Transcript CPI Overview and Binge Drinking Findings

What is CPI and
what can it do for California
SIG Communities?
1
What is CPI?
2
CPI is…
ADP’s vehicle to provide Technical
Assistance (TA) and Training services to
community AOD prevention practitioners
and SIG Grantees.
3
Goals
• Bridge the gap between research and the
practical needs of community AOD prevention
practitioners.
• Establish a system to transfer research-based
AOD prevention information to the field.
• Increase the number of effective community
prevention practitioners.
• Increase the number of effective community
prevention systems programs and services.
• Enhance the health and safety of
communities throughout California.
4
Performance Objectives
•
•
•
•
•
Deliver 2000 days of Technical Assistance
Provide 80 training events
Produce and deliver four prevention bulletins
Prepare two prevention documents
Monitor and synthesize prevention research
including evidence-based programs,
strategies and approaches
• Develop capabilities to share and transfer
information
5
Why is CPI Needed?
6
Need for CPI
TA and Training Services
• High turnover in the prevention field
• Rapid expansion in knowledge about
prevention practices
• Need to implement Community Strategic
Prevention Framework
(5 Steps)
• Broaden community focus versus individual
approaches.
• Assist SIG Grantees
7
How does CPI differ from past
ADP TA and Training efforts?
8
• ADP role
– More involved
• Focus on Communities
– Less on individual programs
• Emphasis on the Community Strategic
Prevention Framework (SPF)
–
–
–
–
–
Profile of needs/resources
Mobilize/build capacity
Development of a comprehensive plan
Implement evidence-based prevention service
Monitor process/evaluate
• Bridging to the research community
• Proactive versus Reactive
9
Community Focus
Why?
Changing individual behaviors
−Costly
−Difficult
−Ignores (often) complex interplay of societal factors
Community
−Should be the focus – acknowledges community is the
context of our daily interactions
−By changing conditions in which we live, we will impact
individual behaviors
Community Health
−The well-being of the people who share a common place
or experience – require changes in both the behavior of
large number of individuals and in the conditions that
affect their health.
10
Strategic Prevention Framework
Process
Profile population needs, resources, and
readiness to address the problems and
gaps in service delivery
Mobilize and/or build capacity to address
needs
Develop a Comprehensive Strategic Plan
Implement evidence-based prevention
programs and infrastructure development
activities
Monitor process, evaluate effectiveness,
sustain effective programs/activities, and
improve or replace those that fail
11
Coalitions Primer
• Defining Problems & Impact on Community
– Data need identification: Problems/Resources
• Planning Process
- Getting partners
- Building capacity
- Developing a plan
• Implementation
- Selecting appropriate interventions
• Assessment
- Evaluate programs and effectiveness
12
What services are provided?
13
CPI Services
Product Development
• Research-based briefings/bulletins/papers
(4 Tactics)
• County level documents (AOD County Profiles)
Involvement of broader Prevention
Research community
• Developing network of research
centers throughout the country
14
Binge Drinking
Social Norms
Policy Panels
Social Host
Ordinances
15
CPI Services
(continued)
Trainings
• Broad range of trainings through Prevention
Extension (16 Titles)
• New Series being prepared – community
focused
Technical Assistance
• Facilitations to project/program specific
services
• Subject matter expertise – consultant pool
200 plus
• On-line advancements (Training and TA )
16
What services would you like
to see provided?
17
What have been your
successes/challenges in
implementing community level
prevention efforts?
18
Types of Community Based TA
Services
•
•
•
•
•
•
•
•
Community organizing
Coalition building/maintenance
Strategic planning assistance
Data (needs) assessment
AOD policy development
Media Advocacy
RBS trainings
Development of culturally appropriate programs &
services
• Evaluation
and many more -
19
How are CPI services
managed and delivered?
20
CPI
Organizational Structure
ADP
CARS
(3.75 FTE)
Consultant Pool
ONTRACK
(2.5 FTE)
Consultant
Pool
21
CPI Technical Assistance
Request Protocol
CPI Receives TA Request
CPI Determines Appropriateness and Prioritizes
HIGH PRIORITY
MODERATE PRIORITY
LOW PRIORITY
Review and Refine Need
CPI Submit Request With CPI
Recommendation To ADP For Approval
Once CPI Notified By ADP CPI Will Follow-up
With Appropriate TA Designee
Enter Summary Into SharePoint
22
How can I get services?
