Department of Health and Human Services (DHHS) Substance Abuse

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Department of Health and Human Services
(DHHS)Substance Abuse Mental Health Services
Administration (SAMHSA) Center for
Substance Abuse Prevention (CSAP)
Strategic Prevntion Framework State Incentive
Grant (SPF) Beverly Watts Davis Director, CSAP
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SAMHSAs Strategic Plan
VISION A Life in the Community for Everyone
MISSION Building Resilience and Facilitating
Recovery
ACCOUNTABILITY
CAPACITY
EFFECTIVENESS
Measure and report program performance
Increase service availability
Improve service quality

• Track national trends
• Establish measurements and
• reporting systems
• Develop and promote standards
• to monitor service systems
• Achieve excellence in management
• practices

• Assess resources and needs
• Support service expansion
• Improve services organization
• and financing
• Recruit, educate, and retain workforce
• Create interlocking systems of care
• Promote appropriate assessment and
• referral

• Assess service delivery
• practices
• Identify and promote
• evidence-based approaches
• Implement and evaluate
• innovative services
• Provide workforce training
• and education

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The SAMHSA Matrix3
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The Strategic Prevention Framework(SPF)

• 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.

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Operational Principles

• Must rely on and recognize the important role
  states and communities play in coordinating
  prevention funding, establishing and implementing
  policies, strategic planning for results, and in
  developing infrastructure.
• Must be anchored in the latest knowledge of risk
  and protective factors and promotes science and
  evidence-based practices to enable accountability
  for results.
• Must utilize private sector support and
  solutions.
• Must be comprehensive in that it addresses
  substance abuse through multiple strategies
  across multiple sectors that is sustainable.

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The SPF Structure
The Structure to Support a Prevention Planning
Process
Planning
Capacity
Develop the Prevention Plan (Activities,
Programs, Strategies)
Implementation
Mobilize the Community Build Capacity to
Address Needs
Implement the Prevention Plan
Assessment
Evaluation
Organize the Community to Profile Needs,
Including Community Readiness
Evaluate for Results and Sustainability
Sustainability
Prevention Structure
A C E
SAMHSA Prevention Tools
gtGrants gtContracts gtTools
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SPF SIG Goals

• The SPF SIGs will provide funding to States to
• implement SAMHSAs Strategic Prevention
• Framework in order to
• Prevent the onset and reduce the progression of
  substance abuse, including childhood and underage
  drinking,
• Reduce substance abuse-related problems in
  communities, and
• Build prevention capacity and infrastructure at
  the State and community levels.

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SIG Awards (cont.)

• Approximately 45 million will be available to
  fund up to 20 awards in Fiscal Year (FY) 2004.
• Annual awards are expected to be 3.0 million or
  less per year in total costs (direct and
  indirect).
• Applicants may request a project period of up to
  five years.
• Application Deadline July 2, 2004

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Strategic Prevention Framework Five-Step Process

• Step 1
• Profile population needs, resources, and
  readiness to address the problems and gaps in
  service delivery
• State Role SPF SIG grantees must conduct a
• statewide needs assessment, through collection
• and analysis of epidemiological data.
• Importance of State Epidemiological
• Workgroups
• To complete the statewide assessment, SPF SIG
  grantees will be required to form and manage a
  State Epidemiological Workgroup (or work with an
  existing Epidemiological Workgroup).

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Strategic Prevention FrameworkFive-Step Process

• Step 1 (cont.)
• Community Role Communities must accurately
  assess their substance abuse-related problems
  using epidemiological data provided by the State
  as well as other local data.
• The epidemiological data must identify the
• magnitude of the problem to be addressed,
• where the problem is the greatest, and risk
• and protective factors associated with the
• problem.
• Communities must also assess community
• assets and resources, gaps in services and
• capacity and readiness to act.

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Strategic Prevention Framework Process

• Inclusion of Underage Drinking
• Recent studiesincluding a major undertaking by
  the National Academy of Scienceindicates a
  severe and persistent problem with the use of
  alcohol by children and youth under the age of
  21.
• The Department of Health and Human Services,
  through SAMHSA/CSAP, is committed to bringing
  down the rates of underage drinking and is
  working toward a target of 30 million in FY 2004
  funding for communities to address this problem.
  

