South Dakota SEOW Strategic Prevention Framework Partnership for Success (SD SPF-PFS)

Selecting the Partnership for Success Priority South Dakota used an epidemiological approach to select the target priority for the PFS grant by comparing the state level indicators to the national average for underage alcohol use by persons aged 12 to 20 and prescription drug misuse and abuse among persons aged 12 to 25.

Alcohol use in the past month reported by persons aged 12 and older Source: SAMHSA, Office of Applied Studies, National Survey on Drug Abuse and Health, *Source: Table 5 *Rate Ratio: 1.08 Note: A rate ratio value greater than 1 indicates the South Dakota rate is higher than the national rate

Binge drinking in the past month reported by persons 12 and over Source: SAMHSA, Office of Applied Studies, National Survey on Drug Abuse and Health, *Source: Table 5 Note: A rate ratio value greater than 1 indicates the South Dakota rate is higher than the national rate

A perception of great risk from binge drinking reported by persons 12 and older Source: SAMHSA, Office of Applied Studies, National Survey on Drug Abuse and Health, *Source: Table 5 Note: A rate ratio value greater than 1 indicates the South Dakota rate is higher than the national rate

Nonmedical use of pain relievers in the past year reported by persons aged 12 or older Source: SAMHSA, Office of Applied Studies, National Survey on Drug Abuse and Health, *Source: Table 5 Note: A rate ratio value greater than 1 indicates the South Dakota rate is higher than the national rate

Students who ever had at least one drink of alcohol on at least 1 day Source: Youth Online- High School Youth Risk Behavior Surveillance System (YRBSS) 2011 and 2013 Results *Source: Table 6 Note: A rate ratio value greater than 1 indicates the South Dakota rate is higher than the national rate *Rate Ratio: 0.88 *Rate Ratio: *Rate Ratio: 0.96 *Rate Ratio: 0.99

Students who used alcohol in the past 30 days Source: Youth Online- High School Youth Risk Behavior Surveillance System (YRBSS) 2011 and 2013 Results *Source: Table 6 Note: A rate ratio value greater than 1 indicates the South Dakota rate is higher than the national rate *Rate Ratio: 1.18 *Rate Ratio: *Rate Ratio: 0.95 *Rate Ratio: 0.93

Table 3. Students who had 5 or more drinks of alcohol in a row, that is, within a couple of hours, on one or more occasions of the past 30 days Source: Youth Online- High School Youth Risk Behavior Surveillance System (YRBSS) 2011 and 2013 Results *Source: Table 6 Note: A rate ratio value greater than 1 indicates the South Dakota rate is higher than the national rate *Rate Ratio: 1.03 *Rate Ratio: *Rate Ratio: 0.78 *Rate Ratio: 0.86

Table 3. Prescription Drug Abuse Source: Youth Online- High School Youth Risk Behavior Surveillance System (YRBSS) 2011 and 2013 Results *Source: Table 6 Note: A rate ratio value greater than 1 indicates the South Dakota rate is higher than the national rate *Rate Ratio: 0.72 *Rate Ratio: *Rate Ratio: 0.86 *Rate Ratio: 0.83

The regional analysis identified that underage drinking is an issue that is consistent across the state and throughout each region based on review of the NSDUH sub-state data.

Methodology for Selection of Subrecipient Communities

Sub-recipient Counties Minnehaha County is the most heavily populated county in the state and accounts for nearly 25% of the target population of 12 to 20 year olds. The county also has the largest number of youth treatment admissions and youth arrests for possession of alcohol. Pennington County is the 2nd most populated county in the state and accounts for nearly 13% of the target population of 12 to 20 year olds. Pennington County had the 2nd highest number of youth treatment admissions and 3rd highest number of youth arrests for alcohol. Pennington County is also home to a large number of Native American families and borders the Pine Ridge Reservation. Brown County is the 4th most populated county in the state of South Dakota and accounts for 4% of the targeted youth population. The county has the 4th highest number of youth treatment admissions as well as the 4th highest number of youth arrests for possession of alcohol.

Sub-recipient Counties Meade County is the 7th most populated county in the state and contains nearly 2% of the state’s targeted youth population. Meade County has the 8th highest number of youth treatment admissions and the 12 th highest number of youth arrests for possession of alcohol and boarders the Cheyenne River Reservation. Fall River County is the 25th most populated county in the state. The targeted population of year olds in the county comprises nearly 1% of the total targeted population in the state. This county is ranked 20th for the number of youth treatment admissions and 20th for the number of youth arrested for possession of alcohol. Fall River County boarders the Pine Ridge Reservation. Roberts County includes a large proportion of the Sisseton-Wahpeton Oyate Reservation and is the 17th most populated county in the state, with 1.5% of the target population of year olds. Roberts County has the 6th highest number of youth treatment admissions in the state, as well as the 14th highest number of youth arrested for possession of alcohol.

