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Update on Underage Drinking Regional Issues and Approaches to Training and Technical Assistance

Update on Underage Drinking Regional Issues and Approaches to Training and Technical Assistance. July 14, 2010. Linda Barovier Northeast Regional Expert Team Associate Coordinator. Presentation Overview.

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Update on Underage Drinking Regional Issues and Approaches to Training and Technical Assistance

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  1. Update on Underage DrinkingRegional Issues and Approaches to Training and Technical Assistance July 14, 2010 Linda Barovier Northeast Regional Expert Team Associate Coordinator

  2. Presentation Overview • Provide an update on the steps the RET has taken to address RTEP questions raised on underage drinking • A regional analyses of underage drinking • A review of the literature / research • An initial consultation with experts • Propose a format for a regional meeting on underage drinking • Obtain input from RTEP members the topics to be addressed and the use of experts

  3. A Regional Analyses of Underage Drinking • The majority of states within region selected underage drinking as their priority and implemented environmental strategies • Substantive additions have been made to the body of literature on underage drinking and use of environmental strategies in past 3-4 years • States are challenged in these times to transfer this technology to their workforce

  4. State Estimates of Underage Alcohol Use Comparative Analyses States Within Region vs. Nation The new CAPT colors R=0 G=101 B=164 for the blue R=255 G=125 B=0 for the orange. Past Month Alcohol Use Among Persons Aged 12 to 20: 2007 and 2008 WA ME MT ND MN VT OR NH WI WI ID NY SD MA RI CT MI WY PA IA NE NV NJ IN IN OH IL UT DE CO MD WV CA VA KS MO KY NC TN AZ OK NM SC AR AL Percentages of Persons GA MS 31.53 – 38.32 TX LA v AK 28.70 – 31.52 HI FL 26.34 – 28.69 23.92 – 26.33 13.64 – 23.91 Source: 2007 and 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs).

  5. State Estimates of Underage Alcohol UseComparative Analysis of States within Region Highlights More than one quarter (30.54 percent) of persons aged 12 to 20 drank alcohol in the past month here in the Northeast. Past month use of alcohol among persons aged 12 to 20 (underage use of alcohol) ranged from a low of 13.6 percent in Utah to a high of 38.3 percent in Vermont Of the 10 States with the highest rates of past month alcohol use in the nation, 6 were in the Northeast: Vermont, New Hampshire, Massachusetts, Connecticut, andRhode Island. Past Month Alcohol Use among Persons Aged 12 to 20, by State: 2007 and 2008 ME VT NH NY MA CT RI PA NJ MD DE Percentages of Persons 31.53 – 38.32 23.92 – 26.33 28.70 – 31.52 13.64 – 23.91 26.34 – 28.69 Source: 2007 and 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs).

  6. Factors in Successful Efforts to Curtail Retail Access Success and Challenges in NE Maine Outcomes Intervening Variables New Hampshire Infrastructure Sector Involvement in Prevention Networks Vermont Public Health Networks Percentage who purchase their own alcohol among 12-20 year olds reporting alcohol use in the past month. ME VT NH NY MA CT RI PA NJ MD DE Percentage of Persons 10.6 – 18.8 6.1 – 7.2 8.4 – 10.1 3.1 – 6.0 7.4 – 8.3 Source: 2006 to 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs).

  7. Using Data to Inform Choice of Interventions Reduce Access to Alcohol Applications of Data for Interventions ME/NH/VT Low retail access Increase capacity to implement social access strategies NY/CT/RI/NJ/MD High retail access Identifying retail access strategies with strongest effects DE/PA/MA Identifying additional data sources to explain community conditions Percentage who purchase their own alcohol among 12-20 year olds reporting alcohol use in the past month. ME VT NH NY MA CT RI PA NJ MD DE Percentage of Persons 10.6 – 18.8 6.1 – 7.2 8.4 – 10.1 3.1 – 6.0 7.4 – 8.3 Source: 2006 to 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs).

