Needs assessment workbook J A N U A R Y 2 0 1 2 Wilder Research Information. Insight. Impact. Needs assessment workbook JANUARY 2012 Prepared by: Lida Gilbertson and Kristin Dillon Wilder Research 451 Lexington Parkway North Saint Paul, Minnesota 55104 651-280-2700 / www.wilderresearch.org Funding for workbook was provided by the Minnesota Department of Human Services, Alcohol and Drug Abuse Division. CONTENTS INTRODUCTION ........................................................................................................................ 1 Workbook overview ............................................................................................................... 1 1. Students reporting that they have had alcoholic beverages on 1 or more occasions during the last 30 days .......................................................................................................... 1 2. Students reporting that they have had five or more drinks in a row on at least one occasion during the last 2 weeks ........................................................................................... 3 3. Students reporting frequent binge drinking in the past year (typically drank 5 or more drinks at a time and drank on 10 or more occasions during the past year)* ........................... 5 Intervening variables ............................................................................................................. 7 1: RETAIL ACCESS/AVAILABILITY .......................................................................................... 8 1a.-1d. Liquor license rate per 100,000 population ................................................................ 9 1e. Compliance check failure rate ....................................................................................... 14 1f. Percent of outlets receiving Responsible Beverage Server Training within the last year .............................................................................................................................. 15 1g. Number of responsible beverage server trainings and people trained ........................... 16 1h. Students reporting they bought alcohol, if they used alcohol in the last 30 days ............ 18 1i. Students reporting use of a fake ID, if they bought alcohol in the last 30 days ................ 20 1j. Students reporting they got someone else to buy for them, if they used alcohol in the last 30 days ................................................................................................................... 21 1k-1l. Adults perception of where youth buy alcohol ............................................................ 22 Retail access/availability summary ...................................................................................... 23 2: SOCIAL ACCESS/AVAILABILITY ....................................................................................... 25 2a. Students accessing alcohol from parents, if they used alcohol in the last 30 days ......... 26 2b. Students accessing alcohol from friends, if they used alcohol in the last 30 days .......... 27 2c. Students accessing alcohol from other family members, if they used alcohol in the last 30 days ......................................................................................................................... 28 2d. Students taking alcohol from home, if they used alcohol in the last 30 days ....................... 30 2e. Students taking alcohol from friends’ home, if they used alcohol in the last 30 days ...... 31 2f. Students getting alcohol at parties, if they used alcohol in the last 30 days ......................... 32 2g-2j. Adults’ perception of where youth get alcohol ............................................................ 33 2k-2l. Adult beliefs about youth alcohol use......................................................................... 34 2m-2n. Appropriate age-of-first-drink: Adults’ perceptions ................................................... 35 2o. Social Host Ordinance instituted.................................................................................... 36 2p. Youth perceptions of ease of obtaining alcohol ............................................................. 37 Needs assessment workbook | Wilder Research CONTENTS (continued) 3: ENFORCEMENT AND COURTS.......................................................................................... 41 3a-3c. Number of alcohol-related citations issued ............................................................... 42 3d-3e. Number of adult provider court charges.................................................................... 43 3f. Laws and policies in place in communities ........................ Error! Bookmark not defined. 3g. Policies in place in schools ............................................... Error! Bookmark not defined. 3h. Training for law enforcement on alcohol issues ............................................................. 44 3i-3m. Adult beliefs about enforcement ............................................................................... 48 Enforcement summary ........................................................................................................ 50 4: COMMUNITY NORMS ......................................................................................................... 52 4a. Students’ perception that alcohol or drug use is a problem at school............................. 53 4b. Adults’ perception of how many days most youth in grades 9-12 in their community had one or more drinks of an alcoholic beverage in the past 30 days .................................. 54 4c-4l. Adult beliefs and perceptions about youth alcohol use............................................... 55 Community norms summary................................................................................................ 57 5: INDIVIDUAL FACTORS ....................................................................................................... 58 5a. Youth perception of parents’ or guardians’ disapproval ................................................. 59 5b. Youth perception of harm from binge drinking ............................................................... 60 5c. Alcohol perceived to be less harmful than other drugs ................................................... 61 5d. Age of first drink ............................................................................................................ 63 5e. Primary source of information about alcohol .................................................................. 64 5f. Students reporting that alcohol use by any family member repeatedly caused family, health, job, or legal problems ................................................................................... 68 5g. Students reporting that, during the last 12 months, they have talked with at least one parent about the dangers of tobacco, alcohol or drug use ................................................... 69 Individual factors summary .................................................................................................. 70 6: PROMOTION/PRICING ........................................................................................................ 71 6a-6b. Advertisements for alcohol at local events/alcohol-related sponsors at local events ......................................................................................................................... 71 Promotion/pricing summary ................................................................................................. 72 Needs assessment workbook | Wilder Research CONTENTS (continued) APPENDICES........................................................................................................................... 74 Appendix A: Protocol for collecting information about Responsible Beverage Server Trainings ............................................................................................................................. 75 Appendix B: Protocol for collecting information about alcohol advertising at community events ............................................................................................................... 78 Appendix C: Youth web survey ........................................................................................... 82 Appendix D: Analyzing and reporting open-ended question responses ............................... 85 Appendix E: Accessing secondary (existing) data sources .................................................. 87 Minnesota Student Survey .................................................................................................. 88 MN DPS Alcohol and Gambling Enforcement Division Liquor License Database ............... 90 American FactFinder ........................................................................................................... 90 Appendix F: Locating Minnesota Student Survey Tables ..................................................... 92 Appendix G: Minnesota Liquor License Codes and Descriptions ......................................... 93 Appendix H: References ..................................................................................................... 96 Appendix I: Journal Article ................................................................................................... 97 Needs assessment workbook | Wilder Research FIGURES 1a. Students reporting that they have had alcoholic beverages at least once during the last 30 days: Onamia ................................................................................................................ 2 1b. Students reporting that they have had alcoholic beverages at least once during the last 3 0 days: Isle ......................................................................................................................... 2 2a. Students reporting that they have had five or more drinks in a row on at least one occasion during the last 2 weeks: Onamia.......................................................................... 4 2b. Students reporting that they have had five or more drinks in a row on at least one occasion during the last 2 weeks: Isle ................................................................................ 4 3a. Students reporting frequent binge drinking: Onamia ........................................................... 6 3b. Students reporting frequent binge drinking: Isle .................................................................. 6 4. On-sale liquor licenses ..................................................................................................... 10 5. Off-sale liquor licenses ..................................................................................................... 12 6. On-off-sale combination liquor licenses ............................................................................ 12 7. Tribal council issued liquor licenses.................................................................................. 13 8. Number of responsible beverage server trainings and people trained during the last year ........................................................................................................................... 16 9a. Students reporting they bought alcohol if they used alcohol in the last 30 days: gas stations or convenience stores, bars or restaurants, or stores: Onamia ..................... 18 9b. Students reporting they bought alcohol if they used alcohol in the last 30 days: gas stations or convenience stores, bars or restaurants, or stores: Isle ............................ 18 10a. Students reporting they bought alcohol if they used alcohol in the last 30 days: internet: Onamia ............................................................................................................... 19 10b. Students reporting they bought alcohol if they used alcohol in the last 30 days: internet: Isle...................................................................................................................... 19 11a. Students reporting use of a fake id, if they bought alcohol in the last 30 days: Onamia .... 20 11b. Students reporting use of a fake id, if they bought alcohol in the last 30 days: Isle ........... 20 12a. Students reporting they got someone else to buy for them, if they used alcohol in the last 30 days: Onamia ........................................................................................................ 21 12b. Students reporting they got someone else to buy for them, if they used alcohol in the last 30 days: Isle............................................................................................................... 21 13. Adults’ perception of where youth buy alcohol .................................................................. 22 14a. Students accessing alcohol from parents, if they used alcohol in the last 30 days: Onamia ............................................................................................................................ 26 14b. Students accessing alcohol from parents, if they used alcohol in the last 30 days: Isle ....... 26 15a. Students accessing alcohol from friends, if they used alcohol in the last 30 days: Onamia ............................................................................................................................ 27 15b. Students accessing alcohol from friends, if they used alcohol in the last 30 days: Isle ........... 27 Needs assessment workbook | Wilder Research FIGURES (continued) 16a. Students accessing alcohol from other family members, if they used alcohol in the last 30 days*: Onamia ............................................................................................................. 28 16b. Students accessing alcohol from other family members, if they used alcohol in the last 30 days*: Isle.................................................................................................................... 28 17a. Students taking alcohol from home, if they used alcohol in the last 30 days: Onamia....... 30 17b. Students taking alcohol from home, if they used alcohol in the last 30 days: Isle ............. 30 18a. Students taking alcohol from friends’ homes, if they used alcohol in the last 30 days: Onamia .............................................................................................................. 31 18b. Students taking alcohol from friends’ homes, if they used alcohol in the last 30 days: Isle ..................................................................................................................... 31 19a. Students getting alcohol at parties, if they used alcohol in the last 30 days: Onamia ........ 32 19b. Students getting alcohol at parties, if they used alcohol in the last 30 days: Isle ............... 32 20. Adults perception of where youth get alcohol ................................................................... 33 21. Adult beliefs about youth alcohol use ............................................................................... 34 22. Appropriate age-of-first-drink: adults’ perceptions............................................................. 35 23. Youth survey results ......................................................................................................... 38 24. Top ten most frequent responses to “how do you think young people are getting alcohol?” ............................................................................................................... 38 25. Number of alcohol-related citations given ........................................................................ 42 26. Number of adult provider court charges ........................................................................... 43 27. Adult beliefs about enforcement ....................................................................................... 50 28a. Students’ perception that alcohol or drug use is a problem at school: Onamia ................. 53 28b. Students’ perception that alcohol or drug use is a problem at school: Isle ........................ 53 29. Adults’ perception of how many days most youth had alcohol in the past 30 days............ 54 30. Pcn community readiness survey results .......................................................................... 56 31. Youth perception of parents’/guardians’ disapproval or strong disapproval: Onamia ........ 59 31. Youth perception of parents’/guardians’ disapproval or strong disapproval: Isle ............... 59 32a. Youth perception of harm from binge drinking: Onamia .................................................... 60 32b. Youth perception of harm from binge drinking: Isle ........................................................... 60 33a. Alcohol perceived to be less harmful than other drugs: cigarettes: Onamia ...................... 61 34a. Alcohol perceived to be less harmful than other drugs: marijuana: Onamia ...................... 61 33b. Alcohol perceived to be less harmful than other drugs: cigarettes: Isle ............................. 62 34b. Alcohol perceived to be less harmful than other drugs: marijuana: Isle............................. 62 Needs assessment workbook | Wilder Research FIGURES (continued) 35a. Age of first drink: 13 years and younger: Onamia ............................................................. 63 35b. Age of first drink: 13 years and younger: Isle .................................................................... 63 36a. Primary source of information about alcohol: friends or peers: Onamia ............................ 64 37a. Primary source of information about alcohol: parents: Onamia ......................................... 64 38a. Primary source of information about alcohol: school, teachers, or counselors: Onamia .... 65 39a. Primary source of information about alcohol: tv/radio/magazines/newspapers/books: Onamia ............................................................................................................................ 65 40a. Primary source of information about alcohol: religious/community groups:* Onamia ........ 65 36b. Primary source of information about alcohol: friends or peers: Isle ................................... 66 37b. Primary source of information about alcohol: parents: Isle................................................ 66 38b. Primary source of information about alcohol: school, teachers, or counselors: Isle........... 66 39b. Primary source of information about alcohol: tv/radio/magazines/newspapers/books: Isle . 67 40b. Primary source of information about alcohol: religious/community groups*: Isle ............... 67 41a. Students reporting that alcohol use by any family member repeatedly caused family, health, job, or legal problems: Onamia ............................................................................. 68 41b. Students reporting that alcohol use by any family member repeatedly caused family, health, job, or legal problems: Isle .................................................................................... 68 42a. Students reporting that, during the last 12 months, they have talked to at least one parent (or guardian) about the dangers of tobacco, alcohol, or drug use: Onamia ..... 69 42b. Students reporting that, during the last 12 months, they have talked to at least one parent (or guardian) about the dangers of tobacco, alcohol, or drug use: Isle ............ 69 Needs assessment workbook | Wilder Research INTRODUCTION INTRODUCTION Workbook overview The ultimate goal of the current alcohol, tobacco, and other drug (ATOD) prevention grant is to reduce alcohol use among youth. Youth use alcohol for many different reasons. This grant aims to create a comprehensive approach to prevention that addresses the reasons that are most prevalent in your community. Many evidence-based ATOD prevention models and interventions exist, and it can be challenging to decide which model will be most effective for a given community. To select the most appropriate prevention approach, it is critical to have a comprehensive understanding of the community’s needs. A community needs assessment can help local stakeholders identify and prioritize their assets and needs and, in turn, inform the selection of interventions. The purpose of this workbook is to help you complete a comprehensive needs assessment in your own community. Please fill out Tables 1, 2, and 3 below with information about youth alcohol use in your community. This information is intended to serve as a reference as you progress with the rest of the workbook. 1. Students reporting that they have had alcoholic beverages on 1 or more occasions during the last 30 days What source do I use? The Minnesota Student Survey Table 31 for 2001 and 2004, and in Table 29 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 1 for the years 2001 and 2004 with the percentages for each grade and gender that responded “1-2,” “3-5,” “6-9,” “10-19,” “20-39,” and “40+” to the question “On how many occasions (if any) have you had alcoholic beverages to drink during the last 30 days?” For each grade and gender, you will need to add together the percentages of youth that answered “1-2,” “3-5,” “6-9,” “10-19,” “20-39,” and “40+” to get the total percentage of youth that have had alcohol on one or more occasions in the last 30 days. 1 Needs assessment workbook | Wilder Research INTRODUCTION Fill in Table 1 for the years 2007 and 2010 with the percentages for each grade and gender that responded “1 or 2 days,” “3 to 5 days,” “6 to 9 days,” “10 to 19 days,” and “20 to 29 days” to the question “During the last 30 days, on how many days did you drink one of more drinks of an alcoholic beverage?” For each grade and gender, you will need to add together the percentages of youth that answered “1 or 2 days,” “3 to 5 days,” “6 to 9 days,” “10 to 19 days,” and “20 to 29 days” to get the total percentage of youth that have had alcohol on one or more days in the last month. 