Potential Alcohol Strategies March 20, 2008 Sheila Nesbitt

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

4 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.

StrategyConditionsconsumption 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?

Strategy Intervening Variable 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.

Strategy Intervening Variable 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

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

Strategy Intervening Variable 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?

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

Strategy Intervening Variable 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?

Strategy Intervening Variable 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?

Strategy Intervening Variable 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.

Strategy Intervening Variable 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?

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

Strategy Intervening Variable 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?

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

Strategy Intervening Variable 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?

Strategy Intervening Variable 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?

Strategy Intervening Variable 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.

Strategy Intervening Variable 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?

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

Strategy Intervening Variable 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?

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

Strategy Intervening Variable 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?

Strategy Intervening Variable 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?

Strategy Intervening Variable 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.

Strategy Intervening Variable 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?

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

Strategy Intervening Variable 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?

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

Strategy Intervening Variable 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?