MiraCosta College Drug-Free Schools and Campus Regulations 2014 Biennial Review Submitted by Student Services Marge Reyzer, Coordinator Health Services
Background Congress passed the Drug-Free Schools and Campuses regulations (EDGAR, Part 86). As a condition of receiving funds or any other form of financial assistance under any federal program, an institution of higher education (IHE) must certify that it has adopted and implemented a program to prevent the unlawful possession, use, or distribution of illicit drugs and alcohol by students and employees. If audited, failure to comply with the Alcohol and Other Drug (AOD) Abuse Prevention Regulations may cause an institution to forfeit eligibility for federal funding. The biennial report must be completed each even-numbered year and must be available for examination to anyone who requests it. According to the Higher Education Center s publication, Complying with the Drug-Free Schools and Campuses Regulations, A Guide for University and College Administrators, [ref. 1] the required review is intended to meet the following objectives: 1. To determine the effectiveness of, and to implement any needed changes to, the AOD prevention programs 2. To ensure that campuses enforce the disciplinary sanctions for violating standards of conduct consistently (p. 13) This report includes the academic years 2012-13 and 2013-14. Description of MiraCosta College MiraCosta College Is a non residential community college Includes three sites - Oceanside Campus, the San Elijo Campus and the Community Learning Center Serves about 18,500 students 14,500 credit enrolled and another 4,000 community services and non credit enrolled. The instructional offerings include credit, noncredit, not-for-credit community services, and business development/contract education courses. A. Statement of Alcohol and Other Drug (AOD) Program Goals MiraCosta Community College strives to maintain a campus free from the illegal use, possession, or distribution of controlled substances which is reflected in its 1. Governing Board Policies [Appendix A] a. Drug-Free Environment and Drug-Free Prevention Program b. Alcoholic Beverages c. Tobacco-Free Campus d. Standards of Student Conduct 2. College Catalogs [ref. 18] 3. Class Schedules [ref. 19] Description of AOD Program Elements 1. Alcohol-Free Options the following items identify ways that MiraCosta College provides a campus environment with alcohol free options: Biennial Review 2014 2
a. Campus Policy The overall campus policy promotes alcohol free events and activities. Students serving as representatives of the College at any event are also prohibited from using alcohol. The only exception is that of Foundation sponsored events. [Appendix A] b. Service Learning Service learning is a form of experiential education that partners academic instruction with community service. Students learn through participation in thoughtfully organized service activities that are course relevant and meet actual community needs. Each semester approximately 60 courses at MiraCosta College offer a service component either as an option or a requirement. Students are placed in non-profit organizations and public schools where they provide a variety of support services. These placements allow students to apply course theory in real world settings while making valuable community contributions. Service learning opportunities are posted in the Service Learning office, and on the Service Learning web page. The following is an example of one of the opportunities available related to drugs and alcohol prevention [ref. 2]: Mothers Against Drunk Drivers offers opportunities Victim Impact Panel, Speakers Bureau, Public Awareness Booths, Youth in Action, Law Enforcement Recognition Luncheon, Golf Outing, Walk Like MADD and Tie one on for Safety Campaign. Project REACH is a free afterschool youth development program for youth 6th- 12th grade. The program focuses on prevention of drug abuse and teen pregnancy. c. Student Center MiraCosta College Student Center offers an alcohol free environment on the Oceanside and San Elijo campuses in the indoor and outdoor cafeteria areas, government and club rooms, and the Honors and Veterans Lounges (Oceanside campus). d. Wellness Center The Wellness Center is open only for Kinesiology classes and does not provide expanded hours during the typical college weekend partying hours [ref.3]. e. Sports Activities For 2013-14 MiraCosta College had four intercollegiate athletics teams. There are Men s and Women's teams in both soccer and basketball. In fall of 2014 Women s Volleyball also began competing. All five of these teams compete in the Pacific Coast Conference. However, Men s soccer was not available 2011-12. MiraCosta also has a surf team that competes in the college division of the National Scholastic Surfing Association (NSSA). These sports promote a drugfree healthy lifestyle. There were 75 students involved in intercollegiate sports in 2013-14. The Student Athlete Handbook states a prohibition is the Use of any controlled substances, drugs, alcohol, and/or tobacco products throughout participation in intercollegiate athletics. [ref.4] The MiraCosta Intramural Sports program offers sports events that are free for all MiraCosta students and staff members. The mission is to provide a safe and Biennial Review 2014 3
