Organizing and Coordinating Our Work
February 13, 2017 – Tower Hill
MOAPC, SAPC, PFS 2015 Coordinators
1:15pm – 2:50pm
Big Ideas for the Afternoon
• Coordinator as a Conductor
• Less is More
• Working Narrower and Deeper
• Coordinator Needs to be Focused on the “Why?”
Coordinator as Conductor
Overview of MA Prevention Landscape
BSAS Prevention Grants
• 174 of 315 municipalities are part of at
least one BSAS Prevention Grant
(50%)
• MOAPC: 19 lead communities, 97
partner communities – 116 total
communities. [Opioids/Overdose]
• SAPC: 27 lead communities, 113
partner communities – 140 total
communities [Alcohol/Other Drugs]
• PFS: 16 communities. [Rx Drugs]
Coordinator as Conductor
There are 53 Coordinators
There are 174 Communities
Coordinator as Conductor
• Need to focus on the big picture and on pulling it all together.
• Maintaining fidelity to the strategic plan/logic model.
• Delegate responsibility.
• Maintain a focus on the IVs and expected outcomes.
• Keep focus on the identified population(s).
• Build sustainability into everything you do.
Leveraging Partnerships
Average Level of Sector Engagement – SAPC FY17-Q2
Schools/School Districts
Substance Abuse Prevention Organizations
Law Enforcement Agencies
Youth Serving Organizations
State or Local Government/Elected Officials
Healthcare Professionals/Agencies
Mental Health Professionals/Agencies
Civic or Volunteer Organizations
Parents/Family/Caregivers
Recovery Community
Substance Abuse Treatment Organizations
Youth
Clergy/Faith-Based Organizations
Media
Business Community
Judiciary Systems/Courts
1.00
Very Low
4.20
4.04
3.84
3.71
3.68
3.60
3.26
3.17
3.12
3.09
3.09
3.00
2.90
2.73
2.65
2.38
1.50
2.00
Low
2.50
3.00
Medium
3.50
4.00
High
4.50
5.00
Very High
Leveraging Partnerships
Average Level of Sector Engagement – MOAPC FY17-Q2
Substance Abuse Prevention Organizations
Narcan Distribution Sites
Substance Abuse Treatment Organizations
Law Enforcement Agencies
Healthcare Professionals/Agencies
Recovery Community
State or Local Government/Elected Officials
First Responders Other than Police (e.g., Fire, EMS)
Mental Health Professionals/Agencies
Schools/School Districts
Youth Serving Organizations
Parents/Family/Caregivers
Pharmacies/Pharmacists
Judiciary Systems/Courts
Media
Youth
Clergy/Faith-Based Organizations
Civic or Volunteer Organizations
Business Community
4.50
4.40
4.13
4.06
4.00
3.88
3.82
3.73
3.71
3.63
3.38
3.25
3.08
3.06
2.94
2.87
2.80
2.75
2.13
1.00
1.50
Very Low
2.00
Low
2.50
3.00
3.50
Medium
4.00
4.50
High
5.00
Very High
Leveraging Partnerships
Average Level of Sector Engagement – SAPC compared to MOAPC FY17-Q2
Schools/School Districts
Business Community
Civic or Volunteer Organizations
Youth Serving Organizations
Youth
Clergy/Faith-Based Organizations
Parents/Family/Caregivers
State or Local Government/Elected Officials
Media
Law Enforcement Agencies
Healthcare Professionals/Agencies
Mental Health Professionals/Agencies
Substance Abuse Prevention Organizations
Judiciary Systems/Courts
Recovery Community
Substance Abuse Treatment Organizations
0.57
0.52
0.42
0.33
0.13
0.10
-0.13
-0.14
-0.21
-0.22
-0.40
-0.45
-0.46
-0.68
-0.79
-1.04
-1.20
-1.00
-0.80
-0.60
-0.40
-0.20
0.00
0.20
0.40
0.60
0.80
Coordinator as Conductor
Partnership Health FY17-Q2
60
50
40
30
20
14
10
0
1
Poor
5
Fair
17
4
Good
Very Good Excellent
Less is More
Intervening Variables – Staying on Point
Partnerships for Success – Approved Strategic Plans
Social Access
9
Perceived Risk of Harm
9
Norms - Perceived Peer or Friend Use
3
Retail Access
2
Lack of Consistent/Appropriate School Policies
1
Positive Relationships with Adults
1
Early Initiation of Substance Use
1
Availability of Prosocial Activities
1
0
2
4
6
8
10
12
Prevention Strategies – Staying on Point
Partnerships for Success – Approved Strategies – Average 3 per community; Range 3-4.
