DHCS-SUD Conf Aug 2018 Oppy for DUI Prvn (WITTMAN Session

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Opportunities for Prevention in California County DUI Service Systems

Friedner D. WittmanPresident, CLEW Associates/Prevention by Design

Bayliss CampChief, Research and Development Branch, DMV

Ann SherwoodProgram Manager, Kern County Behavioral Health and

Recovery Services

DCHS-Substance Use DisordersStatewide Conference

Garden Grove CA, Aug 21-23 2018

Problem: Persistent Auto Fatalities andSevere Injuries involving Alcohol

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Problem: Persistent Auto Fatalities andSevere Injuries involving AlcoholFatalities and Severe Injuries Involving Alcohol in

California and Kern County, 2002-2011Source: Calif Department of Motor Vehicles

Year California Kern CountyTotal

All Auto Crashes

Total Involving alcohol

%Involving alcohol

Total All Auto Crashes

Total Involving alcohol

%Involving alcohol

2002 17532 5094 29% 523 158 30%2003 17267 4720 27% 543 144 27%2004 17672 4921 28% 480 126 26%2005 17468 4991 29% 543 156 29%2006 17286 5126 30% 589 177 30%2007 17100 5126 30% 466 177 38%2008 15344 4667 30% 426 120 28%2009 14007 4275 31% 419 158 38%2010 13162 3842 29% 394 124 31%2011 8816 2418 27% 275 77 28%

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Current Remediation & Prevention Approach to DUI Problems at the State Level

DUI Countermeasure System works at four levels:

• Primary focus is remediation of individual behavior: DUI treatment, license suspension, IIDs, fines, incarceration

• Support situational prevention/remediation: Responsible Beverage Service (RBS), designated drivers

• Support community initiatives to prevent DUI:Social Host Ordinances, Land-use planning for retail outlets

• Support “cultural” approaches” affecting DUI norms:Social movements (MADD), public info, checkpoints

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Current Treatment & Prevention Approach to DUI Problems at County/Community level

• Individual-oriented DUI service systems predominate. Main focus is on correction and treatment of the individual DUI offender.

• County DUI systems place little emphasis on prevention. Availability is a major concern for DUI prevention yet prevention messages focus on the individual drinker.

• Community-environment prevention initiatives can manage high-risk availability in local DUI settings through County/community DUI prevention initiatives.

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Looking at DUIs Problem as a Community Environment Issue

A community-level AOD environmental control approach can help reduce the incidence of AOD-related casualties at high-risk community settings.• Where’s the problem? Find the high-risk settings that

generate impaired driving in the community.

• Take action on problematic DUI risk-settings. Establish preventive environmental management using RBS methods thru State and community resources.

• Integrate community-environment prevention into County DUI Service System. Link community-based environmental risk reduction (C-BERR) to SPF planning 6

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Why Take Action Now?

• Developments in data and planning technology to support DUI prevention at the local (city) level.

• Recent passage of AB 1221 requiring mandatory RBS training in the State of California.

• Challenges from Prop 64 approval of recreational use of cannabis.

• SHSP pilot projects and County initiatives combine joint efforts based on POLD data

• Prospects for State agency coordination to support County/community initiatives through IPAC

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Today: Present a community-environment approach to prevent DUIs in local jurisdictions

• PART ONE Prevention of DUI – Current State Efforts set the stage for County/Community initiatives (Bayliss Camp)

• PART TWOPrevention of DUI – Kern County DUI System of Services –prospects for a community approach (Ann Sherwood)

• PART THREEPrevention of DUI – Community (city) environmental risk reduction with help from County using POLD data to drive SPF planning (Fried Wittman and Ann Sherwood).

• DISCUSSION – Q&A8


PART ONE

Prevention of DUI –Current State Efforts set the stage for

County/Community initiatives

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PREVENTION OF DUI: CURRENT STATE EFFORTS

Dept. of Health Care Services

Substance Use Disorders Statewide Conference

August 23, 2018

A statement of the problem.

Some theory.

Actions being taken by the state.

Moving forward: the role of community-level Responsible Beverage Service (RBS) training as one element of a DUI prevention model.

