Drug Deterrence: New Policy Recommendations and Best Practices. Panel Introductions 7/2/2015. Regional Rules David Wyrick.

Transcription

1 Drug Deterrence: New Policy Recommendations and Best Practices Regional Rules 2015 Panel Introductions David Wyrick Faculty Athletics Representative, University of North Carolina, Greensboro Director, Institute to Promote Athlete Health and Wellness Member of NCAA Drug Task Force Mary Wilfert SSI Staff, administering Drug Ed/Testing Programs Liaison to CSMAS NCAA Drug Policies Reviewed in Task Force Meetings of July 2013 and April 2014 Reaffirmed that drug use deterrence and studentathlete health and wellness is the ultimate goal! Considered what impact prevention science and behavioral health research should have on NCAA drug deterrence efforts: Anti Doping Regulations Recreational Drug Use intervention Drug Education Drug Testing 1

2 NCAA Drug Task Force Recommendations Continue to research why student athletes drink more than other students. Investigate and match interventions to the motivations for use: alcohol/recreational drug abuse triggered by social pressures and anxiety/stress/depression induced self medication; opiate prescription drug abuse driven by need for pain management; stimulant abuse for perceived academic enhancement, for weight management, for athletic performance enhancement; PED use tied to personal moral development, team/coach expectations and stated disapproval. Emerging / Re-emerging Drug Issues Alcohol Abuse Marijuana Prescription drugs Narcotics (opiates) Stimulants When you drink alcohol, typically how many drinks do you have in one sitting? (of those who report alcohol use) Female Division I Division II Division III More than 4 drinks 31.9% 32.6% 37.8% 10+ drinks 2.4% 3.2% 3.3% Males Division I Division II Division III More than 5 drinks 39.6% 39.6% 50.4% 10+ drinks 15.5% 16.8% 20.4% 2

3 Recreational Drug Use: high risk sports Highest Users of Marijuana Highest Users of Alcohol Highest Percent of Excessive Drinking Men s Sports MLA MLA MLA MSW MGO MWR MSO MSW MBA Women s Sports WLA WLA WLA WSW WFH WFH WFH WTE WSO Prescription Drug Use 2013 Year With Prescription Without Prescription ADHD Medication Pain Medication % 6.7% % 8.8% % 5.1% % 5.8% CSMAS Drug Summit 2014 Identify and recommend best practice strategies to deter use of PEDs and recreational drugs. 3

4 CSMAS Recommendations: Drug Testing and Banned Drugs The NCAA has a responsibility to eliminate cheating from sport, and to assure that youth does not see the use of PEDs as a means to obtain athletic excellence and advancement in intercollegiate competition.... page 10 Question Contemplated by CSMAS: Should Recreational Drugs be included in NCAA testing, or shifted to institutional testing and intervention? Recreational drugs: Alcohol Marijuana Other illicit drugs Prescription drugs CSMAS Recommendations CSMAS reaffirmed that the NCAA has a twofold responsibility to address drug use by student athletes: to protect the health and safety of college studentathletes; to protect the integrity of athletic competition by preventing cheating. CSMAS recommended: To eliminate Street Drugs as an NCAA banned class and no longer test for them in NCAA championship testing To enhance PED testing To support effective institutional level drug deterrence and intervention. 4

5 Why the shift? Not less attention, More effective intervention! We have a moral and ethical obligation to assure an effective model is in place to address recreational drug use NCAA Drug Testing for Marijuana has not effectively deterred use Currently testing only at championships Punitive sanctions are only NCAA remedy Has not effectively changed reported use Cannot effectively intervene for those with substance use issues Prevention science indicates behavioral interventions to address use/abuse NCAA Resources APPLE Prevention Conferences CHOICES Alcohol Education Grants Coaches Education- on Hazing Prevention, Mental Health myplaybook: Online Wellness Promotion Sports Medicine Handbook SSI Newsletter Student-Athlete Drug Policy brochure Violence Prevention resources PhotovoiceKit Prevention Coaching Mind Body Sport Understanding and Supporting Student-Athlete Mental Wellness 5

