1. What’s happening with today’s youth?
2017 Action forum For youth
Sammamish
Nathan Brown, Ph.D.
Jessica Carr, J.D.
TrueBearing Consulting

2. About the Healthy Youth Survey (HYS)
Reach
Domains
Strengths and limitations
Reach:
Widely administered across Washington State schools.
All 39 Washington counties
989 schools participated
Taken by over 223,000 students
Format/Design:
The HYS consists of approximately 100 questions drawn from a pool of nearly 250 items.
The HYS is offered to 6th, 8th, 10th, and 12th grade students in the district every two years.
Domains:
Safety and violence behaviors
Risk and protective factors
Community
School
Peer-Individual
Family
Health and health-related behaviors
Alcohol, tobacco, and other drug use
Strengths and limitations:
Standardized procedures are used to administer the HYS across the state.
Responses are anonymous, and a data cleaning process bolsters reliability and validity.
Students are not required to take the HYS.
Includes items from established, independently researched surveys.
Broad support for HYS from OSPI, Washington Department of Social & Health Services, Washington Department of Health, Liquor Control Board, and school districts, ESDs, and local and community health partners.
Data cleaning procedures, including pattern recognition and quality control screening using logic checks, are used to identify and remove less reliable/internally inconsistent responses.
Response patterns are generally stable from year to year (no drastic fluctuations observed).
The HYS’s broad use in Washington allows for comparisons to other districts, to the state, and across time so that many comparisons and analyses are possible.

3. Sammamish Schools In the Issaquah School District:
Beaver Lake Middle School
Pine Lake Middle School
Skyline High School
In the Lake Washington School District:
Inglewood Middle School
Eastlake High School

4. The HYS in Sammamish
2016 HYS participation in Sammamish (3 middle schools, 2 high schools):
Issaquah School District participation in 2016 HYS:
90% of 6th graders (1,473 of 1,628) (90% in 2014)
88% of 8th graders (1,392 of 1,589) (86% in 2014)
69% of 10th graders (1,019 of 1,477) (75% in 2014)
42% of 12th graders (583 of 1,397) (59% in 2014)
Note: 12th grade response rates for 2016 were slightly lower (46%) than other grades. While this response rate is technically adequate from a statistical perspective, results for 12th grade should be interpreted with caution in that they may be somewhat less representative of the grade as a whole.
74% of Sammamish students in 6th, 8th, 10th, and 12th grades took the survey in 2016 (2,919 out of 3,943 total in 6th, 8th, 10th, and 12th grades).
These figures translate to:
91% of Sammamish 6th graders
86% of Sammamish 8th graders
71% of Sammamish 10th graders
46% of Sammamish 12th graders

5. Mapping the Healthy Youth Survey
Follow the icons in the upper right of each slide to see where the slide is in the context of the map.

6. About Issaquah school district youth
Approximately 20,000 students total
Number of students by HYS grade:
6th: 1,628 students
8th: 1,589 students
10th: 1,477 students
12th: 1,397 students
Gender: 51% male; 49% female
7.9% qualify for free/reduced lunch
0.3%
0.2%
Data from OSPI, school year (most current available)

7. About Lake Washington school district youth
Approximately 29,000 students total
Number of students by HYS grade:
6th: 2,271 students
8th: 2,121 students
10th: 2,022 students
12th: 1,890 students
Gender: 52% male; 48% female
12.1% qualify for free/reduced lunch
0.2%
0.1%
Data from OSPI, school year (most current available) and

8. ! ! Critical Youth Issues Mental health Depression Anxiety Suicide
Substance use
Alcohol and binge drinking
Marijuana and other drugs
Relationships and support
Bullying and abuse
Relationship to school, community, peers
KEY
Desirable finding
Undesirable finding
Statistically significant
Trending toward significance ! !

