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Sustainable Models of FaithCONNECTING WITH COALITIONS/RISK & PROTECTIVE FACTORS

STRATEGY RELATED MATERIAL

ENVIRONMENTAL STRATEGIES

ALBERT GAY

TTJ GROUP, LLC

Faith + Prevention = Transformative Power

Community Anti-Drug Coalitions of America (CADCA), states that, "Combining the strengths of faith-based organizations with the scientific knowledge and

community-mobilization skills of coalitions is a powerful combination in the mission to decrease or prevent substance abuse."

A Coalition is…

Community Anti-Drug Coalitions of America (CADCA) defines coalitions as the following:

A formal arrangement for collaboration between groups or sectors of a community, in which each group retains its identity but all agree to work

together toward a common goal of building a safe, healthy, and drug-free community.

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History of Coalitions

50’s – 60’s

• Scare Tactics

• Information

70’s

• Drug Education

• Alternatives to drug use

80’s – 90’s

• Parent, school and community partnership

• Community Coalitions

History of Coalitions :The Crack

Epidemic

Some overwhelmed urban communities in the late1980's

believed:

they did not have the power or ability

to solve their own problems

legalization was a solution

only few outside experts could solve problems

But There Was Hope

The Answer:

Bringing together the entire community

Faith-based had significant role

Local coalitions have changed the

way that American communities respond to the threats of illegal drugs,

excessive alcohol, and tobacco use

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The Impact of Coalitions

The coalition movement has been

significant impacting:

• Alcohol

• Marijuana

• Methamphetamines

• Ecstasy

• Prescription drugs and Heroin

Coalitions have been key to the

development of effective

solutions.

• Substance abuse prevention,

treatment, and recovery

• Human Immunodeficiency Virus (HIV)

• Acquired Immunodeficiency Syndrome

(AIDS)

• Prevention

• Poverty

• Wellness campaigns

• Education

• Gangs in the neighborhood

A Coalition is Not…

Not run by outside organizations

Not a human service organization

Not a single entity

Not operate top down

A Coalition Is…

• A diverse group with deep connections to the local community

• A group that serves as a catalyst for the goal of change in the community

• A group that adapts, creates, or develops public policy

• A group that influences population group’s behavior

• A group that works to create a healthy community

• A partnership of the many sectors of a community which gather together

collaboratively to solve the community’s problems

• A group that guides the community’s future

• A group that is driven by citizen identified issues

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Here’s Why Coalitions Form

• Urgent situation arises demanding action

• Control hand in future of the community

• To acquire and/or provide services

• For delivery of effective and efficient practices, policies, and programs

• Gathering of resources

• Facilitate communication among groups

• Strategic planning of community-wide initiatives

• Foster leverage within the community

• Create and sustain social change

Interventions

Program Implementation and Evaluation

Identify Risk and Protective

Factors

Define the Problem

Problem Response

Coalitions Use the Public Health Approach

Coalitions Influence &Leverage Resources

• Producing better health outcomes within the shared

community

• Controlling the course of the

community

• Transforming systems

• Changing the cultural norms

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The 12 Sectors at the Coalition Table?

State,

local, tribal

MediaBusiness

Schools

Law

Enforcement

ParentsYouth

Other

Coordinator

Youth-

serving Orgs.

Healthcare

Civic/

VolunteerReligious/

Fraternal

The Mission the 12

to Reduce Risks & Increase

Protection

Risk factors predictsubstance abuse

Protective factors buffersubstance abuse

To prevent substance use, programs must:

Protective Factors

Risk Factors

Availability of Firearms

Availability of Drugs

Community Laws and Norms Favorable toward Drug Use, Firearms and Crime

Media Portrayals of Violence

Transitions and Mobility

Low Neighborhood Attachment & Community Disorganization

Extreme Economic Deprivation

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Family History of the Problem Behavior

Favorable Parental Attitudes and Involvement in the Problem Behavior

Family Management Problems

Family Conflict

Academic Failure Beginning in Late Elementary SchoolLack of Commitment to School

Key Leader Orientation 2-19

Early and Persistent Antisocial Behavior

Constitutional Factors

Rebelliousness

Friends who Engage in the Problem Behavior

Favorable Attitudes toward the Problem Behavior

Early Initiation of the Problem Behavior

Gang Involvement

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The Social Development Model:

Building a Community Model of Protection

Social Development Strategy

Components of an Effective &

Sustainable

Coalition

Clear Organizational

Structure

Communities That Care

(CTC)

Strategic Prevention

Framework (SPF)

Membership Capacity to

do the Work

Work groups

Sustainability

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Clear Organizational Structure

• Formalizes a set of structures and practices, such as written roles and procedures (such as bylaws)

• Clarifies roles and procedures, and adequately addresses tasks and maintenance functions

• Includes management strategies that include effective communication,

conflict resolution, perception of fairness, and shared decision-making

Sample Structure: Communities That

Care

Key Leader Board

Community Board

Community Board

Executive Committee

Coordinator/Facilitator

Work Groups:

Risk and Protective Factor

Assessment

Community Outreach and

Public Relations

Youth Involvement

Resources Assessment and

Evaluation

Funding

Community Board

Maintenance

SAMHSA’s Strategic Prevention

Framework (SPF)

AssessmentProfile population needs, resources, and readiness to address needs and gaps

CapacityBuild capacity to address needs

PlanningDevelop a Comprehensive Strategic Plan

ImplementationImplement evidence-based prevention programs and activities

EvaluationMonitor, evaluate, sustain, and improve or replace those that fail

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Local Epidemiological

Workgroup

(LEW)

Local

Advisory Council

(LAC)

Executive Committee

Evaluation Committee

Training and Outreach Workgroup

Cultural Competence Workgroup

Youth/Young Adult Workgroup

Sample Workgroups that Drive the SPF

Process

Membership Capacity

Identify key leaders within each sector

• Notoriety

• Outcomes

• Passion

Culturally Competent Approach

• Shared interests/values/goals

• Clear responsibilities

• How coalition benefits organization

• Positive outcomes (Win – Win)• What Media

will you use to reach sector?

