sustainability through creative collaboration · sustainability through creative collaboration...

Sustainability through Creative Collaboration

PRESENTED BY MARCIA HOWELL

ALASKA INJURY PREVENTION CENTER (SAFE ALASKANS)

Outcomes/Goals/Objectives

u Increase awareness and understanding of the roles of prevention and promotion in improving behavioral health conditions.

u Increase prevention and promotion literacy: especially in terms of shared risk and protective factors for multiple issues.

u Build bridges between silos: individually, organizationally and collaboratively. Increase collaboration, promote partnerships for wellness, build individual capacity

Breakout: What Hats Do You Wear?

u We all wear many hats.

u What are your roles?u What issues do you

work to promote?

u What issues do you work to reduce?

u What issues do you reallywant to promote?

Global Trends: Smart, Social, Organic and Wellness

http://global-influences.com//wp-content/uploads/2016/06/8-GLOBAL-KEY-TRENDS-2020_KJAER-GLOBAL_interactive_small.pdf

https://news.harvard.edu/gazette/story/2017/04/over-nearly-80-years-harvard-study-has-been-showing-how-to-live-a-healthy-and-happy-life/

https://youtu.be/8KkKuTCFvzI

SAMHSA: Continuum of Care

SAMHSA

Language matterstarget, aim, shoot,

Prevention: Aims to reduce bad things from happening

Reduce Risk factors

Promotion:Seeks to Optimize Wellbeing

Increase Protective Factors

According to the Centers for Disease Control:

u “Results from a growing number of studies suggest greater health impact might be achieved by enhancing protective factors that help children and adolescents avoid multiple behaviors that place them at risk for adverse and educational outcomes.”

u “[Protective] factors increase an individual’s ability to avoid risks or hazards and promote social and emotional competence to thrive in all aspects of life, now and in the future.”

Colorado’s Shared Protective Factor Chart

http://www.sprc.org/news/colorado-addressing-shared-risk-protective-factors

AlaskanStrategic Plans

Sustainability with out mission creep

http://online.concordia-ny.edu/nonprofit-leaders-avoid-mission-creep/

What do these plans all have in common?

Maternal Child Health Needs AssessmentAbout the Needs Assessment

HEALTHY ALASKAN YOUTH ALASKA’S STRATEGIES TO PREVENT UNDERAGE DRINKING ALASKA STATEWIDE VIOLENCE

AND INJURY PREVENTION PLAN

2018-‐‑2022

Health'Care Injury'Prevention SuicideTransforming+Health+Care+in+Alaska:++Core+Strategies+&+Policy+Recommendations+(Alaska+Health+Care+Commission)

Alaska+Department+of+Health+&+Social+Services+2016+Priorities

Alaska+Division+of+Public+Health+Strategic+Plan+2016G2020

ANTHC&Injury&Prevention&&201372020

Casting+the+Net+Upstream:++Promoting+Wellness+to+Prevent+Suicide:++Alaska+State+Suicide+Prevention+Plan+2012G2017

ALASKA&EARLY&CHILDHOOD&COORDINATING&COUNCIL

Alaska+Statewide+Title+V+Needs+Assessment+2015G2019

Early+Childhood+Comprehensive+Systems+Plan

Investing+in+Prevention:+Working+Together+in+Early+Childhood+for+Healthy+Alaskan+Children,+Families,+and+Communities+2015.++Interagency+Prevention+Workgroup.

