Sustainability through Creative Collaboration PRESENTED BY MARCIA HOWELL ALASKA INJURY PREVENTION CENTER (SAFE ALASKANS)
Sustainability through Creative Collaboration
PRESENTED BY MARCIA HOWELL
ALASKA INJURY PREVENTION CENTER (SAFE ALASKANS)
Outcomes/Goals/Objectives
u Increase awareness and understanding of the roles of prevention and promotion in improving behavioral health conditions.
u Increase prevention and promotion literacy: especially in terms of shared risk and protective factors for multiple issues.
u Build bridges between silos: individually, organizationally and collaboratively. Increase collaboration, promote partnerships for wellness, build individual capacity
Breakout: What Hats Do You Wear?
u We all wear many hats.
u What are your roles?u What issues do you
work to promote?
u What issues do you work to reduce?
u What issues do you reallywant to promote?
Global Trends: Smart, Social, Organic and Wellness
http://global-influences.com//wp-content/uploads/2016/06/8-GLOBAL-KEY-TRENDS-2020_KJAER-GLOBAL_interactive_small.pdf
https://news.harvard.edu/gazette/story/2017/04/over-nearly-80-years-harvard-study-has-been-showing-how-to-live-a-healthy-and-happy-life/
https://youtu.be/8KkKuTCFvzI
SAMHSA: Continuum of Care
SAMHSA
Language matterstarget, aim, shoot,
Prevention: Aims to reduce bad things from happening
Reduce Risk factors
Promotion:Seeks to Optimize Wellbeing
Increase Protective Factors
According to the Centers for Disease Control:
u “Results from a growing number of studies suggest greater health impact might be achieved by enhancing protective factors that help children and adolescents avoid multiple behaviors that place them at risk for adverse and educational outcomes.”
u “[Protective] factors increase an individual’s ability to avoid risks or hazards and promote social and emotional competence to thrive in all aspects of life, now and in the future.”
Colorado’s Shared Protective Factor Chart
http://www.sprc.org/news/colorado-addressing-shared-risk-protective-factors
AlaskanStrategic Plans
Sustainability with out mission creep
http://online.concordia-ny.edu/nonprofit-leaders-avoid-mission-creep/
What do these plans all have in common?
Maternal Child Health Needs AssessmentAbout the Needs Assessment
HEALTHY ALASKAN YOUTH ALASKA’S STRATEGIES TO PREVENT UNDERAGE DRINKING ALASKA STATEWIDE VIOLENCE
AND INJURY PREVENTION PLAN
2018-‐‑2022
Health'Care Injury'Prevention SuicideTransforming+Health+Care+in+Alaska:++Core+Strategies+&+Policy+Recommendations+(Alaska+Health+Care+Commission)
Alaska+Department+of+Health+&+Social+Services+2016+Priorities
Alaska+Division+of+Public+Health+Strategic+Plan+2016G2020
ANTHC&Injury&Prevention&&201372020
Casting+the+Net+Upstream:++Promoting+Wellness+to+Prevent+Suicide:++Alaska+State+Suicide+Prevention+Plan+2012G2017
ALASKA&EARLY&CHILDHOOD&COORDINATING&COUNCIL
Alaska+Statewide+Title+V+Needs+Assessment+2015G2019
Early+Childhood+Comprehensive+Systems+Plan
Investing+in+Prevention:+Working+Together+in+Early+Childhood+for+Healthy+Alaskan+Children,+Families,+and+Communities+2015.++Interagency+Prevention+Workgroup.
