0-0-1-3

Last updated

0-0-1-3 is an alcohol abuse prevention program developed in 2004 at Francis E. Warren Air Force Base based on research by the National Institute on Alcohol Abuse and Alcoholism regarding binge drinking in college students. [1] This program was a command-led collaboration between unit leaders, base agencies, and base personnel that utilized a three-tiered approach: (1) identify and assist high risk drinkers; (2) Develop a base culture, supportive of safe and responsible behaviors, including recreational options; and (3) Partnering with the broader community to promote alcohol prevention.

Contents

Etymology

A Midshipman is subjected to a random breathalyzer test Breathalyzer test 0013.png
A Midshipman is subjected to a random breathalyzer test

0-0-1-3 stands for: [2]

The first two numbers reflect the law. One drink per hour is approximately the amount the body can metabolize. Three drinks per night was selected as a target below the amounts recognized by NIAAA as binge drinking (4 drinks for women, 5 drinks per men). In both national research and at FE Warren rates of injuries, assaults, criminal behavior and other problems increase dramatically with binge drinking.

Three tier approach

The first tier included screening of all personnel for binge drinking utilizing a measure such as the Alcohol Use Disorders Identification Test (AUDIT). Persons identified as possibly at risk were offered an alcohol screening consultation with the Alcohol and Drug Abuse Prevention and Treatment (ADAPT) program. [3] Consistent with Air Force policy [4] all active duty members who had alcohol-related misconduct incidents were also referred for evaluation. Based on evaluation results individuals were provided educational and motivational enhancement interventions, or if found to have a substance use disorder, entered into a treatment program.

The second tier included a primary prevention-level education of all personnel regarding low-risk alcohol use, hazards of binge drinking and illness, a social norming media campaign targeted and pilot-tested for both young adult and older adult groups, development and promotion of alternative recreational options, and use of disciplinary and legal consequences, among other actions. This included development of the name 0-0-1-3 as both a slogan and a guideline for low risk alcohol use. Personnel from the age range at highest risk for binge drinking, 18-25, were involved in development and execution of these actions.

Phase-1 info 0013explain Phase-1 info 0013explain.jpg
Phase-1 info 0013explain
(BLUE) Puke (BLUE) Puke.jpg
(BLUE) Puke
(ORANGE) Pregnancy (ORANGE) Pregnancy.jpg
(ORANGE) Pregnancy

The third tier included partnering with the Wyoming Governor's Council on Impaired Driving [5] and the Advisory Council for the Enforcing Underage Drinking Laws Program, [6] as well as local law enforcement, the Chamber of Commerce, and others to promote responsibility and safety regarding alcohol beverage sales, service, and use.

Initial results

Metrics collected in 2005 showed a "74% decrease in alcohol-related incidents such as driving violations, public drunkenness, domestic violence, sexual assault, thefts, and other infractions. The base also reported 81% fewer cases of underage drinking and 45% fewer drunken-driving arrests." [7] Multiple other military bases adopted elements of the program including a grant-funded trials at five bases. [8] [2] [9] [10] [11] [12] The program served as the model for the Air Force's Culture of Responsible Choices (CoRC) program.

A 0-0-1-3 program was also implemented by the senior administration of the United States Naval Academy in response to a string of alcohol-related incidents that generated a large amount of negative publicity during the 2005-2006 school year. Its primary aim there is to "promote responsible alcohol use" within the brigade of midshipmen.

Although most health professionals recommend limiting alcohol consumption to 2-4 drinks per day for men, the three drink cap has contributed the most to its massive unpopularity among the brigade, as it is designed to ensure that no midshipman is able to achieve a blood alcohol content (BAC) level above the Maryland legal driving limit of 0.08 (even when not driving or operating machinery).

