11/28/2009 Healthiest Wisconsin 2020 Survey Results Page 1 of 4 HW2020 Survey Results Focus Area: ALCOHOL & DRUGS Survey Dates: July 14 - 24, 2009 Improving Health Across the Lifespan 1 A policy that seeks to reduce the overall consumption of alcohol will have the greatest progress in achieving improved health across the lifespan. Align excess and irresponsible alcohol consumption with the criminal justice; law enforcement and public health costs through pricing the product. access to intensive treatment Acess to culturally competent quality treatment Always a need for funding;Changing the beer tax would help. Change law that allows parents to serve minor children alcohol and take them into bars. Change the attitude of what is acceptable social drinking. (Wisconsinites have very different and unhealthy perceptions of what normal consumption is.) Continuing education campaigns focused on the negative effects of abuse/misuse for all age levels and populations Convincing young people not to start abusing substances. decreasing the acceptance of alcohol in the State Developing resources for recovery: the 1 month rehab covered by insurance is not effective for long term recovery; there needs to be afforadable or free; safe centers for revocery Development of diversion programs; drug courts; to facilitate treatment and reduce incarceration. Increased prevention and early intervention for youth through schools. Education for young people that is research based and evaluated on routine basis.Mental health court that addresses co-occurring issues of alcohol and mental health within the criminal justice system Education of health care professionals to increase screening for and awareness of signs and symptoms of substance use and abuse For Wisconsin; the biggest issue is Binge Drinking. One can go in one of two different directions 1) Become more restrictive/create a harmfulness tax on alcohol raising the price which effects college age students more than anyone 2) Lower the drinking age so that parents have more influence on their child's drinking habits (however; most learn their drinking habits anyway from their parents) Achieving Health Equity Realizing that the reason for many people using and abusing alcohol; inhalants; opiod abuse and diversion; is the bankrupt culture that values individuality and personal gratification ahead of collective responsibility. Use available and new resources to target population groups who demonstrate the most risk for adverse health and societal outcomes due to alcohol consumption. access to intensive treatment regardless of ability to pay Health Insurance that includes quality drug treatment Same as above Increase beer tax and use funding to support alcohol and other drug prevention and treatment efforts. Reduce access to alcohol and change the norms on consumption. Making treatment services readily available to all who need such services regardless of income; insurance; location; etc. Heightened activity in high risk geographic regions/areas of the state. ensuring primary care services are available in rural and poor communities Outreach Development of diversion programs; drug courts; to facilitate treatment and reduce incarceration. Increased prevention and early intervention for youth through schools. Mental health court especially considering the disproportionate number of miniorities incarcerated.Programs that are based on the needs of communities being served; tailored to meet the unique issues facing them. Availabilty of programs to assist affected individuals in a timely manner and by self referral Improving health equity in this area must first start with the socio-economic influences in low income areas- bringing in sustainable businesses so people have jobs; performance measures; pride in self; etc- its when people don't have any consequences if they have withdrawl symptoms that really perpetuates this cycle. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 11/28/2009 Healthiest Wisconsin 2020 Survey Results Page 2 of 4 HW2020 Survey Results Focus Area: ALCOHOL & DRUGS Survey Dates: July 14 - 24, 2009 Improving Health Across the Lifespan Implementation of educational program revealing outcomes from use of inhalants; binge drinking; etc. We need to start in the elementary schools defining what is harmful and why. Incorporating SBIRT services into health service delivery of public health and primary health care clinics as well as in school settings. Increased control and monitoring of prescription drug abuse. Includes education and best practice treatment modalities for providers. Increasing campaigns such as the parents that host loose the most . initiating full community involvement in neighborhoods with alternate activities available to all Instead of increasing punitive responses; such as locking