Courts have sent the following message …the duty of college is not to observe student life from a distance, but to use reasonable care to prevent foreseeable danger in the college community. - Peter Lake, Stetson University College of Law Law as Prevention. (2003). Prevention File: Alcohol, Tobacco, and Other Drugs, 18(2). Higher Education Center for Alcohol and Other Drug Abuse and Violence Prevention: U.S. Department of Education. Members of the 2010 Biennial Policy Review Committee: Dr. Elwyn Lee Vice Chancellor/Vice President Student Affairs Division Diane Murphy Associate Vice President Student Affairs Division Dr. Gail Gillan Director for Learning Learning and Assessment Services Student Affairs Division Gaylyn Gaddy Maurer Outreach Counselor, UH Wellness Learning and Assessment Services Student Affairs Division Joan Nelson Executive Director Human Resources Department Administration and Finance Division Dona Cornell & Tom Tracy Legal Affairs and General Counsel Legal Affairs Division Melissa Abram & Myra Conley Assistant Deans of Students Student Affairs Division Javier Hidalgo Interim Executive Director Residential Life and Housing Student Affairs Division Patrick Daniel Executive Director Learning and Assessment Services Student Affairs Division Rosemary Grimmett Executive Director Research Services Division of Research Floyd Robinson Director Health Center Student Affairs Division Dr. Norma Ngo Director Counseling and Psychological Services Student Affairs Division Malcolm Davis Chief of Police Administration and Finance Division Dr. William Munson Assoc VP Student Development/DOS Student Affairs Division Part I: Review of the Alcohol and Other Drug Prevention Program I. History of UH Wellness .............................................................................................................. 4 II. Prevention Infrastructure ............................................................................................................ 5 A. Peer education .................................................................................................................... 5 B. Enforcement ...................................................................................................................... 5 C. Campus Task Force ............................................................................................................ 5 D. Community Coalition......................................................................................................... 6 E. State and National Involvement ......................................................................................... 6 III. Areas of Strategic Intervention ................................................................................................. 6 A. Knowledge, Attitudes, Skills, Self-efficacy, Behavioral Intentions ................................. 6 1. Alcohol Poisoning Information...................................................................................... 6 2. Workshops ..................................................................................................................... 6 B. Indicated Intervention and Treatment ............................................................................... 6 1.CHOICES Program.......................................................................................................... 6 2. MIP Course ..................................................................................................................... 7 3. Marijuana 101 Exit Interviews....................................................................................... 7 4. Referral ........................................................................................................................... 7 C. Environmental Change ....................................................................................................... 7 1. Normative Environment.................................................................................................. 7 a. Academics Over Alcohol ............................................................................................ 7 b. Educated Choices ........................................................................................................ 8 D. Health Protection................................................................................................................ 8 1. Intent and Motivation: Alcohol Group Session (IMAGE) ............................................. 8 a. Small Group Selection ................................................................................................ 8 b. Pre-test ........................................................................................................................ 8 c. Interactive Discussion ................................................................................................. 9 d. Personalized Feedback ................................................................................................ 9 e. Post-Test ...................................................................................................................... 9 f. Follow-Up .................................................................................................................... 9 2. Fresh Start Program ...................................................................................................... 10 IV. Prevention Program Goals & Goal Achievement ................................................................... 10 A. Goal One: To utilize research-based intervention........................................................... 10 1. To initiate innovative programming for students.......................................................... 10 2. To infuse research into intervention modalities ............................................................ 11 B. Goal Two: To provide comprehensive wellness programming ...................................... 11 1.To provide multi-tiered programming by targeting identified substance abusers, high risk student groups, and the general student population ............................................... 11 2. To decrease underage drinking by students .................................................................. 12 V. Prevalence Rates ...................................................................................................................... 14 A. Campus-wide Survey Data............................................................................................... 14 B. CAPS Student Self-report Data ........................................................................................ 15 C. UHPD Citation Information ............................................................................................. 16 D. Dean of Students Judicial Summary ............................................................................... 17 VI. Evaluation of Prevention Programming: Program Impact ..................................................... 18 1. Campus-Wide Comparison Group .................................................................................... 18 2. IMAGE Cohort Comparison Group.................................................................................. 19 VII. Summary of Prevention Program Strengths and Weaknesses/Challenges ............................ 21 VIII. Recommendations for Revising Prevention Program .......................................................... 22 Part II: Review of the Alcohol and Other Drug Policy I. Members of the 2010 Biennial Policy Review Committee: ...................................................... 23 II. Policy Review Recommendations ............................................................................................ 24 III. Revised Alcohol and Other Drug Policy (as of May 2010) .................................................... 25 IV. Procedures for Annual Policy Distribution............................................................................. 33 Drug-Free Schools and Campuses Regulations (EDGAR Part 86) Summary Biennial Report 2010 Part I: Review of the Alcohol and Other Drug Prevention Program I. History of UH Prevention The University of Houston (UH) is a large, urban research university of approximately 37,000 students. It has competitive admissions, a wide array of academic and professional degree programs, a national research agenda, and a vast number of outreach programs in service to the community. UH is the largest and only doctoral degreegranting university in the University of Houston System. The university is clearly one of the most diverse in the nation with representatives in its student body from over 130 countries and with no clear ethnic or racial majority among its population. UH has an older than average population, many of whom work either part or full time. It is located within the city of Houston, the fourth largest city in the nation. The University of Houston is primarily a commuter institution, but is currently moving from 14% residential housing to closer to 17% residential in fall 2010. As many of the students are from Houston and the surrounding area, the University of Houston takes seriously its commitment to serving the greater community. UH Wellness (UHW), fully institutionalized following a substance abuse prevention grant from the U.S. Department of Education Fund for the Improvement of Post Secondary Education (FIPSE) in 1991, provides the alcohol and substance abuse education and prevention programming for the entire university community. In the years since being institutionalized, UH Wellness has continued to progress and has developed a comprehensive approach to alcohol education and prevention based on a multi-tiered, evidence-based approach to reduce high risk drinking (including underage consumption) and the negative consequences associated with such behavior. Counseling and Psychological Services as well as the