Underage Drinking (Including Binge Drinking) What Can We Do? The St. Helena Case Study

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Underage Drinking(Including Binge Drinking)What
Can We Do?The St. Helena Case Study

• Presentation to
• CDE Statewide Coordinators Meeting
• Sacramento, California
• Presented by
• Joel L. Phillips
• Community Prevention Institute (CPI)
• 771 Oak Ave. Parkway, Suite 2, Folsom, California
  95630
• September 21-22, 2005

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Overview

• Getting Started
• Leadership
• Getting the facts
• Dimensions of the problem
• Resources
• Developing the plan
• Forming a team
• Planning for meetings
• Action plan (resources/timelines)
• Case study St. Helena
• Other considerations

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Why The Concern?

• Nine teens die every day from alcohol related
  incidents. (S.D. Youth council, 2004)
• Alcohol kills far more teens than all other drugs
  combined (S.D. Youth Council)
• Three leading causes of death for 15 to 24 year
  olds are automobile crashes, homicides and
  suicidesalcohol is the leading factor in all
  three (NIAAA 2003)
• It has been estimated that over three million
  teenagers are alcoholics. Several million more
  have a serious drinking problem they cannot
  manage on their own (NIAAA 2003)

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Getting Started
Who needs to (can) be involved?

• Planning Models
• Coordinator led
• Team (school based)
• Partnership (school/community)

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Advantages/Disadvantages
Advantages Disadvantages
Coordinator led Control Buy-in Understand school environment More Work! More Work! More Work!
Team (school based) Coordinator Teacher Students Spread work Understand school environment Youth participation Logistics, getting team together Competing Time Commitment
Community Partnership Coordinator Teachers Students Community Spread work (delegate) Task completion more likely Ownership Spread Organizational logistics
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Start-Up Issues

• Leadership
• Roles and Responsibilities
• Recruitment
• Depends on Planning Model
• Resources
• Assistance
• Funding
• Timeline 1 year effort minimum

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Getting the Facts 1Dimensions of the Problem

• SOURCES
• Survey Data
• National Data (Household survey, MTF)
• CSS (State)
• CHKS District/school specific
• CHP
• Drinking/driving accidents
• Drinking/driving arrests
• DOJ
• Adolescent arrests
• Compile information in easy to understand
  graphics they are one of your marking tools.
  Profile your community.
• Present community data by demographics (age,
  gender, ethnicity)
• Compile information in easy to understand
  graphics they are one of your marking tools.

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Getting the Facts 1Dimensions of the Problem

• SOURCES continued
• Profile your community
• Present community data by demographics (age,
  gender, ethnicity)
• Compile information in easy to understand
  graphics - they are one of your marking tools.

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Getting the Facts 2Identifying Resources

• WHAT KINDS OF RESOURCES
• People!
• What can they contribute?
• Who can help?
• Identify all individuals school/community
• Map the Environment
• Current programs list out all
  programs/resources that could be involved
• Outside Support
• Technical assistance
• Compile resource Inventory

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Develop and Implement the Action Plan

• Form a team
• Determine type of team
• Contact members
• Collect and review Facts
• Dimensions of the problem
• Potential resources
• Conduct Planning meetings
• Introductory meeting
• Tasking meeting

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Develop and Implement the Action Plan continued

• Conduct additional data collection
• Example Youth led focus groups
• Example Social norm survey
• Present Findings and Recommendations
• Organize Presentation
• Implementation
• Identify work group areas (based on
  recommendations)
• Solicit additional volunteers
• Develop process to monitor progress

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St. Helena Case Study Background Structure

• Youth Death (DUI)
• Concerned Parents
• Supervisor Involvement
• Called a planning meeting

Meeting Structures (four types) took place over
10 months.
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Meetings Structure 1 Matchstick Group

• Membership
• 5-6 people (met 2x)
• Purpose
• Discussed various planning options

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Meetings Structure 2 Kindling Group

• Membership
• 12-15 people (met 5x)
• Purpose
• Review/Discussed next steps/stage
• Set up Process for focus groups

Data Collection Youth Led Focus Groups
DATA Collection Process Youth Led Focus Groups
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Meetings Structure 3 Bonfire Group

• Membership
• Community 60 plus (met once)
• Purpose
• Review findings and recommendations
• Community members joined one of the 6 work groups

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Meetings Structure 4 Work Groups

• Membership
• 4-6 per work group
• Purpose
• Implement recommendations

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Youth Led Focus Groups Process

• Recruitment ( 14 youths)
• Training (2 Sessions)
• Questions Developed by planning group
• Youth Volunteers paid
• Role played the questions
• Focus Groups
• Five Youth-led Sessions
• Approximately 60 participants(all paid 10/20)
• Report Prepared (CPI)
• Presentation to Bonfire Community Meetings

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Questions . . . Ten questions in three sets

• SET 1 How Youth spent their time when not in
  school and percieved opportunities to be
  involved
• SET 2 Youth perceptions concerning adult
  support for them in their communities (ie, do
  you feel like adults in the community
  encourages value and value you as part
  of the community?)
• SET 3 Role of alcohol and/or drugs in their life

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Findings . . . . .

1. Alcohol use is common
2. Social acceptance of alcohol use by peers
3. Availability and access
4. Reasons to use differentiated by intent
5. At risk behaviorslack of concern re excessive
   drinking
6. Adult relationships with teen generally positive

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Framework for Recommendations

1. Must address issues raised by teens
2. Must be based on approaches demonstrating prior
   success
3. Must be doable (low cost/minimum resources)
4. Must include community members
5. Must involve youths and adults

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Recommendations

• School Based
• Risk Management
• Availability and Access
• Media
• Community Development
• Parent Education and Intervention

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Risk Management Recommendations

• SADD
• Parent/Child Pledges
• Harm Reduction Information on Alcohol

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Availability Recommendations

• Responsible Beverage Service Training
• Enforcement
• Compliance Checks
• Social Host Ordinance

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Media Recommendations

• Media Advocacy
• Awareness Campaigns

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Community Development and Youth Leadership

• Youth Advisory Task Force
• Friday Night Live
• Community Development Framework

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Parent Education and Intervention

• Parent Skills Training
• Brief Intervention Training

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Lessons Learned . . . . .

• Payments important ( minimal)
• Youth prepared notes were problematic
• Planning/scheduling is critical
• Recruitment
• Diversity (age, student types)
• Conclusion
• Youth led Focus Groups can be an important way to
  gather information and involve youth

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Status

• 5 of 6 Work Groups meet every month (5-10
  members)
• Special Projects (recommendations) are being
  pursued
• Youth media campaign
• Brief Intervention
• RBS
• Place of last drink survey
• Parents involvementFamily Resource Center
• Implementation SADD
• Interest in a SAP

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Next Steps . . . .

• CPI will work with up to FIVE School Districts in
  developing / Supporting an Underage Drinking
  Planning Process