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Trends in Teen Risk
Behavior for Alcohol and
Drug Related Death and
Injury
A look at the impact of UAD Prevention Efforts
April 21, 2015
Intended Outcomes
DECREASE ALCOHOL and DRUG RELATED
DEATH and INJURY
DECREASE/PREVENT
DRIVING WHILE
INTOXICATED
DECREASE/PREVENT
YOUTH Rx PAIN KILLER
ABUSE
BUILD COMMUNITY
CAPACITY TO ADDRESS
YOUTH SUBSTANCE ABUSE
Increase Enforcement
of UAD/DWI/ATOD
Policies and Laws
Increase Perceived Risk
of Legal Consequences
for DWI and UAD
Decrease Retail and
Social Access to
Alcohol by Minors
Decrease Retail and
Social Access to
Rx Painkillers by Minors
Change
Community Norms
Support
Vehicle Seizure/Forfeiture
& Operation Descansos
Publicize
Vehicle Seizure/Forfeiture
& Operation Descansos
Promote
Responsible Retailing &
Beverage Service
Promote
Home Medication
Lockbox Use
Implement
DWI March of Sorrow/
March of Hope
Support
Sales to Intox/Minors
Operations
Strategies / Activities
DECREASE/PREVENT
BINGE DRINKING
P
P
Support
MIP/MUI Enforcement
Support
Nuisance Abatement
Social Host Enforcement
Advocate for
Source Investigation
& Documentation
(DWI/MIP)
P
Publicize
MIP/MUI Enforcement
P
Advocate for
Enforcement
of School ATOD Policies
Publicize
Monthly DWI Arrests
(Dashboard)
P
P
Advocate for
Policies to Restrict Outlet
Density & Advertising
P
Advocate for
Drug Disposal
P
Promote Awareness
of 4th Degree Felony
P
Publicize Nuisance/Social Host
Ordinance and MIP
E
Advocate for
Increased Alcohol Taxes
P
P
P=Policy, E=Education, SOS=Santa Fe Opiate Safe
As of 1/22/2015
E
Implement
Faith Initiative
P
E
Implement
Community Outreach
Publicize
Appropriate Drug Disposal
E
P
E
E
Advocate for
Provider Pain Management
Best Practices
SOS
E
Santa Fe Prevention Alliance
Alcohol Consumption
Problem
Adult & Youth
Binge Drinking
in Santa Fe
County (SFC)
Data:
17% of adults report
binge drinking (2014
SFC Community
Survey)
19.3% of high school
students (19.1% of
female and 19.4% of
male) report binge
drinking (YRRS,
2013)
3.8% of middle school
students (3.5% of
females and 4.1% of
males) report binge
drinking (YRRS, 2013)
There were 6
alcohol involved
crash fatalities in
3SFC in 2014
As of 1/22/2015
Root Causes
Local Conditions
specific, identifiable, actionable
A. Alcohol outlets and public events not implementing Responsible
Beverage Service best practices.
• Number (and percent) of establishments using Best Practices
1. Availability
Data:
• 66% of HS students and 30% of MS
students reported it was sort of easy
or very easy to get alcohol in SF
County.
• SID administered 26 citations for sales
to minors (NDPS, SID Jan-June 2014)
• The number of licenses in Santa Fe is
279% over LCA quota (AGD,2013)
2. Pricing
New Mexico Alcohol excise tax last raised
in 1993 (CSPI, 2003)
3. Low enforcement of ATOD laws in
Santa Fe County
Data:
• 32.0% of high school students and
13.9% of middle schools students
report drinking alcohol at least once in
the past 30 days (current drinker)
• There were 140 alcohol involved
crashes in Santa Fe County in 2014
(DWI Dashboard)
• SID administered 8 citations for sales to
intox (NDPS, SID 2014)
B. High alcohol outlet density due to new and the transfer of alcohol
licenses granted in SFC over the amount permitted by the LCA code.
• Number new licenses : 4 (July-Dec 2014)
• Number transferred w/in 500 of existing alcohol license : 1 (July-Dec 2014)
C. Adults unaware of laws & legal consequences of providing alcohol to
a minor
• 65% aware of 4th degree felony charge for providing alcohol to a minor)
• 59% aware of NAO
A. Low alcohol tax allowing for increased affordability of alcohol
• No local option tax in Santa Fe County
A. Youth are consuming alcohol at house parties and on school campus.
• In 2014, the city attorney received 30 referrals for 1st violation of NAO violations; 0
letters were sent to properties. [preliminary data]
• 10.1% of high school students report drinking alcohol on school property (YRRS, 2013)
B. Low policing of MUI/MIP
• 60 MIP/MUI citations (2014 Dashboard) 114 MIP citations FY13 (CYFD); 52% of LE cited
a minor for MIP/MUI in 2012 at least once (SFPD Law Enforcement Survey)
C. Low perceived risk of ATOD law enforcement among SF County adult
residents
• 74% think it is very likely they would be arrested for DWI if stopped; 50% think it very
likely would be convicted of DWI if arrested.
• 65% are aware of SF County VF Program
• 23.1% think it is very likely a server would be arrested if caught selling alcohol to an
intoxicated person
The percent of youth
who report having
their first drink of
alcohol before the
age of 13 (AGE OF
INITIATION) has
steadily
DECREASED in
Santa Fe County,
NM and the US.
Reported ALCOHOL
CONSUMPTION has
DECREASED in
Santa Fe County,
NM and the Nation
as a whole.....
