U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Substance Abuse and Mental Health Services Administration 

Report to Congress 

Interim Report on the Development of a Plan for Combating Underage Drinking

 
Introduction

The conference report accompanying H. R. 2673, the Consolidated Appropriations Act of 

2004, expressed the conferees’ concern about underage drinking and the need to take 

immediate steps to better coordinate Federal efforts to address this problem. The report 

directed the Secretary of Health and Human Services (HHS) to establish an Interagency 

Coordinating Committee on the Prevention of Underage Drinking (ICCPUD) and to issue 

an annual report summarizing all Federal agency activities concerning the issue. The 

report also directed the Secretary to prepare a plan for combating underage drinking, 

including the projected costs and next steps to be taken, and to report progress on such a 

plan within 90 days of the enactment of the Act. 

On April 22, HHS submitted a report to Congress as required by the statute. In that 

report, the Department proposed the following steps in the development of a plan to 

combat underage drinking: 

• Developing a set of broad goals for the plan, and a framework that includes short, 

intermediate, and long-term strategies and interventions. 

• Identifying strategies and interventions that could be implemented by the Federal 

Government in the short term. 

• Developing more detailed planning for the intermediate and long-term phases of 

the plan. 

This interim report provides an overview of the Federal coordination effort, including the 

activities of the ICCPUD. The report also presents work to date on the plan, including 

the most current draft of the plan itself that has been annotated to display Federal 

programs that correspond to each of its objectives, and an analysis of Federal programs 

by agency, plan goals and objectives. 

The Interagency Coordinating Committee on the Prevention of Underage Drinking 

At Secretary Thompson’s request, the Administrator of the Substance Abuse and Mental 

Health Services Administration (SAMHSA), Mr. Charles G. Curie, M.A., A.C.S.W., 

convened the ICCPUD, that is made up of representatives from the Office of the Surgeon 

General (OSG), the Centers for Disease Control and Prevention (CDC), the 

Administration for Children and Families (ACF), and the Office of the Assistant 

Secretary for Planning and Evaluation (ASPE), the National Institute on Alcohol Abuse 

and Alcoholism, the Department of Justice/Office of Juvenile Justice and Delinquency 

Prevention (DOJ/OJJDP), the Department of Education/Office of Safe and Drug Free 

Schools (ED/OSDFS), the Department of Transportation/National Highway Traffic 

Safety Administration (DOT/NHTSA), and the Office of National Drug Control Policy 

(ONDCP),. Representatives from the Department of the Treasury, the Department of 

Defense, and, ex officio, the Federal Trade Commission will be invited to join the group. 

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Interagency Coordinating Committee Meetings 

As noted in the April 22 report, the first meeting of the ICCPUD took place on April 13, 

2004, at the Hubert H. Humphrey Building in Washington, D.C. Because the National 

Academy of Sciences/ Institute of Medicine (NAS/IOM) report, Reducing Underage 

Drinking: A Collective Responsibility, has made a major contribution to the dialogue 

about this issue, Mr. Richard Bonnie, who chaired the NAS/IOM Committee, was invited 

to provide an overview of the report. The agenda also included brief presentations from 

advocacy groups and the alcohol beverage industry. Advocacy groups presenting to the 

committee included Mothers Against Drunk Driving (MADD), the Center for Science in 

the Public Interest (CSPI), the Center on Alcohol Marketing and Youth, Students Against 

Destructive Decisions (SADD), National Liquor Law Enforcement Association 

(NLLEA), and the Leadership to Keep Children Alcohol Free. Industry groups 

presenting included the American Beverage Institute, the Beer Institute, the Beer 

Wholesalers Association, the Century Council, and the Distilled Spirits Council of the 

United States. 

The second meeting of the ICCPUD took place on June 21. Topics of discussion included 

the plan to combat underage drinking, the Ad Council’s initiative, and the role of Federal 

leadership. It was agreed that information about underage drinking and the initiative 

should be incorporated into speeches to strengthen public and constituent awareness 

about the issue and current efforts. As a result of the discussion, the agency 

representatives are working on a list of key information that principals and others can use 

in their presentations. 

The next meeting of the ICCPUD is being planned for November 2004. The purpose of 

the meeting will be to review progress to date and to consider interim and longer-term 

efforts to address the problem.

The Agency Representatives Group

The work of ICCPUD is supported by a group of agency representatives, who meet 

weekly and report to the members of the Committee. This group, which consists of 

agency staff with expertise and responsibilities in the area of alcohol prevention, is 

chaired by the Associate Administrator for Alcohol Policy at SAMHSA. 

The Draft Plan 

As a result of the interagency coordinating process, HHS developed a draft plan to 

combat underage drinking (see Appendix A). During plan development, the Department 

considered information from a variety of sources, including the NAS/IOM report and 

information provided by a wide range of interested parties, including advocacy groups 

and the alcohol beverage industry; and the ICCPUD. The plan includes the following 

three goals: 

Goal 1: Strengthen a national commitment to address the problem of underage drinking. 

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Goal 2: Prevent underage drinking and its negative consequences. 

Goal 3: Use research, evaluation, and surveillance to improve the effectiveness of 

programs and policy designed to reduce underage drinking. 

Under each goal, and its component objectives, Federal strategies are identified for 

accomplishing each objective. Proposed measures to evaluate progress are also 

included. Since it is important to quickly establish a baseline, these measures are drawn 

from existing surveys wherever possible. 

Why the Plan Does Not Use a Developmental Approach 

There is a broad consensus that underage drinking is addressed best when both planning 

and interventions are informed by a developmental approach. Therefore, the ICCPUD 

first attempted to develop a plan that was structured by developmental stages. However, 

it became apparent that the information and research to support current planning is not 

sufficient at this time. Fortunately, NIAAA has undertaken a major effort to analyze the 

evidence base related to underage drinking, using a developmental approach. After 

NIAAA releases their report next year, the plan will be updated to reflect this 

developmental perspective. In the meantime, a more general approach is being pursued, 

with the understanding that the plan could be revised in light of new information resulting 

from this effort. 

The Plan with Program Annotations 

The plan has been annotated to include various Federal programs that address underage 

drinking (Appendix B). Since this stage of the planning process has focused on what the 

Federal Government could implement in the short term, many, but not all, of these 

programs were identified in the April 22 report. A few of the additions, which have 

emerged from the planning process, are highlighted below: 

• Fostering A National Commitment to Reducing Underage Drinking. HHS and the 

ICCPUD believe the Federal government must play a key role in strengthening a 

national commitment to addressing the problem of underage drinking, and that it 

is important that all appropriate Federal agencies seek opportunities to convey the 

same messages at the same time. Therefore, the leadership of these agencies are 

increasing efforts to: 1) highlight the need to prevent underage drinking and its 

negative consequences in speeches and meetings across the country; 2) ensure 

that the Administration is speaking with a common voice on the issue; 3) 

reinforce the messages that the ICCPUD developed; and, 4) publicize 

programs/events, research results, etc., that address the underage drinking issue. 

 3 
• Measuring Outcomes. An analysis of all existing Federal data sets related to 

underage drinking is underway, both to ensure that the appropriate measures for 

the plan are identified and to provide information for coordinated development of 

measures in the future. As noted above, the guiding principle for identifying the 

draft plan’s initial measures is to begin with existing data sources, or ones that 

could be quickly and inexpensively implemented. As a result, outputs are used to 

measure progress on some objectives. Because it is the effectiveness rather than 

the number of the activities that will lead to the achievement of the plan’s

objectives, consideration will be given to replacing output measures with outcome

measures at a later date.

In addition, exploring ways to align outcome measurement across agencies and 

their programs will be part of the effort. For example, SAMHSA has introduced 

common measures in its Access to Recovery (ATR) and Strategic Prevention 

Framework (SPF) programs, and is moving toward alignment of measures in 

other programs as well. Both this approach, and the measures themselves may 

serve as a model for aligning measures of various programs’ contributions to 

reducing underage drinking. 

• Facilitating Access to Information and Resources. Many individuals and 

communities would like to help prevent underage drinking, but don’t know how 

to access available resources. To assist them, agencies represented on the 

ICCPUD will create a web site dedicated to the issue of underage drinking. This 

web site will include a searchable database of Federal programs/resources related 

to the prevention of underage drinking and contain sections on core messaging, 

information on resources and materials, college drinking, as well as information 

for groups such as parents, communities, and youth. 

• Supporting Evidence Based Programming. Fortunately, there are programs that 

have demonstrated effectiveness in preventing underage drinking. Therefore, the 

plan calls for creating a Federal registry of effective programs for use by States 

and communities. The ICCPUD is currently reviewing SAMHSA’s National 

Registry of Effective Programs and Practices (NREPP) as a possible model.

• Providing Training for Schools. As a result of the ICCPUD process, the Office of 

Safe and Drug Free Schools and SAMHSA have committed to developing

national web-based training for schools on the prevention of underage drinking. 

Federal Programs by Agency, Plan Goals and Objectives 

Included in Appendix C, is an analysis of Federal programs by agency, plan goals, and 

objectives. This analysis, and the plan that has been annotated to display Federal 

programs, are being used to identify gaps in programming by objective and by target age. 

For example, there are very few underage drinking-specific activities targeting youth in 

settings outside the educational system, including the workplace, and the ICCPUD is 

currently seeking ways to address this important gap. 

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The Next Steps in the Planning Process 

HHS believes this draft plan provides a reasonable framework for combating underage 

drinking and that it is sufficiently comprehensive to accommodate interim and longerterm planning. Finally, it should be noted that the plan remains a draft, and can be edited 

before it is submitted to Congress in its final form. 

Since the overall plan and the formats for presenting programs found in Appendices A

and B are useful in identifying gaps and duplication, they will be maintained on an 

ongoing basis – both to provide a structure for the planning process over time, and for use 

in preparing the annual report. Although the current list of programs is extensive, other 

programs will be added as other agencies join the process. For example, information 

from the Department of Labor (DOL) has recently been added, and the Indian Health 

Service (IHS) has been asked to provide information on programs for American Indians. 

The next major step in the process is to work on more detailed intermediate and longterm planning. Given the need to plan within the parameters of the Federal budget 

process, ICCPUD’s goal is not only to encourage agencies to align their programming 

that targets underage drinking with the overall structure of the plan, but to use the 

interagency process to identify and address gaps and duplication, and to collaborate on 

projects that will have greater chances of success as the result of support from multiple 

agencies. 

Appendix A - The Draft Plan for Combating Underage Drinking 

Appendix B - The Plan with Program Annotations 

Appendix C - Federal Programs by Agency, Plan Goals and Objectives 

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APPENDIX A 

 
DRAFT PLAN FOR COMBATING UNDERAGE DRINKING 

Goal 1: Strengthen a national commitment to address the problem of 

underage drinking.

Rationale: A broad national commitment will be needed if reductions in underage 

drinking and its negative consequences are to be achieved. To be effective, it is critical 

that all strategies and interventions be culturally and developmentally appropriate for the 

groups they are intended to reach. 

Objective 1: Increase awareness of underage drinking and its negative 

consequences, enhance broad-based support for addressing the issue, and strengthen 

leadership in the effort to prevent the problem in all sectors of society. 

1A. Federal strategy: Exercise Federal leadership in promoting awareness of 

underage drinking and its negative consequences. 

1B. Federal strategy: Increase awareness of underage drinking and its negative 

consequences through Public Service Announcements (PSAs) targeting parents 

and other adults. 

1C. Federal strategy: Support States, tribes, and communities in providing

leadership to address underage drinking. 

1D. Federal strategy: Engage and support youth and youth-service organizations 

in providing leadership to combat underage drinking. 

Goal 1, Objective 1 Measures: 

• Number of underage drinking PSAs. 

Data source: To be determined (TBD) 

• Number of community programs/coalitions focused on reducing underage 

drinking. 

 Data source: TBD 

Objective 2: Increase cooperation, coordination, and collaboration among all levels 

of government and private entities, including faith-based organizations, by 

encouraging participation in and providing support to programs/projects that address 

the reduction of underage drinking. 

2A. Federal strategy: Enhance governmental cooperation, coordination, and 

collaboration, in order to reduce duplication of effort, generate cross-agency and 

departmental activities that build on the unique talents and resources of each, and 

address gaps in services. 

 6 
2B. Federal strategy: Foster cooperation, coordination, and collaboration between 

government and private entities, including faith-based organizations. 

2C. Federal strategy: Create a Federal web site dedicated to the issue of underage 

drinking supported by all participating agencies. The web site would include a 

searchable database of all Federal programs/resources related to the prevention of 

underage drinking and contain sections on core messaging, information on 

resources and materials, college drinking, as well as information for groups such 

as parents, communities, and youth. 

Goal 1, Objective 2 Measures: 

• Number of interagency coordination/working groups related addressing underage 

drinking at the national, State, and local levels. 

Data source: TBD 

• Number of Federal cross-department/agency programs and activities to prevent 

and reduce underage drinking. 

Data source: TBD 

Goal 2: Prevent underage drinking and its negative consequences. 

Rationale: Underage drinking is harmful to youth, their families and their communities. 

To best impact this problem, it is essential that prevention efforts begin early and are 

appropriate to the developmental stages of the youth to whom the programs are directed. 

Furthermore, these efforts must address demand for alcohol, reduction in drinking 

opportunities for those under age 21, and availability of alcohol to underage youth. To be 

effective, it is critical that all strategies and interventions be culturally and

developmentally appropriate to the groups they are intended to reach. 

Objective 1: Reduce use of alcohol by those under the age of 21 by increasing 

awareness of the negative consequences of underage drinking, by providing skills 

training, and by reducing the social acceptance of underage drinking. 

1A. Federal strategy: Provide developmentally and culturally appropriate 

information on underage drinking and its consequences to all adults emphasizing 

their responsibility to help prevent it, with more specific information to 

parents/caregivers of those under age 21. 

1B. Federal strategy: Provide youth in kindergarten through high school with 

developmentally and culturally appropriate information and skills training to 

enhance protective factors and help change attitudes regarding underage drinking. 

1C. Federal strategy: Provide college students with developmentally and 

culturally appropriate information and skills training to enhance protective factors 

and help change attitudes regarding underage drinking. 

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1D. Federal strategy: Provide youth in settings outside the education system, 

including those in the workplace, with developmentally and culturally appropriate 

information and skills training to enhance protective factors and help change 

attitudes regarding underage drinking. 

Goal 2, Objective 1 Measures: 

• Increase in the percentage of those 12-20 who perceive a great risk from having 

four or five drinks of alcohol nearly every day. 

Data source: National Survey on Drug Use and Health (NSDUH) 

• Increase in the percentage of eighth, tenth, and twelfth graders who see “great 

risk” in having five or more drinks in a row once or twice each weekend. 

Data source: Monitoring the Future (MTF) 

• Increase in the percentage of those 12-17 who strongly disapprove of someone 

their own age having one or two drinks of alcohol early every day. 

Data source: NSDUH 

• Increase in the percentage of eighth, tenth, and twelfth graders disapproving of 

having five or more drinks in a row once or twice each weekend. 

Data source: MTF 

• Increase in the percentage of those 12-17 who believe their parents would 

strongly disapprove of their having one or two drinks of alcohol nearly every day. 

Data source: NSDUH 

 

Objective 2: Reduce access to alcohol by those under age 21, and strengthen 

accountability in enforcing underage drinking laws. 

2A. Federal strategy: Inform States and local communities about effective 

policies and procedures for reducing access to alcohol to those under age 21. 

2B. Federal strategy: Assist States and local communities in enforcing underage 

drinking laws. 

1. Assist States and local communities in training local retail 

establishments about underage drinking laws and how to comply with the 

laws. 

2. Assist States and local communities in enforcing retail establishment 

compliance with underage drinking laws. 

3. Assist States and local communities in using graduated sanctions in the

enforcement of underage drinking laws. 

4. Provide information to States and communities on the range of options

for laws that address underage drinking. 

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2C. Federal strategy: Promote partnerships to effectively address underage 

drinking at the State and local levels, including partnerships between enforcement 

and those interested in underage drinking prevention, and partnerships between 

enforcement and other justice agencies. 

2D. Federal strategy: Support improvement of justice system responses to 

underage drinking as well as improved adjudication by appropriately including 

the judiciary.

2E. Federal strategy: Support programs that dissuade adults from providing 

alcohol to those under 21. 

Goal 2, Objective 2 Measures: 

• Decrease in the percentage of eighth, tenth, and twelve graders who say that it is 

“fairly easy” or “very easy” to get alcohol. 

Data source: MTF 

Objective 3: Increase community support to prevent and reduce underage drinking 

by reducing risk factors and promoting protective factors. 

3A: Federal strategy: Provide support for States and communities to address 

underage drinking in their prevention activities. 

Objective 4: Provide opportunities for early identification of alcohol abuse and brief 

interventions or treatment as appropriate. 

4A: Federal strategy: Provide opportunities for early identification of alcohol 

abuse and brief interventions or treatment as appropriate. 

Goal 2 Overall Measures: 

 

A. Measures of Use: 

• Increase in average age of first use. 

Data source: NSDUH 

• Reduction in prevalence of drinking by those under age 21. 

Data source: NSDUH 

• Reduction in prevalence of drinking by eighth, tenth, and twelfth graders. 

Data source: MTF 

• Reduction in the percentage of those under 21 reporting binge alcohol use1

 in the 

past 30 days. 

Data source: NSDUH 

 

1

 Binge Use – Five or more drinks on the same occasion (or in a row) at least once in the past 30 days 

(includes heavy use). 

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• Reduction in binge drinking by eighth, tenth, and twelfth graders.2

 

Data Source: MTF 

• Reduction in the percentage of those under 21 reporting heavy alcohol3

 use in the 

past 30 days. 

Data source: NSDUH 

B. Measures of Reduced Direct and Secondary Negative Consequences: 

• Reduction in unplanned and unwanted sexual activity associated with alcohol 

consumption. 

Data source: Pregnancy Risk Assessment Monitoring System (PRAMS),

Youth Risk Behavioral Survey (YRBS) 

• Reduction in violence, including sexual assault, associated with alcohol 

consumption by the aggressor and/or victim. 

Data source: PRAMS, YRBS 

• Reduction in school problems associated with alcohol consumption.

Data source: YRBS

• Reduction in alcohol use during pregnancy and in Fetal Alcohol Spectrum 

Disorder (FASD) births to underage mothers. 

Data source: Fetal Alcohol Syndrome/FAS Syndrome Network, PRAMS, 

PNSS 

• Reduction in alcohol-related motor vehicle crashes, injuries and fatalities for 

those under age 21. 

Data source: Fatality Analysis Reporting System (FARS) 

• Reduction in the rate of driving under the influence of alcohol by drivers under 

21. 

Data source: NSDUH 

• Reduction in other alcohol-related injuries and fatalities among youth. 

(Developmental) 

• Reduction in alcohol-related emergency department visits among youth. 

(Developmental) 

Goal 3: Use research, evaluation, and surveillance to improve the 

effectiveness of programs and policies designed to prevent and reduce 

underage drinking. 

Rationale: Research, evaluation, and surveillance will serve to inform and improve the 

delivery of programs to prevent and reduce underage drinking. 

 

Objective 1: Increase knowledge of effective approaches to prevent and reduce 

underage drinking and its consequences, with an emphasis on developmentally and 

culturally appropriate strategies and interventions. 

 

2

 Binge Drinking (MTF) – Five or more drinks in a row during the prior 2-week period. 3

 Heavy Alcohol Use – Five or more drinks on the same occasion on at least 5 different days in the past 30 

days. 

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1A. Federal strategy: Analyze the current knowledge base regarding preventing 

and reducing underage drinking, with an emphasis on developmentally and 

culturally appropriate strategies and interventions. 

1B. Federal strategy: Support research to address gaps in the knowledge base that 

have been identified in 1A. 

 

Objective 2: Increase the use of evidence-based programs. 

2A. Federal strategy: Create a Federal registry of effective programs for use by 

States and communities to establish programs to reduce underage drinking. 

2B. Federal strategy: Through resources and expertise, encourage and support the 

rigorous evaluation of innovative and promising programs. 

2C. Federal strategy: Use funding guidelines that (1) require the use of either 

evidence-based programs, or rigorously evaluated programs that are innovative 

and promising and (2) require the use of evaluation in all programs as a 

mechanism for identifying and correcting problems in design and/or 

implementation. 

 

Objective 3: Increase surveillance of underage drinking, contributing factors, and 

consequences. 

3A. Federal strategy: Continue to use national surveys to monitor age of first use, 

prevalence, binge use, and heavy use. 

3B. Federal strategy: Explore the possibility for surveying younger children than 

are queried currently. 

3C. Federal strategy: Explore the option of expanding national surveys to ask 

about second-hand effects of alcohol use by youth. 

3D. Federal strategy: Explore options for monitoring alcohol-related incidents on 

college campuses. 

3E. Federal strategy: Explore options for requiring the recording of alcoholrelated emergency department visits. 

3F. Federal strategy: Explore options for monitoring every unnatural death under 

age 21 for the presence of alcohol. 

 11 
3G. Federal strategy: Explore options for examining the role of messages in the 

media in reinforcing cultural support for prevention of underage drinking. 

Goal 3 Measures: 

• Number of analyses of current knowledge base conducted. 

Data source: TBD 

• Existence of a registry for effective programs. 

Data source: TBD 

• Federal support for the rigorous evaluation of innovative and promising 

programs. 

Data source: TBD 

• Percentage of grant announcements that (1) require the use of either evidencebased programs, or rigorously evaluated programs that are innovative and 

promising and/or (2) require the use of evaluation in all programs as a 

mechanism for identifying and correcting problems in implementation. 

Data source: TBD 

Data Sources Identified As of September 2004: 

 

Fatality Analysis Reporting System (FARS) 

 

Monitoring the Future (MTF) 

National Health and Nutrition Examination Survey (NHANES) 

National Survey on Drug Use and Health (NSDUH) 

Pregnancy Nutrition Surveillance System (PNSS) 

Pregnancy Risk Assessment Monitoring System (PRAMS)

Youth Risk Behavior Survey (YRBS) 

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APPENDIX B 

 
A DRAFT PLAN FOR COMBATING UNDERAGE DRINKING – With Programs

Goal 1: Strengthen a national commitment to address the problem of underage 

drinking

Rationale: A broad national commitment will be needed if significant reductions in 

underage drinking and its negative consequences are to be achieved. To be effective, it is 

critical that all strategies and interventions be culturally and developmentally appropriate 

for the groups they are intended to reach. 

Goal 1 Objective 1. Increase awareness of underage drinking and its negative 

consequences, enhance broad-based support for addressing the issue, and strengthen 

leadership in the effort to prevent the problem in all sectors of society. 

Goal 1 Objective 1A. Federal strategy: Exercise Federal leadership in promoting 

awareness of underage drinking and its negative consequences. 

Activities Specific to Underage Drinking: 

• Department of Education (ED), Department of Health and Human Services 

(HHS), Department of Justice (DOJ), Department of Labor, Office of 

National Drug Control Policy (ONDCP), and the Department of 

Transportation (DOT) -- To strengthen a national commitment to addressing the 

problem of underage drinking, it is important that Federal agencies seek 

opportunities to convey the same messages at the same time. Therefore, the 

leadership of these agencies will increase efforts to: 1) highlight the need to 

prevent underage drinking and its negative consequences in speeches and 

meetings across the country; 2) ensure that the Administration is speaking with a 

common voice on the issue; 3) reinforce the messages that the Interagency

Coordinating Committee on the Prevention of Underage Drinking (ICCPUD) has 

developed; and, 4) publicize programs/events, research results, etc. that address 

the underage drinking issue. 

• ED, HHS, DOJ, DOL, ONDCP, and DOT -- Agency leadership will continue to 

develop and utilize messaging that supports a 21-year-old drinking age and will 

promote this in speeches and message points. 

• DOL and the Occupational Safety and Health Administration (OSHA) Teen 

Worker Web site -- OSHA launched a Young Worker Initiative to reduce the 

risk of injuries and illnesses among workers ages 14- to 24-years. As part of that 

initiative, now a part of the agency’s strategic plan, an innovative Teen Worker

web site was developed. This web site specifically targets teens, their employers, 

their educators, and their parents with age and audience-appropriate information 

about potential workplace hazards and how to reduce these occupational risks. 

 13 
A new addition to the web site incorporates text and links recognizing alcohol 

and drug use as a workplace hazard. The message to teens is that in order to 

work, they must be alcohol and drug-free. Embedded links take users to 

government web sites for more information: employers to DOL’s Working 

Partners for an Alcohol- and Drug-Free Workplace web site; teens to ONDCP’s 

National Youth Anti-Drug Media Campaign Freevibe web site; and educators and 

parents to ONDCP’s TheAntidrug web site, respectively. 

The addition of these messages in the Teen Worker web site are expected to 

increase awareness of the need to prevent underage drinking and will direct these 

audiences to specific resources to enable them to change behaviors. 

