Wellness and Health Promotion Services

Wellness and Health Promotion Services

Building a Comprehensive Harm Reduction Program for Fraternity and Sorority Life: Southern Illinois University Carbondales Alcohol Education Program Brianna Sinche, MPH Wellness Coordinator Southern Illinois University Carbondale OBJECTIVES 1. Identify common challenges of implementing alcohol and other drug education within Fraternity and Sorority Life. 2. Understand how a harm reduction program or harm reduction principles can be implemented with Fraternity and Sorority Life. 3. Identify new or alternative ways to effectively educate and engage the Greek community around topics of alcohol and

other drugs, hazing and sexual assault. B. Sinche SOUTHERN ILLINOIS UNIVERSITY CARBONDALE 14,554 students (2017) Chicag o Carbond ale Rural area Research institution Diverse student population (29% minority) History of party school B. Sinche

ADDRESSING ALCOHOL USE AT SIU Mandated Assessments BASICS Alcohol Classes Harm Reduction Messaging Social Norms Campaign B. Sinche ADDRESSING ALCOHOL USE AT SIU Mandated Assessments Harm Reduction Strategies that aim to reduce the harms associated with various behaviors. 7 BASICS

Eat before and during drinking Use with people you know Use condoms and lube Harm Portion control Alcohol Classes Reduction Messaging Social Norms Campaign B. Sinche ADDRESSING ALCOHOL USE AT SIU Mandated Assessments 15 BASICS Alcohol Classes Harm Reduction Messaging

Social Norms Campaign B. Sinche ALCOHOL AND GREEK LIFE 2 Integratio n into FSL 4, 8 Alcohol Expectanci es 2, 14, 19, 22, 24 Social Norms HighRisk Alcohol Use

2, 3, 13, 17 Housing Selfselection Process 2, 5, 10, 18 B. Sinche ALCOHOL USE IN GREEK LIFE Alcohol Use Greeks consume more alcohol and experience more alcohol-related problems than non-Greeks. 1, 2, 20 binge drinking significantly higher. 1, 5, 17 one and a half times more likely to forget what they did or where they were after drinking. positively associated with driving after drinking 12 and owning a fake ID. 16 23

Alcohol as a Weapon Half of all sexual assaults occur while with the perpetrator, victim or both were drinking alcohol. 6, 25, 26 Women who drink on college campuses are more likely to be the victim of a sexual assault. Over half of incapacitated rapes occur at parties. 11 27 Fraternity and sorority membership is associated with increased risk for sexual assault. 23, 28 Sorority members who binge drink are significantly more likely to be sexually victimized and engage in unwanted sex than non-Greek female binge drinkers. 20 B. Sinche FRATERNITY AND SORORITY LIFE AT SIU

Over thirty organizations and 1001 students Four governing councils College Panhellenic Association Interfraternity Council Multicultural Greek Council National Pan-Hellenic Council High philanthropic activity High campus engagement B. Sinche PAST EFFORTS AND CHALLENGES Silo system of programming Participation Scheduling issues/last minute requests

Lack of contact with chapter leaders Changes in staff in both FSL and Wellness B. Sinche INTERSECTIONALITY Intersectiona lity: the complex, cumulative manner in which the effects of different forms of discrimination combine, overlap, or intersect. 9 Image from: International Womens Develop Agency B. Sinche INTERSECTIONALITY IN ALCOHOL EDUCATION Nutrition and

Physical Activity Romantic and Nonromantic Relationships Sexual Health Alcohol and Other Drug Use Academics Hazing Mental Health B. Sinche NEW FORMAT OF PROGRAMMING Leader

Training Alcohol, hazing, healthy relationships New Member Education Alcohol, hazing, healthy relationships and sexual health Continuing Education Series Alcohol, hazing, healthy relationships, sexual health, nutrition, coping with stress, resilience, and suicide prevention B. Sinche GREEK LEADER TRAINING

Step 1: Be informed and educate Step 2: Know how to How are you going to lead? respond Step 3: Lead by example Power to create, shape or shift the culture of a

chapter. Fall 2016, Fall 2017 and Spring 2018 B. Sinche NEW MEMBER EDUCATION 45 minutes Definition Motives Perceived benefits Spectrum of behaviors Harm reduction strategies Consequen ces

30 minutes 4. Birth control methods Condom use STIs and testing Consent 30 minutes Characteristic s of a healthy relationship Characteristic s of

unhealthy relationships Abusive relationships Consent Styles of Communicati on Healthy Relationships Standard drinks BAC Harm reduction strategies Alcohol poisoning Social norms

