maryland strategic prevention framework (mspf) core essentials training 1
TRANSCRIPT
Maryland Strategic Prevention Framework
(MSPF)Core Essentials Training
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• 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
Training Objectives
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Training AgendaI. Welcome
II. Introductions
III. Overview: The Big Picture
IV. Community Problem Solving
V. Logic Model
VI. Interventions
VII. MSPF Strategic Planning
VIII.Wrap-up3
The “BIG PICTURE”
Community-Level Change
Evidence-Based Strategies
Role of the Coalition
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Public Health Approach to Prevention
Host Agent Agent
EnvironmentEnvironment
Community Coalitions
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Strategies Targeting Individuals
Socialize, Instruct, Guide, Counsel
Family School
Health Care
Providers
INDIVIDUALS
Faith Community
Strategies Targeting the Community
EnvironmentSupport, Enhance
Resources
RegulationsNorms
Systems
ENTIRE COMMUNITY
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Underage Drinking•Rigorous enforcement of alcohol laws
•Compliance checks• Community mobilization to
address underage-drinking tolerance
• Normative education emphasizing that most adolescents don’t use ATOD
Evidence Based Strategies, Programs, Policies & Practices Alcohol Crashes
• Rigorous enforcement of drinking and driving laws
• Awareness regarding increased risk of being caught and punished
• Enforcement campaigns with sobriety check points
• Court watch activities • Community wide media
campaigns about increased enforcement efforts
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Binge Drinking• Rigorous enforcement of
underage drinking party, keg registration and social host laws
• Alcohol excise taxes to reduce economic availability
• Responsible beverage server training
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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)
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Impact a Defined Community
Engage All Sectors of the Community
Address conditions & settings in the
community identified by the data
Promote Comprehensive
Strategies
Achieve Positive Outcomes
Role of the Coalition in Achieving Community-level
Change
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Difference Between Coalitions and ProgramsCoalitions Programs
ScaleCoalitions measure success by examining community-level indicators. This applies to all coalition outcomes (short & long- term).
Programs measure change in individuals who have been directly affected by the intervention(s).
Addresses multiple causesCoalitions seek to ensure that all causes of identified problems are addressed
Programs are more focused on single strategies, e.g., parenting classes or peer mentoring.
ActorsCoalition activities are diffused and taken by all members with staff playing a coordinating or supporting role.
Program staff lead the process and are responsible for implementing interventions.
Workbook Page 44
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Coalition Sharing
The “BIG PICTURE”1. How has the “BIG PICTURE” been shared
with your coalition?
2. What challenges / successes have you had in communicating the “BIG PICTURE” to your coalition?
3. As a table, identify one “lesson learned” that will help others communicate the “BIG PICTURE”
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Strategic Prevention Framework
Community Problem Solving
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Best Processes1 for Implementing the Strategic Prevention Framework
8. Developing and Using Strategic
and Action Plans
6. Arranging Resources forCommunity Mobilization
5. Developing Leadership
4. Assuring Technical Assistance
12. Documenting Progress andUsing Feedback
11. Making Outcomes Matter
10. Sustaining the Work
A. Assessment
B. Capacity
D. Implementation C. Planning
E. Evaluation
7. Developing a framework or model of change
1Best processes identified through a literature review conducted by Dr. Renee Boothroyd, University of Kansas – used with permission.
9. Implementing Effective Interventions
3. Defining Organizational Structure
and Operating Mechanisms
1. Analyzing Information About the Problem, Goals and
Factors Affecting Them.
2. Establishing Vision and Mission.
Workbook Page
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• 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
Priorities
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Priorities
CountyUnderage Drinking
Binge Drinking
Alcohol Related Crashes
Baltimore City
Frederick County
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READY
SHOOT
AIM
Problem
Analysis
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But Why?
Priority
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Priority
But Why?1
But Why?2
But Why?3
But Why?4
Intervening Variables
(Root Causes)
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• Retail availability/access to alcohol • Social availability/access to alcohol• Level of enforcement and adjudication of alcohol laws
• Social norms (perception of peer behavior)• Low perceived risks of alcohol use - youth• Pricing of alcohol• Promotion of alcohol
Intervening Variables
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But Why?
