1. Challenging Community College Alcohol Use Health Services Matthew Kiechle, MS, CHES, CPP 1

2. Overview Identifying TC3 AOD rates, consequences Administrative charge Assembling Task Force TC3 challenges Evidence-based practices Implementation 2

3. TC3 AOD Rates Nationally (two and four year colleges and universities), about 80% of all college students drink alcohol, including nearly 60% of students age 18 to 20. 84% of TC3 students drink. At least 59% of TC3 underage students drink. Nationally, more than 40 percent of college students report engaging in binge drinking* at least once during the past 2 weeks. At least 53% of residential TC3 students (more than 400) binge drink. CORE Survey Results. Tompkins-Cortland Community College (2008) Executive Summary. SIUC/Core Institute Core Alcohol and Drug Survey - Long Form. 1225 Douglas Drive Carbondale, IL 6290. Consortium Number = 7116, Institution Number = 5070. Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Monitoring the Future National Survey Results on Drug Use, 1975–2007. Volume I: Secondary School Students (NIH Publication No. 08–6418A). Bethesda, MD: National Institute on Drug Abuse, 2008, p. 26. 3 * “Binge drinking” or “excessive drinking” defined as a pattern of drinking to.08 BAC or higher

4. TC3 AOD Consequences Academic/other In a single year: About 25% of college students report academic consequences of their drinking including missing class, falling behind, doing poorly on exams or papers, and receiving lower grades overall. 33% of TC3 students report some form of public misconduct (arrest, fighting, DWI/DUI, vandalism) as a result of drinking or drug abuse. At least 29% of TC3 students experience serious personal problems (suicide ideation, injury, sexual assault, unsuccessful attempts to moderate). CORE Survey Results. Tompkins-Cortland Community College (2008) Executive Summary. SIUC/Core Institute Core Alcohol and Drug Survey - Long Form. 1225 Douglas Drive Carbondale, IL 6290. Consortium Number = 7116, Institution Number = 5070. 4

5. Administrative Charge Increase in Residence Life students President and Board of Trustees Director, Health Services Dean of Students Health Educator 5

6. TC3 Task Force on Substance Abuse Prevention and Health Promotion Student Life and Services Faculty Athletics Enrollment Services Students Community members Working groups Shared documents Bi-monthly meetings Report and recommendations 6

7. Challenges Residential population and campus enrollment growth (49%, 13%) Organizational structure in Student Life Scope of Health Services Limited resources Utilizing established systems New and different approach Policy and protocol development The community college student 7

8. The Ten-Point Plan A strategic, collaborative, and evidence-based framework to: ◦identify effective programs ◦connect them with others on campus under shared vision and leadership ◦enhance and/or redesign promising programs ◦and design and implement new evidence-based strategies to meet identified student needs. 8

9. 9 Steps Acquire necessary administrative support Assemble a Multi-disciplinary Implementation Task Force ◦Working groups Make and adopt policy and procedure changes* Options Program Garner support; FSA Board, College Board Communicate to campus community Report to the President * Judicial and Residential Code(s) of Student Conduct re: required intervention/education and accountability for off-campus behavior.

10. THE 3-IN-1 APPROACH According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2002 report A Call to Action: Changing the Culture of Drinking at U.S. Colleges, a successful, comprehensive institutional intervention will deliver: effective and promising strategies (Tiers 1-3) concurrently across three distinct levels: individual students general student body greater campus community A Call to Action: Changing the Culture of Drinking at U.S. Colleges. National Institute on Alcohol Abuse and Alcoholism (NIAAA) Task Force on College Drinking. 2002. 10

11. 11 Ten-Point Plan for Substance Abuse Prevention and Health Promotion A comprehensive, campus-wide initiative to support the College’s academic mission of student learning by reducing student alcohol and drug abuse and advancing the collective health of the campus community.