2015&Alaska&DVSA&Dashboard
Preventing+Multiple+Forms+of+Violence:+A+Strategic+Vision+for+Connecting+the+Dots+(CDC+Nat'l+Center+for+Injury+Prevention+and+Control)
Pathways&To&Prevent&Domestic&Violence2014715
Alaska's+Strategies+to+Prevent+Underage+Drinking+(2012)
Moving&Prevention&Upstream:&A&Plan&to&Implement&a&Comprehensive&Approach&to&Substance&Abuse&Prevention&in&Alaska&7&Alaska's&SPF&SIG&Strategic&Plan
http://dhss.alaska.gov/Commissioner/Documents/healthcommission/docs/2010_report.pdf
http://dhss.alaska.gov/Documents/Publications/priorities.PDF'
http://dhss.alaska.gov/Documents/Publications/priorities.PDF
http://dhss.alaska.gov/dbh/Documents/02_Department/suicideprevention/SSPC_2012F2017.pdf
http://dhss.alaska.gov/ocs/Documents/aeccc/assets/docs/AlaskaStrategicReport.pdf
http://dhss.alaska.gov/dph/wcfh/Documents/mchepi/MCHBlockGrant/2015NeedsAssessmentSurveyResultsCom
http://dhss.alaska.gov/ocs/Documents/eccs/pdf/2009Plan.pdf'
http://dhss.alaska.gov/abada/aceFak/Documents/State_Interagency_Prevention_2015.pdf
http://dps.alaska.gov/CDVSA/docs/DVSA_Dashboard_2015.pdf
http://www.cdc.gov/violenceprevention/pdf/strategic_vision.pdf
http://www.andvsa.org/wpFcontent/uploads/2013/05/Pathways141.pdf
Alaska'Plan'to'Reduce'&'Prevent'Underage'Drinking
http://dhss.alaska.gov/dbh/Documents/Prevention/programs/spfsig/pdfs/SPFSIG_AlaskaStrategicPlan.pdf
Health+Outcomes
Objective:+Reduce+mortality+rates+from+the+leading+causes+of+mortality+among+Alaskans
Promote+and+Protect+Health+and+Wellbing+Across+the+lifespan
HA'2020'Leading'Health'Indicator'#16
Unintentional'injury'mortality'rate'per'100,000'F'includes:'Promote'activity,'nutrition'and'obesity'prevention'with'younger'Alaskans'recognizing'that'these'efforts'will'decrease'fall'mortality'in'the'future.
Same/Very'similar'–'Addressed'in'plan'or'draft'indicators
Alaskans'are'free'fromunintentional'injury.''EFFECTIVENESS'MEASURE:'Number'of'
Similar'F'Reduce'Injury'morbidity'and'mortality'among'Alaska'Native'people'by'10%
Objective:+Reduce+the+number+of+Alaskans+experiencing+alcohol+and+other+drugG
HA'2020'Leading'Health'Indicator'#15a
Reduce'the'percentage'of'adults'(aged'18'years'and'older)'who'report'binge'drinking'in'the'past'30'days'(consuming'on'one'occasion:'5'or'more'drinks'for'men';'4'or'more'drinks'for'women)
Same/Very'similar'–'Addressed'in'plan'or'draft'indicators
Tracks'same'indicator,'page'24.'Strategy'3.5:'Community'suicide'prevention'efforts'will'expressly'address'the'contributing'factor'of'substance'abuse
Seek'to'ensure'every'child'and'their'family'has'full'access'to'age'appropriate'services'that'promote'physical,'emotional,'and'behavioral'health'and'safety.'(ACES)'pg.'20
Reduce'substance'abuse'among'families,'including'alcohol,'tobacco'and'drugs.''Pg.'53
Same/very'similar'indicator'F'focus'of'work'(collection'depends'on'communities''focus'of'work)'pg.'61
Objective:+Reduce+the+use+of+illicit+drugs+among+the+populationB.'''''Percentage'of'population'aged'12'or'older'that'have'used'an'illicit'drug'(marijuana/hash,'cocaine,'heroin,'hallucinogens,'inhalants,'prescription'type'psychotherapeutics'used'nonFmedicinally)'in'the'past'month
Same/Very'similar'–'Addressed'in'plan'or'draft'indicators
By'2015,'investigate'and'determine'leading'causes'of'poisoning'for'Alaska'Native'people.