enjoyable environment for students and staff to come and participate, meet new people and have an opportunity to stay active. Some of the intramural sports offered have been dodgeball, ping pong, ultimate Frisbee, tennis, basketball, flag football, volleyball, hiking, kayaking, soccer and softball, game night, poker, etc. Many of the intramural sports are offered on Friday afternoons [ref. 5]. 985 people participated in the program in 2013-14 and 1,025 the year before in 2012-13. f. Student Clubs There are approximately 40 student clubs during this time period that also offer drug-free campus activities. Student Clubs enhance the educational experience of students and foster social, intellectual, and physical growth. The Student Clubs web site identifies the current recognized active campus clubs [ref. 6]. g. Health 101 Each semester the campus offers 6-8 sections of the popular class Principles of Health. This course includes instruction on exercise, weight maintenance, nutrition, human sexuality, sexually transmitted diseases, drug use, cancers, diabetes, and cardiovascular diseases with the emphasis on wellness [ref. 7]. 2. Normative Environment a. MiraCosta College has three sites and all the sites are staffed by police officers who are Peace Officer Standards and Training (POST) certified. Their focus on community policing assist in not only maintaining a drug free environment but also educating the campus community on the dangers of drug and alcohol abuse. The college does not have residences on site and the police report validates that there are few alcohol related incidents on campus. [See Crime Report on page 7]. b. Counseling services offered through Health Services provides confidential individual counseling for students who have questions or concerns about their use of alcohol or use of other substances [ref. 8]. c. For employees the Employee Assistance Program available through Human Resources provides confidential counseling services to employees who have concerns about their use of alcohol or other drugs [ref. 9]. Employees and dependents are eligible to receive confidential services to help with a variety of personal challenges. EASE (Employee Assistance Services for Education) provides free short-term counseling. Services are available over the phone and by appointment with a counselor. d. In the Spring of 2013, the American College Health Association - National College Health Survey was distributed online to 1,935 MiraCosta College credit students 18 years of age and older. The following table illustrates the percent of students who have never used drugs or alcohol. Biennial Review 2014 4
Percent of Students Who Have Never Used Drugs or Alcohol Percent Alcohol and Other Drugs 24.3% Have never used alcohol 59.0% Have never used marijuana 60.8% Have never used cigarettes 67.4% Have never used hookah 74.2% Have never used cigars 85.0% Have never used smokeless tobacco 86.3% Have never used ecstasy 88.6% Have never used cocaine 89.5% Have never used PCP/LSD 89.9% Have never used sedatives 90.0% Have never used amphetamines 91.7% Have never used Other illegal drugs 94.6% Have never used methamphetamines 96.0% Have never used opiates 96.1% Have never used club drugs 97.4% Have never used Inhalants 98.5% Have never used anabolic steroids 3. Alcohol Availability MiraCosta College prohibits possession or use of alcohol at any campus site. However, fundraising events sponsored by the MiraCosta College Foundation may include the serving of wine or beer on campus under careful supervision. Students who attend such events are not permitted to consume alcoholic beverages. [Appendix A] 4. Alcohol Marketing and Promotion a. Alcohol is banned on campus with the exception of Foundation events. [Appendix A] b. The Bookstore is no longer run by the campus. It is a Follett bookstore on all 3 campuses. There are currently no alcohol-related items for sale in the store. c. The campus newspaper advertising policy prohibits the publishing of materials that advertise liquor, beer and tobacco. [Appendix B] 5. Policy Development and Enforcement: The following policies exist. a. Students students are made aware of the policy annually in the MiraCosta College Student Planner produced by the Student Activities Office, Student Guidebook produced by the Student Activities Office, Class Schedule and College Catalog which is online and hardcopy. In Fall of 2014, students were also notified of the policy via email. [Appendix C] For the purposes of this policy, students include those persons who are: currently enrolled as a student at any site or in any program and will be subject to student disciplinary actions in accordance with Administrative Policy 5520. Biennial Review 2014 5