• DOT/National Highway Traffic Safety Administration (NHTSA) -- NHTSA 

implemented congressionally mandated programs to encourage States to enact 21 

Minimum Drinking Age and Zero Tolerance Laws (Zero Tolerance laws make it 

unlawful for a person under the age of 21 to drive with any detectable alcohol in 

their system. Minimum Drinking Age laws make it unlawful for a person under 

age 21 to purchase or publicly possess alcohol). Currently all 50 States and the 

District of Columbia have enacted both of these laws. NHTSA continues to 

monitor State compliance with these Federal mandates. Failure to comply results 

in financial sanctions to the States. 

• DOJ/Office of Juvenile Justice and Delinquency Prevention (OJJDP) 

Enforcing the Underage Drinking Laws (EUDL) -- The Underage Drinking 

Enforcement Training Center maintains a small library of radio and television 

PSAs aimed at increasing awareness of underage drinking and its consequences 

among parents and other adults. These PSAs are voluntarily forwarded to the 

Center by EUDL State Coordinators and EUDL-funded communities. 

Information about the Center's library of PSAs is made available to State 

Coordinators and others who request guidance or assistance related to the 

development of PSAs. The Center instructs recipients to contact the producer of 

the PSA if they would like to use the recording or tailor it in any way. 

• Office of the Surgeon General (OSG) -- As the nation’s leading doctor, the 

Surgeon General will continue to address underage drinking in speeches and 

meetings across the country, with a focus on the issue as a public health problem. 

For example, he addresses childhood and adolescent drinking prevention in his 50 

schools/50 States tour. 

Activities Related to Underage Drinking: 

• DOT/NHTSA and HHS/National Institute on Alcohol Abuse and Alcoholism 

(NIAAA), The Substance Abuse and Mental Health Services Administration 

(SAMHSA), OSG -- On February 12, 2004 these Federal agencies convened a 

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national meeting of national health organizations to promote alcohol screening 

and brief intervention as a part of routine medical practice. 

Goal 1 Objective 1B. Federal strategy: Increase awareness of underage drinking and its 

negative consequences through Public Service Announcements (PSAs) targeting parents 

and other adults. 

Activities Specific to Underage Drinking:

• NIAAA Radio PSAs -- NIAAA developed two underage drinking prevention 

PSAs for parents and three for children. These PSAs, which have been focusedtested, are 30 seconds each and are scheduled for release in late fall 2004. They 

will be included in ONDCP's pro-bono media match program. 

• NIAAA and SAMHSA Leadership to Keep Children Alcohol Free -- Launched 

in March 2000, the Leadership to Keep Children Alcohol Free is a nationwide 

initiative spearheaded by 49 current and past Governors’ spouses that has been 

supported by seven public and private funding organizations. The four goals of 

the initiative are: 1) make prevention of alcohol use by children a national health 

priority; 2) focus the attention of State and national policy makers and opinion 

leaders on the seriousness of the early onset of alcohol use; 3) educate the public 

about the incidence and impact of early alcohol use by children 9- to 15-years of 

age; and 4) mobilize the public to address these issues within their families, 

schools, and communities in a sustained way and to work for change. The 

Governors’ spouses produced television PSAs directed at parents and other adults 

to be aired in their respective States. 

• ONDCP National Youth Anti-Drug Media Campaign -- This Campaign 

addresses underage drinking prevention in the context of illicit drug use through 

web sites (www.theantidrug.com, www.freevibe.com, www.laantidroga.com) and 

brochures, including the popular booklet titled "Keeping Your Kids Drug Free—

A How To Guide for Parents and Caregivers." Paid advertising for parents 

includes messages aimed at building monitoring skills and parent efficacy. These 

skills can positively affect a host of youth behavioral issues. In addition, ad time 

and space has been donated for underage drinking-related advertising as part of 

the Campaign's media match program, which has benefited such groups as 

Mother’s Against Drunk Driving (MADD), the National Council on Alcoholism

and Drug Dependence, Alateen and Al Anon. With the start of the Early 

Intervention Initiative in February 2004, the Campaign addresses underage 

drinking along with illicit drug use. This effort targets youth 12- to 18-years-old, 

as well as the parents of this age group. 

• SAMHSA Development of an Underage Drinking Public Service Campaign 

Directed at Parents -- This project supports the Ad Council in the development 

of an underage drinking campaign directed at parents. In developing the 

 15 
campaign, the Ad Council is consulting with interested parties, including 

advocates and the industry. This effort targets parents of youth 9- to 15-years-old. 

Activities Related to Underage Drinking:

• DOT/NHTSA Impaired Driving Communications -- The Ad Council and 

NHTSA will consolidate impaired driving prevention communications into a 

coordinated and effective social marketing campaign. The campaign’s aim is to 

influence behavior in high-risk populations, including underage drinkers. 

Messages will be delivered primarily through three complementary campaigns: 

“You Drink and Drive. You Lose” (addresses general deterrence); “Friends Don’t 

Let Friends Drive Drunk” (addresses personal responsibility); and “Zero 

Tolerance Means Zero Chances.” This effort targets youth 15- to 20-years-old. 

Goal 1 Objective 1C. Federal strategy: Support States, tribes, and communities in 

providing leadership to address underage drinking. 

Activities Specific to Underage Drinking: 

• HHS -- Department leadership will encourage the Regional Health 

Administrators and all relevant agencies to emphasize the prevention of underage 

drinking as a strategy for improving the public health. 

• NIAAA and SAMHSA Leadership to Keep Children Alcohol-Free -- 

Launched in March 2000, the Leadership is a nationwide initiative spearheaded 

by 49 current and past Governors’ spouses that has been supported by seven 

public and private funding organizations. The four goals of the initiative are: 1) 

make prevention of alcohol use by children a national health priority; 2) focus the 

attention of State and national policy makers and opinion leaders on the 

seriousness of the early onset of alcohol use; 3) educate the public about the 

incidence and impact of early alcohol use by children 9- to 15-years of age; and 4) 

mobilize the public to address these issues within their families, schools, and 

communities in a sustained way and to work for change. 

• OJJDP EUDL -- Each State and the District of Columbia has designated an 

agency to implement the EUDL initiative. Each designated agency implementing 

the initiative has a EUDL Coordinator. The contact for each agency designated to 

work with EUDL is listed on The Underage Drinking Enforcement Training 

Center web site: www.udetc.org. EUDL targets those under 21-years of age. 

• SAMHSA Strategic Prevention Framework (SPF)/State Incentive Grant 

Program (SIG) (new in FY 2004) -- The SPF SIG grants build on the successful 

State Incentive Cooperative Agreements which have given the governors of 44 

States and Territories the opportunity to enhance their States’ substance abuse 

prevention systems and fill gaps in programs with evidence-based services to 

address the widespread problems related to substance abuse. SAMHSA’s FY 

 16 
2004 SPF SIG grants will give States and communities the opportunity to focus 

resources on critical needs identified through an epidemiologically-based State 

Needs Assessment. Subsequently, they will target populations and ages across 

the life span with evidence-based prevention and early intervention policies, 

programs, and practices. SPF SIGs will also support States by providing 

prevention resources and facilitating systems improvement to help ensure 

successful transition from the Substance Abuse Prevention and Treatment (SAPT) 

Block Grant to Performance Partnerships. The grants will receive support for up 

to five years, subject to availability of funding. As such, they are intended to 

fulfill SAMHSA’s overall goal of increasing the capacity and effectiveness of

States and communities as they respond to critical problems and needs by

implementing the SPF. The SPF SIG grant offers an excellent vehicle for 

supporting the goals of this underage drinking initiative. State applicants must 

include the prevention of underage alcohol consumption in their SPF SIG project 

and provide a comprehensive strategy that addresses this problem, in addition to 

other SPF SIG priorities. All tasks, including needs assessment, consensus 

building, planning, funding allocations, implementation and evaluation must be 

carried out with a consideration for the issue of underage drinking. 

Activities Related to Underage Drinking:

• DOT/NHTSA State Highway Safety Funding -- This initiative provides Federal 

funding to States and local communities through State Highway Safety Offices. 

Funds may be used for activities related to underage drinking and driving under 

the following programs: 402 (State and community programs); 410 (impaired 

driving incentive grants); 154 (open container transfers); 157 (occupant protection 

incentive grants); 164 (repeat offender transfer); and 163 (.08 BAC incentive 

grants).

• ONDCP Drug-Free Communities Program (DFC) -- In October 2004, 

SAMHSA took responsibility for administering the Drug-Free Communities grant 

program. This program, which is made up of two types of grants—coalitions and 

mentoring—provides resources to local coalitions. The purpose of the program is 

to: 1) reduce substance abuse (including alcohol) among youth and, over time, 

among adults by addressing the factors in a community that increase the risk of 

substance abuse and promoting the factors that minimize the risk of substance 

abuse; and 2) establish and strengthen collaboration among communities, private 

non-profit agencies, and federal, state, local and tribal governments to support the 

efforts of community coalitions to prevent and reduce substance abuse among 

youth. With nearly 750 grants in separate and distinct communities, SAMHSA 

will begin working to apply its Strategic Prevention Framework to the 

community-based process within these grants, in order to link local needs with 

programs and services that have proven effective at addressing substance abuse 

problems. 

 17 
Goal 1 Objective 1D. Federal strategy: Engage and support youth and youth-serving 

organizations in providing leadership to combat underage drinking. 

Activities Specific to Underage Drinking: 

• DOT/NHTSA Support for SADD (Students Against Destructive Decisions) -- 

This effort reaches youth organizations in local communities and schools with 

peer-to-peer messages and activities to help prevent underage drinking and 

driving. This program targets high school age youths. 

• DOT/NHTSA Support for BACCHUS & GAMMA Peer Education Network 

-- This network reaches underage college youth with a positive social norming 

message about underage drinking and driving. The target age for this effort is 

college-age youth. 

• DOT/NHTSA Latino Strategies -- NHTSA and ASPIRA will utilize the 

ASPIRANTE (Youth) program around the country to research, develop, test, and 

promote specific Latino youth underage drinking and impaired driving 

information. ASPIRA, with NHTSA’s support, produces a quarterly newsletter in 

both English and Spanish for parents and another for students, each addressing 

multiple traffic safety issues, including guidance for preventing underage drinking 

and driving. The target ages for this effort are 15- to 20-year-olds.

• OJJDP EUDL -- A standard component of EUDL discretionary programming at 

the local level is the development and utilization of youth leadership in planning 

and implementation of the EUDL program in their community. Youth assist law 

enforcement with compliance checks, utilize media to promote underage drinking 

prevention, hold alcohol-free events, and participate in training events that 

educate them on underage drinking issues. EUDL targets youth under 21-years of 

age.

• NHTSA Traffic Safety Curriculum for School Resource Officers -- NHTSA 

and National Association of School Resource Officers (NASRO) are developing a 

traffic safety school curriculum for 15- to 18-year-olds for delivery by School 

Resource Offices. The curriculum emphasizes impaired driving and occupant 

protection issues. The target for this effort is adult training for all school ages. 

• NIAAA and SAMHSA Leadership to Keep Children Alcohol Free -- This 

effort provide support for youth centered events such as the Smart and Sober 

Youth Conference in Ohio and a State-wide poster contest in Alaska. In addition, 

the Leadership provided the keynote speaker and educational materials for the 

2004 Pride Youth Conference. 

• SAMHSA Preventing Underage and Binge Drinking and Alcohol Problems 

Among Youth and College Students in El Paso and Brownsville, Texas -- In 

1997, "Operation Safe Crossing" was developed in San Diego/Tijuana to reduce 

 18 
the number of youth (ages 18 to 25) from crossing the US/Mexico border to drink 

in Mexico. Beginning in 2001, a series of replications were developed using the 

San Diego environmentally-oriented prevention approach in El Paso and 

Brownsville, Texas. Laredo, Texas was added this year. An additional goal 

along the US/Mexico border is to reduce the harm associated with cross-border 

and binge drinking behaviors (e.g., impaired driving, date rape, and fights). The 

original program was highly successful, reducing cross-border drinking by 37 

percent, and was named a SAMHSA Model Program in 2002. Funding 

additionally supports community coalitions in each city, including law 

enforcement, local policy-makers, alcohol beverage workers (bartenders and bar 

owners), as well as representatives from the prevention field who manage and 

ensure overall program effectiveness.

Activities Related to Underage Drinking: 

• HHS/Administration for Children, Youth, and Families (ACF)/Family and 

Youth Services Bureau (FYSB) Mentoring Children of Prisoners -- FYSB 

supports the Mentoring Children of Prisoners Program. The living conditions, 

family configurations, and problems faced by incarcerated parents make it likely 

that significant numbers of children of prisoners will suffer emotional and 

behavioral difficulties. Data indicate that mentoring programs have reduced first 

time alcohol use by 33 percent. The target ages for this effort are 4- to 15-yearsold. 

• ACF/FYSB National Youth Summit -- Each year, FYSB sponsors a National 

Youth Summit to promote leadership opportunities for youth ages 15 to 24 and 

provide them with alternatives to risky behavior. The Summit celebrates 

America's youth and their achievements, strengths, and leadership. In 2004, the 

Summit theme was s Youth Leadership in America's Communities. 

• DOT/NHTSA (in partnership with several agencies within HHS and ED)

Support of National Organizations for Youth Safety -- This Federal 

collaboration supports a national coalition of youth-serving organizations to 

address youth-related health and safety issues, including underage drinking. The 

coalition, National Organizations for Youth Safety (NOYS), which has a 

membership of more than 30 active national organizations and Federal agencies; 

engages youth leaders in reaching other youth through positive youth 

development actions to promote safe and healthy lifestyles. Member 

organizations represent culturally, ethnically, and geographically diverse youth 

through groups such as United National Indian Tribal Youth, National Asian 

Pacific Americans Against Substance Abuse, Farm Safety 4 Just Kids, 100 

percent Drug-Free Clubs, National 4-H, and ASPIRA. These coalitions target 

youth from middle school through college ages. 

• DOT/NHTSA Support for NASRO -- NHTSA supports the development and 

training of School Resource Officers to more effectively reach students in their 

 19 
assigned schools with safety messages, including underage drinking and driving. 

This effort targets adult training for all school ages. 

• DOT/NHTSA American Indian Strategies -- NHTSA and the National Indian 

Education Association are developing leadership training for American Indians. 

Training for Road Warriors: Indian Youth for Traffic Safety will be provided at 

several key conferences in 2002-2004. Mini grants will facilitate dissemination 

efforts. This strategy targets high school age youths. 

 

Goal 1 Objective 2. Increase cooperation, coordination, and collaboration among all 

levels of government and private entities, including faith-based organizations by 

encouraging participation in and providing support to programs/projects that address the 

reduction of underage drinking. 

Goal 1 Objective 2A. Federal strategy: Enhance governmental cooperation, 

coordination, and collaboration, in order to reduce duplication of effort, generate crossagency and departmental activities that build on the unique talents and resources of each, 

and address gaps in services. 

Activities Specific to Underage Drinking: 

• DOL/OSHA Federal Network Group for Young Worker Safety and Health 

(FedNet) -- Many Youth Offender Demonstration Project (YODP) sites provide 

alternative activities for youth at times when they are most likely to consume 

alcohol – on weekends and evenings. These include community service activities, 

social outings, picnics and even youth conferences. As well, there are traditional 

counseling and intervention services provided for youth who feel they may have a 

problem with substance abuse. Many youth engaged in YODP, are required to 

provide some manner of restitution as part of their adjudication. Sites coordinate 

community service activities in part to serve as the restitution and, also use the 

time to emphasize the value of the efforts to the community being served as well 

as the positive self-esteem that comes from a job well done. YODP sites also 

offer traditional case management and assessment services for youth that focus on 

the mental health needs of the youth and provide referrals when appropriate. 

YODP targets ages 14-28. 

• HHS Interagency Coordinating Committee on the Prevention of Underage 

Drinking -- At Secretary Thompson’s request, the Administrator of SAMHSA, 

Mr. Charles G. Curie, M.A., A.C.S.W., has convened an Interagency 

Coordinating Committee on the Prevention of Underage Drinking (ICCPUD). 

The Committee is made up of representatives from: DOJ/OJJDP, ED/Office of

Safe and Drug Free Schools, DOT/NHTSA, ONDCP, HHS/OSG, CDC, ASPE, 

ACF, NIAAA, and SAMHSA. This ICCPUD is intended to serve both as a 

mechanism for coordinating Federal efforts and as a resource for the development 

of a plan for combating underage drinking, which has been mandated by 

 20 
Congress. To provide ongoing, high-level leadership on this important issue, 

HHS intends that the ICCPUD be a standing committee.

• SAMHSA Governors' Spouses Initiative -- In addition to supporting the 

Leadership to Keep Children Alcohol Free initiative through an Interagency 

Agreement with NIAAA, SAMHSA funds an effort to link this initiative with 

prevention programs funded by the SAPT Block Grant in the States and with 

other SAMHSA programs, such as Too Smart to Start and the Reach Out Now 

Teach-Ins. This initiative targets youth 9- to 15-year-olds. 

• OJJDP/NIAAA Collaboration Enforcing Underage Drinking Laws (EUDL) -- 

NIAAA is conducting an evaluation of OJJDP’s EUDL program that targets 

youth under 21-years-old. 

Activities Related to Underage Drinking:

• SAMHSA SAPT Block Grant -- This block grant is a primary source of funding 

for alcohol prevention and treatment in the United States. While there is no setaside for adolescent treatment, States have the option of using this resource to 

treat alcohol use disorders among youth. 

Goal 1 Objective 2B. Federal strategy: Foster cooperation, coordination, and 

collaboration between government and private entities, including faith-based 

organizations. 

Activities Specific to Underage Drinking: 

• DOT/NHTSA Underage Drinking Enforcement -- NHTSA and the National 

Liquor Law Enforcement Association (NLLEA) are developing a best practices 

manual and training program to assist State and local alcohol beverage control 

and law enforcement agencies in enforcing underage drinking laws. 

• DOT/NHTSA Support for the International Association of Chiefs of Police --

NHTSA provides support for the International Association of Chiefs of Police 

(IACP) to encourage enforcement of underage drinking laws. This effort targets 

youth 15- to 20-years-old 

• DOT/NHTSA Youth Data Compendium -- DOT will compile a compendium of 

data relevant to youth programs and underage drinking will be compiled. This 

report will address a comprehensive range of data concerning traffic safety 

problems among youth 8- to 24-years-old. 

• SAMHSA Governors' Spouses -- In addition to supporting the Leadership 

initiative itself through an Interagency Agreement with NIAAA, SAMHSA funds 

an effort to link this initiative with prevention programs funded by the SAPT 

Block Grant in the States and with other SAMHSA programs, such as Too Smart 

 21 
to Start and the Reach Out Now Teach-Ins. This effort targets youth 9- to 15-

years-old.

• OJJDP EUDL -- OJJDP, through the Underage Drinking Enforcement Training 

Center, conducts an annual National Leadership Conference that provides training 

opportunities and promotes cooperation, coordination, and collaboration between 

such partners as highway safety offices, health agencies, justice agencies,

enforcement, schools, youth advocacy groups, health care professionals, and 

alcohol prevention service providers. This cooperation, coordination, and 

collaboration are enhanced further by monthly web-enhanced audio-conferences 

on a wide range of topics that address the various aspects of underage drinking 

issues and science-based approaches for addressing those issues. 

• SAMHSA Youth Underage Drinking Prevention Campaign: Too SMART to 

START (TSTS) -- This effort is a national community education program 

targeting children and youth 9- to 13-years-old. The campaign has been tried and 

tested in nine communities nationwide and provides professionals, volunteers, and 

parents with tools and materials that can help shape healthy behaviors regarding 

alcohol use for a lifetime. TSTS includes a web page, technical assistance, and a 

community action kit to help plan, develop, promote and support local underage 

alcohol use prevention. The program includes materials and strategies that are 

flexible for use in communities of all sizes and actively involves entire 

communities in sending clear, consistent messages about why children should 

reject underage drinking. 

• SAMHSA SPF SIG (new in FY 2004) -- The SPF SIG Grants build on the 

successful State Incentive Cooperative Agreements, which have given the 

governors of 44 States and Territories the opportunity to enhance their States’ 

substance abuse prevention systems and fill gaps in programs with evidencebased services to address the widespread problems related to substance abuse. 

The grants will give States and communities the opportunity to focus resources on 

critical needs identified through an epidemiologically-based State Needs 

Assessment, and they will subsequently target populations and ages across the life 

span with evidence-based prevention and early intervention policies, programs

and practices. SPF SIGs will also support States by providing prevention

resources and facilitating systems improvement to help ensure successful 

transition from the SAPT Block Grant to Performance Partnerships. The grants 

will receive support for up to five years, subject to availability of funding. As 

such, they are intended to fulfill SAMHSA’s overall goal of increasing the 

capacity and effectiveness of States and communities as they respond to critical 

problems and needs by implementing SAMHSA’s SPF. The SPF SIG grant 

offers an excellent vehicle for supporting the goals of this underage drinking 

initiative. State applicants must include the prevention of underage alcohol 

consumption in their SPF SIG Project and provide a comprehensive strategy that 

addresses this problem, in addition to other SPF SIG priorities. All tasks, 

including needs assessment, consensus building, planning, funding allocations, 

 22 
implementation and evaluation must be carried out with a consideration for the 

issue of underage drinking. 

Activities Related to Underage Drinking:

• DOT/NHTSA American Indian Strategies -- NHTSA and the National Indian 

Education Association are developing leadership training for American Indians. 

Training for Road Warriors: Indian Youth for Traffic Safety will be provided at 

several key conferences in 2002-2004. Mini grants will facilitate dissemination 

efforts. This strategy targets high school aged youths. 

• ED Learning Education Agreements and Grants -- In FY 2004, the Office of 

Safe and Drug Free Schools Initiative Grants to Reduce Alcohol Abuse in 

Secondary Schools provided funding to 10 additional Learning Education 

Agreements (LEAs) and continued funding to 47 LEAs. The major goals of the 

program are to implement SAMHSA model programs to reduce underage 

drinking in secondary schools. Additionally, funds have been appropriated to 

support Grants to Reduce Alcohol Abuse, the Higher Education Grants (GRAAP) 

and, the Alcohol and Drug abuse Prevention Models in Higher Education. 

Performance reports for the Safe and Drug-Free Schools and Communities Act 

State Grants (SDFSCA) do not break down expenditures for alcohol-related 

programming. State and local educational agencies and community-based 

recipients under the SDFSCA State Grants Program may elect to use funds to 

address alcohol and other drug prevention as well as violence. Districts 

overwhelmingly used funds to address both alcohol and other drug use and 

violence. In FY 2002 and FY 2003, Education transferred funds to 

SAMHSA/CSAP under this Interagency Agreement to serve 47 GRAAP grantees 

implementing 21 Model programs, including multiple program implementations. 

In FY 2004, USED made an additional 10 new awards in the GRAAP initiative 

and transferred funds to support all 57 grants to Reduce Alcohol Abuse in 

Secondary Schools. 

Goal 1 Objective 2C. Federal strategy: Create a Federal web site dedicated to the issue 

of underage drinking supported by all participating agencies. The web site would include 

a searchable database of all Federal programs/resources related to the prevention of 

underage drinking and contain sections on core messaging, information on resources and 

materials, college drinking, as well as information for groups such as parents, 

communities, and youth.

Goal 2: Prevent underage drinking and its negative consequences 

Rationale: Underage drinking is harmful to youth, their families, and their communities. 

To best impact this problem, it is essential that prevention efforts begin early, and are 

appropriate to the developmental stages of the youth to whom the programs are directed. 

Furthermore, these efforts must address demand for alcohol, reduction in drinking 

opportunities for those under 21-years-old, and availability of alcohol to underage youth. 

 23 
To be effective, it is critical that all strategies and interventions be culturally and 

developmentally appropriate to the groups they are intended to reach. 

Goal 2 Objective 1. Reduce use of alcohol by those under the age of 21 by increasing 

awareness of the negative consequences of underage drinking, by providing skills 

training, and by reducing the social acceptance of underage drinking. 

Goal 2 Objective 1A. Federal strategy: Provide developmentally and culturally 

appropriate information on underage drinking and its consequences to all adults 

emphasizing their responsibility to help prevent it, with more specific information 

to parents/caregivers of those under age 21. 

Activities Specific to Underage Drinking:

• NIAAA Publications -- NIAAA disseminates information for adults about the 

prevention of underage drinking through a variety of publications including the 

NIAAA parent booklet, Make a Difference – Talk to Your Child About Alcohol – 

Parents’ Booklet, Alcohol Alert including issues entitled “Underage Drinking: A 

Major Public Health Challenge” (2003) and “Changing the Culture of Campus 

Drinking” (2002), as well as the widely cited report from the college drinking task 

force, A Call to Action: Changing the Culture of Drinking at U.S. Colleges. 

• NIAAA Web site -- The NIAAA web site, www.niaaa.nih.gov, provides adults 

with information about the science and prevention of underage drinking. There is 

a link to the NIAAA college web site, www.collegedrinkingprevention.gov, as 

well as a link to the NIAAA web site targeted to kids, www.thecoolspot.gov. 

• NIAAA Leadership to Keep Children Alcohol Free -- As part of its role in 

educating and raising awareness, the Leadership disseminates information for 

adults about prevention of childhood drinking through a variety of publications 

including: How Does Alcohol Affect the World of a Child (available in English 

and Spanish), Keep Kids Alcohol Free: Strategies for Action (available in English 

and Spanish) and Science, Kids and Alcohol Research Briefs. In 2002 and 2003, 

over a million copies of these materials were distributed. Additionally, the

Leadership placed 207 dioramas on childhood drinking in 41 airports nationwide. 