OVERVIEW

2015 and 2016 alcohol-impaired driving fatalities in California:

Nationwide, more than 10,000 are killed in traffic crashes every year from impaired driving.

THE PROBLEM: WHAT’S HAPPENING WITH IMPAIRED DRIVING?

Year Total FatalitiesAlcohol-Impaired Driving Fatalities

2015 3,387 911 27%2016 3,623 1,059 29%% change +7.0% +16.2%

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In 2013:

1,746 people died from homicide.

1,699 people died in motor vehicle fatalities that involved alcohol, drugs, or a combination thereof.

In short, impaired driving fatalities are roughly equal in number to deaths due to murder.

HOW DOES THIS COMPARE WITH OTHER PROBLEMS?

Alcohol and drug-involved fatal crashes 1995-2014

HOW IS THIS SHIFTING OVER TIME?

Repeat (2nd+) DUI Offenders are

1.43% of all California drivers, BUT Involved in 59% of fatal/injury DUI crashes, or (as a

subset),

Involved in 26% of fatal DUI crashes.

Repeat (2nd+) DUI offenders represent

27% of all DUI offenders, but

24%-27% more likely to reoffend within 5 years (compared to 1st offenders).

DUI RECIDIVISM BY THE NUMBERS

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WHAT’S HAPPENING WITH POLICING?

0

50000

100000

150000

200000

250000

2010 2011 2012 2013 2014

DUI Arrests and APS Actions

DUI Arrests APS Actions Source: Annual DUI-MIS Report

1000

1050

1100

1150

1200

1250

2010 2011 2012 2013 2014

Alcohol-Involved Fatal Crashes

Alcohol-Involved Fatal Crashes Source: Annual DUI-MIS Report

Classical deterrence theory:

General vs. specific deterrence

In order to prevent delinquent (deviant, undesirable, etc.) behavior, the threat of a sanction must be perceived as being: Swiftly applied

Certain to occur

Severe

How does the DUI countermeasure system look from a deterrence theory perspective?

SOME THEORY

Cumulative recidivism likelihood five years after a first DUI for persons convicted in 1980, 1984, 1994, and 2004:

HOW WE KNOW THAT APS WORKS

Effect of 1990 APS Law

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As a general matter, the state (and its local partners) plays a strong role in interdicting DUI and reducing recidivism:

General deterrence effect of APS actions, funding of DUI checkpoints.

Specific deterrence effects of: Post-conviction license actions (S/R) (DMV),

Post-conviction DUI program requirements,

Post-conviction IID requirements.

Also, the Strategic Highway Safety Plan.

THE STATE’S ROLE

Statewide 5-year data-driven traffic safety plan, coordinating efforts by a wide range of organizations to reduce fatalities/injuries on all public roads.

Led by executives of state transportation and public health agencies, in partnership with federal agencies, state/local and tribal representation.

Action items identified, and accomplished, by hundreds of stakeholders in 15 challenge areas. Of these, the Alcohol and Drug Impaired Driving

Challenge Area is the largest and most active, encompassing 100+ participants and 16 action items.

A new SHSP will be starting next year – please get involved!

WHAT IS THE SHSP?

Proposition 64 legalizes the recreational use of cannabis by adults in California.

A portion of the tax revenue from cannabis is specifically dedicated to CHP for:

Research, grant-funding to non-profits and local agencies, and training/practice improvements in matters related to cannabis-impaired driving.

BUT… DUI IS NOT JUST ABOUT BOOZE

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Other stakeholders are critical partners in the success of the DUI countermeasure system: Innovative court practices (“regular” DUI court,

multi-track DUI court).

Publication information/awareness campaigns (e.g., California Office of Traffic Safety, others).

Social movement organizations (SADD, MADD, RADD, etc.).

DUI treatment program.

SOME ROLE(S) OF OTHER PARTNERS

Local prevention efforts play a critical role in the DUI countermeasure system. Innovation and leadership by local agencies and stakeholders in treatment and mitigation could look like (as but one example): SHSP Action item 4.1 (Impaired Driving Challenge

Area) involves expanding the Orange County Responsible Beverage Service (RBS) training model to other California cities.

