1. Marjorie Vestal, MPH Rutherford Polk McDowell Health District & Centro Unido Latino Americano

2. Outcomes and Objectives Healthy Carolinians CHA Substance Abuse Prevention Strategic Prevention Framework State Incentive Grant (SPF SIG) Reduce number of alcohol- related crashes and fatalities among young Hispanic males in McDowell County Evidence based strategies Cultural competency Sustainability

3. A Public Health Approach

4. Community Oriented Prevention Step 1 Build Relationships My intended population are mostly first generation undocumented Mexican immigrants Very little primary or secondary data available Rates of DWI are highest among Hispanic Males 21-26 Listen to Community leaders’ perceptions Plan Community Assessment

5. Timeline Steps2 &3 2. Conduct Community Assessment 3. Plan and Implement Evidence Based Strategies Key informant interviews Focus groups Surveys - on line and off Use incentives if possible Patronize local businesses Data informs strategies Environmental change - media Educate about laws and Consequences Shift social norms & policies Involve the whole community Offer alternative activities

6. Step 4 - Evaluation Design post test before implementing intervention Offer incentives Use community volunteers Show up at fun events Low literacy/bilingual Repeat: Assess, plan, implement, evaluate

7. Community Based Strategies AKA Grassroots Hire bilingual staff Understand Title VI and Limited English Proficiency (LEP) Avoid the use of tokens and reps Use community volunteers $$$ Use simultaneous interpretation Engage youth $$$ Centers for Participatory Change www.wncpc.org Coalition of Latin Americans www.colawnc.org

8. Support local people Buy food locally Buy prizes locally Use local printers Eat lunch at locally owned restaurants Buy promotional items locally Build relationships with local media Walmart is not locally owned and operated

9. Environmental Change 1. New Hispanic Community Center 2. New partnerships with schools and churches

10. Policy Changes Interpersonal – Friends don’t let friends drive drunk Acceptance of female drivers Organizational – No alcohol allowed at job site/agricultural fields after work Community – Community volunteers work with law enforcement to bridge language barriers School system relies on Hispanic community to promote programs for families Hispanic Outreach Coordinator sits on Truancy Court Board

11. Build Partnerships 16 New Alliances Created in one glorious day!

12. Partnerships & Coalitions McDowell County Health Department Centro Unido Latino Americano

13. Make it fun….out of the box, out of the chairs……………. find creative trainers