Survey of American College Campuses

OMB No. XXXX-XXXX APPROVAL EXPIRES XX/XX/20XX

U.S. Department of Education

Alcohol, Other Drug, and Violence Prevention

Survey of American College Campuses

The U.S. Department of Education is conducting a survey of randomly selected colleges and universities to learn more about alcohol and other drug prevention efforts taking place on college campuses. Your institution was one of the randomly selected schools. Your responses will help the Department of Education better meet the prevention needs of colleges and universities across the nation. Responding to the questions in this survey is voluntary and you can stop taking the survey at any time.

The Department’s Higher Education Center for Alcohol and Other Drug Abuse and Violence Prevention is assisting in conducting the survey. The Center is the Department’s primary provider of services in alcohol and other drug abuse and violence prevention in higher education founded upon state-of-the-art knowledge and research-based strategies.

All responses will be kept confidential. The Higher Education Center will analyze survey responses in the aggregate and will not identify specific information with any particular school.

Please provide your Institution ID and password to complete the survey:

Institution ID:

Password:

**LOGIN**

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is xxxx-xxxx.  The time required to complete this information collection is estimated to average 50 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to:  U.S. Department of Education, Washington, D.C. 20202-4700. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Office of Safe and Drug-Free Schools, U.S. Department of Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202-6450.

For technical assistance, please contact [email protected] and explain the nature of the problem.

Demographic Information

1. Please provide us with some characteristics of your school.

1. Primarily two-year or four-year?

O Two-year
O Four-year

2. Public or private?

O Public
O Private

3. Primarily commuter or residential?

O Commuter campus

O Residential campus

2. Number of undergraduate students enrolled:

O 1-500

O 501-1,000

O 1,001-5,000

O 5,001-10,000

O 10,001-20,000

O 20,001 or more

3. State in which your school is located:

4. Location:

O Urban

O Suburban

O Rural

5. Is there a coordinated, multi-campus alcohol and other drug prevention initiative for colleges and universities in your state?

O Yes

O No

O Don't know

6. [IF YES] Is your campus a part of this initiative?
   
   

O Yes

O No

O Don't know

7. Does your campus have on-campus housing (residence halls) for students?

O Yes

O No

O Don't know

8. Does your campus have a Greek system (fraternity or sororities)?
   
   

O Yes

O No

O Don't know

9. Does your campus have an intercollegiate athletics program?
   
   

O Yes

O No

O Don't know

Alcohol and Other Drug-Related (AOD) Policy and Enforcement

10. The following questions ask about your school’s current policies.

Do your school’s policies:
Prohibit all alcohol use on campus for STUDENTS UNDER AGE 21?	Yes No Don’t Know
Prohibit all alcohol use on campus for ALL STUDENTS?	Yes No Don’t Know
Prohibit all alcohol use on campus for EVERYONE (students, faculty, staff, and administrators)?	Yes No Don’t Know
Prohibit alcohol use in public places?	Yes No Don’t Know
Prohibit kegs in residence halls?	Yes No Don’t Know Campus Does not Have Residence Halls
Prohibit kegs in fraternities and sororities?	Yes No Don’t Know Campus Does not Have Fraternities/ Sororities
Prohibit alcohol sales at all campus sports arenas?	Yes No Don’t Know
Prohibit all campus alcohol marketing?	Yes No Don’t Know

11. Does your school have on-campus events where alcohol is served to students?

O Yes

O No

O Don't know

11a. [IF YES] Does your campus do any of the following for the purposes of AOD prevention?
Require on-campus functions to be registered	Yes No Don’t Know
Require use of registered and trained alcohol servers for on-campus events	Yes No Don’t Know
Disseminate guidelines for on-campus events	Yes No Don’t Know
Require servers to check for IDs at on-campus events	Yes No Don’t Know
Prohibit kegs for all on-campus events	Yes No Don’t Know

