1 Angela Goldberg, Consultant Center for Community Action & Training (CCAT) I MPLEMENTING E NVIRONMENTAL S TRATEGIES Tennessee Advanced School on Addictions June 22-23, 2010 Center for Community Action & Training

AGENDA  Introductions  Overview of Environmental Approaches  Identifying Problem Environments  Using Data to “Paint the Picture”  Matching Strategies to Identified Problem Environments  Implementation Tools 2

I DENTIFYING AOD P ROBLEMS I DENTIFYING AOD P ROBLEMS I N SMALL GROUPS, BRAINSTORM A LIST OF 2 ALCOHOL OR OTHER DRUG - RELATED COMMUNITY PROBLEMS OF CONCERN TO YOUR COALITION. B E PREPARED TO SHARE THE LIST WITH THE WHOLE GROUP Minutes Total: Select a Recorder, Reporter, Timekeeper

S TRATEGIC P REVENTION F RAMEWORK (SPF)

I T ’ S THE L ANDSCAPE Environmental Prevention Reduces The Risk Of Problems By Managing Locations And Settings Where Use/Sales Occur

P UBLIC H EALTH M ODEL 6 Host (Individual) Agent ATOD Environment (Locations, Settings, Normative Culture) Problems develop from the interaction of 3 things

E NVIRONMENTAL P REVENTION T HE “F OUR P’ S ”  PRODUCT  PROMOTION  PRICE  PLACE 7

PRODUCT 8

H IGH P OTENCY A LCOHOL P RODUCTS 9

W HICH OF THESE CONTAIN ALCOHOL ? 10

H OW AVAILABLE ARE THESE IN YOUR NEIGHBORHOOD ? 11

PROMOTION 12

O UTDOOR A DVERTISING 13

O UTDOOR A DVERTISING 14

K IDDIE R IDES AT THE F AIR ! 15

PRICE 16

$.89 $ 1.29$ Oz The Price Isn’t Right 17

P RICE OF M ARIJUANA 18

PLACE 19

E NVIRONMENTAL A PPROACH W HERE ? IS THE QUESTION !  Location  Day, Time, Place  Inherent set-up for problems?  Think about where problems occur 20

R ETAIL E NVIRONMENTS  Retail / Commercial  On-Site Outlets  Off-Site Outlets  Drug Sale Locations  Neighborhood 21

Restaurants and Bars 22

Stores: Inside 23

Stores: Outside 24

S MOKE S HOPS 25

M ARIJUANA D ISPENSARIES 26

S OCIAL E NVIRONMENTS  Parties  Homes  Outdoors (Beaches, Cars, etc.)  Organizational/Institutional Practices  Normative Environments  “Everyone does it” 27

Parties 28

Home Parties 29

Keg Parties? 30

P UBLIC E NVIRONMENTS  Community Events  Public Spaces  Beaches  Parks  “No Man's Land”  Parking Lots, Alleys 31

Community Events 32

Community Events - Sponsorship 33

Abandoned Buildings Empty Lots Parks & Open Spaces 34

Empty Lots 35 Alleys

Increase Alcohol Availability Increase Alcohol Consumption Increased Alcohol- Related Problems Source: National Academy of Sciences What the Science Says 36

L OGIC OF THE E NVIRONMENTAL A PPROACH 37 Reduce AOD- Related Problems Reduce AOD Use Reduce Access from Commercial and Social Sources Change Norms Change Policies & Practices

P ROBLEM E NVIRONMENTS P ROBLEM E NVIRONMENTS  In your small group, use the problems from the previous brainstorm to complete Worksheet #1: “Where’s the Problem?” Be prepared to share the list with the whole group Minutes Total: Ensure You have Recorder, Reporter, Timekeeper

D ATA ARE E SSENTIAL  Data define the magnitude of the problem  Data help describe the nature of the problem environment  Good data guides strategy planning  Data collection is at the heart of assessing the community’s need for change 39

H OW M UCH IS E NOUGH ? A VOIDING “A NALYSIS P ARALYSIS ”

S ENSITIVE A SSESSMENT Individual  Individual Drinking Rates  Beliefs  Attitudes  Family History  Individual Problem Use Rates (CHKS)  Changes in Knowledge Environmental  Outlet Density  Drug sales locations  Aggregate Law Enforcement Data  Nuisance Complaints  DUI Rates /”Place of Last Drink” data  Location of alcohol and drug use

D ATA S TRATEGIES  GIS  Surveys  Observations  Interviews  Focus Groups  Neighborhood Talks  Town Halls 42

GIS M APPING 43 GIS Maps Paint The Picture

P LACE OF L AST D RINK S URVEY R ESULTS O CEANSIDE, CA  Total in the last year = 233 (Carlsbad=105, Oceanside=85, and Vista=43)  One primary cluster of problem outlets in Carlsbad; two secondary clusters in Oceanside 44

L OCATION OF Y OUTH D RINKING 1 in 4 adult community survey respondents felt it was “somewhat” or “very” acceptable to allow youth to drink alcohol in their home % Youth Survey Respondents Who Reported Drinking in Their Homes 45