9. Mental Health: Depression and anxiety
“During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities?” Percentage answering “yes”:
“How often over the last two weeks were you bothered by feeling nervous, anxious, or on edge?” Percentage answering “several days” or more:
DONE
Compare to state figures: See slide.
Overall figures and # students represented:
Depression:
8th: 17% (172 students)
10th: 26% (249 students)
12th: 30% (271 students)
Anxiety:
8th: 56% (568 students)
10th: 68% (651 students)
12th: 77% (745 students)
Sammamish 8th graders’ overall depression rate (17%) was 11 points lower than Washington state (27%).
10th graders’ anxiety rate (68%) was 3 percent higher than Washington state (65%)

10. Mental Health: Suicide
“During the past 12 months:
Did you ever seriously consider attempting suicide?
Did you make a plan about how you would attempt suicide?
How many times did you actually attempt suicide?”
DONE
Compare to state figures: See slide.
Overall figures and # students represented: See slide.
8th graders are five points lower, and 10th graders are four points lower, than their state counterparts regarding suicide attempts.
These percentages translate to the following approximate figures:
122 8th graders considered suicide; 81 made a plan; 41 attempted suicide
163 10th graders considered suicide; 134 made a plan; 57 attempted suicide
204 12th graders considered suicide; 184 made a plan; 68 attempted suicide

11. Substance Use: Past 30 Days
“During the past 30 days, on how many days did you [use the following]?”
Percentage of students responding 1+ days: !
DONE
Compare to state figures: see slide
Overall figures and # students represented
Alcohol:
- 6th: 1% (10 6th graders drank alcohol in the past 30 days).
- 8th: 4% (41 8th graders drank alcohol in the past 30 days).
-10th: 14% (134 10th graders drank alcohol in the past 30 days).
-12th: 36% (348 12th graders drank alcohol in the past 30 days).
Marijuana:
-6th: 0.2% (2 6th graders used marijuana in the past 30 days).
- 8th: 1% (10 8th graders used marijuana in the past 30 days).
-10th: 10% (96 10th graders used marijuana in the past 30 days).
-12th: 22% (213 12th graders used marijuana in the past 30 days).
E-cigarette/vape pen:
- 6th: 0.1% (1 6th grader used e-cigarettes/vape pens in the past 30 days).
- 8th: 3% (30 8th graders used e-cigarettes/vape pens in the past 30 days).
- 10th: 12% (115 10th graders used e-cigarettes/vape pens in the past 30 days).
12th: 23% (222 12th graders used e-cigarettes/vape pens in the past 30 days).
Verbatim item:
During the past 30 days, on how many days did you:
- Drink a glass, can, or bottle of alcohol (beer, wine, wine coolers, hard liquor)?
- Use marijuana or hashish (weed, hash, pot)?
- Use an electronic cigarette, also called e-cigs, or vape pens? !
8th grade marijuana use (1%) is 5 points lower than Washington state (6%)

12. Binge Drinking: Past Two Weeks
“Think back over the last 2 weeks. How many times have you had five or more drinks in a row?” Percentage of students responding “once” or more:
DONE
Compare to state figures: See slide; no other statistical differences.
Overall figures and # students represented:
8th: 2% (20 students)
10th: 8% (81 students)
12th: 23% (222 students)
Verbatim item:
Think back over the last 2 weeks. How many times have you had five or more drinks in a row? (A drink is a glass of wine, a bottle of beer, a shot glass of liquor, or a mixed drink.)
None
Once
Twice
3-5 times
6-9 times
10 or more times
8th graders report lower binge drinking rates than Washington State (2% vs. 4%).
In 2016, approximately…
8% of Sammamish 10th graders (81 students) said they had five or more drinks in a row in the past two weeks.
23% of Sammamish 12th graders (222 students) said they had five or more drinks in a row in the past two weeks.

