1. 17 September 2010 Courtyard by Marriott, Moorhead 8:30 a.m. - noon

2. Lynn & Dawn

3. Channel Setting Instructions for ResponseCard RF 1. "GO" 2. 4-1 3. "GO”

4. Will the Vikings win the Super Bowl? 1. Yes 2. No

6. Binge drinking – how much is it? Current: “5 or more drinks in a row on at least 1 occasion in the previous 2 weeks” Recent literature recommends defining binge drinking as: 3 or more drinks for children ages 9 – 13 AND girls ages 14 – 17 4 or more drinks for boys ages 14 – 15 5 or more drinks for boys ages 16 or 17 *Some surveys use 4 or more drinks in a row for women

7. How much is one drink? Beer 1. 12 ounces 2. 16 ounces 3. 8 ounces

8. How much is one drink? Wine 1. 4 ounces 2. 5 ounces 3. 8 ounces

9. How much is one drink? 80-proof liquor 1. 1 ½ ounce 2. 2 ounces 3. 2 ½ ounces

10. According to the 2007 MSS, in the past two weeks, what percentage of Clay 12 th grade boys had more than five alcoholic drinks on at least one occasion? 1. 28% 2. 14% 3. 34% 4. 42%

11. How do these results compare with the state average? Clay data is _____. 1. About the same 2. Lower 3. Higher

12. How do these results compare with the national average? Clay data is _____ 1. About the same 2. Lower 3. Higher

13. At one Clay County school, this percentage of 12 th grade girls who reported using alcohol said they had more than five alcoholic drinks on one occasion: 1. 27% 2. 10% 3. 55% 4. 31%

14. Approximately 42% of students at MSUM and M State reported binge drinking in the past two weeks. (2007 Boynton Health Survey) 1. True 2. False

15. A higher percentage of young men at these institutions reported engaging in high-risk drinking than young women did. 1. True 2. False

16. According to MN Survey of Adult Substance Use 2005, this percentage of adults age 21 – 24 in northwest Minnesota reported binge-drinking in the past 30 days. 1. 49% 2. 27% 3. 64%

17. How does this percentage compare with the Minnesota average? 1. About the same 2. Higher 3. Lower

19. Past 30-day alcohol use “Monitoring the Future” national survey 2009 Prevalence of alcohol use for all students in the previous 30 days down 1/3 since 1996. Minnesota Student Survey From 1998 to 2007, past 30-day use rate for MN 12 th graders has fallen by 11% (54 to 48)

20. From 1998 to 2007, the past 30-day alcohol use rate for Clay 12 th graders has fallen by: 1. Has not fallen 2. 33% 3. 25% 4. 10%

21. In all Clay County schools, the percentage of senior boys reporting alcohol use in the past 30 days fell by at least 15-20 percentage points from 2001 to 2007. 1. True 2. False

22. During the same period, the percentage of senior boys reporting that they engaged in binge drinking rose. 1. True 2. False

23. What range of college students (at MSUM & M State) ages 18 – 20 reported using alcohol in the past 30-days? 1. 60 – 70% 2. 25 – 35% 3. 50 – 60%

24. Among older students (ages 21 – 24) at MSUM & M State past 30-day alcohol use jumps from a range of 80-94%, depending on age.

25. How many young adults (ages 21 – 24) living in Northwest MN reported using alcohol in the past 30 days? 1. 71% 2. 66% 3. 85%

27. Underage drinking is expensive Average cost/youth - $1993 35 th in the country From Underage Drinking Enforcement Training Center (http://www.udetc.org/)

29. How does North Dakota compare? 1. Significantly higher 2. Higher 3. About the same 4. Lower 5. Significantly lower

30. Impact on brain development Frontal lobes (response inhibition, emotional regulation, planning, organization) Pre-frontal cortex (decision-making) Hippocampus (emotional aspects of survival behavior) – memory impairments; fewer strategies to learn new information

31. Implications for the future Age of first use matters! Study cited in American Academy of Pediatrics Policy Statement – Alcohol Use by Youth and Adolescents: A Pediatric Concern (April 2010) age of first uselifetime prevalence of alcohol dependence lifetime prevalence of alcohol abuse 12 or younger 40.68.3 age 1816.67.8 age 2110.64.8

32. What percentage of Clay 12 th graders said they had their first drink (more than a few sips) of alcohol at age 13 or younger? (2007 MSS) 1. 33% 2. 17% 3. 12%

33. How does this number compare with the state average? 1. About the same 2. Higher 3. Lower

34. At what age did YOU first drink (more than a few sips) alcohol? 1. 12 or younger 2. 13 - 18 3. 18 – 21 4. 21 or above

35. Other behavior related to early alcohol initiation In mid- to late- adolescence: Greater sexual risk- taking Academic problems Other substance use Delinquent behavior In young adulthood: Employment problems Other substance abuse Criminal and violent behaviors

36. Underlying factors masked Co-occuring mental disorders Trauma Abuse Grief/loss

37. Gina Nolte Director of Health Promotions Clay County Public Health Chair, Substance Abuse Work Group, Clay County Collaborative

38. What is Prevention? Primary Prevention: The act of “moving upstream” and taking action before a problem arises in order to avoid it entirely, rather than treating or alleviating its consequences.

39. Spectrum of Prevention Influencing policy Changing organizational practices Fostering coalitions and networks Educating providers Promoting community education Strengthening individual knowledge and skills

40. McLeroy 1988; Livewell Colorado 2007

41. Universal Strategies - target the general population (national, local, school, neighborhood), with strategies aimed at preventing or delaying the abuse of alcohol, tobacco and other drugs. All members of the population share the same general risk of substance abuse. Selective Strategies - target subgroups of the total population that are deemed to be at high-risk for substance abuse. Selective prevention strategies target the entire subgroup because as a whole is at higher risk for substance abuse than the general population. Indicated Strategies - identify individuals who are exhibiting early signs of substance abuse and other problem behaviors associated to substance abuse and target them with special programs.