![](media/image1.wmf){width="1.5368055555555555in" height="1.36875in"}

**Handout 6B**

**Materials**

Lincoln Case Study

*Phases of Implementation* Handout

**Background**

You are working at the State level and have been asked to review the
Lincoln prevention plan to address alcohol-related motor vehicle crashes
and associated morbidity and mortality among 15--24 year olds. You've
been asked to focus your attention on pre-implementation.

**Instructions**

-   Review the information pertaining to pre-implementation in the
    *Phases of Implementation* handout.

-   Remember to keep in mind issues that pertain to cultural competency

-   Read the Lincoln Case Study.

-   Answer the following questions that pertain to pre-implementation of
    Lincoln's strategic plan.

**Questions**

1.  Are there characteristics of the strategies (i.e., checkpoints and
    media) that might affect whether or not implementation will occur
    and how rapidly?

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2.  What about the Lincoln coalition will positively or negatively
    affect the implementation of enforcement and media campaign
    strategies? If you were advising them, what would you suggest to
    ensure effective implementation of the strategies?

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> 3\. Are there any characteristics of the community of Lincoln that
> will positively or negatively affect the implementation of enforcement
> and media campaign. If you were advising them, what would you suggest
> to ensure effective implementation of the strategies?

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**Handout 6B**

![](media/image2.wmf){width="1.5381944444444444in"
height="1.6298611111111112in"}

**Materials**

*Phases of Implementation* Handout\
Lincoln Case Study

**Background**

You are working at the State level and have been asked to review the
Communities of Lincoln prevention plan to address alcohol-related crash
mortality among 15-24 year- olds. Your group is focusing its attention
on issues of implementation.

**Instructions**

-   Individually read the information pertaining to implementation in
    the *Phases of Implementation* handout.

-   Individually read the case, including the plan document.

-   As a group answer the following questions that pertain to
    implementation. Feel free to refer to the information regarding
    implementation in the *Phases of Implementation* handout.

**Updated** I**nformation**

In its Six-Month Progress Report to the State, Lincoln reported
implementing the following pre-implementation activities to enlist
support and to discuss issues of youth substance abuse and their role in
prevention:

The coalition has discussed the importance of implementing these
strategies and the problem of alcohol-related traffic fatalities with
the mayor, who is coming up for election soon, the new police chief, the
dean of Student Affairs at the local university, and the community at
large at town hall meetings.

In addition, Lincoln project members identified legislators in Lincoln
interested in a) youth, b) safety, and c) public health. Currently,
meetings have been set up with their legislative aides.

The coalition has also created a briefing paper on the
cost-effectiveness of enforcement and media strategies and presented
information on the effectiveness of enforcement and media strategies to
local papers for news papers.

The coalition has met with editors of two local community papers and
provided evidence-based resources the papers can use in articles and
editorials. It has offered to answer technical prevention questions that
may come up and to identify agency clients willing to be interviewed for
personal stories.

The coalition also approached local cable stations to arrange for
interviews with a talk show host; identify most articulate,
knowledgeable, and quick-thinking spokesperson to appear.

**Questions**

> 1\. Do the activities that the Lincoln coalition has proposed to
> mobilize support for the enforcement and media strategy seem adequate?
> Are there any additional activities you would recommend?

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2\. In what ways is the Lincoln coalition preparing key stakeholders to
implement programming? Do you think this preparation is adequate to
ensure that Lincoln will reach its goals?

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3.  In what ways can/should the coalition tailor enforcement and media
    strategies to fit the local circumstances?

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4\. How will Lincoln know that it has successfully implemented its
strategies? More specifically, what process measures might Lincoln use?

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**Handout 6B**

![](media/image3.wmf){width="1.5375in" height="1.804861111111111in"}

**Materials**

Lincoln Case Study including planning chart and implementation chart:

*Phases of Implementation* Handout

**Background**

You are working at the State level and have been asked to review the
Communities of Lincoln prevention plan to address alcohol-related crash
mortality among 15--24 year olds. Your group is focusing its attention
on issues of maintenance.

**Instructions**

-   Individually read the information pertaining to maintenance in the
    Phases of Implementation handout.

-   Individually read the case, including the plan document.

-   As a group answer the following questions that pertain to
    maintenance.

-   Feel free to refer to the information regarding maintenance in the
    Phases of Implementation handout.

**Lincoln Coalition Enforcement and Media-Related Activities Update**
**DUI checkpoints:** Checkpoints were operated by police with assistance
from the highway patrol. Checkpoints were conducted on three main
streets surrounding the campus and other known community locations where
underage drinking takes place. These streets were selected because they
had a significant amount of student foot traffic and motor vehicle
traffic. On average, 730 cars were stopped at each checkpoint. The
primary goal of the checkpoints was to increase the perception of risk
of arrest for DUI. Arrests were a secondary goal. As such, the
checkpoints included 10--15 officers, several police cars with their
lights turned on, cones, flares, and large spotlights. On average, each
DUI checkpoint cost \$3,000 (US) to operate.

**Media coverage:** For each checkpoint, the local media (including the
campus paper) were contacted. The checkpoints all received coverage on
local television news broadcasts. During the intervention period, the
community newspapers ran six stories related to DUI. One of these
stories focused directly on increased enforcement. During this period,
the school paper ran 11 DUI-related stories.

**Questions**

1\. What type of technical assistance do you think the Lincoln coalition
might need to ensure continued success of its strategies?

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2\. What type of personnel might be needed to sustain these efforts over
time? How might you ensure that the coalition maintains adequate
staffing and funding?

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3\. What potential process data might Lincoln collect to monitor changes
to its strategies?

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4\. What potential outcome data might Lincoln collect to demonstrate
that these strategies were successful?

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**Bonus Question**

5\. How would Lincoln demonstrate that its strategies are economically
feasible? In other words, how would Lincoln know that dollars expended
on program implementation produce positive health outcomes (e.g.,
reductions in alcohol-related motor vehicle crashes and associated
injury and death)?

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