Title: Kentucky
1Kentuckys Commonwealth Alliance for Substance
Abuse Prevention (SPF SIG)
Needs and Resource Assessment, Community
Selection, and Strategic Planning
Bob Illback, Margaret Pennington, Ben
Birkby REACH of Louisville
DEPARTMENT OF HEALTH AND HUMAN SERVICESSubstance
Abuse and Mental Health Services
AdministrationCenter for Substance Abuse
Preventionwww.samhsa.gov
2(No Transcript)
3SPF SIG Goals
- Prevent the onset and reduce the progression of
substance abuse, including childhood and underage
drinking - Reduce substance abuse-related problems in
communities - Build prevention capacity and infrastructure at
the State and community levels - SAMHSA envisions the SPF SIGs being implemented
through partnerships between States and
Communities
4Key Principles of the SPF SIG
- Public Health Approach
- Outcomes Based Prevention
- Use Data throughout the process to inform
decisions - Follows a Strategic Planning Process SPF SIG
5Public Health Approach
- The SPF SIG takes a public health approach to
prevent substance related problems. - A public health approach focuses on change for
entire populations (collections of individuals
who have one or more personal or environmental
characteristic in common). - Population-based public health considers an
entire range of factors that determine health.
6Outcomes-Based Prevention
- Effective prevention is grounded in a solid
understanding of alcohol tobacco and other drug
consumption and consequence patterns that need to
be addressed. - Understanding the nature and extent of
consumption (e.g., underage drinking) and
consequences (e.g., motor-vehicle crashes) from
the beginning is critical for determining
prevention priorities and aligning strategies to
address them.
7Infusing Data throughout SPF SIG Decision Making
- SPF SIG strives to use data across all steps of
the Strategic Prevention Framework (SPF). - Deliberate process to collect, analyze,
interpret, and apply lessons from substance use
and consequence data to drive state efforts
across the entire SPF. - Ongoing and integrated data analyses are critical
to - identify problems and set priorities,
- assess and mobilize capacity for using data,
- inform prevention planning and funding decisions,
- guide selection of strategies to address problems
and goals, - monitor key milestones and outcomes and adjust
plans as needed.
8The Strategic Prevention Framework
9Characteristics of the SPF SIG
- Community Level Change Community is Unit of
Analysis - Community Level efforts funded by the SPF SIG
include all five steps of the SPF - Capacity and infrastructure that can be sustained
over time - The SPF focuses on a systematic process, not
just a funding and program implementation
decisions - Dynamic Process requires grantees to ask
questions and use information for decision making
10Data Analysis Committee
11Kentuckys Data Analysis Committee
Dr. Richard Clayton, Professor and Associate
Dean School of Public Health and Center for
Prevention Research University of Kentucky Mr.
Ron Crouch, Director KY State Data
Center University of Louisville Dr. Ellen Hahn,
Associate Professor College of Nursing University
of Kentucky Dr. Robert Illback, Senior
Evaluation Researcher REACH of Louisville Professo
r, Spalding University Dr. Carl Leukefeld,
Professor Director Center on Drug and Alcohol
Research (CDAR) Chair, Department of Behavioral
Sciences University of Kentucky Dr. David
Mathews, Clinical Director Kentucky River
Comprehensive Care Center Dr. Teri Wood Chronic
Disease Epidemiologist Kentucky Department for
Public Health
12Data Analysis Committee Task
- Bring systematic, analytical thinking to the
causes and consequences of the use of substances
in order to effectively and efficiently utilize
prevention resources - Promote data-driven decision making at all stages
in the Strategic Prevention Framework - Promote cross systems planning, implementation,
and monitoring efforts - Provide core support to the SPF Advisory Council
and Strategic Planning Committee
13Community Selection
- Accurately assess substance-abuse related
problems using epidemiological data - Identify the magnitude of the (substance abuse)
problem and where it is greatest - Identify risk and protective factors
- Assess community assets and resources, gaps in
services and capacity, and readiness to act.
14Criteria for Selecting Indicators
- Reflect critical substance use related problem or
consumption pattern - Valid
- Periodic collection
- Consistent measurement
- Available/Limited burden
- Disaggregated geographically, by age, gender
and/or race/ethnicity
15Data Collection
- Identify community-specific indicators of
- Substance use-related consequences
- Illness
- Injury
- Legal
- Problems in living
- Patterns of consumption
- Overall Consumption
- Acute, heavy consumption
- Consumption in risky situations
- Drinking and driving
- Smoking around young children
- Consumption by high risk groups
- Youth, College Students, Older Groups
- Pregnant women
16Focusing Questions
- Which problems have the greatest impact? Where
can we intervene to reduce substance-related
burden? - Are there any unique geographic or subcultural
issues or patterns related to these problems? - What problems are most amenable to change? What
are the potential barriers to change? Is the
community ready for a change effort? Why or why
not? - What efforts are on-going in these areas? What
additional resources do we have (or need)? What
gaps in services or programming are there? - What organizational, fiscal, and leadership
issues are important to be successful? - What problems have the greatest potential for
small wins?
17Strategic Planning Committee
18SPC Membership
- Individuals with statewide perspective,
including - Senior level policy advisors from relevant state
agencies - Senior level researchers
19Primary Tasks
- To develop and obtain consensus on a
Comprehensive Substance Abuse Prevention Plan for
Kentucky, which will include special emphasis on
underage drinking. - To implement and monitor the plan.
20Other Tasks
- Improve information utilization at both state
and community levels. - Establish mechanisms to select community-level
projects based on the empirical evidence
(including the assessment of community readiness)
and sensitivity to multicultural subtleties. - Make decisions about target community selection.
- Conduct in-depth planning with target
communities. - Distribute funds to community projects in
support of evidence-based programs and practices. - Monitor community-level initiatives.
- Track change over time.
21Decision-Oriented Framework for Implementation of
the Strategic Prevention Framework Initiative in
Kentucky
- Schedule of meetings between 9/05 and 1/06
sequenced the following decisions - Determined statewide priorities (5 substances)
- Determined counties of high need
- Determined counties with low resources (3-5
counties per substance) - Determined counties of high readiness (1-2
counties per substance)
(See Handout)
22Priority Concerns
- Other meetings addressed the priority concerns
of - The impact of Culture, Age and Ethnicity on ATOD
use - The need for a shared understanding of what
constitutes an Evidence-based Strategy
23Communities with High Needs and Low Resources
Prospective Target Communities (hot spots) for
SPF SIG Projects
Inhalants Lyon, Monroe, Clay
Methamphetamine Green River, Barren River,
Pennyrile
Tobacco Gallatin, Breathitt, Leslie, Owsley, Perry
Underage Drinking Lyon, Carroll, Owen, Nelson,
Henry
Diverted Prescriptions Leslie, Letcher, Elliott,
Clay, McCreary, Clinton
24Final SPF SIG Target Counties
25Community Support
- Selection has ended support has begun.
- Site visits to begin Steps 1 and 2
- Collaborative involvement in county-level plans
(refine, review, and refine) - Technical assistance with each of the 5 steps