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The Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD) was created in 2004 when Congress directed the Secretary of the U.S. Department of Health and Human Services (HHS) to establish the ICCPUD to coordinate all federal agency activities related to the problem of underage drinking. The ICCPUD’s role was formalized in the 2006 Sober Truth on Preventing Underage Drinking (STOP) Act, which was reauthorized in 2016 as part of the 21st Century Cures Act. The Substance Abuse and Mental Health Services Administration (SAMHSA) was directed by the HHS Secretary to convene ICCPUD and serve as the lead agency. As specified in the STOP Act, the ICCPUD is composed of 16 federal officials, some of whom have delegated participation to specific agencies and/or staff:

Secretary of Health and Human Services

The U.S. Department of Health and Human Services (HHS) is the United States government’s principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves. HHS is represented on the Interagency Coordinating Committee on the Prevention of Underage Drinking by the following seven offices and agencies within the Department.

 Secretary of Education

The mission of the U.S. Department of Education (ED) is to promote student achievement and preparation for global competitiveness by fostering educational excellence and ensuring equal access. Under Title V of the Elementary and Secondary Education Act of 1965 (authorized by the America’s Schools Act of 1994), ED provides financial assistance for programs and activities that promote the health and well-being of students in elementary and secondary schools and institutions of higher education. ED is represented in ICCPUD by the Office of Safe and Healthy Students.

Resources

Alcohol and Other Drugs on Campus—The Scope of the Problem
The most widespread health problem on college and university campuses in the United States is high-risk alcohol and other drug use. This overview provides data on the scope and consequences of underage drinking on campuses across the country. (Higher Education Center, U.S. Department of Education; 2003, updated 2008)

College Alcohol Risk Assessment Guide: Environmental Approaches to Prevention
Despite general agreement among campus officials and students that alcohol use contributes to a range of problems confronting colleges and universities, prevention often does not command a high priority among students, faculty, or staff. This guide is designed to help college administrators identify factors within the campus environment that contribute to alcohol-related problems. These factors are examined within the context of the public health approach, which emphasizes how the environment shapes behavior. (Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, U.S. Department of Education; updated 2009)

Prevention 101 Series
The Prevention 101 Series provides practitioners with critical information through essential tools in many foundational processes and prevention approaches. The introductory publications in this series address a range of topics, such as needs assessment, strategic planning, coalition building, and prevention program evaluation. (Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, U.S. Department of Education; 2011)

The mission of the Department of Justice (DOJ) is to enforce the law and defend the interests of the United States according to the law; to ensure public safety against threats foreign and domestic; to provide federal leadership in preventing and controlling crime; to seek just punishment for those guilty of unlawful behavior; and to ensure fair and impartial administration of justice for all Americans. The DOJ’s Office of Juvenile Justice and Delinquency Prevention has responsibility for efforts to prevent and respond to juvenile delinquency.

Resources

For resources specific to underage drinking, select the Office of Juvenile Justice and Delinquency Prevention from the dropdown menu.

 Secretary of the Transportation

The U.S. Department of Transportation is represented in the Interagency Coordinating Committee on the Prevention of Underage Drinking by the National Highway Traffic Safety Administration (NHTSA). Every day, almost 30 people in the United States die in drunk-driving crashes—that’s one person every 48 minutes in 2017. Motor vehicle crashes are the leading cause of death for teens; in 2017, 648 drivers between the ages of 16 and 20 had a BAC of .08 or above when they were involved in an alcohol-impaired crash. NHTSA has developed a multi-facetted strategy to prevent motor vehicle–related deaths and injuries of teens by increasing seat belt use, working with States to implement and strengthen graduated driver licensing (GDL) laws, and demonstrating the connection between underage drinking and impaired driving prevention strategies.

Resources

NHTSA.gov
The Teen Driving page of NHTSA.gov contains information on States' driver licensing requirements for teens as well as ideas and resources to help parents set ground rules for their aspiring driver. The site provides in-depth information on the consequences of illegal alcohol use and driving by minors, the benefits of seat belt use, the growing epidemic of distracted driving, and much more.

Traffic Safety Marketing
NHTSA offers communication materials for a variety of traffic safety campaigns, including teen driver safety on TrafficSafetyMarketing.gov. These marketing tools and press materials offer a way for safety organizations and teens themselves to get involved in traffic safety through traditional and social media.