12. Is alcohol prohibited at tailgating functions?

O Yes

O No

O Campus does not offer tailgating functions

O Don’t know

Has your campus implemented any of the following strategies for purposes of AOD prevention?
Increased patrols near ON-CAMPUS PARTIES	Yes No Don’t Know
Increased patrols near OFF-CAMPUS PARTIES	Yes No Don’t Know
Increased ID checks at on-campus functions	Yes No Don’t Know
Increase ID checks at off-campus functions	Yes No Don’t Know
Increased disciplinary sanctions for violation of campus AOD policies	Yes No Don’t Know
Increased criminal prosecution of students for AOD-related offenses	Yes No Don’t Know
Decoy operations at campus pubs and on-campus functions	Yes No Don’t Know
Parental notification for AOD violations	Yes No Don’t Know
Educated alcohol sellers/servers about potential legal liability	Yes No Don’t Know
Have a responsible beverage service training program	Yes No Don’t Know
Disseminate guidelines for on-campus parties	Yes No Don’t Know

14. How often does your campus review and revise its AOD policy?

O Yearly

O Biennially

O On an ad hoc basis

O Not applicable

15. How does your campus disseminate its written AOD policy to students? (Please check all that apply.)

O Posted on the web

O Mailed to all students annually

O Published in student handbook

O Handed out during orientation

O Handed out during classes or workshops required of all students

O Other, please specify: ________________________________________________________________

AOD Prevention Programs and Activities

16. Does your campus have an AOD prevention plan? Yes No Don’t Know
    
    

[IF YES] Does your campus AOD prevention plan––

Address priorities identified through data? Yes No Don’t Know

Include measurable goals and objectives? Yes No Don’t Know

Include strategies based on scientific literature? Yes No Don’t Know

Include an evaluation plan? Yes No Don’t Know

Have senior administrator support? Yes No Don’t Know

17. Does your school have AOD prevention programming that focuses specifically on the following groups?

Yes No Don’t Know

1. Student athletes O O O

2. Fraternity and sorority members O O O

3. First-year students O O O

4. Women O O O

5. Minorities O O O

18. Has your campus implemented the following early interventions with individual students who are at risk for or experiencing AOD-related problems?

Formal screening for problem drinking or alcohol-related problems	Yes No Don’t Know
Formal screening for all incoming first year students	Yes No Don’t Know
Brief motivational interviews (e.g., BASICS, or other program) for intervening with problem drinkers	Yes No Don’t Know
Interventions that focus on challenging alcohol expectancies	Yes No Don’t Know
Provide individualized normative feedback on problem drinking/alcohol-related problems to individual students in personal interviews	Yes No Don’t Know
Provide individualized normative feedback on problem drinking/alcohol-related problems to individual students via the Web	Yes No Don’t Know
Provide normative feedback on problem drinking/alcohol-related problems to students in small groups	Yes No Don’t Know
On-campus counseling programs for students with alcohol-related problems	Yes No Don’t Know
On-campus self-help/recovery groups	Yes No Don’t Know
Intervention program for policy violators	Yes No Don’t Know
Faculty or staff training in student identification and referral of AOD problems	Yes No Don’t Know
Other (please specify) __________________________	Yes No Don’t Know

Has your school implemented any of the following for the purpose of AOD prevention?
Peer education programs	Yes No Don’t Know
Programs to correct student misperceptions of drinking norms (i.e., social norms marketing campaigns)	Yes No Don’t Know
Alcohol-awareness week events	Yes No Don’t Know
Student orientation session on prevention programs and policies	Yes No Don’t Know
Curriculum infusion (i.e., the inclusion of topics addressing alcohol- and other drug-related issues into general academic courses)	Yes No Don’t Know
Provide “safe rides” program	Yes No Don’t Know
Scheduled early morning classes	Yes No Don’t Know
Regularly scheduled exams on Fridays	Yes No Don’t Know
Shortened the period between final exams and graduation	Yes No Don’t Know
Eliminated Spring Break	Yes No Don’t Know
Changed college admission procedures	Yes No Don’t Know
Increased academic standards	Yes No Don’t Know
Expanded hours for student center, library, gym, or other alcohol-free settings	Yes No Don’t Know
Opened a student center, coffeehouse, or other alcohol-free setting	Yes No Don’t Know
Promoted consumption of non-alcoholic beverages at events	Yes No Don’t Know
Increased opportunities for greater faculty-student contact	Yes No Don’t Know
Expanded community service learning opportunities for students	Yes No Don’t Know
Expanded volunteer opportunities for students	Yes No Don’t Know
Expanded community service requirements as part of the academic curriculum	Yes No Don’t Know

20. Does your school provide AOD information through mailings to:

Yes No Don’t Know

a. Prospective students? O O O

b. Parents of prospective students? O O O

c. Incoming students (before their arrival)? O O O

d. Parents of current students? O O O

21. Are events that serve alcohol (on or off-campus) advertised on campus through bulletin boards, posters, flyers, or other means?
    