Priority
But Why Here?
Intervening VariablesContributing
Factors (Local
Conditions)
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Problem Analysis
Criteria for good “But, why here?” Contributing Factors (Local Conditions)
1. Specific (not another risk factor)2. Identifiable3. Actionable
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1. Clearly stating the priority (Problem statement).
2. Identifying the Intervening Variables
3. Identifying why these intervening variables exist in your community (i.e. Contributing Factors)
2.6
Logic Model
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PriorityBut Why? But Why Here?
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When should Intervening Variables & Contributing Factors make it to your logic model?
Should be driven by:• Data from your community• Current events or political opportunities for
change• Community expectations or demands
Logic Model
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Priority But Why? But Why Here?
Underage Drinking
Promotion(Marketing)
Store windows on Main Street are covered with
alcohol ads.
Alcohol industry sponsors main three community events.
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Two Ways to Critique Your Logic Model1. Line Logic
• Is there a credible connection between each element? (science, community experience, logic?)
2. Completeness Check• Are all the pieces present?• Are there any missing intervening
variables or important contributing factors?
Logic Model
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Seven behavior change strategies:
1.Provide Information
2.Build Skills
3.Provide Support
4.Enhance Access / Reduce Barriers
5.Change Incentives / Disincentives
6.Change the Physical Design of the Environment
7.Change Policies or Regulations
Developing Interventions
Workbook Page 43
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Store windows on Main Street
are covered with alcohol ads
Alcohol industry sponsors three
community events
Intervention/Action
Leaflets
Training
L. E. Partnership
Recognition
Alternative Ads
Sign Removal
City Ordinance
Promotion
Underage Drinking
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1. Provide Information: Presentations, workshops, brochures, billboards, social norms campaigns, town hall meetings, Web-based communications, etc.
2. 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
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4. Changing Access/BarriersAccess:
- 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
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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
5. Changing Consequences (Incentives/ Disincentives)
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6. Physical Design
- Lighting in parks- Signage - Alcohol Outlet Density/Proximity- Advertising (Restrictions)- Product Placement- Packaging
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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
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ExampleContributing Factor: Emphasis and availability of
alcohol at the local festivals/fairs.1. Provide Information—Educate event organizers
about the issue
2. Build Skills—Train event staff to check and monitor IDs - free
3. Provide Support—Identify non-alcohol sponsors for events
4. Access / Barriers—Establish ID bracelet system for access
5. Incentives / Disincentives—Paid advertising for events
6. Physical Design—Roped-off beer garden away from center
7. Policies or Regulations—Change alcohol serving policy at public events
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Environmental Strategies can:• Reach entire populations• Impact the overall environment• Create lasting change in community norms
and systems• Produce “quick wins”• Instill commitment toward long-term impact
Evidence Based Strategies, Programs, Policies & Practices
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Evidence Based Strategies, Programs, Policies & Practices
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Goodness of FitWill the Strategy change the Contributing Factor?
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Coalitions must think comprehensively
even if they cannot act comprehensively.
Grantors do not fund the greatest need, they
fund an opportunity to make a difference.
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Strategic Planning
Community Assessment
Logic
ModelComprehensive
Strategies
Community-level Outcomes
Goal
Reduce substance
abuse among youth
Short-Term Objectives
Decrease retail outlets selling alcohol to minors as measured by compliance check results
by 25% by 2011.
Intermediate Objectives
Increase “youth perception of harm from alcohol use” by 25% as measured by the
ABC Youth survey by 2011.
Long-term Objectives
Decrease underage drinking in ABC County by 5% as measured by the ABC Youth survey by
2014.
Evaluation44
Contributing Factor
“But, why here?”
Information
Build Skills
Provide Support
Reward / Consequence
Access / Barriers
Policy Change
Physical ChangeIntervening Variable
“But why?”
