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US Coast Guard Motorcycle Safety Summit. Mark Mattiko, M.Ed Substance Abuse Program Manager United States Coast Guard 8/25/2008. So, what do we know?. So, what do we know? We know that: Some things just don’t go together!. Pathophysiology of Stupid.

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slide1
US Coast Guard Motorcycle Safety Summit

Mark Mattiko, M.Ed

Substance Abuse Program Manager

United States Coast Guard

8/25/2008

slide4
So, what do we know?

We know that:

Some things just

don’t go together!

pathophysiology of stupid

Pathophysiology of Stupid

AMA established as a disease in 50’s

Over 720 scientific studies verifying

addiction is a disease

39% of people fatally injured in traffic

crashes were alcohol related

NHTSA, 2006

dod alcohol use trends 1980 2005
DoD Alcohol Use Trends(1980-2005)

Statistically

significant

increase from

1980

*

Heavy Alcohol Use = 5 or more drinks/occasion at least once a week in past 30 days.

*Significant at .05 level

Substance Use

uscg math alcohol consumption pattern recommendation for men niaaa who
USCG Math(Alcohol Consumption Pattern Recommendation for men)NIAAA & WHO

Monday Wednesday Thursday

Friday Saturday

uscg math alcohol consumption pattern
USCG Math(Alcohol Consumption Pattern)

Underway Week 1

Mon Tues Wed Thu Fri Sat Sun

0 0 0 0 0 0 0

Underway Week 2

Mon Tues Wed Thu Fri Sat Sun

0 0 0 0 0 0 0

uscg math
USCG Math

Underway Week 1

Mon Tues Wed Thu Fri Sat Sun

0 0 0 0 0 0 0

Underway Week 2

Mon Tues Wed Thu Fri Sat Sun

0 0 0 0 0 0 0

Liberty Night 1

binge drinking rates by service 2002 2005
Binge DrinkingRates by Service, 2002 - 2005

Binge Drinking = 5 or more drinks on a single occasion

at least once in in the past 30 days

*Significant difference between 2002 and 2005 at .05 level.

Civilian estimate for 1-4 years past High School reported from Monitoring the Future, past 2 weeks, 2004.

Substance Use

binge drinking rates by service 2002 200512
Binge DrinkingRates by Service, 2002 - 2005

Binge Drinking = 5 or more drinks on a single occasion

at least once in in the past 30 days

*Significant difference between 2002 and 2005 at .05 level.

Civilian estimate for 1-4 years past High School reported from Monitoring the Future, past 2 weeks, 2004.

Substance Use

binge drinking rates by service 2002 200513
Binge DrinkingRates by Service, 2002 - 2005

Binge Drinking = 5 or more drinks on a single occasion

at least once in in the past 30 days

*Significant difference between 2002 and 2005 at .05 level.

Civilian estimate for 1-4 years past High School reported from Monitoring the Future, past 2 weeks, 2004.

Substance Use

binge drinking rates by service 2002 200514
Binge DrinkingRates by Service, 2002 - 2005

Binge Drinking = 5 or more drinks on a single occasion

at least once in in the past 30 days

*Significant difference between 2002 and 2005 at .05 level.

Civilian estimate for 1-4 years past High School reported from Monitoring the Future, past 2 weeks, 2004.

Substance Use

recommended standards for uscg based on world health organization niaaa dsm iv criterion
31-62% 22-28% 3-12%**

**MSE very high; speculation not wise

Recommended Standards for USCG**Based on World Health Organization, NIAAA & DSM IV criterion

Responsible Alcohol Use

Per session

2 drinks for woman

3 for men

Not to exceed 15 per week for men; 10 for women.

Harmful Use

Causing damage to health:

Physical –

Hang over Damage to liver

Mental –

Anxiety

Depression onset

Social – Isolating

Hazardous Use

Places self or others at risk

Vehicle accidents

Does not drink then binges heavily

Has physical, mental, social, and consequences

Dependency &

Tolerance

Does not demonstrate impairment at high ETOH blood levels

i.e.

