did the strategic prevention framework work in wyoming? · progression of substance abuse,...
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Did the Strategic Prevention Framework Work in Wyoming?
Rodney A. Wambeam, Ph.D.Wyoming Survey & Analysis Center
BJS/JRSA National ConferencePortland, Maine
October 29, 2010
WYSAC 20092
What is the SPF SIG?
Needs Assessment
Mobilize & Build
Capacity
Strategic Planning
Implement Strategies
EvaluationCultural
Competence & Sustainability
Prevent the onset and reduce the progression of substance abuse, including childhood and underage drinking;Reduce substance abuse-related problems in communities; andBuild prevention capacity and infrastructure at the state and community levels.
WYSAC 20093
SPF SIG Goals
19 States (Including Wyoming, Maine, and Arizona)2 Territories
WYSAC 20094
Cohort I: Sept. 2004 to Sept. 2010
Guam
Palau
WYSAC 20095
Big Changes!
Needs Assessment and Planning in an
Application
State and Community Level Unit of Change
and Analysis
Strategies = Youth
Programming
Individual Level Unit of Change
and Analysis
Strategies = Policies, Practices
and Programs
Pay for Real Planning and
Needs Assessment
Old New
Targeted the “misuse of alcohol”
Funded all 23 counties
Served about 8 million people
WYSAC 20096
What Happened in Wyoming?
State Baseline (2005) Latest Data (2009) Percent Change
Youth Past-month Alcohol Use
Wyoming 45.4% 41.7% -8.1%
Youth Binge Drinking
Wyoming 32.0% 27.8% -13.1%
WYSAC 20097
Did Youth Consumption Decrease? High School Drinking in Wyoming (YRBS)
Sweet ☺
WYSAC 20098
Did Adult Consumption Decrease?
State Baseline (2004) Latest Data (2009) Percent ChangeAdult Binge Drinking
Wyoming 16.2% 15.7% -3.1%
Adult Binge Drinking in Wyoming (BRFSS)
KindaSweet!
WYSAC 20099
Was it the SPF SIG?
State Baseline (2005) Latest Data (2009) Percent Change
Youth Past-month Alcohol Use
Idaho 39.8% 34.2% -14.1%
North Dakota 49.0% 43.3% -11.6%
South Dakota 46.6% 40.1% -13.9%
Wyoming 45.4% 41.7% -8.1%
Youth Binge Drinking
Idaho 28.3% 22.3% -21.2%
North Dakota 33.8% 30.7% -9.2%
South Dakota 34.2% 26.3% -23.1%
Wyoming 32.0% 27.8% -13.1%
High School Drinking in Comparison States(YRBS)
Not so Sweet!
WYSAC 200910
Was it the SPF SIG?
State Baseline (2004) Latest Data (2009) Percent ChangeAdult Binge Drinking
Idaho 12.7% 12.9% +1.6%
North Dakota 20.5% 21.4% +4.4%
South Dakota 17.0% 19.2% +12.9%
Wyoming 16.2% 15.7% -3.1%
Adult Binge Drinking in Comparison States (BRFSS)
More Sweet!
WYSAC 200911
Performance Targets
Indicator Baseline (2005 YRBS and
2004 BRFSS)
2009 SEW Goal
Actual 2009 Value
Did Wyoming Reach the
Goal?Youth past-month alcohol use (YRBSS)
45.4% 37.7% 41.7% No
Youth past-month binge drinking (YRBSS)
32.0% 25.4% 27.8% No
Adult past-month binge drinking (BRFSS)
16.8% 15.5% 15.7% No
A Priori Targets Set by the SEW
Ouch!
WYSAC 200912
Mediating Variables?
State Baseline (2004) Latest Data (2008) Percent ChangeDriving-Under-the-Influence Arrests
Idaho 721.3 825.7 +14.5%North Dakota 789.7 689.5 -12.7%South Dakota 907.8 982.2 +8.2%Wyoming 953.7 1355.9 +42.2%
Liquor-Law-Violation ArrestsIdaho 394.4 452.5 +14.7%North Dakota 1076.7 961.4 -10.7%South Dakota 1072.5 911.6 -15.0%Wyoming 838.3 874.4 +4.3%
Drunkenness ArrestsIdaho 13.6 30.6 +125.0%North Dakota 107.4 108.5 +1.0%South Dakota 111.3 8.4 -92.5%Wyoming 295.3 521.6 +76.6%
Alcohol-Related Arrest per 100,000 People (UCR)
Interesting!
WYSAC 200913
Mediating Variables?
Attended community events where…
6th Grade 8th Grade2006 2010 Percent Change 2006 2010 Percent Change
Adults were drinking
54% 62% +14.8% 66% 73% +10.6%
Alcohol was being sold
41% 43% +4.9% 57% 61% +7.2%
Adults were drunk or intoxicated
23% 31% +34.8% 44% 51% +15.9%
Attended community events where…
10th Grade 12th Grade2006 2010 Percent
Change2006 2010 Percent Change
Adults were drinking
72% 79% +9.7% 75% 79% +5.3%
Alcohol was being sold
66% 71% +7.6% 71% 74% +4.2%
Adults were drunk or intoxicated
58% 66% +13.8% 65% 70% +7.7%
Culture Change for Youth (PNA)
Not so Much
WYSAC 200914
Mediating Variables?
Grade 2006 2010 Percent Change
6th Grade 54% 58% +7.4%
8 th Grade 34% 37% +8.8%
10 th Grade 19% 22% +15.8%
12 th Grade 12% 15% +25.0%
Youth Last Drink from Their Parents (PNA)
Are you kidding me?
Underage drinking and adult binge drinking continue to decrease in Wyoming
No conclusive evidence that positive changes are due to the SPF SIG
WYSAC 200915
Did the SPF SIG work in Wyoming?
WYSAC 200916
Community Level Change
Indicator Baseline Latest Data Percent Change
10th Grade 30-day Use
39% 24% -38%
12th Grade 30-dayUse
58% 36% -38%
10th Grade Binge 29% 19% -34%
12th Grade Binge 43% 25% -42%
Adult Binge 23% 10% -57%
Adult Heavy 9% 4% -56%
Combined Alcohol-Related Crashes
231 (per 100,000 people)
180(per 100,000 people)
-22%
Albany County Targeted Alcohol Use and Consequence Indicators (PNA & BRFSS & WYDOT)
