HomeMy WebLinkAboutCOM 0793.001 2008-2010Yoshimoto, J
From: Kahalioumi, Kalani
Sent: Tuesday, May 11, 2010 1:21 PM
To: Yoshimoto, J; Ford, Brenda; Yagong, Dominic; Hoffmann, Pete; Greenwell, Kelly; Enriquem,, Guy;
Onishi, Dennis; Naeole, Emily; Ikeda, Donald -�-
Subject:' Underage Drinking Prevention Initiative- Info'r about Evidence -Based Prog -rns
Aloha Members of the Hawaii County Council, C'? ti11
Thank you for the opportunity to discuss the County of Hawai'i's Underage Drinking Prevention Tnifiative
at the May 4, 2010 Committee on Finance meeting.
During the meeting, you requested additional information about the initiative. Below please find- a'brief,
overview of the grant that funds the initiative as well as information about "Evidence -Based Programs." r D
Regular updates about the initiative will be sent to your office and will include details about the upcomingo
Request for Proposals, community training events, and other information.
Mahalo,
Introduction to the County of Hawai'i's Underage Drinking Prevention Initiative
A. Overview
The County of Hawai'i (COH) is implementing an Underage Drinking Prevention Initiative through
participating in the Hawaii Strategic Prevention Framework- State Incentive Grant (SPF -SIG) with funds
awarded by the State of Hawai'i Department of Health's Alcohol & Drug Abuse Division (ADAD). The
program is funded through a cooperative agreement between ADAD and the Center for Substance Abuse
Prevention (CSAP) of the US Substance Abuse and Mental Health Administration (SAMHSA).
As part of the program, COH is required to operate the initiative according to the 5 -Step SPF -SIG
Process: (1) Assessment, (2) Capacity Building, (3) Planning, (4) Implementation, and (5) Evaluation.
There are two phases to SPF -SIG. The SPF -SIG Phase I grant ($315,000), which covers the
Assessment, Capacity Building, and Planning steps, was awarded by ADAD to COH in July 2009. Work
performed in the Phase I grant showed that COH's contribution to the statewide burden created by
underage drinking is clearly significant and amongst the highest of all four counties in the State of
Hawaii. In particular, the Assessment step clearly showed the following about the magnitude of
underage drinking in the County of Hawaii:
• Underage drinking is widespread
• Underage drinkers start young
• Alcohol is readily available to underage youth
• Family attitudes and behavior are not always helpful
• Social norms are conducive to underage drinking
• Perceived risk is low
• Communication between parents and children appears weak
• Teens perceive limited alternatives to drinking
Clearly, changes to community, family, and peer social norms are required in order to reduce underage
alcohol consumption and its effects, which include dependence on alcohol, unlawful and antisocial
behavior, driving under the influence of alcohol, and required alcohol treatment.
The SPF -SIG Phase II grant ($2.1 million) was awarded by ADAD to COH in May 2010. SPF -SIG Phase
II covers the Implementation and Evaluation steps of the 5 -Step SPF -SIG Process and is the culmination
of the work performed in the Phase I grant. SPF -SIG Phase II involves the implementation of underage
drinking prevention programs. (A prevention program is an organized effort to implement one or more R3.
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"interventions" to achieve a set of predetermined goals. Source
www.cdc qov /hiv/ topics /cba/ resources /guidelines /hiv -cp /appendixD.htm. Visit
www.cdc qov /hiv/ topics /cba/ resources /quidelines /hiv- cp /appendixD.htm for a definition of intervention )
More specifically, Federal grant requirements dictate that SPF-SIG Phase II consists of the implementation
of Evidence -Based Programs that target the reduction in underage drinking levels among youth ages 12-
17
• Evidence -Based Programs are "approaches to prevention or treatment that are based in theory and have
undergone scientific evaluation. 'Evidence- based' stands in contrast to approaches that are based on
tradition, convention, belief, or anecdotal evidence." (Source: www.nrepp samhsa.qov /help- glossarv.asp.)
Visit www nrepp.samhsa.qov/about-evidence.asp to learn more about "Evidence- Based."
• The requirement to implement Evidence -Based Programs does not automatically disqualify organizations
that currently run programs based upon traditional or innovative practices. Evidence -Based Programs can
be adapted to meet local and cultural circumstances — as long as those adaptations do not dismantle the
program and, thus, negatively impact the "fidelity" of the program. (Fidelity of implementation occurs when
implementers of a program closely follow or adhere to its protocols and techniques. Source:
www.nrepp.samhsa.gov /help- glossarv.asp.) Many Evidence -Based Programs are designed in incremental
modules that can operate alongside or in tandem with current programs and activities conducted by service
providers.
Examples of successful underage drinking Evidence -Based Programs include:
1. Positive Action: www.nrepp.samhsa .gov /programfulldetails.asp ?PROGRAM ID =110
2. Too Good for Drugs & Violence: www.nrepp.samhsa.gov /programfulldetails asp?
PROGRAM ID =215
3 Project Venture: www. nrepp . samhsa.gov /programfulldetails asi 7PROGRAM ID =146
4. LifeSkills Training: www.nrepp samhsa qov /programfulldetails asp ?PROGRAM ID =230
5. AlcoholEdu: www.nrepp.samhsa .gov /programfulldetails.asp ?PROGRAM ID =153
The County of Hawai'i will conduct a fair Request for Proposals process to select well - qualified service providers
for the implementation of underage drinking prevention Evidence -Based Programs throughout the Big Island.
B. Goals of the Initiative
Goal 3 Increase the age of initial alcohol use by 4% (from 12 to 12.5 years old) by September 2011 through
reducing youth access to alcohol.
Xarani Xa ta.Cioumi
SPF -SIG Project Coordinator
County of Hawaii
25 Aupuni St.
Hilo, HI 96720
Phone: 808.961.8860
Cell. 808 392.2252
Fax. 808.935 1205
Email: kkahalioznni
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Goal 1: Increase the number of youth reporting they perceive "great risk" in binge drinking from 39.4% to 42.6%
by September 2011 through creating an environment in which the demand for alcohol is decreased in favor of
more healthy and positive endeavors.
Goal 2: Decrease 30 -day underage alcohol use from 20.2% to 18.2% by September 2011 through increasing
island -wide infrastructure that provides opportunities for positive youth recreation and activities.
Hawaii County is an Equal Opportunity Provider and Employer
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