PFS FY15 Kick-off Empowering Communities for Healthy Outcomes (ECHO)

1. PFS FY15 Kick-offEmpowering Communities for Healthy Outcomes (ECHO)

2. WELCOME

3. Introductions State Team(DAODAS) Regional Coaches: Lou Anne Johnson, Ashley Bodiford, Dawn Blackmon and Mary Lynn Tollison

4. What Do You Know About SPF? • Briefly define the step of the SPF model that is at your table. Include information on questions to ask while implementing the step, tools/resources you may need, etc. Think about how you would teach this step of the model to members of your coalition. • Discuss training and/or technical assistance that you would like to have to learn more about this step of the process.

5. Using the Strategic Prevention Framework (SPF) • 5 critical steps for achieving community level and state change • Needs Assessment • Capacity Building • Planning • Implementation • Evaluation

6. SPF Resources • http://ctb.ku.edu/en/table-of-contents/overview/models-for-community-health-and-development/strategic-prevention-framework/main • http://www.samhsa.gov/spf • http://learning.cadca.org/products/1021/coalition-core-essentials • http://learning.cadca.org/products/1016/applying-the-strategic-prevention-framework-to-prescription-drug-abuse

7. Using the Strategic Prevention Framework (SPF) • SPF is an increasingly important change model framework • SPF has cross-agency/program appeal • increasing relevance for substance abuse prevention and beyond

8. Using the Strategic Prevention Framework (SPF) • PFS funding provides you an opportunity to be a model and possible mentor for other counties • Your coalition will benefit from having a strong SPF foundation, with cultural competency and sustainability at its heart • When your coalition is successful, your community is successful

9. Using the Strategic Prevention Framework (SPF) • Through national cross-site evaluation growing body of evidence is being created to demonstrate the effectiveness of the SPF • Your coalitions will contribute to this national body of evidence by conducting CLI, and participating in interviews by PFS evaluation team • Navigating the process may be difficult, but you are in the right place at the right time

10. Consider This... "Even the woodpecker owes his success to the fact that he uses his head and keeps pecking away until he finishes the job he starts.“ -Coleman Cox

11. ECHO Overview: FY15 Roles and Responsibilities State Team

12. Purpose of ECHO • Unfortunately, the state of South Carolina is afflicted with high levels of alcohol and other drug consumption and associated risk factors and consequences. Empowering Communities for Healthy Outcomes (ECHO) is a multi-layered approach to bolstering prevention infrastructure for data-driven decision making. While ECHO will specifically address prescription drug abuse/misuse and impaired driving, the resulting increase in capacity will benefit communities’ ability to address a wide range of local concerns.

13. Grants Management and Financial Guidelines

14. Expectations: Fiscal Agents • Comply with terms of the FY16 Contract • Communicate with DAODAS if there are difficulties or changes that directly impact the project in your county • Ensure County Coordinator efforts are focused on SPF • Ensure that deliverables are submitted in a timely manner • Empower and support county coalition in its SPF efforts

15. Financial/Budget Considerations • Developing budget and regular review of the budget should be done in collaboration with the ECHO Project Coordinator of your agencyBudget should also be shared with Coalition Members ECHO Coordinators should receive copy of Grant • Allowable and Unallowable costs Guidelines can be found at http://www.samhsa.gov/Grants/generalinfo/GrantsFinancialManagement.pdf • Making changes >15% to budget categories • Travel –SC Code of Laws -Section 89.23 www.ohr.sc.gov/OHR/employer/OHR-ahsc-laws.phtm

16. Financial/Budget Considerations • Restricted Funds within Budget • Implementation Funding • Class Code – 8011 ECHO County • Revenue Code – 4126 Other DAODAS Prevention which rolls up into 4100 DAODAS.

17. Financial/Budget Updates • Significant re-budgeting requires DAODAS prior approval. Significant re-budgeting occurs when the cumulative amount exceeds 15% the total budget. If it does exceed, the request must include the following: • Detailed budget and justification; Amount of funds to be re-budgeted; indication of which budget categories will be moved from and to; indication as to whether there will be a change in scope.

18. Financial/Budget Updates • If there is a ECHO expense of $5K or more, counties can request to expedite reimbursement payment • In other words, the expense can be sent for reimbursement ahead of other expenditures • Counties can make a request to expedite reimbursement by sending an email with the total ECHO expenditure for that month to the attention of Tina Nichols, and “CC” MalerieHartsell

19. FY 15 PFS Expectations

20. Expectations: County Coordinators • 100% of efforts spent working toward ECHO goals and objectives • Continue to build coalitions • Ongoing assessment of coalition resources and needs • Ongoing recruitment of new members • Coordinate implementation of the county strategic plan with coalition partners

21. Expectations: County Coordinators • Maintain a strong and active relationship with Regional Capacity Coach • Submit deliverables in a timely manner • Contact MalerieHartsell or Michelle Nienhius in advance if you experience difficulties • Attend trainings, meetings, and conferences as required • Be responsive to communication requests from state staff, regional capacity coaches, and evaluation team

22. Expectations: Coalitions • Maintain a strong and active relationship with County Coordinator • Be responsive to requests from County Coordinator • Increase knowledge of SPF

23. Expectations: Coalitions • Be active in planning, decision making, and implementation • Know your role in the coalition • Attend trainings, meetings, and conferences as required and needed • Be responsive to communication requests from state staff, regional capacity coaches, and evaluation team

24. FY15 PFS DELIVERABLES

25. Deliverables Overview • IMPACT Monthly Reporting – 8th working day of the month • All grantees will build a Data Management System (MIS) • Required to submit data to meet federal requirements of the cross-site evaluation of the PFS grant • Attend all ECHO meetings and trainings that are held at the state and regional level

