CoChairs:

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Co-Chairs Representative Sharon Cissna Senator
Donny Olson
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Alcohol - Great Destroyer
Wed. January 18, 2006 Noon 1PM Butrovich Rm.,
State Capitol A light lunch will be served.
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Agenda

• Alcoholism, the Great Destroyer
• January 18, 2006
• Introductions/Opening Remarks
  Rep. Sharon Cissna
  and Senator Donny Olson
• Prevention and Early Intervention
• Scot Prinz, Alaska Native Tribal Health
  Consortium
• Matt Felix, National Council on Alcoholism and
  Drug Dependence
• Diane Casto, Division of Behavioral Health
• Treatment Efforts in Alaska
• Bernard Segal, Ph.D., Center for Alcohol and
  Addiction Studies, UAA
• Kay Klose, Cook Inlet Tribal Council
• Victor Joseph, Tanana Chiefs Conference
• Therapeutic Court
• Janet McCabe
• Results of McDowell Group study
• Economic Cost of Alcohol and Other Drug Abuse
  in Alaska
• Angela Salerno, and
• Pamela Wilmoth-Schaf, Advisory Board on Alcohol
  and Substance Abuse
• Conclusion.

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Scot PrinzDirector, Behavioral Health Rural
ServicesAlaska Native Tribal Health
Consortium(907) 729-3643sprinz_at_anmc.org
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Provide Greater Emphasis On Prevention Early
Intervention

• Typically services are provided to persons having
  a diagnosed disorder/s.
• Cost will always increase as more persons develop
  disorders.
• Village-based behavioral health has a primary
  focus on prevention early intervention
• Universal (total population),
• Selective (at risk group), and
• Indicated (targeted individuals).

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• Focus on prevention, early intervention and case
  management.
• Increase Team Capacity of providers in
  communities/villages.
• Help to reduce long term chronic health problems,
  as well as family and community/village
  disruption.
• Help reduce costs to social services, education,
  law enforcement, courts, and corrections.
• Help reduce outpatient, emergency room, and
  inpatient medical workload as well as the
  increasing cost of that care.

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Matt Felix Director, National Council on
Alcoholism and Drug Dependence Prevention and
Early Intervention
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U.S. and Alaska Alcohol Comparisons Alaskans
consume 2.75 gallons of alcohol per capita,
compared to the national average of 2.25 gallons
of alcohol per capita. While personal
consumption of alcohol has gone down since 1990,
Alaska still ranks well above the national
average.
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Diane Casto Division of Behavioral Health
Prevention and Early Intervention
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Underage drinking
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Study results Alcohol advertising contributes
to increased drinking among youth. January 2006,
American Medical Assoc.
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American Medical Assoc. Jan. 2006
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American Medical Assoc. Jan. 2006
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Center for Substance Abuse Prevention, April 2003
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Bernard Segal, Ph.D. Director, Center for Alcohol
and Addiction Studies, UAA Treatment efforts and
the underlying causes of alcoholism
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This slide shows the relationship between being a
child of a substance abusing parent (or parents)
and ever having been physically abused or
neglected by ones parents among young adolescent
girls. What is most noticeable is that none of
the girls were physically abused or neglected if
they came from a home where were parents did not
abuse drugs. Conversely, among those who had
substance abusing parents, 49 experienced some
form of parental physical abuse. Source B. Segal
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A relationship was also found between being a
child of substance abusing parents (or parent)
and one or more suicide attempts. None of the
girls who came from a home where drugs were used
attempted suicide, compared to a rate of 20
among girls whose parents use drugs. Source B.
Segal
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Parental substance abuse was also found to be
related to drug use among the adolescent girls.
Among girls whose parents abused substances, 29
reported having used a substance (including
alcohol), compared to 5 of the girls from homes
where parents did not abuse drugs. Girls from
non-using homes were over 7 times less likely to
use a drug than girls from parents who were
substance abusers. Source B. Segal
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This slide shows that girls who committed violent
or delinquent acts experienced parental
abuse/neglect more often than did those who were
not abused or neglected by their parent(s).
Thirty-six percent of the girls who underwent
parental abuse/neglect exhibited violent or
delinquent behavior, compared to only 9 among
girls not abused/neglected. Girls who were not
abused/neglected were five times less likely to
act out than their abused counterparts. Source
B. Segal
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This slide shows that having experienced parental
physical/emotional abuse is related to
experiencing abuse by others. Seventy-three
percent of the girls who experienced parental
abuse/neglect were also physically abuse by
another, compared with 13 for girls not
parentally abused. Girls not abused were over 19
times less likely to be physically abused by
another than girls who were abused/neglected by a
parent. Source B. Segal
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Conclusion These data indicate that there is a
relationship between parental drug use and their
childrens drug use. These data also clearly
imply that girls exposed to parental violence are
highly predisposed to multiple adverse behaviors
during adolescence such as physical abuse by
others, drug use and physical violations.
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Conclusion The implication of these findings is
that prevention programs have to strengthen their
efforts to reduce drug use by addressing the
underlying factors that contribute to the onset
of drug abuse and other adverse life experiences.
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Kay Klose, Cook Inlet Tribal Assoc.
Innovative Treatment Programs in Alaska
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Victor Joseph Tanana Chiefs Conference
Treatment Efforts
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• Tanana Chiefs Conference Behavioral Health
  Services
• Counseling Center
• Behavioral Health Aide Program
• Cheghutsen
• Yukon-Tanana Counseling Services
• Old Minto Family Recovery Camp
• Upper Tanana Recovery Program

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• Concerns/What is needed
• Too much, too fast
• Continuum of services
• AK database

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Janet McCabe Therapeutic Courts
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RECIDIVISM RATES For all crimes National average
67 For those who participated in the 18-month
Wellness Court program 18
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Results of the McDowell Group study on the costs
of alcoholism to the State of Alaska
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Angela Salerno and Pamela
Wilmoth-Schaf of the Advisory Board on Alcohol
and Substance Abuse Presenting
results of the January 2006 study, The Economic
Cost of Alcohol and Other Drug Abuse in Alaska
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Alcohol abuse impacts every Alaskan How do we
turn things around?
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• Important points brought up at this health
  caucus
• We must look at the whole person as far as
  prevention programs are concerned.
• Promotion of healthy behaviors a must.
• Work w/community partnerships and focus on
  primary prevention.
• Focus on the underlying causes of alcoholism such
  as, abuse, trauma, and cultural stress not just
  treating symptoms.
• 50 of all arrests in Alaska are alcohol-related.
  Therapeutic courts could help w/recidivism.

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• Changing the availability and price of alcohol
  can greatly influence the per-capita consumption
  rates.
• By lowering the consumption rates, you would
  influence the status of Alaskas overall health
  and social service needs.
• The Criminal Justice Report of 2000 gave explicit
  advice to the Legislature on how to change Title
  IV statutes to reduce alcohol consumption.

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Important points continued The most effective
way to influence the costs of chronic diseases
and conditions is to prevent them. After they
develop, the symptoms can be arrested but they
never can be defined as cured. This public
health principle applies to alcohol abuse and
dependence as it is found in Alaska, one of the
highest consuming states in the nation.
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Co-Chairs, Sen. Donny Olson and Rep. Sharon
Cissna thank you for participating in the
Legislative Health Caucus. A copy of this
powerpoint can be found on our website
www.akdemocrats.cissna.org The audio file of
todays program can be found at
http//www.ktoo.org/gavel/audio.cfm. (type in the
date of this Caucus). For more information,
please call 1-800-922-3785