Building a Comprehensive Approach
Part 2: Using Complementary Strategies
Erica SchmitzMESAP: Maine’s Environmental Substance Abuse Prevention CenterMedical Care Development, Inc.(207) [email protected]
MESAP
The basic model
Consequences and
Consumption
Strategies/ Programs
Intervening Variables
Planning, Monitoring, Evaluation and Re-planning
…How do you build a comprehensive approach?
It’s not just picking from a list.
Selecting Best Fit Prevention Interventions
Select Specific Programs,Practices & Policies
Ensure Effectiveness
IdentifyTypes of Strategies
Best FitPrevention
Interventions
Demonstrate Conceptual Fit
Demonstrate Evidence of Effectiveness
Demonstrate Practical Fit
Relevant? Practical? Effective?
From CSAP Guide, Identifying and Selecting Evidence-based Interventions, Jan 2007
Environmental Strategy Components:
• Collaboration
• Communications
• Policy
• Enforcement
• Education
Menu planning
1. Primary strategy?
2. Complementary strategies?
• Activities supported by research to make your primary strategy a success.
• Activities that help increase community support for your primary strategy.
OSA Priority:
Underage Drinking
Primary Intervening Variables:· Alcohol access/availability
· Parental monitoring practices
· Effectiveness of law enforcement
Underage Drinking Logic Model
Consequence& Consumption
Patterns
Intervening Variables
Underage Drinking
Access: RETAIL
Strategies
Communication?
Enforcement?
Policy?
Education?
Collaboration?
• Primary: Compliance checks by law enforcement
• Complementary: – Resources for liquor enforcement (including training,
policy, consistent and ongoing effort) – Strategic use of the media– Police policy to require investigation of underage
drinking incidents to address retail violations.– Build relationships with retailers– Training for clerks, servers, managers– Help retailers to strengthen their own policies– Voluntary secret shopper programs (non-enforcement
compliance checks)
Underage Drinking
Access: RETAIL Strategies
Underage Drinking Logic Model
Consequence& Consumption
Patterns
Intervening Variables
Underage Drinking
Parental Monitoring
Strategies
Communication?
Enforcement?
Policy?
Education?
Collaboration?
• Primary: Social marketing campaign using OSA materials
• Complementary: – Collaboration with local media, schools, parent
organizations, etc. to disseminate materials– Community parent forums about effective
monitoring practices– School policy to require parent notification and
involvement if students are caught breaking the law– Increase enforcement of underage drinking laws,
including parent notification
Underage Drinking
ParentalMonitoring
Strategies
What about curriculum-based parenting programs?
One ME evaluation: • “Even with extensive recruitment efforts, most coalitions
who selected programs targeting parents had little success in getting them to actually attend the sessions. …Most coalitions will not sustain parenting programs because they weighed the effort and associated costs of recruitment and implementation with the numbers of parents served and decided the programs are not a good use of prevention resources” (p.117).
Population-level reachTesting Tool
• Who is the target audience?• How many people in your target audience
will you actually reach?• What “dosage” and “saturation” of the
interventions will they experience?• To what degree will the target audience be
impacted, both in the short-term and long-term?
• What impact will it have on the community as a whole?
From Maine LC Day 1, Feb 21, 2007
Underage Drinking Logic Model
Consequence& Consumption
Patterns
Intervening Variables
Underage Drinking
Effectiveness of Enforcement
Strategies
Communication?
Enforcement?
Policy?
Education?
Collaboration?
• Primary: Increase enforcement actions related to underage drinking, furnishing, and hosting laws
• Complementary: – Community/Police Partnership– Model Policy adoption– Officer Training– Publicize efforts to increase deterrent effect– Media to increase awareness of penalties
related to hosting & furnishing (e.g. Sticker Shock)
Underage Drinking
Effectiveness of Enforcement
Strategies
Resources• Handout: “Underage Drinking: Sample Evidence-
Based* Comprehensive Strategies to Fit OSA’s Priority Intervening Variables” (others coming soon)
• 2004 Article: “A general causal model to guide alcohol, tobacco, and illicit drug prevention: Assessing the research evidence” (in Day 1 handouts)
• MESAP training & technical assistance:[email protected] (207) 773-7737
Top Related