# Presentation: 241842

## Capacity TrainingNew Mexico Strategic Prevention FrameworkState Incentive Grant 

- January 25, 2006
- Michelle Fry & Paula Feathers
- Southwest Center for Applied Prevention Technologies

## Capacity Agenda

**Welcome and Introductions**
**Group Work Agreement**
**Review Objectives**
**Review-Visit Assessment phase**
**Explore capacity and systems**
**Where is your system currently**
**Community Readiness**
**Intervening Variable system development**
**Addressing identified gaps**
**Report requirements**
**Closure**
**Training evaluation**

## Capacity Training Objectives

- Explain capacity as it relates to the consequence logic model
- Define community prevention system
- Explain what a prevention system addressing Intervening Variables and risky behaviors associated with underage binge drinking and 15-24 year old alcohol related crashes in their community looks like.

## Capacity Training Objectives

- _Community Readiness_:
- Describe community readiness.
- Explain the 9 stages of readiness.
- Analyze their community in the statewide readiness survey and identify community strengths, weaknesses, and key stakeholders who need to be brought into the system.
- Identify tools available to gauge community readiness.

## Capacity Training Objectives

- _Mobilization_:
- Identify stake holder’s necessary to implement environmental strategies.
- Map existing system and identify who needs to be included.
- Identify strategies to educate and mobilize identified stakeholders.

## SPF SIG New Mexico Community Logic ModelReducing alcohol-related youth traffic fatalities

**High rate of alcohol-related crash mortality**
**Among 15 to 24 year olds**

**Low or discount PRICING of alcohol**

**Easy RETAIL ACCESS to Alcohol for youth**

**Easy SOCIAL ACCESS to Alcohol**

**Media Advocacy to Increase Community Concern about Underage Drinking**

**Restrictions on alcohol advertising in youth markets**

**SOCIAL NORMS accepting and/or encouraging  youth drinking**

**PROMOTION of alcohol use (advertising, movies, music, etc)**

**Low ENFORCEMENT of alcohol laws **

**Underage **
**DRINKING AND DRIVING**

**Social Event Monitoring and Enforcement**

**Bans on alcohol price  promotions and happy hours **

**Young Adult**
**BINGE DRINKING**

**Enforce underage retail sales laws**

**Intervening**
**Variables**

**Strategies**
**(Examples)**

**Substance-Related Consequences**

**Substance**
**Use**

**Low PERCEIVED RISK of alcohol use **

**Young Adult **
**DRINKING AND DRIVING**

**Underage**
**BINGE DRINKING**

## Assessment Check In

- What good things have you learned about your community as a result of your assessment efforts?
- What has been challenging?
- What resources or allies did you discover during this process?
- Which allies are not currently present?

**In your communities, answer the following questions:**

## Intervening Variables Review

- Community Activity:
- Groups will get an envelope that has Intervening Variables and examples of Intervening Variables.
- Match the examples with the correct Intervening Variable.

## Intervening Variables Review

**Easy Retail Access**
- Lack of compliance checks
- High number of alcohol outlets
**Low Enforcement**
- Low number of sobriety check points
- Alcohol is being sold to intoxicated patrons

## Intervening Variables Review

**Social Access**
- Parents host house parties
- Keg parties near college campuses
**Low Perceived Risk**
- The person who drinks the least is the safest driver
- People believe there is no police patrol in certain areas

## Intervening Variables Review

**Social Norms**
- Freshmen in college believe they are expected to drink every weekend
- Every celebration has alcohol
**Promotion**
- The Tecate softball tournament gives a 6 pack to anyone who hits a homerun
- Every other add on the radio is for club-18 to enter 21 to drink

## Intervening Variables Review

**Discount Pricing**
- Happy hours offer $2.00 pitchers
- Buy 16oz. Beer for the price of a 12oz.

## Capacity

- Mobilization of resources within a geographic area.
- Convening key stakeholders, coalitions, and service providers to plan and implement sustainable prevention efforts
- Mobilization includes financial and organizational resources in addition to forming partnerships.

## Capacity

- Other considerations:
- Community Readiness
- Cultural Competence
- Leadership
- All are strengthened by education and training

## Capacity Benchmarks

- Partnerships
- Continuation and creation of new ones
- MOAs (memorandums of agreement)
- Directory
- Education and training sessions
- Meetings and workshops with key stakeholders

## Capacity and the SPF SIG

- Our Logic Model is data driven.
-  Who, When and Where of consequence
- Use patterns
- Surveys, questionnaires, focus groups of Intervening Variables.

