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Tennessee Strategic
Prevention Framework
State Incentive Grant (SPF-SIG)
Communities in Tennessee are challenged with
burgeoning rural methamphetamine and urban club drug epidemics in a state
with persistent, significantly-high usage rates, culturally supported youth
alcohol, tobacco and marijuana use and continued prescription drug diversion
and other illegal drug problems (particularly cocaine). Communities also
face a growing need to build cultural competencies and gain access to the
materials needed to address rapid racial and cultural demographic changes.
Issues considered in this endeavor are the
Governor’s office strong support for evidence-based prevention, a strong
network of coalitions committed to accountability, cultural competence and
strong evaluation and long-term sustainability for excellent system change
and service delivery.
The Tennessee Strategic Prevention Framework
State Incentive Grant (SPF-SIG) funded by the
Center for Substance Abuse Prevention,
a division of the
U.S. Substance Abuse and Mental Health Services
Administration,
provides the framework and resources for the State of Tennessee and
communities to effectively partner in order to strengthen drug prevention in
Tennessee. This partnership will target resources within the community and
enhance actions that amplify the organization's ability to work towards its
mission, making more effective substance abuse and reducing related negative
social problems, such as impaired driving deaths, risky sexual behavior and
drug-related crime.
SPF-SIG has
three
major goals, each of which include several priorities that have
been developed based on Tennessee statistical substance abuse data. The
overall objective of SPF-SIG is to develop
outcomes-based logic models that outline a
locally-defined strategic response for addressing SPF-SIG priorities.
Tennessee’s SPF-SIG design will use
data-based problem solving within a systems change model. This model
requires:
- an ongoing
Epidemiological
Workgroup of data experts from state departments, community
agencies and research organizations responsible for building an effective,
accessible data system and make policy and program recommendations;
- an ongoing
SPF Advisory Council from state departments and the community
to oversee and address the data system and leverage existing programs that
utilize evidence-based practice and accountability;
- the development of data infrastructure at
both state and community levels, making high-quality data available for
planning, evaluation and sustainability decisions and
- implementation of the Strategic Prevention
Framework for data-driven decisions about system change at the state and
community levels and evidence-based prevention interventions at the
community level.
Collaboration is not a cliché, but a
fundamental necessity to insure success in such a model. County-wide
coalitions will plan and manage prevention interventions and associated
funding. The
State Epidemiological Workgroup (SEW),
SPF-SIG Advisory Council, and the
Pacific Institute for Research and Evaluation, Inc.
(PIRE) will integrate the work of coalitions with existing
programming.
Community Anti-Drug Coalitions Across Tennessee
(CADCAT) will provide support and technical assistance to the
coalitions, networking and mentoring opportunities and a web-based,
prevention-specific data tracking system,
interactive Getting To Outcomes (iGTO).
Although Tennessee expects its state’s prevention system to incorporate an
all-encompassing prevention infrastructure, the plan begins with an
emphasis on ages 12 to 24. The scope of the plan will maintain a focus on
the needs and populations identified in a formal needs assessment, and is
expected to be expanded following the initial phase. As stated in the
Tennessee SPF-SIG grant application, the shared vision for this funding is
that:
| “In five years Tennessee will
have highly effective substance abuse prevention systems both at the
state level and in targeted counties. Stakeholder readiness,
involvement, organizational expertise, system capacity and
infrastructure will be substantially enhanced. We envision this
strengthened infrastructure will assist evidence-based decisions
that will measurably contribute to a significant reduction in
ATOD abuse or dependence and associated substance abuse-related
problems among residents 12 to 24 years old.” |
The State Role in Outcome- Based
Prevention Implementation
- Determine priority problem(s) to be
addressed based on consequence(s) consumption patterns.
- Determine allocation approach for
distributing funds to address the problem(s).
- Develop an
initial logic model to identify:
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consequence/consumption pattern(s) to
be targeted, |
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intervening variables that contribute
to them and |
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effective strategies to address
intervening variables. |
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support communities in the process of local
planning based on Tennessee’s logic model where goals, objectives,
strategies, and activities are linked with risk and protective factors.
The Community Role in
Outcomes Based - Prevention Implementation
- Understand the problem(s) to be
addressed.
- Assess intervening variables (such as
easy retail access to alcohol by youth, easy social access to alcohol
and promotion of alcohol use) for planning purposes.
- Determine intervening variables for
intervention.
- Choose and implement effective and
relevant strategies to address intervening variables.
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