Prevention Track OHSO Annual Forum & Impaired Driving Summit March 21, 2013 Stephanie U’Ren Senior Prevention Programs Manager Oklahoma Department of Mental Health & Substance Abuse Services Oklahoma Alcohol Prevention Strategies

State Substance Abuse Prevention Priorities  Underage Drinking  Non-Medical Use of Prescription Drugs  Adult Binge Drinking  Inhalant Use  Alcohol Use During Pregnancy  Methamphetamine Use  Marijuana Use

State Strategies  Responsible Beverage Service & Sales (RBSS) Training Program  Place of Last Drink (POLD)  2M2L Law Enforcement Training  AlcoholEdu  Screening, Brief Intervention, and Referral to Treatment (SBIRT)

Responsible Beverage Service & Sales (RBSS) Training Program  A partnership of the ODMHSAS, OK ABLE Commission, Oklahoma Prevention Policy Alliance, and Regional Prevention Coordinators (RPCs).  RBSS training provides clerks, servers, and managers with the knowledge and skills to sell and serve alcoholic beverages safely, responsibly and legally.

RBSS Training Goals Reduce underage service and sales in Oklahoma. Reduce over serving in Oklahoma. Create a unified environment of responsible hospitality and alcohol sales throughout Oklahoma. Provide managers, bartenders, and waiters who serve alcohol with the knowledge and skills to practice responsible alcohol sales and service. Ensure that expectations, liabilities and legal responsibilities are communicated to all licensees/permit holders.

RBSS Training Learning Objectives  Understand legal and social responsibility;  Identify common signs that signal an underage ID;  Recognize signs of intoxication.

RBSS Training Content  Effects of alcohol on the body  Signs of intoxication  Oklahoma statistics and laws  Guidelines for checking for valid identification  Refusal skills for refusing alcohol to minors and intoxicated individuals

State Evaluation Highlights  Increase in perceived knowledge of RBSS principles from a score of 4.26 to 6.22 (out of 7), p <.001  Increase in perceived ability to recognize a valid ID from 5.13 to 6.17, p <.001  Increase in perceived ability to identify someone who is intoxicated from 5.78 to 6.39, p <.001  Increase in perceived confidence to deal with conflicts arising from refusing service to underage customers from 5.94 to 6.49, p <.001  Increase in perceived confidence to deal with conflicts arising from refusing service to intoxicated customers from 5.80 to 6.36, p <.001  Increase in knowledge of course content from 6.50 to 9.56, p <.001

RBSS Training & Regional Prevention Coordinators (RPCs)  Required to promote RBSS Training to 100% of the alcohol establishments in the service area each year.  Required to provide RBSS Training.  Required to work with owners/managers on establishing business policies requiring mandatory RBSS training.  Training is provided at no cost.

CIMARRONTEXAS BEAVERHARPER ELLIS ROGER MILLS BECKHAM HARMON JACKSON GREER KIOWA WOODWARD WOODS MAJOR DEWEY CUSTER TILLMAN COTTON COMANCHE CADDO BLAINE ALFALFA GRANT GARFIELD KINGFISHER CANADIAN GRADY STEPHENS JEFFERSON KAY NOBLE PAYNE LOGAN OKLAHOMA CLEVELAND McCLAIN GARVIN CARTER LOVE MARSHALL JOHNSTON MURRAY BRYAN CHOCTAW McCURTAIN ATOKA POTTAWATOMIE COAL PUSHMATAHA LEFLORE LATIMER PITTSBURG HASKELL SEQUOYAH LINCOLN OKMULGEE CREEK OKFUSKEE PAWNEE OSAGE TULSA WASHINGTON NOWATA CRAIG OTTAWA ROGERS MAYES DELAWARE WAGONER CHEROKEE ADAIR WASHITA SEMINOLE PONTOTOC Regional Prevention Coordinators Updated: November 1, 2012 Cherokee Nation Behavioral Health Services (918) Eagle Ridge Institute (405) Gateway to Prevention and Recovery (405) OU Southwest Prevention Center (405) Northwest Center For Behavioral Health (580) OSU Seretean Wellness Center PANOK (405) OSU Seretean Wellness Center Tri-County (918) Preventionworkz (580) Red Rock West (580) Red Rock West: Yukon Satellite (405) ROCMND Area Youth Services (918) Tulsa City-County Health Department (918) Southeastern Oklahoma Interlocal Cooperative (580) Wichita Mountains Prevention Network – Ardmore (580) Wichita Mountains Prevention Network – Lawton (580) Neighbors Building Neighborhoods (918) Muskogee McIntosh Hughes Region # Neighbors Building Neighborhoods (918)

