Wyoming Prevention Framework Processes & Baselines

Transcription

1 Wyoming Prevention Framework Processes & Baselines March 2007-June 2008 SPF SIG Annual Report Wyoming Survey and Analysis Center WYSAC Technical Report No. CJR-805 September, 2008

2 Wyoming Prevention Framework Processes and Baselines March June 2008 SPF SIG Annual Report By: Rodney A. Wambeam, Ph.D., Center for Justice Research Manager (PI) Trena T. Anastasia, Ph.D., Post-Doctoral Research Associate Kay Lang, M.A., Assistant Research Scientist Trish Worley, B.S., Assistant Research Scientist With support from: Cherie K. Templeton, B.S., Graduate Research Assistant Grayson Baird, B.S. Graduate Research Assistant Wyoming Survey & Analysis Center University of Wyoming 1000 E. University Ave, Dept Laramie, WY (307) In collaboration with Wyoming Mental Health and Substance Abuse Services Division Keith Hotle, SPF SIG Coordinator 6101 Yellowstone Rd., Suite 220 Cheyenne, WY (307) WYSAC (2008) Wyoming Prevention Framework Processes and Baselines: March 2007-June 2008 SPF SIG Annual Report, by R. A. Wambeam, T. T. Anastasia, K. Lang, and T. Worley. (WYSAC Technical Report No. CJR-805). Laramie, WY: Wyoming Survey & Analysis Center, University of Wyoming. Short reference: WYSAC (2008), Prevention Framework Processes and Baselines. Alt. reference: WYSAC (2008), SPF SIG Annual Report Wyoming Survey & Analysis Center, Prevention Framework 2008 Annual Report 2

3 Wyoming Prevention Framework Processes and Baselines March June 2008 SPF SIG Annual Report Table of Contents Executive Summary... 5 Introduction and Overview... 6 Methodology... 7 Outcome-based Assessment Process Data... 8 Needs Assessment Strategic Plan: Consequences, Consumptions, Causal Areas and Strategies by Community Process Information (PI) System Data: Age, Gender, Race, Ethnicity Served Comparison State Baseline Outcomes Youth Drinking (funded and non-funded comparison: 00-07) Youth Binge Drinking (funded and non-funded comparison: 00-07) Adult Binge Drinking (funded and non-funded comparison: 00-07) Alcohol-related Motor Vehicle Fatalities (funded and non-funded comparison: 00-07) Alcohol Dependence and Abuse (funded and non-funded comparison: 00-07) DUI Arrests (funded and non-funded comparison: 00-07) Liquor Law Violations (funded and non-funded comparison: 00-07) Drunkenness Arrests (funded and non-funded comparison: 00-07) National Outcomes Measures Recommendations Acronyms References Appendices Appendix A: Community Coordinator Contact List Appendix B: Albany County Fact Sheet Appendix C: Big Horn County Fact Sheet Appendix D: Campbell County Fact Sheet Appendix E: Carbon County Fact Sheet Appendix F: Converse County Fact Sheet Appendix G: Crook County Fact Sheet Appendix H: Fremont County Fact Sheet Appendix I: Goshen County Fact Sheet Appendix J: Hot Springs County Fact Sheet Appendix K: Johnson County Fact Sheet Prevention Framework 2008 Annual Report 3

4 Appendix L: Laramie County Fact Sheet Appendix M: Lincoln County Fact Sheet Appendix N: Natrona County Fact Sheet Appendix O: Niobrara County Fact Sheet Appendix P: Park County Fact Sheet Appendix Q: Platte County Fact Sheet Appendix R: Sheridan County Fact Sheet Appendix S: Sublette County Fact Sheet Appendix T: Sweetwater County Fact Sheet Appendix U: Teton County Fact Sheet Appendix V: Uinta County Fact Sheet Appendix W: Washakie County Fact Sheet Appendix X: Weston County Fact Sheet Appendix Y: Wind River Reservation Fact Sheet List of Tables Table 1: Logic Model of Strategies Addressing Causal Areas by Community Table 2: Participants Served by Gender Table 3: Participants Served by Race Table 4: Participants Served by Ethnicity Table 5: Participants Served by Age Group Table 6: Participants Served and Events Held by CSAP Strategy Table 7: National Outcome Measures Baselines Tracked at the State Level List of Figures Figure 1: Five Steps of the Strategic Prevention Framework Process... 6 Figure 2: PF Needs Assessment Logic Model... 7 Figure 3: Current youth drinking (YRBS) Wyoming and SPF SIG states Figure 4: Current youth drinking (YRBS) Wyoming and non SPF SIG states Figure 5: Youth binge drinking (YRBS) Wyoming and SPF SIG funded states Figure 6: Youth binge drinking (YRBS) Wyoming and non SPF SIG states Figure 7: Adult binge drinking (BRFSS) Wyoming and SPF SIG states Figure 8: Adult binge drinking (BRFSS) Wyoming and non SPF SIG states Figure 9: Rate per 100,000 population of alcohol-related motor vehicle fatalities (FARS/U.S. Census) Wyoming and SPF SIG states Figure 10: Rate per 100,000 population of alcohol-related motor vehicle fatalities (FARS/U.S. Census) Wyoming and non SPF SIG states Figure 11: Alcohol dependence and abuse (NSDUH) Wyoming and SPF SIG states Figure 12: Alcohol dependence and abuse (NSDUH) Wyoming and non SPF SIG states Figure 13: DUI arrests per 100,000 population (UCR) Wyoming and SPF SIG states Figure 14: DUI arrests per 100,000 population (UCR) Wyoming and non SPF SIG states Figure 15: Liquor law violation arrests per 100,000 population (UCR) Wyoming and SPF SIG states Figure 16: Liquor law violation arrests per 100,000 population (UCR) Wyoming and non SPF SIG states Figure 17: Drunkenness arrests per 100,000 population (UCR) Wyoming and SPF SIG states Figure 18: Drunkenness arrests per 100,000 population (UCR) Wyoming and non SPF SIG states Prevention Framework 2008 Annual Report 4

5 Wyoming Prevention Framework Processes and Baselines March June 2008 SPF-SIG Annual Report Executive Summary The following report shares data around SPF SIG funding in the state of Wyoming from March 2007 to June The timeline of this report reflects the state fiscal year of July to June and includes the prior quarter due to a March 2007 SPF SIG fund disbursement to actively participating communities. It was determined that all 23 Wyoming counties and the Wind River reservation would each be considered unique communities worthy of disbursement. The first set of funds were distributed to administer a formal needs assessment. In October of 2007 implementation funds were distributed after approval of each community s strategic plan to address identified needs. The Prevention Framework evaluation is based upon a community level unit of analysis and involves tracking consequence, consumption, and causal area indicators as well as gathering process data on the implementation of evidence-based strategies and changes in local and state prevention infrastructure. To accomplish this, targeted outcome indicators are tracked for each sub-recipient community, the state of Wyoming, and six comparison states. Infrastructure surveys and interviews are completed annually, and communities turn in data on the number of people served for each strategy at regular intervals. This document is an update and does not reflect any final findings, it is intended to share the process and raise awareness of how that process is set to move forward during the next year of Prevention Framework funding which ends on September 30, The Wyoming Survey and Analysis Center (WYSAC) evaluation team has compiled reports for each individual community which can be found in the appendices to this document. The WYSAC team has provided support and assistance to each of these communities in adhering to funding evaluation requirements and as such has a few recommendations to be considered in the current implementation phase. These recommendations include: Ensure communities understand the need to move toward all evidence-based strategies. Support coordinator efforts to focus energy on strategies that address targeted causal areas. Provide timely support to reduce external impacts on implementation timelines. Any questions beyond those and or raised by those answered in this report can be directed to the principle investigator: Dr. Rodney Wambeam, Manager of the Center for Justice Research at the Wyoming Survey & Analysis Center, (307) , rodney@uwyo.edu. Prevention Framework 2008 Annual Report 5

6 Introduction and Overview Wyoming received the Strategic Prevention Framework State Incentive Grant (SPF SIG) from the Federal Substance Abuse Mental Health Services Administration (SAMSHA) on September 30, 2004, along with 20 other states and territories. The purpose of the project is to implement the five components of the SPF planning model at both state and community levels in Wyoming. The following diagram details this process (Center for Substance Abuse Prevention, 2005). Needs Assessment Evaluation Cultural Competence & Sustainability Mobilize & Build Capacity Policies, Practices, & Programs Strategic Plan Figure 1. Five Steps of the Strategic Prevention Framework Process At the state level, Wyoming has completed the needs assessment and funding allocation plan. Mobilization and capacity building take place throughout the project. Wyoming s needs assessment identified the targeted problem as the misuse of alcohol and its consequences, and Wyoming s allocation strategy funds all 23 counties and the Wind River Reservation as Prevention Framework (PF) community grantees. The first step for grantees was for each funded community to complete a comprehensive needs assessment. Next communities created strategic plans that identified chosen strategies to target their alcohol related consequences, consumption patterns, and causal areas. Additional information about the needs assessments and strategic plans can be found in the Process Data section of this report. Prevention Framework 2008 Annual Report 6

7 Methodology The Prevention Framework evaluation is based upon a community level unit of analysis and involves tracking consequence, consumption, and causal area indicators as well as gathering process data on the implementation of evidence-based strategies and changes in local and state prevention infrastructure. To accomplish this, targeted outcome indicators are tracked for each sub-recipient community, the state of Wyoming, and six comparison states. Comparison states were chosen based upon similar baseline outcomes and close geographic proximity. Infrastructure surveys and interviews are completed annually, and communities turn in data on the number of people served for each strategy at regular intervals. Finally, the PF evaluation tests the hypothesis that, When implemented with fidelity, the strategic prevention framework will lead to decreases in the misuse of alcohol and its negative consequences. The dependent variables for this test include the outcomes presented below, while the independent variable is the fidelity of implementation to the SPF model in funded communities. Outcome-Based Prevention The foundation of the prevention framework (PF) process is the outcome-based prevention model (Lowther & Birckmayer, 2006). It is presented here as a logic model, demonstrating how needs assessment leads to targeted strategies. Consumption & Consequences Causes Evidence- - Based Strategies Figure 2. PF Outcomes-Based Prevention Logic Model In this model a community details its substance-related consumption and consequence data, researches the causal areas that may impact these problems, and chooses evidence-based policies, practices, and programs to address the identified causal areas. Based on prior research, Wyoming identified the targeted need for this project as the misuse of alcohol. Misuse of alcohol means: 1. The primary target for the PF is underage drinking, and adult binge drinking. Underage drinking refers to any use of alcohol by anyone under the age of 21, while adult binge drinking refers to those 18 years and older who have five of more drinks on any one occasion. 2. The secondary target for the PF is the most significant consequences of the misuse of alcohol in Wyoming: alcohol-related crime, alcohol-related motor vehicle crashes, and alcohol dependence and abuse. Prevention Framework 2008 Annual Report 7

8 Process Data During the implementation of the PF close monitoring of the process has included the collection of data surrounding community needs, plans and implementation. Each community completed a formal workbook designed by WYSAC to aid in completing a comprehensive needs assessment. WYSAC researchers visited each site providing support in the process and ensuring consistency of data collection. The second phase was one of developing a targeted strategic plan that incorporated evidence based practices to address identified needs. This was followed up with a review of the process which is shared here as process information (PI) system data. Needs Assessment The Need Assessment design was grounded in the outcome-based prevention model and recent research detailing the causal areas of substance-related problems. There are four major sections (problems, causes, prioritization, and resource assessment). Within each data were collected and questions answered. Following from Wyoming s targeted need (the misuse of alcohol) and the known causal areas, the previous model was expanded to include evidence based strategies(birckmayer, Holder, Yacoubian, & Friend, 2004). The work that followed involved gathering data to illuminate both the problem(s) and the casual area(s) that contributed to the problems in each community. This was achieved by answering a series of questions. Most of the data gathered existed in various data sources, but communities were encouraged to include original research when it was available. Data gathering included: Archived data from existing surveys and other sources Original data collection Interviews with key partners and stakeholders A town hall meeting with interested community members and leaders Strategic Plan Each community selected evidence based strategies to address causal areas identified through the needs assessment process. To be evidence based, a program or strategy must meet Criterion 1 or Criterion 2 or satisfy all the guidelines under Criterion 3 below. Criterion 1 Strategy or program is included in a Federal List or Registry of evidence-based interventions. Criterion 2 Strategy or program has published results in a peer-reviewed academic journal, and demonstrated positive effects. Criterion 3 Strategy has demonstrated effectiveness based on all the following guidelines o Guideline 1 The intervention is based on a solid theory or theoretical perspective that has validated research, AND o Guideline 2 The intervention is supported by a documented body of knowledge a converging of empirical evidence of effectiveness generated from similar or related interventions that indicate effectiveness, AND Prevention Framework 2008 Annual Report 8

9 o Guideline 3 The intervention is judged by informed experts to be effective (i.e., reflects and documents consensus among informed experts based on their knowledge that combines theory, research and practice experience). Informed experts may include community prevention leaders, and elders or other respective leaders within indigenous cultures. Upon selection of strategies to address the communities causal areas, a strategic plan was created and provided to the Wyoming Mental Health and Substance Abuse Services Division (WMHSASD) for review and approval for implementation. Each of the 24 funded communities developed strategic plans. Communities selected evidence-based strategies based on their unique needs assessment. The average community is implanting 5.4 strategies with two counties implementing three and one implementing 10. The 129 strategies being implemented across Wyoming represent a total of 30 different evidence-based programs or activities. The state opted to utilize carry over funding from the first year to support the implementation of the Social Norms Campaign, therefore each community made the commitment to this strategy as well as the creation, or further development, of one or more community coalitions which is a minimum requirement of the funding agency. A list of evidencebased strategies being implemented in the State of Wyoming in 2008, utilizing SPF SIG funding, include: Athletes Taking a Stand 3. BASICS 4. Big Brothers/Big Sisters 5. Brief Intervention 6. Coalition Development 7. Communities Mobilizing for Change on Alcohol 8. Compliance Checks 9. Family Matters 10. Increased Enforcement and/or Judicial Meetings 11. Laramie Choices 12. Life Skills 13. Media Campaigns / Advertising / Social Norms Marketing 14. MOST of Us 15. Parents Who Host Lose the Most 16. Policy Change 17. Prime for Life 18. Project Safer 19. Public Events 20. Reducing High Risk Drinking 21. Responsible Beverage Service Training 22. Risk Group Evaluation / High Risk Individual Evaluation 23. ROCK 24. Sobriety Checkpoints 25. Social Norms Campaign 26. Start Talking 27. TIPS Training 28. Wellbriety 29. Wellderly 30. Workforce Drug-free Policy Training Prevention Framework 2008 Annual Report 9

10 The decision making logic model in Table 1 shows each county and the reservation listed alphabetically along with their chosen consequences, consumption, and causal areas that lead to the selected evidence-based strategies. Table 1: Logic Model of Strategies Addressing Targeted Consequences, Consumption Patterns, and Causal Areas by Community Community Consequences Consumption Areas Albany County Big Horn County Campbell County Carbon County Liquor Law Violations (adults) Alcohol-related motor vehicle injury Alcohol-related motor vehicle property crashes Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes 30- day alcohol use (PNA): 10th and 12th grades Youth binge drinking: 10th and 12th grades Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS) 30- day alcohol use: (PNA) 6th, 8th, 10th,& 12th grades Youth binge drinking: (PNA) 6th, 8th, 10th, & 12th grades Binge drinking (BRFSS) Driving under the influence (adults & juveniles) Liquor law violations (juveniles) Driving with someone who has been drinking Drinking after driving Traffic Crash BAC DUI BAC Underage DUI BAC DUI accidents (City of Gillette) None 30- day alcohol use: (PNA) 6 th, 8 th, 10 th, and 12 th grades Youth binge drinking: (PNA) 6 th, 8 th, 10 th, and 12 th grades Adult Binge drinking (BRFSS) Age of alcohol initiation (PNA) Causal Areas Social Availability Promotion Community Norms Criminal Justice Community Norms Criminal Justice Social Availability Community Norms Individual Factors Criminal Justice Social Availability Community Norms Individual Factors Evidence-Based Strategies Reducing High Risk Drinking (RHRD) Information, RHRD Education, Social norms campaign, Laramie Choices Reducing High Risk Drinking (RHRD), Social norms campaign, , Big Horn Alcohol Awareness Coalition, RHRD Education meetings Communities Mobilizing for Change on Alcohol (CMCA) Media campaign & public events, CMCA Community Partners in Training, Prevention Advisory Council, Responsible Beverage Service Training, Social norms campaign Communities Mobilizing for Change on Alcohol (CMCA) Law enforcement policy, Life Skills, , Parents Who Host Lose the Most, Responsible Beverage Service Training, Special permits policy change, Athletes Taking a Stand, Rawlins community Association, Social norms campaign

11 Community Consequences Consumption Areas Converse County Crook County Fremont County Driving under the influence (adults) Driving under the influence (juveniles) Liquor law violations (juveniles) Student rode w/someone (past 30 days) who had been drinking. Student drove a car (past 30 days) after drinking Alcohol-Related Fatal Motor Vehicle Crashes Rate of Referrals for Alcohol Treatment Liquor Law Violations (Adults) Liquor Law Violations (Juveniles) Driving under the influence (adults) Liquor law violations (juveniles) Secondary: Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes 30-day alcohol use: 6th, 8th, 10th & 12 th, and 9th 12th grades Youth binge drinking: 6th, 8th, 10th & 12th grades PNA, and 9th 12th grades YRBS Adult heavy drinking (BRFSS) 30-day alcohol use: 6th, 8th, 10th & 12th grades PNA, and 9th 12th grades YRBS Youth binge drinking: 6th, 8th, 10th & 12th grades PNA, and 9th 12th grades YRBS Adult heavy drinking BRFSS Past 30-day alcohol use for all grades Secondary: Adult binge drinking Causal Areas Social Availability Community Norms Individual Factors Social Availability Community Norms Criminal Justice Social Availability Community Norms Evidence-Based Strategies Social norms campaign, Coalition, High Risk Individual Evaluation, Responsible Beverage Server Training, Workforce Drug-free policy training, Workforce Drug-free policy implementations, Social norms marketing, Wellderly Social norms campaign, Crook County Cares Coalition, Communities Mobilizing for Change on Alcohol (CMCA) Media campaign, CMCA Focus group, CMCA Parent education Social norms campaign, Coalition, Communities Mobilizing for Change on Alcohol (CMCA) Server training, CMCA Media and education, Policy changes, Alcohol-free community events Goshen County Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes 30-day alcohol use: 6th, 8th, 10th, & 12th grades Youth binge drinking: 10th & 12th grades Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS) Retail Availability Social Availability Community Norms Social norms campaign, coalition development, Life of an Athlete Hot Springs County None 30-day alcohol use: 6th, 8th, 10th, & 12th grades PNA 9th -12th grade YRBS Youth binge drinking: 6th, 8th, 10th, & 12th grades PNA 9th -12th grade YRBS Adult binge drinking (BRFSS) Criminal Justice Social Availability Community Norms Individual Factors Social norms campaign, Hot Springs County Substance Abuse Coalition, STAND, SADD, Policy and Statue changes, Meetings with Judicial system, Communities Mobilizing for Change on Alcohol Media campaign Prevention Framework 2008 Annual Report 11

12 Community Consequences Consumption Areas Johnson County Laramie County Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes Rate of Referrals for Alcohol Treatment in Wyoming, by County of Referral ALL 11 Potential Consequences were considered Secondary 30-day alcohol use: 6th, & 8th grades Youth binge drinking: 6th, 8th,10th & 12th grades Adult binge drinking (BRFSS) 30-day alcohol use (PNA): 8th grade Youth binge drinking (PNA): 8th grade Causal Areas Criminal Justice Social Availability Community Norms Individual Factors Criminal Justice Social Availability Community Norms Evidence-Based Strategies Social norms campaign, Substance Abuse Prevention Coalition, Parent Coalition, SPEAR Coalition and Media campaign, FACE and First Ladies Initiative media campaign, Pubic events, Responsible Beverage Service Training, Parents Who Host Lose the Most, Compliance checks Social norms campaign, Laramie County Community Partnership, Family Matters, Policy change Lincoln County Driving Under the Influence (Adults) Driving Under the Influence (Juveniles) Drunkenness (Juveniles) Alcohol-Related Motor Vehicle Crash Fatalities Alcohol-Related Fatal Motor Vehicle Crashes Alcohol-Related Motor Vehicle Injury Crashes Alcohol-Related Motor-Vehicle Property Crashes Alcohol Treatment in Wyoming by County of Referral 30-day alcohol use: 6th, 8th, 10th & 12th grades Youth binge drinking: 6th, 8th, 10th & 12th grades Adult binge drinking (BRFSS) Individual Factors Criminal Justice Social Availability Community Norms Social norms campaign, Coalitions, Vehicle advertising, Prime for Life Natrona County No Priority Consequences Secondary: Alcohol-Related Motor Vehicle Crash Fatalities, Vehicle Crashes, Injury Crashes and Property Crashes all each secondary consequences 30-day alcohol use: 6th, 8th, 10, & 12th grades Youth binge drinking: 6th 8th, 10, & 12th grades Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS) Criminal Justice Social Availability Promotion Community Norms Social norms campaign, Coalitions, Parents Who Host, Start Talking, General media campaign, Policy changes, Risk Group Evaluation, BASICS, Brief Intervention, Public events Individual Factors Prevention Framework 2008 Annual Report 12

13 Community Consequences Consumption Areas Causal Areas Evidence-Based Strategies Niobrara County Driving Under the Influence (Adults and Juveniles) Liquor Law Violations (Adults and Juveniles) Drunkenness (Adults and Juveniles) Alcohol Treatment in Wyoming by County of Referral Secondary: Alcohol-Related Motor Vehicle Crash Fatalities, Vehicle Crashes, Injury Crashes and Property Crashes 30-day alcohol use: Middle School & High School Youth binge drinking: Middle School & High School Adult binge drinking (BRFSS) Criminal Justice Social Availability Community Norms Individual Factors Social norms campaign, Niobrara County Community Advisory Council, Increased awareness and enforcement, TIPS Training Park County 9-12 th graders Drove a Car or other Motor Vehicle When They Had Been Drinking Alcohol Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes Youth binge drinking and 30- day use for 10th, and 12th grades and 9th -12th grades (YRBS) Criminal Justice Social Availability Community Norms MOST of Us Campaign, Coalitions, Social norms campaign, Brief Intervention (selected) Youth, Brief Intervention (selected) Adults, Brief Intervention (indicated) Youth, Brief Intervention (indicated) Adults Platte County Driving Under the Influence (Adults and Juveniles) 9-12 th graders Drove a Car or other Motor Vehicle When They Had Been Drinking Alcohol 9-12 th graders Rode in a car or other motor vehicle driven by someone who had been drinking alcohol Secondary: Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes 30-day alcohol use: 10 th, and 12 th grades-pna 9th 12 th grades-yrbs Youth binge drinking: 10 th, and 12 th grades-pna 9th 12 th grades-yrbs Social Availability Community Norms Social norms campaign, Reducing High Risk Drinking Community Awareness, Responsible Beverage Server Training and Keg Registration Policy Sheridan County 9-12 th graders Drove a Car or other Motor Vehicle When They Had Been Drinking Alcohol 9-12 th graders Rode in a car or other motor vehicle driven by someone who had been drinking alcohol 30-day alcohol use: 6th, 8th,10th grades (primary)12th grade (secondary) Youth binge drinking: 6th, 8th,10th grades (primary)12th grade (secondary) Age of initiation (PNA) Social Availability Community Norms Individual Factors Sheridan Community Prevention Coalition, Start Talking, Social norms campaign, ROCK Prevention Framework 2008 Annual Report 13

