Strategic Highway Safety Plan

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1 Substance Use Disorders Statewide Conference August 11-13, 2014 Hilton Orange County Costa Mesa Responsible Beverage Service Training as a Community Prevention Resource August 13, 2014 Patrice Rogers: Dept. of Motor Vehicles & SHSP Challenge Area 1 Co-chair Marcie Griffin: Department of Alcoholic Beverage Control Kathy Kendrick: County of Orange Health Care Agency & OC DUI Task Force Co-chair Anita Lorz: Auto Club of Southern California & OC DUI Task Force Co-chair Steve Bloch: Auto Club of Southern California Fried Wittman: CLEW Associates Gregg Hanour: Good Alcohol Practices Consulting Lauren Tyson: Liquor License Advisor Strategic Highway Safety Plan Background California s Strategic Highway Safety Plan (SHSP) is a federally required statewide, comprehensive, data-driven effort to reduce fatalities and serious injuries on public roads. 1

2 Strategic Highway Safety Plan The SHSP applies resources in the areas where the greatest gains can be made to save lives, prevent injuries, and improve safety in the following Challenge Areas: CA 1: Reduce Impaired Driving Related Fatalities CA 2: Reduce the Occurrence and Consequence of Leaving the Roadway and Head-on Collisions CA 3: Ensure Drivers are Properly Licensed CA 4: Increase Use of Safety Belts and Child Safety Seats CA 5: Improve Driver Decisions about Rights of Way and Turning CA 6: Reduce Young Driver Fatalities CA 7: Improve Intersection and Interchange Safety for Roadway Users CA 8: Make Walking and Street Crossing Safer CA 9: Improve Safety for Older Roadway Users CA 10: Reduce Speeding and Aggressive Driving CA 11: Improve Commercial Vehicle Safety CA 12: Improve Motorcycle Safety CA 13: Improve Bicycling Safety CA 14: Enhance Work Zone Safety CA 15: Improve Post Crash Survivability CA 16: Improve Safety Data Collection, Access, and Analysis CA 17: Reduce Distracted Driving Strategic Highway Safety Plan Accomplishments For each Challenge Area, Actions are developed to implement SHSP strategies and achieve the goal of reducing fatalities. Actions are managed and implemented by the public and private organizations participating in the SHSP. Each Action has a clear purpose tied to safety and is approved and monitored by the California SHSP Executive Committee representing the Governor s Office. 2

3 SHSP Challenge Area 1: Action 1.23 Develop and distribute targeted materials to local community organizations and alcoholic beverage licensees in Orange County on the value and benefits of Responsible Beverage Service Training: A pilot in 8 Orange County cities. Alcohol-Involved Vehicle Deaths and Severe Injuries in 8 Orange County Cities from SWITRS data ( MEAN AVERAGE/10k population) DEMOGRAPHIC INDICATORS Total population Mean Victims killed/injured (per 10k city population) Rank by Victims (34 OC cities) Total On- Sale Outlets On-Sale Outlets (per 10K) Median age (years) NEWPORT BEACH* 85, COSTA MESA 109, FULLERTON* 135, GARDEN GROVE 170, ORANGE* 136, HUNTINGTON BEACH 189, SAN CLEMENTE* 63, LAKE FOREST * City has mandatory RBS training requirements for all on-sale outlets in their zoning ordinance(s). Strategic Highway Safety Plan Challenge Area 1: reduce impaired driving-related fatalities Patrice Rogers Research Program Specialist California Department of Motor Vehicles Marcie Griffin Deputy Division Chief, Southern Division California Alcoholic Beverage Control Kathryn Kendrick, MPH County of Orange Health Care Agency Alcohol and Drug Education and Prevention Team (ADEPT) California Substance Use Disorders Conference August 13,

4 Responsible Beverage Service Training as a Community Resource The Problem of Alcohol and DUI Steven A. Bloch, Ph.D. Senior Research Associate Public Affairs Automobile Club of Southern California California Substance Use Disorders Conference August 13, 2014 U.S. Problem of Alcohol and DUI Trauma room patients have a BAC >.08% ~ 30% of the time (UCI Medical Center/Ventura Community Med. Center) Alcohol is present in 40% of falls, 64% of fires and burns, and almost 50% of homicides. (NIAAA) Alcohol is a factor in 66% of student suicides (drugrehabtreatment.com) Heavy alcohol consumption has been linked to sexual assault (National Institutes of Health) More than 10,000 are killed in traffic crashes every year from drinking and driving (NHTSA) 1 in 3 persons will be involved in an alcohol-related crash in their lifetime (NHTSA) Almost 25% of men and 12% of women had experienced violence or aggression in or around a licensed bar during the past 12 months (ages 18-30) (Leonard et al., World Health Organization, 2002) 4