    

O Yes

O No

O Don't know

22. Does your school provide substance-free housing in which alcohol is prohibited at all times?

O Yes

O No

O Don't know

O Campus does not have residence halls for students

20a. [IF YES] What percentage of students housed on campus live in substance free residence halls? _________________%

20b. Does available substance-free housing meet current demand for it?

O Yes

O No

O Don't know

23. Please indicate other types of substance-free environments your campus offers to students. (Please check all that apply.)

O Selected residence hall floors

O All public areas

O Dining areas

O Academic buildings

O Sports arenas

24. Does your school sponsor substance-free social events for students?

O Yes

O No

O Don't know

24a. [IF YES] How often are substance-free social events for students sponsored by your school?

O All are substance-free

O More than once per week

O Weekly

O Every two weeks

O Monthly

O Less than once per month

O Less than once per semester

25. What other major AOD prevention activities are taking place at your school that have not already been asked about on this survey?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Has your campus participated in efforts to implement the following strategies to limit alcohol availability on or near your campus?
Limit the number and concentration of alcohol outlets near campus	Yes No Don’t Know
Limit days or hours of alcohol sales	Yes No Don’t Know
Limit container size for alcohol sales	Yes No Don’t Know
Require keg registration	Yes No Don’t Know
Increase state alcohol tax	Yes No Don’t Know

Has your school taken any of the following steps FOR THE PURPOSES OF AOD PREVENTION?
Prohibit alcohol advertising on campus	Yes No Don’t Know
Restrict alcohol advertising on campus	Yes No Don’t Know
Prohibit on-campus advertising of low-price drink specials	Yes No Don’t Know
Prohibit or restrict alcohol industry sponsorship of on-campus events	Yes No Don’t Know
Prohibit alcohol industry signs at major facilities (e.g. scoreboards at stadiums)	Yes No Don’t Know
Prohibit mention of alcohol in event or party announcements on-campus	Yes No Don’t Know
Prohibit alcohol promotions that show drinking in high-risk contexts	Yes No Don’t Know
Require pro-health media messages to counterbalance alcohol advertising	Yes No Don’t Know
Create cooperative agreement with local businesses to institute minimum alcohol pricing	Yes No Don’t Know
Create cooperative agreement with local businesses to limit special drink promotions	Yes No Don’t Know

AOD Task Force and Coalition Programs and Activities

28. Does your campus currently have a campus task force or committee overseeing AOD prevention efforts?

O Yes, there is a task force in place but it has not met for over a year

O Yes, the task force has met in the last year but not on a regular basis

O Yes, the task force has had regular meetings in the past year

O No, used to have a task force in place but it no longer exists

O No, have never had a task force in place

O Don't know

28a. [IF YES] Does the president or a president’s designee participate in this task force or committee?

O Yes

O No

O Don't know

28b. On a scale of 1-5, please rate the activity level of your task force.

Very Very

Inactive Active

1 2 3 4 5

29. Does your campus currently have a coalition formed with members of the local community?

O Yes, there is a campus-community coalition in place but it has not met for over a year

O Yes, the campus-community coalition has met in the last year but not on a regular basis

O Yes, the campus-community coalition has had regular meetings in the past year

O No, used to have a campus-community coalition in place but it no longer exists

O No, have never had a campus-community coalition in place

O Don't know

29a. [IF YES] Does your campus and community coalition have a designated leader?

O Yes

O No

O Don't know

29b. On a scale of 1-5, please rate the activity level of your coalition.

Very Very

Inactive Active

1 2 3 4 5

30. In the last three years, how has hard-money (non-grant) funding for your school’s AOD abuse prevention program changed?
    
    

O Decreased
O Remained the same
O Increased

31. How many staff members at your school are employed to develop and implement AOD prevention programs and policies? Please state the number of full-time equivalent (FTE) units (1 full-time staff member = 1 FTE):

___FTEs

32. What information or resources (other than additional funding) would help strengthen your school’s AOD prevention program?

