PERFORMING A NEEDS ASSESSMENT AND THE PREVENTION PLANNING PROCESS LEARNING OBJECTIVES Describe the basic steps in planning a prevention program Describe process in performing a.
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PERFORMING A NEEDS ASSESSMENT AND THE PREVENTION PLANNING PROCESS LEARNING OBJECTIVES Describe the basic steps in planning a prevention program Describe process in performing a needs assessment Identify steps in performing a needs assessment interview Devise a prevention plan Prepare an implementation plan List steps for evaluating and revising plan PLANNING PROCESS Performing a needs assessment Charting a plan – Goals – Objectives – Resources Implementation Evaluation Program revision As a DDRPM, ADAPT, etc you are a Change Agent! PREREQUISITE TO SERVING AS A CHANGE AGENT Understanding of the community Sensitivity to the community OTHER CHANGE AGENTS Resource individuals from the community who are: Involved in community affairs Valuable contributors in preventing illegal drug use WHAT IS A COMMUNITY? Squadron A place where you share common public services A residential area (housing) STEPS IN PERFORMING A NEEDS ASSESSMENT Gather information Make rational decisions Write reports Brief reports DATA Reports Demographics Social Economic Leadership Health and well-being Values Communications DATA Reports DOD Survey of Health Related Behaviors Statistics from your local installation Rates of substance abuse in the local civilian community (hospitals, schools, mental health agencies) Law enforcement Urinalysis Others? DATA Demographics Who lives in the military community? What are the ages, back grounds, grade and gender? – Are there many single-parent families? Single people? DATA Social Where do people get to know each other and interact socially? What are the accepted social activities in your community? How do newcomers meet people? Which groups are active? DATA Economic – Where do people spend their money? What off-duty opportunities are there for people? DATA Leadership Who are the formal and informal leaders? Which are the influential groups? Who are the people who know what’s going on in the community? Who are the people who are popular, or listened to by others? DATA Health and well-being What are the major health resources? Are there plenty of things to do for all age groups and interests? Are people active? What are the health concerns of the community? DATA Values Are there any “community” beliefs that seem to affect decision-making? How unified or diverse are people’s values? What is the “community spirit” and how is it expressed? DATA Communications How is information spread? What are the mass media outlets? What are the common informal means of spreading information? How accurate is communication? NEEDS ASSESSMENT Once you know the community you are dealing with, you need to develop a plan that focuses on the concerns and required changes NEEDS ASSESSMENT These questions should help you with your needs assessment What illegal drugs are being used? What other programs exist? What are the media vehicles? What resources exist within the community? APPROACHES Community forums and hearings Case studies Service provider surveys Target population surveys Social indicators Interviews Observation TOOLS FOR COLLECTING DATA Questionnaire Sample Existing surveys Interview with key people RESEARCH OTHER PROGRAMS Avoid duplicating the work of others Discover opportunities for working with other groups (IDS) Ensure that your efforts complement what is already done PLACES TO CONTACT Local and state agencies Civic and youth groups On base activities Federal Agencies NEEDS ASSESSMENT Helps you identify who is to receive the services What kind of services are needed What expertise you will need to provide the services NEEDS ASSESSMENT Helps you determine what focus your prevention program should take Informs you what key groups in your community perceive their needs to be NEEDS ASSESSMENT The results of a needs assessment will form the basis for your program goals and objectives REVIEW!! Assessing for: – Prevention needs of your community – Who can best provide for those needs LONG TERM GOALS: Decrease drug related incidents Lower substance abuse indicators (DUIs, Treatment admissions) Be an essential part of your unit’s mission readiness program – What kills more of our military personnel? Is it beer or bullets? METHODOLOGIES: There are a variety of effective ways to conduct a needs assessment You need to weigh the pros and cons of each METHODOLOGIES: Three main methods – Observation – Social indicators – Interviews 1 OBSERVATION: This approach allows you to come to your own conclusion as to what may be needed by direct observation USE WHEN: First hand experience is required Units may not be able to relate directly to needed intervention (need may have become too much of a norm) USE WHEN: Sufficient time is available to make reliable observation MAJOR STEPS IN OBSERVATION: Identify site Gain access to observe Take overt or covert