• What will sector need to commit to Coalition?

• How will you promote to this sector?

• What are you producing in community?

Product Promotion

PlacePrice

Resource Inventory

Expertise/Skills

Administration Grant Writing Prevention Strategies

Advertising/Marketing Group Facilitation Public Relations

Data Analysis Implementation Research

Board Development Interviewing/Surveying Social Media

Collaboration Building Legislation/Codes/Policy Strategic Planning

Cultural Competence Media Relations Systems Reform

Database/Graphing Mediation / Negotiations Translation

Evaluation Policy Analysis Working with government

Fiscal management Presenting / Training Youth Involvement

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Step 3 - Planning

A Comprehensive Prevention Plan

Describe the priority problem and why it was selected.

List risk and protective factors, and describe how they were prioritized.

Describe resources, resource gaps, readiness, and cultural issues, and how any challenges will be addressed.

Describe interventions that will impact the selected risk factors.

Develop a logic model with short- and long-term outcomes.

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SPF Logic Model for Reducing Binge Drinking 18-25

Consequence/ConsumptionPatterns

Risk and Protective

Factors Strategies

Media advocacy to increase community

concern about binge drinking

Young Adult Binge Drinking

Social norms accepting and/or

encouraging binge drinking

What evidence based strategy is effective in

reducing risk associated with Opioid use?

Opioids used by whom in NC?

What are the Risk / Protective Factors

contributing to Opioid Problems?

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Goal Objectives Inputs Partners OutputsShort-Term Outcomes

Intermediate Outcomes

Long-Term Outcomes

Decrease

students’

social access

to opioid non-

medical

prescription

drug use

Increase

knowledge of

students and

other community

members who

receive opioid

prescription

drugs regarding

proper use,

storage, and

disposal of their

medications

Provide printed

educational

materials and

verbal guidance

from prescribers

(see above) to

patients

(students and

other community

members)

prescribed

opioids about

the safe use,

storage, and

disposal of

prescription

drugs, as well as

the dangers of

sharing

prescription

drugs with others

Local prescribers

to help educate

their patients

about proper use,

storage, and

disposal of their

medications

Local hospitals,

clinics, and

pharmacies to

help disseminate

printed materials

regarding the

proper use,

storage, and

disposal of

medications

Number of printed

materials handed to

patients receiving

opioid prescriptions

Number of patients

with opioid

prescriptions who

report that

prescribers

discussed with them

the safe use,

storage, and

disposal of

prescription drugs

At least X% of

patients with

opioid

prescriptions

report receiving

educational

materials

At least X% of

patients with

opioid

prescriptions

report that

prescribers

discussed with

them the safe use,

storage, and

disposal of

prescription drugs

At least X% of

patients with

prescriptions for

opioids report

following safe

practices for

using, storing, and

disposing of

unused opioid

prescription drugs

X% decrease in

student-

reported non-

medical use of

opioid

prescription

drugs

X% decrease in

number of

overdoses

related to

opioid

prescription

drugs

Expansive SAMHSA Logic Model

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Sample Criteria for Selecting Strategies

Effectiveness

Matching strategy/program requirements with agency capacities

Resources

Cultural assumptions

Target population

Organizational climate

Community climate

Evaluability

Future sustainability

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Best Fit Prevention Interventions

Select Specific Programs,

Practices & Policies

Ensure Effectiveness

IdentifyTypes of

StrategiesBest Fit

Prevention

Interventions

Demonstrate Conceptual Fit

Demonstrate Evidence of

Effectiveness

Demonstrate Practical Fit

Relevant? Practical? Effective?

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Environmental Strategies

Environmental Approaches include:

Policies

Enforcement

Education

Communication

Collaboration

Policies

Public (ordinances/laws): Local, State, Fed.

Institutional: businesses, colleges, workplace

Examples:

Distribution systems -- dictating how the sale and distribution of alcohol are controlled.

Purchase and sales -- regulating minimum legal drinking age and requirements for purchases of kegs and laws affecting server training.

Taxation -- imposing excise taxes on beer, spirits, wine

Drinking and driving -- mandating legal limits on blood alcohol concentration (BAC) levels for drivers, generally expressed in grams per 100 milliliters of whole blood, and penalties for violating BAC laws.

Enforcement

Policies and laws must be enforced w/ appropriate penalties when violations

occur

Examples

Compliance Checks

Community Policing

Enforcement Using Deterrence and Incentives

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Education

Plays an important role in altering prevailing opinions and practices

Examples:

Educating Through Data Collection

Educating Using Training

Communication

Communication strategies include just about any approach that gets the word out to the broadest possible audience.

Examples:

Public Education- increase knowledge & awareness of a particular

health issue (AIDS)

Social Marketing – ad principals to change norms

Media Advocacy – used to affect public policy

Collaboration . . . Join a Coalition Today!

Collaboration helps communities improve their capacity to improve

policies, draw attention to public health issues, and develop partnerships that can be applied in

other areas.

Example:

Many of the most successful collaborative efforts combine collaboration with communications, policy, or education strategies.

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Sustainable Coalitions

• Employ Leadership succession and membership recruitment plans

• Recognize members to increase energy and reduce burnout

• Integrate the coalition’s goals and strategies into the missions of their own organizations

• Develop diversified funding streams to ensure balance and commitment to coalition activities and actions