1a. Students reporting that they have had alcoholic beverages at least once during the last 30 days: Onamia 2001 2004 2007 2010 26% 21% 22% 19% 6th Grade 31% 21% 17% 19% 9th Grade 41% 32% 51% 29% 12th Grade 53% 45% 39% 44% Statewide Onamia 1b. Students reporting that they have had alcoholic beverages at least once during the last 30 days: Isle 2004 2007 2010 Statewide 21% 22% 19% Isle 19% 26% 14% 6th Grade 6% 6% 6% 9th Grade 24% 26% 24% 12th Grade 38% 68% - 2 Needs assessment workbook | Wilder Research INTRODUCTION 2. Students reporting that they have had five or more drinks in a row on at least one occasion during the last 2 weeks What source do I use? The Minnesota Student Survey Table 31 for 2001 and 2004, and in Table 29 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. 3 Needs assessment workbook | Wilder Research INTRODUCTION Special instructions Fill in Table 2 with the percentages for each grade and gender that responded “Once,” “Twice” “3-5 times” “6-9 times” and “10 or more times” in 2001 and 2004 or “Once,” “Twice” “3-5 times” and “6 or more times” in 2007 and 2010 to the question “Over the last 2 weeks, how many times (if any) have you had five or more drinks in a row?” For each grade and gender, you will need to add together the percentages of youth that answered “Once,” “Twice” “3-5 times” “6-9 times” and “10 or more times” in 2001 and 2004 or “Once,” “Twice” “3-5 times” and “6 or more times” in 2007 and 2010 to get the total percentage of youth who have had five or more drinks in a row on at least one occasion in the past 2 weeks. 2a. Students reporting that they have had five or more drinks in a row on at least one occasion during the last 2 weeks: Onamia 2001 2004 2007 2010 26% 26% 23% 19% 9th Grade 31% 27% 34% 18% 12th Grade 38% 39% - 38% Statewide Onamia 2b. Students reporting that they have had five or more drinks in a row on at least one occasion during the last 2 weeks: Isle 2004 2007 2010 Statewide 26% 23% 19% Isle 24% 26% 18% 9th Grade 15% 15% 18% 12th Grade 37% 48% - 4 Needs assessment workbook | Wilder Research INTRODUCTION 3. Students reporting frequent binge drinking in the past year (typically drank 5 or more drinks at a time and drank on 10 or more occasions during the past year)* What source do I use? The Minnesota Student Survey Table 27 for 2001 and 2004, and in Table 25 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. 5 Needs assessment workbook | Wilder Research INTRODUCTION Special instructions Fill in Table 3 with the percentages for each grade and gender that are in the “Yes” row for the variable “Frequent binge drinking in the past year (typically drank 5 or more drinks at a time and drank on 10 or more occasions during the past year.” 3a. Students reporting frequent binge drinking: Onamia 2001 2004 2007 2010 9% 8% 6% 5% 9th Grade 26% 21% 16% 6% 12th Grade 24% 38% - 19% Statewide Onamia 3b. Students reporting frequent binge drinking: Isle 2004 2007 2010 Statewide 8% 6% 5% Isle 8% 16% 6% 9th Grade 4% 8% 6% 12th Grade 14% 29% - *Note that this is a computed variable based on combinations of responses to two or more survey items 6 Needs assessment workbook | Wilder Research INTRODUCTION Intervening variables Intervening variables are factors that have been identified through research as influencing substance use patterns in a community. These factors can alter how much alcohol is consumed in a community. By exploring these variables, your community will be able to address underage alcohol use with appropriate and targeted strategies (NH Risk and Protective Factor Toolbox, 2008). Based on what we know from the literature and data that has already been collected, the intervening variables were grouped into the following categories: 1. Retail access/availability 2. Social access/availability 3. Enforcement 4. Community norms 5. Individual factors 6. Promotion/pricing Each intervening variable category is made up of many different indicators. The indicators included in this workbook were specifically selected for their relevance to youth substance use and the availability of local data. Each section of this workbook includes a definition of the intervening variable category, a list of the specific indicators measured as well as their sources, more specific instructions for accessing and documenting each indicator, and a reflection on the overall intervening variable category. Once this workbook is completed, the coalition will then prioritize the indicators and begin developing a comprehensive strategic plan. 7 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY INTERVENING VARIABLE 1: RETAIL ACCESS/AVAILABILITY Retail availability refers to how available alcohol is in your community and how easy it is to obtain. Studies have found that reduced retail availability is associated with lower alcohol consumption. Indicators such as liquor licenses per capita are positively correlated to alcohol consumption and drinking and driving among youth with driver’s licenses in particular. Responsible beverage service training programs have been found to reduce the likelihood of alcohol sales to minors. In general, when alcohol is easily accessible through retail outlets, consumption of alcohol increases (Birckmayer et al., 2004). The following indicators will help you assess the retail availability of alcohol in your community: Indicators Data sources 1a. On-sale liquor licenses per 100,000 population MN DPS Alcohol & Gambling Enforcement Division Liquor License Database: http://lapp.dps.state.mn.us/age/?118 1b. Off-sale liquor licenses per 100,000 population 1c. On-off-Sale combination licenses per 100,000 population 1d. Tribal council issued licenses per 100,000 population 1e. Compliance check failure rate Law enforcement data or results from grant-sponsored compliance checks 1f. Percent of outlets receiving Responsible Beverage Server Training Phone calls to eligible outlets 1g. Number of trainings and people trained Phone calls to eligible outlets 1h. Students reporting they bought alcohol (at gas stations or convenience stores, at bars or restaurants, at stores, or on the internet), if they used alcohol in the last 30 days Minnesota Student Survey 1i. Students reporting use of a fake ID, if they bought alcohol in the last 30 days 1j. Students reporting they got someone else to buy for them, if they used alcohol in the last 30 days 1k. Adults’ perception that youth buy alcohol in a store such as a liquor store, convenience store, supermarket, discount store or gas station 1l. Adults’ perception that youth buy alcohol at a bar or restaurant 8 Needs assessment workbook | Wilder Research PCN Community Readiness Survey 1 | RETAIL ACCESS/AVAILABILITY INDICATOR: 1a.-1d. Liquor license rate per 100,000 population What source do I use? Minnesota Alcohol and Gambling Enforcement Division Liquor License Database Where can I find it? http://lapp.dps.state.mn.us/age/LiquorDbSearch.aspx Special instructions 1. Instructions for using the website above, as well as license code descriptions, are located in Appendix G. 2. Click on the above link. Type in the name of your city in the “city” box. This will bring up all the liquor licenses for this city. 3. The first table below provides a list of on-sale license types. Using the information provided by the website, count the number of on-sale licenses of each type and fill in the table. 4. Add together the total number of on-sale licenses. 5. Write down the population of your city in the space below the table. To locate this information using American FactFinder, see Appendix E. 6. To get the rate of licenses per 100,000 people in your city, divide the total number of on-sale licenses by the population of your city and multiply by 100,000. EXAMPLE: In city X, there is a population of 7,200 people and 12 on-sale liquor licenses. The liquor license rate per 100,000 population in city X would be: Total licenses City population On-sale licenses per 100,000 population (licenses ÷ population) * 100,000 12 7,200 (12 / 7,200) * 100,000 = 166.67 1. Repeat this procedure for the following three tables: off-sale, on-off-sale combination, and tribal council issued 2. Then to get the total number of liquor licenses per capita, add the total number of licenses from each table together and divide by the population of your city. Put this number in the space below the tables. 9 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY 3. You will need to repeat steps 2-8 for each city in your community and add together to total number of licenses and total population for each city in the community to get the final results. 4. On-sale liquor licenses On-sale license type Number of licenses On-sale license type 3.2ONSS MWNONSL CLONSL MWNONSLSE CLONSLSE ONSL CLONSS ONSLWS CT3.2ONSS OH ONSS CTONSB ONSSCKSC CTONSL ONSSS CTONSLWS ONSSSE CTONSS I-2 O-2 Number of licenses I I W TMPONSL I=1 O=1 H=1 CTSEONSL TMPONSS I=4 CTSEONSLWS TP3.2ONSL CTSEONSS TPONSL MCLONSL TPONSS MCLONSS TRONSL MCLONSWS TRONSS MOONSL WNONSL MOONSS WNONSLSE CALCULATE: Total on-sale licenses (total of above columns) City population On-sale licenses per 100,000 population (licenses ÷ population) * 100,000 I=751 O=878 I=9 O=4 H=2 W=1 10 H=1691 W=206 I=1,198 O=455.58 H=118.27 W=485.44 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY 11 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY 5. Off-sale liquor licenses Off-sale license type Number of licenses Off-sale license type Number of licenses 3.2OFSL W OFSL O BROFSL OFSLFD BRPOFSL TMPOFSLWA CT3.2OFSL H-3 TP3.2OFSL CTOFSL IO TPOFSL MOOFSL CALCULATE: Total off-sale licenses (total of above columns) Isle 1 Onamia 2 Hillman-3 Wahkon-1 6. City population On-sale licenses per 100,000 population (licenses ÷ population) * 100,000 I-751 O-878 H1691 W-206 Isle=133.16 O=227.79 H=177.41 W=485.44 On-off-sale combination liquor licenses On-off-sale license type Number of licenses On-off-sale license type Number of licenses 3.2 CMBN CTCMBN I CMBN CTCMBS I=7 O=2 H=2 CMBNWS CTCMBWS CMBS O=1 H=2 W=2 CTSECMBS CT3.2 CMBN I MOCMBN 3.2 CMBN I=1 MOCMBS CALCULATE: Total on-sale licenses (total of above columns) City population I-10 O-3 H-4 W-2 12 Needs assessment workbook | Wilder Research On-sale licenses per 100,000 population (licenses ÷ population) * 100,000 I=1331.56 O=341.69 H=236.55 W=970.87 1 | RETAIL ACCESS/AVAILABILITY 7. Tribal council issued liquor licenses Not applicable Dry reservation Tribal council issued license type Number of licenses Tribal council issued license type TCMBN TONSL TCMBNWS TONSLWS TCMBS TONSS TOFSL TWNONSB TOFSLB3.2 TWNONSL Number of licenses TCMBN CALCULATE: Total on-sale licenses (total of above columns) City population On-sale licenses per 100,000 population (licenses ÷ population) * 100,000 CALCULATE TOTAL OF ALL LICENSES: Total from all tables (total of above columns) 13 City population Needs assessment workbook | Wilder Research On-sale licenses per 100,000 population (licenses ÷ population) * 100,000 1 | RETAIL ACCESS/AVAILABILITY INDICATOR: 1e. Compliance check failure rate What source do I use? Wilder Research will collect this data by calling law enforcement and asking about compliance checks completed in the past year. Where can I find it? Wilder Research will provide the information you need to answer the questions below. Special instructions Please use the results you receive from Wilder Research to answer the questions below. Number of retail establishments in community that sell alcohol Number of alcohol compliance checks conducted in the past year 0 Percent of establishments checked 0 Number of establishments passing the alcohol compliance checks NA Percent of establishments passing the alcohol compliance checks: NA 14 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY INDICATOR: 1f. Percent of outlets receiving Responsible Beverage Server Training within the last year What source do I use? Calls to eligible outlets in your community. Outlets are defined as any commercial establishment, including bars and restaurants, that serve alcohol. Where can I find it? You will gather this information through phone calls with each establishment in your community. There is a protocol for making these phone calls in Appendix A. Special instructions After calling all establishments in your community to gather this information, summarize the findings by answering the questions below. After calling all establishments in your community to gather this information, summarize the findings by answering the questions below. 1. Number of establishments that serve alcohol in your community 34 2. Number of establishments to which an information call was completed 33 3. Percent of all establishments in the community to which a call was completed (divide the answer to question 2 above by the answer to question 1 above) 97% 4. Number of establishments with at least one staff member who has received Responsible Beverage Server Training in the last year 10 5. Percent of all establishments called with at least one staff member who has received Responsible Beverage Server Training in the last year (divide the answer to question 4 above by the answer to question 2 above) 30% 15 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY INDICATOR: 1g. Number of responsible beverage server trainings and people trained What source do I use? Eligible outlets in your community. Outlets are defined as any commercial establishment, including bars and restaurants, that serve alcohol. Where can I find it? You will gather this information through phone calls with each establishment in your community. There is a protocol for making these phone calls in Appendix A. Special instructions After calling all establishments in your community to gather this information, summarize the findings by answering the questions below. 8. Number of Responsible Beverage Server Trainings and people trained during the last year 16 Outlet Number of trainings provided Blue Goose unofficial Diamond Daves unofficial Gousa electronics unofficial Little White Fish no Harbor Inn unofficial Twin Pines no none VFW 1836 online 4 bartenders Trailside 1 1 RBST Geno none none Bayview none none Trophys yes 1 RBST Rocky Reef none none Needs assessment workbook | Wilder Research Number of employees trained at all trainings 2 distributors 1 | RETAIL ACCESS/AVAILABILITY 17 Vets Club No No Izatys Not official Handbook training Be Las ******************** ***************** Muggs None None Wahkon Inn No No American Legion No No Hillman Bar and Grill Yes 4 Looney Bend No No Porky Pines Unofficial No Fiddle Stix Unofficial 10-12 Fisherman’s Wharf Unofficial Hideway Hill Yes Online 3 Isle Bowling No No Isle Munie Yes Liberty Beach Unofficial Castaways Unofficial Johnsons Portside County training MSA Yes RBST 4 Buzzies on the Bay Yes County Hunters point Yes County White Cap Yes Training in Gull lake Slippers no no TOTAL 10 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY INDICATOR: 1h. Students reporting they bought alcohol, if they used alcohol in the last 30 days What source do I use? The Minnesota Student Survey Table 32 for 2001 and 2004 and Table 31 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix F if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 9 with the percentages for each grade and gender that responded “Bought it at gas stations or convenience stores,” “Bought it at bars or restaurants,” and “Bought it at stores,” or “Bought it on the internet” to the question “If you used alcohol, how did you get it in the last 30 days?”* Fill in Table 10 with percentages for each grade and gender that responded “Bought it on the internet” to the question “If you used alcohol, how did you get it in the last 30 days?”* Note: This is not a standard variable in the Minnesota Student Survey, but was specifically requested for the purposes of this workbook. 9a. Students reporting they bought alcohol if they used alcohol in the last 30 days: Gas stations or convenience stores, bars or restaurants, or stores: Onamia 2001 2004 2007 2010 All P&I Communities Onamia 9th Grade 21% 7% 27% 20% 12th Grade 18% 27% - 7% 9b. Students reporting they bought alcohol if they used alcohol in the last 30 days: Gas stations or convenience stores, bars or restaurants, or stores: Isle * These variables were removed because fewer than 10 youth answered these questions and, therefore, their responses are not generalizable and may be identifiable. 18 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY 10a. Students reporting they bought alcohol if they used alcohol in the last 30 days: Internet: Onamia 2001 2004 2007 2010 1% 1% 1% 1% 9th Grade 5% 0% - 0% 12th Grade 0% 0% - 7% Statewide Onamia 10b. Students reporting they bought alcohol if they used alcohol in the last 30 days: Internet: Isle 2004 2007 2010 1% 1% 1% 9th Grade 0% 0% - 12th Grade 0% 7% - Statewide Isle *Question no longer asked of 6th graders 19 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY INDICATOR: 1i. Students reporting use of a fake ID, if they bought alcohol in the last 30 days What source do I use? The Minnesota Student Survey Table 32 for 2001 and 2004, and Table 31 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 11 with the percentages for each grade and gender that responded “Yes” to the question “If you bought alcohol in the last 30 days, did you use a fake 0ID?”* 11a. Students reporting use of a fake ID, if they bought alcohol in the last 30 days: Onamia 2001 2004 2007 2010 8% 8% 7% 6% 9th Grade 17% 0% 18% 0% 12th Grade 17% 0% - 11% Statewide Onamia 11b. Students reporting use of a fake ID, if they bought alcohol in the last 30 days: Isle 2004 2007 2010 8% 7% 6% 9th Grade 0% 0% 0% 12th Grade 33% 0% - Statewide Isle *Question no longer asked of 6th graders 20 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY INDICATOR: 1j. Students reporting they got someone else to buy for them, if they used alcohol in the last 30 days What source do I use? The Minnesota Student Survey Table 32 for 2001 and 2004, and Table 31 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 12 with the percentages for each grade and gender that responded “Got it by getting someone else to buy for me” to the question “If you used alcohol, how did you get it in the last 30 days?”* 12a. Students reporting they got someone else to buy for them, if they used alcohol in the last 30 days: Onamia 2001 2004 2007 2010 36% 38% 32% 29% 9th Grade 26% 47% 42% 50% 12th Grade 36% 55% - 21% Statewide Onamia 12b. Students reporting they got someone else to buy for them, if they used alcohol in the last 30 days: Isle 2004 2007 2010 38% 32% 29% 9th Grade 17% 22% 13% 12th Grade 63% 7% - Statewide Isle *Question no longer asked of 6th graders 21 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY INDICATOR: 1k-1l. Adults perception of where youth buy alcohol What source do I use? Positive Community Norms Community Readiness Survey Where can I find it? You will be given the results from this survey at the Positive Community Norms training in early May 2012. Special instructions Using the data that you get from Positive Community Norms, Fill in Table 13 with the percentages of adults who indicated they believe youth buy alcohol from: a. “A store such as a liquor store, convenience store, supermarket, discount store or gas station” b. 13. “A restaurant, bar or club” Adults’ perception of where youth buy alcohol Percent a. A store, such as a liquor store, convenience store, supermarket, discount store or gas station 5.3 b. A restaurant bar or club 4.1 22 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY Retail access/availability summary Please have all coalition members who helped compile the information in this section discuss the questions below and document the main points from this discussion. What did you learn about the retail access/availability of alcohol in your community by filling out this section? Was there anything you found particularly surprising or interesting? 23 Needs assessment workbook | Wilder Research 1 | RETAIL ACCESS/AVAILABILITY I was surprised at the disproportionally high number of alcohol licenses per 100,000 people; about 1,331 per 100,000 in Isle for example. However, the disproportionate number of licenses per community population really hit home when I broke it down that way. My communities have 16 on sale/ 7 off sale and 19 combinations on & off sale licenses for a total of 42 alcohol licenses. The population of my four communities is 3,526. That means there is one liquor licensee for every 84 people. Of the thirty three on-sale establishments I was able to contact 10 said at least one employee had been through responsible beverage server training in the past year which I don’t think is too bad after one year of the grant. What I found more surprising was the large number of establishments (10) who only offered some form of informal internal training. A first step may be to contact those establishments who only offer informal internal training and explain the benefits of an outside/ professional trainer. The last think I found surprising/ unusual is 9a Twelfth grade Onamia students (who reported drinking) stating they bought alcohol from a bar, restaurant or store dropped from 27% in 2004 to (no data in 2007) 7% in 2010. 