## Capacity and the SPF SIG

- Capacity is built around the logic model.
- To create effective prevention , looking at the logic model, where does capacity need to be centered?
*Answer:*  INTERVENING VARIABLES

## Prevention as a System

**system: **
- Any organized assembly of resources and procedures _united_ and regulated by interaction or interdependence _to accomplish a set of specific functions_.
-  A collection of personnel, equipment, and methods organized to accomplish a set of specific functions.

## Prevention as a System

- What would a comprehensive, _united_, prevention system look like using this logic model?
*Answer: One that addresses each Intervening Variable.*
- Each community will build capacity around Intervening Variables.

## Prevention as a System

- _What is the goal_ of the prevention system we want to create in our communities with the SPF SIG?
*Answer:  Reduce the rate of 15-24 year olds involved in fatal alcohol-related vehicle crashes.*

## Substance Use

**Social Norms**

**Social Access**

**Easy Retail **
**Access**

**Low Perceived **
**Risk**

**Low **
**Enforcement**

**Low Prices**

**Substance Use**

**15-24 year olds involved in alcohol-related vehicle crashes and crash fatalities**

**Notes:**
Over the past  month, you have been doing assessments to look at different intervening variables.  

Each intervening variable has different factors associated with it.  
For example: under Easy Retail Access, you might have found beer in buckets by the door, miniatures in buckets by the cash registers,  that every convenience store sells alcohol, and there are bars that allow 18 to party 21 to drink w/out a real deterrent for the underage drinkers.

The rest of the intervening variables have their factors as well.

All of these contribute to the use patterns you have also found in your assessment.

This use, ultimately contributes to the 15-24 year olds involved in alcohol related vehicle crashes.

## What has your data shown you?

- For each Intervening Variable, map out the issues, trends, and behaviors (constructs) you have identified in your community through your assessments.
- Use the handouts on Page 5-7

## What has your data shown you?

**Easy Retail Access**

- High density of alcohol outlets

- Sunday sales

## What has your data shown you?

- For each Intervening Variable, map out the issues, trends, and behaviors (constructs) you have identified in your community through your assessments.
- Use the handouts on Page 5-7

## Where is your system now?

- For each Intervening Variable, identify resources currently actively involved (pg.8-14).
- Refer to the maps you created based on your data as guides.
- This will be used for the following reasons:
- Inventory of current stakeholders
- Identifying gaps
- Use the handout on pg. 16 to list gaps

## Page 16:  Record Gaps

| Easy 
RETAIL ACCESS 
to Alcohol for youth | Low 
ENFORCEMENT
 of alcohol laws  | Easy 
SOCIAL ACCESS 
to Alcohol | Low 
PERCEIVED RISK of alcohol use or drinking and driving | SOCIAL NORMS accepting and/or encouraging  youth drinking | PROMOTION 
of alcohol use (advertising, movies, music, etc) | Low or 
discount PRICING 
of alcohol |
| --- | --- | --- | --- | --- | --- | --- |
| Retailers

 | Judicial System | Young adults | Police | Parents | Alcohol distributors | community |

## Where is your system now?

- For each Intervening Variable, identify resources currently actively involved (pg.8-14).
- Refer to the maps you created based on your data as guides.
- This will be used for the following reasons:
- Inventory of current stakeholders
- Identifying gaps
- Use the handout on pg. 16 to list gaps

## Community Prevention System

**Community Readiness**:
- The capacity of a community to implement programs, policies and other changes that are designed to reduce the likelihood of substance use.

**Notes:**
Transition-One way that could assist in identifying why gaps exist is through exploring the readiness of the community.

## Community Readiness

- Why is it important to know a community’s readiness level?
- Helps identify where capacity needs improvement.
- Gauges community attitudes
- Serves as a catalyst for change

## Community Readiness

- Is determined by:
- Identifying the issue
- 15-24 year olds involved in alcohol related crashes
- Define the community
- Conduct interviews
- Develop strategies based on level of readiness and conduct workshops or trainings to increase readiness.

