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Home My WebLink About20112325.tiff RESOLUTION RE: APPROVE CONTINUATION APPLICATION FOR COLORADO PREVENTION PARTNERSHIP FOR SUCCESS AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Continuation Application for Colorado Prevention Partnership for Success from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado Department of Human Services, commencing October 1, 2011, and ending September 30, 2012, with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Continuation Application for Colorado Prevention Partnership for Success from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado Department of Human Services, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 29th day of August, A.D., 2011. BOARD OF COUNTY COMMISSIONERS WEL,D COUNTY, COLO DO ATTEST: /2ce<7' `Barbara Kirkmeyer, hair Weld County Clerk to the ar 361 Sean P. C•- - Pro-Tem BY: Deputy C rk to the Bo ® Qy Willi F. Garcia APP ED RM: 4 i avid E. Long V C ttorney 'L Ec—LC5 � �Q Douglas ademache Date of signature: 9- Y-I k O✓i 4-o SU5Cu - CC , IA St t . awl - l l of • t5- LI 2011-2325 HR0082 MEMORANDUM ftt,„,„,„,,H DATE: August 25, 2011 W I Barbara Kirkmeyer, Chair, Board of County Commissio�( ers c FROM: Judy A. Griego, Director, Human Servic epa at COLORADO RE: Continuation Application for the Colorado Prevention Partnership for Success Enclosed for Board approval is a Continuation Application for the Colorado Prevention Partnership for Success for Fiscal Year 2011-2012. This Continuation Application was reviewed under the Board's Pass-Around Memorandum dated August 23, 2011, and approved for placement on the Board's Agenda. As background information, the Board entered into a FY 2007 Colorado Prevention Partners Contract with the Colorado Department of Human Services. Funding was awarded under a non- competitive "Colorado Prevention Partners" application, which was submitted on behalf of Weld County's Interagency Oversight Group (HB04-1451, "Collaborative Management of Multi- agency Services Provided to Children and Families), and at the request of the Governor's Office. The Department continues to act as the Fiscal Agent. North Range will act as the Program Administrator. Under this Agreement, the Youth and Family Connections, acting as the Interagency Oversight Group (HOG), provides oversight for the Project. 1. The purpose of the project is to reduce substance abuse in Weld County following evidence- based strategies using a multi-tiered approach. 2. The Department is seeking funding in the amount of$332,314.00 as outlined in the budget incorporated as part of the Continuation Application. If funded, the monies will pay for a Project Coordinator employed by North Range Behavioral Health, survey expenses, and related operating expenses. 3. The source of funding is through the Colorado Department of Human Services' Alcohol and Drug Abuse Division. 4. The term will be from October 1, 2011 through September 30, 2012. If you have questions, please give me a call at extension 6510. 2011-2325 Colorado Division of Behavioral Health COLORADO PREVENTION PARTNERSHIP FOR SUCCESS CONTINUATION APPLICATION COVER/SIGNATURE PAGE APPLICANT FISCAL AGENCY INFORMATION (Signature Authority) Applicant Agency Board of County Commissioners, Weld County, Colorado on behalf of the Name Weld County Department of Human Services Address P.O. Box A city:Greeley I State: CO f Zip: 80632 County: WELD Agency Phone 970 352-1551 Agency Website www.co.weld.co.us.com Contract Contact Barbara Kirkmeyer Title: Chair, County Name Commissioners Contact Phone 970 356-4000 Contact Email bkirkmeyer@co.weld.co.us • Signature stLit_42 12 / 't ,o FINANCIAL CONTACT INFORMATION Financial/Fiscal Lennie Bottorff Title: Fiscal & Budgeting Contact Name Manager Contact Phone 970 352-1551 Ext. 6537 Contact Email bottorll@co.weld.co.us Federal Tax ID u 84-6000813 PROGRAM PROVIDER(SUBCONTRACTOR)AGENCY INFORMATION Provider Agency North Range Behavioral Health Services Name Agency Phone 970 347-2120 Agency Website http://www.northrange.org Contract Contact Title: Name Contact Phone Contact Email Provider Contact Nomie Ketterling Title: Project Coordinator, CPPS Name Contact Phone 970 313-1159 Contact Email nomie.ketterling@northrange.org Weld County Prevention Partners 1 a?C.//- �� SECTION I. PROGRAM DESCRIPTION 1. How The Capacity and Infrastructure At the Community Level Has Been Strengthened To Support The Prevention Of Alcohol Use And Binge Drinking That Is Culturally Responsive To Hispanic/Latino Youth. (Include Roles And Responsibilities Of Staff And Community Members.) WC Prevention Leadership Council. Weld County (WC) Prevention Partners has increased the capacity of its coalition by creating a WC Prevention Leadership Council in October 2010. The Council consists of over 40 members from various domains including; prevention service providers, municipal government, county probation, health department, social services, schools, parents, physicians, law enforcement and concerned business and community representatives. This PLC-WC through monthly meetings has guided the decisional group process of strategic planning for prevention in Weld County, developed a vision statement, sanctioned the allocation of funds to various prevention strategies and budget categories and selects and endorses marketing messaging and materials. The PLC- WC is lead by the CPPS Project Coordinator. Additionally, a Latino Advisor/Consultant has been added to the mix of stipended personnel that provide the services of WC Prevention Partners. The Prevention Leadership Council has a structure of sub-committees that work between the monthly meetings to provide activities/programs/services in our county. For example: the Speakers Bureau chaired by the Latino Consultant has developed through a group process a power point presentation that goes on "the road" approximately three times a month to various groups. The PowerPoint is educational about substance addictions and informational about WCPP and the prevention strategies that are being implemented in our county and finalizes with a call to action motivating listeners to get involved with underage drinking prevention in their own homes, schools and communities. Partnering with Latino serving organizations, i.e., the Latino Chamber of Commerce for "Cinco de Mayo" festivities, WCPP was in the parade, had a booth in the event center for information dissemination and sponsored the youth activity area at this alcohol free event. Another example is the NEW and growing relationship with the local LULAC organization in Greeley. WCPP has supported several pro social LULAC events this year; for example an end of school year picnic. WC Epidemiology Work Group. The Weld County Epidemiology (WC Epi) Work Group meets regularly and provides answers, data and research support to the Prevention Leadership Council-WC. This group, which is composed of more than 20 Weld County school and agency representatives who have access to data in their organizations, is led by the WCPP Project Evaluator. The WC Epi Work Group reviewed community needs assessment interview data and are developing their local Community Epi Profile, Data Gap Weld County Prevention Partners 2 Plan, and Data Dissemination Plan. Both the PLC-WC and WC Epi Work Group developed and approved a joint local Charter Work Plan with goals. Youth Coalition. A youth coalition was founded in November of 2009 named THAT-Teen Health Alliance Today in partnership with the WC Health Department. WCPP and the Health Department support and sponsor all of the community service and leadership activities of this group. Meetings are monthly and a big spring event was called the Battle of the Bands and the bands performed for younger teens at the Youth for Christ coffee house, called "Upper Ground". The older teens of THAT did are great job of educating and modeling good choices through a series of UTube presentations.THAT is currently recruiting for new membership from high schools all over the county. Two THAT members were Youth Service award winners for the City of Greeley this year, and several received scholarships to attend universities in Colorado and out of state. WCPP Team Windsor. Finally, the two team concept of the CPP grant that formed WCPP Team Greeley (now PLC-WC) and WCPP Team Windsor that continues to meet monthly to provide guidance to that part of the county and schools. 2. How Additional Or Other Funding Has Been Leveraged For the CPPS Initiative. a. EUDL Project. March 31, 2011 ended the 18 month EUDL grant with the Colorado Department of Revenue. Weld County Prevention Partners was the community partner with the Greeley Police Department. The EUDL project was a social norm campaign at the local community college-Aims Community College. This campaign with the goal of changing perceptions around drinking and driving with younger community college students began with an online survey of 250 + students. The marketing campaign held on the campus in Greeley produced banners, newsletters, t shirts, decals/stickers, posters and other peripherals with the message "I think therefore I designate" — higher learning is more than just academic." Additionally, the WCPP staff participated in two Safety Fairs on the campus with the marketing and educational materials. The post perception survey completed this spring-2011 at Aims Community College reported positive changes in perceptions around drinking and drinking, designating a sober driver and general safety. A fall 2011 prevention message will be released in a guest editorial as school convenes. $6,840.00 b. GOOGLE Grant. GOOGLE GRANT was awarded in fall 2010 with initial activity with GOOGLE in November/December. The grant provided for enhanced search engine key words and ads. $10,000.00 c. In Kind: WCPP partnered with several agencies in the county for social marketing messaging/materials, including law enforcement Fort Lupton, Greeley $400.00, Weld County Sheriff $400.00 and United Way/211. WCPP partnered for prevention education Weld County Prevention Partners 3 with United Way and Bridges of Hope/faith community to provide three Bridges out of Poverty trainings for the community. We also partnered with Windsor High School to provide a staff person who was the student assistant staff and the provider of Project Success with Teen Intervene in the high school fall 2010 through this year. 3. Progress Of The Environmental Strategies Implemented Along With Evidence-Based Programs, Policies,And Practices and Describe Any Changes In The Strategic Plan. WCPP implements all six CSAP prevention strategies. This past year, we focused on: a. Retail Access: Community Trials. RAR of WC (Responsible Alcohol Retailers of Weld County) was established in July 2008 with the formation of bylaws and a code of ethics. It continues to grow and provide a supportive network to onsite and offsite liquor license owners and managers of restaurants/bars and liquor stores. This business community coalition consists also of law enforcement, media, transportation, catering, and governmental parties. A monthly TIPS training (beverage server training) attracts 15 individuals a month and is sponsored by WCPP. Over 250 individuals have received training in Weld County to date and our TIPS trainer was honored with a letter from the Governor on this work. Topics of interest at meetings are marketing, safety, underage drinking prevention, legislative issues, and fake id identification, and business and governmental/judicial speakers. Marketing RAR of WC has included the creation of a brand, logo and website. Advertising has been purchased on the UNC Bear Bus, daily dining ads in the Greeley Tribune and guest editorials and articles featuring RAR of WC and the work and efforts of this group. b. Social Access. From the RAR of WC came a brochure that was shared with every Weld County municipality, clerk and law enforcement on "Planning for a safe and alcohol free event". In communities that require permits for park and town/city property use we asked that this brochure accompany those permits. This brochure was meant to heighten awareness in individuals and corporations/companies