Using, possessing, or distributing alcoholic beverages, illegal drugs or narcotics while on the college campuses. [Students should be aware that possession, use, or distribution of drug and alcohol substances on a campus violates California Health and Safety Codes 11350 (a), 11357 (b), and 11377 (a), and California Business and Professions Code 25608 (a) [Ref. 10-12], with the exception of the use, distribution and/or sale of alcohol at Foundation sponsored events. Students serving as representatives of the College are prohibited from using alcohol at said events. Excerpted from Standards of Student Conduct. [Appendix A] b. Employees employees obtain this information annually by email [Appendix D] and can access the Board policy online at any time [Ref. 13]. There is a written Board of Trustees policy on a drug free environment. [Appendix A] Faculty and staff have access to the AOD campus policy in the classified staff handbook that are both accessible on the MiraCosta College web site [Ref. 14-15]. c. Police Department In accordance with Public Law 101-226 Drug-free Schools and Community Act Amendment of 1989, the Board of Trustees of the MiraCosta Community College District prohibits the unlawful possession, use or distribution of illicit drugs and alcohol by students and employees on district property or as part of any district-sanctioned activity. Any student or employee in violation of this policy is subject to disciplinary action up to and including expulsion from the college or termination from employment for violations of the standards of conduct. The authority to take disciplinary action in any instance rests with the Board of Trustees after consideration of the recommendation of the Superintendent/President of MiraCosta Community College District. The possession, use and sale of alcoholic beverages by anyone on district property are a violation of the California Business and Professions Code 25608 (a) and a violation of the student standards of conduct and employment standards and policies. The use, sale or possession of any illegal drug is a violation of state law and any person found in violation may be subject to arrest by federal, state, local or campus law enforcement authorities. Criminal prosecution is separate from any administrative discipline that may be imposed by the MiraCosta Community College District (Health & Safety Code 11357 (b), 11377 (a). Campus Police takes an active role in drug and alcohol use education. As a member of the North County Law Enforcement Traffic Safety Council, campus police officers participate in numerous D.U.I. checkpoints and safety fairs held throughout the County. The Health Services Department has an outreach program to educate students on substance abuse issues. Information on drug and alcohol abuse is available at both Health Services and Campus Police. Biennial Review 2014 6
Crime Report related to drug free campus Arrests/referrals reported for: Oceanside Campus San Elijo Campus Community Learning Ctr. Offense Type (Including attempts) 2011 2012 2013 2011 2012 2013 2011 2012 2013 Liquor Law Violations Referral 0 0 0 0 0 0 0 0 0 Arrest 0 0 0 0 0 0 0 0 0 Drug Law Violations Referral 1 0 0 3 0 0 0 0 0 Arrest 5 1 2 1 0 1 0 0 0 Weapons Violations Referral 0 0 0 0 0 0 0 0 0 Arrests 1 0 1 0 0 0 0 0 0 Arrests/referrals reported for: Non-campus Locations Public Property Totals Offense Type (Including attempts) 2011 2012 2013 2011 2012 2013 2011 2012 2013 Liquor Law Violations Referral 0 0 0 0 0 0 0 0 0 Arrest 0 0 0 0 0 0 0 0 0 Drug Law Violations Referral 0 0 0 0 0 0 4 0 0 Arrest 0 0 0 0 0 0 6 1 3 Weapons Violations Referral 0 0 0 0 0 0 0 0 0 Arrests 0 0 0 0 0 0 1 0 1 MiraCosta College campuses include buildings and property owned or controlled by the college within the same contiguous geographic area and used in direct support of the college s educational or institutional purposes. Non-campus building or property includes those owned or controlled by the college and are used in direct support of educational purposes, used frequently by students, and are not within the same contiguous geographic area as the campus. Public property includes city thoroughfares, streets, sidewalks and parking facilities that are within or immediately adjacent to the any of the college campuses [ref. 16]. The above crime report indicates that there were no liquor law violations during 2011-2013. However, arrests for drug law violations on all campuses ranged from 6 in 2011 to 1 in 2012 and 3 in 2013. B. Statement of AOD Program Goals and how they were accomplished 1. Distribution of AOD policies to all students, faculty and staff. Distribution of the policy to students was done through the catalog and student guidebooks, and class schedule. In 2014 the policy was distributed to all students by email and will be distributed annually electronically. The policy was distributed by email to employees and will be distributed annually electronically. 2. Implement Programs with the best interest of students in mind Since 2012, the following have been implemented: Biennial Review 2014 7