24 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY INTERVENING VARIABLE 2: SOCIAL ACCESS/AVAILABILITY Social availability refers to how readily alcohol is accessed through social channels such as friends and relatives with no exchanges of money or goods. It also refers to alcohol that is made available at parties and other social events. Studies have shown that parties offer an opportunity for high-risk consumption of alcohol by minors and initiation of alcohol use for young adolescents. Additional studies have shown that the majority of alcohol consumed by youth is obtained through social sources and that younger youth rely on social sources of alcohol more than older youth (Birckmayer et al., 2004). The following indicators will be used to assess the social availability of alcohol in your community: Indicators Data sources 2a Minnesota Student Survey Students accessing alcohol from parents 2b. Students accessing alcohol from friends 2c. Students accessing alcohol from family members 2d. Students taking alcohol from home 2e. Students taking alcohol from friends’ homes 2f. Students getting alcohol at parties 2g. Adults’ perception that youth got someone else to buy them alcohol PCN Community Readiness Survey 2h. Adults’ perception that youth were given alcohol by their parents 2i. Adults’ perception that youth were given alcohol by someone other than their parents 2j. Adults’ perception that youth get alcohol by taking it from their home or a friend’s home 2k. Adult support for their community adopting a social host ordinance which makes it unlawful for adults to allow underage youth (other than their children) to drink alcohol in their home 2l. Adults’ belief that it is okay for high school youth to drink at parties if they don’t get drunk 2m. Adults reporting that they would allow their child to drink when younger than 21 2n. Adults reporting that they believe most other adults in the community would allow their child to drink when younger than 21 2o. Social Host Ordinance instituted Wilder Research policy analysis 2p. Youth perceptions of ease of obtaining alcohol Youth web survey 25 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2a. Students accessing alcohol from parents, if they used alcohol in the last 30 days What source do I use? The Minnesota Student Survey Table 31 for both 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 14 with the percentages for each grade and gender that responded “Got it from my parents” to the question “If you used alcohol, how did you get it in the last 30 days?” 14a. Students accessing alcohol from parents, if they used alcohol in the last 30 days: Onamia 2007* 2010 13% 13% Statewide Onamia 9th Grade 32% 40% 12th Grade 14% 14b. Students accessing alcohol from parents, if they used alcohol in the last 30 days: Isle 2007* 2010 13% 13% Statewide Isle 9th Grade Male 11% 12th Grade Female 0% 25% - *New response option in 2007 26 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2b. Students accessing alcohol from friends, if they used alcohol in the last 30 days What source do I use? The Minnesota Student Survey Table 32 for 2001 and 2004, and in Table 31 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 15 with the percentages for each grade and gender that responded “Got it from friends” to the question “If you used alcohol, how did you get it in the last 30 days?”* 15a. Students accessing alcohol from friends, if they used alcohol in the last 30 days: Onamia Statewide 2001 2004 2007 2010 66% 65% 65% 59% Onamia 9th Grade 68% 67% 47% 50% 12th Grade 82% 73% - 50% 15b. Students accessing alcohol from friends, if they used alcohol in the last 30 days: Isle Statewide 2004 2007 2010 65% 65% 59% Isle 9th Grade 67% 78% 12th Grade 75% 57% *Question no longer asked of 6th graders 27 Needs assessment workbook | Wilder Research 63% - 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2c. Students accessing alcohol from other family members, if they used alcohol in the last 30 days What source do I use? The Minnesota Student Survey Table 31 for both 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 16 with the percentages for each grade and gender that responded “Got it from other family members” to the question “If you used alcohol, how did you get it in the last 30 days?” 16a. Students accessing alcohol from other family members, if they used alcohol in the last 30 days*: Onamia Statewide 2007 2010 14% 13% Onamia 9th Grade 40% 11% 12th Grade 14% 16b. Students accessing alcohol from other family members, if they used alcohol in the last 30 days*: Isle Statewide 2007 2010 14% 13% Isle 9th Grade 11% 12th Grade 0% 38% - * Excluding 2001 and 2004 because “family members” in those years included parents, question not asked of 6th graders 28 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY 29 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2d. Students taking alcohol from home, if they used alcohol in the last 30 days What source do I use? The Minnesota Student Survey Table 32 for 2001 and 2004, and in Table 31 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 17 with the percentages for each grade and gender that responded “Took it from my home” to the question “If you used alcohol, how did you get it in the last 30 days?”* 17a. Students taking alcohol from home, if they used alcohol in the last 30 days: Onamia Statewide 2001 2004 2007 2010 19% 19% 19% 18% Onamia 9th Grade 11% 27% 12th Grade 9% 0% 21% 30% 0% 17b. Students taking alcohol from home, if they used alcohol in the last 30 days: Isle Statewide 2004 2007 2010 19% 19% 18% Isle 9th Grade 33% 11% 12th Grade 25% 0% *Question no longer asked of 6th graders 30 Needs assessment workbook | Wilder Research 38% - 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2e. Students taking alcohol from friends’ home, if they used alcohol in the last 30 days What source do I use? The Minnesota Student Survey Table 32 for 2001 and 2004, and in Table 31 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 18 with the percentages for each grade and gender that responded “Took it from a friend’s home” to the question “If you used alcohol, how did you get it in the last 30 days?” 18a. Students taking alcohol from friends’ homes, if they used alcohol in the last 30 days: Onamia Statewide 2001 2004 2007 2010 10% 9% 10% 8% Onamia 9th Grade 11% 33% 5% 40% 12th Grade 27% 9% - 7% 18b. Students taking alcohol from friends’ homes, if they used alcohol in the last 30 days: Isle Statewide 2004 2007 2010 9% 10% 8% Isle 9th Grade 17% 11% 12th Grade 13% 0% *Question no longer asked of 6th graders 31 Needs assessment workbook | Wilder Research 13% - 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2f. Students getting alcohol at parties, if they used alcohol in the last 30 days What source do I use? The Minnesota Student Survey Table 32 for 2001 and 2004, and in Table 31 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 19 with the percentages for each grade and gender that responded “Got it at parties” to the question “If you used alcohol, how did you get it in the last 30 days?”* 19a. Students getting alcohol at parties, if they used alcohol in the last 30 days: Onamia Statewide 2001 2004 2007 2010 48% 46% 41% 38% Onamia 9th Grade 53% 67% 12th Grade 55% 73% 26% 30% 43% 19b. Students getting alcohol at parties, if they used alcohol in the last 30 days: Isle Statewide 2004 2007 2010 46% 41% 38% Isle 9th Grade 50% 22% 12th Grade 50% 50% *Question no longer asked of 6th graders 32 Needs assessment workbook | Wilder Research 38% - 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2g-2j. Adults’ perception of where youth get alcohol What source do I use? Positive Community Norms Community Readiness Survey Where can I find it? You will be given the results from this survey at the Positive Community Norms training in early May 2012. Special instructions Using the data that you get from Positive Community Norms, Fill in Table 20 with the percentages of adults who indicated they believe youth access alcohol in the following ways: a. “Got someone else to buy it for them” b. “Given alcohol by their parents” c. “Given alcohol by someone other than their parents” d. “Taking it from their home or a friend’s home” 20. Adults perception of where youth get alcohol Percent a. Got someone else to buy it for them 93.4% b. Given alcohol by their parents 20.6% c. Given alcohol by someone other than their parents 78.6% d. Taking it from their home or a friend’s home 33 Needs assessment workbook | Wilder Research 79% 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2k-2l. Adult beliefs about youth alcohol use What source do I use? Positive Community Norms Community Readiness Survey Where can I find it? You will be given the results from this survey at the Positive Community Norms training in early May 2012. Special instructions Fill in Table 21 with the percentages of survey respondents who responded “Strongly agree” and “agree,” “Neither agree nor disagree,” and “Strongly disagree” and “Disagree” to the statements below. You will need to add together the percentages for “Strongly agree” and “Agree” and “Strongly disagree” and “Disagree.” a. “My community should adopt a local social hosting ordinance which makes it unlawful for adults to allow underage youth (other than their own children) to drink alcohol in their home.” b. “I believe it is okay for high school youth the drink at parties if they don’t get drunk.” 21. Adult beliefs about youth alcohol use Strongly agree/agree Neither agree nor disagree Strongly disagree/disagree a. My community should adopt a local social hosting ordinance which makes it unlawful for adults to allow underage youth (other than their own children) to drink alcohol in their home 45.3% 38.3% 16.6% b. I believe it is okay for high school youth the drink at parties if they don’t get drunk 11.7% 6.6% 81.8% 34 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2m-2n. Appropriate age-of-first-drink: Adults’ perceptions What source do I use? Positive Community Norms Community Readiness Survey Where can I find it? You will be given the results from this survey at the Positive Community Norms training in early May 2012. Special instructions Fill in Table 22 with the percentages of survey respondents who responded “15 or younger,” “16-17,” and “18-20” to the statements below. You will need to add together all of these percentages to get your total for under 21 years. a. “Whether or not you are a parent, at what age would you allow your child to first drink alcohol, other than for religious purposes?” b. “How do you think most adults (age 21 and older) in your community would respond to the same question: ‘At what age would you allow your child to first drink alcohol, other than for religious purposes?’” 22. Appropriate age-of-first-drink: Adults’ perceptions Percent indicating younger than 21 years a. Whether or not you are a parent, at what age would you allow your child to first drink alcohol, other than for religious purposes? 44.2% b. How do you think most adults (age 21 and older) in your community would respond to the same question: “At what age would you allow your child to first drink alcohol, other than for religious purposes?” 62.7% 35 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2o. Social Host Ordinance instituted What source do I use? Wilder Research will collect this information from local law enforcement on your behalf. Where can I find it? Wilder Research will help compile this information for the purposes of this workbook. We will provide information on how to gather this information at a future training. Special instructions Please use the results you receive from Wilder Research to answer the question below. Is there a Social Host Ordinance in effect in your community? 36 Needs assessment workbook | Wilder Research Yes X No 2 | SOCIAL ACCESS/AVAILABILITY INDICATOR: 2p. Youth perceptions of ease of obtaining alcohol What source do I use? Wilder Research will work with your coalition to conduct a web survey to collect this data from youth. Where can I find it? Wilder Research will provide links to this survey in Survey Monkey. You will be able to access your own data at any time. The protocol for this survey will be posted on EvaluATOD. See Appendix C to preview the survey. Special instructions Fill in Table 23 with the percentages of survey respondents who responded “1,” “2,” “3,” “4,” and “5” to the questions: a. “On a scale from 1 to 5 with 1 being “very easy” and 5 being “very difficult,” how easy do you think it is for young people to get alcohol in your community?” b. “On a scale from 1 to 5 with 1 being “not a problem at all” and 5 being “a very big problem,” how much of a problem do you think underage drinking is in your community?” c. “On a scale from 1 to 5 with 1 being “not at all important” and 5 being “extremely important,” how important do you think reducing underage drinking is to the adults in your community?” Your “N” will be the total number of people who answered each question. 37 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY 23. Youth survey results a. How easy do you think it is for young people to get alcohol in your community? N=94 b. How much of a problem do you think underage drinking is in your community? N=94 c. How important do you think reducing underage drinking is to the adults in your community? N=92 Very easy Very difficult 1 2 3 4 5 20.2% 37.2% 26.6% 12.8% 3.2% Not a problem at all A very big problem 1 2 3 4 5 4.3% 13.8% 28.7% 34% 19.1% Not at all important Extremely important 1 2 3 4 5 5.4% 10.9% 43.5% 18.5% 21.7% Fill in Table 24 with the top ten most frequent responses to the question “how do you think young people are getting alcohol?” Please see Appendix D for instructions on how to analyze and report open-ended question responses. 24. Top ten most frequent responses to “how do you think young people are getting alcohol?” 1. From Older Friends 6. Other Relative 2. Parents 7. Access 3. Adults 8. Other Friends parents 4. Older Sibling 9. Buy at the store 5. Stealing 10. Served at Bar 38 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY Social access/availability summary What did you learn about the social access/availability of alcohol in your community by filling out this section? Was there anything you found particularly surprising or interesting? The two main reasons cited for where youth are getting alcohol older friends and parents prevailed in frequency. I thought it was interesting that so many parents in the community were giving access of alcohol to their children. There was some interesting/ eye opening information in this section. First, it is not surprising that more 9th graders get their alcohol from home/ parents than 12th graders. What was a bit surprising was that adult survey respondent’s felt 20% of kids get their alcohol from parents (a significantly lower percentage than other sources). This may be a significant teachable moment with parents, especially when it comes to alcohol availability in the home with younger kids (9th). Another interesting stat was that although strong support for a social host ordinance was less than 50% (45%) there seemed to be a large number of respondents in the undecided (neither agree or disagree) category (38%). Even if 2/3 of the “undecided” respondents could be convinced that a social host ordinance would be a good thing that would increase those in favor of a social host ordinance to nearly 75%. Anecdotally I have heard that in some cases where social host ordinances met strong opposition or did not pass o voters/ policy makers did not having accurate information regarding social host. Perhaps a first step to sway some undecided about social host to support it would be an information/ education campaign. Lastly I was a bit surprised by the large percentage of respondents who said they would let their child drink alcohol before they were 21: 44%. It would be very interesting to find out why such a large percentage feel this is okay. 39 Needs assessment workbook | Wilder Research 2 | SOCIAL ACCESS/AVAILABILITY 40 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS INTERVENING VARIABLE 3: ENFORCEMENT AND COURTS Studies have shown that as the perceived likelihood of being detected, arrested, or cited for violations increases, compliance increases. Consistent enforcement of ATOD laws, along with penalties for sales, has been found to reduce underage drinking, whereas as lack of adequate penalties is found to be associated with increased underage drinking (Birckmayer et al., 2004). The following indicators will be exampled to explore enforcement of ATOD regulations and laws in your community: Indicators Data Sources 3a. Number of underage consumption citations issued Law enforcement data 3b. Number of adult provider tickets issued 3c. Number of citations of social host ordinance 3d. Number of adult provider charges Court data 3e. Number of adult provider court convictions 3f. Laws and policies in place in communities Wilder Research policy review 3g. Policies in place in schools 3h. Training for law enforcement on alcohol issues Interview or survey with law enforcement 3i. Adults’ belief that community high schools should enforce policies which restrict participation in activities and athletics for students found guilty of underage drinking Positive Community Norms Community Readiness Survey 3j. Adults’ belief that local law enforcement agencies should strongly enforce laws regulating alcohol use by youth under age 21 3k. Adults’ perception that local law enforcement agencies do strongly enforce laws regulating alcohol use by youth under age 21 3l. Adults’ belief that adults who supply alcohol to youth under age 21 in violation of Minnesota law should be arrested and prosecuted 3m. Adults’ perception that adults in my community who supply alcohol to youth under age 21 in violation of Minnesota law are arrested and prosecuted 41 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS INDICATOR: 3a-3c. Number of alcohol-related citations issued What source do I use? For the purposes of this workbook you will use the data you collect from law enforcement to submit to Wilder Research for the quarter ranging from January to March 2012. Note: You will need to collect this data on an ongoing basis, but only one quarter will be included in this workbook. Where can I find it? You can find this information on the data collection form you submitted to Wilder Research. Special instructions Fill in the Table 25 below based on the information on citations that you collected from law enforcement and submitted to Wilder Research. 25. Number of alcohol-related citations given Youth Number Number of underage consumption citations issued for youth under 18 8 Number of underage consumption citations for youth 18 to under 21 6 Adult providers Number Number of adult provider citations/complaints (“long-forms”) issued MN Statute 340A.503 Subd 2(1); 340A.503 Subd 2(3); or 340A.702 Subd 8 Missing Social host ordinance Number Number of citations for violations of social host ordinance Note: Please skip if no social host ordinance is in place in your community. 42 Needs assessment workbook | Wilder Research NA 3 | ENFORCEMENT AND COURTS INDICATOR: 3d-3e. Number of adult provider court charges What source do I use? Court data collected by Wilder Research from the Minnesota Court Administrator’s Office for 2011. Where can I find it? Wilder Research will provide the information you need to answer the questions below. Special instructions Fill in the Table 26 below based on the information you receive from Wilder Research. 