Texans Standing Tall Report Card 2009

Transcription

1 Texans Standing Tall Report Card 2009 Youth Substance Abuse Issues: Research & Legislation

2 From Service to Science: Regional Forums & Evaluation

3 Why a Report Card? The Texans Standing Tall Report Card serves as an information resource to help in the statewide effort to make alcohol, tobacco, and other drugs irrelevant in the lives of youth.

4 Report Card 2009 Contents Introduction: About the Report Card Texans Standing Tall: Regional Forums Report, Evaluation News in the Field of Prevention: Tobacco, Underage Drinking Public Health and Safety: Overview of Substance Abuse in Texas Environmental Prevention Strategies 81st Texas Legislature TST 2009 Report Card Page 2

5 Texans Standing Tall Report on Regional Forums Inform participants on state and local substance abuse issues and environmental prevention strategies to address the problems and mobilize community members to take action Forums focused on: Current data Environmental prevention strategies Community change TST 2009 Report Card Page 4

6 Report on Regional Forums: Evidence-based Environmental Strategies Requiring State-level Policy Change Alcohol exclusion law (UPPL) Statewide smoking ban Keg registration TST 2009 Report Card Page 4

7 Report on Regional Forums: Evaluation of 2009 Regional Forums Participants reported: 84.6 % have an increased understanding of environmental strategies 86 % have an increased understanding of advocacy 85.6 % have an increased understanding of how to achieve social change TST 2009 Report Card Page 6

8 Report on Regional Forums: Evaluation of 2009 Regional Forums Participant Perception of Substance Abuse in Texas Communities: 94.2 % believed that there was a drug or alcohol problem in their community 73.1 % believed that not enough attention was being given to the alcohol or drug problem in their community 22.1 % believed sufficient attention was being given to the problem TST 2009 Report Card Page 6

9 Report on Regional Forums: Evaluation of 2009 Regional Forums Participant Perception of Youth Access to Drugs: 72.8 % believed that it is easy/fairly easy for youth to have access to alcohol 65.9 % believed that it is easy/fairly easy for youth to have access to cigarettes 65.3 % believed that it is easy/fairly easy for youth to have access to other drugs TST 2009 Report Card Page 6

10 Research You Can Use

11 News in the Prevention Field: Changes in the Tobacco Environment Family Smoking Prevention & Tobacco Control Act New FDA Center for Tobacco Products Full disclosure of ingredients and additives Stopping youth-focused marketing Banning candy-flavored cigarettes New warning labels Banning tobacco-related giveaways Banning of sponsorships TST 2009 Report Card Page 7

12 News in the Prevention Field: Changes in the Tobacco Environment Snus a new smoke-free tobacco product Smokeless, spitless Dry, teabag-like pouch Refrigerated metal tins Not taxed like cigarettes MORE NICOTINE THAN CIGARETTES Appeals to youth TST 2009 Report Card Page 8-9

13 News in the Prevention Field: Fresh Perspectives on Underage Drinking Center on Alcohol Marketing and Youth awarded $4 million to monitor alcohol advertising to youth TST 2009 Report Card Page 10

14 News in the Prevention Field: Fresh Perspectives on Underage Drinking Pediatrics April 2008 issue supplement with 7 articles devoted to underage drinking Download at: TST 2009 Report Card Page 10-11

15 Spotlight on the Lone Star State of Health

16 Texas Trends in Student Substance Abuse Overview of Substance Abuse in Texas: Secondary School TST 2009 Report Card Page 12

17 Overview of Substance Abuse in Texas: Secondary School Substances most used by youth in Texas: #1 Alcohol #2 Tobacco Underage drinking costs Texas more than $6.4 billion annually (PIRE) The CDC estimates that eventually 503,000 Texas youth alive today will die from smoking TST 2009 Report Card Page 12

