1. NM OSAP RECIPIENT MEETING AUGUST 27, 2013 NM COMMUNITY SURVEY AND STRATEGIES FOR SUCCESS: PRELIMINARY 2013 RESULTS

2. WHO IMPLEMENTED THE NMCS? GroupsCountyTotal NEligible N Current OSAP Sites San Juan400399 Taos414411 Laguna208206 N. Rio Arriba246230 Albuquerque/Bernalillo352339 Past SPF SIG Catron300 Hidalgo325315 Comparison sites Zia106101 Chaves517457 Grand total 28682758

3. WHO ASKED WHAT? No sites used the entire survey Almost all sites included alcohol use and access items Many included prescription drug use questions Only a few included mental health questions

4. DEMOGRAPHICS Characteristicsn% Age (n=2758) Ages 18-202348.5 Ages 21-2535412.8 Ages 26-3037513.6 Ages 31-4055120.0 Ages 41-5053619.4 Ages 51-6038514.0 Ages 61-702388.6 Ages 71 +853.1 Biological Sex Male 984 36.2 Female 1737 63.8 Race/Ethnicity White 926 33.6 Hispanic 1199 43.5 Native American 540 19.6 Other 933.4

6. TOBACCO

7. PAST 30-DAY CIGARETTE AND TOBACCO USE

8. ALCOHOL AND RELATED QUESTIONS

9. PAST 30 DAY ALCOHOL USE BY BIOLOGICAL SEX

10. PAST 30 DAY ALCOHOL USE BY RACE/ETHNICITY

11. PAST 30-DAY ALCOHOL USE BY AGE

12. PAST 30-DAY DRIVING WHILE INTOXICATED BY AGE

13. PAST 30-DAY BINGE DRINKING AMONG VETERANS

14. ACCESS TO ALCOHOL (N=202)

15. PRESCRIPTION PAIN KILLERS AND RELATED QUESTIONS

16. PRESCRIPTION PAIN KILLER USE BY BIOLOGICAL SEX

17. PAST 30-DAY PRESCRIPTION PAIN KILLER USE BY RACE/ETHNICITY

18. PAST 30-DAY PRESCRIPTION PAIN KILLER USE BY AGE

19. PAST 30-DAY PRESCRIPTION PAIN KILLER USE BY ARMED SERVICE STATUS

20. PAST 30-DAY PRESCRIPTION DRUG USE BY BINGE DRINKING STATUS

21. REASONS OF PRESCRIPTION DRUG USE (N=283)

22. SOURCES OF PRESCRIPTION DRUGS (N=283)

23. MENTAL HEALTH AND RELATED QUESTIONS

24. MENTAL HEALTH CONCERNS BY BIOLOGICAL SEX

25. MENTAL HEALTH CONCERNS BY RACE/ETHNICITY

26. MENTAL HEALTH CONCERNS BY AGE

28. MENTAL HEALTH CONCERNS BY ARMED SERVICE STATUS

29. MENTAL HEALTH CONCERNS BY BINGE DRINKING

30. SOURCES OF PROFESSIONAL HELP (N=180)

31. TYPES OF PROFESSIONAL HELP (N=120)

32. ACCESS TO ALCOHOL AND PERCEPTION OF RISK

33. ACCESS TO ALCOHOL Mean (SD)Range Very difficult Somewhat difficult Somewhat easy Very easy Don't know Teens in the community to get alcohol (n=1225) 1.73 (0.87)1-44.6%10.1% 29.4%42.7% 13.2% Teens in the community to get alcohol from stores and restaurants (n=1636) 2.72 (1.01)1-423.4%27.7% 22.7%12.3% 13.9%

34. PERCEPTION OF RISK OF LEGAL CONSEQUENCES Mean (SD)Range Very likely Somewhat likely Not very likely Not at all likely Don't know Likelihood of police breaking up parties where teens are drinking (n=1864) 2.67 (0.92) 1-416.5%35.9% 23.7%10.9% 13.0% Likelihood of police arresting an adult for giving alcohol to someone under 21 (n=2037) 2.78 (1.00) 1-425.4%27.6% 22.4%11.1% 13.4% Likelihood of someone being arrested if caught selling alcohol to a drunk or intoxicated person (n=2115) 2.62 (1.00) 1-420.8%27.6% 28.2%13.4% 10.0% Likelihood of being stopped by police if driving after drinking too much (n=2117) 2.93 (0.90) 1-427.1%39.1% 19.4%7.1% 7.4% Likelihood of being convicted if stopped and charged with DWI (n=2081) 3.36 (0.83) 1-447.7%29.3% 7.4%4.3% 11.4%

35. 2013 NMCS SUMMARY OF RESULTS Over 20% of males reported smoking cigarettes every day Over 25% of males reported binge drinking in the past 30 days 18-20 year olds report the highest prevalence of driving under the influence and after 5 or more drinks compared to all other age groups; but they are not reporting the most drinking or binge drinking Rx pain killer use is most prevalent among 18-20 year olds and 31 to 40 year olds. Current binge drinkers are almost twice as likely to report using Rx pain killers.

