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Circles of San Antonio community Coalition

Coalitions and Community Based Prevention

August 14-15 Texans Standing Tall hosted a 2-day intensive training with Michael Sparks on social host accountability. The training involved six community coalitions from across Texas as well as TST staff. I will present to you a brief overview of the training and resources available for community coalitions to work towards developing a social host campaign.1

Vickie B. AdamsCoalition Director

Boyd BaxterCoalition CoordinatorRudy LopezCoalition Coordinator

Circles of SA HistoryFormed in 1998Serves Bexar CountyUnderage Drinking ForumsPartnership with DEA on Drug Take BacksFiesta CommissionReduced beer serving sizeFestival seller server training BCDWI Task Force and District AttorneyIncreased DWI EnforcementNo refusal 24-7 policy

Coalition serves Bexar County3

Circles of San Antonio Community Coalition Community Coalition Partnerships (CCP)Drug Free Communities (DFC)Partnership for Success (PFS)Funding SourceTexas-Department of State Health Services (DSHS)Federal- Office of National Drug Control Policy (ONDCP)Texas- Health and Human Services Commission (HHSC)StaffBoyd BaxterRudy LopezTo Be HiredTarget Population18-25 in colleges and universities 12-17 youth12-20 underage drinking12-25 RX misuseTarget AreaBexar CountyZip Codes in the SAISD Boundaries Areas around UniversitiesStrategiesUnderage Drinking- Reducing AccessSocial Host OrdinanceIncrease Alcohol TaxUnderage Drinking-Increase EnforcementSynthetic DrugsRetailer EducationUnderage Drinking- Reducing Access Alcohol Outlet DensityRetailer Education

Why Coalitions?

A coalition is a vehicle for bringing together various community and government sectors to develop and carry out strategies that have an impact on the whole community.Refer to the Coalition MOU Wheel

Maintain identity but all agree to work together toward the common goal of a safe, healthy and drug free community.Today many coalitions work together to reduce substance abuse in the larger community by implementing comprehensive, multi-strategy place

Activities and initiative that target individual users reach limited numbers of people, but community-based programs that provide direct services to individuals, such as parenting classes, are important coalition partners. Strategies that focus on the substance and the environment- although more difficult to implement are likely to impact many more people.

Look at your MOU

Assumption is that changing environmental contributors to alcohol and other drug problems will result in individual behavior change5

Strategic Prevention Framework Process

The SPF process is how coalitions work to determine need, resources and plan solutions while evaluating and thinking about long term sustainability

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NoiseNuisanceVandalismStudent SafetyHealth Care Costs/ BurdenLaw Enforcement costs/ police calls for serviceViolenceDrinking-DrivingCommunity-level problems

Underage Drinking Parties

Texas School Survey & CORE SurveyConsumption dataLaw enforcement dataMIP dataProvision of alcohol to minor dataCommunity levelSurvey on what happens at these parties

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UTSA Police Sergeant Geoffrey Merritt said, The key to keeping crime rates down is stopping underage drinking. Quote from 2013Underage Drinking Parties

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Underage Drinking Parties

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Underage Drinking PartiesA tweet sent out by someone believed to be an organizer says "We hired an off duty cop, he doesn't care about smoking and drinking, all he cares about is keeping tonight with 0 fights. Let's party. (source; http://www.foxsanantonio.com/news/features/top-stories/stories/edgewood-isd-officer-investigated-underage-drinking-party-4587.shtml#.U6scUk1OWM9

Substance use has an insidious way of interfering with a students ability to take advantage of all that college has to offer. Interventions to reduce rates of substance use should be part of any colleges plan to improve student retention.

Academic Opportunity Costs of Substance Use During College

There are many influences on college student drinkingStudentFamily historyPersonalityMental HealthDistorted expectations of consequencesCommunityEnforcement of LawsAlcohol AvailabilityAlcohol PricingAlcohol Promotion

ParentExpectationsVigilanceModelingDisapprovalCampusNormsPolicy EnforcementAvailability of resourcesScreening and intervention services

Underage students frequently obtain alcohol from others.

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Seven Strategiesfor Community Change

Providing Information Enhancing Skills Providing Support Enhancing Access/Reducing Changing ConsequencesPhysical DesignModifying/Changing Policies

Seven methods that can bring about community change have been adopted as a useful framework by CADCA. Each of these strategies represents a key element to build and maintain a healthy community.Substance abuse prevention usually follows one of two basic approachesbehavioral, which focuses on individuals behavior, or environmental, which focuses on communities and attempts to change the environment that supports substance abuse. But research has shown that education alone is often ineffective.