Seek'to'ensure'every'child'and'their'family'has'full'access'to'age'appropriate'services'that'promote'physical,'emotional,'and'behavioral'health'and'safety.'(ACES)'pg.'20
Reduce'substance'abuse'among'families,'including'alcohol,'tobacco'and'drugs.''Pg.'53
illicit'drug'use'considered'in'the'major'measures'of'alcohol,'illicit'drug,'and'tobacco'use,'abuse,'and'dependency.''Not'indicator'of'focus'currently.'Pg.'7
Objective:+Improve+health+related+quality+of+life+and+wellGbeingA.'''''Percentage'of'adults'aged'18'and'older'who'report'being'limited'in'any'way'in'their'activities'because'of'physical,'mental,'or'emotional'problems'OR'report'having'a'health'problem'that'requires'them'to'use'special'equipment,'such'as'a'cane,'a'wheelchair,'a'special'bed,'or'a'special'telephone
Alaskans'with'healthconditions'practiceselfFmanagement.''EFFECTIVENESS'MEASURE:'Percent'of'clients'with'chronic'disease'enrolled'in'selfF
B.'''''Percentage'of'adults'aged'18'and'older'who'report'that'their'general'health'is'excellent'or'very'good
Same/Very'similar'–'Addressed'in'plan'or'draft'indicators
Alaskans'are'healthy.'EFFECTIVENESS'MEASURE:'Percent'of'Alaskans'who'demonstrate'improved'health'status.*
EFFECTIVENESS'MEASURE:'Percent'of'Alaskans'reporting'very'good/good'health.
Objective:+Reduce+the+number+of+Alaskans+experiencing+poor+mental+health
HA'2020'Leading'Health'Indicator'#8
Reduce'the'percentage'of'high'school'students'who'felt'so'sad'or'hopeless'every'day'for'2'weeks'or'more'in'a'row'that'they'stopped'doing'some'usual'activities'during'the'last'12'months
Same/Very'similar'–'Addressed'in'plan'or'draft'indicators
Outcome'#6:'The'State'of'Alaska'will'have'a'qualified,'wellFtrained'workforce'providing'for'the'social'and'emotional'wellFbeing'of'young'children.'Pg'5
S4'F7:'Support'efforts'to'intervene'with'students'who'are'in'need'ofearly'intervention'services'through'inFschool'and/or'communitybasedprograms,'such'as'Prime'for'Life.'Pg.'13
HA'2020'Leading'Health'Indicator''#9
Reduce'the'average'number'of'days'adults'aged'18'and'older'report'being'mentally'unhealthy
Same/Very'similar'–'Addressed'in'plan'or'draft'indicators
Outcome'#5:'Young'children'and'their'families'will'receive'appropriate'early'mental'health'services'through'Medicaid'and'other'sources.'Pg'5Outcome'11#:'Families'of'young'children'will'have'access'to'communityFbased'parenting'and'family'support'programs.'pg'11
Ensure'access'to'health'care'including'behavioral'health'care
Objective:+Decrease+falls+among+adults+aged+45+years+and+olderA.'''''Percentage'of'adults'aged'45'years'and'older'who'have'had'one'or'more'falls'in'the'past'12'months'that'caused'an'injury
Alaskans'are'free'fromunintentional'injury.''EFFECTIVENESS'MEASURE:'Number'of'Alaskans'experiencing'unintentional'injuries.
2.A.5.'(CDPHP)'By'2015,'falls'requiring'hospitalization'among'adults'65'and'overwill'remain'stable.By'2017'–'decrease'by'5%'pg.'12
Social'and'Economic'
Objective:+Increase+the+economic+and+educational+status+of+Alaskans+
HA'2020'Leading'Health'Indicator''#25
Increase'the'percentage'of'18F24'year'olds'with'high'school'diploma'or'equivalency
Outcome'#7:'Early'care'&'learning'(ECL)'programs'for'children'birth'through'age'8'will'be'based'on'standards'of'best'practice.'Pg'7Outcome'#'8:'The'early'childhood'workforce'will'be'well'qualified'and'fairly'compensated.'Pg'8Outcome'#9:'Children'and'families'will'be'able'to'find'and'access'appropriate'ECL'programs.'pg'9
Support'quality'early'childhood'programs
HA'2020'Leading'Health'
Increase'the'percentage'of'residents'living'above'the'federal'poverty'level'F'all'ages'(as'Objective:+Improve+health+educationA.'''''Percentage'of'elementary,'middle,'junior'high,'and'senior'high'schools'that'provide'comprehensive'school'health'education'to'prevent'health'problems'(in'the'following'areas'as'age'appropriate:'unintentional'injury;'violence;'suicide;'tobacco'use'and'addiction;'alcohol'or'other'drug'use;'unintended'pregnancy,'HIV/AIDS,'and'STD'infection;'unhealthy'dietary'patterns;'inadequate'physical'activity;'and'environmental'health)
Tracks'very'similar'indicator,'page'23,'"Number'of'school'districts'offering'suicide'prevention'trianing'to'educators/staff."'Under'Strategy'3.3,'The'State'of'Alaska'will'manFdate'evidenceFbased'suicide'prevention'and'intervention'training'for'all'school'district'personnel.
