

Our ApproachOur Approach• Chose to focus on YA’s in hospitality industry

• Hired a consultant

• Became certified in evidence-based Resiliency and Health Consciousness trainings (you can’t give away what you don’t have)

• Developed an approach and marketing materials

• Identified collaborators (Safe Harbor, Austin 17 House, Chambers of Commerce, Raymond Coalition For Youth, Recovery Friendly Workplace)

• Identified champions (proclamation & funding)

30

Community SupportCommunity Support

Austin17House

31

Organizational CapacityOrganizational Capacity

INDEPENDENT CONSULTANT

EffectivenessEffectiveness• Evidence-based

• Customizable

• Programs approved by SAMHSA and the Surgeon General

• Evaluation and Data

Effectiveness – Evaluation & Data

73%

40%

50% 50%44%

56% 56%

67%70%

60%

77% 77%

69%

77%

69% 69%

77%

69%

77%

69%

1. I know my own earlywarning signs for stress.

2. I am confident that Ican recognize these

signs before Iexperience too much

stress.

3. It is important to meto slow down, stop, andevaluate the stressors in

my life.

4. I am confident that Ican evaluate these

stressors effectively.

5. I can recognize whenI am engaging in

unhealthy coping andcorrect the situation.

6. For me, coping isnot just about releasingtension but a life-style of

healthy coping.

7. I know the signs ofnot coping well.

8. I have healthy life-style and coping factorsthat help me keep stress

from building up.

9. I understand the linkbetween unhealthy

coping and addiction orsubstance abuse.

10. Overall, I amconfident that I can keepstress from affecting my

performance at work.

PRE POST

Dunkin Donuts Managers Pre-to-Post Rating of Stress Competency (% Agree)

Managers made ratings on a “1” (Completely Agree) to “10” (Completely Disagree”). Percent calculated is for items rated “4” or less.

(N varies; N = 10 at Pre and N = 13 at post)

(Marker Item)

Secret Power of Stress Training(Maura Fitzpatrick Facilitator)

Total Average at Pre = 56%Total Average at Post = 73%

Year 1: What We Learned• Hospitality Industry is a tough nut to crack

• Hospitality culture

• Limited season on seacoast

• 2 distinct audiences

• Marketing is key

• Maybe we should change our approach?

36

SPHN and SustainabilitySustainability: A community’s ongoing capacity and resolve to work together to establish, advance, and maintain effective strategies that continuously improve health and quality of life for all (CDC, 2019). Sustainability Action

Belief in your program - passion If you don’t believe it no one else will

Not just about funding Search for potential funders outside the norm

Network of stakeholders Always building/stay in touch

Creative use of resources Use of resources to train others (RFW), creative marketing

Redefine your scope Hospitality to all businesses/schools

Continuous evaluation Feedback from trainings, partners, champions, each other, Dr. Bennett & staff

Build momentum Workshop October 7, 2019

37

Evaluate Your Own Sustainability

Center for Public Health Systems Science (CPHSS)

Sustainability Assessment Tool (CPHSS, 2019)

Sustainability Sample Report (CPHSS REPORT, 2019))

HANDOUT

38

References

CDC. (2019). Sustainability Guide for Health Communities. Retrieved from cdc.gov: https://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/pdf/sustainability_guide.pdf

CPHSS. (2019). Program Sustainability Assessment Tool. Retrieved from sustaintool.org: file:///C:/Users/maura/Desktop/SUSTAINABILITY/Sustainability-ToolV2_w-scoring_12.11.13.pdf

CPHSS REPORT. (2019). Sustainability Report Example. Retrieved from sustaintool.org: https://sustaintool.org/wp-content/uploads/2018/10/Example-Indiv-Report.pdf

OWLS. (2019). Organizational Wellness & Learning Systems. Retrieved from organizational wellness.com: https://organizationalwellness.com/

Group Activity

Break into groups and each group discuss one of the SAPST Keys to

Sustainability

• Community Support

• Organizational Capacity

• Effectiveness

Discussion Questions: 20 minutes

Report Out: 15 minutes

CoP Meeting Schedule

10:00am – 12:00pm

September 11

November 6

All meetings will be in the Concord area.

Final Thoughts

• 2 CEUs for CPS - Please hand in your evaluation!• Approved for 2 CEUs toward Prevention Specialist

Certification for Domain 1

Thank you for coming!

MELISSA SCHOEMMELL, MPH ADELAIDE MURRAY melissa_schoemmell@jsi.com adelaide_murray@jsi.com

REKHA SREEDHARA, MPH JILL BURKE, MPArekha_sreedhara@jsi.com jill.burke@dhhs.nh.gov

ROB O’HANNON, MS C.M.P JULIE YERKESrobert.o’hannon@dhhs.nh.gov jyerkes.ti@gmail.com

ELIZABETH O’CONNELLeoconnell@urteachers.org