Priority
Intervention/Action
- Data 1 & Source
- Data 2 & Source
Information
Build Skills
Provide Support
Reward / Consequence
Access / Barriers
Policy Change
Physical Change
Intervention/Action
Information
Build Skills
Provide Support
Reward / Consequence
Access / Barriers
Policy Change
Physical Change
Intervention/Action
- Data 1 & Source
- Data 2 & Source
- Data 1 & Source
- Data 2 & Source
- Data 1 & Source
- Data 2 & Source
- Data 1 & Source
- Data 2 & Source
- Data 1 & Source
- Data 2 & Source
Long-Term Objectives(3-10 years)
Intermediate Objectives(1-4 years)
Short-Term Objectives(6-24 months)
Strategic Planning
Intervening Variable
“But why?”
Contributing Factor
“But, why here?”
Contributing Factor
“But, why here?”
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Coalition Objectives• What will be changed? • By when?• By how much? • Baseline?• How will it be measured?
Example: Long-term Objective (Priority)Decrease underage drinking by 10% as measured by the
ABC Youth survey (reported 30-day use) by 2013.Baseline 2011: 34% of 8-12 graders report “use of alcohol within the last 30 days of the survey”Target 2017: 30% of 8-12 graders report “use of alcohol within the last 30 days of the survey”
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Coalition Objectives• What will be changed? • By when?• By how much? • Baseline?• How will it be measured?
Example: Intermediate Objective (Intervening Variable)Decrease perceived availability of alcohol by 25% as
measured by the ABC Youth survey by 2014.Baseline 2011: 50% of 8-12 graders report “alcohol is easy or very easy to get”Target 2014: 37.5% of 8-12 graders report “alcohol is easy or very easy to get”
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Coalition Objectives• What will be changed? • By when?• By how much? • Baseline?• How will it be measured?
Example: Short-term Objective (Contributing Factor)Decrease in retailers selling alcohol to minors as
measured by the retailer compliance checks by 2014.Baseline 2011: 55% of retailers passed compliance checksTarget 2013: 100% of retailers passed compliance checks
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Coalition ObjectivesPriority: Underage Drinking
Long-term Objective:
Measure: 30-day use of alcohol reported by 10th graders on ABC Youth Survey
Baseline 2010: 36% Target 2016: _____%
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Coalition ObjectivesIntervening Variable: Availability of Alcohol
Intermediate-term Objective:
Measure: Perceived availability of alcohol “reported as very easy to get” by 10th graders on the ABC Youth
Survey
Baseline 2010: 52% Target 2013: _____%
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Coalition ObjectivesContributing Factor: Retailers selling alcohol to minors
Short-term Objective:
Measure: Failed compliance checks by retailers reported by Alcohol Beverage Control.
Baseline 2010: 35% of retailers failed their compliance checks
Target 2012: _____% of retailers failed their compliance checks 51
How Behavior Change Happens
IF…We increase awareness about risks
associated with social hosting
THEN…Parents will
become concerned
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IF…Parents become
concerned
THEN…They won’t host parties for their
kids
IF…Parents don’t
host
THEN…Youth will have reduced social
access to alcohol
IF…There is
reduced youth social access to
alcoholTHEN…
Youth won’t binge drink as
much
Your logic model should be informed by series of “if-then” relationships that indicate your program’s theory of how change will occur.
Building Coalition Capacity (Form)
Building coalition capacity includes addressing:
• Coalition Membership• Coalition
Organization/ Structure
• Leadership • Cultural Competence 56
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1. Assess your coalition’s capacity
2. Develop a data driven logic model
3. Write SMART objectives
4. Select strategies that best fit your contributing factors
Wrap-up
ResourcesCADCA – Community Anti-Drug Coalitions of
America: www.cadca.org
MSPF Website:http://adaa.dhmh.maryland.gov/mspf/SitePages/Home.aspx
MSPF Help & Technical Assistance – Contact:Nicole Sealfon Adam [email protected]
[email protected] 410.706.0178 410.706.7614
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