University Health Center have provided clinical services to University of Houston students and intervention and referral services for faculty and staff for substance abuse concerns. They also engage in prevention activities including an annual alcohol screening and various workshops on campus. Recognition for the alcohol prevention program established by UHW is documented by the successful attainment of two Enforcing Underage Drinking Laws grants administered by the Texas Department of Alcoholic Beverages (TABC). The first, for academic year 2007-2008, totaled $25,000 and the second, for academic year 2008-2009 totaled $37,000. Additionally, UHW staff have been invited presenters at both the 2007 and 2008 state-wide Texas Alcohol Symposium as well as at the U.S. Department of Education’s Annual National Meeting on Alcohol and Other Drug and Violence Prevention in 2006 and 2007. UHW’s primary alcohol prevention program, IMAGE (Intent and Motivation: Alcohol Group Exercise) has resulted in UHW being the recipient of a $124,000 U.S. Department of Education Model Program grant in 20082009. Additionally, the National Association of State Alcohol and Drug Abuse Directors (NASADAD) and the National Prevention Network (NPN) have commended the University of Houston by bestowing the 2009 National Exemplary Award for Innovative Substance Abuse Prevention Programs, Practices, and Policies upon the UH Wellness comprehensive alcohol prevention program. II. Prevention Infrastructure It is important to emphasize that the University of Houston’s comprehensive prevention program has adopted the 3-in1 framework outlined by the NIAAA Task Force (2002) and the Social Ecological Framework established by the HEC (U.S. Department of Education, 2007) by targeting high-risk students (including first year residents, Greek Life students, and student athletes), as well as the campus at large and the surrounding community. A. Peer education - UH Wellness advises a registered student organization of peer educators (Cougar Peer Educators, CPE), whose mission is to promote, educate, and increase awareness of wellness to their peers. CPE students are members of the campus coalition, and have been involved in the creation of the marketing campaign (described below), serving as a focus group for various marketing ideas and messages. CPE officers have been trained to implement the IMAGE program as well as the CHOICES program (both described below). Additionally, CPE is trained in two programs (One in Four: The Men’s Program and One in Four: The Women’s Program) that target sexual assault prevention which often involves the use of alcohol or other drugs. B. Enforcement - UH Wellness has partnered with the UH Department of Public Safety (UHDPS) in an effort to increase enforcement of alcohol and drug laws and policies on campus. As a result, CPE students and Wellness staff have attended roll call briefings with the UHPD in order to update the officers of ongoing prevention efforts, as well as to receive input from and insight into the enforcement perspective. In order to commend UHDPS for their continued support, UH Wellness organized an appreciation ceremony this academic year (Fall 2009) to recognize the department as a whole, as well as one officer in particular for efforts at reducing underage drinking. In addition, using funds from the Texas Alcoholic Beverage Commission, UH Wellness (in FY 09) funded additional police officers at key home football games (including homecoming), and at an annual, high profile 3-day event which brings alumni back to campus. C. Campus Task Force - UH Wellness chairs the Substance Abuse Prevention Committee (a separate committee from the Substance Abuse Policy Review Committee), a standing committee comprised of staff, faculty, and students which reports directly to the Vice Chancellor for Student Affairs. This campus coalition is responsible for reviewing and providing recommendations related to the prevention efforts on campus. Several key campus stakeholders are members including: the Assistant Dean of Students (the Judicial Officer for all disciplinary cases), the Associate Director for Residential Life and Housing, the Associate Director for Athletics, a representative from UHDPS, a representative from Counseling and Psychological Services (CAPS), and an Advisor from Campus Activities (who maintains responsibility and oversight for Greek Life). Student representatives include members of the Student Government Association and officers of the peer educator student group. The committee has been essential in terms of both implementation of individual components of the prevention program and feedback on the potential impact, receptivity, and feasibility of future efforts. Page 5 D. Community Coalition - In an effort to strengthen prevention efforts in the surrounding Houston community, UH Wellness re-instituted the Houston-Galveston Consortium in 2000. This community coalition is comprised of prevention personnel from institutions of higher education in the Houston and Galveston area who discuss issues related to alcohol and other drug issues as well as overall student wellness. The Consortium is exploring the possibility of standardizing assessment measures across member schools in order to initiate research initiatives. E. State and National Involvement – For two years, UHW not only participated in the annual Texas College and University Symposium (sponsored by Texas Alcoholic Beverage Commission and Office of Juvenile Justice and Delinquency Prevention), but has been an invited presenter. In addition, UH is a member of The Network, the national consortium of institutions of higher education (IHEs) sponsored by the Department of Education. Further, UHW presented at the U.S. Department of Education’s Alcohol, Drug, and Violence Prevention National Meeting in both 2006 and 2008, at the National Association of State Alcohol and Drug Abuse Directors (NASADAD) conference in 2009, and at the National Association of Student Personnel Administrators (NASPA) Alcohol and Mental Health Conference in 2010. III. Areas of Strategic Intervention A. Knowledge, Attitudes, Skills, Self-efficacy, Behavioral Intentions 1. Alcohol Poisoning Information: In an effort to increase students’ knowledge of the resources available on campus, and to reduce the likelihood of student inaction in the case of an alcohol poisoning situation, UH Wellness developed a wallet-sized card for distribution to the student body. This hard plastic card details alcohol poisoning on one side using a novel acronym (PUBS; Puking, Unconscious, Breathing, Skin). The other side of the card lists campus resources and encourages students to call “911” if they see someone evidencing the alcohol poisoning signs. The UH Department of Public Safety and the Department of Residential Life and Housing also purchased these cards to increase dissemination across campus. 2. Workshops: Counseling and Psychological Services (CAPS), University Health Services, UH Department of Public Safety (UHDPS), and UH Wellness conduct workshops providing information on alcohol and other drugs to the entire campus community. These units are also involved in providing information to specific target groups including athletics, residential life and housing, and Greek Life. The University Health Center also does the drug testing for student athletes on campus. B. Indicated Intervention and Treatment 1.CHOICES Program: Using NIAAA’s Tier One strategy of “combining cognitivebehavioral skills with norms clarification & motivational enhancement intervention”, UH Wellness has established the CHOICES group curriculum as a sanction option to refer students found to be in violation of campus policies. CHOICES is a brief alcohol prevention and harm reduction program that uses interactive journaling to provide Page 6 students with non-judgmental normative, psychological, and biological education about alcohol consumption. The CHOICES program is the group version of the Alcohol Skills Training Program (ASTP) which has been well-documented in terms of its efficacy in impacting college student drinking behavior. 2. MIP Course: UH Wellness staff have been trained and certified by the Texas Department of State Health Services to administer the Alcohol Education for Minors program, Minors in Possession (MIP) course. This is a six-hour course including an alcohol assessment, a required exit exam and individual 30-minute exit interview. It is the standardized state curricula for any minors who receive an alcohol-related citation, and is regulated by State Health Services. Topics covered in the course include social values, advertising, alcohol and young people, alcohol and accidents, laws, youth and drinking patterns, and decision-making. Upon completion of the Exit Interview, if it is determined that the student has significant alcohol use or requires additional intervention, he or she is referred by UH Wellness staff to Counseling and Psychological Services. 3. Marijuana 101 Exit Interviews: The Dean of Students Office and UH Wellness have arranged to have Marijuana 101, an online intervention related to marijuana and its effects (as well as personalized feedback), as an option for marijuana violations on campus. UHW staff provide the exit interview required as part of this intervention. 