Supporting the transformation of a statewide substance abuse prevention system through action learning

Background. Action Learning Collaboratives (ALCs) are interdisciplinary teams with a shared aim that work over a fixed time to bring about organizational or systemic change. In 2009, the New Hampshire Bureau of Drug and Alcohol Services (NHBDAS) established the NHCFEx using Strategic Prevention Framework funds to support the transformation of the state prevention system through the development of regional networks. Action learning was one approach to support this initiative.

Methods: An ALC of 11 regional teams was formed to strengthen community mobilizing capacity. ALC processes were encouraged across teams: a) selecting project and aims, b) baseline assessment/data collection, c) review of evidence-based practice, d) iterative periods of learning, action, measurement and reflection promoting small steps of change, and e) ongoing coaching/technical assistance and cross-site interaction.

Results: Teams used improvement techniques to identify aims (increasing community awareness and/or engagement), and identified readiness and strategies for community mobilizing within the unique context of NH's evolving prevention network. Specific focus areas included youth engagement, parent engagement, and development of community-based leadership teams. Teams varied in their progress on ALC processes. Factors facilitating success included ongoing engagement of diverse team members, availability of data, and agreement on specific aims and strategies.

Conclusion: Action learning methods offer promise to address a range of public health issues with its emphasis on evidence-based practice, prevention and community engagement. This initial work established a base for the next phase of network development which applies a more formalized Community-Based Participatory Research framework.