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Too Smart to Start Implementation Guide

Appendix D:
Talking Points for PowerPoint Presentations

Too Smart To Start Talking Points

For Use With “TSTS Overview” and “Profiles of 9- to 13-Year-Olds and Parents/Caregivers” PowerPoint Presentations

These talking points can be used for presentations and discussion about the Too Smart To Start (TSTS) initiative. This information also appears in the “Overview” PowerPoint presentation on the CD.  The corresponding slide number indicates where talking points appear as PowerPoint slides. In keeping with the rule of effective communications, talking points contain more information than the PowerPoint slides. By using the talking points in conjunction with the PowerPoint presentation, your presentation will be more fact-filled and persuasive. Share a copy of these talking points with people in your coalition who will be explaining the initiative to others in the community, to ensure sure you are all conveying the most important points.

(Opening Title) Too Smart To Start - SLIDE 1

(Overview) Objectives, Structure, Approach,Youth 9 to 13 Years Old, Parents/caregivers - SLIDE 2

What Is Too Smart To Start? - SLIDE 3

A public education initiative that

  • Educates 9- to 13-year-olds

  • Supports parents, caregivers, and other influential adults

  • This public education initiative is

  • Spearheaded by SAMHSA

  • Supported by CDC

  • Orchestrated by CSAP

  • Includes 19-member steering committee

  • Led by 9 communities

  • Supported by 6 major partners in the prevention field

Objectives - SLIDE 4

  • Increase the number of conversations that parents/caregivers and their 9- to 13-year-olds have about the harms of underage alcohol use

  • Increase the percentage of 9- to 13-year-olds and their parents/caregivers who see underage alcohol use as harmful

  • Increase public disapproval of underage alcohol use 

Key Ideas - SLIDE 5

  • Children ages 9 to 13 have unique needs

  • Parents and caregivers are very influential to this group

  • There’s a real opportunity to prevent underage alcohol use

Leadership from SAMHSA’s Center for Substance Abuse Prevention - SLIDES 6–7

  • SAMHSA’s Center for Substance Abuse Prevention has taken the lead to promote the initiative nationwide.

  • Built network of prevention partners

    • American Medical Association

    • Community Anti-Drug Coalitions of America

    • Mothers Against Drunk Driving

    • National Family Partnership

    • National Association of State Alcohol and Drug Abuse Directors/National Prevention Network

    • PRIDE Youth Programs

  • Formed a steering committee composed of:

    • Federal agencies involved in health and substance abuse policy

    • Members of the six national organizations

    • Other community focused groups

  • Formed a dissemination committee to:

    • Foster public discussion of underage alcohol use within the prevention community’s regional networks

    • Advise program partners on strategies to disseminate the message

    • Create state teams to replicate the national initiative on a statewide basis

Pilot Sites - SLIDES 8-10

  • New Castle County Community Partnership, Inc. (New Castle, DE)

  • Informed Families/The Florida Family Partnership (Miami, FL)

  • Drug Free Noble County, Inc. (Albion, IN)

  • Newaygo County Safe and Drug Free Schools and Community Coalition (Newaygo, MI)

  • Coalition for a Drug Free Greater Cincinnati (Cincinnati, OH)

  • The Oregon Partnership, Inc. (Portland, OR)

  • Bethlehem Centers of Nashville (Nashville, TN)

  • Nashville Prevention Partnership (Nashville, TN)

  • San Antonio Fighting Back of United Way (San Antonio, TX)

(New Section) Approach - SLIDE 11

Initiative Approach - SLIDE 12

  • Enables and encourages 9- to 13-year-olds to offer advice for, develop, and participate in program activities

  • Involves parents as supervisors and partners for 9- to 13-year-old volunteers

  • Gives 9- to 13-year-olds a chance to guide, teach, and introduce parents or caregivers to their culture

  • Provides 9- to 13-year-olds an opportunity to address issues that are most relevant to them, without the constraints of adult-imposed structures and values

  • Encourages parents and other adults to listen to 9- to 13-year-olds and incorporate what they hear into communication messages and program activities

