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Underage Drinking(Including Binge Drinking)What Can We Do?The St. Helena Case Study

Presentation to:CDE Statewide Coordinator’s Meeting

Sacramento, CaliforniaPresented by:Joel L. Phillips

Community Prevention Institute (CPI)771 Oak Ave. Parkway, Suite 2, Folsom, California 95630

September 21-22, 2005

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Overview Getting Started

Leadership

Getting the facts Dimensions of the problem Resources

Developing the plan Forming a team Planning for meetings Action plan (resources/timelines)

Case study – St. Helena Other considerations

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Why The Concern?

Nine teens die every day from alcohol related

incidents. (S.D. Youth council, 2004)

Alcohol kills far more teens than all other drugs combined (S.D. Youth Council)

Three leading causes of death for 15 to 24 year olds are automobile crashes, homicides and suicides—alcohol is the leading factor in all three (NIAAA 2003)

It has been estimated that over three million teenagers are alcoholics. Several million more have a serious drinking problem they cannot manage on their own (NIAAA 2003)

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Getting Started

Planning Models Coordinator led Team (school based) Partnership (school/community)

Who needs to (can) be involved?

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Advantages/Disadvantages

Advantages Disadvantages

Coordinator led Control Buy-in Understand school

environment

More Work! More Work! More Work!

Team (school based) Coordinator Teacher Students

Spread work Understand school

environment Youth participation

Logistics, getting team together

Competing Time Commitment

Community Partnership CoordinatorTeachersStudentsCommunity

Spread work (delegate)

Task completion more likely

Ownership Spread

Organizational logistics

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Start-Up Issues

LeadershipRoles and ResponsibilitiesRecruitment

Depends on Planning Model

Resources Assistance Funding

Timeline – 1 year effort minimum

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Getting the Facts 1Dimensions of the Problem

SOURCES Survey Data

1. National Data (Household survey, MTF)

2. CSS (State)3. CHKS – District/school specific

CHP1. Drinking/driving – accidents2. Drinking/driving – arrests

DOJ1. Adolescent arrests

Compile information in easy to understand graphics – they are one of your marking tools. Profile your community.

Present community data by demographics (age, gender, ethnicity)Compile information in easy to understand graphics – they are one of your

marking tools.

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Getting the Facts 1Dimensions of the Problem

SOURCES continued

Profile your communityPresent community data by demographics (age, gender, ethnicity)

Compile information in easy to understand graphics –- they are one of your marking tools.

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Getting the Facts 2Identifying ResourcesWHAT KINDS OF RESOURCES1. People!

What can they contribute? Who can help? Identify all individuals school/community

2. Map the Environment Current programs – list out all

programs/resources that could be involved

3. Outside Support Technical assistance

4. Compile resource Inventory

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Develop and Implement the Action Plan

1. Form a team Determine type of team Contact members

2. Collect and review ‘Facts’ Dimensions of the problem Potential resources

3. Conduct Planning meetings Introductory meeting Tasking meeting

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Develop and Implement the Action Plan continued

4. Conduct additional data collection Example: Youth led focus groups Example: Social norm survey

5. Present Findings and Recommendations

Organize Presentation6. Implementation

Identify work group areas (based on recommendations)

Solicit additional volunteers Develop process to monitor progress

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St. Helena Case Study Background Structure

Youth Death (DUI) Concerned Parents Supervisor Involvement

Called a planning meeting

Meeting Structures (four types) took place over 10 months.

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Meetings Structure 1: ‘Matchstick’ Group

Membership 5-6 people (met 2x)

Purpose Discussed various planning options

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Meetings Structure 2: ‘Kindling’ Group

Membership 12-15 people (met 5x)

Purpose Review/Discussed next steps/stage Set up Process for focus groups

Data Collection

Youth Led Focus Groups

DATA Collection Process:Youth Led Focus Groups

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Meetings Structure 3: ‘Bonfire’ Group

Membership Community – 60 plus (met once)

Purpose Review findings and recommendations Community members joined one of the 6

work groups

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Meetings Structure 4: Work Groups

Membership 4-6 per work group

Purpose Implement recommendations

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Youth Led Focus Groups Process

Recruitment (≈ 14 youths)

Training (2 Sessions) Questions Developed by planning group Youth Volunteers paid Role played the questions

Focus Groups Five Youth-led Sessions Approximately 60 participants

(all paid $10/$20)

Report Prepared (CPI)

Presentation to ‘Bonfire’ Community Meetings

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Questions . . . Ten questions; in three sets

SET 1: How Youth spent their time when not in school and percieved opportunities to be

involved SET 2: Youth perceptions concerning adult support

for them in their communities (ie, do you feel like adults in the community encourages value and value

you as part of the community?)

SET 3: Role of alcohol and/or drugs in their life

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Findings . . . . .1. Alcohol use is common2. Social acceptance of alcohol use by peers3. Availability and access4. Reasons to use – differentiated by intent5. At risk behaviors—lack of concern re:

excessive drinking6. Adult relationships with teen generally

positive

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Framework for Recommendations

1. Must address issues raised by teens

2. Must be based on approaches demonstrating prior success

3. Must be doable (low cost/minimum resources)

4. Must include community members5. Must involve youths and adults

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Recommendations School Based Risk Management Availability and Access Media Community Development Parent Education and Intervention

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Risk Management Recommendations

SADD

Parent/Child Pledges

Harm Reduction Information on Alcohol

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Availability Recommendations

Responsible Beverage Service Training

Enforcement Compliance Checks Social Host Ordinance

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Media Recommendations

Media Advocacy

Awareness Campaigns

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Community Development and Youth Leadership

Youth Advisory Task Force Friday Night Live Community Development

Framework

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Parent Education and Intervention

Parent Skills Training

Brief Intervention Training

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Lessons Learned . . . . .

Payments important ($ minimal) Youth prepared ‘notes’ were problematic Planning/scheduling is critical Recruitment

Diversity (age, student types) Conclusion:

Youth led Focus Groups can be an important way to gather information and involve youth

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Status 5 of 6 Work Groups meet every month (5-

10 members) Special Projects (recommendations) are

being pursued Youth media campaign Brief Intervention RBS Place of last drink survey Parents involvement—Family Resource Center Implementation SADD Interest in a SAP

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Next Steps . . . .

CPI will work with up to FIVE School Districts in developing / Supporting an Underage Drinking Planning Process