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Transcript of Welcome
Cultivating County Partnerships
Through the Strategic Prevention Framework:
Implementation and Evaluation
Welcome• Introductions• Agenda• Additional
training opportunities
• Housekeeping items
• Parking Lot• CEU’s
Review and Recap
Step 1 - Assessment Step 3- PlanningNeeds Assessment Environmental
Types of data Strategies Types of data comparisons Strategic/Action
Plan Step 2 – Capacity
Capacity Assessment ResourcesReadiness
Implementing Your
Action Plan
Action Plan
• What you expect to accomplish • Your approach• Action steps• People responsible for completing action steps• Timeline
Planting Seeds for Implementation
Increase county awareness of problem
Expandinternal andexternalpartnershipsneeded forEBP
Introduce strategies to partners and key stakeholders
Fidelity refers to the degree to which a strategy is
implemented.
Strategies that are implementedwith fidelity
are most likely to achieve their expected outcomes.
In other words, they are most likely to be
effective.
Fidelity
Adaptation
Adaptation - How much, and in what ways,a program is changed to meet local circumstances
Guidelines for Adaptation
• Consult the experts
• Retain core components
• Adhere to evidence-based principles
• Select strategies with the best initial fit
• Change capacity before changingstrategy
• Be consistent with evidence- based principles
• Add, rather than subtract
Guidelines for Adaptation
Barriers to Implementation• Ongoing needs
for training and information
• Lack of feedback
• Miscommunication
How can we
break through
?
Breaking Down the Barriers
• Offer training and support• Give meaningful tasks• Keep people informed • Clear communication• Recognize coalition/
Collaboration Council members
Cultural Competence and Implementation
Effective cultural adaptation is important to
implementation
Sustainability and Implementation
What about sustainability?
Growth without
sustainability is setting up a future that
is going nowhere
Sustainability and Implementation• Build a strong
collaboration/ coalition.
• Hold productive meetings.
• Attract influential people.
Sustainability and Implementation• Strategize
effective uses of existing resources.
• Increase coalition’s influence through partnerships.
• Mobilize and train residents and young people.
• Increase diversity.
in·sti·tu·tion·al·ize [+ obj] 1 : to cause(a custom, practice, law, etc.) to become accepted and used by many people : to establish (something) as an institution
It will take time to institutionalize these reforms.
STRETCH
Break
Environmental Strategy Overview
What Are Environmental Strategies?
Environmental Strategies reduce problems associated with the use of alcohol through changes in the physical, social, legal, and economic environment.
What Are Environmental Strategies?
The more available alcohol is in an environment, the more likely it is that the community will have a higher alcohol consumption rate.
A high consumption rate has been found to be related to an increased number of problems…
Social-Ecological Model
Retail Access: Responsible
BeverageService
Social Access:Change theConditions
ofAvailability
Promotion:Alcohol
AdvertisingRestrictions
in Public Places
Enforcement: PreventingAvailability
to Underage
Youth
Other Strategies: Social Host
Liability College
Campus – School Policies
Building Capacity
• Whose problem is it?• Who is directly or
indirectly affected?
• What are the benefits of participation?• What do they gain if they win?
• What risks are they taking?• What might they lose?
• Into what groups are they organized?
Building Capacity
Activity : Community Tool box
Know the opposition
IDPH Deliverable
Plan complete = Done?
Not hardly…
NOW THE FUN
BEGINS…
MONITORING
Step 5.Evaluation
EvaluationMeasuring the impact.
Identifying what is working.
Documenting what does not
work.
ODSS TOOLBOX
Community Change
Services Provided
Media
Resources Generated
Coming to a training real soon…
Overview
• Describe what they plan to do
• Monitor what they are doing
• Improve services• Determine which
efforts to sustain
Five Functions of Evaluation• Improvement• Coordination• Accountability• Celebration• Sustainability
Individual-Level vs. Population
Seven Approaches to Community Change:
1.Provide Information2.Enhance Skills3.Provide Support
1.Provide Information“educational presentations, workshops or psa’s…”
2. Enhance Skills“ workshops,
seminars, or other activities designed to increase the skills of participants.”
3. Provide SupportOpportunities to support people in activities that reduce risk or enhance protection.
Seven Approaches toCommunity Change:
4. Enhance Access / Reduce barriers5. Change consequences 6. Change Physical Design7. Modify/Change Policies
4. Enhance access/ Reduce barriers
Improving systems and processes to increase the ease, ability and opportunity to utilize systems/services
5. Change consequences (Incentives / Disincentives)
6. Change Physical DesignChanging the physical design or structure of the environment to reduce risk or enhance protection.
7. Modify / Change PolicyTo laws, procedures, rules, etc.
Five Questions that Create an Evaluation Plan
• Who Cares?• What do they care about?• Where is the information?• How will we get it?• How will we share it?
Evaluation Focus for SPF SIG
• Population Level outcome data
• Primarily process evaluation data…for now.• Short-term and
intermediate outcomes.
Process Evaluation
Process evaluation does not “cure the
community,” but diagnoses
problems and allows planning for
improvement.
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1. Coalition/collaboration has good structureVolunteer work is productive &
responsive.2. Participants have a real and equitable voice
and opinions are valued and listened to.3. Ensure that the process improves over time.
3 Parts to Process Evaluation
What you do and how well you do it?
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Outcome Evaluation
Over the duration of the implementation, to what extent has:
Arrests rates improved?... Improved law enforcement
Fewer ER visits related to binge drinking?
... Enforcement strategy Youth alcohol use decreased?
Was anyone any better off?
The number of meetings held in each community in the county?
Process Evaluationor
Outcome Evaluation
The number of people who attend each meeting?
Process Evaluationor
Outcome Evaluation
The county rate of alcohol use as reported by 8th grade youth?
Process Evaluationor
Outcome Evaluation
Logic model and strategic plan were completed on time.
Process Evaluationor
Outcome Evaluation
The amount of additional funding dedicated to enforcement efforts?
Process Evaluationor
Outcome Evaluation
Process change/policy change as a result of collaboration?
Process Evaluationor
Outcome Evaluation
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Monitoring Community ChangeJust as a doctor prescribes medicine – the dosage…Coalition/collaboration meetings prescribe the community new policy
and practices.
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Community changeis any instance of a new or modified policy, program or practice facilitated by the coalition/collaboration to reduce substance use.
Cultural Competency and Evaluation
• Involve cultural groups in choosing appropriate evaluation methods
• Keep the county engaged after data has been collected by involving them in interpretation and dissemination of results
Sustainability & Evaluation• Monitors progress and provides
regular feedback• Helps provide a system for
continuous improvement• Tracks county trends• Provides a way for counties to share
their stories and results with stakeholders
• How successful was the collaboration in selecting and implementing appropriate strategies?
• Were these the “right” strategies?
• Were stakeholders involved?
• Were new partners identified?
• What was the quality of the data?
Review…
Measures population changeMeasures change across multiple strategies and settingsEvaluates the entire planning processIs collaborative
SPF Evaluati on
Due Dates
Action Plans – November 11, 2011
Submit materials via e-mail to Julie Hibben at [email protected]
How Far Have You Come?
YIKES! I NEED AN EASY BUTTON!
I’ll get it
On target
Comfort level before we started today? = Color 1
Comfort level now? = Color 2