to think about their plans for big and small events they plan or sponsor. c. Policy Work. Policy work around social hosting is a priority of the Prevention Leadership Council-WC for future 2011-2012. A "parent guide for teenagers, drinking and parties" is currently in production created by WCPP. d. Social Norms Campaigns: (1) Aims Community College (described above with EUDL section). (2)Windsor High School—Actuality Social Norms Project. Contracting with Actuality-Team Fort Collins the DEFY "their perceptions" campaign has been very successful in Windsor schools for two and half years. The campaign began with trainings by Actuality for the Core team/adults and the Street team/youth from WHS. The "stealth" campaign kicked off fall 2009 with pre and post perception survey monitoring the results. The prevention messages come from the survey results for following classes. This campaign included a Weld County Prevention Partners 4 number of events/assemblies, pro social activities and a variety of peripherals. This DEFY campaign included everything from Street Team sweat suits, t shirts, decals/stickers, silly bands, lanyards, posters, sling bags, and website messaging and guest editorials in local newspapers to announce results and impact. The Street Team not only carried it's messaging throughout the high school but into the community with posters and decals. The data indicate that 65% of WHS students have not used alcohol in the past 30 days; the Street Team says, "We are not what you thought we are." Recruiting for the 2011 Street Team is limited and will include social norm and team development training. e. Alternative Activities: WCPP pro-social events, recreation and sponsorships of current prevention activities include: Journey a young woman's leadership conference, LULAC picnic, Cinco de Mayo children's area, Women's Fund Children's theatre event, UNC family violence conference, THAT monthly meetings, volunteer recognition, banner at Highland High School gym and ad in the sports program, THAT celebration for graduating seniors, Tailgate the Safety Way and SESS car show event. f. Prevention Education: (1) Strengthening Families 10-14 is an evidence based prevention parenting education for parents of 10-14 year olds- classes are mostly to Spanish speaking parents in various locations around the county-schools and recreation centers. The class is delivered by trained facilitators. (2) Project Success is an evidence based student assistance project that was implemented in the Windsor High School (WHS) by a trained educator that was supported half time by WCPP. Teen Intervene, another evidence based program, was also utilized by this facilitator in WHS. Identification and referrals were made to other service providers when deemed necessary. (3) Bridges Out of Poverty trainings were offered three times this year to Weld County community members with the goal of not only getting practitioners, educators, faith based and other providers to speak the same language but for a "call to action" for continued work on implementing the principles of "Bridges" in our community. There were 200 people trained in Greeley at these sessions. 4. Progress in Developing or Utilizing A Social Marketing Campaign. In terms of social marketing, 35% of WCPP financial resources are designated for its social marketing campaign. Since 2007 this evidence based strategy has been a major emphasis for WCPP. First steps in developing brand, logo and tag line were the decisional processes for our campaign with our volunteer coalition. Parent focus groups were helpful in selecting final logo, colors and message. WCPP has appealed to parents of middle school youth and now parents of high school youths and other adults to set limits, share expectations, role model good behaviors and choices, plan safe activities, lock up alcohol and drugs, share family time with meetings and dinner, and to take responsibility for underage drinking prevention in our community and know the consequences. Gauging behavioral changes can be difficult with attitudes with perceptions influenced by our messaging more rapidly. Weld County Prevention Partners 5 Social marketing has included many methods of delivery from website with an interactive forum site for parents with a parent moderator and later with face book, now with two sites: one for parents/adults and one for teens called IN THE KNOW—ITK. Other marketing efforts included: fliers, the program booklet at the Greeley Stampede, pamphlets and tri- fold cards with law enforcement and UW 211, banners at local events for instance; the Greeley Fiesta, the Arts Picnic and at our local roller derby rink were alcohol is served and many families are in attendance. Information is shared at schools especially the parent Prevention Guide book produced by WCPP, pull up banners on display all summer long at our local library district branches all over the county with a prevention message and bookmarks to distribute. Many give away items such as tote bags, key chains, magnets, pens, lip balm, pencils and t shirts worn by volunteers and speaker's bureau were provided to advertise underage drinking prevention messages. Posters and radio spots in Spanish and English, guest editorials and articles and print ads in many local newspapers have carried new updated messaging with a bright new look and feel with an emphasis on photos with families, Hispanics, older youth and ALWAYS have bilingual Spanish and English prevention content. Social marketing (information dissemination) with direct face time occurs at community and local town booths and parades, health fairs and festivals in various Weld County communities. Education and WCPP publications /information are shared with every opportunity. Weld County Prevention Partners 6 SECTION II. OUTCOMES Progress Made Towards Meeting The Outcome To Reduce 30-Day Binge Drinking Rates Among High School Hispanic/Latino Youth By 5%After 3 Years And 8%After 5 Years. Weld County Prevention Partners (WCPP) evaluated Environmental Strategies which include evidence-based programs and practices this past year to address underage drinking prevention with a focus on Latino high school students in Weld County. For the purposes of this report, the evaluation focuses on: (a) Retail Access: Community Trials (Responsible Alcohol Retailers of Weld County), (b) Social Norm Campaigns (Aims Community College and Windsor High School), (c) Prevention Education: Project SUCCESS, a model for underage drinking prevention, and (d) Healthy Kids Colorado Survey data, with an emphasis on binge drinking and related factors. a. RETAIL ACCESS: COMMUNITY TRIALS. As part of the Community Trials project, WCPP developed the Responsible Alcohol Retailers (RAR) of Weld County (WC) three years ago and supported activities associated with this group this past year. First convening in July 2008, RAR of WC currently represents a group of 25 on-premise and off-premise alcohol retailers and law enforcement agencies in the Greeley, Evans and Weld County communities who responded to a recommendation by the Colorado Prevention Partners efforts on Underage Drinking. In June of 2011, a survey was completed by 14 RAR members, of which 57% have been members 1-3 years. When asked why they attend RAR meetings, 93% of the members reported that their I#1 reason was the "help responsible alcohol use among retailers." The RAR of WC members indicated that alcohol awareness education and informing patrons that they don't support selling liquor to underage individuals were the top goals and accomplishments of the the group this past year. RAR members perceived that the free TIPS trainings, business marketing materials and sponsorship of meetings were the greatest benefits to them. In terms of promotional items, the RAR members rated the following items as beneficial to them and their businesses: Safe Event brochure (43%), RAR website business photos and ads (36%), the Greeley Tribune Newspaper— Daily Dining Ad (29%), business ads or guest editorials (29%), and give-away items such as cups, napkins, etc. (21%). Topics of interest to RAR of WC members included: legislative issues, improving business practices,policies that encourage good business practices and ways to increase business revenues were the top choices. b. SOCIAL NORM CAMPAIGNS. Two major social norm campaigns were conducted in Weld County this past year. These include the Actuality Social Norms campaign conducted at Aims Community College and Actuality Social Norms Campaign conducted at Windsor High School. Student survey results from 2011 are summarized below. (1) The Actuality Social Norms Campaign — Aims Community College. The ACTUALITY® Social Norm Campaign at Aims Community College, "I think therefore . . . .," was designed with the intent to encourage healthy norms regarding underage drinking and drinking and driving. The campaign consisted of messaging to all students using various media. As part of the evaluation of a social norm campaign at Aims Community College„ a survey was administered to a random sample of students in March of 2010 and again in March 2011. The survey and the surveying Weld County Prevention Partners 7 methodology were developed by Team Fort Collins and survey administration was managed by administrators at Aims Community College. Analyses were conducted by Team Fort Collins and a report was written by Team Fort Collins. The target population for both surveys was students 18 — 20 yrs. of age. For each administration of the survey, 500 students from the target population were randomly selected using a random numbers table. An invitation to participate in an electronic survey was sent to selected students via traditional mail. One week following the invitation, students were sent an email with a link to the electronic survey. A $10 gift certificate for iTunes, a local restaurant, or the campus coffee shop was offered as an incentive to participate in the online survey. Survey responses were anonymous. Thirty-two percent of respondents recognized the campaign slogan "I think therefore I drink (2 or less)" and 56% recognized the slogan, "I think therefore I designate." Less than half of respondents reported seeing the campaign messages at least a few times a week, and believability of the messages ranged from 60 - 66%. According to Team Fort Collins, "Recognizability and believability were important measures of how well the message was delivered and received by the target population." The data analysis indicated that a positive influence of the campaign on respondents' perceptions of other students' substance use and drinking a driving behavior was found. For example, before the start of the campaign 42% of respondents believed that their peers did not drive a car after consuming alcohol, and after the campaign 48% believed this to be true. Unfortunately, perceptions regarding alcohol use did not seem to be positively affected by the campaign. Before the campaign, 21% of respondents perceived that other students at Aims did not consume alcohol in the past 30 days, and only 18% perceived this to be one year later. Also, there was no change for respondents' perception of other students' binge drinking behavior. The researcher suggests, "One explanation for the inconsistent pattern of effects in perception and behavior change is the limited recognition of the campaign materials. Expanded marketing efforts or alternative media may need to be considered to better reach the target population. The student center at Aims Community College was temporarily displaced due to campus renovations. Unfortunately, this displacement coincided with the ACTUALITY Social Norm Campaign. Without a centralized location for marketing, it proved difficult to get the message in front of students as frequently as may have been necessary." (2)The Actuality Social Norms Campaign —Windsor High School. The ACTUALITY° Social Norm Campaign was implemented with training provided by TEAM Fort Collins, an organization that works with schools and communities in teen alcohol and other substance abuse prevention, three years ago in the Weld RE-4 School District, with support from Colorado Prevention Partnership