26. Number of adult provider court charges Number of charges File/Disposition Continued for dismissal Convicted 2 Dismissed 1 Diversion Stay of adjudication Filing 3 Total number 2011 adult provider Court charges 3 Court convictions 2 43 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS INDICATOR: Where can I find it? Mille Lacs County ordinances available online: http://www.co.millelacs.mn.us/vertical/sites/%7BC9C389E6-53AB-4A89-94CAD3EE1F5EB922%7D/uploads/%7BBC0A9959-49B3-40E3-9B88-08FCC1DC514A%7D.PDF Wahkon does not have any community polices or ordinances in addition to State law. Spoke with City Clerk Karrie Roeschlein. Isle ordinances were e-mailed to Wilder Research by Jamie Hubbell of the City Clerk’s office. Ordinances are attached. INDICATOR: Local laws, polices and ordinances in place beyond the laws set by the State of Minnesota. Mille Lacs County Liquor licensing and permits Mille Lacs has a liquor ordinance related to intoxicating liquor and 3.2% malt liquor (liquor) licensing, including details about definitions of key terms, the types of licenses available, terms and expiration of licenses, kinds of liquor licenses, license fees, the application process, transfer of license, hearings and issuances, restrictions on issuance, and conditions of license. Restrictions on purchase and consumption are also provided. No applicant has a right to a license. The City Council in its sound discretion may either grant or deny any license. For each violation of a statute, regulation, or ordinance related to alcoholic beverages, the board may either suspend for up to 60 days and/or administrative penalties up to $2,000. For a fifth violation in a two year period, the license is revoked. The section details different penalties based on the number of violations that occurred (one, two, three, four or five) within a two year period. A person who violates the provision(s) of the ordinance is guilty of a misdemeanor and upon conviction shall by punished as provided by law. Upon conviction, they will be fined $1,000 or sentenced to up to 90 days in prison or both. Access to alcohol No person shall consume liquor in a public park, on any public street, sidewalk, parking lot or alley, or in any public place other than a licensed establishment. No person shall consume alcoholic beverages in the parking area adjacent to the licensed establishment at any time. Patrons may not have access to/consume alcohol in an on-sale establishment more than 30 minutes after the time when a sale can legally occur. No person, other than the licensee and any employee, shall remain on the on-sale licensed premises more than 30 minutes after the time when a sale can legally occur. Violation of any hours and days of sale rules may be grounds for revocation or suspension of the license. No person under the age of 18 can be employed in an establishment where liquor is sold except as a musician or to provide bus person or dishwashing services in a multi-purpose room in which food is also sold. 44 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS No person under the age of 21 years may enter a licensed establishment except to work, consume meals on premises that qualify as a restaurant, or attend social functions that are held in a portion of the premises where liquor is not sold. Hours of sale of on-sale establishments cannot be made from 1:00AM through 8:00 AM Monday through Saturday and 1:00AM and 10:00 on Sundays. Off-sale establishments cannot sell between 10:00PM and 8:00AM Monday through Saturday, on Sundays, Christmas Day (12/25) or Christmas Eve (12/24 after 8:00PM). License holders are encouraged to train all employees through an alcohol awareness program. Law enforcement officers or other designated employees of the County will periodically preform alcohol compliance checks. Promotion and advertising “On-sale” establishments cannot display liquor during times when the sale of liquor is prohibited. Isle Liquor licensing and permits Isle has a liquor regulation related to intoxicating liquor and 3.2% malt liquor (liquor) licensing, including details about definitions of key terms, the types of licenses available, terms and expiration of licenses, kinds of liquor licenses, license fees, the application process, transfer of license, hearings and issuances, restrictions on issuance, and conditions of license. Restrictions on purchase and consumption are also provided. Nudity is prohibited on the premises of any establishment with a liquor license. A violation is a misdemeanor punishable by law. The number of liquor licenses is limited to the number allowed when this ordinance was created, even if the State has increased the number since. There is a local process by which the number can be increased. All available liquor licenses do not need to be issued. No applicant has a right to a license. The City Council in its sound discretion may either grant or deny any license. For each violation of a statute, regulation, or ordinance related to alcoholic beverages, the board may either suspend for up to 60 days or revoke any license. The minimum periods of suspension are provided for one, two, or three violations in a three year period. In addition, the City Council selects which day(s) the suspension occurs. For a fourth violation in a three year period, the license is revoked. Access to alcohol No person shall consume liquor in a public park, on any public street, sidewalk, parking lot or alley, or in any public place other than a licensed establishment. Patrons may not have access to/consume alcohol in an on-sale establishment more than 30 minutes after the time when a sale can legally occur. No person, other than the licensee and any employee, shall remain on the on-sale licensed premises more than 30 minutes after the time when a sale can legally occur. Violation of any hours and days of sale rules may be grounds for revocation or suspension of the license. No person under the age of 18 can be employed in an establishment where liquor is sold except as a musician or to provide bus person or dishwashing services in a multi-purpose room in which food is also sold. No person under the age of 21 years may enter a licensed establishment except to work, consume meals on premises that qualify as a restaurant, or attend social functions that are held in a portion of the premises where liquor is not sold. Licensed establishments cannot be within 500 feet of any school or church. 45 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS Promotion and advertising None found Wahkon The city of Wahkon does not have any policies or ordinances that extended beyond the State laws to regulate alcohol sales access or use in the community. During Wahkon Days there is a beer wagon that the city runs and they are careful to card everyone, but there are no formal policies in place. 46 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS 3g. Policies in place in schools Where can I find it? Onamia Public School policies are available online: http://www.onamia.k12.mn.us/District_Office_files/Onamia%20Wellness%20Policy.pdf Isle Public Schools polices are available online: http://www.isle.k12.mn.us/elementary/exsted/HS%20webpage/HS%20Webpage%20Domain/HS _Web_Domain/HS_Web_Domain/Parent_Student_Resources_files/11_12%20Student%20handb ook.pdf Nay Ah Shing Schools polices are available online: http://www.nas.k12.mn.us/ourschool/NAS_Student_handbook.pdf INDICATOR: Alcohol or substance abuse policies in schools beyond the State laws. Three questions from the School Health Policies and Practices Study (SHPPS) along with an additional question about the athletic guidelines were used to indicate the current standing of the school policy. A self-assessment guide is available for a more detailed assessment here: http://www.maine.gov/dhhs/osa/prevention/schoolcollege/SAPolicyGuiderev2011.pdf Onamia, Isle and Nay Ah Shing School Districts Onamia Isle Public Schools Nay Ah Shing School Has the school adopted a policy prohibiting alcohol use by students on school property? Yes Yes Yes Has the school adapted a policy prohibiting alcohol use by students at off-campus, school-sponsored events? Yes Yes No Does this school’s policy include guidelines on what actions the school should take when students are caught drinking? Yes No Yes In addition to State laws, does this school’s policy include guidelines on alcohol use in athletic programs? No Yes No 47 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS 3h. Training for law enforcement on alcohol issues What source do I use? Interviews completed by Wilder Research with law enforcement personnel. Mille Lacs County sheriff’s office: Spoke with Sheriff Brent Lindgren. No formal policies around training of law enforcement officials although there are trainings on gambling, department policies and procedures that occur informally. Onamia Police Department: Spoke with the dispatcher. No formal policies around training of law enforcement officials. Some informal training may occur as issues arise. Isle Police Department: No formal policies around training of law enforcement officials. 3i-3m. Adult beliefs about enforcement What source do I use? Positive Community Norms Community Readiness Survey Where can I find it? You will be given the results from this survey at the Positive Community Norms training in early May 2012. Special instructions Fill in Table 27 with the percentages of survey respondents who responded “Strongly agree” and “agree,” “Neither agree nor disagree,” and “Strongly disagree” and “Disagree” to the statements below. You will need to add together the percentages for “Strongly agree” and “agree” and “Strongly disagree” and “Disagree”. a. “High schools in my community should enforce policies which restrict participation in activities and athletics for students found guilty of underage drinking” b. “I believe local law enforcement should strongly enforce laws regulating alcohol use by youth under age 21” c. “I believe local law enforcement do strongly enforce laws regulating alcohol use by youth under age 21” 48 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS d. “I believe adults who supply alcohol to youth under age 21 in violation of Minnesota law should be arrested and prosecuted” e. “I believe adults in my community who supply alcohol to youth under age 21 in violation of Minnesota law are arrested and prosecuted” 49 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS 27. Adult beliefs about enforcement Strongly agree/agree Neither agree nor disagree Strongly disagree/disagree a. High schools in my community should enforce policies which restrict participation in activities and athletics for students found guilty of underage drinking 89.5 6.2 4.2 b. I believe local law enforcement should strongly enforce laws regulating alcohol use by youth under age 21 91.8 5.1 3.1 “I believe local law enforcement do strongly enforce laws regulating alcohol use by youth under age 21” 72.9 19.6 7.4 I believe adults who supply alcohol to youth under age 21 in violation of Minnesota law should be arrested and prosecuted 84 12.1 3.9 66.8 20.3 12.8 c. d. e. I believe adults in my community who supply alcohol to youth under age 21 in violation of Minnesota law are arrested and prosecuted Special instructions Copy the information you receive from Wilder Research into this section of the workbook. Enforcement summary What did you learn about the enforcement of alcohol laws and policies in your community by filling out this section? Was there anything you found particularly surprising or interesting? The data shows that citizens feel that the laws should be enforced more than they are. 50 Needs assessment workbook | Wilder Research 3 | ENFORCEMENT AND COURTS 51 Needs assessment workbook | Wilder Research 4 | COMMUNITY NORMS INTERVENING VARIABLE 4: COMMUNITY NORMS A community norm is a belief or behavior held or exhibited by over half of the community. This workbook will focus on community norms surrounding the acceptability or unacceptability of behaviors and attitudes related to youth ATOD use as well as the behavioral norms of substance use within the community. “Community” is defined broadly and can mean a geographic area, a culture, or a family. Studies have indicated that individuals living in environments in which excessive drinking is considered socially acceptable tend to consume more alcohol (Birckmayer et al., 2004). The following indicators will help you explore community norms in your area: Indicators Data Sources 4a. Students’ perception that alcohol or drug use is a problem at school Minnesota Student Survey 4b. Adults’ perception of how many days most youth in grades 9-12 in their community had one or more drinks of an alcoholic beverage during the past 30 days Positive Community Norms Community Readiness Survey 4c. Adults concerned about the harm from underage drinking within the community 4d. Adults’ belief that they have a responsibility for the health and well-being of youth in their community 4e. Adults’ belief that alcohol use is not essential for the enjoyment of social events 4f. Adults’ belief that alcohol use is not essential for the enjoyment of family gatherings 4g. Adults’ belief that parents should not let their underage children drink alcohol at home 4h. Adults’ perception that youth risk harming themselves if they drink alcohol 4i. Adults’ disapproval of high school youth drinking alcohol 4j. Adults’ belief that high school youth should be able to drink as long as they don’t drive afterward 4k. Adults’ belief that it is possible to reduce alcohol and other drug problems through prevention 4l. Adults’ belief that high schools should engage in appropriate activities to reduce underage drinking among students 52 Needs assessment workbook | Wilder Research 4 | COMMUNITY NORMS INDICATOR: 4a. Students’ perception that alcohol or drug use is a problem at school What source do I use? The Minnesota Student Survey- Table 5 for all years Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 28 with the percentages for each grade and gender that responded either “Strongly agree” or “Agree” to the statement “Student use of alcohol or drugs is a problem at this school.” To do this, you will need to add together the percent of respondents who answered “Strongly agree” and the percent of respondents who answered “Agree.” 28a. Students’ perception that alcohol or drug use is a problem at school: Onamia 2001 2004 2007 2010 45% 47% 45% 43% 6th Grade 31% 27% 45% 42% 9th Grade 76% 74% 79% 74% 12th Grade 82% 66% - 71% Statewide Onamia 28b. Students’ perception that alcohol or drug use is a problem at school: Isle 2004 2007 2010 47% 45% 43% 6th Grade Male 38% 56% 31% 9th Grade Female 76% 61% 45% 12th Grade Male 43% 77% - Statewide Isle 53 Needs assessment workbook | Wilder Research 4 | COMMUNITY NORMS INDICATOR: 4b. Adults’ perception of how many days most youth in grades 9-12 in their community had one or more drinks of an alcoholic beverage in the past 30 days What source do I use? Positive Community Norms Community Readiness Survey Where can I find it? You will be given the results from this survey at the Positive Community Norms training in early May 2012. Special instructions Fill in Table 29 with the percentages of survey respondents who responded “0 (zero) days,” and “1 or more days.” You will need to add together the percentages for “1-2 days,” “3-5 days,” “6-9 days,” “1-19 days,” “20-29 days,” and “All 30 days.” 29. Adults’ perception of how many days most youth (9-12) had alcohol in the past 30 days Percent 0 (zero) days 11.7 1 or more days 88.3 54 Needs assessment workbook | Wilder Research 4 | COMMUNITY NORMS INDICATOR: 4c-4l. Adult beliefs and perceptions about youth alcohol use What source do I use? Positive Community Norms Community Readiness Survey Where can I find it? You will be given the results from this survey at the Positive Community Norms training in early May 2012. Special instructions Fill in Table 30 with the percentages of survey respondents who responded “Strongly agree” and “Agree,” “Neither agree nor disagree,” and “Strongly disagree” and “Disagree” to the statements below. You will need to add together the percentages for “Strongly agree” and “Agree” and “Strongly disagree” and “Disagree”. a. “I am concerned about the harm from underage drinking in my community” b. “I have a responsibility for the health and well-being of youth in my community” c. “Alcohol use is NOT essential for the enjoyment of social events” d. “Alcohol use is NOT essential for the enjoyment of family gatherings” e. “Parents should not let their underage children drink at home” f. “High school youth risk harming themselves (physically or in other ways) if they drink alcohol (other than for religious purposes or at a ceremony)” g. “I disapprove of high school youth drinking alcohol (other than for religious purposes or at a ceremony)” h. “I believe high school youth should be able to drink as long as they don’t drive afterwards” i. “I believe it is possible to reduce alcohol and other drug problems through prevention” j. “High schools in my community should engage in appropriate activities to reduce underage drinking about their students” 55 Needs assessment workbook | Wilder Research 4 | COMMUNITY NORMS 30. PCN Community Readiness Survey Results Strongly agree/agree Neither agree nor disagree Strongly disagree/disagree 10.8% 3.9% 65.9% 22% 12.1% 84.5% 12.8% 2.7% 86% 11.3% 2.7% 79.2% 13.9% 6.9% 89.1% 7% 3.9% g. I disapprove of high school youth drinking alcohol (other than for religious purposes or at a ceremony) 90% 7.4% 2.7% h. I believe high school youth should be able to drink as long as they don’t drive afterwards 12.5% 8.9% 78.6% I believe it is possible to reduce alcohol and other drug problems through prevention 73.6% 20.6% 5.8% High schools in my community should engage in appropriate activities to reduce underage drinking among their students 89.6% 8.5% 2% a. I am concerned about the harm from underage drinking in my community b. I have a responsibility for the health and well-being of youth in my community c. Alcohol use is NOT essential for the enjoyment of social events d. Alcohol use is NOT essential for the enjoyment of family gatherings e. “Parents should not let their underage children drink at home” f. i. j. High school youth risk harming themselves (physically or in other ways) if they drink alcohol (other than for religious purposes or at a ceremony) 56 Needs assessment workbook | Wilder Research 85.3% 4 | COMMUNITY NORMS Community norms summary What did you learn about the community norms surrounding alcohol in your community by filling out this section? Was there anything you found particularly surprising or interesting? Very Positive Responses. 57 Needs assessment workbook | Wilder Research 5 | INDIVIDUAL FACTORS INTERVENING VARIABLE 5: INDIVIDUAL FACTORS Individual factors affecting ATOD use include biological factors, socioeconomic factors, and individual attitudes, beliefs, and perceptions around alcohol use and drug use. The indicators selected for this category primarily focus on individual attitudes and perceptions, as there is little your coalition can do to change biological and socioeconomic factors (Birckmayer et al., 2004). The following indicators will help you assess the impact of individual factors on youth alcohol use in your community: Indicators Data Sources 5a. Youth perception of parents’/guardians’ disapproval Minnesota Student Survey 5b. Youth perception of harm from binge drinking 5c. Alcohol perceived to be less harmful than other drugs 5d. Age of first drink 5e. Primary source of information about alcohol 5f. Students reporting that alcohol use by any family member has caused family problems 5g. Student has talked to parents about alcohol or drugs 58 Needs assessment workbook | Wilder Research 5 | INDIVIDUAL FACTORS INDICATOR: 5a. Youth perception of parents’ or guardians’ disapproval What source do I use? The Minnesota Student Survey Table 38 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 31 with the percentages for each grade and gender that responded either “They would strongly disapprove” or “They would disapprove” to the question “How do you think your parents or guardians would feel if you drank alcohol?” To do this, you will need to add together the percent of respondents who answered “They would strongly disapprove” and the percent of respondents who answered “They would disapprove.” 31. Youth perception of parents’/guardians’ disapproval or strong disapproval: Onamia 2010* Statewide 89% Onamia 6th Grade 82% 9th Grade 86% 12th Grade 63% 31. Youth perception of parents’/guardians’ disapproval or strong disapproval: Isle 2010* Statewide 89% Isle 6th Grade 96% 9th Grade 91% *New question in 2010 59 Needs assessment workbook | Wilder Research 5 | INDIVIDUAL FACTORS INDICATOR: 5b. Youth perception of harm from binge drinking What source do I use? The Minnesota Student Survey Table 39 for both 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 32 with the percentages for each grade and gender that responded either “Moderate risk” or “Great risk” to the question “How much do you think people risk harming themselves physically or in other ways if they have five drinks of an alcoholic beverage once or twice a week?” To do this, you will need to add together the percent of respondents who answered “Moderate risk” and the percent of respondents who answered “Great risk.” 32a. Youth perception of harm from binge drinking: Onamia Statewide 2007* 2010 81% 81% Onamia 6th Grade 67% 69% 9th Grade 62% 76% 12th Grade 73% 32b. Youth perception of harm from binge drinking: Isle Statewide 2007* 2010 81% 81% Isle 6th Grade 85% 80% 9th Grade 68% 75% 12th Grade 54% *New question in 2007 60 Needs assessment workbook | Wilder Research - 5 | INDIVIDUAL FACTORS INDICATOR: 5c. Alcohol perceived to be less harmful than other drugs What source do I use? The Minnesota Student Survey Table 39 for both 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own Special instructions Fill in Tables 33 and 34 with the percentages for each grade and gender that perceived the harm from binge drinking-five or more drinks at one time* to be less than that of cigarettes and marijuana. Note: This is not a standard variable in the Minnesota Student Survey, but was specifically requested for the purposes of this workbook. 33a. Alcohol perceived to be less harmful than other drugs: Cigarettes: Onamia 2007* 2010 All P&I Communities Onamia 6th Grade 67.4% 65.9% 9th Grade 43.6% 52.9% 12th Grade * 100% 34a. Alcohol perceived to be less harmful than other drugs: Marijuana: Onamia 2007* 2010 All P&I Communities Onamia 6th Grade 60.5% 50% 9th Grade 38.5% 50% 12th Grade * 10% 61 Needs assessment workbook | Wilder Research 5 | INDIVIDUAL FACTORS 33b. Alcohol perceived to be less harmful than other drugs: Cigarettes: Isle 2007* 2010 All P&I Communities Isle 6th Grade 67.5% 75.6% 9th Grade 60% 72.7% 12th Grade 63.6% - 34b. Alcohol perceived to be less harmful than other drugs: Marijuana: Isle 2007* 2010 All P&I Communities Isle 6th Grade 85% 68.9% 9th Grade 64.7% 60.6% 12th Grade 54.5% *New question in 2007 62 Needs assessment workbook | Wilder Research - 5 | INDIVIDUAL FACTORS INDICATOR: 5d. Age of first drink What source do I use? The Minnesota Student Survey Table 30 for both 2007 and 2010 Where can I find it? Data tables will be provided for you. See a Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 34 with the percentages for each grade and gender that responded “10 years old or younger,” “11 years,” “12 years,” or “13 years” to the question “How old were you when you had your first drink of alcohol other than a few sips?” For each grade and gender, you will need to add together the percentages of youth that answered “10 years old or younger,” “11 years,” “12 years,” and “13 years” to get the total percentage of students who had their first drink at age 13 or younger. 