RESPONSIBLE ALCOHOL PROGRAM A Community Centered Approach

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RESPONSIBLE ALCOHOL PROGRAMA Community Centered
Approach

• Glenn T. Garcia
• Outreach Manager
• CAIB Executive Director
• F. E. Warren Air Force Base

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BACKGROUND

• Erosion of Community
• Increase in isolation and alienation
• Movement away from responsibility for others
• Decrease in sense of community
• Benefits of Focus on Community
• Communities can be characterized by their level
  of functioning

Mrs. Baskey
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LOSS OF COMMUNITY

• Loss of sense of community cohesion
• Fragmentation of Services
• Stove-piped Agencies/Programs
• Lack of Participation in Informal
• and Formal Networks
• Society of blame and litigation
• (i.e) No-Child Left Behind
• Teachers are held accountable/not parents
• Villages raising children/not parents
• Do you notice any of the same things occurring
• in your school or community?

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Community Capacity Model
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Formal Networks

• Policies and systems of social care that operate
  under civilian authority as instruments of
  socialization and social control
• Turbines in the form of leadership, policies,
  community services and programs, information, and
  norms of social responsibility that generate
  resources for direct access, as well as power,
  resources, and opportunities for promoting
  capacity within the informal system of social
  care
• Effectiveness depends, in part, on securing input
  and participation from informal systems of social
  care
• Who are some of the informal networks in your
  school or community that could help you identify
  and address problems?

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Informal Networks

• Includes voluntary associations, and less
  organized and more spontaneous networks of social
  care that are based on mutual exchanges and
  reciprocal reciprocity, such as relationships
  with friends, work associates, and neighbors
• Networks in the form of commitments and
  obligations, attachments and emotions,
  information exchanges, shared responsibility, and
  prosocial norms
• Two primary settings school and neighborhood
• Capacity depends, in part, upon resources,
  supports, and community members coming together.
• Must have ownership and buy-in from members to
  ensure success

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COMMUNITY CAPACITY

• THE CONCEPT
• Community agencies, leaders, and community
  members
• Demonstrate sense of shared responsibility for
  the general welfare of the community and its
  members, and...
• Evidence collective competence in taking
  advantage of opportunities that address community
  requirements and needs, meeting challenges,
  solving problems, and confronting situations that
  threaten the integrity of the community and the
  safety and well-being of members.

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Community Capacity

• High capacity communities exist when
• Leaders, agencies and the people
• Share responsibility for the general welfare
• Demonstrate collective competence (get things
  done)

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Language

• Lives
• Deaths
• Injuries
• Illness

• Money
• Jobs
• Crime
• Sales
• Taxes
• Health costs
• Votes

• Effort
• Frustration
• Ambivalence
• Dissent
• Nostalgia

Self -Esteem
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Your CommunityA careful look at where we are
today as a community. How do we define it?
What results do stakeholders want?
What are the boundaries?
What are our customers perspectives?
What are our agencies perspectives?
What are our agencies cultures like?
What are our families perspectives?
How are our resources allocated now?
Golden Arches
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The Best Place

• Where is the best place you have ever lived?
• What are three characteristics making it the
  best?
• Which of the three characteristics is most
  significant?

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A Community-Centered Approach

• Gives priority attention to situational
  deficiencies rather than personal and family
  deficits
• Focuses attention on risk reduction and community
  assets
• Places emphasis on advocacy and social change,
  citizen participation, community development,
  resource mobilization, and collective action
• Reflects a strengths perspective

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ConnectionsThe Cornerstone of Community Capacity

• Community capacity cannot be built if community
  connections are weak
• High quality communities exist when community
  connections are at multiple levels, are frequent,
  are meaningful, and are purposeful
• Community connections provide the foundation for
  shared responsibility and for collective
  competence

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0-0-1-3 Developing A Responsible Drinking Culture
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2004 Results
Compared to 1Q 2004 before program began few
statistics kept prior to 2004
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Why This Issue

• Annually alcohol is a key factor in
• Traffic Fatalities 40
• Assaults 72
• Suicides 35-80
• Sexual Assaults 52-90
• Murders 50-76
• Spouse or Child Abuse 50-65
• Drowning 69
• Derived from multiple sources

FIGHTING BAC!
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Why This Issue

• US Surgeon General national health crisis
• Heavy drinking now starts as early as age 9
• We represent Society
• Recruits have years of drinking behind them
• Subsequent discipline hurts readiness
• Leadership ill-equipped to respond
• Focus often limited to DUIs
• Misapply personal experience very different
  today
• (1 Risk) Most have given uptoo hard to stop

IRRESPONSIBLE DRINKING CLEAR PRESENT DANGER
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Science-Based Approach