NHTSA Traffic Safety Fact Sheets
NHTSA publishes fact sheets reporting on fatal traffic crashes each year. The Young Driver Traffic Safety Facts sheet includes crash and fatality statistics for drivers between ages 15 and 20, including the number of teens who were killed or involved in fatal crashes where alcohol was involved. (National Highway Traffic Safety Administration, U.S. Department of Transportation; 2017 data)

Peer-to-Peer Teen Traffic Safety Program Guide
This Guide identifies the essential elements of a peer-to-peer program as determined through research and discussion with an expert panel and others working with teens or in the teen driving and/or traffic safety arenas, and outlines why each is important. The Guide also includes a compendium of teen led traffic safety programs that incorporate the essential elements.

Community How to Guides on Underage Drinking Prevention
The Community How to Guides provide information on the fundamental components of planning and implementing a comprehensive underage drinking prevention program. (National Highway Traffic Safety Administration, U.S. Department of Transportation; 2001)

 Secretary of Treasury

The U.S. Department of the Treasury is represented in the Interagency Coordinating Committee on the Prevention of Underage Drinking by the Alcohol and Tobacco Tax and Trade Bureau (TTB). Key components of the TTB mission are to ensure that alcohol, tobacco, and firearms are labeled, advertised, and marketed in accordance with the law as well as to administer laws and regulations to protect the consumer and promote voluntary compliance.

Resources

Preventing Underage Alcohol Use: National Meeting of the States
This PowerPoint presentation given by William H. Foster, assistant administrator for TTB, summarizes the history of alcohol use and legal drinking ages in the United States. It also describes the role of TTB in preventing underage drinking, particularly in regard to labeling and advertising of alcoholic beverages that may increase their appeal to youth. (Alcohol and Tobacco Tax and Trade Bureau, 2005)

 Secretary of Defense

The U.S. Department of Defense (DoD) is represented in the Interagency Coordinating Committee on the Prevention of Underage Drinking by the Office of the Assistant Secretary of Defense. Because the physical health and well-being of military personnel are critical to national security and combat readiness, DoD regularly monitors substance use by its troops to determine if preventive action is necessary. According to the most recent survey data, military personnel aged 18 to 25 showed significantly higher rates of heavy drinking (26 percent) than did civilians (16 percent). In response, DoD launched “That Guy” to reduce alcohol use and abuse by enlisted personnel aged 18 to 24.

Resources

Department of Defense Survey of Health Related Behaviors Among Active Duty Military Personnel: 2008 Survey Summary as Q&A
TThis 2015 report from the Military Health System summarizes the results of a periodically conducted survey of active-duty military personnel to assess substance abuse, mental well-being, deployment issues, fitness, nutrition, and weight management. (Military Health System; 2015)

That Guy Web Site
The 2015 DoD survey of health-related behaviors reported that, in general, higher percentages of problematic drinkers were found among junior enlisted members, although the percentage of hazardous or disordered drinkers was highest among junior officers. In response, the DoD/TRICARE® Management Activity launched “That Guy,” a multiyear campaign for enlisted personnel ages 18–24 to raise their awareness of the negative effects of excessive drinking and to help reduce alcohol abuse.

The Surgeon General provides Americans with the best scientific information available on how to improve their health and reduce their risk of illness and injury by issuing Surgeon General’s Advisories, Calls to Action, and Reports on critical issues.

Resources
 Director of the Centers for Disease Control and Prevention

The mission of the Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, is to work 24/7 to protect America from health, safety and security threats—through health promotion; prevention of disease, injury, and disability; and preparedness from health threats. Underage drinking is associated with disease, injury, and disabilities across the lifespan, including those from related to violence, sexual risk behaviors, motor vehicle crashes and suicide.

Resources

Youth Online
Youth Online lets you analyze national, state, and local Youth Risk Behavior Surveillance System (YRBSS) data from 1991 to 2017. Data from high school and middle school surveys are included. You can filter and sort on the basis of race/ethnicity, sex, grade, sexual orientation, or location, and year; create customized tables and graphs; and perform statistical tests by location, year, subgroup, and health topic, including “Alcohol and Other Drug Use”.

Youth Risk Behavior Surveillance System
The YRBSS monitors priority health-risk behaviors and the prevalence of obesity and asthma among youth and young adults. The YRBSS includes the Youth Risk Behavior Survey (YRBS), a national school-based survey of 9th- to 12th-grade students that is conducted every 2 years to record the prevalence and trend of behaviors—such as underage drinking—that place a young person’s health at risk. Behaviors that contribute to injuries, such as driving after consuming alcohol, also are reported. Middle school YRBS results are available for those states, districts, territories, and tribal governments that conduct a middle school survey in their jurisdiction and obtain representative data. The most recent YRBSS report was released in June 2017.

