Empoderando ComunidadesEmpoderando Comunidades Nuestra Coalicion esta celebrando su 25vo

aniversario:• facilitando la conversacion, planeamiento e

implementacion de actividades preventivas a nivel local, estatal y nacional!

• Invirtiendo mas de $34 millones de dolares en programas comunitarios de prevencion, ayudando a prevenir el uso y el abuso de alcohol y otras drogas

Actualmente estamos invirtiendo $3 millones de dolares en nuestra comunidad

Planificacion de Prevencion ComunitariaInformacion para la Accion…Como en una Fabrica…

Datos en Bruto

Insumo

Informacion para la Accion

Producto

Planificacion de Prevencion Comunitaria

Equipo de Evaluacion de Recursos

Informacion para la Accion

Producto

Datos en Bruto INSUMOS:• Salud Publica• Justicia Criminal• Etnografia

Equipo de Evaluacion de Recursos

Informacion para la AccionMarco Logico

Ordenar los Datos• Consecuencias• Consumo• Factores Contribuyentes

Marco Logico de

Prevenciona nivel

Communitario

Problemas

Consecuencias

Patrones deUtilizacion

Consumo

FactoresContribuyentesClassificados

segun las Variables

que Intervienen

Estrategias paraCambiar los

FactoresContribuyentes

Implementacion

Implementar programas y actividades

Evaluacion

Monitorear, evaluar y

mejorar plan y actividades

Sostenibilidad y

Competencia Cultural

Marco de Prevencion Estrategica

Diagnostico

Determinar recursos locales y la disponibilidad para atender las

necesidadesCapacidad

Fomentar la capacidad para atender a las necesidades

Planificacion

Desarrollar un plan estrategico

global

Marco de Prevencion Estrategica

• Planificacion

– Desarrollo de un Marco Logico basado en lo que se Define como Factores de Riesgo & Factores de Proteccion

– Variables que Intervienen, es decir, lo que se debe Cambiar para Reducir el Problema

10

Marco Logico

Teoria de Cambio

Identificacion del Problema

Estrategias Actividades Resultados

Problema

Por que?Causa

Por que aqui?

Condicion Local

Corto Plazo

Mediano Plazo

Largo Plazo1]

[1] Los resultados de Largo Plazo estan determinados por TODAS las estrategias y actividades.

DATOS

DATOS

DATOS

Marco de Prevencion Estrategica

• Implementacion – Incluye Estrategias Ambientales para: –Reducir Factores de Riesgo y–Promover Factores Protectores–Monitoreo y Evaluacion – Resultados

Cuantitativos

Media

Media

TV News

Radio Ads

Radio Ads

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Early use of alcohol among Hispanic / Latino children

and youth is leading to both immediate and

lifelong consequences

Parental/Adult Attitudes

Parents do not know the health and legal implications of alcohol consumption (for themselves and or for their children)

Easy Access

Youth unaware of health/legal implications of underage drinking

Multicultural Hispanic/Latino Task Force

Logic Model - Underage Drinking - 12/21/2011

Minors can obtain alcohol from neighborhood grocery stores

Media Marketing

-There were 177 Emergency Department Reports involving alcohol use by underage Hispanic drinkers (Ft. Lauderdale Division of the

DAWN, in 2009.

-Of those 177 visits, 101 involved Only Alcohol and 76 involved alcohol in Combination with 117 other drugs.

-Among Broward County Hispanic high school students:

• 31.4% had their first drink of alcohol by the age of 13 or younger.*

•48.6% report current alcohol use.*

•27.2% report current alcohol binge drinking.*

- Among sexually active Broward County Hispanic high school students, 25.1% drank alcohol or used marijuana or other drugs before the last time they had sexual intercourse.*

Youth obtain their alcohol at home, at parties, or at stores with a fake ID (easy available on the Internet), or without a fake ID through strangers, older friends, a family member or a friend that works at a store***

Youth Attitudes

Minors can obtain alcohol from family and friends

-Among Broward County Hispanic adults, 25.1% report having engaged in heavy or binge drinking.**

-Hispanic parents are not being strict enough nor are they providing positive roles for their children. (Hispanic Youth Focus Group, Aspira 10/11)

-Among Broward County Hispanic high school students, 7.9% reported having had at least one drink on school property during the last 30 days.*

-Fitting in and peer pressure is a key area for youth assimilation / acculturation process (Key Informant)

-When asked how acceptable is underage drinking, youth responded: definitely accepted; a lot of people think it’s cool; in some countries it’s ok (Hispanic Youth Focus Group, Memorial 8/2011)

*2009 YRBS **2010 FBRSS

***Focus Groups with Hispanic Parents, 2011

Problem Root Cause

"But, why?"