4. Referral: Individualized clinical work with students falls under the pervue of Counseling and Psychological Services (CAPS). CAPS may see clients with alcohol and other drug issues at this on-campus counseling center, or they may refer to local treatment centers, hospitals, or other care providers for more intensive work with alcohol and other drug issues. CAPS also offers campus wide screening events including National Alcohol Screening Day. Additionally, the Dean of Students Office determines referrals for alcohol and drug violations, often referring students to treatment options discussed above or to CAPS for clinical assessment and potential treatment or referral. C. Environmental Change 1. Normative Environment: As mentioned previously, UH Wellness was a participant in the national Social Norms Marketing Research Project conducted by EDC from 2000 to 2004. More recently (2007-2009), UHW implemented two social norms marketing campaigns in an effort to impact the normative environment. The first campaign was marketed towards underage students, while the second was more generalized and applies to the larger student body. a. “Academics Over Alcohol” – Campus-wide survey data has indicated that 91% of students who reported intentionally making academics a priority over alcohol also reported having a grade point average (GPA) of 3.0 or above. This was chosen as the abstinence-supporting norming message, and was evaluated by student focus groups utilizing peer educators as well as subsequent intercept interviews with students on campus. With funding from the TABC in 2007 and 2008, promotional items with the logo, message, and tag line (“Academics Over Alcohol”) were created and distributed Page 7 including rally towels for Homecoming, posters, advertisements in the campus newspaper, iPod wraps (“skins”), and license-plate frames. In 2009, campus-wide survey data indicated that greater exposure to the campaign had a significant impact on alcohol frequency (F=9.8, p<.001), quantity (F=3.92, p<..02), alcohol-related negative consequences (F=3.78, p<.02), and upon actually making academics a priority (F=18.30, p<.001). b. “Educated Choices” - This campaign was designed as a traditional social norming campaign to correct misperceptions among the entire student body about campus drinking norms. Data from the 2006 campus-wide survey indicated that 80% of students typically drink 0 to 2 drinks per week. Hence, the tag line “UH students are making Educated Choices” was created. A layered marketing approach was utilized in the campaign, as teaser posters were disseminated across campus and two weeks later were replaced with the full logo, tag line, and message. The “0 to 2” drinks per week has held as a campus norm according to campus-wide surveys in 2009 and 2010, and the norm is provided as part of the feedback portion of the IMAGE session. D. Health Protection 1. Intent and Motivation: Alcohol Group Session (IMAGE) - The centerpiece of University of Houston’s alcohol prevention program is the IMAGE intervention. By incorporating personalized feedback using motivational interviewing techniques (a recognized Tier I strategy), correction of misperceptions, promotion of self-protective behaviors, and fostering intention to change, this intervention is a unique combination of theory and practice. In addressing these issues, the program actually encompasses the first three areas of strategic intervention as outlined by HEC in the EEP (general prevention, environmental change, and health protection strategies; U.S. Department of Education, 2007). The intervention is comprised of the following elements: a. Cohort Selection: This program is designed to provide cohorts of students with direct feedback regarding their drinking, their perceptions of their peers’ drinking behavior, and actual campus drinking patterns. This works best with groups of students who share a commonality – residence hall floors, athletic teams, fraternities, sororities, and so on – so that students receive feedback about not only the norms of the campus at large, but also about their cohort (students to whom they feel connected and similar). By receiving aggregate data about their group, students are able to internally compare their individual drinking behavior with that of their cohort, in a non-threatening way. This can be empowering (if their self-reported drinking is lower than group patterns), eye-opening (if their self-reported drinking is higher than group patterns), or reinforcing (if their selfreported drinking is similar to group patterns); each of these scenarios is addressed using Motivational Interviewing28 techniques. Similarly, the group as a whole can compare its drinking patterns with that of the larger student body. UHW has targeted traditionally higher-risk groups (including Greek Life fraternities and sororities, student athletes, and first year residential floors) to implement the intervention to date. b. Assessment: In order to evaluate whether the program is effective in impacting student behavior, the researchers utilized a non-equivalent comparison group repeated measures design. Page 8 1. Pre-test: Prior to a session, students are asked to complete an anonymous brief survey which assesses their typical frequency (occasion per month) and quantity (drinks per week) of alcohol use, as well as perceptions of their peers’ drinking. This data is compiled and analyzed prior to the session. Students are asked to generate a unique code on the pre-test (last four numbers of their student identification number and the first three letters of their last name) such that their responses remain anonymous but can be tracked across time. 2. Post-Test: Post-tests are administered at the close of each session. In order to maintain discrete data, students are asked again to supply their unique code. Students are asked to identify campus frequency and quantity norms (to check for a correction in perception). Then, students are asked to recall and identify one self-protective behavior they will implement into their lifestyle. The remaining items measure intent to change, self-efficacy of changing, outcome expectancies of implementing the behavior, and perception of obstacles to change. 3. Follow-Up: At 1-month and 6-months following the intervention, a follow-up assessment is administered to each cohort to identify each participant’s self-reported frequency and quantity, as well as whether they accurately retained normative information. These assessments also examine the extent to which students implemented their chosen self-protective behaviors, the perceived impact of implementing the behavior, and any obstacles faced. In order to maintain data integrity, students use the same unique code provided on previous assessments. c. Interactive Discussion: Once the session itself begins, UHW staff engage the cohort in a discussion during which students identify examples of high-risk drinking and then (with the assistance of the facilitator) generate a list of self-protective behaviors. [It is important to note that UHW defines under-age consumption as a “high-risk behavior,” and as such, includes an emphasis that underage consumption is illegal and against school policy (thus is high-risk by definition). Specifically, UHW condones a “no illegal or high-risk use” message by defining underage drinking as a high-risk behavior, and then encouraging students to avoid all high-risk behaviors through the use of corresponding self-protective behaviors, enabling UH to bridge the gap seamlessly between abstinencebased and risk-reduction philosophies of prevention without alienating the audience.] Included in the discussion of self-protective behaviors are both abstinence-supporting behaviors (including making academics a priority over alcohol, acting as a designated driver, and intentionally not drinking so as to make better decisions) and harm-reduction behaviors (such as limiting the number of drinks consumed, staying hydrated, and eating food before drinking). Also reviewed in this discussion are alcohol poisoning symptoms and steps to take in the event of an alcohol emergency; PUBS cards are distributed, as well. d. Personalized Feedback: Following this discussion, personalized feedback is given based upon the cohort’s pre-test responses, as well as normative data from the campuswide survey. In order to visually represent this feedback, the group is shown three groupings of bottles (either on a PowerPoint slide or printed image). Students are asked which grouping best represents “the average number of drinks consumed by a typical student AT THIS SCHOOL in a typical week.” As expected, students typically overestimate their peers’ use and indicate the grouping with the largest number of bottles. Page 9 The actual campus norm is then revealed, as well as noting the percentage of UH students who report not drinking at all in a typical week. Students are then asked which grouping best represents “the average number of drinks consumed by a typical student IN THIS GROUP in a week.” Again, as expected, students overestimate their group’s use; the actual group norm is revealed, again noting the percentage of students in the group who report not drinking at all in a typical week. Finally, it is explained that the remaining grouping of bottles (most often the largest) represents this group’s overestimation of campus drinking behavior. This process is then repeated focusing on frequency norms. The strength of the feedback component in IMAGE comes from the processing that UHW staff facilitate following the revelation of each cohort norm. Although the campuswide normative information is important (specifically for students who are in precontemplation of changing their drinking behavior), students tend to connect on a personal-level with cohort-based feedback. Specifically, by learning the drinking patterns of their cohort, to whom they see themselves as similar, students are able to compare and evaluate their own drinking patterns. Additionally, the discussion facilitated by UHW staff centers on how the cohort norms impact the group as a whole, which is especially powerful if the cohort norms are higher than campus-wide drinking patterns. Cohorts are asked to describe the potential risks for the group if they have members who are drinking excessively, and prompting questions are asked to increase the cognitive dissonance between where the group wants to be functioning and where they are currently (for example, “What does your group stand to lose if drinking continues this way?”). The role of the facilitator in this setting is to promote discussion among the cohort members utilizing Motivational Interviewing28 skills to encourage the group to make connections on their own between drinking patterns and repercussions, not to be judgmental of the behavior or shaming to the group. Similar discussions are facilitated when the cohort norms are at or below campus-wide drinking patterns, and tend to be reinforcing in nature, but still center on how the group sees itself and how it wants to be perceived by others. 