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August Newsletter
Strategic Prevention Framework:
Sustainability
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How Does the SPF Contribute to Sustainability?
Assessment
- Communities begin making decisions based on a clear understanding of local prevention needs. They also begin building relationships with data keepers and stakeholders who can play important roles in supporting and sustaining local prevention efforts over time.
Capacity
- By increasing the ability to respond to changing issues with innovative solutions, by promoting public awareness and support for evidence-based prevention, and by engaging partners and cultivating champions, communities ensure that successful programs are sustained within a larger community context, and therefore less vulnerable to local budgetary and political fluctuations.
Planning
- When developing a comprehensive approach to preventing substance misuse, communities consider the degree to which prevention interventions fit with local needs, capacity, and culture: the better the fit, the more likely interventions are to be both successful and sustainable.
Implementation
- By working closely with partners to deliver evidence-based programs and practices as intended, closely monitoring and improving their delivery, and celebrating “small wins” along the way, communities help to ensure intervention effectiveness and begin to weave prevention into the fabric of the community.
Evaluation
- Through process and outcome evaluation, communities can make important mid-course corrections to prevention efforts, identify which practices are worth expanding and/or sustaining, and examine ongoing plans for—and progress toward—sustaining those practices that work. By sharing evaluation findings, planners can also help build the support needed to expand and sustain effective interventions.1
Cultural Competence
- To ensure that prevention practices produce positive outcomes for members of diverse population groups, communities must engage in an inclusive and culturally appropriate approach to identifying and addressing their substance misuse problems. Prevention infused with health equity is the only type of prevention worth doing—and sustaining.
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Sustainability Primer: Fostering Long-Term Change to Create Drug Free Communities
Community Anti-Drug Coalitions of America (CADCA)
This primer builds on others in the series by laying out a framework and describing key considerations and action steps for coalitions to include in their journey to sustainability.
Program Sustainability Assessment Tool
Center for Public Health Systems Science / Washington University in St. Louis
Rate the sustainability capacity of your program to help plan for its future.
A Sustainability Planning Guide for Healthy Communities
Center for Disease Control (CDC)
The Sustainability Planning Guide is a synthesis of science- and practice-based evidence designed to help coalitions, public health professionals, and other community stakeholders create a successful sustainability plan.
Bringing the Future into Focus: A Step-By-Step Sustainability Planning Workbook
Community Health Systems Development
This workbook will take you through a step-by-step sustainability planning process.
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What's Happening Around the Region?
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The Science of the Positive: Growing Health with Positive Community Norms and Hope
Date:
August 19, 2020, 12:30 CT
Trainer
:
Jeffrey Linkenbach, EdD, MA
The Science of the Positive framework is based upon the realization that ‘the positive’ exists in ourselves, our communities, and our cultures, and can be increased to improve health and safety. Both the Positive
Community Norms approach to prevention and the new science of HOPE (Healthy Outcomes from Positive Experiences) are organized around the Science of the Positive Cycle of Transformation which includes domains of Spirit, Science, Action, and Return. This interactive session will introduce these three key approaches to transforming community health.
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Balancing ACES with HOPE (Healthy Outcomes from Positive Experiences)
Date:
August 20, 2020, 12:30 CT
Trainers:
Robert Sege, MD, PhD, Dina Burstein, MD, MPH, FAAP, Jeffrey Linkenbach, EdD, MA
In this webinar, we will explore how positive childhood experiences can mitigate the impact of Adverse Childhood Experiences (ACEs) on health outcomes, promote resilience, and open new and exciting avenues for promoting health in children and adults. This session will provide attendees with the knowledge to apply HOPE at individual, family, community, and societal levels to prevent adversity, support resilience and promote healing and health equity based upon Positive Childhood Experiences.
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Webinar Series: PFS Academy 2020: Making the Steps of the Strategic Prevention Framework Work for You
Each webinar will begin 8:00 PT / 9:00 MT / 10:00 CT / 11:00 ET
The Mid America PTTC, in collaboration with the South Southwest PTTC, is offering a seven-part webinar series on the Strategic Prevention Framework.
SAMHSA’s Strategic Prevention Framework (SPF) provides practitioners with comprehensive guidance to more effectively address substance misuse and related behavioral health problems in their communities. This seven-part webinar series will explore this five-step, data-driven process to identify genuine prevention needs, build capacity and plans to address those needs, implement effective programs and interventions, and evaluate and continually improve prevention efforts.
At each step of the SPF, and in separate sessions, practitioners will learn to incorporate the guiding principles of cultural competence and sustainability to help support the implementation of SAMHSA’s Strategic Prevention Framework.
Prevention contact hours available to those who register and complete this webinar.
Recordings of previous events in the series can be found
here
.
