TABLE OF CONTENTS. Executive Summary.p. 3. Background on Task Force...p. 6. Task Force Members...p. 8

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2 TABLE OF CONTENTS Executive Summary.p. 3 Background on Task Force...p. 6 Task Force Members...p. 8 Underage Drinking: The Scope of the Problem......p. 10 Alcohol-Related Statistics...p. 17 Orange County Alcohol License Locations....p. 21 Florida Law/Regulations/Local Ordinances....p. 25 Task Force Presentations.... p. 28 Subcommittee Recommendations Alcohol Prevention & Education Subcommittee.....p. 29 Access to Alcohol by Underage Person Subcommittee....p. 33 Enforcement Subcommittee... p. 36 Retailer Responsibility Subcommittee......p. 39 Funding Request Summary p. 41 Existing/In-Kind Funding Summary p. 43 Grants Update.. p. 44 Appendices...p. 48

3 EXECUTIVE SUMMARY Orange County Mayor Richard T. Crotty and University of Central Florida President John Hitt formed the Orange County Underage Drinking Task Force on February 7, 2008 to tackle the most pervasive drug problem facing our youth in Orange County. The task force held their first meeting on March 28, Across the nation, alcohol is the most widely abused drug by teens and young adults and binge drinking often leads to serious health consequences. Last year, at least two underage alcohol-related deaths were confirmed in our community. These University of Central Florida students were only 18 years of age and had just begun their college education. The Orange County Underage Drinking Task Force is a collaborative multi-jurisdictional effort to address underage drinking through education and prevention, access to alcohol by underage person, enforcement and retailer responsibility. Mayor Crotty and Dr. Hitt appointed Mike McCoy, Director of Public Safety, Orange County Government and Rich Morrison, Regional Vice President, Florida Hospital to co-chair the task force. The task force is comprised of 25 key leaders in the community representing secondary and higher education, law enforcement, medicine, public health, business, retailers, neighborhood associations, parent-teacher-student-associations and students. The subcommittees are: Alcohol Prevention & Education, co-chaired by Dr. John Edwards, Assistant Superintendent, Orange County Public Schools and Dr. Roger Casey, Vice President & Provost, Rollins College; Access to Alcohol by Underage Persons co-chaired by Teri Mills- Uvalle, Bureau Chief, State Attorney s Office Ninth Judicial Circuit and John Hillenmeyer, President, Orlando Health; Enforcement co-chaired by Sheriff Kevin Beary (represented by Chief Mark Strobridge) Orange County Sheriff s Office and Chief Richard Beary, University of Central Florida Police Department; and Retailer Responsibility co-chaired by John Williams, President, Wayne Densch, Inc. and Steve Sullivan, Owner of Cowboy s Orlando. Mission Statement: The Orange County Underage Drinking Task Force will clearly define the magnitude of underage drinking and high-risk drinking in the community, educate and engage the community stakeholders (e.g. parents, retailers and educators) and provide viable solutions that will reduce and prevent harms related to underage drinking. National Public Health Concern: In 2007, the United States Surgeon General issued the Call to Action To Prevent and Reduce Underage Drinking. The Call To Action states that alcohol is the most widely abused substance among America s youth. Youth between the ages of 12 and 20 report misuse of alcohol more than tobacco or illicit drugs. The physical consequences of underage alcohol use range from medical problems to death by alcohol poisoning. Alcohol also plays a significant role in suicide, risky sexual behavior, physical and sexual assaults, drinking and driving crashes and other injuries. Alcohol use among underage persons is not an acceptable rite of passage; it is a public health concern. Underage drinking poses a serious public health threat to adolescent development and health. A multi-faceted, collaborative approach to prevent and reduce 3