It also distributes weekly-electronic updates to 336 recipients including 

Governors’ spouses, national organizations, State officials, members of the 

prevention community and other stakeholders in the childhood drinking 

prevention issue. The Leadership’s web site www.alcoholfreechildren.org also 

provides information for adults, from parents to policymakers. 

• NIAAA Project Northland -- Project Northland, completed prior to 2004, is a 

comprehensive universal prevention program tested in 22 school districts in 

northeastern Minnesota in a randomized trial. The intervention, delivered to a 

single cohort in grades six through twelve, included: innovative social behavioral 

school curricula; peer leadership; parental involvement programs; and 

 24 
community-wide task force activities to address community norms and alcohol 

availability. Significant differences were observed between intervention and 

comparison communities during each project period for “tendency to use alcohol” 

(a composite measure that combined items about intentions to use alcohol and 

actual use) and “five or more in a row.” Growth rates were lower in the 

intervention communities during phase 1; higher during the interim period 

(suggesting a “catch-up” effect while intervention activities were minimal); and 

lower again during phase 2 when intervention activities resumed. Based on its 

success, Project Northland is designated as a model program by SAMHSA, and 

its materials have been adapted for a general audience and marketed by Hazelden. 

This model is targeted to youths in grades 6 through 12. 

• NIAAA Project Northland for Urban Youth -- Project Northland is now being 

replicated in ethnically diverse urban neighborhoods. Similarly to the original 

Northland, this project includes parental involvement programs and communitywide task force activities. The purpose is to adapt, enhance, implement, and 

evaluate Project Northland in racially diverse and economically disadvantaged 

urban neighborhoods of Chicago. In addition to using the Project Northland plan, 

the design of the intervention builds on recent results from other large-scale 

randomized trials on youth alcohol, tobacco, and other drug use. In addition to the 

cultural adaptations, the original strategies are enhanced, particularly those 

outside of the classroom setting. 

 

The design is a randomized community trial that will evaluate an adapted and 

enhanced Project Northland in 10 intervention and 12 control units (schools and 

surrounding neighborhoods) with sizable African American and Hispanic 

populations. Approximately 4,400 students and their families will be involved. A 

supplement was received from OBSSR (NIH) to support an additional component 

to analyze the effects of alcohol marketing in the participating neighborhoods. 

This effort targets youth in grades 6-12.

• NIAAA Iowa Strengthening Families Program (ISFP) -- NIAAA supported 

this program as part of its research portfolio. Participants were given instruction 

on various communication, problem-solving, and perspective-taking skills. The 

first hour of each program session consisted of separate parent and adolescent 

training. Among other issues, parents were taught limit-setting, communication, 

encouraging good behavior, and using community resources; adolescents received 

training on goal-setting, appreciating parents, dealing with stress, and how to deal 

with peer pressure. The subsequent hour of joint training focused on appreciating 

others, understanding family values, conflict resolution, and various 

communication skills. 

Delivered when students were in grade six, ISFP has shown long-lasting 

preventive effects on alcohol use, suggesting that the intervention succeeded in 

changing the normative environment of schools in which the program was offered 

since even students whose families did not participate benefited. In addition, the 

 25 
increase in effect size over time and the duration of effects into high school 

compares favorably with school-based interventions. This effort is targeted 

toward families with a sixth grade student. 

• OJJDP EUDL -- A major component of the EUDL program is the training and 

technical assistance provided by the Underage Drinking Enforcement Training 

Center. The Center identifies science-based strategies, publishes supporting 

documents, delivers training, and provides technical assistance. These resources 

may be accessed at www.udetc.org. 

• SAMHSA Reach Out Now Fifth and Sixth Grade Scholastic Supplements -- 

SAMHSA and Scholastic Magazine have developed a special edition targeting 

10- and 11-year-olds and their parents. Known as Reach Out Now: Talk with 

Your Fifth Graders about Underage Drinking, these materials have been focus 

group-tested with parents and teachers, and include a classroom discussion guide 

for teachers, activity sheet for students, and a take-home packet for parents. In 

March 2002, the package was sent for the first time to every fifth grade class in 

the country and to the States participating in the Leadership to Keep Children 

Alcohol Free Initiative. In the spring of 2004, packages were sent to every fifth 

and sixth grade class in the country. 

• SAMHSA Building Blocks for a Healthy Future -- Building Blocks for a 

Healthy Future is an early childhood substance abuse prevention program that 

educates parents and caregivers about the basics of risk and protective factors, 

ways to reduce risk factors, and how to reinforce skills that will enable caregivers 

to better nurture and protect their children and promote healthy lifestyles. 

Designed for parents and caregivers of children 3- to 6-years-old, Building Blocks 

is designed to help open up the lines of communication with young children and 

make it easier to keep those lines of communication open as they grow older. 

Building Blocks collaborates with the National Head Start Association, the 

National Association for Elementary School Principals, the League of Cities, and 

the American Medical Association Alliance to facilitate the training and 

dissemination efforts of the materials and products. 

• SAMHSA The Health Communication Initiative for Preventing Underage 

Alcohol Use (new in FY 2004) -- SAMHSA’s CSAP new effort will provide 

resources, message development, and public education for preventing underage 

alcohol use for ages 0- to 21-years-old. This project will provide ongoing support 

for the Too Smart Too Start initiative and Reach Out Now Teach Ins. In addition, 

it will provide multi-faceted evidence-based approaches that communities in the 

nation can use to build resiliency and enhance protective factors and reduce the 

risk factors associated with underage alcohol use. The new effort will develop a 

cadre of trainers and facilitators to assist communities in providing evidencebased strategies for preventing underage alcohol use. 

 26 
Activities Related to Underage Drinking: 

• DOT/NHTSA Stop Impaired Driving Web Site -- NHTSA provides public 

information and education to the public, including parents and other caregivers 

and adults who interact with youth, through its www.stopimpaireddriving.org web 

site. The web site also provides direct links with other Federal agencies and 

national organizations that have additional information. 

• SAMHSA MADD -- In FY 2004 CSAP is providing support for one year to 

MADD to assist them in building a partnership with three American Indian 

reservations. In 2002, these tribes were awarded funding to implement Protecting 

You/Protecting Me (PYPM), a MADD alcohol-use prevention curriculum for 

elementary students that is a CSAP Model Program. The project entails 

observation, analysis and documentation of the transcultural process leading to 

modifications of the curriculum. The target age for this effort is elementary

school children. 

Goal 2 Objective 1B. Federal strategy: Provide youth in kindergarten through high 

school with developmentally and culturally appropriate information and skills training to 

enhance protective factors and to help change attitudes regarding underage drinking. 

Activities Specific to Underage Drinking: 

• Education/SAMHSA Training and Technical Assistance -- The Grants to 

Reduce Alcohol Abuse in Secondary Students, ED, through an I Interagency 

Agreement with SAMHSA/CSAP's five regional Centers for the Application of 

Prevention Technologies, provide training and technical assistance to local school 

districts implementing SAMHSA model programs in preventing alcohol abuse by 

secondary school students.

• Education Prevention Programs -- The Office of Safe and Drug Free Schools 

provides grants to local educational agencies (LEAs) to develop and implement 

innovative and effective alcohol abuse prevention programs for secondary school 

students. Under this program, LEAs develop programs to implement activities 

that include one or more proven SAMHSA model programs and strategies for 

reducing underage alcohol abuse. Since 2002, 57 school districts across 28 States 

have received grants under this program. 

• DOT/NHTSA Peer-to-Peer Strategies -- NHTSA and SADD are supporting the 

Think About It campaign, a peer-to-peer student awareness program focused on 

underage drinking and impaired driving. A SADD and the Law campaign 

encourages student support of underage drinking enforcement mobilizations. 

SADD is also establishing a cadre of youth student leaders to initiate anti-drinking 

and driving activities at the local level. This effort targets high school aged 

youths. 

 27 
• DOT/NHTSA Skills Training for Youth Leaders -- NHTSA, through the 

National Organizations for Youth Safety (NOYS) provides skills training for 

national youth leaders to use to train peers in how to help prevent underage 

drinking and driving; provides additional leadership materials on the NOYS web 

site; and developed the first component of an online program, “Project U-Turn; 

Turn a Tragic Event into a Teachable Moment” which enhances protective factors 

to help change attitudes regarding underage drinking and driving. This effort 

targets youth 8- to 24-years-old. 

• DOT/NHTSA Information for Employers -- NHTSA, through a partnership 

with Network for Employers of Traffic Safety (NETS) and additional input from

OSHA, developed and distribute materials for employers to use with underage 

workers regarding the issues of drinking and driving. One educational resource 

under development is designed for employees who are parents of teens, “Teens at 

Risk: A Parent’s Guide to Underage Drinking,” and provides guidance to 

employees and their families on how to deal with this issue. This effort targets 

youth who are in high school and college.

• DOT/NHTSA Drug Impairment Training for Educational Professionals --

NHTSA and the International Association of Chiefs of Police (IACP) developed 

an educational training program designed to recognize drug abuse among students 

and provide appropriate intervention. The program offers school administrators 

and nurses a systematic approach to recognizing and evaluating drug abuse. This 

effort targets adult training. 

• DOT/NHTSA Teen/Youth Court Program and Training -- Youth Courts are 

programs in which peers sentence juvenile offenders. NHTSA is developing 

National Youth Court Guidelines in conjunction with the ED, Office of 

Elementary and Secondary Education, the DOJ/ OJJDP, and the American 

Probation and Parole Association. The national guidelines were designed to help 

elevate the standard of youth court program operations and practices. OJJDP took 

the lead in continued support for teen/youth court programs. (See full description 

under OJJDP.) This initiative focuses on youth under age 21.

• DOT/NHTSA Training for Judges -- NHTSA, in partnership with the National 

Judicial College, supports the “Courage to Live” program that trains judges to 

provide education and information to youth in their community about underage 

drinking and driving and its negative consequences. This effort targets youth in 

high school. 

• NIAAA Project Northland -- Project Northland, completed prior to 2004, is a 

comprehensive universal prevention program tested in 22 school districts in 

northeastern Minnesota in a randomized trial. The intervention, delivered to a 

single cohort in grades 6 through 12, included: innovative social behavioral 

school curricula; peer leadership; parental involvement programs; and 

community-wide task force activities to address community norms and alcohol 

 28 
availability. Significant differences were observed between intervention and 

comparison communities during each project period for “tendency to use alcohol” 

(a composite measure that combined items about intentions to use alcohol and 

actual use) and “five or more in a row.” Growth rates were lower in the 

intervention communities during phase 1; higher during the interim period 

(suggesting a “catch-up” effect while intervention activities were minimal); and 

lower again during phase 2 when intervention activities resumed. Based on its 

success, Project Northland has been designated a model program by SAMHSA, 

and its materials have been adapted for a general audience and marketed by 

Hazelden. This program targets youth in grades 6 through 12. 

• NIAAA Project Northland for Urban Youth -- Project Northland is now being 

replicated in ethnically diverse urban neighborhoods. Similarly to the original 

Northland, this project includes parental involvement programs and communitywide task force activities. The purpose is to adapt, enhance, implement, and 

evaluate Project Northland in racially diverse and economically disadvantaged 

urban neighborhoods of Chicago. In addition to using the Project Northland plan, 

the design of the intervention builds on recent results from other large-scale 

randomized trials on youth alcohol, tobacco, and other drug use. In addition to the 

cultural adaptations, the original strategies are enhanced, particularly those 

outside of the classroom setting. 

 

The design is a randomized community trial that will evaluate an adapted and 

enhanced Project Northland in 10 intervention and 12 control units (schools and 

surrounding neighborhoods) with sizable African American and Hispanic 

populations. Approximately 4,400 students and their families will be involved. A 

supplement was received from OBSSR (NIH) to support an additional component 

to analyze the effects of alcohol marketing in the participating neighborhoods. 

This program targets youth in grades 6 through 12. 

• NIAAA Iowa Strengthening Families Program (ISFP) -- NIAAA supported 

this program as part of its research portfolio. Participants were given instruction 

on various communication, problem-solving, and perspective-taking skills. The 

first hour of each program session consisted of separate parent and adolescent 

training. Among other issues, parents were taught limit-setting, communication, 

encouraging good behavior, and using community resources; adolescents received 

training on goal-setting, appreciating parents, dealing with stress, and how to deal 

with peer pressure. The subsequent hour of joint training focused on appreciating 

others, understanding family values, conflict resolution, and various 

communication skills. 

Delivered when students were in grade six, ISFP has shown long-lasting 

preventive effects on alcohol use, suggesting that the intervention succeeded in 

changing the normative environment of schools in which the program was offered 

since even students whose families did not participate benefited. In addition, the 

increase in effect size over time and the duration of effects into high school 

 29 
compares favorably with school-based interventions. This effort targets families 

with sixth-grade students. 

• NIAAA Cool Spot web site for kids -- The NIAAA web site 

www.thecoolspot.gov provides information on underage drinking as well as 

refusal skills, targeted to kids 11- to 13-years-old. 

• NIAAA Radio PSAs for Youth -- NIAAA developed two underage drinking 

prevention PSAs for parents and three for children. These PSAs, which have 

been focused-tested, are 30 seconds each and are scheduled for release in late fall 

2004. They will be included in ONDCP's pro-bono media match program. 

 

• SAMHSA Reach Out Now Fifth and Sixth Grade Scholastic Supplements --

SAMHSA and Scholastic Magazine have developed a special edition targeting ten 

and eleven year olds and their parents. Known as Reach Out Now: Talk with Your 

Fifth Graders about Underage Drinking, these materials have been focus grouptested with parents and teachers, and include a classroom discussion guide for 

teachers, activity sheet for students, and a take-home packet for parents. In March 

2002, the package was sent for the first time to every fifth grade class in the 

country and to the States participating in the Leadership to Keep Children Alcohol 

Free Initiative. In the spring of 2004, packages were sent to every fifth and sixth 

grade class in the country. 

Activities Related to Underage Drinking: 

• SAMHSA Outreach to Children of Parents in Treatment (OCPT) -- In 

collaboration with the National Association for Children of Alcoholics (NACoA), 

the OCPT project has developed a kit that includes prevention materials that 

target the children of parents in substance abuse treatment and covers school-age 

youth under 18-years-old. The materials are being disseminated to substance 

abuse treatment centers to use for staff in-services and for children of parents in 

treatment. The kit includes a promising practices program list which identifies 

existing prevention and support services to children of substance abusing parents 

in various settings (e.g., treatment centers, faith/community settings, private 

voluntary organizations); a practice manual and resource packet; videos; and 

colorful announcement posters. Additionally, in August 2004, a three-day 

training was provided for trainers on the use of SAMHSA/CSAP's Children's 

Program Kit -- Supportive Education for Children of Addicted Parents. 

Representatives from CSAP's Center for the Application of Prevention 

Technologies (CAPTs), One Sky Center, and CSAT's Addiction Technology 

Transfer Centers (ATTCs) attended and learned the structure, philosophy, and 

goals of a children's supportive education program; program implementation 

strategies, how to train group facilitators to run educational support groups for 

children of parents who are alcohol or drug dependent using the Children's 

Program Kit; and how to engage treatment providers, schools, and communitybased prevention programs to partner in providing groups.

 30 
Goal 2 Objective 1C. Federal strategy: Provide college students with developmentally 

and culturally appropriate information and skills training to enhance protective factors 

and help change attitudes regarding underage drinking. 

Activities Specific to Underage Drinking: 

• DOT/Education Guidebook for Colleges and Universities -- DOT’s NHTSA 

and Education’s Office of Safe and Drug-Free Schools, through its Higher 

Education Center for Alcohol and Other Drug Prevention, released NHTSA 

Alcohol Prevention Handbook for Colleges and Universities: the Safe Lanes on 

Campus: A Guide for Preventing Impaired Driving and Underage Drinking. 

Grounded in research literature, the 60-page guidebook describes strategies for 

combating underage drinking and impaired driving. This effort targets youth who 

are college age. 

• DOT/NHTSA: NHTSA and the BACCHUS and GAMMA Peer Education 

Network -- This network will demonstrate combined strategies to combat highrisk and underage drinking among the 18- to 24-year-old population. Launched in 

the fall of 2004, the 18-month project focuses on enforcement, local policy, and 

peer Education strategies at the University of California at Riverside, University 

of Tampa, and Texas A&M University. This effort targets youth who are college 

age.

• DOT/NHTSA College Binge Drinking Prevention Initiative -- NHTSA is 

working with the North American Interfraternity Conference to develop programs 

focused on reducing high-risk and underage drinking on campuses. Alcohol 

summits have been conducted on college 18 campuses. As a result, various 

programs, activities, events and policies were developed and implemented. The 

results and experiences of the participating fraternities and sororities will be

featured in a new publication, The Alcohol Summit: A Roadmap for Fraternities 

and Sororities, scheduled for release in summer 2004. This effort targets youth 

who are college age. 

• DOT/NHTSA Guidelines for Colleges and Universities -- To contribute to the 

efforts of reaching the national goal of reducing alcohol-related traffic fatalities to 

no more than 11,000 by the year 2005, DOT/NHTSA provided funds to the 

Department of Education, as part of a two-year Interagency Agreement. In FY 

2004, an underage drinking and impaired driving prevention manual titled Safe 

Lanes on Campus, which was the result of this partnership, was made available to 

help college campuses and their surrounding communities to implement effective 

impaired driving and underage drinking prevention programs. This effort targets 

college-age youths. 

• DOT/NHTSA --Techniques for Effective Alcohol Management (TEAM) --

This effort supports the development of effective alcohol service training for 

 31 
public assembly facilities; primarily sports arenas; including effective means of

deterring underage drinking. This effort targets adults. 

• Education/Higher Education Center for Alcohol and Other Drug Abuse and 

Violence Prevention -- The Center's mission is to help colleges and universities 

in their efforts to prevent alcohol and other drug abuse and violence on their 

campuses and in their surrounding communities using comprehensive prevention 

strategies. The Center achieves this by providing technical assistance; training; 

publication and dissemination of prevention materials; and assessment, 

evaluation, and analysis activities. The target for this effort is college-age youths. 

• NIAAA’s College Drinking Initiative -- Undertaken in FYs 2000-2002, this 

initiative continues to support and stimulate studies of the epidemiology and 

natural history of college student drinking and related problems with the ultimate 

goal of designing and testing interventions to prevent or reduce alcohol-related 

problems among college students. Currently NIAAA’s portfolio in this area 

includes more than 30 projects. This effort targets college-age youths. 

• NIAAA National Alcohol Screening Day (NASD) -- The goal of NASD is to 

create public awareness of and provide education about alcohol problems and 

provide the opportunity to screen and refer, when indicated, for further 

assessment and treatment (if indicated). NASD screening programs are held on 

college campuses, in community settings, and in private and public primary care 

practices to reach college students, adults, and older adults. When the results of 

the screening test indicate, participants are referred to local alcohol treatment 

through the treatment Referral Locator program funded by SAMHSA. Since its 

inception in 1999, nearly 100,000 people from 50 States have participated in the 

educational component of NASD. Of the 100,000 participants over 55,000 

persons have been screened. Of those persons screened more that 13,000 have 

been referred for further assessment and diagnosis. In 2003, approximately 750 

people were trained on "How to Conduct a NASD Event" in various cities across 

the country. In 2003, screening occurred on almost 900 college campuses; nearly 

1000 colleges and universities have signed up for 2004. In 2004, over 5,300 

colleges, community, and primary care settings registered to conduct NASD 

screening program. Of the 112,241 participants over 70,821 persons have been 

screened. The major vehicle for assessment and treatment diagnosis referral is the 

SAMHSA locator web site at: www.samhsa.gov. 

• NIAAA Research Partnership Awards for Rapid Response to College 

Drinking Problems -- In August 2003, NIAAA issued RFA AA-03-008 that 

facilitates collaboration between alcohol researchers and universities/colleges to 

support intervention studies on college campuses that can capitalize on natural 

experiments (e.g., unanticipated adverse events, policy changes, new media 

campaigns). The next steps will include matching these researchers and their 

designed intervention to a natural environment on a college/ university campus 

that is experiencing a college drinking related issue. This cooperative agreement 

 32 
will continue until July 2008; a Policy Steering Committee of Federal partners 

was constituted in spring, 2004. This effort targets college-age youths. 

• NIAAA Deliberations of the Task Force of the National Advisory Council on 

Alcohol Abuse and Alcoholism -- These deliberations resulted in the seminal 

report A Call to Action: Changing the Culture of Drinking At U.S. Colleges

released in 2002. NIAAA continues to disseminate this report as well as other 

information related to alcohol consumption by college students through its college 

web site. This effort targets college-age youths. 

• OJJDP EUDL -- The Underage Drinking Enforcement Training Center has 

published the following documents that address underage drinking on college 

campuses. Environmental Strategies to Prevent Alcohol Problems on College 

Campuses includes a comprehensive review of the literature regarding the whole 

range of environmental prevention programs that can be used on college 

campuses. It provides guidance to planners and policy makers as to the expected 

effectiveness and acceptability of various approaches on campus and in the 

communities surrounding campuses. Finding Common Ground to Address 

Underage Drinking on Campus attempts to describe the unique point of view of 

law enforcement agencies and college leaders as they attempt to address student 

drinking and the related problems. 

• SAMHSA/NIAAA Environmental Prevention of College Alcohol Problems -- 

CSAP and NIAAA provided joint funding from FY 1999 to FY 2003, to support a 

comprehensive environmental prevention strategy aimed at reducing binge 

drinking and resulting alcohol problems among college students at San Diego 

State University. The research design provided for a quasi-experimental study 

employing New Mexico State University as a comparison site. 

• SAMHSA/NIAAA Safer Colleges and Universities -- This five-year program

was initiated in FY 2002 to evaluate the impact of a comprehensive, communitybased campus intervention among 14 campuses from the University of California 

and California State University System. The efforts are to understand how 

educational and risk management strategies may work alone and in combination 

in the context of a campus-wide effort to prevent heavy drinking or reduce 

alcohol-related problems among college students. Evaluations may involve 

changes of campus/community policies and practices to directly address factors 

contributing to abusive drinking or changes in campus systems/structures to 

promote non-drinking norms. Multi-component interventions may be tested that 

combine environmental strategies or link them with interventions that focus on 

individuals. 

Activities Related to Underage Drinking:

• ONDCP “Challenges in Higher Education” Booklet -- In June 2004, ONDCP 

released this booklet that is focused on college-aged drug and alcohol use. The 

 33 
booklet on campus substance abuse issues will contain information on underage 

drinking and policy/program directions to address binge drinking on campus. 

Outreach activities continue to find venues to bring ONDCP’s perspective on 

youth alcohol and drug use to college health professionals, BACCHUS-GAMMA 

and the Inter-Association Task Force, who together represent over 35 national 

organizations with members from colleges representing the areas of student 

personnel, student activities, campus health centers, college presidents, college 

administrators, and college students. 

Goal 2 Objective 1D. Federal strategy: Provide youth in settings outside the education 

system, including those in the workplace, with developmentally and culturally 

appropriate information and skills training to enhance protective factors and help change 

attitudes regarding underage drinking. 

Activities Specific to Underage Drinking: 

• DOL/ETA/Office of Youth Services Youth Opportunity Grants (YOGs) -- 

These grants represent a major commitment on the part of the DOL to serve youth 

growing up in high-poverty urban and rural communities. They provide both inschool and out-of-school youth 14- to 21-years-old with a variety of employment, 

education, and youth development services. Currently, there are 36 grants in the 

United States with a combined enrollment of close to 40,000 youth. 

YOGs differ from traditional formula-funded youth programs in two fundamental 

ways: (1) rather than distribute a relatively small amount of money across the 

entire U.S., they concentrate a large amount of funds in specific high-poverty 

communities; and (2) rather than restricting eligibility based on family income, 

they are open to all youth residing in the target area. These grants serve some of 

the poorest communities in the United States, including Watts in Los Angeles, 

Philadelphia’s West Side, Detroit’s Central Corridor, the Hough section of 

Cleveland, the Westside of Baltimore, the Third and Fifth Wards of Houston, the 

Navajo and Pine Ridge Indian Reservations, a rural section of California near the 

Mexican border, Southeastern Arkansas, and a rural area of Louisiana in the 

Mississippi Delta that has been called by Time Magazine the poorest place in 

America. There is also a set-aside in the Youth Opportunity appropriation for 

projects serving youth from migrant and seasonal farm worker families. 

Various YOG sites work with local partnering agencies that utilize assessment 

tools to indicate whether youth are engaging in underage drinking or drug use or 

at risk of engaging in such behavior and refer these youth to contracted 

counseling services. As well, sites provide information on the connection 

between employment problems and underage drinking (i.e. the inability to be 

hired due to citations for underage drinking, problems with obtaining or keeping a 

driver’s license for the same reasons, etc.). Sites also contract services with 

certified addictions counselors and set aside dollars to treat substance abuse. 

