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Center for Prevention and Outreach NASPA January 2010 Oneonta Bystander Summit SUNY Oneonta March 17, 2011 Ellen Driscoll LMSW, CASAC Train the Trainer Workshop

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Red Watch Band History Goal and Mission of RWB Alcohol Education Implementation Development of an Action Plan Training Today

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Comprehensive Bystander Wellness/Education program designed to prevent student death from TOXIC drinking

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The GOAL of the RED WATCH BAND is to ensure that all students are provided with accurate information about the dangers of alcohol use and know when, where and how to get help because every second counts. The MISSION of the RED WATCH BAND is to provide students with the knowledge, awareness, and skills to prevent toxic drinking deaths and to promote a student culture of kindness, responsibility, compassion, and mutual respect.

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RED WATCH BAND Knowledge & Skills Building Bystander Intervention Challenging Myths Changing Drinking Culture

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Community Response to a Student Death Wellness/Educational Initiative Peer-based Intervention Program Secondary Prevention Component Bystander Intervention Program Alcohol Poisoning Death Prevention

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Participants will gain knowledge of toxic drinking/alcohol overdose. Participants will actively engage in discussion about their personal relationship with alcohol and their concerns for others consumption. Participants will have an increased knowledge of Binge Drinking. Participants will be able to identify High Risk Environments and High Risk Behaviors re: alcohol. Participants will be able to identify signs of life threatening overdose. Participants will be able to correctly identify the Facts from the Myths of how to help a friend sober up. Participants will increase their awareness of the issues surrounding bystander interventions. Participants will actively engage in role plays to practice making the call to 911 for medical assistance in an alcohol related emergency. RWB Learning Objectives

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Student Administrator Community Agency Counselor Police Officer Other INTRODUCTIONS / ROLES

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Dont know/believe its life threatening Dont want to get friends in trouble Dont want to get themselves in trouble Peer influence of adhering to a code of silence Desensitized to patterns of acute intoxication WHY DONT STUDENTS INTERVENE?

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Reasons for Attending RWB Training, n=40

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Decreasing Reluctance of Peers to Intervene (call 911) Dont believe the situation is life threatening Dont want to get friend/victim in trouble Dont want to get themselves in trouble Changing Drinking Culture Tends to take form of binge/toxic drinking Binge drinkers are drinking more when they drink

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Knowledge Self Awareness CPR Equates Alcohol Crisis to MEDICAL EMERGENCY Bystander Intervention Training Role Plays Death Prevention

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National impact of college-age alcohol use: 1,825 college students between the ages of 18 and 24 die from alcohol-related unintentional injuries, including motor vehicle crashes. 599,000 students between the ages of 18 and 24 are unintentionally injured under the influence of alcohol. 97,000 students between the ages of 18 and 24 are victims of alcohol-related sexual assault or date rape. (Hingson et al., 2009)Hingson et al., 2009 Binge drinkers are more likely than non-binge drinkers to: Damage property Be in trouble with campus police Be hurt or injured Drive a car after drinking ( Harvard School of Health College Alcohol Study, 2000)

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BREAK BREAK

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How do your college students drink? Where? What? How Much? Definition of BINGE drinking 4+ drinks for women in approximately two hours 5+ drinks for men in approximately two hours Toxic Drinking

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What constitutes one drink? One 12 oz. beer 5% alcohol One 8.5 oz. malt liquor 7% alcohol One 5 oz. glass of Wine 12% alcohol Standard shot glass 1.5 oz. 40% alcohol

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What is the Drink Equivalent of this And this

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Approximate Blood Alcohol Concentration (%) DrinksBody Weight (lbs)Comments 100120140160180200220240 0.00 Safest Driving 1.04.03.02 Driving Skills Highly Impaired Criminal Penalties Possible 2.08.06.05.04.03 3.11.09.08.07.06.05 4.15.12.11.09.08.07.06 5.19.16.13.12.11.09.08 6.23.19.16.14.13.11.10.09 Legally Intoxicated Criminal Penalties 7.26.22.19.16.15.13.12.11 8.30.25.21.19.17.15.14.13 9.34.28.24.21.19.17.15.14 10.38.31.27.23.21.19.17.16Death Possible Subtract 0.01% for each 40 minutes of drinking. One drink is 1.25 oz. of 80 proof liquor, 12 oz. of beer, or 5 oz. of table wine. BAC Levels for Men Adapted from Virginia Tech Alcohol Abuse Prevention Program

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Effects of Binge Drinking Blackouts Tolerance Passing out Alcohol is a depressant drug

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ALL organs are effected. What organs in the body are NOT effected by alcohol intake? The liver can only filter ONE UNIT of alcohol per hour; the excess is absorbed through the stomach lining into the blood stream and transported to the rest of the organs, as a depressant to the BRAIN, the HEART and all other organs. There is NOTHING that can be done to speed up the metabolism of alcohol once its in the blood stream. Once you have too much alcohol in your body, youre just along for the ride youre gonna live or die, theres nothing you can do about it - Aaron White, Duke University, Dept of Psychiatry

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Mental confusion, stupor, coma, or cannot be roused Vomiting Seizures Slow breathing (fewer than 8 breaths per minute) Irregular breathing (10 sec or more between breaths) Hypothermia (low body temp), bluish skin, paleness SIGNS OF LIFE-THREATENING OVERDOSE

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MYTHS to Sober Up 1. Drinking Coffee or Energy Drink 2. Splashing Cold Water or Cold Shower 3. Exercise or Walking it Off 4. Bread/Food 5. Sleep it off

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EVERY SECOND COUNTS

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Networking LUNCH Networking LUNCH

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Reasons for Attending RWB Training, n=40

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CPR and Role Plays They NEED to Know

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ROLE PLAYS 1.OBSERVE the situation. 2.CALL 911. 3. STAY with the person until help arrives.

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STEP ONE: Student Engagement Student Leaders/Peer Educators STEP TWO: Collaboration of Key Stakeholders (on and off campus) Administration, Dept. chairs, Athletics STEP THREE: Design a Marketing strategy Communications Department for technical assistance STEP FOUR: Training Program CPR Training American Heart Association/Family&Friends Alcohol Emergency Education & Role Play STEP FIVE: Recognition of New Red Watch Band Members Sustainability Recognition and follow up

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American Heart Association Hands-Only CPR

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n=40, p