Maryland Strategic Prevention Framework (MSPF) Core Essentials Training

1. Maryland Strategic Prevention Framework (MSPF) Core Essentials Training

2. Training Objectives • Understand and communicate the role of the coalition in achieving community-level change • Engage coalition & community members to conduct a problem analysis and develop a logic model • Work with the coalition to plan and implement comprehensive strategies to address local conditions • Build capacity and engage in planning activities • Establish a network of prevention professionals

3. Training Agenda Overview – The Big Picture Community Assessment Review & Report out Community Problem Solving Logic Model Comprehensive Interventions MSPF Processes Close and Evaluations

4. What is the National Coalition Institute? The branch of CADCA that is responsible for: 1 Training & TA Dissemination & Coalition Relations Evaluation & Research

5. How Does NCI Operate? The Institute helps coalitions “get smarter faster” All trainings built around the Strategic Prevention Framework

6. The “BIG PICTURE” Community-Level Change Evidence-Based Strategies Role of the Coalition

7. Public Health Approach to Prevention Community Coalitions Host Agent Agent Environment Environment

8. MSPF Community Logic Model

9. Strategies Targeting Individualized Environments Socialize, Instruct, Guide, Counsel Strategies Targeting the Shared Community Environment Support, Enhance Family School Norms Regulations INDIVIDUALS ENTIRE COMMUNITY Faith Community Health Care Providers Resources Systems

10. Underage Drinking Rigorous enforcement of MLDA and other alcohol laws Compliance checks Community mobilization to address community and institutional underage drinking norms and attitudes Normative education emphasizing that most adolescents don’t use ATOD Parent programs stressing setting clear rules against d Evidence Based Strategies, Programs, Policies & Practices • Alcohol Crashes • Rigorous enforcement of drinking and driving laws • Awareness regarding the increased risk of being caught and punished for drinking and driv • Enforcement campaigns with sobriety check points • Court Watch • Community wide media campaigns and lice, judiciary, server, and business • Binge Drinking • Establishment or more enforcement of underage drinking party, keg registration, adult provider and social host laws • Alcohol excise taxes to reduce economic availability • Education programs that follow social 10

12. Community Coalitions “A coalition is a formal [voluntary] agreement and collaboration between groups or sectors of a community in which each group retains its identity but all agree to work together through a community building process toward a common goal of building a healthier community.” Community Anti-Drug Coalitions of America(CADCA)

13. Role of the Coalition in Achieving Community-level Change Achieve Positive Outcomes Address conditions & settings in the community Impact a Defined Community Engage All Sectors of the Community Promote Comprehensive Strategies

14. Workbook Page 44 Difference Between Coalitions and Programs

15. Coalition Sharing • The “BIG PICTURE” • How has the “BIG PICTURE” been shared with your coalition? • What challenges / successes have you had in communicating the “BIG PICTURE” to your coalition? • As a table, identify one “lesson learned” that will help others communicate the “BIG PICTURE”

16. Community Problem Solving Strategic Prevention Framework

17. Best Processes1 for Implementing theStrategic Prevention Framework 1. Analyzing Information About the Problem, Goals and Factors Affecting Them. A. Assessment 2. Establishing Vision and Mission. 12. Documenting Progress and Using Feedback B. Capacity 3. Defining Organizational Structure and Operating Mechanisms 11. Making Outcomes Matter 4. Assuring Technical Assistance E. Evaluation 5. Developing Leadership 10. Sustaining the Work 6. Arranging Resources for Community Mobilization 9. Implementing Effective Interventions C. Planning D. Implementation 7. Developing a framework or model of change 8. Developing and Using Strategic and Action Plans 1Best processes identified through a literature review conducted by Dr. Renee Boothroyd, University of Kansas – used with permission. Workbook Page

18. Core Competency:Community Assessment Priorities

19. Community Assessment • The Needs Assessment provides information on: • Problemof alcohol, tobacco and other drug use • Root causes • Intervening Variables • (risk factors) of the problem Consequences of alcohol, tobacco and other drug use COMMUNITY • Demographics provide information about the population of the defined community • Local conditions provide evidence of the root causes in OUR community

20. Needs Assessment Data Collection Priority

21. Priorities • Underage drinking (alcohol misuse) by youth ages 12-20 • Binge drinking by young persons, ages 18-25 • Alcohol-related crashes involving youth ages 16-25

22. Priorities

23. Community Assessment – Report Out (2 minutes) • Coalition Name and Community • Describe the community assessment process conducted by the coalition: • How was the coalition involved? • Accomplishments and Challenges • Describe the priority (s) identified by your coalition.