14 Community Consequences Consumption Areas Causal Areas Evidence-Based Strategies Sublette County Driving Under the Influence (Adults) Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes 30-day alcohol use: 10th, and 12th grades Youth binge drinking: 10th, and 12th grades Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS) Retail Availability Social Availability Community Norms Social norms campaign, Sublette County Prevention Coalition, Prime for Life, Communities Mobilizing for Change on Alcohol Sweetwater County Driving Under the Influence (Adults) Drunkenness (Juveniles) Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes 30-day alcohol use: 8th grade-pna Youth binge drinking: 8th grade-pna Adult binge drinking (BRFSS) Criminal Justice Social Availability Community Norms Individual Factors Social norms campaign, Project Safer, Communities Mobilizing for Change on Alcohol (CMCA) Coalition and Media campaign, , SPF Coalition Teton County Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes Secondary: 9-12 th graders Drove a Car or other Motor Vehicle When They Had Been Drinking Alcohol Secondary: 9-12 th graders Rode in a car or other motor vehicle driven by someone who had been drinking alcohol 30-day alcohol use: PNA- 6th, 8th, 10th & 12th grades YRBS- 9th 12th Youth binge drinking: PNA- 10th & 12th grades YRBS- 9th 12th Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS) Criminal Justice Social Availability Community Norms Social norms campaign, Coalitions, Responsible Beverage Server Training, Policy & Ordinance changes, Increased enforcement, Restrict alcohol at public events Uinta County Driving Under the Influence (Juveniles) Liquor Law Violations (Juveniles) Drunkenness (Juveniles) Secondary: Alcohol-Related Motor Vehicle Crash Fatalities, Fatal Crashes, Injury Crashes and Property Crashes Secondary: 9-12 th graders Drove a Car or other Motor Vehicle When They Had Been Drinking Alcohol Secondary: 9-12 th graders Rode in a car or other motor vehicle driven by someone who had been drinking alcohol Youth binge drinking: PNA 10th and 12 th grades Criminal Justice Social Availability Community Norms Individual Factors Social norms campaign, Coalitions, Local media campaign, Restrict alcohol at public events, Policy & ordinance changes, Compliance checks, Social Host and Party Patrol Education Prevention Framework 2008 Annual Report 14

15 Community Consequences Consumption Areas Washakie County Weston County Wind River Reservation Driving Under the Influence (Juveniles) Drunkenness (Juveniles) 9-12 th graders Drove a Car or other Motor Vehicle When They Had Been Drinking Alcohol 9-12 th graders Rode in a car or other motor vehicle driven by someone who had been drinking alcohol Alcohol-Related Motor Vehicle Injury Crashes Referrals for Alcohol Treatment in Wyoming by County of Referral None 30-day alcohol use: 6th, 8th, 10th & 12th grades Youth binge drinking: 6th, 8th, 10th & 12th grades Adult binge drinking (BRFSS) 30-day alcohol use: 6 th, 8 th, 10 th, & 12th grades Youth binge drinking: 6 th, 8 th, 10 th, & 12th grades Causal Areas Social Availability Community Norms Criminal Justice Social Availability Community Norms Evidence-Based Strategies Social norms campaign, Coalitions, Media campaign, Communities Mobilizing for Change on Alcohol (CMCA) Youth Leadership/Worland W Club, Big Brothers/Big Sisters Social norms campaign, Weston County Prevention Task Force, Communities Mobilizing for Change on Alcohol (CMCA) Media campaign, Policy changes, Public events Social norms campaign, Coalition, Wellbriety, Sobriety checkpoints Process Information System Data The Process Information (PI) System developed at WYSAC to track the process data was used to captures the number of people served or potentially impacted by each community s prevention strategies. It also is used to determine whether the provision of services for that program is within designated cost bands. To gather the necessary information, the PI System is composed of three primary components: 1. Strategy and Program Inventory 2. Process Information Forms 3. Annual Program Level Expenditure Reports The data currently available via the PI system is limited with only 16 of the 24 communities reporting. Given the data currently available, a majority 61.8 percent of participants are female and 94.5% consider themselves white non-hispanic. Of those served 14.9 percent are youth and more than 50 percent of participants are between the ages of 25 and 64 years. A majority of the total 599,378 participant contacts were reached via indirect sources in the CSAP identified areas of environment and information dissemination. Expenditures reports are due for submission by October 2008, therefore this data is not shown in Tables 2-6 which share the direct and indirect number of participants and associated demographic data. Prevention Framework 2008 Annual Report 15

16 Table 2: Participants Served by Gender # of Direct Participants Percentage # of Indirect Participants Percentage Gender Female % 293, % Male % 286, % Unknown 8 1.0% 19, % Total % 599, % Table 3: Participants Served by Race # of Direct Participants Percentage # of Indirect Participants Percentage Race American Indian 3 0.4% 5, % Asian 4 0.5% 2, % Black 0 0.0% 2, % Multiracial 0 0.0% 5, % Pacific Islander 2 0.2% % White % 564, % Unknown % 19, % Total % 599, % Table 4: Participants Served by Ethnicity # of Direct Participants Percentage # of Indirect Participants Percentage Ethnicity Not Hispanic or Latino % 517, % Hispanic or Latino % 33, % Unknown 8 1.0% 49, % Total % 599, % Prevention Framework 2008 Annual Report 16

17 Table 5: Participants Served by Age Group # of Direct Participants Percentage # of Indirect Participants Percentage Age % 14, % % 19, % % 25, % % 29, % Total Youth Served % 89, % % 39, % % 59, % % 160, % % 161, % % 68, % Total Adults Served % 489, % Unknown 0 0.0% 20, % Total % 599, % A majority of the 30 different evidence-based strategies implementedtarget the CSAP areas of Environmental and Information Dissemination. Because these primarily target participants indirectly this is to be expected. What is surprising is the high number of individual or direct participants that were reached by the 16 counties reporting. A total of 841 individual participants were served via strategies identified as Community-Based Process, Education and Environmental by CSAP. All in all 600,219 participant contacts have been logged utilizing 1,259 separate events. Events are marked by any single occurrence of a strategy. Participants served and events held by CSAP strategy are represented in Table 6. Table 6: Participants Served and Events Held by CSAP Strategy Direct Indirect People Percentage Events % People Percentage Events % Alternatives 0 0.0% 0 0.0% 0 0.0% 0 0.0% Community Based Process % % 0 0.0% 0 0.0% Education % % 0 0.0% 0 0.0% Environmental % 1 1.4% 92, % % Information Dissemination 0 0.0% 0 0.0% 506, % % Problem ID and Referral 0 0.0% 0 0.0% 0 0.0% 0 0.0% Total % % 599, % % Prevention Framework 2008 Annual Report 17

18 Comparison State Baseline Outcomes The outcomes from the Prevention Framework process are summarized by funded community in Table 1. The consequences and consumption concerns targeted by each community based on individual needs assessments are listed along with the causal areas directly related to identified needs. Strategies designed to address causal areas were chosen by each community and approved by the Wyoming Mental Health and Substance Abuse Services Division, for implementation with SPF SIG funding under the format of the Prevention Framework. These strategies are not inclusive of all strategies in each of these communities such as the statewide media campaign which does not utilize SPF SIG funding, however each of these communities did participate in the MOST OF US campaign, and that should be noted here. Outcomes data related to changes in PNA, YRBS and BRFSS are not yet available as 2008 marks the first full year of implementation. To review pre-event baselines and better understand how reporting will be done for each community and for the state please refer to the community Fact Sheets found in Appendix B-Y of this report. A comparison of casual area trends among three comparison states that also received SPF SIG funding and three comparison states that received no funding is shared in Figures 3-18 to aid in understanding not only the individual Wyoming communities but the state wide programmatic impact. The measures shown here are to serve as baseline data and do not reflect impacts of the PF because the implementation phase of the project began at the end of Youth Drinking in Funded and Non-Funded States CO not included as only surveyed in Figure 3: Current youth drinking (YRBS) Wyoming and SPF SIG states Figure 4: Current youth drinking (YRBS) Wyoming and non SPF SIG states Prevention Framework 2008 Annual Report 18

19 Youth Binge Drinking in Funded and Non-Funded States CO not included as only surveyed in Figure 5: Youth binge drinking (YRBS) Wyoming and SPF SIG funded states Figure 6: Youth binge drinking (YRBS) Wyoming and non SPF SIG states Adult Binge Drinking in Funded and Non-Funded States *Binge drinking definition for females changed in 2006 to be four or more drinks from five or more drinks Figure 7: Adult binge drinking (BRFSS) Wyoming and SPF SIG states *Binge drinking definition for females changed in 2006 to be four or more drinks from five or more drinks Figure 8: Adult binge drinking (BRFSS) Wyoming and non SPF SIG states Prevention Framework 2008 Annual Report 19

20 Alcohol-related Motor Vehicle Fatalities in Funded and Non-Funded States Figure 9: Rate per 100,000 population of alcohol-related motor vehicle fatalities (FARS/U.S. Census) Wyoming and SPF SIG states Figure 10: Rate per 100,000 population of alcohol-related motor vehicle fatalities (FARS/U.S. Census) Wyoming and non SPF SIG states Alcohol Dependence and Abuse in Funded and Non-Funded States Figure 11: Alcohol dependence and abuse (NSDUH) Wyoming and SPF SIG states Figure 12: Alcohol dependence and abuse (NSDUH) Wyoming and non SPF SIG states Prevention Framework 2008 Annual Report 20

21 DUI Arrests in Funded and Non-Funded States *MT not included as missing data, NV missing data for Figure 13: DUI arrests per 100,000 population (UCR) Wyoming and SPF SIG states Figure 14: DUI arrests per 100,000 population (UCR) Wyoming and non SPF SIG states Liquor Law Violations in Funded and Non-Funded States *MT not included as missing data, NV missing data for Figure 15: Liquor law violation arrests per 100,000 population (UCR) Wyoming and SPF SIG states Figure 16: Liquor law violation arrests per 100,000 population (UCR) Wyoming and non SPF SIG states Prevention Framework 2008 Annual Report 21

22 Drunkenness Arrests in Funded and Non-Funded States Figure 17: Drunkenness arrests per 100,000 population (UCR) Wyoming and SPF SIG states Figure 18: Drunkenness arrests per 100,000 population (UCR) Wyoming and non SPF SIG states Figures 5 through 18 provide baseline trends for Wyoming and six comparison states. If the PF project in Wyoming is successful and responsible for decreases in indicators related to the misuse of alcohol, then trends in Wyoming should improve more than trends in non-spf SIG states. The above figures are intended to provide a starting point for that comparison. These figures also show that, with the exception of drunkenness and liquor law violations, Wyoming s baseline data is in line with chosen comparison states.

23 National Outcome Measures National Outcome Measures (NOMs) that reflect the overall goals of the Substance Abuse Mental Health Services Administration(SAMSHA) are collected and reported at a state level by every SPF SIG state. While NOMs encompass several domains, only those that are specific to Wyoming s PF target are required. Table 7 below displays the applicable Wyoming NOMs baseline data for the most recent year available. Table 7. National Outcome Measures Baselines Tracked at the State Level for the PF Evaluation Domain Data Source Specific Measures Most Recent Year Baseline Values Abstinence NSDUH and PNA 30 day use of alcohol (12 th +) 30 day use of alcohol (6 th ) 30 day use of alcohol (8 th ) 30 day use of alcohol (10 th ) 30 day use of alcohol (12 th ) 56.36% (NSDUH ) 5.8% (PNA 2008) 23.1% (PNA 2008) 38% (PNA 2008) 46.7% (PNA 2008) Perceived risk of alcohol use (12+) Perceived risk of alcohol use (6 th ) Perceived risk of alcohol use (8 th ) Perceived risk of alcohol use (10 th ) Perceived risk of alcohol use (12 th ) Age of first use of alcohol (6 th ) Age of first use of alcohol (8 th ) Age of first use of alcohol (10 th ) Age of first use of alcohol (12 th ) 37.23% (NSDUH ) 66.4% (PNA 2008) 57.9% (PNA 2008) 57.7% (PNA 2008) 55.1% (PNA 2008) 10.6 years (PNA 2008) 11.8 years (PNA 2008) 13 years (PNA 2008) 14 years (PNA 2008) Crime and Criminal Justice Access/Capacity Retention & Use: evidence based programs Cost effectiveness Fatal Accident Reporting System (FARS), Uniform Crime Reports (UCR) Process Information (PI) System Parents disapproval of alcohol use (6 th ) Parents disapproval of alcohol use (8 th ) Parents disapproval of alcohol use (10 th ) Parents disapproval of alcohol use (12 th ) Alcohol related traffic fatalities Alcohol related crime: DUI per 100,000 Liquor law violations per 100,000 Drunkenness per 100,000 Number of persons served by age, race/ethnicity, and gender 96% (PNA 2008) 88.2% (PNA 2008) 82.4% (PNA 2008) 73.9% (PNA 2008) per 100,000 (FARS 2006) (UCR 2007) (UCR 2007) (UCR 2007) See Tables 2,3,4,5 Number of persons served by type of See Table 6 intervention PI system Number of evidence based strategies 30 PI system Services provided within cost bands To be measured during implementation Prevention Framework 2008 Annual Report 23

24 Recommendations The communities in the state of Wyoming have demonstrated strength in implementing strategies identified by the individual coalitions as helpful to the individual communities. However, several of these strategies are still not evidence-based despite efforts to move in that direction over the past several years. As more evidence-based strategies are implemented by the county and reservation communities, through the use of SPF SIG funding, and utilizing the state of Wyoming Prevention Framework process, it is anticipated that effectiveness will increase in correlation with a decrease in effort and funding needs. Based on this it is recommended that communities seek to move to all evidence-based strategies in an effort to work toward sustainability. In addition some communities, have divided their efforts and resources between numerous strategies which holds potential to decrease sustainability should funding decrease in the future. This shotgun approach to prevention also reduces the ability to successfully isolate the benefits of any one program or effort. Recommendations to coalitions and coordinators are to limit programs to address specific causal areas identified through the SPF process for the duration of PF project. Recommendations to funding sources are to monitor the implementation of evidence-based strategies to ensure best practices for implementation are followed. This will ensure the best evaluation results and the highest success rates for programs. Finally, as strategies are implemented over the coming year, it is imperative that the state respond to concerns of coordinators in a timely manner. Due to the abbreviated timeline for strategy implementation any delays in the process could have irreversible impact on the outcome within the given timeframe. Prevention Framework 2008 Annual Report 24

25 Acronyms This is not a comprehensive list of acronyms in the prevention world. It is an attempt to provide needed reference for readers of this report to aid in understanding and application of contents. BRFSS Behavior Risk Factor Surveillance System CJR Center for Justice Research CMCA Communities Mobilizing for Change on Alcohol CSAP Center for Substance Abuse Prevention DCI Division of Criminal Investigations DUI BAC Driving Under the Influence Blood Alcohol Content FARS Fatality Analysis Reporting System PF Prevention Framework PI System Process Information System MHSAS Mental Health and Substance Abuse Services MIP BAC Minor in Possession Blood Alcohol Content NSDUH National Survey on Drug Use and Health PNA Prevention Needs Assessment RHRD Reducing High Risk Drinking SAMSHA Substance Abuse Mental Health Services Administration SEW State Epidemiological Workgroup SPF SIG Strategic Prevention Framework State Incentive Grant UCR Uniform Crime Reports WMHSASD Wyoming Mental Health and Substance Abuse Services Division WYDOT Wyoming Department of Transportation WYSAC Wyoming Survey & Analysis Center YRBS Youth Risk Behavior Survey Prevention Framework 2008 Annual Report 25

26 References Birckmayer, J.D., Holder, H.D., Yacoubian, GS, & Friend, K.B., (2004). A general causal model to guide alcohol, tobacco, and illicit drug prevention: Assessing the research evidence. Journal of Drug Education, 34, Center for Substance Abuse Prevention, (2005). SPF SIG Overview and Expectations. New Grantee Workshop, Gaithersburg, Maryland. Lowther, M., Birckmayer, J.D., (2006). Outcomes-based prevention. Multi-State Technical Assistance Workshop, Gaithersburg, Maryland. National Center for Statistics & Analysis ( ). Fatality Analysis Reporting System (FARS): Web Based Encyclopedia. Retrieved March 1, 2007 from National Institute on Alcohol Abuse and Alcoholism(2006). Surveillance Report #78 Apparent Per Capita Alcohol Consumption: National, State, and Regional Trends, Retrieved March 1, 2007 from United States Census Bureau (2006). Wyoming County Population Estimates. Washington, DC: US Census. Retrieved March 1, 2007 from EST2005-alldata.html Wyoming Association of Sheriffs and Chiefs of Police (2005). Evaluation of Alcohol Factors in Custodial Arrests in the State of Wyoming. Cheyenne, WY Department of Transportation. Retrieved March 1, 2007 from Wyoming Association of Sheriffs and Chiefs of Police (2006). [Alcohol compliance checks]. Unpublished results. Wyoming Department of Education ( ). Youth Risk Behavior Survey: District and School Level Reports. Cheyenne, WY: WDE. Wyoming Department of Education (2006). Statistical Report Series No. 3: Wyoming School Districts Financial Reporting and Profile. Cheyenne, WY: WDE. Retrieved March 1, 2007 from Wyoming Department of Family Services (2007a). [WYCAPS Out of Home Placement Data]. Unpublished results. Wyoming Department of Family Services (2007b). [WYCAPS Juvenile Probation Case Data]. Unpublished results. Wyoming Department of Health ( ). Wyoming Behavioral Risk Factor Surveillance System. Cheyenne, WY: WHD. Retrieved March 1, 2007 from Prevention Framework 2008 Annual Report 26

27 Wyoming Department of Health Substance Abuse Division (2005). [Wyoming Client Information System]. Unpublished results. Wyoming Department of Revenue (2005). State of Wyoming Department of Revenue Annual Report: July 1, 2004 through June 30, Cheyenne, WY: Department of Revenue. Retrieved March 1, 2007 from Wyoming Department of Transportation ( ). Wyoming Comprehensive Report on Traffic Crashes Cheyenne, WY: WDOT. Retrieved March 1, 2007 from Wyoming Division of Criminal Investigation ( ), Crime in Wyoming Reports. Cheyenne, WY: Wyoming Attorney General Office. Retrieved March 1, 2007 from Wyoming Survey & Analysis Center (2006a). The 2006 Wyoming Prevention Needs Assessment Reports. Laramie, WY: WYSAC. Retrieved March 1, 2007 from Wyoming Survey & Analysis Center (2006b). Wyoming Alcohol Use Issues Survey: T. Ferguson, S. Talwar & B. Anatchkova (WYSAC Technical Report Number SRC-616). Laramie, Wyoming Survey and Analysis Center, University of Wyoming. Wyoming Survey & Analysis Center (2006c). [2006 Prevention Needs Assessment]. Unpublished results. Prevention Framework 2008 Annual Report 27

28 Appendix A Last updated Sept. 15, 2008 PREVENTION FRAMEWORK CONTACT LIST Northeast Region- Sheridan, Johnson, Campbell, Crook and Weston Counties. Central Region - Fremont, Natrona, Converse and Niobrara Counties. Southeast Region - Carbon, Albany, Laramie, Platte and Goshen Counties. West Region - Teton, Sublette, Lincoln, Uinta and Sweetwater Counties Basin Region - Park, Big Horn, Hot Springs and Washakie Counties. Regional Coordinators: Northeast Region- Kristi Lipp, Weston Central Region Tauna Richardson, Fremont Southeast Region Krista West, Goshen West Region Carl Harris, Lincoln Basin Region Helena DeFina, Park ** Main Contact for Program Albany County Coalition to Prevent Substance Abuse Tracy Young** 2523 Garfield Suite D Laramie, WY Fax: tyoung@copsa.org Brenda Cannon cell: brendacannon@gmail.com Big Horn County YES I CAN Karen Sylvester** 2633 Shady Lane Greybull, WY fax sylvester@tctwest.net Campbell County Charlotte Carr** City of Gillette PO Box E 5th Street Gillette, WY fax: Cell: charlotte@ci.gillette.wy.us Prevention Advisory Council Richard Adriaens City of Gillette PO Box E 5th Street richa@ci.gillette.wy.us Carbon County Theresa Pacheco** Rawlins Community Association 215 W Buffalo, Suite 373 PO Box 1213 Rawlins, WY fax: Cell: theresapac@gmail.com Sally Patton Rawlins Community Association PO Box 145 Saratoga, WY cell sally_patton@yahoo.com Converse County Bob Shinmori** Solutions For Life 1841 Madera Avenue Douglas, WY Fax: bshinmori@wysfl.com Linda Lake Solutions For Life 1841 Madora Avenue Douglas, WY fax: llake@wysfl.com Crook County Dominique Tigert** Crook County Cares PO Box South Hwy 585 Sundance, WY Fax: Cell: dominiquetigert@yahoo.com Fremont County Tauna Richardson** Fremont Counseling Service 1110 Major Ave Riverton, WY fax: tauna@fremontcounseling.com Fremont Counseling Service Jerry McAdams 748 Main Street Lander, WY Fax: Cell jmcadams@fremontcounseling.com Goshen County Amanda Dykes** Comprehensive Community CoalitionPO Box 160 Torrington, WY aks5k@hotmail.com Lynette Saucedo The PRACTICE After School Program PO Box 824 Torrington, WY practiceprogram@yahoo.com Hot Springs County Jane Norskog** Hot Springs County Counseling 121 S. 4th St. Thermopolis, WY FAX janen@rtconnect.net Leo Hammond leoh@rtconnect.net Prevention Framework 2008 Annual Report 28

29 Johnson County Bill Hawley** Community Resource Center of Johnson County PO Box E. Hart Street Buffalo, WY Fax: Toni Cervenka Laramie County Arlene Lyons** Laramie County Community Partnership, Inc. 770 Vandehei Cheyenne, WY Stacey McKenna (VISTA volunteer) Alfrieda Gonzales Phyllis Sherard Lincoln County Carl Harris** High Country Counseling PO Box Adams Afton, WY fax: Natrona County Melissa Stahley-Cummings** Natrona County Prevention Coalition Mercer House 425 CY Avenue Casper, WY Fax: Jennifer Crank Brenda Eickoff-Johnson Niobrara County Bob Shinmori** Solutions for Life 1841 Madora Ave. Douglas, WY Park County Helena DeFina** West Park Hospital District 707 Sheridan Avenue Cody, WY (307) Jay Otto Fax: Platte County Krista West** Peak Wellness Center PO Box W. Maripossa Pkwy. Wheatland, WY Fax: Sheridan County Kathy Shanor** Sheridan County Education Foundation 245 Broadway, Box #6 Sheridan, WY ext. 208 Fax: (307) Sublette County Robena Downie** High Country Counseling PO Box Country Club Lane Pinedale, WY Fax: Sweetwater County Erin Teichert** Southwest Counseling Service 2300 Foothill Blvd. Rock Springs, WY Fax: Bridget Giovale Laura Schmid-Pizzato Teton County Stacey Caesar** Curran Seeley Foundation PO Box 3371 Jackson, WY Fax: Cell: Ed Wigg Fax: Uinta County Tera Lawlar** Uinta County Prevention 162 Ridge Lane Evanston, WY Fax: Jim Hissong ext. 203 Fax: Washakie County Ginger Largent** Washakie County Youth Alternatives 1001 Big Horn Avenue, Suite 104 Worland, WY Fax: Jessica Jackson Weston County Kristi Lipp** 420 Deanne Ave. Newcastle, WY (307) Fax: Wind River Reservation Vacant Eastern Shoshone Recovery Program PO Box 638 Ft. Washakie, WY Fax: Myron Little Bird Prevention Framework 2008 Annual Report 29

30 Appendix B: ALBANY COUNTY Prevention Framework Fact Sheets Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Albany County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Albany County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Albany County Priority Consequence Driving under the influence (adults) No Driving under the influence (juveniles) No Liquor law violations (adults) Yes Liquor law violations (juveniles) No Drunkenness (adults) No Drunkenness (juveniles) No One priority consequence was chosen from Table 1, Liquor law violations (adults) because the county rate per 100,000 population is much higher than the Wyoming rate per 100,000 population. Table 2: Comparison of Albany County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Albany County Priority Consequence Alcohol-related motor vehicle injury crashes Yes Alcohol-related motor vehicle property crashes Yes A lcohol-related motor vehicle injury crashes and Alcohol-related motor vehicle property crashes are priority consequences for Albany County because the county rate per 100,000 population is higher than or similar to the Wyoming rate per 100,000 population.