The 9- to 13-Year-Olds’ Role in Too Smart To Start - SLIDE 13

  • Youth 9 to 13 years old are main focus of initiative

  • Youth 9 to 13 years old are active in program development

  • Youth 9 to 13 years old are spokespeople

 

(New Section) A Perfect Match - SLIDE 14

  • 9- to 13-year-olds

  • Parents/caregivers

Who Are 9- to 13-Year-Olds? - SLIDE 15

  • Represent 7 percent of U.S. population (FERRET)

  • Are optimistic about their futures (Nickelodeon/Yankelovich, 2001)

  • Are influenced by TV, music, the Internet (Rideout, Foehr, Roberts and Brodie, 1999)

  • More than half raised in households with annual incomes of at least $40,000

The 9- to 13-Year-Olds Are In Transition - SLIDES 16-19

  • Their bodies and minds and are in transition (PAHO, Mangnulkar et al, 2001; APA, 2002; EW Austin, 1995)

  • They begin to establish identity and independence (PAHO, Mangnulkar et al, 2001; APA, 2002; EW Austin, 1995)

  • They begin to understand that actions have consequences (PAHO, Mangnulkar et al, 2001; APA, 2002; EW Austin, 1995)

  • Their problem-solving skills are evolving (PAHO, Mangnulkar et al, 2001; APA, 2002; EW Austin, 1995)

  • They begin to understand logical and causal relationships (PAHO, Mangnulkar et al, 2001; APA, 2002; EW Austin, 1995)

  • They start to take risks (PAHO, Mangnulkar et al, 2001; APA, 2002; EW Austin, 1995)

  • Friends are extremely important (PAHO, Mangnulkar et al, 2001; APA, 2002; EW Austin, 1995)

  • They begin questioning adult values and rules (PAHO, Mangnulkar et al, 2001; APA, 2002; EW Austin, 1995)

  • A Nickelodeon/Yankelovich survey revealed 9- to 11-year-old respondents said they wanted to "change my appearance”

The 9- to 13-Year-Olds Are Vulnerable - SLIDE 20

  • Transitional periods heighten vulnerability to initial alcohol use

  • Around ages 10 to 11 youth begin to approve of underage use of alcohol (NIAAA, 2002)

  • More than 40 percent of youth who use alcohol before age 13 abuse it or become dependent later in life.

Use and Access to Alcohol by 9- to 13-year-olds - SLIDES 21-22

  • Most 9- to 13-year-olds do not use alcohol

  • Past year alcohol use varies by grade and type of alcohol:

  • Wine cooler consumption ranged from 6 percent of fourth graders to 36 percent of eighth graders

  • Consumption of beer ranged from 6 percent of fourth graders to 34 percent of eighth graders

  • Consumption of liquor ranged from 2 percent of fourth graders to 27 percent of eighth graders

  • Average age of first alcohol use is 13

Boys vs. Girls - SLIDE 23

  • Boys try alcohol as early as age 11 and experience more alcohol-related problems than girls

  • Girls try alcohol as early as age 13

Parents: Key to Prevention - SLIDE 24

  • Parents are especially influential figures with children ages 9 to 13 (National Center on Addiction and Substance Abuse at Columbia U., 1999)

  • Waiting to talk to children until they are older allows peers to have more influence

Parents Are Influential But May Not Know It - SLIDE 25

  • Are a major influence on youth alcohol use and related behaviors

  • Underestimate their children’s vulnerability to alcohol use

What Are Parents Thinking? - SLIDE 26

  • Many lack accurate perception about the harms of underage alcohol use

  • Parents tend to perceive underage alcohol use as less harmful than illegal drugs (MADD, 2001)

Parents Need Encouragement. - SLIDE 27

  • Believe they lack the skills to communicate with their children

  • Perceive themselves as having little influence over their children

  • Have, and desire, a high level of involvement with their children

When Parents Get Involved... - SLIDE 28

  • Children are more responsible

  • They feel more appreciated

  • They readily follow parents’ guidance

  • They respond more positively to expectations

Barriers to Success - SLIDE 29

  • Family barriers: Parents are more concerned with drug use than with alcohol use

  • Social barriers: Some parents are comfortable with alcohol as a “rite of passage”

  • Peer barriers: Perception that their peers have experimented with alcohol

  • Community barriers: Alcohol is socially acceptable

  • National barriers: Lack of funding

(New Section) Together Everything Fits - SLIDE 30

Evaluating the Too Smart To Start Prevention Program - SLIDE 31

  • To document SAMHSA’s effort, identify lessons learned, and assess the initiative’s effectiveness

  • Principal research question: What did initiative accomplish and was it effective?