2. Fresh Start Program – University of Houston Wellness staff have been trained by the American Cancer Society to facilitate the Fresh Start education and prevention program. Participants in the program are provided information about the impact of tobacco on the body, options for smoking cessation, physical symptoms of withdrawal from smoking, as well as the benefits of not smoking. Other topics which are covered are stress management and nutrition/weight issues. IV. Prevention Program Goals & Goal Achievement A. Goal One: To utilize research-based intervention 1. To initiate innovative programming for students a. Action item: Administer MIP for students (effectiveness measures to include maintaining annual certification, and an increase by 10% per year in numbers served until maximum capacity is reached) Page 10 Progress: From August 2008 to May 20, 2009, a total of 70 participants have completed the MIP program, while 80 participants completed the MIP program from 2007 to 2008. Participation has lowered slightly. There is a new Dean of Students for discipline and contact has been made to strengthen referrals for this program. Certification by the State has been continued. b. Action item: Utilization of small group feedback into alcohol education, (effectiveness to include increase by 10% for use of peers in providing programming) Progress: During Fall 2010 a graduate student and undergraduate intern, with the assistance of student interns and peer educators facilitated over 50% of the IMAGE sessions. 2. To infuse research into intervention modalities a. Action item: Implementation of pre- and post-tests for IMAGE interventions (effectiveness measure to include 90 % of participants indicating the adoption of a self protective behavior as indicated on post- tests for the group; effectiveness to include 90% of participants who identified a self protective behavior indicate actual implementation of the behavior as reported in one month follow up assessment) Progress: When asked to make a statement of intent on post-tests, 96.9% of IMAGE participants indicated an intention to adopt a self-protective behavior. At the one-month follow-up period, 93% of participants indicated having implemented the self-protective behavior they previously selected (including “slightly” to “very”). b. Action item: Facilitate completion of campus-wide wellness survey (effectiveness measures to include return rate that allows for 1,000 participants from population survey; endorsement of survey by Residential Life and Housing, Athletics, and Campus Activities to implement smaller group surveys) Progress: A campus wide survey for 2009 resulted in 4093 surveys that were useable for the drug and alcohol prevention program. . Additionally, surveys were given to student athletes, Greek Life, and residential students such that the drug and alcohol data for these subpopulations could be utilized. B. Goal Two: To provide comprehensive wellness programming 1. To provide multi-tiered programming by targeting identified substance abusers, high risk student groups, and the general student population a. Action item: Serve as referral clearinghouse for campus departments who interact with identified substance abusers, including Dean of Student’s Office, Counseling Page 11 and Psychological Services, and Health Center (effectiveness measure to include bi-annual updating of community resource list and website search engine) Progress: The community resource list was updated in summer 2009 and will be again summer 2010. The UH Wellness search engine, and the entire UHW website will be updated summer 2010. b. Action item: Conduct small group social norming (IMAGE) intervention with high risk student groups, including first-year students, athletes, and Greek-life students (effectiveness measure to include an increase by 5% in the number of participants for IMAGE sessions) Progress: Staff were able to implement the IMAGE intervention at a higher rate in FY 10 than in prior years. Total participants for IMAGE for fall and spring is currently 897 and with the two sessions set for later this spring, that total would exceed 925. Last year’s total was 750. Additionally, UHW staff will facilitate the IMAGE session for all incoming freshmen living in the new freshmen housing, Cougar Village in August 2010. c. Action item: Identify environmental management strategies for the university (effectiveness to include training of RAs at least once per year on enforcement, policies, laws, and alcohol poisoning) Progress: A training was conducted for RAs on alcohol enforcement, policies, and poisoning during FY09. Training of orientation team leaders who interact with incoming freshmen was conducted in spring 2009. 2. To decrease drinking by students, with specific measures for underage students as well as for the general student population, as evidenced by: a. Action Item: Analyze impact of IMAGE session on frequency and quantity of alcohol consumption as well as negative consequences from alcohol consumption (effectiveness: individuals who report attending a session will be statistically more likely to consume on fewer occasions (frequency), consume fewer drinks (quantity),and experience fewer negative consequences than their counterparts who do not attend the sessions as measured at a .05 level of significance) Progress: A multiple logistic regression was conducted examining the impact of session attendance upon drinking less than once a week (target behavior for frequency). Students who had participated in IMAGE were 1.67 times more likely than students who did not attend a session to drink less than once a week (p<.06, eB=1.67, Wald = 3.44). Interestingly, an even stronger effect was found on UNDERAGE students, with underage students who attended an IMAGE session being 4.26 times more likely to drink less than once a week Page 12 than underage students who did not attend a session (p<.01, eB=4.26, Wald = 9.98). Similarly, a statistically significant impact of session attendance on quantity of use was found with underage students. Specifically, a multiple logistic regression was conducted examining the impact of session attendance upon drinking 2 or fewer drinks per week (target behavior for quantity). Underage students who participated in IMAGE were 3.30 times more likely to drink 2 or fewer drinks per week than underage students who had not participated in a session (p<.01, , eB=3.30, Wald = 6.13 ). The significance upon quantity was limited only to underage students, however; there was not a statistically significant impact of session attendance upon quantity in the population as a whole as evidenced by the logistic regression. However, a Chi Square analysis was conducted on the existing data comparing reported pre-test and 1-month follow-up frequency and quantity of alcohol use by IMAGE participants. There was a statistically significant difference (χ2= 102.05, p<001) between self-reported drinking frequency pre-treatment and one month-post treatment, as well as a statistically significant difference (χ2= 81.37, p<001) between self-reported drinking quantity pre-treatment and one month-post treatment. This suggests that the IMAGE session did, in fact, impact participant frequency and quantity. However, as there is no control group comparison, the researchers are unable to make causal statements of impact. A multiple logistic regression was conducted examining the impact of session attendance upon alcohol-related negative consequences. Students who had not participated in an IMAGE session were 1.86 times more likely to experience negative consequences than students who did attend the session (p<.02, eB=1.862, Wald = 5.874). Thus, participation in the IMAGE session has continued to have a statistically significant impact upon negative alcoholrelated consequences. Interestingly, IMAGE session participation had an even greater impact on UNDERAGE students. Specifically, underage students who did not attend an IMAGE session were 2.39 times more likely to experience negative consequences than underage students who did participate in IMAGE ((p<.02, eB=2.39, Wald = 5.076). b. Action Item: Assess impact of prevention programming targeting underage drinking as a high risk behavior (effectiveness measure to include 70% of underage students at UH indicating that they typically consume zero drinks in a week, measured on the campus wide survey; effectiveness also to include 75% of students who attend IMAGE sessions identify an abstinence based self protective behavior as reported on the post test and on the campus wide survey) Progress: In the 2009 Campus Wide Survey, 76.6% of underage students reported that they drink zero drinks per week (782 students out of 1095). Page 13 Of the underage IMAGE participants, 23.3% identified an abstinencebased self-protective behavior on the post-test that they planned to implement. Interestingly, data from the 1-month follow-up surveys indicated that 33.3% of underage IMAGE participants actually implemented an abstinence-supporting self-protective behavior. Of those, 91% reported the extent to which they implemented the behavior from “slightly” to “very.” c. Action Item: Implementation of pre- and post-tests for IMAGE interventions (effectiveness measure to include 90 % of participants indicating the adoption of a self protective behavior as indicated on post- tests for the group; effectiveness to include 