 34 
Activities Related to Underage Drinking: 

• ACF Runaway and Homeless Youth Program -- This program provides 

funding to local communities to support young people, particularly runaway and 

homeless youth, and their families. Basic Center Program grants offer assistance 

to at-risk youth (up to age 18) in need of immediate shelter. They provide family 

and youth counseling and refer them to services like substance abuse treatment. 

Through the Street Outreach Program, FYSB awards grants to private, nonprofit 

agencies to conduct outreach designed to build relationships between grantee staff 

and street youth up to 21-years-old. The goal of these efforts is to help young 

people leave the streets. The Transitional Living Program (TLP) supports 

projects that provide longer-term residential services to homeless youth 16- to 21-

years-old for up to 18 months. These services are designed to help youth who are 

homeless make a successful transition to self-sufficient living. TLPs enhance 

youths’ abilities to make positive life choices through education and awareness 

programs and the support they provide youth; they include services such as 

substance abuse education and counseling. Alcohol is not allowed at any of the 

FYSB grantee sites and it is expected that after participating in these programs, 

youth will be prepared to make better choices regarding alcohol use. 

• DOL/ETA/Office of Youth Services Youth Opportunity Grant (YOG) Sites --

YOG sites utilize support groups and team building methods to create a positive 

atmosphere and promote healthy living as well as mentoring activities that

emphasize increasing self-esteem and providing safe adult role models. 

Workshops are held to support healthy lifestyles and family values in a culturally 

sensitive manner. Other activities also include educational classes on alcohol 

awareness sponsored by local non-profits, focus groups to allow youth the chance 

to express frustrations positively, surveillance of local liquor stores to crack down 

on the selling of alcohol to minors, and the use of “party patrols” in which sites 

work with local police to step up their neighborhood presence on weekends and 

holidays when alcohol is more likely to be consumed. YOG is targeted to both inschool and out-of-school youth 14- to 21-years-old. 

• DOT/NHTSA Parents Guide -- In partnership with Network of Employers for 

Traffic Safety (NETS), NHTSA developed “Teens at Risk: A Parent’s Guide to 

Prevent Underage Drinking” to deliver underage drinking and driving information 

to parents at work. This effort is targeted toward adults. 

• DOT/NHTSA Techniques for Effective Alcohol Management (TEAM) --

NHTSA provides support to develop effective alcohol service training for public 

assembly facilities --primarily sports arenas-- including effective means of 

deterring underage drinking. This effort is targeted toward adults. 

• NIAAA National Alcohol Screening Day (NASD) -- The goal of NASD is to 

create public awareness of and provide education about alcohol problems and 

provide the opportunity to screen and refer, when indicated, for further 

 35 
assessment and treatment (if indicated). NASD screening programs are held on 

college campuses, in community settings, and in private and public primary care 

practices to reach college students, adults, and older adults. When the results of 

the screening test indicate, participants are referred to local alcohol treatment 

through the treatment Referral Locator program funded by SAMHSA. Since its 

inception in 1999, nearly 100,000 people from 50 States have participated in the 

educational component of NASD. Of the 100,000 participants over 55,000 

persons have been screened. Of those persons screened more that 13,000 have 

been referred for further assessment and diagnosis. In 2003, approximately 750 

people were trained on "How to Conduct a NASD Event" in various cities across 

the country. In 2003, screening occurred on almost 900 college campuses; nearly 

1000 colleges and universities have signed up for 2004. In 2004, over 5,300 

colleges, community, and primary care settings registered to conduct NASD 

screening program. Of the 112, 241 participants over 70,821 persons have been 

screened. The major vehicle for assessment and treatment diagnosis referral is the 

SAMHSA locator web site at: www.samhsa.gov.

Goal 2 Objective 2. Reduce access to alcohol by those under age 21, and strengthen

accountability in enforcing underage drinking laws. 

Goal 2 Objective 2A. Federal strategy: Inform States and local communities about 

effective policies and procedures for reducing access to alcohol to those under age 21. 

Activities Specific to Underage Drinking:

• DOT/ NHTSA Underage Drinking Enforcement -- NHTSA and the National 

Liquor Law Enforcement Association (NLLEA) are developing a best practices 

manual and training program to assist State and local alcohol beverage control 

and law enforcement agencies in enforcing underage drinking laws. This effort is 

targeted toward adults. 

• NIAAA Leadership to Keep Children Alcohol Free -- Governors’ spouses of the 

Leadership convene policy forums in their respective States bringing together 

policy-makers, law enforcement officials, substance abuse officials, and educators 

among others to discuss effective measures for preventing and reducing underage 

drinking, especially by 9- to 15-year-olds. 

• OJJDP EUDL -- The Underage Drinking Enforcement Training Center has 

published the following document that provides information about effective 

policies and procedures for reducing access to alcohol to those under 21-yearsold. Published in both English and Spanish, Strategies to Reduce Underage 

Alcohol Use: Typology and Brief Overview provides a summary of the various 

strategies commonly used to reduce underage drinking and indicates the level of 

effect that might be expected from each strategy, based on existing research and 

evaluation. 

 36 
Activities Related to Underage Drinking: NONE 

Goal 2 Objective 2B. Federal strategy: Assist States and local communities in enforcing 

underage drinking laws. 

1. Assist States and local communities in training local retail establishments about 

underage drinking laws and how to comply with the laws. 

2. Assist States and local communities in enforcing retail establishment compliance 

with underage drinking laws. 

3. Assist States and local communities in using graduated sanctions in the

enforcement of underage drinking laws. 

4. Provide information to States and communities on the range of options for laws 

that address underage drinking. 

Activities Specific to Underage Drinking:

• DOT/NHTSA Zoning and Ordinance Plans to Prevent Underage Drinking 

and Impaired Driving -- NHTSA and the Responsible Hospitality Institute will 

develop a web-based resource guide and recommendations on local community 

policies and processes to address underage drinking and impaired driving. 

Demonstrations of these strategies will be conducted in selected sites.

• OJJDP EUDL -- The Underage Drinking Enforcement Training Center has 

published the following documents that assist States and local communities in 

enforcing retail establishment’s compliance with underage drinking laws: The 

Guide to Responsible Alcohol Sales: Off Premise Clerk, Licensee, and Manager 

Training provides training tools for all retail sales personnel, with an emphasis on 

establishing and supporting management policies that prevent sales of alcohol to 

minors. Preventing Sales of Alcohol to Minors: What You Should Know about 

Merchant Education Programs discusses Merchant Education programs and their 

role in comprehensive community strategies to reduce underage drinking. The 

document discusses the effectiveness of Merchant Education, identifies necessary 

components, and provides resources for more information. 

Activities Related to Underage Drinking:

• DOT/NHTSA Teachable Moment -- Project U-Turn: Turning a Tragedy into a 

Teachable Moment, is a web-based campaign developed by National 

Organizations for Youth Safety (NOYS). The campaign focuses on teaching local 

media, school and community officials, and other volunteers to turn a tragic event 

into a teachable moment. The online package provides youth ready-to-use 

templates and information on how to communicate their positive safety message 

to other teens, the media, government officials, and community groups. NOYS 

 37 
will demonstrate the project in at least two communities. This effort targets high 

school and college-age youths.

Goal 2 Objective 2C. Federal strategy: Promote partnerships to effectively address 

underage drinking at the State and local levels, including partnerships between 

enforcement and those interested in underage drinking prevention, and partnerships 

between enforcement and other justice agencies.

Activities Specific to Underage Drinking: 

• DOL/Employment Training Administration (ETA)/Office of Youth Services 

Youth Offender Demonstration Project (YODP) -- Since 1999, DOL/ETA has 

funded 52 youth offender pilot projects designed to provide comprehensive 

services to youth between the ages of 14 and 24 who are offenders, gang 

members, or at-risk of criminal involvement that will assist them with their 

transition into long-term employment at wage levels that are likely to break the 

cycle of crime and juvenile delinquency. The youth offender initiative was 

originally funded through the Office of Policy Development, Evaluation, and 

Research as a demonstration project and by design, collected limited, quantifiable 

local or national program outcomes. In July 2002, ETA began Round III of 

YODP, which consists of 29 grantees that are funded to deliver alternatives to 

incarceration and re-entry transition options through such vehicles as aftercare, 

route counseling, and/or gang suppression/prevention services to court-involved 

and at-risk youth. 

Sites have begun utilizing “youth courts” in which youth are held accountable to 

each other for minor infractions, including underage drinking. This helps to 

create a positive peer environment to potentially cut down on some of the peer 

pressure to engage in risk behaviors such as underage drinking. As well, 

probation officers come to schools in the local communities and teach underage 

drinking prevention classes to the youth offenders in the YODP program. YODP 

Career Preparation classes have a component about alcohol/drug use on-the-job 

and what constitutes a drug-free workplace. The DeKalb County YODP works 

with the DeKalb County Taskforce to Reduce Underage Drinking to promote 

alcohol abstinence among the program’s youth. Further, the DeKalb County 

school system has an in-house prevention department that conducts in-school 

activities with youth around underage drinking. 

• NIAAA Leadership to Keep Children Alcohol Free -- Governors’ spouses

convene policy forums in their respective States bringing together policymakers, 

law enforcement officials, substance abuse officials, educators and other 

stakeholders to discuss effective measures for preventing and reducing underage 

drinking, especially by youth ages 9- to 15-years-old. 

• OJJDP EUDL -- The EUDL program design encourages partnerships between 

enforcement and those interested in underage drinking prevention. One design 

 38 
element required in the discretionary program component is the utilization of 

multi-disciplinary coalitions to promote a comprehensive approach to underage 

drinking prevention at the local level. OJJDP is directed by Congress to focus on 

developing statewide task forces of State and local law enforcement and 

prosecutorial agencies, conducting public advertising programs that include 

informing alcohol retailers about laws pertaining to underage drinking and their 

consequences, and encouraging innovative programming. EUDL targets youth 

under age 21-years-old. 

• OJJDP Juvenile and Family Drug Courts -- In November 2004, OJJDP will 

assume management of the juvenile and family drug court program for OJP. 

Though drug courts were initially implemented to address adult drug offenders, 

the approach has been modified over time to operate within the juvenile justice 

system to address the unique needs of juvenile substance abusers and within the 

civil justice system to address the substance abuse of parents who are charged 

with abuse and neglect of their children. Youth who participate in juvenile drug 

courts generally are between 14- and 17-years-old. A high percentage of these 

youth are multi-substance abusers with the vast majority having engaged in 

alcohol abuse. The drug court program uses the coercive power of the judicial 

branch to foster abstinence and helps alter destructive behavior through a 

combination of escalating sanctions, mandatory drug testing, treatment, and 

effective aftercare. 

OJJDP manages approximately 135 juvenile and family drug court grants. In 

addition, OJJDP will sponsor training to courts that are planning to initiate either 

a juvenile or family drug court program. It is estimated that approximately 80 

courts will participate in these training sessions during 2005. 

• OJJDP Youth Courts -- Youth courts, also called teen, peer, and student courts, 

are programs in which youthful offenders are sentenced for minor delinquent and 

status offenses or problem behaviors by their peers. Over the past ten years, as a 

result of a Federal initiative by the DOJ/OJJDP in collaboration with 

DOT/NHTSA there has been over a 1000 percent increase in the number of youth 

court programs. In 1994, there were approximately 78 youth courts operating in 

the United States. As of July 2004, there were more than 965 youth courts 

operating in 48 States and the District of Columbia and hundreds of jurisdictions 

are in various operational stages of establishing a youth court. A recent national 

data collection survey indicated of these 965 communities with operational youth 

courts, 73 percent now handle alcohol related crimes and offenses by minors. The 

average age of youthful offenders who appeared in youth court in 2003 was 

between 13- and 17-years-old. 

OJJDP contracted with the Urban Institute to conduct the Evaluation of Youth 

Courts Project that investigated how teen courts respond to young offenders and 

measured the effect of teen court sanctions and services on recidivism. In May 

2002, the results from the first National Youth Court Evaluation were released by 

 39 
the Urban Institute. The results indicated youth handled by Youth Court were less

likely to re-offend. In Alaska, Youth Court participants were re-referred to the 

juvenile justice system in only six percent of the cases, compared with 23 percent 

of those handled by the traditional process. In Arizona, the outcome was 9 

percent recidivism among Youth Court cases versus 15 percent in the comparison 

group. In Missouri, the results were 9 percent for teen court and 27 percent for 

the regular process. This evaluation is available at www.urban.org and 

www.youthcourt.net. 

Activities Related to Underage Drinking: 

• DOL/ETA/Office of Youth Services Youth Offender Demonstration Project 

(YODP) -- Many YODP sites provide alternative activities for youth at times 

when they are most likely to consume alcohol – on weekends and evenings. 

These include community service activities, social outings, picnics and even 

youth conferences. As well, there are traditional counseling and intervention

services provided for youth who feel they may have a problem with substance 

abuse. Many youth engaged in YODP are required to provide some manner of 

restitution as part of their adjudication. Sites coordinate community service 

activities in part to serve as the restitution and also use the time to emphasize the 

value of the efforts to the community being served as well as the positive selfesteem that comes from a job well done. YODP sites also offer traditional case 

management and assessment services for youth that focus on the mental health 

needs of the youth and provide referrals when appropriate. YODP targets youth 

14- to 21-years-old. 

• DOT/NHTSA Drug Impairment Training for Educational Professionals -- 

NHTSA and the International Association of Chiefs of Police (IACP) developed 

an educational training program designed to recognize drug abuse among students 

and provide appropriate intervention. The program offers school administrators 

and nurses a systematic approach to recognizing and evaluating drug abuse. This 

effort is targeted toward adult training. 

• DOT/NHTSA Underage Drinking Enforcement -- The IACP developed a 

training program to assist mid-level law enforcement managers address youth 

impaired driving problem in their community. IACP will form a cadre of course 

facilitators to deliver the Youth Enforcement Resource Kit. This initiative targets 

youth under 21-years-old. 

• DOT/NHTSA Partnership with the National Judicial College -- NHTSA, in 

partnership with the National Judicial College, supports the “Courage to Live” 

program that trains judges to provide Education and information to youth in their 

community about underage drinking and driving and its negative consequences. 

This effort targets high school age youth. 

 40 
Goal 2 Objective 2D. Federal strategy: Support improvement of justice system

responses to underage drinking as well as improved adjudication by appropriately 

including the judiciary. 

Activities Specific to Underage Drinking:

• OJJDP EUDL -- In FY 2004, the EUDL discretionary program is partnered with 

NIAAA to address underage drinking in rural communities. As part of the 

program design, rural communities are to assess and improve judicial responses to 

underage drinking offenses, such as establishing one sentencing standard for all 

youth offenders. EUDL targets youth under 21-years-old. 

• OJJDP/NHTSA Video Beyond the Bench -- OJJDP in partnership with NHTSA 

funded a video produced by the Police Executive Research Forum titled Beyond 

the Bench. This video, featuring two judges who have exercised leadership on the 

underage drinking issue, highlights appropriate judicial leadership activity in 

developing a community response to preventing underage drinking. The video 

may be accessed through NHTSA. 

Activities Related to Underage Drinking: 

• DOT/NHTSA Juvenile Holdover Program -- NHTSA is working with the 

Community Anti-Drug Coalitions of America (CADCA) to promote the Juvenile 

Holdover Program as an alternative to the use of traditional juvenile detention, 

jails, or lockups when such facilities are inappropriate, unnecessary, or 

unavailable. CADCA provides training to its member coalitions on how to 

implement the program in their communities. This program is targeted toward 

adults. 

• DOT/NHTSA Teen/Youth Court Program and Training -- Youth Courts are 

programs in which their peers sentence juvenile offenders. NHTSA is developing 

National Youth Court Guidelines in conjunction with ED’s, Office of Elementary 

and Secondary Education, DOJ/OJJDP, and the American Probation and Parole 

Association. The national guidelines were designed to help elevate the standard 

of youth court program operations and practices. OJJDP took the lead in 

continued support for teen/youth court programs. (See full description under 

OJJDP.) This initiative targets youth under 21-years-old. 

Goal 2 Objective 2E. Federal strategy: Support programs that dissuade adults from

providing alcohol to those under 21-years-old. 

Activities Specific to Underage Drinking: 

• NIAAA Research Studies -- NIAAA supports research studies on programs that 

decrease youth access to alcohol. Programs may target parents, retailers, 

community members and others to decrease access. 

 41 
• OJJDP EUDL -- The Underage Drinking Enforcement Training Center has 

published the following document that dissuades adults from providing alcohol to 

underage persons. Strategies for Reducing Third-Party Transactions of Alcohol 

to Underage Youth discusses the problem of non-retail sources of alcohol for 

underage drinkers. The document includes the essential elements of shoulder tap 

operations and other techniques to deter adults from buying or providing alcohol 

for underage drinkers. 

Activities Related to Underage Drinking: NONE 

Goal 2 Objective 3. Increase community support to prevent and reduce underage 

drinking by reducing risk factors and promoting protective factors. 

Goal 2 Objective 3A. Federal strategy: Provide support for States and communities to 

address underage drinking in their prevention activities. 

Activities Specific to Underage Drinking:

• Education Strategies for Grantees -- All ED grantees are required to implement, 

as part of their overall program, one or more of the proven strategies for reducing 

underage alcohol abuse as determined by the SAMHSA. Furthermore, they are 

required as part of the application process to explain how other activities to be 

carried out under the grant will be effective in reducing underage alcohol abuse, 

including references to the past effectiveness of the activities. In addition to the 

discretionary grants, ED uses an Interagency Agreement with SAMHSA, to 

provide alcohol abuse resources and start-up assistance to grantees through a 

technical assistance network operated by CSAP. 

• NIAAA Leadership to Keep Children Alcohol Free -- NIAAA provides support 

to Governors’ spouses for support of programs within their States, e.g., policy 

forums, Smart and Sober Youth Conference. 

Activities Related to Underage Drinking: 

• Education National Meeting on Alcohol and Other Drug Abuse and Violence 

Prevention in Higher Education -- Each year, the Department sponsors the 

National Meeting to assist grantees and other campus communities and share 

information on effective strategies related to drug abuse and violence prevention 

in higher education. 

• Education Grant Competition to Prevent High-Risk Drinking or Violent 

Behavior Among College Students -- In FY 2001 and FY 2003, the goal of this 

grant competition was to provide funds to individual institutions of higher 

education, consortia thereof, as well as public and private nonprofit organizations 

(including faith-based organizations), or individuals to develop or enhance, 

 42 
implement, and evaluate campus- and/or community-based prevention strategies. 

Grantees focused attention on and developed solutions to reduce high-risk 

drinking or violent behavior among college students. 

• Education Alcohol and Other Drug Prevention Models on College Campuses 

Grant Competition -- The goals of this funding opportunity are to identify 

models of innovative and effective alcohol and other drug abuse prevention 

programs at institutions of higher education, and disseminate information about 

these programs to parents of prospective college students and to other colleges 

and universities where similar efforts may be adopted. 

• NIAAA Alcohol Policy Information System (APIS) -- APIS is an electronic 

resource that provides authoritative, detailed, and comparable information on 

alcohol-related policies in the United States, at both State and Federal levels. 

Designed primarily as a tool for researchers, APIS is intended to encourage and 

facilitate research on the effects and effectiveness of alcohol-related policies. 

Although not dedicated to underage drinking policies, APIS does provide 

information on all policies relevant to underage drinking, for example policies and 

procedures in retail alcohol outlets for preventing alcohol sales and service to 

minors. 

• ONDCP Drug Free Communities Program (DFC) -- In October 2004, 

SAMHSA took responsibility for administering the Drug-Free Communities grant 

program. This program, which is made up of two types of grants—coalitions and 

mentoring—provides resources to local coalitions. The purpose of the program is 

to: 1) reduce substance abuse (including alcohol) among youth and, over time, 

among adults by addressing the factors in a community that increase the risk of 

substance abuse and promoting the factors that minimize the risk of substance 

abuse; and 2) establish and strengthen collaboration among communities, private 

non-profit agencies, and federal, state, local and tribal governments to support the 

efforts of community coalitions to prevent and reduce substance abuse among 

youth. With nearly 750 grants in separate and distinct communities, SAMHSA 

will begin working to apply its Strategic Prevention Framework to the 

community-based process within these grants, in order to link local needs with 

programs and services that have proven effective at addressing substance abuse 

problems. The target age varies with each coalition. 

• SAMHSA SPF SIG (new in FY 2004) -- The SPF SIG Grants build on the 

successful State Incentive Cooperative Agreements, which have given the 

governors of 44 States and Territories the opportunity to enhance their States’ 

substance abuse prevention systems and fill gaps in programs with evidencebased services to address the widespread problems related to substance abuse. 

SAMHSA’s FY 2004 SPF SIG grants will give States and communities the 

opportunity to focus resources on critical needs identified through an 

epidemiologically based State Needs Assessment, and they will subsequently 

target populations and ages across the life span with evidence-based prevention 

 43 
and early intervention policies, programs and practices. SPF SIGs will also 

support States by providing prevention resources and facilitating systems 

improvement to help ensure successful transition from the SAPT Block Grant to 

Performance Partnerships. The grants will receive support for up to five years, 

subject to availability of funding. As such, they are intended to fulfill 

SAMHSA’s overall goal of increasing the capacity and effectiveness of States and 

communities as they respond to critical problems and needs by implementing 

SAMHSA’s SPF. The SPF SIG grant offers an excellent vehicle for supporting 

the goals of this underage drinking initiative. State applicants must therefore 

include the prevention of underage alcohol consumption in their SPF SIG Project 

and provide a comprehensive strategy that addresses this problem, in addition to 

other SPF SIG priorities. All tasks, including needs assessment, consensus 

building, planning, funding allocations, implementation and evaluation must be 

carried out with a consideration for the issue of underage drinking. 

• SAMHSA SAPT Block Grant -- The SAPT Block Grant contains a prevention 

set-aside that reserves a minimum of 20 percent of each State’s block grant 

allocation for prevention activities. While the majority of the programs supported 

by these funds are designed to prevent substance abuse in general, many can be 

expected to have an impact on the reduction of underage drinking. The SAPT 

Block Grant application has historically asked States to report voluntarily on 

underage drinking strategies. Examples include State's implementation of public 

education and/or media campaigns; State laws against consuming alcohol on 

college campuses; policies or enforcement of laws reducing access to alcohol by 

minors, including event restrictions, product price increases, or penalties for sales 

to minors; estimated age of drinking onset; and, statutes restricting alcohol 

promotions to underage audiences. Data on States' answers to these questions are 

in CSAP's "e-prevention" Block Grant database. 

Goal 2 Objective 4. Provide opportunities for early identification of alcohol abuse and 

brief interventions or treatment as appropriate. 

Goal 2 Objective 4A. Federal strategy: Provide opportunities for early identification of 

alcohol abuse and brief interventions or treatment as appropriate. 

Activities Specific to Underage Drinking: 

• NIAAA Brief Intervention Research -- This research is providing the evidence 

base for effective brief interventions with adolescents. For example, one 

important study is seeking to develop effective interventions for reducing problem

drinking and associated problems among adolescents and young adults, and 

enhance intervention approaches by identifying effective elements of treatment 

derived from cognitive behavioral social learning theory. Current approaches to 

behavior change in this area frequently rely on school-based primary prevention 

programs that do not address cessation/reduction issues for adolescents who are 

already drinking, rarely address motivational issues related to use and abuse, and 

 44 
cannot target school dropouts. The population to be studied consists of older 

adolescents who have been treated in an Emergency Department following an 

alcohol-related event. This effort is targeted toward high school dropouts. 

• SAMHSA Treatment of Adolescent Alcohol Abuse and Alcoholism

Replication of Effective Alcohol Treatment Interventions for Youth -- In FY 

2003, CSAT developed the Adopt/Expand Effective Adolescent Alcohol and 

Drug Abuse Treatment program. This grant program builds on effective 

interventions for youth experiencing alcohol or other drug problems. Twenty-two 

sites were funded to provide training and certification on using Motivational 

Enhancement Therapy/Cognitive Behavioral Therapy, a proven effective 

intervention. This program will increase the availability and effectiveness of

treatment for youth with alcohol and drug problems and will treat approximately 

2,000 teens and their families per year. This initiative targets youth under 21-

years-old. 

• SAMHSA Potential Interventions for Underage Drinkers in Emergency 

Rooms -- A white paper about the interventions that could be used with underage 

drinkers admitted to emergency rooms has been developed. The paper includes 

next steps/recommendations, the barriers to recruiting underage drinkers into 

adolescent emergency room brief intervention programs, variables that increase 

participation rates in these interventions, whether or how these interventions 

impact adolescents' movement through the continuum of the stages of change, and 

the role of significant others.

Activities Related to Underage Drinking: 

• CDC Project BALANCE (Birth Control and Alcohol Awareness) -- Project 

Balance (Birth Control and ALcohol Awareness: Negotiating Choices 

Effectively) consists of (1) a brief epidemiological survey, (2) focus groups, and 

(3) a randomized controlled trial of a motivational intervention directed at 

Virginia Commonwealth University (VCU) college students from 18to 24yearsold. Project BALANCE’s objectives are to identify the prevalence of risky 

drinking and contraceptive behaviors in this population, and to test the efficacy of 

an intervention in a randomized trial comparing a group receiving both 

assessment and one face-to-face session with a group receiving assessment only. 