23
How to get services
1. Contact CPI Direct: call, e-mail, mail,
visit or Complete an Interest Form
2. Discuss needs with project manager
3. Complete a TA Application
4. Approval by State
5. Selection of personnel/consultants,
time and place
6. Delivery of services
24
CPI Web Site
www.ca-cpi.org
25
Binge Drinking
Presentation
Presented by:
Joël L. Phillips
Community Prevention Institute (CPI)
26
Issues
• What constitutes excessive alcohol consumption?
• Is there a problem with excessive alcohol use among
California adolescents?
If so, to what extent?
• What are the consequences of excessive alcohol
consumption?
• What can we do?
27
What is Excessive Alcohol
Consumption (Binge Drinking)?
General
Binge (high risk) drinking is the consumption of alcohol to the
extent that harmful consequences – health, academic, legal and
others – may be expected.
Specific (Recent NIAAA definition)
A “binge” is a pattern of drinking alcohol that brings the blood
alcohol level concentration (BAC) to 0.08 or above. For the typical
adult, this pattern corresponds to consuming 5 or more drinks
(male), or 4 or more drinks (female), in about 2 hours.
A “drink” refers to half an ounce of alcohol (e.g., one 12-oz. beer,
one 5 oz. glass of wine, or one 1.5 oz. shot of distilled spirits.)
28
Dimensions of the Problem
Table 1. High Risk Drug Use & Excessive Alcohol Use
1991-1992*
(%)
1993-1994*
(%)
1995-1996
(%)
1997-1998
(%)
1999-2000
(%)
2001-2002
(%)
2002-2003
(%)
Excessive Alcohol Users (EAU)
18.5
21.0
23.3
19.4
16.4
17.1
14.3
High-Risk Drug Users (HRU) a
11.4
21.2
20.2
20.3
11.0
10.4
9.3
Total EAU or HRU
22.0
29.1
28.5
29.5
19.4
20.0
17.4
Excessive Alcohol Users (EAU)
27.5
29.2
31.3
30.8
33.9
32.4
29.9
High-Risk Drug Users (HRU) a,
17.6
26.6
26.8
26.9
20.7
21.3
17.3
Total EAU or HRU
32.5
37.8
38.4
38.6
37.6
35.7
33.6
Grade 9
Grade 11
Refers to drug use in the past six months only. *Passive parent consent required for participation; starting in
1995, active (written) consent was required.
a
29
Excessive Alcohol & High-Risk Drug Users
Grade 11
60
50
40
30
20
10
0
199192
199394
199596
199798
199920
200102
200203
Excessive Alcohol Users (EAU)
High-Risk Drug Users (HRU)
30
Trend Data Results
The trend data in Table 1 supports several conclusions:
1. High rate use of alcohol or drugs by California students increases
significantly in the middle and high school years.
2. Despite the emphasis on alcohol and drug prevention in schools,
the percentage of students who report high use rates for alcohol or
other drugs has been relatively constant over the last decade;
2002-2003 EAU and HRU rates are nearly the same as the 19911992 rates.
3. Excessive alcohol use is more prevalent than high risk drug use.
4. A substantial percentage of California secondary school students
report that they are high rate users.
31
Binge Drinking
Table 2. Frequency Consumed Five or More Drinks in a Row, Past 30 Days
Grade 7
Never
Grade 9
Grade 11
19992000
20012002
20032004
19992000
20012002
20032004
20012002
20012002
20032004
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
(%)
94.2
97.2
96.3
86.7
86.6
88.5
73.8
73.7
76.7
1+ days
5.8
2.8
3.7
13.3
13.4
11.5
26.2
26.3
23.3
3+ days
1.7
1.0
1.3
6.1
7.2
5.1
14.2
14.0
12.2
10+ days
0.9
0.6
0.6
2.5
2.4
1.9
4.5
5.1
4.2
• By the 11th grade, approximately one fourth of the student sample
reported binge drinking at least once in the last 30 days.
• Approximately 12 percent of 11th graders binged 3 or more days in the32
past month.
