Transcript Ten-Point Plan for Substance Abuse Prevention and Health

Challenging Community College Alcohol Use
Health Services
Matthew Kiechle, MS, CHES, CPP
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Overview
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Identifying TC3 AOD rates, consequences
Administrative charge
Assembling Task Force
TC3 challenges
Evidence-based practices
Implementation
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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.
* “Binge drinking” or “excessive drinking” defined as a pattern of drinking to .08 BAC or higher
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:
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National Institute on Drug Abuse, 2008, p. 26.
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.
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Administrative Charge
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Increase in Residence Life students
President and Board of Trustees
Director, Health Services
Dean of Students
Health Educator
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TC3 Task Force on Substance Abuse
Prevention and Health Promotion
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Student Life and Services
Faculty
Athletics
Enrollment Services
Students
Community members
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Working groups
Shared documents
Bi-monthly meetings
Report and
recommendations
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Challenges
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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
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The Ten-Point Plan
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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.
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Steps
Acquire necessary administrative support
 Assemble a Multi-disciplinary Implementation
Task Force
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◦ 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
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* Judicial and Residential Code(s) of Student Conduct re: required intervention/education
and accountability for off-campus behavior.
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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.
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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.
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Ten-Point Plan for Substance Abuse Prevention and Health Promotion
Leadership
Awareness &
Information
Environmental
& Selective
Programs
Support &
Intervention
Services
Academic
Infusion
Staffing &
Resources
Campuscommunity
Partnership
Policy &
Protocol
Identification
&
Enforcement
Assessment &
Evaluation
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1. Leadership
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College Administration
◦ President and Provost
◦ Deans and Directors
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Student Life and Services
◦ Multidisciplinary collaboration
◦ Health Services
 Health Promotion
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Task Force
◦ Program Development, Implementation,
Evaluation
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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
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4. Environmental and Selective Programs
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Healthy communities
 Substance-free floor
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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
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4. Environmental and Selective Programs
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(cont.)
Educational outreach programs targeting higher-risk
populations
◦ Staff delivered ASTP and MI Programming
 Student-athletes
 First-year students
 Campus residents
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Peer-based programs
 Train-the-trainer for residence directors and residence assistants
 Health Services interns
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5. Support and Intervention
Services
Harm reduction model early intervention, evaluation, education, and referral
for identified high(er) risk students.
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Intervention and support
• Current students
• Incoming first year, transfer, and returning students with documented
AOD abuse history
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Evaluation
• Risk factors including AOD abuse and psycho, social, vocational,
family, and environmental
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Individual education and counseling sessions
• Motivational Interviewing BASICS
• Cognitive-Behavioral Skills Training ASTP
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5. Support and Intervention
Services
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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
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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
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Referral and consultation
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6. Academic Infusion
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Academic integration of substance abuse prevention
material within existing courses in nursing, AOD, biology,
human development, fitness, and others
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Universal Freshman Seminar- AOD and other life skills
included
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Professional development
◦ Staff/Faculty trainings
◦ Ten-Point Plan overview
◦ Identifying students, making referrals
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8. Policy and Protocols
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Non-academic Student Code of Conduct
 Alcohol
 Drugs
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Student Life
 Office of Residence Life
 Judicial, Dean of Students
 Health Services
◦ Options Program
 Counseling Center
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Public Safety
Athletics
Academics
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9. Identification and Enforcement
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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
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10. Campus-Community Partnership
Law Enforcement
Neighboring Institutions
Area hospitals
Community health organizations
Coalitions
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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.
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Challenging Community College Alcohol Use
Health Services
Matthew Kiechle, MS, CHES, CPP
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