18 Overview of Substance Abuse in Texas: Secondary School Texas School Survey on Substance Abuse Among Students Grades 7-12 (2008) Average Age of First Use Substance Alcohol 12.2 years old 12.3 years old Tobacco 12.7 years old 12.9 years old Marijuana 13.5 years old 13.6 years old TST 2009 Report Card Page 13

19 Overview of Substance Abuse in Texas: Secondary School Long Term Trends of Use % Change Ever Used Past Month Alcohol -22.3% -30.3% Tobacco -43.5% -43.7% Marijuana +8.8% +28.2% TST 2009 Report Card Page 13

20 Overview of Substance Abuse in Texas: Secondary School Short Term Trends of Use % of Change Ever Used Past Month Alcohol -4.6% -3.5% Tobacco -10.5% -15.0% Marijuana -6.8% -9.1% TST 2009 Report Card Page 14

21 Overview of Substance Abuse in Texas: Secondary School Positive Downward Trends Attending Class While Drunk 10.0% 9.2% 8.1% Binge Drinking N/A 21.9% 20.6% Driving After Several Drinks 24.0% 21.2% 19.0% TST 2009 Report Card Page 14

22 Overview of Substance Abuse in Texas: Alcohol continues to be viewed as the easiest substance to get Somewhat/very easy to get: Secondary School Alcohol 66.9% 66.0% Tobacco 58.4% 56.4% Marijuana 41.6% 38.8% TST 2009 Report Card Page 15

23 Overview of Substance Abuse in Texas: Secondary School Sources of Alcohol for Secondary Students Parties 63.3% Friends 54.3% Home 18.7% Store 17.6% Another Source 36.8% TST 2009 Report Card Page 15

24 Overview of Substance Abuse in Texas: Secondary School Lifetime Alcohol Use from by Gender TST 2009 Report Card Page 16

25 Overview of Substance Abuse in Texas: Secondary School Past Month Use from by Gender TST 2009 Report Card Page 17

26 Overview of Substance Abuse in Texas: Secondary School Prescription Drug Abuse Lifetime Use Past-Month Use OxyContin, Percodan, Percocet 3.0% 0.9% Vicodin, Lortab, or Lorcet 6.3% 2.2% Valium or Diazepam 3.5% 0.9% Xanax or Alprazolam 12.7% 4.8% TST 2009 Report Card Page 17-18

27 Texas Trends in Student Substance Abuse Overview of Substance Abuse in Texas: Collegiate Level TST 2009 Report Card Page 19

28 Overview of Substance Abuse in Texas: Collegiate Level Survey of the Core Institute at Southern Illinois University, Carbondale Past-Year and Past-Month Use Freshman Past-Year Past 30 Days Alcohol 69.2% 51.2% Marijuana 23.8% 12.7% Illegal Drug other 11.4% 6.0% than marijuana TST 2009 Report Card Page 19

29 Overview of Substance Abuse in Texas: Collegiate Level Survey of the Core Institute at Southern Illinois University, Carbondale Past-Year and Past-Month Use All Past-Year Past 30 Days Alcohol 77.0% 61.3% Marijuana 23.2% 12.5% Illegal Drug other 12.3% 6.3% than marijuana TST 2009 Report Card Page 19

30 Overview of Substance Abuse in Texas: Collegiate Level Survey of the Core Institute at Southern Illinois University, Carbondale 2006 TST 2009 Report Card Page 20

31 Overview of Substance Abuse in Texas: Collegiate Level Survey of the Core Institute at Southern Illinois University, Carbondale 2006 TST 2009 Report Card Page 20

32 Overview of Substance Abuse in Texas: Collegiate Level Core Survey 2006 TST 2009 Report Card Page 20

33 Overview of Substance Abuse in Texas: Collegiate Level Core Survey 2006 TST 2009 Report Card Page 21

34 Overview of Substance Abuse in Texas: Collegiate Level 2005 Texas College Survey (Texas DSHS & Public Policy Research Institute) % Current College Drinkers18-20 that obtain Alcohol at Various Places TST 2009 Report Card Page 22

