The Vermont Strategic Prevention Framework (SPF) The Vermont Strategic Prevention Framework (SPF) Learning Community Training Series Learning Community Training Series

Implementing the Strategic Implementing the Strategic Prevention FrameworkPrevention Framework

in Vermont: in Vermont: Overview and PrimerOverview and Primer

December 11-12, 2007December 11-12, 2007

Vermont College CampusVermont College CampusMontpelier, VermontMontpelier, Vermont

This Training Series is presented byThis Training Series is presented by::

The Center for Health and LearningThe Center for Health and LearningBrattleboro, Vermont Brattleboro, Vermont under funding fromunder funding from

The Vermont Department of Health Office of The Vermont Department of Health Office of Alcohol and Drug Abuse ProgramsAlcohol and Drug Abuse Programs

Presenters:Presenters:

Katy Cahill, Ph.D.: Pacific Institute for Research an Evaluation Katy Cahill, Ph.D.: Pacific Institute for Research an Evaluation

(PIRE) (PIRE)

Matt Myers: Matt Myers: Northeast Center for the Application of Technology Northeast Center for the Application of Technology

(NECAPT) Associate (NECAPT) Associate

Carol Oliver:Carol Oliver: NECAPT Associate NECAPT Associate

DodiDodi Swope: Swope: NECAPT AssociateNECAPT Associate

JoEllen Tarallo-Falk, Ed.D.: JoEllen Tarallo-Falk, Ed.D.: Executive Director,CHL, NECAPT Executive Director,CHL, NECAPT

AssociateAssociate

Spirit of the DaySpirit of the Day

Maximum interaction and learning Maximum interaction and learning opportunities for participantsopportunities for participants

The opportunity to learn in the context of your The opportunity to learn in the context of your own prevention experience own prevention experience

The chance to build upon what participants The chance to build upon what participants have been already doing in the fieldhave been already doing in the field

Learning ObjectivesLearning Objectives

Participants will be able to: Participants will be able to: Articulate the key principles of the SPF modelArticulate the key principles of the SPF model Articulate one action a coalition can take to ensure Articulate one action a coalition can take to ensure

culture competence is woven inculture competence is woven in List two distinct differences between prevention List two distinct differences between prevention

planning in the past and the SPF prevention planning planning in the past and the SPF prevention planning model model

Distinguish between the state and community roles Distinguish between the state and community roles within the SPF processwithin the SPF process

Articulate the Vermont priorities and the decision- Articulate the Vermont priorities and the decision- making process that went into their selectionmaking process that went into their selection

Define the components of the CSAP generic logic Define the components of the CSAP generic logic model and will be able to apply them to Vermont’s model and will be able to apply them to Vermont’s prioritiespriorities

Learning Objectives, continuedLearning Objectives, continued

Practice process for assessing Vermont’s selected Practice process for assessing Vermont’s selected priorities locallypriorities locally

Consider risk and protective factors and underlying Consider risk and protective factors and underlying conditions related to Vermont’s priority problemconditions related to Vermont’s priority problem

Define capacity building as it relates to the SPFDefine capacity building as it relates to the SPF Examine the community capacity resources and Examine the community capacity resources and

readiness tools to be used locallyreadiness tools to be used locally

Pair share:Pair share: (Handout 1)(Handout 1) (New Instructions Below) (New Instructions Below)Look over the learning objectives with a neighborLook over the learning objectives with a neighborIdentify one that you feel you have not yet achieved but hope to Identify one that you feel you have not yet achieved but hope to before leaving todaybefore leaving today

Day 2 AgendaDay 2 Agenda

Inside the Racetrack: Cultural Competence and Inside the Racetrack: Cultural Competence and SustainabilitySustainability Cultural Competence and the SPFCultural Competence and the SPF The Three Keys to SustainabilityThe Three Keys to Sustainability

Assessing Capacity: Resources and ReadinessAssessing Capacity: Resources and Readiness Stages of Community ReadinessStages of Community Readiness Tools for Community AssessmentTools for Community Assessment