role of observer MAJOR STEPS: Establish trust and rapport Record observation Analyze and compare observation with other documentation MAJOR STEPS: Write report summarizing observation and conclusions – I don’t have time to write the report! Lets discuss this ADVANTAGES: Provides information on problems or service needs which may not be widely recognized Assessment based on professional judgment Simple and inexpensive Builds CREDIBILITY ADVANTAGES: Validates information from other sources DISADVANTAGES: Problems identified may be biased by the observer Data may reflect needs of those being observed and not indicative of the community as a whole DISADVANTAGES: Needs identified may reflect the interest of the observer 2 SOCIAL INDICATORS: This approach is based on descriptive data drawn from records and reports (Security Forces, SJA, urinalysis, World Wide survey, etc) USE WHEN: Reliable data pool is already available Foundation information is needed to build on Verifying identified needs from other sources Man-hours are limited MAJOR STEPS: Determine information to be gathered Determine existing data on which information could be interpreted Collect data at regular intervals MAJOR STEPS: Examine for trends at regular intervals Compile results and summarize ADVANTAGES: Vast existing data pool Low cost Design flexibility Foundation on which to verify other needs assessment surveys DISADVANTAGES: National data may not be indicative of local trends Data is only as good as the provider Bias or incorrect inferences can be introduced 3 INTERVIEWS: This approach allows you to direct the assessment at key personnel which may provide insight into the scope of the situation or problem USE WHEN: It is necessary to make direct contact Necessary to build and maintain rapport Direct feedback is needed USE WHEN: Supplemental information is needed Facilitating understanding Get command support INTERVIEW TECHNIQUES Express a knowledge of the interviewee and the organization Use open-ended problem solving questions Discuss the purpose of the interview Encourage the interviewee to talk with body language Take notes Offer to answer any further questions Review, summarize and express appreciation MAJOR STEPS: Specify focus of interview Establish time frame and identify interviewer/ees Analyze and evaluate interview as soon as possible (strong and weak points, improvements) MAJOR STEPS: Compile information from interviews using categories as appropriate Write summary ADVANTAGES: Simple and inexpensive Input from distinct sources Identifies level of support/resistance from key personnel ADVANTAGES: Identifies key elements and issues of importance Provides an idea of where your program stands DISADVANTAGES: Identification of problems may be biased May exclude personnel whose input should be included DISADVANTAGES: May exclude portions of command/community that are not provided an opportunity for input SUMMARY SLIDE By accurately assessing the needs of all involved you can be assured that the goals and objectives of your program will be embraced and contribute to the overall readiness of your community SUMMARY SLIDE You are now ready to use the information compiled to form the goals and objectives of your prevention program EXERCISE: ASSESS FOR PREVENTION NEEDS using social indicators,world wide survey EXERCISE: ASSESS FOR the PREVENTION NEEDS of your community using your social indicators Present findings – HOW – WHY SEVEN MAJOR STRATEGIES Information Dissemination Deterrence Activities Education Alternative Activities Problem Identification & Referral Community-Based Change Initiatives Environmental Approaches SETTING GOALS DEVELOPMENT OF OBJECTIVES Definition of a goal - An ultimate outcome of a long period of activity - Guide for the general direction for the work to be performed DEVELOPMENT OF GOALS Key Question What do we want to achieve through prevention activities? WORLD WIDE SURVEY EXERCISE Goal Priority Target Date A Plan of Action and Milestones (POA&M) will be provided on disk USE THE FOLLOWING STEPS – Assign the task to a small number of individuals who are familiar with the needs assessment – Analyze the needs assessment point-by-point, drafting a goal statement for each identified problem area – Draft a brief justification for each goal on the basis of the information collected – Submit a draft of the goal statements to other interested members of the community for review, comment, and possible revision DEVELOPMENT OF GOALS Final result Final set of goals based on community consensus and the best available research TASK Establish goals that accurately reflect potential solutions to the problems found during the needs assessment SETTING OBJECTIVES DEVELOPMENT OF OBJECTIVES Definition of an objective: - A specific accomplishment to be achieved during a given period of time - An aid to attaining the goal by translating a general purpose into a series of specific manageable steps - An aid in determining the resources necessary to achieve the overall goal DEVELOPMENT OF