Strengthen'quality'schoolFbased'health'care'and'health'promotion.'(no'measure)'''Pg.'59
Strengthen'capacity'for'social'emotional'learning'throughout'Alaska's'schools
Tracks'part'of'same/very'similar'indicator;'"Percent'of'schools'implementing'Fourth'R'healthy'relationship'curriculum,"'page'7.
Teen'dating'and'domestic'violence'prevention'curricula'are'integrated'into'public'school'grades'KF12
Pg'13'S4F1:'Promote'researchFbased'positive'school'climate'frameworksthat'develop'school'cultures'which'include'alcohol'prevention'andintervention'strategies.S4F2:'Identify'prevention'programs'that'show'proven'success'inreducing'alcohol'use'and'encourage'replication'of'the'most'appropriateprevention'programs'in'Alaska.
Objective:+Reduce+the+number+of+Alaskans+experiencing+domestic+violence+and+sexual+
HA'2020'Leading'Health'Indicator'#11
Reduce'the'rate'of'child'maltreatment'(Number'of'AK'Office'of'Children'Services'child'maltreatment'substantiated'cases,'including'all'types'of'abuse'(children'aged'0F17'years)')
Same/very'similar'indicator
Seek'to'ensure'every'child'and'their'family'has'full'access'to'age'appropriate'services'that'promote'physical,'emotional,'and'behavioral'health'and'safety.''Pg.'20
State'Performance'Measure:'Rate'of'child'maltreatment,'ages'0'–'14.Data'source:'Alaska'Surveillance'of'Child'Abuse'and'Neglect'(SCAN)''''''#2'Reduce'child'maltreatment'
Tracks'same/very'similar'indicator;'Rate'of'reported'child'abuse'and'neglect'per'10,000,'page'5
Data'on'domestic'violence'are'standardized'and'easily'accessed'across'systems
Influences'subFcommittee'selected'six'protective'factors'and'six'risk'factors'as'state'priorities'including'F'experience'of'child'abuse'(physical'or'sexual)'or'other'family'violence''pg.'34
C.'''''Percentage'of'mothers'of'3'year'olds'who'report'that'their'child'saw'violence'or'abuse'in'person
Tracks'very'similar'indicator,'"Child'seeing'violence'or'physical'abuse'in'person,"'page'5.'Strategy'1.2:'Alaskan'adults'and'elders'choose'healthy,'responsible'lifestyles'in'
Seek'to'ensure'every'child'and'their'family'has'full'access'to'age'appropriate'services'that'promote'physical,'emotional,'and'behavioral'health'and'safety.''Pg.'20
Tracks'same/very'similar'indicator,'page'4.
Influences'subFcommittee'selected'six'protective'factors'and'six'risk'factors'as'state'priorities'including'F'experience'of'child'abuse'(physical'or'sexual)'or'other'family'violence''pg.'34
Objective:+Increase+the+number+of+Alaska+youth+with+family+and/or+social+support
HA'2020'Leading'Health'Indicator'#10
Increase'the'percentage'of'high'school'students'with'three'or'more'adult(s)'(besides'their'parent(s))'from'whom'they'feel'comfortable'seeking'help'
Tracks'very'similar'indicator,'page'9.'Strategy'1.5:'Communities'will'engage'parents'and'other'mentors'important'in'the'lives'of'children'and'youth'in'health'promotion'efforts.
