Presenter: James Baker Institute for Public Strategies

Binational Challenges Needed a new Prevention Model: Needed a new Prevention Model: –To address public health issues through changes in policy and community norm –That can be applied along the border

Environmental Prevention Model Policy Media Advocacy Media Advocacy Intentional Organizing Enforcement Applied Data and Research Effective Prevention Campaign

The Border Project is an example of testing the Environmental Prevention Model in a binational environment The Border Project is an example of testing the Environmental Prevention Model in a binational environment Results proven through NIH Results proven through NIH The Border Project has been designated a Model Program by the United State Department of Health and Human Services The Border Project has been designated a Model Program by the United State Department of Health and Human Services

Border Project – Applied Data thousand youth under 25 years old frequent Tijuana bars every weekend night. More police calls-for-service to the Border Area than any other area in the City of San Diego. Exceptionally high number of DUIs emanating from the border - travel distances are substantial. Violence and crime harming border area’s reputation and economic vitality. Identified Problem

Border Project – Intentional Organizing Right people at the right time

Border Project – Media Advocacy

More that 1000 news stories generated in both English and Spanish

TIJUANA BARS RBSS-ID checking trainings Ban banners at the bars Restrict “barkers” California Military bases requires CHIT Tijuana/San Diego OSC to stop under 18 youth from crossing the border Baja California State Legislature grants local control to municipalities to regulate alcohol Tijuana City Hall ban “all you can drink” and “ladies night specials” Baja California State Legislature Recommended an Alcohol Advisory Council with a majority of public health and safety advocates  California Legislature ban bar advertising targeting under 18 youth regardless of where the bar is. Border Project – Policy

Average Counts of Returning Pedestrians who are under 21 Border Crossers Artificially low counts in 1997 due to survey hrs. 12am – 4am vs. 12am – 6am other years.Artificially low counts in 1997 due to survey hrs. 12am – 4am vs. 12am – 6am other years. Missing pedestrian data in first two quarters of two quarters of 2000 due to nonaccurate population counts from INS.Missing pedestrian data in first two quarters of two quarters of 2000 due to nonaccurate population counts from INS. Source: Pacific Institute for Research and Evaluation PIRE Border Project – Measurable Results

51% reduction in <21 BAC between % reduction in <21 BAC between % fewer late night crossers with BAC >=.08 37% fewer late night crossers with BAC >=.08 26% fewer late night partiers 26% fewer late night partiers Nightime DUI fatalities on border region freeways reduced from 23 to 5 in one year Nightime DUI fatalities on border region freeways reduced from 23 to 5 in one year Formation of the Border Policy Council Formation of the Border Policy Council Border Project – Measurable Results

Border Project – Model Program

Original Focus Expanded Focus GOAL: Reduce ATOD-related problems in the border region utilizing the Environmental Prevention Model Border Project – Vision

Binational Policy Council Umbrella coalition to broaden application of the environmental prevention model to reduce public health problems in the border region: Umbrella coalition to broaden application of the environmental prevention model to reduce public health problems in the border region: –Alcohol –Tobacco Use and Promotion –Pharmaceutical Drug –Illicit Drug –HIV Vehicle to place defined issues high on the public agenda and to make policy recommendations Vehicle to place defined issues high on the public agenda and to make policy recommendations Border Project – Binational Policy Council

– –Effective January 2004 the Baja California State Legislature gave the municipalities authority to regulate alcohol policy and law in accordance with local communities needs Recommended that an Alcohol Advisory Council be formed with a majority of members to be public health and safety advocates Development of Tijuana Citizens’ Council Binational Policy Council – Current Priorities

– –Effective January 2004 the Tijuana City Hall banned the “All You Can Drink” and “Ladies Night” Specials in Tijuana’s Bars This ban is aimed to reduce alcohol related problems to improve public health and safety in the border area. Community Based Enforcement of Tijuana Bar Drink Specials Binational Policy Council – Current Priorities

Effective in January of 2004 California Legislature made it illegal for any CA advertiser to promote any bar targeting individuals under 21 years of age regardless of where the drinking will take place Effective in January of 2004 California Legislature made it illegal for any CA advertiser to promote any bar targeting individuals under 21 years of age regardless of where the drinking will take place –Amended section of the CA Business and Professional Code Community Based Enforcement of CA Legislated Control of Advertising Binational Policy Council – Current Priorities

Action Steps: Subcommittees – –Policy Subcommittee – –Enforcement Subcommittee – –Media Action Team Strategizing Implementation Campaign Binational Policy Council – Current Priorities

IPS Office Locations San Diego, CA Tijuana, B.C. Bozeman, MT Chiapas Migrant Central American Sex Workers Binational Policy Council – Project in Current Development