Guide to Faculty For Substance Abuse is available all faculty and staff online [Ref. 17]. A Gatekeeper online training course has been ongoing and available to all employees to provide skills in identifying at risk students. Student notification of the campus policy was done electronically by email. C. Summary of AOD Program s Strengths and Weaknesses 1. Strengths The Student Guidebooks distributed through the Student Activities office includes the AOD policy and the no alcohol advertising policy of the student newspaper, The Chariot, promote a drug free climate upheld by student organizations. It is inherently easier to keep alcohol off campus when there is no on-campus housing. Campus Police presence and enforcement keeps crime statistics including drug related crimes low. Counseling for students is available through Health Services. EASE is available for employees. 2. Weaknesses An online training program was initiated with low usage. However, the employees who have taken the course have reported that it was really helpful. Recommendation is to advertise the program monthly by email and in the MiraCosta newsletter. The link to the Guide to Faculty For Substance Abuse is not listed on the faculty resources web site. Recommendation is to report this to appropriate person to get it linked. Biennial Review 2014 8
REFERENCES 1. Higher Education Center, edited by Beth DeRicco. (2006). Complying with the Drug-Free Schools and Campuses Regulations, A Guide for University and College Administrators. Retrieved from http://www.higheredcompliance.org/resources/resources/dfscr-hec-2006- manual.pdf 2. Service Learning Community Partners list at http://www.miracosta.edu/studentservices/servicelearning/partners.aspx 3. Wellness Center hours http://www.miracosta.edu/instruction/wellnesscenter/index.html 4. Student Athlete Handbook: http://www.miracosta.edu/studentservices/athletics/downloads/studentathletehandbook2014-15.pdf 5. Intramural sports http://www.miracosta.edu/studentservices/athletics/intramurals.html 6. Student Clubs http://www.miracosta.edu/studentservices/studentclubs/index.html 7. MiraCosta College Class Schedule Spring 2013, p. 65; Fall 2013 Schedule, p.83; Spring 2014, p. 65; Fall 2014, p. 85. 8. Health Services Counseling http://www.miracosta.edu/studentservices/healthservices/index.html 9. Employee counseling through Employee Assistance Program http://www.miracosta.edu/administrative/hr/benefits_counselingservices.html 10. California Health and Safety Code 11350 (a) http://www.leginfo.ca.gov/cgibin/displaycode?section=hsc&group=11001-12000&file=11350-11356.5 11. California Health and Safety Code 11357 (b) http://www.leginfo.ca.gov/cgibin/displaycode?section=hsc&group=11001-12000&file=11357-11362.9 12. California Business and Professions Code 25608 (a) http://www.leginfo.ca.gov/cgibin/displaycode?section=bpc&group=25001-26000&file=25600-25622 13. MiraCosta College Board Policies http://www.miracosta.edu/officeofthepresident/board/policy.html 14. Classified Employee Handbook http://www.miracosta.edu/governance/classifiedsenate/downloads/classified%20employee%20 Handbook.pdf 15. Faculty Handbook http://www.miracosta.edu/administrative/hr/manuals.html 16. Crime report http://www.miracosta.edu/studentservices/police/downloads/safety_report.pdf 17. Guide to Faculty For Substance Abuse http://www.miracosta.edu/studentservices/healthservices/downloads/guidetofacultyforsubstanc eabuse.pdf 18. MiraCosta College Catalog http://catalog.miracosta.edu/academicpolicies/drugs/ 19. MiraCosta College Class Schedules http://www.miracosta.edu/officeofthepresident/pio/downloads/schedule_spring_2014.pdf Biennial Review 2014 9
Appendix A Biennial Review 2014 10
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Appendix B Biennial Review 2014 17
Appendix C TO: MiraCosta College Students SUBJECT: Notification of Drug-Free Schools and Campuses Regulations DATE: November 2014 MiraCosta College strives to provide a drug free campus environment for students. Students should be aware that possession, use, or distribution of drug and alcohol substances on campus violates California Health and Safety Codes 11350, 11357b, and 11377 and California Business and Professional Code 25608. MiraCosta College does not permit students to use medically prescribed marijuana at any college site or at any college sponsored activity. Students serving as representatives of the college at MiraCosta College Foundation events are prohibited from consuming alcoholic beverages. Any student who violates these policies will be subject to disciplinary action which may include referral to an appropriate rehabilitation program, suspension, demotion, expulsion or dismissal. Health services provides confidential individual counseling for students who have questions or concerns about their use of alcohol or use of other substances, or referral to community resources such as Alcoholics Anonymous or Narcotics Anonymous, Health risks associated with the abuse of alcohol and the use of illegal drugs? All substances of abuse alter consciousness and mood and can lead to physical and/or psychological dependency. The unpleasant side effects do not mean substances will not be abused. Health related and psychological effects