Has .20 ETOH level “and was fine”

DSM IV Criterion

serious incidents for uscg based on world health organization hrb niaaa dsm iv criterion uscg data
Serious Incidents for USCG**Based on World Health Organization, HRB, NIAAA & DSM IV criterion & USCG Data

Responsible Alcohol Use

Per session

2 drinks for woman

3 for men

Not to exceed 15 per week

Harmful Use

Causing damage to health:

Physical –

Hang over Damage to liver

Mental –

Anxiety

Depression onset

Social – Isolating

Hazardous Use

Places self or others at risk

Vehicle accidents

Does not drink then binges heavily

Has physical, mental, social, and consequences

Dependency &

Tolerance

Does not demonstrate impairment at high ETOH blood levels

i.e.

Has .20 ETOH level “and was fine”

DSM IV Criterion

~ 85% of Coast Guard Incidents

Live HERE!

alcohol use and disease
Alcohol Use And Disease

Risk for health problems

Number of standard drinks per day

alcohol use and disease23
Alcohol Use And Disease

Risk for health problems

Number of standard drinks per day

risk of alcoholic cirrhosis
Risk Of Alcoholic Cirrhosis

Alcohol Cirrhosis Odds Ratio (drinks/day) (%) for Cirrhosis

Teetotaler 0.04 0

< 3 0.15 0

3 - 6 1.0 10.9

> 6 - 9 2.3 25.0

> 9 4.9+ 52.9+

*Bellentani, Tiribelli. 2001

epidemiology consequences of drinking and driving niaaa nhtsa 2003 2004
Epidemiology & Consequences of Drinking and DrivingNIAAA & NHTSA, 2003 & 2004
  • 82 million drunk driving trips with BAC’s above .08 each year
  • 1.5 million DUI arrests each year
  • For every arrest 56 get away
  • A BAC of .08 or > guarantees you:
    • Reduced peripheral vision
    • Poor recovery from glare
    • Decrease performance in complex tracking
    • Reduced attention span
    • Impaired balance
slide30
Comments

Easy Questions

(Job Offers)

Support Slides

other slides
Other Slides
  • Other Slides Other Slides Other Slides
standardized comparisons of substance use past 30 days by age group 2005
Standardized Comparisons of Substance Use, Past 30 Days, by Age Group, 2005

Ages 18-25

Ages 26-55

Ages 18-25

Ages 26-55

Ages 18-25

Ages 26-55

Heavy alcohol = 5 or more drinks per occasion at least once a week in past 30 days.

*Statistically significant from Civilian at .05 level. Civilian data are from 2004 National Survey on Drug Use and Health and were standardized to the U.S. based 2005 military data by gender, age, education, race/ethnicity, and marital status.

Substance Use

hurdles and roadblocks
Hurdles and Roadblocks
  • Currency of USCG Data is poor
  • Glamorization of Drinking
  • Cultural Shift amongst Heavy Drinkers
  • Alcohol Industry Spent 2 Billion (in 2003)
  • Complex Societal Health Problem
the way ahead
“The Way Ahead”
  • Enter HRB DoD Study: Scientific Data
  • Rethink our Strategic Plan (Seybold Model)
  • Total SAFE Rewrite
    • More personal
    • Greater Chief involvement
    • Command Consistency
recommended standards for uscg based on world health organization niaaa dsm iv criterion42
Recommended Standards for USCG**Based on World Health Organization, NIAAA & DSM IV criterion

Responsible Alcohol Use

Per session

2 drinks for woman

3 for men

Not to exceed 15 per week

Harmful Use

Causing damage to health:

Physical –

Hang over Damage to liver

Mental –

Anxiety

Depression onset

Social – Isolating

Hazardous Use

Places self or others at risk

Vehicle accidents

Does not drink then binges heavily

Has physical, mental, social, and consequences

Dependency &

Tolerance

Does not demonstrate impairment at high ETOH blood levels

i.e.

Has .20 ETOH level “and was fine”

DSM IV Criterion

slide44
Frequency of Alcohol Use by PWP Responders

N=6000+

7.00%

Respondents had at least 3 drinks per day.