Binge Drinkers and
Problem Behavior
Table 3. Other Alcohol-use Correlates of Binge Drinking, 11th Graders, 2003 CSS
Total
Sample
Binge Drank,
Past 30
Days
Non-binge
Drinker,
30 Days
No Alcohol,
30 Days
7.0
21.2
4.1
2.2
Was drunk 3 or more times
19.6
56.8
20.9
6.2
Drink/drive episode, 3 or more
12.5
32.4
14.6
5.8
Fight between groups, year
17.7
29.5
20.4
12.7
Used weapon to threaten, year
8.6
17.1
11.3
5.9
Been in a gang, ever
9.2
15.8
10.4
7.5
Relationship violence, year
8.2
14.9
7.9
6.4
Likes to get really drunk
• Binge drinkers are much more likely to put themselves and others in harm’s way
through being intoxicated and through drinking and driving.
• Binge drinkers are more likely to be involved in gangs and potential violence than
students who do not binge.
• Binge drinkers are more likely to be involved in relationship violence, and issue of
33
particular relevance to SAPs
Binge Drinkers and
School Behavior
Total Sample
Table 4: Binge Drinking and School Behaviors
Binge Drank, Past
30 Days
Non-binge
Drinker,
30 Days
No Alcohol,
30 Days
School-related Alcohol Use
Used alcohol at school, past 30 days
8.0
23.6
5.9
2.8
Drunk/high at school, 3 or more times
12.1
30.4
11.5
5.7
Physical fight at school
20.5
32.2
30.6
14.7
Taken a weapon to school
13.0
23.1
13.6
9.2
Damaged school property
17.8
31.2
20.1
13.2
Skip school/cut class (ever)
60.3
82.9
54.2
50.9
Skip school/cut class (“few times” or
more)
39.3
60.7
33.0
29.8
Low school connectedness
21.0
26.3
19.4
19.3
School Violence (Year)
School Behavior




Much more likely to use substances at or before school, and to be under the influence of substances at school;
Somewhat more likely to engage in violent or destructive behavior at school;
Much more like to skip school or cut class; and
34
Tend to have lower connectedness to school.
Summary: What are the Consequences of
Excessive Alcohol Consumption
Youth with serious alcohol problems:
• 11 times more likely to have serious problems with other drugs
• 10 times more likely to drink and drive
• 4 times more likely to be arrested
• 2 times more likely to have a C average or lower and are likely to miss
twice as much school
• 2 times more likely to smoke
• 1.5 times more likely to require hospital emergency care
• 5 times more likely to commit suicide
• 4 times more likely to get into a serious fight
• 3.5 more times more likely to carry a weapon
• 3 times more likely to have a conduct disorder
• 3 times more likely to be hospitalized with a mental health problem
• 2 times more likely to get into an accident, injure another person or
themselves
• Almost twice as likely to have multiple sex partners
(Source: George Washington University Medical Center)
35
Other Consequences
• Binge drinking in High School, especially
among males, is strongly predictive of
binge drinking in college. (NIAAA)
• Young persons who begin drinking
before age 13 are four times as likely to
develop alcohol dependence and twice
as likely to develop alcohol abuse as
those who begin drinking at age 21.
(National Longitudinal Alcohol
Epidemiologic Survey)
36
What Can We Do?
1. Recognize there is a serious problem with binge drinking in our
schools.
2. Increase awareness/knowledge of consequences of underage
binge drinking/alcohol use (Strategic Goal 4).
- Among teachers/administrators
- Students
- Parents
How to do this:
Share information with other teachers/administrators.
Develop/use talking points on binge drinking strategies
/consequences.
- Develop flyers (CPI assistance) on the issue
- Use teen group meetings to present information in a
structured way – must be interactive
3. Examine current prevention/intervention services.
37
What Can We Do?
(continued)
How to do this:
 Prevention curriculum, identify binge drinking
explicitly. If so, what does it say/recommend?
 Do we provide support structures – Student
Assistance Programs (SAPs) for our students. If
not, look at SDFSC.
4. Link up with local coalitions (particularly SIG
funded counties) to be part of community - wide
efforts examining and doing something.
How: Contact ADP/CPI to get list of counties funded
and or Binge Drinking SIG
38
www.ca-cpi.org
771 Oak Avenue Parkway, Suite 3
Folsom, CA 95630
916-983-8929-MAIN
916-983-5738-FAX
39