6 Now available to the 700 members of Division III and the NASPA Small Colleges and Universities Division NCAA Sponsored APPLE Conferences APPLE Model created at the University of Virginia in 1991 as a framework for addressing substance abuse prevention for student athletes. Disseminated through 2 annual conferences. Goal is to empower teams of student athletes and administrators to create an institution specific action plan Assess athletics departments strengths and weaknesses in substance abuse prevention. Return to campus with specific resources and an individualized plan for implementing change. CHOICES Alcohol Education Grants Engaging Athletics with the Campus Prevention Effort provide models of campus collaboration and effective prevention programming, prompt athletics departments to become more formally involved in addressing an issue that has been identified with fans, athletic events, and higher reported use among studentathletes, demonstrate the value of campus relationships that have been established and enhanced between athletics and student affairs! 6

7 Addressing Campus Sexual Assault and Interpersonal Violence page 19 Athletics Role in Support of Safe and Healthy Campuses Compliance with Federal Regulations Prioritizing Education and Prevention Collaboration with Campus Experts Bystander Intervention Raise awareness of helping behaviors (why people do or do not help) Increase motivation to help Develop skills and confidence when responding to problematic behaviors Ensure the safety and well being of others 7

8 Personal narratives Experts on student athlete depression, anxiety, eating disorders, substance abuse, gambling Stressors on student athlete mental health: transitions, performance, injury, academic stress, coach relations Sexual assault, hazing bullying Cultural pressures: African American studentathletes; Lesbian, Gay, Bisexual and Transgender student athletes Roles & responsibilities of sports medicine staff Coaches needs and roles Models of service NCAA resources and policies page 22 Generation Rx University Conference Prescription Drugs and NCAA Student Athletes: A panel discussion data from the NCAA 2013 Substance Use Study spring National SAAC questionnaire Panelists discuss concerns and identify strategies to raise awareness and implement best practices. page 23 An online suite of evidence based student athlete wellness programming designed to prevent alcohol and other drug related harm, reduce sexual assault, and promote life skills. 8

9 myplaybook AOD Course: Introduction Norms Expectancies Harm Prevention myplaybook Sexual Assault Module Demonstrates that sexual assault is a problem Describes what sexual assault looks like recognition of signs of abusive behavior Provides information on student rights and campus obligations Highlights the role of alcohol Builds skills related to sexual assault prevention communication/language seeking consent Introduces basic bystander intervention strategies risk appraisal prepares student athletes for future training in Step UP! Consequences DYNAMIC EXAMPLE: 9

10 Consent DYNAMIC EXAMPLE: myplaybook Life Skills Stress management Resiliency Coping strategies Transitions Physical activity Nutrition Mental health Career planning Coaches Assist: Helping coaches to become facilitators of student athlete well being 10

11 Coaches Believe Every student-athlete matters Most student-athletes will respond to clear expectations about alcohol and drug use We must step up and intervene when needed My behavior matters How To Recognize a Student-Athlete Needs Help (including emergencies) How to Voice Your Concerns and Provide Support How to Access Campus and Community Resources Spirit of Coaches Assist mindset shift Moving from Identify & Fix Guide & Inspire 1. Coaches can be a partner in the journey 2. NOT solving the problem 3. Seeing players as whole not broken 4. Move away from players have questions and coaches have the answers 5. Coaches can be an advocate for student athletes 7/2/