24. READY SHOOT AIM Problem Analysis

25. But Why? Priority

26. But Why? 1 But Why? 2 Intervening Variables (Root Causes) Priority But Why? 3 But Why? 4

27. Intervening Variables (Root Causes) • Underage Drinking (alcohol misuse) ages 12-20: • Retail availability/access to alcohol • Social availability/access to alcohol • Level of enforcement and adjudication of alcohol laws • Social norms (youth, family and community norms) • Low perceived risks of alcohol use - youth • Pricing of alcohol • Promotion of alcohol

28. But Why Here? But Why? Intervening Variables (Root Causes) Priority Contributing Factors (Local Conditions)

29. Problem Analysis • Criteria for good “But, why here?” • Contributing Factors (Local Conditions) • Specific (not another risk factor) • Identifiable • Actionable

30. Retail availability/access to alcohol

31. Social availability/access to alcohol

32. Level of Enforcement and Adjudication of Alcohol Laws

33. Social norms (youth, family and community norms) and attitudes regarding youth alcohol use

34. Low perceived risks - Youth perceptions of the risk of alcohol use

35. Pricing of Alcohol

36. Promotion of Alcohol

37. But Why Here? But Why? Intervening Variables (Root Causes) Priority Contributing Factors (Local Conditions)

38. Logic Model You’ve already created your logic model by: 1. Clearly stating the priority (Problem statement). 2. Surfacing the Intervening Variables (Root Causes) 3. Identifying why these root causes exist in your community – Contributing Factors (Local conditions) 2.6

39. Priority But Why? But Why Here?

40. Logic Model • When should Intervening Variables & Contributing Factors make it to your logic model? • Data from your community • Prevention science • Current events or political opportunity • Community expectations or demands

41. Store windows on Main Street are covered with alcohol ads. Promotion (Marketing) Alcohol industry sponsors main three community events. Underage Drinking Priority But Why? But Why Here?

42. Logic Model Two Ways to Critique Your Logic Model • Line Logic • Is there a credible connection between each element? (science, community experience, logic?) • Completeness Check • Are all the pieces present? • Are there any missing risk factors or important local conditions?

44. Workbook Page 43 Developing Interventions • Seven behavior change strategies: • Provide Information • Build Skills • Provide Support • Enhance Access / Reduce Barriers • Change Incentives / Disincentives • Change the Physical Design of the Environment • Change Policies or Regulations

45. Intervention/Action Leaflets Training L. E. Partnership Recognition Alternative Ads Sign Removal City Ordinance Store windows on Main Street are covered with alcohol ads Promotion Alcohol industry sponsors three community events Underage Drinking

46. Provide Information:Presentations, workshops, brochures, billboards, social norms campaigns, town hall meetings, Web-based communications, etc. Enhance Skills:Workshops/seminars designed to teach skills needed to achieve population-level outcomes. 3. Providing Support:Assisting others to conduct training, obtaining funding for equipment, training, reach specific target audiences. Seven Strategies for Community Change

47. 4. Changing Access/Barriers Access: - Provide instructions/training in multiple languages - Give scholarships to training programs - Provide training at vendor locations Barriers: - Enhance law enforcement operations for dealing with MIP - Remove tobacco machines from public venues - Place pseudoephedrine behind the counter

48. Incentives: Provide awards to businesses/organizations who pass Compliance Checks Public Recognition (as part of a overall effort) Disincentives: Increase Citations/Fines Increase Excise Taxes Use/Lose Laws • Changing Consequences (Incentives/ Disincentives)

49. Physical Design - Lighting in parks - Signage - Alcohol Outlet Density/Proximity - Advertising (Restrictions) - Product Placement - Packaging

50. 7. Modify/Change Laws, Policies, Procedures, By-Laws Laws:Social Host Liability, Keg Registration Policies:24/7 Zero Tolerance policy in a school district, Drug Free Workplace Policies, Mandatory Merchant Education with License Re-Application Procedures:MIP Arrest Processing by Law Enforcement, By-Laws:Civic organization use of alcohol, collaboration & networking CADCA Environmental Strategies Guide: Page 8