Strategic Prevention Framework: Overview
Background
The U.S. Department of Health and Human Services (HHS) is using the power of prevention to help prevent, delay, and/or reduce disability from chronic disease and illnesses, including substance abuse and mental illnesses, which take a toll on health, education, workplace productivity, community engagement, and overall quality of life. Research has shown that a broad array of evidence-based programs can effectively prevent substance abuse, promote mental health, and prevent related health and social problems by reducing risk factors and increasing protective factors. SAMHSA’s National Registry of Evidence-based Programs and Practices (NREPP) (www.nrepp.samhsa.gov) identifies proven programs that work.
Barriers to Effective Prevention
All too often, individuals, communities, or State and Federal agencies do not translate into action what is known about prevention. The result is increased health care costs, lost education and employment opportunities, disability, and lost lives. Efforts to promote prevention have been hindered, in part, by insufficient collaboration and coordination to accomplish what needs to be done. Separate funding silos and the absence of a common strategic prevention framework have frustrated the kind of cross-program and cross-system approach that health promotion and disease prevention demand.
Strategic Prevention Framework
The Strategic Prevention Framework (SPF) changes SAMHSA’s approach to prevention, and helps move the President’s vision of a Healthier US to State and community-based action. The SPF is built on a community-based risk and protective factors approach to prevention and a series of guiding principles that can be utilized at the federal, State/tribal and community levels.
The SPF requires States and communities to systematically:
- Assess their prevention needs based on epidemiological data
- Build their prevention capacity
- Develop a strategic plan
- Implement effective community prevention programs, policies and practices
- Evaluate their efforts for outcomes.
Although the direct recipients of SPF State Incentive Grants (SIGs) funds are States and federally recognized tribes and tribal organizations, SAMHSA envisions the SPF SIGs being implemented in partnerships between the States/tribes and communities.
How It Works
SAMHSA has funded 34 States, 5 tribes/tribal organizations, and 3 Territories to adopt and implement the SFP to deliver and sustain effective substance abuse prevention and mental health promotion programs in their communities. These grantees must leverage and coordinate all prevention-related sources of funding, including the 20 percent prevention Substance Abuse Block Grant set-aside and other resources.
