What is the Strategic Prevention Framework (SPF)?
The SPF is a SAMHSA-wide planning model for prevention that is relevant for substance abuse, mental health promotion, and other prevention areas. It incorporates the collection and use of data at all steps and requires that throughout the process, cultural competency and sustainability of efforts are addressed. It consists of five basic steps:
- Needs Assessment
- Capacity Building
- Strategic Planning
- Implementation of Evidence-Based Programs, Policies, and Practices (EBPPPs)
- Evaluation and Monitoring
As can been seen in the figure below, these steps are part of a circular process. Beginning with the assessment, states must first conduct a state-wide needs assessment of indicators and outcomes of substance use including alcohol, tobacco, and other drugs (ATOD). Next the building of capacity at the state level is required, then the development of a strategic plan to address the priorities. After planning, program implementation occurs, followed by evaluation. As with most processes, however, some of these steps may occur simultaneously with other steps. For example, capacity building may occur while the needs assessment is also occurring or the planning is occurring. Data are used throughout to drive both the focus of prevention efforts and the types of prevention effort. Both the process and the outcome are important, as these data are to be used to direct, modify, and assess efforts through out the process
The State Epidemiological Workgroup (SEW)
The State Epidemiological Workgroup (SEW) has worked since October 2004 to develop the State Epi Profile. The resulting Profile highlights consequences in several areas that are described in the following section. The SEW consists of about a dozen epidemiologists from state departments, the statewide evaluator, and staff from the Single State Authority (SSA). It is coordinated by a contracted local firm that plans and directs the work of the group.
The objectives stated in New Mexico’s 5-Year ATOD Prevention Plan for the SEW include the following:
- The SEW shall develop rigorous and sustained assessment strategies across multiple funding streams at the state and local level.
- The SEW shall develop collaborative strategies to utilize valid and reliable data across departments and prioritize social indicators according to severity and resource.
- The SEW shall create assessment strategies that address intervening variables and causal factors applicable to New Mexico, so that preliminary data, its analysis, and applicable reports are readily accessible and understandable to members of the general public.
- Together with OSAP and VONM the SEW shall distribute to contractors all updated reports of the (FY2006) 1999-2003 State Epidemiology Report, as well as findings from the biannual Youth Risk and Resiliency Survey, and the New Mexico State Epidemiology Profile: Strategic Prevention Framework – State Incentive Grant. Findings from these data sources can be used to prioritize consequences, problems, indicators and usage pattern.
- The SEW shall collaborate with the Border Epidemiology Office and by collecting, managing and analyzing alcohol tobacco and other drug abuse (ATODA) data specific to communities within 60 miles north of the U.S.-Mexico border.
- The SEW shall collaborate with the Bureau of Indian Affairs (BIA), the Indian Health Services (IHS), the Southwest Native American Epi Center and Native American communities to collect and review social and health indicator data specific to Native Americans.
- The SEW shall serve as an advisory board to the OSAP Cross-Site Evaluation Team in the development of tools and making recommendations regarding appropriate methods for measuring change at the community level.
- The SEW shall work with local Epi Workgroups and community based organizations to provide technical assistance, guidance, and support in the development of tools used to collect data at the local level (e.g., city, neighborhood, rural, etc.).
- The SEW shall work with local Preventionists to expand their capacity to locate, prioritize, collect, analyze, publish and use for planning other data sources to identify local problems and priorities to such as hospital data, law enforcement data, harm reduction data (e.g., needle counts, people counts), school data (including counselors and school health data), JPO data, drug and teen court data, treatment center data, and employee data.
- The SEW shall expand membership to include staff from the Traffic Safety Bureau and UNM Office of Government Research to review DWI and crash data on a regular basis.
- The SEW will update and widely distribute relevant data biannually.