26. Deliverables Overview • March 4th- Needs Assessment information entered into IMPACT for approval • March 25th- Coalition member recruitment deliverable due to DAODAS using format provided • April 1st- Goals, Objectives and Programs/Strategies entered into IMPACT for approval • April 29th- Activities entered into IMPACT for approval • April 29th- Program/Strategy budget and budget narrative due to DAODAS using format provided • Late May/June- Implementation will begin once all of the information is entered into IMPACT and approved by DAODAS

27. Deliverables Overview • National Trainings and Conferences: Impaired Driving sites are required to send at least two representatives (one staff and one coalition member-has to be from an outside organization-not another agency staff member) to the 2016 Life Savers Conference (April 3-5, 3016) • Prescription Drug sites are required to send at least two representatives (one staff and one coalition member-has to be from an outside organization-not another agency staff member) to the 2016 National Prescription Drug Abuse Summit (March 28-31, 2016)

28. Deliverables Overview • Sites are required to send at least two representatives (one staff and one coalition member-has to be from an outside organization-not another agency staff member) to at least one other national conference in 2016 (list provided in FY16 Cooperative Agreement Acceptance Package) • Interest in attending a conference not listed in the package requires approval from DAODAS

29. Coaching/Technical Assistance and Training • Coaching is defined as a goal oriented, solutions focused process in which the person receiving the coaching service is guided to identify and construct possible solutions, address possible road blocks, delineate a range of goals and options then facilitate the development and implementation of action plans to achieve those goals.

30. Harold D. Holder, Ph.D. senior scientist emeritus Prevention Research Center Pacific Institute for Research and Evaluation Berkeley, California Over the year 2016 Training for SC Dept. of Alcohol and Other Drug Abuse Services (DAODAS ) Columbia, SCP.O. Box 8268 Columbia, SC 29202 Use of Science in Local Prevention

31. Goals for Training 1. Learn to use best prevention science-based tools, approaches and evidence. 3. Explore the local development of a Management Information System (MIS)and a community Dashboard in order to monitor and evaluate effectiveness. 2. Develop a local logic model for every community represented using DoView and the use of local data and best science.

32. Component 1: Outcome & Measures Component 2: Intermediate Variables & Measures Strategic Planning for Environmental Prevention Using a Logic Model & Management Information System Component 3: Strategies – Implementation Plan & Measures Component 7: Management of Strategies & Adjust Logic Model Component 4: MIS & Data Collection Plan Component 6: Monitoring Measures using a Dashboard Component 5: Data Collection & Loading the MIS

33. Environmental Prevention Guides

34. Top “Take Away” Messages for Training • 1. Plan for success. Focus on problems and strategies most likely to produce early prevention success for coalition. Publicize success. Then move to more difficult problems. • 2. Use the science-based tools and approaches and keep them going to support you and your coalition. • 3. Do a few things well, not several things poorly. Avoid “let 1,000 flowers bloom” approach.

35. Additional Training • Dr. Holder will provide training in spring • Regional Coaches will be able to continue to coach the coalition through the process of utilizing the tools and methods • Logic model will be built utilizing DoView software • MIS data system will be built for each site following the needs assessment

36. Implementing the Strategic Prevention Framework Through PFS Grant-What’s Up First?

37. How to Conduct a Needs Assessment A Guidance Document for County Commissions SC Department of Alcohol and Other Drug Abuse Services http://ncweb.pire.org/scdocuments/

39. Steps of the Needs Assessment

40. Two Common Kinds of Needs Assessments • What are my community’s top issues? • Why is this specific issue such a problem in my community?

41. The “What” Assessment • Focus on: • Extent of use • Extent of related problems (consequences) • Goal: identify the most problematic but changeable areas to focus on

42. The “Why” Assessment • Go in-depth on an identified problem • Can be focused by a logic model • Focus on: • In general, why is this a problem? • Specifically, why is this a problem here? (contributing local factors; root causes) • Goal: Identify the most substantial, changeable links in the chain to use/consequences

43. Public Health Approach to preventing and reducing substance-related problems • Population level change focuses on change for the entire population. By this we mean a collection of individuals who have one or more personal or environment characteristics in common. • Influencing whole communities – not just 20, 50 or 200 “individuals”.

44. Public Health Approach to preventing and reducing substance-related problems • Outcome based prevention focuses on reducing negative consequences to substance abuse by using data to identify consequences, consumption patterns and casual factors • Communities know what their problem are • Which factor cause the problems • Which strategies are effective in reducing the risk factor and underlying conditions

45. Public Health Approach to preventing and reducing substance-related problems • A logical approach, grounded in data collection and clear linkages between consequences, consumption, risk factors and underlying conditions and strategies

46. BASIC Steps • Planning the needs assessment • Collecting data • Prioritizing the data

47. Sub Committee • To oversee and conduct the NA • Ensure geographic coverage • Members who speak to substance abuse issues across the full life span of the community • Members with an array of experience so everything is culturally competent

48. How to start • Gather and review previous assessments conducted in our county • Ask the following questions: • Who is involved (age, gender, income, race/ethnicity) • Where does the problem occur (area/town/location) • When does the problem occur (time of day/season) • Why is the problem occurring

49. Methods for collecting data • Focus Groups • Key Information Interviews – • Interviews with community experts • Environmental Scans • Community Surveys • Archival Data • Resource/Policy Assessment

50. Pulling it All Together • Mix of art and science • Begin w/ key questions you were looking to answer • For each data source, determine the most important findings for each key question • By key question, compare those findings across data sources • Look for common themes