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Challenging Community College Alcohol Use

Challenging Community College Alcohol Use. Health Services Matthew Kiechle , MS, CHES, CPP. Identifying TC3 AOD rates, consequences Administrative charge Assembling Task Force TC3 challenges Evidence-based practices Implementation . Overview. TC3 AOD Rates.

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Challenging Community College Alcohol Use

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  1. Challenging Community College Alcohol Use Health Services Matthew Kiechle, MS, CHES, CPP

  2. Identifying TC3 AOD rates, consequences • Administrative charge • Assembling Task Force • TC3 challenges • Evidence-based practices • Implementation Overview

  3. TC3 AOD Rates • Nationally (two and four year colleges and universities), about 80% of all college students drink alcohol, including nearly 60% of students age 18 to 20. • 84% of TC3 students drink. At least 59% of TC3underage students drink. • Nationally, more than 40 percent of college students report engaging in binge drinking* at least once during the past 2 weeks. • At least 53% of residential TC3 students (more than 400) binge drink. * “Binge drinking” or “excessive drinking” defined as a pattern of drinking to .08 BAC or higher • CORE Survey Results. Tompkins-Cortland Community College (2008) Executive Summary. SIUC/Core Institute Core Alcohol and Drug Survey - Long Form. 1225 Douglas Drive Carbondale, IL 6290. Consortium Number = 7116, Institution Number = 5070. • Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Monitoring the Future National Survey Results on Drug Use, 1975–2007. Volume I: Secondary School Students (NIH Publication No. 08–6418A). Bethesda, MD: National Institute on Drug Abuse, 2008, p. 26.

  4. TC3 AOD ConsequencesAcademic/other • In a single year: • About 25% of college students report academic consequences of their drinking including missing class, falling behind, doing poorly on exams or papers, and receiving lower grades overall. • 33% of TC3 students report some form of public misconduct (arrest, fighting, DWI/DUI, vandalism) as a result of drinking or drug abuse. • At least 29% of TC3 students experience serious personal problems (suicide ideation, injury, sexual assault, unsuccessful attempts to moderate). • CORE Survey Results. Tompkins-Cortland Community College (2008) Executive Summary. SIUC/Core Institute Core Alcohol and Drug Survey - Long Form. 1225 Douglas Drive Carbondale, IL 6290. Consortium Number = 7116, Institution Number = 5070.

  5. Increase in Residence Life students • President and Board of Trustees • Director, Health Services • Dean of Students • Health Educator Administrative Charge

  6. Student Life and Services • Faculty • Athletics • Enrollment Services • Students • Community members • Working groups • Shared documents • Bi-monthly meetings • Report and recommendations TC3 Task Force on Substance Abuse Prevention and Health Promotion

  7. Residential population and campus enrollment growth (49%, 13%) • Organizational structure in Student Life • Scope of Health Services • Limited resources • Utilizing established systems • New and different approach • Policy and protocol development • The community college student Challenges

  8. The Ten-Point Plan • A strategic, collaborative, and evidence-based framework to: • identify effective programs • connect them with others on campus under shared vision and leadership • enhance and/or redesign promising programs • and design and implement new evidence-based strategies to meet identified student needs.

  9. Steps * Judicial and Residential Code(s) of Student Conduct re: required intervention/education and accountability for off-campus behavior. • Acquire necessary administrative support • Assemble a Multi-disciplinary Implementation Task Force • Working groups • Make and adopt policy and procedure changes* • Options Program • Garner support; FSA Board, College Board • Communicate to campus community • Report to the President

  10. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2002 report A Call to Action: Changing the Culture of Drinking at U.S. Colleges, a successful, comprehensive institutional intervention will deliver: • effective and promising strategies (Tiers 1-3) • concurrently across three distinct levels: • individual students • general student body • greater campus community The 3-in-1 Approach A Call to Action: Changing the Culture of Drinking at U.S. Colleges. National Institute on Alcohol Abuse and Alcoholism (NIAAA) Task Force on College Drinking. 2002.

  11. Ten-Point Plan for Substance Abuse Prevention and Health Promotion A comprehensive, campus-wide initiative to support the College’s academic mission of student learning by reducing student alcohol and drug abuse and advancing the collective health of the campus community.