The intervention focuses both on drinking and unprotected sex, allowing a woman 

to modify either or both behaviors. 

• CDC/NHTSA/NIAAA/NIDA/SAMHSA Uniform Accident and Sickness 

Policy Provision Law (UPPL) Working Group -- CDC chairs an ongoing 

working group of Federal and nonfederal partners to evaluate the effects on 

screening of patients for alcohol problems of insurance regulations allowing 

denial of payment for medical services for alcohol-related conditions. The goal of 

this working group is to monitor the impact of current and changing insurance 

regulations on screening and interventions for substance use disorders in 

 45 
emergency departments and trauma centers, and to recommend improvements that 

reduce barriers to screening and brief interventions. 

• CDC Recommendations and Conference Proceedings on Screening and Brief 

Intervention for Trauma Patients -- In May 2003, CDC organized a three-day 

conference to promote screening of hospitalized trauma patients for alcohol and 

drug problems and providing on-site brief interventions, referral, and treatment. 

The conference was co-sponsored by Agency for Health Care Research and 

Quality (AHRQ), Center for Medicaid Services (CMS), Health Resource Services 

Administration (HRSA), NHTSA, NIAAA, NIDA, ONDCP, and SAMHSA as 

well as Join Together, the Robert Wood Johnson Foundation (RWJ), and the 

American Association for the Surgery of Trauma. Representatives from

government agencies, advocates, professional organizations, and leading trauma

surgeons attended and presented at the conference, and devised a set of 

recommendations for research and practice in this area. In late 2004, the final 

recommendations and the complete proceedings of the conference will be

published as a special supplement of the Journal of Trauma. 

• DOT/NHTSA Screening & Brief Intervention -- DOT partnered with the 

American College of Emergency Physicians, Emergency Nurses Association, 

American Academy of Family Physicians and the National Hispanic medical 

Association to conduct screening and brief intervention activities, including 

providing intervention for underage youth. This effort is targeted toward adults. 

• SAMHSA SAPT Block Grant -- The SAPT Block Grant contains a prevention 

set-aside that reserves a minimum of 20 percent of each State’s block grant 

allocation for prevention activities. While the majority of the programs supported 

by these funds are designed to prevent substance abuse in general, many can be 

expected to have an impact on the reduction of underage drinking. The SAPT 

Block Grant application has historically asked States to report voluntarily on 

underage drinking strategies. Examples include State's implementation of public 

Education and/or media campaigns; State laws against consuming alcohol on 

college campuses; policies or enforcement of laws reducing access to alcohol by 

minors, including event restrictions, product price increases, or penalties for sales 

to minors; estimated age of drinking onset; and, statutes restricting alcohol 

promotions to underage audiences. Data on States' answers to these questions are 

in CSAP's "e-prevention" Block Grant database. 

• SAMHSA Access to Recovery (ATR) -- ATR is a Presidential initiative to 

provide consumer choice among substance abuse clinical treatment and recovery 

support service providers, expand access to a comprehensive array of clinical 

treatment and recovery support options (including faith-based programmatic 

options), and increase substance abuse treatment capacity. States and Tribal 

Organizations may implement the program statewide or may target geographic 

areas of greatest need, specific populations in need, or where there is a high 

degree of readiness to implement a voucher program. Through the ATR grants, 

 46 
these entities will have flexibility in designing and implementing voucher 

programs to meet the needs of consumers in the State/tribal community. They are 

encouraged to support any mixture of traditional clinical treatment and recovery 

support services that can be expected to achieve the program’s goal of achieving 

successful outcomes for the largest number of people at the lowest available cost. 

• SAMHSA National Association of Insurance Commissioners Effort -- CSAT 

provided experts to educate State legislators who also serve as State insurance 

commissioners about the repeal of a model insurance law that does not support 

reimbursement for medical care following an alcohol-related traffic crash 

resulting in injury. The existing and now repealed Model Law was based on the 

1950’s premise that alcohol problems were due to a moral failing rather than the 

current disease model of alcohol problems. With the repeal of this Model, State 

insurance laws will provide for reimbursement of alcohol-related events and the 

opportunity for the attending emergency room provider to conduct a brief 

intervention surrounding the person's injury and drinking pattern.

• SAMHSA Fetal Alcohol Spectrum Disorders (FASD) -- The largest of CSAP's

alcohol programs addresses Fetal Alcohol Spectrum Disorders (FASD) for 

teens/women of childbearing 11-to 44-years-old to decrease drinking by pregnant 

women. Communities, States and juvenile justice systems will embed evidencebased screening, diagnosis, programs and services in existing systems for 

children, youth and adults. Programs include an FASD Center for Excellence, 

and Alaska's Five-Year FAS Cooperative Agreement, which is jointly funded by 

CSAP and CSAT. While these programs do not specifically target underage 

drinkers, they can be expected to reach this population as well as adults. 

• SAMHSA Targeted Capacity Expansion Program (TCE) -- CSAT's TCE 

program addresses emerging substance abuse trends and the disparity in some

areas between the demand for and the availability of appropriate treatment. It is 

designed to address gaps in treatment capacity by supporting rapid and strategic 

responses to demands for both alcohol and drug treatment services in 

communities with serious, emerging drug problems as well as communities with 

innovative solutions to unmet needs. Adolescents are one of the target 

populations for the TCE grants. In 2003, the TCE programs served approximately 

300 adolescents, of which approximately one-third were alcohol involved. 

• SAMHSA Screening, Brief Intervention, Referral, and Treatment (SBIRT) 

Grants -- SBIRT involves implementation of a system within community and 

specialist settings that screens for and identifies individuals with substance userelated problems. Depending on the level of problems identified, the system 

either provides for a brief intervention within the generalist setting, when 

appropriate, or motivates and refers the individual with a high level of problems

and probable diagnosis of a substance dependence disorder to the specialist 

setting for assessment and diagnosis and either brief or long-term treatment. This 

includes training in self-management and involvement in mutual help groups, as 

 47 
appropriate. (Workgroup on Substance Abuse Self-Help Organizations, 2003) 

Several SBIRT grantees have developed programs that are available to individuals 

under 21-years of age. 

 

• SAMHSA Programs for Improving Addiction Treatment -- CSAT supports a 

variety of programs to improve transfer of science to services and improve 

addiction treatment nationally. For example, the Addiction Technology Transfer 

Center (ATTC) Network is dedicated to identifying and advancing opportunities 

for improving addiction treatment. The Network is designed to upgrade the skills 

of existing practitioners and other health professionals and to disseminate the 

latest science to the treatment community. The ATTC Network provides both 

academic (pre-service) and continuing education opportunities as well as 

technical assistance to multiple disciplines working in the addictions field. In 

addition several Treatment Improvement Protocols (TIPS) address these concerns 

(e.g., 16: Alcohol and Drug Screening of Hospitalized Trauma Patients, 24: A 

Guide to Substance Abuse Services for Primary Care, 26: Substance Abuse 

Among Older Adults, 31: Screening and Assessing Adolescents for Substance Use 

Disorders, 32: Treatment of Adolescents With Substance Use Disorders, 34: Brief 

Interventions and Brief Therapies for Substance Abuse.) 

• SAMHSA National HELPLINE - 1-800-662-HELP -- Individuals in need of 

treatment for alcohol or illicit drug problems can call the SAMHSA National 

HELPLINE for referral to appropriate treatment services. In addition individuals 

seeking treatment can go to the SAMHSA web site www.samhsa.gov to locate 

treatment services in their area. 

• SAMHSA Partnership for Drug-Free America (PDFA) -- In conjunction with 

PDFA, CSAT is working on the development of a consumer-related interactive 

web site. The site, an interactive online treatment resource, will be targeted to 

friends, family and other caring influencers of dependent youth and young adults. 

Using SAMHSA resources, attention will be paid to culturally appropriate 

information and culturally specific links and resources. The site will seek to assist 

the influencer to find encouragement, access to general expertise on substance use 

disorders and information to help them navigate their way towards additional help 

and resources. The overall strategy of the site is "the earlier you seek help for an 

individual with a substance abuse disorder you care about the better. Don't wait. 

Learn more about how you CAN help now."

• SAMHSA Program to Provide Treatment Services for Family, Juvenile, and 

Adult Treatment Drug Courts -- Drug Courts are designed to combine the 

sanctioning power of courts with effective treatment services to break the cycle of 

child abuse/neglect or criminal behavior, alcohol and/or drug use, and 

incarceration or other penalties. Motivational strategies are developed and 

utilized to help adolescents deal with often powerful negative influences of peers, 

gangs, and family members. 

 48 
• SAMHSA Young Offender Reentry Program (YORP) -- This program 

addresses the needs of sentenced substance-abusing juveniles and young adult 

offenders from the ages of 14 to 21 who are returning to their families and 

community from adult of juvenile incarceration in facilities including prisons, 

jails, or juvenile detention centers. YORP is designed to form partnerships that 

will plan, develop and provide community-based substance abuse treatment and 

related reentry services for the targeted population. 

Goal 3: Use research, evaluation, and surveillance to improve the effectiveness of

programs and policy designed to prevent and reduce underage drinking

Rationale: Research, evaluation, and surveillance will serve to inform and improve the 

delivery of programs to prevent and reduce underage drinking. 

Goal 3 Objective 1. Increase knowledge of effective approaches to prevent and reduce 

underage drinking and its consequences, with an emphasis on developmentally and 

culturally appropriate strategies and interventions. 

Goal 3 Objective 1A. Federal strategy: Analyze the current knowledge base regarding 

preventing and reducing underage drinking, with an emphasis on developmentally and 

culturally appropriate strategies and interventions. 

Activities Specific to Underage Drinking: 

• NIAAA Research Studies to Examine the Brain Mechanisms of Adolescent 

Alcohol Abuse and Alcoholism -- It is now understood that adolescence is a time 

of powerful developmental forces that go well beyond the traditional 

conceptualization of “raging hormones,” and include significant changes to the 

brain and nervous system. These changes include increased myelination of neural 

cells and “pruning” of synapses and neural pathways that are infrequently used. 

Due to these processes of neural development, adolescence may be a particularly 

vulnerable time for exposure to alcohol. The newly funded studies build on 

findings in animal studies that show that: (1) heavy binge-like episodes of ethanol 

consumption produce damage in areas of the brain affecting cognition and 

memory; and (2) adolescent alcohol drinking in genetically predisposed rats has 

long-lasting effects into adulthood, potentially increasing alcohol-seeking 

behavior, making it more difficult to stop drinking, and increasing the probability 

of relapse. 

• NIAAA Research Studies to Examine Cognitive Changes Associated with 

Adolescence that may Influence Risk for Alcohol Abuse -- Adolescents are 

more likely to have logical thinking disrupted by emotional activity, thereby 

leading to poor decision-making. The influence of such processes on risk for 

alcohol abuse is being studied. Changing expectations of outcomes from drinking 

in adolescents are also being investigated, along with methods for altering these 

expectations as part of prevention efforts. 

 49 
• NIAAA Research Partnership Awards for Rapid Response to College 

Drinking Problems -- In August 2003, NIAAA issued RFA AA-03-008 that 

facilitates collaboration between alcohol researchers and universities/colleges to 

support intervention studies on college campuses that can capitalize on natural 

experiments (e.g., unanticipated adverse events, policy changes, new media 

campaigns). The next steps will include matching these researchers and their 

designed intervention to a natural environment on a college/ university campus 

that is experiencing a college drinking related issue. This cooperative agreement 

will continue until July 2008; a Policy Steering Committee of Federal partners 

was constituted in spring, 2004. This effort targets college-age youths. 

• NIAAA New Initiative on Underage Drinking in Rural and Small Urban 

Areas -- In FYs 2004/2005 NIAAA will address underage drinking in rural and 

small urban areas, as directed by FY 2004 House Appropriation language. Recent 

findings from NIAAA that indicate that alcoholism has its peak onset in late 

adolescence, coupled with increased understanding of adolescence itself, leads to 

a reexamination of alcoholism as a developmental disorder of youth. To followup on these recent advances in the science of alcohol abuse and dependence, this 

36-month initiative, based in rural health care settings, will examine the risk 

factors for underage alcohol consumption among children in rural and small urban 

areas and will develop and test community-based, longitudinal prevention and 

intervention programs. This initiative targets youth under 21. 

Activities Related to Underage Drinking: 

• CDC/NIH Initiative on Research Designs for Complex, Multi-level Health 

Interventions and Programs -- The goals of this initiative, developed in 

cooperation with the National Institutes of Health (NIH), AHRQ, and the Robert 

Wood Johnson Foundation are to: 1) build a broad-based consensus as to the 

strengths and limitations of experimental, quasi-experimental, and natural 

experiment research designs for studying complex interventions, programs, or 

policies implemented at the community level, and to 2) encourage an enhanced 

understanding of the strengths and weaknesses of alternative designs for 

evaluating the effectiveness of community-based interventions. One of the 

specific topics addressed is the evaluation of interventions to prevent alcohol 

purchase and use among adolescents. 

• CDC, other agencies (TBA), and the Task Force on Community Preventive 

Services Systematic Reviews and Recommendations -- This HHS-chartered 

Task Force on Community Services will oversee systematic reviews of the 

effectiveness of several programs and policies to reduce high-risk alcohol 

consumption and its consequences. These reviews will provide the basis for Task 

Force recommendations for or against implementation of these programs and 

policies, or indicating the need for further outcome-oriented research. Results and 

recommendations will be disseminated to key audiences through several channels. 

 50 
Several of the interventions to be evaluated will be specifically directed at 

underage drinking. 

• CDC Alcohol-Related Disease Impact (ARDI) Software -- In September 2004, 

the Alcohol Team in the National Center for Chronic Disease Prevention and 

Health Promotion at CDC released an updated version of ARDI software, which 

is accessible through the CDC’s Alcohol and Public Health web site 

(www.cdc.gov/alcohol). The software provides national and State-level estimates 

of alcohol-attributable deaths (AADs) and years of potential life lost (YPLL) for 

excessive alcohol consumption. The software allows users to create custom data 

sets, so that they can generate sub-State (e.g., city or county level) estimates as 

well. For chronic conditions, AADs and YPLLs are calculated for decedents aged 

>20 years; for the majority of acute conditions, they are calculated for decedents 

aged >15 years. However, ARDI also provides estimates of AADs and YPLLs 

for persons aged <15 years who died from motor-vehicle crashes, child 

maltreatment, and low birth weight. Consistent with World Health Organization 

recommendations, the harmful and beneficial effects of alcohol use are reported 

separately. The Alcohol Team is expanding the functionality of ARDI so that 

users can calculate alcohol-related economic impacts as well. 

• OJJDP-funded Wake Forest University School of Medicine Studies of the 

Utilization of Best Practices in EUDL Discretionary Programming -- Utilizing 

a community trials evaluation design, Wake Forest University is conducting an 

evaluation during 2003 through 2005 of EUDL discretionary programming in 

selected communities within five States: California, Connecticut, Florida, 

Missouri, and New York. This systematic and rigorous evaluation is studying the 

implementation of research-based “best” and “most promising” practices to 

enforce underage drinking laws and prevent and reduce underage drinking. 

• SAMHSA The Drug and Alcohol Services Information System (DASIS) -- 

The primary source of national data on substance abuse treatment. The Office of 

Applied Studies (OAS), SAMHSA, conducts DASIS. While not specific to 

youth, it does provide information on adolescent substance abuse treatment 

facilities as well as adolescent treatment in correctional facilities. DASIS has 

three components: 

o The Inventory of Substance Abuse Treatment Services (I-SATS) is a 

listing of all known public and private substance abuse treatment facilities 

in the United States and its territories. Before 2000, the I-SATS was 

known as the National Master Facility Inventory. 

o The National Survey of Substance Abuse Treatment Services (N-SSATS)

is an annual survey of all facilities in the I-SATS that collects information 

on location, characteristics, services offered and utilization. Information 

from the N-SSATS is used to compile and update the National Directory 

of Drug and Alcohol Abuse Treatment Programs and the on-line 

 51 
Substance Abuse Treatment Facility Locator. The N-SSATS includes a 

periodic survey of substance abuse treatment in adult and juvenile 

correctional facilities. Before 2000, the N-SSATS was known as the 

Uniform Facility Data Set (UFDS). 

o The Treatment Episode Data Set (TEDS) is a compilation of data on the 

demographic and substance abuse characteristics of admissions to 

substance abuse treatment. Information on treatment admissions are 

routinely collected by State administrative systems and then submitted to

SAMHSA in a standard format. 

Goal 3 Objective 1B. Federal strategy: Support research to address gaps in the 

knowledge base that have been identified in 1A. 

Activities Specific to Underage Drinking: 

• NIAAA National Epidemiological Survey on Alcohol Related Conditions 

(NESARC) -- Longitudinal studies still following subjects ascertained when they 

were adolescents, genetic epidemiology studies, as well as, NIAAA’s National 

Epidemiological Survey of Alcohol Related Conditions which includes people 

aged 18 to 21, are particularly pertinent to the question of underage drinking. 

These studies all have the potential to enhance our understanding of the etiology, 

extent and consequences of underage alcohol consumption. This effort targets 

youth under 21yearsold. 

Activities Related to Underage Drinking: 

• Education National College Alcohol, Drug, and Violence Survey -- In August 

1998, ED contracted with the Core Institute, part of Southern Illinois University, 

to conduct a national probability sample survey of alcohol and other drug use and 

violence on college campuses. The data obtained from this survey can be used to 

assess the level of alcohol and other drug use and violent behavior among college 

students, thereby helping to plan, set policy, and design programs to best meet the 

needs of college campuses and their communities. 

Goal 3 Objective 2. Increase the use of evidence-based programs. 

Goal 3 Objective 2A. Federal strategy: Create a Federal registry of effective programs 

for use by States and communities to establish programs to reduce underage drinking. 

Activities Specific to Underage Drinking: The ICCPUD currently is exploring the use 

of the NREPP, as described below. 

 52 
Activities Related to Underage Drinking: 

• SAMHSA/CSAP National Registry of Effective Programs and Practices 

(NREPP) -- NREPP was developed in order to review and identify effective 

substance abuse programs and practices. This effort seeks candidates from the 

practice community and the scientific literature and includes three categories of 

programs: Effective Programs, Promising Programs, and Model Programs. 

Programs defined as Effective have the option of becoming Model Programs if 

their developers choose to take part in SAMHSA dissemination efforts. The 

target ages for this effort are across the lifespan. 

Goal 3 Objective 2B. Federal strategy: Through resources and expertise, encourage and 

support the rigorous evaluation of innovative and promising programs. 

Activities Specific to Underage Drinking: 

• NIAAA Adolescent Treatment Research Program -- NIAAA initiated an 

adolescent treatment research program in 1998. Since then, 18 clinical projects 

have been funded, most of which are clinical trials. Fifteen are behavioral 

projects and three are pharmacotherapy trials. The objective of this initial wave 

of studies is to design and test innovative, developmentally tailored interventions 

that provide evidence-based knowledge to improve alcohol treatment outcomes in 

adolescents. Results for many of these projects will be forthcoming over the next 

few years, and will yield a broad perspective on the potential efficacy of familybased, cognitive behavioral, brief motivational, and guided self-change 

interventions in a range of settings. 

Activities Related to Underage Drinking: NONE 

Goal 3 Objective 2C. Federal strategy: Use funding guidelines that (1) require the use of 

either evidence-based programs, or rigorously evaluated programs that are innovative and 

promising and (2) require the use of evaluation in all programs as a mechanism for 

identifying and correcting problems in the design and/or implementation. 

Activities Specific to Underage Drinking: 

• NIAAA College Drinking Initiative -- Undertaken in FY 2000-2002, this 

initiative continues to support and stimulate studies of the epidemiology and 

natural history of college student drinking and related problems with the ultimate 

goal of designing and testing interventions to prevent or reduce alcohol-related 

problems among college students. Currently NIAAA’s portfolio in this area 

includes more than 30 projects. This effort targets college-age youths. 

• NIAAA & OJJDP Enforcing Underage Drinking Laws (EUDL) Evaluation --

OJJDP is funding four States to conduct EUDL activities in three to five rural 

sites. NIAAA will be funding and managing an evaluation of those rural sites. 

 53 
This effort pulls together a community coalition to create an environment to 

reduce underage drinking in rural areas. This evaluation targets youth under 21-

years-old. 

• NIAAA Urban Northland -- The purpose is to adapt, enhance, implement, and 

evaluate Project Northland in racially diverse and economically disadvantaged 

urban neighborhoods of Chicago. In addition to using the Project Northland plan, 

the design of the intervention builds on recent results from other large-scale 

randomized trials on youth alcohol, tobacco, and other drug use. In addition to the 

cultural adaptations, the original strategies are enhanced, particularly those 

outside of the classroom setting. 

 

The design is a randomized community trial that will evaluate an adapted and 

enhanced Project Northland in 10 intervention and 12 control units (schools and 

surrounding neighborhoods) with sizable African American and Hispanic 

populations. Approximately 4,400 students and their families will be involved. A 

supplement was received from OBSSR (NIH) to support an additional component 

to analyze the effects of alcohol marketing in the participating neighborhoods. 

Project Northland is being replicated and evaluated for its effectiveness in 

ethnically diverse urban neighborhoods. The original program was implemented 

and evaluated in a non-urban area. This effort targets youths in grades 6 through 

12. 

• OJJDP-funded Wake Forest University School of Medicine Studies of the 

Utilization of Best Practices in EUDL Discretionary Programming -- Utilizing 

a community trials evaluation design, Wake Forest University is conducting an 

evaluation during 2003 through 2005 of EUDL discretionary programming in 

selected communities within five States: California, Connecticut, Florida, 

Missouri, and New York. This systematic and rigorous evaluation is studying the 

implementation of research-based “best” and “most promising” practices to 

enforce underage drinking laws and prevent and reduce underage drinking. 

• SAMHSA Service to Science -- In FY 2004, SAMHSA/CSAP plans to fund 

logistics and technical assistance efforts to support the Service to Science 

initiative through the CSAPCAPT Logistics Task Order. A portion of this 

initiative will direct fixed-price "mini" subcontracts selected programs in order to 

assist them in enhancing program capacity for rigorous evaluation design, 

outcomes measurement, data collection and analysis, and replication 

documentation. The goal of these modest capacity-enhancement subcontracts is to 

assist programs that demonstrate readiness to move up the scale of evidence and 

show promise of achieving recognition through SAMHSA’s NREPP rating 

process. Approximately one-third or five of the total number of mini-subcontracts 

will be directed to successful programs that target underage drinking 

interventions. The target ages are those under 21-years-old. 

 54 
Activities Related to Underage Drinking: NONE 

Goal 3 Objective 3. Increase surveillance of underage drinking, contributing factors, 

and consequences. 

Goal 3 Objective 3A. Federal strategy: Continue to use national surveys to monitor age 

of first use, prevalence, binge use, and heavy use. 

Activities Specific to Underage Drinking: NONE 

Activities Related to Underage Drinking: 

• CDC Youth Risk Behavioral Survey (YBRS) -- YBRS collects data about risk 

behaviors of high school students in grades 9 through 12. It provides information 

about their lifetime alcohol use, frequency of drinking, frequency of binge 

drinking, age of first drink of alcohol, and alcohol use on school property. In 

addition, there is an optional list of questions for States to consider adding that 

includes questions about the type of beverage that youth usually consume, the 

specific brand of beer that youth usually consume, the usual location where youth 

drink, and the source of alcohol obtained by the youth. 

• CDC Behavioral Risk Factor Surveillance System (BRFSS) -- BRFSS collects 

data on number of drinking days in the past 30 days, average number of drinks per 

occasion, and frequency of binge drinking. Although the system does not 

specifically cover the underage population, it does include persons 18- to 21-

years-old. BRFSS currently has a binge drinking module collecting more detailed 

information on a person’s most recent binge drinking episode, including beverage 

type, location of drinking, and source of alcohol. 

• CDC Pregnancy Risk Assessment Monitoring System (PRAMS) -- PRAMS 

collects information on women 13-years or older who recently had a live birth. 

The survey asks about weekly alcohol consumption in the pre-conception period 

and during pregnancy. 

• NIAAA National Epidemiological Survey on Alcohol Related Conditions 

(NESARC) -- This census-based longitudinal survey collects information on 

alcohol use, experiences with alcohol and related conditions, as well as the 

demographics and family history used in analyzing health data. This will provide 

information about individual alcohol consumption, alcohol use disorders, and 

their associated disabilities in the general population. The NIAAA uses the 

NESARC data in order to estimate the frequency and patterns of alcohol use, 

estimate the frequency of alcohol experiences, determine what medicines and 

drugs people use, and increase its understanding of why people drink. Results of 

the analysis of the data will be used to formulate policies in regards to the

treatment and prevention of alcoholism. This survey targets youths 18 to 21 and 

over. 

 55 
• NIDA Monitoring the Future Survey (MTF) -- MTF is an ongoing study of the 

behaviors, attitudes, and values of American secondary school students, college

students, and young adults. Each year, a total of some 50,000 8th, 10th and 12th 

grade students are surveyed (12th graders since 1975, and 8th and 10th graders 

since 1991.) In addition, annual follow-up questionnaires are mailed to a sample 

of each graduating class for a number of years after their initial participation. This 

survey targets youths in grades 8 through 12. 