31 Additional Local Consequence Indicators were used in the Albany County Community Needs Assessment and will be prioritized and tracked in the evaluation. Local consequence data identified included: MIP arrests (Evaluation of Alcohol Factors in Custodial Arrests) - Secondary MIP BAC (Evaluation of Alcohol Factors in Custodial Arrests) -Secondary Under Age DUI BAC (Evaluation of Alcohol Factors in Custodial Arrests) - Secondary C onsequences related to the misuse of alcohol identified as Most Important to the Albany County community. Liquor law violations (adults) Alcohol-related motor vehicle injury crashes Alcohol-related motor vehicle property crashes MIPs Secondary MIP BAC Secondary Under Age DUI BAC - Secondary PRIORITY CONSUMPTION AREAS Table 3: Comparison of Albany County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) and Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System ) Consumption Indicator Data Source Grade / Age Wyoming Rate Albany County Rate Priority Consumption Past 30 day alcohol use PNA 6th 6.7% 4.5% No 8th 27.1% 12.6% No 10th 39.9% 39.2% Yes 12th 48.2% 58.2% Yes Youth binge drinking past 2 weeks PNA 6th 4.1% 2.6% No 8th 16.2% 10.9% No 10th 25.2% 29.0% Yes 12th 32.3% 43.2% Yes Adults binge drinking past 30 days Adults heavy drinking past 30 days BRFSS BRFSS 18 or older 18 or older 16.5% 23.0% Yes 5.2% 8.7% Yes Past 30-day alcohol use and youth binge drinking for 10th, and 12th grades are priority consumption outcomes for Albany County. This is because the county rate is higher than or similar to the Wyoming rate. Adult binge drinking and heavy drinking are priority consumption outcomes chosen because the county rates are approximately 1 1/2 times higher than the Wyoming rates. The most important consumption outcomes for Albany County are: 30-day alcohol use (PNA): 10th, and 12th grades Youth binge drinking (PNA): 10th, and 12th grades Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS)

32 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Albany County consumption and consequence areas on which to focus. The causal areas shown in Table 4 were uniquely chosen to address needs identified within Albany County directly from the Community Needs Assessment and the strategies are from Albany County s approved Strategic Plan. Table 4: Logic model summary of prioritized Causal Areas, chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Specific Indicators that Measure Change in Each Causal Areas Targeting Prioritized Causal Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Not applicable Not a priority area Social Availability Reducing High Risk Drinking (RHRD) Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Alcohol Use Issues Survey) Promotion RHRD Alcohol advertisements in newspapers Community Norms RHRD Social Norms Campaign * Laramie Choices Sponsorship rates Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Use Issues Survey) In your opinion is drinking and driving in your community a (Wyoming Use Issues Survey) Individual Factors Not applicable Not a priority area Evidence-based Strategies for Albany County Coalition RHRD media RHRD public events RHRD policy changes RHRD responsible beverage service training Social norms campaign *Laramie Choices * Indicates strategy added based on community needs, after initial plan approval.

33 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators. In addition, key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Albany County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 35 members. On average, the coalition met once a month, and typically, 20 members attended the meeting. Prior to SPF SIG funding, program coordinators and stakeholders indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to allocate resources, to evaluate its prevention efforts, and to monitor progress. During the 12 months prior to SPF SIG funding, Albany County was awarded four grants for substance abuse prevention, totaling $320,660, and had one person trained as a Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinantor and stakeholder interviews. Q9. Where were the gaps in the coalition before SPF SIG funding? Everyday common people, business people, alcohol/bar liquor owners and school board members. Q12. What were the training and professional development needs of the coalition members before the start of SPF SIG? New ideas, keeping up-to date, finding out what other communities have done. Good understanding of substance abuse and prevention, law enforcement aspect (all aspects) all on the same page. Diversity of group brought a lot of expertise and we learned from one another. TIPs training, Tracey has gone to national meetings and brings information back.

34 When there seems something appropriate then we make sure someone has that knowledge base. Don t know we had training needs. Used CADCA materials and based coalition needs from that. Lack of understanding about the problem [is a big barrier]. Q26. What local level data was used in prevention efforts in Albany County? Grade school reports - surveys (PNA, YRBS), data on self reports on drinking and driving and arrest data (but may have been after the SPF SIG). Specific studies on levels of BAC of people under arrest and their age, survey of local bar owners and response to what we were trying to implement. YRBS, Alcohol Issue Survey, data on alcohol arrests PNA, YRBS statewide (if not local), arrest data, police dept compliance checks, BRFSS Q49. Where could prevention capacity have been improved in Albany County prior to the award of SPF SIG funding? I m sure there is some area but I don t know [what]. Awareness, [is the] main thing. Better coalition building, prior to COPSA not a lot of people willing to look at the issue and willing to step forward. [We] could have tried to get a wider array of people on the coalition. Always-- improve, look for new members from other sectors. Always--someone missing. Always--try to build capacity. Q50. What the barriers were to ATOD prevention in Albany County prior to SPF SIG funding? Community readiness. Apathy from the community and from the University. Lack of education, lack of understanding about the problem. People ignoring the issue. Age group large number in our community and not always communicating as well as could be with university on how to work best to make better community. Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

35 PROCESS INFORMATION SYSTEM DATA Wyoming Survey & Analysis Center The Process Information System is designed to manage PF required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Albany County: Process information data Albany County Strategy PI Number Direct # Served Indirect # Served Reducing High Risk Drinking-Information PO101 36,237 Reducing High Risk Drinking-Education PO102 5 Social Norms Campaign PO105 No Data Laramie Choices PO OUTCOME-BASED PREVENTION FOR ALBANY COUNTY Table 6: Albany County: Outcome tracking measures Outcome Measure Baseline Rate* 2007 Liquor law violations (adults) (DCI ) Alcohol-related motor vehicle (WYDOT ) injury (2006 rate) Alcohol-related property crashes (WYDOT ) NR 30-day alcohol use 10th grade 39.2% (PNA 2006) NA NA 30-day alcohol use 12th grade 58.2% (PNA 2006) NA NA Binge drinking 10th grade 29.0% (PNA 2006) NA NA Binge drinking 12th grade 43.2% (PNA 2006) NA NA Adult binge drinking 23.0% (BRFSS ) NA Adult heavy drinking 8.7% (BRFSS ) NA MIP arrests 25 arrests (Chief and Sheriffs 2006) 27 MIP BAC (Chief and Sheriffs 2006) Underage DUI BAC (Chief and Sheriffs 2006) * From Wyoming PF Needs Assessment Workbook completed by the Albany County community (Developed by WYSAC, 2007) NR = Not Reported, NA = Not Available

36 Appendix C: BIG HORN COUNTY Prevention Framework Fact Sheets Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Big Horn County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Big Horn County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Big Horn County Priority Consequence Alcohol-related motor vehicle crash fatalities Yes Alcohol-related fatal motor vehicle crashes Yes Alcohol-related motor vehicle injury crashes Yes Alcohol-related motor vehicle property crashes Yes Motor vehicle related crashes, injuries and fatalities are all priority consequences for Big Horn County because the community is concerned with the consequences of drinking and driving. Big Horn County is considering all crashes in combination due to the size of the county. Table 2: Comparison of Big Horn County and state rates of Alcohol-Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consequence Indicator Years Wyoming Percent Percentage of adults (18 years and older) who report binge drinking in the past 30 days Percentage of adults (18 years and older) who report heavy drinking in the past 30 days Big Horn County Percent A dult binge drinking is a priority consumption outcome because the community members are concerned with the consequences of binge drinking especially drinking and driving. Priority Consequence 16.5% 15.8% Yes 5.2% 4.1% No

37 Consequences related to the misuse of alcohol identified as Most Important to the Big Horn County community. Alcohol-related motor vehicle crashes: fatal, injury, and property Alcohol-related motor vehicle fatalities MIP arrests Secondary Filings from Circuit Court: MIP, Adult DUI, DUI to a degree, DWUI 2nd, open container PRIORITY CONSUMPTION AREAS Table 3: Comparison of Big Horn County and state rates for Underage Drinking by Grade (Prevention Needs Assessment 2006) and Adult Binge Drinking (Behavioral Risk Factor Surveillance System ) Consumption Indicator Data Source Grade/ Age Wyoming Percent Big Horn County Percent Past 30 day alcohol use PNA 6th 6.7% 8.7% Yes 8th 27.1% 27.2% Yes 10th 39.9% 32.4% Yes 12th 48.2% 36.8% Yes Youth binge drinking PNA 6th 4.1% 4.4% Yes (past 2 weeks) 8th 16.2% 16.0% Yes 10th 25.2% 20.5% Yes 12th 32.3% 24.8% Yes Adult binge drinking (past 30 days) BRFSS 18 or Older 16.5% 15.8% Yes Priority Consumption Based on these specific indicators the next section shares related Circuit Court convictions of alcohol-related crimes, percentage of agreement with the causal areas and the strategies Big Horn statement alcohol should not be sold at County will employ The most important consumption community events..., to address these outcomes for Big Horn County are: percentage of students important consumption who attend community outcomes. Big Horn County hopes to 30-day alcohol use: 6th, 8th, 10th, and 12th grades Youth binge drinking: 6th, 8th, 10th, and 12th grades events where alcohol is sold, law enforcement interviews, and impact the following: Adult binge drinking the social impact of compliance checks, Town Hall meetings.

38 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Big Horn County consumption and consequence areas on which to focus. The causal areas shown in Table 4, were chosen to uniquely address needs identified within Big Horn County directly from the Community Needs Assessment and the strategies are from Big Horn County s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Specific Indicators that Measure Change in Each Causal Areas Targeting Prioritized Causal Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Reducing High Risk Drinking (RHRD) Compliance checks Percentage of convictions of alcohol-related crime within the Circuit Court Percentage of survey participants who agreed or disagreed with the statement: local law enforcement should strongly enforce laws regulating alcohol use by youth under age 21 (Wyoming Alcohol Use Issues Survey) Percentage of survey participants who agreed or disagreed with the statement: adults who supply alcohol to youth under age 21 in violation of Wyoming law should be prosecuted (Wyoming Alcohol Use Issues Survey) Law enforcement interviews Social Availability Not applicable Not a priority area Promotion Not applicable Not a priority area Community Norms RHRD Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Use Issues Survey) Social norms campaign Education by coalition members Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) In your opinion is drinking and driving in your community a (Wyoming Use Issues Survey) Town hall meetings Individual Factors Not applicable Not a priority area Evidence-Based Strategies for Big Horn County Coalition RHRD Social norms

39 BIG HORN COUNTY INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Big Horn County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 40 members. On average, the coalition met about once a month, and typically, 25 members attended the meeting. Prior to SPF SIG funding, program coordinators and stakeholders indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to allocate resources, to evaluate its prevention efforts, and to monitor its progress. During the 12 months prior to SPG SIG funding, Big Horn was not awarded any grants for substance abuse prevention, and one person was trained as a Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? None at the north South-law enforcement, mental health, and judicial system Q12. What training and professional development needs did coalition members have before the start of SPF SIG? North - they do that very well South - setting goals and agency collaboration Q26. What local level data was used in prevention efforts in Big Horn County? The north used a grant that used telephone interviews and questionnaires. The county as a whole used YRBS and PNA data. The schools have done some questionnaires and we ve received the data back on those as well. Q49. Where could prevention capacity have been improved in Big Horn County prior to the award of SPF SIG funding? There s always room for improvement. Funding is always a big thing in improving outreach efforts and I think the funding gave us credibility. When we were fundraising, people looked [at] us as more as soccer moms with a hobby rather than through prevention people. The north (Chad) is highly respected throughout the state. He is very well taken care of. Q50. What were the barriers to ATOD prevention in Big Horn County prior to SPF SIG funding? Public attitude, money, culture, a united effort...

40 PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage PF required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Big Horn County: Process information data Big Horn County Strategy PI Number Direct # Served Indirect # Served Reducing High Risk Drinking PO201 2,905 Social Norms Campaign PO202 No Data PO203 1,008 Big Horn Alcohol Awareness Coalition PO204 No Data Reducing High Risk Drinking Education Meetings PO OUTCOME-BASED PREVENTION FOR BIG HORN COUNTY Table 6: Big Horn County: Outcome tracking measures Outcome Measure Baseline Rate* 2007 Alcohol-related fatal crashes 8.87 (WYDOT ) 0.0 ^ (2006) Alcohol-related injury crashes (WYDOT ) ^ (2006) Alcohol-related property crashes (WYDOT ) Not Reported Alcohol-related motor vehicle fatalities 8.87 (WYDOT ) 0.0 ^ (2006) Combined fatal, injury, and property crashes (WYDOT ) Not Reported Wyoming Survey & Analysis Center day alcohol use 6th grade 8.7% (PNA 2006) NA NA 30-day alcohol use 8th grade 27.2% (PNA 2006) NA NA 30-day alcohol use 10th grade 32.4% (PNA 2006) NA NA 30-day alcohol use 12th grade 36.8% (PNA 2006) NA NA Binge drinking 6th grade 4.1% (PNA 2006) NA NA Binge drinking 8th grade 16.0% (PNA 2006) NA NA Binge drinking 10th grade 20.5% (PNA 2006) NA NA Binge drinking 12th grade 24.8% (PNA 2006) NA NA Adult binge drinking 15.8% (BRFSS ) NA MIP arrest 8 arrests (Chief & Sheriffs 2006) 15 MIP filings 25 (Circuit Court 2006) ** Adult DUI filings 49 (Circuit Court 2006) ** DUI to a degree filings 26 (Circuit Court 2006) ** DWUI 2nd filings 17 (Circuit Court 2006) ** Open container filings 16 (Circuit Court 2006) ** * From Wyoming PF Needs Assessment Workbook completed by the Big Horn County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison. 2010

41 Appendix D: CAMPBELL COUNTY Prevention Framework Fact Sheets Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Campbell County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Campbell County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Community Priority Consequence Driving under the influence (adults) Yes Driving under the influence (juveniles) Yes Liquor law violations (adults) No Liquor law violations (juveniles) Yes Drunkenness (adults) No Drunkenness (juveniles) No There are three priority consequences chosen from Table 1, driving under the influence (adults and juveniles) because the county is higher than the state average, and Liquor law violations (juveniles) because of concern in the county with underage drinking. Table 2: Comparison of Campbell County and state rates of Students Driving When They Had Been Drinking or Riding in a Motor Vehicle Driven by Someone Who Had Been Drinking (Youth Risk Behavior Survey 2005) Consequence Indicator Grades Wyoming Rate Community Rate Priority Consequence Rode in a car or other motor vehicle driven by someone who had been drinking alcohol one or more times during the past 30 days Drove a car or other motor vehicle when they had been drinking alcohol one or more times during the past 30 days 9th-12th 29.7% 33.61% Yes 9th-12th 15.3% 18.75% Yes

42 In addition to Local Consequence Indicators the county is generally concerned with the consequences of drinking and driving. Due to the small size of the county, Campbell is considering all crashes in combination to more closely identify statistically significant factors. Alcohol related motor vehicle crash combined include: Fatalities Vehicle crashes Injury crashes, and Property crashes. C onsequences related to the misuse of alcohol identified as Most Important to the Campbell County community. Driving under the influence (adults & juveniles) Liquor law violations (juveniles) Driving with someone who has been drinking Drinking after driving Traffic Crash BAC DUI BAC Underage DUI BAC DUI accidents (City of Gillette) PRIORITY CONSUMPTION AREAS Table 3: Comparison of Campbell County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) and Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System ) Consumption Indicator Data Source Grade/ Wyoming Percent Campbell County Percent Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 7.1% Yes 8th 27.1% 32.5% Yes 10th 39.9% 47.7% Yes 12th 48.2% 60.3% Yes YRBS 9th-12th 45.4% 44.21% Yes Youth binge drinking PNA 6th 4.1% 4.0% Yes (past 2 weeks) 8th 16.2% 23.2% Yes 10th 25.2% 31.9% Yes 12th 32.3% 42.0% Yes (past 30 days) YRBS 9th-12th 32.0% 32.42% Yes Adults who report binge drinking in the past 30 days Adults who report heavy drinking in the past 30 days BRFSS BRFSS 18 Years or Older 18 Years or Older 16.5% 19.9% Yes 5.2% 5.7% No The most important consumption outcomes for Campbell County are: 30 day alcohol use: 6th, 8th, 10th, and 12th grades. Youth binge drinking: 6th, 8th, 10th, and 12th grades. Adult binge drinking

43 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Campbell County consumption and consequence areas on which to focus. The causal areas shown in Table 4, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Evidence-Based Strategies Targeting Prioritized Specific Indicators that Measure Change in Each Prioritized Causal Area Causal Areas Retail Availability Not applicable Not a priority area Criminal Justice Law enforcement on underage drinking Percentage of convictions of alcohol-related crime within the Circuit Court Education by groups Court sentencing DUI enforcement Social Availability Education by groups Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Promotion Not applicable Not a priority area Community Norms Alcohol monitoring at community events Education by groups Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Wyoming Alcohol Use Issues Survey) Statewide media campaign Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) In your opinion is drinking and driving in your community a (Wyoming Wyoming Alcohol Use Issues Survey) Community events providing alcohol Individual Factors Education by groups Risk and protective factors: (PNA) Parents favorable attitude toward drug use Evidence-based Strategies for Campbell County Law enforcement on underage drinking Education by groups DUI enforcement Alcohol monitoring at community events *CMCA * Indicates strategy added based on community needs, after initial plan approval.

44 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Campbell County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 17 members. On average, the coalition met about once every two or three months, and typically, 13 members attended the meeting. Prior to SPF SIG funding, Campbell County indicated that they did not have data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to allocate resources, to evaluate its prevention efforts, and to monitor its progress. During the 12 months prior to SPF SIG funding, Campbell County was not awarded any grants for substance abuse prevention, and one person was trained as a Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Well, 21 SIG only represents youth. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? Needs were pretty high. There were people who had no training in prevention. No training, to very well trained. Q26. What local level data was used in prevention efforts in Campbell County? Data was not used for prevention efforts. Q49. Where could prevention capacity have been improved in Campbell County prior to the award of SPF SIG funding? Connection to the school district, knowledge of environmental strategies, use of evidenced based strategies, general knowledge of prevention strategies by the coalition members, and cooperation between different entities. Q50. What were the barriers to ATOD prevention in Campbell County prior to SPF SIG funding? Attitudes, politicians and community members believed the county problems were law enforcement issues. Funding. Lack of a model to follow, no clue what to do. PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below.

45 Table 5: Campbell County: Process information data Strategy PI Number Direct # Served Indirect # Served CMCA: Media Campaign & Public Events PO ,157 CMCA: Community Partners Training PO Prevention Advisory Council PO303 No Data Youth Advisory Council PO304 No Data Responsible Beverage Service Training PO305 No Data Social Norms Campaign PO306 No Data OUTCOME-BASED PREVENTION FOR CAMPBELL COUNTY Table 6: Campbell County: Outcome tracking measures Outcome Measure Baseline Rate* 2007 DUI arrests (adults) (DCI Reports ) DUI arrests (juveniles) (DCI Reports ) ^ Liquor law violations (juveniles) (DCI Reports ) Traffic Crash BAC (Chief & Sheriff 2006) DUI BAC (Chief & Sheriff 2006) Underage DUI BAC (Chief & Sheriff 2006) DUI accidents (Gillette) 57 (Gillette Police Department 2006) ** Riding with someone who has been drinking 33.61% (YRBS 2005) ** Driving after drinking 18.75% (YRBS 2005) ** Alcohol-related fatal crashes 5.46 (WYDOT ) ^ (2006) Alcohol-related injury crashes (WYDOT ) (2006) Alcohol-related property crashes (WYDOT ) Not Reported Combined alcohol-related fatal, injury, and property crashes (WYDOT ) Not Reported Alcohol-related motor vehicle fatalities 5.46 (WYDOT ) ^ (2006) day alcohol use 6th grade 7.1% (PNA 2006) NA NA 30-day alcohol use 8th grade 32.5% (PNA 2006) NA NA 30-day alcohol use 10th grade 47.7% (PNA 2006) NA NA 30-day alcohol use 12th grade 60.3% (PNA 2006) NA NA Binge drinking 6th grade 4.0% (PNA 2006) NA NA Binge drinking 8th grade 23.2% (PNA 2006) NA NA Binge drinking 10th grade 31.9% (PNA 2006) NA NA Binge drinking 12th grade 42.0% (PNA 2006) NA NA day drinking (YRBS) 44.21% (YRBS 2005) ** NA NA Binge drinking (YRBS) 32.42% (YRBS 2005) ** NA NA Adult binge drinking 19.9% (BRFSS ) NA * From Wyoming PF Needs Assessment Workbook completed by the Campbell County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison. 2010

46 Appendix E: CARBON COUNTY Prevention Framework Fact Sheets Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Carbon County s needs assessment data that lead to strategic decisions are shown here. Table 1. Comparison of Carbon County and state rates of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Reports) Consequence Indicator Years Wyoming Carbon County Priority Consequence Driving under the influence (adults) No Driving under the influence (juveniles) No Liquor law violations (adults) No Liquor law violations (juveniles) No Drunkenness (adults) No Drunkenness (juveniles) No While no priority consequences were chosen related to ordinances because the coalition members of Carbon County believed they would be unable to change any alcohol ordinances which would impact arrest data, the rates are included in Table 1 for future reference. Table 2: Comparison of Carbon County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Carbon County Priority Consequence Alcohol-related motor vehicle crash fatalities No Alcohol-related fatal motor vehicle crashes No Alcohol-related motor vehicle injury crashes No Alcohol-related motor vehicle property crashes No There are also no priority consequences for alcohol-related motor vehicle crashes because coalition members believe that due to the different ordinances across the county they will be unable to impact these outcomes in the allotted time period of the grant.

