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Sobering Efforts
By Gail Gleason, Ed.D. and David
S. Anderson, Ph.D.
Most of us know that alcohol misuse contributes to many serious
preventable problems: traffic accidents, sexual harassment and date
rape, peer violence, unintended pregnancies, sexually transmitted
diseases, poor academic performance, and of course, the chemical-dependency
syndrome of alcoholism.
Yet for many colleges,
preventing student alcohol abuse is not merely on the "back burner" - it's not even "on the stove." College officials
are well aware that alcohol often plays a role in many campus "cultural" traditions,
such as football tailgate parties or informal initiation rites, and
many have expressed concern. And although trustees, alumni, and senior
administrators comprehend the problem, many are uncomfortable adopting
policies and programs aimed at altering the personal behavior of
students. They may (1) deny the problems exists on their campus,
(2) suggest substance abuse is a public health and enforcement problem
and not the responsibility of the institution, or (3) fail to understand
that active institutional intervention is necessary to prevent problems
- and tragedies - from occurring.
Adding to their discomfort is the legitimate debate over the institution's
legal responsibility for students' personal behavior. Although students
under age 21 - who constitute a majority of undergraduate college
students - almost universally may not purchase alcohol (and all states
have laws against underage drinking), college officials attempting
to reconcile campus policies for those younger and older than 21
face real headaches.
TAKING
ACTION
Despite an understandable
reluctance to take action, colleges and universities have steadily
increased the number of policies and services specifically designed
to address alcohol misuse. (Some of these initiatives also are relevant
to tobacco and illicit drug use, both of which are less problematic
on policy levels.)
Convinced that many campuses had instituted positive policies, programs,
and strategies, we initiated a study with a grant from The
Century Council, a not-for-profit organization endowed by concerned
distillers, vintners, brewers, and wholesalers dedicated to fighting
alcohol abuse and promoting responsible decision making about drinking.
The project - "Promising Practices Campus Alcohol
Strategies" - identified a wide variety of excellent campus-based
initiatives.
We solicited every college and university in the country, and after
conferring with professionals in national and state agencies and
organizations and our own advisory panel
of experts, we determined the following categories of strategies
represented a comprehensive campus effort. These ten
areas then served as the basis for our review process:
- Awareness and Information - media
campaigns, public information, large-scale events.
- Environmental and Targeted approaches -
programs that focus on the campus atmosphere, emphasis on specific
audiences, including high-risk groups.
- Curriculum - courses, lectures,
lesson plans.
- Peer-based Initiatives - student-led
projects and peer education.
- Training - programs for faculty,
staff, and student leaders.
- Support Services - interventions
with high-risk drinkers, support groups, and counseling.
- Staffing and Resources - campus
professionals and interns and specialized libraries and electronic
services devoted to the effort.
- Policies and Implementation -
policy development that links with institutional mission.
- Enforcement - role of police
and the campus disciplinary and judicial processes.
- Assessment and Evaluation - needs
assessments and quantitative and qualitative evaluations.
PROGRAM
TYPES AND MODELS
During
the review process, hundreds of high-quality programs emerged on
campuses of every type and in every region of the country. Some are
quite extensive and long term; others are relatively small and short
term. What's more, various campus departments and organizations are
responsible for prevention efforts. For example, alcohol-abuse programs
come under the auspices of the student health service at the University
of California, Santa Barbara; the office of the vice president of
student affairs at Saint Michael's College in Vermont; the Center
for Drug and Alcohol Education at Colorado State University; and
the Wellness Center at Southern Illinois University at Carbondale.
Many campuses emphasize
awareness, peer-based, and environmental efforts; we received the
largest number of applications in these
categories. Typical awareness approaches include an alcohol-awareness
day, week, or month and such alcohol-free events as "mocktail" parties,
theater groups, and first-year student orientations.
For the most part, campuses are implementing only one, two, or three
initiatives, and not necessarily in an integrated fashion. Campus
alcohol-abuse prevention efforts should include a variety of initiatives,
ideally representative of the ten categories we identified. We found
outstanding examples at the University of Connecticut, Central Michigan
University, Colorado State University, the State University of New
York at New Paltz, the University of Texas at Austin, and Western
Washington University.
EMERGING
TRENDS
The prevalence
of awareness, peer, and environmental approaches mirrors the general
nature of community-based approaches. Yet other emerging approaches
are well suited to college and university settings - extended curricula,
initiatives relating alcohol to other problems, and serious approaches
to needs assessment and evaluation. For example:
- Courses dealing with alcohol-related issues,
curriculum infusion, lesson plans, lectures, and other course-based
endeavors. The Baylor College of Dentistry includes
an academic course as part of an overall programmatic emphasis
on alcohol-abuse prevention.
- Curricula blended with other health-oriented
approaches. Gettysburg College addresses alcohol-abuse
issues in a wellness course.
- Initiatives illustrating the relationship
between alcohol and drunk driving and between alcohol and sexual
assault. Brown University requires all first-year
students to attend an orientation session conducted by its
Sexual Assault Peer Education Program.
- Campuswide surveys on alcohol problems and
outcome evaluations of programs. Dartmouth College
has found a good way to evaluate campus trends and the effects
of its educational programs.