Enforcement

While the senior leadership at the Naval Academy insists that 0-0-1-3 is only a guideline for responsible alcohol use, its enforcement involves mandatory, random breathalyzer tests for all midshipmen regardless of age or rank. [13] [14] [15] Those found in "violation" of 0-0-1-3 (evidenced by having a BAC above 0.08) are placed on record as having alcohol abuse issues, and repeat offenders are subject to severe administrative infractions, up to and including expulsion. In contrast, neither the U.S. Military Academy (West Point) nor the U.S. Air Force Academy conducts random breathalyzers or punishes students simply for blowing above a particular BAC when not driving a motor vehicle. [14]

See also

Related Research Articles

<span class="mw-page-title-main">Alcoholism</span> Problematic excessive alcohol consumption

Alcoholism is the continued drinking of alcohol despite negative results. Problematic use of alcohol has been mentioned in the earliest historical records, such as in ancient Egypt and in the Bible, and remains widespread; the World Health Organization (WHO) estimated there were 283 million people with alcohol use disorders worldwide as of 2016. The term alcoholism was first coined in 1852, but alcoholism and alcoholic are stigmatizing and discourage seeking treatment, so clinical diagnostic terms such as alcohol use disorder or alcohol dependence are used instead.

<span class="mw-page-title-main">Alcohol abuse</span> Misuse of alcoholic beverages resulting in negative consequences

Alcohol abuse encompasses a spectrum of unhealthy drinking behaviors which range from consuming more than 2 drinks per day on average for men, or more than 1 drink per day on average for women, to binge drinking or alcohol use disorder.

<span class="mw-page-title-main">Drinking culture</span> Aspect of human behavior

Drinking culture is the set of traditions and social behaviors that surround the consumption of alcoholic beverages as a recreational drug and social lubricant. Although alcoholic beverages and social attitudes toward drinking vary around the world, nearly every civilization has independently discovered the processes of brewing beer, fermenting wine and distilling spirits.

<span class="mw-page-title-main">Driving under the influence</span> Driving a motor vehicle while under the influence of an impairing substance

Driving under the influence (DUI) is the offense of driving, operating, or being in control of a vehicle while impaired by alcohol or drugs, to a level that renders the driver incapable of operating a motor vehicle safely. Multiple other terms are used for the offense in various jurisdictions.

<span class="mw-page-title-main">Mothers Against Drunk Driving</span> Nonprofit organization

Mothers Against Drunk Driving (MADD) is a non-profit organization in the United States, Canada and Brazil that seeks to stop drunk driving, support those affected by drunk driving, prevent underage drinking, and strive for stricter impaired driving policy, whether that impairment is caused by alcohol or any other drug. The Irving, Texas-based organization was founded on September 5, 1980, in California by Candace Lightner after her 13-year-old daughter, Cari, was killed by a drunk driver. There is at least one MADD office in every state of the United States and at least one in each province of Canada. These offices offer victim services and many resources involving alcohol safety. MADD has claimed that drunk driving has been reduced by half since its founding.

Alcohol education is the practice of disseminating information about the effects of alcohol on health, as well as society and the family unit. It was introduced into the public schools by temperance organizations such as the Woman's Christian Temperance Union in the late 19th century. Initially, alcohol education focused on how the consumption of alcoholic beverages affected society, as well as the family unit. In the 1930s, this came to also incorporate education pertaining to alcohol's effects on health. For example, even light and moderate alcohol consumption increases cancer risk in individuals. Organizations such as the National Institute on Alcohol Abuse and Alcoholism in the United States were founded to promulgate alcohol education alongside those of the temperance movement, such as the American Council on Alcohol Problems.

Alcohol has a number of effects on health. Short-term effects of alcohol consumption include intoxication and dehydration. Long-term effects of alcohol include changes in the metabolism of the liver and brain, several types of cancer and alcohol use disorder. Alcohol intoxication affects the brain, causing slurred speech, clumsiness, and delayed reflexes. Alcohol consumption can cause hypoglycemia in diabetics on certain medications, such as insulin or sulfonylurea, by blocking gluconeogenesis. There is an increased risk of developing an alcohol use disorder for teenagers while their brain is still developing. Adolescents who drink have a higher probability of injury including death.