5 U.S. Problem of Alcohol and DUI Preventing Chronic Disease, CDC, June 2014 The U.S. death toll from binge drinking and other excessive alcohol use is nearly 88,000 persons per year leading to more than 2.5 million years of life lost Binge drinking is responsible for more than half these deaths 71% of AR deaths were men, 69% were working age adults (ages 20-64) 9.8% of deaths that befell working-age adults was traceable to alcohol. In California, the percentage was % above the national average Excessive alcohol use cost the U.S billion in 2006 ($1.90 per drink) Am J Prev Med 2013 The Problem of Alcohol and DUI High Risk Drinkers Drivers with a BAC of.15% or more are responsible for a disproportionate share of the alcohol-impaired traffic fatalities (NHTSA Fatal Accident Reporting System, 2010) High-risk offenders are responsible for about 70% of all DUI fatalities (Zador, 1991) College students who drink heavily are more likely to engage in unplanned sexual activity than those who do not drink heavily (Anderson and Mathieu, 1996; Cooper et al., 1994, 1998; Meilman, 1993; Perkins, 1992; Wechsler et al., 1998, 2000) Those who drink excessively are more aggressive and get injured more seriously than those who drink moderately or not at all. Moderate drinkers do not appear to be at significantly higher risk of injury than non-drinkers (Graham, Schmidt, and Gillis (1996)); (Richardson and Budd (2003)) 5

6 Orange County Has Serious DUI-Related Alcohol Problems DUI Rates Have Remained Persistently High for a Decade In 2010 and 2011 Orange County rates were 10% higher than the state average Orange County Has Serious DUI-Related Alcohol Problems Alcohol Service at Restaurants and Bars is a Major Factor in OC DUI 52% of DUI offenders said they had their last drink at a restaurant or bar 34% had their last drink at a private residence 14% had their last drink in a car or public place 6

7 Orange County Has Serious DUI-Related Alcohol Problems Alcohol/Drug-related Police Events at Restaurants and Bars Occur Most Often at Restaurants with Type 47 Licenses Addressing Orange County s Drinking and Driving Problem Why focus on licensed alcohol serving establishments? More than half of DUI comes from licensed establishments. Place-of-last-drink surveys show that at least half of DUI drivers had their last drink at licensed alcohol establishments usually full-service restaurants that over-serve their customers Establishments often fail to cut off intoxicated customers. From 58% - 85% of licensed establishments fail to cut off intoxicated customers. Over-service is especially a problem for on-sale establishments after 10:00 pm 14 7

8 Contact Information Steven Bloch, Ph.D. Senior Research Associate Public Affairs Automobile Club of Southern California 15 Orange County RBS Training Project Three Levels of Community RBS Individual server training (Tier One) o Many effective training curricula are available o Training effective only when supported by mgm t & endorsed by city. Management (establishment) training (Tier Two) o Preventive alcohol management policy developed for each outlet o Policy provides proven preventive management practices. City oversight for RBS training (Tier Three) o Cities may require Tier 1 & 2 training for on-sale establishments o Cities need help to implement RBS training requirements 16 8

9 Orange County RBS Training Project Introduction to Phase 2 Phase 1: Individual Server Training o Phase 1 operated from April 2012 through March 2014 o Data still being collected from OC DUI Task Force Website. Phase 2: Community RBS for Managers & Cities o Phase 2 now in planning/fund-raising based on Phase 1 findings o Sponsorship will shift from ABC (Phase 1) to DPH (Phase 2). Phase 2: Management & City Oversight Components o Management: Reach out to operators of 1,200 outlets in eight cities o City Oversight: Work with four cities that require RBS training 17 Tier 2 Training the Operator Substance Use Disorders Statewide Conference, August 11 13, 2014 Good Alcohol Practices Consulting Gregg Hanour GoodAlcoholPractices.com (949)

10 Presentation Goals 1) Define Tier 2 training. 1) Describe why Tier 2 training is needed. 2) Share Tier 2 training examples to demonstrate how the training can be a game changer. Tier 2 Training Overview Tier 1 training shares tools enabling line staff to serve alcohol more responsibly. Tier 2 training educates owners and managers on good alcohol practices and demonstrates the business benefits to these practices. 10

