Potential Alcohol Strategies

March 20, 2008

Sheila Nesbitt

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Purpose of Discussion

Brief review of potential strategies Share resources and network about

strategies

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Underage Drinking Outcome

In preventing and reducing underage drinking and binge drinking, there will be a reduction in arrest rates for

driving under the influence, public intoxication and liquor law violations.

StrategyConditionsconsumption Condition: Social availability

Definition: Ease of accessing alcohol through social sources including receiving, stealing, or buying from friends, relatives, strangers. In several studies, youth were more likely to receive alcohol from social rather than retail sources.

How have you assessed social availability in your community?

StrategyIntervening

Variable Policy, Program, Practice

Alcohol Restrictions at Community Events/FestivalsRationale: Controlling the conditions of

use and access at community events-separated alcohol area, limited drinks per purchase-reduces the likelihood of youth gaining

Objective: Reduce social provision of alcohol to person under 21 years of age.Reduce youth influence on adults to provide.Increase difficulty of adults passing off drinks

to youth. Potential influence in several other mediating

variables.

StrategyIntervening

Variable Event Restrictions: Conceptual fit?

Fit into community logic model?Does this strategy address the conditions:

mediating and moderating variables?

Drive positive outcomes in identified problems?Does this strategy impact the identified

consequence: reduction in arrest rates for driving under the influence, public intoxication and liquor law violations

Will this strategy have sufficient reach to move the needle in the community? #, frequency of events, events’ contribution to social access

StrategyIntervening

Variable Event Restrictions: Conceptual fit?

Comprehensive Approaches (mix)Add to or reinforce a strategy in the community?Target multiple opportunities for intervention?

StrategyIntervening

Variable Event Restrictions: Practical Fit ?

Feasible given a community’s resources, capacities, and readiness to act?- What would the process be for establishing this approach?

- What tasks would need to be accomplished leading to implementation?

Fidelity Can you implement in the manner it was designed? Is there support (Training, TA, materials) for

implementation?

Consider community climate Does the approach account for readiness? Does the approach meet cultural needs?

StrategyIntervening

Variable Event Restrictions: Practical Fit?

SustainabilityDoes the community have resources to sustain

this initiative?

StrategyIntervening

Variable Event Restrictions: Effectiveness?

Evidence-based principles for target population Is the approach research-based on a well defined

theory or model? Is there documented evidence of effectiveness

(such as formal evaluation results)? Have the results been replicated successfully by

different researchers over time? Has the approach been shown to be effective for

areas similar to those you will address?

StrategyIntervening

Variable Condition: Price

Definition: The retail price of alcohol products. As price increases, demand for alcohol declines. Youth tend to be more price sensitive than

adults.

How have you assessed price of alcohol in your community?

StrategyIntervening

Variable Policy, Program, Practice

Increasing Excise TaxesRationale: Tax rates is an indirect way to

affect the price of alcohol. Increasing taxes on alcohol likely increases the retail product price.

Objective: Reduce demand for alcohol by increasing the price.Would affect price of alcohol regardless of age

of purchaser.

StrategyIntervening

Variable Excise Taxes: Conceptual fit?

Fit into community logic model?Does this strategy address the conditions:

mediating and moderating variables?

Drive positive outcomes in identified problems?Does this strategy impact the identified

consequence: reduction in arrest rates for driving under the influence, public intoxication and liquor law violations

Will this strategy have sufficient reach to move the needle in the community?

StrategyIntervening

Variable Excise Taxes: Conceptual fit?

Comprehensive Approaches (mix)Add to or reinforce a strategy in the community?Target multiple opportunities for intervention?

StrategyIntervening

Variable Excise Taxes: Practical Fit ?

Feasible given a community’s resources, capacities, and readiness to act?- What would the process be for establishing this approach?

- What tasks would need to be accomplished leading to implementation?

Fidelity Can you implement in the manner it was designed? Is there support (Training, TA, materials) for

implementation?

Consider community climate Does the approach account for readiness? Does the approach meet cultural needs?

StrategyIntervening

Variable Excise Taxes: Practical Fit?

SustainabilityDoes the community have resources to sustain

this initiative?

StrategyIntervening

Variable Excise Taxes: Effectiveness?

Evidence-based principles for target population Is the approach research-based on a well defined

theory or model? Is there documented evidence of effectiveness (such

as formal evaluation results)? Have the results been replicated successfully by

different researchers over time? Has the approach been shown to be effective for areas

similar to those you will address?

