SPF SIG Process

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                             Strategic Planning Framework
                                  State Incentive Grant

                                             Salt Lake County
                                     Division of Substance Abuse Services

                                            University of Utah
                                        Neighborhood Action Coalition

                                            Rose Park (84116)
                               Prescription Narcotic Morbidity and Mortality
                                          Prevention Task Force

SPF-SIG Grant – revised 10/19/2011                                             Page 1
of 6
First, we would like to thank you for your interest in partnering with Salt Lake County Division of Behavioral Health
Services and the Neighborhood Action Coalition in their efforts to implement the Strategic Prevention Framework
State Incentive Grant (SPF SIG) requirement for Coalition Building. We are very excited to assist communities in
Salt Lake County to mobilize around the issues of Alcohol Related Motor Vehicle Crashes (ARMVC) and
Prescription Narcotic Morbidity and Mortality (PNMM).

It is our intention to help you create a sustainable
coalition in your community that reaches and
surpasses the expectations and requirement of
the SPF SIG Grant. And if at any time there is                          Rose Park (84116)
confusion about the process or requirements                                   Task Force
please ask us! We are here for YOU.
                                                                               University of Utah
                                                                   Neighborhood Action Coalition
The State of Utah, DHS/DSAMH received a
Strategic Prevention Framework State Incentive                                             Salt Lake County
                                                                      Division of Substance Abuse Services
Grant (SPF SIG) in October 2006. 13 Local
Substance Abuse Authorities (LSAAs) including
one at Salt Lake County Division of Substance
                                                                                                           State of Utah
Abuse Services (now Behavioral Health) received                         Department of Substance Abuse and Mental Health
federal flow-through funds to implement best
practice community-based substance abuse
prevention projects with SPF SIG monies. Salt                                                                        Federal Level
Lake County then contracted with the                                                                                SPF SIG Grant

Neighborhood Action Coalition at the University of
Utah because of their proven track record of
creating community coalitions in Salt Lake County.
                                                           Rose Park Task Force Organizational Chart

SPF SIG requirements are addressed through building infrastructure to provide prevention services throughout your
area. SPF-SIG funds will be used to collect data on substance abuse related injuries or deaths in order to guide
your coalition with local selection of programs, practices and policies. The funded substance abuse priorities
identified for this grant are to reduce: PNMM – Prescription Narcotic Morbidity and Mortality in Rose Park
(84116). Currently the grant has funding until 2012.

                                       SPF-SIG CONTACT INFORMATION:
                                  Salt Lake County Substance Abuse Staff:
      Grant Coordinator: Tina Duncan           (801) 468-3567 
      Grant Coordinator: Terry Russo           (801) 468-2253 
                                    Neighborhood Action Coalition Staff:
      Project Director: Lynne Durrant          (801) 581-8520 
      Project Evaluator: Rod Hopkins           (801) 585-6881 
      Project Administrator: Darrin Cottle     (801) 585-5745 
      Community Organizer: Erin Handley        (801) 585-3706 
      Program Coordinator: Suzy Sigmund        (801) 836-7899 

      SPF-SIG Grant – revised 10/19/2011                                                                                             Page 2
      of 6
                                          PNMM Logic Model for SPF-SIG
                               Prescription Narcotic Morbidity and Mortality Priority

 Consequences                    Consumption                    Causal Factors                         Strategies
   Indicators                     Indicators
   (outcomes)                       (outcomes)                    (Risk Factors)

   Prescription                    Prescription                  Provider lack
    narcotic                        narcotic                     of knowledge
     related                         misuse
       and                                                        Community
    mortality                      Prescription                     norms
                                    narcotic                                                       Evidence-Based
                                      abuse                                                             Policies,
                                                                    Individual                      Practices, and
                                                                      factors                          Programs
                                                                                                    Priority Causal
                                                                   Availability                         Factors

Consequences Indicators:
   1.     Emergency Department encounters due
          to narcotics overdose                                      justice/
   2.     Non-illicit drug deaths                                 Enforcement

Consumption Indicators:
            1.   30-day use rates
            2.   Lifetime use rates
            3.   Past year use rates
            4.   Shipment amounts
            5.   Poison Control Center calls

        Causal Factor Details:

            1.   Provider Lack of Knowledge : Do providers (doctors, dentists and pharmacists) recognize potential misuse and
            2.   Individual Factors : Are individuals high on risk and low on protective factors for Rx misuse/abuse?
                      a. Perceived risk: Are prescription drugs seen as safer than “street” drugs for recreational purposes? Are
                           prescription drugs seen as safe for misuse more generally?
                      b. Knowledge of proper use: Do users lack knowledge of the consequences of mixing substances or
                           altering dose and timing of intake? When there is a change in medication, are the consequences
                           explained and understood?
            3.   Availability : How easy is it to obtain narcotic prescription drugs?
                      a. Extra pills: Is it common that prescription sizes are “larger” than needed and result in leftover pills?
                      b. Is sharing of prescription drugs via friends or family common?
                      c. Are prescription drugs easily available for misuse and abuse due to stealing from family/friends?
                      d. Are prescription drugs obtained illegally via the internet?
                      e. Are fraudulent prescriptions (e.g., through forgery or tampering) or obtaining multiple prescriptions a
                           common method of accessing prescription drugs?
            4.   Criminal Justice/Enforcement : Is there enforcement of fraudulent prescriptions? Is illicit consumption of
                 prescription narcotics prosecuted?
            5.   Community Norms : Are community norms favorable towards prescription drug misuse and abuse?
                      a. Perceived risk: What is the community’s perception of harm in using Rx Drugs in a non-directed
                           manner? What is the community’s perceptions regarding the general safety of using prescription
                      b. Availability: What is the community’s perception regarding the acceptability of sharing prescription drugs
                           with family or friends (who have similar ailments)? What are the community norms regarding how to
                           deal with leftover or extra pills?
        SPF-SIG Grant – revised 10/19/2011                                                                           Page 3
        of 6
                              Overview of the SPF-SIG Process
                                      Mobilizing the Community

What is SPF?