13. Enjoyment of School
“Think back over the past year in school. How often did you enjoy being in school?” Percentage of students answering “often” or “almost always”:
Compare to state figures: See slide.
Overall figures and # students represented:
6th: 62% (622 students)
8th: 50% (507students)
10th: 41% (393 students)
12th: 42% (406 students)
Verbatim item:
Think back over the past year in school. How often did you enjoy being in school?
Never
Seldom
Sometimes
Often
Almost always
6th graders (62%) scored 3 points higher than their state counterparts (59%)

14. What helps? What hurts? Internal factors
Attitudes towards alcohol and drug abuse
Perceptions of parental attitudes
Perceptions of peer attitudes
Perceptions of control or choice
External factors
Family support
Peer support
Community resources

15. Youth Attitudes about Substance Abuse
“How wrong do YOU think it is for someone your age to [use the following]?”
Percentage responding “very wrong” or “wrong”:
DONE
Trends: see below; no statistically significant differences.
6th grade attitudes toward alcohol use (98%) are 2% lower than in Washington State (96%)
12th grade attitudes toward marijuana use (51.7%) are 0.5% lower than Washington State (51.2%)
Overall figures and # students represented (10th and 12th grade selected):
Alcohol:
10th: 80% (766 students)
12th: 52% (503 students)
Marijuana:
10th : 80% (766 students)
Verbatim item:
How wrong do YOU think it is for someone your age to:
Drink beer, wine, or hard liquor (for example vodka, whiskey, or gin) regularly?
Use marijuana?
Approximately th graders in Sammamish thought that it was “a little bit wrong” or “not wrong at all” to drink alcohol regularly.
Approximately th graders in Sammamish thought that it was “a little bit wrong” or “not wrong at all” to drink alcohol regularly.

16. Youth Perceptions of Parents
“How wrong do your parents feel it would be for you to [use the following]?”
Percentage responding “wrong” or “very wrong”:
DONE
Overall figures and # students represented:
Alcohol:
8th: 96% (973 students)
10th: 94% (901 students)
12th: 76% (735 students)
Marijuana:
8th: 98% (994 students)
10th: 95% (910 students)
12th: 89% (861 students)
Verbatim item:
How wrong do your parents feel it would be for you to:
Drink beer, wine, or hard liquor (for example vodka, whiskey or gin) regularly (at least once or twice a month)?
Use marijuana?
8th grade perceptions of parental disapproval of alcohol use (96%) are 2% above Washington State (94%)
12th grade perceptions of parental disapproval of alcohol use (78%) are 2% above Washington State (76%)

17. Youth Perceptions of Peers
“How wrong do your friends feel it would be for you to [use the following]?”
Percentage of students responding “wrong” or “very wrong”:
DONE
Vs. WA State Trends: see slide; no other trends
Overall figures and # students represented:
Alcohol:
8th: 93% (943 students)
10th: 89% (853 students)
12th: 74% (716 students)
Marijuana:
8th: 95% (963 students)
10th: 82% (786 students)
12th: 58% (561 students)
Verbatim items:
How wrong do your friends feel it would be for you to:
- Have one or two drinks of an alcoholic beverage nearly every day?
- Use marijuana?
The percentage of 12th graders whose friends think alcohol use is wrong or very wrong is five points higher in Sammamish (74%) than in Washington State (69%)
The percentage of 12th graders whose friends think marijuana use is wrong or very wrong is six points higher in Sammamish (58%) than in Washington State (52%)

18. Youth Perceptions about Choice
“You are at a party at someone's house and one of your friends offers you a drink containing alcohol. What would you say or do?”
DONE
Vs. WA State Trends: No trends or statistically significant differences.
Overall figures and # students represented:
8th: 94% (953 students)
10th: 81% (776 students)
12th: 69% (667 students)
Verbatim item:
You are at a party at someone's house and one of your friends offers you a drink containing alcohol. What would you say or do?
Drink it
Tell your friend, "No thanks. I don't drink," and suggest that you and your friend go and do something else
Just say, "No, thanks," and walk away
Make up a good excuse, tell your friend you had something else to do, and leave

19. Community: Ease of Access
“If you wanted to get some _________, how easy would it be to get some?”
Percentage of students responding “sort of easy” or “very easy”: !
DONE
Trends vs. WA State: see slide
Overall figures and # students represented:
Alcohol:
6th: 12% (120 students)
8th: 27% (274 students)
10th: 52% (498 students)
12th: 67% (648 students)
Marijuana:
6th: 3% (30 students)
8th: 8% (81 students)
10th: 40% (383 students)
12th: 56% (542 students) 14
6th graders (12%) are 1% lower than their Washington state counterparts (13%) regarding perceived ease of access to alcohol.
8th graders (8%) are 12% lower than their Washington state counterparts (20%) regarding perceived ease of access to marijuana. !