Using Capacity Assessment to Mobilize Using Capacity Assessment to Mobilize CommunitiesCommunities Partnership DevelopmentPartnership Development Cultural Competence RevisitedCultural Competence Revisited

SAMHSA’s SAMHSA’s Strategic Prevention Strategic Prevention

Framework StepsFramework Steps

Sustainability & Cultural Competence

Assessment

Capacity

PlanningImplementation

Evaluation

Cultural CompetenceCultural Competence

DefinitionDefinition

Respect for differences among cultural groups, Respect for differences among cultural groups, continuous self-assessment, expansion of cultural continuous self-assessment, expansion of cultural knowledge and attention to the dynamics of knowledge and attention to the dynamics of differencedifference..

OperationallyOperationally

•Individual levelIndividual level

•Organizational levelOrganizational level

Sample Elements of CultureSample Elements of Culture

Ceremony Ceremony Communication forms Communication forms Ethics Ethics Formality versus informality Formality versus informality Gender roles Gender roles Generational interrelationships and kinship patterns Generational interrelationships and kinship patterns Health and medicineHealth and medicine Individual orientation versus group orientation Individual orientation versus group orientation Language and linguistics Language and linguistics Relationship focus versus goal focus Relationship focus versus goal focus Individual orientation versus group orientationIndividual orientation versus group orientation

Culture ActivityCulture Activity

• Draw Draw a picture, diagram, or symbol representing a picture, diagram, or symbol representing you, ethno-culturally, in relation to health and you, ethno-culturally, in relation to health and wellnesswellness

• List List what causes illness in your culture(s)what causes illness in your culture(s)• Describe Describe how people stay healthyhow people stay healthy• ListList who are considered the healers who are considered the healers

or health care providers in your culture(s)or health care providers in your culture(s)• ShareShare with your table with your table

Table Activity Table Activity (Handout 13)(Handout 13)

Cultural CompetenceCultural Competence• Understand your own cultural background.Understand your own cultural background. Learn about the cultures represented in your communityLearn about the cultures represented in your community Experience other culturesExperience other cultures Culturally tailor prevention process, methods, materials, Culturally tailor prevention process, methods, materials,

programs, practicesprograms, practices Deliver substance abuse prevention services within a Deliver substance abuse prevention services within a

cultural frameworkcultural framework

Cultural competence is about attitude, knowledge, and Cultural competence is about attitude, knowledge, and skillsskills

Cultural Competence Principles Cultural Competence Principles of the SPFof the SPF

Ensure community involvement in all areas.Ensure community involvement in all areas. Use population-based definition of community Use population-based definition of community

(let community define itself).(let community define itself). Stress the importance of relevant, culturally appropriate Stress the importance of relevant, culturally appropriate

approaches.approaches. Support the development of culturally specific services.Support the development of culturally specific services. Employ culturally competent evaluators.Employ culturally competent evaluators. Promote organizational cultural competence staff and Promote organizational cultural competence staff and

ensure that they reflect the community they serve.ensure that they reflect the community they serve. Include the target population in each step of the SPF Include the target population in each step of the SPF

process.process.

SustainabilitySustainability

The ability of states and communities to continually The ability of states and communities to continually apply the SPF process over time to reduce alcohol apply the SPF process over time to reduce alcohol

and other drug-related problems and their and other drug-related problems and their associated consumption patterns.associated consumption patterns.

Keys to SustainabilityKeys to Sustainability Ensure EffectivenessEnsure Effectiveness

Strategies are aligned with problem and have sufficient Strategies are aligned with problem and have sufficient reach. Logic Model Development, Quality of Implementationreach. Logic Model Development, Quality of Implementation

Develop Community Support ContinuallyDevelop Community Support Continually Encourage community ownership through positive Encourage community ownership through positive

relationship building. Develop system and community relationship building. Develop system and community leaders and championsleaders and champions

Develop Organizational CapacityDevelop Organizational Capacity Support strong administrative structure. Formalize linkages Support strong administrative structure. Formalize linkages

with key partners. Think about access to resources and with key partners. Think about access to resources and expertiseexpertise

Strategies for Promoting SustainabilityStrategies for Promoting Sustainability

Think about sustainability from the beginningThink about sustainability from the beginning Build ownership among stakeholdersBuild ownership among stakeholders Track and tout outcomesTrack and tout outcomes Identify program championsIdentify program champions Invest in capacityInvest in capacity Identify diverse resourcesIdentify diverse resources

What is Capacity?What is Capacity?