Programs that try to persuade students not to use alcohol by arousing fear do not work, according to the National Institute on Alcohol Abuse and Alcoholism. Instead, emphasizing the dangers of alcohol may attract adolescents who are risk-takers. Another approach to preventing underage drinking and drug use at any age seeks to change the environment that supports substance abuse. While education is included, these programs primarily look to change the factors that influence people to abuse mind-altering substances, such as easy access to alcohol and the failure to penalize illegal drug use. Environmental interventions include:Building support for public policies that reduce access to alcohol, illegal drugs and other mind-altering substances.Creating community coalitions to develop local solutions to reducing access.Using the media to highlight the problem of substance abuse and build support for community-based solutions.15

Alcohol Problems Prevention:Changing the Paradigm

From individuals to populations

SHIFTS FOCUS FROM CHANGING AN INDIVIDUALS BEHAVIORCHANGING THE ENVIRONMENT IN WHICH THE INDIVIDUAL LIVES, ACTS, RESPONDS

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Cleaning our streams of substance abuseVickie AdamsCircles of San Antonio

Thank you and with your help we will clean up our rivers of 17

Individual Focus vs. Environmental FocusTST, 2014

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Increased Risk of DependencyAge Started Drinking (year)Alcohol Dependence (%)219

Data from National Epidemiologic Survey on Alcohol and Related Conditions as presented in Hingson, Heeren, & Winter, 2006, Age at Drinking Onset and Alcohol Dependence.Data from National Epidemiologic Survey on Alcohol and Related Conditions as presented in Hingson, Heeren, & Winter, 2006, Age at Drinking Onset and Alcohol Dependence.

Take a look at this chart. This data is from a national survey from 2006. People were asked at what age they started drinking and if they ever experienced alcohol dependency. The table shows the percentage of people who started drinking at each age who also developed alcohol dependency.

What trends do you notice? People who started to drink earlier, we more likely to develop alcohol dependence. Among those who waited until they were 21 or older, only 9% developed alcohol dependency. In fact, People who reported starting to drink before the age of 15 were four times more likely to also report meeting the criteria for alcohol dependency.

Data from National Epidemiologic Survey on Alcohol and Related Conditions as presented in Hingson, Heeren, & Winter, 2006, Age at Drinking Onset and Alcohol Dependence.endence at some point in their lives (NIAAA, 2006)19

What Doesnt WorkDr. Sally Caswell

Reducing college drinking is a shared responsibilityConsistently enforced policiesConsistent messageEvidence-based programs, policies and practicesStrategic plan

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Environmental ApproachEnvironmental Strategies incorporate prevention efforts aimed at changing or influencing community conditions, standards, institutions, structures, systems and policies.

These strategies potentially reach the entire population and reduce collective risk.They require a substantial commitment from various sectors of the community to contribute to sustainable change.The goal is for creating lasting change in the community norms, systems, producing widespread behavior change and, in turn, reducing problems for entire communities.

Telling an individual that substance use/ abuse is dangerous will not necessarily affect their behavior in a significant manner.Individuals do not become involved with substances soley on the basis of personal characteristics. They are influenced by a complex set of factors, such as institutional rules and regulations, community norms, mass media, and accessibility to ATODIdentify a community problem

Incorporate prevention efforts that affect the entire population

Implement proven cost effective strategies producing widespread behavior changes in community norms, structures, systems, and policies

Lead to long term outcomes in reducing substance use and abuse

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College Alcohol Systems Model

Reducing college drinking is a shared responsibilityConsistently enforced policiesConsistent messageEvidence-based programs, policies and practicesStrategic plan

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Environmental Strategies to reduce underage drinking

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Planning Alcohol Interventions Using NIAAAs COLLEGE AIM

http://www.collegedrinkingprevention.gov/CollegeAIM/Resources/NIAAA_College_Matrix_Booklet.pdf

The National Institute on Alcohol Abuse and Alcoholisms CollegeAIM was developed for higher education officials, particularly alcohol and other drug program and student life staff, who seek to address harmful and underage drinking among their students. CollegeAIM is intended to inform and guide officials as they choose interventions for their campus communities. http://www.collegedrinkingprevention.gov/CollegeAIM/Resources/NIAAA_College_Matrix_Booklet.pdf

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Source: Grossman, M. & S. Markowitz, Alcohol Regulation & Violence on College Campuses, 2001

25A 2001 study on Alcohol regulation and violence on college campuses found that a 10% increase in the price of beer could decrease the number of drinks consumed by 8.9%, decrease the probability of getting in trouble with the police by 4.8% and decrease the likelihood of sexual assault by 3.6%.

One study found that reducing the frequency of drinking while in college improved study habits, reduced the number of classes missed and frequency of falling behind on assignments, and was associated with increased GPA.

What can you do to help?

http://www.collegedrinkingprevention.gov/CollegeAIM/Default.aspxWe meet 2nd Wednesday of each month 27

Contact UsCircles of San Antonio Community CoalitionSan Antonio Council on Alcohol and Drug AbuseSouth Texas Centre, AT&T Building7500 US Hwy 90 West, Suite 100San Antonio, Texas 78227(210) 225-4741 [email protected]/circlesofsawww.twitter.com/circlesofsaNext meeting is January 13th 3-5pm at SACADA

Overall looks good. To be most effective, it would be great if you could weave the policy process steps in with your presentation. Connecting your progress back to Michaels steps is the goal. 28