The document summarizes the agenda and topics discussed at a meeting of the Sullivan County Anti-Drug Coalition on March 10, 2011. It discusses presenting information on sectors required for developing coalitions, logic models on substance abuse data and contributing factors, evidence-based strategies including social norms campaigns and environmental strategies, and committees to implement strategies to reduce underage and binge drinking among youth.

1. Sullivan County Anti-Drug Coalitionwww.scadcoalition.org March 10, 2011

2. Presentation OverviewSprint through last meeting’s workJog through information needed for today’s workMarch 10, 2011Leave plenty of time for small groups to walk through task today

3. Sectors Required for Developing Coalitions grant •Youth (persons ≤ 18 years of age)• Parents• Business community• Media• Schools• Organizations serving youth• Law enforcement • Religious or fraternal organizations• Civic and volunteer groups• Healthcare professionals• State/local agencies w/ expertise in substance abuse• Organizations involved in reducing substance abuseMarch 10, 2011

4. Logic ModelWhen asked, survey respondents report…March 10, 2011

5. Logic ModelJuvenile Court and Accident DataMarch 10, 2011

6. Logic ModelWhy/how do these behaviors happen?(Global conditions)March 10, 2011

7. Logic ModelWhy/how do they happen here?Last Meeting’s workMarch 10, 2011

8. Logic Model: Law Enforcement / *Low Perceived Risk*March 10, 2011

9. Logic Model: Promotion / *Social Norms Accepting of Behavior*March 10, 2011

10. Logic Model: Easy Social Access / Easy Retail AccessMarch 10, 2011

11. March 10, 2011http://oas.samhsa.gov/spotlight/Spotlight022YouthAlcohol.pdf

12. What Works….Evidence-based Environmental StrategiesWhat’s being done ANDMarch 10, 2011

13. CADCA AwardEnforcement StrategiesWhat works? High Visibility and Source EnforcementWhat’s being done? Roanoke County implemented a policy for 12th graders.If student is caught with alcohol within 60 days of graduation, they cannot participate in graduation.March 10, 2011

14. Headline: Topeka Police conduct underage drinking enforcement2/14/11: Underage Drinking Task Force Focus – 2-day operation: on Feb. 11th & 12thWent to 41retail liquor stores Undercover informants (18 year olds)Informants attempted to purchase alcohol. Task Force issued 9 citations for Furnishing or Selling Alcohol to Minors. March 10, 2011What Would You Do? ABC 2/18

15. Headline: Efforts Not Always Immediately Successful2/11/11: Hudson Police Chief presents resolution to Council authorizing another $4,100 from Catholic Charities to implement underage drinking law enforcementhttp://registerstar.com/articles/2011/02/11/news//doc4d54c2e64a7f1831276237.txtMarch 10, 2011And yet…

16. And yet…Headline: Efforts Not Always Immediately Successful2/11/11: Hudson Police Chief presents resolution to Council authorizing another $4,100 from Catholic Charities to implement underage drinking law enforcementThe money would be used to “pay overtime salary” for the officers working to enforce the laws.March 10, 2011

17. Headline: Efforts Not Always Immediately Successful2/11/11: Hudson Police Chief presents resolution to Council authorizing another $4,100 from Catholic Charities to implement underage drinking law enforcementThe money would be used to “pay overtime salary” for the officers working to enforce the laws.Business owners support TIPS training but complain about subsequent “sting”Council president questions needMarch 10, 2011And yet…

18. Headline: Efforts Not Always Immediately Successful2/11/11: Hudson Police Chief presents resolution to Council authorizing another $4,100 from Catholic Charities to implement underage drinking law enforcementThe money would be used to “pay overtime salary” for the officers working to enforce the laws.Business owners support TIPS training but complain about subsequent “sting”Council president questions needTo be decided later http://registerstar.com/articles/2011/02/11/news//doc4d54c2e64a7f1831276237.txtMarch 10, 2011And yet…

19. Do Social Norms Campaigns work?Campaigns don’t change behaviorThey line up perceptions with what is actually going onIn isolation, they are not effectiveIn conjunction with other strategies, they can be effectiveMarch 10, 2011

20. Involve Students to Create ContentOrientation programs: T-shirts, cards, screen saversAds in school newspapers, classroom posters, Ads in movie theatersFB/Twitter (use quotes from students (with names removed) – have others respond)Posters on inside door of bathroom stallUse students to “laugh test“ the messageMarch 10, 2011

21. There are Recommended Social Norms CampaignsStudents Are Healthier Than You Think (VCU)MOST of Us – (Minnesota and Montana)Michigan State University’s Social Norms ProgramThe Grounds Wide Campaign (UVA)The Real Project (FSU)The DeKalb County Partnership for a Safe, Active and Family Environment Social Marketing ProjectStrength in Numbers Social Norms Campaign: Evanston Township High SchoolRecommended by SAMHSAMarch 10, 2011

22. Monitoring the Future ResultsMarch 10, 2011Targeted prevention messages MAY be a contributing factor in increases in perceived risk.

