Welcome to the 90th Space Wing's Adding to a Capable Drinking Society Center Day.

Welcome to the 90th Space Wing\'s Developing a Responsible Drinking Culture Focus Day

Administrative Notes

Opening Remarks COL EVAN J. HOAPILI Commander, 90th Space Wing

ALCOHOL RELATED INCIDENTS Outside Inside Gate Clear & Present Danger There is Hope and Help Immediate usage Wing backing Based on national research Integrated and extensive arrangement

Wing Goal: Create a mindful liquor culture that advances solid, generally safe drinking conduct half lessening in DUIs over each of the following two years Reduce high-chance drinking and related issue practices Increase mindfulness and pervasiveness of okay versus high-hazard drinking

FRUSTRATION & AMBIVALENCE It\'s simply the age… You can\'t stop them… Underage will drink… I did it at that age… I\'m mature enough to serve my nation… I ought to be mature enough to drink! #1 Risk: Demoralized Leadership

ALCOHOL RELATED INCIDENTS Annually Alcohol is Key Factor in: Traffic fatalities 40% Assaults 72% Suicides 35-80% Sexual assaults 52-90% Murders 50-76% Spouse or kid Abuse 50-65% Drowning 69%

DRINKING & DRIVING Drunk Driving is the Most Common Violent Crime in America More than 1.4 million captures every year 33% are rehash guilty parties Traffic Accidents are the Greatest Single Cause of Death for Every Age From 6-33 40% of all activity fatalities are because of liquor half for age 18-24

BINGE DRINKING Be the casualty or attacker in physical or sexual strike Experience genuine unintentional harm Get into issue with police Engage in hazardous driving Have unprotected & impromptu sex Damage property Binge Drinkers are up to 10 Times More Likely to:

DRINKING: US & F. E. WARREN US Data in light of meeting of 68,000; SAMHSA, Office of Applied Studies, "National Survey on Drug Use and Health", 2002. FE Warren Data in light of unknown composed review of 414 dynamic obligation individuals, 2004.

DRINKING: US & F. E. WARREN (YOUNG ADULT) US Data in light of meeting of 68,000; SAMHSA, Office of Applied Studies, "National Survey on Drug Use and Health", 2002. FE Warren Data in view of mysterious composed review of 414 dynamic obligation individuals, 2004.

ALCOHOL RELATED INCIDENTS/1000: AF AND WARREN, 2003 Data source: Air Force ADAPT; rates per 1000, AF end quality 369, 879, FEW 3,300; incorporates all occurrences alluded for ADAPT assessment.

FEW\'S 2003 ALCOHOL RELATED INCIDENTS (ARIs) 133 Alcohol Related Incident Events: DUIs 38 (29) Drunk on Duty 5 UADs 70 Reported Sexual Assault 11 Assaults 24 Other 16 (offering to minors, open inebriation, and so on.) Total ARIs by Type: 164 Average Age 19

FEW\'s 2003 ARIs DUIs: 38 Incidents (29 AD, Civ Service, Dep) 11 were Underage Average Age is 24 Average # of Drinks 4.6 81% Over Age 21 29% were Underage

FEW\'S 2003 ARI IMPACT Article 15s Issued 40 Estimated Total Forfeiture of Pay $13,909 Reduction in Rank 32 cases Relieved of Duty 449 days Confinement 30 days Restriction 595 days Extra Duty Given 612 days Down on PRP TBD Work Days Lost TBD Days in Casual/General Duty Status TBD LORs/LOCs 32

FEW\'s 2004 ARIs 38 Alcohol Related Incident Events: DUIs 11 (10) Drunk on Duty 3 UADs 19 Reported Sexual Assault 0 Assaults 4 Other 24 (offering to minors, open inebriation, and so on.) Total ARIs by Type: 62 Average Rank Category Amn

FEW DATA: DRINKING & HIGH RISK BEHAVIORS # High Risk Behaviors Number of Drinks Average number of self-reported High Risk Behaviors: DUI/riding with tanked driver, contend/battle with life partner, physical battle, contemplating suicide, unprotected sex, undesirable or constrained sex, late or missed work because of drinking, or utilizing different medications inside the most recent year. Information from study of 414 FEW dynamic obligation individuals, 2004.

F. E. WARREN\'S STRATEGY OVERVIEW Based on National Research: National Institute of Alcohol Abuse and Alcoholism, "A Call to Action: Changing the Culture of Drinking at US Colleges", 2002 National Academy of Sciences, "Decreasing Underage Drinking: A Collective Responsibility", 2003

INDIVIDUAL LEVEL Pre-Screening Post Incident Treatment Discipline COMMUNITY LEVEL BASE LEVEL RESPONSIBLE DRINKING CULTURE Integrated 3-Pronged Approach Collaboration Responsible Alcohol Service Disciplinary Control Board Awareness Education Prevention Intervention

National Research: Changing the Culture at U.S. Universities PENNY NORTON CEO FACE: Truth & Clarity On Alcohol

BREAK

INDIVIDUAL LEVEL Pre-Screening Post Incident Treatment Discipline COMMUNITY LEVEL BASE LEVEL RESPONSIBLE DRINKING CULTURE Integrated 3-Pronged Approach Collaboration Responsible Alcohol Service Disciplinary Control Board Awareness Education Prevention Intervention

