Prevention Strategies for Young Adults and Higher Education Renee Faber, Behavioral Health Services Manager Division of Behavioral Health NASADAD Annual Meeting 5-25-17 Helping People Live better Lives.

Snapshot of Substance Use for 18-25 yr olds Past 30 days Binge Drinking NE 43.2%               U.S. 37.8%   Past 30 days Marijuana Use NE 16.2%               U.S. 19.3% Past year Misuse of Rx Pain NE 8.0%                  U.S 8.3%   Past year Cocaine Use NE 3.5%                   U.S. 4.5% NSDUH 2013/2014 Helping People Live better Lives.

Drug of Choice for 18-25 yr olds Self-Reported Drug of Choice   Alcohol 48.3% Marijuana 20.9% Methamphetamines 18.2% Opioids 4.4% Cocaine 0.8% Nebraska Behavioral Health System 2016 records Helping People Live better Lives.

Sea of Red Nebraska Football Helping People Live better Lives.

Helping People Live better Lives.

Helping People Live better Lives.

Binge Drinking Interventions Social Norming Campaigns Parenting Programs (such as Strengthening Families and Power of Parents) Responsible Beverage Server Training (RBST) to prevent over service College Campus Programs (such as Challenging College Alcohol Abuse, MyStudentBody.com, and the Human Performance Project) Binge Drinking Collaborative SBIRT in Health Care Settings Evidence-based policy change, such as tax increases and dram shop liability Local data collection with law enforcement, such as place of last drink data Outlet density mapping

Nebraska Collegiate Consortium Multiple levels of prevention strategy applied across the campus-community, including: Alcohol education for the individual students and groups who violate campus/community alcohol policies Intervention and treatment for individual students who show signs of pre-dependency Group-specific education and intervention for specific high-risk populations Campus-wide policies that discourage high-risk drinking for all students Campus-wide programs that support low-risk drinking or abstinence for all students Community-wide policies that discourage high-risk drinking for all citizens Community-wide policies that encourage low-risk drinking or abstinence for all citizens Power of Parenting website ~ Year 1 College Alcohol Profile ~ BASICS ~ "We Agree" Campaign http://nebraskaconsortium.org Helping People Live better Lives.

Nebraska Young Adult Alcohol Opinion Survey Alcohol, Marijuana, Prescription Pain Medication, Tobacco, Cocaine, Heroin, and Other Illicit Drugs Impaired driving Perception of risk from binge drinking Attitudes regarding alcohol use Perceptions of use Suicidal ideation Support for alcohol policy and enforcement Perceptions of alcohol enforcement and sales Place of alcohol use Beverage type ID check at the point of sale Parental acceptance

2016 Nebraska Young Adult Alcohol Opinion Survey Helping People Live better Lives.

Key Points While alcohol use remains common in Nebraska, binge drinking rates are decreasing among both genders and all ages except for males 21-22. There is great value in understanding how social norms and groups impact high-risking drinking on college campuses. Parents still have a great capacity to influence young adult behavior. Adoption of alcohol screening and brief intervention on campus has proven outcomes in reducing problem drinking. Messaging is most effective when used as one component of a comprehensive campus/community environmental effort. Helping People Live better Lives.

DHHS Division of Behavioral Health Renee Faber DHHS Division of Behavioral Health renee.faber@nebraska.gov Prevention Works ~ Treatment is Effective ~ People Recover Helping People Live better Lives.