• SAMHSA National Survey on Drug Use and Health (NSDUH) [formerly

called the National Household Survey on Drug Abuse (NHSDA)] -- Conducted 

by SAMHSA/OAS, this survey is the primary source of information on the 

prevalence, patterns, and consequences of alcohol, tobacco, and illegal drug use 

and abuse in the general U.S. civilian non- institutionalized population, ages 12 

and older. While the NSDUH is not alcohol- specific, it does track a variety of 

information on underage alcohol use and provides a database for special studies 

related to alcohol use and alcohol use disorders.

Goal 3 Objective 3B. Federal strategy: Explore the possibility for surveying younger 

children than are queried currently. 

Goal 3 Objective 3C. Federal strategy: Explore the option of expanding national 

surveys to ask about second-hand effects of alcohol use by youth. 

Goal 3 Objective 3D. Federal strategy: Explore options for monitoring alcohol-related 

incidents on college campuses. 

Goal 3 Objective 3E. Federal strategy: Explore options for facilitating the recording of 

alcohol related emergency department visits. 

Goal 3 Objective 3F. Federal strategy: Explore options for monitoring every unnatural 

death under age 21 for the presence of alcohol. 

Goal 3 Objective 3G. Federal strategy: Explore options for examining the role of 

messages in the media in reinforcing cultural support for prevention of underage 

drinking. 

• SAMHSA (For objectives 3B to 3G) -- An analysis of all existing Federal data 

sets related to underage drinking is underway, both to ensure that all appropriate 

measures for the plan have been identified, and to provide the basis for planning 

coordinated changes in the data sets in the future. 

 56 
Acronym Glossary of Federal Departments & Agencies 

Department of Education Education or ED 

Safe and Drug-Free Schools SDFS 

Office of Elementary and Secondary Education OESE 

Department of Health and Human Services HHS 

Administration for Children, Youth, and Families ACYF 

 Family and Youth Service Bureau FYSB 

Agency for Healthcare Research and Quality AHRQ 

Centers for Disease Control and Prevention CDC 

 Center for Medicaid Services CMS 

Health Resources and Services Administration HRSA 

National Institute on Alcohol Abuse and Alcoholism NIAAA 

 National Institute on Drug Abuse NIDA 

Office of Public Health and Science OS/OPHS 

Office of the Surgeon General OSG 

Substance Abuse and Mental Health Services SAMHSA 

Administration 

Center for Mental Health Services CMHS 

Center for Substance Abuse Prevention CSAP 

Center for Substance Abuse Treatment CSAT 

 Office of Applied Studies OAS 

Department of Justice DOJ 

Office of Juvenile Justice and Delinquency Prevention OJJDP 

Office of Justice Programs OJP 

Department of Labor DOL 

 Employment Training Administration ETA 

 Office of Youth Services OYS 

Occupational Safety and Health Administration OSHA 

Office of National Drug Control Policy ONDCP 

Department of Transportation DOT 

National Highway and Traffic Safety Administration NHTSA 

 57 
Acronym Glossary of Federal Programs & Agencies (alphabetical) 

Access to Recovery ATR

Addiction Technology Transfer Center ATTC 

Administration for Children, Youth, and Families ACF 

Agency for Health Care Research and Quality AHRQ 

Alcohol Policy Information System APIS 

Basic Center Program BCP

Behavioral Risk Factor Surveillance System BRFSS 

Birth Control and Alcohol Awareness: Negotiating Choices 

 Effectively Project Balance

Centers for Disease Control and Prevention CDC 

Center for Medicaid Services CMS 

Center for Mental Health Services CMHS 

Center for Substance Abuse Prevention CSAP 

Center for Substance Abuse Treatment CSAT 

Community Anti-Drug Coalitions of America CADCA 

Department of Education ED 

Department of Health and Human Services HHS 

Department of Justice DOJ 

Department of Labor DOL 

Department of Transportation DOT 

Drug and Alcohol Services Information System DASIS 

Drug Free Communities Program DFC 

Employment Training Administration ETA 

Enforcing the Underage Drinking Laws EUDL 

Family and Youth Services Bureau FYSB 

Fatality Analysis Reporting System FARS 

Federal Alcohol Spectrum Disorder FASD 

Health Resource Services Administration HRSA 

Institute of Medicine IOM 

Interagency Coordinating Committee on the Prevention of Underage 

Drinking ICCPUD 

International Association of Chiefs of Police IACP 

Inventory of Substance Abuse Treatment Services I-SATS 

Iowa Strengthening Families Program ISFP 

Local Educational Agencies LEAs 

Monitoring the Future Survey MTF 

Mothers Against Drunk Driving MADD 

National Academy of Sciences NAS 

National Alcohol Screening Day NASD 

National Association for Children of Alcoholics NACoA 

National Association of School Resource Officers NASRO 

National Epidemiological Survey on Alcohol Related Conditions NESARC 

National Health and Nutrition Examination Survey NHANES 

 58 
National Highway Traffic Safety Administration NHTSA 

National Institutes of Health NIH 

National Institute on Alcohol Abuse and Alcoholism NIAAA 

National Liquor Law Enforcement Association NLLEA 

National Organizations for Youth Safety NOYS 

National Registry of Effective Programs and Practices NREPP 

National Survey of Substance Abuse Treatment Services N-SSATS 

National Survey on Drug Use and Health NSDUH 

Network for Employees of Traffic Safety NETS 

Occupational Safety and Health Administration OSHA 

Office of Juvenile Justice and Delinquency Prevention OJJDP 

Office of National Drug Control Policy ONDCP 

Office of Surgeon General OSG 

Office of the Assistant Secretary for Planning and Evaluation ASPE 

Office of Youth Services OYS 

Outreach to Children of Parents in Treatment OCPT 

Partnership for Drug-Free America PDFA 

Pregnancy Nutrition Surveillance System PNSS 

Pregnancy Risk Assessment Monitoring System PRAMS 

Protecting You/Protecting Me PYPM 

Public Service Announcements PSAs 

Robert Wood Johnson Foundation RWJ 

Safe and Drug-Free Schools and Communities Act SDFSCA 

Screening, Brief Intervention, Referral, and Treatment SBIRT 

State Incentive Grant Program SIG 

Strategic Prevention Framework SPF 

Street Outreach Program SOP 

Students Against Destructive Decisions SADD 

Substance Abuse and Mental Health Services Administration SAMHSA 

Substance Abuse Prevention and Treatment SAPT 

Targeted Capacity Expansion Program TCE 

Techniques for Effective Alcohol Management TEAM 

Too Smart to Start TSTS

Transitional Living Program TLP 

Treatment Episode Data Set TEDS 

Treatment Improvement Protocols TIPS 

Uniform Accident and Sickness Policy Provision Law UPPL 

Uniform Facility Data UFDS 

Virginia Commonwealth University VCU 

Youth Offender Demonstration Project YODP

Young Offender Reentry Program YORP 

Youth Opportunity Grants YOGs 

Youth Risk Behavior Survey YRBS 

 
APPENDIX C 

 
Federal Programs by Agency, Plan Goals and Objectives 

Program Agency(ies) Goal(s) Ages Description 

ACTIVITIES SPECIFIC TO UNDERAGE DRINKING

Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD) HHS 

Goal 1 Objective 2A Under 21 

At Secretary Thompson’s request, the Administrator of SAMHSA, Mr. Charles G. Curie, MInteragency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD). representatives from NIAAA, DOJ/OJJDP, ED/Office of Safe and Drug Free Schools, DOTthe ASPE, ACF, and SAMHSA. This ICCPUD is intended to serve both as a mechanism fresource for the development of a plan for combating underage drinking, which has been mongoing, high-level leadership on this important issue, HHS intends that the ICCPUD be a 

Messages 

CDC, DOT, ED, HHS, NIAAA, NHTSA, OJJDP, ONDCP, OPHS, SAMHSA 

Goal 1 Objective 1A Pre-teen - 21

To strengthen a national commitment to addressing the problem of underage drinking, it is opportunities to convey the same messages at the same time. Therefore, the leadership o1) highlight the need to prevent underage drinking and its negative consequences in speec

ensure that the Administration is speaking with a common voice on the issue; 3) reinforce 

developed; and, 4) publicize programs/events, research results, etc. that address the unde

Support 21-year-old drinking age 

CDC, DOT, ED, HHS, NIAAA, NHTSA, OJJDP, ONDCP, OPHS, SAMHSA 

Goal 1 Objective 1A Pre-teen - 21 Continue to develop and utilize messaging that supports 21-year-old drinking age. 

Web site 

CDC, DOT, ED, HHS, NIAAA, NHTSA, OJJDP, ONDCP, OPHS, SAMHSA 

Goal 1 Objective 2C 

SAMHSA is creating a Federal web site dedicated to the issue of underage drinking suppoweb site would include a searchable database of all Federal programs/resources related to 

contain sections on core messaging, information on resources and materials, college drink

such as parents, communities, and youth. 

Department of Education Higher Education Center for Alcohol and Other Drug Prevention Education 

Goal 2 Objective 1C College 

The Center's mission is to help colleges and universities in their efforts to prevent alcohol atheir campuses and in their surrounding communities using comprehensive prevention straproviding technical assistance; training; publication and dissemination of prevention mater

analysis activities. 

Interagency Agreements 

Education NIAAA 

Goal 1 Objective 2B College 

Since FY 1999, the ED provided funds to the NIAAA to support grants with activities that halcohol abuse and associated problems among college students. 

Safe and Drug Free Schools Prevention Programs Education 

Goal 2 Objective 1B High school 

The Office of Safe and Drug Free Schools provides grants to local educational agencies (Linnovative and effective alcohol abuse prevention programs for secondary school studentsprograms to implement activities that include one or more proven SAMHSA model programalcohol abuse. Since 2002, 57 school districts across 28 States have received grants unde
Program Agency(ies) Goal(s) Ages Description 

Strategies for Grantees Education 

Goal 2Objective 3A Under 21 

All grantees are required to implement, as part of their overall program, one or more of the alcohol abuse as determined by SAMHSA. Furthermore, they are required as part of the aactivities to be carried out under the grant will be effective in reducing underage alcohol ab

effectiveness of the activities. In addition to the discretionary grants, ED uses an Interagen

alcohol abuse resources and start-up assistance to grantees through a technical assistancHHS/SAMHSA/CSAP. 

Training and Technical Assistance 

 Education SAMHSA 

Goal 2Objective 1B High school 

Under the Grants to Reduce Alcohol Abuse in Secondary Students, ED, through an Interag

five regional Centers for the Application of Prevention Technologies provide training and teimplementing SAMHSA model programs in preventing alcohol abuse by secondary school 

Department of Health and Human Services 

Runaway and Homeless Youth Program: Street Outreach Program ACF 

Goal 2Objective 1D Under 21 

Through the Street Outreach Program, FYSB awards grants to private, nonprofit agencies relationships between grantee staff and street youth up to age 21. The goal of these effortstreets.

Runaway and Homeless Youth Program: Transitional Living Program ACF 

Goal 2Objective 1D 16-21 

The Transitional Living Program (TLP) supports projects that provide longer-term residenti

for up to 18 months. These services are designed to help youth who are homeless make a living. TLPs enhance youth’s abilities to make positive life choices through education and support they provide youth; they include services such as substance abuse education and 

of the FYSB grantee sites and it is expected that after participating in these programs, youregarding alcohol use. 

Youth Risk Behavioral Survey CDC 

Goal 3Objective 3A High school 

The survey collects data about risk behaviors of high school students in grades 9 through lifetime alcohol use, frequency of drinking, frequency of binge drinking, age of first drink of 

property. In addition, there is an optional list of questions for States to consider adding thabeverage that youth usually consume, the specific brand of beer that youth usually consumand the source of alcohol obtained by the youth. 

Public Health Strategy HHS 

Goal 1Objective 1C Under 21 

Department leadership will encourage the Regional Health Administrators, and all relevant 

underage drinking as a strategy for improving the public health. 

Adolescent Treatment Research Program NIAAA 

Goal 3Objective 2B Adolescent

NIAAA initiated an adolescent treatment research program in 1998. Since then, 18 clinicawhich are clinical trials. Fifteen are behavioral projects and three are pharmacotherapy tria

studies is to design and test innovative, developmentally tailored interventions that provide alcohol treatment outcomes in adolescents. Results for many of these projects will be fort

yield a broad perspective on the potential efficacy of family-based, cognitive behavioral, br

interventions in a range of settings. 

Brief intervention research NIAAA 

Goal 2Objective 4A 

High school

dropouts 

NIAAA funded research is providing the evidence base for effective brief interventions with 

important study is seeking to develop effective interventions for reducing problem drinking 

adolescents and young adults, and enhance intervention approaches by identifying effectivcognitive behavioral social learning theory. Current approaches to behavior change in this primary prevention programs that do not address cessation/reduction issues for adolescenaddress motivational issues related to use and abuse, and cannot target school dropouts. 

older adolescents who have been treated in an Emergency Department following an alcoh

College Drinking Prevention Initiative NIAAA 

Goal 2Objective 1C College 

Undertaken in FYs 2000-2002, this initiative continues to support and stimulate studies of tcollege student drinking and related problems with the ultimate goal of designing and testinalcohol-related problems among college students. Currently NIAAA’s portfolio in this area 

effort targets college-age youths. 

 
Program Agency(ies) Goal(s) Ages Description 

College Drinking Prevention Initiative NIAAA 

Goal 3Objective 2C College Same as above 

College Drinking Prevention Web site NIAAA 

Goal 2Objective 1A College The college web site is www.collegedrinkingprevention.gov.

College Task Force and resulting report A Call to Action: Changing the Culture of Drinking At U.S. Colleges NIAAA 

Goal 2Objective 1C College 

NIAAA Deliberations of the Task Force of the National Advisory Council on Alcohol Abuse report A Call to Action: Changing the Culture of Drinking At U.S. Colleges released in 2002

report as well as other information related to alcohol consumption by college students thro

Coolspot web site for kids NIAAA 

Goal 2Objective 1B 11-13 

The NIAAA web site, www.thecoolspot.gov, provides information on underage drinking as to 13-years-old. 

Publications NIAAA 

Goal 2Objective 1A Adult 

NIAAA disseminates information for adults about prevention of underage drinking through 

NIAAA parent booklet, Make a Difference – Talk to Your Child About Alcohol – Parents’ Boentitled “Underage Drinking: A Major Public Health Challenge” (2003) and “Changing the Cwell as the widely cited report from the college drinking task force, A Call to Action: ChangColleges. 

NIAAA Web Site NIAAA 

Goal 2Objective 1A Adult 

The NIAAA web site, www.niaaa.nih.gov, provides adults with information about the scienc

There is a link to the NIAAA college web site, www.collegedrinkingprevention.gov, as well 

to kids, www.thecoolspot.gov. 

Environmental Prevention of College Alcohol Problems 

NIAAA SAMHSA 

Goal 2Objective 1C College 

This SAMHSA/CSAP/NIAAA five-year program, started in FY 1999, evaluates a compreheaimed at reducing binge drinking and resulting alcohol problems for college students at SaState University. 

Evaluation of Enforcing UnderageDrinking Laws (EUDL) 

NIAAA OJJDP 

Goal 1Objective 2A Under 21 

OJJDP is funding four States to conduct EUDL activities in three to five rural sites. NIAAA evaluation of those rural sites. This effort pulls together a community coalition to create an drinking in rural areas. 

Iowa Strengthening FamiliesProgram (ISFP) NIAAA 

Goal 2Objective 1A 

Families with a 

6th grade

student 

NIAAA supported this program as part of its research portfolio. Participants were given insproblem-solving, and perspective-taking skills. The first hour of each program session con

training. Among other issues, parents were taught limit-setting, communication, encourag

resources; adolescents received training on goal-setting, appreciating parents, dealing with pressure. The subsequent hour of joint training focused on appreciating others, understan

various communication skills. 

Iowa Strengthening FamiliesProgram (ISFP) NIAAA 

Goal 2Objective 1B 

Families with a 

6th grade

student 

NIAAA supported this program as part of its research portfolio. Participants were given insproblem-solving, and perspective-taking skills. The first hour of each program session con

training. Among other issues, parents were taught limit-setting, communication, encourag

resources; adolescents received training on goal-setting, appreciating parents, dealing with pressure. The subsequent hour of joint training focused on appreciating others, understan

various communication skills. 

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 1Objective 1B 9-15 

Launched in March 2000, the Leadership is a nationwide initiative spearheaded by 49 currbeen supported by seven public and private funding organizations. The four goals of the inuse by children a national health priority; 2) focus the attention of State and national policy seriousness of the early onset of alcohol use; 3) educate the public about the incidence an

9- to 15-years of age; and 4) mobilize the public to address these issues within their familie

sustained way and to work for change. 
Program Agency(ies) Goal(s) Ages Description 

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 1Objective 1B 

Parents and 

other adults The Governors Spouses produced television PSA’s directed at parents and other adults to 

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 1Objective 1C Adult Leadership provides support and materials for State policy briefings and other activities. 

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 1Objective 1D 9-15 

This effort provides support for youth centered events e.g., Smart and Sober Youth Confer

contest in Alaska. In addition the Leadership provided the keynote speaker and educationconference. 

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 1Objective 2A 9-15 

In addition to supporting the Leadership initiative itself through an Interagency Agreement 

link this initiative with prevention programs funded by the Substance Abuse Prevention and with certain SAMHSA programs, such as Too Smart to Start and the Reach Out Now Teac

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 1Objective 2B 9-15 

In addition to supporting the Leadership initiative itself through an Interagency Agreement 

funds an effort to link this initiative with prevention programs funded by the Substance Abu

in the States and with certain SAMHSA programs, such as Too Smart to Start and the Rea

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 2Objective 1A 9-15 

As part of its role in educating and raising awareness, the Leadership disseminates informchildhood drinking through a variety of publications including: How Does Alcohol Affect the Spanish), Keep Kids Alcohol Free: Strategies for Action (available in English and Spanish) Briefs. In 2002 and 2003 over a million copies of these materials were distributed. Additionon childhood drinking in 41 airports nationwide. It also distributes weekly-electronic updatespouses, national organizations, State officials, members of the prevention community and drinking prevention issue. The Leadership’s web site www.alcoholfreechildren.org also proto policymakers. 

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 2Objective 2C 9-15 

Governors’ spouses convene policy forums in their respective States bringing together pol

substance abuse officials, educators and other stakeholders to discuss effective measures drinking, especially by 9- to 15-year-olds. 

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 2Objective 2C 9-15 

Members of the Leadership convene policy forums in their respective States bringing toget

officials, substance abuse officials, educators and other stakeholders to discuss effective munderage drinking, especially by 9- to 15-year-olds. 

Leadership to Keep ChildrenAlcohol Free 

NIAAA SAMHSA 

Goal 2Objective 3A 9-15 

Provides support to Governors’ spouses for support of programs within their States, e.g., pConference. 

New Initiative on Underage Drinkingin Rural and Small Urban Areas NIAAA 

Goal 3Objective 1A Under 21 

In FY 2004/2005 NIAAA will address underage drinking in rural and small urban areas, as language. Recent findings from NIAAA that indicate that alcoholism has its peak onset in 

understanding of adolescence itself, leads to a reexamination of alcoholism as a developmthese recent advances in the science of alcohol abuse and dependence, this 36-month-init

will examine the risk factors for underage alcohol consumption among children in rural and 

test community-based, longitudinal prevention and intervention programs. 
Program Agency(ies) Goal(s) Ages Description 

Project Northland NIAAA 

Goal 2Objective 1A Grades 6-12

Project Northland, completed prior to 2004, is a comprehensive universal prevention progrnortheastern Minnesota in a randomized trial. The intervention, delivered to a single cohorinnovative social behavioral school curricula; peer leadership; parental involvement prograactivities to address community norms and alcohol availability. Significant differences wer

comparison communities during each project period for “tendency to use alcohol” (a compointentions to use alcohol and actual use) and “five or more in a row.” Growth rates were lo

during phase 1; higher during the interim period (suggesting a “catch-up” effect while interv

again during phase 2 when intervention activities resumed. Based on its success, Project program by SAMHSA, and its materials have been adapted for a general audience and ma

Project Northland NIAAA 

Goal 2Objective 1B Grades 6-12

Project Northland, completed prior to 2004, is a comprehensive universal prevention progrnortheastern Minnesota in a randomized trial. The intervention, delivered to a single cohorinnovative social behavioral school curricula; peer leadership; parental involvement prograactivities to address community norms and alcohol availability. Significant differences wer

comparison communities during each project period for “tendency to use alcohol” (a compointentions to use alcohol and actual use) and “five or more in a row.” Growth rates were lo

during phase 1; higher during the interim period (suggesting a “catch-up” effect while interv

again during phase 2 when intervention activities resumed. Based on its success, Project program by SAMHSA, and its materials have been adapted for a general audience and ma

Project Northland for Urban Youth NIAAA 

Goal 2Objective 1A Grades 6-12

The purpose is to adapt, enhance, implement, and evaluate Project Northland in racially diurban neighborhoods of Chicago. In addition to using the Project Northland plan, the desigresults from other large-scale randomized trials on youth alcohol, tobacco, and other drug adaptations, the original strategies are enhanced, particularly those outside of the classroo

Project Northland for Urban Youth NIAAA 

Goal 2Objective 1B Grades 6-12

The purpose is to adapt, enhance, implement, and evaluate Project Northland in racially diurban neighborhoods of Chicago. In addition to using the Project Northland plan, the desigresults from other large-scale randomized trials on youth alcohol, tobacco, and other drug adaptations, the original strategies are enhanced, particularly those outside of the classroo

Project Northland for Urban Youth NIAAA 

Goal 3Objective 2C Grades 6-12

The purpose is to adapt, enhance, implement, and evaluate Project Northland in racially diurban neighborhoods of Chicago. In addition to using the Project Northland plan, the desigresults from other large-scale randomized trials on youth alcohol, tobacco, and other drug adaptations, the original strategies are enhanced, particularly those outside of the classroo

Radio PSAs for parents NIAAA 

Goal 1Objective 1B 11-14 

NIAAA developed two underage drinking prevention PSAs for parents and three for childrefocused-tested, are 30 seconds each and are scheduled for release in late fall 2004. They media match program. 

Radio PSAs for kids NIAAA 

Goal 1Objective 1B 11-14 

NIAAA developed two underage drinking prevention PSAs for parents and three for childrefocused-tested, are 30 seconds each and are scheduled for release in late fall 2004. They media match program. The PSAs target those under 21-years of age.

Research Partnership Awards for Rapid Response to College DrinkingProblems NIAAA 

Goal 3Objective 1A College 

In August 2003, NIAAA issued RFA AA-03-008 that facilitates collaboration between alcohsupport intervention studies on college campuses that can capitalize on natural experimen

policy changes, new media campaigns). The next steps will include matching these resea

natural environment on a college/ university campus that is experiencing a college drinking 

agreement will continue until July 2008; a Policy Steering Committee of Federal partners w

targets college-age youths. 
Program Agency(ies) Goal(s) Ages Description 

Research studies to examine thebrain mechanisms of adolescent alcohol abuse and alcoholism NIAAA 

Goal 3Objective 1A Adolescent

It is now understood that adolescence is a time of powerful developmental forces that go wconceptualization of “raging hormones,” and include significant changes to the brain and n

increased myelination of neural cells and “pruning” of synapses and neural pathways that aprocesses of neural development, adolescence may be a particularly vulnerable time for estudies build on findings in animal studies that show that: (1) heavy binge-like episodes of 

areas of the brain affecting cognition and memory; and (2) adolescent alcohol drinking in glasting effects into adulthood, potentially increasing alcohol-seeking behavior, making it moincreasing the probability of relapse.

Research studies to examine cognitive changes associated with adolescence that may influence riskfor alcohol abuse NIAAA 

Goal 3Objective 1A Adolescent

Adolescents are more likely to have logical thinking disrupted by emotional activity, thereby influence of such processes on risk for alcohol abuse is being studied. Changing expectatadolescents are also being investigated, along with methods for altering these expectation

Research to limit youth access to alcohol NIAAA 

Goal 2Objective 2E Youth 

NIAAA supports research studies on programs that decrease youth access to alcohol. Procommunity members and others to decrease access. 

Web site NIAAA 

Goal 2Objective 1A 11-13 The web site provides information about preventing underage drinking. 