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Violence Prevention

Campus Safety Programs

Does your institution currently offer any of the following services or programs concerning campus safety?
Foot or bicycle patrols by security personnel	Yes No Don’t Know
Night-time escort services	Yes No Don’t Know
Night-time shuttle bus or van services	Yes No Don’t Know
Limited access to residence halls	Yes No Don’t Know
Limited access during nights and weekends to academic buildings	Yes No Don’t Know
Emergency phone systems	Yes No Don’t Know
Program of publishing or posting safety reminders	Yes No Don’t Know
Safety/crime prevention presentations to campus groups	Yes No Don’t Know
Victim’s assistance programs	Yes No Don’t Know
Self-defense training	Yes No Don’t Know
Other____________________	Yes No Don’t Know

Student Conduct Policies

34. Please indicate whether each of the following behaviors are specifically prohibited in your student conduct policies (either by the code of student conduct OR by a stand-alone student policy):

	Yes, specifically listed in policies as prohibited	Not specifically listed in policies, but prohibited under another listed offense	Not prohibited
Dating / relationship violence
Stalking
Sexual harassment
Hate / bias-related violence
Hazing
Rioting or other public disturbance
Vandalism
Suicidal behavior
Rape / sexual assault
Possession of a weapon
Threat of violence
Failure to comply with campus police or security
Other: _______________________

35. How does your campus disseminate its student conduct policies to students? (Please check all that apply.)

O Posted on the web

O Mailed to all students annually

O Published in student handbook

O Handed out during orientation

O Handed out during classes or workshops required of all students

O Other, please specify: ________________________________________________________________

Violence Prevention Efforts

36. In this section on violence prevention efforts, we would like you to indicate whether your campus provides educational sessions for different student populations regarding a range of types of violence. Over the next several pages, for any “yes” response, you will be asked to also indicate whether the sessions are mandatory, and how long the sessions are.

Sexual Assault/Rape

	Yes	No	Don’t Know
First-year women
First-year men
Student athletes
Fraternity/ sorority members
Other: ____________________

Relationship/Dating Violence

	Yes	No	Don’t Know
First-year women
First-year men
Student athletes
Fraternity/ sorority members
Other: ____________________

Sexual Harassment

	Yes	No	Don’t Know
First-year women
First-year men
Student athletes
Fraternity/ sorority members
Other: ____________________

Hate or Bias-related Violence

	Yes	No	Don’t Know
First-year women
First-year men
Student athletes
Fraternity/ sorority members
Other: ____________________

Hazing

	Yes	No	Don’t Know
First-year women
First-year men
Student athletes
Fraternity/ sorority members
Other: ____________________

Suicidal Behavior

	Yes	No	Don’t Know
First-year women
First-year men
Student athletes
Fraternity/ sorority members
Other: ____________________

Box 1: Sessions

a. Sexual Assault/Rape

b. Relationship/Dating Violence

c. Sexual Harassment

d. Hate or Bias-related Violence

e. Hazing

f. Suicidal Behavior

Box 2: Populations

i. First-year woman

ii. First-year men

iii. Student athletes

iv. Fraternity/sorority members

v. General student body

vi. Other

g. For each “yes” response in questions 35a through 36f, please indicate whether the sessions are mandatory and the duration of the program. Use the codes in Box 1 to indicate the type of violence, use the codes in Box 2 to indicate the population. For example, if your campus held sessions on hazing for the general student body that was mandatory and 30 minutes long, see the example below:

Type of Violence (Code in Box 1)	Population (Code in Box 2)	Is this program mandatory?		What is the program’s duration?
		Yes	No	< 1 hour	1-2 hours	> 2 hours
e	v

36a. Please provide any additional information you think is important for us to know about the educational programming regarding violence on your campus.

____________________________________________________________________________________________________________________________________________________________

37. Below we have provided a list of strategies campuses use for violence prevention. Please indicate whether your campus has used any of these strategies in the past year to address the types of violence listed across the top.

	Sexual assault/ rape	Relationship /dating violence	Sexual Harassment	Hate or bias-related violence	Hazing	Suicidal behavior
Distribute printed materials
Educational Web site
Posters/ media campaign
Campuswide guest speaker
Awareness week
Revised policy
Other (please specify)

Riots, Event-Related Problems, or Other Campus Disturbances

Note: this question refers to rioting or disorder related to sporting events and campus events or celebrations, as well as spontaneous student disturbances.