are major concerns when individuals choose to abuse alcohol and drugs. Methamphetamine (stimulant): This drug suppresses the need to eat, drink, or sleep and may lead to severe dehydration and heat stroke. Long-term psychological effects can include confusion, memory loss, learning difficulties, depression, sleep problems, anxiety, and paranoia. An overdose is characterized by rapid heartbeat, high blood pressure, faintness, muscle cramping, panic attacks, and in more severe cases, loss of consciousness or seizures. Alcohol (depressant): This drug affects mood, dulls the senses, and impairs coordination, reflexes, memory, and judgment. Alcohol dilates blood vessels increasing heat loss and flushing, is an antidiuretic and interferes with hormones. More serious effects may be damage to the liver, kidneys, pancreas and the brain. On average, heavy drinkers shorten their life spans by approximately 10 years. Marijuana: Prolonged use can lead to severe psychological dependence. An immediate increase in heart and pulse rate may cause an acute panic anxiety reaction. Marijuana causes impairment of memory, altered sense of time and an inability to concentrate. It may cause apathy/loss of motivation, and bronchodilation. Circulatory changes are similar to that seen with stress, dryness of mouth/throat, Biennial Review 2014 18
and red eyes. Chronic lung exposure impairs airflow. Marijuana has carcinogens and toxic compounds and can result in decreased testosterone levels, diminished sperm count and abnormal sperm. Cocaine: Causes increased heart rate, breathing rate, and body temperature. Causes chronic runny nose and membrane infections. Overdose may result in seizures, heart failure, coma or death. Opiates: Users are highly susceptible to physical dependence. Drug may cause infections of the skin, liver, heart and lungs. Respiratory depression can cause death. Biennial Review 2014 19
Appendix D M E M O R A N D U M TO: FROM: All Faculty and Staff MiraCosta College Drug and Alcohol Task Group SUBJECT: 2014-15 Annual Notification of Drug-Free Schools and Campuses Regulations DATE: November 3, 2014 What are the requirements of the Drug-Free Schools Act? Drug-Free Schools and Campuses Federal Regulations require that, as a condition of receiving funds or any other form of financial assistance under any federal program, an institution of higher learning must certify that it has adopted and implemented a program to prevent the unlawful possession, use or distribution of illicit drugs and alcohol by students and employees. What is MiraCosta College s program? The district is committed to providing its employees, students, student workers and volunteers with a drug free workplace and campus environment. It emphasizes prevention and intervention through education. The district shall be free from all illegal drugs and from the unlawful possession, use or distribution of controlled substances and alcoholic beverages. Alcoholic beverages, by employees, students, student workers, and volunteers, are only permitted on district property or facilities used for district sponsored events in the following cases: 1. The alcoholic beverages are acquired, used, sold, or consumed in connection with a course of instruction, sponsored dinner, or meal demonstration given as part of a culinary arts program, and the instructor or individual has received authorization in writing from the appropriate instructional dean and the Director of Risk Management. 2. The alcoholic beverage is wine or beer produced as part of an instructional program and acquired, used, sold, or consumed in connection with a course of instruction in that program, and the instructor or individual has received authorization in writing from the appropriate instructional dean and the Director of Risk Management. 3. The alcoholic beverages are served or sold during an event sponsored by the MiraCosta College Development and Foundation Office, and the Foundation has secured the appropriate licensing. 4. The alcoholic beverage is for use during a non-college event at a district facility and leased to a nonprofit public benefit corporation who acquires the proper insurance and legal requirement for alcoholic beverage distribution. A copy of the required license and a brief description of the non-college event that includes the name and function of the nonprofit organization shall be provided to the Director of Risk Management at least two (2) working days prior to the event. At the sole discretion of the Director of Risk Management, he or she may defer the approval to the superintendent/president. The organizer of the event should include the Director of Risk Management as early in the planning process as possible. Alcoholic beverages will not be served or sold to anyone under the age of 21 years. The organizers of events involving alcoholic beverages will exercise due diligence in ensuring that personal safety and conduct issues are addressed, including providing security personnel at the discretion of the district. No alcoholic beverage can be acquired, possessed, or used at an athletic event sponsored by the district. Biennial Review 2014 20