2015&Alaska&DVSA&Dashboard

Preventing+Multiple+Forms+of+Violence:+A+Strategic+Vision+for+Connecting+the+Dots+(CDC+Nat'l+Center+for+Injury+Prevention+and+Control)

Pathways&To&Prevent&Domestic&Violence2014715

Alaska's+Strategies+to+Prevent+Underage+Drinking+(2012)

Moving&Prevention&Upstream:&A&Plan&to&Implement&a&Comprehensive&Approach&to&Substance&Abuse&Prevention&in&Alaska&7&Alaska's&SPF&SIG&Strategic&Plan

http://dhss.alaska.gov/Commissioner/Documents/healthcommission/docs/2010_report.pdf

http://dhss.alaska.gov/Documents/Publications/priorities.PDF'

http://dhss.alaska.gov/Documents/Publications/priorities.PDF

http://dhss.alaska.gov/dbh/Documents/02_Department/suicideprevention/SSPC_2012F2017.pdf

http://dhss.alaska.gov/ocs/Documents/aeccc/assets/docs/AlaskaStrategicReport.pdf

http://dhss.alaska.gov/dph/wcfh/Documents/mchepi/MCHBlockGrant/2015NeedsAssessmentSurveyResultsCom

http://dhss.alaska.gov/ocs/Documents/eccs/pdf/2009Plan.pdf'

http://dhss.alaska.gov/abada/aceFak/Documents/State_Interagency_Prevention_2015.pdf

http://dps.alaska.gov/CDVSA/docs/DVSA_Dashboard_2015.pdf

http://www.cdc.gov/violenceprevention/pdf/strategic_vision.pdf

http://www.andvsa.org/wpFcontent/uploads/2013/05/Pathways141.pdf

Alaska'Plan'to'Reduce'&'Prevent'Underage'Drinking

http://dhss.alaska.gov/dbh/Documents/Prevention/programs/spfsig/pdfs/SPFSIG_AlaskaStrategicPlan.pdf

Health+Outcomes

Objective:+Reduce+mortality+rates+from+the+leading+causes+of+mortality+among+Alaskans

Promote+and+Protect+Health+and+Wellbing+Across+the+lifespan

HA'2020'Leading'Health'Indicator'#16

Unintentional'injury'mortality'rate'per'100,000'F'includes:'Promote'activity,'nutrition'and'obesity'prevention'with'younger'Alaskans'recognizing'that'these'efforts'will'decrease'fall'mortality'in'the'future.

Same/Very'similar'–'Addressed'in'plan'or'draft'indicators

Alaskans'are'free'fromunintentional'injury.''EFFECTIVENESS'MEASURE:'Number'of'

Similar'F'Reduce'Injury'morbidity'and'mortality'among'Alaska'Native'people'by'10%

Objective:+Reduce+the+number+of+Alaskans+experiencing+alcohol+and+other+drugG

HA'2020'Leading'Health'Indicator'#15a

Reduce'the'percentage'of'adults'(aged'18'years'and'older)'who'report'binge'drinking'in'the'past'30'days'(consuming'on'one'occasion:'5'or'more'drinks'for'men';'4'or'more'drinks'for'women)


Tracks'same'indicator,'page'24.'Strategy'3.5:'Community'suicide'prevention'efforts'will'expressly'address'the'contributing'factor'of'substance'abuse

Seek'to'ensure'every'child'and'their'family'has'full'access'to'age'appropriate'services'that'promote'physical,'emotional,'and'behavioral'health'and'safety.'(ACES)'pg.'20

Reduce'substance'abuse'among'families,'including'alcohol,'tobacco'and'drugs.''Pg.'53

Same/very'similar'indicator'F'focus'of'work'(collection'depends'on'communities''focus'of'work)'pg.'61

Objective:+Reduce+the+use+of+illicit+drugs+among+the+populationB.'''''Percentage'of'population'aged'12'or'older'that'have'used'an'illicit'drug'(marijuana/hash,'cocaine,'heroin,'hallucinogens,'inhalants,'prescription'type'psychotherapeutics'used'nonFmedicinally)'in'the'past'month


By'2015,'investigate'and'determine'leading'causes'of'poisoning'for'Alaska'Native'people.