Overview of the Evaluation Design - SLIDE 32

  • Process and outcome studies

  • Process component describes design and implementation

  • Outcomes component consists of prospective study of 9-year-olds and their adult caregivers

  • Data to be collected in all selected sites

  • There will be multiple comparison sites

The Process Study - SLIDE 33

  • Will provide complete information

  • Will focus particularly on a community’s ability to sustain the initiative

The Outcomes Study - SLIDES 34-35

  • Will measure changes in 9- to 13-year-olds’, parents’, and caregivers’ knowledge, attitudes, and behaviors, within the context of Too Smart To Start initiative goals:

  • Increase the number of conversations that parents/caregivers and their 9- to 13-year-old children have about the harms of underage alcohol use

  • Increase the percentage of 9- to 13-year-olds and their parents/caregivers who see underage alcohol use as harmful

  • Increase public disapproval of underage alcohol use

(Closing Title) - SLIDE 36

Too Smart To Start Talking Points

For Use With the “Perception of Harms” PowerPoint Presentation

These talking points can be used for presentations and discussions about the Too Smart To Start (TSTS) initiative. This information also appears in the “Perceptions of Harms” PowerPoint presentation on the CD. The corresponding slide number indicates where talking points appear as PowerPoint slides. Talking points contain more information than the PowerPoint slides. By using the talking points in conjunction with the PowerPoint presentation, your presentation will be more fact-filled and persuasive. Share a copy of these important talking points with everyone in your coalition who will be explaining the initiative to others in the community.

(Opening Title) Too Smart To Start SLIDE 1

(Overview of Perceptions of Harm Associated With Alcohol Use Slide 2 by 9- to 13-Year-Olds) - SLIDE 2

In this session we will:

  • Look at parents’ perceptions of harm related to underage alcohol use

  • Analyze 9- to 13-year-olds’ understanding about the physical and behavioral harms associated with underage alcohol use

  • Compare the two groups’ views and examine similarities that might stimulate future dialog about underage alcohol use

Parents’ Attitudes and Beliefs About Underage Alcohol Use - SLIDE 3

Parents’ attitudes and beliefs affect how they perceive underage alcohol use.

The less vulnerability their children exhibit, the less likely parents are to take actions to protect them. For example, a 2001 survey by Yankelovich revealed mothers are more likely to talk to their children about friends, drugs, or smoking than about alcohol (Nickelodeon/Yankelovich, 2001).

Parents may also underestimate vulnerability because of their children’s ages. According to a qualitative MADD study in 2001, parents believe children become more likely to use alcohol at ages 17 and older (Goldfarb, 2001).

Parents in general see underage alcohol use as more acceptable than use of illicit drugs, and some view underage alcohol use as a rite of passage. The MADD study (Goldfarb, 2001) also revealed parents’ leniency in their attitudes toward alcohol use as well as their perceptions that drug use was more of a threat to their children’s well-being.

Thus their children’s lack of awareness of the harms of alcohol may be traced to their parents’ preoccu-pation with the harms of illicit drugs.

Parents’ Perception of Harm - SLIDE 4

Research supports what parents believe and clearly demonstrates that alcohol negatively affects academic performance.

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) found that students using alcohol during adolescence have a reduced ability to learn, compared with those who do not use alcohol until adulthood (NIAAA, 1998).

Among eighth graders, higher truancy rates were found to be associated with greater rates of alcohol use in the past month (NIAAA, 1998).

And a recent American Medical Association (AMA) report stated that adolescent drinkers had worse scores on vocabulary, visual, and memory tests than adolescent nondrinkers (AMA, 2002).

Parents’ Perception of Harm - SLIDE 5

Research again supports what parents believe and shows that the long-term effects of alcohol con-sumption can lead to permanent damage of vital organs such as the brain and liver.

