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Coalition Orientation to Public
A coalition brings together various community and government sectors to develop and carry out strategies to impact the whole community on issues like substance abuse. The document discusses data from surveys that show high rates of underage drinking and binge drinking among youth. It provides definitions of binge drinking and notes that younger adolescents reach risky blood alcohol levels from fewer drinks. The document advocates for environmental strategies and policy changes to restrict alcohol availability and marketing to reduce substance abuse problems in communities. These include policies around retail outlets, taxes, advertising, and server training.
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Coalition Orientation to Public
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- 2. Why Coalitions? A coalitionis 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”
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- 5. 2010 Texas SchoolSurvey on Substance Abuse Students randomly selected from school districts throughout the state Provides trends of substance abuse by our youth Biennial survey of students grade 7-12
- 6. Texas School Survey AlcoholTexas-2010 SAISD-2010 NISD-2010 Ever Used 61.8% 59% 68% Past Month Use 29% 31% 35%
- 7. 92% of alcoholconsumed by 12-14 year olds is through Binge drinking For an adult, NIAAA defines binge drinking as, over a 2-hour period, consuming: – 5 or more drinks by a man – 4 or more drinks by a woman Because of smaller size, young adolescents (age 14-15) reach that BAC with fewer drinks: – 4 drinks for boys – 3 drinks for girls – 3 drinks younger than if age 14
- 8. 3,325 alcohol retailestablishments
- 9. Bexar County AlcoholRetail Compliance Rates 2011
- 10. Where Texas YouthObtain Alcohol
- 11. Where do CollegeStudents Get Access?
- 12. • Ride witha drinking driver • Drive after Drinking • Never wear safety belts • Carry weapons/guns • Be bullied • Be injured in a fight • Be injured in a suicide attempt • Be forced to have sex • Had sex with 6 or more partners • Have unprotected sex • Use Marijuana/cocaine • Ever injected drugs Youth Risk Behavior Survey 2009 Nearly 1 million high school students and nearly 2 million 12-20 year olds consume 5 or more drinks 6 or more times per month. They are much more likely to Is this the only thing we care about? These pollute our streams also
- 13. Seven Strategies for CommunityChange 1. Providing Information 2. Enhancing Skills 3. Providing Support 4. Enhancing Access/Reducing 5. Changing Consequences 6. Physical Design 7. Modifying/Changing Policies
- 14. Managing the availabilityof alcohol and other drugs in specific environments impacts the substances individuals choose and the amount they use. The ability to shape individual’s behavior by structuring what is expected or permitted in specific environments can reduce alcohol and other drug-relate problems Environmental Approach Environmental Strategies incorporate prevention efforts aimed at changing or influencing community conditions, standards, institutions, structures, systems and policies
- 15. Examples of EnvironmentalStrategies: Alcohol • Restriction on happy hours • Increase Taxes • Outlet Density • Bans on home delivery • Keg Registration • Bans on use in certain places • Mandatory Server Training • Restriction on advertising
- 16. Policy change can takeplace at a basic level Family policy about not serving their underage children alcohol School policy ending gifts of shot glasses at prom nights Community policy of prohibiting alcohol at community events
- 17. • Local Ordinancesthat bans billboard advertising alcohol near schools • Regulates the number of liquor licenses • State laws that regulate alcohol taxes and other areas Policy change can take place on a larger scale
- 18. Frieden Health ImpactPyramid: Alcohol Alcohol education and counseling, SBIRT Evidence-based treatment and other medical interventions Population-level access to treatment and SBIRT, strong media campaigns Remove dangerous products, e.g. AEDs; increase alcohol excise taxes; reduce alcohol outlets; restrict and reduce alcohol marketing Reduce poverty Increase education and employment opportunities Improve human rights Largest Impact Smallest Impact Much political will needed Little political will needed
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