• National Institute of Alcohol Abuse and
  Alcoholism, A Call to Action Changing the
  Culture of Drinking at US Colleges, 2002
• Institute of Medicine, Reducing Underage
  Drinking A Collective Responsibility, 2003

CROSSROADS A RESPONSIBILITY TO ACT --
AN OPPORTUNITY TO LEAD
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The Approach
INDIVIDUAL LEVEL

• Education
• Discipline

• Pre-Screening
• Treatment

RESPONSIBLEDRINKINGCULTUREIntegrated3-Pronged
Approach
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Individual Level

• Identify persons at moderate or
• high risk for problem drinking or
• substance use disorder
• PRE-SCREEN troops
• EVALUATE and EDUCATE for all alcohol incidents
• TREATMENT for serious alcohol abusers
• DISCIPLINE w/ swift, public response to criminal
  behavior may include summary courts martial or
  public nonjudicial punishment

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Base Level

• Airmen are socialized to the base
• what are the norms for alcohol?
• Address factors that promote high
• risk drinking
• Increase focus on alcohol (mentoring,
• buddy care, quality first line supervision)

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Base Level

• Why 0-0-1-3
• 0-0 Just restates the law
• 1 Liver can only process 1 drink / hour
• 3 Targets binge drinking
• Binging is most dangerous form of abuse
• 10X increase in negative consequences
• Most research starts binging threshold at 4
  drinks
• Slogan easily remembered
• Affects behavior at overt, subconscious and peer
  levels

KEEP BAC lt .05
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Base LevelWhy 1 and 3?

• 0.03 1 drink/hr relaxed, feeling of
  exhilaration
• 0.06 1-2 drinks/hr feeling of warmth
• relaxation, decrease of fine
  motor skills
• 0.09 2-3 drinks/hr slow reaction time, poor
• muscle control, slurred speech,
  wobbly
• 0.12 2-4 drinks/hr clouded judgment,
• lessened inhibitions
  self-restraint,
• impaired reasoning, well over
  legal limit

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Base Level

• Agreement
• Moral contract to all military civilian
  members
• First-line supervisors implement Place in PIF
• Wing CC letter to family members
• Publish adverse actions
• Professional development curriculum
• Alcohol section in annual Life Skills briefings
• CC Calls / FTAC / Right Start

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Base Level

• Anonymous Arrive Alive Taxi
• (1 Need) Alternative activities
• This generation does not RSVP, waits until 2130
  or later to go out, doesnt like what CCs like
• Web based communities and relationships
• Dorm Escape (Chapel run)
• Make a Difference (MAD) Crew
• Private chartered organization
• For airmen, by airmen, events on / off base
• SVS activities after 2100

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Community Level

• Change broader environment and help
• reduce problems over the long-term
• Increase consistent enforcement of
• drinking laws (especially sales to minors)
• Coordinate efforts with local law
• enforcement and community programs

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Community Level

• Wing CC letter to area alcohol retailers
• Cheyenne, Laramie, Ft Collins and Greeley
• Armed Forces Disciplinary Control Board
• Notified 4 establishments of unlawful actions
  jeopardizing safety of base personnel
• Responses corrected management deficiencies
• Partner for responsible beverage service

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Community Level

• Partnerships with State National Orgs
• - WY Dept of Revenue-Liquor Division
• - WY Dept of Health-Substance Abuse
  Division
• - WY Coalition to Reduce Underage Drinking
• - WY First Ladys Initiative on Underage
  Drinking
• - Governors Council on Impaired Driving
• - FACE Truth and Clarity on Alcohol

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First Quarter 2005 Results
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What 0-0-1-3 Is Not

• NOT solely an anti-DUI program
• Alcohol factors in all types of adverse effects
• Most do not involve a vehicle
• NOT a media campaign
• Natl research shows message-only programs fail
• One slogan / component

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What 0-0-1-3 Is Not

• NOT a moral campaign
• This is a public health crisis
• Translates into a readiness / public image
  problem
• NOT a quick fix
• Leaders must understand national research
• If turned over to social service agencies or law
  enforcement alone, it will fail

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Resources

• Air Force
• Medical
• Security Forces
• JAG
• Discipline
• PA/media
• Chaplains
• Social Services
• Commander Leadership

• Civilian
• Elected Officials
• Law Enforcement
• Courts
• Parents, Schools
• Media
• Faith Community
• Service Agencies
• Businesses
• Organizations
• Youth

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OverviewWhat we learned

• Conduct a Needs Assessment of your community
• Gather your stakeholders
• Provide training to ensure stakeholder buy-in
• Look for resources in your school/community
• Approach from a strengths-based perspective
• Develop a plan of action
• Ensure you have a way to measure your progress
• A multi-tiered approach ensures greater success
• Let the target members take ownership and
  responsibility for the plan.
• If it works, take credit.

FOD/FON
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