Tennessee SPFSIG Needs Assessment

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Tennessee SPF-SIG Needs Assessment
Goals/Objectives
Nashville, TN June 8, 2006
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Tennessee SPF-SIG Vision

• Provide the framework/resources for state
  government and communities to
• effectively partner
• target scarce resources
• build capacity
• reduce substance use/abuse related problems
  among 12-24 year-olds
• Tennessee SPF-SIG Model at a Glance

Decreased Use/Abuse of AOD among 12-24 Year-Olds
Evidence-Based Decision Making
Increased Stakeholder Readiness Infrastructure
Capacity
Decreased AOD-Related Problems among 12-24
Year-Olds
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Needs Assessment Questions

• What substance use/abuse problems (or consumption
  consequence problems) should be the focus of
  the SPF-SIG?
• What substance use-/abuse-related problems should
  be the focus of the SPF-SIG?
• What readiness and infrastructure capacity areas
  should be targeted by the SPF-SIG?
• Based on the standing of Tennessee communities
  with respect to need (1 2) readiness/infrastru
  cture capacity for SAP (3), what communities
  should be selected to receive funding?

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Q1 Methods

• Focused only on AOD substances that met one of
  the following conditions
• Tennessee had higher incidence proportions for
  AOD consumption or consequences relative to the
  US
• incidence proportions were substantially
  increasing for AOD consumption or consequences
• This limited the possible universe of AOD
  problems to 6 substances
• Alcohol
• Marijuana
• Methamphetamines
• Inhalants
• Steroids
• Cocaine/Crack (did not meet these criteria, but
  was of interest to Advisory Counsel)
• Archival data sets identified to examine
  consumption and consequences
• -Tennessee Middle School Health Survey -Youth
  Risk Beh. Surveillance System
• -National Survey on Drug Use Health
  -Treatment Episode Data Set
• -Behavioral Risk Factor Surveillance
  System -Fatality Analysis Reporting System
• -National Clandestine Laboratory Database -Death
  from Alcohol-Related Cirrhosis
• -Death from Abuse/Dependence

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Q1 AOD Consumption ConsequencesEpidemiological
Profile

• TN has lower consumption of alcohol relative to
  the US, but TN pays heavier consequences for
  alcohol use
• Among adolescents young adults, TN tends to
  have more illicit substance use relative to the
  US.
• There is a general trend for substance use to be
  decreasing in both TN and the US

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Q2 Methods

• Three types of data were examined
• Frequencies of problems typically associated with
  AOD use/abuse
• Correlations between problem data at the county
  level and AOD use data at the county level
• Frequencies of problems only caused by AOD use
  (e.g., FARS data on fatalities caused by drinking
  drivers)
• Several Potential Problems were Examined Further
• Low School Connectedness
• School Dropout
• Impaired Driving
• Crime
• Immigrant Access to Treatment
• AOD Abuse by Seniors (65)

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Q2 AOD-Related Problems

• Based on the available data and the known
  severity of some of these problems, the following
  appear to be statewide problems, possibly in need
  of attention
• school dropout
• low school connectedness (e.g., suspensions)
• risky sexual behavior
• drinking and driving
• alcohol use by seniors

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Q3 Methods

• A systematic review of the literature (Johnson,
  Hays, Center, Daley, 2004) presents 7 factors
  that can inhibit/ enhance building and sustaining
  prevention infrastructure
• Stakeholder Readiness
• Structures Formal Linkages
• Resources
• Champions
• Policies Procedures
• Planning/Evaluation/Implementation/ Reporting
• Expertise
• In-person interviews were conducted with 18
  state-level personnel to assess these factors
  within the state prevention system
• 541 community (county) prevention key informants
  interviewed (avg. of 6 per county)

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Q3 Readiness Infrastructure Capacity
Community Systems State System

• Readiness and Expertise are only in need of some
  improvement however, most other areas are in
  need of much improvement.
• Not surprisingly, the top 30 counties selected
  for funding have somewhat higher infrastructure
  capacity scores than the state as a whole.

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Overview of TN SPF-SIG Goals/Objectives

• Based on the previously presented data, the
  following were approved as the goals objectives
  for the TN SPF-SIG

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Selection of Community Partners Methods

• A selection score (average) was created for each
  county that favored the following criteria (i.e.,
  yielded a higher selection score)
• High AOD consequences for alcohol, marijuana,
  methamphetamines, cocaine/crack
• High AOD consumption for alcohol, marijuana,
  methamphetamines, cocaine/crack
• Perceptions of alcohol, marijuana,
  methamphetamines, cocaine/crack problems by
  county key informants
• High Readiness/Infrastructure Capacity to
  implement SAP
• Coalition presence in each county

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Selection of Community Partners Results
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Selection of Community Partners Results (cont.)
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Selection of Community Partners Total Selection
Score Map Counties Selected
Counties with higher selection scores have a
higher need and more infrastructure capacity to
effectively implement SAP.
Thus, the 30 highest scoring counties will
receive priority for funding, but if unable to
participate, the next 15 highest scoring counties
will be invited in turn
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Next Steps Evaluation

• Design
• Intervention Group (15 counties) Receives
  funding first 2.5 years (of 4 years) of project
• Comparison Group (15 counties) Only receives
  funding last 1.5 years (of 4 years) of project
• Data collection at years one (2006) and three
  (2009)
• Questionnaires
• State Community Infrastructure Capacity
• Youth Sample (6th, 8th, 10th, 12th grades)
• Young Adult Sample (College Students)

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QUESTIONS COMMENTS?
Thanks for your time today.