23. Headline: Social Host Drinking Law Discussions2/17/11: District Attorney, Police Chief and City Attorney present program at local high schoolReviewed state laws and consequences (prosecution of hosts, etc.) such as:It is a crime to allow a person under 21 to possess alcohol on property owned or controlled by the host.A 19-year-old who allows his 19-year-old friend to drink alcohol in his dorm room is just as liable under the law as a 50-year-old who allows underage drinking at a high school graduation party, according to officials.March 10, 2011

24. Social AccessMarch 10, 2011Responsible Hospitality Institute Resources for Safe and Vibrant Nightlife

25. Retail AccessMarch 10, 2011

26. Most Commonly Used Environmental Strategies by CoalitionsMarch 10, 2011

27. Evidence-based ProgramsToday’s meeting: Environmental StrategiesProviding informationEnhancing SkillsProviding supportEnhancing access / reduce barriersChanging consequencesChanging the physical design of the environmentModifying / changing policiesMarch 10, 2011

28. Not to be discouraging, but…The information you have is not the information you wantThe information you want is not the information you needThe information you need is not the information you can obtainThe information you can obtain costs more than what you can payPeter BernsteinMarch 10, 2011

29. So we return to the Wisdom of the GroupSolving the problem of underage and binge drinking in 14 – 25 year olds is a coordination and cooperation problemTo be wise, group should be:DiverseIndependentDecentralizedExercise set up to take advantage of these conditionsMarch 10, 2011

30. Small GroupsEach group has a facilitator, a worksheet to be completed, and resources for the topicGroups will have 20 minutes to: Introduce themselves to groupExamine resources (evidence based strategies)Discuss which strategies might work in Sullivan CountyPrioritize – what is easiest to implement / most likely to succeed.March 10, 2011

31. An ounce of prevention…is a ton of work ~Paul Frame, MD.So let’s get busy! (In 20 minutes you can choose another topic)March 10, 2011

32. Large Group Reporting for Local Contributing Factors Social Norms Accepting of BehaviorLow Perceived RiskEasy Social AccessEasy Retail AccessLaw Enforcement Promotion March 10, 2011

33. What’s next?CommitteesMemorandums of Agreement (available)Member (voting)Strategy to reduce underage & binge drinking in the 18 – 25 year old age groupStrategy to reduce tobacco use in 14 – 25 y-oldsOther substancesAnnual MeetingMarch 10, 2011

34. CommitteesBylaws required: Nominating Committee - Steering CommitteeOther Working CommitteesAssessment and PlanningMembershipFunding DevelopmentOther suggestions:By strategyOther ideas?March 10, 2011

35. Other IssuesMarch 10, 2011

36. Referenceshttp://pubs.niaaa.nih.gov/publications/aa59.htmhttp://monitoringthefuture.org/pressreleases/10drugpr.pdfhttp://www.rhiweb.org/March 10, 2011

37. Sullivan County Anti-Drug Coalitionwww.scadcoalition.orgscadcoalition@gmail.comFollow us on Twitter: scadcoalitionFacebook page: SCAD Coalition

38. Tennessee Alcoholic Beverage Commission (TABC) GovernsThe sale and distribution of liquor, wine and malt beverages containing over 5% alcohol by weight.Any malt beverage 5% alcohol by weight or below falls under the jurisdiction of individual counties or cities. The exception to this rule is the ‘The Tennessee Responsible Vendor Act of 2006’ which falls under the responsibility of the TABCAnother resource - http://www.gettips.com/PDF/JurisRegsListing082410.pdfMarch 10, 2011

39. Prevention Prepared Communities address:EmotionalBehavioral healthObesityMarch 10, 2011

40. 2020World-wide, Behavioral Health Disorders will surpass all physical diseases as a cause of a disabilityMarch 10, 2011

41. SAMHSA Strategic GoalsPrimary prevention as focusPrevent or reduce consequences of underage and adult problem drinkingPrevent suicide and attempted suicide 20-40% of suicides have measurable blood alcohol levels)Reduce prescription drug misuse and abuseMarch 10, 2011