In Kern County, these efforts involve innovative use of Place of Last Drink (POLD) data in combination with practice improvements for RBS training.

A (RE-)FOCUS ON PREVENTION?

AB 1221 requires mandatory RBS training for all servers and managers in on-sale alcohol outlets.

Local jurisdictions have considerable leeway in how to implement RBS training in combination with zoning and planning.

Cannabis-impairment (or other types of drug involvement) are an increasing component of DUI incidents and crashes.

FUTURE DIRECTIONS FOR PREVENTION

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PART TWO

Prevention of DUIKern County DUI System of Services –Prospects for a community approach

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KERN COUNTY DEMOGRAPHICS

• Population estimate 930,660 (2017)

• 53% Hispanic• 34% White• 6% Black or African

American• 5% Asian• 2% American Indian

• 8132 square miles• 23.1% Poverty Rate• $49,778 median

household income• 15.7% BA or higher

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KERN COUNTY DUI SYSTEM OF SERVICES –PROSPECTS FOR A COMMUNITY APPROACH

Kern County DUI StatisticsNumber of Kern County issued drivers licenses 12/31/2017

523,289Persons killed and injured in DUI/PCF collisions in Kern

County 2011 – 2015

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2011 2012 2013 2014 2015

Killed Injured Killed Injured Killed Injured Killed Injured Killed Injured

28 541 17 526 33 577 22 475 28 526

https://www.chp.ca.gov/programs-services/services-information/switrs-internet-statewide-integrated-traffic-records-system/switrs-2015-report

KERN COUNTY DUI SYSTEM OF SERVICES –PROSPECTS FOR A COMMUNITY APPROACH

• https://www.chp.ca.gov/programs-services/services-information/switrs-internet-statewide-integrated-traffic-records-system/switrs-2015-report

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County DUI System‐Client Flow Diagram

DUI Events

DUI Arrests

Case Disposition

Adjudication

Alcohol Marketing

Physical Temporal Availability

Local Norms

Testing

Prosecution

Court ActionFines Custody

Constraints such as IID’s

DUI Treatment

First Offender

Multiple Offender

Successful Completion of Sanction

License Reinstatement

Resume Driving

Most First Offenders are not recidivists

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KERN COUNTY DUI SYSTEM OF SERVICES –DUI MITIGATION AND TREATMENT - INTAKE

DUI Penalties in Kern CountyFirst Time DUI in Kern County• Three years of summary probation• $390 fine plus penalties and assessments totaling roughly

$1800 (lawyer and DMV fees not included)• Three month drug/alcohol program ($575)

Second Time DUI in Kern County• Three to five years of summary probation• $390 fine plus penalties and assessments totaling roughly

$1800 (lawyer fees not included)• Eighteen month, 2nd Offender DUI school• 15 – 30 days in county jail (may be converted into work release)

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KERN COUNTY DUI SYSTEM OF SERVICES –DUI MITIGATION AND TREATMENT - INTAKE

DUI Penalties in Kern CountyThird Time DUI in Kern County• Three to five years of summary probation• $390 fine plus penalties and assessments totaling roughly

$1800 (lawyer and DMV fees not included)• 18 - 30 month drug/alcohol program ($1475)• A mandatory minimum of 120 days in the county jail to

maximum of one year, although this may be substituted with an in-patient rehab program due to jail overcrowding

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KERN COUNTY DUI SYSTEM OF SERVICES –APPROACH TO PREVENTION

Community Based Environmental Risk Reduction

Different communities have different needs

Communities work with local resources

Communities may have their own jurisdiction to implement ordinances and policies

Work to change the local environment surrounding availability and social norms

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KERN COUNTY DUI SYSTEM OF SERVICES –DUI PREVENTION INITIATIVES – EDUCATION CAMPAIGNS

DUI prevention campaigns• Law Enforcement checkpoints• Leaders in Life youth conference• DUI Symposium• PSA• 34