What conduct does MiraCosta College s program prohibit? The unlawful manufacture, distribution, dispensing, possession or use of alcohol or any controlled substance is prohibited on district property, during district-sponsored field trips, activities or workshops, and in any facility or vehicle operated by the district, except as permitted in Administrative Procedure 3560, Alcoholic Beverages. What are the legal sanctions under local, state or federal law for using illicit drugs or alcohol on MiraCosta College? Any employee, student, student worker or volunteer who violates this policy will be subject to disciplinary action (consistent with local, state, or federal law), which may include referral to an appropriate rehabilitation program, suspension, demotion, expulsion or dismissal. Violation of this prohibition will result in appropriate action up to and including termination of employment, expulsion, and referral for prosecution, or, as permitted by law, may require satisfactory participation in an alcohol or drug abuse assistance or rehabilitation program. As a condition of employment, employees must notify the district within ten (10) calendar days of any conviction for violating a criminal drug statute while in the workplace. The district is required to inform any agencies that require this drugfree policy within ten (10) calendar days after receiving notice of a workplace drug conviction. What are the health risks associated with the use of illicit drugs and the abuse of alcohol? All substances of abuse alter consciousness and mood and can lead to physical and/or psychological defendency.. The unpleasant side effects do not mean substances will not be abused. Health related and psychological effects are major concerns when individuals choose to abuse alcohol and drugs. Methamphetamine: Produces stimulant effects. However, the long-term psychological effects can include confusion, memory loss, learning difficulties, depression, sleep problems, anxiety, and paranoia. This drug reportedly suppresses the need to eat, drink, or sleep and may lead to severe dehydration and heat stroke (body temperatures can reach 107-109 degrees Fahrenheit.) An overdose is characterized by rapid heartbeat, high blood pressure, faintness, muscle cramping, panic attacks, and in more severe cases, loss of consciousness or seizures. Alcohol: Acts as a depressant, affects mood, dulls the senses, and impairs coordination, reflexes, memory, and judgment. Alcohol dilates blood vessels increasing heat loss and flushing, is an anti-diuretic and interferes with hormones. More serious effects may be damage to the liver, kidneys, pancreas and the brain. On average, heavy drinkers shorten their life spans by approximately 10 years. Marijuana: Prolonged use can lead to severe psychological dependence. An immediate increase in heart and pulse rate may cause an acute panic anxiety reaction. Marijuana causes impairment of memory, altered sense of time and an inability to concentrate. It may cause apathy/loss of motivation, and broncho-dilation. Circulatory changes are similar to that seen with stress, dryness of mouth/throat, and red eyes. Chronic lung exposure impairs airflow. Marijuana has carcinogens and toxic compounds and can result in decreased testosterone levels, diminished sperm count and abnormal sperm. Cocaine: Causes increased heart rate, breathing rate, and body temperature. Causes chronic runny nose and membrane infections. Overdose may result in seizures, heart failure, coma or death. Opiates: Users are highly susceptible to physical dependence. Drug may cause infections of the skin, liver, heart and lungs. Nausea, emesis, constipation, and respiratory depression are usual causes of death. Biennial Review 2014 21
Tobacco: Causes shortness of breath, nagging cough, and heart difficulties. Long-term effects may be emphysema, bronchitis, heart disease and cancer. Causes an increase in asthma and allergy related symptoms, stroke, slowed wound healing, infertility, peptic ulcer disease, and pneumonia. What counseling, treatment or rehabilitation or re-entry programs are there at MiraCosta College? Violation of this prohibition as permitted by law may require satisfactory participation in an alcohol or drug abuse assistance or rehabilitation program. Employee Assistance Program and PacifiCare Behavioral Health of California are services available for employees with chemical dependency. Human Resources web site provides the latest information on these programs: https://www.miracosta.edu/administrative/hr/benefits_counseling.htm Health services provides confidential individual counseling for students who have questions or concerns about their use of alcohol or use of other substances, referral to community resources such as Alcoholics Anonymous or Narcotics Anonymous, and smoking cessation information and referral. Who are the members of the Drug and Alcohol Task Group? Dick Robertson, Nancy Diaz, Tim Dow, Sally Foster, Jim Gonzales, Marge Reyzer, Nikki Schaper and Alketa Wojcik. Biennial Review 2014 22