<span class="mw-page-title-main">Alcohol consumption by youth in the United States</span> Alcohol consumption by individuals under the age of 18 in the country

Although the minimum legal age to purchase alcohol is 21 in all U.S. states and most territories, the legal details for consumption vary greatly. Although some states completely ban alcohol usage for people under 18, the majority have exceptions that permit consumption.

The Virginia Alcoholic Beverage Control Authority is one of the eleven public safety agencies under the Secretariat of Public Safety and Homeland Security for the Commonwealth. The agency administers the state's ABC laws. ABC stores are the only retail outlets in Virginia where customers may purchase distilled spirits. The profits that Virginia ABC contributes are collected from sales of distilled spirits at ABC stores, taxes collected on beer and wine sales, violation penalties and license fees. Since its establishment in 1934, Virginia ABC has contributed more than $9 billion to the Commonwealth's general fund. Virginia ABC employs more than 4,000 people statewide.

<span class="mw-page-title-main">Substance abuse prevention</span> Measures to prevent the consumption of licit and illicit drugs

Substance abuse prevention, also known as drug abuse prevention, is a process that attempts to prevent the onset of substance use or limit the development of problems associated with using psychoactive substances. Prevention efforts may focus on the individual or their surroundings. A concept that is known as "environmental prevention" focuses on changing community conditions or policies so that the availability of substances is reduced as well as the demand. Individual Substance Abuse Prevention, also known as drug abuse prevention involves numerous different sessions depending on the individual to help cease or reduce the use of substances. The time period to help a specific individual can vary based upon many aspects of an individual. The type of Prevention efforts should be based upon the individual's necessities which can also vary. Substance use prevention efforts typically focus on minors and young adults – especially between 12–35 years of age. Substances typically targeted by preventive efforts include alcohol, tobacco, marijuana, inhalants, coke, methamphetamine, steroids, club drugs, and opioids. Community advocacy against substance use is imperative due to the significant increase in opioid overdoses in the United States alone. It has been estimated that about one hundred and thirty individuals continue to lose their lives daily due to opioid overdoses alone.

Foundation for Advancing Alcohol Responsibility (Responsibility.org), formerly known as the Century Council, is an American not-for-profit organization founded in 1991 and funded by a group of distillers that aims to fight to eliminate drunk driving and underage drinking and promotes responsible decision-making regarding alcohol use.

<span class="mw-page-title-main">Binge drinking</span> Form of excessive alcohol intake

Binge drinking, or heavy episodic drinking, is drinking alcoholic beverages with an intention of becoming intoxicated by heavy consumption of alcohol over a short period of time, but definitions vary considerably.

Binge drinking is the practice of consuming excessive amounts of alcohol in a short period of time. Due to the idiosyncrasies of the human body, the exact amount of alcohol that would constitute binge drinking differs among individuals. The definitions of binge drinking are also nuanced across cultures and population subgroups. For example, many studies use gender-specific measures of binge drinking. The epidemiology of binge drinking likewise differs across cultures and population subgroups.

The legal drinking age varies from country to country. In the United States, the legal drinking age is currently 21. To curb excessive alcohol consumption by younger people, instead of raising the drinking age, other countries have raised the prices of alcohol beverages and encouraged the general public to drink less. Setting a legal drinking age of 21 is designed to discourage reckless alcohol consumption by youth, limiting consumption to those who are more mature, who can be expected to make reasonable and wise decisions when it comes to drinking.

Students Against Destructive Decisions (SADD), formerly Students Against Driving Drunk, is an organization whose aim is to prevent accidents from students taking potentially destructive decisions.

<span class="mw-page-title-main">Alcohol-related crime</span> Criminal activities that involve alcohol use

Alcohol-related crime refers to criminal activities that involve alcohol use as well as violations of regulations covering the sale or use of alcohol; in other words, activities violating the alcohol laws. Underage drinking and drunk driving are the most prevalent alcohol‐specific offenses in the United States and a major problem in many, if not most, countries worldwide. Similarly, arrests for alcohol-related crimes constitute a high proportion of all arrests made by police in the U.S. and elsewhere.

