1. Prehab is the New Rehab*: What Recovery Informed Education Looks Like ARHE 2016 Center for Young Adult Addiction and Recovery Kennesaw State University Michael Polacek – Assistant Program Coordinator Lindsay Montgomery – Education Coordinator and Trainer *© 2013, Patrick Moore, MA, LPC

2. Education:  KSU 1101 Peer Education Presentations  One hour presentations to freshmen and other requested classes  Presented by Peer Educators  WISE Choices Mandated Classes  Three hour presentation as part of a mandated program  Presented by trained CYAAR staff  PRI – Prime for Life  ATOD Coalition

3. Research and Informed Consent What’s Your Risk Level? Research at Kennesaw State University that involves human participants is carried out under the oversight of an Institutional Review Board. Questions or problems regarding these activities should be addressed to the Institutional Review Board, Kennesaw State University, 1000 Chastain Road, #0112, Kennesaw, GA 30144-5591, (470) 578-2268. The assessment and survey are voluntary. If you choose to take it, you may skip any question you don’t want to answer. You have to right to stop participation at any time without penalty. You must be 18 years or older to participate. The handout asks about your self-assessment and opinion related to risk perception before and after the stage model presentation. There are no known risks in this AOD presentation, survey or evaluation. Your answers to these questions will be confidential and part of an aggregate analysis over this year. That means no one will connect your answers with your name or other identifying information. To help us keep your answers confidential, please do not write your name on this survey form. This information will be used to make more informed education decisions for college populations. This is not a test, so there is no right or wrong answers. If you have questions, interest or issues regarding this presentation, survey or self-assessment please contact: Lindsay Montgomery, University College, Room 222, 470-578-2538. peer-educ@kennesaw.edu Thank you for considering participation in this research.

4. Alcohol: A concern for college campuses Each Year: die - 1,800+ college students die sexual assault - 97,000 victims of sexual assault unsafe sex - 400,000 students engage in unsafe sex gave consent - 100,000+ too intoxicated to remember they gave consent unintentional injuries - 599,000 unintentional injuries assaults - 696,000 assaults drove under the influence - 2,700,000 students drove under the influence (22% increase in 7 years) suffer academically - 25% of college students suffer academically In One Day: die - 3 – 5 students die sexual assault - 190 – 250 victims of sexual assault injuries - 3,000 injuries (Correia et al., 2012) (Hinson et al., 2005)

5. The Prevention Paradox 64% of alcohol related deaths, and 70% of alcohol related hospitalizations are light and moderate drinkers. (O’Neil, 2012) (Babor et al., 2010) Abstinence Experimental Use Social Use Binge Use Abuse Dependence 75% 20% 5% Low Risk Acute Chronic

6. MAPP © 2013, Patrick Moore, MA, LPC

7. Are we doing any good? Some risk is estimated at 20% to 22.7% by WHO and SAMHSA N = 457Fall 2014 Peer EducationN = 562 Spring 2015 Peer Education Intervention = some riskMaintenance = low riskPrevention = high risk

8. The Disease Model The chronic problem is known and easily recognizable. It is also easy to be part of the problem if you don’t know what you are dealing with. Mental Obsession Physical Allergy Binge Emerge Remorseful Restless Irritable Discontent Mental Obsession: One single idea that outweighs all other ideas to the contrary. Physical Allergy: An abnormal reaction to something when ingested. 3B’s: Be Brief Be Loving Be Loving Be Gone Be Gone (Alcoholics Anonymous, 1955)

9. Recovery is Known Mental Obsession Physical Allergy Binge Emerge Remorseful Restless Irritable Discontent (Alcoholics Anonymous, 1955) Solution: You can’t have an allergic reaction if the substance is not ingested or process initiated. Habituated thinking will have to be re- habituated. This takes time and action, but it works!

10. Substance Use and Addiction Continue… What is going on upstream?

11. Humans are NOT rational at all times, though they think they are.

12. This raises two questions: 1.What influences perception? 2.What influences negative outcomes? (Reyna, 2012)

13. What influences perception? Risk Factors (Reyna, 2012)

14. Risk factors start here. Over the last 100,000 years, the human brain has not changed. It is remarkable for fear and risk perception calculations. The problem is, we don’t live in caves anymore. Evolutionary psychology states that it is like having two brains… 1. Feeling (gut) is very fast. It uses predetermined rules and is very decisive. 2. Logic (head) is very accurate and rational, but it is not very fast or influential. Judgment comes from the gut and the head rationalizes.

15. The power of gut… A ball and bat cost $1.10 together. The bat costs $1.00 more than the ball. How much does the ball cost?

16. The power of head… x + (x+1) = $1.10 2x + 1 = $1.10 2x = $.10 x = $.05 x = ball x + 1 = bat

17. What influences perception? Risk Factors: #1 Risk / Benefit #2 Good / Bad #3 New / Familiar #4 Social Proof #5 Commitment #6 Control

18. perception Risk factors explain why perception is powerful in lifestyle choices. #1 Risk / Benefit Risk Benefit Anything I want

19.  Good  Familiar Low Risk Perceived as… #2 Good / Bad Familiar can be interpreted as good. Good, in turn, is automatically perceived as low risk.

20.  High Risk  Bad Perceived as… #2 Good / Bad The opposite is also true and involves fear of loss. Missing Out

21. #3 New / Familiar How to sort and survive too much information. Evolution’s answer to Google. The unfamiliar commands our attention. We cling to the familiar. Habituation Everything else: Habituation (off switch). survival mechanism. This is a survival mechanism. Remember driving the first time?

22. Social Proof (not peer pressure) conformity Social proof is a type of conformity. When a person is in a situation where they are unsure of the correct way to behave, they will often look to others for cues concerning the correct behavior. When "we conform because we believe that other's interpretation of an ambiguous situation is more accurate than ours and will help us choose an appropriate course of action," it is informational social influence. This is contrasted with normative social influence wherein a person conforms to be liked or accepted by others. #4 Social Proof (http://en.Wikipedia.org/wiki/Social_proof)

23. #4 Social Proof

25. #5 Commitment #6 Control Commitment to outcome supersedes reasoning and creates an illusion of control.

26. negative outcomes What influences negative outcomes? Hazards that carry a low risk, but are encountered frequently.  Let’s camp here! Odds are only 1/1000 a tree falls on us tonight.  1/1000 = certain death in a few years. constructive paranoia  Never sleep next to dead trees = constructive paranoia. (Diamond, 2013) What kills people in the jungle? Risk = Hazard x Frequency

27. Kennesaw State University Not many chronic, too many acute. 74% Low Risk 20% Some Risk 6% High Risk  Let him sleep it off.  You’re going to miss the turn.  Just a little drift. What kills college students? Low Risk Hazards Good news: Not very many students die. Bad news: It’s random. (2014)

28. Assess Your Risk Factors © 2003, Kurt Jones

29. MAPP © 2013, Patrick Moore, MA, LPC

30. Constructive Paranoia has always worked.  Look both ways.  Always wear a seatbelt.  NEVER drink and drive.  Never sleep next to dead trees.  Hyper vigilance does not limit.  Hyper vigilance does not limit. Continue activities, but lower your odds. There are many desirable risks- Be prepared.  Skiing  Parasailing  Extreme sports  Amusement parks  Hiking (Diamond, 2013)

31. Mandated students? 10.6% Intervention = some riskMaintenance = low riskPrevention = high risk

32. Questions? Comments? Thank You! mpolacek@kennesaw.edu peer-educ@kennesaw.edu

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