Support'communities'to'increase'family'and'youth'resiliency.''Pg.'57
Tracks'same/very'similar'indicator,'page'6.
Pg.'14'L4F6:'''Research'has'shown'that'enhancing'protective'factors'canreduce'the'impact'of'existing'risk'factors'and'subsequentsubstance'use.'Research'has'identifi'ed'the'following'asprotective'factors:•'Connection'to'family•'Positive'connection'to'other'adults•'Social,'emotional/employability'skills•'Connection'to'school•'Engagement'in'meaningful'activities•'Sense'of'cultural'identity
Influences'subFcommittee'selected'six'protective'factors'and'six'risk'factors'as'state'priorities'including'F'positive'connection'to'other'adults''pg.'34
Foster'collaboration'and'exchange'to'maximize'impact
Youth'Are'Leaders'In'Primary'Prevention
Use'effective'communication'and'dissemination'
Media'are'partners'in'promoting'respect,'healthy'
Strengthen'public'health'surveillance'and'research
Alaskans'support'program'development'and'approaches'that'promote'parity'across'class,'cultural'groups,'and'gender'thereby'addressing'the'root'causes'of'violence
Focus'on'shared'risk'and'protective'factors'that'are'most'important'for'reducing'multiple'forms'of'violence
Maintain'and'expand'prevention'efforts'that'have'proven'to'be'effective.
Facilitate'the'identification,'implementation,'and'scaleFup'of'approaches'that'have'crossFcutting'impact
Community'engagement THOs'work'with'communities'to'develop'community'wellness'teams,'adding'10%'of'regional'communities'per'year.
Focus'on'populations'and'communities'at'highest'risk'for'experiencing'or'perpetuating'violence
Alaskan'communities'are'engaged'in'promoting'healthy'relationships
Public'Health Early'Childhood Violence Substance'Use
Example: Protective Factors Against Bullying
u Connection/Commitment to School: Youth who feel connected and committed to school are at lower risk of harming others through bullying, dating violence, youth violence, and are at lower risk for suicide.
u Family support/connectedness: Strong family support and non-violent problem solving skills are protective against almost all forms of violence.
u Association with pro-social peers
Center for Disease Control. (2014). Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence.
Alaska Example: Strength-Based Approach to Bullying (and Poor Mental Health) Prevention
Mental health related to…u Bullying in Anchorage: 1
in 5 youth are bullied each year.
u Feelings of sadness and hopelessness: 1 in 3 young people, and rising.
u Half of young people feel they matter to their community—the other half don’t.
What to promote…
Mattering Matters!
Youth who feel they matter to people in their
community are less likely to experience sadness,
hopelessness, or loneliness.
Youth Risk Behavior Survey (2007-2015)Anchorage Collaborative Coalitions. (2015) Community Behavioral Health Assessment Report:
Anchorage Youth and Young Adults.
Youth Matter
What that means to youth: • Safe: physically and
emotionally.• Supported, respected,
and treated fairly by adults.
• Make a difference through meaningful opportunities and service-based activities.
Youth’s perception they are respected, trusted, supported, valued by others, and able to make a difference in their
community.
We designed a program to promote Youth Mattering
u Based on national and local data…
u Based on evidence-‐based best practices for youth-‐serving organization to create:u Positive Climate
u Connections
u Meaningful Engagement…
u And based on community input, we created the…
Youth Matter Grant Program
Best Practices:
u Assure Physical & Emotional Safety
u Maintain Appropriate Program Structure
u Build Supportive Relationships
u Maintain Positive Norms
u Provide Opportunities for Youth to Belong
u Provide Opportunities for Self-‐Efficacy and Mattering
u Create Skill-‐Building Experiences
u Integrate Family, School, and Community into Efforts.
Adapted by: Judd, B., MAT (2012). Resiliency and Connectedness – Basic OverviewSource: National Research Council - Institute of Medicine , (2002). Community Programs to Promote
Youth Development.National Research Council. (2002) Community Programs to Promote Youth Development.
What Shared Risks and Protective Factors can we collaborate on:
https://antipatternzoo.com/cylindersofexcellence/