47 An additional Local Consumption Indicator was used in the Carbon County Community Needs Assessment that will be prioritized and tracked in the evaluation. PNA - Age of alcohol initiation Past 30-day alcohol use and Youth binge drinking for 6th, 8th, 10th, and 12th grades are priorities for Carbon County. This is because the county rate is often higher than the Wyoming rate. Adult binge drinking: due to community concerns about the risks of binge drinking. PRIORITY CONSUMPTION AREAS Table 3: Comparison of Carbon County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) and Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Data Source Grade or Age Wyoming Percent Carbon County Percent Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 14.7% Yes 8th 27.1% 35.1% Yes 10th 39.9% 42.5% Yes 12th 48.2% 58.0% Yes Youth binge drinking PNA 6th 4.1% 8.5% Yes (past 2 weeks) 8th 16.2% 22.5% Yes 10th 25.2% 22.6% Yes 12th 32.3% 37.3% Yes Adults Who Report Binge Drinking in the Past 30 days Adults Who Report Heavy Drinking in the Past 30 days BRFSS BRFSS 18 Years or Older 18 Years or Older 16.5% 15.3% Yes 5.2% 5.3% No Communities were encouraged to focus their strategies on consequences and/or consumption. Due to coalition member experience the Carbon County Prevention Framework campaign decided to prioritize on consumption. The most important consumption outcomes for Carbon County are: 30-day alcohol use: 6th, 8th, 10th, 12th grades Youth binge drinking: 6th, 8th, 10th, 12th grades Adult binge drinking (BRFSS) Age of alcohol initiation (PNA)

48 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Carbon County consumption and consequence areas on which to focus. The causal areas shown in Table 4, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment and the strategies are from the county s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Targeting Specific Indicators that Measure Change in Causal Areas Prioritized Causal Areas Each Prioritized Causal Area Retail Availability Not applicable Not a priority area Criminal Justice Communities Mobilizing for Change Against Alcohol (CMCA) law enforcement policy Not a priority area Server training (RBST) Social Availability Parents Who Host Lose The Most Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Town hall meetings Promotion Not applicable Not a priority area Community Norms Individual Factors Parents Who Host Lose The Most Server training (RBST) Special permits policy change Athletes Taking a Stand Media social norms campaign Life skills Athletes Taking a Stand Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Town hall meetings Youth at high, medium and low risk (PNA) Risk and protective factors: favorable attitude toward drug use social skills

49 Evidence-based Strategies for Carbon County CMCA law enforcement policy RBST Server training Parents Who Host Server training Special permits policy change Athletes Taking a Stand Media social norms campaign Life skills INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Carbon County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 13 members. On average, the coalition met about once a month, and typically, all 13 members attended the meeting. Prior to SPF SIG funding, Carbon County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to allocate resources, to evaluate its prevention efforts, and to monitor its progress. During the 12 months prior to SPF SIG funding Carbon County was awarded one grant for substance abuse prevention, totalling $30,000 and two people were trained as a Substance Abuse Prevention and Treatment Specialists. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Mental health, DFS, clergy, representatives from the Latino/a and Hispanic groups, and students. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? Coalition building, staying current with science and research - drug and alcohol prevention 101, how to change policy, how to corporate the science into school curriculum, overall community wellness plan, how to fix the high rates of abuse and antisocial behavior. Q26. What local level data was used in prevention efforts in Carbon County? PNA, YRBS and BRFSS (this would not all be local data, using Wyoming data). Q49. Where could prevention capacity have been improved in Carbon County prior to the award of SPF SIG funding? A continuum of services, a more seemless system - mental health in the schools. Q50. What were the barriers to ATOD prevention in Carbon County prior to SPF SIG funding? Attitudes and social norms, that s always a barrier. That data would support that.

50 PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage PF required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Carbon County: Process information data Carbon County Strategies PI Number Direct # Served Indirect # Served CMCA Law Enforcement Policy PO401 No Data Life Skills PO PO403 No Data Parents Who Host PO RBST Server Training PO Special Permits Policy Change PO406 No Data Athletes taking a stand PO407 No Data Rawlins Community Association PO408 No Data Social Norms Campaign PO409 No Data OUTCOME-BASED PREVENTION FOR CARBON COUNTY Table 6: Carbon County: Outcome tracking measures Outcome Measure Baseline Rate* 2007 Wyoming Survey & Analysis Center day alcohol use 6th grade 14.7% (PNA 2006) NA NA 30-day alcohol use 8th grade 35.1% (PNA 2006) NA NA 30-day alcohol use 10th grade 42.5% (PNA 2006) NA NA 30-day alcohol use 12th grade 58.0% (PNA 2006) NA NA Binge drinking 6th grade 8.5% (PNA 2006) NA NA Binge drinking 8th grade 22.5% (PNA 2006) NA NA Binge drinking 10th grade 22.6% (PNA 2006) NA NA Binge drinking 12th grade 37.3% (PNA 2006) NA NA Age of initiation 6th grade (PNA 2006) NA NA Age of initiation 8th grade (PNA 2006) NA NA Age of initiation 10th grade (PNA 2006) NA NA Age of initiation 12th grade (PNA 2006) NA NA Adult binge drinking 15.3% (BRFSS ) NA 2009 * From Wyoming PF Needs Assessment Workbook completed by the Carbon County community (Developed by WYSAC, 2007) 2010 Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

51 Appendix F: CONVERSE COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential subcategories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Converse County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Converse County and state rates of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Reports) and Comparison of Converse County and state rates of students Driving When They Had Been Drinking or Riding in a Motor Vehicle Driven by Someone Who Had Been Drinking (Youth Risk Behavior Survey) Consequence Indicator Years Wyoming Converse County Priority Consequence Driving under the influence (adults) Yes Driving under the influence (juveniles) Yes Liquor law violations (adults) No Liquor law violations (juveniles) Yes Student rode w/someone (past 30 days) % 21.3% Yes who had been drinking. (9th-12th grade) Student drove a car (past 30 days) after drinking. (9th-12th grade) % 10.5% Yes Five priority consequences chosen are shown in Table 1, driving under the influence adults and juveniles, and liquor law violations by juveniles. Coalition members are concerned with the consequences of drinking and driving, and underage drinking. Table 2: Comparison of Converse County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) and comparison of county and state of Alcohol Treatment Referrals (Mental Health and Substance Abuse Division) Consequence Indicator Year(s) Wyoming Converse County Priority Consequence Alcohol-related fatal motor vehicle crashes Yes Rate of referrals for alcohol treatment Yes A lcohol treatment was selected based on rates relative to the state and to additional medical consequences data the coalition had available on their population.

52 A n additional Local Consequence Indicator was used in the Converse County Community Needs Assessment and will be prioritized and tracked in the evaluation. Local consequence data identified was: Medical consequences data C onsequences related to the misuse of alcohol identified as Most Important to the Converse County community? Driving under the influence (adults and juveniles) Liquor law violations (juveniles) Driving with someone who has been drinking (YRBS) Drinking after driving (YRBS) Alcohol-related motor vehicle crashes: fatal Alcohol and emergency room admissions PRIORITY CONSUMPTION AREAS Table 3: Comparison of Converse County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) and Comparison of county and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System ) Consumption Indicator Data Source Grade / Age Wyoming Percent Converse County Percent Priority Consumption Area Past 30 Day Alcohol Use PNA 6th 6.7% 14.3% Yes 8th 27.1% 26.8% Yes 10th 39.9% 43.3% Yes 12th 48.2% 48.5% Yes YRBS 9th-12th 45.4% 41.7% Yes Youth binge drinking PNA 6th 4.1% 8.7% Yes (past 2 weeks) 8th 16.2% 14.6% Yes 10th 25.2% 25.5% Yes 12th 32.3% 35.9% Yes (past 30 days) YRBS 9th-12th 32.0% 27.0% Yes Adult Heavy Drinking (past 30 days) BRFSS 18 Years or Older 5.2% 6.0% Yes Youth binge drinking for 6th, 8th, 10th, and 12th grades are a priority for Converse County because the county rate is often higher than the Wyoming rate. Note: only one school district participated in the The most important consumption 2006 PNA which could have an influence on the outcomes for Converse County are: results. Adult heavy drinking is a priority because the county rate is higher than the state. Additionally coalition members believe that a change in heavy drinking will impact binge drinking. 30-day alcohol use: 6th, 8th, 10th & 12th grades and 9th 12th grades Youth binge drinking: 6th, 8th, 10th & 12th grades and 9th 12th grades Adult heavy drinking (BRFSS)

53 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Converse County consumption and consequence areas on which to focus. The causal areas shown in Table 4, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Evidence-Based Strategies Targeting Prioritized Causal Specific Indicators that Measure Change in Each Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Not applicable Not a priority area Social Availability Responsible Beverage Service Training Percentage of students obtaining their last drink of alcohol from six different sources (PNA) School-based social norms campaign Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Promotion Not applicable Not a priority area Community Norms Workforce drug-free policy trainings Establishment of a drug court Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) Wellderly Program Coalition capacity building Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) Individual Factors Workforce drug-free policy trainings School-based social norms campaign High risk individual evaluation In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) 2006 Substance Abuse Community Survey by SFL Percentage of youth at low, medium and high risk based upon the combination of predictive factors (PNA) Risk and protective factors: Sensation seeking Parents favorable attitude toward drug use Friends use of drugs Evidence-based Strategies for Converse County Responsible Beverage Service Training School-based social norms campaign Workforce drug-free policy trainings Establish drug court Wellderly Program Coalition capacity High risk individual evaluation

54 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Converse County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 30 members. On average, the coalition met about two or three times a month, and typically, 20 members attended the meeting. Prior to SPF SIG funding, Converse County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, and to create an action plan. However, did not use data to allocate resources, to evaluate its prevention efforts, or to monitor its progress. During the 12 months prior to SPF SIG funding, Converse County was not awarded any grants for substance abuse prevention, and four people were trained as Substance Abuse Prevention and Treatment Specialists. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? 21SIG- senior citizens, Block Grant had some overtures towards elderly and the use of prescription medicine. There were gaps in court representation and city council which limited the policy making piece. They were members and invited but they didn t come to meetings. Now, city and county government are working better together. Another gap is in the faith community- the coalition only had 2 churches off and on Q12. What training and professional development needs did coalition members have before the start of SPF SIG? How to look at data. Jane did a good job presenting information on how to look at data and what does it tell you. When SPF-SIG came, it looked at in a comprehensive form. Then the data suggested that the focus should be on alcohol. Before the SPF-SIG, individual focused on their areas of interest. Trainings were to individual interests. Now there is broader involvement of agencies, and links between problems-global and comprehensive Another need was SAPTS training. Before, not strategic in deciding what we needed to educate ourselves about. Before, coalition would send our members off to any training and then bring it back to train others. Q26. What local level data was used in prevention efforts in Converse County? Additional citywide assessment that was done in Douglas, and maybe Glenrock (2001) by the Wyoming Rural Development Council. High School YRBS/PNA local level data used to target problematic behaviors in adolescents. The data was used to make decisions on programs. Q49. Where could prevention capacity have been improved in Converse County prior to the award of SPF SIG funding? Missing groups- elderly, faith based, pulling in youth was great, pre-school or younger than kindergarten, Q50. What were the barriers to ATOD prevention in Converse County prior to SPF SIG funding? Cultural, lack of awareness, community norms, attitudes

55 PROCESS INFORMATION SYSTEM DATA Wyoming Survey & Analysis Center The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Converse County: Process information data Converse County Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign PO501 No Data Coalition PO502 No Data High Risk Individual Evaluation PO503 No Data Responsible Beverage Server Training PO504 No Data Workforce Drug-free policy training PO505 No Data Workforce Drug-free policy implementations PO506 No Data Social Norms Marketing PO507 No Data Wellderly PO508 No Data OUTCOME-BASED PREVENTION FOR CONVERSE COUNTY Table 6: Converse County: Outcome tracking measures Outcome Measure Baseline Rate* 2007 DUI arrests (adults) (DCI ) DUI arrests (juveniles) (DCI ) ^ Liquor law violations (juveniles) (DCI ) Riding with someone who has been drinking 21.3% (YRBS 2005) ** Driving after drinking 10.5% (YRBS 2005) ** Fatal crashes 12.0 (WYDOT ) 7.77 ^ (2006) Medical consequences 73 (Jan 2005-Aug 2006) ** alcohol in emergency room care day alcohol use 6th grade 14.3% (PNA 2006) NA NA 30-day alcohol use 8th grade 26.8% (PNA 2006) NA NA 30-day alcohol use 10th grade 43.3% (PNA 2006) NA NA 30-day alcohol use 12th grade 48.5% (PNA 2006) NA NA Binge drinking 6th grade 8.7% (PNA 2006) NA NA Binge drinking 8th grade 14.6% (PNA 2006) NA NA Binge drinking 10th grade 25.5% (PNA 2006) NA NA Binge drinking 12th grade 35.9% (PNA 2006) NA NA 30-day drinking 41.7 (YRBS 2005) ** NA NA Binge drinking 27.0 (YRBS 2005) ** NA NA Adult heavy drinking 6.0 (BRFSS ) NA * From Wyoming PF Needs Assessment Workbook completed by the Converse County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison. 2010

56 Appendix G: CROOK COUNTY Prevention Framework Fact Sheet PRIORITY CONSEQUENCES Wyoming Survey & Analysis Center Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Crook County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Crook County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Crook County Priority Consequence Driving under the influence (adults) No Driving under the influence (juveniles) Liquor law violations (adults) Liquor law violations (juveniles) Drunkenness (adults) Drunkenness (juveniles) No Yes Yes No No Two priority consequences were chosen from Table 1, liquor law violations (adults and juveniles) because of the concern in the county with underage drinking dditional Local Consequence Indicators A were used in the Crook County Community Needs Assessment will be prioritized and tracked in the evaluation. Local consequence data identified included: Minor in possession filings at Circuit Court. Consequences related to the misuse of alcohol identified as Most Important to the Crook County community? Liquor law violations (adults and juveniles) Minor in possession filings at Circuit Court

57 PRIORITY CONSUMPTION AREAS Table 2: Comparison of Crook County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) Consumption Indicator Data Source Grade Wyoming Percent Crook County Percent Priority Consumption Area Past 30 Day Alcohol Use PNA 6th 6.7% 7.0% Yes 8th 27.1% 32.9% Yes 10th 39.9% 38.8% Yes 12th 48.2% 57.7% Yes Youth binge drinking PNA 6th 4.1% 4.4% Yes (past 2 weeks) 8th 16.2% 18.2% Yes 10th 25.2% 23.9% Yes 12th 32.3% 42.6% Yes Table 3. Comparison of Crook County and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Rate Percentage of adults (18 years and older) who report binge drinking in the past 30 days Percentage of adults (18 years and older) who report heavy drinking in the past 30 days Crook County Rate 16.5% 16.3% Yes Priority Consumption Area 5.2% 5.7% No PRIORITY CAUSAL AREAS The most important consumption outcomes for Crook County are: 30-day alcohol use: 6th, 8th, 10th & 12th grades, and 9th 12th grades Youth binge drinking: 6th, 8th, 10th & 12th grades, and 9th 12th grades Adult heavy drinking (BRFSS)

58 Priority causal areas were determined on completion of a formal needs assessment which also identified both Crook County consumption and consequence areas on which to focus. The causal areas shown in Table 4, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Specific Indicators that Measure Change in Each Causal Areas Targeting Prioritized Causal Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Not applicable Not a priority area Social Availability CMCA Focus groups Percentage of students obtaining their last drink of alcohol from six different sources (PNA) CMCA Local media CMCA Parent education Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Peer-to-peer campaign Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Promotion Not applicable Not a priority area Community Norms CMCA Focus groups Percentage of agreement or disagreement to the statement alcohol should not be sold at community CMCA Local media events, such as fairs, sporting events, pa- rades, and rodeos (Wyoming Alcohol Use Issues CMCA Parent education Survey) Peer-to-peer campaign Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) Individual Factors Not applicable Not a priority area In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Evidence-based Strategies for Crook County CMCA Focus groups CMCA Local media CMCA Parent education Peer-to-peer campaign Coalition

59 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Crook County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 8 members. On average, the coalition met about once a month, and typically, 4 members attended the meeting. Prior to SPF SIG funding, Crook County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to allocate resources, to evaluate its prevention efforts, and to monitor its progress. During the 12 months prior to SPF SIG funding, Crook County was awarded four grants for substance abuse prevention, totaling an amount of $120,000 and prior to SPF SIG funding, one person was trained as a Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? People from Hewlett and Moorcroft, and youth (we can only reach those in afterschool programs). Q12. What training and professional development needs did coalition members have before the start of SPF SIG? Board training we are trying to stabilize our board before we do training. We needed training specific to state of the art prevention services. Q26. What local level data was used in prevention efforts in Crook County? We didn t really tap into DUI rates or WYDOT fatality rates, we didn t focus as much. We used PNA and YRBS. We look at attendance and demographic and target populations - graduation rates. For the tobacco grant we worked with circuit court to analyze local numbers. We didn t get far, it s an ongoing process to see what sorts of needs we have as evidenced by the courts. It s difficult to find data in Crook County. Nobody collects it. There is no gathering agency. We see skewed results. Q49. Where could prevention capacity have been improved in Crook County prior to the award of SPF SIG funding? The justice system could have been more involved - no drug court, judge and county attorney cooperative when we asked them to help, but they don t initiate activity on their own, and law enforcement could have been more directly involved. Since March 07 am optimistic about professional involvement. Capacity building was a huge part of the time line (tobacco). The political and social views in the county have been detrimental to the efforts. Q50. What were the barriers to ATOD prevention in Crook County prior to SPF SIG funding? Just that attitude of leave us alone, we can do what we want. Knowledge of drug prevention, what it is and what it looks like. The community doesn t want to work for a cause that they are not sure of the understanding is not fully there, only bits and pieces of it are. A lot more awareness of problems and potential aids to substance abuse prevention on a personal and institutional level - believe we have made some progress.

60 PROCESS INFORMATION SYSTEM DATA Wyoming Survey & Analysis Center The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Crook County: Process information data Crook County Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign PO601 No Data Crook County Cares Coalition PO602 No Data CMCA Media Campaign PO603 14,800 CMCA Focus Groups PO CMCA Parent Education PO Selected OUTCOME-BASED PREVENTION FOR CROOK COUNTY Table 6: Crook County: Outcome tracking measures Outcome Measure Baseline Rate* 2007 Liquor law violations (adults) (DCI ) Liquor law violations (juveniles) (DCI ) ^ MIP filings from Circuit Court 114 (Circuit Court 2006) ** 30-day alcohol use 6th grade 7.0% (PNA 2006) NA 30-day alcohol use 8th grade 32.9% (PNA 2006) NA 30-day alcohol use 10th grade 38.8% (PNA 2006) NA 30-day alcohol use 12th grade 57.7% (PNA 2006) NA Binge drinking 6th grade 4.4% (PNA 2006) NA Binge drinking 8th grade 18.2% (PNA 2006) NA Binge drinking 10th grade 23.9% (PNA 2006) NA Binge drinking 12th grade 42.6% (PNA 2006) NA Adult binge drinking 16.3% (BRFSS ) NA * From Wyoming PF Needs Assessment Workbook completed by the Crook County community (Developed by WYSAC, 2007) 2010 Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

61 Appendix H: FREMONT COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Fremont County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Fremont County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Fremont County Priority Consequence Driving under the influence (adults) Yes Driving under the influence (juveniles) No Liquor law violations (adults) No Liquor law violations (juveniles) Yes Drunkenness (adults) No Drunkenness (juveniles) No Two priority consequences were chosen from Table 1 for Fremont County, Driving under the influence (adults) because the county s rate is higher than the state s and liquor law violation arrests (juveniles) because community members are concerned with underage drinking in general. Table 2: Comparison of FremontCounty and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Fremont County Priority Consequence Alcohol-related motor vehicle crash fatalities Secondary Alcohol-related fatal motor vehicle crashes Secondary Alcohol-related motor vehicle injury crashes Secondary Alcohol-related motor vehicle property crashes Secondary These are all secondary consequences for Fremont County as is the Rate of referrals for alcohol treatment which is at 2107 per 100,000 versus a state rate of Community members believe that these rates will be affected by current measures and are interested in following these rates, but are not targeting these directly.

62 Aadditional Local Consequence Indicators were used in the Fremont County Community Needs Assessment will be prioritized and tracked in the evaluation. Local consequence data identified included: MIP filings from Circuit Court MIP BAC (Evaluation of Alcohol Factors in Custodial Arrests in Wyoming) - Secondary DUI BAC (Evaluation of Alcohol Factors in Custodial Arrests in Wyoming) - Secondary C onsequences related to the misuse of alcohol identified as Most Important to the Fremont County community? DUI arrests (adults) Liquor law violations (juveniles) MIP filings from Circuit Court MIP BAC DUI BAC Alcohol-related motor vehicle crashes: fatal, injury and property (secondary) Alcohol-related motor vehicle fatalities (secondary) Treatment for alcohol (secondary) PRIORITY CONSUMPTION AREAS Table 3: Comparison of Fremont County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) and comparison of Fremont County and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System ) Consumption Indicator Data Source Grade or Age Wyoming Percent Fremont County Percent Priority Consumption Area Past 30 Day Alcohol Use PNA 6th 6.7% 6.9% Yes 8th 27.1% 22.9% Yes 10th 39.9% 37.2% Yes 12th 48.2% 50.8% Yes Youth binge drinking PNA 6th 4.1% 5.6% No (past 2 weeks) 8th 16.2% 14.4% No 10th 25.2% 25.6% No 12th 32.3% 32.4% No Adult binge Drinking in the (past 30 days) BRFSS 18 Years or Older 16.5% 14.7% Secondary Past 30-day alcohol use for all grades and adult binge drinking are priorities for Fremont County because community members are concerned with underage and binge drinking. Although binge drinking is not a priority because members feel that binge drinking will be affected by reducing past 30-day use of alcohol. Additional local data available to Fremont County was: PNA 2005: Age of initiation to alcohol This consumption indicator is important too, and will by tracked by the county.

63 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Fremont County consumption and consequence areas on which to focus. The causal areas shown in Table 4, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Evidence-Based Strategies Targeting Prioritized Specific Indicators that Measure Change in Each Prioritized Causal Area Causal Areas Retail Availability Not applicable Not a priority area Criminal Justice Communities Mobilizing for Change Against Alcohol (CMCA) server training Compliance checks want stiffer penalties Penalties for DUI and MIPs. Policy changes Percentage of survey participants who agreed or disagreed with the statement: local law enforcement should strongly enforce laws regulating alcohol use by youth under age 21 (Wyoming Alcohol Use Issues Survey) with reservations about number of household with land line phones Social Availability CMCA media and education Percentage of survey participants who agreed or disagreed with the statement: adults who supply alcohol to youth under age 21 in violation of Wyoming law should be prosecuted (Wyoming Alcohol Use Issues Survey) with reservations about number of household with land line phones reach Law enforcement interviews Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Town hall meetings Promotion Not applicable Not a priority area Community Norms Statewide media campaign CMCA media and education Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) Policy changes Alcohol free community events Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Town hall meetings Individual Factors Not applicable Not a priority area

64 Evidence-based Strategies for Fremont County CMCA server training Policy changes Statewide media campaign CMCA media and education Alcohol free community events INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are not currently available. PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Fremont County: Process information data Fremont County Strategy PI Direct # Indirect # Number Served Served Social Norms Campaign PO701 No Data Coalition PO702 No Data CMCA-Server Training PO703 No Data CMCA-Media & Education PO704 No Data Policy Changes PO705 No Data Alcohol Free Community PO706 No Data

65 Wyoming Survey & Analysis Center OUTCOME-BASED PREVENTION FOR FREMONT COUNTY Table 6: Fremont County: Outcome tracking measures Outcome Measure Baseline Rate* DUI arrests (adults) (DCI ) Liquor law violation arrests (juveniles) (DCI ) MIP filings from Circuit Court 117 (Circuit Court 2006) ** MIP BAC (Chief & Sheriffs Report 2006) DUI BAC (Chief & Sheriffs Report 2006) day alcohol use 6th grade 6.9% (PNA 2006) NA NA 30-day alcohol use 8th grade 22.9% (PNA 2006) NA NA 30-day alcohol use 10th grade 37.2% (PNA 2006) NA NA 30-day alcohol use 12th grade 50.8% (PNA 2006) NA NA Alcohol-related motor vehicle fatal crashes - secondary Alcohol-related motor vehicle injury crashes - secondary Alcohol-related motor vehicle property crashes - secondary Alcohol-related motor vehicle fatalities -secondary (WYDOT ) ^ (2006) (WYDOT ) (2006) (WYDOT ) Not Reported (WYDOT ) ^ (2006) Alcohol treatment - secondary 2107 (MHASAD) Not Reported Binge drinking - secondary 14.7% (BRFSS ) NA Age of Initiation indicated in grade (PNA 2006) NA * From Wyoming PF Needs Assessment Workbook completed by the Fremont County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison. Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

66 Appendix I: GOSHEN COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Goshen County s needs assessment data that lead to strategic decisions are shown here. A comparison of county and state rates of Alcohol-Related Crime with chosen priorities as listed in the Division of Criminal Investigation Annual Reports , revealed that Goshen County is lower than the rate per 100,000 people in DUI s and drunkenness for both juveniles and adults. Although Goshen was slightly higher than the state rate for liquor law violations this is not a chosen priority consequence because the coalition believes these will be positively impacted by addressing consumption priorities. Table 1: Comparison of Goshen County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Community Priority Consequence Alcohol-related motor vehicle crash fatalities Yes Alcohol-related fatal motor vehicle crashes Alcohol-related motor vehicle injury crashes Alcohol-related motor vehicle property crashes Yes Yes Yes Priority consequences for Goshen County are shown in Table 1. The county is concerned with the consequences of drinking and driving and Goshen County wants to consider all crashes in combination due to the size of the county.