L INKING D ATA TO P ROBLEMS I N YOUR SMALL GROUP, USE W ORKSHEET #2, “L INKING D ATA TO P ROBLEM E NVIRONMENTS ”: L OOK AT YOUR PROBLEM ENVIRONMENTS AND DETERMINE WHAT TYPES OF DATA WOULD ASSIST IN FURTHER UNDERSTANDING WHERE PROBLEMS ARE OCCURRING AND WHAT THEY LOOK LIKE. B E PREPARED TO SHARE THE LIST WITH THE WHOLE GROUP Minutes Again

Problem StatementBut Why?But Why Here? The CADCA Problem Analysis Process

Adults provide alcohol at home parties Problem StatementBut Why?But Why Here? Underage Drinking Easy Access to Alcohol Stores sell to minors Community Norms Tailgating before sporting events Alcohol sales/ marketing at all festivals The CADCA Problem Analysis Process

7 S TRATEGIES FOR C OMMUNITY C HANGE  Provide Information  Build Skills  Provide Support  Change Incentives / Consequences  Change Conditions Of Access  Change Physical Design Of The Environment  Modify Policies And Broader Systems Individual Environmental

C HANGE I NCENTIVES / C ONSEQUENCES  Increase penalties for alcohol merchants that violate laws  Increase penalties for distribution of illicit drugs (i.e. impounding automobile, etc)  Neighbors use of civil process in small claims court to address public nuisances  Curtail neighborhood drug markets through resident surveillance  Happy Hour incentives for food, not alcohol  Meth lab cost recovery 50

C HANGE C ONDITIONS OF A CCESS  Multi-language merchant education  Meetings that involve residents  Public hearing process for proposed new alcohol outlets  Community based policing  Block Watch Programs 51

C HANGE P HYSICAL D ESIGN  Neighborhood revitalization programs  Crime Prevention Through Environmental Design (CPTED)  Reduce / limit density of alcohol outlets  Modify locations of alcohol advertising  Limit density of marijuana dispensaries  Anti-theft measures in stores; cameras 52

M ODIFY /C HANGE P OLICIES  Crime Free Rental Housing Programs  Restrict location of smoke shops  Restrict location of marijuana dispensaries  Restrict sales of drug paraphernalia and drug promotional items  Local property maintenance ordinances  Land use & zoning for alcohol outlets  Social host accountability 53

M ODIFY /C HANGE P OLICIES  Require responsible beverage service training  Increase alcohol excise taxes  Limit/restrict alcohol in parks  Stop alcohol sales before end of special events  Develop written business/corporate policies restricting alcohol consumption  Establish tobacco licensing fees at local level 54

L INKING S TRATEGIES TO P ROBLEM E NVIRONMENTS I N YOUR SMALL GROUP, USE W ORKSHEET #3, “L INKING S TRATEGIES TO P ROBLEM E NVIRONMENTS ”: DETERMINE WHAT STRATEGY ( IES ) MAY HELP MAKE THE CHANGES NECESSARY TO REDUCE AOD PROBLEMS. B E PREPARED TO SHARE THE LIST WITH THE WHOLE GROUP. 55 Recorder, Reporter, Timekeeper

I MPLEMENTATION T OOLS M EDIA AS A T IPPING F ACTOR Your Message Timeliness Media Outlet TV, Print, Radio Which section Access Route Pitch Event Release 56

C OMMUNITY O RGANIZING B RINGING THE V OICE F ORWARD  Careful recruitment  Organize for a purpose  Real people affected by real problems  Involve in action right away – even if it begins with data collection 57

W HY I NVOLVE P EOPLE A FFECTED B Y P ROBLEMS ? People who directly experience a problem have a more direct and realistic outlook on their needs.

1. Know your audience. 2. Recognize strengths. 3. Recognize needs. 4. Support other interests of these groups. 5. Recognize that groups are made up of individuals. H OW T O G ET P EOPLE I NVOLVED

P URPOSE OF C OALITION ?  Community Wheel Players  Defined by Role  Consensus Model  Less Action / More Networking  Scheduled Meetings  Strategic Invitation  “Stake” Defines Participation  More Investment Up Front in Understanding Policy & Choices  Action Throughout 5 Parts of Model  Meet as Needed TraditionalEP Model

T HE G OAL MAY INCLUDE :  Raise awareness  Influence people's behavior  Change norms  Build a healthy community  Raise awareness to engage in policy solutions  Adapt, create, or develop public policy  Put issue on public agenda to advance policy & enforcement TraditionalEP Model

P OLICY D EVELOPMENT O NCE YOU ’ VE GOT THE RIGHT MATCH  Data  Local Fit on Language  Champion  Understand & Leverage the Politics  Intentional Advocacy 62

N EXT S TEPS AND C LOSING  “One Thing…”  Questions & Answers  Wrap-up 63

C ONTACTS  Center for Community Action & Training  Angela Goldberg