<span class="mw-page-title-main">Alcohol and Native Americans</span> Use of alcoholic beverages by Native Americans

Some Native Americans in the United States have been harmed by, or become addicted to, drinking alcohol. Among contemporary Native Americans and Alaska Natives, 11.7% of all deaths are related to alcohol. By comparison, about 5.9% of global deaths are attributable to alcohol consumption. Because of negative stereotypes and biases based on race and social class, generalizations and myths abound around the topic of Native American alcohol misuse.

Alcohol is a liquid form substance which contains ethyl alcohol that can cause harm and even damage to a person's DNA. "Alcohol consumption is recognized worldwide as a leading risk factor for disease, disability, and death" and is rated as the most used substance by adolescences. Adolescence is a transitional stage of physical and psychological changes, usually a time in a person life in which they go through puberty. Combining these transitional stages and the intake of alcohol can leave a number of consequences for an adolescent.

<span class="mw-page-title-main">Alcohol and pregnancy</span> Medical condition

Alcohol use in pregnancy includes use of alcohol at any time during gestation, including the time before a mother-to-be is aware that she is pregnant. Alcohol use at some point during pregnancy is common and appears to be rising in prevalence in the United States.

Many students attending colleges, universities, and other higher education institutions consume alcoholic beverages. The laws and social culture around this practice vary by country and institution type, and within an institution, some students may drink heavily whereas others may not drink at all. In the United States, drinking tends to be particularly associated with fraternities.

References

  1. "College Drink Prevention Task Force report" (PDF). Retrieved December 10, 2013.
  2. 1 2 Gonzales, Tech. Sgt. Joseph (August 23, 2009). "0-0-1-3 Ensures Responsible Alcohol Use". Vance Air Force Base. Archived from the original on December 16, 2013.
  3. "Alcohol and Drug Abuse Prevention and Treatment (ADAPT)". USAF's David Grant USAF Medical Center. Archived from the original on December 16, 2013. Retrieved May 29, 2016.
  4. "Air Force Policy" (PDF). e-publishing.af.mil. Archived from the original (PDF) on March 16, 2013.
  5. Pelzer, Jeremy. "Wyoming Governor's Council on Impaired Driving". Wyoming Star Tribune. Retrieved May 29, 2016.
  6. "A Blueprint for Action". the Advisory Council for the Enforcing Underage Drinking Laws Program. Archived from the original on March 9, 2014.
  7. O'Driscoll, Patrick (January 26, 2005). "Air Force abuzz over moderation". USA Today. Retrieved May 29, 2016.
  8. Master Sgt David P. Bourgeois. "Wellness and Safety incorporates 0-0-1-3 principles". Afmc.af.mil. Archived from the original on December 16, 2013. Retrieved December 10, 2013.
  9. BethAnn Cameron (December 15, 2011). "Prevention strategy encourages responsible drinking". Hawaii Army Weekly. Archived from the original on December 13, 2013. Retrieved December 10, 2013.
  10. Mary Popejoy. "0-0-1-3 Formula Keeps Alcohol-Related Incidents At Bay". Navy.mil. Retrieved December 10, 2013.
  11. "Fort Drum - The Mountaineer Online". Drum.army.mil. December 15, 2011. Archived from the original on December 13, 2013. Retrieved December 10, 2013.
  12. "Enforcing Underage Drinking Laws through Community/USAF Base Coalitions: Evaluation Findings" (PDF). ICF International. Archived from the original (PDF) on March 9, 2014.
  13. "Ensuring Responsible Use of Alcohol". United States Naval Academy. October 2006. Archived from the original on March 9, 2014. Retrieved December 10, 2013.
  14. 1 2 "COMMANDANT OF MIDSHIPMEN INSTRUCTION 5350.1C" (PDF). US Naval Academy. Archived from the original (PDF) on December 15, 2013.
  15. Raymond McCaffrey (September 15, 2006). "Alcohol Policy, Penalties Tightened". The Washington Post. Retrieved December 10, 2013.

Further reading