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Mapping Your County’s System
Using Strategic Planning to Improve Service Delivery
ADAA Management Conference
October 13-15, 2004
Workshop Purpose
Skill-building workshop
Designed to help you describe the system of services in your jurisdiction critical to strategic planning, and
How to use strategic planning to identify key stakeholders, assess needs, develop a comprehensive strategic plan, implement the plan, and evaluate its success.
Local Drug and Alcohol Advisory Councils
Mandated for all 24 political subdivisions
Membership to include at least 12 state or county agencies along with other interested and/or knowledgeable persons
Local health department required to survey all federal, state, city, county, fee for service and private health insurance dollars spent for treatment (ADAA will develop the survey instrument)
Maryland State Drug and Alcohol and Drug Abuse Council
The MD State Council is required to
“promote collaboration and coordination by State drug and alcohol abuse programs with local Drug and Alcohol Abuse Councils….”
Local Council -- Duties
Submit a summary report to the Governor by Dec 1, 2004 containing info on:
– Member name, title, agency reps and contact info– Organizational structure and council rules– Documentation about compliance to Senate Bill 194, Article 10, and
progress toward development of the comprehensive plan (due in July 2005)
Develop a Comprehensive Plan for prevention, intervention, and treatment services due by July 1, 2005 and every two years thereafter
Provide an implementation progress report to ADAA; due to ADAA every six months
The Comprehensive Plan
Must include:
– Strategies and priorities for meeting the identified needs of the general public and the criminal justice system for alcohol and other general drug abuse evaluation, intervention, prevention, and treatment services
– Info on priority and target populations
– Mission, principles, goals
– Ability of treatment system to identify and treat all persons with co-occurring and substance abuse disorders
– Contracts and referral agreements with related agencies
Strategic Planning Elements
Community: The Constituent elements that have a stake in the pursuit
Strategy: Mechanism that allows Goals to be pursued
Budget: Mechanism that allows resources to be used for the pursuit of goals and objectives
Evaluation: Mechanism that guides the pursuit; research and evaluation; feedback loop provided through Performance Measurement
Strategy
(Comprehensive Plan)
Community
(Stakeholders)
Budget
(Implement)
Evaluation
(Feedback)
Community (stakeholders)
Religio
us
Org
aniz
ati
ons
Law EnforcementColleges & Universities
Other (e.g., media)
Human Services
Non ATODA
Hum
an Services
ATO
DA
Conce
rned
Citize
ns
Pare
nts
Youth
Volunteer
Organizations
Senior CitizensLocal Government
Busin
ess
Com
munity
Sch
oolsP
ote
nti
al S
takeh
old
ers
Terminology
Vision defines the desired end-state. It is an inspirational description of the ultimate goal.
Mission defines an organization’s role or task in support of the Vision. Goals define the major directives or directions in support of the Mission.
Objectives define major lines of action to achieve each strategic goal.
Targets (performance targets) define desired measurable end states/results against which to compare actual performance.
Measures (performance measures) are the data, variables and events used to track progress toward the Targets.
Strategy Framework
Vision
Mission
Goals
Objectives Performance
Targets
&
Measures
Programs & Policies
Comprehensive Strategy: Start by Developing a Vision Statement
Vision Statement:
– Explains what you are striving to achieve
– “Ultimate” end state
– Inspirational
– The big picture
Examples
– A life for everyone in the community
– A safe and drug free county
Strategy Framework
Vision
Mission
Goals
Objectives
Programs & Policies
A Life for Everyone in the Community
Or
A Safe and Drug Free County
Comprehensive Strategy: Develop the Mission Statement
Mission Statement:
– Defines your local Council’s role or purpose in relation to the Vision Statement
– Provides a sense of purpose.
Examples:
– To reduce alcohol and drug abuse and its damaging consequences
– To reduce crime and substance abuse
Comprehensive Strategy:Mission Statements
Vision
Mission
Goals
Objectives
Programs & Policies
To Reduce Substance Abuse and Its Damaging Consequences
Or
Improving the quality and availability of prevention and treatment services for substance abuse and mental illness
Comprehensive Strategy:Establish Goals
Vision
Mission
Goals
Objectives
Programs & PoliciesGoal #1: Educate and empower District of Columbia residents to live healthy and drug-free lifestyles.