for Success funds provided by the U.S.D.H.H.S. Center for Substance Abuse Prevention. A "street team" of high school students at Windsor High School were trained each year to promote the message among high school students that most students don't drink alcohol. Windsor's social norms campaign slogan was "Defy Their Perceptions of You" and an example of a message associated with the slogan was, "65% of WHS [Windsor High School] Students Don't Drink." Weld County Prevention Partners 8 As part of the evaluation of the ACTUALITY® Social Norm Campaign, a school-wide survey was administered to students at Windsor High School on three separate occasions, each one year apart in February of 2009, March 2010, and March 2011. The survey, which was developed by TEAM Fort Collins, was administered by teachers. Responses were anonymous and the survey took approximately ten minutes to complete. Data for the first two administrations of the survey were entered by Team Fort Collins. Data from the third administration of the survey were entered by Weld County Prevention Partners. Team Fort Collins analyzed the data and generated each annual report. The post-campaign report was intended to be a tool for evaluating alcohol prevention strategies at Windsor High School between February 2009 and March 2011. In terms of survey responses, 853 three pre-campaign surveys were completed in 2009, 927 surveys were completed in 2010, and 959 were completed in 2011 by students in grades 9-12 at Windsor High School. This represents over 90%of the student high school population. Although the survey indicated a slight increase in the lifetime prevalence of alcohol use among high school students, increasing from 68% in 2009 to 69% in 2011 for males and from 70% in 2009 to 73% in 2011 for females, self reports of binge drinking (5 or more drinks per occasion) did not increase and perceptions about whether their friends are binge drinking shifted in the right direction during the first two years of the campaign. According to the survey data, 50%of the male students in 2009 as compared to 51% of the male students in 2011 had never binge drank. In 2009, 51% of the females as compared to 50% of the females in 2011 have never binge drank. When asked, "During the last 30 days, on how many occasions have YOUR FRIENDS had five or more drinks of alcohol at one time?" 61%of the students responded in 2009 that their friends had engaged in binge drinking at least some time during their lifetime as compared to 58% in 2010 and 65% in 2011. The ACTUALITY® Social Norm Campaign at Windsor High School, "Defy," was designed with the intent to encourage healthy norms regarding underage drinking. The campaign consisted of messaging to all students using various media. In 2011, 91% of students recognized the campaign slogan, a 4% increase from 2010. Just over half of students (54%) reported seeing the campaign messages at least a few times a week, a decrease from 66% the previous year. Over two-thirds (68%) of high school students reported believing the messages that were associated with the "Defy" slogan in general, and specifically, 47% reported believing the statement, "65% of WHS students do not drink." c. PREVENTION EDUCATION: PROJECT SUCCESS. In partnership with the Weld RE-4 School District (Windsor, Colorado), WCPP sponsored Project Success, an evidence-based program that includes peer support groups, education, intervention and referral, to change norms as an environmental strategy. Project SUCCESS (Schools Using Coordinated Community Efforts to Strengthen Students prevents and reduces substance use among students 12 -18 year olds (http://www.nrepp.samhsa.gov/Viewlntervention.aspx?id=71). The program was originally developed for students in alternative high schools at high risk for substance use and abuse due Weld County Prevention Partners 9 to a number of risk factors, included poor academic performance, truancy, discipline problems, negative attitudes toward school, and parental substance abuse. Project SUCCESS has four program components: (1) the Prevention Education Series, (2) School- wide Activities and Promotional Materials to increase the perception of the harm of substance use, positively change social norms about substance use, and increase enforcement of and compliance with school policies and community laws, (3) A Parent Program of informational meetings, parent education, and the formation of a parent advisory committee, and (4) Individual (& Group) Sessions. In the Weld RE-4 School District, David Nicholl, Student Assistant Coordinator, participated in the Project SUCCESS training and implemented two of the components during the 2010-11 school year. These included a modified version of the Prevention Education Series and Individual Sessions of students who has been referred to the program for alcohol, tobacco, drug or prescription use violations. For the individual sessions, Mr. Nicholl also used the Brief Intervention technique. Parents of students who were referred to the Student Assistance Program (SAP) were also provided with information in the first session conducted with each student. Promotional information about Project SUCCESS (the Student Assistance Program) was shared with middle and high school students as part of the classroom presentations. Weld County Prevention Partners evaluator completed an evaluation of Project SUCCESS on (1) the Prevention Education Component (e.g. the numbers of students educated at the middle and high schools, observation of a high school class, and student feedback about the classroom presentations) and (2) Individual Sessions (e.g. the numbers of students referred for individual sessions through self-referrals or school staff during the school year, and student feedback about the impact of the individual sessions on future substance use). A brief summary of pertinent results are included in this report. Overall, 1309 students participated in Project SUCCESS during the 2010-11 school year at Weld RE-4 School District. This included 58 prevention education class sessions at the middle and high schools, 1017 students who attended those class sessions and 441 students who were provided individual sessions. Impact of Project SUCCESS Presentations. In terms of impact, most students (74%), particularly middle school students (95%), indicated that as a result of the Project SUCCESS presentation, they would not start using alcohol or other drugs. Other students indicated that the presentations helped them to think about cutting down their use of alcohol and/or other drugs (13% overall) or quit (7%) their alcohol or other drug use. Very few (5% overall) indicated that they would keep their current alcohol or drug use. What Students Learned. Students in all classes, middle school and high school, felt like they had learned something from the presentations that were conducted as part of Project SUCCESS. Windsor Grade 8 Health Class: Weld County Prevention Partners 10 • "Alcohol or Drugs can kill you or have very harmful effects on your body." • "That binge drinking can kill you." • "Kids everywhere (Even Windsor) are at risk." • "People from Windsor Middle School have done it." • "How just one little decision can change your entire life." • "Don't do drugs or drink till I'm 21." • "That all the choices affect your life and potential." • "I have a lot of potential. I just have to make the right choice." Windsor Grade 9 Health Class: • "How dangerous alcohol can be and how easily you can die." • "How easy it is to end your life." • "How many kids have died from [alcohol or drug use] at Windsor High." • "The idea that not everybody's doing it." • "That drinking just one time could lead you to your death." • "Realization that this could happen to me." • "Not to do drugs. Not to ruin my life because there's something to live for." • "You have a choice." • "I can choose Life!" • "Think before you make a decision that could hurt you or others." • "One choice can truly make a life or death difference in your life." • "That your current choices will impact your future." • "My choices can affect mine and others lives." • "Learn to make better choices and choose wisely." • "Don't ride on a motorcycle with someone who has been drinking!" • "Think and don't be stupid." Windsor High School: • "I need to quit binge drinking." • "Many people have died from abuse." • "Most teen deaths were from drugs/alcohol." • "I learned that students from our school died." • "The effects of drugs on the brain." • "I learned that if you do drugs when you are young then your brain looses how you judge your emotions and how you do things. Your brain stays immature." • "Not to be in a car with someone that drinks." • "I need to have some changes in my life." • "We can talk to people about our problems or tell you about some one else." INDIVIDUALIZED SESSIONS (Brief Interventions). Eighteen students voluntarily completed a one-page survey with eight items. Students were asked to indicate the degree to which they agreed or disagreed with 7 statements; the response choices included: "1" Strongly Disagree, Weld County Prevention Partners 11 "2" Disagree Somewhat, "3" Neutral, "4" Agree Somewhat, and "5" Strongly Agree. The items asked each student to reflect and evaluate the sessions, the Student Assistant Program staff person and their overall experience. More specifically, the student was asked to determine whether: (1) The brief intervention sessions were helpful (2) The SAP staff person showed they cared about them personally (3) The SAP staff person knew what they were talking about (4) The reason they were in the Student Assistance Program was clearly explained to them (5) They made positive changes from being in the program (6) They were glad they participation in the Student Assistance Program (7) They would recommend the SAP to a friend with a problem so that they could get help Among the 18 students who completed the Student Assistance Program Survey, more than two-thirds were in Grades 9-10 (72%) and most were males (83%). In terms of ethnicity, 28% were Hispanic, 22%were Asian or Pacific Islanders, and 50%were Caucasian. Among those who completed the survey, 8 were in Grade 9, 5 in Grade 10, 2 in Grade 11 and 3 in Grade 12. In terms of ethnicity, overall, 28% were Hispanic, 22% were Asian or Pacific Islanders, and 50% were Caucasian. All the students were referred because they had an alcohol, tobacco or drug violation. The referrals included: 33% marijuana use, 28% tobacco smoking, 22% alcohol use, 11%tobacco chewing, and 6% prescription drug misuse. Almost all (94%) of the students who participated in the Brief Intervention Sessions of the Student Assistance Program indicated that the reason that they were in the Student Assistance Program had been clearly explained to them. All of the students strongly agreed that the Student Assistance Program (SAP) Coordinator was knowledgeable and knew what they were talking about (94%) and that the SAP Coordinator cared about them personally (94%). Most students either strongly agreed (50%) or somewhat agreed (39%) that the individual sessions were helpful. Participant Satisfaction & Program Impact. Most of the students agreed wither strongly (61%) or somewhat (33%) that they were glad that they had participated in the individual sessions provided by the Student Assistance Program (SAP) Coordinator. Most students (72%) indicated that they had made positive changes as a result of their participation in SAP. Overwhelmingly, the students who participated in individualized sessions indicated that they would strongly recommend (72%) the Student Assistance Program to a friend if they had a problem and needed to get help. In terms of the potential impact of the individual sessions on alcohol, tobacco and other drug use, students indicated that: • 50%would quit their drug use • 33% would cut down their drug use • 11%would keep their drug use the same Weld County Prevention Partners 12 d. HEALTHY KIDS COLORAO SURVEY (HKCS) DATA . This report includes Weld County Healthy Kids Colorado Survey data from 2009-10 and 2010-11. These represent two distinct samples. WELD COUNTY 2009-10 HKCS DATA. In the 2009-2010 school year, 6,365 6th through 12th grade students in seven public school districts in Weld County completed the Healthy Kids Colorado Survey. This survey focuses on health risk behaviors, including tobacco use, physical activity, nutrition, alcohol and other drug use, risky sexual behaviors, and behaviors that contribute to unintentional injuries and violence. The high school survey respondents included: Grade 9 — 1000 students, Grade 10 — 857 students, Grade 11 — 815 students, and Grade 12 — 411 students. Results from the survey provide a baseline of issues among youth. These results, however, should be viewed with caution as they were derived from a convenience sample of students whose parents provided consent for their survey participation. Lifetime Prevalence of Alcohol Use. In 2009-10, 40% of the 9th grade students had not consumed alcohol in their alcohol. This decreased from 36% in Grade 10 to 26% in Grade 11 and 22% in Grade 12 in Weld County. Past 30 Day Alcohol Use. In 2009-10, fewer 9th grade students (37%) and 10th grade students (35%) had consumed alcohol in the past 30 days than 11th grade students (47%) or 12th grade students (53%) in Weld County. 