challenging community college alcohol use

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Challenging Community College Alcohol Use

Health ServicesMatthew Kiechle, MS, CHES, CPP

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Overview

Identifying TC3 AOD rates, consequencesAdministrative chargeAssembling Task ForceTC3 challengesEvidence-based practicesImplementation

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TC3 AOD Rates• Nationally (two and four year colleges and universities), about

80% of all college students drink alcohol, including nearly 60% of students age 18 to 20.

• 84% of TC3 students drink. At least 59% of TC3 underage students drink.

 • Nationally, more than 40 percent of college students report

engaging in binge drinking* at least once during the past 2 weeks.

• At least 53% of residential TC3 students (more than 400) binge drink.

CORE Survey Results. Tompkins-Cortland Community College (2008) Executive Summary. SIUC/Core Institute Core Alcohol and Drug Survey - Long Form. 1225 Douglas Drive Carbondale, IL 6290. Consortium Number = 7116, Institution Number = 5070. Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Monitoring the Future National Survey Results on Drug Use, 1975–2007. Volume I: Secondary School Students (NIH Publication No. 08–6418A). Bethesda, MD: National Institute on Drug Abuse, 2008, p. 26.

* “Binge drinking” or “excessive drinking” defined as a pattern of drinking to .08 BAC or higher

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TC3 AOD ConsequencesAcademic/other

In a single year: • About 25% of college students report academic consequences of their drinking including missing class, falling behind, doing poorly on exams or papers, and receiving lower grades overall. • 33% of TC3 students report some form of public misconduct (arrest, fighting, DWI/DUI, vandalism) as a result of drinking or drug abuse. • At least 29% of TC3 students experience serious personal problems (suicide ideation, injury, sexual assault, unsuccessful attempts to moderate).  

CORE Survey Results. Tompkins-Cortland Community College (2008) Executive Summary. SIUC/Core Institute Core Alcohol and Drug Survey - Long Form. 1225 Douglas Drive Carbondale, IL 6290. Consortium Number = 7116, Institution Number = 5070.

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Administrative ChargeIncrease in Residence Life studentsPresident and Board of TrusteesDirector, Health ServicesDean of StudentsHealth Educator

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TC3 Task Force on Substance Abuse Prevention and Health Promotion

Student Life and Services Faculty Athletics Enrollment Services Students Community members

Working groups Shared documents Bi-monthly meetings Report and

recommendations

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Challenges

Residential population and campus enrollment growth (49%, 13%)

Organizational structure in Student LifeScope of Health ServicesLimited resourcesUtilizing established systemsNew and different approachPolicy and protocol developmentThe community college student

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The Ten-Point PlanA strategic, collaborative, and evidence-based

framework to:◦ identify effective programs◦ connect them with others on campus under shared vision

and leadership◦ enhance and/or redesign promising programs◦ and design and implement new evidence-based

strategies to meet identified student needs.

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Steps Acquire necessary administrative supportAssemble a Multi-disciplinary Implementation

Task Force◦ Working groups

Make and adopt policy and procedure changes*Options ProgramGarner support; FSA Board, College BoardCommunicate to campus communityReport to the President

* Judicial and Residential Code(s) of Student Conduct re: required intervention/education and accountability for off-campus behavior.

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THE 3-IN-1 APPROACH

According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2002 report A Call to Action: Changing the Culture of Drinking at U.S. Colleges, a successful, comprehensive institutional intervention will deliver: • effective and promising strategies (Tiers 1-3) • concurrently across three distinct levels: • individual students• general student body• greater campus community

A Call to Action: Changing the Culture of Drinking at U.S. Colleges. National Institute on Alcohol Abuse and Alcoholism (NIAAA) Task Force on College Drinking. 2002.

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Ten-Point Plan for Substance Abuse Prevention and Health Promotion

A comprehensive, campus-wide initiative to support the College’s academic mission of student learning by reducing student alcohol and drug abuse and advancing the collective health of the campus community.