Goal #2: Develop and maintain a continuum of care that is efficient, effective, and accessible to individuals needing substance abuse treatment.
Goal #3: Increase the public’s safety and improve treatment access for offenders to ensure fair and effective administration of justice in the District.
Goal #4: Encourage a coordinated and focused regional response to the problem of substance abuse.
Comprehensive Strategy:Establish Objectives
Vision
Mission
Goals
Objectives
Programs & Policies
Goal #1: Educate and empower District of Columbia residents to live healthy and drug-free lifestyles.
Objectives….i) Expand prevention activities
through the use of a broad cross-sector advisory group as well as through coalitions and neighborhood organizations
ii) Increase the effectiveness of prevention activities through the development and strengthening of a planning, implementation, and evaluation infrastructure.
iii) Increase the utilization of appropriate evidence-based prevention programs.
iv) Utilize evidence-based environmental strategies to change individual and community norms
Comprehensive Strategy:Establish Performance Targets/Measures
Vision
Mission
Goals
Objectives
Programs & Policies
Performance
Targets
&
Measures
For Drug Use:
Addiction
Current Use
Initiation
Goal Outcome Categories:
Performance
Targets
&
Measures
Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy
For Drug Use:
Addiction
Current Use
Initiation
For Consequences:
Crime Health
Goal Outcome Categories:
Performance
Targets
&
Measures
Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy
For Drug Use:
Addiction
Current Use
Initiation
For Consequences:
Crime Health
Goal Outcome Categories:
Performance Targets [performance measures]
Performance
Targets
&
Measures
Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy
For Drug Use:
Addiction
Current Use
Initiation
For Consequences:
Crime Health
Goal Outcome Categories:
Reduce the # of addicted persons [# of addicts]
Performance Targets [performance measures]
Performance
Targets
&
Measures
Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy
For Drug Use:
Addiction
Current Use
Initiation
For Consequences:
Crime Health
Goal Outcome Categories:
Reduce the # of addicted persons [# of addicts]
Performance Targets [performance measures]
Reduce prevalence; targets may be overall use (households), youth (usually 12-17), and Young adults (18-24) [% using, 30-day basis]
Reduce Incidence (first-time use): target is usually youth (12-17) [# new users]
Performance
Targets
&
Measures
Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy
For Drug Use:
Addiction
Current Use
Initiation
For Consequences:
Crime Health
Goal Outcome Categories:
Reduce the # of addicted persons [# of addicts]
Performance Targets [performance measures]
Reduce prevalence; targets may be overall use (households), youth (usually 12-17), and Young adults (18-24) [% using, 30-day basis]
Reduce Incidence (first-time use): target is usually youth (12-17) [# new users]
Improve community health [# or % STDs, HIV/AIDS, Hepatitis, ER activity, Drug-related Deaths]
Performance
Targets
&
Measures
Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy
For Drug Use:
Addiction
Current Use
Initiation
For Consequences:
Crime Health
Goal Outcome Categories:
Reduce the # of addicted persons [# of addicts]
Performance Targets [performance measures]
Reduce prevalence; targets may be overall use (households), youth (usually 12-17), and Young adults (18-24) [% using, 30-day basis]
Reduce Incidence (first-time use): target is usually youth (12-17) [# new users]
Improve community health [# or % STDs, HIV/AIDS, Hepatitis, ER activity, Drug-related Deaths]
Reduce drug related crime and violence [property crime rate per 100,000]
Employment Status
Living Situation
Performance
Targets
&
Measures
Examples of Performance Outcome Targets and Measures for A Comprehensive Substance Abuse Strategy
Comprehensive Strategy:Putting It All Together
A Safe and Drug Free County
To Reduce Substance Abuse and Its Damaging Consequences
Programs & Policies
To educate and enable youth to reject substance abuse
Pursue a vigorous public education media campaign
Reduce youth past month drug use by
X% by 200X compared with
2000.