4 underage drinking requires the engagement of not only parents, but our schools, businesses, government agencies, higher education institutions, and retailers. Task Force Recommendations: The task force has met during the last six months to formulate recommendations that address this challenging problem in our community. These recommendations include: Develop a Responsible Retailers Forum that will provide opportunities for alcohol retailers to work together to develop voluntary standards related to server training, to limit or eliminate high-risk drink promotions, and to develop long-term business models. Develop a Red Tag ordinance restricting the hours of sale for vendors who repeatedly are in violation of selling alcohol to underage persons. Partner with local media outlets to create campus and community social marketing campaigns for middle/high schools related to enforcement of underage drinking, impaired driving laws and choices. College campus messages will focus on I Drink Less Than You Think. These messages will be disseminated to students via newspaper advertisements, posters, promotional items, Websites, bulletin board displays, media contacts and screen savers. Provide 4 th 9 th grade students in selected schools with evidence based programs and educational activities focusing on the facts and consequences of alcohol, tobacco and other drugs. Identify high-risk students and families for counseling services and increase parenting programs for parents of middle and high schools students. Create a Campus-Community Committee to address, identify, discuss and solve business and neighborhood concerns related to alcohol use by underage persons. Development of a law enforcement and medical database to collect, analyze, and disseminate aggregate information about underage alcohol-related arrests, injuries and deaths. Educate parents on the consequences of hosting parties that include underage alcohol use through the marketing campaign Parents Who Host, Lose the Most and implement effective community strategies through the media campaign Communities Mobilizing for Change on Alcohol. Implementation Committee: The Orange County Drug Free Coalition and the University of Central Florida will form a One Voice Implementation Committee to carry out the recommendations stated in this report. The committee will meet monthly to develop the strategic action plan, establish timelines and finalize grant funding and potential funding sources. The committee will call on community members from the public and private sector to implement the task force recommendations. 4

5 Reporting Requirement: The Orange County Drug Free Coalition under the leadership of Chief Mike McCoy, Orange County Director of Public Safety and the University of Central Florida Alcohol and Other Drug Prevention Programming Office will provide quarterly status reports to the Orange County Underage Drinking Task Force members on the strategic action plan and implementation schedule. The Orange County Drug Free Coalition will also provide the Orange County Board of County Commissioners and the Orange County Drug Free Coalition Board with an annual report on the status and implementation of the task force recommendations. The University of Central Florida Alcohol and Other Drug Prevention Programming Office will provide the UCF Office of the President with an annual status report on the implementation of the task force recommendations. Conclusion: Dr. Timothy Naimi, of the Centers for Disease Control, was recently quoted in the New York Times stated, Basically, having programs to reduce binge drinking on college campuses in the absence of broad-based community interventions is a bit like rearranging deck chairs on the Titanic. The task force recommendations approach the underage drinking problem from a multi-faceted, collaborative approach that includes youth, young adults, parents, education, retailers, law enforcement officials, and community members. We hope our comprehensive review and the efforts of the One Voice committee will lead to significant, long-term changes that reduce underage drinking and improve the health and well being of our youth in Orange County. 5

6 BACKGROUND ON TASK FORCE On March 28, 2008, Mayor Richard Crotty and President John Hitt formed a task force to tackle the challenging problem of underage drinking in Orange County. Underage drinking is a problem that has escalated over the years among our youth and young adults. Young people report they are starting to drink earlier consuming more in shorter periods of time. Health-related consequences linked to heavy alcohol use can be severe and too often tragic. Orange County is not alone in responding to the consequences of underage alcohol use. Communities across the country are struggling with this same issue of underage drinking and searching for preventive approaches that have a significant and sustainable impact in the community. The 25-member task force selected is comprised of key leaders in the community representing secondary and higher education, law enforcement, medicine, public health, businesses, retailers, neighborhood associations, parent-teacher-student association, and students. The diverse background of task force members underscores the importance of a collaborative approach across all sectors to understand the problem and then prevent needless tragedies. Purpose: Across the nation, alcohol is the most widely abused drug by teens and young adults. Underage drinking and binge drinking are the most pervasive drug problem facing our youth in Orange County. Last year, at least two underage alcohol-related deaths were confirmed in our community. These University of Central Florida students were only 18 years of age and had just begun their college education. The Orange County Underage Drinking Task Force is a collaborative multijurisdictional effort to address underage drinking through alcohol education and prevention, access to alcohol by underage persons, enforcement, and retailer responsibility. Function of the Task Force: Under the leadership of co-chairs Chief Mike McCoy, Orange County Public Safety Director and Rich Morrison, Vice President, Florida Hospital, the Task Force met 6 times at a set location to be announced. These meetings will set the framework for the Task Force s work and the goals and deliverables for the defined sub-committees. Task Force Chairs: Mike McCoy, Orange County Director of Public Safety Rich Morrison, Regional Vice President, Florida Hospital Sub-Committee: The Sub-Committees function is to address the deliverables set by the Task Force by gathering information through local, state and national resources. This information formed the foundation of the work product for 6