90% of participants who identified a self protective behavior indicate actual implementation of the behavior as reported in one month follow up assessment). Progress: When asked to make a statement of intent on post-tests, 96.9% of IMAGE participants indicated an intention to adopt a self-protective behavior. At the one-month follow-up period, 93% of participants indicated having implemented the self-protective behavior they previously selected (including “slightly” to “very”). V. Prevalence Rates A. Campus-wide Survey Data: A campus wide survey was distributed in 2006, 2008, and 2010. Following is a comparison summary of that data. As can be seen, most prevalence remained consistent, with one exception: an increase in the percentage of underage students who report drinking no alcohol in a typical week. Substance Marijuana Illegal Substances (other than marijuana) Prescriptions (other than as prescribed) Frequency Never in the past year Several times a week to daily Never in the past year Once a week or more Never in the past year Once a week or more Page 14 2006 Data 2008 Data 2010 Data 85% 3% 88% 3% 87% 3% 95% 1% 89% <1% 95% <1% 90% <1% 96% <1% 90% 1% Substance Alcohol Alcohol (underage students) Tobacco Frequency 2006 Data 2008 Data 2010 Data Never in the past 30 days Less than once a week (includes “never”) Once a week or more 35% 80% 40% 80% 42% 79% 20% 57% 11% 77% 21% 79% 83% 10% 85% 8% 85% 7.5% No alcohol in a typical week Never in the past 30 days Once a week or more This number was incorrectly reported last year; instead of being “once a week or more” the number which was reported was “more than once a week” or more – it would have been 23% B. CAPS Student Self-report Data: Counseling and Psychological Services maintains a confidential database which includes questions on alcohol and other drugs. Below are two tables. The first is a summary of their findings for September 1, 2008 to August 31, 2009. The second table is a summary of September 1, 2009 to April 12. 2010 9/1/08-8/31/09 CAPS Intake Data How well each item describes the student during Percentage midpoint the past two weeks, from and below (0 to 3 ) not at all (0) to extremely well (4) I use drugs more than I 95.8% should. I drink alcohol frequently. Percentage above midpoint (3 to 4) 88.5% 91.5% I drink more than I should. 4% 11% 8.3% Felt the need to reduce your alcohol or drug use Others have expressed concern about your alcohol or drug use. Received treatment for alcohol or drug use Never 72.3% 79.8% 95.3% Prior to college 3.5% 2.8% 1.1% After starting college 12.8% 10% 1.5% Both 9.1% 5.4% .6% If and when student reports the following experiences: Page 15 9/1/09-4/12/10 CAPS Intake Data How well each item describes the student during Percentage midpoint the past two weeks, from and below (0 to 3 ) not at all (0) to extremely well (4): I use drugs more than I should. I drink alcohol frequently. I drink more than I should. Percentage above midpoint (3 to 4) 96.1% 3.5% 92.1% 93.4% 7.6% 6.1% Felt the need to reduce your alcohol or drug use Others have expressed concern about your alcohol or drug use. Received treatment for alcohol or drug use Never 70.5% 80.5% 94.1% Prior to college 3.7% 3.2% 1.0% After starting college 16.2% 9.2% 2.3% Both 7.1% 4.9% .5% If and when student reports the following experiences: C. UHPD Citation Information: University of Houston Police Department maintains a database of crime-related activity on campus. Below is a summary of arrests for both drug and alcohol arrests from calendar years 2008 and 2009. It is important to note that although UHDPS facilitates the arrest process, there are many points of referral into the judicial system, including Residential Life and Housing staff, faculty and staff referral, and of course, the officers themselves. Nature of the Violation (Drug-Related) Possession of Marijuana Possession of Drug Paraphernalia Possession of Controlled Substance Smell of Marijuana Page 16 Number of Arrests 1/1/08 to 12/31/08 Number of Arrests 1/1/09 to 3/31/09 54 14 35 6 17 11 10 26 Nature of the Violation (Alcohol-Related) Number of Arrests 1/1/08 to 12/31/08 Number of Arrests 1/1/09 to 3/31/09 Open Container Minor in Possession of Alcohol Furnishing Alcohol to a Minor 3 53 4 0 27 6 D. Dean of Students Judicial Summary: Judicial referrals are made to the Dean of Students from many areas on campus including UHDPS, Residential Life and Housing, faculty, and staff. Below is a summary of cases referred to the Dean of Students office from calendar years 2008-2009 to 2009-2010 (incomplete year at time of reporting).. Please note that there is likely overlap between the above table from UHDPS and this data, as most of the police arrests are subsequently referred to the Dean of Students office for sanctioning. Nature of the Violation Manufacture, Distribution, Sale, Offer for Sale, or Possession of Controlled Substances or Drug Paraphernalia Unauthorized Use of Alcoholic Beverages Public Intoxication Number of violations 09/01/08 to 08/31/09 Number of violations 09/01/09 to 05/01/10 21 16 Male 5 Female 11 9 Male 2 Female 42 25 Male 17 Female 15 9 Male 6 Female 36 27 Male 9 Female 13 10 Male 3 Female Page 17 VI. Evaluation of Prevention Programming: Program Impact Campus-wide surveys have been implemented by UHW from academic years 2001 to 2004 (Survey of College Alcohol Norms and Behavior, EDC); academic year 2006 (Holistic Life Questionnaire with customized questions, National Wellness Institute); and a campus specific instrument for each academic year from 2007 to 2010. As such, UHW has documented data from the most recent surveys (2009 and 2010) as well as data from one and six month follow-ups of IMAGE participants. The trend data for UH is noted in the previous section. Additionally, however, UHW has implemented a research driven alcohol prevention program (IMAGE) with the results reported below: In the past academic year, UHW utilized a non-equivalent control group repeated measures design (a quasi-experimental approach) to assess program impact for alcohol use. Based on the strength of the non-equivalent groups design, UHW evaluated the effectiveness of IMAGE by conducting analyses that utilized two separate comparison groups. The first, which was a planned comparison included in the logic model, compared students who self-identified on the campus-wide survey as IMAGE participants by providing their unique code (the treatment group) with students who completed the same campus-wide survey and self-identified as non-IMAGE participants (the comparison group). The second non-equivalent comparison group was formed naturally by IMAGE cohort students who completed a pre-test, but never participated in the IMAGE session, and then later completed a 1-month and/or 6-month follow-up assessment. Thus, analyses were conducted which compared IMAGE participants (who completed pre-test, post-test, and 1-month and/or 6-month follow-up assessments) with student members of the IMAGE cohort groups who were not exposed to the treatment but completed baseline and follow-up assessments. 1. Campus-wide Survey Comparison Group: A. Alcohol Frequency - Participation in the IMAGE session was found to be statistically significant upon frequency of alcohol use based upon campus-wide survey data. Specifically, students who self-identified on the campus-wide survey as IMAGE participants (treatment group) were compared to students who self-identified as nonIMAGE participants (comparison group). A binary logistic regression was conducted examining the impact of session attendance upon drinking less than once a week (target behavior for frequency). Students who had participated in IMAGE were 1.67 times more likely than students who did not attend a session to drink less than once a week (p<.06, eB=1.67, Wald = 3.44). Interestingly, an even stronger effect was found on UNDERAGE students, with underage students who attended an IMAGE session being 4.26 times more likely to drink less than once a week (including not drinking at all) than underage students who did not attend a session (p<.01, eB=4.26, Wald = 9.98). Thus, participation in IMAGE statistically increased the odds that IMAGE participants would drink less often than students who did not participate in IMAGE. Page 18 B. Alcohol Quantity - Similarly, a statistically significant impact of session attendance on quantity of use with underage students was found, when comparing IMAGE versus non-IMAGE students using campus-wide survey data. Specifically, a binary logistic regression was conducted examining the impact of session attendance upon drinking 2 or fewer drinks per week (target behavior for quantity). Underage students who participated in IMAGE were 3.30 times more likely to drink 2 or fewer drinks per week than underage students who had not participated in a session (p<.01, eB=3.30, Wald = 6.13). (The significance upon quantity was limited only to underage students, however; there was not a statistically significant impact of session attendance upon quantity in the population as a whole as evidenced by the logistic regression.) Additionally, a separate binary logistic regression was conducted examining the impact of session attendance upon abstinence. Students who participated in IMAGE were 1.53 times more likely to report drinking 0 drinks in a typical week than students who did not participate in a session (p<.10, eB=1.534, Wald=2.74). Thus, participation in IMAGE statistically increased the odds that IMAGE participants would drink fewer drinks per week (including none at all) than students who did not participate in IMAGE. C. Alcohol-related Negative Consequences – Finally, a statistically significant impact of session attendance on alcohol-related negative consequences was found, when comparing IMAGE versus non-IMAGE students using campus-wide survey data. A binary logistic regression was conducted examining the impact of session attendance upon alcohol-related negative consequences. Students who had not participated in an IMAGE session were 1.86 times more likely to experience negative consequences than students who did attend the session (p<.02, eB=1.862, Wald = 5.874). Again, IMAGE session participation had an even greater impact on UNDERAGE students. Specifically, underage students who did not attend an IMAGE session were 2.39 times more likely to experience negative consequences than underage students who did participate in IMAGE (p<.02, eB=2.39, Wald = 5.076). Thus, participation in IMAGE statistically increased the odds that students would experience fewer negative consequences than students who did not participate in IMAGE. To summarize the campus-wide survey comparison group results, IMAGE was found statistically significant in impacting alcohol frequency, quantity and negative consequences; this clear indication of the success of IMAGE directly demonstrates the impact of the intervention upon student drinking behavior when comparing IMAGE participants with non-participants. 