DRAFT
FRAMEWORK FOR ACTION EVALUATION PLAN

CANADA'S DRUG STRATEGY GOALS	FRAMEWORK FOR ACTION GOALS	VANCOUVER AGREEMENT GOALS
· To reduce the demand for drugs · To reduce drug-related mortality and morbidity · To improve effectiveness and accessibility of substance abuse information and interventions · To restrict supply of illicit drugs and reduce profitability of illicit drug trafficking · To reduce the costs of substance abuse to Canadian society	· To work with all levels of government to take action and responsibility for elements of the Framework within their jurisdiction · To work towards the restoration of public order across Vancouver · To work towards addressing the drug-related health crisis in Vancouver	· To provide leadership and effectively work with all levels of government, community organizations and other key stakeholders to improve the quality of life in Vancouver · To create healthy, safe and sustainable communities in Vancouver

INPUTS	PRIORITY ACTIONS	OUTPUTS	OUTCOMES	OUTCOME INDICATORS
· Funding · Infrastructure · Staff · Facilities · Equipment · Expertise · Partnerships · Public support · Political support	PREVENTION · Pilot for high risk youth/families in inner city neighborhoods · Pilot for city-wide school curriculum · Pilot for community-based public education campaign with prevention focus TREATMENT · Expansion of youth treatment services · Pilot for increased access to methadone · Pilot for heroin maintenance project · Pilot for expanded needle exchange in primary health care settings · Pilot for low threshold support services outside DTES · Pilot for transitional supported housing · Pilot for people with concurrent mental health disorders and addictions ENFORCEMENT · Pilot for youth in sex trade · Increase organized crime unit, VPD and RCMP drug squads HARM REDUCTION · Feasibility study of supervised injection sites · Implement overdose death prevention campaign · Work with provincial government to develop and implement harm reduction policy framework for substance misuse ALL PILLARS · Create range of culturally appropriate addiction strategies for Aboriginal Peoples · Work with provincial ministries to develop and implement policies to ensure full range of substance misuse services across municipalities	PREVENTION · # of participating inner city neighborhoods · # of youth/families served by inner city pilot · # of participating schools · # of students exposed to curriculum TREATMENT · # and type of youth treatment services · # of youth served by treatment services · # of people served by methadone pilot · # of people served by heroin maintenance pilot · # of needles exchanged in primary health care settings · # of participating primary health care settings · # and type of low threshold services · # of people served by low threshold services · # of transitional supported housing units/beds · # of dual diagnosed people served by pilot ENFORCEMENT · # of youth in sex trade served by pilot · # of drug enforcement officers · # of arrests for wholesale and street level drug trafficking HARM REDUCTION · # of safe injection sites piloted · # of supervised injections · # of overdose deaths · Harm reduction policy framework ALL PILLARS · # and type of culturally appropriate Aboriginal addiction strategies · Inventory of provincial policies	DRUG DEMAND · To reduce the number of people who misuse drugs in Vancouver DRUG SUPPLY · To reduce availability of illicit drugs in Vancouver · To reduce profitability of illicit drug trafficking in Vancouver and BC PUBLIC HEALTH · To increase awareness of substance misuse as a health issue in Vancouver · To reduce preventable illness and death related to substance misuse in Vancouver · To improve health status of Vancouver residents PUBLIC ORDER · To reduce public nuisance (define?) related to substance misuse in Vancouver · To reduce criminal activity related to substance misuse in Vancouver · To improve sense of safety of Vancouver residents SERVICE DELIVERY · To increase coordination of organizations, sectors and levels of government responding to substance misuse in Vancouver and BC · To increase availability of appropriate substance misuse services in Vancouver and BC · To increase access to appropriate substance misuse services in Vancouver and BC · To increase accountability of organizations, sectors and levels of government responding to substance misuse in Vancouver and BC SERVICE COST · To reduce health, social service and law enforcement costs to Vancouver and BC of substance misuse	DRUG DEMAND · Substance misuse incidence rate (uptake) by type of drug/drug use · Substance misuse prevalence rate (extent) by type of drug/drug use DRUG SUPPLY · Estimated wholesale and street level volume of illicit drugs in Vancouver? · Estimated wholesale and street level value of criminal proceeds of drug trafficking in Vancouver? PUBLIC HEALTH · Public, stakeholder and target population awareness levels · HIV/AIDS and Hepatitis C infection rates · Drug overdose rate · Drug overdose death rate · Self-reported health status (by target populations?) PUBLIC ORDER · Estimated volume of drug-related litter? · Drug-related property crime rates · Drug-related violent crime rates · Self-reported safety levels SERVICE DELIVERY · Inventory of intersectoral and inter jurisdictional substance misuse strategies (legislation, policies, partnerships and programs) · Inventory of substance misuse services by municipality · Utilization of substance misuse services by municipality · Self-reported access to substance misuse services (by target populations?) · Achievement of common/shared substance misuse outcomes SERVICE COST · Substance misuse-related health care costs · Substance misuse-related social service costs · Substance misuse-related law enforcement costs

(c) 1998 City of Vancouver