Alcohol-Related Disease Impact (ARDI)
ARDI is an online application that provides national and state estimates of alcohol-related health impacts, including deaths and years of potential life lost (YPLL). These estimates are calculated for 54 acute and chronic causes using alcohol-attributable fractions, and are reported by age and sex for 2006-2010.

Excessive Alcohol Use: Preventing a Leading Risk for Death, Disease, and Injury
This fact sheet summarizes statistics about excessive alcohol use, including binge and underage drinking, as a public health problem and steps being taken by CDC to address this problem. More than 4 out of 10 college students report binge drinking. Among high school students who drink alcohol, two out of three report binge drinking. (Centers for Disease Control and Prevention, U.S. Department of Health and Human Services; April 2016)

Alcohol and Public Health: Fact Sheets: Age 21 Minimum Legal Drinking Age
This fact sheet details the public health problem of drinking by those under age 21 and details how the age 21 MLDA saves lives and improves health. (Centers for Disease Control and Prevention, U.S. Department of Health and Human Services; August 2018)

Alcohol and Public Health: Fact Sheets: Underage Drinking
This fact sheet summarizes statistics about the prevalence and consequences of underage drinking. (Centers for Disease Control and Prevention, U.S. Department of Health and Human Services; August 2018)

Monitoring and Reducing Youth Exposure to Alcohol Marketing
As part of the CDC-supported Monitoring and Reducing Youth Exposure to Alcohol Marketing project, the Center on Alcohol Marketing and Youth (CAMY) at Johns Hopkins Bloomberg School of Public Health has released a series of reports that monitor the use of specific strategies to reduce youth exposure to non-compliant alcohol advertising on cable TV. The reports are available on the CAMY website.

Scientific Publications

Morbidity and Mortality Weekly Report
Often called “the voice of CDC,” the Morbidity and Mortality Weekly Report (MMWR) series is CDC’s primary vehicle for scientific publication of timely, accurate, and objective public health information and recommendations. Recent MMWRs related to underage drinking include:

Preventing Chronic Disease

Preventing Chronic Disease (PCD) is a peer-reviewed public health journal sponsored by the Centers for Disease Control and Prevention and authored by experts worldwide. Recent PCD articles related to underage drinking include:

  • Gonzales KR, Largo TW, Miller C, Kanny D, Brewer RD. Consumption of Alcoholic Beverages and Liquor Consumption by Michigan High School Students, 2011. Prev Chronic Dis 2015;12:150290. DOI: http://dx.doi.org/10.5888/pcd12.150290
 Director of the National Institute on Alcohol Abuse and Alcoholism

The mission of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), U.S. Department of Health and Human Services, is to generate and disseminate fundamental knowledge about the effects of alcohol on health and well-being, and apply that knowledge to improve diagnosis, prevention, and treatment of alcohol-related problems, including alcohol use disorder (AUD), across the lifespan. NIAAA is the largest funder of alcohol research in the world.

NIAAA advances the national effort to reduce alcohol-related problems by: conducting and supporting basic, translational, and clinical research in neuroscience and behavior, epidemiology and prevention, treatment and recovery, and metabolism and health effects; coordinating and collaborating with other research institutes and federal programs on alcohol-related issues; collaborating with international, national, state, and local institutions, organizations, agencies, and programs engaged in alcohol-related work; and translating and disseminating research findings to health care providers, researchers, policymakers, and the public.

Resources

Underage Drinking
Alcohol is the most widely used substance among America’s youth, and drinking by young people poses enormous health and safety risks. Not only are adolescents at increased risk of injuries and accidents while under the influence, but those who begin drinking early are at increased risk of alcohol problems later in life. This fact sheet provides underage drinking statistics and information on the dangers and warning signs of underage drinking, as well as interventions to prevent and treat alcohol-related problems among youth. (National Institute on Alcohol Abuse and Alcoholism, U.S. Department of Health and Human Services; updated February 2017)

Parenting to Prevent Childhood Alcohol Use
Parenting styles may influence whether children follow their parents’ advice regarding alcohol use. This tip sheet offers advice to parents on ways in which they can guide children in avoiding underage drinking. (National Institute on Alcohol Abuse and Alcoholism, U.S. Department of Health and Human Services; updated February 2017)

College Drinking: Changing the Culture
This website provides comprehensive research-based information on issues related to alcohol use among college students. Featured on this website is the College Alcohol Intervention Matrix, CollegeAIM, which is an easy-to-use resource to help college personnel choose wisely among the many potential interventions to address harmful and underage college student drinking. (National Institute on Alcohol Abuse and Alcoholism, U.S. Department of Health and Human Services; CollegeAIM - September 2015)