Seek'to'ensure'every'child'and'their'family'has'full'access'to'age'appropriate'services'that'promote'physical,'emotional,'and'behavioral'health'and'safety.'(ACES)'pg.'20

Reduce'substance'abuse'among'families,'including'alcohol,'tobacco'and'drugs.''Pg.'53

illicit'drug'use'considered'in'the'major'measures'of'alcohol,'illicit'drug,'and'tobacco'use,'abuse,'and'dependency.''Not'indicator'of'focus'currently.'Pg.'7

Objective:+Improve+health+related+quality+of+life+and+wellGbeingA.'''''Percentage'of'adults'aged'18'and'older'who'report'being'limited'in'any'way'in'their'activities'because'of'physical,'mental,'or'emotional'problems'OR'report'having'a'health'problem'that'requires'them'to'use'special'equipment,'such'as'a'cane,'a'wheelchair,'a'special'bed,'or'a'special'telephone

Alaskans'with'healthconditions'practiceselfFmanagement.''EFFECTIVENESS'MEASURE:'Percent'of'clients'with'chronic'disease'enrolled'in'selfF

B.'''''Percentage'of'adults'aged'18'and'older'who'report'that'their'general'health'is'excellent'or'very'good


Alaskans'are'healthy.'EFFECTIVENESS'MEASURE:'Percent'of'Alaskans'who'demonstrate'improved'health'status.*

EFFECTIVENESS'MEASURE:'Percent'of'Alaskans'reporting'very'good/good'health.

Objective:+Reduce+the+number+of+Alaskans+experiencing+poor+mental+health


Reduce'the'percentage'of'high'school'students'who'felt'so'sad'or'hopeless'every'day'for'2'weeks'or'more'in'a'row'that'they'stopped'doing'some'usual'activities'during'the'last'12'months


Outcome'#6:'The'State'of'Alaska'will'have'a'qualified,'wellFtrained'workforce'providing'for'the'social'and'emotional'wellFbeing'of'young'children.'Pg'5

S4'F7:'Support'efforts'to'intervene'with'students'who'are'in'need'ofearly'intervention'services'through'inFschool'and/or'communitybasedprograms,'such'as'Prime'for'Life.'Pg.'13

HA'2020'Leading'Health'Indicator''#9

Reduce'the'average'number'of'days'adults'aged'18'and'older'report'being'mentally'unhealthy


Outcome'#5:'Young'children'and'their'families'will'receive'appropriate'early'mental'health'services'through'Medicaid'and'other'sources.'Pg'5Outcome'11#:'Families'of'young'children'will'have'access'to'communityFbased'parenting'and'family'support'programs.'pg'11

Ensure'access'to'health'care'including'behavioral'health'care

Objective:+Decrease+falls+among+adults+aged+45+years+and+olderA.'''''Percentage'of'adults'aged'45'years'and'older'who'have'had'one'or'more'falls'in'the'past'12'months'that'caused'an'injury

Alaskans'are'free'fromunintentional'injury.''EFFECTIVENESS'MEASURE:'Number'of'Alaskans'experiencing'unintentional'injuries.

2.A.5.'(CDPHP)'By'2015,'falls'requiring'hospitalization'among'adults'65'and'overwill'remain'stable.By'2017'–'decrease'by'5%'pg.'12

Social'and'Economic'

Objective:+Increase+the+economic+and+educational+status+of+Alaskans+

HA'2020'Leading'Health'Indicator''#25

Increase'the'percentage'of'18F24'year'olds'with'high'school'diploma'or'equivalency

Outcome'#7:'Early'care'&'learning'(ECL)'programs'for'children'birth'through'age'8'will'be'based'on'standards'of'best'practice.'Pg'7Outcome'#'8:'The'early'childhood'workforce'will'be'well'qualified'and'fairly'compensated.'Pg'8Outcome'#9:'Children'and'families'will'be'able'to'find'and'access'appropriate'ECL'programs.'pg'9

Support'quality'early'childhood'programs

HA'2020'Leading'Health'

Increase'the'percentage'of'residents'living'above'the'federal'poverty'level'F'all'ages'(as'Objective:+Improve+health+educationA.'''''Percentage'of'elementary,'middle,'junior'high,'and'senior'high'schools'that'provide'comprehensive'school'health'education'to'prevent'health'problems'(in'the'following'areas'as'age'appropriate:'unintentional'injury;'violence;'suicide;'tobacco'use'and'addiction;'alcohol'or'other'drug'use;'unintended'pregnancy,'HIV/AIDS,'and'STD'infection;'unhealthy'dietary'patterns;'inadequate'physical'activity;'and'environmental'health)