2. IMAGE Cohort Comparison Group: A. Non-equivalent group considerations – As mentioned above, the natural comparison group was formed by cohort students who completed a pre-test, but never participated in the IMAGE session, then later completed a 1-month and/or 6-month follow-up assessment. A selection bias threat to internal validity existed since the comparison group was not randomly assigned and potentially self-selected out of the treatment session, however a Chi Square analysis established a lack of significant difference between comparison and treatment group. By establishing that the cohort comparison group was not significantly different from IMAGE participants on these key variables, researchers were able to minimize the selection bias threat to internal validity Page 19 and proceed with analyses comparing their similar cohort counterparts who did not participate in IMAGE. B. Univariate relationships - Prior to conducting the analysis, responses were collapsed into binary categories in order to maintain adequate cell sizes for the procedure. Then, to examine the univariate relationships, Chi-Square analyses were executed comparing the IMAGE sample’s self-reported frequency and quantity to that of the comparison group. A statistically significant reduction was found between pre-test and 6-month alcohol quantity for IMAGE participants (χ2= 15.93, p<.001), while the comparison group reported only slight quantity reductions (χ2= 2.83, p=.092). Thus, participation in IMAGE resulted in stronger reductions in quantity of use for participants than for nonparticipants. At the pre-test time point there was no statistical difference between the IMAGE sample and the comparison group in terms of frequency (χ2= 2.14, p=.199). However, the IMAGE sample increased their on target behavior (drinking less than once a week) following the intervention, while the comparison sample decreased drinking at the on target level (see Chart 1). This represents the strongest evidence that the treatment had a causal effect in a quasi-experimental design, as the most common threats to internal validity (including selection maturation, selection regression, selection bias, history, and testing) do not apply as evidenced by the treatment group’s improvement and the comparison group’s deterioration. Thus, although statements of causation are more often associated with randomized experimental designs, results such as these when found in quasi-experimental designs indicate the strongest possible likelihood that the treatment (IMAGE) actually caused the subsequent change in behavior. 90 % On Target for Frequency Chart 1. 85 80 IMAGE 75 Comparison 70 65 Pre‐test 6‐Month To summarize, then, participation in IMAGE had a statistically significant impact upon reductions in both frequency and quantity in the univariate sense which were maintained 6 months post-treatment, and comparisons indicate that participation in IMAGE resulted in the changes seen in the treatment group across time. C. Multivariate effects - In order to examine multivariate effects, a repeated measures binary logistic regression (Generalized Estimating Equations, GEE, analysis) Page 20 was conducted examining the impact of gender, session attendance, and extent of selfprotective behavior implementation upon 6-month alcohol frequency resulting in further confirmation of statistical significance of the impact of IMAGE. Specifically, IMAGE sample participants were 2.73 times more likely to drink on target (less than once a week) than the comparison cohort group which did not participate in IMAGE (QICC=233.70, Wald =2.805, p<.10, eB=2.73). At the multivariate level the impact of session attendance on alcohol quantity was non-significant. Thus, based on these results, participation in the IMAGE program clearly resulted in significantly reduced frequency and quantity by participants, because comparable cohort students who did not participate in the program did not experience such changes in behavior. VII. Summary of Prevention Program Strengths and Weaknesses/Challenges The strength of the prevention program at the University of Houston continues to be based on its use of NIAAA strategies, the comprehensive and collaborative nature of the approach, and its evidence based, research driven interventions. The University of Houston has built a strong internal network between departments and among professional staff on campus in an effort to promote substance abuse prevention on campus. Representatives from UH Wellness, Counseling and Psychological Services, UH Health Center, Residential Life and Housing, the Department of Athletics, Campus Activities, UH Department of Public Safety as well as faculty and student representation meet regularly as part of the Substance Abuse Prevention Committee. Higher administration is also involved in this network as a result of meetings of the Substance Abuse Policy Review Committee. Additionally student organizations, primarily Cougar Peer Educators (CPE), are involved in prevention programming and activities on the UH campus. They are actively involved in the prevention activities of UH Wellness and they develop and implement their own programming on campus and in the community. Finally, UH Wellness collaborates with area consortiums focused on substance abuse prevention. Secondarily, UH Wellness, the unit which focuses much of its effort on substance abuse prevention, not only utilizes programs that are based on the most current research and theory related to prevention, but also documents its effectiveness in a variety of ways. The campus wide survey, along with pre and post tests and follow up assessments administered as part of the alcohol abuse prevention program, have allowed us to collect data on quantity and frequency of use as well as associated negative consequences. The data also suggests a relationship between the alcohol intervention and these constructs. The most challenging aspect of the UH prevention effort comes from the difficulty in reaching all students, given we are a large urban institution of 37,000 students. It is also difficult to impact local servers of alcohol and/or advertising of alcohol to the campus community. UH is located in a large urban community, with close to 200 bars and restaurants serving alcohol within a five mile radius of campus. These establishments can Page 21 advertise through the campus newspaper. The very nature of being located within such a large community makes environmental impacts in this area more difficult. Challenges will increase as the university moves toward more residential housing. However, the university has been proactive in that UHW has been meeting regularly with the staff of the new freshman housing (Cougar Village) opening next fall. UHW has been requested to implement the IMAGE program for all students residing in the new freshman housing facility. Additionally, conversations continue as there has been an increase in implementation of IMAGE for Greek Life students and, as of this semester, each athletic team will have participated as cohort groups in the IMAGE intervention within the past three years. VIII. Recommendations for Revising Prevention Program The prevention program at the University of Houston has made great progress in the past few years. We have data which demonstrates positive trends on campus and we have strengthened our collaborative efforts. In terms of recommendations, the Substance Abuse Prevention Committee has made several recommendations which are under consideration. First, the committee has supported the presentation of the IMAGE program during orientation for undergraduate students. Although orientation is located within a new division this year, conversations with the new orientation staff have been initiated. Second, the committee has recommended the use of a case manager to follow more complex cases related to alcohol and other drugs on campus. A committee has been established to review students who may fall into this category. UH Wellness is also exploring options for drug prevention efforts that offer an opportunity to evaluate outcomes in these areas to the same extent as they are able to do with alcohol prevention. Page 22 Drug-Free Schools and Campuses Regulations (EDGAR Part 86) Summary Biennial Report 2010 Part II: Review of the Alcohol and Other Drug Policy I. Members of the 2010 Biennial Policy Review Committee: Dr. Elwyn Lee Vice Chancellor/Vice President Student Affairs Division Diane Murphy Associate Vice President Student Affairs Division Dr. Gail Gillan Director for Learning Learning and Assessment Services Student Affairs Division Gaylyn Gaddy Maurer Outreach Counselor, UH Wellness Learning and Assessment Services Student Affairs Division Joan Nelson Executive Director Human Resources Department Administration and Finance Division Dona Cornell & Tom Tracy Legal Affairs and General Counsel Legal Affairs Division Melissa Abram & Myra Conley Assistant Deans of Students Student Affairs Division Javier Hidalgo Interim Executive Director Residential Life and Housing Student Affairs Division Patrick Daniel Executive Director Learning and Assessment Services Student Affairs Division Rosemary Grimmett Executive Director Research Services Division of Research Floyd Robinson Director Health Center Student Affairs Division Dr. Norma Ngo Director Counseling and Psychological Services Student Affairs Division Malcolm Davis Chief of Police Administration and Finance Division Dr. William Munson Assoc VP Student Development/DOS Student Affairs Division Page 23 II. Policy Review Recommendations The Policy Review process was efficient and there was representation from departments within student affairs, human resources, grants and contracts, and legal counsel to the university. The primary recommendations were as follows: 1. In lieu of specific statistics that change over time, the policy continues to include a link to the Higher Education Center website which updates these statistics regularly (this change was made in the 2008 review). 