38. In the past year, please indicate whether your campus has conducted any of the following activities for the purpose of preventing riots or other campus disturbances:

O Event/situation management planning with multiple campus departments

O Planning with local community

O Collaboration between campus security and local law enforcement

O Flyers/letters or other communication to students

O Flyers/letters or other communication to parents

O Campuswide media campaign

O Increased enforcement of campus policies or community laws

O Alcohol-free events

O Other, please specify: __________________________________________

Vandalism

39. In the past year, please indicate whether your campus has conducted any of the following activities for the purpose of preventing vandalism:

O Increased patrol of campus areas at high risk for vandalism

O Increased enforcement of penalties for vandalism

O Publicize the costs of vandalism

O Bill students for damages

O Conduct video surveillance of high-risk areas

O Increase access control to frequently vandalized areas

O Prohibit alcohol in residence halls

O Redesign the physical environment (e.g., buy stronger furniture, fence in parking lots)

O Encourage reporting by students who witness vandalism

O Other, please specify: __________________________________________

Crisis Response and Emergency Planning

40. Does your campus have a written crisis response or emergency management plan in place?	Yes No Don’t Know
41. Have you or any of your staff received training in critical incident management?	Yes No Don’t Know
42. Have you or any of your staff participated in “table-top” exercises, in which groups practice responding to emergencies by talking through the steps together?	Yes No Don’t Know
43. Have you or any of your staff participated in drills or practical simulations to rehearse emergency responses?	Yes No Don’t Know

Sexual Assault Response Training

44. Do any of the following groups receive specialized training to respond to reports of sexual assault?

a. Campus law enforcement/security officers	Yes No Don’t Know
b. Judicial/disciplinary board members	Yes No Don’t Know
c. Resident assistants	Yes No Don’t Know
d. Other: _______________________	Yes No Don’t Know

Interdepartmental Groups Addressing Violence

45. Is there a standing institutional group (e.g., interdepartmental task force, council, or committee) that meets regularly to address the following topics?

a. General campus crime/safety	Yes No Don’t Know
b. Sexual assault	Yes No Don’t Know
c. Crisis management	Yes No Don’t Know
d. Emergency preparedness	Yes No Don’t Know

45a. Are there other topics on violence that this group addresses that we missed in the list above?

Yes

No

45a_1. [IF YES] What are these specific topics?

a. Topic A:

b. Topic B:

c. Topic C:

45b. General campus crime/safety

a. Does this group include members of the surrounding community?	Always Sometimes No Don’t Know
b. Does this group include students?	Always Sometimes No Don’t Know
c. How would you describe the group’s focus?	Prevention, Response, Both prevention and response
d. Please indicate whether the group performs the following tasks:	O Review data about the problem O Create or revise policies O Plan prevention programming O Create response systems O Respond when crises occur O Share information about potential problem students or situations O Coordinate/integrate prevention programming O Coordinate/integrate student services O Other: _______________________
e. How often does this group address alcohol and other drug issues?	Never, Seldom, Occasionally, Frequently
f. Other comments about this group	___________________________________________ ___________________________________________

Sexual Assault

a. Does this group include members of the surrounding community?	Always Sometimes No Don’t Know
b. Does this group include students?	Always Sometimes No Don’t Know
c. How would you describe the group’s focus?	Prevention, Response, Both prevention and response
d. Please indicate whether the group performs the following tasks:	O Review data about the problem O Create or revise policies O Plan prevention programming O Create response systems O Respond when crises occur O Share information about potential problem students or situations O Coordinate/integrate prevention programming O Coordinate/integrate student services O Other: _______________________
e. How often does this group address alcohol and other drug issues?	Never, Seldom, Occasionally, Frequently
f. Other comments about this group	___________________________________________ ___________________________________________