67 PRIORITY CONSUMPTION AREAS Table 2: Comparison of Goshen County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) Consumption Indicator Data Source Grade Wyoming Percent Goshen County Percent Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 7.5% Yes 8th 27.1% 30.6% Yes 10th 39.9% 49.3% Yes 12th 48.2% 58.9% Yes Youth binge drinking PNA 6th 4.1% 3.6% No (past 2 weeks) 8th 16.2% 12.0% No 10th 25.2% 33.8% Yes 12th 32.3% 39.3% Yes Table 3. Comparison of Goshen County and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Percent Adults (18 years and older) who report binge drinking in the past 30 days Adults (18 years and older) who report heavy drinking in the past 30 days Consequences related to the misuse of alcohol identified as Most Important to the Goshen County community? Alcohol-related motor vehicle crashes: fatal, injury and property Alcohol-related motor vehicle fatalities Goshen County Percent 16.5% 13.9% Yes Priority Consumption Area 5.2% 3.3% Yes Past 30-day alcohol use for 6th, 8th, 10th, and 12th grades are priorities for Goshen County and binge drinking for 10th and 12th grades are priorities because the county rate is higher than the Wyoming rate. Adult binge drinking and heavy drinking are priority consumption outcomes chosen from Table 3 because the community members are concerned with adults drinking too much. The most important consumption outcomes for Goshen County are: 30-day alcohol use: 6th, 8th, 10th, & 12th grades Youth binge drinking: 10th & 12th grades Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS)

68 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Goshen County consumption and consequence areas on which to focus. The causal areas shown in Table 4, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Retail Availability Evidence-Based Strategies Targeting Prioritized Causal Areas Compliance checks Specific Indicators that Measure Change in Each Prioritized Causal Area Compliance checks Policy change Criminal Justice Not applicable Not a priority area Social Availability Responsible Beverage Server Percentage of students obtaining their last drink of Training alcohol from six different sources (PNA) Policy change Life of An Athlete Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Town hall meetings Promotion Not applicable Not a priority area Community Norms Policy change Life of An Athlete Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) Town hall meetings Individual Factors Not applicable Not a priority area Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) especially 10th and 12th In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Evidence-based Strategies for Goshen County Compliance checks Responsible Beverage Server Training Policy change Life of An Athlete

69 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Goshen County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 10 members. On average, the coalition met about two or three times a month, and typically, 7-8 members attended the meeting. Prior to SPF SIG funding, Goshen County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, and to evaluate its prevention efforts. However, they did not use data to allocate resources or monitor its progress. During the 12 months prior to SPG SIG funding, Goshen County was not awarded any grants for substance abuse prevention, and two people were trained as Substance Abuse Prevention and Treatment Specialists. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Police department and city government. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? How to identify and work with a coalition structure. Q26. What local level data was used in prevention efforts in Goshen County? From the courts and law enforcement, their annual and quarterly reports, agency specific prevention programs. For example, Youth Alternatives was working with the courts and Sheriff in gathering data that proved stats to keep our program running and where we need to increase staff, etc. Individual agencies use that data on a regular basis, non-profit agencies need to support their efforts. Q49. Where could prevention capacity have been improved in Goshen County prior to the award of SPF SIG funding? In the areas of collaboration and working together towards a more focused goal and a significant outcome instead of heading in so many different directions. Q50. What were the barriers to ATOD prevention in Goshen County prior to SPF SIG funding? A community attitude, a communication barrier - not for a lack of what to have it be but it just wasn t initiated - a lack of common goal - individual agencies in competition doing their own thing, a competitive nature versus a collaborative nature.

70 PROCESS INFORMATION SYSTEM DATA Wyoming Survey & Analysis Center The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Goshen County: Process information data Goshen County Strategy PI Number Direct # Served Social Norms Campaign PO801 No Data Coalition PO802 No Data Life of an Athlete PO803 No Data Indirect # Served OUTCOME-BASED PREVENTION FOR GOSHEN COUNTY Table 6: Goshen County: Outcome tracking measures Outcome Measure Baseline Rate* Alcohol-related fatal crashes (WYDOT ) 8.24 ^ (2006) Alcohol-related injury crashes (WYDOT ) ^ (2006) Alcohol-related property crashes 68.0 (WYDOT ) Not Reported Alcohol-related motor vehicle fatalities (WYDOT ) 8.24 ^ (2006) Alcohol-related crashes: fatal, injury, (WYDOT ) Not Reported and property 30-day alcohol use 6th grade 7.5% (PNA 2006) NA 30-day alcohol use 8th grade 30.6% (PNA 2006) NA 30-day alcohol use 10th grade 49.3% (PNA 2006) NA 30-day alcohol use 12th grade 58.9% (PNA 2006) NA Binge drinking 10th grade 33.8% (PNA 2006) NA Binge drinking 12th grade 39.3% (PNA 2006) NA Adult binge drinking 13.9% (BRFSS ) NA Adult heavy drinking 3.3% (BRFSS ) NA 2009 * From Wyoming PF Needs Assessment Workbook completed by the Goshen County community (Developed by WYSAC, 2007) ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

71 Appendix J: HOT SPRINGS COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Hot Springs County s needs assessment data that lead to strategic decisions are shown here. Hot Springs County rates for alcohol related motor vehicle crashes, DUI s and drunkenness according to the Division of Criminal Investigation Annual Reports and the Wyoming Department of Transportation, are lower than the state average for both juveniles and adults. Given this the Hot Springs community did not believe there was ample time in the constraints of the funding to effect measurable change, so they opted to focus on consumption rather than consequences. A dditional Local Consequence Indicators were used in the Hot Springs County Community Needs Assessment and will be prioritized and tracked in the evaluation. Local consequence data identified included: MIP filings from Circuit Court - Secondary Adult DUI filings from Circuit Court - Secondary Juvenile DUI filings from Circuit Court - Secondary The coalition believes that by addressing consumption, consequences will be effected too.

72 PRIORITY CONSUMPTION AREAS Table 1: Comparison of Hot Springs County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006 ) Consumption Indicator Data Source Grade Wyoming Percent Hot Springs County Percent Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 9.5% Yes 8th 27.1% 33.3% Yes 10th 39.9% 35.7% Yes 12th 48.2% 56.5% Yes YRBS 9th-12th 45.4% 50% Yes Youth binge drinking PNA 6th 4.1% 5.1% Yes (past 2 weeks) 8th 16.2% 20.5% Yes 10th 25.2% 35.7% Yes 12th 32.3% 43.5% Yes (past 30 days) YRBS 9th-12th 32.0% 39.8% Yes Table 2: Comparison of Natrona County and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Percent Adults (18 years or older) who report binge drinking in the past 30 days Adults (18 years and older) who report heavy drinking in the past 30 days Natrona County Percent % 14.4% Yes Priority Consumption Area % 3.0% Yes Past 30-day alcohol use and Youth binge drinking for all grades are priorities for Hot Springs County. This is because the county percentage is generally higher than the Wyoming percentage. Adult binge drinking is a priority consumption outcome chosen from Table 2 because Hot Springs County community members are concerned with the risks surrounding binge drinking. PRIORITY CAUSAL AREAS The most important consumption outcomes for Hot Springs County are: 30-day alcohol use: (PNA) 6th, 8th, 10th and 12th grades (YRBS) 9th -12th grade Youth binge drinking: (PNA) 6th, 8th, 10th and 12th grades (YRBS) 9th -12th grade Adult binge drinking (BRFSS) Priority causal areas were determined on completion of a formal needs assessment which also identified both Hot Springs County consumption and consequence areas on which to focus. The causal areas shown in Table 3, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan.

73 Table 3: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Specific Indicators that Measure Change in Each Causal Areas Targeting Prioritized Causal Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Minors in possession statute Percentage of convictions of alcohol-related crime within the Circuit Court Percentage of survey participants who agreed or disagreed with the statement: local law enforcement should strongly enforce laws regulating alcohol use by youth under 21 (Wyoming Alcohol Use Issues Survey) Percentage of survey participants who agreed or disagreed with the statement: adults who supply alcohol to youth under age 21 in violation of Wyoming law should be prosecuted. (Wyoming Alcohol Use Issues Survey) Social Availability CMCA STAND SADD Law enforcement interviews Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Coalition discussion Promotion Not applicable Not a priority area Community Norms CMCA Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming STAND Alcohol Use Issues Survey) Individual Factors SADD CMCA STAND SADD Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Youth at high, medium and low risk (PNA) Risk and protective factors: Favorable attitude toward drug use Evidence-based Strategies for Hot Springs County Minors in possession statute STAND CMCA media campaigns SADD Educate key stakeholders Social norms campaign Coalition

74 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Hot Springs County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 24 members. On average, the coalition met about once a month, and typically, 15 members attended the meeting. Prior to SPF SIG funding, Hot Springs County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to allocate resources, to evaluate its prevention efforts, and to monitor its progress. During the 12 months prior to SPG SIG funding, Hot Springs County was awarded one grant for substance abuse prevention, totaling $150,000 and prior to SPG SIG funding, one person was trained as a Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Always a gap here and there now -Ministerial association, doctors. We brought in more people after we got started with SPF SIG, man on the street not agency related; increased medical field. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? 4-5 SAPTS training about time of 21st Century. It would be good to have training in town as many people are professionals and can not afford the time for training that is far away. 21st SIG community based program training. Did trainings with CADCA or MCAPT, summer institute. Needed more training in that but never able to get that, hard to send people away for a week. Want local training, or rotation training, or shorter training. Building capacity for long term planning and implementation can be supported. Q26. What local level data was used in prevention efforts in Hot Springs County? Public health, DFS, law enforcement, PNA, YRBS. Been going on for quite a number of years. School data - PNA, YRBS,old data from Search Institute outdated now no longer used, DFS provided county data, police and sheriff shared data. Q49. Where could prevention capacity have been improved in Hot Springs County prior to the award of SPF SIG funding? Community norms needed to be addressed and did do that kind of, spreading the message and connecting individuals to it. Large past coalition but it was part of their jobs Q50. What were the barriers to ATOD prevention in Hot Springs County prior to SPF SIG funding? Community norms acceptance of alcohol, availability. Habits are hard to break. Early onset of alcohol part of the tradition. Break traditions. Times have changed, attitudes, but some have not.

75 PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 4: Hot Springs County: Process information data Hot Springs Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign PO901 No Data Hot Springs County Substance Abuse Coalition PO902 No Data STAND PO903 No Data SADD PO904 No Data Policy and Statute Changes PO905 No Data Meetings with Judicial System PO906 No Data CMCA Media Campaign PO907 6,500 OUTCOME-BASED PREVENTION FOR HOT SPRINGS COUNTY Table 5: Hot Springs County: Outcome tracking measures Outcome Measure Baseline Rate* day alcohol use 6th grade 9.5% (PNA 2006) NA NA 30-day alcohol use 8th grade 33.3% (PNA 2006) NA NA 30-day alcohol use 10th grade 35.7% (PNA 2006) NA NA 30-day alcohol use 12th grade 56.5% (PNA 2006) NA NA Binge drinking 6th grade 5.1% (PNA 2006) NA NA Binge drinking 8th grade 20.5% (PNA 2006) NA NA Binge drinking 10th grade 35.7% (PNA 2006) NA NA Binge drinking 12th grade 43.5% (PNA 2006) NA NA 30-day drinking (YRBS) 50% (YRBS 2005) ** NA NA Binge drinking (YRBS) 39.8% (YRBS 2005) ** NA NA Adult binge drinking 14.4% (BRFSS ) NA MIP filings 48 (Circuit Court 2006) ** Adult DUI filings 53 (Circuit Court 2006) ** Juvenile DUI 5 (Circuit Court 2006) ** * From Wyoming PF Needs Assessment Workbook completed by the Hot Springs County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone. Wyoming Survey & Analysis Center 2010

76 Appendix K: JOHNSON COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Johnson County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Johnson County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Johnson County Priority Consequence Alcohol-related motor vehicle crash fatalities Yes Alcohol-related fatal motor vehicle crashes Yes Alcohol-related motor vehicle injury crashes Yes Alcohol-related motor vehicle property crashes Yes Alcohol related vehicle crashes are priorities for Johnson County because the county rate per 100,000 population is often higher than the Wyoming rate. Johnson County wants to consider all crashes in combination due to the small size of the county. Table 2: Comparison of Johnson County and state rates of Alcohol Treatment Referral (Mental Health and Substance Abuse Division) Consequence Indicator Year Wyoming Johnson County Rate of referrals for alcohol treatment in Wyoming, by County of Referral Priority Consequence Yes Alcohol treatment is a priority consequence because the coalition in Johnson County would like the treatment of alcohol abuse and dependency to increase as the problem becomes better recognized. This measure may be better coming from Northern Wyoming Mental Health numbers.

77 A dditional Local Consequence Indicators were used in the Johnson County Community Needs Assessment will be prioritized and tracked in the evaluation. Local consequence data identified included: Northern Wyoming Mental Health: alcohol as primary diagnosis MIP filings from Circuit Court C onsequences related to the misuse of alcohol identified as Most Important to the Johnson County community? Alcohol-related crashes: fatal, injury, and property Alcohol-related fatalities Alcohol as a primary diagnosis MIP filings from Circuit Court PRIORITY CONSUMPTION AREAS Table 3: Comparison of Johnson County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) Consumption Indicator Data Source Grade Wyoming Percent Johnson County Percent Priority Consumption Area Past 30 Day Alcohol Use PNA 6th 6.7% 11.0% Yes 8th 27.1% 29.7% Yes 10th 39.9% 36.8% No 12th 48.2% 48.9% No Youth binge drinking PNA 6th 4.1% 6.8% Yes (past 2 weeks) 8th 16.2% 16.2% Yes 10th 25.2% 29.9% Yes 12th 32.3% 33.3% Yes Table 4. Comparison of Johnson County and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Percent Percentage of adults (18 years and older) who report binge drinking in the past 30 days Johnson County Percent 16.5% 16.4% Yes Priority Consumption Area The most important consumption outcomes for Johnson County are: 30-day alcohol use: 6th, & 8th grades Youth binge drinking: 6th, 8th,10th & 12th grades Adult binge drinking (BRFSS)

78 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Johnson County consumption and consequence areas on which to focus. The causal areas shown in Table 5, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 5: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Specific Indicators that Measure Change in Each Causal Areas Targeting Prioritized Causal Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Social hosting laws Percentage of convictions of alcohol-related crime within the Circuit Court Compliance checks Social Availability Responsible Beverage Service training Social host policy Education by focus group: parent group, youth group Compliance checks Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) During the past 30 days, where did you usually drink alcohol? (YRBS) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Interview (focus groups) Promotion Not applicable Not a priority area Community Norms Social host policy Party patrols Education by focus group Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) Percentage of students who attended community events Responsible Beverage Service where alcohol was sold, adults were drinking or adults were Training drunk (PNA) (secondary) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) (secondary) Individual Factors Youth group SPEAR media Interviews (focus groups) Percentage of youth at low, medium and high risk based upon the combination of predictive factors (PNA) (10th, and 12th) Risk and protective factors: Sensation seeking Parents favorable attitude toward drug use (10th, and 12th) Friends use of drugs

79 Evidence-based Strategies for Johnson County Coalition Parent group Youth group (SPEAR) SPEAR media Marketing, education and resources on alcohol-related issues Media (FACE/WFLI) Responsible Beverage Service Training Social hosting policy Compliance checks INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Johnson County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 25 members. On average, the coalition met about once a month, and typically, 12 members attended the meeting. Prior to SPF SIG funding, Johnson County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to allocate resources, and to evaluate its prevention efforts. Johnson county did not use data to monitor its progress. During the 12 months prior to SPF SIG funding, Johnson County was awarded fourteen grants for substance abuse prevention, totaling $786,000 and one person was trained as a Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? People are there in paper but could be stronger involvement. Sometimes come to meetings - Law enforcement, (particularly police force, not following up) DFS strength but can t do much outside of meetings City and county government coalition is low on the priority list Faith groups, concerned parents, business associations, civic groups (Rotary, Kiwanas, women s groups), and minorities although limited in Johnson county, lesbian/bisexual. We had a difficult time engaging the faith community, courts, the county attorney, and judges. We did have parents intermittently, but it would have been nice to have more parents and youth. Other gaps were business organizations. Parents, students, religious community. Q12. What training and professional development needs did coalition members have before the start of SPF SIG?

80 What it is that we are talking about, why is underage drinking a problem and what is the problem in our community. Definitely needed training on the issues, uniformed on alcohol-related issues, underage drinking, binge drinking, the misuse of alcohol, data in the county - PNA, adult survey a lot of education needs for the coalition. Advertising issues with alcohol. Oh, we probably could have used training in prevention education, drug and alcohol education, education regarding problems in our community, and myths about what is problematic in our community. People have good intentions but we don t always have the correct information. I think all of our members need more training in the biological aspect of alcohol consumption. If people knew it, they could sell it better than just being a morality issue. They could have the facts. Science - Train the Trainers Training. Q26. What local level data was used in prevention efforts in Johnson County? Surveys, YRBS, PNA etc. Nothing on own. All Department of Health surveys, maybe some anecdotal data to support. Particularly around youth, may have looked at law enforcement figures on arrests instances of drinking and driving and alcohol-related arrests I think. Data to provide support that meth was in our community already. Will need to ask Sydney but Block Grant required data to be used - YRBS and PNA. In our block grant application we are required to provide demographics about our community and that was certainly used. We had gathered additional information about court referrals after SPF SIG began. We also looked at PNA/YRBS data. People have good intentions, but we don t always have the correct information. Q49. Where could prevention capacity have been improved in Johnson County prior to the award of SPF SIG funding? Better understanding and support from key agencies and key people, willingness and unwillingness I think exactly in the way SPF SIG is going - getting agencies to work together, combining resources, time Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone. and energy, and education to a certain level. I think that we were we needed something that had been more organized, more collaboration on the state part and sustaining professional members in prevention positions. We would build a strong coalition and then someone would leave and the coalition would fall apart for a few months. Also, sustaining prevention efforts from the state level, knowing what we re supposed to be doing and the best way to go about doing it. The way it s happening now is helpful. Community awareness - changing norms is difficult and time consuming and that s where the work needs to be done. Teaching. Q50. What were the barriers to ATOD prevention in Johnson County prior to SPF SIG funding? Lack of understanding, reluctance to change. Strain on resources, people can only do so much Some was people s attitudes - alcohol wasn t a problem. I think the primary barriers are the attitudes that support use Community norms, what people believe is normal. There was some difficulty working with the police department. A feeling they had to be decisive in whatever the data was it wasn t what we wanted to see.

81 PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 6: Johnson County: Process information data Johnson County Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign P1001 No Data Substance Abuse Prevention Coalition P1002 No Data Parent Coalition P1003 No Data SPEAR Coalition & Media Campaign P ,850 FACE adn First Ladies Initiative Media Campaign P ,350 Public Events P ,875 Responsible Beverage Service Training P1007 No Data Parents Who Host P1008 No Data Compliance Checks P1009 No Data OUTCOME-BASED PREVENTION FOR JOHNSON COUNTY Table 7: Johnson County: Outcome tracking measures Outcome Measure Baseline Rate* Wyoming Survey & Analysis Center day alcohol use 6th grade 11.0% (PNA 2006) NA NA 30-day alcohol use 8th grade 29.7% (PNA 2006) NA NA Binge drinking 6th grade 6.8% (PNA 2006) NA NA Binge drinking 8th grade 16.2% (PNA 2006) NA NA Binge drinking 10th grade 29.9% (PNA 2006) NA NA Binge drinking 12th grade 33.3% (PNA 2006) NA NA Fatal crashes (WYDOT ) ^ (2006) Injury crashes (WYDOT ) ^ (2006) Property crashes (WYDOT ) Not Reported Alcohol-related crashes: Fatal, (WYDOT ) Not Reported injury and property Alcohol-related fatalities (WYDOT ) ^ Adult binge drinking 16.4% (BRFSS ) NA Alcohol as primary diagnosis 132 (Northern Wyoming Mental ** Health 2006) MIP filings 45 (Circuit Court 2006) ** * From Wyoming PF Needs Assessment Workbook completed by the Johnson County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison. 2010

82 Appendix L: LARAMIE COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Laramie County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Laramie County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Community Priority Consequence Driving under the influence (adults) Secondary Driving under the influence (juveniles) Secondary Liquor law violations (adults) Secondary Liquor law violations (juveniles) Secondary Drunkenness (adults) Secondary Drunkenness (juveniles) Secondary Table 2: Comparison of Laramie County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Community Priority Consequence Alcohol-related motor vehicle crash fatalities Secondary Alcohol-related fatal motor vehicle crashes Secondary Alcohol-related motor vehicle injury crashes Secondary Alcohol-related motor vehicle property crashes Secondary T hese are all secondary consequences because community members in Laramie County are examining alcohol-related policies which may or may not impact alcohol-related crash, crime or treatment data. Table 3. Comparison of Laramie County and state rates of Alcohol Treatment Referral (Mental Health and Substance Abuse Division) Consequence Indicator Year Wyoming Community Priority Consequence Referrals for alcohol treatment in Wyoming by county of referral Secondary

83 Consequences related to the misuse of alcohol identified as Most Important to the Laramie County community? Driving under the influence (adults and juveniles) - Secondary Liquor law violations (adults and juveniles) Secondary Drunkenness (adults and juveniles) - Secondary Driving with someone who has been drinking (YRBS) - Secondary Drinking after driving (YRBS) - Secondary Alcohol-related motor vehicle crashes: fatal, injury and property - Secondary Alcohol-related motor vehicle fatalities Secondary Alcohol-related treatment - Secondary PRIORITY CONSUMPTION AREAS Table 4: Comparison of Laramie County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006 ) Consumption Indicator Data Source Grade Wyoming Percent Laramie County Percent Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 6.3% No 8th 27.1% 30.9% Yes 10th 39.9% 41.1% Secondary 12th 48.2% 42.0% Secondary Youth binge drinking PNA 6th 4.1% 4.0% No (past 2 weeks) 8th 16.2% 17.6% Yes 10th 25.2% 23.7% Secondary 12th 32.3% 23.3% Secondary Adults (18 years and older) who report heavy drinking in the past 30 days Table 5: Comparison of Community and State for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Laramie Priority Percent County Percent Consumption Area Adults (18 years and older) who report binge drinking in the past 30 days % 16.8% Secondary % 4.5% Secondary The most important consumption outcomes for Laramie County are: 30-day alcohol use (PNA): 8th grade Youth binge drinking (PNA): 8th grade Past 30-day alcohol use and Youth binge drinking for 8th graders are priorities for Laramie County. This is because the county rate is higher than the Wyoming rate. Past 30-day alcohol use and Youth binge drinking for 10th and 12th graders and Binge drinking and heavy drinking among adults are secondary priorities for Laramie County.