30 Day Binge Drinking. In 2009-10, fewer 9th grade (23%) and 10th grade (22%) students had engaged in binge drinking of 5 or more drinks of alcohol in a row in the past 30 days than 11th grade (33%) and 12th grade (37%) students in Weld County. Gender Differences in Alcohol Use. In terms of lifetime use, more females in Grades 9, 10 and 11 had consumed alcohol than the males. More females in Grades 9, 10 and 11 had also consumed alcohol in the past thirty days than the males in those grades. Also, more females in Grade 9 had engaged in binge drinking than the males. Ethnic comparisons were not available in the 2009-10 report. Alcohol Risk-taking Behaviors. HKCS data analyzed across grades 6-12 indicated that 11%of the students are at risk of drinking and driving and 22% rode in a car with someone who has been drinking. Teen Access to Alcohol. Teens obtain alcohol from their friends, family and through other sources. Interestingly, although about half of the Weld County high school students report that alcohol (some beer, wine, or hard liquor, for example, vodka, whiskey, or gin) is "sort of easy" or "very easy" to obtain, few (< 10%) reported using alcohol on school property in the past 30 days, according to Weld County Healthy Kids Colorado Survey results for 2009-2010. Weld County Prevention Partners 13 WELD COUNTY 2010-11 HKCS DATA. In the fall of 2010, the Healthy Kids Colorado Survey was administered to 1,741 students from 9 different schools in Weld County. Of these surveys, 1,637 surveys were analyzed by OMNI and 104 were excluded due to inconsistent responses. The weighted sample included: 705 Hispanic students and 787 White, non-Hispanic students. In terms of grade levels, the student sample was represented as follows: Grade 9th—25.5%; Grade 10th-25.7%; Grade 11th-24.9%; Grade 12th-23.6%. In terms of gender, there were 51.7% males and 38.3%females. A limited number of items were analyzed and provided in a report by OMNI to WCPP. Since other collected HKCS data are important to the work of the WC Epi Work Group and other partners of WCPP, a request for a full report of data has been made. Lifetime alcohol prevalence data were not provided in the 2010-11 report. Past 30 Day Alcohol Use. In 2010-11, fewer 9th grade students (34%) and 11th grade students (38%) had consumed alcohol in the past 30 days than 10th grade students (42%) or 12th grade students (41%) in Weld County. Although these rates are lower than the unweighted data obtained in 2009-10, these results should be viewed with caution due to unweighted convenience sampling in 2009-10. 30 Day Binge Drinking. Unweighted responses of 30-day binge drinking were presented in the 2010 Weld County Healthy Kids Colorado Survey report. The results indicated that in the past month, 27% of Weld County high school students (25 % female, 30% male) binge drank (had 5 or more drinks within a couple hours). Those who engaged in binge drinking by grade level included: Grade 9 - 20%; Grade 10 - 24%; Grade 11 - 23%; Grade 12 - 42%. These 2010-11 rates were lower for Grade 9 (23% in 2009-10) and Grade 11 (33% in 2009-10), and again should be viewed cautiously due to the unweighted convenience sample in 2009-10. Rates of binge drinking among Hispanic/Latino high school students were higher than non- Hispanic/Latino students, as reported in 2010-11 HKCS summary report. In the Weld County sample, this included: • Ethnicity: 31.2% Hispanic/Latino vs. 24.5% Non-Hispanic White binge drink • Females: 27.6% Hispanic/Latino females vs. 22.3% Non-Hispanic White females binge drink • Males: 34.6% Hispanic/Latino males vs. 26.3% Non-Hispanic White males binge drink Student Perceptions. According to the 2010-11 HKCS data, 68.3%of Weld County high school students believe a typical student at their school binge drank in the past 30 days. Of these: • 62.1% were in Grade 9 and 75.4%were in Grade 12 • 74.7%were female and 62.1% were male Alcohol-Related Risk Behaviors By Youth. According to the 2010-11 HKCS data: • 24%of Weld County high school youth (29.4% Hispanic./Latino and 20% Non-Hispanic White) indicated that in the past month, they rode in a car with a driver who had been Weld County Prevention Partners 14 drinking. • 11.7% (14.2% Hispanic/Latino and 9.7% Non-Hispanic White) said that they had driven a car or other vehicle while drinking in the past month. • More males (13.5%) than females (9.8%) said they had driven a care or other vehicle while drinking in the past month. Attitudes Toward Underage Drinking . The Weld County HKCS 2010-11 data indicate that: • Almost one-third (32.8%) of Weld County high school youth (30.2% Hispanic/Latino females vs. 20.9% Non-Hispanic White females) perceive that daily drinking of 1-2 drinks has no or slight risk of harm • Almost one-third (30.6%) of Weld County high school youth (38.1% males vs. 22.7% females) perceive that binge drinking (5+ drinks per occasion) has no or slight risk of harm • Most (62.6%) high school students (67.1%female, 58.2% male) think it is wrong or very wrong for someone their age to drink beer, wine or hard liquor and even more think adults (76.9%)or their parents (81.3%) would say it was wrong for youth to drink Communication With Parents.The 2010-11 HKCS data for Weld County indicated that: • During the past 12 months, 52.1%of Weld County high school students have talked with at least one of their parents about the dangers of tobacco, alcohol or drug use. Weld County Prevention Partners 15 SECTION III. BUDGET AND NARRATIVE(ATTACHMENT A) A. A Narrative Summary And Projection For The Remaining Funds To Be Spent During The Last Quarter(July, August, September) Of The Current Fiscal Year. WCPP plan to utilize the carryover budget within this fiscal year is going well. There were two specific areas that received the majority of the carryover dollars: COMMUNITY MEETINGS/Summit and SOCIAL MARKETING. Both categories have brought lots of extras and excitement to WCPP and Weld County. SOCIAL MARKETING: 1 .A new face book manager was hired to revamp the old Parent Face Book Site of WCPP and to create a brand, spanking new site for Teens. Both are going well. The teen site has been able to meet with a teen focus group and get them on board to help with the design and content. This new site is called IN THE KNOW "ITK". The parent site is much friendlier and easy to access as well as having a new improved LOOK. 2. Audience participation technology was purchased. This technology will be put to use at the upcoming Solutions Summit. 3. A laptop is being ordered for promotional and educational presentations by the speaker's bureau. 4. Radio spot production has occurred with messaging for parents as school returns, running for a period to being August 22-September 12th on a number of English and Spanish radio stations along the Front Range and in Weld County. The Spanish segments were done with WCPP Latino Consultant in attendance to give impute. 5. Marketing materials were produced and printed and distributed. This will complete the budget for Social Marketing carryover. COMMUITY PREVENTION EVENT/Summit: A steering committee/task force was formed and began meeting in June 2011 to plan the PREVENTION EVENT of the SUMMER. We have named the event the Weld County Solutions Summit. The main goals of the event include inviting diverse communities from all around Weld County to a full-day of exciting and informational prevention information. The venue is the University of Northern Colorado —ballroom. It is expected to attract a large group—300. The speakers: Susie Vanderlip and Reggie Rivers will motivate and educate. After data is shared, we learn from our model community experience Windsor, Co, work on team building in groups and plan for the future for prevention in new Weld County communities. Teams will leave with the offer of continued support; share needs assessment and HKCS community wide data, resources and technical assistance. The expenses include marketing, venue, vendor support, speakers + expenses, supplies, stipend for volunteer planners, printing and copying/postage for post cards.This will complete the budget for Summit carryover. Weld County Prevention Partners 16 B. Excel workbook—CPPS Budget and Narrative FY2011-2012 to explain projected expenditures covering the third year of the continued project. Instructions are included in the Excel workbook. At least two people from our project will attend the DBH two-day professional development training which will be held in Denver, October 5-6, 2011. Division of Behavioral Health Colorado Prevention Partnership for Success Budget and Narrative Weld County Department of Human Services/ North Range Behavioral Agency: Health Fiscal Year: 2011-2012 (October 1, 2011 - September 30, 2012) Personnel Line Item Calculations and Narrative - DBH 1 Project Coordinator- 1.FTE: $49,000.00 $49,000.00 2 Project Coordinator Fringe Benefits @30% = $49,000.00 $14,700.00 X 30% = $14,700.00 3 Project Evaluator- .50 FTE: $75,000.00 x 50%= $37,500.00 $37,500.00 4 Project Evaluator Fringe Benefits @24%= $37,500.00 x $9,000.00 .24%= $9,000.00 5 Project Evaluator Assistant .25 FTE: $38,000.00 X 25%= $9,500.00 $9,500.00 6 Project Evaluator Assistant Fringe Benefits @ 20% = $1,900.00 $9,500.00 X 20%= $1,900.00 7 Administrative Assistant/Support - .25 FTE @ $12,000.00 $25.00/hour x40 x12= $12,000.00 Total Personnel k % v.*144; t .4t $133 600.00 Consultants Line Item calculations;arid;Narrative DBH 1 Social Marketing/ Media consultant= 20 hrs/month x 12 $15,600.00 @ $65.00= $15,600.00 2 Website and 2- Facebook management - GMAN @ $26,400.00 $1,000.00/month x 12=$12.000.00 and Growth Weaver @ $1200.00/month x 12= $14,400.00 3 TIPS trainer @ $300.00/monthly trainings x 12= $3,600.00 $3,600.00 Total Consultants " $45,600.O0 Weld County Prevention Partners 17 Travel Line Item Calculations and Narrative OGH In service area 4 staff local travel: 200 miles/month @ .46/mi= $4,416.00 $368.00x12=$4,416.00 Out-of-service area 4 staff out of area: Denver CPPS meetings, other $2,208.00 trainings @ 100/month @.46/mi=$2208.00 Total Travel $6,624.00 Operating Expenses Line Item Calculations and Narrative DBH 1 Office Supplies Office equipment, technology-2 WIFI hubs @ $2,940.00 $60.00/monthx2x12=$1440.00 and supplies- $125.00/month x 12=$1,500.00 2. Community Community Meetings-PLC-WC, EPI group, various $14,400.00 Meeting/Coalitions community teams @ $300.00/meeting x 4 meetings/ 12 months=$14,400.00 Includes room space, food, stipends to volunteers, supplies, giveaways and incentives. 