1. Cleaning
our
streams
of
substance
abuse Vickie Adams
Circles of San Antonio

2. Why Coalitions?
A coalition is a vehicle for bringing together
various community and government
sectors to develop and carry out
strategies that have an impact on the
whole community.
Refer to the Coalition MOU “Wheel”

3. Strategic Prevention Framework
Process

5. 2010 Texas School Survey on Substance Abuse
Students randomly selected from school districts
throughout the state
Provides trends of substance abuse by our youth
Biennial survey of students grade 7-12

6. Texas School Survey
Alcohol Texas-2010 SAISD-2010 NISD-2010
Ever Used 61.8% 59% 68%
Past Month Use 29% 31% 35%

7. 92% of alcohol consumed by 12-14 year olds
is through Binge drinking
For an adult, NIAAA defines binge drinking as,
over a 2-hour period, consuming:
– 5 or more drinks by a man
– 4 or more drinks by a woman
Because of smaller size, young adolescents (age
14-15) reach that BAC with fewer drinks:
– 4 drinks for boys
– 3 drinks for girls
– 3 drinks younger than if age 14

8. 3,325 alcohol retail establishments

9. Bexar County Alcohol Retail
Compliance Rates 2011

10. Where Texas Youth Obtain Alcohol

11. Where do College Students Get
Access?

12. • Ride with a drinking driver
• Drive after Drinking
• Never wear safety belts
• Carry weapons/guns
• Be bullied
• Be injured in a fight
• Be injured in a suicide attempt
• Be forced to have sex
• Had sex with 6 or more partners
• Have unprotected sex
• Use Marijuana/cocaine
• Ever injected drugs
Youth Risk Behavior Survey 2009
Nearly 1 million high school students and nearly 2 million 12-20 year olds
consume 5 or more drinks 6 or more times per month.
They are much more likely to
Is this the only thing we care about?
These pollute our
streams also

13. Seven Strategies
for Community Change
1. Providing Information
2. Enhancing Skills
3. Providing Support
4. Enhancing Access/Reducing
5. Changing Consequences
6. Physical Design
7. Modifying/Changing Policies

14. Managing the availability of alcohol and other drugs in
specific environments impacts the substances individuals
choose and the amount they use.
The ability to shape individual’s behavior by structuring
what is expected or permitted in specific environments
can reduce alcohol and other drug-relate problems
Environmental Approach
Environmental Strategies incorporate prevention efforts
aimed at changing or influencing community conditions,
standards, institutions, structures, systems and policies

15. Examples of Environmental Strategies:
Alcohol
• Restriction on happy hours
• Increase Taxes
• Outlet Density
• Bans on home delivery
• Keg Registration
• Bans on use in certain places
• Mandatory Server Training
• Restriction on advertising

16. Policy
change can take place at a basic level
Family policy about not serving
their underage children alcohol
School policy ending gifts of shot
glasses at prom nights
Community policy of prohibiting
alcohol at community events

17. • Local Ordinances that bans
billboard advertising alcohol
near schools
• Regulates the number of
liquor licenses
• State laws that regulate
alcohol taxes and other
areas
Policy
change can take place on a larger scale

18. Frieden Health Impact Pyramid: Alcohol
Alcohol education and
counseling, SBIRT
Evidence-based treatment
and other medical
interventions
Population-level access to treatment and
SBIRT, strong media campaigns
Remove dangerous products, e.g. AEDs; increase alcohol
excise taxes; reduce alcohol outlets; restrict and reduce
alcohol marketing
Reduce poverty
Increase education and employment opportunities
Improve human rights
Largest
Impact
Smallest
Impact
Much political will needed
Little political will needed

21. Connect with circlesofsa

22. Questions?