Building Blocks for a HealthyFuture SAMHSA 

Goal 2Objective 1A 

Parents of 

children

ages 3-6 

Building Blocks for a Healthy Future is an early childhood substance abuse prevention procaregivers about the basics of risk and protective factors, ways to reduce risk factors, and caregivers to better nurture and protect their children and promote healthy lifestyles. Desigchildren ages 3- to 6-years-old, Building Blocks is designed to help open up the lines of comake it easier to keep those lines of communication open as they grow older. Building Blo

Start Association, the National Association for Elementary School Principals, the League oAssociation Alliance to facilitate the training and dissemination efforts of the materials and 

The Health Communication Initiativefor Preventing Underage AlcoholUse (new in FY 2004) SAMHSA 

Goal 2Objective 1A Under 21 

CSAP’s new effort will provide resources, message development, and public education for 0- to 21-years-old. This project will provide ongoing support for the Too Smart Too Start in

addition, it will provide multi-faceted evidence-based approaches that communities in the nenhance protective factors and reduce the risk factors associated with underage alcohol us

trainers and facilitators to assist communities in providing evidence-based strategies for pr

Development of an Underage Drinking Public Service Campaign Directed at Parents SAMHSA 

Goal 1Objective 1B 9-15 

This project supports the Ad Council in the development of an underage drinking campaign 

campaign, the Ad Council is consulting with interested parties, including advocates and the 

Governors' Spouses Initiative SAMHSA 

Goal 1Objective 2A 9-15 

In addition to supporting the Leadership initiative through an Interagency Agreement with Nthis initiative with prevention programs funded by the SAPT Block Grant in the States and Too Smart to Start and the Reach Out Now Teach-Ins. This effort targets youth 9- to 15-ye

Mothers Against Drunk Driving (MADD) SAMHSA 

Goal 2Objective 1A 11-14 

CSAP is providing support for one year to MADD to support them in building a partnership 

In 2002, these tribes were awarded funding to implement Protecting You/Protecting Me (P

curriculum for elementary students that is a CSAP Model Program. The project entails obsthe transcultural process leading to modifications of the curriculum. The target age is elem
Program Agency(ies) Goal(s) Ages Description 

Preventing Underage and Binge Drinking and Alcohol ProblemsAmong Youth and College Students in El Paso and Brownsville, Texas SAMHSA 

Goal 1Objective 1D 18-25 

In 1997, "Operation Safe Crossing" was developed in San Diego/Tijuana to reduce the numcrossing the US/Mexico border to drink in Mexico. Beginning in 2001, a series of replicatioenvironmentally-oriented prevention approach in El Paso and Brownsville, Texas. Laredo, additional goal along the US/Mexico border is to reduce the harm associated with cross-boimpaired driving, date rape, and fights). The original program was highly successful, reducand was named a SAMHSA Model Program in 2002. Funding additionally supports commenforcement, local policy-makers, alcohol beverage workers (bartenders and bar owners) prevention field who manage and ensure overall program effectiveness. 

Potential Interventions for UnderageDrinkers in Emergency Rooms SAMHSA 

Goal 2Objective 4A 

A white paper about the interventions that could be used with underage drinkers admitted developed. The paper includes next steps/recommendations, the barriers to recruiting und

emergency room brief intervention programs, variables that increase participation rates in interventions impact adolescents' movement through the continuum of the stages of chang

Reach Out Now Fifth and Sixth Grade Scholastic Supplements SAMHSA 

Goal 2Objective 1A 

5th and 6th

graders and

their parents 

SAMHSA and Scholastic Magazine have developed a special edition targeting 10- and 11- Reach Out Now: Talk with Your Fifth Graders about Underage Drinking, these materials haand teachers, and include a classroom discussion guide for teachers, activity sheet for stuparents. In March 2002, the package was sent for the first time to every fifth grade class in participating in the Leadership to Keep Children Alcohol Free Initiative. In the spring of 20

sixth grade class in the country.

Safer Colleges and Universities SAMHSA 

Goal 2Objective 1C College 

This five-year program was initiated in FY 2002 to evaluate the impact of a comprehensive

among 14 campuses from the University of California and California State University Systeeducational and risk management strategies may work alone and in combination in the conheavy drinking or reduce alcohol-related problems among college students. Evaluations mcampus/community policies and practices to directly address factors contributing to abusivsystems/structures to promote non-drinking norms. Multi-component interventions may be strategies or link them with interventions that focus on individuals. 

Service to Science SAMHSA 

Goal 3Objective 2C Under 21 

In FY 2004, SAMHSA/CSAP plans to fund logistics and technical assistance efforts to sup

through the CSAP CAPT Logistics Task Order. A portion of this initiative will direct fixed-p

programs in order to assist them in enhancing program capacity for rigorous evaluation decollection and analysis, and replication documentation. The goal of these modest capacityprograms that demonstrate readiness to move up the scale of evidence and show promise SAMHSA’s NREPP rating process. Approximately one-third or five of the total number of msuccessful programs that target underage drinking interventions. The target ages are thos

Strategic Prevention Framework (SIG) SAMHSA 

Goal 2Objective 3A Under 21 

SIGs have given the Governors of 44 States and Territories the opportunity to enhance thesystems and fill gaps in programs with evidence-based services to address the widespread 

Strategic Prevention Framework (SPF) SIG (new in FY 2004) SAMHSA 

Goal 1Objective 1C Under 21 

SAMHSA’s FY 2004 SPF SIG grants will give States and communities the opportunity to fo

through an epidemiologically-based State Needs Assessment. Subsequently, they will targspan with evidence-based prevention and early intervention policies, programs and practic

providing prevention resources and facilitating systems improvement to help ensure succeGrant to Performance Partnerships. The grants will receive support for up to five years, suSIG grant offers an excellent vehicle for supporting the goals of this underage drinking initi

prevention of underage alcohol consumption in their SPF SIG Project and provide a comprproblem, in addition to other SPF SIG priorities. All tasks, including needs assessment, coallocations, implementation and evaluation must be carried out with a consideration for the 

TEAM SAMHSA 

Goal 2Objective 1C Adult 

CSAP's TEAM (Techniques for Effective Alcohol Management) supports the development public assembly facilities (primarily sports arenas) including effective means of deterring u
Program Agency(ies) Goal(s) Ages Description 

Treatment of Adolescent AlcoholAbuse and Alcoholism Replication of Effective Alcohol TreatmentInterventions for Youth SAMHSA 

Goal 2Objective 4A 

In FY 2003, CSAT developed the Adopt/Expand Effective Adolescent Alcohol and Drug Abprogram builds on effective interventions for youth experiencing alcohol or other drug probprovide training and certification on using Motivational Enhancement Therapy/Cognitive Beintervention. 

Youth Underage Drinking Prevention Campaign - Too SMARTto START (TSTS) SAMHSA 

Goal 1Objective 2B 9-13 

This effort is a national community education program targeting children and youth 9- to 13

and tested in nine communities nationwide and provides professionals, volunteers, and pahelp shape healthy behaviors regarding alcohol use for a lifetime. TSTS includes a web pcommunity action kit to help plan, develop, promote and support local underage alcohol usmaterials and strategies that are flexible for use in communities of all sizes and actively inv

clear, consistent messages about why children should reject underage drinking. 

50 Schools 50 States Tour

SurgeonGeneral 

Goal 1Objective 1A Under 21 

As the nation’s leading doctor, the Surgeon General will continue to address underage drinthe country, with a focus on the issue as a public health problem. For example, he addresprevention in his 50 schools/50 States tour. 

Department of Justice Enforcing Underage Drinking Laws OJJDP 

Goal 1Objective 1A Under 21 

The Underage Drinking Enforcement Training Center maintains a small library of radio and 

(PSAs) aimed at increasing awareness of underage drinking and it's consequences among are voluntarily forwarded to the Center by EUDL State Coordinators and EUDL-funded comlibrary of PSAs is made available to State Coordinators and others who request guidance o

of PSAs. The Center instructs recipients to contact the producer of the PSA if they would way.

Enforcing Underage Drinking Laws OJJDP 

Goal 1Objective 1C Under 21 

Each State and the District of Columbia has designated an agency to implement the EUDL implementing the initiative has a EUDL Coordinator. The contact for each agency designaUnderage Drinking Enforcement Training Center web site: www.udetc.org.

Enforcing Underage Drinking Laws OJJDP 

Goal 1Objective 1D Under 21 

A standard component of EUDL discretionary programming at the local level is the developin planning and implementation of the EUDL program in their community. Youth assist law utilize media to promote underage drinking prevention, hold alcohol-free events, and particon underage drinking issues.

Enforcing Underage Drinking Laws OJJDP 

Goal 1Objective 2B Under 21 

OJJDP, through the Underage Drinking Enforcement Training Center, conducts an annual provides training opportunities and promotes cooperation, coordination, and collaboration offices, health agencies, justice agencies, enforcement, schools, youth advocacy groups, h

prevention service providers. This cooperation, coordination, and collaboration is enhanceaudio-conferences on a wide range of topics that address the various aspects of underage approaches for addressing those issues. 

Enforcing Underage Drinking Laws OJJDP 

Goal 2Objective 1A Under 21 

A major component of the EUDL program is the training and technical assistance provided 

Training Center. The Center identifies science-based strategies, publishes supporting doctechnical assistance. These resources may be accessed at www.udetc.org.
Program Agency(ies) Goal(s) Ages Description 

Enforcing Underage Drinking Laws OJJDP 

Goal 2Objective IC Under 21 

The Underage Drinking Enforcement Training Center has published the following documencommunities in enforcing retail establishment’s compliance with underage drinking laws: TOff Premise Clerk, Licensee, and Manager Training provides training tools for all retail saleestablishing and supporting management policies that prevent sales of alcohol to minors. 

What You Should Know about Merchant Education Programs discusses Merchant Educaticomprehensive community strategies to reduce underage drinking. The document discuss

Education, identifies necessary components, and provides resources for more information

Enforcing Underage Drinking Laws OJJDP 

Goal 2Objective 2A Under 21 

The Underage Drinking Enforcement Training Center has published the following documenpolicies and procedures for reducing access to alcohol to those under 21-years-old. PublisStrategies to Reduce Underage Alcohol Use: Typology and Brief Overview provides a sumused to reduce underage drinking and indicates the level of effect that might be expected fresearch and evaluation.

Enforcing Underage Drinking Laws OJJDP 

Goal 2Objective 2B Under 21 

The Underage Drinking Enforcement Training Center has published the following documenpolicies and procedures for reducing access to alcohol to those under 21-years-old. PublisStrategies to Reduce Underage Alcohol Use: Typology and Brief Overview provides a sumused to reduce underage drinking and indicates the level of effect that might be expected fresearch and evaluation.

Enforcing Underage Drinking Laws OJJDP 

Goal 2Objective 2C Under 21 

The EUDL program design encourages partnerships between enforcement and those interOne design element required in the discretionary program component is the utilization of m

comprehensive approach to underage drinking prevention at the local level. OJJDP is dire

Statewide task forces of State and local law enforcement and prosecutorial agencies, condinclude informing alcohol retailers about laws pertaining to underage drinking and their con

programming. 

Enforcing Underage Drinking Laws OJJDP 

Goal 2Objective 2D Under 21 

In Fiscal Year 2004, the EUDL discretionary program partnered with NIAAA to address undpart of the program design, rural communities are to assess and improve judicial response

establishing one sentencing standard for all youth offenders. 

Enforcing Underage Drinking Laws OJJDP 

Goal 2Objective 2E Under 21 

The Underage Drinking Enforcement Training Center has published the following documen

alcohol to underage persons. Strategies for Reducing Third-Party Transactions of Alcohol 

problem of non-retail sources of alcohol for underage drinkers. The document includes the operations and other techniques to deter adults from buying or providing alcohol for undera

Evaluation of EUDL

OJJDP NIAAA 

Goal 1Objective 2A Under 21 NIAAA is conducting an evaluation of OJJDP’s EUDL program. 

Enforcing Underage Drinking Laws(EUDL) evaluation 

OJJDP NIAAA 

Goal 3Objective 2C Under 21 

OJJDP is funding four States to conduct EUDL activities in three to five rural sites. NIAAA evaluation of those rural sites. This effort pulls together a community coalition to create an drinking in rural areas. 
Program Agency(ies) Goal(s) Ages Description 

Juvenile and Family Drug Courts OJJDP 

Goal 2Objective 2C 

Juveniles and 

families 

In November 2004, OJJDP will assume management of the juvenile and family drug court were initially implemented to address adult drug offenders, the approach has been modifiejustice system to address the unique needs of juvenile substance abusers and within the c

substance abuse of parents who are charged with abuse and neglect of their children. Yougenerally are between 14- and 17-years-old. A high percentage of these youth are multi-shaving engaged in alcohol abuse. The drug court program uses the coercive power of the helps alter destructive behavior through a combination of escalating sanctions, mandatory 

aftercare. OJJDP manages approximately 135 juvenile and family drug court grants. In addition, OJJ

planning to initiate either a juvenile or family drug court program. It is estimated that approtraining sessions during 2005. 

Wake Forest University School of Medicine Studies of the Utilization of Best Practices in EUDL Discretionary Programming OJJDP 

Goal 3Objective 2C 16-21 

Utilizing a community trials evaluation design, Wake Forest University is conducting an evaEUDL discretionary programming in selected communities within five States: California, CoYork. This systematic and rigorous evaluation is studying the implementation of research-practices to enforce underage drinking laws and prevent and reduce underage drinking. 

Wake Forest University School of Medicine Studies of the Utilization of Best Practices in EUDL Discretionary Programming OJJDP 

Goal 3Objective 1A 16-21 

Utilizing a community trials evaluation design, Wake Forest University is conducting an evaEUDL discretionary programming in selected communities within five States: California, CoYork. This systematic and rigorous evaluation is studying the implementation of research-practices to enforce underage drinking laws and prevent and reduce underage drinking. 

Video produced by the Police Executive Research Forum (PERF) titled Beyond the Bench 

OJJDP NHTSA 

Goal 2Objective 2D Adult 

OJJDP in partnership with NHTSA funded a video produced by the Police Executive Resevideo, featuring two judges who have exercised leadership on the underage drinking issueactivity in developing a community response to preventing underage drinking. The video m

Youth Courts OJJDP 

Goal 2Objective 1B 

Juveniles and 

families 

Youth courts, also called teen, peer, and student courts, are programs in which youthful of

delinquent and status offenses or problem behaviors by their peers. Over the past ten yeathere has been over a 1000 percent increase in the number of youth court programs. In 19courts operating in the United States. As of July 2004, there were more than 965 youth coDistrict of Columbia and hundreds of jurisdictions are in various operational stages of estadata collection survey indicated of these 965 communities with operational youth courts, 7

crimes and offenses by minors. In May 2002, the results from the first National Youth Cou

Institute. The results indicated youth handled by Youth Court were less likely to re-offend. 

Department of Labor Federal Network Group for Young Worker Safety and Health OSHA 

Goal 1Objective 2A 14-28 

Many Youth Offender Demonstration Project (YODP) sites provide alternative activities for 

to consume alcohol – on weekends and evenings. These include community service activyouth conferences. As well, there are traditional counseling and intervention services prov

problem with substance abuse. Many youth engaged in YODP are required to provide somadjudication. Sites coordinate community service activities in part to serve as the restitutio

value of the efforts to the community being served as well as the positive self-esteem that 

also offer traditional case management and assessment services for youth that focus on th

provide referrals when appropriate. (Completed in FY 2003) 
Program Agency(ies) Goal(s) Ages Description 

Teen Worker Initiative OSHA 

Goal 1Objective 1A 14-24 

OSHA launched a Young Worker Initiative to reduce the risk of injuries and illnesses amon

of that initiative, now a part of the agency’s strategic plan, an innovative Teen Worker web 

specifically targets teens, their employers, their educators, and their parents with age and potential workplace hazards and how to reduce these occupational risks. A new addition to the web site incorporates text and links recognizing alcohol and drug use teens is that in order to work, they must be alcohol and drug-free. Embedded links take usinformation: employers to DOL’s Working Partners for an Alcohol- and Drug-Free WorkplaYouth Anti-Drug Media Campaign Freevibe web site; and educators and parents to ONDC

The addition of these messages in the Teen Worker web site are expected to increase awadrinking and will direct these audiences to specific resources to enable them to change be

Youth Offender Demonstration Project ETA 

Goal 2Objective 2C 14-24 

Many YODP sites provide alternative activities for youth at times when they are most likely 

evenings. These include community service activities, social outings, picnics and even yotraditional counseling and intervention services provided for youth who feel they may have youth engaged in YODP are required to provide some manner of restitution as part of their community service activities in part to serve as the restitution and also use the time to emp

community being served as well as the positive self-esteem that comes from a job well donmanagement and assessment services for youth that focus on the mental health needs of appropriate. 

Youth Opportunity Grants (YOGs) ETAOYS

Goal 2Objective 1 D 14-21 

YOGs represent a major commitment on the part of the DOL to serve youth growing up in communities. They provide both in-school and out-of-school youth with a variety of employservices. Currently, there are 36 grants in the United States with a combined enrollment osites work with local partnering agencies that utilize assessment tools to indicate whether yor drug use or at risk of engaging in such behavior and refer these youth to contracted cou

information on the connection between employment problems and underage drinking (i.e., underage drinking, problems with obtaining or keeping a driver’s license for the same reas

with certified addictions counselors and set aside dollars to treat substance abuse. 

Office of National Drug Control Policy"Challenges in Higher Education" Booklet ONDCP 

Goal 2Objective 1C College 

On June 10, 2004, ONDCP released this booklet that is focused on college-aged drug and substance abuse issues contains information on underage drinking and policy/program dircampus. Outreach activities continue to find venues to bring ONDCP’s perspective on youprofessionals, BACCHUS-GAMMA and the Inter-Association Task Force together represemembers from colleges representing the areas of student personnel, student activities, cam

college administrators, and college students. 

The National Youth Anti-Drug MediaCampaign ONDCP 

Goal 1Objective 1B 

12-18 and 

 parents 

This Campaign addresses underage drinking prevention in the context of illicit drug use thrfreevibe.com, drugstory.org) and brochures, including the popular booklet titled "Keeping YParents and Caregivers." In addition, ad time and space has been donated for underage dCampaign's media match program, which has benefits such groups as MADD, National CoDependence, Alateen and Al Anon. With the start of the Early Intervention Initiative in Febunderage drinking along with illicit drug use. This effort targets youth 12- to 18-years-old, a
Program Agency(ies) Goal(s) Ages Description 

Department of Transportation Alcohol Prevention Handbook forColleges and Universities NHTSA 

Goal 2Objective 1C College 

NHTSA and Education, with the Higher Education Center for Alcohol and Other Drug PrevCampus: A Guide for Preventing Impaired Driving and Underage Drinking. Grounded in redescribes strategies for combating underage drinking and impaired driving. 

BACCHUS and GAMMA PeerEducation Network NHTSA 

Goal 2Objective 1C 18-24 

NHTSA and the BACCHUS and GAMMA Peer Education Network will demonstrate combiunderage drinking among the 18-24 year age population. Launched in the fall of 2004, the enforcement, local policy, and peer education strategies at the University of California at R

A&M University. NHTSA and the BACCHUS and GAMMA Peer Education Network will demhigh-risk and underage drinking among the 18- to 24-year-old population. 

BACCHUS & GAMMA PeerEducation Network NHTSA 

Goal 1Objective 1D College This network reaches underage college youth with a positive social norming message abo

College Binge Drinking Prevention Initiative NHTSA 

Goal 2Objective 1C College 

NHTSA is working with the North American Interfraternity Conference to develop programs underage drinking on campuses. Alcohol summits have been conducted on college 18 caactivities, events and policies were developed and implemented. The results and experien

sororities will be featured in a new publication, The Alcohol Summit: A Roadmap for Fraterrelease in summer 2004. This effort targets youth who are college age. 

Congressionally mandated programs to encourage States toenact 21 age drinking laws and Zero Tolerance Laws NHTSA 

Goal 1Objective 1A 

NHTSA implemented congressionally mandated programs to encourage States to enact 2Tolerance Laws (Zero Tolerance laws make it unlawful for a person under the age of 21 to 

system. Minimum Drinking Age laws make it unlawful for a person under age 21 to purchaall 50 States and the District of Columbia have enacted both of these laws. NHTSA continthese Federal mandates. Failure to comply results in financial sanctions to the States. 

Guidebook for Colleges and Universities

NHTSA Education 

Goal 2Objective 1C College 

To contribute to the efforts of reaching the national goal of reducing alcohol-related traffic fyear 2005, DOT/NHTSA provided funds to the Department of Education, as part of a two-yan underage drinking and impaired driving prevention manual titled Safe Lanes on Campuwas made available to help college campuses and their surrounding communities to impleunderage drinking prevention programs. This effort targets college-age youths. 

Interagency Agreement to ReduceAlcohol-Related Traffic Fatalities NHTSA 

Goal 2Objective 1C College NHTSA provided funds to reduce alcohol-related traffic fatalities to no more than 11,000 by 

Latino Strategies NHTSA 

Goal 1Objective 1D 15-20 

NHTSA and ASPIRA will utilize the ASPIRANTE (Youth) program around the country to respecific Latino youth underage drinking and impaired driving information. ASPIRA, with Nnewsletter in both English and Spanish for parents and another for students, each addressguidance for preventing underage drinking and driving. 

Information for Employers NHTSA 

Goal 2Objective 1B 

High school

and college 

NHTSA, through a partnership with NETS (Network for Employers of Traffic Safety) and addistribute materials for employers to use with underage workers regarding the issues of driresource under development is designed for employees who are parents of teens, “Teens Drinking,” and provides guidance to employees and their families on how to deal with this ihigh school and college. 

Peer-to-Peer Strategies NHTSA 

Goal 2Objective 1B High school 

NHTSA and Students Against Destructive Decisions (SADD) are supporting the Think Abo

awareness program focused on underage drinking and impaired driving. A SADD and the support of underage drinking enforcement mobilizations. SADD is also establishing a cadr

drinking and driving activities at the local level. 
Program Agency(ies) Goal(s) Ages Description 

Support for SADD (Students AgainstDestructive Decisions) NHTSA 

Goal 1Objective 1D High school 

This effort reaches youth organizations in local communities and schools with peer-to-peer prevent underage drinking and driving. 

Skills Training for Youth Leaders NHTSA 

Goal 2Objective 1B 8-24 

NHTSA, through the National Organizations for Youth Safety (NOYS) provides skills trainintrain peers in how to help prevent underage drinking and driving; provides additional leadeand developed the first component of an online program, “Project U-Turn; Turn a Tragic Evenhances protective factors to help change attitudes regarding underage drinking and driv

Support for the International Association of Chiefs of Police NHTSA 

Goal 1Objective 2B 5-20 

NHTSA and the International Association of Chiefs of Police (IACP) developed an Educatiorecognize drug abuse among students and provide appropriate intervention. The program systematic approach to recognizing and evaluating drug abuse.

Traffic Safety Curriculum for School Resource Officers NHTSA 

Goal 1Objective 1D 

Adult training

 for all school 

ages 

NHTSA and National Association of School Resource Officers are developing a traffic safe

olds for delivery by School Resource Offices. The curriculum emphasizes impaired driving 

Underage Drinking Enforcement NHTSA 

Goal 1Objective 2B Adult 

NHTSA and the National Liquor Law Enforcement Association (NLLEA) are developing a bprogram to assist State and local alcohol beverage control and law enforcement agencies 

Youth Data Compendium NHTSA 

Goal 1Objective 2B 18-24 

DOT will compile a compendium of data relevant to youth programs and underage drinking address a comprehensive range of data concerning traffic safety problems among youth 8

Zoning and Ordinance Plans to Prevent Underage Drinking and Impaired Driving NHTSA 

Goal 2Objective 2B Adult 

NHTSA and the Responsible Hospitality Institute will develop a web-based resource guide community policies and processes to address underage drinking and impaired driving. Deconducted in selected sites. 

ACTIVITIES RELATED TO UNDERAGE DRINKING

Interagency Meetings/Working GroupsNational meeting 

NHTSA NIAAA SAMHSA SurgeonGeneral

Goal 1Objective 1A Under 21 

On February 12, 2004 these Federal agencies convened a national meeting of national hescreening and brief intervention as a part of routine medical practice. 

Uniform Accident and SicknessPolicy Provision Law (UPPL) Working Group 

CDC NHTSA NIAAA NIDA SAMHSA 

Goal 2Objective 4A Adult 

CDC chairs an ongoing working group of Federal and nonfederal partners to evaluate the eproblems of insurance regulations allowing denial of payment for medical services for alcoworking group is to monitor the impact of current and changing insurance regulations on scuse disorders in emergency departments and trauma centers, and to recommend improveand brief interventions. 
Program Agency(ies) Goal(s) Ages Description 

Department of EducationAlcohol and Other Drug Prevention Models on College Campuses Grant Competition Education 

Goal 2Objective 3A College 

The goals of this funding opportunity are to identify models of innovative and effective alcoprograms at institutions of higher education, and disseminate information about these prog

students and to other colleges and universities where similar efforts may be adopted. 