Ten-Point Plan for Substance Abuse Prevention and Health Promotion

Leadership

Campus-community Partnership

Awareness & Information

Assessment & Evaluation

Environmental & Selective Programs

Support & Intervention

ServicesAcademic Infusion

Staffing & Resources

Policy & Protocol

Identification &

Enforcement

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1. LeadershipCollege Administration

◦President and Provost◦Deans and Directors

Student Life and Services◦Multidisciplinary collaboration ◦Health Services

Health PromotionTask Force

◦Program Development, Implementation, Evaluation

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3. Assessment◦CORE Survey ◦Annual reports

Student Life Office of Residence Life Office of Public Safety Health Services Options Program Office of Student Activities

◦Student surveys

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4. Environmental and Selective Programs

Healthy communities Substance-free floor

Alternative social/recreational activities Late Night Fitness – Evening hours, classes, programs,

massage therapy Campus activities, speakers, performances, etc. Cultural Interest Groups programming, fitness events Wellness-themed, e.g. outdoor, clubs Community service and engagement

◦Opportunities◦Transportation◦Academic credit

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4. Environmental and Selective Programs (cont.)

Educational outreach programs targeting higher-risk populations◦ Staff delivered ASTP and MI Programming

Student-athletes First-year students Campus residents

Peer-based programs Train-the-trainer for residence directors and residence assistants Health Services interns

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5. Support and Intervention Services

Harm reduction model early intervention, evaluation, education, and referral for identified high(er) risk students.

• Intervention and support• Current students• Incoming first year, transfer, and returning students with documented

AOD abuse history• Evaluation

• Risk factors including AOD abuse and psycho, social, vocational, family, and environmental

• Individual education and counseling sessions• Motivational Interviewing BASICS• Cognitive-Behavioral Skills Training ASTP

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5. Support and InterventionServices

Psycho- educational group sessions- Three 60-minute classes• Risk continuum, risk and protective factors, strategies, individual

factors, student-specific alcohol and drug information, etc. • Media applications • Home work assignments

• Drug screening• Assist students who require/request services through the Options

Program• Support abstinence • Comply with legal, organizational, and/or institutional expectations

• Request for urine screen from Health Services or family medical provider and student is fully informed and provides written consent

Referral and consultation

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6. Academic Infusion Academic integration of substance abuse prevention

material within existing courses in nursing, AOD, biology, human development, fitness, and others

Universal Freshman Seminar- AOD and other life skills included

Professional development◦ Staff/Faculty trainings

◦ Ten-Point Plan overview

◦ Identifying students, making referrals

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8. Policy and ProtocolsNon-academic Student Code of Conduct

Alcohol Drugs

Student Life Office of Residence Life Judicial, Dean of Students Health Services

◦ Options Program Counseling Center

Public Safety AthleticsAcademics

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9. Identification and Enforcement◦ Office of Residence Life ◦ Advisors◦ Judicial Affairs◦ Dean of Students ◦ Office of Public Safety ◦ COAS◦ State and local law enforcement◦ Events on and off campus◦ Admissions Office◦ Academics◦ Athletics

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10. Campus-Community Partnership

Law EnforcementNeighboring Institutions Area hospitalsCommunity health organizationsCoalitions

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ReferencesHingson R, Heeren T, Winter M, Wechsler H. Magnitude of alcohol-related mortality and morbidity

among U.S. college students ages 18–24: Changes from 1998 to 2001. Annual Rev Public Health 26:259–279, 2005.

CORE Survey Results. Tompkins-Cortland Community College (2008) Executive Summary. SIUC/Core Institute Core Alcohol and Drug Survey - Long Form. 1225 Douglas Drive Carbondale, IL 6290. Consortium Number = 7116, Institution Number = 5070.

Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Monitoring the Future National Survey Results on Drug Use, 1975–2007. Volume I: Secondary School Students (NIH Publication No. 08–6418A). Bethesda, MD: National Institute on Drug Abuse, 2008, p. 26.

A Call to Action: Changing the Culture of Drinking at U.S. Colleges. National Institute on Alcohol Abuse and Alcoholism (NIAAA) Task Force on College Drinking. 2002.

Wechsler, H., Davenport, A., Dowdall, G., Moeykens, B. and Castillo, S. Health and behavioral consequences of binge drinking in college: A national survey of students at 140 campuses. JAMA 272: 1672-1677, 1994.

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Challenging Community College Alcohol Use

Health ServicesMatthew Kiechle, MS, CHES, CPP