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Strategic Prevention Framework Process

• Inclusion of Underage Drinking
• The SPF SIG grant offers an excellent vehicle for
  supporting the goals of this underage drinking
  initiative.
• States must include the prevention of underage
  alcohol consumption as part of their SPF SIG
  project and provide a comprehensive strategy that
  addresses this problem, along with other SPF SIG
  priorities. (This will mean addressing underage
  drinking and other substance abuse.)

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Resources

• Substance Abuse and Mental Health Services
• Administration
• SAMHSA focuses attention, programs, and funding
  on improving the lives of people with or at risk
  for mental and substance abuse disorders.
• http//www.samhsa.gov
•   
• SAMHSA Model Programs
• These programs have prevented or reduced
  substance abuse and other related high-risk
  behaviors and have been reviewed by SAMHSA's
  National Registry of Effective Programs (NREP).
  This site serves as a comprehensive resource for
  anyone interested in learning about and/or
  implementing these programs.
• http//modelprograms.samhsa.gov/  

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Resources

• PrevTech (Prevention Technology)
• Interactive technical support for effective
• prevention programs (in process)
• http//www.prevtech.samhsa.gov
•   
• SAMHSAs National Clearinghouse for Alcohol
• and Drug Information
• National resource for effective substance
  abuseprevention, intervention, and treatment
• policies, programs, and practices.
• http//www.ncadi.samhsa.gov

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Resources

• CSAP's Centers for the Application of Prevention
  Technologies
• In depth prevention training and technical
  assistance resources for communities.
• http//captus.samhsa.gov

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CSAP Grant Programs Resources(www.samhsa.gov)

• State Grants
• State Block Grants
• SPF State Incentive Grants
• Administration of SYNAR Youth Tobacco Use
  Prevention Initiative
• Discretionary Grants
• HIV/AIDS Prevention
• Starting Early Starting Smart
• High Risk Youth
• Family Strengthening
• Mentoring
• Community Initiated Prevention and Intervention
  Partnerships
• Methamphetamine and Ecstasy Initiative
• Substance Abuse Prevention and Treatment Block
  Grant
• Fetal Alcohol Spectrum Disorders Center for
  Excellence
• Workplace Programs
• White House Minority Health Initiatives

• Capacity Building Tools and Resources
• Centers for the Application of Prevention
  Technology (CAPTs)
• Alaskan/Native American Resource Center
• CAPT Evaluation Contract
• National Registry of Effective Programs (NREP)
• Coalition Institute
• National Program Development Initiative
• Materials Development and Support Contract
• Web-Based Outcomes Training
• Web-Based Reporting for States and Communities
• PrevTech
• RADAR Networks
• National Education Programs
• National Clearinghouse for Alcohol, Drug
  Information (NCADI)
• Prevention Online (PREVLINE)
• Too Smart to Start
• Building Blocks (0-6)
• Soy Unica Hispanic Initiative

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CSAP New Grant Programs (HIV/AIDS SA
Prevention)

• Targeted Capacity for Substance Abuse Prevention
  (SAP) and HIV/AIDS Prevention in Minority
  Communities Services Grants
• Five-year grant program that builds on CSAPs
  Minority Substance Abuse and HIV Prevention
  Services and Planning initiatives.
• Minority Educational Institutions Initiative
• 12-month program to enhance and strengthen
  existing HIV/AIDS and SA Prevention services in
  Student Health Centers across Historically Black
  Colleges and Universities (HBCU) and Hispanic
  Association of Colleges and Universities.
• Expansion includes training to implement rapid
  HIV testing, pre/post counseling and referral for
  supportive services to students and their
  partners with a positive HIV test or at risk for
  contracting and spreading HIV/AIDS.
• Planning Grants for HIV/AIDS SA Prevention
  Services to Post-Incarcerated Persons
• 12-month program designed to assist communities
  in planning for the expansion of existing
  HIV/AIDS and SA prevention services for
  previously incarcerated persons who may be at
  high-risk for contracting or spreading HIV/AIDS.

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CSAP New Grant Programs (cont.)

• Strategic Prevention Framework (SPF) State
  Incentive Grant Program
• This five-year initiative will fund the
  establishment of State and community epidemiology
  workgroups to address statewide alcohol, tobacco
  and other illicit drug problems.
• Service To Science Cooperative Agreement
• A five-year cooperative agreement to fund
  selected locally-driven, innovative programs that
  demonstrate and document defensible evidence of
  effectiveness for prevention whereby increasing
  the number of program recognized by NREP.
• Center For Excellence on Sustainability
• This Center will provide technical assistance to
  grantees on how to sustain their prevention and
  treatment efforts.

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