7 the Task Force. Each sub-committee was staffed with Orange County staff and University of Central Florida staff as well as various subject-matter experts and met frequently and reported monthly to the full Task Force. Subcommittee Co-Chairs: Alcohol Prevention & Education Subcommittee Dr. John Edwards, Assistant Superintendent, Orange County Public Schools Dr. Roger Casey, Vice President & Provost, Rollins College Access to Alcohol by Persons Underage Subcommittee Teri Mills-Uvalle, Bureau Chief, State Attorney s Office John Hillenmeyer, President, Orlando Health Enforcement Subcommittee Honorable Kevin Beary, Orange County Sheriff (Represented by Chief Mark Strobridge, Orange County Sheriff s Office) Chief Richard Beary, University of Central Florida Police Department Retailer Responsibility Subcommittee John Williams, President, Wayne Densch, Inc. Steve Sullivan, Owner, Cowboy s Orlando Task Force Coordinators: Carol Burkett, Director, Orange County Office of Public Safety, Office for A Drug Free Community Tom Hall, Director, University of Central Florida, Alcohol and Other Drug Prevention Programming Office 7

8 ORANGE COUNTY UNDERAGE DRINKING TASK FORCE MEMBERS Mike McCoy, Orange County Public Safety Director Co-Chair Rich Morrison, Vice President, Florida Hospital Co-Chair Sheriff Kevin Beary, Orange County Sheriff s Office (Represented by Chief Mark Strobridge) Chief Richard Beary, University of Central Florida Police Department Deputy Chief Gene Bernal, Orlando Police Department Chief Jerry Geier, Fl. Division of Alcoholic Beverages & Tobacco (Represented by Captain Mark Bong, Orlando Division) John Hillenmeyer, President, Orlando Health Yolanda Larson, Executive Director MADD Central Florida John Williams, President, Wayne Densch Inc. Teri Mills-Uvalle, Bureau Chief, State Attorney s Office Dr. George Ralls, Orange County Medical Director Dr. Kevin Sherin, Director, Orange County Health Department Dr. Roger Casey, Vice President and Provost, Rollins College Dr. Stanley Stone, Vice President, Valencia Community College Dr. John Edwards, Assistant Superintendent, Orange County Public Schools Carolann Duncan, Program Administrator, FL. Dept. of Children & Families, Substance Abuse & Mental Health Scott Kaylor, Vice President, Wackadoo s Hank Katzen, President, MarKay Management, Inc for M&H University Shoppes Danella Swain-Schuler, President, Boone High School PTSA Steve Sullivan, Owner, Cowboy s Orlando 8

9 Nancy Tallent, Vice President, Schenck Terry Porter, President, East Orlando Sanctuary HOA Hye Jung Kim, University of Central Florida Student Derek Harris, University of Central Florida Student Alex Winfree, Rollins College Student 9

