Potential Alcohol Strategies

Potential Alcohol Strategies March 20, 2008 Sheila Nesbitt

Purpose of Discussion • Brief review of potential strategies • Share resources and network about strategies

Underage Drinking Outcome • In preventing and reducing underage drinking and binge drinking, • there will be a reduction in arrest rates for driving under the influence, • public intoxication and • liquor law violations.

Condition: Social availability • Definition: Ease of accessing alcohol through social sources including receiving, stealing, or buying from friends, relatives, strangers. In several studies, youth were more likely to receive alcohol from social rather than retail sources. • How have you assessed social availability in your community?

Policy, Program, Practice • Alcohol Restrictions at Community Events/Festivals • Rationale: Controlling the conditions of use and access at community events-separated alcohol area, limited drinks per purchase-reduces the likelihood of youth gaining • Objective: Reduce social provision of alcohol to person under 21 years of age. • Reduce youth influence on adults to provide. • Increase difficulty of adults passing off drinks to youth. • Potential influence in several other mediating variables.

Event Restrictions: Conceptual fit? • Fit into community logic model? • Does this strategy address the conditions: mediating and moderating variables? • Drive positive outcomes in identified problems? • Does this strategy impact the identified consequence: reduction in arrest rates for driving under the influence, public intoxication and liquor law violations • Will this strategy have sufficient reach to move the needle in the community? #, frequency of events, events’ contribution to social access

Event Restrictions: Conceptual fit? • Comprehensive Approaches (mix) • Add to or reinforce a strategy in the community? • Target multiple opportunities for intervention?

Event Restrictions: Practical Fit ? Feasible given a community’s resources, capacities, and readiness to act? - What would the process be for establishing this approach? - What tasks would need to be accomplished leading to implementation? • Fidelity • Can you implement in the manner it was designed? • Is there support (Training, TA, materials) for implementation? • Consider community climate • Does the approach account for readiness? • Does the approach meet cultural needs?

Event Restrictions: Practical Fit? • Sustainability • Does the community have resources to sustain this initiative?

Event Restrictions: Effectiveness? • Evidence-based principles for target population • Is the approach research-based on a well defined theory or model? • Is there documented evidence of effectiveness (such as formal evaluation results)? • Have the results been replicated successfully by different researchers over time? • Has the approach been shown to be effective for areas similar to those you will address?

Condition: Price • Definition:The retail price of alcohol products. As price increases, demand for alcohol declines. • Youth tend to be more price sensitive than adults. • How have you assessed price of alcohol in your community?

Policy, Program, Practice • Increasing Excise Taxes • Rationale: Tax rates is an indirect way to affect the price of alcohol. Increasing taxes on alcohol likely increases the retail product price. • Objective: Reduce demand for alcohol by increasing the price. • Would affect price of alcohol regardless of age of purchaser.

Excise Taxes: Conceptual fit? • Fit into community logic model? • Does this strategy address the conditions: mediating and moderating variables? • Drive positive outcomes in identified problems? • Does this strategy impact the identified consequence: reduction in arrest rates for driving under the influence, public intoxication and liquor law violations • Will this strategy have sufficient reach to move the needle in the community?

Excise Taxes: Conceptual fit? • Comprehensive Approaches (mix) • Add to or reinforce a strategy in the community? • Target multiple opportunities for intervention?

Excise Taxes: Practical Fit ? Feasible given a community’s resources, capacities, and readiness to act? - What would the process be for establishing this approach? - What tasks would need to be accomplished leading to implementation? • Fidelity • Can you implement in the manner it was designed? • Is there support (Training, TA, materials) for implementation? • Consider community climate • Does the approach account for readiness? • Does the approach meet cultural needs?

Excise Taxes: Practical Fit? • Sustainability • Does the community have resources to sustain this initiative?

Excise Taxes: Effectiveness? • Evidence-based principles for target population • Is the approach research-based on a well defined theory or model? • Is there documented evidence of effectiveness (such as formal evaluation results)? • Have the results been replicated successfully by different researchers over time? • Has the approach been shown to be effective for areas similar to those you will address?

