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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 nine offices and agencies within the Department.

  • Administration for Children and Families
  • Centers for Disease Control and Prevention
  • Indian Health Service
  • National Institute on Alcohol Abuse and Alcoholism
  • National Institute on Drug Abuse
  • Office of the Assistant Secretary for Health–Office of Disease Prevention and Health Promotion / Office of Population Affairs
  • Office of the Assistant Secretary for Planning and Evaluation
  • Office of the Assistant Secretary for Health–Office of the Surgeon General
  • Substance Abuse and Mental Health Services Administration
 Secretary of Education

The Department of Education / Office of Safe and Healthy Students (OSHS) administers, coordinates, and recommends policy to improve the effectiveness of programs providing financial assistance for drug and violence prevention activities and for activities that promote student health and well-being in elementary and secondary schools and institutions of higher education. Activities may be carried out by state and local educational agencies or other public or private nonprofit organizations. OSHS supports programs that prevent violence in and around schools; prevent illegal use of alcohol, tobacco, and drugs; engage parents and communities; and coordinate with related federal, state, school, and community efforts to foster safe learning environments that support student academic achievement.

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)

 Secretary of the Transportation

The Department of Transportation / National Highway Traffic Safety Administration’s (NHTSA) mission is to save lives, prevent injuries, and reduce traffic-related healthcare and other economic costs. NHTSA develops, promotes, and implements effective educational, engineering, and enforcement programs to reduce traffic crashes and resulting injuries and fatalities and reduce economic costs associated with traffic crashes, including underage drinking and driving crashes.

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. You can also get materials and resources for NHTSA campaign efforts such as "Underage Drinking & Driving: the Ultimate Party Foul" and National Teen Driver Safety Week.

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 Department of the Treasury / Alcohol and Tobacco Tax and Trade Bureau's mission is to collect the taxes on alcohol, tobacco, firearms, and ammunition; protect the consumer by ensuring the integrity of alcohol products; and prevent unfair and unlawful market activity for alcohol and tobacco products.

 Secretary of Defense

The Department of Defense coordinates and oversees government activities relating directly to national security and military affairs. Its alcohol-specific role involves preventing and reducing alcohol consumption by underage military personnel and improving the health of service members' families by strengthening protective factors and reducing risk factors in underage alcohol consumption.

Resources

Department of Defense Survey of Health Related Behaviors Among Active Duty Military Personnel: 2008 Survey Summary as Q&A
This 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.

 Department of Homeland Security / U.S. Coast Guard

The U.S. Coast Guard's (USCG) global mission is to protect the public, the environment, and U.S. economic interests—in the nation’s ports and waterways, along the coast, in international waters, or in any maritime region as required—supporting national security. The USCG’s workforce includes young people between ages 17 and 20.

The Surgeon General, the nation's chief health educator, provides Americans with the best available scientific information on how to improve their health and reduce the risk of illness and injury. The OSG oversees the more than 6,700-member Commissioned Corps of the U.S. Public Health Service and assists the Surgeon General with other duties.

Resources

The Office of the Assistant Secretary for Health — Office of Disease Prevention and Health Promotion (ODPHP) / Office of Population Affairs (OPA) lead several initiatives to address underage drinking. The Substance Abuse topic area of the Healthy People 2020 initiative monitors measures for underage alcohol consumption, including binge drinking and riding with drivers who consumed alcohol. MyHealthfinder offers reliable guidance for consumers on how parents can talk with their kids about the dangers of alcohol. Additionally, the Dietary Guidelines for Americans provide guidance on alcohol consumption and include policies on alcohol from other agencies. You can find more information at HealthyPeople.gov and review the dietary guidelines here.

OPA coordinates HHS efforts related to adolescent health, communicates adolescent health information to health professionals and groups, supports and evaluates the evidence-based Teen Pregnancy Prevention program, and implements the Pregnancy Assistance Fund. OPA is also the convener and catalyst for the development of a national adolescent health agenda. (Note: The Office of Adolescent Health, which previously performed this work, has been merged into the OPA).

The Office of the Assistant Secretary for Planning and Evaluation (ASPE) is the principal advisor to the HHS Secretary on policy development and is responsible for major activities in policy coordination, legislation development, strategic planning, and policy research, evaluation, and economic analysis. The Division of Behavioral Health and Intellectual Disabilities Policy focuses on financing, access/delivery, organization, and quality of services and supports for individuals with severe and persistent mental illnesses or severe addictions and individuals with intellectual disabilities. Topics of interest include coverage and payment issues in Medicaid, Medicare, and private insurance; quality and consumer protection issues; programs and policies of the Centers for Medicare and Medicaid Services, the Substance Abuse and Mental Health Services Administration, and the Health Resources and Services Administration as they affect individuals with mental and substance use disorders; and prevention of mental health conditions and substance misuse, including prevention of underage drinking. In addition, the Division Director of ASPE’s Children and Youth Policy Office is the HHS Secretary’s designee to chair the Interagency Working Group on Youth Programs, which was established via Executive Order in 2008 to promote enhanced federal collaboration to improve outcomes for youth.