**Notes:**
Refer to page 17 for a list of available assessments

More detailed on pg. 29-30

Sample of the Prevention Readiness Index on pg. 31-31

Focus on these

## Community Readiness

- 9 Stages of Community Readiness
- Page 18
- Strategies to Increase Readiness
- Page 19-20
- During the capacity phase, we will want to focus on the assessment.

**Notes:**
During the capacity phase-we want to focus on getting the assessment completed.  

This info will be needed when we start developing our strategic plan.

Remind them that it will greatly assist in building capacity
Based on your score, you can see who needs to be brought in to elevate community readiness. 

## Community Readiness

- County Level Data
- Review the county level readiness survey results.
- Identify and record potential resources for each Intervening Variable (pg.8-14) and gaps (pg.16).

## County Level Readiness Survey

- What information from this survey was beneficial?
- How will this worksheet be useful?
- Questions or concerns?

**Notes:**
This activity will also tie into our upcoming planning phase.

## Community Readiness

- Community Activity
- Answer: What cultural considerations do we need to take into account when assessing community readiness?
- Record on Flip Chart
- Report to larger group

**Notes:**
Have each community answer the question.
Go around and do group reporting.

## Community and Intervening Variables

- Community Activity:
- Refer to pg.21
- Examine Social Access by identifying everyone that has an impact on that Intervening Variable, both positive and negative impacts.
- Will share with other communities

**Notes:**
In the previous activities we mapped issues, trends, and behaviors identified in the assessment phase.

Next, we mapped current resources involved in our efforts and documented identified gaps.

Now, to be even more thoughough in our capacity efforts, we are going to look at each Intervening Variable and identify everyone that makes an impact on that Intervening Variable, both positive and negative impacts.

Be sure to discuss employers on social access-they allow hung over workers, policies may be conducive to drinking, etc.

## Communities and Intervening Variables

- What are some new ideas you got from this activity?
- How will these worksheets be useful?
- Questions or concerns?

## Community and Intervening Variables

- These worksheets (pg.21-27) will need to be completed for each Intervening Variable when you go back to your communities.

## Addressing Gaps

- Use page 16 as a guide for identified gaps.
- List strategies to fill those gaps.
- Networking
- Win-Win Selling Points
- Education sessions
- Strategies will be shared with other communities.

**Notes:**
Part of the capacity building process is to identify gaps (pg.16)

Once gaps are identified we need to strategize how to fill those gaps (pg. 28)

## Strategies to Address Gaps

- How was this activity beneficial?
- How will this worksheet be useful?
- Questions or concerns?

**Notes:**
This activity will also tie into our upcoming planning phase.

## Report Requirements

- Michael Coop

## Capacity Training Objectives

- Explain capacity as it relates to the consequence logic model
- Define community prevention system
- Explain what a prevention system addressing Intervening Variables and risky behaviors associated with underage binge drinking and 15-24 year old alcohol related crashes in their community looks like.

## Capacity Training Objectives

- _Community Readiness_:
- Describe community readiness.
- Explain the 9 stages of readiness.
- Analyze their community in the statewide readiness survey and identify community strengths, weaknesses, and key stakeholders who need to be brought into the system.
- Identify tools available to gauge community readiness.

## Capacity Training Objectives

- _Mobilization_:
- Identify stake holder’s necessary to implement environmental strategies.
- Map existing system and identify who needs to be included.
- Identify strategies to educate and mobilize identified stakeholders.

## Evaluation

- Final thoughts or concerns?
- Please fill out evaluation-only for today’s training, please do not include yesterday’s meeting.
- Thank you and safe travels!
- PowerPoint can be found at:
- _[http://captus.samhsa.gov/](http://captus.samhsa.gov/)__ _
- Click on Southwest CAPT, then on the state of New Mexico.

## Strategic Prevention Framework

## Infusion of theStrategic Prevention Framework

**State Systems**
**Prevention Infrastructure**

**Community Coalitions**
**Action Mechanism**

**General Public**
**Awareness and **
**Outreach**

## Low Enforcement 

**Low Enforcement **

**Retailers**

- Merchant Education

- 15-24 year olds
- Alcohol related
- classes

**SID**

**Sheriff's office**

- ID compliance checks

- Sobriety Check Points

- Shoulder Taps

- Server Training

**Inputs**

**Outputs**

**Short Term**
**Outcomes**

**Long Term**
**Outcomes**

**Community **
**Change**