3. Data Data Collection: Countywide sample by OMNI of the $33,350.00 Collections/Assessments HKCS; all survey materials,scanning of completed surveys to 7400 youth @ $2.75/survey= $20,350.00, include proctor teams stipends -4 teams x (4 people) x $100.00 x 3 days= $4,800.00, incentives to schools - $250.00 x 8=$2,000.00, pencils @ $1,500.00. Other surveys i.e. parent or satisfaction/assessments: 3 x @ $500.00= $1,500.00; personnel at schools to recruit families/permission forms - $1,200.00; extra reports to schools 8 x$250.00=$2,000.00 4 Alternative Activities Alternative activities: Support of various pro $8,000.00 social/recreational and youth leadership events in county (including THAT-Teen Health Alliance Today-the youth coalition @ 2/month @ $250.00x12=$6,000.00 The LULAC Leadership Conference at UNC = $2,000.00 5 Social Marketing Social Marketing: Design, production, printing of all $36,000.00 marketing materials= $8,000.00, supplies= $6,000.00, billboards= $3,500.00;stipends for volunteers at health fairs, parades, booths and festivals =$500/moxl2=$6,000.00; opening day and promotion of "prevention campus" -WCPP new home-$1,500.00; purchased ads in newspapers=$3500.00, promotional/giveaway items =$6,000.00 Focus groups/meetings/incentives: $1500.00 Weld County Prevention Partners 18 6 Retail Access/ Retail Access/Community Trials= support for monthly $6,800.00 Community Trials RAR of WC meetings, incentives to volunteers, food,12X $150.00= $1,800.00, marketing materials/promotional items and activities= $5,000.00 7 Prevention Education Prevention Education: Parenting classes/presentations: $33,800.00 Strengthening Families 10-14 (SF 10-14 site coordinator, facilitators, parent incentives, food, supplies, room, childcare providers, prizes) 4 classes (including a Booster Class) @ $5,500.00= $22,000.00; parenting education/presentation/presenter @ $200.00 per session x 2/month x 12 = $4,800.00; community training of Bridges out of poverty (presenters, food, workbook, room) 3 trainings x$1500.00 = $4,500.00; purchase of TEEN INTERVENE for 5 communities x2 copies of curriculum @ $250.00=$2,500.00 8 Social Norm campaign Continued support to social norm campaign (DEFY) for $7,000.00 periferials = $3,000.00; funds for planning/implementing new social norm campaigns=$4,000.00 9 Membership/fees 9 Membership fees-chamber of commerce, etc.= $4,200.00 $2,000.00; registrations- professional development/trainings for 4 staff$550.00x4=$2,200.00 Total Operating $146,490500 Subtotal of Direct Expenses $332,314.00 Indirect Expenses Not to exceed 20%of the total contract amount @ 17%for WCPP $67,686.00 Total Expenses $400,000.00 47-7 ,j1; -, , . AUG202011 Ap ant Agency Authorized epresentativ Date Weld County Prevention Partners 19 c9C//-,Q -?J SECTION IV. STATEMENT OF WORK(ATTACHMENT B) Attachment B—Excel workbook—CPPS Statement of Work Sample and Template for FY2011- 2012 (October 1, 2011—September 30, 2012). The statement of work attached includes tasks toward meeting the 3`d year outcome of reducing 30-day binge drinking among high school Hispanic/Latino youth by 5%and continued work toward meeting the 5th year outcome by 8% for FY2011-2012 (October 1, 2011 to September 30, 2012). Weld County Prevention Partners 20 \ < ] LL, Lu oVI CL Ct. -C ~ I > o \ \ y 2 \ } \ \ \ \ \ \ m Cu a tei to f : _ O 7 \ L. 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OUTCOMES Progress Made Towards Meeting The Outcome To Reduce 30-Day Binge Drinking Rates Among High School Hispanic/Latino Youth By 5%After 3 Years And 8%After 5 Years. Weld County Prevention Partners (WCPP) evaluated Environmental Strategies which include evidence-based programs and practices this past year to address underage drinking prevention with a focus on Latino high school students in Weld County. For the purposes of this report, the evaluation focuses on: (a) Retail Access: Community Trials (Responsible Alcohol Retailers of Weld County), (b) Social Norm Campaigns (Aims Community College and Windsor High School), (c) Prevention Education: Project SUCCESS, a model for underage drinking prevention, and (d) Healthy Kids Colorado Survey data, with an emphasis on binge drinking and related factors. e. RETAIL ACCESS: COMMUNITY TRIALS. As part of the Community Trials project, WCPP developed the Responsible Alcohol Retailers (RAR) of Weld County (WC) three years ago and supported activities associated with this group this past year. First convening in July 2008, RAR of WC represents a group of 25 on-premise and off-premise alcohol retailers and law enforcement agencies in the Greeley, Evans and Weld County communities who responded to a recommendation by the Colorado Prevention Partners efforts on Underage Drinking. Retailers drafted a Code of Ethics to prevent access of alcohol to underage individuals and prevent high- risk drinking behavior among patrons of legal drinking age. The purpose of the RAR of WC includes their commitment to: • Prevent access of alcohol to underage individuals • Prevent high risk drinking behaviors of legal-age drinkers • Inform patrons that we do not condone selling alcohol to those who provide it to underage individuals • Work together to inform the community about our concerns and commitment to reduce underage drinking • Promote the use of designated drivers • Align themselves with the best interests of our surrounding neighborhoods and residents • Promote alcohol awareness and education • Work together to affect legislation regarding our industry, as well as underage drinking and high-risk drinking behavior • Contribute to the welfare of our community Highlights of the past year (July 1, 2010—June 30, 2011) included a variety of topics that were discussed at monthly meetings held at various establishments of the members, as indicated in Table 1. Weld County Prevention Partners 30 Table 1. Activities and Discussions Sponsored by RAR of Weld County, 2010-11 Compliance • Weld County Sheriff's Office implemented red/blue card project/ Checks compliance checks Education • Business tips and ways to increase business revenues with responsible alcohol use and transportation • Participation in Tailgate the Safety Way on August 28, 2011 Fundraising • RAR members hosted university Fundraiser nights for charity organizations and a December toy collection ride. • Yellow Cab (Greeley) drivers were in the local university Homecoming Parade with a cab PINK to raise awareness and money for breast cancer research as part of the PINK RIDE program Job Board • RAR of WC decided to post jobs on their website with assistance from a RAR member Legislative • Senate Bill 060 (Beer For On-Premises Consumption) which permits license Issues holders (that sell beer, wine or spirituous liquor) to sell 3.2 beer for consumption on licensed premises, was signed into law • Senate Bill 083 reauthorized the Interagency Task Force on Drunk Driving • RAR of WC submitted a letter of opposition for legislation that would have offered more outlets for liquor sales, which fortunately failed Marketing • RAR of WC advertised weekly in the Greeley Tribune newspaper, including a dining meal ad with rotating list of RAR members • RAR of WC Promotional Items were: new RAR of WC brochures, giveaway Designated Driver "mood" cups, and cocktail napkins with logo • A billboard display at Lincoln Park Library on Dangers of Underage Drinking was set up by a RAR member after the death of a university student • An article for the University of Northern Colorado (UNC) on Underage Drinking was included • The UNC BEAR Bus added a Thursday route per a RAR member and RAR of WC group consensus was to advertise in the bus promoting RAR • The Budweiser Event Center stated patrons sign up as Designated Drivers for free Pepsi at local hockey games Policy • RAR members are exploring a possible combined ordinance to address Development house alcohol parties, including how do we implement it and if all the elements are met (e.g., licensing, selling liquor at a party, noise) Safe Event • This educational flier asks communities to think about restricting alcohol Flier access to children and was distributed to every town and police department in Weld County TIPS training • Beverage server training was provided monthly and free for RAR members Other • Free Black Lights and I.D. Scanners are available for free loan for RAR members by the Greeley Police Department • Yellow Cab has APS for smart phones to set up taxi rides and an open house Weld County Prevention Partners 31 In June of 2011, a survey was completed by 14 RAR members, of which 57% have been members 1-3 years. When asked why they attend RAR meetings, 93%of the members reported that their#1 reason was the "help responsible alcohol use among retailers" (Figure 1). To help promote responsible alcohol use ' 93/ among retailers �— To meet other alcohol businesses or 64% retailers To learn new ideas to increase business � I 57% sales —J To socialize with other alcohol retailers 50r 0% 20% 40% 60% 80% 100% Figure 1. Importance of RAR Meetings RAR members perceived that the free TIPS trainings, business marketing materials and sponsorship of meetings were the greatest benefits to them (Figure 2). Free TIPS trainings `"M, 64% WCPP Business Marketing Materials Maar "` ` 57% WCPP Meeting Sponsorship 36% Other(e.g. alcohol issue prevention,... "" ' "' 36% RAR Brochure I 29% Greeley & Evans Chambers of Commerce... INNIONIS 1% 0% 25% 50% 75% Figure 2. Benefits of RAR of Weld County to Members In terms of promotional items, the RAR members rated the following items as beneficial to them and their businesses: Safe Event brochure (43%), RAR website business photos and ads (36%), the Greeley Tribune Newspaper— Daily Dining Ad (29%), business ads or guest editorials (29%), and give-away items such as cups, napkins, etc. (21%). Weld County Prevention Partners 32 Topics of interest to RAR of WC members included: legislative issues, improving business practices,policies that encourage good business practices and ways to increase business revenues were the top choices (Figure 3). i I Legislative issues that may affect WC... 816% Improving business practices W '" 1 64% li Policy changes encouraging good... 7% Increasing business revenues with... ` ' `' 50% Designated Driver specials SoliallaSi 29% Transportation 21% RAR marketing materials 14% J Other(informing/educating the... T 7% L 0% 30% 60% 90% Figure 3. Topics of Interest to RAR of WC Members The RAR of WC members indicated that alcohol awareness education and informing patrons that they don't support selling liquor to underage individuals were the top goals and accomplishments of the the group this past year, as shown in Figure 4. Weld County Prevention Partners 33 Promoting alcohol awareness and 4.46 education Informing patrons that we do not condone � e k 4.46 selling alcohol to those who provide it to... Contributing to the welfare of our community Working together to inform the community about our concerns and commitment to... " , 4.23 Working together to affect legislation and policies regarding our industry, as well as... -:..s_.a. Aligning ourselves with the best interest of 4.15 mx our surrounding neighborhoods and... Promoting the use of designated drivers td". 