3. Sexual Health 2. Hazing Alcohol 1. 30 minutes B. Sinche CONTINUING EDUCATION SERIES Standard 3: Risk Reduction Salukis Party Smarter! Hazing: Is it or Isnt it? Greek

Standards Relationship Remix, Love the Way You Lie Salukis on Spring Break Standard 5: Education and Leadership Development I Cant Even (Stress) , Talk Saves Lives Resilience: I may Bend, but I will not Break!, Social Survival Skills Beer is Not a Food Group (Nutrition) SEXplanation, Drunk in Love B. Sinche CONTINUING EDUCATION SERIES, CONT. Co-sponsorship Bring 80% of chapter Market the presentation to the Greek and SIU community Arrive early to swipe

IDs B. Sinche THEMES GREEK LEADER TRAINING What is one thing you learned today that you think is important to educate/discuss with your members? 2016 - medical amnesty law 2017 - signs of alcohol poisoning How will you change how you respond to difficult situations in the future? 2016 - know the signs of alcohol poisoning /be more proactive 2017 - actually calling 911 in times of emergency What is one way you can lead by example? 2016 - being aware of my own drinking behaviors 2017 - practice what one preaches B. Sinche EVALUATION NEW MEMBER EDUCATION

Overall 4 = Excellent or Strongly Ag Workshop quality (3.56) 3 = Good or Agree Workshop content (3.54) 2 = Fair or Disagree Relevance to your personal/ professional development (3.29) 1 = Poor or Strongly Disagr Workshop Outcomes I gained new information about the topic. (3.30) I learned useful strategies. (3.40) Workshop Presenter(s) Presenter(s) explained new ideas or strategies from this session well. (3.59) Materials presented during the workshop were pertinent and useful. (3.57) An appropriate balance between presentation and interaction was B. Sinche

EVALUATION CONTINUING EDUCATION SERIES Overall 4= Workshop quality (3.25) 3= Workshop content (3.28) 2= Relevance to your personal/ professional development (3.22) 1= Workshop Outcomes I gained new information about the topic. (3.10) I learned useful strategies. (3.12) Workshop Presenter(s) Excellent or Strongly A Good or Agree Fair or Disagree Poor or Strongly Disagr

632 participan ts Spring 2017 Presenter(s) explained new ideas or strategies from this session well. and Fall 2017 (Spring (3.25) 2018 TBD) Materials presented during the workshop were pertinent and useful. (3.24) An appropriate balance between presentation and interaction was B. Sinche NCHA DATA EVALUATION (2015 2017) Last 30 day alcohol use Statistically significant difference between FSL and non-members (p<.001) No statistically significant difference between survey year Number of drinks last time partied Statistically significant difference between FSL and non-members (p<.001) No statistically significant difference between survey year

Number of times drank 5 or more drinks in last two weeks Statistically significant difference between FSL and non-members (p<.001) Statistically significant difference between survey year (p<.001) Two-way factorial ANOVA test Factors included membership in a Fraternity or Sorority (Yes, No) and year of survey (2015, 2017) B. Sinche FUTURE DIRECTIONS Find new ways to: present old information along with new balancing engaging and entertaining create interest in topics that are less popular, but important engage more Multicultural and National Pan-Hellenic Council organizations Consider incorporating: sober monitor training

B. Sinche Integrate bystander training into this QUESTIONS? Brianna Sinche, MPH Wellness and Health Promotion Services Student Health Services Southern Illinois University Carbondale [email protected] 618-536-4441 shc.siu.edu/wellness-center/index.php B. Sinche REFERENCES 1. Barry, AE. (2007). Using theory-based constructs to explore the impact of Greek membership on alcohol-related beliefs and behaviors: A systematic literature review. Journal of American College Health, 56, 307 315. 2. Borsari, B., Hustad, J. T. P., & Capone, C. (2009). Alcohol use in the Greek system, 19992009: A decade of progress. Current Drug Abuse Reviews, 2, 216255.