11 Who Operates Bars Background before operating bar: Club promoter (money from parents) Club promoters (trio of owners all made $ from promoting) Club promoter (GM, bg of absentee owner unknown) Club promoter & marketing company Rock band member (still tours) Three lawyers (history of litigation issues at bar) Taco Stand owner (Immigrant entrepreneur) Family business (former bartender) Executive Chef Real Estate General Manager at Restaurant Senior Director of Operations: House of Blues Zero Communication & Conditions on Alcohol Service In multiple meetings not once did anyone bring up alcohol service. Neither the CUPs or the Liquor License listed any condition relating to alcohol service other than when it must stop. 11

12 An Industry Out of Control Violence Almost 25% of men and 12% of women ages had experienced violence or aggression in or around a licensed bar during the past 12 months. (Leonard et all, 2002) Insurance Claims Problems Approximately 80% of operators have either a spotty (50%) or poor (30%) claims record. (Tim Shank, Saundra Boden, 2013) Bar Shrinkage Studies suggest liquor shrinkage liquor that is not accounted for typically chews up 20 percent to 30 percent of the bottom line. A Short Shelf Life Longitudinal studies by researchers at Cornell University and Michigan State University revealed: 27% closed within the first year 60% closed by the end of five years 70% closed by the end of ten years 12

13 SHSP Phase Two Empower cities with new information Empower operators to handle their responsibilities Empower customers to guide their inebriation Empower law enforcement with new tools Influencing Operators A study of 14 drinking establishments over several months concluded the operator whose management embraced the responsible alcohol service training significantly reduced the amount of intoxication. (Lang, et al, 1998) Researchers with similar results: Saltz, 1987, 1989 Single, 1990 Toomey,

14 Quality is Free by Philip Crosby, 1979 Revolutionized business world Do it right the first time. Or Increase profits by reducing waste. The GAPulator Operator Input Annual liquor sales: $3,000,000 Additional number of customers cut off/night: 11 Number of nights open: 7 Average drinks per customer: 3 Average drink price: $7.00 Cost to Cut off Additional Customers Calculated annual liquor costs (22% pc): $660,000 Total new customers cut offs annually: 4,004 Annual profit lost: $21,862 GAP Financial Benefits Bar Optimization: $300,000 Reduced General Liability Expense: $43,800 Reduced Worker's Compensation Expense: $12,000 Improved Customer Retention: $19,676 Quicker Return Business: $13,117 Good Alcohol Practices might annually save your business > $366,731 14

15 GAPMO Focuses on An operator s agreements with the city and state. What Good Alcohol Practices (GAP) look like? The benefits from following GAP. How to imbed GAPs into your business culture. (1) Empowering Your Customers Post a sign in the entrance that reads: It is illegal and unethical to serve alcohol to an intoxicated person. Thank you for your support. Display basic information about the Pleasure Zone (Drinking Guide) Cell downloads that track BAC. Cocktails menu includes SD 15

16 Crash Risk at BAC Levels (2) Eliminate Bar Shrinkage Educating operators on: The benefits of documented and responsible drink recipes. The costs associated with over pouring. 16

17 The Need for Documented and Responsible Drink Recipes True Drink Value ADIOS RECIPE: (1) Recommend (2) Before (3) Post Drink Price $10.00 $8.00 $10.50 Drink Profit $ 9.51 $6.58 $ 9.59 True Drink Value $ 8.34 $1.49 $ 4.72 Standard Drinks BAC (male)

18 Operator Review The GAPMO seminar is an invaluable resource for all those in the business of serving alcohol. Gregg's research and statistics provided a thorough overview of our industry. Specifically, the information concerning pour costs clearly proved how an operator/owner can reduce intoxication problems while increasing profits and the bottom line at the same time. The issues addressed also helped in the evaluation of factors affecting ones license to sell alcohol and liability issues. We highly recommend all those in the industry attend this most valuable seminar. James Nanko, Owner, Hurricanes Final Thought Change the way you look at things and the things you look at change. Wayne W. Dyer 18

19 RBS Training for Cities (Tier 3) Local Drinking Practices and Community Norms Communities Standards for Service of Alcoholic Beverages Community RBS Standards Can Help Three-Tiered RBS Overview RBS Oversight for Cities (Tier 3 training) State ABC and City Local Control over Alcohol Outlets Areas for Action to Improve RBS Next Steps for Phase 2 37 Local Drinking Practices and Community Norms Struggles occur in every city over how to draw the line between drinking/entertainment and public health & safety. How can operating standards for community on-sales establishments work to steadily reduce excessive drinking, drunkenness, & related problem behaviors? All photos courtesy San Luis Obispo Police Dept

