This document summarizes information from the Substance Abuse and Mental Health Services Administration (SAMHSA) about national programs and reports related to underage drinking. It discusses SAMHSA's annual Report to Congress on underage drinking prevention required by the STOP Act. The report contains epidemiological data on underage drinking trends, descriptions of federal and state prevention efforts, and evaluations of programs. It also provides an overview of SAMHSA's Communities Talk initiative which uses town hall meetings to promote campus-community collaboration on underage drinking issues.

1. Substance Abuse and Mental Health
Services Administration:
Overview of National Underage
Drinking Programs and Reports
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2. Presenters
Robert M. Vincent, M.S.Ed.
Public Health Analyst
Center for Substance Abuse Prevention
Substance Abuse and Mental Health Services Administration
Marion Cornelius Pierce
Public Health Analyst
Center for Substance Abuse Prevention
Substance Abuse and Mental Health Services Administration
Jane Tobler (moderator)
Vice President
Vanguard Communications
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3. The STOP Act Report to Congress on the
Prevention and Reduction of
Underage Drinking
Robert M. Vincent, M.S.Ed., CDP, NCAC II
Public Health Analyst
Center for Substance Abuse Prevention
Substance Abuse and Mental Health Services Administration
Alcohol Policy 17
April 7, 2016
Arlington, VA
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4. As required by the Alcohol Policy 17 Conference,
I/we have signed a disclosure statement and note the
following conflict(s) of interest:
NONE
4

5. Report to Congress on the Prevention and
Reduction of Underage Drinking
Interagency Coordinating Committee
on the Prevention of Underage Drinking

6. STOP Act: Annual Report to Congress (RTC)
Preparation Process
• Most recently released RTC: December, 2015
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7. Overview of Report to Congress Contents:
Executive Summary through Chapter 3
• Executive summary:
– Intended as a stand-alone document
• Chapter 1: Preventing and Reducing Underage Drinking -
An Overview
– Describes national effort to reduce underage drinking, best practices,
emerging issues, extent of progress
• Chapter 2: Nature and Extent of Underage Drinking in
America
– Epidemiology of underage drinking
• Chapter 3: A Coordinated Federal Approach to Preventing
and Reducing Underage Drinking
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8. • Chapter 4: Report on State Programs and Policies
Addressing Underage Drinking
• Chapter 5: Evaluation of the National Media
Campaign: Talk. They Hear You.
Overview of Report to Congress Contents:
Executive Summary - Chapters 4 and 5
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9. Overview of Report to Congress Contents:
Epidemiology of underage drinking: Progress made
• Over the past decade, there has been a steady
decline in past-month, or current, drinking by
adolescents and young adults.
• There have been similar declines in underage binge
and heavy drinking.
• Rates of current, binge, and heavy drinking have
declined to record lows among 8th- to 12th-grade
students.
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10. Overview of Report to Congress Contents:
Epidemiology of underage drinking: Progress made
Past-month alcohol use by 12- to 20-year-olds
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11. Overview of Report to Congress Contents:
Epidemiology of underage drinking: Further work is needed
• There has been a slower decline in binge rates
among females.
• While 12th graders with college plans binge
drink at lower rates than those without
college plans, college students drink at higher
rates than all others 1-4 years past high
school.
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12. Overview of Report to Congress Contents:
Epidemiology of underage drinking: Further work is needed
Prevalence of Binge Drinking in the Past 2 Weeks:
1991–2013
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13. Overview of Report to Congress Contents:
Epidemiology of underage drinking: Further work is needed
• Binge-drinking rates among college students
have shown little decline since 1993.
• Underage college students drink about 48
percent of alcohol consumed by students at 4-
year colleges.
• Epidemiological data suggest that underage
drinking has been particularly intractable for
the 18-20 year old age group.
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14. Overview of Report to Congress Contents:
Epidemiology of underage drinking: Further work is needed
Current and Binge Alcohol
Use among Persons Ages 12–
20 by Age: 2013
Prevalence of Past-Year
DSM-IV Alcohol Dependence
or Abuse by Age: 2012–2013
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15. Report to Congress: New Features
The December 2015 RTC includes:
• Section on powdered alcohol;
• New expanded section on enforcement of
underage drinking policies;
• Chapter 5: New chapter on the National
Media Campaign
• STOP Act mandates annual report on
effectiveness and numbers reached by
Campaign
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16. Report to Congress: Accessibility
• The December 2015 RTC is available at:
www.stopalcoholabuse.gov
• In response to input from stakeholders:
–RTC can now be downloaded as an entire
document, by state report, or by policy.
–Data tables are included in the appendices.
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17. Overview of Report to Congress:
State Reports
Each state report contains:
• Map
• Population Data
• State underage drinking data
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18. Overview of Report to Congress:
State Reports
Each state report contains:
• Legal data on 25 policies
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19. Overview of Report to Congress:
State Reports
Each state report contains:
State Survey responses
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20. Overview of Report to Congress:
State Reports
New state policy topic added for 2016:
• High proof grain alcohol.
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21. Overview of Report to Congress:
Chapter 4: Cross-State Survey Report
State Survey:
• First reported in 2012 Report to Congress
• All 50 States and the District of Columbia provided
responses
• Four key sections
– State enforcement activities
– State prevention programs
– State interagency collaborations/best practices
– State expenditures
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22. Overview of Report to Congress:
Chapter 4: Cross-State Survey Report
State Survey: Enforcement Data
Enforcement Strategies and Actions
Compliance Checks/Decoy Operations
Cops in Shops
Shoulder Tap
Party Patrol/Party Dispersal
Underage, Alcohol-Related Fatality Investigations
Minors in Possession (MIP)
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23. Overview of Report to Congress:
Chapter 4: Cross-State Survey Report
Percent of Jurisdictions Reporting
Enforcement Data Collection
State collects data on
compliance checks
State collects data on
MIP arrests
State
conducted
Locally
conducted
State
conducted
Locally
conducted
78% 29% 80% 31%
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24. Overview of Report to Congress:
Chapter 4: Cross-State Survey Report
Percent of Jurisdictions Reporting
Enforcement Data Collection
State collects data on penalties
imposed on retail establishments
Fines
License
suspensions
License
revocations
73% 78% 67%
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25. Overview of Report to Congress:
Chapter 4: Cross-State Survey Report
Compliance Checks
Number of licensees on which checks were
conducted
Percentage of licensees on which
checks were conducted that failed the
checks
State agencies all
checks (n=37)
Median for those
that collect data
1,302 Median for those
that collect data
14%
Minimum 14 Minimum 3%
Maximum 12,487 Maximum 63%
State agencies
random checks only
(n=20)
Median for those
that collect data
1,549 Median for those
that collect data
13%
Minimum 225 Minimum 3%
Maximum 12,487 Maximum 34%
Local agencies (n=13)
Median for those
that collect data
946 Median for those
that collect data
12%
Minimum 145 Minimum 7%
Maximum 7,830 Maximum 21%
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26. Overview of Report to Congress:
Chapter 4: Cross-State Survey Report
Types of Programs Targeted to
Youth, Parents, and Caregivers
Program category
Percentage of
programs
implemented
Focused on individuals 57
Focused on the environment 24
Mixed focus 14
Media campaigns 5
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27. Overview of Report to Congress:
Chapter 4: Cross-State Survey Report
Collaborations, Planning, and Reports: State ICCPUDs
Composition of Interagency Group -- State Government Entities
Composition of Interagency Group -- Other Entities
Office of the
Governor
Legislature Attorney General
Percentage of states with a
committee (n=40)
10 18 33
Local law
enforcement
College/university
administration, campus
life department,
campus police
Community
coalitions/
Concerned
citizens
Youth
Percentage of states
with a committee
(n=40)
23 50 38 28
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28. Overview of Report to Congress:
Chapter 4: Cross-State Survey Report
State Survey: Other Highlights
MIP (minors in possession) arrest data
Evaluation of Underage Drinking-Specific Programs
Programs To Measure/Reduce Youth Exposure to Alcohol
Advertising and Marketing
Best Practice Standards
State Expenditures
State Planning and Reports on Underage Drinking Prevention
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29. Marion Pierce
Public Health Analyst
Center for Substance Abuse Prevention
Substance Abuse and Mental Health Services Administration
Alcohol Policy 17 | April 7, 2016
Town Hall Meetings to
Prevent Underage Drinking:
A Catalyst for Change for
Campus Communities
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30. As required by the Alcohol Policy 17 Conference,
I/we have signed a disclosure statement and note the
following conflict(s) of interest:
NONE
30