Alternative Activities - Gay/Straight Alliance
1
Alternative Activities - Mentoring Opportunities
1
Environmental Strategy - Prescriber Training
2
Environmental Strategy - School Policies
1
Environmental Strategy - Take-Back
4
Information Dissemination - Direct
5
Information Dissemination - Media/Social Marketing
14
Information Dissemination - Social Norms
2
Prevention Education - Parents
2
Prevention Education - Youth
5
Problem ID and Referral - SBIRT
1
0
2
4
6
8
10
12
14
16
18
20
Less is More
• Nobody expects you to implement 30 strategies.
• Focus on capacity to implement a few strategies well.
• Need – Capacity – Implementation – Outcomes.
• More focused populations/sub-populations over time. [more strategic].
• Evaluation opportunities will present themselves when you go small.
• Easier to communicate – make the case for sustainability.
• Need versus interest.
Prevention Strategies – Staying on Point
MOAPC – Approved Strategies – Implementation Status – FY17 Q2
Area
Strategies (min)
Strategies (max)
Strategies (mean)
Consumption
1
6
4
Consequence
1
7
4
TOTALS
2
12
7
Strategies
Not Implementing
Planning Only
Implementing
Consumption
63
17 (27%)
7 (11%)
39 (62%)
Consequence
63
20 (32%)
11 (17%)
32 (51%)
TOTALS
126
37 (29%)
18 (14%)
71 (56%)
Area
Working Narrower and Deeper
Who Are We Reaching? No, really?
SAPC – MIS Data FY17 Q1-Q2: 86,368 total reached; 75,689 unique individuals
Gender
Age
Race
Ethnicity
Female
16,878 (22%)
0-4
0 (0%)
White
2,816 (4%)
Hispanic
430 (1%)
Male
11,335 (15%)
5-11
1,640 (2%)
Black
297 (0.4%)
Non-Hisp.
1,369 (2%)
Unknown
47,476 (63%)
12-14
367 (0.5%)
Pacific
12 (0.02%)
Unknown
73,640 (97%)
15-17
2,500 (3%)
Asian
268 (0.4%)
18-20
435 (1%)
Native
10 (0.01%)
21-24
3,616 (5%)
Multiracial
268 (0.4%)
25-44
6,671 (9%)
Other
92 (0.1%)
45-64
4,446 (6%)
Unknown
71,676 (95%)
65+
2,168 (3%)
Unknown
53,596 (71%)
Working Narrower and Deeper
• We are evolving to a place where we will be measured not by the quantity
of our work, but by the quality.
• We expect that the work will become more focused.
• MIS is an example of a simple place to start.
• Looking for evidence that you know who is in your community, who you
are trying to reach, and that you are actually reaching them.
Coordinator Needs to be Focused on the “Why?”
Focus on the “Why?”
• It all comes back to the intervening variables and outcomes.
• Don’t get lost in the strategies and activities.
• Need to be able to communicate the “why” to stakeholders.
• This includes having a firm grasp of the SPF and understanding why it is
important and informs our work (not just the terminology).
Current Level of Capacity by SPF Step
MOAPC and SAPC (FY17 – Q2)
Step 4 - Implementation
3.64
Step 1 - Assessment
3.59
Step 5 - Evaluation
3.53
Step 3 - Plannning
3.50
Step 2 - Capacity
3.49
Sustainability
3.41
Cultural Competence
1.00
Poor
3.12
1.50
2.00
Fair
2.50
3.00
Good
3.50
4.00
Very Good
4.50
5.00
Excellent
Let’s Chat
• Open floor
• Comments? Clarifying Questions?
• Feel free to ask us why certain decisions have been made.
• What do you need from us (including MassTAPP)?
• What do we (state/evaluation team/MassTAPP) not understand?
• This discussion can help set the agenda for the rest of the year.