10 UNDERAGE DRINKING: THE SCOPE OF THE PROBLEM Across the country, schools, universities and colleges know all too well the daunting facts that define the challenge of preventing underage alcohol use. Approximately 5,000 persons under 21 years of age lose their lives each year as a result of underage drinking. Motor vehicle crashes are the leading cause of death among youth ages 15 to 20. A 2005 study reported that 599,000 college students ages 18 to 24 are unintentionally injured under the influence of alcohol each year and, 1,700 college students between the ages of 18 and 24 die annually from unintentional alcohol-related injuries, including car accidents. Despite our best actions and intentions, we are too often touched by such needless tragedy. Family, friends, and institutions alike are forever changed by these events. The challenge to curtail this problem is a formidable one, demanding creativity and vigilance, as well as coordination among educational institutions, law enforcement agencies, public health, suppliers, vendors, parents and community resources such as the Orange County Coalition for a Drug Free Community. Nature and Scope of Underage Drinking: Orange County has 1 million permanent residents and more than 50 million visitors annually. Orange County Public Schools has approximately 181,000 students enrolled and more than 100,000 students are enrolled at area colleges. The US Census for Orange County, FL, reports 63,342 residents are years old and 70,763 are 20 to 24-year-old year residents. Survey data of college students indicates underage drinking creates multiple harms that are often difficult to address before a crisis situation occurs. Examples of harms include 1. Poor academic performance 2. Unintentional injuries and fatalities 3. Sexual assault 4. Citation or arrest 5. Arguments or fights 6. Driving under the influence of alcohol 7. Alcohol abuse or dependency The goals of the Orange County Underage Drinking Task Force are to decrease underage alcohol supply and demand and collection of alcohol-related data. Underage demand includes how supportive the campus/community culture is regarding underage use. Supply includes the availability of alcohol to underage persons and collection of alcohol-related law enforcement and medical/public health data includes tracking trends and patterns associated with underage alcohol use. The National Survey for Drug Use and Health reported more than 40 percent of the nation s 10.8 million underage drinkers got their alcohol from adults and many from their own parents. The survey also indicted that as many as 650,000 youth and underage adults were given alcoholic beverages by their parents and guardians in the past month. Drink specials at college bars are cited often as a source of supply. Specials that feature free alcohol for a cover charge are justifiably 10

11 concerning. However, bars are not the single source of supply, 18-year-old college students who completed AlcoholEdu a nationally distributed online alcohol curriculum, in August 2007 (n=150,000) reported the following data related to supply: The last time you consumed alcohol, how did you obtain it? 36% of the students reported At a party. 30% of the students reported Someone I know over 21 purchased it for me. 12% of the students reported A family member purchased it for me and 11% of the students reported I purchased the alcohol. Concerns related to underage drinking include the following: 1. Alcohol is available and aggressively marketed to underage students as evidenced by: a. Underage persons report easy access to alcohol at local bars (which are primarily staffed by other college students employed to bartend, serve, or check ID at the door). b. Underage young adult females report easy alcohol access at local bars from patrons who are of age. Underage young adult males also report easy alcohol access through friends who are of age. c. College students surveyed (95% underage) indicate that they are aware of at least one (and up to 15) bars near their campus that offer drink specials targeting college students most/all days of the week. d. Youth and young adults surveyed (40%) indicated they received their alcohol free from adults and many from parents. 2. Students, parents, and faculty have inaccurate, exaggerated perceptions of drinking norms as evidenced by: a. Young adults surveyed (including those who are underage) endorse the belief that drinking is a central part of their social life. b. Young adults surveyed report having positive expectations/beliefs regarding the effects of consuming alcohol. c. Young adults surveyed perceive that drinking heavily is the norm among their peers. d. Young adults surveyed perceive that drinking at certain campus-based events is the norm (e.g., tailgating at football games). 3. Students lack awareness of alcohol policies and policy enforcement. 4. Coordination of underage drinking enforcement and prevention efforts across multiple campus entities and community agencies is often lacking. 5. Underage drinkers experience high levels of unintentional alcohol-related harms. The Underage Drinking Task force serves as a community plan to support and augment existing strategies as well as provide opportunities to develop new innovative and creative strategies. The plan is intended to address intervening variables that impact the following problems related to underage use and consequences: 1. Easy retail access to alcohol among teens and young adults 2. Easy social access to alcohol among teens and young adults 11

