Strategic Prevention Framework

The Substance Abuse and Mental Health Services Administration's Strategic Prevention Framework (SPF) is a 5-step planning process to guide the selection, implementation, and evaluation of effective, culturally appropriate, and sustainable prevention activities. The effectiveness of this process begins with a clear understanding of community needs and depends on the involvement of community members in all stages of the planning process.

The SPF includes these five steps:

Step 1. Assess Needs
Step 2. Build Capacity
Step 3. Plan
Step 4. Implement
Step 5. Evaluation

These steps are guided by the principles of cultural competence and sustainability.

SPF in Wisconsin: Prescription drug misuse and abuse among persons age 12-25

The Wisconsin Department of Health Services is using the Strategic Prevention Framework to focus on prescription drug misuse and abuse among persons aged 12-25.  Together, staff in the Division of Mental Health and Substance Abuse Services and eight counties and one tribe are using proven practices to reduce the access to and availability of prescription drugs for this age group.

The following eight counties and one tribe were selected based on data regarding use and abuse of prescription drugs among people age 12-25 and its impact on the lives of these young people.

  • Adams
  • Forest
  • Kenosha
  • Langlade
  • Lincoln
  • Milwaukee
  • Racine
  • Oneida
  • Menominee Indian Tribe of Wisconsin

This project builds upon the Reducing Wisconsin's Prescription Drug Abuse Call to Action Report adopted and published by the State Council on Alcohol and Other Drug Abuse.

Two goals
  • Reduce the non-medical/unauthorized availability of and access to prescription drugs among 12-25 year olds
  • Establish a statewide systematic surveillance system to identify prescription drug misuse and abuse
Six measurable objectives
  • Increase awareness among parents, youth, patients, and healthcare providers
  • Increase the surveillance system in the selected communities capacity in order to identify and track emerging prescription drug-related trends
  • Increase the proper disposal of expired and unused prescription drugs in these communities
  • Enhance law enforcement's capacity to address unauthorized prescription drug use by building bridges between law enforcement and community-based prescription drug misuse and abuse prevention efforts.
  • Increase the availability of data
  • Increase collaborative efforts among state departments and local county/tribal service agencies in order to align relevant prescription drug information into a statewide surveillance system.
Six strategies
  • Launch an extensive public outreach and education campaign
  • Provide education and training opportunities for health care professionals
  • Establish standard prescribing practices for urgent care and emergency departments
  • Develop a community early warning and monitoring system that tracks use and problem indicators at the local level
  • Establish a coordinated local system for providing secure, convenient disposal of consumer medications from households
  • Increase the number of law enforcement personnel who are certified as Drug Recognition Experts (DRE)
  • These eight counties and one tribe were identified based on the following risk factors and consequence data measures

Materials for grantees

General resources

Contact DHS SPF staff

Christine Niemuth
SPF Grant Coordinator
Bureau of Prevention Treatment and Recovery
1 West Wilson St, Room 850
Madison, WI 53703
Fax: 608-266-1533

Last Revised: July 15, 2015