Getting To Outcomes™ 2004: Promoting Accountability Through Methods and Tools for Planning, Implementation, and Evaluation
May 31, 2004
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Underage drinking is a significant problem in the United States. To address this problem, RAND researchers developed guides to provide key accountability questions, worksheets, tools, and examples to help communities plan, implement, and evaluate their efforts to reduce and prevent underage drinking. The framework upon which these guides are based emphasizes integrating community needs with evidence-based practices in a manner that respects cultural diversity and promotes sustainability.
Underage drinking is a significant problem in the United States.
Despite these facts, most communities have cultural norms, policies, and conditions that accept or promote underage drinking.
To address this important problem, a team led by RAND researchers developed a guide to help communities plan, implement, and evaluate efforts to reduce and prevent underage drinking (Preventing Underage Drinking: Using Getting To Outcomes with the SAMHSA Strategic Prevention Framework to Achieve Results). The overarching framework for the guide is the Strategic Prevention Framework (SPF) developed by the Substance Abuse and Mental Health Services Administration. The SPF is a five-step approach broadly applicable to prevention efforts, including substance abuse, HIV/AIDS, and violence. The SPF strongly emphasizes integrating community needs with evidence-based practices in a manner that respects cultural diversity and promotes sustainability.
In this guide, the operating system for how to "work" the SPF is the "Getting To Outcomes™" (GTO™) model. The original GTO manual, which also has a Spanish version, was written to help local groups develop or improve substance use-prevention programs. The GTO approach includes a participatory process that builds practitioners' prevention capacity, empowering them to address all aspects of planning, implementation, and evaluation. The recent guide, Preventing Underage Drinking, tailors the GTO model specifically for evidence-based environmental strategies shown to be effective in tackling the problem of underage drinking. The strategies target four key areas that influence alcohol problems: access and availability, policy and enforcement, community norms, and media messages.
To help bridge the gap between research and practice, Preventing Underage Drinking provides 11 accountability questions to guide communities when they are using the SPF to address underage drinking:
The guide provides a general format for addressing these questions. Each chapter includes suggestions and ideas for answering the accountability question; a summary checklist for each question; and worksheets and tools for planning, implementing, and evaluating the ten evidence-based environmental strategies presented in the guide. Each chapter concludes with an example from a community that used the accountability question in its work.
The guide can be used by novice coalitions as well as by those with substantial resources and experience in using environmental strategies.
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