The Strategic Prevention Framework is a five step process that assists communities, coalitions and agencies
in identifying community issues, available resources, gaps in services, and selecting interventions that
address the unique needs of that community. The SPF process focuses on using data and building capacity
within each community to impact the consequences of substance use-related issues. The SPF model is an
evidence-based practice. It has been researched and evaluated. The SPF assists communities in using the
data to identify needs as well as the strategies to impact those needs.

The process is non-linear. Each of the five steps
correlates with one another. The five steps are:

                    1.   Assessment
                    2.   Capacity Building
                    3.   Planning
                    4.   Implementation
                    5.   Evaluation

What is Assessment? Conducting a needs assessment is a review of resources, gaps, and readiness of your
community. Assessment then leads to recommendations regarding community priorities. It answers the
question, “What is going on in my community?” More specifically, it identifies:

           How big and what type of a substance use problem is in the community?
           What resources currently exist within the community? What is supporting the substance abuse
            problem within the community?
           How ready is the community for prevention?

Minimum SPF-SIG Requirements:
           Identify and define your community (i.e. city, school, district, county etc)
           Conduct Community Readiness Assessment
           Meet Minimum Coalition Standards
           Assess community risks and perform Resource Assessments (Appendix C)

Capacity Building:
What is Capacity? Capacity involves more than just funding. Building capacity includes resources, people,
partnerships, coalitions, and skills essential to the successful implementation of prevention plans. Capacity
involves mobilizing resources, engaging stakeholders, partnerships with the community, building coalitions,
developing readiness, and keeping a focus on cultural competency, sustainability and evaluation. the

Minimum SPF-SIG Requirements:
           Involve key leaders from community sectors (i.e. law enforcement, media, government, school,
            business, youth etc). Form and train the community board.
           Plan and conduct a town-hall meeting inviting the members of your community to attend
           Complete Causal Factor Tools
           Complete Causal Factor Reporting Tools

SPF-SIG Grant – revised 10/19/2011                                                                  Page 4 of 6
Why Do I Need a Strategic Plan? Planning creates a comprehensive, logical, and data-driven plan to address
the problems identified in the assessment and capacity building process. The plan includes strategic goals,
objectives, performance targets, logic models and action plans. The Strategic Plan lays the groundwork for:

           Implementation activities, including:
                 Training
                 Capacity Expansion
                 Development of monitoring and evaluation systems
           The identification of strategies
           The selection of evidence-based programs, policies, and practices to be implemented
           The evaluation plan

Minimum SPF-SIG Requirements:
How Do I Create a Strategic Plan?
       Focus on environmental strategies
       Prevention activities should be based on:
                Documented needs
                Identified resources and strengths
                Measurable objectives and performance measures
                Baseline data
       Include a long-term strategy to sustain policies, programs, and practices
       Adjust plans as the result of ongoing needs assessment and monitoring

Implementation requires you to take action as guided by the developed strategic plan. It includes developing
detailed action plans for elements of your intervention, including balancing fidelity of implementation with

Minimum SPF-SIG Requirements:
           Implement prevention plans as indicated in the strategic plan.
           Document implementation milestones (i.e. attendance, meetings, dates of interventions etc)

Evaluation includes process and outcome evaluation. This includes monitoring, evaluating, sustaining, and
improving programs.

What does the Evaluation Step include?
        Process evaluation
        Collection of required outcome data (National Outcomes Measures)
        Review of policy, program, and practice effectiveness
        Development of recommendations for quality improvement

Evaluation is crucial in prevention because it tells us:
         What works and what doesn’t work
         What to improve and how to improve it

Minimum SPF-SIG Requirements:
How Do I Accomplish This Step?
       Collect and analyze evaluation data as delineated in the evaluation plan
       Write an evaluation report
       Provide recommendations on quality improvements based on evaluation data

SPF-SIG Grant – revised 10/19/2011                                                                 Page 5 of 6
                               SPF SIG MINIMUM STANDARDS
                                     Rose Park Task Force

1. Meetings
       Minimum requirement: Meet at least bi-monthly (every other month).
       Goal: Meet at least every month.

2. Key Prevention Stakeholders
       Minimum requirement: Invite a representative from each of the following sectors;
           o local government, education, law enforcement, business, youth programs/services,
               parents, social services, faith community, cultural/ethnic groups, justice
               system/courts, health services, media, and residents
           o 60% of the sectors that are already represented on the Coalition need to have
               attended 65% of the meetings over the last six months (or, if the Coalition is newer
               than 6 months, over the life of the Coalition.)
       Goal: Have a representative from each sector attending 90% of meetings.

3. Bylaws and/or Guidelines
       Minimum requirement: Informal bylaws/guidelines that are unwritten, but agreed upon by
        the entire coalition.
       Goal: Formal, written bylaws/guidelines
            o These should be reviewed as a coalition every other year.

4. Meeting Agendas
       Minimum Requirement: An agenda outlining the purpose for each meeting that is provided
        to members at each meeting.

5. Meeting Minutes
       Minimum Requirement: Collection of minutes from every meeting.
       Goal: Distribute the minutes to the members.

6. Vision and Mission Statements
       Minimum Requirement: A formal (written) vision and or mission statement.

SPF-SIG Grant – revised 10/19/2011                                                         Page 6 of 6

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