12 3. Parents who host parties and allow/provide alcohol to youth 4. Alcohol related social, physical, interpersonal and academic/occupational harms 5. Social norms-based acceptance of alcohol use among teens and young adults 6. Perceived low enforcement and adjudication associated with underage alcohol use 7. Inconsistent enforcement of laws and policies 8. Coordination of enforcement and data reporting efforts across multiple jurisdictions Local Data: Underage Drinking Enforcement Details (State and Local Law Enforcement) Retailer Compliance with Underage Drinking Laws. The Orange County Drug Free Coalition works in partnership with the Florida Division of Alcoholic Beverages & Tobacco to conduct county-wide underage drinking sting operations. Details conducted have resulted in an 18-25% non-compliance rate in Orange County. o Orange County Alcohol-Related Traffic Injuries/Fatalities (Florida Highway Patrol 2007 Florida Traffic Crash Statistics) *1,352 Alcohol-Related Crashes *870 Alcohol- Related Injuries *76 Alcohol-Related Fatalities 2007 Florida Resident Crash Rates for Drinking Drivers in Crashes for a Selected Age Group (15-21) Age of Driver 15Years Old 16Years Old 17 Years Old 18Years Old 19Years Old 20Years Old 21Years Old Drinking Drivers in all crashes Rate Per 10,000 Licensed Drivers Driving Drivers in Fatal Crashes Rate Per 10,000 Licensed Drivers *21- year-old drinking drivers had the highest involvement rate in all crashes (30.80) and in fatal crashes (1.57) 12

13 State of Florida Uniform Traffic Citation Statistics DUI Conviction Comparison by County Orange County DUI Arrests by Age 2006 v or - % Inc/Dec Under Age % Age % Age Over Age % Totals % Average Age Average BRAC Alcohol-Related Hospital and Emergency Room Admissions: Drug Abuse Warning Network (DAWN) 2005 Alcohol in Emergency Department (ED) Visits: ED visits associated with alcohol use, particularly among underage patients; represent a significant public health and policy concern DAWN estimates that 492,655 ED visits involved either alcohol in combination with another drug or alcohol alone for underage patients. ED Visits, Alcohol-Related Ages (Alcohol Only and In Combination with Other Drugs) o 56,978 alcohol-related ED visits for patients aged o 88,781 alcohol-related ED visits for patients aged Two-thirds (67%) of the alcohol-related ED visits for minors involved alcohol alone, a finding that is similar for patients aged and patients aged Patients aged were approximately 3.5 times more likely as patients aged to have an alcoholrelated ED visit. Alcohol-Only under the age of 21 35,956 alcohol-only ED visits for patients aged ,694 alcohol-only ED visits for patients aged Most (86%) of the alcohol-only ED visits resulted in patients being treated and released usually to home; another 7% were admitted to inpatient units. 13