people up in jail or prison; have accessible alcohol and/or other drug treatment programs available to people throughout the entire state; rural areas included. Research has shown that just locking people up doesn't help. Winnebago County has a very successful program that provides treatment for alcohol offenders and has been shown to be successful. Insurance parity More access for programming for individuals who don't have insurance. Most alcohol policy is done at the local level. We need to work with prevention coalitions to teach environmental substance prevention strategies to public health boards; staff & others to reduces the alcohol fueled problem adn alcohol fueled crime. ONE OF THE FOLLOWING SHOULD ADDRESS MENTAL HEALTH AND SOCIAL DRINKING AND DRUGS IN AMERICA WHY WE SEEM TO CARE MORE ABOUT THE MONEY IT BRING INTO THE STATE AND WE SHOULD FOCUS ON HARM REDUCTION AND BEGAN THIS EDUCATION AT A VERY VERY YOUNG AGE WITHIN OUR SOCIETY AND SCHOOL; COLLEGE AND OTHER SOURCE TO IMPROVE THE HEALTH AND MANAGEMENT OF FAMILYHOOD FOR THE BETTER. Achieving Health Equity Implementation of sensitivity training that educates youth on prison sentencing-partner with Dept of Corrections. 16 17 18 19 20 More monies dedicated to prevention and treatment. Not sure. involvement 21 Accessible treatment programs that do not have waiting lists and that are within the financial and geographical reach of all people. 22 23 24 Insurance parity Education of the public about the problem alcohol problems are the underlying derterminant in many other health issues. When we get alcohol under control we will save money and lives 25 WE HAVE TO BECOME LEADERS IN ALL HEALTH CARE AREA'S WE CANNOT JUST OVERLOOK THE FACT THAT DOCTOR'S AND NURSE'S TO DO IT ALL WE AS INDIVIDUAL AND PARENT'S MUST TAKE A VITAL ROLE WITH THIS PROCESS. acceptance that addiction is often an inherited response and to promote early intervention Policy that has three-pronged strategy: (1) Reduce availability of alcohol and other substances; (2) Improve effectiveness of law enforcement; and; (3) Change social norms and involves partnerships with adolescents to address the issues that affect their health. 26 Placing alcohol with equal importance as the other drugs Policy focused on prevention of underage drinking; and; promotion of low risk drinking among those 21 years of age and older 27 28 Prescription drug sweeps; holistic health education for adolescents. 11/28/2009 Healthiest Wisconsin 2020 Survey Results Page 3 of 4 HW2020 Survey Results Focus Area: ALCOHOL & DRUGS Survey Dates: July 14 - 24, 2009 29 Improving Health Across the Lifespan Prevention programs in school continue to be the highest priority. Education of MD's regarding AODA assessment as part of their practice is critical. Prevention; early identification of substance abuse addiction and treatment of addiction. Constant provider education; strict guideliness for prescription administration; case management of the elderly; substance abuse treatment (including alcoholism treatment) relevant to the age and culture of participants. Change in corrections system guideliness (partnership with public health)to provide treatment out of the group mandated therapy for alcohol and other drug use that is being used. Putting young kids with first offenses and adult repeat offenders in the same class does not work. Program Outcome: Decreasing binge drinking across the lifespan in WI Promote alcohol- and drug-free leisure activities across the lifespan as the way to better health and promote a you can do it; we can help message for those in need of treatment. providing support for drug and alcohol treatment (vs. detox only) for anyone involved in the criminal justice system; as well as for anyone requesting such treatment; regardless of ability to pay. Recognition that alcohol is a drug and should be documented as a contributing factor in all other health; injury and violence issues recognizing that alcohol use is cultural in WI and begin realistic (not DARE!)and alcohol/drug education earlier within the public school system reduced underage binge drinking Reducing Access Reducing binge and underage drinking Achieving Health Equity Focus on prevention in all area of health care system. 30 Collaborative effort between mental health; corrections and public health. 31 32 Creating a culture of healthy acohol usage in WI Ensure that prevention messages and treatments are culturally specific. (same as above)providing support for drug and alcohol treatment (vs. detox only) for anyone involved in the criminal justice system; as well as for anyone requesting such treatment; regardless of ability to pay. Increase the beer tax. increase alcohol taxes significantly increased access to AODA treatment for low SES teens Improving access to care Reducing binge and underage drinking 33 34 35 36 37 38 Reduction in the amount of prescribed drugs; or prescribing smaller amounts to be refilled only if the drug is effective for the condition being treated. Their needs Providing pharmacists or physicians with an electronic means to check on the to be community support of alcohol prevention efforts for underage individuals. 