3. Capone C, Wood MD, Borsari B, Laird RD. (2007). Fraternity and sorority involvement, social influences, and alcohol use among college students: A prospective examination. Psychology of Addictive Behaviors, 21(3):316327. 4. Cashin JR, Presley CA, Meilman PW. (1998). Alcohol use in the Greek system: follow the leader? Journal of Studies on Alcohol, 59(1):6370. 5. Chauvin, CD. (2012). Social norms and motivations associated with college binge drinking. Sociological Inquiry, 82, 257281. 6. Cole, TB. (2006). Rape at US colleges often fueled by alcohol. Journal of the American Medical Association, 296, 504505. 7. Harm Reduction International. (2018). What is harm reduction? Retrieved April 2, 2018: https://www.hri.global/what-is-harm-reduction 8. Knee CR, Neighbors C. (2002). Self-Determination, Perception of Peer Pressure, and Drinking Among College Students. Journal of Applied Social Psychology, 32(3):522543. 9. Merriam Webster Dictionary. (2018). Definition of Intersectionality. Retrieved April 2, 2018: https://www.merriam-webster.com/dictionary/intersectionality 10.McCabe SE, Schulenberg JE, Johnston LD, OMalley PM, Bachman JG, Kloska DD. (2005). Selection and socialization effects of fraternities and sororities on US college student substance use: A multicohort national longitudinal study. Addiction, 100(4):512524. 11.McCauley, JL, Calhoun, KS, & Gidycz, CA. (2010). Binge drinking and rape: A prospective examination of college women with a history of previous sexual victimization. Journal of Interpersonal Violence, 25, 16551668. 12.LaBrie, JW, Kenney, SR, Mirza, T, & Lac, A. (2011). Identifying factors that increase the likelihood of driving after drinking among college students. B. Sinche Accident Analysis & Prevention, 43, 13711377. REFERENCES 14.Lewis MA, Neighbors C. (2006). Social Norms Approaches Using Descriptive Drinking Norms Education: A Review of the Research on Personalized Normative Feedback. Journal of American College Health, 54(4):213218. 15.National Institute on Alcohol Abuse and Alcoholism (2015). Planning Alcohol Interventions Using NIAAAs College AIM. NIH Publication No. 15-AA8017.

16.Nguyen, N, Walters, ST, Rinker, DV, Wyatt, TM, & DeJong, W. (2011). Fake ID ownership in a US sample of incoming first-year college students. Addictive Behaviors, 36, 759761. 17.Page, RM, & OHegarty, M. (2006). Type of student residence as a factor in college students alcohol consumption and social normative perceptions regarding alcohol use. Journal of Child & Adolescent Substance Abuse, 15, 1531. 18.Park A, Sher KJ, Krull JL.(2008). Risky drinking in college changes as fraternity/sorority affiliation changes: a person-environment perspective. Psychology of Addictive Behaviors, 22(2):219229. 19.Perkins HW. (2002). Surveying the damage: a review of research on consequences of alcohol misuse in college populations. Journal of Studies on Alcohol, 14:91100. 20.Ragsdale, K, Porter, JR, Mathews, R, White, A, Gore-Felton, C, & McGarvey, EL. (2012). Liquor before beer, youre in the clear: Binge drinking and other risk behaviours among fraternity/sorority members and their non-Greek peers. Journal of Substance Use, 17, 323339. 21.Scott-Sheldon, LA, Carey, KB, Kaiser, TS, Knight, JM, and Carey, MP. (2016). Alcohol Interventions for Greek Letter Organizations: A Systematic Review and Meta-Analysis, 1987 to 2014. Health Psychology, 35 (7): 670684. 22.Sher KJ, Bartholow BD, Nanda S. (2001). Short- and long-term effects of fraternity and sorority membership on heavy drinking: a social norms perspective. Psychology of Addictive Behaviors, 15(1): 4251. 23.Soule, EK, Barnett, TE., & Moorhouse, MD. (2015). Protective behavioral strategies and negative alcohol-related consequences among US college fraternity and sorority members. Journal of Substance Use, 20, 1621. B. Sinche REFERENCES 25.

Kilpatrick, Dean G., HeidiS. Resnick, Kennith J. Ruggiero, Lauren M. Conoscenti, and Jenna McCauley, (2007). Drug facilitated, Incapacitated and Forcible Rape: A National Study. 26. Reed, E., Amaro, H., Matsumoto, A., & Kaysen, D. (2009). The relation between interpersonal violence and substance use among a sample of university students: Examination of the role of victim and perpetrator substance use. Addictive Behaviors, 34, 316318. 27. Krebs, CP, Lindquist, CH, Warner, TD, Fisher, B, and Martin, SL. (2009). College Women's Experiences with Physically Forced, Alcohol or Other Drug Enabled, and Drug Facilitated Sexual Assault Before and Since Entering College, Journal of American College Health, 57(6):639-64. 28. Mellins CA, Walsh K, Sarvet AL, Wall M,Gilbert L, Santelli JS, et al. (2017) Sexual assault incidents among college undergraduates: Prevalence and factors associated with risk. PLoSONE 12(11): e0186471. B. Sinche

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