What is Capacity?What is Capacity?

Various types and levels of Various types and levels of resourcesresources within the within the community and within an organization, such as a community and within an organization, such as a coalitioncoalition

The community’s level of The community’s level of readinessreadiness to engage to engage in and support prevention efforts.in and support prevention efforts.

Capacity = Resource + ReadinessCapacity = Resource + Readiness

Community ResourcesCommunity Resources Community effortsCommunity efforts Community knowledge of those efforts Community knowledge of those efforts Knowledge about the issues Knowledge about the issues Knowledge about prevention research, theory and Knowledge about prevention research, theory and

practicepractice People, financial resources, organizational structuresPeople, financial resources, organizational structures Knowledge of and practical experience working with sub-Knowledge of and practical experience working with sub-

populations populations Cultural ResourcesCultural Resources

Non-institutional support systemsNon-institutional support systems Key politicsKey politics

Triad ActivityTriad Activity

What is Community What is Community Readiness?Readiness?

The community’s awareness of, interest in, The community’s awareness of, interest in, and ability and willingness to support and ability and willingness to support substance abuse prevention initiativessubstance abuse prevention initiatives

Source: Achieving Outcomes, August 2002 SAMHSA

Stages of Community Readiness

1.Community Tolerance2.Denial 3.Vague Awareness4.Pre-planning 5.Preparation 6.Initiation7.Institutionalization8.Confirmation & Expansion9.Professionalization

—Edwards et al (2000) (Handout 14 reference)

Resources and Readiness Resources and Readiness Case StudyCase Study

In your Learning Community Groups:In your Learning Community Groups: Pick Hilltown or Dexter to use as your case Pick Hilltown or Dexter to use as your case

studystudy Read the case study and work together to fill in Read the case study and work together to fill in

the resources and readiness matrixthe resources and readiness matrix Discuss how you would rate the capacity of your Discuss how you would rate the capacity of your

community to engage in prevention planning?community to engage in prevention planning?

Learning Community Task Learning Community Task (Handout 15)(Handout 15)

Assessing Capacity:Assessing Capacity:Evaluators PresentationEvaluators Presentation

Using the ToolsUsing the Tools

In your Learning Community Groups, ask:In your Learning Community Groups, ask: How will you use these tools to assess How will you use these tools to assess

capacity?capacity? What challenges do you anticipate?What challenges do you anticipate? How might we work together to support our How might we work together to support our

efforts?efforts?

Learning Community Task Learning Community Task (Handout 16: A future reference for building an (Handout 16: A future reference for building an assessment team)assessment team)

Lunch BreakLunch BreakParticipants Write Participants Write

Down Their Down Their

Questions To-DateQuestions To-Date

Stop the Music!Stop the Music!

Why Assess Capacities?Why Assess Capacities?

To help make a realistic match between the To help make a realistic match between the needs identified and the resources necessary needs identified and the resources necessary to address them.to address them.

To reveal strengths and shortfalls in key To reveal strengths and shortfalls in key resource categories such as people, funding, resource categories such as people, funding, people working together.people working together.

To provide an opportunity to address any To provide an opportunity to address any shortfalls in advance.shortfalls in advance.

To provide an understanding of the key To provide an understanding of the key elements of culture that will influence planning, elements of culture that will influence planning, program selection and program adaptation.program selection and program adaptation.