35a. Age of first drink: 13 years and younger: Onamia Statewide 2007* 2010 23% 20% Onamia 6th Grade 39% 40% 9th Grade 68% 54% 12th Grade - 41% 35b. Age of first drink: 13 years and younger: Isle Statewide 2007* 2010 23% 20% Isle 6th Grade Male 38% 22% 9th Grade Female 47% 37% 12th Grade Male 34% *New question in 2007 63 Needs assessment workbook | Wilder Research - 5 | INDIVIDUAL FACTORS INDICATOR: 5e. Primary source of information about alcohol What source do I use? The Minnesota Student Survey Table 20 for all years Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Tables 35-39 with the percentages for each grade and gender that responded with the answer indicated in the table heading (either “Friends or peers,” “Parents,” “School, teachers, or counselors,” “TV/radio/magazines/newspapers/books,” or “Religious/community groups”) to the question “Where have you received most of your information about alcohol and other drugs?” 36a. Primary source of information about alcohol: Friends or peers: Onamia Statewide 2001 2004 2007 2010 59% 58% 54% 53% Onamia 6th Grade 34% 40% 30% 24% 9th Grade 67% 71% 73% 65% 12th Grade 68% 62% - 81% 37a. Primary source of information about alcohol: Parents: Onamia Statewide 2001 2004 2007 2010 54% 54% 56% 53% Onamia 6th Grade 60% 56% 50% 65% 9th Grade 57% 58% 60% 59% 12th Grade 41% 62% - 55% 64 Needs assessment workbook | Wilder Research 5 | INDIVIDUAL FACTORS 38a. Primary source of information about alcohol: School, teachers, or counselors: Onamia Statewide 2001 2004 2007 2010 65% 65% 66% 64% Onamia 6th Grade 81% 72% 73% 78% 9th Grade 76% 62% 55% 62% 12th Grade 45% 65% 58% 39a. Primary source of information about alcohol: TV/radio/magazines/newspapers/books: Onamia Statewide 2001 2004 2007 2010 46% 42% 38% 33% Onamia 6th Grade 32% 34% 39% 28% 9th Grade 41% 40% 25% 32% 12th Grade 32% 42% - 42% 40a. Primary source of information about alcohol: Religious/community groups:* Onamia 2007 2010 11% 10% 6th Grade Male 7% 2% 9th Grade Female 8% 6% - 0% Statewide Onamia 12th Grade Male *New response option in 2007 65 Needs assessment workbook | Wilder Research 5 | INDIVIDUAL FACTORS 36b. Primary source of information about alcohol: Friends or peers: Isle Statewide 2004 2007 2010 58% 54% 53% Isle 6th Grade 35% 37% 26% 9th Grade 72% 59% 64% 12th Grade 50% 91% - 37b. Primary source of information about alcohol: Parents: Isle Statewide 2004 2007 2010 54% 56% 53% Isle 6th Grade 61% 56% 46% 9th Grade 48% 49% 67% 12th Grade 46% 36% - 38b. Primary source of information about alcohol: School, teachers, or counselors: Isle Statewide 2004 2007 2010 65% 66% 64% Isle 6th Grade Male 82% 73% 67% 9th Grade Female 72% 41% 64% 12th Grade Male 58% 59% 66 Needs assessment workbook | Wilder Research - 5 | INDIVIDUAL FACTORS 39b. Primary source of information about alcohol: TV/radio/magazines/newspapers/books: Isle Statewide 2004 2007 2010 42% 38% 33% Isle 6th Grade 43% 20% 11% 9th Grade 59% 22% 31% 12th Grade 29% 23% - 40b. Primary source of information about alcohol: Religious/community groups*: Isle 2007 2010 11% 10% 6th Grade 12% 9% 9th Grade 3% 6% 12th Grade 0% - Statewide Isle *New response option in 2007 67 Needs assessment workbook | Wilder Research 5 | INDIVIDUAL FACTORS 5f. Students reporting that alcohol use by any family member repeatedly caused family, health, job, or legal problems What source do I use? The Minnesota Student Survey- Table 12 for 2001 and 2004, and in Table 13 for 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 40 with the percentages for each grade and gender that responded “Yes” to the question “Has alcohol use by any family member repeatedly caused family, health, job, or legal problems?” 41a. Students reporting that alcohol use by any family member repeatedly caused family, health, job, or legal problems: Onamia 2001 2004 2007 2010 17% 17% 15% 14% 6th Grade 26% 45% 23% 32% 9th Grade 29% 39% 36% 26% 12th Grade 18% 32% - 45% Statewide Onamia 41b. Students reporting that alcohol use by any family member repeatedly caused family, health, job, or legal problems: Isle 2004 2007 2010 17% 15% 14% 6th Grade 27% 28% 24% 9th Grade 29% 24% 17% 12th Grade 26% 19% - Statewide Isle 68 Needs assessment workbook | Wilder Research 5 | INDIVIDUAL FACTORS INDICATOR: 5g. Students reporting that, during the last 12 months, they have talked with at least one parent about the dangers of tobacco, alcohol or drug use What source do I use? The Minnesota Student Survey- Table 38 for both 2007 and 2010 Where can I find it? Data tables will be provided for you. See Appendix E if you would like instructions on how to access the tables on your own. Special instructions Fill in Table 41 with the percentages for each grade and gender that responded “Yes” to the question “During the last 12 months, have you talked with at least one of your parents (or guardians) about the dangers of tobacco, alcohol, or drug use?” 42a. Students reporting that, during the last 12 months, they have talked to at least one parent (or guardian) about the dangers of tobacco, alcohol, or drug use: Onamia 2007* 2010 53% 51% 6th Grade 39% 48% 9th Grade 31% 54% 12th Grade - 37% Statewide Onamia 42b. Students reporting that, during the last 12 months, they have talked to at least one parent (or guardian) about the dangers of tobacco, alcohol, or drug use: Isle 2007* 2010 53% 51% 6th Grade 55% 50% 9th Grade 39% 42% 12th Grade 36% - Statewide Isle *New question in 2007 69 Needs assessment workbook | Wilder Research 5 | INDIVIDUAL FACTORS Individual factors summary What did you learn about how individual factors might affect alcohol consumption in your community by filling out this section? Was there anything you found particularly surprising or interesting? The negative impact of alcohol on the family structure is prominent. 70 Needs assessment workbook | Wilder Research 6 | PROMOTION/PRICING 6. PROMOTION/PRICING Retailers conduct alcohol promotions to increase the attractiveness of drinking. These types of promotions are especially effective on youth. Research has indicated that youth have high recall of alcohol advertising and that their perceptions of the effects of alcohol can be influenced by advertising. Additionally, studies have shown that increased exposure to alcohol advertising is associated with increased consumption in general, and with heavy or hazardous drinking in particular. The reverse has also been shown to be true; advertising bans are associated with reduced consumption and alcohol-related problems (Birckmayer et al., 2004). The following indicators will help you assess how promotion and pricing influence youth alcohol use in your community: Indicators Data Sources 6a. Advertisements for alcohol at local events Environmental scan 6b. Number/percent of community events that include youth activities and have alcohol-related sponsors INDICATOR: 6a-6b. Advertisements for alcohol at local events/alcohol-related sponsors at local events What source do I use? Calls to the coordinators of local events that took place in your community within the past year. Please see Appendix B for criteria about the types of events that should be included. Where can I find it? You will gather this information through phone calls to event coordinators in your community. There is a protocol for making these phone calls in Appendix B. 71 Needs assessment workbook | Wilder Research 6 | PROMOTION/PRICING Special instructions After calling coordinators of local events, summarize the findings by answering the questions below. 1. Number of community events 7 2. Number of these community events that had advertisements for alcohol 6 3. Percent of community events that had advertisements for alcohol (divide answer to question 2 by answer to question 1) 86% 4. Number of these community events that have alcohol-related sponsors 4 5. Percent of community events that have alcoholrelated sponsors (divide answer to question 4 by answer to question 1) 57% Promotion/pricing summary What did you learn about alcohol promotion and pricing in your community by filling out this section? Was there anything you found particularly surprising or interesting? Alcohol promotion of community events not surprising. 72 Needs assessment workbook | Wilder Research 6 | PROMOTION/PRICING 73 Needs assessment workbook | Wilder Research APPENDIX APPENDICES Appendix A: Protocol for collecting information about Responsible Beverage Server Trainings Appendix B: Protocol for collecting information about alcohol advertising and sponsorship at community events Appendix C: Youth web survey Appendix D: Analyzing and reporting open-ended question responses Appendix E: Accessing secondary (existing) data sources Appendix F: Locating Minnesota Student Survey tables Appendix G: Minnesota liquor license codes and descriptions Appendix H: References Appendix I: Journal article 74 Needs assessment workbook | Wilder Research APPENDIX A Appendix A: Protocol for collecting information about Responsible Beverage Server Trainings Background Our community recently received a grant from the Minnesota Department of Human Services Alcohol and Drug Abuse with the goal of reducing youth substance use, particularly youth alcohol use. Part of this project includes learning what local businesses are doing to train their staff on serving alcohol responsibly. You are expected to call every establishment that serves on-sale liquor in your community to learn what they have in place for server training. You can divide this calling up among coalition members, if needed. In order to create your list of establishments to call, please use the alcohol license website found in this workbook to identify all on-sale establishments. Then, once you have created a list of establishments, you will need to collect their telephone numbers as well. You can use a table like the one below to organize your list. Name of establishment Type of establishment Phone number Notes Please be aware that business owners are busy and may not have much time available. Try to avoid calling during peak times, such as between 11 AM and 1 PM or after 4:30 PM. You may be more successful in reaching a manager during the day than at night. 75 Needs assessment workbook | Wilder Research APPENDIX A Call Script Caller Note: When you initially call, please ask to speak with a manager or owner. Once you connected with the manager or owner, please follow this script as closely as possible. Hi, my name is ______________. I am calling from [coalition name] and we are gathering information from local businesses to learn what kinds of training you provide for your staff on responsible beverage serving. Our goal is to learn about what is available and being used in our community, as well as ways that we can better support businesses that are interested in accessing training for their staff. I have four quick questions about what your business is currently doing. Are you the person that I should be speaking to about your establishment’s training practices? If not, who from your establishment would you suggest I contact about this topic instead of you? Caller Note: If Yes, proceed with the rest of the questions. If No, ask to speak with the appropriate person or collect the appropriate person’s contact information so you can call again at another time. The information you share with me will be put together with information from other businesses to provide our coalition with information about existing activities and opportunities for supporting establishments like yours. 1. Do you have a process in place for training your staff on responsible beverage serving? Caller note: If asked for clarification about what is meant by “responsible beverage serving,” you can clarify that it includes not serving alcohol to minors and not over-serving alcohol to patrons of the legal drinking age. Yes No IF YES 1a. Please tell me about your process? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 1b. Are these training required for staff? Yes No 76 Needs assessment workbook | Wilder Research APPENDIX A 2. In the last year, how many of your staff have been trained on responsible beverage serving? _____________ (Number of staff) IF ANY 2a. What types of staff were trained? Server Manager Bartender Distributor Owner Event Staff Other:________________________ 2b. How were they trained? _________________________________________________ 2c. Who trained them? ____________________________________________________ 2d. How often were the trainings held? _______________________________________ 3. Are you familiar with the Responsible Beverage Server Training being offered by our coalition in conjunction with the Department of Public Safety? Yes No 3b. Are you interested in receiving more information about these trainings? Yes No IF YES 3c. How would you like to receive this information? Caller note: Make sure you collect the relevant contact information as well. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 4. Are there any other ways that we can better support your training of staff in serving beverages responsibly? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Thank you for your time. 77 Needs assessment workbook | Wilder Research APPENDIX B Appendix B: Protocol for collecting information about alcohol advertising at community events Background This tool will be used to help identify how often and in what ways alcohol is promoted at community events, such as fairs, parades, festivals, or sporting events. It will also be used to identify which community events had alcohol-related sponsors. You should plan to fill out one form for each community event that meets the following criteria: It is a public event in which anyone in the community can attend There are activities offered for youth and/or families It was held within the past 12 months Who should fill it out? Anyone involved with the coalition can fill out this form. How do we fill it out? 1. You will need to convene your coalition to brainstorm and create a list of community events that meet the above criteria. This list should include ALL events that meet the criteria. If an event is recurring (such as a high school sports game), it only needs to be listed once. 2. Coalition members will need to gather contact information for the coordinators of each of these events. This will likely involve some internet searching. 3. Call each event coordinator using the script below. Fill out a separate information sheet for each event. 4. Fill in Section 6. Promotion/pricing in your workbook with the information you collected. 78 Needs assessment workbook | Wilder Research APPENDIX B Community event information sheet/script 1. Name of the event: ______________________________________________________________ 2. Location of the event: ____________________________________________________________ 3. Date of the event: _______________________________________________________________ 4. Initials of the person/people collecting information: ____________________________________ Call Script Caller Note: Please follow this script as closely as possible. Hi, my name is ______________. I am calling from [coalition name] and we are gathering information about local community events to learn more about alcohol advertising and sponsorship. I have several quick questions about (community event name). Are you the person that I should be speaking to about the advertisement and sponsorship of this event? If not, who would you suggest I contact about this topic instead of you? Caller Note: If Yes, proceed with the rest of the questions. If No, ask to speak with the appropriate person or collect the appropriate person’s contact information so you can call again at another time. 79 Needs assessment workbook | Wilder Research APPENDIX B 1. Did this event have activities for youth or families? Yes No IF YES 1a. What types of activities? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 2. Did this event have alcohol for sale? Yes No IF YES 2a. Was server training required for those selling/serving alcohol at this event? Yes No Don’t know 3. Did this event have alcohol available for free? Yes No 4. Did this event have specific locations designated for alcohol sales, such as a beer garden or an adult-only section? Yes No 5. What was done to keep youth from accessing alcohol at this event? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 80 Needs assessment workbook | Wilder Research APPENDIX B 6. Was this event sponsored in any way by the alcohol industry? Yes No 7. Was alcohol advertised at this event? Yes No Those are all of the questions I have. Thank you for your time! 81 Needs assessment workbook | Wilder Research APPENDIX C Appendix C: Youth web survey Introduction The [coalition name] is beginning a new project with the Minnesota Department of Human Services Alcohol and Drug Abuse Division with the goal of helping youth in our community live safe and healthy lives. Part of this project includes learning more about the youth in our community. Please take this anonymous survey to tell us more about what youth think. Your opinions will be combined with the opinions of other students to help us understand how to best work with youth in this community. Please answer honestly – there are no “right” or “wrong” answers, we just want to hear what you have to say. Survey questions 1. What is your age? 11 and under 13 15 17 19 and older 12 14 16 18 2. According to Minnesota Student Survey results some youth are choosing to drink in this community; why do you think we have underage drinking in [community]? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 3. On a scale from 1 to 5, with 1 being “very easy” and 5 being “very difficult,” how easy do you think it is for young people to get alcohol in [community]? 82 1 – Very easy 2 3 4 5- Very difficult Needs assessment workbook | Wilder Research APPENDIX C 4. How do you think young people are getting alcohol? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 5. On a scale from 1 to 5, with 1 being “not a problem at all” and 5 being “a very big problem,” how much of a problem do you think underage drinking is in [community]? Not a problem at all A very big problem 1 2 3 4 5 6. Using a scale from 1 to 5, with 1 being “not at all important” and 5 being “extremely important,” how important do you think reducing underage drinking is to the adults in your community? Not at all important 83 Extremely important 1 2 3 4 5 Needs assessment workbook | Wilder Research APPENDIX C 7. What do you think could be done to reduce underage drinking in [community]? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 8. What do you think are some challenges to reducing youth drinking in [community]? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 84 Needs assessment workbook | Wilder Research APPENDIX D Appendix D: Analyzing and reporting open-ended question responses Reporting open-ended questions Some surveys also include open-ended questions, such as questions eliciting suggestions for improvement or level of interest in participating in an activity. Often open-ended data is used to support other quantitative data. For instance: Eighty percent of participants in the responsible beverage server training felt that this training will be beneficial to them in performing their jobs. When asked what they will do differently as a server as a result of this training, one participant stated, “I will know what to say when I feel someone is too drunk for another drink” while another said, “I will be more invested in checking IDs from everyone in the bar.” Open-ended data may be presented with a verbatim list of responses or you may choose to code the responses. However, you may decide that your open-ended responses are more appropriate for internal use than external reporting and not report them. It is up to you and the requirements for your reports. 1. Verbatim list Open-ended responses can be reported as stand-alone data in the form of a list of verbatim responses. This is especially useful if you have less than 10 responses to any particular question. If you list responses verbatim, be sure to ‘de-identify’ the responses by removing any words or phrases within the response that could identify the respondent and replacing the identifying information with a general reference in brackets. For instance: Coalition members were asked about their initial reason for deciding to participate in the coalition. Their responses include: “I saw too many kids drinking at parties and I wanted to do something.” “I joined because [another member] told me what great work the coalition was doing.” “I work for [organization] and we are trying to help reduce youth ATOD use.” 2. Coding Finally, you may also choose to organize the open-ended comments into codes or themes. This process can be somewhat more complicated than simply listing responses, but can be very useful if there were a lot of respondents. Coding responses into themes is also helpful for identifying common ideas expressed by the respondents. To code open-ended responses, first create a comprehensive list of all responses to a particular question. Next, read through the responses and identify themes (patterns of responses) that are emerging in the responses. These themes will be the codes you will use. Assign a code to each response given to the question, like ‘outcome’ or ‘other members’. Every response should fall into one of the code categories. Try to avoid using a code of “other” or “miscellaneous” unless absolutely necessary. Finally, list the codes in order from most common to least common, or identify the number of respondents whose responses reflect the same theme. As an example of this process, here are the responses and possible codes (in brackets) to the question: “What has been the most worthwhile aspect of your participation in the coalition?” 