This regulation requires providers implementing substance abuse prevention strategies to document all activities in a biennial prevention plan following the Strategic Prevention Framework, submitted to and approved by the Alabama Department of Mental Health's Office of Prevention. It specifies standards for six CSAP strategy types—Education, Alternative, Community Based Process, Problem Identification & Referral, Environmental, and Information Dissemination—including evidence-based requirements, documentation obligations, and rules about combining strategies. This is a prevention services regulation, not a facility licensing or operating standards rule for any clinical level of care.
View official sourceAla. Admin. Code r. 580-9-47-.05 - Prevention Strategies State Regulations Compare (1) All prevention strategies proposed for implementation shall be documented in a prevention plan that follows the Strategic Prevention Framework, submitted to the Alabama Department of Mental Health (ADMH) Division of Mental Health and Substance Abuse Services Office of Prevention, every (2) years. (a) Amendments to the Prevention Plan are the responsibility of the provider and must be approved by the Alabama Department of Mental Health (ADMH) Division of Mental Health and Substance Abuse Services Office of Prevention prior to implementation. (2) All prevention strategies must be approved by the Alabama Department of Mental Health (ADMH) Division of Mental Health and Substance Abuse Services Office of Prevention prior to implementation. (3) All prevention strategies implemented must be documented on a prevention activity sheet. (a) Education. 1. All Education strategies must be evidence based. 2. Education strategies must be used in conjunction with another strategy(ies). (b) Alternative. 1. Alternative strategies must be used in conjunction with other Center for Substance Abuse Prevention (CSAP) strategies to decrease substance use and abuse among adolescents and young adults. Documentation must demonstrate such activity. 2. Adult to participant ratio must be assessed to ensure safety and supervision with all alternative activities as deemed appropriate by the agency. 3. Alternative activities should be age appropriate and culturally relevant to the target population being served. 4. Alternative activities must be used in conjunction with another strategy(ies). (c) Community Based Process. 1. Community Based Processes must focus on capacity enhancement through organizing, planning, interagency collaboration, coalition building and networking. 2. Community Based Processes must be used in conjunction with another strategy(ies). (d) Problem Identification & Referral. 1. Problem Identification & Referral services may not include an assessment for treatment services. 2. Referral programs shall not be intervention programs that involve mental illness and substance abuse treatment. Limited prevention activities may include education and brief educational interventions that lead to specific referral services. 3. Brief interventions under Problem Identification and Referral must result in referrals facilitated by prevention staff with health care providers, juvenile justice, school personnel or other community resources as appropriate. 4. Problem Identification & Referral strategies must be used only with indicated or selective population(s). 5. School assistance programs must be examined for best practices recommended by the Department of Education. Program goals must be measurable and address only the education intervention. 6. School assistance programs must be examined for best practices under the auspices of recommendations set forth by the Department of Education. Program goals must be measurable and address only the educational intervention. 7. Problem Identification and Referral must be used in conjunction with another strategy(ies). (e) Environmental Strategies. 1. The environmental strategy must address access and/or availability of tobacco, alcohol and/or other drugs and social norms within the community domain. 2. Environmental strategies must not be limited to information dissemination. 3. Access and availability strategies must be measurable to ascertain whether program goals and objectives have been achieved. 4. The environmental strategy may define a community as a neighborhood, town, school district, zip code designation, community's name with specific boundaries (streets/avenues) and a specified urban, rural or suburban area. 5. Documentation of partnerships to meet environmental strategies shall include all support documentation. 6. Media advocacy must accompany an environmental strategy. The media advocacy approach must be documented and include planning documents, contracts for service, sample messages and publicity content. (f) Information Dissemination Strategies. 1. The information dissemination strategy must provide information through one-way communication between the agency and the community (audience), with limited contact between the two. 2. Information Dissemination must be used in conjunction with another strategy(ies). Notes Ala. Admin. Code r. 580-9-47-.05 New Rule: Filed January 27, 2000; effective March 2, 2000. New Rule: Filed June 19, 2012; effective July 24, 2012. Repealed: Filed June 25, 2012; effective July 30, 2012. Amended: Filed August 22, 2013; effective September 26, 2013. Author: Division of Substance Abuse Services Statutory Authority: Code of Ala. 1975 , § 22-50-11 . 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