Individuals at High Risk and The Air Force ADAPT Program CAPT ALAN OGLE Chief, Life Skills Support Center ADAPT Program Manager

KEY POINTS Drinking Behavior-A Matter of Degree Substance Use Patterns Early Identification of Problems Mandatory Evaluation and Treatment How to Use the ADAPT program

WHY YOUNG PEOPLE DRINK: Many Reasons Fun Curiosity: "transitional experience" Peers: "the thing to do… " Psychological Purposes To build constructive sentiments To abatement adverse emotions

NO RISK LOW RISK MODERTATE RISK HIGH RISK & ILLNESS LEVELS OF DRINKING BEHAVIOR: A MATTER OF DEGREE No Risk Low Risk Drinking Problem Drinking Illegal/Underage Alcohol Related Incidents (ARI) Binge Drinking Alcohol Abuse Alcohol Dependence

BLOOD ALCOHOL CONCENTRATION (BAC) 0.03% (1 drink/hour): loose, sentiment thrill 0.06% (1-2 drinks/hour): sentiment warmth and unwinding, reduction of fine engine aptitudes 0.09% (2-3 drinks/hour): impeded response time, poor muscle control, slurred discourse, shaky legs 0.12% (2-4 drinks/hour): obfuscated judgment, diminished hindrances and poise, debilitated thinking and capacity to settle on consistent choices, well over as far as possible

BLOOD ALCOHOL CONCENTRATION (BAC) 0.15% (3-5 drinks/hour): obscured vision, discourse indistinct, precarious strolling, disabled coordination, conceivable power outage 0.18% (5-8 drinks/hour): conduct is completely weakened, inconvenience remaining alert, numb 0.30% (8-13 drinks/hour): plastered trance or profound rest 0.40% (11-15 drinks/hour): unconsciousness, likely demise 0.50% (14-18 drinks/hour): passing

LOW RISK DRINKING Low Risk Drinking is Our Goal Drinking Perceptions and Norms Keep a Person\'s BAC Below .05

FEW DATA: DRINKING & HIGH RISK BEHAVIORS # High Risk Behaviors Number of Drinks Average number of self-reported High Risk Behaviors: DUI/riding with smashed driver, contend/battle with companion, physical battle, considering suicide, unprotected sex, undesirable or constrained sex, late or missed work because of drinking, or utilizing different medications inside the most recent year. Information from overview of 414 FEW dynamic obligation individuals, 2004.

RESPONSIBLE DRINKING

Operationalizing the Wing Goal: Create a capable liquor culture that advances solid, generally safe drinking conduct FE Warren Data in view of unknown composed review of 414 dynamic obligation individuals, 2004.

NO RISK LOW RISK MODERTATE RISK HIGH RISK & ILLNESS THREE-PRONGED APPROACH: INDIVIDUALS AT HIGH RISK Persons at Moderate or High Risk for Problem Drinking or Substance Use Disorder Enter AF with Established Alcohol Use Disorders Genetics or potentially Environment Poor Coping Skills or Judgment

IDENTIFYING PERSONS AT HIGH RISK SAMPLE AUDIT ITEMS 1. How regularly do you have a drink containing liquor? 0 – Never or less 1 - Monthly 2 - 2 to 4 times each month 3 - 2 to 3 times each week 4 - at least 4 times each week 4. How regularly amid the most recent year have you found that you were not ready to quit drinking once you had begun? 0 - Never 1 - Less than month to month 2 - Monthly 3 - Weekly 4 - Daily or every day 8. How frequently amid the most recent year have you been not able recall what happened the prior night since you had been drinking? 0 - Never 1 - Less than month to month 2 - Monthly 3 - Weekly 4 - Daily or day by day Self-Identification Behavior Universal Screening Alcohol Use Disorder Identification Test (AUDIT) Administered to all approaching staff (FTAC, Rightstart) CC advised of scores 8 or higher, with suggestion for referral to ADAPT assessment

MANDATORY EVALUATION AND TREATMENT AFI 44-121 Alcohol and Drug Abuse Prevention and Treatment (ADAPT) Program ADAPT is Part of the 90th Medical Group, Life Skills Support Center Program Manager: Captain Alan Ogle NCOIC: MSgt Jeffrey Randall, CADAC 773-2998

ADAPT PRIMARY OBJECTIVES: Promote preparation, wellbeing and health Through counteractive action and treatment of substance manhandle Provide training and treatment For people with substance mishandle issues Return patients to unlimited obligation status Or help them experiencing significant change to non military personnel life

HOW TO USE ADAPT: REFERRALS FOR EVALUATION Self-Referral Medical Referral Commander Referral

COMMANDER REFERRAL: AFI 44-121 3.8.1 A Unit authority should allude all administration individuals for appraisal when substance utilize is suspected to be a contributing component in any episode DUI, open inebriation, smashed and jumbled, life partner/kid mishandle and abuse, under-matured drinking, constructive medication test, or when informed by restorative faculty. Allude Within 7 Days of In