35 Overview of Substance Abuse in Texas: Collegiate Level 2005 Texas College Survey (Texas DSHS & Public Policy Research Institute) Underage College Students Access to Alcohol TST 2009 Report Card Page 22

36 The Engine that Drives the Change: Overview of Environmental Strategies

37 Evidence-based Create change at a community level Enforce policies and procedures Change attitudes, behaviors and beliefs (social norms) TST 2009 Report Card Page 23

38 Limiting Retail Access of Alcohol Retailer Education (Responsible Beverage Service education) Compliance Checks (Minor Stings) Texas Alcoholic Beverage Commission supports TST 2009 Report Card Page 23-25

39 Limiting Retail Access of Alcohol Since 1990, compliance rates increased almost 30% TST 2009 Report Card Page 24

40 Limiting Retail Access of Tobacco Synar Amendment federal law requiring states to conduct annual compliance checks In Texas, Comptroller and local law enforcement agencies responsible Texas Department of State Health Services conducts inspections and evaluates data TST 2009 Report Card Page 24

41 Texas Synar Rates (illegal sales of tobacco to minors) Texas Retailer Violation Rate: %, % TST 2009 Report Card Page 25

42 Environmental Drug Demand Reduction Prevention Advisory Committee Strategies (DDRAC) Texas DDRAC Report to State Leadership Jan 2009 As mandated by the Texas Legislature, the DDRAC annually recommends comprehensive statewide strategies to reduce drug demand in Texas. TST 2009 Report Card Page 26

43 Environmental DDRAC Report Prevention Jan 2009 Strategies Five of the ten DDRAC recommendations had environmental prevention strategies correlated to them: #1 Remove alcohol exclusion clause from UPPL #3 Passage of statewide smoking ban #4 Mandate comprehensive reduction strategies targeting colleges #6 Authorize sobriety checkpoints #7 Tax alcohol/beer to fund prevention TST 2009 Report Card Page 26-27

44 Environmental State-level Prevention Strategies Strategies DDRAC Recommendation #1, IOM Report 10-5 Alcohol Exclusion Law (UPPL) Uniform Accident and Sickness Policy Provision Law Allows insurance companies to deny payment for healthcare when accident is result of alcohol or narcotic Designed to deter drunk driving Unintended consequence hospitals under reporting injuries related to substance abuse TST 2009 Report Card Page 28

45 Environmental State-level Prevention Strategies Strategies DDRAC Recommendation #1, IOM Report 10-5 Alcohol Exclusion Law (UPPL) Failure to identify and treat substance abuse in ERs costs TX business/residents $889M in health care expenses yearly Texas could save more than $175M per year if ER patients screened A bill was been introduced in the 79 th & 80 th Sessions of the Texas Legislature. None was filed in the 81 st Session. TST 2009 Report Card Page 28

46 Environmental State-level Prevention Strategies Strategies DDRAC Recommendation #3; CDC Recommendation; Surgeon General Recommendation; HB 5 and SB 544 Statewide Smoking Ban Secondhand tobacco smoke as harmful as 1 st hand Impact of smoking bans: (CDC) 74% reduction in workplace exposure more effective than smoking restrictions effective in wide variety of places reduce amount smoked TST 2009 Report Card Page 29

47 Environmental State-level Prevention Strategies Strategies DDRAC Recommendation #3; CDC Recommendation; Surgeon General Recommendation; HB 5 and SB 544 Statewide Smoking Ban Two bill filed in both 80 th & 81 st Legislative Sessions No bills enacted by the Texas Legislature TST 2009 Report Card Page 29

48 Environmental State-level Prevention Strategies Strategies DDRAC Recommendation #4; IOM Recommendation 10-3 Parental Notification Strategy campuses use to inform parents of a disciplinary violation of ATOD policy One aspect of a comprehensive approach 50% drop in violation on campuses where implemented (IOM) Allows colleges to provide safe environment and manage potential liability TST 2009 Report Card Page 30