12. Ten-Point Plan for Substance Abuse Prevention and Health Promotion Leadership Campus- community Partnership Awareness & Information Assessment & Evaluation Environmental & Selective Programs Support & Intervention Services Academic Infusion Staffing & Resources Policy & Protocol Identification & Enforcement 12

13. 1. Leadership College Administration ◦President and Provost ◦Deans and Directors Student Life and Services ◦Multidisciplinary collaboration ◦Health Services  Health Promotion Task Force ◦Program Development, Implementation, Evaluation 13

14. 3. Assessment ◦CORE Survey ◦Annual reports  Student Life  Office of Residence Life  Office of Public Safety  Health Services  Options Program  Office of Student Activities ◦Student surveys 14

15. 4. Environmental and Selective Programs Healthy communities  Substance-free floor Alternative social/recreational activities  Late Night Fitness – Evening hours, classes, programs, massage therapy  Campus activities, speakers, performances, etc.  Cultural Interest Groups programming, fitness events  Wellness-themed, e.g. outdoor, clubs  Community service and engagement ◦ Opportunities ◦ Transportation ◦ Academic credit 15

16. 4. Environmental and Selective Programs (cont.) Educational outreach programs targeting higher-risk populations ◦Staff delivered ASTP and MI Programming  Student-athletes  First-year students  Campus residents Peer-based programs  Train-the-trainer for residence directors and residence assistants  Health Services interns 16

17. 5. Support and Intervention Services Harm reduction model early intervention, evaluation, education, and referral for identified high(er) risk students. Intervention and support Current students Incoming first year, transfer, and returning students with documented AOD abuse history Evaluation Risk factors including AOD abuse and psycho, social, vocational, family, and environmental Individual education and counseling sessions Motivational Interviewing BASICS Cognitive-Behavioral Skills Training ASTP 17

18. 5. Support and Intervention Services Psycho- educational group sessions- Three 60-minute classes Risk continuum, risk and protective factors, strategies, individual factors, student-specific alcohol and drug information, etc. Media applications Home work assignments Drug screening Assist students who require/request services through the Options Program Support abstinence Comply with legal, organizational, and/or institutional expectations Request for urine screen from Health Services or family medical provider and student is fully informed and provides written consent Referral and consultation 18

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20. 6. Academic Infusion Academic integration of substance abuse prevention material within existing courses in nursing, AOD, biology, human development, fitness, and others Universal Freshman Seminar- AOD and other life skills included Professional development ◦Staff/Faculty trainings ◦ Ten-Point Plan overview ◦ Identifying students, making referrals 20

21. 8. Policy and Protocols Non-academic Student Code of Conduct  Alcohol  Drugs Student Life  Office of Residence Life  Judicial, Dean of Students  Health Services ◦ Options Program  Counseling Center Public Safety Athletics Academics 21

22. 9. Identification and Enforcement ◦Office of Residence Life ◦Advisors ◦Judicial Affairs ◦Dean of Students ◦Office of Public Safety ◦COAS ◦State and local law enforcement ◦Events on and off campus ◦Admissions Office ◦Academics ◦Athletics 22

23. 23 10. Campus-Community Partnership  Law Enforcement  Neighboring Institutions  Area hospitals  Community health organizations  Coalitions

24. References Hingson R, Heeren T, Winter M, Wechsler H. Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18–24: Changes from 1998 to 2001. Annual Rev Public Health 26:259–279, 2005. CORE Survey Results. Tompkins-Cortland Community College (2008) Executive Summary. SIUC/Core Institute Core Alcohol and Drug Survey - Long Form. 1225 Douglas Drive Carbondale, IL 6290. Consortium Number = 7116, Institution Number = 5070. Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Monitoring the Future National Survey Results on Drug Use, 1975–2007. Volume I: Secondary School Students (NIH Publication No. 08–6418A). Bethesda, MD: National Institute on Drug Abuse, 2008, p. 26. A Call to Action: Changing the Culture of Drinking at U.S. Colleges. National Institute on Alcohol Abuse and Alcoholism (NIAAA) Task Force on College Drinking. 2002. Wechsler, H., Davenport, A., Dowdall, G., Moeykens, B. and Castillo, S. Health and behavioral consequences of binge drinking in college: A national survey of students at 140 campuses. JAMA 272: 1672-1677, 1994. 24

25. Challenging Community College Alcohol Use Health Services Matthew Kiechle, MS, CHES, CPP 25