Crisis Management

a. Does this group include members of the surrounding community?	Always Sometimes No Don’t Know
b. Does this group include students?	Always Sometimes No Don’t Know
c. How would you describe the group’s focus?	Prevention, Response, Both prevention and response
d. Please indicate whether the group performs the following tasks:	O Review data about the problem O Create or revise policies O Plan prevention programming O Create response systems O Respond when crises occur O Share information about potential problem students or situations O Coordinate/integrate prevention programming O Coordinate/integrate student services O Other: _______________________
e. How often does this group address alcohol and other drug issues?	Never, Seldom, Occasionally, Frequently
f. Other comments about this group	___________________________________________ ___________________________________________

Emergency Preparedness

a. Does this group include members of the surrounding community?	Always Sometimes No Don’t Know
b. Does this group include students?	Always Sometimes No Don’t Know
c. How would you describe the group’s focus?	Prevention, Response, Both prevention and response
d. Please indicate whether the group performs the following tasks:	O Review data about the problem O Create or revise policies O Plan prevention programming O Create response systems O Respond when crises occur O Share information about potential problem students or situations O Coordinate/integrate prevention programming O Coordinate/integrate student services O Other: _______________________
e. How often does this group address alcohol and other drug issues?	Never, Seldom, Occasionally, Frequently
f. Other comments about this group	___________________________________________ ___________________________________________

Topic A (Respond to these questions only if you completed Topic A on page 17)

a. Does this group include members of the surrounding community?	Always Sometimes No Don’t Know
b. Does this group include students?	Always Sometimes No Don’t Know
c. How would you describe the group’s focus?	Prevention, Response, Both prevention and response
d. Please indicate whether the group performs the following tasks:	O Review data about the problem O Create or revise policies O Plan prevention programming O Create response systems O Respond when crises occur O Share information about potential problem students or situations O Coordinate/integrate prevention programming O Coordinate/integrate student services O Other: _______________________
e. How often does this group address alcohol and other drug issues?	Never, Seldom, Occasionally, Frequently
f. Other comments about this group	___________________________________________ ___________________________________________

Topic B (Respond to these questions only if you completed Topic B on page 17)

a. Does this group include members of the surrounding community?	Always Sometimes No Don’t Know
b. Does this group include students?	Always Sometimes No Don’t Know
c. How would you describe the group’s focus?	Prevention, Response, Both prevention and response
d. Please indicate whether the group performs the following tasks:	O Review data about the problem O Create or revise policies O Plan prevention programming O Create response systems O Respond when crises occur O Share information about potential problem students or situations O Coordinate/integrate prevention programming O Coordinate/integrate student services O Other: _______________________
e. How often does this group address alcohol and other drug issues?	Never, Seldom, Occasionally, Frequently
f. Other comments about this group	___________________________________________ ___________________________________________

Topic C (Respond to these questions only if you completed Topic C on page 17)

a. Does this group include members of the surrounding community?	Always Sometimes No Don’t Know
b. Does this group include students?	Always Sometimes No Don’t Know
c. How would you describe the group’s focus?	Prevention, Response, Both prevention and response
d. Please indicate whether the group performs the following tasks:	O Review data about the problem O Create or revise policies O Plan prevention programming O Create response systems O Respond when crises occur O Share information about potential problem students or situations O Coordinate/integrate prevention programming O Coordinate/integrate student services O Other: _______________________
e. How often does this group address alcohol and other drug issues?	Never, Seldom, Occasionally, Frequently
f. Other comments about this group	___________________________________________ ___________________________________________

46. Other comments about your campuses’ interdepartmental task forces:

______________________________________________________________________________

47. Please indicate which types of violence are addressed under the following infrastructure at your campus.

	Sexual assault/ rape	Relationship /dating violence	Sexual Harassment	Hate or bias-related violence	Hazing	Suicidal behavior
Peer leadership/ education group
Student advocacy organization
Included in a staff person’s job description
Other (please specify):

48. Other comments on infrastructure: ______________________________________________

49. Is there a written strategic plan (or plans) to address issues of violence on your campus?

O Yes

O No

O Don't know

b. [IF YES] Please describe the plan:

O Comprehensive plan addressing multiple forms of violence
O One or more separate plans, each of which cover a specific area (e.g.,
sexual violence prevention, crisis response)
O Other (please specify):_____________________________________

c.  Which specific areas are covered in your plan? ________________________________________________________________________________________________________________________________________________________________________________________________________________________

50. What do you see as the top three barriers to implementing a comprehensive violence prevention initiative on your campus?