For example, research indicates that adolescents who use alcohol may remember 10 percent less of what they have learned than those who don’t drink (NIAAA, 2002b). This memory loss can include the inability to form new memories, particularly memories that are explicit in nature, such as names and numbers.

Other effects of alcohol use include impaired motor skills, dizziness, talkativeness, and slurred speech. These short-term effects are more relevant to 9- to 13-year-olds (White, 2002). As we will see later, 9- to 13-year-olds use their own language to describe these effects.

Parents’ Perception of Harm - SLIDE 6

Loss of inhibitions and loss of judgment also demonstrate the short-term effects of alcohol use.

And as the MADD study in 2001 showed, parents are concerned that alcohol use can lead to other activities like using drugs, having sex, and losing the ability to say no (Goldfarb, 2001).

The 9- to 13-Year-Olds’ Perception of Harm - SLIDE 7

CSAP primary research found that 9- to 13-year-olds were more likely to relate alcohol to behavioral problems. The 9- to 13-year-olds said, for example, that alcohol “makes you commit murder” and “do silly things” (CSAP, 2001, 2002).

The 9- to 13-Year-Olds’ Perception of Harm - SLIDE 8

Research supports the perception that alcohol impairs brain function and adolescent memory.

For example, a 20-year study released by the American Medical Association in 2002 demonstrated that alcohol alters the developing brain and possibly causes irreversible damage (AMA, 2002).

CSAP learned in its primary research for this initiative that this physical effect is compelling for 9- to 13-year-olds. The young people were well aware that you “can’t concentrate” or “can’t think straight” when using alcohol (CSAP, 2001, 2002).

The 9- to 13-Year-Olds’ Perception of Harm - SLIDE 9

Research also supports the perception that underage alcohol use is linked to violence and aggressive behavior.

According to SAMHSA, individuals who begin using alcohol before the age of 14 were 11 times more likely to have ever been in a fight while using alcohol or after using alcohol than adults who began using alcohol after the age of 21 (NIAAA, 2002).

And in Too Smart To Start’s primary research, the 9- to 13-year-olds said alcohol use makes you “do silly things and vomit,” “fight people,” and “act stupid,” and causes a change in personality (CSAP, 2001, 2002).

The 9- to 13-Year-Olds’ Perception of Harm - SLIDE 10

Young people 9 to 13 years old have misperceptions about alcohol as well.

For example, recent PRIDE surveys revealed that within each grade level, students are most likely to believe that liquor is more harmful to their health, followed by beer, and then wine coolers (PRIDE, 2002, April 5; 2002, May 7).

This misperception is similar to parents’ misperception that alcohol is less harmful than illicit drugs.

The 9- to 13-Year-Olds’ Perception of Harm - SLIDE 11

Studies show that 9- to 13-year-olds are aware of the harms, but the perceptions decrease over time. Although belief in harms associated with alcohol use increases for each succeeding grade from fourth to sixth, students’ belief in harms decreases from sixth to eighth grade (PRIDE, 2002, April 5; 2002, May 7).

The 9- to 13-Year-Olds’ Perceived Benefits of Not Using Alcohol - SLIDE 12

Additional benefits of not using revealed by 9- to 13-year-olds in CSAP’s primary research (2001, 2002) were that:

  • People look up to you

  • People won’t think “you’re messed up.”

In secondary research CSAP (2001, 2002) learned that young people value short-term positive outcomes from not using alcohol, including being socially popular, having a good sense of humor, having an outgoing personality, and being good in sports or video games.

Parents’ Perceptions vs. 9- to 13-Year-Olds’ Perceptions - SLIDE 13

When we juxtapose parents’ perceptions with 9- to 13-year-olds’ perceptions, we can see some interesting similarities.

Parents perceive and communicate long-term, more abstract dangers. Parents, for example, associate alcohol use with poor school performance.

The 9- to 13-year-olds’ perceive short-term, more concrete consequences, and express these in a language that both personalizes and simplifies. For example, young people also associate alcohol with poor school performance but express this harm as “can’t think straight” or “can’t concentrate.”

What Parents Need To Know - SLIDE 14

Many parents don’t believe that they have an influence on their children’s decisions regarding alcohol use. Yet we know that they are the chief influence on their child’s later attitudes and behavior toward alcohol.