31. Underage and High-Risk Drinking
What’s the Solution?
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32. Communities Talk: Town Hall Meetings
• Benefits of Town Hall Meetings
• Examples of successful collaborations
• Identification of issues on campus and surrounding
community
• SAMHSA resources
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33. • Sponsored by SAMHSA every 2 years since 2006
• Promote campus and community collaboration
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Communities Talk: Town Hall Meetings

34. • Educate the community
• Identify contributing
factors
• Promote evidence-based
solutions
• Plan, implement, and
evaluate
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Communities Talk: Town Hall Meetings

35. Campus‒Community
Collaborations
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Communities Talk: Town Hall Meetings

36. 2014 Campus‒Community Collaborations
More than 120 campus-community
Town Hall Meeting events
 Western Washington University
 Discussions with alcohol retailers
 University of Alaska Anchorage
 Legislation Recommendations
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37. Fort Berthold Indian Reservation and
Community College Town Hall Meeting
Issue:
• Lack of concern about underage
drinking infractions
Town Hall Meeting:
• Coalition members reviewed law
enforcement data
Outcomes:
• Trainings for law enforcement
personnel
• Alcohol-free campus proposal
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38. Durham County and North Carolina
Central University Town Hall Meetings
Outcomes:
• Policy on the approval/denial of permits
• Campaign banning sales of fortified alcohol
beverages in convenience stores
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Conducted annual Town Hall Meetings since 2006

39. Planning and Hosting
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Communities Talk: Town Hall Meetings

40. Communities Talk:
Successful Town Hall Meetings
SAMHSA’s Strategic Prevention
Framework
Step 1: Assessment
• Collect and analyze data to
identify priority issues
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41. Underage Drinking Data Resources
State Data
Report to Congress on the Prevention
and Reduction of Underage Drinking
Local Data
• SAMHSA NSDUH sub-state data
• U.S. Centers for Disease Control and
Prevention’s Youth Online: High School
Youth Risk Behavior Surveillance System
• State department of health and
department of education.

42. New Section
Communities Talk:
Town Hall Meeting Resources
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Available Materials

43. Success Stories
• Detailed event
descriptions
• Measures of
success
• Next steps
Communities Talk:
Town Hall Meetings Website
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44. Taking Action
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Communities Talk: Town Hall Meetings

45. • Follow on Facebook and
Twitter for updates
• Retweet to spread the word
• Include #CommunitiesTalk
in your posts
Join the year-round online conversation
#CommunitiesTalk
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Communities Talk: Town Hall Meetings

46. Further Information
Communities Talk:
Town Hall Meetings Initiative
Marion Pierce
Marion.Pierce@samhsa.hhs.gov
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47. Questions and Discussion
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