NIAAA COLLEGE ALCOHOL INTERVENTION MATRIXNOVEMBER 3, 2016

What is Effective Intervention?

National Institute on Alcohol Abuse and Alcoholism

“Despite what we see on television and read in magazines, drinking does not solve our problems—it is not the key to success and happiness. For those of us who have set personal goals and who seek human dignity and happiness, it might be well worthwhile to reexamine our use of alcohol and our behavior, as well as that of those we love, to see if there is something “goofy” in our lives.”

-Preface to The Whole

College Catalogue, 1976

National Institute on Alcohol Abuse and Alcoholism

“Despite what we see on television and read in magazines, drinking does not solve our problems—it is not the key to success and happiness. For those of us who have set personal goals and who seek human dignity and happiness, it might be well worthwhile to reexamine our use of alcohol and our behavior, as well as that of those we love, to see if there is something “goofy” in our lives.”

-Preface to The Whole

College Catalogue, 1976

College Alcohol Intervention Matrix

• Extensive review of decades of scientific literature

• Multi-year collaboration involving 16 leaders in college alcohol intervention research

• Nearly 60 interventions rated for effectiveness, costs, and other criteria

• Two user-friendly matrices and other resources

Individual Strategies• Designed to change students’ knowledge, attitudes, and

behaviors related to alcohol

• Goals: students drink less, take fewer risks, and experience fewer harmful consequences

• Categories include:

– education and awareness programs

– cognitive-behavioral skills-based approaches

– motivation and feedback-related approaches

• Not rated: screening and behavioral interventions by health professionals

Higher EffectivenessLower Costs $ Mid Range Costs $$ Higher Costs $$$

Normative re-education: Electronic/mailed personalized normative feedback (PNF) without facilitator

Skills training, alcohol focus: Goal/intention-setting alone

Multi-component education-focused program (MCEFP): AlcoholEdu® for College

Skills training, alcohol focus: Self-monitoring/self-assessment alone

Skills training, alcohol plus general life skills: Alcohol Skills Training Program (ASTP)

Personalized feedback intervention (PFI): eCHECKUP TO GO

Brief motivational intervention (BMI): In-person—Individual (e.g., BASICS)

Personalized feedback intervention (PFI): Generic/other

Lower Costs $ Mid Range Costs $$ Higher Costs $$$

Higher Effectiveness

Normative re-education: Electronic/mailed personalized normative feedback (PNF) without facilitator

Skills training, alcohol focus: Goal/intention-setting alone (in CAAPS)

Multi-component education-focused program (MCEFP): AlcoholEdu® for College

Skills training, alcohol focus: Self-monitoring/self-assessment alone

Skills training, alcohol plus general life skills: Alcohol Skills Training Program (SAPE Outreach & Education)

Personalized feedback intervention eCHECKUP (in STIR & SAPE website)

Brief motivational intervention: In-person—Individual (STIR)

Personalized feedback intervention (PFI): without facilitator

Moderate Effectiveness

Skills training, alcohol focus: Expectancy challenge intervention (ECI)—Experiential

Skills training, alcohol plus general life skills: Parent-based alcohol communication training (Talking Points)

Skills training, alcohol plus general life skills or general life skills only: Generic/other (Stress Management program, study skills workshops, etc)

Brief motivational intervention (BMI): In-person—Group

Lower Costs $ Mid Range Costs $$ Higher Costs $$$

Lower effectiveness

Normative re-education: Electronic/mailed personalized normative feedback (PNF)—Event-specific prevention (21st birthday cards)

Normative re-education: In-person norms clarification alone

Not Effective

Skills training, alcohol focus: Expectancy challenge intervention By proxy/didactic/discussion alone

Information/knowledge/education alone(alcohol knowledge education without any alcohol-specific skills training)

Values clarification alone

Too few robust studies to rate effectiveness—or mixed results

Skills training, alcohol plus general life skills: Alcohol 101 Plus™

Skills training, alcohol focus: Blood alcohol concentration (BAC) feedback alone

Personalized feedback intervention (PFI): CheckYourDrinking

Multi-component education-focused programs (MCEFP): Miscellaneous

Personalized feedback intervention (PFI): College Drinker’s Check-up

Environmental Strategies

• Designed to change the campus and community environments in which student drinking occurs.

• Seek to affect the behavior of the overall student population by addressing the factors that accommodate or promote underage and high-risk drinking, most often the availability of alcohol.

• This tool does not include multi-component environmental programs or components of those programs not used in isolation.

