Mapping Your Countys System

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Mapping Your Countys System

• Using Strategic Planning to Improve Service
  Delivery

ADAA Management Conference October 13-15, 2004
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Workshop Purpose

• Skill-building workshop
• Designed to help you describe the system of
  services in your jurisdiction critical to
  strategic planning, and
• How to use strategic planning to identify key
  stakeholders, assess needs, develop a
  comprehensive strategic plan, implement the plan,
  and evaluate its success.

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Local Drug and Alcohol Advisory Councils

• Mandated for all 24 political subdivisions
• Membership to include at least 12 state or county
  agencies along with other interested and/or
  knowledgeable persons
• Local health department required to survey all
  federal, state, city, county, fee for service and
  private health insurance dollars spent for
  treatment (ADAA will develop the survey
  instrument)

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Maryland State Drug and Alcohol and Drug Abuse
Council

• The MD State Council is required to
• promote collaboration and coordination by
  State drug and alcohol abuse programs with local
  Drug and Alcohol Abuse Councils.

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Local Council -- Duties

• Submit a summary report to the Governor by Dec 1,
  2004 containing info on
• Member name, title, agency reps and contact info
• Organizational structure and council rules
• Documentation about compliance to Senate Bill
  194, Article 10, and progress toward development
  of the comprehensive plan (due in July 2005)
• Develop a Comprehensive Plan for prevention,
  intervention, and treatment services due by July
  1, 2005 and every two years thereafter
• Provide an implementation progress report to
  ADAA due to ADAA every six months

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The Comprehensive Plan

• Must include
• Strategies and priorities for meeting the
  identified needs of the general public and the
  criminal justice system for alcohol and other
  general drug abuse evaluation, intervention,
  prevention, and treatment services
• Info on priority and target populations
• Mission, principles, goals
• Ability of treatment system to identify and treat
  all persons with co-occurring and substance abuse
  disorders
• Contracts and referral agreements with related
  agencies

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Strategic Planning

• A Framework for a Logic- and Outcome-Oriented
  Strategic Plan

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Strategic Planning Elements

• Community The Constituent elements that have a
  stake in the pursuit
• Strategy Mechanism that allows Goals to be
  pursued
• Budget Mechanism that allows resources to be
  used for the pursuit of goals and objectives
• Evaluation Mechanism that guides the pursuit
  research and evaluation feedback loop provided
  through Performance Measurement

Community (Stakeholders)
Strategy (Comprehensive Plan)
Budget (Implement)
Evaluation (Feedback)
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Community (stakeholders)
Potential Stakeholders
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Terminology

• Vision defines the desired end-state. It is an
  inspirational description of the ultimate goal.
• Mission defines an organizations role or task in
  support of the Vision.
• Goals define the major directives or directions
  in support of the Mission.
• Objectives define major lines of action to
  achieve each strategic goal.
• Targets (performance targets) define desired
  measurable end states/results against which to
  compare actual performance.
• Measures (performance measures) are the data,
  variables and events used to track progress
  toward the Targets.

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Strategy Framework
Programs Policies
Performance Targets Measures
Objectives
Goals
Mission
Vision
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Comprehensive Strategy Start by Developing a
Vision Statement

• Vision Statement
• Explains what you are striving to achieve
• Ultimate end state
• Inspirational
• The big picture

• Examples
• A life for everyone in the community
• A safe and drug free county

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Strategy Framework
Programs Policies
Objectives
A Life for Everyone in the Community Or A Safe
and Drug Free County
Goals
Mission
Vision
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Comprehensive Strategy Develop the Mission
Statement

• Mission Statement
• Defines your local Councils role or purpose in
  relation to the Vision Statement
• Provides a sense of purpose.

• Examples
• To reduce alcohol and drug abuse and its damaging
  consequences
• To reduce crime and substance abuse

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Comprehensive StrategyMission Statements
Programs Policies
To Reduce Substance Abuse and Its Damaging
Consequences Or Improving the quality and
availability of prevention and treatment services
for substance abuse and mental illness
Objectives
Goals
Mission
Vision
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Comprehensive StrategyEstablish Goals
Programs Policies
Goal 1 Educate and empower District of Columbia
residents to live healthy and drug-free
lifestyles. Goal 2 Develop and maintain a
continuum of care that is efficient, effective,
and accessible to individuals needing substance
abuse treatment. Goal 3 Increase the publics
safety and improve treatment access for offenders
to ensure fair and effective administration of
justice in the District. Goal 4 Encourage a
coordinated and focused regional response to the
problem of substance abuse.
Objectives
Goals
Mission
Vision
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Comprehensive StrategyEstablish Objectives

• Goal 1 Educate and empower District of Columbia
  residents to live healthy and drug-free
  lifestyles.
• Objectives.
• Expand prevention activities through the use of a
  broad cross-sector advisory group as well as
  through coalitions and neighborhood organizations
• Increase the effectiveness of prevention
  activities through the development and
  strengthening of a planning, implementation, and
  evaluation infrastructure.
• Increase the utilization of appropriate
  evidence-based prevention programs.
• Utilize evidence-based environmental strategies
  to change individual and community norms

