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Preliminary Estimates of Costs of Substance Abuse in CA and Savings from Prevention

Preliminary Estimates of Costs of Substance Abuse in CA and Savings from Prevention. Ted R Miller, PhD Principal Research Scientist Pacific Institute for Research & Evaluation 240-441-2890 (cell) miller@pire.org. Why Study Costs? Single Compact Metric. Problem size & risk assessment

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Preliminary Estimates of Costs of Substance Abuse in CA and Savings from Prevention

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  1. Preliminary Estimates of Costs of Substance Abuse in CA and Savings from Prevention Ted R Miller, PhD Principal Research Scientist Pacific Institute for Research & Evaluation 240-441-2890 (cell) miller@pire.org

  2. Why Study Costs?Single Compact Metric • Problem size & risk assessment • Priority setting & resource allocation • Performance comparison • Program evaluation • Advocacy

  3. Risk Assessment: Cost of Violence (All Ages)

  4. Cost of Youth Crime

  5. These Figures Are Based on Perpetrator Substance Use40% of Medically Treated Assault Victims Also Are BAC-PositiveVictimization Is 7-10 Times As Likely When Someone Is Alcohol-Positive As When (S)he Is Sober

  6. Priority-setting: BCRs for School-Based Programs (T=tobacco, V=Violence, C=Cocaine)

  7. Benefits of Prevention Are Reductions in the Costs of Substance Abuse & its Associated Harms

  8. Performance Comparison: Costs of Underage Drinking per Youth Ages 14-20

  9. Evaluation: 21 Minimum Drinking Age • Reduces % of youth who drink & binge • Raises age of initiation which lowers the risk of alcoholism in adulthood • Reduces youth DWI deaths by 19% • Reduces alcohol-involved youth suicides by 27%

  10. Confuses college presidents

  11. 21 Minimum Drinking Age Costs $230/Youth in CA & Saves $670

  12. You are the Governor of CA • 37 M residents • 233K deaths in 2010 • Can I convince you to continue my $2 M program to prevent alcohol-related injuries

  13. We did a thorough evaluation. The results are highly significant statistically. Our program reduced deaths and hospital admissions due to alcohol-related injury by

  14. 1% !!!!

  15. Our program prevented 50 deaths and 400 hospital admissions last year.

  16. Our $2 M program saved CA taxpayers $70 M in medical payments and work losses last year. That’s $1900 per CA resident.

  17. Those #s Are In Proportion

  18. Underage Drinking: The Industry Profits as the Public Pays

  19. Underage Drinking Is Big Business in CA, Ages 14-18

  20. Really Big Business 1,372,000 underage customers in CA in 2009 Annual alcohol sales per kid who drank illegally = $2,445

  21. Underage Drinkers Are Great Customers Daily Drinks Per Drinker in CA

  22. Booze Consumed When BAC Will Be > .08

  23. The alcohol industry denies it markets to kids • But the signs are everywhere • Are alcopops for the martini crowd or the beer bellies? • What age group do Budweiser frogs& clever dogs target?

  24. Lizards?

  25. “They might as well rename it "Hello, Creepy," because that's exactly how you'll feel purchasing Hello Kitty wine, from the moment you ask the sales clerk where to find it, right through to the cash register ring-up, where they encircle the neck of your bottle with a pendant suitable for a six-year-old. A pleasant cherry-berry scent, carbonation on my tongue, a bit of sweet-ness, a lingering floral aftertaste reminiscent of bubble bath” www.seriouseats.com

  26. 17.5% of Alcohol in CA is Consumed by Underage Customers

  27. What kind of booze do kids drink?

  28. Bingers grades 6-10, in the past month, drank

  29. 47% of Alcopops Are Consumed Illegally by Underage Drinkers

  30. % of Drinkers Who Drank Alcopops in the Past Month

  31. Primary Source of ETOH

  32. Primary Source in Indiana by Grade

  33. Nationally, $23.8 Billion of Booze Was Consumed by Underage Customers in 2009

  34. In CA

  35. A Devastating Tidal Wave of Alcohol-Related Harm Results • 408 deaths in CA in 2010 • 7500 injured in DWI crashes • 115 K violent crimes • 180 K property crimes • 115 K teens having risky sex • 2800 teen pregnancies • 1100 kids in alcohol treatment

  36. Underage Drinking Harm in CA Cost $6.8 B in 2010

  37. Underage Drinking Harm in CA

  38. How can we make $6.8 B comprehensible?

  39. A National Yardstick

  40. Divide by a Sensible Exposure Measure • $4960 Per Underage Customer • $1810 Per Youth Ages 14-20 • $3.05 Per Illegal Drink in CA

  41. Per Illegal Underage Drink

  42. Show a Performance ComparisonUnderage Drinking Cost/Youth

  43. The Costs are for Events Caused by Alcohol • 90% of alcohol-involved crashes • 75% of alcohol-involved violence • 54% of alcohol-involved property crime • 50% of alcohol-involved risky sex (one eighth of all risky sex)

  44. Usage Example: Oregon • Had consumption data by county • Paid to get costs by county • Worked with coalitions to understand the problems & plan solutions • Press releases: costs by county, how to solve • Pushed county & state legislatures re costs • Changed laws & enforcement

  45. Intervention Harm Reduction Treatment Prevention

  46. Prevention Typology Universal/ Environ- mental Selective/ Educational Indicated/ Behavioral

  47. BCRs for School-Based Programs (T=tobacco, V=Violence)

  48. BCRs for Youth Development Programs

  49. Lower Return on Investment

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