Tracks'very'similar'indicator,'page'23,'"Number'of'school'districts'offering'suicide'prevention'trianing'to'educators/staff."'Under'Strategy'3.3,'The'State'of'Alaska'will'manFdate'evidenceFbased'suicide'prevention'and'intervention'training'for'all'school'district'personnel.

Strengthen'quality'schoolFbased'health'care'and'health'promotion.'(no'measure)'''Pg.'59

Strengthen'capacity'for'social'emotional'learning'throughout'Alaska's'schools

Tracks'part'of'same/very'similar'indicator;'"Percent'of'schools'implementing'Fourth'R'healthy'relationship'curriculum,"'page'7.

Teen'dating'and'domestic'violence'prevention'curricula'are'integrated'into'public'school'grades'KF12

Pg'13'S4F1:'Promote'researchFbased'positive'school'climate'frameworksthat'develop'school'cultures'which'include'alcohol'prevention'andintervention'strategies.S4F2:'Identify'prevention'programs'that'show'proven'success'inreducing'alcohol'use'and'encourage'replication'of'the'most'appropriateprevention'programs'in'Alaska.

Objective:+Reduce+the+number+of+Alaskans+experiencing+domestic+violence+and+sexual+


Reduce'the'rate'of'child'maltreatment'(Number'of'AK'Office'of'Children'Services'child'maltreatment'substantiated'cases,'including'all'types'of'abuse'(children'aged'0F17'years)')

Same/very'similar'indicator

Seek'to'ensure'every'child'and'their'family'has'full'access'to'age'appropriate'services'that'promote'physical,'emotional,'and'behavioral'health'and'safety.''Pg.'20

State'Performance'Measure:'Rate'of'child'maltreatment,'ages'0'–'14.Data'source:'Alaska'Surveillance'of'Child'Abuse'and'Neglect'(SCAN)''''''#2'Reduce'child'maltreatment'

Tracks'same/very'similar'indicator;'Rate'of'reported'child'abuse'and'neglect'per'10,000,'page'5

Data'on'domestic'violence'are'standardized'and'easily'accessed'across'systems

Influences'subFcommittee'selected'six'protective'factors'and'six'risk'factors'as'state'priorities'including'F'experience'of'child'abuse'(physical'or'sexual)'or'other'family'violence''pg.'34

C.'''''Percentage'of'mothers'of'3'year'olds'who'report'that'their'child'saw'violence'or'abuse'in'person

Tracks'very'similar'indicator,'"Child'seeing'violence'or'physical'abuse'in'person,"'page'5.'Strategy'1.2:'Alaskan'adults'and'elders'choose'healthy,'responsible'lifestyles'in'

Seek'to'ensure'every'child'and'their'family'has'full'access'to'age'appropriate'services'that'promote'physical,'emotional,'and'behavioral'health'and'safety.''Pg.'20

Tracks'same/very'similar'indicator,'page'4.

Influences'subFcommittee'selected'six'protective'factors'and'six'risk'factors'as'state'priorities'including'F'experience'of'child'abuse'(physical'or'sexual)'or'other'family'violence''pg.'34

Objective:+Increase+the+number+of+Alaska+youth+with+family+and/or+social+support


Increase'the'percentage'of'high'school'students'with'three'or'more'adult(s)'(besides'their'parent(s))'from'whom'they'feel'comfortable'seeking'help'

Tracks'very'similar'indicator,'page'9.'Strategy'1.5:'Communities'will'engage'parents'and'other'mentors'important'in'the'lives'of'children'and'youth'in'health'promotion'efforts.

Support'communities'to'increase'family'and'youth'resiliency.''Pg.'57

Tracks'same/very'similar'indicator,'page'6.