85 Needs assessment workbook | Wilder Research APPENDIX D “Working with others who care.” [other members] “Seeing changes in our youth.” [outcomes] “Becoming a part of the community.” [community involvement] “Hearing about fewer underage drinking charges.” [outcomes] “Networking at meetings.” [other members] If you choose to code responses, there are different ways you can report the data. You may choose to report only the themes themselves, report individual comments organized by theme, or report the number of respondents who mentioned a particular theme. The following provides three examples of each reporting option, using the sample open-ends provided above. Themes only Members of this coalition feel that the most worthwhile aspect of their participation includes: Meeting and working with other coalition members. Seeing positive outcomes due to our work. Being involved more in the community. Comments organized by theme Members of this coalition feel that the most worthwhile aspect of their participation includes: Meeting and working with other coalition members “Working with others who care.” “Networking at meetings.” Seeing positive outcomes due to our work “Seeing changes in our youth.” “Hearing about fewer underage drinking charges.” Being involved more in the community “Becoming a part of the community.” Number of respondents who mention particular theme Members of this coalition feel that the most worthwhile aspect of their participation includes: Meeting and working with other coalition members. (N=2) Seeing positive outcomes due to our work. (N=2) Being involved more in the community. (N=1) In instances where you have a long list of themes, you may want to choose a threshold of responses to report. For example, if you have 40 themes, you may only want to list the top 10, or report those themes that were identified by at least 5 respondents. If you choose one of these strategies, be clear in your report about what you are or are not reporting. 86 Needs assessment workbook | Wilder Research APPENDIX E Appendix E: Accessing secondary (existing) data sources 1. Minnesota Student Survey 2. MN DPS Liquor License Database 3. American FactFinder 87 Needs assessment workbook | Wilder Research APPENDIX E Minnesota Student Survey What is it? The Minnesota Student Survey (MSS) is the result of a collaboration between Minnesota schools and the Minnesota Departments of Education, Employment and Economic Development, Health, Human Services and Public Safety which work together to implement, analyze, report, and fund the initiative. The survey is an important vehicle for youth voice. School district leaders and educators, local public health agencies and state, community and social services agencies use the survey results in planning and evaluation for school and community initiatives and prevention programming. It is administered every three years to 6th-, 9th- and 12th-grade students and also is offered to students in area learning centers and to youth in juvenile correctional facilities. Questions are asked related to both the home and school life of students; topics include family relationships, feelings about school, substance use, wellness activities, and more. Participation in the survey is voluntary, confidential, and anonymous. It is important to note that MSS results are not presented for counties that only have one school district or counties in which the minimum number for student participation was not met. This is intended to protect the privacy of individual students who may be identified through the results. There are other limitations to the data. Most, but not all districts participate and the data represent public schools, not private schools. Students who have dropped out of school are also not included. How do I access it? You can access Minnesota Student Survey results in several different ways: 1. School district data can be accessed through the Safe and Healthy Minnesota Students Data Portal (SAHMS Portal) 2. County-level data (years 2004-2010) can be accessed through the Minnesota Department of Health 3. County and regional-level data (years 2001-2010) can be accessed through Substance Use Minnesota: A Minnesota State Epidemiological Profile 88 Needs assessment workbook | Wilder Research APPENDIX E SAHMS Portal The portal is open for use by the public but individuals must use a password to access information. The process for generating a password and accessing the SAHMS Portal are: 1. Go to the Minnesota Department of Education Educator Portal page, http://education.state.mn.us/MDE/SchSup/DataSubLogin/EducPortal/index.html and select “Log in to educator portal” in the middle of the page. 2. Click on “Create New MDE Account.” 3. Enter your information and click “save.” 4. Review your MDE account information to make sure it is accurate. 5. In the list of Public Web Pages You Are Authorized to Use below your information, click on Educator Portal. 6. From the tabs, choose SAHMS (the last tab on the right). 7. Click the button “Request Access”. 8. Click the radio button “SAHMS Districtuser”. 9. A drop down box will appear with all the districts. a. If you want access to all the districts, highlight them all and then push the top arrows (>>) to move them to the right hand side box b. If you want a single district, highlight that district and then push the top arrows to move the district to the right hand side box. c. If you want to go back and get access to more districts, you will need to log out and close the browser. Then go back through Data Submissions to the Portal; on the log in page go to the bottom and click on “View MDE Account”. Then log in. You will see the account information page where you click “Modify Access” to get the drop down box and select more – or all – of the districts. 11. Hit “submit” and wait for an email that confirms your access to the Portal. If you have problems accessing the Portal please contact: Ann.Iweriebor@state.mn.us. Minnesota Department of Health You can also access county-level Minnesota Student Survey data on the Minnesota Department of Health website. 1. Go to the Minnesota Department of Health Minnesota Student Survey County Tables page, http://www.health.state.mn.us/divs/chs/mss/countytables/index.cfm. 2. Select your county from the drop-down menu. 3. You will be presented with 3 different pdf documents, one for each year. 89 Needs assessment workbook | Wilder Research APPENDIX E Substance Use Minnesota: A Minnesota State Epidemiological Profile This website provides useful and accurate information about each source of secondary data. We also suggest reviewing the tip sheets in the “How to Use this Site” section of the website for information about data analysis and interpretation of results. 1. Go to the Substance Use in Minnesota website; www.sumn.org. 2. Select the “Data by Topic” tab 3. Select the indicator(s) you would like to view 4. Select breakdown by grade and gender 5. Choose your region or county of interest 6. You will be presented with the results by grade and gender, as well as the total percentages for all grades MN DPS Alcohol and Gambling Enforcement Division Liquor License Database What is it? The Minnesota Department of Public Safety Alcohol Enforcement division issues manufacturing wholesale licenses, approves some retail licenses and serves as the statewide repository for all remaining retail license records. They also maintain a searchable liquor license database that is updated multiple times per day. How do I access it? 1. Go to the MN DPS liquor license database: http://lapp.dps.state.mn.us/age/?118 2. Click on the above link. Type in the name of your city in the “city” box. This will bring up all the liquor licenses for this city. American FactFinder What is it? American FactFinder is a search engine that provides access to the population, housing, and economic data collected by the Census Bureau. American FactFinder can be used to retrieve population estimates from the 2010 Census. 90 Needs assessment workbook | Wilder Research APPENDIX E How do I access it? 1. Go to the American FactFinder website: http://factfinder2.census.gov 2. Under “Quick start” in the middle top of the page, type in your city in the “geography” box. Select “go.” 3. This will bring up a list of search results. The first result will be “Profile of General Population and Housing Characteristics 2010.” Click to open. Total population for that city will be the first number in the table. 91 Needs assessment workbook | Wilder Research APPENDIX F Appendix F: Locating Minnesota Student Survey Tables Summary of where to find indicators in the Minnesota Student Survey tables MSS Table 2001 2004 2007 2010 Number of students who took survey Table 1 Table 1 Table 1 Table 1 Number of students who used alcohol in past 30 days Table 31 Table 31 Table 29 Table 29 Number of students who have had five or more drinks in a row during the past two weeks Table 31 Table 31 Table 29 Table 29 Frequent binge drinking in the past year Table 27 Table 27 Table 25 Table 25 Students reporting they bought alcohol Table 32 Table 32 Table 31 Table 31 Students reporting using a fake ID to buy alcohol Table 32 Table 32 Table 31 Table 31 Students reporting someone bought for them Table 32 Table 32 Table 31 Table 31 Students accessing alcohol from parents - - Table 31 Table 31 Students accessing alcohol from friends Table 32 Table 32 Table 31 Table 31 - - Table 31 Table 31 Students taking alcohol from home Table 32 Table 32 Table 31 Table 31 Students taking alcohol from friends’ home Table 32 Table 32 Table 31 Table 31 Students getting alcohol at parties Table 32 Table 32 Table 31 Table 31 Students reporting that alcohol use by any family member repeatedly caused family, health, job, or legal problems Table 12 Table 12 Table 13 Table 13 - - Table 38 Table 38 Table 5 Table 5 Table 5 Table 5 Youth perception of parent disapproval - - - Table 38 Youth perception of harm from binge drinking - - Table 39 Table 39 Age of first drink - - Table 30 Table 30 Table 20 Table 20 Table 20 Table 20 Students accessing alcohol from other family members Students reporting that, during the last 12 months, they have talked to at least one parent (or guardian) about the dangers of tobacco, alcohol, or drug use Students reporting alcohol is a problem at school Primary source of information about alcohol 92 Needs assessment workbook | Wilder Research APPENDIX F Appendix G: Minnesota Liquor License Codes and Descriptions On-sale: On-Sale licenses and permits generally authorize the sale of all types of alcoholic beverages for consumption on the premises. Examples include restaurants, bars, lounges, bowling centers, and theaters. License Code Description 3.2ONSS 3.2 ON SALE CLONSL CLUB ON SALE/COUNTY ISSUED CLONSLSE CLUB ON SALE/COUNTY ISSUED/SEASONAL CLONSS CLUB ON SALE SUNDAY/COUNTY ISSUED CT3.2ONSS County 3.2 ON SALE CTONSB COUNTY ISSUED STRONG BEER ON SALE/RETAIL CTONSL COUNTY ISSUED ON SALE, RETAIL CTONSLWS COUNTY ISSUED ON SALE WINE SUN, RETAIL CTONSS COUNTY ISSUED ON SALE SUN, RETAIL CTSEONSL COUNTY ISSUED SEASONAL ON SALE, RETAIL CTSEONSLWS COUNTY ISSUED SEASONAL ON SALE WINE SUN, RETAIL CTSEONSS COUNTY ISSUED SEASONAL ON SALE SUN, RETAIL MCLONSL CLUB ON SALE/CITY ISSUED MCLONSS CLUB ON SALE SUNDAY/CITY ISSUED MCLONSWS CLUB ON SALE WINE SUNDAY/CITY ISSUED MOONSL MUNICIPALLY OWNED ON SALE, RETAIL MOONSS MUNICIPALLY OWNED ON SALE SUNDAY, RETAIL MWNONSL WINE ON SALE/CITY ISSUED MWNONSLSE WINE ON SALE/CITY ISSUED/SEASONAL ONSL ON SALE-CITY ISSUED, RETAIL ONSLWS ON SALE WINE SUN CITY ISSUED, RETAIL ONSS ON SALE SUN CITY ISSUED, RETAIL ONSSCKSC On Sale Sunday Cooking School Class ONSSS ON SALE AND SUNDAY INTOXICATING LIQUOR LICENSE/STATE ISSUED ONSSSE ON SALE SUN SEASONAL/CITY ISSUED, RETAIL TMPONSL TEMPORARY 1 TO 4 DAY ON SALE LIQUOR LICENSE TMPONSS TEMPORARY 1 TO 4 DAY ON SALE SUNDAY LIQUOR LICENSE TP3.2ONSL 3.2 Township Issued On-Sale 93 Needs assessment workbook | Wilder Research APPENDIX F License Code Description TPONSL Township Issued On-Sale TPONSS Township issued On-Sale Sunday TRONSL Tap Room On Sale TRONSS Tap Room On Sale Sunday WNONSL WINE ON SALE/COUNTY ISSUED WNONSLSE WINE ON SALE SEASONAL/COUNTY ISSUED Off-sale: Off-Sale licenses and permits generally authorize the sale of all types of alcoholic beverages for consumption off the premises in the original, sealed containers. Examples include liquor and grocery stores. License Code Description 3.2OFSL 3.2 OFF SALE BROFSL BREWER OFF-SALE BRPOFSL BREW PUB OFF SALE CT3.2OFSL County 3.2 OFF SALE CTOFSL COUNTY ISSUED OFF SALE, RETAIL MOOFSL MUNICIPALLY OWNED OFF SALE, RETAIL OFSL OFF SALE-CITY ISSUED, RETAIL OFSLFD OFF SALE & FOOD-CITY ISSUED, RETAIL TMPOFSLWA TEMPORARY 1 TO 4 DAY OFF SALE WINE AUCTION TP3.2OFSL 3.2 Township Issued Off-Sale TPOFSL TOWNSHIP ISSUED OFF SALE, RETAIL 94 Needs assessment workbook | Wilder Research APPENDIX F On-Off Sale Combination: On-off-Sale licenses and permits generally authorize the sale of all types of alcoholic beverages for consumption both on and off the premises, with some carry-out allowed. Examples include restaurants, clubs, and brewpubs. License Code Description 3.2 CMBN 3.2 ON AND OFF SALE CMBN ON/OFF SALE-CITY ISSUED, RETAIL CMBNWS ON/OFF SALE WINE SUN-CITY ISSUED, RETAIL CMBS ON/OFF SALE SUN-CITY ISSUED, RETAIL CT3.2 CMBN County 3.2 ON AND OFF SALE CTCMBN COUNTY ISSUED ON/OFF SALE, RETAIL CTCMBS COUNTY ISSUED ON/OFF SALE SUN, RETAIL CTCMBWS COUNTY ISSUED ON/OFF SALE/WINE SUN, RETAIL CTSECMBS COUNTY ISSUED SEASONAL ON & OFF SALE SUN/RETAIL MOCMBN MUNICIPALLY OWNED ON/OFF SALE, RETAIL MOCMBS MUNICIPALLY OWNED ON/OFF SALE AND SUNDAY, RETAIL Tribal Council Issued: Tribal councils issue licenses or permits for any on-sale, off-sale, or combination sale of liquor occurring within sovereign nations. License Code Description TCMBN ON/OFF SALE/TRIBAL COUNCIL ISSUED TCMBNWS ON/OFF SALE/WINE SUNDAY/TRIBAL COUNCIL ISSUED TCMBS ON/OFF SALE SUNDAY/TRIBAL COUNCIL ISSUED TOFSL OFF SALE/TRIBAL COUNCIL ISSUED TOFSLB3.2 OFF SALE 3.2 BEER/TRIBAL COUNCIL ISSUED TONSL ON-SALE/TRIBAL COUNCIL ISSUED TONSLWS ON-SALE WINE SUNDAY/TRIBAL COUNCIL ISSUED TONSS ON-SALE SUNDAY/TRIBAL COUNCIL ISSUED TWNONSB WINE ON-SALE AND STRONG BEER/TRIBAL COUNCIL ISSUED TWNONSL WINE ON-SALE/TRIBAL COUNCIL ISSUED 95 Needs assessment workbook | Wilder Research APPENDIX H Appendix H: References Birckmayer, J.D., Holder, H.D., Yacoubian, G.S., & Friend, K.B. (2004). A general causal model to guide alcohol, tobacco, and illicit drug prevention: Assessing the research evidence. Journal of Drug Education, 34(2), 121-153. New Hampshire Strategic Prevention Framework (2008). Risk and Protective Factor Assessment Toolbox. Retrieved January 12, 2012. If you are interested in this publication, please contact Wilder Research for a copy. 96 Needs assessment workbook | Wilder Research APPENDIX I Appendix I: Journal Article J. DRUG EDUCATION, Vol. 34(2) 121-153, 2004 A GENERAL CAUSAL MODEL TO GUIDE ALCOHOL, TOBACCO, AND ILLICIT DRUG PREVENTION: ASSESSING THE RESEARCH EVIDENCE JOHANNA D. BIRCKMAYER, PH.D. HAROLD D. HOLDER, PH.D. GEORGE S. YACOUBIAN, JR., PH.D. KAREN B. FRIEND, PH.D. Pacific Institute for Research Evaluation (PIRE) ABSTRACT The problems associated with the use of alcohol, tobacco, and other drugs (ATOD) extract a significant health, social, and economic toll on American society. While the field of substance abuse prevention has made great strides during the past decade, two major challenges remain. First, the field has been disorganized and fragmented with respect to its research and prevention practices; that is, there are often separate ATOD prevention “specialists.” Second, both the prevention researchers who test the efficacy of specific prevention strategies and the practitioners who implement prevention efforts often lack an overall perspective to guide strategy selection. To address these limitations, we present an ATOD causal model that seeks to identify those variables (Domains) that are theoretically salient and empirically connected across alcohol, tobacco, and illicit drugs. For the researcher, the model demonstrates important commonalities, as well as gaps, in the literature. For the practitioner, the model is a means to recognize both the complexity of the community system that produces ATOD problems and the multiple intervention points that are possible within this system. Researchers and practitioners are thus challenged to work synergistically to find effective and cost-effective approaches to change or reduce ATOD use and associated problems. 121 INTRODUCTION The use of alcohol, tobacco, and other drugs (ATOD) poses tremendous health risks. According to the World Health Organization (WHO), the use of alcohol and tobacco ranks among the top 10 risk factors to good health worldwide, while illicit drugs use ranks among the top 10 risk factors to good health for developed nations [1]. In the United States, ATOD use is the single leading risk factor to good health. One quarter of approximately two million deaths each year can be attributed to ATOD use [1]. Tobacco use is responsible for more than 430,000 deaths annually, alcohol use 100,000, and illicit drug use 12,000 [2]. The total monetary cost of substanceattributable problems for both users and non-users was estimated at $684.3 billion in 1998 [3]. In addition, substance use also often results in severe social problems. Interpersonal violence associated with substance use includes homicide, sexual assault, and domestic violence. The ramifications of child abuse and neglect resulting from substance use can have lasting effects. 97 Needs assessment workbook | Wilder Research APPENDIX I Crime committed in order to acquire or distribute illicit substances constitutes another serious threat to the well-being of our communities. The monetary cost of substance-attributable violent and property crime alone was more than $42 million in 1998 [3]. During the past decade, the field of substance abuse prevention has substantially improved its understanding of key causal factors that influence both ATOD use patterns and the problems associated with ATOD use. In turn, an increased understanding of the epidemiology of ATODrelated problems have led to improvements in the development and testing of effective, evidencebased prevention strategies. These successes aside, two major challenges remain. First, the prevention field has been disorganized and fragmented with respect to its research and prevention practices. In both arenas, there are often separate “specialists” for alcohol, tobacco, and illicit drugs. This approach has led to distinct perspectives regarding the causal variables most associated with ATOD-related problems and the most effective prevention strategies that should target those problems. Lessons learned about alcohol use prevention, for example, are unlikely to be used by tobacco experts. Second, both the researchers who seek to test the efficacy of specific prevention strategies and the practitioners who implement prevention efforts often lack an overall perspective to guide strategy selection. We seek to address these issues by presenting a general causal model for ATOD prevention. We identify variables that are theoretically salient and empirically connected across alcohol, tobacco, and illicit drugs. We refer to these variables (or groups of variables) as Domains and demonstrate how these Domains exist for alcohol, tobacco and illicit drugs. For each Domain, we provide a definition, summarize the key research that links that Domain to ATOD use and associated problems, and describe its relationship to other Domains in the model. These Domains are organized into a simple causal model that can be applied to all three substance areas. Supporting evidence for the Domains is derived from three types of scientific research. Descriptive and observational research illustrates that a particular domain is generally related to the use of a particular substance or associated problem. Associative or relational research examines the association of one or more specific variables with ATOD use and/or associated problems. This research is usually based on data collected from one or more populations or geographic areas at a single point in time. Intervention research is designed to determine whether or not ATOD use and/or associated problems change as a result of altering key independent variable(s). This type of research increases our confidence that ATOD use and associated problems are linked to the specific independent variable being tested. Rather than give a definitive review of the available research, our more heuristic goal is to summarize the major findings that support the inclusion of these Domains in our model. Numerous theories of substance use exist, many of which focus on identifying variables that influence individuals’ use choices and patterns. Our goal is not to displace those theories, but rather to focus on variables that influence the use patterns and problem manifestations of 98 Needs assessment workbook | Wilder Research APPENDIX I populations. We seek to identify variables that are common across cultures, ages, abusers and non-abusers, albeit with specific manifestations within different populations. This type of model has been labeled a “systems” or “community systems” model in other writings [4], and we take this perspective in our article. For the researcher, our model provides a summary of ATOD prevention research spanning several decades. Like practitioners, researchers sometimes ignore research outside of their specific areas of interest. As a result, ATOD research is often conducted in isolation, with a tendency to develop research “silos” in which commonalities across substance are largely ignored. In summarizing research across ATOD areas, the model also demonstrates important gaps in the research literature. For the practitioner, the model is a means to recognize both the complexity of the community system that