StrategyIntervening

Variable Condition: Family Influence

Definition: Youth acquire knowledge, attitudes, and values from many sources. Family members are the primary social influence on youth. Parents’ norms for appropriate behavior Family management practices

(supervision/monitoring, rules, discipline)

How have you assessed family influence in your community?

StrategyIntervening

Variable Policy, Program, Practice

Strengthening FamiliesDescription: Multiple versions of a

parent/child education class. For high-risk families with children ages 3 to 5, 6 to 11, and 12 to 16 years, and low-risk families with 10 to 14 year olds, high-risk families with both younger children (SFP3-5) and early teens (SFP12-16).

Objective: Improve parents’ ability to establish family norms, effective communication, and monitor and enforce behavior.

StrategyIntervening

Variable Strengthening Families: Conceptual fit?

Fit into community logic model?Does this strategy address the conditions:

mediating and moderating variables?

Drive positive outcomes in identified problems?Does this strategy impact the identified

consequence: reduction in arrest rates for driving under the influence, public intoxication and liquor law violations

Will this strategy have sufficient reach to move the needle in the community?

StrategyIntervening

Variable Strengthening Families: Conceptual fit?

Comprehensive Approaches (mix)Add to or reinforce a strategy in the community?Target multiple opportunities for intervention?

StrategyIntervening

Variable Strengthening Families: Practical Fit ?

Feasible given a community’s resources, capacities, and readiness to act?- What would the process be for establishing this approach?

- What tasks would need to be accomplished leading to implementation?

Fidelity Can you implement in the manner it was designed? Is there support (Training, TA, materials) for

implementation?

Consider community climate Does the approach account for readiness? Does the approach meet cultural needs?

StrategyIntervening

Variable Strengthening Families: Practical Fit?

SustainabilityDoes the community have resources to sustain

this initiative?

StrategyIntervening

Variable Strengthening Families: Effectiveness?

Evidence-based principles for target population Is the approach research-based on a well defined

theory or model? Is there documented evidence of effectiveness (such

as formal evaluation results)? Have the results been replicated successfully by

different researchers over time? Has the approach been shown to be effective for areas

similar to those you will address?

StrategyIntervening

Variable Condition: School Influence

Definition: Encompasses both the physical and social environment of school and can be both formal (e.g., policies, procedures) and informal (e.g. norms, exposure).

How have you assessed school influence in your community?

StrategyIntervening

Variable Policy, Program, Practice

Alcohol-free Residence Halls Rationale: Ban possession of alcohol in residence

halls provides a supportive environment to non-users and communicates school expectations about use of alcohol.

Objective: Reduce access to alcohol and use by students.Decrease likelihood of alcohol possession

among students.Decrease student exposure to others’ use.Increase perception of school disapproval and

consequences for use.

StrategyIntervening

Variable Alc-Free Res Halls: Conceptual fit?

Fit into community logic model?Does this strategy address the conditions:

mediating and moderating variables?

Drive positive outcomes in identified problems?Does this strategy impact the identified

consequence: reduction in arrest rates for driving under the influence, public intoxication and liquor law violations

Will this strategy have sufficient reach to move the needle in the community?

StrategyIntervening

Variable Alc-Free Res Halls: Conceptual fit?

Comprehensive Approaches (mix)Add to or reinforce a strategy in the community?Target multiple opportunities for intervention?

StrategyIntervening

Variable Alc-Free Res Halls: Practical Fit ?

Feasible given a community’s resources, capacities, and readiness to act?- What would the process be for establishing this approach?

- What tasks would need to be accomplished leading to implementation?

Fidelity Can you implement in the manner it was designed? Is there support (Training, TA, materials) for

implementation?

Consider community climate Does the approach account for readiness? Does the approach meet cultural needs?

StrategyIntervening

Variable Alc-Free Res Halls: Practical Fit?

SustainabilityDoes the community have resources to sustain

this initiative?

StrategyIntervening

Variable Alc-Free Res Halls: Effectiveness?

Evidence-based principles for target population Is the approach research-based on a well defined

theory or model? Is there documented evidence of effectiveness (such

as formal evaluation results)? Have the results been replicated successfully by

different researchers over time? Has the approach been shown to be effective for areas

similar to those you will address?