84 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Laramie County consumption and consequence areas on which to focus. The causal areas shown in Table 6, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 6: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Evidence-Based Strategies Targeting Prioritized Causal Areas Specific Indicators that Measure Change in Each Prioritized Causal Area Retail Availability Not applicable Not a priority area Criminal Justice Policy review Percentage of participants who agreed or disagreed with the statement: local law enforcement should strongly enforce laws regulating alcohol use by youth under age 21 (Wyoming Alcohol Use Issues Survey) Percentage of participants who agreed or disagreed with the statement: adults who supply alcohol to youth under age 21 in violation of Wyoming law should be prosecuted (Wyoming Alcohol Use Issues Survey) Law enforcement interviews Social Availability Policy review Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Town hall meetings Promotion Not applicable Not a priority area Community Norms Family Matters Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Individual Factors Family Matters Youth at high risk (PNA) Risk and protective factors: Parents favorable attitude toward drug use Sensation seeking Favorable attitudes toward drugs

85 Evidence-based Strategies for Laramie County Policy changes Family Matters Social norms campaign Coalition INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Laramie County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 44 members and typically, 20 members attended each coalition meeting. Prior to SPF SIG funding, Laramie County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to evaluate its prevention efforts, and to monitor its progress; however, they did not use data to allocate resources. During the 12 months prior to SPF SIG funding, Laramie County was not awarded any grants for substance abuse prevention and was unable to identify any trained Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Pretty strong membership Q12. What training and professional development needs did coalition members have before the start of SPF SIG? They had attended CADCA training in D.C., outcomes based training. Training and development needs - how to effectively change policy and change attitudes. Work around cultural competency goes unmet. Prevention Specialist Training (SAPST). Q26. What local level data was used in prevention efforts in Laramie County? Needs assessment that came out of the needs assessment and local data was used to focus our efforts, poverty, health. All strategic plans all local data driven. Q49. Where could prevention capacity have been improved in Laramie County prior to the award of SPF SIG funding? Wide open to be improved, limited resources, Department of education grants that may or not have been there, closing some cohorts. SPF SIG technical assistance, need assessment in needs assessment, greater program depth. Q50. What were the barriers to ATOD prevention in Laramie County prior to SPF SIG funding? Money, inadequate knowledge of what data said, depending on who asked, inadequate knowledge of what data was saying.

86 PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 7: Laramie County: Process information data Wyoming Survey & Analysis Center Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign P1101 No Data Laramie County Community Partnership P1102 No Data Family Matters (selected) P1103 No Data Policy Change P1104 No Data OUTCOME-BASED PREVENTION FOR LARAMIE COUNTY Table 8: Laramie County: Outcome tracking measures Outcome Measure Primary Baseline Rate* day alcohol use 8th grade 30.9% (PNA 2006) NA Binge drinking 8th grade 17.60% (PNA 2006) NA Secondary DUI arrests (adults) (DCI ) DUI arrests (juveniles) (DCI ) Liquor law violation arrests (adults) (DCI ) Liquor law violation arrests (juveniles) (DCI ) Drunkenness arrests (adults) (DCI ) ^ Drunkenness arrests (juveniles) (DCI ) 0 ^ Alcohol-relted fatal crashes 5.33 (WYDOT ) 5.86 ^ (2006) Alcohol-relted injury crashes (WYDOT ) (2006) Alcohol-relted property crashes (WYDOT ) Not Reported Alcohol-related motor vehicle fatalities 5.62 (WYDOT ) 5.86 ^ (2006) Alcohol-related treatment 1525 (MHASAD) Not Reported 30-day alcohol use 10th grade 41.1% (PNA 2006) NA 30-day alcohol use 12th grade 42.0% (PNA 2006) NA Binge drinking 10th grade 23.7% (PNA 2006) NA Binge drinking 12th grade 23.30% (PNA 2006) NA Adult binge drinking 16.8% (BRFSS ) NA Adult heavy drinking 4.5% (BRFSS ) NA * From Wyoming PF Needs Assessment Workbook completed by the Laramie County community (Developed by WYSAC, 2007) ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison. 2010

87 Appendix M: LINCOLN COUNTY Prevention Framework Fact Sheet PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Lincoln County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Lincoln County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Lincoln County Priority Consequence Driving under the influence (adults) Yes Driving under the influence (juveniles) Yes Drunkenness (juveniles) Yes Table 2: Comparison of Lincoln County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Lincoln County Alcohol-related motor vehicle crash fatalities Alcohol-related fatal motor vehicle crashes Alcohol-related motor vehicle injury crashes Alcohol-related motor vehicle property crashes Priority Consequence Yes Yes Yes Yes Table 3. Comparison of Lincoln County and state rates of Alcohol Treatment Referral (Mental Health and Substance Abuse Division) Consequence Indicator Year Wyoming Lincoln County Alcohol treatment in Wyoming by county of referral Wyoming Survey & Analysis Center Priority Consequence Yes There are eight priority consequences displayed in Tables 1, 2 and 3. Driving under the influence (adults and juveniles) because they are similar to the state average, and Liquor law violations (juveniles) because the rate is much higher than the Wyoming rate and because of the concern in the county with underage drinking. In addition, members of Lincoln County believe that alcohol treatment and referral is important to the wellbeing of the county and would like to see this number increase.

88 A n additional Local Consequence Indicator was used in the Lincoln County Community Needs Assessment and will be prioritized and tracked in the evaluation. Local consequence data identified included: Alcohol-related filings from Circuit Court C onsequences related to the misuse of alcohol identified as Most Important to the Lincoln County community? Driving under the influence (adults and juveniles) Liquor law violations (juveniles) Alcohol-related filings from Circuit Court Alcohol-related motor vehicle crashes: fatal, injury and property. Alcohol-related motor vehicle fatalities Alcohol treatment rates PRIORITY CONSUMPTION AREAS Table 4: Comparison of Lincoln County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) Consumption Indicator Data Source Grade Wyoming Percent Lincoln County Percent Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 2.2% Yes 8th 27.1% 14.4% Yes 10th 39.9% 25.7% Yes 12th 48.2% 26.5% Yes Youth binge drinking PNA 6th 4.1% 1.3% Yes (past 2 weeks) 8th 16.2% 5.7% Yes 10th 25.2% 17.8% Yes 12th 32.3% 14.9% Yes Table 5. Comparison of Lincoln County and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Percent Adults (18 years & older) who report binge drinking in the past 30 days Lincoln County Percent 16.5% 12.9% Yes Priority Consumption Area Past 30-day alcohol use and Youth binge drinking for all grades are priorities for Lincoln County. This is because they are very concerned with the issues surrounding underage drinking. Adult binge drinking is a priority consumption outcome chosen from Table 5 because the community members are concerned with the consequences of binge drinking. Most important consumption outcomes for Lincoln County are: 30-day alcohol use: 6th, 8th, 10th, & 12th grades Youth binge drinking: 6th, 8th, 10th, & 12th grades Adult binge drinking (BRFSS) 2 PF Annual Report Lincoln County Fact Sheet 2008

89 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Lincoln County consumption and consequence areas on which to focus. The causal areas shown in Table 6, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 6: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Specific Indicators that Measure Change in Each Causal Areas Targeting Prioritized Causal Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Prime for Life Percentage of convictions for alcohol-related crime within the Circuit Court Social Availability Social norms campaign Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Promotion Not applicable Not a priority area Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Community Norms MOST of Us In your opinion, is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Individual Factors Not applicable Not a priority area Evidence-based Strategies for Lincoln County Prime for Life Social norms campaign MOST of Us Coalitions Vehicle Advertising Wyoming Survey & Analysis Center 3

90 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Lincoln County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 29 members. On average, the coalition met about once a month, and typically, 6-7 members attended the meeting. Prior to SPF SIG funding, Lincoln County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, and to allocate resources. Lincoln County did not use data to evaluate its prevention efforts or to monitor its progress. During the 12 months prior to SPF SIG funding, Lincoln County was awarded two grants for substance abuse prevention, totaling an amount of $124,000, and one person was trained as a Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Youth representation--great ideas. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? Format and process of needs assessment (start of SPF SIG), inform them of scope of assessment as related to drinking and underage drinking, findings presented on multiple occasions. People going to areas they know. They needed to know there was a bigger picture. A lot of denial. People don t believe alcohol is a problem. Difficulties with bias that there isn t a problem in the community. Now we think that we do have issues in community and this has been achieved through education. I saw in school that children talked about alcohol abuse in their papers. The newspaper is publishing articles. I believe never get too much training. More of a handle of specific county needs, survey info was useful and eye-opening, but grasps on some trends. School members sent out to be trained for something. Q26. What local level data was used in prevention efforts in Lincoln County? School data, YRBS and PNA, county specific data, court records, internal process by sheriffs office eg. Can get how many calls the Sheriffs office has attended for suicide attempts.

91 Court records, YRBS, I did surveys with the high school health classes. I ask the students what is happening. High school surveys, and may be some from law enforcement. Don t really know. Public health point of view difficult to get data, get BRFSS from Department of Health, locally we cannot compile data. Rely on data from a distance. Can get some data off the internet eg. US Census. Q49. Where could prevention capacity have been improved in Lincoln County prior to the award of SPF SIG funding? I m not sure I have answers for that. Collaboration. Involved more people in the community. Just not reaching enough of the target people Stronger leadership and more structure, more cohesiveness between partners, better communication. Good efforts but better if working together instead of separate Q50. What were the barriers to ATOD prevention in Lincoln County prior to SPF SIG funding? Ordinances and such that were on the books. Distance, geographic; demographic agriculture younger vs aging; People don t believe alcohol is a problem. Biggest is the denial. It is getting better. The community realizes there are issues. They used to not think they use it all or if they did think they thought it s okay if you do. Microcosms with a head in the sand mentality with a denial there is a problem, difficult to get through because they deny the problem, thus feel no need for prevention efforts. Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

92 PROCESS INFORMATION SYSTEM DATA Wyoming Survey & Analysis Center The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 7: Lincoln County: Process information data Lincoln County Strategy PI Direct # Indirect # Number Served Served Social Norms Campaign P1201 No Data Coalitions P No Data Vehicle Advertising P Prime for Life P OUTCOME-BASED PREVENTION FOR LINCOLN COUNTY Table 8: Lincoln County: Outcometracking measures Outcome Measure Baseline Rate* 2007 DUI arrests (adults) (DCI ) DUI arrests (juveniles) (DCI ) ^ Liquor law violations (juveniles) (DCI ) ^ Minor in Possession filings 54 (Circuit Court 2006) ** Adult DUI filings 55 (Circuit Court 2006) ** Juvenile DUI filings 2 (Circuit Court 2006) ** DUI to a degree filings 33 (Circuit Court 2006) ** DWUI 2nd filings 8 (Circuit Court 2006) ** Open container filings 27 (Circuit Court 2006) ** Alcohol-relted fatal crashes (WYDOT ) 6.10 ^ (2006) Alcohol-relted injury crashes (WYDOT ) ^ (2006) Alcohol-relted property crashes (WYDOT ) Not Reported Alcohol-related crashes: fatal, injury & property (WYDOT ) Not Reported Alcohol-related motor vehicle fatalities (WYDOT ) 6.10 ^ (2006) Alcohol treatment rates 762 (MHASAD) Not Reported 30-day alcohol use 6th grade 2.2% (PNA 2006) NA 30-day alcohol use 8th grade 14.4% (PNA 2006) NA 30-day alcohol use 10th grade 25.7% (PNA 2006) NA 30-day alcohol use 12th grade 26.5% (PNA 2006) NA Binge drinking 6th grade 1.3% (PNA 2006) NA Binge drinking 8th grade 5.7% (PNA 2006) NA Binge drinking 10th grade 17.8% (PNA 2006) NA Binge drinking 12th grade 14.9% (PNA 2006) NA Adult binge drinking 12.6% (BRFSS ) NA Adult heavy drinking 3.9% (BRFSS ) NA * From Wyoming PF Needs Assessment Workbook completed by the Lincoln County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. 2010

93 Appendix N: NATRONA COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Natrona County s needs assessment data that lead to strategic decisions are shown here. There were no priority consequences chosen related to DUI, Liquor Law Violations, or Drunkenness because Natrona County community members believe that they would not be able to influence the arrest rates in the allotted time and there are other resources being used to influence the criminal justice side of the consequences of drinking alcohol. They are interested in using local data including youth diversion program, police calls, and alcohol-related suspensions. Additionally, Natrona County is unable to get YRBS data, and is still uncertain whether they will be able to obtain it in the future. Should it become available they will revisit these outcome measures. Table 1: Comparison of Natrona County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation)) Consequence Indicator Years Wyoming Community Priority Consequence Alcohol-related motor vehicle Secondary crash fatalities Alcohol-related fatal motor Secondary vehicle crashes Alcohol-related motor vehicle Secondary injury crashes Alcohol-related motor vehicle property crashes Secondary N atrona County community members are concerned with alcohol-related traffic crashes but there are already other organizations working directly with this, such as Mothers Against Drunk Driving (MADD) and the police, therefore these areas will be tracked as secondary priority areas only.

94 A dditional Local Consequence Indicators were used in the Natrona County Community Needs Assessment will be prioritized and tracked in the evaluation. Local consequence data identified included: Natrona County Youth Diversion Program: MIP/alcohol citations Police calls to schools for alcohol offences Alcohol-related school suspensions C onsequences related to the misuse of alcohol identified as Most Important to the Natrona County community? Natrona County Youth Diversion Program: MIP/alcohol citations Police calls to schools for alcohol offences Alcohol-related school suspensions PRIORITY CONSUMPTION AREAS Table 2: Comparison of Natrona County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006 ) Consumption Indicator Data Source Grade Wyoming Percent Natrona County Percent Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 6.6% Yes 8th 27.1% 32.0% Yes 10th 39.9% 41.2% Yes 12th 48.2% 52.8% Yes Youth binge drinking PNA 6th 4.1% 4.6% Yes (past 2 weeks) 8th 16.2% 20.1% Yes 10th 25.2% 26.5% Yes 12th 32.3% 36.1% Yes Table 3. Comparison of Natrona County and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Percent Adults (18 years or older) who report binge drinking in the past 30 days Adults (18 years and older) who report heavy drinking in the past 30 days Natrona County Percent 16.5% 15.8% Yes Priority Consumption Area 5.2% 5.5% Yes Adult binge drinking and heavy drinking are priority consumption outcomes chosen from Table 3. Natrona County community members would like to focus on their year old population and those over 65. The most important consumption outcomes for Natrona County are: 30-day alcohol use: 6th, 8th, 10, & 12th grades Youth binge drinking: 6th 8th, 10, & 12th grades Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS)

95 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Natrona County consumption and consequence areas on which to focus. The causal areas shown in Table 4, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Evidence-Based Strategies Targeting Prioritized Causal Areas Retail Availability Not applicable No a priority area Specific Indicators that Measure Change in Each Prioritized Causal Area Criminal Justice Policy change Law enforcement interviews Social Availability Parents Who Host Lose the Most Start Talking Before They Start Drinking Media campaign Surveys Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Town hall meetings Promotion Policy change Community events and their alcohol-related sponsors Community events and the percentage of them that serve alcohol Community Norms Individual Factors Parents Who Host Lose the Most Start Talking Before They Start Drinking Media campaign Policy change Surveys Parents Who Host Lose the Most Start Talking Before They Start Drinking Media campaign Surveys Looking at positioning of advertisements relating to alcohol. Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Town hall meetings Percentage of youth at low, medium, and high risk based upon the combination of predictive factors Risk and protective factors: Perceived availability of drugs Sensation seeking Friends use of drugs Favorable attitude toward drug use

96 INFRASTRUCTURE DEVELOPMENT Evidence-based Strategies for Natrona County Policy change Parents Who Host Lose The Most Start Talking Before They Start Drinking Social norms campaign Media campaign Coalition Surveys One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Natrona County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 40+ members. On average, the coalition met more often than two or three times a month, and typically, 30 members attended the meeting. Prior to SPF SIG funding, Natrona County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to allocate resources, to evaluate its prevention efforts, and to monitor its progress. During the 12 months prior to SPF SIG funding, Natrona County was awarded four grants for substance abuse prevention, totaling $323,900, and seven people were trained as Substance Abuse Prevention and Treatment Specialists. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Law enforcement has become more interested in the coalition since before SPF SIG. The police. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? Cultural competency is an area I would like us to be stronger on. Q26. What local level data was used in prevention efforts in Natrona County? PNA and YRBS, also commissioned the university of married graduate students, and the sheriff and chiefs data. It s a good snap shot of the local area. Not only that data but data from the school records regarding disciplinary things like alcohol, behavior and performance records and also through cooperation with the prevention network, and tickets from law enforcement on juveniles. Q49. Where could prevention capacity have been improved in Natrona County prior to the award of SPF SIG funding? Law enforcement. Q50. What were the barriers to ATOD prevention in Natrona County prior to SPF SIG funding? A lot of it was pre-isolated within the schools. We were excited about SPF SIG in that it gave us an opportunity to look outside the school district to work across agencies - MADD, SADD, DOT, law enforcement, and all those groups - to work on ATOD kinds of things which frankly were seen exclusively as school prevention programs. There is more discussion and collaboration community wide now. PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to Manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below.

97 Table 5: Natrona County: Process information data Wyoming Survey & Analysis Center Natrona County Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign P1301 No Data Coalitions P1302 No Data Parents Who Host P1303 No Data Start Talking P1304 No Data General Media Campaign P1305 No Data Policy Changes P1308 No Data Risk Group Evaluation P1307 No Data BASICS (selected individuals) P1308 No Data Brief Intervention P No Data Public Events P ,394 OUTCOME-BASED PREVENTION FOR NATRONA COUNTY Table 6: Natrona County: Outcometracking measures Outcome Measure Baseline Rate* Alcohol-related fatal crashes - Secondary 7.28 (WYDOT ) 5.68 ^ (2006) Injury crashes - Secondary 6.19 (WYDOT ) (2006) Property crashes - Secondary (WYDOT ) Not Reported Alcohol-related motor vehicle fatalities - Secondary MIP/alcohol citations Police calls for services to schools- alcohol offences (WYDOT ) 5.68 ^ (2006) 245 (Natrona County Youth ** Diversion Program 2005) 19 ( ) ** Alcohol-related school suspensions 27 (2006) ** 30-day alcohol use 6th grade 6.6% (PNA 2006) NA NA 30-day alcohol use 8th grade 32.0% (PNA 2006) NA NA 30-day alcohol use 10th grade 41.2% (PNA 2006) NA NA 30-day alcohol use 12th grade 52.8% (PNA 2006) NA NA Binge drinking 6th grade 4.6% (PNA 2006) NA NA Binge drinking 8th grade 20.1% (PNA 2006) NA NA Binge drinking 10th grade 26.5% (PNA 2006) NA NA Binge drinking 12th grade 36.1% (PNA 2006) NA NA Adult binge drinking 15.8% (BRFSS ) NA Adult heavy drinking 5.5% (BRFSS ) NA * From Wyoming PF Needs Assessment Workbook completed by the Natrona County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison.

98 Appendix O: NIOBRARA COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Niobrara County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Niobrara County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Community Priority Consequence Driving under the influence (adults) Yes Driving under the influence (juveniles) Yes Liquor law violations (adults) Yes Liquor law violations (juveniles) Yes Drunkenness (adults) Yes Drunkenness (juveniles) Yes There are six priority consequences chosen from Table 1 because even though the county rate per 100,000 population is lower, in general, than the Wyoming rate per 100,000 population, the coalition members of Niobrara County believe that law enforcement is not as strong as it could be. Coalition members of Niobrara County believe driving under the influence (Table 2) to be a greater priority. Niobrara County would like to combine all crash measures due to the small size of their community. Additionally, coalition members see the ordering of people into treatment as a way of reducing the progression of substance misuse. Table 2: Comparison of Niobrara County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) and of Alcohol Treatment Referral (Mental Health and Substance Abuse Division) Consequence Indicator Years Wyoming Community Priority Consequence Alcohol-related motor vehicle crash Yes (secondary) fatalities Alcohol-related fatal motor vehicle Yes (secondary) crashes Alcohol-related motor vehicle injury Yes (secondary) crashes Alcohol-related motor vehicle property Yes (secondary) crashes Alcohol treatment in Wyoming by county of referral Yes

99 A n additional Local Consequence Indicator was used in the Niobrara County Community Needs Assessment and will be prioritized and tracked in the evaluation. Local consequence data identified included: Emergency room data C onsequences related to the misuse of alcohol identified as Most Important to the Niobrara County community? Driving under the influence (adults and juveniles) Liquor law violations (adults and juveniles) Drunkenness (adults and juveniles) Filings from Circuit Court Alcohol-related motor vehicle crashes: fatal, injury and property (secondary) Alcohol-related motor vehicle fatalities (secondary) Treatment of people who are alcohol dependent or abusive Emergency room treatment rates PRIORITY CONSUMPTION AREAS Table 3: Comparison of Niobrara County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) and Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System 2006) Consumption Indicator Data Source Grade/ Age Wyoming Percent Niobrara County Percent Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 26.4% Yes 8th 27.1% Combined w/6th Yes 10th 39.9% 48.8% Yes 12th 48.2% Combined w/10th Yes Youth binge drinking PNA 6th 4.1% 23.8% Yes -past 2 weeks 8th 16.2% Combined w/6th Yes 10th 25.2% 24.9% Yes 12th 32.3% Combined w/10th Yes Adult binge drinking -past 30 days BRFSS 18 & Older 16.5% 16.9% Yes Past 30-day alcohol use and Youth The most important consumption outcomes for Niobrara County are: binge drinking for middle school and high school are priorities for Niobrara County. 30-day alcohol use: Middle School & High School This is because of the upward trend for the Youth binge drinking: Middle School & High School schools. Adult binge drinking (BRFSS) Adult binge drinking is a priority consumption outcome chosen from Table 3 because the Niobrara community rate is higher than the Wyoming rate.

100 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Niobrara County consumption and consequence areas on which to focus. The causal areas shown in Table 4, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Specific Indicators that Measure Change in Each Causal Areas Targeting Prioritized Causal Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Social Availability Enforced enhancement of ordinances and statutes Education through coalition Enforced enhancement of ordinances and statutes Education through coalition Law enforcement interviews Compliance checks Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Promotion Not applicable Not a priority area Community Norms Education through coalition Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Individual Factors Enforced enhancement of ordinances and statutes Education through coalition Risk and protective factors: (PNA) Parents attitudes Friends who use Favorable attitudes Intent to use Evidence-based Strategies for Niobrara County Enforced enhancement of ordinances and statutes Coalition Education through coalition Social norms campaign TIPS Training

101 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Niobrara County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 11 members. On average, the coalition met about once every two or three months, and typically, 5-6 members attended the meeting. Prior to SPF SIG funding, Niobrara County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, and to create an action plan. Niobrara County did not use data to allocate resources, to evaluate its prevention efforts, or to monitor its progress. During the 12 months prior to SPG SIG funding, Niobrara County was awarded one grant for substance abuse prevention, totaling of $43,000, and prior to SPF SIG funding, two people were trained as Substance Abuse Prevention and Treatment Specialists. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? General public, courts, didn t have circuit court. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? Data-understanding data, the ability to get something to follow through for more than three months, history of doing that, The IMPACT coalition has been the longest lived within the county. Q26. What local level data was used in prevention efforts in Big Horn County? Circuit data, law enforcement data, antidotal medical data, YRBS, PNA, local data, CDC, etc Q49. Where could prevention capacity have been improved in Big Horn County prior to the award of SPF SIG funding? Within local government since SPF-SIG really jumped on board, city council. Q50. What were the barriers to ATOD prevention in Big Horn County prior to SPF SIG funding? Entity getting started within sustainability, really good understanding of data and what it says. Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

102 PROCESS INFORMATION SYSTEM DATA Wyoming Survey & Analysis Center The Process Information System is designed to Manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Niobrara County: Process information data Niobrara County Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign P1401 No Data Niobrara County Community Advisory Council P1402 No Data Increased awareness and enforcement P1403 9,310 TIPS Training P1404 No Data OUTCOME-BASED PREVENTION FOR NIOBRARA COUNTY Table 6: Niobrara County: Outcome tracking measures Outcome Measure Baseline Rate* Driving under the influence arrests (adults) (DCI ) ^ Driving under the influence arrests (juveniles) 0 (DCI ) 0 ^ Liquor law violation arrests (adults) (DCI ) 0 ^ Liquor law violation arrests (juveniles) (DCI ) 0 ^ Drunkenness arrests (adults) (DCI ) 0 ^ Drunkenness arrests (juveniles) (DCI ) 0 ^ MIP 2 (Lusk Municipal Court 2006) ** Adult DUI 1 (Circuit Court 2006) ** Juvenile DUI 2 (Circuit Court 2006) ** DUI to a degree 11 (Circuit Court 2006) ** Open container 4 (Circuit Court 2006) ** Alcohol-related fatal crashes (secondary) 22 (Circuit Court 2006) ** Alcohol-related injury crashes (secondary) (WYDOT ) ^ (2006) Alcohol treatment rates 1225 (MHASAD) Not Reported Emergency room rates Need baseline ** 30-day use of alcohol Middle school 26.4% (PNA 2006) NA 30-day use of alcohol high school 48.8% (PNA 2006) NA Binge drinking middle school 23.8% (PNA 2006) NA Binge drinking high school 24.9% (PNA 2006) NA Binge drinking adults 16.9% (BRFSS ) NA * From Wyoming PF Needs Assessment Workbook completed by the Niobrara County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison.