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Podcast Episode 33: Rescue, Defend, Shelter, Support with The National Alliance for Drug Endangered Children
In this episode Scott Henderson shares some background on the National Alliance for Drug Endangered Children, and gives us some exciting news about their work! They’ve got a lot going on – everything from free online training, to developing a smartphone app that will help communities support drug endangered children.
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Drug Endangered Children: September Peer Sharing Call
Date:
September 3
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Self-guided Learning Courses
**New Opioid Overdose Prevention and Infectious Disease Control: Opportunities for Collaboration
Informing Prevention: Adolescent 6-part Webinar series
- Informing Prevention: Understanding Adolescent Development (1 of 6)
- Informing Prevention: Effectively Engaging Adolescents in Interventions (Part 2 of 6)
- Informing Prevention: Effective Use of Epidemiological Data (Part 3 of 6)
- Informing Prevention: Effectively Using Technology for School-Based Prevention (Part 4 of 6)
- Informing Prevention: The Effects of Drug Use on Adolescent Brain Development (Part 5 of 6)
- Informing Prevention: Vaping Among Adolescents (Part 6 of 6)
State Cannabis Policies: Where Prevention Fits In
Today’s Marijuana: Stronger, More Edibles, Confusing Information about Driving
Early Childhood Development: Toxic Stress and Adverse Childhood Experience
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Intro to 508 Compliance: Understanding the Importance of Accessibility in Prevention
Online Courses
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Check out the Mid America Prevention Technology Transfer Center
website
for additional resources and training!
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The Mid-America Prevention Technology Transfer Center (Mid-America PTTC) is designed to serve as a prevention catalyst, empowering individuals and fostering partnerships to promote safe, healthy, and drug-free communities across Missouri, Iowa, Nebraska and Kansas. Our services are evidence-based, culturally competent, and locally focused. We provide intensive technical assistance to support organizations' and systems' efforts to implement evidence-based prevention strategies. The Mid-America PTTC also forms partnerships with local and regional stakeholders to ensure that the training needs of the region are identified and met.
The Mid-America PTTC goals are to:
- Accelerate the adoption and implementation of evidence-based and promising substance misuse prevention strategies.
- Heighten the awareness, knowledge, and skills of the workforce that addresses substance misuse prevention.
- Foster regional and national alliances among culturally diverse practitioners, researchers, policymakers, funders, and the local communities.
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Epi Corner
Iris E. Smith, Ph.D., M.P.H.
Using Data to Plan for Sustainability
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Sustainability is one of the guiding principles in SAMHSA’s Strategic Prevention Framework (SPF). It refers to a community’s capacity to sustain positive prevention outcomes over time (SAMHSA, 2019). While many programs achieve their short term outcomes during an initial funding period, it is often more challenging to ensure that these short term outcomes are sustained and lead to long term impact on identified prevention goals. Research on sustainability is limited, but interest in this topic is clearly growing.
In a study of 243 evidence-based programs in Pennsylvania, Rhoads et al. (2015) found that organizational and community stakeholder support, better program fit (i.e. lack of reasons for changing the program model), knowledgeable, well trained program implementers, and sustainability planning were related to sustainability beyond the initial funding cycle. In this study researchers also found that organizational support and readiness and connection to a higher functioning community coalition also contributed to sustainability.
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In a similar study of evidence based programs in Tennessee, Collins et al. (2017) found increases in data resources, funding, level of expertise available during implementation, and level of coalition formalization at the end of the Strategic Prevention Framework State Incentive Grant (SPF SIG) predicted the length of sustainability.
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Research on sustainability suggests that there are multi-level factors that may influence the longevity and continued success of a prevention program or strategy. These factors include internal processes and capacity, characteristics of staff responsible for implementation as well as characteristics of the intervention itself. Contextual factors such as funding, alignment with the implementing organization’s goals and priorities, and organizational leadership contribute to the capacity for sustainability. Shelton et al. (2018) propose an integrated sustainability framework which reflects this multi-level and dynamic interaction among these factors (Figure 1).
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Figure 1
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Changes in the social, political and organizational environment; internal processes of the prevention program including its structure and capacity; the quality of the implementation process; process and outcome evaluation all contribute to the ultimate sustainability of prevention programs and strategies.
Resources
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1
Rhoads Cooper B, Bumbarger BK, Moore JE (2015). Sustaining Evidence-Based Prevention Programs: Correlates in a Large-Scale Dissemination Initiative.
Prevention Science 16 (1
), pg. 145-157.
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Johnson K, Collins D, Shamblen S, Kenworthy T, Wandersman A (2017). Long Term Sustainability of Evidence Based Prevention Interventions and Community Coalitions Survival: A Five- and One-Half Year Follow-up Study.
Prevention Science 18 (5),
pg. 610-621.
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Shelton RC, Cooper BR, Stirman SW (2018). The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care.
Annual Reviews in Public Health 39
; pg. 66
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