session c3 - samhsa overview underage drinking

Substance Abuse and Mental Health Services Administration:

Overview of National Underage Drinking Programs and Reports

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Presenters

Robert M. Vincent, M.S.Ed. Public Health AnalystCenter for Substance Abuse PreventionSubstance Abuse and Mental Health Services Administration

Marion Cornelius PiercePublic Health AnalystCenter for Substance Abuse PreventionSubstance Abuse and Mental Health Services Administration

Jane Tobler (moderator)Vice PresidentVanguard Communications

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The STOP Act Report to Congress on the Prevention and Reduction of

Underage Drinking

Robert M. Vincent, M.S.Ed., CDP, NCAC IIPublic Health Analyst

Center for Substance Abuse Prevention Substance Abuse and Mental Health Services Administration

Alcohol Policy 17April 7, 2016Arlington, VA

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As required by the Alcohol Policy 17 Conference, I/we have signed a disclosure statement and note the

following conflict(s) of interest:

NONE

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Report to Congress on the Prevention and

Reduction of Underage Drinking

Interagency Coordinating Committee

on the Prevention of Underage Drinking

STOP Act: Annual Report to Congress (RTC)Preparation Process

• Most recently released RTC: December, 2015

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Overview of Report to Congress Contents:Executive Summary through Chapter 3

• Executive summary: – Intended as a stand-alone document

• Chapter 1: Preventing and Reducing Underage Drinking - An Overview– Describes national effort to reduce underage drinking, best practices,

emerging issues, extent of progress

• Chapter 2: Nature and Extent of Underage Drinking in America– Epidemiology of underage drinking

• Chapter 3: A Coordinated Federal Approach to Preventing and Reducing Underage Drinking

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• Chapter 4: Report on State Programs and Policies Addressing Underage Drinking

• Chapter 5: Evaluation of the National Media Campaign: Talk. They Hear You.

Overview of Report to Congress Contents:Executive Summary - Chapters 4 and 5

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Overview of Report to Congress Contents:Epidemiology of underage drinking: Progress made

• Over the past decade, there has been a steady decline in past-month, or current, drinking by adolescents and young adults.

• There have been similar declines in underage binge and heavy drinking.

• Rates of current, binge, and heavy drinking have declined to record lows among 8th- to 12th-grade students.

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Overview of Report to Congress Contents:Epidemiology of underage drinking: Progress made

Past-month alcohol use by 12- to 20-year-olds

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Overview of Report to Congress Contents:Epidemiology of underage drinking: Further work is needed

• There has been a slower decline in binge rates among females.

• While 12th graders with college plans binge drink at lower rates than those without college plans, college students drink at higher rates than all others 1-4 years past high school.

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Overview of Report to Congress Contents:Epidemiology of underage drinking: Further work is needed

Prevalence of Binge Drinking in the Past 2 Weeks: 1991–2013

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Overview of Report to Congress Contents:Epidemiology of underage drinking: Further work is needed

• Binge-drinking rates among college students have shown little decline since 1993.

• Underage college students drink about 48 percent of alcohol consumed by students at 4-year colleges.

• Epidemiological data suggest that underage drinking has been particularly intractable for the 18-20 year old age group.

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Overview of Report to Congress Contents:Epidemiology of underage drinking: Further work is needed

Current and Binge Alcohol Use among Persons Ages 12–

20 by Age: 2013

Prevalence of Past-Year DSM-IV Alcohol Dependence or Abuse by Age: 2012–2013

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Report to Congress: New Features

The December 2015 RTC includes:• Section on powdered alcohol;• New expanded section on enforcement of

underage drinking policies;• Chapter 5: New chapter on the National

Media Campaign• STOP Act mandates annual report on

effectiveness and numbers reached by Campaign

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Report to Congress: Accessibility

• The December 2015 RTC is available at: www.stopalcoholabuse.gov

• In response to input from stakeholders:– RTC can now be downloaded as an entire

document, by state report, or by policy.– Data tables are included in the appendices.

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Overview of Report to Congress:State Reports

Each state report contains:• Map• Population Data• State underage drinking data

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Overview of Report to Congress:State Reports

Each state report contains:• Legal data on 25 policies

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Overview of Report to Congress:State Reports

Each state report contains:State Survey responses

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Overview of Report to Congress:State Reports

New state policy topic added for 2016:• High proof grain alcohol.

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Overview of Report to Congress:Chapter 4: Cross-State Survey Report

State Survey:• First reported in 2012 Report to Congress• All 50 States and the District of Columbia provided

responses• Four key sections

– State enforcement activities– State prevention programs– State interagency collaborations/best practices– State expenditures

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Overview of Report to Congress:Chapter 4: Cross-State Survey Report

State Survey: Enforcement DataEnforcement Strategies and Actions

Compliance Checks/Decoy OperationsCops in ShopsShoulder TapParty Patrol/Party DispersalUnderage, Alcohol-Related Fatality InvestigationsMinors in Possession (MIP)

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Overview of Report to Congress:Chapter 4: Cross-State Survey Report