  8. A Review of the Literature • Substantive additions have been made to the body of literature on underage drinking and use of environmental strategies in past 3-4 years • States are challenged in these times to transfer this technology to their workforce

  9. A Review of the Literature • Identify lessons learned regarding the prevention of underage drinking in the last five years • Identify areas of expertise and experts doing work in the field • Identify gaps in products, research, and technology transfer

  10. The Use of Research by Cohort Northeast States Cohort I Maine, New Hampshire, Rhode Island Cohort II Vermont Cohort III Pennsylvania, Massachusetts, New Jersey Cohort IV New York, Maryland, Delaware Partnership For Success Connecticut ME VT NH NY MA CT RI PA NJ MD DE Cohort Status Cohort I Cohort IV Cohort II Partnership For Success Cohort III Source: CSAP

  11. The Use of Research by Cohort Cohorts I and II (ME, VT, NH, RI, CT) • Substantive additions to the body of literature on underage drinking and use of environmental strategies post 2006/2007 Cohort I community implementation • State and community plans and related strategies are based primarily on literature prior to 2007 • Sustainability decisions are better informed by updated information

  12. The Use of Research by Cohort Cohorts III and IV (DE, NJ, PA, MA, MD, NY) • Body of TTA tools and products offered to these cohorts were developed for Cohort I and II states • TTA tools and products should be updated to reflect the most current literature, especially strength of effect • Potential for improvements to planning, implementation and evaluation design based on updates

  13. Advances in the Field Since 2005 The Surgeon General’s Call To Action Logic Model on Underage Drinking Trends in Underage Drinking NIAAA $’s and Cents Cost Benefit Analyses Assessing The Fidelity SPF Cross-Site Reducing Underage Drinking 2006 2007 2005 2008 2010 IOM Report on Preventing Disorders Task Force on Prevention Services Findings Environmental Strategies Guide Assessing Drug Abuse NIDA / CEWG Epidemiology Workgroup Toolkit College Research Update Getting To Outcomes: SPF 2009

  14. RET Consultation with Experts • Convene panel of experts in underage drinking and environmental strategies • Epidemiologists • Researchers • Evaluators • Implementers • Technology transfer/Technical assistance • Collaborate with US Department of Education Higher Education Center

  15. RET Consultation with Experts Underage Drinking

  16. The Underage Drinking Expert Planning Team Chuck Klevgaard Linda Barovier Jessica Nargiso Renee Boothroyd Tania Garcia Karen Friend Pam Imm Brenda Amodei Erin Artigiani Erin Williston Lourdes Vázquez Paul Florin Sarah Goan

  17. Rationale – Need for Regional Event • The majority of states within region selected underage drinking as their priority and implemented environmental strategies • Substantive additions have been made to the body of literature on underage drinking and use of environmental strategies in past 3-4 years • States are challenged in these times to transfer this technology to their workforce

  18. Rationale – Need for Regional Event • The majority of states within the region and across all SPF SIG cohorts requested training or technical assistance on • Implementing environmental strategies • Evaluation of environmental strategies • Determining which environmental strategies should be sustained

  19. Proposed Format for a Regional Event • Goal : Increase capacity of states within region to synthesize and disseminate new knowledge on effective approaches to impact underage drinking, especially use of environmental strategies. • Morning session with knowledge and technology transfer delivered by members of expert panel • Afternoon sessions will be intensive TA breakouts with experts on selected topics

  20. RTEP Input on Topics and the Use of Experts • Assessment (Assessment of variables – i.e. social access, special populations, survey issues) • Capacity (Sustainable state, regional community Infrastructure, workforce development, community-level capacity, TTA providers • Planning (Levels of evidence for strategies with community-level change, comprehensive planning for universal, universal indirect, and selected) • Implementation (Strategies for specific populations, policy development and implementation, tracking and monitoring changes in variables) • Evaluation (Evaluation of comprehensive universal and selected programs, state-level indicators, building community level evaluation capacity)

  21.  In your binder in the front pocket • (In your binder in TAB 4) • Experts include: • UAD Planning Team • SSTEP • HEC Fellows

  22.  In your binder in the back of TAB 4

  23. Questions or Comments • Tentative event date October 13 • All-day face-to-face event

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