Local Condition "But, why here?"

“Many teenagers in our generation need to be under the influence to have fun. Many youth drink and go to parties at night and do not realize the responsibility that comes along with drinking” (Hispanic Youth Focus Group, Aspira 10/2011)

-Parents are sponsoring parties with alcohol for youth (Chief of Police, November 2011)

-Among Broward County Hispanic high school students who drink alcohol, 37.2% reported that they usually obtained it by someone giving it to them.*

-Retailers are selling alcoholic beverages (alcohol/alcopops) to underage youth. (ABT)

-Parents lack the ability to set limits, and to communicate the prevention message to their kids.***

-There is too much TV programming showing alcohol consumption as source of happiness.***

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Adult Perception of Marijuana Risk

Youth unaware of health/legal implications of marijuana use

Easy Access

Multicultural Hispanic/Latino Task Force

Logic Model – Marijuana 12/21/2011

Early use of marijuana among Hispanic / Latino

children and youth is leading to both immediate and

lifelong consequences

Youth Attitudes

Minors are getting marijuana from friends

Parental/Adult Attitudes

-There were 47 Emergency Department Reports involving marijuana among Hispanic youth under 21 years of age in the Ft. Lauderdale Division of the DAWN, in 2009.

-Among Broward County Hispanic high school students, 8.1% report their first use of marijuana by the age of 13 or younger (YRBS, 2009).

-Among Broward County Hispanic high school students, 29.9% report current use of marijuana (YRBS, 2009).

-Among sexually active Broward County Hispanic high school, 25.1% drank alcohol or used marijuana or other drugs before the last time they had sexual intercourse (YRBS, 2009).

• 56% of Broward County youth and adults (aged 12 and above) do not believe that smoking marijuana once a month presents a great risk of harm. (2010 NSDUH, sub-state data)

-Among Broward County Hispanic high school students, 10.2% reported they had used marijuana one or more times on school property during the last 30 days.*

-According to Florida Department of Juvenile Justice, there were 164 marijuana offenses for Hispanic males and 15 for Hispanic females in Broward County between July 2010 and June 2011.

• The sources of marijuana in Broward County are from both domestic production and imported Caribbean, Central, and South American varieties from multiple drug trafficking organizations. (South FL HIDTA 2010 Threat Assessment)

Local Condition "But, why here?"Root Cause "But, why?"

Problem

-Many parents are in denial: “my child is not using drugs” (Key informant)

-Adults are unaware of the risks of marijuana use and do not know what to say to their kids about it. (Key informant)

• Youth think is cool. “Marijuana won’t kill you.” (Key informant)

-Children and Youth are obtaining marijuana from friends at school and neighborhood (Hispanic Focus Groups, 2011)

Equipos de Prevencion Estragetica

Medios Vigilancia

Comite de Apoyo(Vigilancia / Alerta Temprana)

Grupo de Accion Preventiva

(Jovenes)

Grupo de Accion Preventiva

(Adultos)

Grupo de Accion Preventiva

(Comunidad)

Comite de Apoyo (Medios de

Comunicacion)

United Way of Broward County Commision Sobre el Abuso de Drogas

Campana para reducir el consumo alcohol por menores de edad

Current (past 30-day) Alcohol Use Among Broward County Middle and High School Students

2000-2012 Example

1.Cada individuo, grupo, comunidad, es unica. (Respeto)

2.Usar la Tecnologia en forma Efectiva (Website – Newsletter – Links – Facil de Usar)

3.Proceso de Planeacion: Vision, mision y metas especificas. (Ser dignos de Confianza)

4.Facilitar reuniones efectivas, orientadas a la accion (comites de trabajo, definir acciones, hacer segimiento) Crear relaciones profesionales que produzcan resultados a nivel comunitario. No reinventar la rueda. No buscar hacer imposibles.

5.Decisiones basadas en datos, posible impacto, maximizar recursos, revisar y reorientar acciones si no estan causando el impacto deseado

6.Reuniones estructuradas / calendario de actividades para mantener el interes

7.Proveer informacion util, facil de entender / especifica para cada grupo, que pueda traducirse en mensajes efectivos, positivos, que inviten a hacer lo correcto. Promover diversidad en grupos y valorar informacion cualitativa y cuantitativa

Datos democratizados y accesibles Vision Integrada de Salud Y Prevencion Alianza con NSU – Formalizacion de

Experiencias “Social Norms” & estrategias de medio

ambiente- positivo Insercion dentro de ACA – Reforma de Salud