Cultivating County Partnerships Through the Strategic Prevention Framework:

1. Cultivating County Partnerships Through the Strategic Prevention Framework: Assessment and Capacity

2. Welcome! Introductions Agenda Additional training opportunities Housekeeping items Parking Lot CEU’s

3. SPF SIG Overview

4. 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

5. 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

6. SPF SIG Characteristics Advisory Council State Epidemiological Workgroup (SEW) Capacity Coach Team

7. County Selection

8. Iowa SPF-SIG Priorities • Reduce underage alcohol use (under age 21) • Reduce adult binge drinking (18 and over)

9. 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

10. Framework Overview

11. Assessment Collect data to define problems, resources and readiness within the county to address needs

12. Capacity Building Mobilize and/or build capacity within the county to address needs

13. 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

14. Implementation Implement evidence-based substance abuse prevention strategies

15. 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

16. Sustainability Must be incorporated into each SPF step Does not solely focus on funding Can include sustaining effort, outcomes, projects, initiatives, etc.

17. 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.

18. Framework Overview

19. Questions?

20. 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

21. Public Health • Core Functions • Future • Role • Mission • Treatment or Prevention? • Substance • Disease Prevention and Health Promotion

22. Standardizing Epi Data • Exposure vs. Outcome • Rates • Standardized Mortality Ratio • Proportion • Level of Significance • Measures of Association

23. Community Needs Assessment

24. Consumption And Consequences Applying the SPF Evidence Based Strategies Intervening Variables Consumption And Consequences

25. 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

26. 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

27. 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

28. Workbook Organization • Seven parts: • County Description (demographics) • Consequences data • Consumption • Intervening variables • Prioritization • Resource Assessment • Appendices: Focus Group or Town Hall meeting methodologies

29. 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

30. 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

31. Part 3: Consumption Student underage drinking: Past month, binge drinking (IYS) Adult 30 day use, heavy and binge drinking (BRFSS)

32. Questions?

33. Hands On: CAW Consequence and Consumption

34. Part 4: Intervening Variables Alcohol Availability Social Availability Promotion County Norms Individual Factors

35. Hands On: CAW Intervening Variables

36. Part 5: Setting Priorities

37. Prioritization Rank each intervening variable from 1-6 and justify prioritization

38. Part 6: Resource Allocations • Identify resources already available: Money, Time, Other

39. Part 7: Target After prioritization and resources allocations, determine combinations of Intervening Variables to target Final conclusions

40. Appendices Law Enforcement Interview Protocol County Meetings and Focus Groups

41. Questions ?

42. Assessing Community Readiness Readiness is the degree to which a community is prepared to take action on an issue.

43. 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

44. Community Readiness • Assessing community readiness for change • Increasing community capacity • Creating a climate that makes • change possible

45. Process

46. Dimensions of Readiness • Community Efforts • Community Knowledge of the Efforts • Leadership • Community Climate • Community Knowledge about the Issue • Resources Related to the Issue

47. 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

48. 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

49. Questions ?

50. What’s next? Lunch on your own Afternoon training: Capacity