KERN COUNTY DUI SYSTEM OF SERVICES –DUI PREVENTION EFFORTS LOOK AT SETTINGS

Background: slides on distribution of retail alcohol outlets in Kern County

Prompted by May 2016 County DUI symposiumExperiences with DUI Treatment participants

re: settings that contribute to DUIs. Experiences among service agencies (police,

EMTs, etc.) with DUI casualties

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KERN COUNTY DUI SYSTEM OF SERVICES –INTRODUCE THE POLD STUDY & IMPLICATIONS FOR PX

Kern County POLD Study

POLD – Place of Last Drink

Survey from DUI Program Provider’s clients

Administered over 4 months in English and Spanish

Voluntary

974 responses

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PART THREE

Community-Based Environmental Risk Reduction(C-BERR) For Local DUI Prevention

[POLD data applied through SPF planning]

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DUI Events are Consumption-Based Disorders

AOD Use Disorders including DUI are preventable when the server and the community manage the local risk-environment

WHERE’S THE PROBLEM DRINKING?

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Reduce harm attributable to AOD availability through Local Control to design and manage risk-settings

WHO’S RESPONSIBLE FOR THE PROBLEM SETTING?INTRODUCING THE C-BERR THREE ACTOR MODEL

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WHAT CAN BE DONE?RISK SETTINGS & PROBLEM-REDUCTION METHODS

Retail Outlets

Public Places

Public Events

Social Settings

Land-use planning & zoning Responsible beverage training

RBS (& related organizational policies) Media advocacy & normative

campaigns (print & electronic) Economic (fees & fines) Environmental education &

compliance campaigns Enforcement of alcohol laws Voluntary agreements Self-sustaining local support for

community oversight

Community RBS = DUI Environmental Prevention

Environmental Prevention identifies and removes risks in problem locations

(settings) to maintain healthy communities where people enjoy a

quality life.

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• Origin (1970s) – Outreach to chronic drinkers in-situ in bars; Education soon expanded to train servers and managers.

• Initial focus: Control drinker behavior by training servers (size up, pace service, offer alternatives, stop service, arrange transportation) and train managers.

• Early RBS ABC/OTS training program tried to reduce DUIs with mixed results (1977-79).

• 1980-2000s: Control risk-settings and situations at site level (e.g. Designated Driver programs).

• Emerging focus: Control risks at community level thru DAOs

Brief History of RBS in relation to DUI

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WHAT IS BEING DONE?RISK SETTINGS & PROBLEM-REDUCTION METHODS

Retail Outlets

Public Places

Public Events

Social Settings



campaigns (print & electronic) Economic (fees & fines) Education & compliance

campaigns for individuals Enforcement of alcohol laws Voluntary agreements Self-sustaining local support for

community oversight

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WHAT COULD BE DONE?RISK SETTINGS & PROBLEM-REDUCTION METHODS

Retail Outlets

Public Places

Public Events

Social Settings





community oversight

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STRATEGIC PLANNING FRAMEWORK (SPF)APPLIED TO DUI PROBLEMS

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• POLD data identify where and when drinking occurs preceding DUI arrest.

• Data are collected from adjudicated First Offenders and Multiple Offenders attending DUI programs.

• POLD data helps describe how settings and situations contribute to DUI events; collateral data help.

• About a dozen County AOD programs which collect POLD data make limited use of it; now is time to act.

Where’s the problem? Place of Last Drink (POLD)

• POLD findings similar across local communities for specific settings (addresses) and same setting types.

• POLD data stable by time (same patterns each year)

• POLD data complement police event data, confirm local experience (neighbors, owner/operators).

• Restaurant/Bars account for one-third to one-half of all places identified as location of last drink.