produces ATOD use and associated problems and the multiple intervention points that exist within the system. Researchers and practitioners are thus challenged to work synergistically to find effective and cost-effective approaches to reduce or change ATOD use and associated problems. OVERVIEW OF THE GENERAL CAUSAL MODEL A diagram of the general model is shown in Figure 1. The primary purpose of ATOD prevention is to reduce substance use and the problems associated with substance use. A plethora of health, social, and economic problems result from ATOD use. Examples of such problems include traffic crashes caused by alcohol-impaired drivers, violence stimulated by either the victim or perpetrator, or lung cancer and other health problems associated with long term exposure to tobacco smoke. Some of these problems may occur independently of substance use. For example, traffic crashes occur with no alcohol involvement, and violence is not exclusively the result of substance use. For the purposes of this model, however, we are concerned only with those problems that result from ATOD use. Use in and of itself may be defined as a problem if the actual use or type of use is illegal or undesired (e.g., use of tobacco or alcohol by underage youth or drinking and driving). In general, prevention is unable to directly reduce these events or behaviors. Rather, prevention works through intermediary variables to provide opportunities for intervention. In considering the choice of such variables, we note that each substance category has several such causal factors in common, even though their manifestation may vary according to the specific substance (e.g., alcohol or heroin). At their most basic level, alcohol, tobacco, and illicit drugs are retail products subject to both supply and demand factors. The desire for substances creates demand, which stimulates supply, particularly when profit can be realized from the sale of these substances. Likewise, the potential for profit encourages suppliers to stimulate demand. One implication of the considerable prevention and epidemiological research during the past 50 years is that demand and supply are inexorably 99 Needs assessment workbook | Wilder Research APPENDIX I intertwined (i.e., they form a dynamic ATOD system) [4]. Historically, however, prevention specialists have given more emphasis to demand factors, often to the exclusion of supply. Our general model includes both aspects, but seeks to balance the lack of attention that supply has traditionally been afforded in prevention practice. In Figure 1, Availability represents one of the key components of the supply of substances. Without availability of particular substances, there can be no use or associated problems. There are three specific sub-domains to Availability: 1) Economic Availability (price); 2) Retail Availability – the accessibility of ATOD from retail sources (e.g., a liquor store); and 3) Social Availability – ATOD accessibility from non-retail sources (e.g., family and friends). A significant motivation for making substances available through retail markets is profit. To increase profit, manufacturers and retailers attempt to increase demand through the advertising and promotion of their products. Therefore, Promotion is also included in Figure 1. Historically, there are informal standards or values (“norms”) regarding the acceptability or unacceptability of certain behaviors, including substance use. These informal norms may be codified into concrete expressions such as public policies, laws, and regulations, which may affect Availability, Promotion, and/or directly define undesired or illegal ATOD use. These standards can shape both ATOD demand and supply. In Figure 1, these standards, whether informal or formal, are referred to as Community Norms. While laws and regulations that seek to limit availability, regulate promotion, or reduce undesired use can be effective on their own, much of their potential is directly related to the enforcement of their provisions. Therefore, a major domain affecting Availability, Promotion, or directly affecting undesired or illegal ATOD use is the formal Enforcement of these laws and regulations. Again, enforcement can affect either the demand or supply for substances, as shown in Figure 1. Considerable research in the etiology of substance use and abuse has focused on individual characteristics, including genetics, values, attitudes, and social associations as they contribute to individual substance use decisions. These factors affect demand and are represented in Figure 1 as Individual Factors. Figure 1 illustrates the general system of ATOD use and problems. We attempt to illustrate that such a system is dynamic (i.e., changes over time such that variables can affect one another) and adaptive (i.e., changes in one part of the system can stimulate adaptive responses in another). To reiterate, our goal is to identify those common variables or groups of variables that are important contributors to substance use and associated problems and which can be shown to apply across the ATOD categories. In the following section, we review each domain, providing a brief description of the domain and summarize the key research evidence supporting each domain’s inclusion in the model across the three drug categories. Availability 100 Needs assessment workbook | Wilder Research APPENDIX I Without availability, there can be no use and associated problems. As a general rule, when a substance is inexpensive, convenient, and easily accessible, people are more likely to use it, which increases types and rates of associated problems. Conversely, when a substance is expensive, inconvenient, and inaccessible, people are less likely to use it, and problem types and rates are lower. We address the general area of availability by distinguishing between Economic, Retail, and Social Availability. Economic Availability Economic Availability refers to the price that must be paid to obtain alcohol, tobacco, and illicit drugs. All goods are sensitive to price. This sensitivity is called “elasticity,” which provides a metric of responsiveness to price changes (the percent change in quantity demanded resulting from a one percent change price). Most of the research on the effects of price on ATOD use and problems consists of econometric analyses to empirically determine price elasticities using time series data. In some cases, estimates of the potential benefits of increased prices have been derived. Alcohol—Empirical evidence has consistently shown that higher alcohol prices are associated both with less alcohol consumption and fewer associated problems. This relationship has been noted in international studies [5, 6] and those conducted in the United States [7-10]. Studies show that youth are generally more price sensitive than adults, primarily because they have less disposable income, tend to discount the future, are more influenced by peer pressure, and are less likely to be addicted than adults. There is considerable debate on whether non-abusive drinkers are more price sensitive than abusive ones. Manning et al. reported that moderate drinkers were more price responsive than light and heavy drinkers [11], while Kenkel found heavier drinkers were more sensitive to price than lighter drinkers [8]. Based upon empirically determined price elasticity estimates, studies have shown that increases in alcohol taxes reduce alcohol-related problems, including drinking and driving and violent and nonviolent crime [12-15], and work loss days from nonfatal injuries. Tobacco—As with alcohol, research has consistently found that higher prices are associated with less use and fewer problems. This relationship has been found in both international studies [17, 18] and from the United States [7, 9]. Whether or not young smokers are more responsive to price has been debated in the literature, and the range of estimates varies. In a recent review of the literature, Hopkins et al. found that adolescents and young adults showed strikingly similar median estimates and ranges of both prevalence and consumption price elasticities to those of adult smokers [9]. Recent tobacco price increases have provided empirical tests of price effects, and studies have found that increased price leads to decreased use [19, 20]. Recent investigations have found that higher smokeless tobacco taxes also reduce smokeless tobacco use [21, 22]. 101 Needs assessment workbook | Wilder Research APPENDIX I Illicit drugs—Similar to alcohol and tobacco, empirical evidence has generally found that higher illicit drug prices are associated with reduced consumption. Studies using data from the System to Retrieve Information from Drug Evidence have found that an increase in price yields decreased use of marijuana [23, 24], cocaine [25-27], and heroin [26, 28, 29]. Price and cross-drug relationships—An important empirical question is how price changes for one substance affect the use of others. A limited number of studies have produced mixed results [25, 28, 30-32]. DiNardo and Lemieux found that marijuana decriminalization had a significant positive effect on the prevalence of alcohol use by high school seniors [30]. Chaloupka and Laixuthai reported that the frequency of drinking and the probability of heavy drinking were inversely related to beer prices and positively related to the price of marijuana [31]. Pacula found that, for both men and women, higher beer taxes reduced the consumption of both alcohol and marijuana, implying a complementary relationship [32]. Saffer and Chaloupka found consistent evidence of a complementary relationship across alcohol, marijuana, cocaine, and heroin [28]. Summary—Taken collectively, econometric research provides strong evidence that ATOD price is strongly associated with ATOD use and problems. Studies have established that higher prices are associated with lower use for alcohol, tobacco, and illicit drugs. Retail Availability Like other goods, ATODs are bought and sold through retail markets. In the case of alcohol and tobacco, most sales occur through formal retail markets (e.g., stores and restaurants), although a certain amount of sales occur in informal, and sometimes illegal, markets (e.g., private homes and unlicensed establishments). In the United States, illegal drugs are sold primarily through informal markets. In addition, some drugs, which can be legally sold, are used by groups or in manners that are not sanctioned by the legal market (e.g., abuse of prescription drugs). Restrictions on retail availability are intended to limit consumer access to products or to regulate the context in which products are used. Studies of specific retail changes provide opportunities to examine the relationship between retail availability and substance use and related problems. Alcohol—Studies that look at variations of restrictions on availability or efforts to change the retail availability of alcohol have generally found that reduced retail availability results in lower alcohol consumption and associated problems. Changes in general alcohol availability in Iceland [33], Poland [34], Sweden [35], and Greenland [36] have been associated with changes in drinking. Other studies, described below, look at specific efforts to restrict retail availability in the United States and internationally. Outlet densities—Retail outlets can be sources of alcohol for all ages. Gruenewald et al. estimated that a 10% decrease in the density of alcohol outlets would reduce consumption of spirits from 1% to 3% and consumption of wine by 4% [37]. Treno et al. found that higher outlet density was 102 Needs assessment workbook | Wilder Research APPENDIX I positively related to drinking and driving among licensed youth drivers and negatively related to riding with drinking drivers among youth who did not have driver licenses [38]. Minimum drinking or purchase age (MDPA)—MDPA laws are intended to reduce retail access to alcohol by specifying the age at which one can purchase and consume alcohol legally. Studies of MLDA changes in the United States and internationally provide strong evidence that lower legal drinking ages reduce alcohol-related crashes [39-43]. Higher legal drinking ages have also been associated with reductions in other injuries [44, 45]. Hours and days of retail sale—The length of time alcohol is sold (measured in legal hours and/or days of sale) during a week can affect alcohol use and associated harm. Significant increases in restrictions on time of sale have been associated with decreased drinking and less restrictions with increased consumption and problems [46-50]. Responsible beverage service (RBS)—RBS has the potential to decrease service to intoxicated patrons and underage persons in bars, restaurants, and off-license establishments. RBS programs have been found to reduce the number of intoxicated patrons leaving a bar [51-56], reduce the likelihood of alcohol sales to minors [57-60], and decrease the number of car crashes [61]. Tobacco—While there are few experimental studies of the relationship between retail availability and overall smoking, a number of naturalistic studies provide evidence that global tobacco availability, through international trade agreements, the opening of new international markets, and increased restrictions and regulations on the tobacco industry in the United States, have contributed to an increase in tobacco use outside of the United States, particularly in developing nations [62-64]. Minimum sales age—In the United States, efforts to regulate the retail availability of tobacco have almost exclusively been targeted at reducing the ability of youth to purchase. Based on a comprehensive review of the literature, Levy et al. estimated that half of youth tobacco supply comes from retail sources, suggesting that efforts to limit retail access could have a notable impact on youth supply [65]. Similar to alcohol, local efforts have demonstrated that efforts to enact and enforce underage tobacco laws can reduce the retail sales rate of tobacco to youth [66-70]. United States investigations of the relationship between youth tobacco access and actual tobacco use have found varying effects, however, with some studies finding small or no effects on reductions of tobacco use from youth access restrictions [71, 72] and others finding significant declines in use after aggressive enforcement of underage retail access laws [73-76]. Illicit drugs—While retail sellers of illicit drugs face many of the same concerns as distributors of legitimate goods, sellers of illegal goods are concerned about police apprehension, so sales operations must be done covertly. Conversely, illegal retailers cannot depend on civil or criminal justice remedies to mediate disputes or to offer protection from violence. 103 Needs assessment workbook | Wilder Research APPENDIX I Few studies have examined the relationship between efforts to change the retail availability of illicit drugs and their use or associated problems. MacCoun and Reuter looked at the effects of marijuana depenalization in the Netherlands [77]. Depenalization yielded no marijuana use changes between 1976 and 1983, but between 1984 and 1996, during which time commercial access to marijuana increased, sharp increases of marijuana use occurred. Police crackdowns as a strategy to reduce availability have had a mixed history of success. Reuter et al. found that significant drug deal arrests in Washington, DC, did not significantly interfere with the surge of drug sales [78]. More typical, however, were crackdowns in New York City in which quick buy-and-bust operations and high police visibility resulted in reductions in visible drug trafficking [79]. Drug sales generally picked up again after police resources were removed [80-82]. Studies of drug abatement actions, in which property owners are threatened with civil suits unless drug sales are terminated, have found these actions effective in achieving their immediate goal of eradicating drug activity [81-83]. Summary—When alcohol and tobacco are readily available through retail channels, consumption and associated problems increase. Conversely, research has found that when restrictions are placed on retail availability, use and associated problems decrease. Studies of drug markets, while primarily descriptive, provide support for the importance of the marketplace in making illicit drugs more or less available. Social Availability Social availability refers to the procurement of ATOD through “social sources,” such as friends and relatives. Substances obtained through social sources are provided with no exchange of money or goods. Studies exploring the relationship between social availability and ATOD use or related problems use primarily self-report information. Few efforts have been made to study efforts to change the social availability of substances. Alcohol—Worldwide, it is estimated that 36% to 67% of drunk driving offenders had their last drink in some type of unlicensed premise, such as in a home or at a party [84-87]. Underage drinking parties offer the opportunity for high-risk consumption of alcohol (i.e., binge drinking) and the initiation of alcohol use for younger adolescents [88-92]. Surveys and focus groups of persons under the legal purchase age of 21 have indicated that the majority of alcohol consumed by youth is obtained through social sources, such as parents and friends, at underage parties, and at home [92-94]. Surveys suggest that younger youth rely on social sources for alcohol more than older youth [89-92, 95]. A large percentage of college youth report, however, that they do not pay for alcohol, often because they drink at parties where someone else has supplied the alcohol [96]. Intervention research on social availability is in its infancy, and little evaluation data are available to further explore the strength of the social availability use/problems relationship. 104 Needs assessment workbook | Wilder Research APPENDIX I Tobacco—Youth report that the most common sources of cigarettes are gifts, borrowing, or stealing from family members and peers [72, 97-101]. Younger, occasional, and new smokers are more likely to obtain cigarettes from social sources than older, well-established smokers [95, 97, 102]. Because 75% of smokers initiate smoking before the age of 18, access to tobacco through social sources at a young age is believed to be an important factor influencing later use and subsequent problems [103-105]. Like research on social sources of alcohol, little intervention research has been conducted to test the causal relationship between social availability of tobacco and use/problems. Illicit drugs—Findings related to social availability and its relationship to illicit drug use and associated problems are sparse. Caulkins found a large percentage of persons who reported pastmonth use obtained their drugs as a gift (42% for marijuana, 35% for powder cocaine, and 24% for crack cocaine) [106]. An additional percentage of users (32% marijuana, 23% cocaine, and 19% crack) reported buying their drugs from friends rather than dealers, indicating that retail sellers may extend into informal social networks. Respondents between the ages of 18 and 25 were more likely to be approached by sellers than respondents between the ages of 12 and 17, and 26 or older [107]. As with tobacco, no intervention research has tested the relationship between social availability of illicit drugs and use/problems. Summary—Research indicates that a significant percentage of ATOD is obtained through social sources. Limited research has indicated that the availability of ATOD through social sources is associated with specific problems, including drinking and driving and initiation of use at young ages. Intervention research is in its infancy. Promotion Retailers attempt to increase demand through the promotion of their products. Especially in highly concentrated markets, companies tend not to compete on price, but rather try to increase sales with advertising and other promotional efforts [108]. This promotion attempts to increase the attractiveness of drinking, smoking, or using drugs by creating an image favorable to consumption. Advertising and promotion is intended to recruit new and retain old users and may affect attitudes and individuals’ decisions regarding whether, when, and how much to consume. Alcohol—Alcohol advertising and other pro-drinking messages are universal in many Western countries, including the United States. Alcohol images are transmitted via billboards, sponsors’ logos, magazine and print messages, and television and radio programming [109]. Research has reported high recall of alcohol advertising among youth, and investigations of youth also indicate that expectancies related to the effects of alcohol and intentions to drink can be positively influenced by advertising [110-113]. Studies of youth have found that increased exposure to alcohol ads is associated with increased consumption [114, 115] and with heavy or hazardous drinking [116, 117]. At the aggregate level, studies of the effects of advertising restrictions have produced 105 Needs assessment workbook | Wilder Research APPENDIX I inconsistent findings regarding the relationship between alcohol promotion, per capita consumption, and drinking problems [5, 118]. Studies of partial advertising bans in Canadian provinces failed to show clear impacts, perhaps because advertising from outside the province was not restricted [119-121]. In contrast, a major time-series study of advertising bans implemented in European Community countries during the 1970s showed significant effects, including lower levels of consumption and alcohol-related problems as indicated by motor