6.00%

5.00%

Male

Female

4.00%

Percent

3.00%

2.00%

1.00%

0.00%

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15 drinks or more

At Risk

Population

slide47
Drinking may not be so bad, say scientists

Posted TueJul 10, 200712:10pm AEST

Scientists say the research shows drinking alcohol does not kill off brain cells. (Neuroscientists say a recent report indicates moderate drinking may have a positive effect on the health of a person's brain.

Some of the world's top neuroscientists are meeting in Cairns, in far north Queensland, to discuss ground-breaking research that shows brain cells continue to grow throughout our lifetime.

Queensland Brain Institute director Professor Perry Bartlett says the report shows drinking alcohol does not kill off brain cells - and that drinking up to four standard glasses of wine a night might be beneficial.

"One of the myths was that once you were born you never had the capability of making new brain cells," he said.

"In fact, we now know that even in old people, one's capable of making new brain cells and most recent evidence suggests that the making of brain cells is very important in maintaining good mental health."

Professor Bartlett says evidence suggests that moderate drinking is also beneficial to the vascular system.

"[It] may well help to prevent things like stroke and heart disease so there may be a positive effect of moderate drinking on brain health," he said.

slide51
Millions of Australians at risk

from alcohol consumption

Posted Mon Aug 6, 2007 9:48am AEST(Reuters: David Gray)       

The levels of alcohol that will place you at risk of brain damage is three standard drinks per day for a woman and six per day for men for an eight-year period.

A campaign has been launched to raise awareness of alcohol-related brain damage. The chief executive of Alcohol Related Brain Injury Australian Services, Sonia Berton, says 2 million Australians are at risk of brain damage because of the large amounts of alcohol they are consuming. She says there are many misconceptions

about the problem which is brought about by consuming between

three and six alcoholic drinks a day over about nine years.“

The levels of alcohol that will place you at risk of

alcohol-related brain damage - now for a female it is around three

standard drinks per day or more and for men it's around six standard

drinks per day, for an eight-year period. Now for

many Australians, this is considered to be no more than social drinking."

slide52
Drinking may not be so bad,
  • say scientist
  • Jul 10, 2007 Scientists say the research shows drinking alcohol
  • does not kill off brain cells.(ABC News: Gary Rivett)
  • Neuroscientists say a recent report indicates
  • moderate drinking may have a positiveeffect on the health of a person's brain.
  • Some of the world's top neuroscientists are meeting in Cairns, in far north Queensland, to discuss ground-breaking research that shows brain cells continue to grow throughout our lifetime.
  • Queensland Brain Institute director Professor Perry Bartlett says the report shows drinking alcohol does not kill off brain cells - and that drinking up to four standard glasses of wine a night might be beneficial.
  • "One of the myths was that once you were born you never had the capability of making new brain cells," he said.
  • "In fact, we now know that even in old people, one's capable of making new brain cells and most recent evidence suggests that the making of brain cells is very important in maintaining good mental health."
  • Professor Bartlett says evidence suggests that moderate drinking is also beneficial to the vascular system.
  • "[It] may well help to prevent things like stroke and heart disease so there may be a positive effect of moderate drinking on brain health," he said.
sapt vision
“SAPT VISION”
  • Above the Influence: (SAFE Rewrite)
    • Focus on WHO Model (use-harmful-hazardous-dependency)
    • Greater Chief Involvement (G.E.M.)
    • Command Consistency (3E’s)
  • Command Drug and Alcohol Rewrite
  • SAPT 2008 Vision Plan (Seybold Model)
  • Enter HRB DoD Study: Scientific Data
epidemiology consequences of drinking and driving niaaa nhtsa 2003 200460
Epidemiology & Consequences of Drinking and DrivingNIAAA & NHTSA, 2003 & 2004
  • 82 million drunk driving trips with Back's above .08 each year
  • 1.5 million DUI arrests each year
  • For every arrest 56 get away
  • A BAC of .08 or > guarantees you:
    • Reduced peripheral vision
    • Poor recovery from glare
    • Decrease performance in complex tracking
    • Reduced attention span
    • Impaired balance
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