12 What is Photovoice? Photovoice is a process by which students are invited to take pictures of strengths, weaknesses, and/or specific issues on their campus communities. Provides an opportunity for students to represent their own personal viewpoint of their campus through photos and stories; Promotes the exchange of ideas about the photos and captions to create a mutual understanding or critique of why some issues exist; Reaches decision makers through public photo exhibit(s) with the intent of persuading action be taken on the issues identified. What is PhotovoiceKit? PhotovoiceKit is a complete web based toolkit for carrying out a photovoice project that combines photography, dialogue, photo exhibits and social action to address the issues you care about. What is PhotovoiceKit? PhotovoiceKit offers: A standardized on line training platform for learning about the photovoice method, conducting a project and building advocacy skills for addressing an important issue. A web portal for uploading photos, adding captions, and preparing photos for printing and hosting a public photo exhibit or hosting online photo exhibits; An online resource center with opportunities to network with other campuses engaged in photovoice activities. 12

13 The Need for Prevention Coaching Many NCAA athletics departments are faced with limited expertise and resources. Implementing effective prevention is a complex endeavor. Three pillars of a successful prevention plan: (1) adoption, (2) quality implementation, and (3) continuous evaluation of evidence based programs, practices, and policies. Prevention Coaching can support these three pillars increasing the likelihood of sustainability. Athletics departments will be able to create a culture of health and wellness e.g., Promotes care seeking by student athletes Prevention Coaching Principles Building trust in working relationships Overcoming biases and misperceptions Developing common language that all partners understand True partnership all contributing and contributions recognized Meeting each other s needs Recognizing the other s expertise and contributions Engaging faculty Promoting Education based athletics Adopting student development models and strategies Plan for Prevention Coaching Assess needs What are the issues? and What are you doing? Trouble shoot Address identified/perceived barriers and strategize responsive solutions Anticipate potential newly emerging barriers and initiate pre emptive solutions Develop an outreach plan Identify strategic partners and stakeholders Define areas of expertise Provide stakeholders a primer on athletics culture, resources and needs Invite collaboration and partnership Schedule informal opportunity to get to know potential partners Provide them a verbal summary of your vision for a partnership Select evidence based programs Essential to having meaningful impact. Evaluate outcomes 13

14 Prevention is a Science! What Works? You Can Do This! Assess needs/problems Develop specific goals and objectives Identify best practices Create a plan of action Evaluate your efforts You do not have to create everything from scratch. There are tools available. Assess Needs/Problems Collaborate across campus 360 Proof Campus Assessment CORE Survey 14

15 Develop Goals & Objectives Comprehensive Sufficient dosage Theory/Evidence driven Opportunities for positive relationships Appropriately timed Socioculturally relevant Ongoing feedback Partner with well trained staff Develop Goals & Objectives Community local police could implement a protocol for notifying college officials of all alcohol related violations involving students. Institution Campus assessment; alcohol free events; restrict alcohol advertising; require that residential groups and special event planners provide adequate controls to prevent alcohol service to underage students. Group Social norms campaigns; peer education; raising awareness & strategic planning Individual Bystander training; evidence based AOD education; personalized feedback; training for coaches Identify Best Practices With increasing budgetary concerns campuses need to look to evidence based strategies and not flash in the pan or this is what we have always done strategies. 15

16 Identify Best Practices ATTITUDES SOCIAL NORMS EXPECTANCIES SELF-EFFICACY VALUES CLARIFICATION MOTIVES BELIEFS ABOUT CONSEQUENCES SKILLS COMMUNICATION SKILLS GOAL SETTING SKILLS DECISION MAKING SKILLS STRESS MANAGEMENT SKILLS ASSISTANCE SKILLS 360 Proof CHOICES APPLE Step UP! Coaches Assist myplaybook Identify Best Practices Create a Plan of Action What action do you want to take? With whom will you collaborate? How will you connect? By what date? What outcome do How will you know if you you want? are successful? Action Action Action 16

17 Evaluate Your Efforts (The College Effect) Alcohol Use Summer Start of school Mid fall Late fall Remember Find the right partners Sustain the effort Avoid single issue approach (e.g., tie to cooccurring behaviors sexual assault, mental health, etc.) Assess impact Questions? 17