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  1. Welcome! LSA NameStrategic Prevention FrameworkState Incentive Grant (SPF SIG)Assessment Overview and Next Steps

  2. Welcome Address Presenter NameTitle Public Health District or Tribe

  3. Overview ND Strategic Prevention Framework State Incentive Grant (SPF SIG)

  4. SPF SIGStrategic Prevention Framework State Incentive Grant What is it? Funded through the Substance Abuse and Mental Health Services Administration (SAMHSA) Grant Goals: • Prevent the onset and reduce the progression of substance abuse, including underage drinking • Reduce substance-abuse related problems in communities • Build prevention capacity and infrastructure at the state and community levels

  5. Project Requirements Overview • North Dakota Primary Prevention Priority Areas: • Underage drinking (age  20) • Adult binge drinking (age 21+)

  6. Local Implementation • Phase I: Assessment • Identify Community Needs thru Data Discussion • Phase II: Planning • Formulate a strategic plan • Phase III: Implementation • Implement strategic plan

  7. Foundation Prevention Principles

  8. Strategic Prevention Framework (SPF) Overview

  9. Principles of the SPF • Targets all ages (not just youth) • Built on a public health model, which has proven to be the most effective at creating and sustaining community level change • Strategies and efforts driven by data • Use of effective, evidence-based strategies • Must show outcomes, which are measured at the population level instead of the individual level

  10. What is Primary Prevention? Treatment Prevention Case Identification Indicated Standard Treatment Selective Maintenance Long-Term Treatment Universal Promotion After-care and Rehabilitation Promotion Promotion

  11. What prevention is NOT • It is NOT focused on changing behavior of those dependent on a substance and needing treatment. • It is NOT focused on changing individual behavior. • It is NOT “prohibition” of alcohol in a community. • It is NOT condemning those who drink or sell alcohol responsibly.

  12. What prevention IS… • Efforts to stop a problem from happening before it starts. • Focuses on creating a healthy and safe environment for people of all ages. • May take time to see changes.

  13. Why prevention? Implementing substance abuse prevention programs are economically beneficial, with a nearly $10 return for every dollar invested in prevention. (http://www.ppsi.iastate.edu/press/vienna.htm)

  14. Your LSA Name Review of Needs Assessment Findings

  15. Local data review Needs Assessment Overview • Alcohol Consumption (Youth and Adult) • Alcohol-Related Consequences • Intervening Variables (WHY?) • Economic/Retail Price • Retail Availability • Social Availability • Enforcement • Community Norms • Promotion of Alcohol • Individual Risk Factors

  16. Local data review Needs Assessment Overview • Alcohol Consumption (Youth and Adult) • Alcohol-Related Consequences • Intervening Variables (WHY?) • Economic/Retail Price • Retail Availability • Social Availability • Enforcement • Community Norms • Promotion of Alcohol • Individual Risk Factors

  17. 72% of your 9th-12th grade students reported alcohol use in their lifetime (Local YRBS, 2013).

  18. 9th-12thgrade students reported alcohol use in the past 30 days (Local YRBS, 2013). 1out of 3

  19. 9th-12th grade students reported binge drinking in the past 30 days (Local YRBS, 2013). 21%

  20. 9th-12th grade students reported having their first drink before age 13 (Local YRBS, 2013). 1out of 5

  21. 54% of adults reported alcohol use in the past 30 days (BRFSS Region III, 2008-2010).

  22. adults reported binge alcohol use in the past 30 days (BRFSS Region III, 2008-2010). 1out of 4

  23. 5% of adults reported chronic heavy alcohol use(BRFSS Region III, 2008-2010).

  24. Thoughts? • Were the consumption numbers higher or lower than expected? • What data point(s) stuck out the most? • Is youth use or adult use a bigger issue-or is it both?

  25. VOTE • Underage Drinking • Adult Binge Drinking • Both

  26. Local data review Needs Assessment Overview • Alcohol Consumption (Youth and Adult) • Alcohol-Related Consequences • Intervening Variables (WHY?) • Economic/Retail Price • Retail Availability • Social Availability • Enforcement • Community Norms • Promotion of Alcohol • Individual Risk Factors

  27. Alcohol-Related Crime

  28. ND Attorney General

  29. ND Attorney General

  30. ND Attorney General

  31. Local Arrests: Juvenile Court Data 45 8

  32. Drinking and Driving

  33. 15% 9th-12th grade students reported drinking and driving in the past 30 days(Local YRBS, 2013).

