Welcome

1. Cultivating County Partnerships Through the Strategic Prevention Framework: Implementation and Evaluation

2. Welcome • Introductions • Agenda • Additional training opportunities • Housekeeping items • Parking Lot • CEU’s

3. Review and Recap • Step 1 - Assessment Step 3- Planning • Needs Assessment Environmental • Types of data Strategies • Types of data comparisons Strategic/Action Plan • Step 2 – Capacity • Capacity Assessment • Resources • Readiness

4. Implementing Your Action Plan

5. Action Plan • What you expect to accomplish • Your approach • Action steps • People responsible for completing action steps • Timeline

6. Planting Seeds for Implementation Increase county awareness of problem Introduce strategies to partners and key stakeholders Expand internal and external partnerships needed for EBP

7. Fidelity Fidelity refers to the degreeto 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.

8. Adaptation Adaptation - How much, and in what ways,a program is changed to meet local circumstances

9. Guidelines for Adaptation • Consult the experts • Retain core components • Adhere to evidence-based principles • Select strategies with the best initial fit

10. Guidelines for Adaptation • Change capacity before changingstrategy • Be consistent with evidence- based principles • Add, rather than subtract

11. Barriers to Implementation How can we break through? • Ongoing needsfor training and information • Lack of feedback • Miscommunication

12. Breaking Down the Barriers • Offer training and support • Give meaningful tasks • Keep people informed • Clear communication • Recognize coalition/ Collaboration Council members

13. Cultural Competence and Implementation Effective cultural adaptation is important to implementation

14. Sustainability and Implementation Growth without sustainability is setting up a future that is going nowhere What about sustainability?

15. Sustainability and Implementation • Build a strong collaboration/ coalition. • Hold productive meetings. • Attract influential people.

16. Sustainability and Implementation • Strategize effective uses of existing resources. • Increase coalition’s influence through partnerships. • Mobilize and train residents and young people. • Increase diversity.

17. 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.

18. STRETCHBreak

19. Environmental Strategy Overview

20. What Are Environmental Strategies? Environmental Strategies reduce problems associated with the use of alcohol through changes in the physical, social, legal, and economic environment.

22. 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…

23. Social-Ecological Model

25. Retail Access: Responsible BeverageService

26. Social Access:Change theConditionsofAvailability

27. Promotion:Alcohol AdvertisingRestrictionsin Public Places

28. Enforcement: PreventingAvailabilityto UnderageYouth

29. Other Strategies: Social Host Liability College Campus – School Policies

31. Building Capacity

32. Whose problem is it? • Who is directly or indirectly affected? • Whatare 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?

33. Building Capacity Activity : Community Tool box

34. Know the opposition

35. IDPH Deliverable

36. Plan complete = Done? Not hardly… Now the fun Begins… MONITORING

37. Step 5.Evaluation

38. Evaluation Measuring the impact. Identifying what is working. Documenting what does not work.

39. Coming to a training real soon… Community Change Services Provided Media Resources Generated ODSS TOOLBOX

40. Overview • Describe what they plan to do • Monitor what they are doing • Improve services • Determine which efforts to sustain

42. Five Functions of Evaluation • Improvement • Coordination • Accountability • Celebration • Sustainability

43. Individual-Level vs. Population

44. Seven Approaches to Community Change: • Provide Information • Enhance Skills • Provide Support

45. Provide Information • “educational presentations, workshops or psa’s…”

46. 2. Enhance Skills “ workshops, seminars, or other activities designed to increase the skills of participants.”

47. Provide Support • Opportunities to support people in activities that reduce risk or enhance protection.

48. Seven Approaches toCommunity Change: • 4. Enhance Access / Reduce barriers • Change consequences • Change Physical Design • Modify/Change Policies

49. 4. Enhance access/ Reduce barriers • Improving systems and processes to increase the ease, ability and opportunity to utilize systems/services

50. 5. Change consequences (Incentives / Disincentives)