Trends in Reported First Drink Before the Age of 13
Years Old, 2005-2013
2005
2007
2009
2011
2013
44%
41%
26%
Santa Fe County
30%
22%
26%
23%
19%
New Mexico
US
Rio Arriba County
Reported Binge Drinking in Past 30 days
Among High School Students, 2005-2013
2005
2007
2009
2011
2013
41%
31%
29%
19%
Santa Fe County
26%
21%
17%
New Mexico
US
20%
Rio Arriba County
Source: YRRS
Reported RIDING
WITH A
DRINKING
DRIVER has
DECREASED
locally, as well as
in NM and the
US.
Reported
DRINKING AND
DRIVING has
remained
somewhat
CONSISTENT in
Santa Fe County
while decreasing
in NM.
Trends in Reported Riding with a Drinking Driver
Among High School Students, 2005-2013
2005
2007
2009
2011
2013
39%
37%
32%
25%
Santa Fe County
29%
New Mexico
25%
22%
21%
US
Rio Arriba County
Reported Drinking and Driving in Past 30 Days
Among High School Students, 2005-2013
2005
12%
13%
Santa Fe County
12%
2007
2009
2011
10%
9%
New Mexico
2013
US
15%
12%
Rio Arriba County
Source: YRRS
Source: DOT
Santa Fe Prevention Alliance
Pain Killer Abuse
Local Conditions
specific, identifiable, actionable
Problem
Pain Killer
Abuse By Youth
In Santa Fe
County (SFC)
Data:
10% of SFC HS
students (10%
female/11% male)
reported using PK to
get high in past 30
days (YRRS, 2013)
6% of SFC MS
students (11%
females/2% males)
reported ever having
used a PK to get high
(YRRS, 2013)
6% of SFC HS
students reported
using heroin in the
6
past 30 days (YRRS,
2013)
As of 1/22/2015
Root Causes
1. Availability
Data:
833 Prescriptions filled for
Opiates per 1,000
population in Santa Fe
County (PMP, 2014)
A. Prescriptions are not locked up at home so youth can easily take them.
• 31% of adults report not keeping their medications locked up or
safely stored away at home (Community Survey, 2014)
• 95% of people attending Santa Fe Public Schools Block Party
reported that they do not lock up their prescription medications at
home (same question to be asked of SWAT and SFCC students)
B. Dentists & health care providers prescribe large quantities of pain
killers.
• MMEs per Non-Buprenorphine opioid prescription per 1000
population filled in SF County is 788 (PMP, 2014)
• Survey Dental and Orthopaedic professionals to ask what their
standard prescription practices for pain management
2. Favorable
Attitudes
Data:
47% of middle and high
school students do not
perceive there is a great
risk of physical harm if a
person uses prescription
drugs without a
prescription (YRRS, 2013)
A. People keep leftover Rx pain killers for future use.
• 2100 lbs. were collected in DEA Drug Take Back events since 2012
• 23% of adults get prescription pain killers from family or friends
(Community Survey, 2014)
B. Youth use pain killers to cope with untreated depression, anxiety and
other mental health issues.
• 33% of SF County HS youth report symptoms of depression (41%
female/24% male); 21% of MS students report ever having thought
of killing themselves. (YRRS, 2013)
Reported use of a
PAINKILLER to get
high has
DECREASED
among youth in
Santa Fe County,
NM and Rio Arriba
County.
Reported HEROIN
use SLIGHTLY
INCREASED in
Santa Fe County,
but has remained
consistent in other
locations.
Reported Use of a Painkiller to Get High in Past 30
Days Among High School Students, 2007-2013
2007
2009
2011
2013
19%
18%
13%
10%
Santa Fe County
11%
10%
9%
New Mexico
US (ever Rx Use)
Rio Arriba
Reported Heroin Use in Past 30 Days
Among High School Students, 2005-2013
2005
5%
2007
2009
2011
2013
6%
3%
Santa Fe County
3%
New Mexico
2%
2%
US (ever)
4%
4%
Rio Arriba
Source: YRRS
ALCOHOL AND DRUG
USE BY GENDER
Among female youth,
reported BINGE
DRINKING and
DRINKING AND
DRIVING has
DECREASED;
PAINKILLER abuse has
remained
CONSISTENT &
reported HEROIN USE
has INCREASED.
Among male youth,
reported BINGE
DRINKING and
PAINKILLER abuse has
DECREASED,
DRINKING AND
DRIVING has
SLIGHTLY
INCREASED and
HEROIN USE has
remained
CONSISTENT.
Reported Alcohol and Drug Use
Among Youth by Gender, 2007-2013
2007
31%
2009
2011
2013
19%
13%
10% 9%
10%
2%
5%
Binge Drinking Drinking and Used painkiller Used Heroin
Driving
to get high
35%
19%
14%
15% 17%
11%
7%
Binge Drinking
Drinking and Used Painkiller
Driving
to Get High
7%
Used Heroin
Source: NM YRRS
Why are youth changing their
alcohol and drug use
behavior?
Programs, Policies, & Law Enforcement Efforts
That Aim To Decrease Underage Drinking
• Universal evidence based K-12 prevention curriculum
• Student Wellness Action Team efforts in the schools and
community
• Life of an Athlete
• Increased enforcement of DWI & SID Sales to Minors
Operations
• Increased media of the consequences of DWI
• Best practices for public sales of alcohol by City of SF
• Existing policy supporting restricted retail access to alcohol
(Airport Road Overlay Zone)
• DFC Funding in 9 sites throughout the state
• OSAP funding in 33 sites throughout the state
• Others???
Where no one drinks alcohol before
the age of 21,
Where adults model low risk use,
No one drives while impaired, and
No one abuses drugs.
Santa Fe
County