1. By 200x, increase to 80 the % of youth who perceive the harmful effects of illicit drugs
2. By 200x, increase to 90 the % of youth who disapprove of drug use
3. By 200x, double the # of anti-drug TV Media Messages
Program Output:
Increase # media Ads by X % by 200X
Citizens of County XYZ:
You are the stakeholder members of County XYZ’s Local Drug And Alcohol Advisory Council !!!
Exercise # 2
Develop a Vision, Mission, and at least ONE Goal and supporting Objective for Your County’s Comprehensive Plan
Organize the Community to Profile Needs, Including Community Readiness
Mobilize the Community & Build Capacity to Address Needs
Develop the Prevention Plan (Activities, Programs, & Strategies)
Implement the Prevention Plan
Evaluate for Results and Sustainability
Getting to Outcomes (GTO)
Needs and Resources CapacitiesSustain
GoalsBest PracticesFit
PlanningImplementation
OutcomesContinuous Quality Improvement (CQI)Sustain
Pathways to Effective Programs & Positive Outcomes (Path)
Determine Needs and Resources
Build Capacity Select/Adapt/ Innovate Programs
Implement and Assess Programs Complete an Evaluation
Communities that Care (CTC)
Getting StartedDeveloping a Community Profile
Organizing, Introducing, Involving
Creating a Community Action Plan
Implementing and Evaluating the Community Action Plan
Implementing and Evaluating the Community Action Plan
Center for the Application of Substance Abuse Technologies (CASAT)
Needs Assessment Resource Assessment
Community Readiness and Mobilization
PrioritizingFocusing EffortsBest Practices
Select and Implement Evaluation
Rensselaerville Institute (REN)
Profile communityIdentify target populationDevelop outcome statements
Mobilize Investors Develop performance targetsSelect product to be offered to customers
Develop product steps, milestones and projectionsAssess essential elements and advantages Outline intensity and duration Identify key people and outline delivery strategy
Track progress toward milestones using simple verifications Report progress to funding sources quarterly
Assets Model (Assets)
Develop community-wide profile of developmental assets, risk behaviors and “thriving”
Create cross-sector and intergenerational leadership team; Build shared vision; Disseminate vision and profile to community
In response to vision and profile, blend community-wide asset-building initiative with prevention programs
Launch, monitor and refine coordinated roll out of prevention programs within a community-wide asset-building initiative
Conduct change-over-time assessments of Youth assetsYouth risk behaviorsCommunity indicators
Resources to help you build your system:
Getting To Outcomeswww.rand.org/publications/TR/TR101/•TA Available •Free Publication
Communities that Carewww.channingbete.com•TA & Services Available•$$$$
Assets Modelwww.search-institute.org/•TA & Services Available•$$$$
Pathways to OutcomesAvailable by calling 212-237-8620•TA Available•Free Publication
Rensselaerville Modelwww.rinstitute.org•TA & Srvices Available•$$$$e
CASAT Modelwww.casat.unr.edu•TA Available•Free Publication
Getting Started--Sources
Data Sources
www.mdp.state.md.us/msdc - Maryland State Data Center www.census.gov – U.S. Census www.dllr.state.md.us – MD Department of Labor, Licensing and
Regulation www.maryland-adaa.org – MD ADAA http://mdpublichealth.org/vsa/ - MD Vital Statistics www.marylandpublicschools.org/MSDE - MD Department of Education www.cesar.umd.edu – U of M Center for Substance Abuse Research http://dhmh.state.md.us – MD DHMH (AIDS, TB, Hepatitis, STD’s,
etc.) http://store.health.org/catalog/productDetails.aspx?ProductID=16010 www.nachc.com – National Association of Community Health Centers MD State Police arrest data – Uniform Crime Reporting – 410-298-
3883
Strategy Examples
Comprehensive Substance Abuse Strategies
http://www.carnevaleassociates.com/rochesterstrategy.html
http://www.carnevaleassociates.com/dcstrategy.html
Contact Us
John T. Carnevale, Ph.D.
Carnevale Associates LLC
14501 Cervantes Ave.
Darnestown, MD 20874
301-977-3600 (Office)
240-447-3970 (cell)
www.carnevaleassociates.com
William Rusinko
Research Director
ADAA
55 Wade Avenue,
Catonsville, MD 21228
410-402-8661