20. Bullying and Harassment
“In the last 30 days, how often have you been bullied?” Percentage of students answering “once” or more: ! !
Trends vs. WA State: See slide
Overall figures and # students represented:
6th: 22% (221 students)
8th: 22% (223 students)
10th: 19% (182 students)
12th: 12% (116 students)
Verbatim item:
A student is being bullied when another student, or group of students, say or do nasty or unpleasant things to him or her. It is also bullying when a student is teased repeatedly in a way he or she doesn’t like. It is NOT bullying when two students of about the same strength argue or fight. In the last 30 days, how often have you been bullied?
I have not been bullied
Once
2-3 times
About once a week
Several times a week !
6th graders were bullied six percent less than State 6th graders (22% vs. 27%) !
12th graders were bullied five percent less than State 12th graders (12% vs. 17%)

21. Physical Abuse by Adult
“Has an adult ever physically hurt you on purpose (like pushed, slapped, hit, kicked or punched you), leaving a mark, bruise or injury?”
Compare to state figures: See below; no other statistical differences.
8th graders in Sammamish (15%) have experienced physical abuse at a rate four points below Washington State (19%). (trend)
12th graders in Sammamish (20%) have experienced physical abuse at a rate two points below Washington State (22%). (trend)
Overall figures and # students represented (“yes” responses”):
8th: 15% (152 students)
10th: 20% (192 students)
12th: 20% (193 students)
The approximate number of students in Sammamish who have ever experienced physical abuse by an adult:
8th grade: 152
10th grade: 192
12th grade: 193

22. Family Support
“If I had a personal problem, I could ask my mom or dad for help.”
Compare to state figures: See below; no other statistically significant differences compared to state.
6th graders (90%) are 1 point higher than Washington State (89%) (trend)
8th graders (85%) are 2 points higher than Washington State (83%) (trend)
12th graders (81%) are 2 points higher than Washington State (79%) (trend)
Overall figures and # students represented (“Yes/YES!” responses):
6th: 90% (904 students)
8th: 85% (862 students)
10th: 81% (776 students)
12th: 81% (783 students)
The percent of students responding “No/NO!” translate to approximately the following:
100 6th graders
152 8th graders
182 10th graders
184 12th graders

23. Community Support
“There are adults in my neighborhood or community I could talk to about something important.”
Compare to state figures: No significant differences or trends.
Overall figures and # students represented (“Yes/YES!” responses):
8th: 86% (872 students)
10th: 86% (824 students)
12th: 85% (822 students)
The percent of students responding “No/NO!” approximately translate to the following:
142 8th graders
134 10th graders
145 12th graders

24. Peer Support
Interaction with prosocial peers is measured by several questions, resulting in an overall composite score reflecting the degree of “interaction with prosocial peers.”
Compare to state figures: See slide; no other statistical differences.
Overall figures and # students represented (low prosocial):
8th: 27% (274 students)
10th: 31% (297 students)
12th: 36% (348 students)
Verbatim items:
Think of your four best friends (the friends you feel closest to). In the past year (12 months), how many of your best friends have...
- Participated in clubs, organizations or activities at school?
- Made a commitment to stay drug-free?
- Liked school?
- Regularly attended religious services?
- Tried to do well in school?
How many of your best friends have...
Participated in clubs, organizations or activities at school?
Made a commitment to stay drug-free?
Liked school?
Regularly attended religious services?
Tried to do well in school?
8th graders (74%) scored 15 points above state (59%) on high prosocial interaction.
12th graders (68%) scored 21 points above state (47%) on high prosocial interaction.