500 likes | 595 Views
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
E N D
Cultivating County Partnerships Through the Strategic Prevention Framework: Assessment and Capacity
Welcome! Introductions Agenda Additional training opportunities Housekeeping items Parking Lot CEU’s
IDPH Project Team 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
Project Goals • 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
SPF SIG Characteristics Advisory Council State Epidemiological Workgroup (SEW) Capacity Coach Team
Iowa SPF-SIG Priorities • Reduce underage alcohol use (under age 21) • Reduce adult binge drinking (18 and over)
SPF Features • Outcome-based • Consumption and consequences • Focuses on population-level change • Prevention across the lifespan • Data-driven decision making • Logic models used to select • effective strategies
Assessment Collect data to define problems, resources and readiness within the county to address needs
Capacity Building Mobilize and/or build capacity within the county to address needs
Planning Develop a comprehensive strategic plan that includes evidence-based strategies creating a logical data-driven plan to address problems identified in the assessment step
Implementation Implement evidence-based substance abuse prevention strategies
Evaluation 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
Sustainability Must be incorporated into each SPF step Does not solely focus on funding Can include sustaining effort, outcomes, projects, initiatives, etc.
Cultural Competence Must be incorporated into each SPF step Encompasses more than race and ethnicity Can include gender, sexual orientation, religion, location (rural, urban, suburban), socioeconomic status, age, etc.
Assessment Step: Learning Objectives • Participants 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
Public Health • Core Functions • Future • Role • Mission • Treatment or Prevention? • Substance • Disease Prevention and Health Promotion
Standardizing Epi Data • Exposure vs. Outcome • Rates • Standardized Mortality Ratio • Proportion • Level of Significance • Measures of Association
Community Needs Assessment
Consumption And Consequences Applying the SPF Evidence Based Strategies Intervening Variables Consumption And Consequences
County Needs Assessment Workbook (CAW) • 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
Consequences Consumption Intervening Variables Strategies Alcohol Related Crimes Retail Availability Social Availability Criminal Justice Convictions Evidence Based Programs, Policies and Practices Addressing Each Intervening Variable Underage Drinking & Adult Binge Drinking Alcohol Related Car Crashes Promotion Community Norms Alcohol Dependence and Abuse Individual Factors CAW Framework
Data Sources Data will come from both pre-populated data and original/local data Examples: Consumption data Behavior Risk Factor Surveillance Survey Iowa Youth Survey Consequence data Convictions and arrests Student suspensions Intervening variables Iowa Youth Survey (perceptions and norms) Focus groups Environmental Scans
Workbook Organization • Seven parts: • County Description (demographics) • Consequences data • Consumption • Intervening variables • Prioritization • Resource Assessment • Appendices: Focus Group or Town Hall meeting methodologies
Part 1: County Description Describe your county demographics: age distribution, gender, race, socioeconomic status Include Map Other information that will show what makes your county unique
Part 2: Consequences • Crimes: • Adult and youth alcohol violations, OWI charges • Adult alcohol convictions • Alcohol related crashes • % drivers involved in fatal crashes • Alcohol school expulsion and suspensions • Answer questions comparing your county vs. state. • Interpret results
Part 3: Consumption Student underage drinking: Past month, binge drinking (IYS) Adult 30 day use, heavy and binge drinking (BRFSS)
Hands On: CAW Consequence and Consumption
Part 4: Intervening Variables Alcohol Availability Social Availability Promotion County Norms Individual Factors
Hands On: CAW Intervening Variables
Prioritization Rank each intervening variable from 1-6 and justify prioritization
Part 6: Resource Allocations • Identify resources already available: Money, Time, Other
Part 7: Target After prioritization and resources allocations, determine combinations of Intervening Variables to target Final conclusions
Appendices Law Enforcement Interview Protocol County Meetings and Focus Groups
Assessing Community Readiness Readiness is the degree to which a community is prepared to take action on an issue.
The Community Readiness Model • Tri-Ethnic Center for Prevention Research • Sage Hall, Colorado State University • Ft. Collins, CO 80523 • 800-835-8091 • www.TriEthnicCenter.ColoState.edu • Barbara A. Plested • Ruth W. Edwards • Pamela Jumper-Thurman
Community Readiness • Assessing community readiness for change • Increasing community capacity • Creating a climate that makes • change possible
Dimensions of Readiness • Community Efforts • Community Knowledge of the Efforts • Leadership • Community Climate • Community Knowledge about the Issue • Resources Related to the Issue
Who is interviewed? • Minimum of 6 individuals, 26 questions, • 30-60 minute interviews • School/University • City/County/Government • Law Enforcement • Health/Medical Professions • Social Service • Spiritual/Religion • Mental Health and • Treatment Services • Community At Large • Youth
Stages of Readiness 9. High Level of Community Ownership 8. Confirmation/Expansion 7. Stabilization 6. Initiation 5. Preparation 4. Preplanning 3. Vague Awareness 2. Denial 1. No Awareness
What’s next? Lunch on your own Afternoon training: Capacity