36. 2013 NMCS SUMMARY OF RESULTS In the past year, males were almost twice as likely as females to report having suicidal thoughts 18 to 20 year olds were far less likely to have received professional help for a mental health or substance abuse problem despite reporting some of the highest reported prevalences of past 30-day & past year mental health problems and suicidal ideation 31-40 year olds also experience a higher prevalence of mental health problems than other ages but they also are most likely to receive treatment. Binge drinkers are far more likely to report having had a mental health/drug/alcohol problem in the past year but only equally likely to get professional help for it Over 72% of respondents thought it was very easy or somewhat easy for teens to get alcohol in their communities

37. STRATEGIES FOR SUCCESS PRELIMINARY ANALYSES

38. DEMOGRAPHICS Demographic % SFS Program Participants Male (n=344) % SFS Program Participants Female (n=346) Grade 5 th grade0.581.45 6 th grade47.9749.71 7 th grade33.1435.26 8 th grade18.3113.58 Race/Ethnicity White12.7910.69 Hispanic65.1264.74 Native American18.3121.97 Other3.782.60 Language Other than English Spoken Most Often b,c Yes51.1655.49

39. TOTAL MATCHED PAIRS Total Matched Pairs: N= 625

40. PREVALENCE OF ATOD USE AMONG FEMALES AT PRE- AND POST-TEST

41. PREVALENCE OF ATOD USE AMONG MALES AT PRE- AND POST-TEST

42. CHANGE IN THE PREVALENCE OF FEMALE RESPONDENTS WHO REPORTED ATOD USE PRE- TEST COMPARED TO POST-TEST (N= 32)

43. CHANGE IN THE PREVALENCE OF MALE RESPONDENTS WHO REPORTED ATOD USE PRE- TEST COMPARED TO POST-TEST (N=46)

44. CHANGE IN THE PREVALENCE OF HISPANIC FEMALE RESPONDENTS WHO REPORTED ATOD USE PRE-TEST COMPARED TO POST-TEST

45. CHANGE IN THE PREVALENCE OF HISPANIC MALE RESPONDENTS WHO REPORTED ATOD USE PRE-TEST COMPARED TO POST-TEST

46. CHANGE IN THE PREVALENCE OF NATIVE AMERICAN FEMALE RESPONDENTS WHO REPORTED ATOD USE PRE-TEST COMPARED TO POST-TEST

47. CHANGE IN THE PREVALENCE OF NATIVE AMERICAN MALE RESPONDENTS WHO REPORTED ATOD USE PRE-TEST COMPARED TO POST-TEST

48. PERCENT OF ALL RESPONDENTS WHO REPORTED ANY Rx DRUG MISUSE PRE- AND POST-TEST

49. PERCENT WHO PERCEIVED MODERATE OR GREAT RISK OF HARM

50. PERCENT WHO PERCEIVED ATTITUDES TOWARDS ALCOHOL AS WRONG OR VERY WRONG

51. SUMMARY OF SFS FINDINGS Alcohol remains the substance used most widely for both males and females. ATOD use increased only slightly, if at all, and is likely attributable to maturation Among those youth already using any substance at pre-test, there were dramatic decreases in prevalence at post-test for almost everyone with some notable exceptions. Hispanic females -cigarettes and marijuana Hispanic males – cigarettes Prevalence at post-test among Native American males and females who reported using any substance at pre-test decreased across the board.

52. SUMMARY OF SFS FINDINGS Males increased their prescription drug use from pre- to post-test however, females started higher than males and did not change. Perceived risk of harm increased modestly but is still lower than ideal. Perceived attitudes did not change but were already quite high.

53. THOUGHTS, QUESTIONS, CONCERNS Martha Waller mwaller@pire.org 919-265-2631 Liz Lilliott Lilliott@pire.org 505-765-2330 Lei Zhang lzhang@pire.org 919-265-2624