  12. Ten-Point Plan for Substance Abuse Prevention and Health Promotion

  13. 1. Leadership • College Administration • President and Provost • Deans and Directors • Student Life and Services • Multidisciplinary collaboration • Health Services • Health Promotion • Task Force • Program Development, Implementation, Evaluation

  14. 3. Assessment • CORE Survey • Annual reports • Student Life • Office of Residence Life • Office of Public Safety • Health Services • Options Program • Office of Student Activities • Student surveys

  15. Healthy communities • Substance-free floor • Alternative social/recreational activities • Late Night Fitness – Evening hours, classes, programs, massage therapy • Campus activities, speakers, performances, etc. • Cultural Interest Groups programming, fitness events • Wellness-themed, e.g. outdoor, clubs • Community service and engagement • Opportunities • Transportation • Academic credit 4. Environmental and Selective Programs

  16. Educational outreach programs targeting higher-risk populations • Staff delivered ASTP and MI Programming • Student-athletes • First-year students • Campus residents • Peer-based programs • Train-the-trainer for residence directors and residence assistants • Health Services interns 4. Environmental and Selective Programs (cont.)

  17. 5. Support and Intervention Services Harm reduction model early intervention, evaluation, education, and referral for identified high(er) risk students. • Intervention and support • Current students • Incoming first year, transfer, and returning students with documented AOD abuse history • Evaluation • Risk factors including AOD abuse and psycho, social, vocational, family, and environmental • Individual education and counseling sessions • Motivational Interviewing BASICS • Cognitive-Behavioral Skills Training ASTP

  18. 5. Support and InterventionServices • Psycho- educational group sessions- Three 60-minute classes • Risk continuum, risk and protective factors, strategies, individual factors, student-specific alcohol and drug information, etc. • Media applications • Home work assignments • Drug screening • Assist students who require/request services through the Options Program • Support abstinence • Comply with legal, organizational, and/or institutional expectations • Request for urine screen from Health Services or family medical provider and student is fully informed and provides written consent • Referral and consultation

  19. Academic integration of substance abuse prevention material within existing courses in nursing, AOD, biology, human development, fitness, and others • Universal Freshman Seminar- AOD and other life skills included • Professional development • Staff/Faculty trainings • Ten-Point Plan overview • Identifying students, making referrals 6. Academic Infusion

  20. 8. Policy and Protocols • Non-academic Student Code of Conduct • Alcohol • Drugs • Student Life • Office of Residence Life • Judicial, Dean of Students • Health Services • Options Program • Counseling Center • Public Safety • Athletics • Academics

  21. Office of Residence Life • Advisors • Judicial Affairs • Dean of Students • Office of Public Safety • COAS • State and local law enforcement • Events on and off campus • Admissions Office • Academics • Athletics 9. Identification and Enforcement

  22. 10. Campus-Community Partnership • Law Enforcement • Neighboring Institutions • Area hospitals • Community health organizations • Coalitions

  23. Hingson R, Heeren T, Winter M, Wechsler H. Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18–24: Changes from 1998 to 2001. Annual Rev Public Health 26:259–279, 2005. CORE Survey Results. Tompkins-Cortland Community College (2008) Executive Summary. SIUC/Core Institute Core Alcohol and Drug Survey - Long Form. 1225 Douglas Drive Carbondale, IL 6290. Consortium Number = 7116, Institution Number = 5070. Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Monitoring the Future National Survey Results on Drug Use, 1975–2007. Volume I: Secondary School Students (NIH Publication No. 08–6418A). Bethesda, MD: National Institute on Drug Abuse, 2008, p. 26. A Call to Action: Changing the Culture of Drinking at U.S. Colleges. National Institute on Alcohol Abuse and Alcoholism (NIAAA) Task Force on College Drinking. 2002. Wechsler, H., Davenport, A., Dowdall, G., Moeykens, B. and Castillo, S. Health and behavioral consequences of binge drinking in college: A national survey of students at 140 campuses. JAMA 272: 1672-1677, 1994. References

  24. Challenging Community College Alcohol Use Health Services Matthew Kiechle, MS, CHES, CPP

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