14 Orange County Fire and Rescue (OCFR) alcohol-related responses for patients ages in Orange County Fire and Rescue accounts for about 50% of the total EMS response in the county. Complete rates of EMS alcohol-related response for the calendar year 2007 are estimated to be at least 1,000 according to the Orange County Medical Director. Self-Reported Alcohol-Related Unintentional Harms: Significant differences are noted in the rate of injuries reported by underage drinkers based on their drinker risk group membership. Students who endorse heavy and frequent alcohol use report harms that are 9% to 27% greater than heavy-drinkers and 12% to 48% greater than non-heavy drinkers. Drink Specials: How Low Can You Go: Some local retail alcohol outlets are notorious for using low-priced promotions, failing to check IDs, and over-serving their customers. Local colleges and universities contribute to the lives of long-term residents, intellectually, culturally, and financially, but bar specials such as those listed below can create problems, putting a strain on campus and community relations and compromising the health and safety of all residents. Law enforcement alone is not sufficient; retailers who appeal to underage patrons understand the loopholes in the law and how to stay profitable with a short-term business plan. The community must be engaged in purposeful dialogue to make a difference. Website promotion featured these statements: This bar is known to get out of control with clothing often being removed! With new renovations and brand new drink specials, this bar is one of the most popular local hot spots. Be sure to check out this venue any night of the week! If you like a place that has tons of people, and moments of craziness then this is your place Special note, the stripper pole entices some of Orlando's raunchiest chicks to get down and dirty in this college bar. Bare skin is a regularity here. The following is a listing of advertised promotions for five East Orlando College Bars: Mondays: Free Drinks All Night to Everyone! FREE Beer All Night. $1 Wells for Ladies 'til 12. FREE Drinks, Shots, Drafts All Night. $3 Cover for Ladies Before 11. Hospitality Night! No Cover Top Shelf Drinks. $2 bottled light beer. 14

15 Tuesdays: 80's Night/Drinkin' With Lincoln! $5 Cover. Penny Pitchers 'til 12. $2 Wells 'til 12. $2 Dollar Tuesdays. $2 Pitchers All Night. $2 Wells 'til 12. $3 Cover Before 12. Wine Down Tuesdays! Complementary Wine All Night. $1 Cover Before 10 (Guys) and 11 (Ladies). $1 Drinks and Drafts. $5 Liquor Pitchers. 5 for $5.95 Buckets of Beer. Ladies Drink FREE 'til 12. Guys- $1 Drinks 'til 12. $2 Shots and Bottled Beer After 12. Wednesday: Power Hour Wednesday! 60Songs/60Shots/60Minutes. $5 Cover Before 11. Free Beer All Night Long! 2-4-1's All Night Long. $1 Drafts. $4 Pitchers. Wasted Wednesday! FREE Wells 'til 12. FREE Drafts All Night. Ladies Night! Open Bar 'til 12 for Ladies. $3 bottled beer. $2.25 bottled light beer. Latin Night! Ladies Drink FREE 'til 11:30. Guys Long Island Iced Tea & premium beer til 12. Thursday: Free Drinks, Shots, and Drafts 'til 12. Free Wells, Calls, and Shots 'til 12. $7 Cover. Themed Thursday! Come Dressed to Theme and Receive Half-Off Cover. $1 Drafts. $2 Drinks. $3 Shots. Ladies in FREE Before 11. Fridays: Bombs Away Friday. $2 Jaeger Bombs/3 Olives Flavors. $1 Drafts 'til 12. Free Cover for Ladies Before 11. $1 Drinks, Shots, Drafts 'til 12. Ladies Night! Ladies- $2 Drinks and Martinis All Night. Guys- $1 Drafts All Night. Saturdays: Everything 'til 12. $4 Pitchers. Slammin' Saturdays! $1 Cover Before 11. $1 Drafts. $2 Wells. $3 Bombs. House Party! FREE Drinks 'til 12. FREE Drafts All Night. $1 Light Drafts All Night Shots All Night. No Cover and Open Bar for Everyone College Night! Open Bar 'til 12:30. Sundays: Karaoke Night! $2 Cover. $1 Drafts. Free Cover. $1 Drafts. $2 Wells All-You-Can-Drink-Sundays! FREE Wells and Drafts. Hospitality Night! All Day and Night. Ladies Drink FREE and Get In Free. Guys 'til 12 Source: Website Promotion 15

