Missouri Partners in Prevention

1. Missouri Partners in Prevention   Missouri’s Higher Education Substance Abuse Consortium MYAA, 2012

2. Missouri Partners In Prevention A statewide coalition composed of institutions of higher education in Missouri and relevant state agencies to collaboratively develop strategies for promoting positive, healthy choices among Missouri’s college students. Housed at the University of Missouri’s Wellness Resource Center in Columbia, Missouri 2009 CADCA Got Outcomes! Coalition of Excellence Award, Coalition in Focus Award 2008 National Exemplary Award for Innovative Substance Abuse Prevention Programs, Practices and Policies, National Prevention Network

3. Columbia College Drury University Evangel University Lincoln University Linn State Technical College Harris-Stowe State University Maryville University of St. Louis Missouri Southern State University Missouri State University Missouri Western State University Northwest Missouri State University Southeast Missouri State University Truman State University Missouri University of Science and Technology University of Central Missouri University of Missouri University of Missouri-Kansas City University of Missouri-St. Louis Rockhurst University Saint Louis University Westminster College Institutional Involvement

4. About Partners in Prevention • Originally founded in 1999 to reduce and prevent high-risk drinking among Missouri’s college students at public colleges and universities. • Expanded in 2009-2010 to include seven private campuses and in 2011 to include one technical college. • Provide funding to each campus to specifically reduce high risk and underage drinking as well as additional funding to provide tobacco cessation services. • Provide support, materials, and training to each campus to address suicide and mental health, problem gambling, and roadway safety issues. • Funded through a diverse array of government and private funding sources with infrastructure support from the Missouri Division of Alcohol and Drug Abuse, Missouri Department of Mental Health.

5. Infrastructure of the coalition • The staff of Partners in Prevention works with a primary contact from each campus • Monthly meetings in Columbia, Missouri to discuss relevant topics and attend trainings on evidence based prevention. • Requirements for PIP member campuses: • Regular meeting attendance • Develop and sustain a campus coalition, led by the PIP Primary Contact • Annual assessment: Missouri College Health Behavior Survey • Creation and implementation of strategic plan for prevention • Quarterly reports on progress • Each campus receives funding total of $2500-$10K to implement strategic plan for prevention based on science based practices

6. The Extent of College Drinking: The Primary Public Health Concern on Campus

7. The Extent of College Drinking • Between 1993 and 2001, studies suggest that 44% of college students were heavy drinkers, or binge drinkers • In the past ten years, more students have begun abstaining, but more students are frequently drinking heavily • In 2007 underage drinking cost the United States $7.4 billion in medical costs alone • This could have paid for four years of college education for over 260,000 students. Sources: Underage Drinking Laws Enforcement Training Center, Harvard College Alcohol Study, US Department of Education’s Higher Education Center

8. Extent of Student Drinking on College Campuses As a result of college alcohol use, every year: • 1,700 college students die from alcohol-related causes, and 1,300 of these deaths involve drinking and driving • 600,000 students suffer nonfatal injuries. • Nearly 500,000 students have unprotected sexual intercourse. • More than 100,000 students are too intoxicated to know whether they consented to sexual intercourse. • 11 % of students damage property • 2.8 million students drive while under the influence of alcohol. Sources: NIAAA Report: A Call to Action and the US Department of Education’s Higher Education Center

9. College Drinking and Other Health Behaviors: Missouri College StudentsMissouri College Student Health Behavior Survey, 2012 n= 9151

10. Secondary Effects of Alcohol Use • 60.0 % had study or sleep interrupted. • 47.6 % had to take care of a drunken student. • 29.2 % had been insulted or humiliated. • 19.5 % of female respondents experienced an unwanted sexual advance. • 19.0 % had a serious argument or quarrel. • 15.2 % had property damaged. • 8.7 % had been pushed, hit, or assaulted. • 1.0 % of female respondents had been a victim of sexual assault or acquaintance rape. • Source: Missouri College Student Health Behavior Survey, 2010