20 Community Standards for the Service of Alcoholic Beverages Retail Alcohol Outlets: A Community Alcohol Dosage System On-sale Establishments (Restaurants and Bars) contribute heavily to the DUI population and related problems. Police event data shows full-service restaurants ABC Type 47s are major sites for police events (& over-serving). Two parties (elbows) are at work on each drink: The elbow that pours the drink and the elbow that consumes it. State and local community must review outlet performance on both the pour side and the consumption side. 39 Community RBS can help Establishing safe and acceptable drinking norms Community topic: What are the boundaries for drinking at an on-sale establishment? How much is too much? What experiences are OK? What experiences are not OK? Who s responsible? 40 20

21 Community RBS can help RBS (Responsible Beverage Service) can help: RBS practices reduce excessive drinking when diligently applied in a context of supportive management policy and community pressure in the form of firm enforcement, public agency pressure, and popular (community) support.* *K. Warpenius, M. Holmila & H. Mustonen,, Addiction, 105, (2010). 41 RBS Oversight for Cities (Tier 3) (1) Document on-sale outlet performance (police events) (2) Enforcement and Compliance (3) Monitor RBS training requirements (4) Transparent administration 42 21

22 RBS Oversight for Cities (Tier 3) (1) Document on-sale outlet performance (police events) o Preventive surveillance for ALL outlets Comm-Stat for On-Sales o Local police event data accessible to community (Calif Public Record) o Supplement with interviews, surveys, direct observation, archival data 43 RBS Oversight for Cities (Tier 3) (2) Enforcement and Compliance o ALL alcohol laws are enforced (especially and 25658) o Undercover and unannounced visits may be used o Establish community complaint call line 44 22

23 RBS Oversight for Cities (Tier 3) (2) Enforcement and Compliance o ALL alcohol laws are enforced (especially and 25658) o Undercover and unannounced visits may be used o Establish community complaint call line 45 RBS Oversight for Cities (Tier 3) (3) Monitor RBS training requirements o Form interagency alcohol policy working group (APWG) o Monitor surveillance data and RBS training activity for each outlet o Help each establishment create an alcohol management plan (AMP) o Offer training and compliance assistance to outlets & neighbors (4) Transparent administration o Provide annual report to public and elected officials o Review performance of both on-sale outlets and oversight system o Encourage participation by community coalition, concerned groups o Meet regularly with on-sale operators 46 23

24 State and Local Control for Retail Alcohol Outlets in California 47 Areas for Action ABC and Other State Agencies (DPH, SUD) Increase resources to address on-sale outlet issues o Increase GAP grants to local law enforcement & decoy buys o Educate local officials on relation between ABC and local jurisdiction o Provide ABC data & collaborate to study alcohol outlet performance o Encourage RBS Providers to organize (convene, monitor, evaluate) Change state law defining bars and restaurants o Eliminate restaurant exemption for public PC or N ( ) o Support alcohol prevention policy advocates and researchers to redefine restaurant and bar and define nightclub 48 24

25 Next Steps of Phase 2 Demonstration Research Project Shift agency support from ABC to Dept of Public Health o DPH supports demo research on consumption-based disorders o DPH consults with local jurisdictions on public health issues. Cooperative grant-writing with outlets and city agencies o Participation improves design o Participation increases chances of getting funded Evaluation Design o Pre-post measures for four matched city pairs comparing change in DUIs & police events against adoption of Tier 2 & Tier 3 training Timeline (estimated) o Grant submittal Fall/Winter 2014 to run 30 months 49 References Alcohol Policy Brief (CARS/DADP Community Prevention Initiative) October, 2012 Restaurants that Morph into Bars and Nightclubs in California Communities: What s the Problem and What Can Be Done About it? Friedner D. Wittman licybrief.pdf 50 25

26 References A Business Approach to Reducing Drunk Driving Gregg Hanour Self-published 30 January 2013 Available at Amazon.com. Driving/dp/ /ref=zg_bsnr_69842_6#reader_ Contact Information Fried Wittman, President Prevention by Design / CLEW Associates Gregg Hanour, Business Consultant 52 26

27 Thank you! The SHSP Challenge Area 1 RBST Action Committee 53 27

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