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?


Outcome Evaluation

The county rate of alcohol use as reported by 8th grade youth?


Outcome Evaluation

Logic model and strategic plan were completed on time.


Outcome Evaluation

The amount of additional funding dedicated to enforcement efforts?


Outcome Evaluation

Process change/policy change as a result of collaboration?


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

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