4.08 � I Preventing access of alcohol to underage individuals 4 Preventing high risk drinking behaviors of I I 3.92 legal-age drinkers — 1 1.5 2 2.5 3 3.5 4 4.5 5 Rating: High "5" to "1" Low Figure 4. RAR of WC Goal Accomplishments 2011-12 f. SOCIAL NORM CAMPAIGNS. Two major social norm campaigns were conducted in Weld County this past year. These include the Actuality Social Norms campaign conducted at Aims Community College and Actuality Social Norms Campaign conducted at Windsor High School. Student survey results from 2011 are summarized below. (1) The Actuality Social Norms Campaign — Aims Community College. The ACTUALITY® Social Norm Campaign at Aims Community College, "I think therefore . . . .," was designed with the intent to encourage healthy norms regarding underage drinking and drinking and driving. The campaign consisted of messaging to all students using various media. As part of the evaluation of a social norm campaign at Aims Community College„ a survey was administered to a random sample of students in March of 2010 and again in March 2011. The survey and the surveying methodology were developed by Team Fort Collins and survey administration was managed by Weld County Prevention Partners 34 administrators at Aims Community College. Analyses were conducted by Team Fort Collins and a report was written by Team Fort Collins. The target population for both surveys was students 18 — 20 yrs. of age. For each administration of the survey, 500 students from the target population were randomly selected using a random numbers table. An invitation to participate in an electronic survey was sent to selected students via traditional mail. One week following the invitation, students were sent an email with a link to the electronic survey. A $10 gift certificate for iTunes, a local restaurant, or the campus coffee shop was offered as an incentive to participate in the online survey. Survey responses were anonymous. Thirty-two percent of respondents recognized the campaign slogan "I think therefore I drink (2 or less)" and 56% recognized the slogan, "I think therefore I designate." Less than half of respondents reported seeing the campaign messages at least a few times a week, and believability of the messages ranged from 60 - 66%. According to Team Fort Collins, "Recognizability and believability were important measures of how well the message was delivered and received by the target population." The data analysis indicated that a positive influence of the campaign on respondents' perceptions of other students' substance use and drinking a driving behavior was found. For example, before the start of the campaign 42% of respondents believed that their peers did not drive a car after consuming alcohol, and after the campaign 48% believed this to be true. Unfortunately, perceptions regarding alcohol use did not seem to be positively affected by the campaign. Before the campaign, 21% of respondents perceived that other students at Aims did not consume alcohol in the past 30 days, and only 18% perceived this to be one year later. Also, there was no change for respondents' perception of other students' binge drinking behavior. The researcher suggests, "One explanation for the inconsistent pattern of effects in perception and behavior change is the limited recognition of the campaign materials. Expanded marketing efforts or alternative media may need to be considered to better reach the target population. The student center at Aims Community College was temporarily displaced due to campus renovations. Unfortunately, this displacement coincided with the ACTUALITY Social Norm Campaign. Without a centralized location for marketing, it proved difficult to get the message in front of students as frequently as may have been necessary." (2) The Actuality Social Norms Campaign —Windsor High School. The ACTUALITY® Social Norm Campaign was implemented with training provided by TEAM Fort Collins, an organization that works with schools and communities in teen alcohol and other substance abuse prevention, three years ago in the Weld RE-4 School District, with support from Colorado Prevention Partnership for Success funds provided by the U.S.D.H.H.S. Center for Substance Abuse Prevention. A "street team" of high school students at Windsor High School were trained each year to promote the message among high school students that most students don't drink alcohol. Windsor's social norms campaign slogan was "Defy Their Perceptions of You" and an example of a message associated with the slogan was, "65% of WHS [Windsor High School] Students Don't Drink." Weld County Prevention Partners 35 As part of the evaluation of the ACTUALITY® Social Norm Campaign, a school-wide survey was administered to students at Windsor High School on three separate occasions, each one year apart in February of 2009, March 2010, and March 2011. The survey, which was developed by TEAM Fort Collins, was administered by teachers. Responses were anonymous and the survey took approximately ten minutes to complete. Data for the first two administrations of the survey were entered by Team Fort Collins. Data from the third administration of the survey were entered by Weld County Prevention Partners. Team Fort Collins analyzed the data and generated each annual report. The post-campaign report was intended to be a tool for evaluating alcohol prevention strategies at Windsor High School between February 2009 and March 2011. In terms of survey responses, 853 three pre-campaign surveys were completed in 2009, 927 surveys were completed in 2010, and 959 were completed in 2011 by students in grades 9-12 at Windsor High School. This represents over 90% of the student high school population. Although the survey indicated a slight increase in the lifetime prevalence of alcohol use among high school students, increasing from 68% in 2009 to 69% in 2011 for males and from 70% in 2009 to 73% in 2011 for females, self reports of binge drinking (5 or more drinks per occasion) did not increase and perceptions about whether their friends are binge drinking shifted in the right direction during the first two years of the campaign. According to the survey data, 50%of the male students in 2009 as compared to 51%of the male students in 2011 had never binge drank. In 2009, 51% of the females as compared to 50% of the females in 2011 have never binge drank. When asked, "During the last 30 days, on how many occasions have YOUR FRIENDS had five or more drinks of alcohol at one time?" 61%of the students responded in 2009 that their friends had engaged in binge drinking at least some time during their lifetime as compared to 58% in 2010 and 65% in 2011. The ACTUALITY® Social Norm Campaign at Windsor High School, "Defy," was designed with the intent to encourage healthy norms regarding underage drinking. The campaign consisted of messaging to all students using various media. In 2011, 91% of students recognized the campaign slogan, a 4% increase from 2010. Just over half of students (54%) reported seeing the campaign messages at least a few times a week, a decrease from 66% the previous year. Over two-thirds (68%) of high school students reported believing the messages that were associated with the "Defy" slogan in general, and specifically, 47% reported believing the statement, "65% of WHS students do not drink." g. PREVENTION EDUCATION: PROJECT SUCCESS. In partnership with the Weld RE-4 School District (Windsor, Colorado), WCPP sponsored Project Success, an evidence-based program that includes peer support groups, education, intervention and referral, to change norms as an environmental strategy. Project SUCCESS (Schools Using Coordinated Community Efforts to Strengthen Students prevents and reduces substance use among students 12 -18 year olds (http://www.nrepp.samhsa.gov/Viewlntervention.aspx?id=71). The program was originally developed for students in alternative high schools at high risk for substance use and abuse due Weld County Prevention Partners 36 to a number of risk factors, included poor academic performance, truancy, discipline problems, negative attitudes toward school, and parental substance abuse. Project SUCCESS has four program components: (1) The Prevention Education Series, an eight-session alcohol, tobacco, and other drug program conducted by Project SUCCESS school staff trained by the developers who help students identify and resist pressures to use substances, correct misperceptions about the prevalence and acceptability of substance use, and understand the consequences of substance use (2) School-wide activities and promotional materials to increase the perception of the harm of substance use, positively change social norms about substance use, and increase enforcement of and compliance with school policies and community laws (3) A Parent Program of informational meetings, parent education, and the formation of a parent advisory committee (4) Individual (& Group) Sessions in which the trained Project SUCCESS staff conducts time- limited sessions for youth following their participation in the PES and an individual screening. Students and parents who require more intensive sessions, treatment, or other services are referred to appropriate agencies or practitioners in the community In the Weld RE-4 School District, David Nicholl, Student Assistant Coordinator, participated in the Project SUCCESS training and implemented two of the components during the 2010-11 school year. These included a modified version of the Prevention Education Series and Individual Sessions of students who has been referred to the program for alcohol, tobacco, drug or prescription use violations. For the individual sessions, Mr. Nicholl also used the Brief Intervention technique. Parents of students who were referred to the Student Assistance Program (SAP) were also provided with information in the first session conducted with each student. Promotional information about Project SUCCESS (the Student Assistance Program) was shared with middle and high school students as part of the classroom presentations. Weld County Prevention Partners evaluator completed an evaluation of Project SUCCESS on (1) the Prevention Education Component (e.g. the numbers of students educated at the middle and high schools, observation of a high school class, and student feedback about the classroom presentations) and (2) Individual Sessions (e.g. the numbers of students referred for individual sessions through self-referrals or school staff during the school year, and student feedback about the impact of the individual sessions on future substance use). Prevention Education. The Prevention Education Component was universally utilized with middle and high school students in several classes. This educational component was provided by Mr. Nicholl in all the 6th-8th grade middle school health classes and the 9`h grade high school health classes, in the fall and spring during the 2010-11 school year. Additionally, educational sessions were conducted with high school students in a Nutrition Wellness Class during January 2011. Although the educational component of Project SUCCESS included four topics (being an adolescent, the causes and effects of drug abuse, how alcohol and other drug problems affect Weld County Prevention Partners 37 families, and coping skills), only those topics that were not already included in these Windsor school curricula were presented. Mr. Nicholl also included personal stories, with parents' permissions, about Windsor students who had died from drug use, and his family's personal story about how alcohol use and other substance abuse had impacted his family. Individual Sessions. The brief intervention, which usually consisted of three sessions, was modeled after the evidence-based program Teen Intervene. Teen Intervene was developed originally to provide education, support and guidance for teens that have experienced mild to moderate chemical use (see http://www.hazelden.org/web/public/teenintervene.page). Teen Intervene also includes parent education as part of the program. The brief intervention program used by Mr. Nicholl included an initial session with parents and teen as well as three brief intervention sessions with the individual student. This brief intervention program included: screening, three individualized educational sessions with the teen, and referral to outside resources as needed. Student Participation. Overall, 1309 students participated in Project SUCCESS during the 2010- 11 school year at Weld RE-4 School District (Table 2). Table 2. Student Participants in Project SUCCESS: Weld RE-4 School District 2010-11 # Prev. Ed. #Students in # Individual Total# Unduplicated Class Prevention Ed Intervention Student #Students School Sessions Sessions Sessions Encounters Seen Windsor High School 31 340 259 1175 488 Severance Middle School 9 230 120 350 316 Windsor Middle School 18 447 62 509 505 Weld RE-4 Totals 58 1017 441 2034 1309 STUDENT PRESENTATION FEEDBACK SURVEYS. Students who participated in the prevention education classes and individualized sessions anonymously completed a one page program survey to provide feedback about the class presentations or individualized sessions in which they participated.The surveys asked students about: • The quality of the presentation (5 point rating from "Excellent" to "Poor") • What each student learned from the presentation (open-ended question) • Suggestions for improving the presentation (open-ended question) • What each student thought was best about the presentation (open-ended question) • How the presentation impacted their non-drug use or drug use • Whether they would like to talk to