• A combination of individual- and environmental-level interventions that work together are needed to maximize positive effects.

Environmental StrategiesLower Costs $ Mid Range Costs $$ Higher Costs $$$

Higher Effectiveness

Restrict happy hours/price promotions

Enforce age-21 drinking age (e.g., compliance checks)

Retain ban on Sunday sales (where applicable)

Increase alcohol tax

Retain age-21 drinking age

Moderate Effectiveness

Retain or enact restrictions on hours of alcohol sales

Prohibit alcohol use/sales at campus sporting events

Enact responsible beverage service training laws

Enact social host provision laws Enact dram shop liability laws: Sales to intoxicated

Enact dram shop liability laws: Sales to underage

Limit number/density of alcohol establishments

Retain state-run alcohol retail stores (where applicable)

Lower Costs $ Mid Range Costs $$ Higher Costs $$$

Higher Effectiveness

Restrict happy hours/price promotions

Enforce age-21 drinking age (e.g., compliance checks)

Retain age-21 drinking age Increase alcohol tax

Moderate Effectiveness

Retain or enact restrictions on hours of alcohol sales

Prohibit alcohol use/sales at campus sporting events

Enact responsible beverage service training laws

Enact social host provision laws Enact dram shop liability laws: Sales to intoxicated

Enact dram shop liability laws: Sales to underage

Limit number/density of alcohol establishments

Lower Effectiveness

Establish an alcohol-free campus Restrict alcohol sponsorship and advertising

Conduct campus-wide social norms campaign (alone)

Implement beverage service training programs: Sales to intoxicated

Implement beverage service training programs: Sales to underage

Enact keg registration laws

Prohibit alcohol use/service at campus social

events

Establish amnesty policies

Require Friday morning classes

Establish standards for alcohol service at campus events

Establish substance-free residence halls

Prohibit beer kegs

Establish minimum age requirements

to serve/sell alcohol

Implement party patrols

Increase cost of alcohol license

Prohibit home delivery of alcohol

Enact noisy assembly laws

Implement bystander

intervention training

Require alcohol-free programming

Implement safe-rides program

Conduct shoulder tap campaigns

Enact social host property laws

Require unique design for state ID cards for age < 21

Too few robust studies to rate effectiveness—or mixed results

QUESTIONS & DISCUSSIONcollegedrinkingprevention.gov/CollegeAIM

Work Groups Overview

Work on projects assigned by steering committee

Leaders assigned per project

Meet until completed

Include “experts” & those with high interest

Projects throughout the year

Report out at steering & general meetings

Entertainment District Outreach

Goal:

• Meet with stakeholders and establishment owners/managers to share data and explore solutions.

Info to gather:

• Which establishments are not closing at 2am?

• What venues are student organizations using for social functions?

Action Steps:

• Compile data to share related to sexual assault, last drink, and hospitalizations.

• Schedule meetings with stakeholders, owners, managers, etc.

• Identify managers/owners who would be interested in working with the Coalition to identify solutions.

Establishment Staff Training

Goal:

• Explore possibility of training for staff who serve alcohol in addition to or in conjunction with the PREP workshops from LRADAC

Info to gather:

• What evidence-based curricula is available to use or purchase?

• What are other communities doing?

• How can we incentivize or coordinate this type of training?

Action Steps:

• Learn about current PREP program from LRADAC

• Identify additional needs not being met by current workshop

• Develop curriculum for training/workshop

Laws & Enforcement

Goal:

• Support and publicize law enforcement efforts, educate coalition on laws and ordinances related to alcohol licenses, drink specials, etc

Info to gather:

• What are the laws related to hours, drink specials, private clubs, etc?

• What data can we gather from neighborhood incident reports and AET Party patrol data?

Action Steps:

• Meet with SLED, CPD, DOR to gather information

• Identify establishments not closing at 2am

• Compile helpful information for SLED, CPD, DOR, etc

• Monitor how the city ordinances are being implemented, challenges, successes, etc

Research QuestionsFor those interested in researching and possible future meeting discussions

How are other communities responding to high risk drinking by college students? How are they implementing the environmental “best practices”?

How does residency (in-state v. out of state) impact hospitalizations, drinking rates, citations?

How is our students’ behavior similar to and different from other SEC schools, our peer & aspirant institutions?

Questions & Answers

Janie Kerzan, Coalition Chair

• janie@sc.edu

Aimee Hourigan,Coalition Coordinator

• ahouriga@mailbox.sc.edu