49 Environmental State-level Prevention Strategies Strategies DDRAC Recommendation #6; IOM Recommendation 9-11;HB 169 and SB 298 Sobriety Checkpoints Stops where law enforcement check drivers to assess alcohol/other drug impairment Reduce alcohol-related crashes and fatalities 20% Could save 300 lives/$300m in Texas annually Texas is one of only 12 states w/o sobriety checkpoints TST 2009 Report Card Page 31

50 Environmental State-level Prevention Strategies Strategies DDRAC Recommendation #6; IOM Recommendation 9-11;HB 169 and SB 298 Sobriety Checkpoints Supreme Court upheld constitutionality, but in Texas the Legislature must set guidelines Legislation filed every year since 1994, but no bill has passed to date TST 2009 Report Card Page 31

51 Environmental State-level Prevention Strategies Strategies DDRAC Recommendation #7; IOM Recommendation 12-7; CDC Recommendation Excise Taxes Raising excise taxes deters price-sensitive youth drinkers and smokers 65% of adults support increasing excise taxes Public health effects proportional to size of tax increase TST 2009 Report Card Page 31

52 Environmental State-level Prevention Strategies Strategies DDRAC Recommendation #7; IOM Recommendation 12-7; CDC Recommendation Excise Taxes Tobacco excise taxes adjusted more regularly Alcohol excise taxes not increased in Texas since 1984 TST 2009 Report Card Page 32

53 Environmental State-level Prevention Strategies Strategies How Texas compares to states with similar demographics TST 2009 Report Card Page 32

54 Regular Session: January 12 June 1, 2009 Special Session: July 1-2, ,656 bills and resolutions signed by governor 38 vetoed by governor 12 to become law without governor signature 2 bills passed in Special Session Next session January 11, 2011 TST 2009 Report Card Page 33

55 Environmental Strategies Smoking Bans Restrictions on tobacco use Recommended by the CDC The following bills are related to restricting the use of tobacco products

56 Companion bills HB 5 AND SB 544: Relating to the elimination of smoking in all workplaces and public places; providing penalties Committees: House State Affairs; Senate Health & Human Services Status: HB 5 died in committee. SB 544 reported favorably out of Committee but died on the Intents Calendar. TST 2009 Report Card Page 34-35

57 HB 3415: Regulating of smoking in eating & drinking places in certain areas of the state. Status: Died in House Public Health Committee. HB 285: Regulating use of tobacco products and cigarettes owned/used/controlled by Texas Dept. of Criminal Justice. Status: Died in House Corrections Committee. SB 2327: Prohibiting possession or smoking tobacco in an auto where a person younger than 16 is present. Status: No action taken in Senate Criminal Justice Committee. TST 2009 Report Card Page Texans Standing Tall Inc. All rights reserved.

58 nvironmental Strategy: imit Youth Exposure to Alcohol & Tobacco Product Marketing HB 90: Relating to the sale of toy-like lighters in the state; imposing penalties Committee: House State Affairs Status: Died in Committee TST 2009 Report Card Page 35

59 Environmental Strategy: Limit Access of Alcohol and Tobacco Products SB 1049: Relating to the distribution, possession, purchase, consumption, and receipt of cigarettes or tobacco products from 18 to19 years of age Committee: Senate Health & Human Services Status: Voted out of Senate Committee, sent to House State Affairs Committee. No action taken. TST 2009 Report Card Page 36

60 Environmental Strategy Raising Excise Taxes on Alcohol and Tobacco Products Youth are Price Sensitive CDC, Surgeon General Reports, Institutes of Medicine Recommend this prevention strategy Following bills relate to raising excise taxes on tobacco products

61 HB 1289 and SB 1336, Duplicate Bills HB 1666 and HB 2377: Relating to the tax imposed on certain tobacco products. Reallocate how tax rate on snuff is set; revenue increase for Property Tax Relief. Committees: House Ways & Means Senate Finance Status: All bills died in Committee. TST 2009 Report Card Page 39

