Presenters Danielle Luther, MPH Manager Substance Abuse Prevention - - PowerPoint PPT Presentation

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

Center for Community Outreach

Substance Abuse Prevention & Treatment AmeriCorps RECIN Healthy Lifestyles Afterschool Volunteerism Future of Medicine

Marshfield Clinic Center for Community Outreach

Priorities Improve Health Status Partner with Coalitions

Coalitions = Local people identifying and solving local problems

Schools Media Healthcare Civic and Volunteer Youth Parents Youth Serving Government Business Police Religious and Fraternal Other

12 Sectors

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• Second level
• Third level
• Fourth level
• Fifth level

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

• 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.

Marshfield Area Coalition for Youth (MACY)

History of MACY

teen age preg nanc y. . its seco nd prior ity. . 1990 MACY formed to address teenage pregnancy 2009 Based upon community assessments, MACY adopted prescription drug abuse as its second priority 2006 MACY evolved to focus on substance abuse prevention, primarily underage drinking 2012 MACY identified heroin use as its third priority

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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• Second level
• Third level
• Fourth level
• Fifth level

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 MILLION

What We Pay For1 We All Pay1

Wood County population: 7,1082 $7.3 million $7.3 million

$0.8 million $5.2 million Lost

Productivity

$1.2 million

Other

$3.1 million Taxpayers $3.0 million Excessive

Drinkers and their Families

$1.2 million

Cost per Wood County resident: $1,007.91

Other includes costs associated with the criminal justice system, motor vehicle crashes, and other consequences. Others in Society includes private health insurers, employers, crime victims, and others.

Others in Society Healthcare

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
• Alternative

transportation

• Drink promotions
• Final service
• Food and non-alcoholic

beverages

• Hiring practices
• I.D. confiscation
• Measuring drinks
• Notify arriving staff
• Product sampling
• Refusal of service
• Sober server
• Termination of

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

10 20 30 40 50 60 70 80 90 100 Alcohol marketing Food and non- alcoholic beverages I.D. confiscation Point of sale Product sampling Termination of employment Percent Policy

CARES NON-CARES

Class A Optional Policies Being Implemented in Marshfield Area Establishments, 2013

Establishment Survey - Results

Class B Optional Policies Being Implemented in Marshfield Area Establishments, 2013

10 20 30 40 50 60 70 80 90 100 Alcohol signage Alternative transportation Drink promotions Final service Food and non- alcoholic beverages Hiring practices Percent Policy

CARES NON-CARES

Establishment Survey - Results

Class B Optional Policies Being Implemented in Marshfield Area Establishments, 2013

10 20 30 40 50 60 70 80 90 100 I.D. confiscation Measuring drinks Notify arriving staff Product sampling Refusal of service Sober server Termination of employment Percent Policy

CARES NON-CARES

Establishment Survey - Results

Are CARES members less likely than non-member establishments to serve alcohol to underage persons?

Results showed…

Establishment Survey - Results

Are CARES members less likely than non-member establishments to serve alcohol to underage persons?

100% of C.A.R.E.S. members indicated there was a procedure in place when minors attempted to purchase alcohol compared to

• nly 92.31% of non-members

Establishment Survey - Results

Are CARES members less likely than non-member establishments to serve alcohol to underage persons?

42.86% of C.A.R.E.S. members indicated their employees attended a Responsible Beverage Server training as compared to 8.33% of non-members

Establishment Survey - Results

Are CARES members less likely than non-member establishments to serve alcohol to underage persons?

Interesting to note…

Establishment Survey - Results

Are CARES members less likely than non-member establishments to serve alcohol to underage persons?

Interesting to note… 8 managers/owners indicated they were interested in help in developing and implementing a written policy in their business

Establishment Survey - Results

Are CARES members less likely than non-member establishments to serve alcohol to underage persons?

All were Marshfield C.A.R.E.S. members This suggests that Marshfield C.A.R.E.S. members are willing to adopt polices restricting youth access to alcohol and to seek advice in implementing polices based on evidence and best practices *Created and distributed a summary to the community

Results

25% 84% 65% 73% 49% 55% 81% 93% 100% 94% 93% 100% 73% 85% 0% 20% 40% 60% 80% 100% 6/07 8/07 8/08 1/09 7/09 11/09 7/10 10/10 8/11 1/12 3/13 8/13 7/14 3/15 4/16

Marshfield Alcohol Age Compliance Check Pass Rates

. .

Marshfield C.A.R.E.S. launched .

Data

20 40 60 80 100 120 140 160 2010 2011 2012 2013 2014 2015

Number of Citations Year

Underage Drinking Citations in Marshfield

Data

2 4 6 8 10 12 14 16 18 2010 2011 2012 2013 2014 2015 Number of OWI's Year

Underage OWI's in Marshfield

Future Plans

• Revise/update program materials
• Develop model policy guide for establishments and

community events

• Administer an updated establishment survey to

measure change from the baseline establishment survey by 2018

• Publish findings in at least one peer-reviewed journal

Discussion

• What would this program look like in your community?
• Any barriers to implementation?

Thank You

For more information contact: Danielle Luther

715-221-8413 luther.danielle@marshfieldclinic.org

Jason Parks

715-384-0815 jason.parks@ci.marshfield.wi.us www.marshfield4youth.org