__Lack of funding for prevention efforts generally

__Violence prevention is not a high priority compared to other prevention issues (e.g., AOD issues, eating disorders, mental health)

__Available resources devoted to response rather than prevention

__Prevention efforts focus narrowly on one or two violence topics, rather than a comprehensive approach addressing multiple areas of violence

__Lack of staff time assigned to violence prevention

__Trouble getting the police to collaborate on prevention

__Lack of knowledge about effective violence prevention strategies

__Fear that proactive efforts will increase potential legal liability

__Other (please specify):______________________________________________

51. Which of the following victim advocacy services are made available to your students?

Service	Available on-campus	Available through formal agreement with off-campus provider	Services available in community, but no formal agreement	Not available	Don’t know
24-hour Help Line
Accompaniment to the hospital and police station for reporting
Case management
Assistance with student judicial and/or mediation procedures
Legal assistance / referrals
Medical referrals
Individual counseling
Group counseling/ support groups
Counseling referrals
Requests for on-campus housing relocation or transfer of classes
Academic support services

52. Does your campus have staff members whose job descriptions include both violence and AOD-related tasks?

Yes

No

52a. [IF YES] How many?

1 staff member

2 staff members

3 staff members

4 or more staff members

Don’t know

53. Overall, how well integrated are your campus’ violence prevention and AOD prevention efforts?

• Not at all well

• Poorly

• Somewhat well

• Well

• Very well
  
  

54. What information or resources (other than additional funding) would help strengthen your school’s violence prevention efforts?

____________________________________________________________________________________________________________________________________________________________

Evaluation and Assessment

55. Do you use CAMPUS-WIDE surveys of student behavior and attitudes related to alcohol and other drugs?

Yes

No

Don’t Know

55a. [IF YES] Which assessment instruments have you used?

Core Alcohol and Drug Survey Yes No Don’t Know

National College Health Assessment Yes No Don’t Know

Self-designed instrument Yes No Don’t Know

Other (please specify):___________________ Yes No Don’t Know

55b. [FOR EACH OF THE ABOVE YES] Do you currently use the [ASSESSMENT INSTRUMENT]?

Yes

No

56. When was the last time your institution conducted a CAMPUS-WIDE survey of student behavior and attitudes related to alcohol and other drugs?

O Spring 2007

O Fall 2006

O Spring 2006

O Fall 2005

O Spring 2005

O Fall 2004

O Spring 2004

O Fall 2003

O Spring 2003

O Fall 2002

O Prior to Fall 2002

O Do Not Conduct Campus-wide Surveys

O Don’t Know

57. Does your campus collect or compile any of the following types of data?

	Yes	No	Don’t Know
Survey data regarding students’ AOD-related knowledge, attitudes, and behaviors
Survey data regarding students’ knowledge, attitudes, and behaviors regarding violence
Disciplinary/judicial data
Vandalism/property damage records
AOD-related incidents in residence halls
Annual Clery Report
Biennial Report
Summary statistics from student health services
Summary health statistics from student counseling services
Results from environmental scans
Results from focus groups
Records from community hospital emergency rooms
Community crime statistics
Records from community hospital emergency rooms
Other campus data _________________

58. [FOR EACH YES TYPES OF DATA WILL APPEAR] How are the date from the following collection efforts used?

	AOD prevention program development	AOD program evaluation	Violence prevention program development	Violence program evaluation
Survey data regarding students’ AOD-related knowledge, attitudes, and behaviors
Survey data regarding students’ knowledge, attitudes, and behaviors regarding violence
Disciplinary/judicial data
Vandalism/property damage records
AOD-related incidents in residence halls
Annual Clery Report
Biennial Report
Summary statistics from student health services
Summary health statistics from student counseling services
Results from environmental scans
Results from focus groups
Records from community hospital emergency rooms
Community crime statistics
Records from community hospital emergency rooms
Other campus data _________________

Conclusion

I am or I have been authorized by the senior administrator responsible for coordinating this college’s institutional response to problems related to alcohol and other drug use. I hereby certify the accuracy of the responses indicated in this questionnaire.

Name__________________________________ Date _________________________________

Institution ______________________________ Job Title_______________________________

Telephone Number____________________ E-mail Address__________________________

Thank you!

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