RECOMMENDATIONS
FOR PROGRAMS
Our
experts, including the advisory panel and
other national leaders involved in the review process, looked at
the hundreds of outstanding alcohol-abuse prevention programs and
compiled the following recommendations:
- Alcohol-abuse prevention efforts should be well-grounded, clearly
defined, and integrated into the fabric of the institution.
- Programs should be comprehensive, long term, and supported by
the administration and the community being served.
- Campus initiatives should be broad-based, targeted to multiple
constituencies, well marketed, and continually evaluated.
- Staffing and resources must be adequate to accomplish the task.
- Collaboration with other programs, both on and off campus, will
positively affect the outcome of the prevention efforts.
RECOMMENDATIONS
FOR TRUSTEES
Undoubtedly,
your institution's mission has something to say about the intellectual
development of students, and it may include statements about their
personal growth. Because alcohol abuse can block personal growth
and intellectual development, its control and prevention is entirely
consistent with academic goals.
The success of campus alcohol-abuse programs depends on support
from the top. Specific program design is not a reasonable task for
boards or presidents, but campus leadership can establish a mandate,
and board members can ask some key questions:
-
When
was the last honest review of campus alcohol-abuse
prevention efforts? As
students change, campus
practices must evolve.
The board can encourage
staff
to conduct an honest
assessment of student
knowledge levels, attitudes,
alcohol-use patterns,
and the consequences
of their
alcohol use. In addition,
board members may take
advantage of opportunities
to interact with students
to gain a sense
of reality. The board
also can review the perceptions
of faculty and staff
members, ensure that
records of alcohol-related
incidents
are kept centrally, and
assess current campus
services to determine
their effectiveness and
appropriateness.
-
Is a comprehensive alcohol policy in place
for the campus community? If so, is it supported by staff,
alumni, faculty, and students? Is
is appropriate
for an institutional
philosophy
and related
policies
to be developed
collaboratively
and disseminated
to faculty,
staff,
students,
and their
parents.
It also is
appropriate
to solicit
support for
alcohol-abuse
prevention
efforts
from alumni
and to ask
alumni to
become sensitive
to their
behavior
at campus
events; it is important to "deglamorize" intoxication.
-
Is there a reasonable plan to address current
and future needs? Campus personnel should be encouraged
to design a plan to minimize alcohol-related problems. The
plan should be proactive; that is, it should not simply respond
to the next tragedy. It should be reasonable, realistic, and
attend to difficult issues, such as prohibition of underage
alcohol use and risk reduction in drinking practices. It should
clearly state desired outcomes and meaningful measures of success,
such as a decline in the number of alcohol-related injuries
in relation to the number of students who have participated
in campus educational activities. Evaluation of current and
future efforts should be an essential element of all programs.
-
Are current resources
adequate? A
commitment to healthy behavior implies the commitment
of necessary external and internal resources - both funds
and labor. As influential
civic leaders, trustees can act as advocates for
greater attention and resources for campus initiatives
from local, state, and federal
sources. Internally, college leadership can insist
on a clear chain of responsibility for alcohol-abuse prevention
activities and can
back up this mandate with adequate personnel, funds,
and authority.
-
Are existing
resources being used well? Look
at opportunities for borrowing, sharing,
and collaborating. Make sure that city and county resources
are
linked to campus
strategies.
Closer to home, you may uncover previously
hidden resources on your campus - the athletic department,
a service-learning
project,
a dedicated faculty member, perhaps parents
or an alumni
group. These "sleeping giants" can be encouraged
to provide support, services, or other momentum for
your campus.
Additionally, board members can support campus collaboration, mandate
integration of substance abuse programming across departments, and
ensure that assistance programs are available to students and staff
who are experiencing difficulty with their own family use of alcohol.
Education, prevention, and referral to treatment should not be isolated
activities.
Trustees
can play an important role in changing the campus climate. After
all, alcohol abuse is preventable; however, success
requires concerted effort from all parts of the campus community.
Minimizing alcohol misuse and making our campuses healthy and safe
living and learning communities are important and tangible goals,
reachable through efforts such as those highlighted in "Promising
Practices." With appropriate trustee vision and presidential
leadership, we all can look forward to healthy and productive campus
environments.
Gail Gleason Milgram and David S.
Anderson co-directed the "Promising Practices: Campus Alcohol Strategies" project.
Gail
Gleason Milgram is professor and director of education and training
at the Center of Alcohol
Studies at Rutgers University in New Jersey. David S. Anderson
is an associate professor at George Mason University in Virginia.
They co-direct the "Promising Practices: Campus Alcohol Strategies" project.
David S. Anderson, Ph.D. is an Associate
Professor at George Mason University's Center for the Advancement
of Public Health. Promising Practices: Campus
Alcohol Strategies is based at George Mason University
in Fairfax, VA. Project Co-Directors are GMU's Dr. Anderson and
Gail Gleason Milgram, Ed.D. of the Center of Alcohol Studies,
Rutgers University. Funded by a grant from The
Century Council, Promising Practices: Campus
Alcohol Strategies hosts a web site at http://www.promprac.gmu.edu;
project staff can be contacted at 703-993-3697 or caph@gmu.edu.
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