103 Appendix P: PARK COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Park County s needs assessment data that lead to strategic decisions are shown here. No priority consequences chosen from DUI, Liquor Law Violations and Drunkenness because the county rate per 100,000 population was usually lower than the Wyoming rate. Park County coalition members also believe these rates are more about law enforcement issues than the consequences of alcohol misuse. In Park County juveniles are treated as adults and would have a lasting record, hence there is potential apprehension about the reporting of underage drinking. Table 1: Comparison of Park County and state rates of Students Driving When They Had Been Drinking or Riding in a Motor Vehicle Driven by Someone Who Had Been Drinking (Youth Risk Behavior Survey 2005) Consequence Indicator Grades Wyoming Percent Rode in a car or other motor vehicle driven by someone who had been drinking alcohol one or more times during the past 30 days Drove a car or other motor vehicle when they had been drinking alcohol one or more times during the past 30 days Community Percent 9th-12th 29.7% 30.8% No Priority Consequence 9th-12th 15.3% 19.3% Yes Table 2: Comparison of Park Coutny and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Community Priority Consequence Alcohol-related motor vehicle crash fatalities Yes Alcohol-related fatal motor vehicle crashes Yes Alcohol-related motor vehicle injury crashes Yes Alcohol-related motor vehicle property crashes Yes Due to the size of Park County all crashes will be considered in combination. Additionally, because Park County is below the state rate for Wyoming and Park County believes that they cannot change the climate in the allotted time period.

104 A n additional Local Consequence Indicator was used in the Park County Community Needs Assessment and will be prioritized and tracked in the evaluation. Local consequence data identified included: Filings from Circuit Court: emphasizing 2nd or more offenders C onsequences related to the misuse of alcohol identified as Most Important to the Park County community? Driving after drinking (YRBS) Alcohol-related motor vehicle crashes: fatal, injury and property Alcohol-related fatalities DWUI 2nd DWUI 3rd DWUI 4th PRIORITY CONSUMPTION AREAS Table 3: Comparison of Park County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006, Youth Risk Behavior Survey 2005) and Adult Binge Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Data Source Grade / Age Wyoming Percent Park County Percent Priority Consumption Area Past 30 Day Alcohol Use PNA 6th 6.7% 7.4% No 8th 27.1% 18.1% No 10th 39.9% 33.6% Yes 12th 48.2% 40.7% Yes YRBS 9th-12th 45.4% 40.4% Yes Youth binge drinking PNA 6th 4.1% 2.3% No -past 2 weeks 8th 16.2% 8.8% No 10th 25.2% 22.3% Yes 12th 32.3% 26.3% Yes -past 30 days YRBS 9th-12th 32.0% 29.3% Yes Adult Binge Drinking -past 30 days BRFSS 18 & Older 16.5% 14.4% Yes Youth binge drinking and 30-day use for 10th, and 12th grades are priorities for Park County, along with 9th -12th grades from the YRBS. Park County coalition members want to focus on 10th, and 12th grade data to be representative of high school drinking. They want to focus on high school data as they believe what happens in higher grades flows down Other local consumption data that will be tracked in the Park County evaluation includes: The Northwest College CORE Survey to the lower grades. Adult binge drinking is also a priority consumption outcome chosen because the county rate is similar to the national rate.

105 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Park County consumption and consequence areas on which to focus. The causal areas shown in Table 4 were uniquely chosen to address needs identified within Park County directly from the Community Needs Assessment and the strategies are from Park County s approved Strategic Plan. Table 4: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Evidence-Based Strategies Targeting Prioritized Specific Indicators that Measure Change in Each Prioritized Causal Area Causal Areas Retail Availability Not applicable Not a priority area Criminal Justice Social Availability Brief intervention Sanctions and monitoring for convicted drunk drivers Social norms campaign Education by coalition Social norms campaign Education by coalition Law enforcement interviews Local data Reducing Alcohol Abuse survey? Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) (secondary) Survey Social Norms if available from Spring 2008 Promotion Not applicable Not a priority area Community Norms Social norms campaign Education by coalition Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) Perceptions of behavior from local survey: (focus on closing the gaps in perception and reality.) Binge drinking 30-day use Youth use Drinking and driving Harm Disapproval Individual Factors Not applicable Not a priority area

106 Evidence-based Strategies for Park County Brief intervention Sanctions and monitoring for convicted drunk drivers Social norms campaign Education by coalition MOST of Us INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Park County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 15 members. On average, the coalition met about once a month, and typically, 10 members attended the meeting. Prior to SPF SIG funding, Park County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to evaluate its prevention efforts, and to monitor its progress. However, Park County did not use data to allocate resources. During the 12 months prior to SPF SIG funding, Park County was awarded three grants for substance abuse prevention, totaling $397,300, and prior to SPF SIG funding, four people were trained as Substance Abuse Prevention and Treatment Specialists. Strengths, Gaps, & Challenges...identified during program coordinantor and stakeholder interviews. Q9. Where were the gaps in the coalition before SPF SIG funding? The business community, and also the retailers association has been a great addition, but nothing from the rest of the business community. Youth, parents and faith-based also missing. Q12. Key stakeholders were asked: What were the training and professional development needs of the coalition members before the start of SPF SIG? In the prior years, I think a big boost to members of the coalition was the training that Stevie Burden did - Communities That Care. As far as gaps in training, there were key players who needed training motivation and the need for training for officers on party patrol. Q26. What local level data was used in prevention efforts in Park County? PNA Q49. Where could prevention capacity have been improved in Park County prior to the award of SPF SIG funding? I think we still have more to learn about environmental strategies, educating key players about different strategies, a fair amount of turnover in the school system - always an issue I think we still have more opportunities at the college, turnover in leadership at the college, and more work from the Sheriff s office it s different culture. Q50. What the barriers were to ATOD prevention in Park County prior to SPF SIG funding? Lack of knowledge about environmental strategies, once people are educated they were able to support them. No major barriers. Sometimes there was frustration with lack of coordination at the state level. RAA gave us tremendous financial resources. Having the state provide more access to training and best practice training.

107 PROCESS INFORMATION SYSTEM DATA Wyoming Survey & Analysis Center The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Park County: Process information data Park County Strategy PI Number Direct # Served Indirect # Served MOST of Us Campaign P1501 No Data Coalitions P1502 No Data Social Norms Campaign P Brief Intervention - Youth (selected) P1504 No Data Brief Intervention - Adults (selected) P1505 No Data Brief Intervention - Adults (indicated) P1506 No Data Brief Intervention - Youth (indicated) P1507 No Data OUTCOME-BASED PREVENTION FOR PARK COUNTY Table 6: Park County: Outcome tracking measures Outcome Measure Baseline Rate* Driving after drinking 19.3% (YRBS 2005) ** Alcohol-related fatal crashes (WYDOT ) 0 ^ (2006) Alcohol-related injury crashes (WYDOT ) ^ (2006) Alcohol-related property crashes (WYDOT ) Not Reported Alcohol-related crashes: fatal, injury and (WYDOT ) Not Reported property Alcohol-related fatalities (WYDOT ) 0 ^ (2006) DWUI 2nd 34 (Circuit Court 2006) ** DWUI 3rd 12 (Circuit Court 2006) ** DWUI 4th 2 (Circuit Court 2006) ** 30-day alcohol use 10th grade 33.6% (PNA 2006) NA 30-day alcohol use 12th grade 40.7% (PNA 2006) NA 30-day alcohol use 10th and 12th grades 36.2% (PNA 2006) NA 30-day alcohol use 9th through 12th grade 40.4% (YRBS 2005) ** Binge drinking 10th grade 22.3% (PNA 2006) NA Binge drinking 12th grade 26.3% (PNA 2006) NA Binge drinking 10th, and 12th grade 23.6% (PNA 2006) NA Binge drinking 9th through 12th grade 29.3% (YRBS 2005) ** College students binge drinking 34% (Core Survey 2005) ** Adult binge drinking 14.4% (BRFSS ) NA Perception questions When available NA * From Wyoming PF Needs Assessment Workbook completed by the Park County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison. NOTE: Due to different methods in YRBS and PNA, data should not be directly compared.

108 Appendix Q: PLATTE COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Platte County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Platte County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Community Priority Consequence Driving under the influence (adults) Yes Driving under the influence (juveniles) Yes Table 2. Comparison of Platte County and state rates of students Driving When They Had Been Drinking or Riding in a Motor Vehicle Driven by Someone Who Had Been Drinking (2005 Youth Risk Behavior Survey) Consequence Indicator Grades Wyoming Percent Rode in a car or other motor vehicle driven by someone who had been drinking alcohol (one or more times -past 30 days) Drove a car or other motor vehicle when they had been drinking alcohol (one or more times -past 30 days) 9th- 12th 9th- 12th Community Percent Priority Consequence 29.7% 38.3% Yes 15.3% 24.2% Yes Table 3: Comparison of Platte County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Community Priority Consequence Alcohol-related motor vehicle crash fatalities Secondary Alcohol-related fatal motor vehicle crashes Secondary Alcohol-related motor vehicle injury crashes Secondary Alcohol-related motor vehicle property crashes Secondary In addition to the high numbers, coalition members in Platte County are concerned with underage drinking and driving. Alcohol-related motor vehicle crashes are of secondary concern, because coalition members believe the numbers will not be impacted in the allotted time period.

109 A dditional Local Consequence Indicators used in the Platte County Community Needs Assessment will be prioritized and tracked in the evaluation. Local consequence data identified included: MIP filings from Circuit Court C onsequences related to the misuse of alcohol identified as Most Important to the Platte County community? Driving under the influence (adults and juveniles) Driving with someone who has been drinking (YRBS) Drinking after driving (YRBS) Alcohol-related motor vehicle crashes: fatal, injury and property - Secondary Alcohol-related motor vehicle fatalities Secondary MIP filings from Circuit Court PRIORITY CONSUMPTION AREAS Table 4: Comparison of Platte County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) Consumption Indicator Data Source Grade Wyoming Percent Platte County Percent Priority Consumption Area Past 30 Day Alcohol Use PNA 6th 6.7% 7.6% No 8th 27.1% 17.4% No 10th 39.9% 45.4% Yes 12th 48.2% 57.9% Yes YRBS 9th-12th 45.4% 55.4% Yes Youth binge drinking PNA 6th 4.1% 4.5% No (past 2 weeks) 8th 16.2% 13.8% No 10th 25.2% 27.9% Yes 12th 32.3% 39.0% Yes (past 30 days) YRBS 9th-12th 32.0% 40.5% Yes Past 30-day alcohol use and Youth binge drinking among high school students are priorities for Platte County, because the county rate is higher than the The most important consumption outcomes for Platte County are: 30-day alcohol use: 10th grade (PNA ) 12th grade (YRBS) 9th 12th Youth binge drinking: 10th grade (PNA) 12th grade (YRBS) 9th 12th Wyoming rate.

110 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Platte County consumption and consequence areas on which to focus. The causal areas shown in Table 5, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 5: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Specific Indicators that Measure Change in Each Causal Areas Targeting Prioritized Causal Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Not applicable Not a priority area Social Availability Keg registration Reducing High Risk Drinking (RHRD) Town hall meeting Promotion Not applicable Not a priority area Community Norms Social norms campaigns Social marketing campaigns RHRD Town hall meetings Individual Factors Not applicable Not a priority area Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Evidence-based Strategies for Platte County Keg registration RHRD Social norms campaigns Social marketing campaigns

111 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Platte County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 20 members. On average, the coalition met about once a month, and typically, 12 members attended the meeting. Prior to SPF SIG funding, Platte County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to evaluate its prevention efforts, and to monitor its progress. However, they did not use data to allocate resources. During the 12 months prior to SPF SIG funding, Platte County was awarded four grants for substance abuse prevention, totaling $317,000, and prior to SPF SIG funding, one person was trained as a Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Turnover in faith based, not active but are support; judicial side county attorneys needed to have interaction with whole community. Support but not active - health care providers have nurse but more of a passive role. Many organizations have difficulties getting people into their organizations and find it difficult to spare a person who is already so busy. Makes it difficult sometimes for people to have active role. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? More individual organizations not collective entity. School look at resources YRBS, PNA; tobacco own professional development. Some development needs provided from 21 SIG large training. Schools often provide facilities. Q26. What local level data was used in prevention efforts in Platte County? Law enforcement and school data as well as YRBS and PNA, Community assessment data, school climate survey. Q49. Where could prevention capacity have been improved in Platte County prior to the award of SPF SIG funding? Lot of capacity in agencies, but improve in readiness and capacity within people those that are not involved in inner agencies. Agencies collaborating together grants didn t give idea we could work together to solve problems and coalition is bringing together col laborative piece. Q50. What were the barriers to ATOD prevention in Platte County prior to SPF SIG funding? Social norms, people in general, state barriers what allowed to do and not, lead agencies, working within policies, statutes child protec tion reaching people need to reach.

112 PROCESS INFORMATION SYSTEM DATA Wyoming Survey & Analysis Center The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 6: Platte County: Process information data Platte County Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign P1601 No Data Reducing High Risk Drinking: Community Awareness, Responsible Beverage Server Training, Keg Registration Policy P1602 No Data OUTCOME-BASED PREVENTION FOR PLATTE COUNTY Table 7: Platte County: Outcome tracking measures Outcome Measure Baseline Rate* DUI arrests (adults) (DCI ) DUI arrests (juveniles) (DCI ) ^ MIP filings 82 (Circuit Court 2006) ** Riding with someone who has been drinking 38.3% (YRBS 2005) ** Driving after drinking 24.2% (YRBS 2005) ** Fatal crashes - Secondary 8.64 (WYDOT ) ^ (2006) Injury crashes - Secondary (WYDOT ) ^ (2006) Property crashes - Secondary (WYDOT ) Not Reported Alcohol-related crashes: fatal, injury, and (WYDOT ) Not Reported property Alcohol-related motor vehicle fatalities 8.64 (WYDOT ) ^ (2006) - Secondary 30-day alcohol use 10th grade 45.4% (PNA 2006) NA 30-day alcohol use 12th grade 57.9% (PNA 2006) NA Binge drinking 10th grade 27.9% (PNA 2006) NA Binge drinking 12th grade 39.0% (PNA 2006) NA 30-day drinking 9th -12th 55.4% (YRBS 2005) ** Binge drinking 9th -12th 40.5% (YRBS 2005) ** 2009 * From Wyoming PF Needs Assessment Workbook completed by the Platte County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available. ^ Single year data is unstable. Final report(s) will include a rolling average for more accurate comparison Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

113 Appendix R: SHERIDAN COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Sheridan County s needs assessment data that lead to strategic decisions are shown here. Although Sheridan County had higher DUI and Liquor Law Violations than the state for both adults and juveniles the coalition members believe that these rates show more about law enforcement rather than the consequences of alcohol misuse Table 1: Comparison of Sheridan County and state rates of students Driving When They Had Been Drinking or Riding in a Motor Vehicle Driven by Someone Who Had Been Drinking (Youth Risk Behavior Survey 2005) Consequence Indicator Grades Wyoming Percent Community Percent Priority Consequence Rode in a Car or other Motor Vehicle Driven by Someone Who Had Been Drinking Alcohol (One or More Times during the past 30 days) Drove a Car or other Motor Vehicle When They Had Been Drinking Alcohol (One or More Times during the past 30 days) 9th- 12th 9th- 12th 29.7% 30.0% Yes 15.3% 15.8% Yes There are two priority consequences chosen from Table 1 because coalition members in Sheridan County are concerned with underage drinking and driving. The county rate per 100,000 population is lower than the Wyoming rate for Alcohol-related motor vehicle injury crashes and Alcohol-related motor vehicle property crashes. Although Alcohol-related motor vehicle crash fatalities and Alcohol-related fatal motor vehicle crashes are higher than the Wyoming rate, it is believed that the strategies chosen will not have a noticeable impact on the numbers. Additionally, members of Sheridan County believe their rates for Alcohol Treatment Referral, though higher than the state, may be scewed because they have both a men s and women s facility in Sheridan and therefore more referrals may be made locally.

114 Additional Local Consequence Indicators were used in the Sheridan County Community Needs Assessment will be prioritized and tracked in the evaluation. Local consequence data identified included: DUI arrests (Evaluation of Alcohol Factors in Custodial Arrests) DUI BAC levels (Evaluation of Alcohol Factors in Custodial Arrests) C onsequences related to the misuse of alcohol identified as Most Important to the Sheridan County community? Driving with someone who has been drinking (YRBS) Drinking after driving (YRBS) DUI arrests (Evaluation of Alcohol Factors in Custodial Arrests) DUI BAC levels (Evaluation of Alcohol Factors in Custodial Arrests) PRIORITY CONSUMPTION AREAS Table 2: Comparison of Sheridan County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006, Youth Risk Behavior Survey 2005) Consumption Indicator Data Source Grade Wyoming Percent Sheridan County Percent Priority Consumption Area Past 30 Day Alcohol Use PNA 6th 6.7% 6.1% Yes 8th 27.1% 20.2% Yes 10th 39.9% 43.6% Yes 12th 48.2% 38.1% Secondary YRBS 9th-12th 45.4% 46.7% No Youth binge drinking PNA 6th 4.1% 4.2% Yes (past 2 weeks) 8th 16.2% 11.1% Yes 10th 25.2% 24.7% Yes 12th 32.3% 33.4% Secondary (past 30 days) YRBS 9th-12th 32.0% 32.9% No Other local consumption data included: PNA - Average age of initiation for alcohol. Past 30-day alcohol use and Youth binge drinking for 6th, 8th, and 10th graders are priorities for Sheridan County. This is because they think that by affecting the younger grades they will see change in the 12th graders in later years. The most important consumption outcomes for Sheridan County are: 30-day alcohol use: 6th, 8th,10th grades (primary) 12th grade (secondary) Youth binge drinking: 6th, 8th,10th grades (primary) 12th grade (secondary) Age of initiation (PNA)

115 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Sheridan County consumption and consequence areas on which to focus. The causal areas shown in Table 3, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 3: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Evidence-Based Strategies Specific Indicators that Measure Change in Each Causal Areas Targeting Prioritized Causal Prioritized Causal Area Areas Retail Availability Not applicable Not a priority area Criminal Justice Not applicable Not a priority area Social Availability Education by groups Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Promotion Not applicable Not a priority area Community Norms Education by groups Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey Individual Factors Education by groups Percentage of youth at low, medium and high risk based upon the combination of predictive factors (PNA) (6th, 8th, and 10th graders) Risk and protective factors: Parents favorable attitude toward drug use (6th, 8th, and 10th ) Evidence-based Strategy for Sheridan County Education by groups Social Norms Campaign Coalition *ROCK * Start Talking

116 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Sheridan County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of approximately 40 members. On average, the coalition met about once a month, and typically, 17 members attended the meeting. Prior to SPF SIG funding, Sheridan County indicated that they used data to establish goals and objectives, to help prioritize needs, and to create an action plan. They did not use data to identify target populations, to allocate resources, to evaluate its prevention efforts, or to monitor its progress. During the 12 months prior to SPF SIG funding, Sheridan County was awarded one grant for substance abuse prevention, totaling $100,000 for five years, and prior to SPF SIG funding, no people were trained as Substance Abuse Prevention and Treatment Specialists. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Not intentional but in terms of who attended the meetings would be young people. There were also gaps in the business community, we ve since then been able to get more. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? One of the training issues that I observed was the efforts to agree on a focus and how to approach it - it wasn t a lack of desire. The SPF SIG really allowed us the direction and focus to put in as a whole coalition to agree on a single focus. Q26. What local level data was used in prevention efforts in Sheridan County? At risk behavior survey conducted throughout the state in our schools, what the kids were doing, what were the high percentages. YRBS and PNA Q49. Where could prevention capacity have been improved in Sheridan County prior to the award of SPF SIG funding? Needed to be more people involved and not just at a need to know basis, not just getting involved in committee, but showing up to do stuff. We showed up and listened and then we left. It s different now.. Q50. What were the barriers to ATOD prevention in Sheridan County prior to SPF SIG funding? Same as now, social norms and that it s (alcohol) acceptable at all kinds of events and the process of getting a liquor license is ludicrous, there s nothing to getting one. 4 PF Annual Report Sheridan County Fact Sheet 2008

117 * Indicates strategy added based on community needs, after initial plan approval. Wyoming Survey & Analysis Center PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 4: Sheridan County: Process information data Sheridan County Strategy PI Number Direct # Served Indirect # Served Sheridan Commuity Prevention Coalition P1702 No Data Start Talking P1703 No Data Social Norms Campaign P1704 No Data ROCK P1705 No Data OUTCOME-BASED PREVENTION FOR SHERIDAN COUNTY Table 5: Sheridan County: Outcome tracking measures Outcome Measure Baseline Rate* 2007 Riding with someone who has 30.0% (YRBS 2005) ** been drinking Driving after drinking 15.8% (YRBS 2005) ** DUI arrests 96 (Chiefs and Sheriffs 2006) 259 DUI BAC levels (Chiefs and Sheriffs 2006) day alcohol use 6th grade 6.1% (PNA 2006) NA 30-day alcohol use 8th grade 20.0% (PNA 2006) NA 30-day alcohol use 10th grade 43.6% (PNA 2006) NA 30-day alcohol use 12th grade 38.1% (PNA 2006) NA - secondary Binge drinking 6th grade 4.2% (PNA 2006) NA Binge drinking 8th grade 11.1% (PNA 2006) NA Binge drinking 10th grade 24.7% (PNA 2006) NA Binge drinking 12th grade 33.4% (PNA 2006) NA - secondary Age of onset indicated in 12th (PNA 2006) NA grade Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone * From Wyoming PF Needs Assessment Workbook completed by the Sheridan County community (Developed by WYSAC, 2007) ** County will gather data from local sources and provide to WYSAC as it becomes available Wyoming Survey & Analysis Center 5

118 Appendix S: SUBLETTE COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Sublette County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Sublette County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Community Priority Consequence Driving under the influence (adults) Yes In areas of DUI, Liquor Law Violations and Drunkenness, Sublette was only higher than the state rate per 100,000 in the category of Adult DUI s. Sublette County is unable to get YRBS data, and is still uncertain whether they will be able to obtain it in the future. Should it become available they will revisit these outcome measures for Driving self or Riding with someone who has been drinking. Table 2: Comparison of Sublette County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Community Priority Consequence Alcohol-related motor vehicle crash fatalities Yes Alcohol-related fatal motor vehicle crashes Yes Alcohol-related motor vehicle injury crashes Yes Alcohol-related motor vehicle property crashes Yes The county is concerned with the consequences of drinking and driving therefore, Sublette County wants to consider all crashes in combination due to the size of the county.