 Director of the Centers for Disease Control and Prevention

The Centers for Disease Control and Prevention's (CDC) mission is to promote health and quality of life by preventing and controlling disease, injury, and disability. Consistent with that mission, CDC specifically strengthens the scientific foundation for the prevention of excessive drinking, including underage and binge drinking, by improving public health surveillance on excessive alcohol use and related harms, supporting state and local health agencies to prevent excessive alcohol use, and translating evidence-based recommendations on excessive drinking into public health practice. CDC also works to prevent specific alcohol-related harms, including various injuries and violence, sexually transmitted diseases, and fetal alcohol spectrum disorders.

Resources

Alcohol Portal
While most people know that drinking too much alcohol can lead to injuries and deaths in car crashes, many people do not know that drinking too much alcohol also can increase the chances of cancer, suicide, unintended pregnancies, sexually transmitted infections, and other negative health outcomes. CDC provides for the common defense of the country and, as such, has a significant role in fighting excessive alcohol use through the use of our science, tracking, and service to the countless Americans and their families affected by drinking too much.

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 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 National Institutes of Health / National Institute on Alcohol Abuse and Alcoholism's mission 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, across the lifespan.

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 misuse and mental illness on America’s communities. SAMHSA leads the nation in providing prevention, treatment, and recovery support services to communities, and works toward underage drinking prevention by supporting state and community efforts, promoting the use of evidence-based practices (EBPs), educating the public, and collaborating with other agencies and interested parties.

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 National Institutes of Health / National Institute on Drug Abuse's (NIDA) mission 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." NIDA supports most of the world’s research on the health aspects of drug abuse and addiction and carries out programs that ensure rapid dissemination of research to inform policy and improve practice.

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 U.S. Department of Health and Human Services / Administration for Children and Families is responsible for federal programs that promote the economic and social well-being of families, children, individuals, and communities. Many of these programs strengthen protective factors and reduce risk factors associated with underage drinking.

 Director of the Office of National Drug Control Policy

The Office of National Drug Control Policy (ONDCP) is a component of the Executive Office of the President (EOP). The ONDCP works to reduce drug use and its consequences by leading and coordinating the development, implementation, and assessment of U.S. drug policy. The ONDCP Director is the principal advisor to the President on drug control issues. ONDCP coordinates the drug control activities and related funding of 16 federal departments and agencies. ONDCP also produces the National Drug Control Strategy, which outlines administration efforts for the nation to reduce illicit drug use, manufacturing and trafficking; drug-related crime and violence; and drug-related health consequences.

Office of Juvenile Justice and Delinquency Prevention

The 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 states and communities in their efforts to develop and implement effective, coordinated prevention and intervention programs and to improve the juvenile justice system’s ability to protect public safety, hold offenders accountable, and provide treatment and rehabilitation services tailored to the needs of juveniles and their families. OJJDP’s central underage drinking prevention initiative, Enforcing Underage Drinking Laws (EUDL), was a nationwide state- and community-based multidisciplinary effort that sought to prevent access to and consumption of alcohol by those under age 21, with a special emphasis on enforcement of underage drinking laws and implementation programs that use best and most promising practices. The breadth of focus changed significantly in fiscal year (FY) 2014 because of a reduction in funding for the EUDL initiative. FY 2014 EUDL funding supported underage drinking prevention activity led by Healing to Wellness Courts in five selected tribes. By FY 2015, all funding to support EUDL efforts was discontinued.

Resources
 Chairman of the Federal Trade Commission

The Federal Trade Commission (FTC) is the only federal agency with both consumer protection and competition jurisdiction in broad sectors of the economy; in total, it has enforcement or administrative responsibilities under more than 70 laws. As the enforcer of federal truth-in-advertising laws, the agency monitors alcohol advertising for deceptive or unfair practices, brings law enforcement actions in appropriate cases, and conducts studies of alcohol industry compliance with self-regulatory commitments.

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
Retailers 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.

Office of Juvenile Justice and Delinquency Prevention

The Indian Health Service (IHS) is responsible for providing federal health services to American Indians and Alaska Natives (AI/AN). IHS is the principal federal healthcare provider and health advocate for AI/AN, and its goal is to raise their health status to the highest possible level. IHS provides a comprehensive health service delivery system for approximately 2.2 million AI/AN who belong to 573 federally recognized tribes in 37 states. The IHS Division of Behavioral Health is responsible for the Alcohol and Substance Abuse Program (ASAP). The goals of ASAP are to improve the quality of and access to care for AI/AN communities; to assist tribes in the planning, development, and implementation of culturally-informed programming; and to transition from direct service only to primary direct service support.

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.