Place of Last Drink (POLD)  Collected during DUI Assessments.  Location of last drink before arrest.  The NTSB has promoted POLD surveys as a best- practice to help municipalities and states determine problematic on-sale alcohol outlets as a contributing source of alcohol-impaired drivers.  POLD surveys aid in focusing prevention efforts.

Place of Last Drink (POLD)  Provided to RPCs on a quarterly basis.  The name of the establishment and the date that the establishment sold to an intoxicated person are provided to the RPCs.  The data is used to target alcohol compliance checks, RBSS training, and risk assessments.

2M2L Law Enforcement Training  Part of Oklahoma’s 2 Much 2 Lose (2M2L) underage drinking prevention initiative.  Provides an in-depth look at Oklahoma’s alcohol laws and environmental prevention strategies to reduce underage drinking.  Specialized training that incorporates tactical instruction in party dispersals, compliance checks, and shoulder taps with community building strategies.

2M2L Law Enforcement Training  Approved for hours of CLEET for all law enforcement officers.  Meets at least two (2) hours of the CLEET continuing education on recognizing and handling the mentally ill.  Offered free-of-charge at a minimum of 4 locations each year.

2M2L Law Enforcement Training July 2011 through March 2013  30 trainings  447 participants

 AlcoholEdu is for all Oklahoma High Schools!  Currently available at NO COST to every high school in Oklahoma.  ODMHSAS provided “seed funds” to kick off the statewide adoption of AlcoholEdu for High School as part of its 2M2L underage drinking prevention initiative. AlcoholEdu

 Created by the prevention team at EverFi, Inc.  A nationally recognized program.  Included on SAMHSA’s National Registry of Evidence-Based Programs and Practices (NREPP).  Proven to increase knowledge, change student attitudes and behaviors, and most importantly reduce the negative consequences associated with underage drinking. AlcoholEdu

 AlcoholEdu for High School is an online alcohol prevention program that takes a project-based approach to learning, giving students the opportunity to travel through a community to better understand the risks around drinking alcohol. AlcoholEdu

 Students travel through different points in the community (ex. the town hall, a pizza place, a friend's house). Student progress unlocks various tools to help them design a billboard containing positive social messages they have learned throughout the course.  Interactive format helps students understand how their decisions impact their own lives and their community.  Incorporates multiple evidence-based learning theories to drive changes in students’ attitudes and behaviors. AlcoholEdu

 During the school year, 14 Oklahoma high schools participated. AlcoholEdu

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for individuals with substance use disorders and those who are at risk for developing these disorders. Primary care centers, hospital emergency rooms, trauma centers, and other community settings provide opportunities for early intervention with at-risk substance users before more severe consequences occur. Screening, Brief Intervention, and Referral to Treatment (SBIRT)

 Screening quickly assesses the severity of substance use and identifies the appropriate level of treatment.  Brief Intervention focuses on increasing insight and awareness regarding substance use and encourages behavioral change toward healthier lifestyle limits.  Referral to Treatment provides access to specialty treatment as needed. SBIRT

A comprehensive SBIRT model includes the following characteristics:  It is brief (e.g., typically about 5-10 minutes for brief interventions; about 5 to 12 sessions for brief treatments).  The screening is universal.  One or more specific behaviors related to risky alcohol and drug use are targeted.  The services occur in a public health non-substance abuse treatment setting.  It is comprehensive (comprised of screening, brief intervention/treatment, and referral to treatment).

 Almost 4% of adults are alcohol dependent and another 25% are not dependent but drink too much.  SBIRT is the 4 th highest public health priority.  SBIRT returns $4 for $1 invested.  Thirty years of research has shown that alcohol SBIRT is effective at reducing risky drinking. SBIRT

 Research indicates that patients who receive brief intervention during a trauma center admission are less likely to be arrested for DUI within 3 years of discharge (University of North Carolina, January 2006).

Contact Information Stephanie U’Ren Senior Prevention Programs Manager