Strategic Prevention Framework Step 3: Strategic Planning

Transcription

1 Strategic Prevention Framework Step 3: Strategic Planning HIV CBI FY2015 Albert Gay, Associate SheRay s & Associates, LLC MAI New Grantee Meeting December 8-10, 2015 Bethesda, MD 1

2 Learning Objectives Define components of planning Explain Logic Models Discuss cultural competence as it relates to planning 2

3 SAMHSA s Strategic Prevention Framework Assessment Profile population needs, resources, and readiness to address needs and gaps Capacity Mobilize and/or build capacity to address needs Planning Develop a Comprehensive Strategic Plan Implementation Implement evidence-based prevention programs and activities Evaluation Monitor, evaluate, sustain, and improve or replace those that fail 3

4 Step 3 Develop a Comprehensive Strategic Plan What is a Comprehensive Strategic Plan? A comprehensive, logical, and data driven plan to address the problems identified in Step 1 using the capacity built or mobilized in Step 2 The plan includes Strategic Goals, Objectives, and Performance Targets, as well as Logic Models and in some cases Action Plans 4

5 Why Do I Need a Strategic Plan? The Strategic Plan lays the groundwork for: Implementation activities, including: Capacity Expansion Training Development of monitoring and evaluation systems The identification of strategies The selection of evidence-based programs, policies, and practices to be implemented that impact the Contributing Factors The evaluation plan 5

6 Planning Components SPF planning tasks include: Prioritizing Contributing Factors Selecting evidence-based approaches Creating a logic model 6

7 Prioritizing Contributing Factors Changeability Do we have the capacity to change this Contributing Factor? Importance How important is this Contributing Factor in reducing the problem? 7

8 Selecting Evidence-based Approaches Contributing Factor Tool? Approach? Individual? Policy? Program? Enforcement? 8

9 Selecting Evidence-based Approaches An intervention is evidence-based if: It is included in a Federal registry of model programs Research about the intervention has been published in a peer-reviewed journal It has documented evidence of effectiveness 9

10 Selecting Evidence-based Approaches 10

11 Selecting Evidence-based Approaches Does the Approach Fit? Consequences/ Consumption Pattern Contributing Factors Approach High-Risk Drinking Year Olds Low-priced Alcohol Specials in Bars Over-serving to Young Adults Middle School Curriculum Mentoring Program 11

12 Selecting Evidence-based Approaches Consequences/ Consumption Pattern High-Risk Drinking Year Olds Does the Approach Fit? Contributing Factors Low-priced Alcohol Specials in Bars Over-serving to Young Adults Approach Policy to Limit Drink Specials Responsible Server Education 12

13 Selecting Prevention Strategies Key Questions How will the selected strategies address the risk and protective factors and objectives identified in the assessment process? Are the strategies evidence-based? What other strategies/programs exist in/or around your community to address the identified problem? Can the strategies selected achieve your desired outcomes?? 13

14 Sample Criteria for Selecting Strategies 14

15 Selecting HIV CBI Strategies Education and awareness programs Social marketing campaigns, and HIV and VH testing services in non-traditional settings with substance abuse and HIV prevention programming 15

16 Evidence Based Strategies Evidence Based Strategies Source: SAMHSA: Identifying and Selecting Evidence Based Interventions 16

17 Environmental Strategies Environmental Approaches include: Policies Enforcement Collaboration Education Communication 17

18 Education Plays an important role in altering prevailing opinions and practices Examples: Educating Through Data Collection Educating Using Training 18

19 Communication Communication strategies include just about any approach that gets the word out to the broadest possible audience Examples: Public Education: increase knowledge and awareness of a particular health issue (AIDS) Social Marketing: ad principals to change norms Media Advocacy: used to affect public policy 19

20 Investigate the Cultural Landscape Commonly spoken languages Socio-economic issues Neighborhood alliances Allegiances and nonallegiances Key leaders 20

21 Guess Who s Coming to the Planning Table? 21

22 Strategy Reach How many people will your interventions affect? Which sectors of the community will be affected by your efforts? What dosage of the interventions will your target audience experience? 22

23 Selecting Evidence-based Approaches Federal registries SAMHSA website (NREPP) Peer-reviewed journals Prevention experts CAPT 23

24 Good Planning Requires a Group Process Clear & Open Planning models: Using an outside facilitator Tasking a small group to draft initial plan Soliciting feedback from key stakeholders Keeping coalition members and stakeholders in the loop 24

25 Creating a Logic Model 25

26 Develops understanding Helps monitor progress Serves as an evaluation framework Helps expose assumptions Helps restrain over-promising Promotes communications 26

27 Definition of a Logic Model Description of what a program is expected to achieve and how it is expected to work A map linking together a project s goals, activities, services, and assumptions A guide that describes what you are trying to do and why you think it will work 27