  34. 1out of 4 9th-12th grade students reported riding one or more times during the past 30 days with someone who had been drinking (Local YRBS, 2013).

  35. 16% of adults reported having one or more episodes of driving after having too much to drink in the past 30 days (BRFSS Region III, 2008-2010). 7% is the state average.

  36. Alcohol-Related Crashes

  37. 3X > State • Alcohol related fatal crashes (2007-2012) • Alcohol related injury crashes (2007-2012) = State • Alcohol related property damage (2007-2012) < State

  38. Not just a local issue…

  39. Thoughts? • Were the consequences numbers higher or lower than expected? • What data point(s) stuck out the most? • Based on the data, what is the biggest issue?

  40. VOTE • Alcohol-Related Crime • Drinking and Driving • Alcohol-Related Crashes

  41. Local data review Needs Assessment Overview • Alcohol Consumption (Youth and Adult) • Alcohol-Related Consequences • Intervening Variables (WHY?) • Economic/Retail Price • Retail Availability • Social Availability • Enforcement • Community Norms • Promotion of Alcohol • Individual Risk Factors WHY?

  42. Economic/Retail Price • Price is a strong predictive factor affecting alcohol consumption: • Higher prices = lower consumption • Lower prices = higher consumption

  43. Prevention Efforts Retail Price • Increase Price or Taxes on Alcohol • Restrictions on Alcohol Discount Promotions 60% of community members agree taxes on alcohol should increase (CRS Region III, 2008)

  44. Retail Availability Liquor stores, bars, special event permits • Studies have found reducing retail availability results in lower alcohol consumption. 37% of community members perceive it to be quite difficult or extremely difficult for youth to buy beer, wine, and liquor at stores themselves (CRS Region III, 2008).

  45. Prevention Efforts Retail Availability • Minimum Age of Seller/Server • Limit/Restrict Location and Outlet Density • Restrict Hours/Days of Sale • Special Event/Condition Use Permit Oversight • Regulations on Home Delivery • Checking ID for Alcohol Sales/Mandatory Carding Policies • Compliance Checks • Cops in Shops • Server Training 97% of community members support compliance checks (CRS Region III, 2008). Server Training has been proven successful in many North Dakota communities.

  46. Social Availability Friends, family members, house parties, social gatherings, and other events • For many underage youth, this is the most frequent way in which they obtain alcohol. 9th-12th grade students who reported alcohol use, got it from someone who gave it to them during the past 30 days (Local YRBS, 2013). 53% of community members perceive it to be not at all difficult for youth to sneak alcohol from their home or a friend’s home (CRS Region III, 2008). 49% Community members are NOT ok with parents giving alcohol to their kids or other peoples’ kids.

  47. Prevention Efforts Social Availability • Alcohol Restrictions at Community Events • Beer Keg Registration • Responsible Event Assessments • Shoulder Tap Enforcement Programs • Social Host Liability • Texting Tipline 97% of community members support penalties for adults who provide alcohol to youth (CRS Region III, 2008).

  48. Enforcement Law enforcement, Courts, Prison Enforcement plays an important preventive role in both underage drinking and adult binge drinking. In general, people modify their drinking behavior based on the perceived risk that they will be caught. The majority of community members believe drinking and driving laws are enforced (CRS Region III, 2008).

  49. Prevention Efforts Enforcement • Administrative Penalties • Enhanced Enforcement • Sobriety Checkpoints • Strengthen prosecution, adjudication, and sanctioning of alcohol laws within court system • Penalties for Minors • Teen Party Ordinances 88% of community members support DUI Checkpoints (CRS Region III, 2008). 92% of community members support a minimum drinking age of 21 (CRS Region III, 2008).

  50. Community norms Community Climate • Norms refer to the acceptability or unacceptability of certain behaviors within a community. 59% 9th-12th grade students agree in their community, drinking among teenagers is acceptable (Local YRBS, 2013). 33% Of community members believe drinking among teenagers is acceptable (CRS Region III, 2008).