Percent of Jurisdictions Reporting Enforcement Data Collection

State collects data on compliance checks

State collects data on MIP arrests

State conducted

Locally conducted

State conducted

Locally conducted

78% 29% 80% 31%

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Overview of Report to Congress:Chapter 4: Cross-State Survey Report

Percent of Jurisdictions Reporting Enforcement Data Collection

State collects data on penalties imposed on retail establishments

Fines License suspensions

License revocations

73% 78% 67%

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Overview of Report to Congress:Chapter 4: Cross-State Survey Report

Compliance Checks

Number of licensees on which checks were conducted

Percentage of licensees on which checks were conducted that failed the

checks

State agencies all checks (n=37)

Median for those that collect data

1,302 Median for those that collect data

14%

Minimum 14 Minimum 3%Maximum 12,487 Maximum 63%

State agencies random checks only

(n=20)

Median for those that collect data

1,549 Median for those that collect data

13%

Minimum 225 Minimum 3%Maximum 12,487 Maximum 34%

Local agencies (n=13)

Median for those that collect data

946 Median for those that collect data

12%

Minimum 145 Minimum 7%Maximum 7,830 Maximum 21%

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Overview of Report to Congress:Chapter 4: Cross-State Survey Report

Types of Programs Targeted to Youth, Parents, and Caregivers

Program categoryPercentage of

programs implemented

Focused on individuals 57Focused on the environment 24

Mixed focus 14Media campaigns 5

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Overview of Report to Congress:Chapter 4: Cross-State Survey Report

Collaborations, Planning, and Reports: State ICCPUDs

Composition of Interagency Group -- State Government Entities

Composition of Interagency Group -- Other Entities

Office of the Governor Legislature Attorney General

Percentage of states with a committee (n=40) 10 18 33

Local law enforcement

College/university administration, campus

life department, campus police

Community coalitions/Concerned

citizensYouth

Percentage of states with a committee (n=40)

23 50 38 28

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Overview of Report to Congress:Chapter 4: Cross-State Survey Report

State Survey: Other HighlightsMIP (minors in possession) arrest data

Evaluation of Underage Drinking-Specific Programs

Programs To Measure/Reduce Youth Exposure to Alcohol Advertising and Marketing

Best Practice Standards

State Expenditures

State Planning and Reports on Underage Drinking Prevention

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Marion PiercePublic Health Analyst

Center for Substance Abuse Prevention Substance Abuse and Mental Health Services Administration

Alcohol Policy 17 | April 7, 2016

Town Hall Meetings to Prevent Underage Drinking:

A Catalyst for Change for Campus Communities

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As required by the Alcohol Policy 17 Conference, I/we have signed a disclosure statement and note the

following conflict(s) of interest:

NONE

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Underage and High-Risk Drinking

What’s the Solution?

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Communities Talk: Town Hall Meetings

• Benefits of Town Hall Meetings• Examples of successful collaborations • Identification of issues on campus and surrounding

community• SAMHSA resources

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• Sponsored by SAMHSA every 2 years since 2006• Promote campus and community collaboration

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Communities Talk: Town Hall Meetings

• Educate the community• Identify contributing

factors• Promote evidence-based

solutions• Plan, implement, and

evaluate

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Communities Talk: Town Hall Meetings

Campus‒Community Collaborations

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Communities Talk: Town Hall Meetings

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2014 Campus‒Community Collaborations

More than 120 campus-community Town Hall Meeting events

Western Washington University Discussions with alcohol retailers

University of Alaska Anchorage Legislation Recommendations

Fort Berthold Indian Reservation and Community College Town Hall Meeting

Issue: • Lack of concern about underage

drinking infractionsTown Hall Meeting: • Coalition members reviewed law

enforcement dataOutcomes:• Trainings for law enforcement

personnel• Alcohol-free campus proposal

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Durham County and North Carolina Central University Town Hall Meetings

Outcomes:• Policy on the approval/denial of permits • Campaign banning sales of fortified alcohol

beverages in convenience stores

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Conducted annual Town Hall Meetings since 2006

Planning and Hosting

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Communities Talk: Town Hall Meetings

Communities Talk: Successful Town Hall Meetings

SAMHSA’s Strategic Prevention Framework

Step 1: Assessment

• Collect and analyze data to identify priority issues

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Underage Drinking Data Resources

State DataReport to Congress on the Prevention and Reduction of Underage Drinking

Local Data• SAMHSA NSDUH sub-state data• U.S. Centers for Disease Control and

Prevention’s Youth Online: High School Youth Risk Behavior Surveillance System

• State department of health and department of education.

New Section

Communities Talk: Town Hall Meeting Resources

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Available Materials

Success Stories• Detailed event

descriptions • Measures of

success • Next steps

Communities Talk: Town Hall Meetings Website

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Taking Action

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Communities Talk: Town Hall Meetings

• Follow on Facebook and Twitter for updates

• Retweet to spread the word• Include #CommunitiesTalk

in your posts

Join the year-round online conversation #CommunitiesTalk

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Communities Talk: Town Hall Meetings

Further Information

Communities Talk: Town Hall Meetings Initiative

Marion PierceMarion.Pierce@samhsa.hhs.gov

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Questions and Discussion

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