Mr. Nicholl about a personal, family or friend concern about substance use Weld County Prevention Partners 38 The Project SUCCESS Prevention Educational Component was implemented in the middle schools and high school in the RE-4 School District. These included: Grade 6-8 health classes, Grade 9 health classes and a High School Nutrition-Wellness Class. Among these classes, 373 students completed surveys. Overwhelmingly, the response to the class sessions taught were positive and most students stated that they would not use alcohol, tobacco or other drugs. Grade 8 Health Class. Forty-three middle school students completed an evaluation on the Project SUCCESS class presentation conducted by Mr. Nicholl. Overall, the students rated the presentation as "excellent" (49%) or "good" (51%). All of the middle schools (100%) indicated from their responses that the presentation was "great" or "good," "informative," "eye opening," "insightful" or "helpful." The best part of the presentation, as indicated by 35% of the middle school students was the "stories, the sad stories of Windsor students," the presenter or presentation itself (19%), or the information, drug statistics or quiz that was given (14%). About half of the students (51%) suggested that there should be more visuals or pictures in the presentation. In terms of the impact of the presentations on their behaviors, students indicated that they would: • Not start using alcohol or other drugs (95%) • Cut down on their use of alcohol and/or other drugs (2%) Grade 9 Health Class. In the 9th grade health classes, 253 students completed one page evaluations of the Project SUCCESS educational presentations given by Mr. Nicholl. Almost all (99%) of the students rated the presentation as "excellent" (47%) or "good" (50%); only two students rated the presentation as "average." Fifty-four percent indicated that the presentation was "great" or "good," "informative," "eye opening," "insightful" or "helpful." Almost half of the students (48%) thought the personal stories of the Windsor High School students who had died from alcohol or drug use was the best part of the presentation, followed by the information, drug statistics or quiz (21%), the presenter or presentation (13%), the presenter's personal experiences (5%), the discussion (2%), or information about how to relieve stress (1%). The 9`h grade health students indicated that the presentations helped them to make a decision to: • Not start using alcohol or other drugs (74%) • Cut down on their use of alcohol or other drugs (13%) • Quit their use of alcohol and/or other drugs (8%) • Keep their use of alcohol and/or other drugs the same (4%) High School Nutrition-Wellness Class. The educational component of Project SUCCESS was implemented in the high school Nutrition-Wellness classes in January 2011. Among these classes, 72 high school students completed feedback forms. Again, the majority of the students rated the presentation as "excellent" (39%) or "good" (49%); fewer students rated the presentation as "average" (10%) or fair (3%). High school students in these classes reported that the "sad stories about Windsor High School students" was the best part (38%) of the presentation, followed by the "information, drug statistics or quiz" (24%) and the presenter or presentation itself (17%). Several students (8%) commented that they "learned something" or Weld County Prevention Partners 39 the presentation "made me think." In terms of alcohol, tobacco or other drug use, high school 88% students stated that the presentations helped them to make a decision to: • Not start using alcohol or other drugs (61%) • Cut down on their use of alcohol or other drugs (22%) • Quit their use of alcohol and/or other drugs (7%) • Keep their use of alcohol and/or other drugs the same (8%) Overall Feedback Across the Grade Levels. In terms of the quality of the presentation, 96% of the middle school and high school students who participated in the Project SUCCESS educational component rated the presentation as "excellent" (46%) or "good (50%), indicating that they liked the presentation (Figure 5). 60% 49% 50%49%50%51% 50% ----46%. . 47%-__ c9% 40% ®Overall 30% J HS Class isr G r. 9 20% 10% S Gr. 8 10% 2%i 1% 0.50%% 0% Excellent Good Average Fair Figure 5. Quality of the Project SUCCESS Classroom Presentation? 'Conducted in the Grade 8 and 9 health classes and high school Nutrition-Wellness class. Best Part of the Presentation. Both middle school and high school students (44%) wrote on survey forms that the "sad student stories" were the best part of the presentation. By having stories about Windsor students who had been personally impacted by alcohol or other drugs, students were able to relate to the presentation and think, "That could have been me." Students also commented about Mr. Nichol!: "He knew everything he was talking about." Suggestions. Most students liked the presentations as given; as one student stated in terms of suggestions: "Nothing - it was excellent!" Some middle school and high school students provided similar suggestions for minor improvements to the presentation such as including "more visuals, e.g. pictures" (24%), more interaction or hands-on activities with students (10%), more stories or more classroom time. Impact of Project SUCCESS Presentations. In terms of impact, most students (74%), particularly middle school students (95%), indicated that as a result of the Project SUCCESS presentation, they would not start using alcohol or other drugs. Other students indicated that the Weld County Prevention Partners 40 presentations helped them to think about cutting down their use of alcohol and/or other drugs (13% overall) or quit (7%) their alcohol or other drug use. Very few (5% overall) indicated that they would keep their current alcohol or drug use. These results are depicted in Figure 6. 100% 9590 80% 749'0 74•• 60% ®Overall 40% IJHS Class 22% ®G r. 9 20% 13% 1390 7%7%8% 5%8%4% MGr. 8 00/ WE_.Amu Not Use Cut Down Quit Keep Use The Same Figure 6. Impact of Project Success Presentation on Student Use of ATOD (Alcohol,Tobacco & Other Drugs). What Students Learned. Students in all classes, middle school and high school, felt like they had learned something from the presentations that were conducted as part of Project SUCCESS. Windsor Grade 8 Health Class: • "Alcohol or Drugs can kill you or have very harmful effects on your body." • "That binge drinking can kill you." • "Kids everywhere (Even Windsor) are at risk." • "People from Windsor Middle School have done it." • "How just one little decision can change your entire life." • "Don't do drugs or drink till I'm 21." • "That all the choices affect your life and potential." • "I have a lot of potential. I just have to make the right choice." Windsor Grade 9 Health Class: • "How dangerous alcohol can be and how easily you can die." • "How easy it is to end your life." • "How many kids have died from [alcohol or drug use] at Windsor High." • "The idea that not everybody's doing it." • "That drinking just one time could lead you to your death." • "Realization that this could happen to me." • "Not to do drugs. Not to ruin my life because there's something to live for." • "You have a choice." • "I can choose Life!" Weld County Prevention Partners 41 • "Think before you make a decision that could hurt you or others." • "One choice can truly make a life or death difference in your life." • "That your current choices will impact your future." • "My choices can affect mine and others lives." • "Learn to make better choices and choose wisely." • "Don't ride on a motorcycle with someone who has been drinking!" • "Think and don't be stupid." Windsor High School: • "I need to quit binge drinking." • "Many people have died from abuse." • "Most teen deaths were from drugs/alcohol." • "I learned that students from our school died." • "The effects of drugs on the brain." • "I learned that if you do drugs when you are young then your brain looses how you judge your emotions and how you do things. Your brain stays immature." • "Not to be in a car with someone that drinks." • "I need to have some changes in my life." • "We can talk to people about our problems or tell you about some one else." Classroom Observation. The presentation by the Student Assistance Coordinator to 8th grade students included: (1) Information about the Student Assistance Program, (2) the Goal of Project SUCCESS: to encourage students to make positive choice for success at school and in life; to make positive connections and build bridges of connections with students, (3) Referrals to Individualized Sessions, (4) underage drinking effects and prevention. The observation revealed that the Student Assistant Program Coordinator was engaging and personally connected with each student. He presented risks associated with teens drinking alcohol, the impact of drinking on their developing brains and harmful short-term (e.g. nausea, vomiting, fainting, difficulty breathing, seizures), intermediate (e.g. stomach ulcers, fetal alcohol syndrome) and long-term effects (e.g. heart disease, strokes, injuries, sexual assaults, deaths) associated with alcohol abuse. The Project Coordinator also explained that alcohol is a poison. He also discussed the issue of marijuana use and related problems (e.g. memory problems, paranoia, anxiety, increased depression, testicular cancer) and that medical marijuana is only temporary relief. A power point slide of various brains that had been impacted by alcohol, marijuana, caffeine, tobacco, cocaine and methamphetamines as well as a healthy brain were shown and he asked the students which brain they would like to have to illustrate the harmful effects of drugs. With parental permission, photos of Windsor students and their stories of their potential and how they died from substance abuse spellbound the 8th grade class. "What these 5 kids had in common," he said, "was they were all good kids, but they died one day from binge drinking — Weld County Prevention Partners 42 alcohol poisoning. The choices we made today [impact our futures]." He continued, "We're not Super Men or Super Woman...I see these amazing people in front of me...it's the choices we make. The four most dangerous words: just this one time. How will my choice affect family, friends, my potential? I hope to see you grow up and get married and have kids and achieve all you want in life." His words, his stories, his information were very powerful for these students and appeared to make them think about the choices they make and how some decisions can last a life time or affect their future forever. INDIVIDUALIZED SESSIONS (Brief Interventions). Eighteen students voluntarily completed a one-page survey with eight items. Students were asked to indicate the degree to which they agreed or disagreed with 7 statements; the response choices included: "1" Strongly Disagree, "2" Disagree Somewhat, "3" Neutral, "4" Agree Somewhat, and "5" Strongly Agree. The items asked each student to reflect and evaluate the sessions, the Student Assistant Program staff person and their overall experience. More specifically, the student was asked to determine whether: • The brief intervention sessions were helpful • The SAP staff person showed they cared about them personally • The SAP staff person knew what they were talking about • The reason they were in the Student Assistance Program was clearly explained to them • They made positive changes from being in the program • They were glad they participation in the Student Assistance Program • They would recommend the SAP to a friend with a problem so that they could get help Student Demographics. Among the 18 students who completed the Student Assistance Program Survey, more than two-thirds were in Grades 9-10 (72%) and most were males (83%). In terms of ethnicity, 28% were Hispanic, 22% were Asian or Pacific Islanders, and 50% were Caucasian. Among those who completed the survey, 8 were in Grade 9, 5 in Grade 10, 2 in Grade 11 and 3 in Grade 12. In terms of ethnicity, overall, 28% were Hispanic, 22% were Asian or Pacific Islanders, and 50% were Caucasian. All the students were referred because they had an alcohol, tobacco or drug violation. The referrals included: 33% marijuana use, 28% tobacco smoking, 22%alcohol use, 11%tobacco chewing, and 6% prescription drug misuse. The Sessions &SAP Coordinator. Almost all (94%) of the students who participated in the Brief Intervention Sessions of the Student Assistance Program indicated that the reason that they were in the Student Assistance Program had been clearly explained to them (Figure 7). All of the students strongly agreed that the Student Assistance Program (SAP) Coordinator was knowledgeable and knew what they were talking about (94%) and that the SAP Coordinator cared about them personally (94%), as indicated in Figure 7. Most students either strongly agreed (50%) or somewhat agreed (39%) that the individual sessions were helpful (Figure 7). Weld County Prevention Partners 43 Reason Explained - Strongly Agree _--- ---"" --_- 94% III Reason Explained -Agree Somewhat � 6% Knowledgeable Coord. - Strongly Agree f -__-- 4 94% Knowledgeable -Agree Somewhat ,—1 6% Coordinator Cared -Strongly Agree /---__"" -- - 89% Coordinated Cared -Agree Somewhat L ". 