Strategies for Scaling Effective Family-Focused Preventive Interventions to Promote Children's Cognitive, Affective, and Behavioral Health Workshop Summary (2014) / Chapter Skim
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4 Intermediary Organizations and Scale-Up
4 Intermediary Organizations and Scale-Up
Pages 35-46
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Center, the Substance Abuse and Mental Health Services Administration's (SAMHSA's) Strategic Prevention Framework, Project LAUNCH (Linking Actions for Unmet Needs in Children)
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One of its partners is the National Implementation Research Network of the University of North Carolina, whose formula for garnering socially significant outcomes is that it depends not just on the effectiveness of interventions, but effective implementation methods. A key activity of Invest in Kids is ensuring ongoing consultation and support after workers implementing prevention programs have been trained, according to Hill.
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Brian Bumbarger of Pennsylvania State University, founding director of EPISCenter, started this unique partnership between policy makers, r esearchers, and communities in 2008 after recognizing that despite grants and a list of effective prevention programs, communities trying to replicate them struggled with their implementation. The three main goals of E PISCenter are to • Mobilize and support prevention infrastructure at the community level to collect and utilize diagnostic epidemiological data for stra tegic prevention planning, • Support and provide training and technical assistance for a specific menu of evidence-based interventions the state is providing grants to communities to implement, and
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When the state funds a community to adopt a program, by the end of the second year, the community has to provide implementation data to the developer to demonstrate that the community is implementing the program with sufficient quality and fidelity. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION STRATEGIC PREVENTION FRAMEWORK Recognizing that the prevention funds it provides would probably be more efficiently and effectively used if they were distributed according to a strategic prevention plan, SAMHSA began offering Strategic Prevention Framework State Incentive Grants.
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PROJECT LAUNCH The primary objective of Project LAUNCH is to promote the social, emotional, behavioral, and physical health and cognitive development of young children from birth to 8 years of age. Under a federal grant program administered by SAMHSA, Project LAUNCH grantees work to reach the objective through five core strategies: developmental assessment, integration of behavioral health into primary care settings, home visiting, mental health consultation, and family strengthening and parent skills training (OPRE, 2014)
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These coordinators serve as a liaison between a university-based team and local community-based teams. PROSPER Local Community Teams – Extension Agent, Public School Staff, Social Service Agency Representatives, Parent/Youth Representatives Prevention Coordinator Team– Extension Prevention Coordinators University/State -Level Team– University Researchers, Extension Program Directors • Primary Task: Sustained, quality implementation of family and school EBIs selected from menu FIGURE 4-1 PROSPER evolving community partnership sustainability model.
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Studies show that PROSPER significantly reduces substance misuse, negative peer influences, and other problem behaviors in youth, while strengthening parenting, family relationships, and youth skills. Research also reveals that PROSPER effectively mobilizes community teams, many of whom have sustained their programming efforts for as long as 10 years and have had high recruitment rates compared to other approaches for delivering school-based substance use interventions (Spoth, 2012; Spoth et al., 2013)
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. The institute has been instrumental at conducting innovative economic cost–benefit analyses of evidence-based programs Washington State is considering funding.
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For each of these factors, the institute assigned appropriate dollar figures per family served in the program. The likely higher earnings of more highly educated women and children in the program translated into a $24,000 benefit, whereas the reduced criminal behavior reduced state costs by $5,000 per family.
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TABLE 4-1 Summary Table of Intermediary Strategies to Aid Scale-Up of Evidence-Based Family-Focused Prevention Programs Program Name Strategies to Aid Scale-Up Invest in Kids • Partner with the local community to ascertain what services best match the needs of the community • Conduct a national search for the most appropriate evidence-based and cost-effective programs • Lobby state and local legislators, using data, to demonstrate the need for and expected outcomes of selected programs • Build political support and investment by local leadership • Provide ongoing support and monitoring of program implementation EPISCenter • Build general prevention science knowledge as well as program-specific capacity • Provide technical assistance to service providers implementing a specific menu of evidence-based interventions • Facilitate communication among stakeholders and systems, as well as between the program developer and organization implementing the program • Support providers before a program is adopted to build capacity for implementation and knowledge of what will be needed to evaluate program implementation and effectiveness • Partner with states to include quality assurance requirement in grants • Develop state-specific evaluation tools to meet state funders' requirements • Mobilize and support prevention infrastructure at the community level to collect and utilize diagnostic epidemiological data for strategic prevention planning SAMHSA (Substance • Grants to states, jurisdictions, and tribes to create strategic Abuse and Mental Health plans for prevention programs, including support for Services Administration) coordination and infrastructure building, that are specific Strategic Prevention to the needs of the given community Framework • Encourage assessment, capacity building, planning, implementation, evaluation, cultural competence, and sustainability
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university prevention researchers • Prevention coordinators provide ongoing, proactive technical assistance, and act as a liaison between community teams and university researchers • Provide training on rigorous and continuous monitoring or program implementation quality • Efficiency gained through program sustainability New York State Office • Determine the most appropriate training topics and of Mental Health's formats for each NYSOMH clinic (NYSOMH's) Clinic • Technical assistance offered through webinars, in-person Technical Assistance consultation, and learning collaboratives on business Center practices, organizational capacity, leadership support, and evidence-informed practices • Work with clinics to ascertain how adoption of a program will impact productivity and budget (e.g., billing for services)
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2014c. Strategic Prevention Framework State Incentive Grant (SPF SIG)
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