• Private residences account for about one-third to one-half of all places identified as location of last drink

POLD Findings I: Drinking Settings

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Setting of Last Drink Before Arrest(Kern County POLD 2007 and 2017)

Setting 2017 POLD Survey

2007 POLD Survey

N % N %

Someone else's home 303 33%1,600 53%

Your own home 172 19%

Bar/nightclub 224 25% 839 28%

Restaurant 78 9% 232 8%

Vehicle 28 3% 166 6%

Other (named area) 77 9% 94 3%

Other (unnamed area) 32 4% 216 7%

Total 914 3,147

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On-Sale Outlets with Frequent POLD Mentions(Kern County 2017)

Outlet Name City Total Mentions

Brix Lounge Bakersfield 28Mc Murphy’s Irish Pub Bakersfield 11Whiskey Barrel Saloon Bakersfield 9Lone Oak Lounge Bakersfield 8Mariscos Uruapan Bar & Grill Bakersfield 8Firehouse Bakersfield 7Red Zone Sports Bar and Grill Bakersfield 6El Portal Mexican Grill & Cantina Bakersfield 5Mint Bar Bakersfield 5Noa Noa Club Bakersfield 5Prohibition 1933 Bakersfield 5Sports & Spirits Bakersfield 5Total 102

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Outlet Pattern of Frequent POLD Mentions(Kern County 2007 and 2017)

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Participation in DUI Offender Programs

POLD Findings II: Drinking Circumstances

Participants in Kern County POLD Study (2017)by Program Type (N = 922)

Wet-Reckless First Offender Multiple-Offender

Male 58 8% 343 48% 312 44%

Female 23 12% 147 68% 39 20%

Total 81 9% 490 53% 351 38%

• Multiple Offenders drink more frequently in more places than First Offenders. (Multiple Offenders appear likely to drink more than First Offenders)

• Multiple Offenders more likely than First Offenders to be “isolated” drinkers (alone/strangers) rather than “social” drinkers (family/friends).

• How is Offender drinking distributed in community?Choice of setting varies by Offender Status.

POLD Findings II: Drinking Circumstances

Multiple Offenders more likely engage in “isolated” drinking, less likely to engage in “social” drinking than First Offenders/W-R

POLD Drinking Circumstances: Social and Isolated Drinking

Drinking companions Wet-Reckless

First Offender

Multiple Offender

N % N % N %

Alone 6 8% 77 17% 74 22%

With strangers or casual acqtc 0 0% 28 6% 29 9%

With a few friends or family 62 85% 333 72% 217 65%

At an informal party 1 1% 5 1% 6 2%

At a formal party 1 1% 3 1% 6 2%

Other 3 4% 15 3% 4 1%

Total 73 461 336

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Preferences for Drinking Setting amongWet-Reckless, First Offenders, and Multiple Offenders

Drinking Circumstances: Choice ofSetting varies by Offender Status

Setting where you were drinking just

before arrestWet-Reckless First Offender Multiple

Offender

N % N % N %

Bar/nightclub 23 32% 115 25% 74 23%

Restaurant 6 8% 38 8% 26 8%

Private club/hall 1 1% 8 2% 6 2%

Your own home 10 14% 84 18% 68 21%

Someone else's home 29 40% 157 34% 96 29%

Vehicle 0 0% 12 3% 12 4%

Focus on commercial host practices to hold staff to high RBS standards and include DUI components.

Focus on social host policies that set moderate drinking expectations (or less), control the setting, and do not let alcohol dominate or derange the situation.

Blend voluntary (persuasive) and mandatory (unilateral) action as needed at the community level.

DUI Prevention I: Proximal Personal Leverage for RBS training at the site and personal level

• “Local Control” = Planning and zoning ordinances designed for retail alcohol outlets using CUPs and DAOs with RBS training and select operating conditions.

• “Organized Campaigns” = Forming community coalitions for outreach/advocacy with support from County AOD prevention agencies based on SPF (Strategic Prevention Framework) planning.

• State agency/national support is crucial to carry out effective community-level prevention initiatives. Help is needed from ABC, DPH, DHCS, DMV/OTS for expertise, funding, and program support.

DUI Prevention II: “Local Control” and Organized Campaigns for RBS training at community level

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Reduce harm attributable to AOD availability through control, design, and management of risk-settings

Community-Level Prevention of DUI Problemsthrough C-BERR Three Actor SPF Model

THREE-ACTOR C-BERR DYNAMIC FORCOMMUNITY RBS

Owner/Manager

Supply

Officials/Other Interested Parties

Controls

Occupants / Neighbors

Uses

How does alcohol come into the setting?

How is alcohol used in the setting?