28 Logic Models: From Planning to Practice Substance Abuse & Related Problems Problem Contributing Factors (Intervening Variables or Risk and Protective Factors ) Programs, Policies, & Practices Response 28

29 Contributing Factors Risk Factor Easy access to alcohol Favorable community norms Parental attitudes favorable to use Local Contributing Factor Stores sell alcohol to minors Minors gain access to alcohol at community events Consequences are not enforced Parents allow alcohol at home parties 29

30 Strategy Based Logic Model Uses Contributing Factors as a basis for Strategy selection Data Driven Process Strategies selected are evidence-based strategies only 30

31 SPF Logic Model for Reducing Binge Drinking Consequence/ Consumption Patterns Contributing Factors Strategies Young Adult Binge Drinking Social norms accepting and/or encouraging binge drinking Media advocacy to increase community concern about binge drinking Social marketing 31

32 SPF Logic Model for Reducing Binge Drinking Consequence/ Consumption Patterns Young Adult Binge Drinking Young Adult Drinking and Driving Contributing Factors Low perceived risk of alcohol Social norms accepting and/or encouraging underage drinking Low enforcement Easy social access Parental Monitoring/ Family Cohesion Promotion and pricing Availability of screening/early intervention Strategies Media advocacy to increase community concern Social marketing Enforce underage retail sales law Social event monitoring and enforcement Parental education Restrictions on alcohol advertising Early Intervention 32

33 Goals The long-term measurable changes that you are trying to achieve based on your needs and resource assessment and the identified priorities 33

34 Example of a Logic Model - Goals Goal Objectives Strategies Activities Outcomes There is a decrease in STI among year old Freeman College Students 34

35 Objectives Specific, measurable results that you plan to achieve with specific strategies. They serve as the basis by which to evaluate your initiative A good objective includes: Who or what is to change a date by when the change will be accomplished describes how much change you hope to see whether that indicator will increase or decrease who will be affected 35

36 Example of a Logic Model - Objectives Goal Objectives Strategies Activities Outcomes There is a decrease in STI among year old Freeman College Students Product Availability By June 2016 a 10% increase in the number of students who gain access to Info and product health establishments 36

37 Additional Sample Objective Product Availability By June 2016, there will be a 40% increase in number of VH testing activities for the population of focus 37

38 Example of a Logic Model - Strategies Goal Objectives Strategies Activities Outcomes There is a decrease in STI among year old Freeman College Students PP Product Availability By June 2016 a 10% increase in the number of students who gain access to Info and product health establishments Health Information Outreach Tactics Health Education 38

39 Activities Activities are the specific steps and actions that are necessary to implement each strategy 39

40 Example of a Logic Model - Activities Goal Objectives Strategies Activities Outcomes There is a decrease in STI among year old Freeman College Students Product Availability By June 2016 a 10% increase in the number of students who gain access to Info and product health establishments Health Education Determine content of program Determine incentives Assess who to train, barriers to training Outreach to participants 40

41 Short-Term Outcomes What are the measurable changes you expect to see in the identified risk and protective factors (i.e. objectives)? Outcomes should contain the following elements: What will change? For Whom? By how much (magnitude of change)? By when (what time period) will the change occur? 41

42 Example of a Logic Model - Activities Goal Objectives Strategies Activities Short-term Outcomes There is a decrease in STI among year old Freeman College Students Product Availability By June 2016 a 10% increase in the number of students who gain access to Info and product health establishments Health Education Determine content of program Determine incentives Assess who to train, barriers to training Outreach to participants Health interventions used by participants will increase by 10% by 2016 as measured survey 42

43 Long-Term Outcomes Describe the extent of the change (the percentage of increase or decrease) you hope for Identify the target population or group you want to impact Specify the behavior, condition, or knowledge you hope to change Include a timeframe in which the change can be expected 43

44 Example of a Logic Model - Activities Goal Objectives Strategies Activities Short-term Long-term Outcomes Outcomes There is a decrease in STI among year old Freeman College Students Product Availability By June 2016 a 10% increase in the number of students who gain access to Info and product health establishments Health Education Determine content of program Determine incentives Assess who to train, barriers to training Outreach to participants Health interventions used by participants will increase by 10% by 2016 as measured survey An increase in six month use among year old College students as measured by the program survey 44

45 Guiding Principles related to Planning Cultural Competence Sustainability Participatory Involvement Continuous Quality Improvement 45

46 Culturally Competent Goals, Objectives, Strategies, and Activities Is the process reflective of the interests of the priority population? Does the HIV CBI program seek to address behavioral health disparities among at-risk populations? What are some of the cultural beliefs and attitudes towards prevention and how may they be different in diverse subpopulations? Do strategies account for cultural elements such as language, attitudes, rites of passage, gender roles, values, norms, customs, etc.? Are there cultural considerations that need to be considered in the adaptation and tailoring of evidence-based approaches? 46

47 Questions/Comments 47