OBJECTIVES Key Question What quantifiable results can be achieved in the near future? SETTING OBJECTIVES Begin with a high priority prevention goal List all of DESIRED results – Select those results which can be achieved in the first three months (short term) – Select those results which can be achieved in the first year (long term) OBJECTIVE CHECKLIST Does the objective specify a single quantifiable result? Are there ways to determine whether the quantifiable result is met? Does achievement of the objective contribute to meeting the goal? Can the objective be achieved within the time allotted? Is the objective achievable given the resources available? DEVELOPMNET OF OBJECTIVES Final result Reasonable timetable of planned accomplishments EVALUATION WHAT IS EVALUATION: Evaluation is the systematic collection and analysis of data needed to make decisions, a process in which most well-run programs engage from the outset PURPOSE OF EVALUATION: Evaluation is useful and needed to determine the strengths and weaknesses of the various areas that determine your total program EVALUATION ACTIVITIES: Pinpointing the services needed- for example finding out what knowledge, skills, attitudes, or problem behavior a prevention program should address EVALUATION ACTIVITIES: Establishing program objectives Finding out what specific knowledge, skills, or attitudinal change will be required to meet the identified need EVALUATION ACTIVITIES: Deciding evidence that will demonstrate the objectives have been met Clear, realistic, and measurable evidence and objectives are needed EVALUATION ACTIVITIES: Developing or selecting from alternative program approaches- don't re-invent the wheel, look at proven curricula and determine what parts best achieve your goals (use Dr. Cambridge!) EVALUATION ACTIVITIES: Tracking objectives-set up a system that will clearly show particulars - who got the service, how, when service delivered, how rated or adopted by those involved EVALUATION ACTIVITIES: Trying out and assessing new program designs - Evaluation is on going Changes in target group, theories, findings, implementation are always occurring- Be prepared Dimensions of Evaluation: The different dimensions of evaluation have formal names: formative, process, outcome, and impact evaluation These dimensions build on each other DEFININTIONS OF DIMENSIONS: Formative Evaluation (Planning) Designed to assess the strengths and weaknesses or campaign strategies before implementation DEFININTIONS OF DIMENSIONS: Process Evaluation: (Design method/means to be measured MOE) - examines the procedures and tasks involved in implementing a program DEFININTIONS OF DIMENSIONS: Outcome Evaluation (Short Term Results) Used to obtain descriptive data on a project and to document short-term results DEFININTIONS OF DIMENSIONS: Impact Evaluation (Effects) Focuses on the long-range results of the program and changes or improvements in the health status EVALUATION KEYS: Evaluation should be positive and purposeful Evaluation is useful to your program Do it from day one Listen and record the process USE EVALUATION TO DETERMINE: The value of learning experiences, past and present The value of learning tools and the way in which they have been used or are being used USE EVALUATION TO DETERMINE: The effectiveness of program planning, organization, and implementation The rate at which change is taking place The quality of learning USE EVALUATION TO DETERMINE: The consequence of the differences between the actual process and what was planned The changes that must be made to improve the program IDEAL SEQUENCE OF EVENTS: Needs Assessment-identify problems and needs of the community Policy development-develop priorities and objectives for meeting the identified needs IDEAL SEQUENCE OF EVENTS: Program design-develop program to achieve priorities and objectives Program implementation-Conduct planned activities IDEAL SEQUENCE OF EVENTS: Program evaluation-was the program implemented as planned? Did it have the intended effects? IDEAL SEQUENCE OF EVENTS : Program improvement-revise and refine program based on evaluation results MYSTERIOUS? Program evaluation is not mysterious We do it every day We just do not view it as such GROUP EXERCISE Goal Priority Objective Target Date Target Date Strategy SEVEN MAJOR STRATEGIES FOR SUBSTANCE ABUSE PREVENION: Information Dissemination Education Deterrence Activities Alternative Activities Problem Identification & Referral Community-Based Change Initiatives Environmental Approaches IMPLEMENTATION Key question – What procedures will keep the program on track? IMPLEMENTATION Murphy’s law – Everything that can go wrong will go wrong EVALUATION Functions - Verify - Document - Quantify PROGRAM REVISION Key question What changes are needed to improve the program? PROMGRAM REVISION Final result Plan charting new program directions FIVE STEP PROCESS Perform a needs assessment Chart a plan Implement Evaluate Revise POINTS OF CONTACT AT ____ AFB Put Your Name and Contact Information in this Box