Strategic Prevention Framework 101 November, 2013

1. Strategic Prevention Framework 101November, 2013 Shari Sprong, MA, MS Aleya Martin, MPH Health Resources in Action

2. Prevention "Prevention is an active, assertive process of creating conditions and/or personal attributes that promote the well-being of people.” (William A. Lofquist)

3. Prevention Continuum

4. Behavioral Health Continuum of Care Model

5. Key Principles of the SPF • Public Health Approach • Data-Driven Community-Based Strategic Planning Process • Outcomes-Based Prevention

6. Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness Assessment Profile population needs, resources, and readiness to address needs and gaps Capacity Mobilize and/or build capacity to address needs Planning Develop a Comprehensive Strategic Plan Implementation Implement evidence-based prevention programs and activities Evaluation Monitor, evaluate, sustain, and improve or replace those that fail

7. Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness Assessment Profile population needs, resources, and readiness to address needs and gaps Capacity Mobilize and/or build capacity to address needs Planning Develop a Comprehensive Strategic Plan Implementation Implement evidence-based prevention programs and activities Evaluation Monitor, evaluate, sustain, and improve or replace those that fail

8. 1. Assessment Diagnosis: • Needs and risk & protective factors assessment • Resource inventory • Prioritization of community issues

9. Data Triangle Archival Data Attitudes/Behaviors, Risk/Protective Factors Community Perspective, Community Readiness

10. Data Analysis • Levels • Establish baseline • Trends • Over time • Patterns • By age, gender, race/ethnicity

11. Resource Inventory • Current community resources • Who is being serviced • Overlaps vs. gaps Increase Collaboration – Decrease Duplication

12. Prioritization of Community Issues • Synthesize all 3 sources of data and resource inventory • Identify areas of focus (1 – 2) • Craft a problem statement • Drug (or other issue) • Target population • Baseline rate

13. Risk & Protective Factors • Definition: Characteristics that increase (risk) or decrease (protective) the likelihood of a negative outcome. • Domains: • Community • School • Family • Individual/Peers

14. Assessment Activity

15. But Why?

16. Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness Assessment Profile population needs, resources, and readiness to address needs and gaps Capacity Mobilize and/or build capacity to address needs Planning Develop a Comprehensive Strategic Plan Implementation Implement evidence-based prevention programs and activities Evaluation Monitor, evaluate, sustain, and improve or replace those that fail

17. 2. Capacity Building: The ability to mobilize community & resources Build an inclusive community movement/coalition • Membership • Structure/function • Engage community, include key decision makers & those affected by the problem

18. Levels of Involvement

19. Sample Organizational Chart

20. Capacity Building Program vs. Coalition • Scale • Focus • Staff responsibility

21. Capacity Building Educate the group • Leadership • Effective prevention • Cultural competence

22. Capacity Building Identify and secure resources • Human resources • Technical resources • Management and evaluation resources • Financial resources

23. Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness Assessment Profile population needs, resources, and readiness to address needs and gaps Capacity Mobilize and/or build capacity to address needs Planning Develop a Comprehensive Strategic Plan Implementation Implement evidence-based prevention programs and activities Evaluation Monitor, evaluate, sustain, and improve or replace those that fail

24. 3. Planning • Multiple strategies in multiple domains • Logical • Data- driven

25. Planning What is a Comprehensive Strategic Plan? • Vision & Mission Statements • Problem Statement • Strategic Goals & Objectives • Outcomes • Logic Models • Evidence-Based Strategies • Action Plan & Timeline • Evaluation Plan

26. Planning Design comprehensive interventions to impact risk and protective factors

27. Planning • Comprehensive strategies include: • - Programs • - Policies • - Practices • Strategies should be evidence-based (from entire body of prevention research) • Federal Model Program List • Peer-reviewed journal with proven effectiveness • Documented effectiveness

28. Planning Logic Model: Logical connection between the problem, the Risk & Protective Factors and Strategies Implemented

29. Planning Activity

30. Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness Assessment Profile population needs, resources, and readiness to address needs and gaps Capacity Mobilize and/or build capacity to address needs Planning Develop a Comprehensive Strategic Plan Implementation Implement evidence-based prevention programs and activities Evaluation Monitor, evaluate, sustain, and improve or replace those that fail

31. 4. ImplementationPutting your plans into practice • Multiple strategies in multiple domains • Fidelity • Staffing

32. Implementation Role of Coalition • Oversight of work • Mutual accountability • Monitoring

33. Strategic Prevention FrameworkSupports Accountability, Capacity, and Effectiveness Assessment Profile population needs, resources, and readiness to address needs and gaps Capacity Mobilize and/or build capacity to address needs Planning Develop a Comprehensive Strategic Plan Implementation Implement evidence-based prevention programs and activities Evaluation Monitor, evaluate, sustain, and improve or replace those that fail

34. 5. Evaluation Monitor progress and impact on selected change indicators • Community is unit of analysis – not the individual • Trends over time • Use evaluation results to realign strategies, as needed

35. Measuring Community Outcomes [1

37. Strategic Prevention Framework

38. Cultural Competence Meets the Needs of the People With Whom You Are Working • Eliminates service & participation disparities • Improves effectiveness & quality of programs, policies and practices

39. Sustainability Sustain outcomes, not programs • Think sustainability from the beginning • Look to community resources to sustain outcomes • Sustain prevention by making it everyone’s job

40. Bringing It Home How can you start doing some of this now, to prepare you for future funding opportunities?

41. Contact Information Aleya Martin amartin@hria.org Health Resources in Action (HRiA) 617-451-0049 x533 95 Berkeley Street Boston, MA 02116 Shari Sprong ssprong@hria.org Health Resources in Action (HRiA) 617-451-0049 x502 95 Berkeley Street Boston, MA 02116

43. Steps Required to Implement the SPF Assessment: • Create and maintain coalitions and partnerships • Assess community needs and resources • Analyze problems and goals • Develop a framework or model of change Capacity: • Increase participation and membership • Build leadership • Enhance cultural competence • Improve organizational management and development

44. Steps Required to Implement the SPF Planning: Develop strategic and action plans Implementation Develop interventions Advocate for change Influence policy development Write grant applications for funding Evaluation Evaluation initiatives Sustain projects and initiatives

45. Measuring Community Outcomes Short Term Outcomes Outputs Inputs Program 1 Community-Based Strategy Intermediate Outcomes Program 2 Long Term Outcomes Program 1 School-Based Strategy Program 2 Program 1 Family-Based Strategy Program 2