SAMHSAs Strategic Prevention Framework

1
SAMHSAs Strategic Prevention Framework

2
SAMHSAs Strategic Plan
VISION A Life in the Community for Everyone
MISSION Building Resilience and Facilitating
Recovery
ACEthe basis of SAMHSA programs
ACCOUNTABILITY
CAPACITY
EFFECTIVENESS
3
The Role of Prevention

• To create communities in which people have a
  quality life
• healthy environments at work in school
• supportive communities and neighborhoods
• connected to families and friends
• ATOD and crime free

4
Substance Abuse is LOCAL

• The federal government and states should
  implement systems to support communities in
  reducing substance abuse and related problems.
• Every community needs a comprehensive community
  wide plan---the community is the unit of analysis.

5
State Prevention Systems and the Single State
Authority
A servantleadership role positioned to support
the growth of community prevention systems by

• Creating and participating in a State prevention
  system (which includes Governors office,
  legislature, other agencies)
• Providing resources, capacity building, and tools
  necessary for communities to achieve targeted
  community change

State success is dependent on community success!
6
State Prevention System

• Prevention System Leadership Groupbrings
  together the top-level decision makers across
  agencies and the Governors office to provide
  direction
• Workgroupsbring together agency-specific staff
  involved in each area for common development and
  alignment of system functions

7
State Prevention System (continued)

• Workgroups
• Epidemiology Workgroupcollects and distributes
  appropriate data
• Capacity Workgroupidentifies skills and
  processes needed to do comprehensive planning
  (community training and TA)
• Strategies Workgroupidentifies evidence-based
  policies, practices, and programs that make sense
  for communities

8
Community Prevention Systems

• Bring the power of individual citizens and
  institutions together
• Create a comprehensive plan that everyone in the
  community has a stake in and owns
• Foster continued systems approaches as the
  community experiences the outcomes of its
  investments
• Hold community institutions accountable

9
Focus for States and Communities

• Consumption and consequences (prevent the problem
  associated with use)
• Across the lifespan (not just youth)
• Based on evidence-based research and empirical
  data
• Outcomes measured at the population level (not
  just program level)

If we prevent use, we prevent the problem!!
10
Strategic Prevention Framework

• Community development
• Strategic planning
• The change process at the State and community
  level

11
Key Principles of the SPF

• Public Health Approach
• Follows a Strategic Planning Process Use Data
  throughout the process to inform decisions
• Outcomes Based Prevention

12
Public Health Approach

• A public health approach focuses on change for
  entire populations/communities
• Population-based public health considers an
  entire range of factors that determine health.

13
Outcomes-based prevention

• Effective prevention is grounded in a solid
  understanding of alcohol tobacco and other drug
  consumption and consequence patterns.
• Documenting the nature and extent of consumption
  (e.g., underage drinking) and consequences
  (motor-vehicle crashes) at the start is critical
  for determining intervening variables and
  aligning strategies to address them.

14
Outcomes-Based Prevention
Substance abuse related problems
Intervening Variables
Programs, Policies Practices
Planning, Monitoring, Evaluation and Replanning
15
SAMHSAs Strategic Prevention Framework Steps
Assessment
Evaluation
Capacity
Planning
Implementation
16
The SPF and Cultural Competence

• Why cultural competence?
• To eliminate service and participation
  disparities for people of diverse racial, ethnic,
  and linguistic populations, as well as,
  consideration of gender, disabilities, and sexual
  orientation.
• To improve the effectiveness and the quality of
  the programs, policies and practices chosen to
  achieve, outcomes in targeted populations.

17
The SPF and Cultural Competence

• To add to the body of knowledge, awareness and
  skill in the design, implementation, and delivery
  of prevention programs, policies, and practices.
• To promote the philosophy that an effective
  program is a culturally competent program across
  the board, i.e., agency, policies, staff, and
  programs/practices.

18
Sustainability

• Sustaining outcomes, not programs
• Think sustainability from the beginning
• Look to the system to sustain outcomes
• Sustain prevention by making it everyones job!

19
The Strategic Prevention Framework

• Prevention is a Continuum Prevention extends
  from deterring diseases and behaviors that
  contribute to them to slowing the onset and
  severity of illnesses when they do arise.
• Prevention is Prevention is Prevention The
  mechanisms of prevention are the same whether the
  target is on changing social, environmental or
  biological factors for many diseases.
• Successful Prevention Decreases Risk Factors and
  Enhances Protective Factors The same risk
  factors affect many health issues from
  depression and substance use to heart disease and
  diabetes. Other factors can protect against
  these health problems. The goal to reduce risk
  factors and enhance protective factors that can
  compromise health.
• Prevention Requires Adoption of Known Effective
  Prevention Practices Within a Framework That
  Works Research and experience have produced
  highly effective prevention programs to reduce
  risk factors and promote protective factors.
• Systems of Prevention Services Work Better Than
  Service Silos The best prevention results from
  partnerships without collaboration, even the
  best prevention efforts will not leverage
  collective resources and can miss achieving their
  potential.
• Common Data Sets Across Service Systems Can Help
  Asses Prevention Efficacy and Promote
  Accountability Solid evaluation can help assess
  programs effectiveness and the value of
  engagement across service systems.
• Recognizes the importance of States and
  communities- Coordinating funding and developing
  infrastructure.
• Comprehensively address Substance Abuse - Through
  multiple strategies across multiple sectors with
  both the public and private sector resources.