How are alcohol consequences handled?

C-BERR MODEL FOR LOCAL CONTROLBUILD A NEXUS FOR SPF PLANNING

Problems

Health Safety Well‐being

Youth AccessInebriation

Disturbances/Social DisruptionViolence/DUI casualties

Injury/Other Health ProblemsEconomic Loss/Heavy Service UseDisplacement of Desirable Uses

Settings

Retail Public Social

Single Building or Complex(addresses & individual settings)

Types of Settings

Concentration of Settings (area or proximity)

High‐Risk Geo Contexts

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C-BERR SPF PLANNING PROCESS

Envtl Risk Assessment(Document Envt’l Risks)

Capacity Building/Priorities(Cultivate Sectors/Allies)

Action Plan (Modify the Risk Envt)

Implementation (Execute Plan with Fidelity)

Evaluation(Report Results, take Next Steps)

STEP 1. DUI ENVT’L RISK ASSESSMENT

Commercial Host Social Host

Officials/Other Interested Parties

Occupants Neighbors

Risk‐Settings by Scale: Price, Promotion

Pour‐Policy, Patron carePremises Management

Risk‐Experiences:Disturbances, Nuisances, Thefts, Displacement,

DUI events, Youth Access

Risk‐Responses:Law Enforcement, ABC,

Planning/Zoning, Health & Social Initiatives

Alcohol Outlet Operators

Alcohol Policy Working Group

Community Coalition

Alcohol Retailers andCommercial Developers (concerns about business)

Core leaders, Local Groups and Organizations,

(concerns about DUIs)

Mayor/Manager, Key Departments, Boards & Commissions, Electeds, (concerns about balance)

STEP 2. BUILD CAPACITY, CULTIVATE ALLIES

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Community Coalition(s)

STEP 2A. SELECT PRIORITIES

Alcohol Industry (Hospitality, Entertainment, Tourism)

County & State Public Health and Safety Agencies

MORE

LESS

Availability

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TAILOR COMMUNITY ACTION PLANTO MEET LOCAL JURISDICTION NEEDS

Retail Outlets

Public Places

Public Events

Social Settings





community oversight



Community Coalition

Propose mitigations & best practices for identified problems

Advocate specific change proposals, demand action by officials

Draft recommendations and rules for Operators and Regulatory Body


STEP 3. ACTION PLAN (CHANGE RISK SETTING)

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Where’s the Problem?POLD Respondent Place of Residence

(Kern County 2017)

City or Townof Residence N %

Percent Kern adult pop. In

city/communityBakersfield 725 76.6% 39.3%Delano 47 5.0% 6.5%Shafter 31 3.3% 1.9%McFarland 23 2.4% 1.4%Tehachapi 22 2.3% 1.9%Taft 18 1.9% 1.3%Lamont 16 1.7% 1.7%Arvin 14 1.5% 2.0%Wasco 13 1.4% 3.1%Oildale 11 1.2% 4.0%Small towns (10) 25 2.5% N/ANo response 27 N/A N/ATotal 946

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POLD On-Sale Outlets in Bakersfield(Kern County 2017)

Outlet Name City Total Mentions

Brix Lounge Bakersfield 28Mc Murphy’s Irish Pub Bakersfield 11Whiskey Barrel Saloon Bakersfield 9Lone Oak Lounge Bakersfield 8Mariscos Uruapan Bar & Grill Bakersfield 8Firehouse Bakersfield 7Red Zone Sports Bar and Grill Bakersfield 6El Portal Mexican Grill & Cantina Bakersfield 5Mint Bar Bakersfield 5Noa Noa Club Bakersfield 5Prohibition 1933 Bakersfield 5Sports & Spirits Bakersfield 5Total 102

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BAKERSFIELD RETAIL ALCOHOL OUTLETS

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FOCUS ON BAKERSFIELD ON-SALE OUTLETSWITH FREQUENT POLD MENTIONS

Retail Outlets

Public Places

Public Events

Social Settings


RBS (3-Tier Community RBS) Media advocacy & normative



community oversight

Alcohol Outlet Operators ‐ AMPs


Community Coalition DUI C‐BERR

Engagement, Education, Compliance, Sanctions

Advocacy, Monitoring, Participation

Documentation, Monitor Performance &

Enforcement, Interagency Coordination

STEP 4. IMPLEMENT ACTION PLAN




Community Coalition

Provide feedback, diligent compliance, avoid sanctions

Continue advocacy, monitoring, participation

Maintain documentation, preventative surveillance, enforcement, interagency coordination, participation


STEP 5. EVALUATE AND SUSTAIN

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County-level DUI service systems are focused almost entirely on interdiction, correction and treatment of individuals.