What Parents Need To Know - SLIDE 15

Read the slide.

What Parents Need To Know - SLIDE 16

Read the slide.

What Parents Need To Know - SLIDE 17

Read the slide.

What Parents Need To Know - SLIDE 18

Read the slide.

What Parents Need To Know - SLIDE 19

Read the slide.

What Parents Need To Say - SLIDE 20

In talking to 9- to 13-year-olds, it is better to emphasize short-term negative consequences than focus on long-term abstract dangers. At the same time, it is important to relate the negative physical consequences to immediate and compelling social consequences. We know that young people ages 9 to 13 value feelings associated with being smart, being socially popular, and getting approval from older peers and adults. Thus it is better, for example, to relate underage alcohol use to the concrete and immediate social harm of getting your friends and parents mad at you if you use alcohol than to talk about cirrhosis of the liver.

We learned today that many 9- to 13-year-olds perceive underage alcohol use as leading to negative physical harm.

We should reinforce these correct perceptions with positive messages in order to ensure that their attitudes about alcohol don’t deteriorate. And where there are misperceptions (e.g., some types of alcohol are less harmful than others), we should view these misperceptions as opportunities to discuss harm in terms the 9- to 13-year-olds can relate to. All discussion should appeal to their emotions without judging them.

Young people 9- to 13-years-old value uniqueness and independence and like to make their own decisions. The process of listening and addressing their perceptions of harm in terms they are familiar with enables them to make informed decisions based on accurate information. (CSAP, 2001, 2002)

What Parents Need To Do - SLIDE 21

Read the slide.

Sources/References in Print and Electronic Form

American Medical Association (AMA). (2002). Harmful consequences of alcohol use on the brains of children, adolescents, and college students.

Center for Substance Abuse Prevention (CSAP), Substance Abuse and Mental Health Services Administration (SAMHSA). (2001, 2002). Too Smart To Start research. (Available from University Research Co., 7200 Wisconsin Ave., Bethesda, MD, 20814-4811)

Goldfarb Consultants. (2001, September). Unpublished data from MADD focus groups.

National Institute on Alcohol Abuse and Alcoholism (NIAAA). (1998). Alcohol research and health.

National Institute on Alcohol Abuse and Alcoholism (NIAAA), Leadership To Keep Children Alcohol Free. (2002a). Making the link: Underage drinking and violence. Retrieved February 4, 2003, from http:// www.alcoholfreechildren.org/stats

National Institute on Alcohol Abuse and Alcoholism (NIAAA), Leadership To Keep Children Alcohol Free. (2002b). Statistics. Retrieved January 28, 2003, from http://www.alcoholfreechildren.org/stats/

Nickelodeon/Yankelovich. (2001). Invasion of the spotlight snatchers starring the planet youth players 2000/2001 (Youth Monitor Trend Reference Books 1 and 2). Norwalk, CT:  Yankelovich.

PRIDE Inc. (2002, April 5). 2000-2001 Pride national summary: Alcohol, tobacco, illicit drugs, violence, and related behaviors grades 6 thru 12. Retrieved June 5, 2002, from  http://www.pridesurveys.com/ us00.pdf

PRIDE Inc. (2002, May 7). 2000-2001 Pride national summary: Alcohol, tobacco, illicit drugs, violence, and related behaviors grades 4 thru 6. Retrieved June 5, 2002, from http://www.pridesurveys.com/ ue00.pdf

White, A.M. (2002). Alcohol, memory, and the brain. Retrieved February 11, 2003, from http://www.duke/~amwhite/alcmem.aspx

Public Domain Notice

All material appearing in this guide is in the public domain and may be reproduced or copied without permission from the Substance Abuse and Mental Health Services Administration (SAMHSA). However, this publication may not be reproduced or distributed for a fee without specific, written authorization of the Office of Communications, SAMHSA, U.S. Department of Health and Human Services. Citation of the source is appreciated. Suggested citation:

Substance Abuse and Mental Health Services Administration. Too Smart To Start Implementation Guide. Center for

Substance Abuse Prevention, DHHS Publication No. (SMA) 03-3866. Rockville, MD, 2003.

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