62 HB 3185: Increases tax imposed on cigars; revenue increase for Property Tax Relief Committee: House Ways & Means Status: Died in Committee HB 3339: Create new method of collecting cigarette taxes; revenue increase for Property Tax Relief Committee: House Ways & Means Status: Left pending TST 2009 Report Card Page 40

63 Environmental Strategy Sobriety Checkpoints Recommended by the Institute of Medicine, Surgeon General Report Detailed explanation of Sobriety Checkpoints in TST Report Card 2008 Texas is one of only 12 States without Sobriety Checkpoints

64 SB 298 and HB 169 Companion Bills: Relating to the authority of the Department of Public Safety and local law enforcement agencies to establish a checkpoint on a highway or street to determine whether person are driving while intoxicated.] Committees: Senate Transportation & Homeland Security House Criminal Jurisprudence Status: SB 298 passed Senate but not the House HB 169 died in Committee TST 2009 Report Card Page 40-41

65 Environmental Strategies Limiting Access to Alcohol and Tobacco Institute of Medicine & Surgeon General Reports recommend keg registration & distance requirements Keg registration limits access by holding the adult provider responsible Distance requirements where alcohol outlets can be located near schools

66 HB 2096 (Keg Registration): Relating to requiring registration of certain containers of alcoholic beverages; providing criminal penalties Committee: House Licensing & Administrative Procedures Status: Died in Committee TST 2009 Report Card Page 42-43

67 HB 231: Relating to local regulation of distance requirements for businesses selling alcoholic beverages near a public school Committee: House Public Education Status: Died in Committee TST 2009 Report Card Page 43

68 Bills that Passed How a Bill Becomes a Law 1. A Representative or Senator proposes a bill 2. The bill is considered in the relevant committee 3. If approved, it is scheduled for a floor debate 4. If the vote is in favor, it is sent to the other chamber 5. It is considered in the relevant committee 6. If approved, it is scheduled for a floor vote 7. If the chambers disagree, a Conference Committee is held 8. Once approved by both chambers, it is sent to the Governor TST 2009 Report Card Page 44

69 HB 558: authorizes a public intoxication offense committed by a child to be filed in a justice or municipal court Committees: House Criminal Jurisprudence Senate Criminal Justice Intent: Increase likelihood that child committing offenses would be subject to rehabilitation services TST 2009 Report Card Page Public Intoxication by a Child

70 Local Option Elections to Prohibit or Allow Sales of Alcohol HB 4498: Authorizes a jurisdiction to hold a local option election to prohibit sale of any classification of alcoholic beverages that previously has been legalized in that area Committees: House Licensing & Administrative Procedures Senate Business & Commerce TST 2009 Report Card Page 45

71 SB 333: Amends the Code of Criminal Procedure to require a certified breath alcohol testing program, and to retain $22.50 of each court cost to defray the costs of maintaining and supporting the program. Committees: Senate Transportation & Homeland Security House Criminal Jurisprudence Intent: Previously no fees were maintained to help support the program TST 2009 Report Card Page Funding Breath Alcohol Testing

72 SB 328: Re-designates the offense of driving under the influence of alcohol by a minor as driving or operating a watercraft under the influence, etc. Committees: Senate Transportation & Homeland Security House Criminal Jurisprudence TST 2009 Report Card Page 46 Minors Operating a Watercraft Under the Influence of Alcohol

73 Health Curriculum on Alcohol Poisoning SB 1344: Requires school health curriculum to adopt essential knowledge and skills that address the dangers, causes, consequences, signs, symptoms, and treatment of binge drinking and alcohol poisoning. Committees: Senate Education Committee House Public Education TST 2009 Report Card Page 47

74 SB 2588: Requires certain restrictions around product instruction events. Committees: Senate Business & Commerce House Licensing & Administrative Procedures Vetoed By Governor Promotion and Marketing of Alcoholic Beverages TST 2009 Report Card Page 47-48

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