2. Some minor changes in wording were made, but no major policy changes were made. 3. It was determined that Human Resources and Student Affairs would continue to co-facilitate this process. Page 24 III. Revised Alcohol and Other Drug Policy (as of May 2010) DRUG AND ALCOHOL ABUSE PREVENTION POLICY The University of Houston (the “University”) prohibits the unlawful possession, use, manufacture, or distribution of illicit drugs in the workplace, on the campus, or at any University activities. Penalties for violation of this policy are indicated below. The Dangers of Drug or Alcohol Abuse in the Workplace and on the Campus There are many employed individuals whose job performance and productivity are adversely affected by their progressive dependence on drugs or alcohol. Much of this cost is in lost wages, health care expenses, and workers compensation. Additionally, the impact of drug use and high risk alcohol consumption for college students can not be overlooked in terms of its cost to the individual students affected and the University. For specific information related to alcohol and other drug consumption and consequences, go to the Higher Education Center website at www.higheredcenter.org. 1. Definitions The following terms are defined for the purposes of this policy and are important for purposes of expressing the University’s policy on a drug-free workplace: a. Controlled Substance means a controlled substance in schedules I through V of section 202 of the Controlled Substances Act (21 U.S.C. 812), as further defined by regulations at 21 CFR 1300.11 through 1300.15, and as defined in the Texas Controlled Substances Act (Texas Health & Safety Code, 481.001 et seq). b. Contract means a legal instrument reflecting a relationship between the federal government and a recipient whenever the principal purpose of the instrument is the acquisition by purchase, lease, or barter, of property or services for the direct benefit or use of the federal government; or whenever an executive agency determines in a specific instance that the use of a type of procurement contract is appropriate. c. Conviction means finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the federal or state criminal drug statutes. d. Criminal drug statute means a federal or non-federal criminal statute involving the manufacture, sale, distribution, dispensation, use, or possession of any controlled substance. e. Employee means an individual receiving a salary, wages, other compensation and/or stipend support from the University. Page 25 f. Federal agency or agency means any United States executive department, military department, government corporation, government controlled corporation, or any other establishment in the executive branch (including the Executive Office of the President), or any independent regulatory agency. g. Grant means an award of financial assistance, including a cooperative agreement, in the form of money, or property in lieu of money, by a federal agency directly to a grantee. The term grant includes block grant and entitlement grant programs, whether or not exempted from coverage under the grants management government wide regulation (“Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments”). The term does not include technical assistance which provides services instead of money, or other assistance in the form of loans, loan guarantees, interest subsidies, insurance, or direct appropriations; or any veterans’ benefits to individuals; i.e., any benefit to veterans, their families, or survivors by virtue of the service of a veteran in the Armed Forces of the United States. h. Grantee means a legal entity which applies for or receives a grant or contract directly from a federal agency. i. Illicit drug use means the use, manufacture, sale, distribution, dispensation, or possessionof illegal drugs and the abuse of other drugs and alcohol. j. Student means an individual registered or enrolled for credit or non-credit in a course or program offered by the University or any of its units. k. University activities mean an activity officially sponsored by the University. l. Workplace means the physical boundaries of the University and facilities owned or controlled by the University. 2. Philosophy The unlawful use of drugs or alcohol is inconsistent with the behavior expected of members of the University community. The University is committed to the development and maintenance of a drug-free environment on the campus as well as an environment that prohibits the abuse of other drugs and alcohol and has a drug and alcohol abuse prevention system in operation, accessible to all members of the University community. The University is committed to the further expansion of that system and the dissemination of drug awareness information to the members of the University community. In addition, the University is committed to enforcing the provisions of the Drug Free Workplace Act of 1989 and believes that these acts and their implementation regulations provide a proper framework for the drug and alcohol abuse policies of the University. Page 26 3. Health Risks Outlined below is a listing of drugs of abuse and their health risks taken from the U.S. Drug Enforcement Administration website. A more complete and detailed accounting may be found at their website at www.usdoj.gov/dea/pubs/abuse/chart.htm Alcohol Alcohol (beer, wine, or liquor) has a high potential for physical and psychological dependence as well as resulting in increased tolerance. Possible effects include impaired memory, slurred speech, drunken behavior, slow onset, vitamin deficiency, and organ damage. Overdose may result in vomiting, respiratory depression, loss of consciousness, and possible death. Withdrawal may include trembling, anxiety, insomnia, vitamin deficiency, confusion, hallucinations, and convulsions. Females who drink alcohol during pregnancy may give birth to infants with Fetal Alcohol Syndrome. These infants have irreversible physical abnormalities and mental retardation. In addition, research indicates that children of alcoholic parents are at greater risk than other youngsters of becoming alcoholics. Alcohol use is often related to acquaintance rape and failure to protect oneself from sexually transmitted diseases (STDs). Additionally, alcohol-related accidents are the number one cause of death in the 16- to 24-year-old age group. Narcotics Narcotics (including heroin, morphine, hydrocodone, oxycodone, codeine, and others) have a high potential for both physical and psychological dependence as well as resulting in increased tolerance. The possible effects of using narcotics include euphoria, drowsiness, respiratory depression, constricted pupils, and nausea. Overdose may result in shallow breathing, clammy skin, convulsions, coma, and death. Withdrawal may include irritability, tremors, panic, nausea, chills, and sweating. Other Depressants Other depressants (including GHB or liquid ecstasy, valium, xanax, ambien, and barbituates) have a potential for both physical and psychological dependence as well as resulting in increased tolerance. The possible side effects include slurred speech, disorientation, appearance of intoxication, and impaired memory. Overdose may result in shallow respiration, clammy skin, dilated pupils, weak and rapid pulse, coma and possible death. Withdrawal may include anxiety, insomnia, tremors, delirium, convulsions, and possible death. Page 27 Stimulants Stimulants (including cocaine, methamphetamine, and methylphenidate) have a possible risk of physical dependence and high risk for psychological dependence. Tolerance can develop in all stimulants. The possible side effects include increased alertness, excitation, euphoria, increased pulse rate and blood pressure, insomnia, and decreased appetite. Overdose may result in agitation, increased body temperature, hallucinations, convulsions, and possible death. Withdrawal may result in apathy, long periods of sleep, irritability, depression, and disorientation. Hallucinogens Hallucinogens (including MDMA, LSD, Phencyclidine, and others) are less likely to result in physical dependence, with the exception of phencyclidines and analogs, and vary in terms of psychological dependence, ranging from none to moderate (MDMA) to high (phencyclidine and analogs). Tolerance can develop. Possible effects include heightened senses, teeth grinding, and dehydration (MDMA and analogs) and hallucinations, altered perception of time and distance in other types of hallucinogens. Overdose may result in increased body temperature and cardiac arrest for MDMA and more intense episodes for LSD. Some hallucinogens may result in muscle aches and depression when in withdrawal (MDMA) or may result in drug seeking behavior. Cannabis Cannabis includes marijuana, tetrahydrocannabinol (THC), and hashish or hashish oil. All may result in moderate psychological dependence with THC resulting in physical dependence. Tolerance can develop in all forms. Possible effects include euphoria, relaxed inhibitions, increased appetite, and disorientation. Overdose may result in fatigue, paranoia, and possible psychosis. Withdrawal may occasionally result in insomnia, hyperactivity, and decreased appetite. Anabolic Steroids Anabolic Steroids (including testosterone and others) may result in psychological dependence. Less is known as to their potential for physical dependence and increased tolerance levels. Possible effects may include virilization, edema, testicular atrophy, gymecomastia, acne, and aggressive behavior. Effects of overdose are unknown. Withdrawal may possibly include depression. Inhalants Inhalants (including amyl and butyl nitrite, nitrous oxide, and others) vary in their level of psychological dependence, with less known about their potential for physical dependence and tolerance. Possible effects may include flushing, hypotension, and headache, impaired memory, slurred speech, drunken behavior, slow onset, vitamin deficiency, and organ damage. Overdose may result in methemoglobinemia, vomiting, Page 28 respiratory depression, loss of consciousness, and possible death. Withdrawal may result in agitation, trembling, anxiety, insomnia, vitamin deficiency, confusion, hallucinations, and convulsions. 