Environment Overview

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Campus Improvement Team • Peter Baigent, PhD. – Vice President for Student Affairs and Associate Provost for Enrollment & Retention Management • Charles Robbins, PhD. – Vice Provost for Undergraduate Academic Affairs • Neil Farrell – Assistant Chief of Investigations and Administration, University Police Department • Ahmed Belazi,MPH– Program Evaluator, Center for Prevention and Outreach • Campus Improvement Team • Jenny Hwang, PhD. – Associate Dean & Director of Counseling & Psychological Services • SmitaMajumdar Das, Psy.D. – Assistant Director, Center for Prevention & Outreach • Amy Hammock, PhD. – Assistant Professor of Preventive Medicine • Lara Hunter, LCSW – Coordinator of Clinical Alcohol and other Drug Services • Quinn O’Brien, Student Body Representative LEARNING COLLABORATIVE ON HIGH-RISK DRINKING National College Health Improvement Project Stony Brook University Aim Statement Providing comprehensive education of the highest quality, in part, effected through the promotion of an inclusive and safe campus community. In recognition of the associated harms inherent to high-risk drinking, for both our students and the campus community at large, we aim to reduce the prevalence of high risk drinking by 25% in two years. - Expand screening activities utilizing evidence-based clinical and preventive practices. - Invigorate and sustain a culture of healthy choices around substances through social and other marketing campaigns. - Establish and maintain the investment of multiple stakeholders within and around the campus community. - Engage students in reducing high-risk drinking through bystander intervention frameworks utilizing a spectrum of "readiness to change" and "engagement" profiles. Multi-Pronged Strategy • Highlighted PDSA Initiative • Introduction of evidence-based screening and brief Intervention within Counseling and Psychological Services • Specific Aim: Increase focus on alcohol-related presentation and provide students with a evidence-based intervention closely following the high-risk identification. • Evidence:Effective intervention can be very highly effective when introduced early within a college student’s experience. However, the consistency and effectiveness of screening that leads to intervention varies widely. • Measures: % of students reporting risk, % of students reporting risk after previously negative screen, ease of screening integration, consistency of screening. • Completed • Introduction of varied item screening instrument at triage • In Process • Counseling and Psychological Services integration of screening instrument and brief intervention • Planned • Counseling and Psychological services use of iPod touch devices to integrate screening instrument and brief intervention Outcome Measures Over Time Environment Overview High-Risk Environment Assessment Previous high-risk drinking initiatives aimed at addressing environmental risk factors include: Red Watch Band bystander intervention program for students encountering cases of high-risk drinking; Community standards (Judicial Standards) adjudication and sanction enforcement; Substance education courses for students with identified infractions of the alcohol policy; Mandated assessment for any students hospitalized for high-risk drinking In completing our on-campus assessment we utilized data from a recent needs assessment survey, e-chug participant information, community standards judicial database, and key informant interviews. Participants included the Dean of Students, Assistant Chief of Police, a University Police Officer, Community Standards Coordinator, Dean of Residential Education, Associate Director of Residential Programs, Fraternity and Sorority Life Coordinator, Director of Student Activities, Director of Custodial Services, and peer education students. Our on-campus setting is operationally defined in terms of the physical property of Stony Brook University at Stony Brook, NY. The institution itself was founded in 1957 and is located approximately 50 miles east of New York City. The campus hosts more than 24,000 students and spans nearly 1,400 acres. Due to the high cost of living in the local community, there is a high proportion of students (especially first year students - nearly 90%) that reside on-campus. College housing in the community is minimal and primarily consists of sublet and single dwelling rentals. Our team was surprised to learn that pre-gaming plays a much greater role in the prevalence of high-risk drinking than previously thought. We also learned there is a wide degree of variation among students, faculty, and staff in the perceived effectiveness of alcohol policy and enforcement. Based on our findings, our team feels that the most impactful focus our initiative can engage as a starting point will be on-campus. This focus will also elicit a prominent and perceivable effect by stakeholders and students. We aim to enhance the perceived and resulting of effectiveness and consistency of policies regarding alcohol on campus; increase communication and the availability of information across departments enforcing alcohol policy; and increase awareness and effectiveness of messaging related to institutional alcohol policy. We are optimistic regarding this approach as we have seen a significant return on investment with a recent initiative completed in partnership with Resident Assistants (RAs). Earlier this year, we completed an extensive training with our RAs and provided them with a specific challenge to a culminating project we called "Project Prevention - Off the Wall". This year's project specifically targeted the ability to communicate the skills and content received during summer training. RAs had nearly a month to complete a bulletin board and/or outreach campaign. Our primary interest in this initiative was to serve as a culminating experience that would further solidify and reinforce the material they were presented with earlier in the summer, however, after viewing the submissions we were pleasantly surprised with the quality of work and thoughtfulness that went into the projects they had created. In addition to the positive ratings of this program, we have received an increase in the number of alcohol and other area referrals made by student staff. High-Risk Environments Map LEARNING SESSION 2