vehicle fatality rates [122-126]. Tobacco—As with alcohol, the promotion of tobacco products is widespread. Youth are routinely exposed to high levels of tobacco marketing [127], and studies have shown that cigarette advertising is effective in gaining children’s attention to tobacco [128, 129] and positively associated with increased smoking initiation and overall consumption by underage smokers [130-133]. Evidence from studies that examine the relationship between overall advertising expenditures and total cigarette sales is inconclusive, but most find small or no association between advertising and sales. These results may be attributable in part to high cigarette advertising expenditures, as well as to the fact that the majority of promotional dollars are spent on activities other than advertising [108, 134-136]. Studies using cross-sectional data at the local level, which take advantage of larger variations in local advertising levels, have reported positive effects of cigarette advertising on use [108, 137-139]. Some studies of advertising restrictions have shown that comprehensive bans on advertising and promotion lead to significant decreases in consumption [28, 108, 140, 141], whereas others found that cigarette advertising bans had little or no effect on use [108, 142, 143]. Illicit drugs—Given that the use of illicit drugs is illegal, promotion of these drugs through regular advertising channels is limited, although some magazines and Web sites do promote particular drugs, drug paraphernalia, and drug-using lifestyles (e.g., High Times). Studies of retail markets have documented the promotion of drugs through such activities as “branding” (i.e., providing some type of identifiable label ) [144-148], drug giveaways, discounts to existing and potential clients [147], and word-of-mouth communication [148]. While we know of no studies that have examined the relationship between promotion and illicit drug use and associated problems, policymakers (e.g., United Nations’ International Narcotics Control Board) strongly believe illicit drug promotion is occurring and have concluded that the prevention of illicit drug use has become increasingly difficult, at least partly because of messages that promote drug use. Summary—Higher levels of exposure to alcohol and tobacco advertising are associated with increased consumption and problems. Partial restrictions on advertising may have little impact on the promotion/use relationship, but total bans have resulted in reductions in use. Few studies of drug market promotion exist, although policymakers have concluded that promotion is related to illicit drug use. Community Norms 106 Needs assessment workbook | Wilder Research APPENDIX I Norms govern the acceptability or unacceptability of certain behaviors, including substance use. Varying across cultures, contexts, and subgroups, these community norms reflect general attitudes regarding ATOD use and societal expectations regarding the level and type of use that is considered appropriate. These norms may also be codified in public policies, laws, and regulations, which may directly affect Availability, Promotion, and/or Use (see Figure 1). Control theory provides one explanation of how social norms can influence ATOD use behavior. The theory states that ties with social institutions inhibit drug use by promoting conformity to group and social norms [149]. Alcohol—Countries have varying alcohol consumption rates and patterns not only because of differences in price and availability, but also because of differences in social norms that govern drinking behavior [150-154]. Skog observed that individuals living in environments in which drinking and/or excess drinking is not sanctioned tend toward light alcohol consumption, while individuals inhabiting “wet” environments tend toward heavier use [155, 156]. Attitudes toward public policies designed to restrict alcohol use provide supporting evidence about social norms. Results of surveys in both the United States and internationally showed increasing support over time for restrictions on alcohol access and use [157-159]. Counteradvertising has been used to try to change social norms regarding acceptable use. Research has been limited primarily to evaluations of the Federally-mandated warnings on alcoholic beverage containers, but no direct impact on problems has been reported [160-163]. Tobacco—One of the ways in which the influence of cultural values can be studied is by examining the effects of acculturation, which can discourage use the country to which a new group is acculturating has negative attitudes toward smoking, or encourage use, if the country has pro-smoking norms. Gajalakshmi et al. reported that tobacco consumption has been decreasing steadily among wealthier nations and increasing among middle- and low-income countries [164]. The Centers for Disease Control and Prevention (CDC) reported that Pacific Islanders who showed greater acculturation to the United States had lower smoking rates than their less acculturated counterparts [165]. Historically, gender differences in smoking rates likely reflect social norms regarding a woman’s role in the United States and other countries [166, 167], suggesting that gender roles may determine social acceptability of smoking. Smoking images on TV and in movies can increase acceptability of smoking among youth and their subsequent use of tobacco products [168-170]. Surveys conducted in the United States showed increasing support over time for restrictions on tobacco access and use, indicating a temporal change in norms [171-174]. Mass media campaigns represent a way to influence community norms. Friend and Levy found that well-funded and implemented mass media campaigns targeted at the general population and implemented at the state level, in conjunction with a comprehensive tobacco control program, were associated with reduced smoking rates among both adults and youth [20]. Warning labels on cigarette packages have had little impact on tobacco use in the United States, but have had more influence in Canada and Australia, where the labels are more prominent [175-178]. 107 Needs assessment workbook | Wilder Research APPENDIX I Illicit drugs—Little research exploring the influence of social norms on illicit drug use was found. As expressions of community values and norms, national drug policies can provide evidence of prevailing norms. For example, the national policy in Australia emphasizes harm minimization [179], while Sweden emphasizes a more conservative drug control policy that is characterized by a reduction of treatment and prevention and a greater emphasis on stricter punishment. Mixed findings have been reported about the effects of counteradvertising on drug beliefs, perceptions, and use [180, 181]. Summary—Evidence to support the relationship between community norms and ATOD use and problems comes primarily from the observations that levels and types of use and public policies to address use vary across culture, time, and place. Researchers struggle to define and measure community norms, and little research directly addresses the relationship between norms and use. Enforcement Enforcement of formal ATOD policies is an important variable in any causal model. While the mere existence of regulations, laws, and administrative restrictions can influence ATOD use and associated problems, the effect size is magnified when there are consequences for violations. As the actual and/or perceived likelihood of being detected and arrested or cited for law violations increases so does compliance. Ross reported that perceived enforcement might be more important in successful outcomes than actual enforcement, at least initially [182]. The perception, however, may eventually need to match reality for the deterrent effect to be sustained [183, 184]. Evidence to explore the relationship between enforcement and use or associated problems comes from studies of the enforcement of a variety of specific policies. Alcohol—Selective breath testing (SBT) and random breath test (RBT) checkpoints have been used to enforce drinking and driving laws in the United States and abroad. In a systematic review of the literature, Shults et al. found strong evidence that both SBT and RBT result in reduced fatal and nonfatal injury crashes [40]. Studies that look at efforts to enforce youth access and specific types of use policies have found that increased enforcement is related to changes in use and related problems. Strategies to limit youth access to alcohol have generally involved some combination of merchant education, community participation and mobilization, and enforcement in the form of compliance checks and penalties for violators. Consistent enforcement of MDPA laws, combined with penalties for sales, has been found to reduce youth drinking and associated problems, including alcohol-related crashes [60, 185-187]. Wagenaar and Wolfson found that, without adequate penalties, attempts to reduce underage retail sales were likely to be ineffective and that only two of every 1,000 occurrences of underage drinking resulted in arrest [188]. Tobacco—Studies of strategies to limit youth access to tobacco provide strong evidence that increases in enforcement of policies can restrict both tobacco use and problems associated with use. Multiple studies have indicated that adding local enforcement to efforts to reduce retail sales 108 Needs assessment workbook | Wilder Research APPENDIX I of tobacco to underage persons increases retailer compliance with minimum legal age purchase laws [68, 70, 73, 189], while policies to limit tobacco sales to youth without enforcement have limited effects on tobacco sales to youth [67, 74, 190, 191]. Enforcement of clean air laws have been shown to reduce worksite exposure, reduce daily consumption among users, and increase cessation. Illicit drugs—Enforcement focuses on the extent to which drug consumers/ sellers or potential drug consumers/sellers can be deterred by the threat of arrest and/or harsh punishments for illicit drug offenses. Caulkins noted that “zero-tolerance” policies, or policies that impose equally severe sanctions for all levels of drug offenses, may actually stimulate drug consumption [193]. Local police crackdowns, a type of focused enforcement, entail “an abrupt increase in policy activity . . . which is intended to dramatically increase the perceived and/or actual threat of apprehension for specific types of offenses in certain places or situations” [194]. The efficacy of crackdowns has not been firmly established. The Netherlands’ formal policy of nonenforcement for violations of cannabis possession had virtually no effect on levels of marijuana [77]. Rydell et al. [195], Weatherburn and Lind [57], Yuan and Caulkins [196], and Wood et al. [197] found no relationship between large-scale drug seizures and use and perceived availability of drugs. Taken collectively, marginal changes in enforcement efforts have done little to change illicit drug use patterns or problems. Summary—Studies of efforts to enforce specific alcohol and tobacco policies provide evidence that enforcement efforts can result in reductions of alcohol and tobacco consumption and associated problems over and above simple passage or existence of a law. For illicit drugs, in which strict policies prohibit buying, selling, and using most drugs, and both penalties and enforcement already exist at relatively high levels, marginal increases in enforcement efforts appear to do little to change use patterns or problems. Indeed, research suggests that increased enforcement may at times result in increased use and/or problems. Individual-Level In addition to the six aforementioned environmental domains that influence ATOD use and associated problems, there are individual-level factors that shape these outcomes. Major individual-level perspectives are: 1) biological; 2) social control; 3) social learning; and 4) general strain. Biological theorists argue that there is a hereditary predisposition to ATOD use. Social control theory states that ties with social institutions inhibit ATOD use by promoting conformity to group norms. Social learning theory posits that all legitimate and illegitimate behaviors are learned, and that the principles of operant conditioning dictate how individuals become inclined to ATOD use. General strain theory (GST) suggests that ATOD use is the direct result of the failure to achieve positivelyvalued goals, the removal of positively-valued stimuli, and the presence of noxious stimuli. As with the six domains discussed previously, we review both the associational research that has linked these theoretical perspectives to ATOD use and associated problems, and the intervention research that has attempted to reduce ATOD use and associated problems through the manipulation of these individual-level characteristics. 109 Needs assessment workbook | Wilder Research APPENDIX I Alcohol—A body of research has determined that alcohol use and abuse can be attributed to both biochemical [198-200] and genetic [201-206] factors. Consistent with social control theory, single-parent families and family systems disrupted by death or divorce [207-209] are related to alcohol use among youth. Adolescents who do not have a close relationship with their parents, who do poorly in school, and who lack strong religious beliefs are also more likely to become alcohol involved [210, 211]. Empirical tests of social learning theory have confirmed that familial alcohol-using behaviors are strong predictors of adolescent alcohol use [212-214]. While GST is relatively new, initial research has suggested a positive relationship between a youth’s level of strain and subsequent alcohol use [215-217]. A large body of intervention research indicates that individual-level factors can be manipulated to reduce alcohol use and abuse. Early childhood interventions, such as teaching parenting and social skills to caregivers, have been shown to reduce alcohol use among youth [218, 219]. School programs that teach social competency and establish norms against alcohol use have reduced favorable attitudes toward alcohol use and reduced the prevalence of alcohol use among schoolaged populations [220, 221]. Programs that have focused on improved academic performance and school and family bonding have reduced short-term alcohol use [222]. Social influence strategies have also been shown to have beneficial effects in the onset of alcohol use [221, 223-226]. Tobacco—A small body of research has determined that tobacco use can be attributed to genetic factors [201, 227, 228]. Consistent with social control predictions, unstable family systems are related to cigarette use among youth [207, 209]. Empirical tests of social learning theory have confirmed that ATOD salience in the household is a strong predictor of children’s expectations to use tobacco and the actual use of tobacco [214, 229]. While GST is relatively new, initial research has suggested a relationship between a youth’s level of strain and tobacco use [216, 217, 230]. Early childhood interventions, such as teaching parenting and social skills to caregivers, have been shown to reduce tobacco use among youth [218, 219, 231]. Reviews of social influence and health consequence strategies have found modest but significant reductions in the onset and prevalence of cigarette smoking [223, 224, 232, 233]. Illicit drugs—The significance of familial transmission of drug abuse and dependence is well established [234, 235]. Studies of twin registries [236] and the classic adoption studies of Cadoret et al [237, 238] have demonstrated the importance of genetic factors to drug-related disorders. Consistent with social control predictions, single-parent families and family systems disrupted by death or divorce are related to illicit drug use among youth [207, 209, 239]. Adolescents who do not have a close relationship with their parents, who do poorly in school, and who lack strong religious beliefs are also more likely to become drug-involved [210, 211, 214, 240, 241]. Empirical tests of social learning theory have confirmed that exposure to adults and peers who use drugs is a strong predictor of adolescent illicit drug use [214, 229, 242-245]. 110 Needs assessment workbook | Wilder Research APPENDIX I While GST is relatively new, initial research has suggested a relationship between a youth’s level of strain and illicit drug use [215-217, 230]. Early childhood interventions, such as teaching parenting and social skills to caregivers, have been shown to reduce illicit drug use among youth [218, 246]. School programs that involve curriculum restructuring and the teaching of social competency have led to reduced drug use [247]. Programs that have focused on improved academic performance and school and family bonding have reduced both short- [248, 249] and long-term drug use [222]. Social influence strategies have also been shown to reduce the onset of drug use [223, 224, 226]. Summary—A large body of associational evidence suggests that individual level factors affect a person’s inclination to use alcohol, tobacco, and illicit drugs. Moreover, the intervention research suggests that ATOD use can be changed directly by manipulating the individual factors that increase one’s proclivity toward ATOD use. DISCUSSION We present an ATOD causal model that identifies Domains that are theoretically salient and empirically connected across alcohol, tobacco, and illicit drugs. The model identifies key domains which are important to effective prevention. In many cases, some of these Domains are more powerful than others and deserve special attention. The most salient domain is Economic Availability. The research evidence overwhelmingly indicates that, across the three substance categories, consumption declines as price increases. There is also strong evidence for the inclusion of Retail Availability in the model. When restrictions are placed on the retail availability of alcohol and tobacco, consumption and associated problems decrease. While there is little evidence to demonstrate that efforts to reduce the retail availability of illicit drugs would have a similar effect, descriptive studies of the illicit drug market suggest that a similar relationship exists. At worst, attempts to reduce the retail availability of illicit drugs would result in displacement (i.e., drug markets may shift in location or structure to accommodate new retail restrictions). Support for the inclusion of Social Availability comes primarily from surveys that have shown that a significant proportion of alcohol, tobacco, and illicit drugs are obtained through social sources. Limited research indicates that the availability of ATOD through social sources is associated with specific problems. Research also provides strong support for the inclusion of Promotion in the model. Higher levels of exposure to alcohol and tobacco advertising are associated with increased consumption and problems. It appears, however, that partial restrictions on advertising have little impact on the promotion/use relationship. Instead, total bans are needed to reduce use. Few studies of illicit drug market promotion exist, although it is reasonable to hypothesize that illicit drug promotion is related to use. 111 Needs assessment workbook | Wilder Research APPENDIX I The evidence to support the inclusion of Community Norms in the model is less conclusive. In general, evidence to support the relationship between community norms and ATOD use and problems comes from the observations that levels and types of use and public policies to address use vary across culture, time, and place. Studies struggle to define and measure community norms, and little research directly addresses the relationship between norms and use. Studies of efforts to enforce specific alcohol and tobacco policies provide strong evidence that enforcement efforts can result in increased reductions of alcohol and tobacco consumption and associated problems over and above simple passage or existence of a law, providing support for the inclusion of Enforcement in the model. For illicit drugs, in which strict policies prohibit buying, selling and using most drugs, and both penalties and enforcement already exist at relatively high levels, marginal increases in enforcement efforts appear to do little to change use patterns or problems. A large body of evidence suggests that Individual-Level factors affect a person’s inclination to use alcohol, tobacco, or illicit drugs. Moreover, intervention research finds that ATOD use can be changed when specific individuals, or persons nested within certain environments (e.g., schools), are directly targeted. These successes are achieved by manipulating the individual-level factors that increase one’s proclivity toward ATOD use. The major stumbling block to individual-level prevention efforts, however, is the inability to affect long-term change at the population level. While it is theoretically possible (though not practically feasible) to intervene at the individual level with every student in the United States, such interventions would necessarily need to be repeated as frequently as members of the population change. That is, when targeting individuals, there will always be new people in need of intervention. The environmental domains discussed in the current essay address population turnover by focusing on the environment in which individuals live, rather than the individuals themselves. Complex systems cannot be completely understood by breaking them down into individual components. Undoubtedly, there are complex interactions among all of the domains in our model. 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