Condition: Family Influence • Definition: Youth acquire knowledge, attitudes, and values from many sources. Family members are the primary social influence on youth. • Parents’ norms for appropriate behavior • Family management practices (supervision/monitoring, rules, discipline) • How have you assessed family influence in your community?

Policy, Program, Practice • Strengthening Families • Description: Multiple versions of a parent/child education class. For high-risk families with children ages 3 to 5, 6 to 11, and 12 to 16 years, and low-risk families with 10 to 14 year olds, high-risk families with both younger children (SFP3-5) and early teens (SFP12-16). • Objective: Improve parents’ ability to establish family norms, effective communication, and monitor and enforce behavior.

Strengthening Families: Conceptual fit? • Fit into community logic model? • Does this strategy address the conditions: mediating and moderating variables? • Drive positive outcomes in identified problems? • Does this strategy impact the identified consequence: reduction in arrest rates for driving under the influence, public intoxication and liquor law violations • Will this strategy have sufficient reach to move the needle in the community?

Strengthening Families: Conceptual fit? • Comprehensive Approaches (mix) • Add to or reinforce a strategy in the community? • Target multiple opportunities for intervention?

Strengthening Families: Practical Fit ? Feasible given a community’s resources, capacities, and readiness to act? - What would the process be for establishing this approach? - What tasks would need to be accomplished leading to implementation? • Fidelity • Can you implement in the manner it was designed? • Is there support (Training, TA, materials) for implementation? • Consider community climate • Does the approach account for readiness? • Does the approach meet cultural needs?

Strengthening Families: Practical Fit? • Sustainability • Does the community have resources to sustain this initiative?

Strengthening Families: Effectiveness? • Evidence-based principles for target population • Is the approach research-based on a well defined theory or model? • Is there documented evidence of effectiveness (such as formal evaluation results)? • Have the results been replicated successfully by different researchers over time? • Has the approach been shown to be effective for areas similar to those you will address?

Condition: School Influence • Definition:Encompasses both the physical and social environment of school and can be both formal (e.g., policies, procedures) and informal (e.g. norms, exposure). • How have you assessed school influence in your community?

Policy, Program, Practice • Alcohol-free Residence Halls • Rationale: Ban possession of alcohol in residence halls provides a supportive environment to non-users and communicates school expectations about use of alcohol. • Objective: Reduce access to alcohol and use by students. • Decrease likelihood of alcohol possession among students. • Decrease student exposure to others’ use. • Increase perception of school disapproval and consequences for use.

Alc-Free Res Halls: Conceptual fit? • Fit into community logic model? • Does this strategy address the conditions: mediating and moderating variables? • Drive positive outcomes in identified problems? • Does this strategy impact the identified consequence: reduction in arrest rates for driving under the influence, public intoxication and liquor law violations • Will this strategy have sufficient reach to move the needle in the community?

Alc-Free Res Halls: Conceptual fit? • Comprehensive Approaches (mix) • Add to or reinforce a strategy in the community? • Target multiple opportunities for intervention?

Alc-Free Res Halls: Practical Fit ? Feasible given a community’s resources, capacities, and readiness to act? - What would the process be for establishing this approach? - What tasks would need to be accomplished leading to implementation? • Fidelity • Can you implement in the manner it was designed? • Is there support (Training, TA, materials) for implementation? • Consider community climate • Does the approach account for readiness? • Does the approach meet cultural needs?

Alc-Free Res Halls: Practical Fit? • Sustainability • Does the community have resources to sustain this initiative?

Alc-Free Res Halls: Effectiveness? • Evidence-based principles for target population • Is the approach research-based on a well defined theory or model? • Is there documented evidence of effectiveness (such as formal evaluation results)? • Have the results been replicated successfully by different researchers over time? • Has the approach been shown to be effective for areas similar to those you will address?

Potential Alcohol Strategies