Alcohol Screening and Brief Intervention for Youth: A Practitioner’s Guide
This tool is designed to help healthcare professionals quickly identify youth who are at risk for or are experiencing alcohol-related problems. This early detection tool can be used to prevent alcohol-related problems in patients before they start or address them at an early stage. (National Institute on Alcohol Abuse and Alcoholism, U.S. Department of Health and Human Services; 2011, revised October 2015)

 Administrator of the Substance Abuse and Mental Health Services Administration (now the Assistant Secretary for Mental Health and Substance Use, as designated in the 21st Century Cures Act)

The mission of the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services, is to reduce the impact of substance abuse and mental illness on America’s communities. This strategic initiative page describes SAMHSA’s many programs to create communities where individuals, families, schools, faith-based organizations, and workplaces take action to promote emotional health and reduce the likelihood of mental illness, substance abuse including tobacco, and suicide.

Resources

Webcast: Communities Talk: Planning a Successful 2016 Town Hall Meeting
This live-recorded webcast discusses how SAMHSA grantees, colleges and universities, and members of community-based organizations involved in substance abuse prevention can participate in the Communities Talk: Town Hall Meetings to Prevent Underage Drinking initiative.

Prevention as They Grow: Underage Drinking Prevention From Early Childhood to Young Adulthood Workshop
This workshop addresses underage drinking prevention from a developmental perspective. Speakers discuss their research regarding fundamental developmental needs and milestones from early childhood to young adulthood in the context of behavioral health, while highlighting the benefits of addressing risk and protective factors from an early age. New research that supports the continuing role of parents of college-age children in prevention is presented.

Report to Congress on the Prevention and Reduction of Underage Drinking
This report presents statistics on the nature and extent of underage drinking in the United States. It also discusses the role of the federal government in preventing and reducing underage drinking and reports on state policies, enforcement activities, and prevention programs that are underway to address the problem. (Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services; 2018)

National Survey on Drug Use and Health
The National Survey on Drug Use and Health (NSDUH) provides national- and state-level data on the use of tobacco, alcohol, and illicit drugs (including nonmedical use of prescription drugs) and mental health in the United States. This annual survey is supported by SAMHSA and is the primary source of information on prevalence, patterns, and consequences in the general U.S. civilian noninstitutionalized population, ages 12 and older. SAMHSA summarizes data and findings in a full survey report annually as well as in special short reports related to underage drinking.

SAMHSA Short Reports on Underage Drinking

SAMHSA Store
The SAMHSA Store is a central repository of its free publications, games, posters, and other resources related to promoting mental health and preventing and treating mental illnesses and substance abuse disorders. Enter “underage drinking” in the search box for a full listing of products on this public health problem.

Please visit the following SAMHSA-sponsored websites for additional resources for youth, their families and educators, and communities to prevent underage drinking:

  • SAMHSA’s “Talk. They Hear You.” campaign gives parents and caregivers the information and resources they need to start talking with children as young as age 9 about the dangers of underage drinking.
 Director of the National Institute on Drug Abuse

The mission of the National Institute on Drug Abuse, part of the National Institutes of Health, is to advance science on the causes and consequences of drug use and addiction and to apply that knowledge to improve individual and public health. This involves strategically supporting and conducting basic and clinical research on drug use (including nicotine), its consequences, and the underlying neurobiological, behavioral, and social mechanisms involved; and ensuring the effective translation, implementation, and dissemination of scientific research findings to improve the prevention and treatment of substance use disorders and enhance public awareness of addiction as a brain disorder.

Resources

Monitoring the Future
The Monitoring the Future Survey, sponsored by the National Institute on Drug Abuse since 1975, annually measures drug, alcohol, and cigarette use and related attitudes and behaviors among 8th, 10th, and 12th grade students nationwide. Survey participants report their lifetime, past year, past month and daily drug use behaviors. In addition, 12th graders are followed up biennially through age 30 and every 5 years thereafter through age 55.

NIDA for Teens: The Science Behind Drug Abuse Web Site
The National Institute on Drug Abuse created this Website to give youth, ages 11 – 17, the facts about drugs and their effects on the brain and body. Designed for both teens and those who influence them—parents, guardians, teachers, and other educators—the science-based information and resources inspire learning and encourage critical thinking, so teens can make informed decisions about drug use and their health. A teen-focused blog, animated illustrations, interactive quizzes, and online games clarify concepts, test knowledge, and connect teens with the latest drug use research.