39 previous filling of controlled substance prescriptions before writing/filling a new An emphasis on an increase in physical activity by schools and parents will help prescription. to develop healthier strategies to release stress for children. To accomplish this; we need a safer environment for kids to be active in. 40 School based awareness campaigns 41 Stricter laws for alcohol intoxication offences information sharing between practitioners via true interoperable information systems. Keep second offender off the road for two years unless attend 3 months of schooloing 11/28/2009 Healthiest Wisconsin 2020 Survey Results Page 4 of 4 HW2020 Survey Results Focus Area: ALCOHOL & DRUGS Survey Dates: July 14 - 24, 2009 Improving Health Across the Lifespan Substantially raising beer taxes. A substantial increase in such taxes would decrease consumption by itself; especially heavy consumption. It would also 42 provide funding for implementation of evidence-based prevention; early intervention; and treatment programs. Achieving Health Equity Substantially raising beer taxes. The funds generated by this would allow prevention; early intervention; and treatment programs that are targeted to population groups that are disproportionately affected by alcohol and drug problems. To the extent that the tax would be regressive; it would especially protect people in extreme poverty; who are disproportionately affected by alcohol and drug problems. Involement of youth in sports/organizations. 43 Support for programs that mentor youth-and network role-models. Teach doctors to say no to drugs patients ask for if they really don't need them. It 44 is important for people to be informed and have knowledge but physicians need Continue education on use of substances and binge drinking; particularly to kids. to say no. There are almost no community-based evidence-based alcohol prevention programs in place for young adults and older youth in Wisconsin. We continue to Collect data from YRBS; BRFS; and funded treatment programs about disparate 45 monitor the problem through our funded treatment programs and bewail the limits populations (age; race; gender; sexual orientation; education) and report on it. they have; but beyond taxes and enforcement we are really doing much in prevention. Making low cost options for people with substance use or those who might need This is such a difficult issue; especially in Wisconsin. We need more strict DUI 46 ongoing counseling to deal with issue. More prevention in our primary care laws. Wisconsin has some of the most lenient laws in the country. health system. We have to stop circling around the ELEPHANT in the room and call ETOH Our rural areas suffer from higher rates of ETOH underage drinking and abuse. I misuse/abuse what it is and identify the lethalities associated with it. Until we believe the numbers of how serious this is probably under reported with the lack address ETOH by policy changes that identify advertising; income and event of resources. I think that policies that address underage youth access such as 47 supporters of ETOH; and address our policy makers regarding their role in ETOH changing the law is important; but there is need for law enforcement since many use/ abuse; we are not going to get very far.The Beer Tax and a policy to change things against the law now currently happen and are not reported due lack of current WI law so youth can not be in a tavern/bar/establishment that serves manpower and strong enough laws to affect taverns; etc. that violate event the ETOH is needed. current laws. People with mental health problems need access to counseling services; in order We need a statewide policy discouraging the prescribing of narcotics for chronic; 48 to prevent them from turning to substance use; as a means of coping with their non-cancer pain. mental health issues. we need to change the view that the drinking habits of Wisconsin residents are 49 ? normal and healthy. INCREASE THE TAX ON ALCOHOL! With the onset of opiate abuse hitting all time high levels amongst young people Naloxone needs to become available for a wide range of potential responders to and with many of them switching to injecting heroin at a very young age; we need 50 an opiate overdose. We need to enact good samaritan legislation to allow to provide fatal opiate overdose prevention activities throughout a number of responders to an opiate overdose to administer naloxone. venues within the State.