California DUI prevention programs are aimed at individuals and are focused on holidays and special events, not on better awareness and management of high-risk settings and circumstances.

How can California develop more effective DUI prevention initiatives?

Challenge: California’s County DUI service system

Support Three-Tier (Community) RBS.

Link Local Control with State agency support.

Help ABC transition from Voluntary to Mandatory RBS training through implementation of AB 1221.

Undertake pilot project to link POLD data to Local Control in a county DUI service system.

Conduct research to build Local Control capacity for preventive Community RBS.

Response: Strengthen California’s County DUI service system

Individual server training (Tier One /ABC Level 2)o Many effective training curricula are availableo Training works when supported by management & city.

Management (outlet) training (Tier Two / ABC Level 3)o Preventive alcohol management policy for each outleto AMP policy based on proven preventive practices.

City oversight for RBS training (Tier Three / [new] Level 4)o Cities requires Tier 1 & 2 training for on-sale establishmentso Cities help implement RBS training requirements

Three Levels of Community RBS

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Local Jurisdictions (cities and counties) and the ABC share authority to regulate retail alcohol outlets (S. 23790, ABC Act). Local jurisdictions (cities, counties) have authority to require RBS training and management practices.

ABC has two voluntary programs to support RFBS: LEAD training RBS Training Providers and Best Practices Listing

Local Jurisdictions, ABC, and other State agencies can help each other make RBS effective

Link Local Control for RBS with ABC and other State Agency Support

LOCAL CONTROL AND THE STATE ABC(CALIFORNIA ALCOHOLIC BEVERAGE CONTROL)

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AB 1221 “RBS Training Program Act of 2017” Voluntary approaches don’t deliver RBS where most

needed in the community (law based on DUI tragedy) Mandatory training required for servers and managers

of on-sale outlets – new for the ABC ABC now beginning to write accreditation standards

for training California AOD policy advocacy community

participating through Alcohol Justice and CAPA (California Alcohol Policy Alliance)

Help ABC transition from Voluntary to Mandatory RBS training through implementation of AB 1221.

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Challenges to implement AB 1221 Mandatory certification for RBS training is new ground

for ABC; Agency needs to look at models and resources required to grasp the magnitude of the task, and seek help from kindred agencies and specialists.

Law as written needs to be bolstered – provides little guidance and does not fund a robust oversight system; additional resources needed to implement.

Learn from experience with ABC RBS Advisory Board Expect resistance to mandatory RBS from alcohol industry; design accreditation system to take this into account.

Challenges in ABC transition from Voluntary to Mandatory RBS training

Conduct pilot project using POLD data linked to Local Control requirements for RBS training to reduce risks attributable to multiple-mention retail alcohol outlets; and create a campaign for social-hosts to minimize DUI driving (Kern County).

SHSP Impaired Driving Action 4.1 (“Community RBS”) Seeks federal grant to support use of local planning and zoning ordinances specifically to control high-risk retail alcohol outlets. Grant will build a statewide data base of mandatory local RBS ordinances and will then investigate their use to manage risks.

Action to Link Local Control with preventive RBS initiatives

Challenges are great but opportunities abound to realize the prevention potential of RBS training, management, and oversight at the community level – Community RBS –to prevent and reduce DUI casualties – and many other alcohol-related harms – as part of California’s county-based DUI system of services. It’s up to us.

THANK YOU!

ConclusionFuture of DUI Prevention in California

Documents

DHCS-SUD Conf Aug 2018 Oppy for DUI Prvn (WITTMAN Session