The Spectrum of Organizational Readiness The Spectrum of Organizational Readiness to Engage in the SPF Planning Processto Engage in the SPF Planning Process

Forming new coalition or planning group

Early stage coalition

Identified mission

Membership

Coalition with experience

Membership

Outcomes

Structure

Advanced Coalition

Multiple funding sources

Leadership

Multiple strategies

Diverse membership

New and AdvancedNew and AdvancedCoalition FocusCoalition Focus

Forming new coalition or planning groupForming new coalition or planning group Membership developmentMembership development Buy-in to projectBuy-in to project Initial coalition development i.e. mission, vision, group roles, Initial coalition development i.e. mission, vision, group roles,

structurestructure Emphasis on community buy-in and organizational developmentEmphasis on community buy-in and organizational development

Advanced coalitionAdvanced coalition Aligning project to groups missionAligning project to groups mission Harnessing resources of the groupHarnessing resources of the group Identifying key stakeholders that are missing Identifying key stakeholders that are missing Placing emphasis on needs assessment process and planningPlacing emphasis on needs assessment process and planning

Community and Stakeholder Community and Stakeholder Buy-inBuy-in

Start by identifying who will be most interested and most Start by identifying who will be most interested and most effected by the projecteffected by the project

Create project material that is easy to understandCreate project material that is easy to understand What is the problem of substance abuse in our community?What is the problem of substance abuse in our community? Why a community planning process?Why a community planning process? Why a five steps process ( why can’t we just select strategies)?Why a five steps process ( why can’t we just select strategies)? What’s in it for me?What’s in it for me?

Plan strategic outreach to your stakeholders. Include Plan strategic outreach to your stakeholders. Include targeting their interests, needs and hidden agendastargeting their interests, needs and hidden agendas

Targeting OutreachTargeting Outreach

Interested but not a current priority

Hard to engage, not interested, do not see this as a problem

Individuals, organizations, systems most effected by adolescent substance abuse

Mobilizing and Building Mobilizing and Building Capacity Involves…Capacity Involves…

Short TermShort Term External and Internal Partnership External and Internal Partnership

DevelopmentDevelopment Community AwarenessCommunity Awareness

Long TermLong Term Organizational CapacityOrganizational Capacity Workforce DevelopmentWorkforce Development

The Role of Partnership The Role of Partnership Development in the SPF ProcessDevelopment in the SPF Process

Looking at partnerships and partnership Looking at partnerships and partnership gaps to assist with selecting strategiesgaps to assist with selecting strategies

Building partnerships to reduce gaps Building partnerships to reduce gaps before implementing strategies before implementing strategies

Partnership DevelopmentPartnership Development

In your Learning Communities:In your Learning Communities: Review the Partnership Activity HandoutReview the Partnership Activity Handout Think about initiating the SPF at the local levelThink about initiating the SPF at the local level Ask what partnerships are already in placeAsk what partnerships are already in place Ask how ready your coalition is to begin assessmentAsk how ready your coalition is to begin assessment Discuss whom you would seek to engageDiscuss whom you would seek to engage Share strategies for outreach and engagementShare strategies for outreach and engagement

Learning Community Task Learning Community Task (Handout 17)(Handout 17)

Cultural Competence Cultural Competence RevisitedRevisited

Think back to the components of culture Think back to the components of culture you discussed at your tables this morning.you discussed at your tables this morning.

How does culture impact the way you do How does culture impact the way you do your assessment? your assessment?

What are some considerations you might What are some considerations you might have?have?

Table Activity Table Activity

Living Case Study Living Case Study

In your Learning Community GroupsIn your Learning Community Groups Identify a key challenge you face in coalition Identify a key challenge you face in coalition

development (recruitment, retention, cultural development (recruitment, retention, cultural representation).representation).

Follow the process outlined in Handout 18: Follow the process outlined in Handout 18: Living Case StudiesLiving Case Studies

Learning Community Task Learning Community Task (Handout 18)(Handout 18)

Reflect and ReviewReflect and Review

At your tables:At your tables: Share key learnings from the past two Share key learnings from the past two

daysdays Share one thing you’ll use upon Share one thing you’ll use upon

returning to your home community returning to your home community Read Handout 19 and Share any Read Handout 19 and Share any

questions in large groupquestions in large group

Table Activity Table Activity (Handout 19)(Handout 19)

Wrap-UpWrap-Up

Please fill out evaluation forms Please fill out evaluation forms