11% Helpfulness -Strongly Agree , -----—" 50% Helpfulness - Agree Somewhat 39% Intervention Helpfulness- Neutral Cry 11% 0% 20% 40% 60% 80% 100% Figure 7. Characteristics of the Brief Intervention &SAP Coordinator. Participant Satisfaction & Changes Made. Most of the students agreed wither strongly (61%) or somewhat (33%) that they were glad that they had participated in the individual sessions provided by the Student Assistance Program (SAP) Coordinator (Figure 8). Most students (72%) indicated that they had made positive changes as a result of their participation in SAP. 80% - - - - - --_- 61% 60% 44% 40% 33% 28% 28% 20% 6% 0% _- Glad I Agree Neutral Made Positive Agree Neutral Participated- Somewhat Changes- Somewhat Strongly Agree Strongly Agree Figure 8. SAP Student Participation Satisfaction & Changes. Impact of the Sessions. In terms of the potential impact of the individual sessions on alcohol, tobacco and other drug use, students indicated that: • 50%would quit their drug use • 33%would cut down their drug use • 11%would keep their drug use the same Weld County Prevention Partners 44 Overwhelmingly, the students who participated in individualized sessions indicated that they would strongly recommend (72%) the Student Assistance Program to a friend if they had a problem and needed to get help (Figure 9). SAP Impact & Recommend to A Friend 80% 72% 60% so% 40% -.. 33% 16% 20% 6% 11"4 6% 6% 0% Not Start Cut Down Quit My Use Keep My Would Agree Neutral Strongly Using ATOD My Use of of ATOD Use of Recommend Somewhat Disagree ATOD ATOD SAP - Strongly Agree Figure 9. Student Assistance Program (SAP) Impact & Recommendations to a Friend. h. HEALTHY KIDS COLORAO SURVEY (HKCS) DATA . This report includes Weld County Healthy Kids Colorado Survey data from 2009-10 and 2010-11. These represent two distinct samples. WELD COUNTY 2009-10 HKCS DATA. In the 2009-2010 school year, 6,365 6th through 12th grade students in seven public school districts in Weld County completed the Healthy Kids Colorado Survey. This survey focuses on health risk behaviors, including tobacco use, physical activity, nutrition, alcohol and other drug use, risky sexual behaviors, and behaviors that contribute to unintentional injuries and violence. The high school survey respondents included: Grade 9 — 1000 students, Grade 10 — 857 students, Grade 11 — 815 students, and Grade 12 — 411 students. Results from the survey provide a baseline of issues among youth. These results, however, should be viewed with caution as they were derived from a convenience sample of students whose parents provided consent for their survey participation. Lifetime Prevalence of Alcohol Use. In 2009-10, 40% of the 9th grade students had not consumed alcohol in their alcohol. This decreased from 36% in Grade 10 to 26% in Grade 11 and 22%in Grade 12 in Weld County. Past 30 Day Alcohol Use. In 2009-10, fewer 9th grade students (37%) and 10th grade students (35%) had consumed alcohol in the past 30 days than 11th grade students (47%) or 12th grade students(53%) in Weld County. Weld County Prevention Partners 45 30 Day Binge Drinking. In 2009-10, fewer 9th grade (23%) and 10th grade (22%) students had engaged in binge drinking of 5 or more drinks of alcohol in a row in the past 30 days than 11th grade (33%) and 12th grade (37%) students in Weld County. 90% -r 80% 7 74%— 60% 60% 1- III . %- 50% ---- 47% ■Grade 9 40% I40% ill - 37% :., —33% g Grade 10 30% „ �% Grade 11 20% Y . z . ■Grade 12 10% 0% -- -- -j 0 Days 1+Days 0 Days 1+Days 0 Days I 1+Days I Lifetime Alcohol Use Past 30 Days Alcohol Use Binge Drink 5+/Occasion Figure 10. Alcohol Consumption Among Weld County High School Students, 2009-10. Gender Differences in Alcohol Use. In terms of lifetime use, more females in Grades 9, 10 and 11 had consumed alcohol than the males (Figure 11). More females in Grades 9, 10 and 11 had also consumed alcohol in the past thirty days than the males in those grades. Also, more females in Grade 9 had engaged in binge drinking than the males. Ethnic comparisons were not available in the 2009-10 report. I90% 1 80% j --- 7J. 7s% --- 170% 4-- 64%-- 60% 56% 49% 50% ,ti. 40% 5 ■Grade 9 �. 40% ,14; ` 26% DI Grade 10 30% ■ "< ■ 207I. 20% 1 ■ ", ■ ■ ■ Grade li 10% S ■Grade 12 0% Males Females Males Females Males Females I Lifetime Alcohol Use Past 3O Days Alcohol Binge Drink Use 5+/Occasion Figure 11.Weld County High School Alcohol Use by Gender, 2009-10. Alcohol Risk-taking Behaviors. HKCS data analyzed across grades 6-12 indicated that some students are at risk of drinking and driving or riding in a car with someone who has been drinking (Figure 12). Weld County Prevention Partners 46 35% 1 ------- 30°% 25% 20% ®2009-10 15°% ®2008-09 2007-08 0% rl ■2006-07 Alcohol Use in Past Binge Drinking(5+ Rode with Drove a car after 30 Days Drinks) someone drinking drinking alcohol alcohol Figure 12. Weld County Adolescent Alcohol Use & Risk Behaviors,Grades 6-12, 2006-10. Teen Access to Alcohol. Teens obtain alcohol from their friends, family and through other sources. Interestingly, although teens report that alcohol is easy to obtain (Figure 13), few use alcohol on school property (Figure 14), according to Weld County Healthy Kids Colorado Survey results for 2009-2010. 50% i— I 45 i °% 40% ii 35°% 30% -' --� — — - _.. If Very Hard Sort of hard 25% -I ■Sort of Easy 20% Very Easy 15% 10% 5% 0% - 9th 10th 11th 12th Figure 13. Teen Perception of Access to Alcohol,Weld County, 2009-10 (HKCS) Weld County Prevention Partners 47 90% 100/ o 80% - 70% - - ®9th •60% 10th 50% ■ 11th 40% I • 30% - 12th r' 20% i 10% 0/a -err if -on r r, 0 Days 1 or 2 Days 3 to 5 Days 6 to 9 Days All 30 Days Figure 14. Teen Use of Alcohol on School Property, Grades 6-12, Weld County, 2009-10. WELD COUNTY 2010-11 HKCS DATA. In the fall of 2010, the Healthy Kids Colorado Survey was administered to 1,741 students from 9 different schools in Weld County. Of these surveys, 1,637 surveys were analyzed by OMNI and 104 were excluded due to inconsistent responses. The weighted sample included: 705 Hispanic students and 787 White, non-Hispanic students. In terms of grade levels, the student sample was represented as follows: Grade 9th—25.5%; Grade 10th-25.7%; Grade 11th-24.9%; Grade 12th-23.6%. In terms of gender, there were 51.7% males and 38.3%females. A limited number of items were analyzed and provided in a report by OMNI to WCPP. Since other collected HKCS data are important to the work of the WC Epi Work Group and other partners of WCPP, a request for a full report of data has been made. Lifetime alcohol prevalence data were not provided in the 2010-11 report. Past 30 Day Alcohol Use. In 2010-11, fewer 9th grade students (34%) and 11th grade students (38%) had consumed alcohol in the past 30 days than 10th grade students (42%) or 12th grade students (41%) in Weld County. Although these rates are lower than the unweighted data obtained in 2009-10, these results should be viewed with caution due to unweighted convenience sampling in 2009-10. The 2010-11 data are depicted in Figure 15. 30 Day Binge Drinking. Unweighted responses of 30-day binge drinking were presented in the 2010 Weld County Healthy Kids Colorado Survey report. The results indicated that in the past month, 27% of Weld County high school students (25 % female, 30% male) binge drank (had 5 or more drinks within a couple hours). Those who engaged in binge drinking by grade level included: Grade 9 - 20%; Grade 10 - 24%; Grade 11 - 23%; Grade 12 - 42%. These 2010-11 rates were lower for Grade 9 (23% in 2009-10) and Grade 11 (33% in 2009-10), and again should be viewed cautiously due to the unweighted convenience sample in 2009-10. Weld County Prevention Partners 48 90% 80% 77% 80% r-_____._ _-- _._ 739 _-_- 70% 66%_ '1/41r 62% 59% 60% ■Grade 9 50% ./ 9 a ■Grade 10 40% —3av e ° 27% Grade 11 30% f i •Grade 12 TOtal 10% {{6 0% -- r.i 4 ' hk,: 0 Days 1+Days 0 Days 1+Days Past 30 Days Alcohol Use Binge Drink 5+/Occasion Figure 15. Weld County High School Past 30 Day Alcohol Use and Binge Drinking, 2010-11. Rates of binge drinking among Hispanic/Latino high school students were higher than non- Hispanic/Latino students, as reported in 2010-11 HKCS summary report. In the Weld County sample, this included (Figure 16): • Ethnicity: 31.2% Hispanic/Latino vs. 24.5% Non-Hispanic White binge drink • Females: 27.6% Hispanic/Latino females vs. 22.3% Non-Hispanic White females binge drink • Males: 34.6% Hispanic/Latino males vs. 26.3% Non-Hispanic White males binge drink Hispanic/Latino Females :8% Non-Hispanic White Females •,,N:r;. ., 22% ❑Males Hispanic/Latino Males 35% O Females Non-Hispanic White Males 2.% Id Total Hispanic/Latino Total Hispanic/Latino 31% ❑Non-Hispanic White Males Total Non-Hispanic White 24°. O Hispanic/Latino Males Females 25•° O Non-Hispanic White Females Males 30% O Hispanic/Latino Females 0% 10% 20% 30% 40% Figure 16. Weld County High School Ethnic and Gender Binge Drinking Rates, 2010-11.. Student Perceptions. According to the 2010-11 HKCS data, 68.3% of Weld County high school students believe a typical student at their school binge drank in the past 30 days. Of these: 62.1%were in Grade 9 and 75.4%were in Grade 12, 74.7%were female and 62.1%were male. Weld County Prevention Partners 49 Alcohol-Related Risk Behaviors By Youth. According to the 2010-11 HKCS data (Figure 17): • 24% of Weld County high school youth (29.4% Hispanic./Latino and 20% Non-Hispanic White) indicated that in the past month, they rode in a car with a driver who had been drinking . • 11.7% (14.2% Hispanic/Latino and 9.7% Non-Hispanic White) said that they had driven a car or other vehicle while drinking in the past month. • More males (13.5%) than females (9.8%) said they had driven a care or other vehicle while drinking in the past month. 35% r 29% 25% 25% -- 24°�------- --_ _ __- --VW,-- -23%-.._--- 20% V,r 20% 15% - : .'2%— .._-_—__ 4% 4% _'._.-- o Riding in A Car With i 0% ' '0% Driver Drinking 10% Driving and Drinking 5% 0% ova` �`SQ a �S c' ac ' �yQ Figure 17. Alcohol-Related Risk Behaviors,WC High School Students, 2010-11. Attitudes Toward Underage Drinking . The Weld County HKCS 2010-11 data indicate that: • Almost one-third (32.8%) of Weld County high school youth (30.2% Hispanic/Latino females vs. 20.9% Non-Hispanic White females) perceive that daily drinking of 1-2 drinks has no or slight risk of harm • Almost one-third (30.6%) of Weld County high school youth (38.1% males vs. 22.7% females) perceive that binge drinking (5+ drinks per occasion) has no or slight risk of harm • Most (62.6%) high school students (67.1%female, 58.2% male) think it is wrong or very wrong for someone their age to drink beer, wine or hard liquor and even more think adults (76.9%)or their parents (81.3%) would say it was wrong for youth to drink Communication With Parents. The 2010-11 HKCS data for Weld County indicated that: • During the past 12 months, 52.1% of Weld County high school students have talked with at least one of their parents about the dangers of tobacco, alcohol or drug use. Weld County Prevention Partners 50 Hello