Janet Collins, PhD Associate Director for Program Centers for Disease Control and Prevention

1. Translating Research into Practice: Supporting National, State, and Local Efforts to Reduce Excessive Alcohol Use Janet Collins, PhD Associate Director for Program Centers for Disease Control and Prevention Alcohol Policy 15 Plenary Luncheon December 6, 2010 Office of the Director Office of the Associate Director for Program

2. Overview of Today’s Presentation • Public Health Surveillance on Excessive Drinking. • Synthesizing and Disseminating Information on Evidence-Based Prevention Strategies. • Building the Science Base for Preventing Excessive Alcohol Use in States. • New National Initiatives Supporting the Prevention of Excessive Alcohol Use.

3. Risk Factor Potential Condition Motor Vehicle Crashes Interpersonal Violence Binge & Underage Drinking HIV, STDs Unintended Pregnancy Fetal Alcohol Spectrum Disorder Alcohol Dependence

4. Region of the Americas: 10 Leading Risk Factors for Disease Murray, PLOS Medicine, 2006

5. 79,000 deaths and 2.3 million Years of Potential Life Lost (YPLL) in the United States each year. Over half of these deaths and two-thirds of the YPLL are due to binge drinking (≥4 drinks per occasion for women; ≥5 drinks per occasion for men). Binge drinking is the most common pattern of excessive drinking in the U.S.; over 90% of excessive drinkers binge drink. Most excessive drinkers are not alcohol dependent. Public Health Impact of Excessive Drinking in the U.S.

6. Binge Drinking Is Common Across the Lifespan BRFSS, 2009

7. Binge Drinking Increases with Household Income BRFSS, 2009

8. Adult and Underage Drinking • Strong tie between adult drinking and youth drinking. • Youth tend to model their behavior after adults. • Adults are often the source of the alcohol consumed by youth. • Many alcohol control policies affect youth and adults.

9. Systematic Reviews of Population-Based Interventions across many topic areas Evaluating Interventions to Prevent and Control Excessive Alcohol Consumption and Related Harms Recommendations on Intervention Effectiveness by Task Force for Community Preventive Services Guide to Community Preventive Services For more information, visit: www.thecommunityguide.org/alcohol

10. Priority Alcohol Interventions for Systematic Review

11. Translation Tools

12. Building State Capacity in Alcohol Epidemiology

13. Affordable Care Act: Pillars of Prevention • Key preventive services now covered without cost sharing • Prevention and Public Health Fund • Public health policies and programs • National Prevention Council/National Prevention Strategy

14. Prevention and Public Health Fund Provides Sustainable Funding Grows from $500m to $2b annually

15. The National Prevention Council • Established by the Affordable Care Act. • A unique opportunity to prioritize and align prevention activities. • Chaired by the Surgeon General. • Council members: 17 federal departments. • Advisory Group: 25 non-federal members. • Developing the National Prevention Strategy.

16. National Prevention Strategy • Ground activities in evidence-based practices. • Set specific and measurable actions and timelines. • Align and focus federal prevention and health promotion activities. • Align with existing strategies and initiatives, including: • Healthy People 2020. • National Quality Strategy. • First Lady’s “Let’s Move!” campaign. • Surgeon General’s Vision for a Healthy and Fit Nation 2010. • National HIV/AIDS Strategy. http://www.healthcare.gov/nationalpreventioncouncil

17. Draft Strategic Directions • Active Lifestyles • Eliminate Health Disparities • Counter Alcohol/ Substance Misuse • Healthy Eating • Healthy Physical and Social Environment • High Impact Quality Clinical Preventive Services • Injury-Free Living • Mental and Emotional Wellbeing • Strong Public Health Infrastructure • Tobacco-Free Living

18. Community Transformation Grants • Authorized under the Affordable Care Act. • Implementation, evaluation, and dissemination of evidence-based policy, environmental, programmatic, and infrastructure changes to promote healthy living. • Outcomes include reductions in prevalence of chronic disease risk factors, including: • Overweight/obesity • Poor nutrition and physical inactivity • Tobacco use • Excessive alcohol use • Other factors • Strategies should be prioritized to reduce health disparities.

19. DHHS Behavioral Health Coordinating Committee (BHCC) • Chaired by Dr. Howard Koh, Assistant Secretary for Health, and Pam Hyde, SAMHSA Administrator. • Coordinates behavioral health activities across the Department. • CDC, NIAAA, and SAMHSA collaborate on an Alcohol Policy/Underage Drinking Subcommittee. • Subcommittee prepared a vision document on the prevention of excessive drinking among adults and underage drinking that emphasizes the implementation of Community Guide recommendations.

21. Conclusion • Excessive alcohol use, including underage and binge drinking, continues to be a major public health problem in the U.S. • Effective alcohol control policies are available, but are underused. • New national prevention initiatives offer an excellent opportunity to help bridge this implementation gap, and thereby reduce the many health and social costs of excessive drinking.

22. Thank You. Office of the Director Office of the Associate Director for Program