119 Consequences related to the misuse of alcohol identified as Most Important to the Sublette County community? Driving under the influence (adults) Alcohol-related motor vehicle crashes: fatal, injury and property Alcohol-related motor vehicle fatalities PRIORITY CONSUMPTION AREAS Table 3: Comparison of Sublette County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2004 and 2006) Consumption Indicator Data Source Grade Wyoming Percent (2006) Sublette County Percent (2004) Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 2.3% No 8th 27.1% 10.9% No 10th 39.9% 47.6% Yes 12th 48.6% 68.1% Yes Youth binge drinking PNA 6th 4.1% 2.2% No (past 2 weeks) 8th 16.2% 7.0% No 10th 25.2% 26.2% Yes 12th 32.0% 53.1% Yes Table 4. Comparison of Sublette County and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Percent Adults (18 years and older) who report binge drinking - past 30 days Percentage of adults (18 years and older) who report heavy drinking -past 30 days Sublette County Percent 16.5% 21.9% Yes Priority Consumption Area 5.2% 7.7% Yes Past 30-day alcohol use and Youth binge drinking for 10th, and 12th grades are priorities for Sublette County. The PNA was not administered in Sublette County in 2006 and hence 2004 numbers are being used as proxy measures. The most important consumption outcomes for Sublette County are: 30-day alcohol use: 10th, and 12th grades Youth binge drinking: 10th, and 12th grades Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS)

120 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Sublette County consumption and consequence areas on which to focus. The causal areas shown in Table 5, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 5: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Retail Availability Evidence-Based Strategies Targeting Prioritized Causal Areas Communities Mobilizing for Change Against Alcohol (CMCA) Prime for Life Specific Indicators that Measure Change in Each Prioritized Causal Area Compliance checks at least get them started in the county Criminal Justice Not applicable Not a priority area Social Availability CMCA Prime for Life Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Town hall meetings Promotion Not applicable Not a priority area Community Norms Prime for Life Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Town hall meeting Individual Factors Not applicable Not a priority area Evidence-based Strategies for Sublette County Prime for Life CMCA Coalition Social norms campaign

121 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Sublette County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 25 members. On average, the coalition met about two or three times a month, and typically, 4-6 members attended the meeting. Prior to SPF SIG funding, Sublette County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, and to create an action plan. Sublette County did not use data to allocate resources, to evaluate its prevention efforts, or to monitor its progress. During the 12 months prior to SPF SIG funding, Sublette County was awarded one grant for substance abuse prevention, totaling $3,000, and prior to SPF SIG funding, no one was trained as a Substance Abuse Prevention and Treatment Specialist. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Coalition came together for county, trying to represent the kids up through high school misuse in any drugs, parents Drug court was missing. The circuit court judge changed in January of 2007, and the new one is not active on the coalition but expects me to keep him very well informed. His predecessor did not do that and had no interest in prevention. The Hispanic population, but the black population is represented. We don t have anyone from media and we would like to get the clergy more involved. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? A lot of training. I m not sure of specific training. Part of it is to determine exactly how the community feels. Surveys were conducted to see how the community feels and where we stood in that and where wanted to go from there. There was no sending members out for training. Most everything. The risk assessment that Robena did, the education of what is really going on in the county versus what the population really believes is going on, that was a real eye opener. Individuals (facilitators) to lead us and help us focus our efforts.

122 Training on how to make us work as a coalition. I think we needed more cultural competency training. Q26. What local level data was used in prevention efforts in Sublette County? I have a feeling that the local data used was spotty. The local data is not very good. It was difficult to see where we stood as difficult to make comparisons. Specific local data used included sheriff s office # of DUIs. I don t know. We used the outdated prevention needs assessment because that was the only information we had and we used the BRFSS for adults that CDC does and some community opinion questionnaires. Q49. Where could prevention capacity have been improved in Sublette County prior to the award of SPF SIG funding? At all levels. All levels of capacity need to improve. Parents a great deal. The booze is from family- mom, dad, or uncle. The law enforcement did not have strict laws with DUIs, Assistance out of the state legislature in terms of defining criminal behavior specifically defining DUI s, assistance out of the state legislature in terms of ordering TIPS training, in terms of the number of alcohol establishments per capita. The state legislature has a lot to be responsible for. I think that part of our problem with capacity was when I first started is that I didn t know where I was going. There was a lack of focus and a lot of internal conflict within the coalition. When we got some strategic planning done, it was easier. Q50. What were the barriers to ATOD prevention in Sublette County prior to SPF SIG funding? History, the way people felt about the problem- whether it was true or not. Didn t want people telling them it should be any different. Tradition, the law, the culture, the liberal attitude towards alcohol and tobacco, the necessity of meeting the financial obligations in terms of yes we ll let every restaurant have a bar and let any package store open up because these folks need to make a living, and yes, every fundraiser should have alcohol served kinds of attitudes. There were several, one of our problems was getting funding for programs we wanted to do, getting into the school system for any underage drinking programs. I think that the community was still having a tough time, they didn t like alcohol as a focus, they wanted to focus more on meth use. I think we needed more cultural competency training. Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

123 Wyoming Survey & Analysis Center PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 5: Sublette County: Process information data Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign P1801 No Data Sublette County Prevention Coalition P1802 No Data Prime for Life P CMCA P OUTCOME-BASED PREVENTION FOR SUBLETTE COUNTY Table 6: Sublette County: Outcome tracking measures Outcome Measure Baseline Rate* 2007 DUI arrests (adults) (DCI ) Alcohol-related fatal crashes (WYDOT ) 0 ^ (2006) Alcohol-related injury crashes (WYDOT ) ^ (2006) Alcohol-related property crashes (WYDOT ) Not Reported Alcohol-related crashes: fatal, (WYDOT ) Not Reported injury and property Alcohol-related fatalities (WYDOT ) 0 ^ (2006) 30-day alcohol use 10th grade 47.6% (PNA 2006) NA 30-day alcohol use 12th grade 68.1% (PNA 2006) NA Binge drinking 10th grade 26.2% (PNA 2006) NA Binge drinking 12th grade 53.1 %(PNA 2006) NA Adult binge drinking 21.9% (BRFSS ) NA Adult heavy drinking 7.7 %(BRFSS ) NA

124 Appendix T: SWEETWATER COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Sweetwater County s needs assessment data that lead to strategic decisions are shown here. Table 1: Comparison of Sweetwater County and state rates per 100,000 population, of Alcohol-Related Crime with chosen priorities (Division of Criminal Investigation Annual Crime Reports) Consequence Indicator Years Wyoming Community Priority Consequence Driving under the influence (adults) Yes Driving under the influence (juveniles) No Liquor law violations (adults) No Liquor law violations (juveniles) No Drunkenness (adults) No Drunkenness (juveniles) Yes There are two priority consequences chosen from Table 1, Driving under the influence (adults) and drunkenness (juveniles) because the county rate per 100,000 population was higher than the Wyoming rate per 100,000 population. A particular interest in drunkenness for juveniles is the minor in possession data (see Other Local Data). Table 2: Comparison of Sweetwater County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Community Priority Consequence Alcohol-related motor vehicle crash fatalities Yes Alcohol-related fatal motor vehicle crashes Yes Alcohol-related motor vehicle injury crashes Yes Alcohol-related motor vehicle property crashes Yes Alcohol-Related Motor Vehicle Crashes are all priority consequences for Sweetwater County because the county rate per 100,000 population is dramatically higher for property crashes which could lead to higher rates in the other categories. Sweetwater is considering all crashes in combination due to the size of the county.

125 A dditional Local Consequence Indicators were used in the Sweetwater County Community Needs Assessment will be prioritized and tracked in the evaluation. Local consequence data identified included: MIP filings from Circuit Court C onsequences related to the misuse of alcohol identified as Most Important to the Sweetwater County community? Driving under the influence (adults) Drunkenness (juveniles) MIP filings Alcohol-related fatal, injury and property crashes Alcohol-related fatalities PRIORITY CONSUMPTION AREAS Table 3: Comparison of Sweetwater County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) Consumption Indicator Data Source Grade Wyoming Percent Sweetwater County Percent Priority Consumption Area Past 30 day alcohol use PNA 6th 6.7% 6.4% No 8th 27.1% 29.2% Yes 10th 39.9% NA NA 12th 48.2% NA NA Youth binge drinking PNA 6th 4.1% 4.6% No past 2 weeks 8th 16.2% 20.0% Yes 10th 25.2% NA NA 12th 32.3% NA NA Table 4. Comparison of Sweetwater County and state rates for Adult Binge Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Percent Adults (18 years or older) who report binge drinking - past 30 days Sweetwater County Percent % 19.2% Yes Priority Consumption Area Past 30-day alcohol use and Youth binge drinking for 8th grade are priorities for Sweetwater County. This is because the county rate is higher than the Wyoming rate, and because this is a grade with enough respondents to get a baseline comparison. The most important consumption outcomes for Sweetwater County are: 30-day alcohol use: 8th grade (PNA ) Youth binge drinking: 8th grade (PNA) Adult binge drinking (BRFSS)

126 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Sweetwater County consumption and consequence areas on which to focus. The causal areas shown in Table 5, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment and the strategies are from the county s approved Strategic Plan. Table 5: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Evidence-Based Strategies Targeting Prioritized Causal Areas Specific Indicators that Measure Change in Each Prioritized Causal Area Retail Availability Not applicable Not a priority area Criminal Justice Percentage of MIP convictions from Circuit Court Social Availability Education by coalitions Communities Mobilizing for Change Against Alcohol (CMCA) newsletter/ media CMCA web page Percentage of students obtaining their last drink of alcohol from six different sources (PNA) grade 8 Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Data from Project SAFER on community events Promotion Not Applicable Not a priority area Community Norms media and public events Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) grade 8 Individual Factors Project SAFER CMCA newsletter/ media CMCA web page CMCA newsletter/ media CMCA web page In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Data from Project SAFER on community events Percentage of youth at low, medium and high risk based upon the combination of predictive factors (PNA) - grade 8 Evidence-based Strategies for Sweetwater County Research (Project SAFER) Education through focus groups (coalitions) CMCA media Social norms campaign

127 INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Sweetwater County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 15 members. On average, the coalition met about once every two or three months, and typically, 5 members attended the meeting. Prior to SPF SIG funding, Sweetwater County indicated that they used data to establish goals and objectives, to help prioritize needs, and to identify target populations. Sweetwater County did not use data to create an action plan, to allocate resources, to evaluate its prevention efforts, or to monitor its progress. During the 12 months prior to SPF SIG funding, Sweetwater County was awarded two grants for substance abuse prevention, totaling an amount of $133,000, and prior to SPF SIG funding, two people were trained as Substance Abuse Prevention and Treatment Specialists. Strengths, Gaps & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? One gap may have been industry. They were involved in meth but not underage drinking. Blue collar workers, industry, business not as highly represented as could be. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? Assessment and community mobilization. I think the whole prevention system not understood in community, coalition members. Not good understanding of prevention science. Making sure members are informed of the science eg, Hear its all the parents but there are lots of other issues. Keeping coalition members educated. Sometimes discourages them, lots don t understand. Some talking about things others not informed and may be discouraged. Q26. What local level data was used in prevention efforts in Sweetwater County? Looking at the data for trends to see where we were compared to the state, but not sure how reliable the data was because of lack of participation. There s a continued issue with poor data when it comes to youth. We looked to see if there were things in the community that supported the data that we had. With a low student response, we looked to see what else could support the data, where we were falling at a state level. Where there was not enough data to use, we asked if anyone else had programmatic information that would support the other documents. Q49. Where could prevention capacity have been improved in Sweetwater County prior to the award of SPF SIG funding? Community awareness of overall goals of the groupcapacity. Boom and Bust is an issue. However, blame outsiders for everything. Ignore fact it is us and it has been us. In terms of drinking part of growing up, if I have my kids drink at home it s alright as long as don t drive. Wild and wooly independence leaves us with not respecting our responsibility to the community. Q50. What were the barriers to ATOD prevention in Sweetwater County prior to SPF SIG funding? Struggles with getting certain/right people to the table, getting people to be more active, getting the school district involved more, influencing overall goals weren t the same as those in the know. Politics going on but felt doing a great job in terms of giving us as much information as they could. Opportunity for that to happen. Research - county and city officials to hear from state, WYSAC - be a welcoming attitude. No WFLI be another opportunity. State - able to share information with them and get response - Get TA. Back down to focus - if we can pick a few things and go with them I think the state will be behind us and we would be behind the state.

128 PROCESS INFORMATION SYSTEM DATA Wyoming Survey & Analysis Center The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared below. Table 6: Sweetwater County: Process information data Sweetwater County Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign P1901 No data Project Safer P1902 No Data CMCA: Coalition and Media Campaign P1903 No Data P ,028 SPF Coalition P1905 No Data OUTCOME-BASED PREVENTION FOR SWEETWATER COUNTY Table 7: Sweetwater County: Outcome tracking measures Outcome Measure Baseline Rate* DUI arrests (adults) (DCI ) Drunkenness (juveniles) (DCI ) ^ MIP filings 152 (Circuit Court 2006) ** Alcohol-related fatal crashes 5.33 (WYDOT ) ^ (2006) Alcohol-related injury crashes 94.1 (WYDOT ) (2006) Alcohol-related property (WYDOT ) Not Reported crashes Alcohol-related crashes: fatal, (WYDOT ) Not Reported injury, and property Alcohol-related fatalities 5.33 (WYDOT ) ^ (2006) 30-day alcohol use 8th grade 29.2% (PNA 2006) NA Binge drinking 8th grade 4.6% (PNA 2006) NA Adult binge drinking 19.2% (BRFSS ) NA * From Wyoming PF Needs Assessment Workbook completed by the Sweetwater County community (Developed by WYSAC, 2007) Applying the Prevention Framework builds local infrastructure, leads to sustainability, and creates a life in the community for everyone.

129 Appendix U: TETON COUNTY Prevention Framework Fact Sheet Wyoming Survey & Analysis Center PRIORITY CONSEQUENCES Each funded community had the opportunity to select priority areas from one or more of the three consequence indicators targeted by the state. Those three substance-related indicators and potential sub-categories included: 1) Alcohol-Related Crime DUI, liquor law violations, drunkenness; 2) Alcohol-Related Motor Vehicle Crashes fatalities, and fatal, injury, and property crashes; and 3) Alcohol Dependence and Abuse referral for alcohol treatment. Teton County s needs assessment data that lead to strategic decisions are shown here. There are no crime related priority consequences chosen from DUI, Liquor Law Violations or Drunkenness since community members in Teton County believe this is more of a measure of law enforcement than the consequences of drinking alcohol. Teton County is interested in looking at number of DUI s by zip code as it is believed that the high DUI rate is affected by tourists and commuters. Table 1: Comparison of Teton County and state rates of students Driving When They Had Been Drinking or Riding in a Motor Vehicle Driven by Someone Who Had Been Drinking (Youth Risk Behavior Survey 2005) Consequence Indicator Grades Wyoming Percent Community Percent Priority Consequence Rode in a car or other motor vehicle driven by 9th-12th 29.7% 32.2% Secondary someone who had been drinking alcohol one or more times during the past 30 days Drove a car or other motor vehicle when they had been drinking alcohol one or more times during the past 30 days 9th-12th 15.3% 16.9% Secondary Alcohol-Related Crashes are all priority consequences for Teton County because the county is concerned with the consequences of drinking and driving. Additionally, Teton County wants to consider all crashes in combination due to the size of the county Table 2: Comparison of Teton County and state rates per 100,000 population, of Alcohol-Related Motor Vehicle Crashes (Wyoming Department of Transportation) Consequence Indicator Years Wyoming Community Priority Consequence Alcohol-related motor vehicle crash fatalities Yes Alcohol-Related Fatal Motor Vehicle Crashes Yes Alcohol-related motor vehicle injury crashes Yes Alcohol-related motor vehicle property crashes Yes

130 Additional Local Consequence Indicators were used in the Teton County Community Needs Assessment will be prioritized and tracked in the evaluation. Local consequence data identified included: Zip codes for DUI s Adult DUI filings MIP filings C onsequences related to the misuse of alcohol identified as Most Important to the Teton County community? Alcohol-related motor vehicle crashes: fatal, injury and property. Alcohol-related motor vehicle fatalities Zip codes DUI s Driving with someone who has been drinking (YRBS) - Secondary Drinking after driving (YRBS) Secondary Adult DUI filings MIP filings PRIORITY CONSUMPTION AREAS Table 3: Comparison of Teton County and state rates for Underage Drinking by grade (Prevention Needs Assessment 2006) Consumption Indicator Data Source Grade Wyoming Percent Teton County Percent Priority Consumption Past 30 day alcohol use PNA 6th 6.7% 2.1% Yes 8th 27.1% 33.6% Yes 10th 39.9% 49.6% Yes 12th 48.2% 61.0% Yes YRBS 9th-12th 45.4% 52.02% Yes Youth binge drinking PNA 6th 4.1% 0% No -past 2 weeks 8th 16.2% 15.3% No 10th 25.2% 32.2% Yes 12th 32.3% 41.2% Yes -past 30 days YRBS 9th-12th 32.0% 40.25% Yes Table 4: Comparison of Teton County and state rates for Adult Binge and Heavy Drinking (Behavioral Risk Factor Surveillance System) Consumption Indicator Years Wyoming Percent Adult (18 or older) binge drinking -past 30 days Adult (18 or older) heavy drinking -past 30 days Teton County Percent % 21.8% Yes Priority Consumption % 9.1% Yes Past 30-day alcohol use for all grades are priorities for Teton County because the county rate is often higher than the Wyoming rate. Binge drinking is a priority for 10th, and 12th grades (PNA), 9th -12th grade (YRBS) and Adult binge and heavy drinking since the Teton County community rates are each higher than the Wyoming rate. The most important consumption outcomes for Teton County are: 30-day alcohol use: PNA- 6th, 8th, 10th & 12th grades YRBS- 9th 12th Youth binge drinking: PNA- 10th & 12th grades YRBS- 9th 12th Adult binge drinking (BRFSS) Adult heavy drinking (BRFSS)

131 PRIORITY CAUSAL AREAS Priority causal areas were determined on completion of a formal needs assessment which also identified both Teton County consumption and consequence areas on which to focus. The causal areas shown in Table 5, were chosen to uniquely address needs identified within the county directly from the Community Needs Assessment. Strategies are from the county s approved Strategic Plan. Table 5: Logic Model Summary of Prioritized Causal Areas, Chosen Evidence-Based Strategies, and Contributing Factor Indicators PF Prioritized Causal Areas Evidence-Based Strategies Targeting Prioritized Specific Indicators that Measure Change in Each Prioritized Causal Area Causal Areas Retail Availability Not applicable Not a priority area Criminal Justice Social Availability Responsible Beverage Service Training Administrative penalties for retailers Alcohol units in law enforcement Compliance checks Research on legislation and policies relating to alcohol Appropriate penalties for MIPs Shoulder tap enforcement programs Alcohol restrictions at community events Shoulder tapping compliance checks Percentage of survey participants who agreed or disagreed with the statement adults who supply alcohol to youth under age 21 in violation of Wyoming law should be prosecuted. (Wyoming Alcohol Use Issues Survey 2006) Law enforcement interviews Percentage of students obtaining their last drink of alcohol from six different sources (PNA) Percentage of students who attended a gathering with large amounts of available alcohol (PNA) Percentage of adult respondents who would allow their child to first drink alcohol by age category (Wyoming Alcohol Use Issues Survey) Promotion Not applicable Not a priority area Community Norms Social norms campaign Alcohol restrictions at community events Percentage of agreement or disagreement to the statement alcohol should not be sold at community events, such as fairs, sporting events, parades, and rodeos (Wyoming Alcohol Use Issues Survey) Percentage of students who attended community events where alcohol was sold, adults were drinking or adults were drunk (PNA) In your opinion is drinking and driving in your community a (Wyoming Alcohol Use Issues Survey) Individual Factors Not applicable Not a priority area

132 Evidence-based Strategies for Teton County Responsible Beverage Service Training Administrative penalties for retailers Alcohol units in law enforcement Compliance checks Research on legislation and policies relating to alcohol Appropriate penalties for MIPs Shoulder tap enforcement programs Alcohol restrictions at community events Social norms campaign Coalition INFRASTRUCTURE DEVELOPMENT One priority of the SPF SIG funding providers is sustainability through infrastructure development. This is in part accomplished through the establishment and/or development of community coalitions. Data on coalition development and participant activity is being collected and baseline measures are shown here. Methodology Baseline data on prevention infrastructure was gathered through an questionnaire completed by local program coordinators and key informant phone interviews containing 55 questions were conducted with Prevention Framework stakeholders. Hard Data Teton County s coalition was formed in In March 2007, prior to the award of SPF SIG funding, the coalition had a total of 40 members. On average, the coalition met about once a month, and typically, all 40 members attended the meeting. Prior to SPF SIG funding, Teton County indicated that they used data to establish goals and objectives, to help prioritize needs, to identify target populations, to create an action plan, to allocate resources, to evaluate its prevention efforts, and to monitor its progress. During the 12 months prior to SPF SIG funding, Teton County was awarded two grants for substance abuse prevention, totaling $385,000, and prior to SPF SIG funding, four people were trained as Substance Abuse Prevention and Treatment Specialists. Strengths, Gaps, & Challenges...identified during program coordinator and stakeholder interviews. Q9. Where were gaps in the coalition before SPF SIG funding? Adult Latino/a populations and faith community. Q12. What training and professional development needs did coalition members have before the start of SPF SIG? Ongoing decision process and awareness of what s going on. Nothing specific per say.

133 We did have a facilitator work for a while. That really advanced the process. The objective outsider facilitating all the interaction. Q26. What local level data was used in prevention efforts in Teton County? There were PNA, YRBS and individual assessments (pre and post tests from WYSAC) from best practice programs and we worked with the schools on drop out data, the courts on arrest data, treatment, and diversion -subjective and objective to look at success/challenges of programs. [it is] hard to keep vision energy. Q49. Where could prevention capacity have been improved in Teton County prior to the award of SPF SIG funding? On the environmental level - hardest place to keep momentum. Hard to keep vision energy. Send consistent messages to our youth. Q50. What were the barriers to ATOD prevention in Teton County prior to SPF SIG funding? The barriers are that there are ongoing challenges and pockets within the schools, it s hard to address these issues when school is focused on reading, writing and arithmetic. The other area would be state law, being able to send consistent messages to our youth. Community/ Environment PROCESS INFORMATION SYSTEM DATA The Process Information System is designed to manage SPF SIG required data. This includes, those served directly and indirectly through selected evidence-based strategies and monitoring cost bands for each initiative. Some data is gathered based on federal fiscal year time lines and will not be available until Oct. 1. Data available as of Aug. 8, 2008 is shared here. Table 6: Teton County: Process information data Teton County Strategy PI Number Direct # Served Indirect # Served Social Norms Campaign P ,561 Coalitions P2002 No Data Responsible Beverage Service Training P No Data Policy & Ordinance Changes P ,000 Increased enforcement P2005 No Data Restrict Alcohol at Public Events P