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SAMHSA Strategic Prevention Framework

The TPCCs utilize the Center for Substance Abuse Prevention (CSAP) of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Strategic Prevention Framework (SPF) in a five-step prevention-planning model. This model promotes data driven decision-making with an emphasis on epidemiological data using a population-based perspective. The five steps of the SPF are as follows:

  1. Profile population needs, resources, and readiness to address needs and gaps
  2. Mobilize and/or build capacity to address needs
  3. Develop a comprehensive strategic plan
  4. Implement evidence-based prevention programs, policies, and practices
  5. Monitor, evaluate, sustain, and improve or replace those that fail

The SPF emphasizes two overarching themes, cultural competence and sustainability, throughout the five steps. The DSHS Tobacco Prevention and Control Program has also added a third overarching theme of tobacco-related health disparities to the SPF model, so as to shift the focus on those who suffer the greatest health consequences from tobacco use and secondhand smoke exposure. Guided by the Centers for Disease Control and Prevention’s (CDC) Best Practices for Comprehensive Tobacco Control Programs, the DSHS Tobacco Prevention and Control Program adopted a comprehensive approach for the TPCC Program. Using the SPF and CDCs “Best Practices” models, the DSHS Tobacco Prevention and Control Program created a new model for tobacco prevention and control. This model aims to mobilize communities to increase their capacity to implement the CDC’s comprehensive tobacco prevention and control components and sustain those efforts without TPCC Program funding in the future.