Marshfield C.A.R.E.S. (Community Alcohol Resources for Establishments and Servers) Working with Class A & B Liquor License Holders on Voluntary Best Practices
Presenters Danielle Luther, MPH Manager – Substance Abuse Prevention Marshfield Clinic Center for Community Outreach Jason Parks Detective Marshfield Police Department
Community Partners
Today’s Overview • Overview of Marshfield Clinic CCO • History • Overview of Marshfield C.A.R.E.S. • SAMHSA’s Service to Science Academy • Establishment Survey Results • Future Plans
CCO Programs Substance Abuse Prevention & Treatment Future of AmeriCorps Medicine Center for Community Outreach Volunteerism RECIN Healthy Afterschool Lifestyles
Marshfield Clinic Center for Community Outreach Priorities Partner with Coalitions Improve Health Status
Coalitions = Local people identifying and solving local problems
Media Healthcare Schools Religious and Fraternal Civic and Volunteer 12 Sectors Police Youth Business Parents Government Other Youth Serving
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Overview of Northwoods Coalition • Formed in 1995 through a partnership with Marshfield Clinic and several community coalitions • The oldest and largest coalition in Wisconsin that is dedicated to substance abuse prevention • Serves as the Alliance for Wisconsin Youth Northern & Western Regional Centers for Wisconsin Department of Health Services (DHS) • Focuses on prevention of: Underage drinking Prescription drug abuse Heroin use
Northwoods Coalition
Marshfield Area Coalition for Youth (MACY) • Formed in 1990 by the local community to promote positive youth development. • Currently focuses on the prevention of underage drinking, prescription drug abuse and heroin use. • Includes a membership of over 100 individuals representing over 30 organizations. • Supported by staff from Marshfield Clinic Center for Community Outreach.
History of MACY 2009 1990 teen its Based upon community MACY formed to age seco assessments, MACY address preg nd adopted prescription drug teenage nanc prior pregnancy abuse as its second priority y. ity. 2006 2012 . . MACY evolved to MACY identified focus on substance heroin use as its abuse prevention, third priority primarily underage drinking
Liquor Licenses in Marshfield • Marshfield’s population is 19,118 (13.46 square miles) • 66 liquor license establishments within the city limits • Nationally, there is one liquor license establishment for every 1,400 residents • In Marshfield, there is one establishment for every 324 residents
Wisconsin • Local liquor license control • Parents/ Spouses can serve their children
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Why Marshfield C.A.R.E.S.? The Cost of Excessive Alcohol Use in Wood County Annual economic cost of excessive alcohol use in Wood County $7.3 M ILLION We All Pay 1 What We Pay For 1 $7.3 million $7.3 million $3.1 million $0.8 million Healthcare Taxpayers $5.2 million Lost $3.0 million Productivity Excessive Drinkers and Wood County population: their Families 7,108 2 Cost per Wood County $1.2 million $1.2 million resident: $1,007.91 Other Others in Society Others in Society includes private health Other includes costs associated with the criminal insurers, employers, crime victims, and others. justice system, motor vehicle crashes, and other consequences.
History of Marshfield C.A.R.E.S.
History of Marshfield C.A.R.E.S.
Marshfield Data
January 2009 – May 2010 • Committee researched: • Voluntary best practice programs both statewide and nationally • Commonplace practices in Marshfield area establishments (i.e., voluntary keg registration) • Developed program • Identified mandatory and voluntary policies for Class A and B license holders
January 2009 – May 2010 • Identified program benefits • Worked to identify system for monitoring program compliance • Conducted in-person and telephone survey of local bars and retailers • Conducted two Tavern League meetings • Conducted focus groups with local bars and establishments • Worked to develop a brand
January 2009 – May 2010 • Trained five law enforcement personnel on the Training for Intervention Procedures (TIPS) Responsible Beverage Service training Launched the Marshfield C.A.R.E.S. program
Benefits of Participation • Responsible Beverage Service training provided by Marshfield Police Department • Community recognition • Educational materials and resources to promote responsible serving and selling policies • Brochures, Signage, Window Clings, Log Book • Annual mayoral recognition for outstanding program compliance
Mandatory Policies • Check identification when selling alcohol • Refuse sales of alcoholic beverages to anyone under the age of 21 • Refuse sales to intoxicated customers • Provide employees with a written copy of establishment polices • Hold regular, mandatory staff meeting to enhance communication • Participate in Responsible Beverage Service training
Class A Optional Policies • Alcohol marketing • Food and non-alcoholic beverages • Hours of sale • I.D. confiscation • Point of sale • Product sampling • Termination of employment
Class B Optional Policies • • Alcohol signage I.D. confiscation • • Alternative Measuring drinks transportation • Notify arriving staff • Drink promotions • Product sampling • Final service • Refusal of service • Food and non-alcoholic • Sober server beverages • Termination of • Hiring practices employment
Progress to Date 29 of 66 current liquor license holder are Marshfield C.A.R.E.S. members
SAMHSA’s Service to Science • January 2012: attended the Service to Science Academy • Identified questions regarding – How do we know it is working? • Drafted logic model, Responsible Beverage Server pre – post survey, establishment survey • August 2012 : applied for SAMHSA’s Service to Science Evaluation Initiative • January 2013: started Initiative
SAMHSA’s Service to Science • January - August 2013: finalized and administered RBS survey; finalized Establishment survey • September 2013: Establishment survey approved by IRB • October 2013- December 2013: administered Establishment Survey • January - February 2014: compiled and analyzed results • March 2014: submitted final report
Establishment Survey • Administered from October – December 2013 • 37 participants total (27 managers/owners and 10 servers) • 20 participants were Marshfield C.A.R.E.S. members
Establishment Survey - Results Marshfield C.A.R.E.S. members agree to these mandatory policies: 1. Hold regular staff meetings 2. Provide employees with a written copy of establishment policies 3. Participate in Responsible Beverage Service training 4. Refuse sales of alcoholic beverages to anyone under the age of 21 5. Refuse sales to intoxicated customers
Establishment Survey - Results Hold regular staff meetings 92.86% of Marshfield C.A.R.E.S. managers/owners indicated they had regular staff meetings and of those 92.31% indicated that 80% or more of staff were in attendance
Establishment Survey - Results Provide employees with a written copy of establishment policies 85.71% of Marshfield C.A.R.E.S. managers/owners indicated all employees had been provided with a written copy of establishment polices in the past 6 months
Establishment Survey - Results Participate in Responsible Beverage Service training Employees from all Marshfield C.A.R.E.S. establishments had attended a Responsible Beverage Service training
Establishment Survey - Results Refuse sales of alcoholic beverages to anyone under the age of 21 100% of Marshfield C.A.R.E.S. managers/servers indicated there was a policy in place if a minor attempted to purchase alcohol
Establishment Survey - Results Refuse sales to intoxicated customers 92.86% of Marshfield C.A.R.E.S. managers/owners indicated there was a policy if an impaired customer attempted to purchase alcohol
Establishment Survey - Results Additional Policies Marshfield C.A.R.E.S. managers/owners indicated 78.82% of 85 additional polices were successfully being implemented in their establishments (i.e., sober server, alternative transportation)
Establishment Survey - Results Class A Optional Policies Being Implemented in Marshfield Area Establishments, 2013 100 90 80 70 60 Percent 50 CARES 40 NON-CARES 30 20 10 0 Alcohol marketing Food and non- I.D. confiscation Point of sale Product sampling Termination of alcoholic beverages employment Policy
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