11. Demographics 2012

12. Demographics 2012

13. Alcohol Use • 79% drank in the past year • 26% consumed 5+ drinks in 2 hours in the past two weeks • 28% consumed 5+ drinks in one sitting in the past two weeks

14. Negative Consequences of Drinking In the past year among PIP21 students: • 49% had a hangover • 30% rode with a driver who had consumed • 26% drove after consumption • 26% experienced blackout/memory loss Least likely negative consequence • 0.8% received a DUI/DWI

15. Negative Consequences

16. Sexual Assault • 12% reported experiencing non-consensual sexual contact against their will • Of these, 32% reported that it took place while attending their current school • 17% reported using drugs or alcohol to become more comfortable with a sexual partner • 25% reported going further than they wanted sexually because of alcohol or drug use

17. Riskiest Drinking Behavior

18. Underage Drinking

19. Underage Accessing Alcohol

20. Underage Negative Consequences

21. Underage Drinking Consequences

22. Marijuana Use 21% used in the past year, 6% use on a weekly basis

23. IllegalDrug Use Cont’d

24. Stress, past two weeks • 98% reported at least some stress • 20% said their stress was overwhelming or unbearable • 20% said it impacted their personal lives • 16% said it impacted their academics

25. Mental Health • 14% reported having suicidal thoughts • 1% reported attempting suicide • Of these students, 31% of them reported seeking assistance for their thoughts or attempts • Other Mental Health Concerns • 34% Anxiety • 15% Chronic Sleep Issues • 13% Depression • 12% Panic Attacks • 42% Reported ‘none of the above’

27. Components of Comprehensive Alcohol Prevention

28. NATIONAL INSTITUTE OF ALCOHOLABUSE AND ALCOHOLISM (NIAAA) Changing the Culture of Drinking at U.S. Colleges (1998-2002) • Purposes: • Provide research on problem • Provide recommendations • Encourage stakeholders embrace research-based • Members: • College presidents • Researchers • Students • Tier 1: Evidence of effectiveness among college students • Tier 2: Evidence of success with community • Tier 3: Evidence of theoretical promise, but require more evaluation • Tier 4: Evidence of ineffectiveness

29. NATIONAL INSTITUTE OF ALCOHOLABUSE AND ALCOHOLISM (NIAAA) 3-in-1 Framework • Individuals, including at-risk or alcohol-dependent drinkers • Student population as a whole • College and surrounding community Multivariate Approach • Students’ genetic/biological characteristics • Family and cultural backgrounds and environments • Previous drinking experiences in high school • Environment of the college in which they are enrolled

32. Environment Management Model The U.S. Department of Higher Education’s Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention

33. Implementing Effective Strategies Vehicles for Successful Prevention Programs The Spheres of Action US Department of Education’s Higher Education Center • Campus Task Force • Campus/Community Coalition • Statewide Initiative Coalitions: “A voluntary, strategic alliance . . .to enhance [our ability] to achieve a common purpose by sharing risks, responsibilities, resources and rewards.” • Arthur T. Himmelman

34. The Strategic Prevention Framework • Partners in Prevention institutions follow this cyclical, nonlinear pattern in their strategic planning: • Assessment • Capacity Building • Planning • Implementation • Evaluation

35. Partners in Prevention Campus Coalition Model Strategic Planning Problem analysis Do it again Goals, objectives Evaluate: process, impact, outcome Desired Outcomes Implement strategies w/ coalition Go to the literature Select appropriate strategies

36. Binge Drinking Trends: Missouri

37. Average Number of Drinks: Missouri MCHBS, 2010-2012

38. Contact Information • To learn more about Partners in Prevention, visit our website at http://pip.missouri.edu • Joan Masters Director, Missouri Partners in Prevention 573-884-7551 MastersJ@missouri.edu