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Presentation at County Administrators Meeting

Presentation at County Administrators Meeting. IOM & SPF: What are they – and What implications do they have for us . Presented by Joël Phillips Community Prevention Institute January 26, 2006. NEW TERMS = NEW APPROACH. IOM - (Institute of Medicine) Continuum of Care

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Presentation at County Administrators Meeting

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  1. Presentation at County Administrators Meeting IOM & SPF: What are they – and What implications do they have for us. Presented by Joël Phillips Community Prevention Institute January 26, 2006

  2. NEW TERMS = NEW APPROACH IOM - (Institute of Medicine) Continuum of Care SPF - Strategic Prevention Framework IMPORTANCE Both concepts will dominate Prevention Planning/Policies Need to understand how they will impact field Know about availability of Resources to assist Counties.

  3. PREVENTION CONTINUUM – (U.S.I.)- A Brief History - 1957 Public Health Model – “Commission on Chronic Health Care” - Introduces Primary, Secondary, Tertiary Prevention (Disease/Health) 1983 1987 R. Gordon: Introduces U.S.I. concept to better distinguish between Populations in need of Primary Prevention (Disease/Health) 1994 Institute of Medicine – commissioned study examining Mental Disorders Use U.S.I. + Treatment + Aftercare (Continuum) (Mental Health) 2000 CSAP introduces term to substance abuse prevention (By 2002-03 directives went to States) (Substance Use – but not fully developed)

  4. The Continuum of Care Protractor Different levels of prevention are distinguished by the level of risk of disorder/distress in various populations groups targeted.

  5. Universal Prevention Measures: Address the entire population. Aim is prevent/delay use of AOTD. Deter onset by providing individuals with information/skills • Selective Prevention Measures: Targets subsets of the population considered at risk by virtue of their membership in a particular segment of the population. • Key Selective Prevention targets the entire subgroup regardless of the degree of risk of any individuals in the group. • Indicated Prevention Measures: Targets individuals who are exhibiting early signs or consequences of AOD use.

  6. IOM PreventionCircles within Circles Selected Subgroups Universal Populations Indicated Individuals

  7. Potential Selected Populations • Homeless • Young Offenders • Foster Youths • Drop-outs • Students with social/academic problems • Rave party-goers • Others

  8. High Indicated Moderate Selected Intensity of Intervention Universal Low Low Moderate High Degree of Risk

  9. Summary IOM approach requires: • Better understanding of our community – communities within communities. • Tired approach in thinking about prevention services. • U.S.I • Thoughtful application of prevention approaches to the three types of populations. But it gives us: • Better focus on AOD problems and individuals involved/impacted by AOD use. • Potentially better measurements of success.

  10. Strategic Prevention FrameworkSPF PURPOSE • Formalize a planning and implementation approach • Decrease substance use and abuse • Promote Mental Health • Prevent Mental Health disorders and reduce co-morbidity and relapse

  11. Strategic Prevention Framework Process STEP 1 – ASSESSMENT Profile population needs, resources, and readiness to address the problems and gaps in service delivery STEP 2 – CAPACITY BUILDING Mobilize and/or build capacity to address needs STEP 3 – PLANNING Develop a Comprehensive Strategic Plan STEP 4 – IMPLEMENTATION Implement evidence-based prevention programs and infrastructure development activities STEP 5 – EVALUATION Monitor process, evaluate effectiveness, sustain effective programs/activities, and improve or replace those that fail

  12. SPF Assumptions • Views health promotion across the spectrum of Prevention – Intervention – Treatment. • Requires Prevention and Treatment services (AOD/MH) to work together. • Focus on community based approaches • Planning for outcomes underlies the SPF approach. • Outcomes measures have been identified (NOMS) • 10 Domain Area impacting Mental Health, Prevention, Treatment.

  13. SPF IOMEXAMPLE Apply SPF Steps IOM Concepts 1. Assessment - Data Collection - Data Analysis What do we know about our populations - Who are most vulnerable - What are their characteristics - What risks / behaviors are present in their lives. (Measurement?)

  14. SPF IOMEXAMPLE Apply SPF Steps IOM Concepts 1. PLANNING - Resource Issue - Selecting policies, strategies, program services that FIT best with IOM population under consideration What do we develop prevention services for: - Which vulnerable population - What specific needs / issues are being addressed

  15. www.cars-rp.org PHONE 916-983-9506 FAX 916-983-5738 jphillips@cars-rp.org

  16. TA/TRAINING SERVICES (CPI) • Review of current practices (needs-based planning) • Assessments of community readiness to implement SPF • Strengths • Areas for Improvements • 3. Develop of SPF process specific to community needs • (sub-populations) • 4. Ongoing TA/Trainings specific to community needs

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