16 Other Underage Drinking Issues, Managing Growth: Area colleges have experienced enrollment growth during the last 15 years. The growth has also spawned bars that cater to college-aged patrons. Local law enforcement and FL Alcoholic Beverages and Tobacco agents have stepped up enforcement efforts, but with almost 3,000 retail outlets in the county, increased enforcement is not enough. A community effort is needed that engages parents, vendors, educators, businesses, health and students in addition to law enforcement. Approximately 40% of our underage students in our colleges attended high school in Orange County. According to the Orange County Youth Substance Abuse Survey, 38% of high school students report underage drinking in the previous 30 days and 21% reported binge drinking. Survey data also indicated 15% of high school students reported being drunk or high at school the past year. Consistent Messages and Expectations: The goal of our efforts is to strengthen and expand existing underage drinking prevention services offered to students in our community to change the perception of low enforcement and adjudication, engage parents on the legal and health related consequences on underage drinking, promote evidencebased alcohol programs to students and families in elementary and secondary education and change perceived norms that everybody drinks before they are 21. Reducing both the supply and demand for alcohol among underage members of our community is also important. The elimination of the high-risk promotions though voluntary codes or means of enforcement is critical to reducing unintended injuries and fatalities among all students. This effort requires creative and innovative solutions and partnerships. Partnerships will require constituents of groups that are not traditional allies to put aside their philosophical differences to speak with One Voice. Sustainability: Sustainability is contingent on positive outcomes; evidence of positive outcomes includes increased coordination of campus and community prevention professionals, schools, responsible retailers, law enforcement efforts, public health, leaders of the faith community, MADD, parent-teacher-student-associations and other community leaders. Decreased underage drinking injuries and fatalities, increased enforcement of and publicity about drinking-and-driving laws, increased percentages of vendors who do not sell to underage patrons, and increased access to prevention education awareness and intervention for college, high and middle school students as well as parents will provide the outcomes needed to continue and expand these initiatives well beyond the life of the task force. 16

17 YOUTH ALCOHOL USE SURVEY DATA 2007 Monitoring the Future (MTF) Study Trends in 30-Day Prevalence of Use of Alcohol (Surveyed approximately 50,000 8 th, 10 th and 12 th graders in a nationally representative sample of public and private schools) Alcohol Any Use 8 th Grade 10 th Grade 12 th Grade Been Drunk 8 th Grade 10 th Grade 12 th Grade Flavored Alcoholic Beverage 8 th Grade th Grade 12 th Grade Availability 92% students report that is, or would be fairly easy to very easy for them to get alcohol. 17

18 YOUTH ALCOHOL USE SURVEY DATA Orange County Youth Substance Abuse Survey (Representative sample of randomly selected middle and high school students completed survey) % % 15.9% 15.5% Alcohol Binge Drinking Past 30-Day Use Middle School 10 5 Tobacco Marijuana 15.5% or 7,700 students used Alcohol % 38.4% % 35.2% Alcohol Binge Drinking Tobacco Past 30-Day Use High School 38.4% or 20,000 students used Alcohol 10 Marijuana

19 COLLEGE ALCOHOL USE AMONG YOUNG ADULTS Selected Results (surveys completed by 18 year old students) What we know: Was alcohol available to you during your last term in high school? 39% 46% 15% 0% 20% 40% 60% 80% 100% N=150,000 Extremely Available Moderately Available Unavailable What we know: Current alcohol consumption- The last time you consumed alcohol, how did you obtain it? Selected Results (surveys completed by 18 year old students) N=56,000 36% 30% 12% 11% 0% 10% 20% 30% 40% At a party Someone I know over 21 A family member I purchased alcohol 19

20 COLLEGE ALCOHOL USE AMONG YOUNG ADULTS What we know: The percentage of Students who drank alcohol in the past two weeks. 42% 58% N=150,000 Yes No 0% 20% 40% 60% 80% 100% What we know: The percentage of Students who drank 5 or more alcohol drinks (Heavy Episodic Drinker) in the past two weeks 25% 75% N=150,000 Yes No 0% 20% 40% 60% 80% 100% 20