4. Penalties for Violation of the Policy The University policy prohibiting the unlawful possession, use, or distribution of illicit drugs and/or alcohol on the campus and at University-sponsored events held off campus protects and supports the employees and students of the University of Houston. Any employee admitting to or convicted of the unlawful possession, use, or distribution of illicit drugs and alcohol on the campus or at university sponsored events held off campus, will be subject to disciplinary action (up to and including termination), may be referred for prosecution, and may be required to satisfactorily participate in a drug and alcohol assistance or rehabilitation program, as agreed upon between the employee and the Department of Human Resources. Further information concerning employee penalties is available from the Department of Human Resources at 713-743-5770 Any student admitting to or proven to have violated the University of Houston’s Student Disciplinary Policies and Procedures regarding the unlawful possession, use or distribution of illicit drugs and alcohol on campus or at university sponsored events (see Student Disciplinary Policies and Procedures Section) will be subject to disciplinary action (up to and including expulsion), may be referred for prosecution, and may be requested to satisfactorily participate in a drug and alcohol assistance or rehabilitation program. Further information concerning student penalties is available from the Dean of Students Office at 713-743-5470. In addition, there are penalties under Texas and federal law. For more information on the range of penalties, refer to the Dean of Students website at www.uh.edu/dos/publications/flyers.php. 5. Employee and Student Assistance Programs The University offers the following drug and alcohol abuse information, counseling, assistance and services: Information and Referral All members of the University community are eligible to consult with the professional staff of Counseling and Psychological Services (CAPS) regarding the availability of drug abuse assistance programs. Drug and alcohol abuse counseling and rehabilitation program referrals are routinely made to mutual help organizations, private hospitals, public treatment programs, and private drug treatment practitioners. CAPS also maintains a collection of resource materials pertinent to issues of drug abuse. In addition, UH Wellness, the campus wide education and Page 29 prevention program, provides education and prevention on alcohol/drug abuse and related concerns for the University community and maintains a library of materials on substance use and abuse. Individual Counseling Individuals are seen on a short-term basis for assistance with drug-related problems. However, it is likely CAPS will make a referral for alcohol and drug dependence. This service is available to students at no charge. Faculty and staff are able to receive shortterm evaluation and referral for such services. Group Counseling There is an Alcoholics Anonymous (AA) chapter which meets on campus periodically. When unavailable on campus, referrals can be made to local AA or Narcotics Anonymous (NA) chapter meetings with the Greater Houston Community. This service is free to University of Houston students, faculty, and staff. You can also call AA Intergroup at 713-686-6300 to get a referral to an AA group meeting near you. Psycho-Educational Programs On a periodic basis, group programs focusing on the development of strengths and skills related to the effective management of drug related problem areas are offered by Counseling and Psychological Service and UH Wellness. These programs are open to University of Houston students, faculty and staff at no charge. UH Wellness offers an evidence based alcohol education intervention to student groups every semester. Additionally, a computer interactive program entitled Alcohol 101 Plus is available through UH Wellness. UH Wellness conducts exit interviews for students who complete the Marijuana 101 online workshop as a result of a disciplinary referral from the Dean of Students Office. UH Wellness also offers an approved Alcohol Education Course for Minors in Possession available to students who receive a court ordered citation or referrals from the Dean of Students Office or other campus departments. Mutual Health Groups Individuals can be assisted in forming groups like Alcoholics Anonymous and Alanon and information concerning these groups is maintained for dissemination to interested persons. Page 30 Houston Council on Alcoholism and Drug Abuse This community resource offers short-term counseling for anyone affected in any way by alcohol or other drug abuse. Trained alcohol and drug abuse counselors can help select a 12-step program (AA, Alanon, NA, Cocaine Anonymous (CA), etc.) and/or appropriate treatment. Their address is 3333 Eastside, 713-520-5502. Further information regarding these referrals may be secured from University of Houston Counseling and Psychological Services located in Room 226 of the Student Service Center, 713-743-5454. 6. Application of Policy The Drug and Alcohol Abuse Prevention Policy is supported by a drug-free awareness and alcohol education and prevention program available to the faculty, staff, and students of the University. Specific compliance and reporting items enumerated below (items b, c, d, e) are applicable to all persons employed on federal contracts and grants. In support of this policy, the University: a. has established a drug-free and alcohol abuse awareness program to inform its faculty, staff, and students about the dangers of drug and alcohol abuse in the workplace, the University’s policy of maintaining a drug free workplace and a workplace which prohibits the illicit use of alcohol, available drug and alcohol counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug and alcohol abuse violations. b. will provide each student and employee a copy of this policy. In addition, all faculty, staff, and students will be notified of this policy through appropriate publications. c. will notify each university employee and each student that, as a condition of employment on a federal grant or contract, the person, once so employed, must abide by the terms of the policy, and must notify his/her supervisor and the Department of Human Resources of any criminal drug statue conviction for a violation occurring in the workplace no later than five (5) days after such conviction. d. will notify the appropriate federal agency within ten (10) days after receiving notice of criminal drug statute conviction of any university employee engaged in performance of the grant or contract. e. will impose sanctions on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program, by any employee so convicted. Sanctions imposed on employees for violation of this policy may include suspension, suspension without pay and termination. f. will make a good faith effort to continue to maintain an environment that complies with the Drug-Free Workplace Act 1988 and the Drug-Free Schools and Communities Act Amendments of 1989. Page 31 g. will conduct a biennial review of its programs to assess their effectiveness, what changes need to be made, and to ensure the uniform application of sanctions to employees and students. 7. Implementation Implementation of this policy is a joint responsibility of the Department of Human Resources, the Division of Research, the Police Department, the Office of Financial Aid and the Division of Student Affairs. Notification of the program, including information about health risks and sanctions for violation of the policy, will be provided annually to students and employees. In addition, the University is committed to monitoring and assessing the effectiveness of this policy and its programs. A biennial review of this policy will be undertaken to determine its effectiveness and implement changes to the policy and its programs if they are necessary and to ensure that its disciplinary standards are consistently enforced. Page 32 Biennial Review Report 2008 IV. Procedures for Annual Policy Distribution This policy is distributed to all students (including transfer students) annually via e-mail in the text of the Student Handbook, as well as in hard copy. It is distributed to all faculty and staff through the annual required university training. A hard copy is given to new hires during orientation. The policy is also available through the Dean of Students website and the Human Resources website. Page 33