 Assistant Secretary for Children and Families

The Administration for Children and Families (ACF), U.S. Department of Health and Human Services, is responsible for federal programs that promote the economic and social well-being of families, children, individuals, and communities. ACF programs aim, in part, to empower families and individuals to increase their own economic independence and productivity, as well as to create strong, healthy, supportive communities that have a positive impact on the quality of life and the development of children.

 Director of the Office of National Drug Control Policy

The Office of National Drug Control Policy (ONDCP), a component of the Executive Office of the President, establishes policies, priorities, and objectives for the Nation’s drug control program. ONDCP views the prevention of drug use before it begins as a cost-effective, commonsense approach to promoting safe and healthy communities. Alcohol is the most commonly used substance among youth in the United States, exceeding the use of tobacco and illicit drugs.

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The National Highway Traffic Safety Administration is responsible for keeping people safe on America’s roadways. In 2017, 10,874 people were killed in alcohol-impaired driving crashes; 943 people were killed in motor vehicle traffic crashes involving a 15- to 20-year-old driver with a BAC of .01 or higher. NHTSA has developed a three-tiered strategy to prevent motor-vehicle-related deaths and injuries of teens by increasing seat belt use, implementing graduated driver licensing laws, and reducing teens' access to alcohol and drugs through parental responsibility.

Resources
Office of Juvenile Justice and Delinquency Prevention

OJJDP provides national leadership, coordination, and resources to prevent and respond to juvenile delinquency and victimization. OJJDP supports the efforts of states, tribes, and communities to develop and implement effective and equitable juvenile justice systems that enhance public safety, ensure youth are held appropriately accountable to both crime victims and communities, and empower youth to live productive, law-abiding lives.

Resources
 Chairman of the Federal Trade Commission

The Federal Trade Commission (FTC) is the Nation's consumer protection agency. Its Bureau of Consumer Protection works to prevent fraud, deception, and unfair business practices in the marketplace.

Resources

Self‐Regulation in the Alcohol Industry: Report of the Federal Trade Commission
This is the FTC’s fourth major report on alcohol advertising and industry efforts to reduce marketing to underage audiences. The document provides empirical data about how much alcohol companies spend to promote their products, and how they allocate those funds; industry compliance with the industry’s advertising placement standard, which at the time required that at least 70% of the audience viewing each ad be 21 or older, based on reliable audience demographic data; a discussion of the alcohol industry’s privacy practices; product placement in entertainment media; and how companies address complaints about ad content or placement. The report also offers an update on the FTC’s We Don’t Serve Teens campaign and makes a series of recommendations for the industry. (Federal Trade Commission; March 2014)

Alcohol Retailers Can Help Reduce Teen Drinking
TRetailers play an essential role in reducing access to alcohol by underage youth. They can take steps to make sure that teens can’t buy alcohol from their stores, and they can serve as a source of information to reduce the possibility that alcohol legally sold to an adult will end up in a teenager’s hands. This printable web page lists recommended practices for retailers to use to meet these goals. (Federal Trade Commission; September 2013)

We Don't Serve Teens Program Web Site
Most teens who drink get alcohol from “social sources”—at parties, from older friends, or from their parents’ cabinets. Teen drinking is linked to injury and risky behavior. This website provides parents, retailers, law enforcement, and others with tools and information, in English and in Spanish, to reduce teen drinking and related harm by reducing their easy access to alcohol.

Each ICCPUD agency contributes their leadership and vision to developing a national commitment to prevent and reduce underage alcohol use.

In 2018, the ICCPUD principals met and approved an updated Comprehensive Plan for preventing and reducing underage drinking. The Plan describes the role of the ICCPUD and sets out goals, including specific targets for 2021. Click here for a copy of the Plan (PDF | 2MB).

Vision

The vision of the Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD) is to provide national leadership in federal policy and programming to support state and community activities that prevent and reduce underage drinking.

Mission

The ICCPUD’s mission is twofold:

  1. To facilitate collaboration among the 15 federal member agencies, state and local governments, private and public national organizations, and agencies with responsibility for the health, safety, and wellbeing of America’s children and youth.
  2. To provide resources and information on underage drinking prevention, intervention, treatment, enforcement, and research.

Principles

Members of the ICCPUD and other federal partners commit to:

  • Speak with a common voice on the prevalence, risks, and consequences of underage drinking;
  • Increase public awareness about underage drinking and its consequences; and
  • Reinforce effective, evidence-based practices as part of a federally coordinated approach to prevent and reduce underage drinking.