Learning Education Agreements and Grants Education 

Goal 1Objective 2B Under 21 

In FY 2004, the Office of Safe and Drug Free Schools Initiative Grants to Reduce Alcohol Afunding to 10 additional Learning Education Agreements (LEAs) and continued funding to 

are to implement SAMHSA model programs to reduce underage drinking in secondary sch

appropriated to support Grants to Reduce Alcohol Abuse, the Higher Education Grants (GPrevention Models in Higher Education. Performance reports for the Safe and Drug-Free SGrants (SDFSCA) do not break down expenditures for alcohol-related programming. State community-based recipients under the SDFSCA State Grants Program may elect to use fuprevention as well as violence. Districts overwhelmingly used funds to address both alcoh

2002 and FY 2003, Education transferred funds to SAMHSA/CSAP under this Interagency implementing 21 Model programs, including multiple program implementations. In FY 200awards in the GRAAP initiative and transferred funds to support all 57 grants to Reduce Al

Grant Competition to Prevent HighRisk Drinking or Violent BehaviorAmong College Students Education 

Goal 2Objective 3A College 

In FY 2001 and FY 2003, the goal of this grant competition was to provide funds to individuconsortia thereof, as well as public and private nonprofit organizations (including faith-base

develop or enhance, implement, and evaluate campus- and/or community-based preventioon and developed solutions to reduce high-risk drinking or violent behavior among college 

NIAAA Alcohol Policy Information System (APIS) Education 

Goal 2Objective 3A College 

APIS is an electronic resource that provides authoritative, detailed, and comparable inform

United States, at both State and Federal levels. Designed primarily as a tool for researchefacilitate research on the effects and effectiveness of alcohol-related policies. Although noAPIS does provide information on all policies relevant to underage drinking, for example pooutlets for preventing alcohol sales and service to minors. 

National College Alcohol, Drug, and Violence Survey Education 

Goal 3Objective 1B College 

In August 1998, ED contracted with the Core Institute, part of Southern Illinois University, t

survey of alcohol and other drug use and violence on college campuses. The data obtaine

the level of alcohol and other drug use and violent behavior among college students, thereprograms to best meet the needs of college campuses and their communities. 

National Meeting on Alcohol and Other Drug Abuse and ViolencePrevention in Higher Education Education 

Goal 2Objective 3A College 

Each year, the Department sponsors the National Meeting to assist grantees and other ca

on effective strategies related to drug abuse and violence prevention in higher education. 

Department of Health and Human Services Mentoring Children of Prisoners ACF 

Goal 1Objective 1D 4-15 

FYSB supports the Mentoring Children of Prisoners Program. The living conditions, family incarcerated parents make it likely that significant numbers of children of prisoners will suffData indicate that mentoring programs have reduced first time alcohol use by 33 percent. 

National Youth Summit ACF 

Goal 1Objective 1D 15-24 

Each year, FYSB sponsors a National Youth Summit to promote leadership opportunities fwith alternatives to risky behavior. The Summit celebrates America's youth and their achie2004, the Summit theme was Youth Leadership in America's Communities. 
Program Agency(ies) Goal(s) Ages Description 

Runaway and Homeless Youth Program: Basic Center Program ACF 

Goal 2Objective 1D Up to 18 

This program provides funding to local communities to support young people, particularly rfamilies. Basic Center Program grants offer assistance to at-risk youth (up to age 18) in nefamily and youth counseling and refer them to services like substance abuse treatment. T

FYSB awards grants to private, nonprofit agencies to conduct outreach designed to build rstreet youth up to 21-years-old. The goal of these efforts is to help young people leave the 

(TLP) supports projects that provide longer-term residential services to homeless youth ag

months. These services are designed to help youth who are homeless make a successful 

enhance youths’ abilities to make positive life choices through education and awareness pyouth; they include services such as substance abuse education and counseling. Alcohol sites and it is expected that after participating in these programs, youth will be prepared to use. 

Alcohol-Related Disease Impact (ARDI) CDC 

Goal 3Objective 1A Adolescents 

In September 2004, the Alcohol Team in the National Center for Chronic Disease Preventireleased an updated version of ARDI software, which is accessible through the CDC’s Alco(www.cdc.gov/alcohol). The software provides national and state-level estimates of alcoho

potential life lost (YPLL) for excessive alcohol consumption. The software allows users to 

generate sub-state (e.g., city or county level) estimates as well. For chronic conditions, AAdecedents aged >20 years; for the majority of acute conditions, they are calculated for decalso provides estimates of AADs and YPLLs for persons aged <15 years who died from mand low birth weight. Consistent with World Health Organization recommendations, the haare reported separately. The Alcohol Team is expanding the functionality of ARDI so that ueconomic impacts as well. 

Behavioral Risk Factor SurveillanceSystem (BRFSS) CDC 

Goal 3Objective 3A Grades 9-12

BRFSS collects data on number of drinking days in the past 30 days, average number of d

binge drinking. Although the system does not specifically cover the underage population, years-old. BRFSS currently has a binge drinking module collecting more detailed informatdrinking episode, including beverage type, location of drinking, and source of alcohol. 

Initiative on Research Designs for Complex, Multi-level HealthInterventions and Programs

CDC NIH 

Goal 3Objective 1A Adolescents 

The goals of this initiative, developed in cooperation with NIH, AHRQ, and the Robert Woobroad-based consensus as to the strengths and limitations of experimental, quasi-experimdesigns for studying complex interventions, programs, or policies implemented at the commenhanced understanding of the strengths and weaknesses of alternative designs for evalu

based interventions. One of the specific topics addressed is the evaluation of interventions among adolescents. 

Pregnancy Risk Assessment Monitoring System (PRAMS) CDC 

Goal 3Objective 3A 13 and up 

PRAMS collects information on women aged 13-years or older who recently had a live birt

consumption in the pre-conception period and during pregnancy.

Project BALANCE (Birth Controland Alcohol Awareness: ProjectBalance (Birth Control and Alcohol Awareness: Negotiating Choices Effectively) CDC 

Goal 2Objective 4A 18-24 

The program consists of (1) a brief epidemiological survey, (2) focus groups, and (3) a ran

intervention directed at Virginia Commonwealth University (VCU) college students from 18

objectives are to identify the prevalence of risky drinking and contraceptive behaviors in thintervention in a randomized trial comparing a group receiving both assessment and one faassessment only. The intervention focuses both on drinking and unprotected sex, allowing behaviors. 
Program Agency(ies) Goal(s) Ages Description 

Recommendations and ConferenceProceedings on Screening and Brief Intervention for Trauma Patients CDC 

Goal 2Objective 4A Adult 

In May 2003, CDC organized a three-day conference to promote screening of hospitalized problem and providing on-site brief interventions, referral, and treatment. The conference 

HRSA, NHTSA, NIAAA, NIDA, ONDCP, and SAMHSA as well as Join Together, the RobeAmerican Association for the Surgery of Trauma. Representatives from government agenorganizations, and leading trauma surgeons attended and presented at the conference, an

research and practice in this area. In late 2004, the final recommendations and the compl

published as a special supplement of the Journal of Trauma. 

Task Force on CommunityPreventiveServices Systematic Reviews and Recommendations 

CDC and others TBA 

Goal 3Objective 1A Under 21 

The HHS-chartered Task Force on Community Services will oversee systematic reviews oand policies to reduce high-risk alcohol consumption and its consequences. These review

recommendations for or against implementation of these programs and policies, or indicati

research. Results and recommendations will be disseminated to key audiences through seinterventions to be evaluated will be specifically directed at underage drinking. 

Alcohol Policy Information System: NIAAA 

Goal 2Objective 3A Under 21 

APIS is an electronic resource that provides authoritative, detailed, and comparable inform

United States, at both State and Federal levels. Designed primarily as a tool for researchefacilitate research on the effects and effectiveness of alcohol-related policies. Although noAPIS does provide information on all alcohol policies relevant to underage drinking, for exaalcohol outlets for preventing alcohol sales and service to minors. 

National Alcohol Screening Day NIAAA 

Goal 2Objective 1C 18 and over 

The goal of National Alcohol Screening Day (NASD) is to create public awareness of and p

and provide the opportunity to screen and refer, when indicated, for further assessment anare held on college campuses, in community settings, and in private and public primary ca

adults, and older adults. When the results of the screening test indicate, participants are re

the treatment Referral Locator program funded by SAMHSA. Since its inception in 1999, nhave participated in the educational component of NASD. In 2003, approximately 750 peo

NASD Event" in various cities across the country. In 2003, screening occurred on almost 95,300 colleges, community, and primary care settings registered to conduct NASD screeni

National Epidemiological SurveyonAlcohol Related Conditions (NESARC) NIAAA 

Goal 3Objective 3A Under 21 

Longitudinal studies still following subjects ascertained when they were adolescents, geneNIAAA’s National Epidemiological Survey of Alcohol Related Conditions which includes pepertinent to the question of underage drinking. These studies all have the potential to enhextent and consequences of underage alcohol consumption. 

Monitoring the Future Survey (MTF) NIDA 

Goal 3Objective 3A High school 

MTF is an ongoing study of the behaviors, attitudes, and values of American secondary scyoung adults. Each year, a total of some 50,000 8th, 10th and 12th grade students are surand 10th graders since 1991.) In addition, annual follow-up questionnaires are mailed to a number of years after their initial participation. This survey targets youths in grades 8 thro

Access to Recovery SAMHSA 

Goal 2Objective 4A Adult & youth

Access to Recovery (ATR) is a Presidential initiative to provide consumer choice among surecover support service providers, expand access to a comprehensive array of clinical trea(including faith-based programmatic options), and increase substance abuse treatment camay implement the program statewide or may target geographic areas of greatest need, sis a high degree of readiness to implement a voucher program. Through the ATR grants, tdesigning and implementing voucher programs to meet the needs of consumers in the Staencouraged to support any mixture of traditional clinical treatment and recovery support sethe program’s goal of achieving successful outcomes for the largest number of people at th
Program Agency(ies) Goal(s) Ages Description 

Drug and Alcohol ServicesInformation System (DASIS) SAMHSA 

Goal 3Objective 1A Adult & youth

DASIS is primary source of national data on substance abuse treatment. While not specifi

adolescent substance abuse treatment facilities as well as adolescent treatment in correctcomponents: o The Inventory of Substance Abuse Treatment Services (I-SATS) is a listing of all known 

treatment facilities in the United States and its territories.o The National Survey of Substance Abuse Treatment Services (N-SSATS) is an annual s

collects information on location, characteristics, services offered and utilization.o The Treatment Episode Data Set (TEDS) is a compilation of data on the demographic anadmissions to substance abuse treatment. 

Environmental Prevention of CollegeAlcohol Problems

SAMHSA NIAAA 

Goal 2Objective 1C College 

This five-year program, begun in FY 1999, evaluates a comprehensive environmental prevdrinking and resulting alcohol problems for college students at San Diego State University 

Fetal Alcohol Spectrum Disorders(FASD) SAMHSA 

Goal 2Objective 4A Women 11-44

The largest of CSAP's alcohol programs addresses Fetal Alcohol Spectrum Disorders (FA

11- to 44-years to decrease drinking by pregnant women. Communities, States and juvenbased screening, diagnosis, programs and services in existing systems for children, youth Center for Excellence, and Alaska's Five-Year FAS Cooperative Agreement, which is jointlthese programs do not specifically target underage drinkers, they can be expected to reac

MADD SAMHSA 

Goal 2Objective 1A 

Elementary

school children

In FY 2004 CSAP is providing support for one year to MADD to assist them in building a pa

reservations. In 2002, these tribes were awarded funding to implement Protecting You/Proprevention curriculum for elementary students that is a CSAP Model Program. The projecdocumentation of the transcultural process leading to modifications of the curriculum.

National Alcohol Screening Day SAMHSA 

Goal 2Objective 1C 18 and over 

Since its inception in 1999, nearly 100,000 people from 50 States have participated in the 

100,000 participants over 55,000 persons have been screened. Of those persons screenefor further assessment and diagnosis. In 2003, approximately 750 people were trained on various cities across the country. In 2003, screening occurred on almost 900 college campuniversities have signed up for 2004. In 2004, over 5,300 college, community, and primary NASD screening program. Of the 112, 241 participants over 70,821 persons have been scassessment and treatment diagnosis referral is the SAMHSA locator web site at: www.sam

National Association of Insurance  Commissioners Effort SAMHSA 

Goal 2Objective 4A Adult 

CSAT provided experts to educate State legislators who also serve as State insurance cominsurance law that does not support reimbursement for medical care following an alcohol-rexisting and now repealed Model Law was based on the 1950s premise that alcohol problethan the current disease model of alcohol problems. With the repeal of this Model, State inreimbursement of alcohol-related events and the opportunity for the attending emergency 

intervention surrounding the person's injury and drinking pattern. 

National HELPLINE - 1-800-662-HELP SAMHSA 

Goal 2Objective 4A Adult & youth

Individuals in need of treatment for alcohol or illicit drug problems can call the SAMHSA Naappropriate treatment services. In addition individuals seeking treatment can go to the SA

locate treatment services in their area. 
Program Agency(ies) Goal(s) Ages Description 

National Registry of Effective Programs and Practices (NREPP) SAMHSA 

Goal 3Objective 2A Lifespan 

This program was developed in order to review and identify effective substance abuse procandidates from the practice community and the scientific literature and includes three catePromising Programs, and Model Programs. Programs defined as Effective have the option developers choose to take part in SAMHSA dissemination efforts. The target ages for this 

National Survey on Drug Use and Health (NSDUH) SAMHSA 

Goal 3Objective 3A 12 & older 

Formerly called the National Household Survey on Drug Abuse (NHSDA): Conducted by S

(OAS), this survey is the primary source of information on the prevalence, patterns, and coillegal drug use and abuse in the general U.S. civilian non- institutionalized population, age alcohol- specific, it does track a variety of information on underage alcohol use and provideto alcohol use and alcohol use disorders. 

Outreach to Children of Parents in Treatment (OCPT) SAMHSA 

Goal 2Objective 1B 

School age

under 18 

In collaboration with the National Association for Children of Alcoholics (NACoA), the OCPincludes prevention materials that target the children of parents in substance abuse treatm18-years-old. The materials are being disseminated to substance abuse treatment centers 

children of parents in treatment. The kit includes a promising practices program list which 

services to children of substance abusing parents in various settings (e.g., treatment centevoluntary organizations); a practice manual and resource packet; videos; and colorful annoAugust 2004, a three-day training was provided for trainers on the use of SAMHSA/CSAP'Education for Children of Addicted Parents. Representatives from CSAP's Center for the A(CAPTs), One Sky Center, and CSAT's Addiction Technology Transfer Centers (ATTCs) aphilosophy, and goals of a children's supportive education program; program implementatifacilitators to run educational support groups for children of parents who are alcohol or druKit; and how to engage treatment providers, schools, and community-based prevention pro

Programs for Improving Addiction Treatment SAMHSA 

Goal 2Objective 4A Adult & youth

CSAT supports a variety of programs to improve transfer of science to services and improvexample, the Addiction Technology Transfer Center (ATTC) Network is dedicated to identiimproving addiction treatment. The Network is designed to upgrade the skills of existing pand to disseminate the latest science to the treatment community. The ATTC Network pro

continuing education opportunities as well as technical assistance to multiple disciplines wseveral Treatment Improvement Protocols (TIPS) address these concerns (e.g., 16: Alcoho

Trauma Patients, 24: A Guide to Substance Abuse Services for Primary Care, 26: SubstanScreening and Assessing Adolescents for Substance Use Disorders, 32: Treatment of Ado

34: Brief Interventions and Brief Therapies for Substance Abuse.) 

Partnership for Drug-Free America SAMHSA 

Goal 2Objective 4A Adult & youth

In conjunction with PDFA, CSAT is working on the development of a consumer-related inteonline treatment resource, will be targeted to friends, family and other caring influencers of 

Using SAMHSA resources, attention will be paid to culturally appropriate information and c

site will seek to assist the influencer to find encouragement, access to general expertise on 

to help them navigate their way towards additional help and resources. The overall strateg

for an individual with a substance abuse disorder you care about the better. Don't wait. Lenow". 

Program to Provide Treatment Services for Family, Juvenile, and Adult Treatment Drug Courts SAMHSA 

Goal 2Objective 4A Adolescent

Drug Courts are designed to combine the sanctioning power of courts with effective treatmabuse/neglect or criminal behavior, alcohol and/or drug use, and incarceration or other pendeveloped and utilized to help adolescents deal with often powerful negative influences of 

SAPT Block Grant SAMHSA 

Goal 1Objective 2A Under 21 

This block grant is a primary source of funding for alcohol prevention and treatment in the 

for adolescent treatment, States have the option of using this resource to treat alcohol use 
Program Agency(ies) Goal(s) Ages Description 

SAPT Block Grant SAMHSA 

Goal 2Objective 4A Under 21 

The SAPT Block Grant contains a prevention set-aside that reserves a minimum of 20 perc

for prevention activities. While the majority of the programs supported by these funds are 

general, many can be expected to have an impact on the reduction of underage drinking. historically asked States to report voluntarily on underage drinking strategies. Examples in

education and/or media campaigns; State laws against consuming alcohol on college camreducing access to alcohol by minors, including event restrictions, product price increases, estimated age of drinking onset; and statutes restricting alcohol promotions to underage au

these questions are in CSAP's "e-prevention" Block Grant database. 

Screening, Brief Intervention,Referral, and Treatment (SBIRT) Grants SAMHSA 

Goal 2Objective 4A Under 21 

SBIRT involves implementation of a system within community and specialist settings that s

substance use-related problems. Depending on the level of problems identified, the system 

within the generalist setting, when appropriate, or motivates and refers the individual with a diagnosis of a substance dependence disorder to the specialist setting for assessment and 

treatment. This includes training in self-management and involvement in mutual help grouSubstance Abuse Self-Help Organizations, 2003) Several SBIRT grantees have developed individuals under 21-years of age. 

Strategic Prevention Framework (SPF) SIG (new in FY 2004) SAMHSA 

Goal 2Objective 3A Under 21 

SAMHSA’s FY 2004 SPF SIG grants will give States and communities the opportunity to fo

through an epidemiologically-based State Needs Assessment, and they will subsequently life span with evidence-based prevention and early intervention policies, programs and praby providing prevention resources and facilitating systems improvement to help ensure sucGrant to Performance Partnerships. The grants will receive support for up to five years, suSIG grant offers an excellent vehicle for supporting the goals of this underage drinking initi

prevention of underage alcohol consumption in their SPF SIG Project and provide a comprproblem, in addition to other SPF SIG priorities. All tasks, including needs assessment, coallocations, implementation and evaluation must be carried out with a consideration for the 

Targeted Capacity Expansion Program SAMHSA 

Goal 2Objective 4A Adolescents 

CSAT's TCE program addresses emerging substance abuse trends and the disparity in sothe availability of appropriate treatment. It is designed to address gaps in treatment capacresponses to demands for both alcohol and drug treatment services in communities with se

communities with innovative solutions to unmet needs. Adolescents are one of the target 

the TCE programs served approximately 300 adolescents, of which approximately one-thir

Young Offender ReentryProgram (YORP) SAMHSA 

Goal 2Objective 4A 14-21 

This program addresses the needs of sentenced substance-abusing juveniles and young aand community from adult of juvenile incarceration in facilities including prisons, jails, or juvdesigned to form partnerships that will plan, develop and provide community-based substaservices for the targeted population.

Department of Justice OJJDP/NIAAA Evaluation of EUDL 

OJJDP NIAAA 

Goal 1Objective 2A Under 21 NIAAA evaluation of OJJDP program Enforcing Underage Drinking Laws (EUDL). 
Program Agency(ies) Goal(s) Ages Description 

Wake Forest University School of Medicine Studies of the Utilization of Best Practices in EUDL Discretionary Programming OJJDP 

Goal 3Objective 1A 16-21 

Utilizing a community trials evaluation design, Wake Forest University is conducting an evaEUDL discretionary programming in selected communities within five States: California, CoYork. This systematic and rigorous evaluation is studying the implementation of research-practices to enforce underage drinking laws and prevent and reduce underage drinking. 

Department of Labor Youth Opportunity Grant (YOG) Sites

DOL ETA 

Goal 2Objective 1D 14-21 

YOG sites utilize support groups and team building methods to create a positive atmosphe

mentoring activities that emphasize increasing self-esteem and providing safe adult role m

healthy lifestyles and family values in a culturally sensitive manner. Other activities also inawareness sponsored by local non-profits, focus groups to allow youth the chance to expre

local liquor stores to crack down on the selling of alcohol to minors, and the use of “party p

police to step up their neighborhood presence on weekends and holidays when alcohol is 

Office of National Drug Control PolicyDrug-Free Communities Program (DFC) ONDCP 

Goal 1Objective 1C Under 21 

In October 2004, SAMHSA took responsibility for administering the Drug-Free Communitiemade up of two types of grants—coalitions and mentoring—provides resources to local co

1) reduce substance abuse (including alcohol) among youth and, over time, among adults 

that increase the risk of substance abuse and promoting the factors that minimize the risk strengthen collaboration among communities, private non-profit agencies, and federal, statthe efforts of community coalitions to prevent and reduce substance abuse among youth. distinct communities, SAMHSA will begin working to apply its Strategic Prevention Framewwithin these grants, in order to link local needs with programs and services that have proveabuse problems. 

Department of Transportation Drug Impairment Training for Educating Professionals NHTSA 

Goal 2Objective 2C Adult training

NHTSA and the International Association of Chiefs of Police (IACP) developed an educatiorecognize drug abuse among students and provide appropriate intervention. The program systematic approach to recognizing and evaluating drug abuse. This effort is targeted tow

Impaired Driving Communications NHTSA 

Goal 1Objective 1B 15-20 

The Ad Council and NHTSA will consolidate impaired driving prevention communications imarketing campaign. The campaign’s aim is to influence behavior in high-risk populationswill be delivered primarily through three complementary campaigns: “You Drink and Drivedeterrence); “Friends Don’t Let Friends Drive Drunk” (addresses personal responsibility); aChances.”

Juvenile Holdover Program NHTSA 

Goal 2Objective 2D Adult training

NHTSA is working with the Community Anti-Drug Coalitions of America (CADCA) to promoalternative to the use of traditional juvenile detention, jails, or lockups when such facilities aunavailable. CADCA provides training to its member coalitions on how to implement the pprogram is targeted toward adults. 

NASRO NHTSA 

Goal 1 Objective 1C Adult training

NHTSA supports the development and training of School Resource Officers to more effectschools with safety messages, including underage drinking and driving. This effort targets 
Program Agency(ies) Goal(s) Ages Description 

National Organizations for Youth Safety (NOYS) Coalition

NHTSA HHS ED 

Goal 1Objective 1D 

Middle 

 school

through

college 

Support a national coalition of youth-serving organizations to address youth-related health drinking. NOYS has a membership of more than 30 active national organizations and Fedreaching other youth through positive youth development actions to promote safe and hearepresent culturally, ethnically, and geographically diverse youth through groups such as UNational Asian Pacific Americans Against Substance Abuse, Farm Safety 4 Just Kids, 100 and ASPIRA. 

American Indian Strategies 

NHTSA National Indian Education Association 

Goal 1Objective 1D High school 

NHTSA and the National Indian Education Association are developing leadership training fWarriors: Indian Youth for Traffic Safety will be provided at several key conferences in 200dissemination efforts. 

Parents Guide NHTSA 

Goal 2Objective 1D Adult 

In partnership with Network of Employers for Traffic Safety (NETS), NHTSA developed “Te

Underage Drinking” to deliver underage drinking and driving information to parents at work

Training for Judges NHTSA 

Goal 2Objective 2C Adult 

NHTSA, in partnership with the National Judicial College, supports the “Courage to Live” pEducation and information to youth in their community about underage drinking and driving effort targets high school age youth. 

Screening and Brief Intervention NHTSA 

Goal 2Objective 4A Adult 

DOT partnered with the American College of Emergency Physicians, Emergency Nurses APhysicians and the National Hispanic Medical Association to conduct screening and brief iinterventions for underage youth.

State Highway Safety Funding NHTSA 

Goal 1Objective 1C Under 21 

Provides Federal funding to States and local communities through State Highway Safety Orelated to underage drinking and driving under the following programs: 402 (State and comincentive grants); 154 (open container transfers); 157 (occupant protection incentive grantsBAC incentive grants).

Stop Impaired Driving Web Site NHTSA 

Goal 2Objective 1A 

Parents & 

caregivers 

This initiative provides public information and Education to the public, including parents anwith youth, through its www.stopimpaireddriving.org web site. The web site also provides 

and national organizations that have additional information. 

Teachable Moment: Project U-Turn NHTSA 

Goal 2Objective 2B 

High school

 and college 

ages 

Project U-Turn: Turning a Tragedy into a Teachable Moment is a web-based campaign deYouth Safety (NOYS). The campaign focuses on teaching local media, school and commua tragic event into a teachable moment. The online package provides youth ready-to-use communicate their positive safety message to other teens, the media, government officials

demonstrate the project in at least two communities. This effort targets high school and co

Techniques for Effective AlcoholManagement (TEAM) NHTSA 

Goal 2Objective 1C Adult 

 This effort supports the development of effective alcohol service training for public assemb

including effective means of deterring underage drinking. 

Teen/Youth Court Program and Training NHTSA 

Goal 2Objective 2D Under 21 

Youth Courts are programs in which peers sentence juvenile offenders. NHTSA is developconjunction with ED’s, Office of Elementary and Secondary Education, DOJ/OJJDP, and thAssociation. The national guidelines were designed to help elevate the standard of youth 

OJJDP took the lead in continued support for teen/youth court programs. (See full descript
Program Agency(ies) Goal(s) Ages Description 

Underage Drinking Enforcement: NHTSA 

Goal 2 Objective 2C Under 21 

The IACP developed a training program to assist mid-level law enforcement managers addtheir community. IACP will form a cadre of course facilitators to deliver the Youth Enforcem