Yankton County is the 9th most populated county in the state and contains almost 2.5% of the targeted year old population. The county has the 7th highest number of youth admitted to treatment and the 10th highest number of youth arrested for possession of alcohol. Codington County is the 6th most populated county in the state, containing 3.5% of the targeted year old population. Codington County has the 9th highest number of youth treatment admissions, as well as the 8th highest number of youth arrested for possession of alcohol in the state. Beadle County is the 11th most populated county in the state and contains just over 2% of the targeted youth population. The county has the 14th highest number of youth treatment admissions and the 13th highest number of youth arrested for possession of alcohol in the state. Sub-recipient Counties

Spink County is the 28th most populated county in the state. It contains almost 1% of the targeted year old population. Spink is ranked 21st in the number of youth admissions for treatment in the state and 24th in the number of youth arrested for possession of alcohol in a rural high risk area. Todd County is the 19th most populated county in the state, containing just over 1.5% of the targeted youth population. Todd County has the 11th largest number of youth admissions for treatment and the 23rd largest number of youth arrested for possession of alcohol and contains a large proportion of the Rosebud Reservation in an extremely rural but high risk area. Perkins County is the 49th most populated county in the state and contains 0.3% of the targeted population of year olds in the state and borders the Standing Rock and Cheyenne River Reservations in an extremely rural but high risk area. Sub-recipient Counties

Disparate Populations -what this means for the funded PFS coalitions

NOMs Discussion: what NOMs will need to be collected for the PFS

Indicator and Measure Alcohol Consumption During the past 30 days, on how many days did you drink one or more drinks of an alcoholic beverage? Alcohol Binge During the past 30 days, on how many days did you have 4/5 or more drinks of alcohol in a row, that is, within a couple of hours? Alcohol Perception of Harm How much do people risk harming themselves physically and in other ways when they have five or more drinks of an alcoholic beverage once or twice a week? Outcome Reported Percent who reported having used alcohol during the past 30 days (i.e., percent who responded 1 or more days) Percent reporting moderate or great risk (i.e., percent reporting “moderate risk” and percent reporting “great risk” combined) Percent reporting 4/5 or more drinks

Indicator and Measure Alcohol and Drug Related Arrests Measure Calculation: The number of drug/alcohol-related arrests [for DUI, Drug Abuse Violations, and Liquor Law Violations (UCR-FBI defined)] divided by the number of total arrests and multiplied by 100

SEOW Activities SEOW State and Regional Profiles Data Briefs Dashboard/Indicators/Compilation of State Indicators

Partnership for Success State Overview Gib Sudbeck, Project Director

Goal 1 Reduce underage drinking through enhancing the capacity of communities of high need to implement the Strategic Prevention Framework process to support data-driven decision- making and evidenced-based prevention programs Objectives 1.1) Implement a range of EBPs - blending individual and population based programming based on the needs of the community Objective 1.2) Coordinate with local authorities (civil and legal) on policy development, enforcement of underage drinking and social host laws Objective 1.3) Partner with state, tribal and community stakeholders to collaborate on underage drinking reduction efforts and campaigns Objective 1.4) Increase sub-recipient’s surveillance system capacity in order to identify and track underage drinking indicators

Goal 1 Reduce underage drinking through enhancing the capacity of communities of high need to implement the Strategic Prevention Framework process to support data-driven decision- making and evidenced-based prevention programs Objective 1.1) Implement a range of EBPs - blending individual and population based programming based on the needs of the community – Activities – Timeframe – Responsible Party – Milestones (process measurement)

Goal 1 Reduce underage drinking through enhancing the capacity of communities of high need to implement the Strategic Prevention Framework process to support data-driven decision- making and evidenced-based prevention programs Objective 1.2) Coordinate with local authorities (civil and legal) on policy development, enforcement of underage drinking and social host laws – Activities – Timeframe – Responsible Party – Milestones (process measurement)

Goal 1 Reduce underage drinking through enhancing the capacity of communities of high need to implement the Strategic Prevention Framework process to support data-driven decision- making and evidenced-based prevention programs Objective 1.3) Partner with state, tribal and community stakeholders to collaborate on underage drinking reduction efforts and campaigns – Activities – Timeframe – Responsible Party – Milestones (process measurement)

Goal 1 Reduce underage drinking through enhancing the capacity of communities of high need to implement the Strategic Prevention Framework process to support data-driven decision- making and evidenced-based prevention programs Objective 1.4) Increase sub-recipient’s surveillance system capacity in order to identify and track underage drinking indicators – Activities – Timeframe – Responsible Party – Milestones (process measurement)

Goal 2 Enhance and sustain prevention system (state system) capacity to support the implementation of the Strategic Prevention Framework process and EBPs to reduce underage drinking Objective 2.1) Maintain/update data infrastructure – Continue working with KITS Data Management Systems to enhance the capabilities to meet the needs of the state. Objective 2.2) Provide training and sustained technical assistance on EBPs to high need communities Objective 2.3) Culture Competency – Increase the community’s knowledge of culture and implement culturally sensitive prevention practices

Goal 2 Enhance and sustain prevention system (state system) capacity to support the implementation of the Strategic Prevention Framework process and EBPs to reduce underage drinking Objective 2.1) Maintain/update data infrastructure – Continue working with KITS Data Management Systems to enhance the capabilities to meet the needs of the state. – Activities – Timeframe – Responsible Party – Milestones (process measurement)

Goal 2 Enhance and sustain prevention system (state system) capacity to support the implementation of the Strategic Prevention Framework process and EBPs to reduce underage drinking Objective 2.2) Provide training and sustained technical assistance on EBPs to high need communities – Activities – Timeframe – Responsible Party – Milestones (process measurement)

Goal 2 Enhance and sustain prevention system (state system) capacity to support the implementation of the Strategic Prevention Framework process and EBPs to reduce underage drinking Objective 2.3) Culture Competency – Increase the community’s knowledge of culture and implement culturally sensitive prevention practices – Activities – Timeframe – Responsible Party – Milestones (process measurement)