Pg.'14'L4F6:'''Research'has'shown'that'enhancing'protective'factors'canreduce'the'impact'of'existing'risk'factors'and'subsequentsubstance'use.'Research'has'identifi'ed'the'following'asprotective'factors:•'Connection'to'family•'Positive'connection'to'other'adults•'Social,'emotional/employability'skills•'Connection'to'school•'Engagement'in'meaningful'activities•'Sense'of'cultural'identity

Influences'subFcommittee'selected'six'protective'factors'and'six'risk'factors'as'state'priorities'including'F'positive'connection'to'other'adults''pg.'34

Foster'collaboration'and'exchange'to'maximize'impact

Youth'Are'Leaders'In'Primary'Prevention

Use'effective'communication'and'dissemination'

Media'are'partners'in'promoting'respect,'healthy'

Strengthen'public'health'surveillance'and'research

Alaskans'support'program'development'and'approaches'that'promote'parity'across'class,'cultural'groups,'and'gender'thereby'addressing'the'root'causes'of'violence

Focus'on'shared'risk'and'protective'factors'that'are'most'important'for'reducing'multiple'forms'of'violence

Maintain'and'expand'prevention'efforts'that'have'proven'to'be'effective.

Facilitate'the'identification,'implementation,'and'scaleFup'of'approaches'that'have'crossFcutting'impact

Community'engagement THOs'work'with'communities'to'develop'community'wellness'teams,'adding'10%'of'regional'communities'per'year.

Focus'on'populations'and'communities'at'highest'risk'for'experiencing'or'perpetuating'violence

Alaskan'communities'are'engaged'in'promoting'healthy'relationships

Public'Health Early'Childhood Violence Substance'Use

Example: Protective Factors Against Bullying

u Connection/Commitment to School: Youth who feel connected and committed to school are at lower risk of harming others through bullying, dating violence, youth violence, and are at lower risk for suicide.

u Family support/connectedness: Strong family support and non-violent problem solving skills are protective against almost all forms of violence.

u Association with pro-social peers

Center for Disease Control. (2014). Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence.

Alaska Example: Strength-Based Approach to Bullying (and Poor Mental Health) Prevention

Mental health related to…u Bullying in Anchorage: 1

in 5 youth are bullied each year.

u Feelings of sadness and hopelessness: 1 in 3 young people, and rising.

u Half of young people feel they matter to their community—the other half don’t.

What to promote…

Mattering Matters!

Youth who feel they matter to people in their

community are less likely to experience sadness,

hopelessness, or loneliness.

Youth Risk Behavior Survey (2007-2015)Anchorage Collaborative Coalitions. (2015) Community Behavioral Health Assessment Report:

Anchorage Youth and Young Adults.

Youth Matter

What that means to youth: • Safe: physically and

emotionally.• Supported, respected,

and treated fairly by adults.

• Make a difference through meaningful opportunities and service-based activities.

Youth’s perception they are respected, trusted, supported, valued by others, and able to make a difference in their

community.

We designed a program to promote Youth Mattering

u Based on national and local data…

u Based on evidence-‐based best practices for youth-‐serving organization to create:u Positive Climate

u Connections

u Meaningful Engagement…

u And based on community input, we created the…

Youth Matter Grant Program

Best Practices:

u Assure Physical & Emotional Safety

u Maintain Appropriate Program Structure

u Build Supportive Relationships

u Maintain Positive Norms

u Provide Opportunities for Youth to Belong

u Provide Opportunities for Self-‐Efficacy and Mattering

u Create Skill-‐Building Experiences

u Integrate Family, School, and Community into Efforts.

Adapted by: Judd, B., MAT (2012). Resiliency and Connectedness – Basic OverviewSource: National Research Council - Institute of Medicine , (2002). Community Programs to Promote

Youth Development.National Research Council. (2002) Community Programs to Promote Youth Development.

What Shared Risks and Protective Factors can we collaborate on:

https://antipatternzoo.com/cylindersofexcellence/