Programs Policies
Objectives
Goals
Mission
Vision
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Comprehensive StrategyEstablish Performance
Targets/Measures
Programs Policies
Performance Targets Measures
Objectives
Goals
Mission
Vision
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Examples of Performance Outcome Targets and
Measures for A Comprehensive Substance Abuse
Strategy
Goal Outcome Categories
For Drug Use
Performance Targets Measures
Addiction Current Use Initiation
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Examples of Performance Outcome Targets and
Measures for A Comprehensive Substance Abuse
Strategy
Goal Outcome Categories
For Drug Use
Performance Targets Measures
Addiction Current Use Initiation
For Consequences
Crime Health
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Examples of Performance Outcome Targets and
Measures for A Comprehensive Substance Abuse
Strategy
Goal Outcome Categories
Performance Targets performance measures
For Drug Use
Performance Targets Measures
Addiction Current Use Initiation
For Consequences
Crime Health
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Examples of Performance Outcome Targets and
Measures for A Comprehensive Substance Abuse
Strategy
Goal Outcome Categories
Performance Targets performance measures
Reduce the of addicted persons of addicts
For Drug Use
Performance Targets Measures
Addiction Current Use Initiation
For Consequences
Crime Health
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Examples of Performance Outcome Targets and
Measures for A Comprehensive Substance Abuse
Strategy
Goal Outcome Categories
Performance Targets performance measures
Reduce the of addicted persons of addicts
For Drug Use
Performance Targets Measures
Reduce prevalence targets may be overall use
(households), youth (usually 12-17), and Young
adults (18-24) using, 30-day basis Reduce
Incidence (first-time use) target is usually
youth (12-17) new users
Addiction Current Use Initiation
For Consequences
Crime Health
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Examples of Performance Outcome Targets and
Measures for A Comprehensive Substance Abuse
Strategy
Goal Outcome Categories
Performance Targets performance measures
Reduce the of addicted persons of addicts
For Drug Use
Performance Targets Measures
Reduce prevalence targets may be overall use
(households), youth (usually 12-17), and Young
adults (18-24) using, 30-day basis Reduce
Incidence (first-time use) target is usually
youth (12-17) new users
Addiction Current Use Initiation
Improve community health or STDs, HIV/AIDS,
Hepatitis, ER activity, Drug-related Deaths
For Consequences
Crime Health
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Examples of Performance Outcome Targets and
Measures for A Comprehensive Substance Abuse
Strategy
Goal Outcome Categories
Performance Targets performance measures
Reduce the of addicted persons of addicts
For Drug Use
Performance Targets Measures
Reduce prevalence targets may be overall use
(households), youth (usually 12-17), and Young
adults (18-24) using, 30-day basis Reduce
Incidence (first-time use) target is usually
youth (12-17) new users
Addiction Current Use Initiation
Improve community health or STDs, HIV/AIDS,
Hepatitis, ER activity, Drug-related Deaths
For Consequences
Reduce drug related crime and violence property
crime rate per 100,000 Employment Status Living
Situation
Crime Health
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Comprehensive StrategyPutting It All Together
Programs Policies
Program Output Increase media Ads by X by
200X
Pursue a vigorous public education media campaign
1. By 200x, increase to 80 the of youth who
perceive the harmful effects of illicit drugs 2.
By 200x, increase to 90 the of youth who
disapprove of drug use 3. By 200x, double the
of anti-drug TV Media Messages
To educate and enable youth to reject substance
abuse
To Reduce Substance Abuse and Its Damaging
Consequences
Reduce youth past month drug use by X by 200X
compared with 2000.
A Safe and Drug Free County
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Exercises

• Skill Building

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Citizens of County XYZ

• You are the stakeholder members of County XYZs
  Local Drug And Alcohol Advisory Council !!!

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Exercise 1

• Assess Needs

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Exercise 2

• Develop a Vision, Mission, and at least ONE Goal
  and supporting Objective for Your Countys
  Comprehensive Plan

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Exercise 3

• Implementation
• (what effective programs do you recommend?
  Resources?)

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Exercise 4

• Feedback/Evaluation (How do you evaluate for
  results?)

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Resources to help you build your system
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Getting Started--Sources

• Getting To Outcomes
• www.rand.org/publications/TR/TR101/
• TA Available
• Free Publication

• Communities that Care
• www.channingbete.com
• TA Services Available

• Rensselaerville Model
• www.rinstitute.org
• TA Srvices Available
• e

• Pathways to Outcomes
• Available by calling 212-237-8620
• TA Available
• Free Publication

• Assets Model
• www.search-institute.org/
• TA Services Available

• CASAT Model
• www.casat.unr.edu
• TA Available
• Free Publication

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Data Sources

• www.mdp.state.md.us/msdc - Maryland State Data
  Center
• www.census.gov U.S. Census
• www.dllr.state.md.us MD Department of Labor,
  Licensing and Regulation
• www.maryland-adaa.org MD ADAA
• http//mdpublichealth.org/vsa/ - MD Vital
  Statistics
• www.marylandpublicschools.org/MSDE - MD
  Department of Education
• www.cesar.umd.edu U of M Center for Substance
  Abuse Research
• http//dhmh.state.md.us MD DHMH (AIDS, TB,
  Hepatitis, STDs, etc.)
• http//store.health.org/catalog/productDetails.asp
  x?ProductID16010
• www.nachc.com National Association of Community
  Health Centers
• MD State Police arrest data Uniform Crime
  Reporting 410-298-3883

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Strategy Examples
Comprehensive Substance Abuse Strategies
http//www.carnevaleassociates.com/rochesterstrate
gy.html
http//www.carnevaleassociates.com/dcstrategy.html

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Contact Us

• John T. Carnevale, Ph.D.
• Carnevale Associates LLC
• 14501 Cervantes Ave.
• Darnestown, MD 20874
• 301-977-3600 (Office)
• 240-447-3970 (cell)
• www.carnevaleassociates.com

• William Rusinko
• Research Director
• ADAA
• 55 Wade Avenue,
• Catonsville, MD 21228
• 410-402-8661
• rusinkow_at_dhmh.state.md.us