Professional Documents
Culture Documents
ANNUAL
REPORT
Teaching
Manual
2009
www.ndri.curtin.edu.au
Street Address:
National Drug Research Institute
Curtin University
Health Research Campus
Level 2, 10 Selby Street, Shenton Park,
Perth, Western Australia, 6008
Postal Address:
National Drug Research Institute
Curtin University
GPO Box U1987
Perth, Western Australia, 6845
Telephone: (08) 9266 1600
Facsimile: (08) 9266 1611
Email: ndri@curtin.edu.au
CRICOS Provider Code: WA 00301J, NSW 02637B
2010027
The SHAHRP program was particularly successful with early risky drinkers. Early
unsupervised drinkers from the SHAHRP group experienced 18.4% less alcohol related
harm after participating in both phases of the program and this difference was maintained
17 months after completion of the program.
Details of reference data to support the resources (provided on the SHAHRP website
at ndri.curtin.edu.au/shahrp), for example, the effects of alcohol on brain development
in adolescence.
Functional changes that make it easier to use the resources, for example, tagged
lesson pages, and providing a digital version of the SHAHRP trigger visual.
All modifications made to the SHAHRP program were based on input from Key
Informants who have been using the SHAHRP program for several years.
Acknowledgements
The School Health and Alcohol Harm Reduction Project (SHAHRP) study was researched
and developed at the National Drug Research Institute (NDRI), Curtin University and
funded by the Western Australian Health Promotion Foundation (Healthway).
The NDRI researchers responsible for the initial SHAHRP study were Nyanda McBride,
Richard Midford and Fiona Farringdon. Key writer of the original SHAHRP intervention
materials was Helen Cahill from the Youth Research Centre, University of Melbourne.
Contributing writers were Marg Sheehan from the Youth Research Centre and Fiona
Farringdon. The content and style of the SHAHRP materials were based on formative
research including: evidence based components from drug education scientific literature;
focus groups with young people; and modifications made after piloting the program with
teachers and students in schools.
Contributors to the SHAHRP intervention materials include: Year 10 students involved in
study focus groups, pilot and longitudinal study teachers and students.
Researchers responsible for the changes made to SHAHRP in the SHAHRP Refresh
Project include Clare Stevens, Nyanda McBride, Fiona Farrington and Michael McKay.
Key Informants who have been using SHAHRP materials for several years provided
valuable input.
In addition, we would like to acknowledge the assistance of:
Darren Skov for his assistance in linking the SHAHRP materials to the overarching
learning outcomes of the Western Australian Curriculum Framework and the Health and
Physical Education learning area outcomes (details available on the SHAHRP website at
ndri.curtin.edu.au/shahrp).
The Commonwealth Department of Health and Family Services for granting permission
to use the How Will You Feel Tomorrow video from the How Will You Feel Tomorrow
education kit.
The Transport Accident Commission for granting permission to use the Bush Telegraph
commercial.
The Youth Research Centre for granting permission to use the video from the Rethinking
Drinking program (Rethinking Drinking was funded by the Australian Brewers
Foundation).
St Johns Ambulance staff for their assistance in identifying appropriate first aid
procedures for the Phase Two lessons.
Table of Contents
Introduction to the SHAHRP program
12
15
Phase One
17
18
25
28
31
34
37
Lesson 7 - Decisions
39
50
Phase Two
59
60
62
Lesson 11 - Vulnerability
64
68
71
78
85
Training was conducted before each phase of the original SHAHRP study. During
Phase One, teachers/facilitators were provided with an overview of the study behavioural
outcomes, evidence-based components, and interactive modeling of each Phase One
activity. Phase Two training provided interactive modeling of Phase Two activities. Trainers
who are experienced in interactive techniques are recommended as SHAHRP teachers/
facilitators.
Manual:
The manual provides specific written guidance for teachers and facilitators.
The manual includes detailed and structured lesson plans including sample questions
to help facilitate discussion and debriefing of activities, coaching points to aid in the
management of the activities, and background information about alcohol-related issues.
Student workbooks:
Trigger: The SHAHRP Trigger features scenarios that young people may experience in
alcohol use situations and is used to prompt discussion about how to minimize the harms
associated with alcohol use.
The SHAHRP manual and student workbooks, as well as other program details, are
available on the SHAHRP website at ndri.curtin.edu.au/shahrp.
Results
After Phase One (8 x 60 minute lessons, 13 year olds) intervention students had
significantly greater knowledge, significantly safer attitudes, consumed less alcohol and
experienced significantly less harm associated with their own use of alcohol than the
control group.
After Phase Two (7 x 50 minute booster lessons in the following year, 14 year olds)
intervention students continued to have significantly greater knowledge and safer
alcohol-related attitudes than the control group. In addition, intervention students
consumed less and experienced less harm associated with their own use of alcohol than
the control group.
One year after the completion of Phase Two (no lessons, 15 year olds) students
maintained a significantly greater knowledge, significantly safer attitudes, significantly
less harm from their own use of alcohol and also showed significantly less harm from
other peoples use of alcohol than the control group.
Baseline
After Phase 1
After Phase 2
Knowledge
Attitudes
Consumption
Context of use
Harm associated
with own use
Harm associated
with others use
Significant statistical difference between control and SHAHRP students in favour of the
SHAHRP program.
10
Experienced 33% less harm associated with their own use of alcohol.
Experienced 10% less harm associated with other peoples use of alcohol.
Immediately after Phase One and Phase Two of the program respectively, young people:
Experienced 32.7% and 16.7% less harm from their own use of alcohol.
11
Relevancy: requires that an additional phase of lessons be taught at a time when the
students are initiating the behaviour of interest. The immediate relevancy of knowledge
and skills during this phase in the students development makes it more likely that
students will apply new information and skills to their new behaviour. As with the above
evidence based component, prevalence of alcohol use data was used to define the
placement of the second phase of the SHAHRP program.
Transition period between primary and secondary school: practical considerations play
an important part in this component (particularly so for research studies in schools).
Students are likely to remain in the same school for a number of years, teachers are more
specialised in the delivery of alcohol education, programs can be easily administrated
and in research terms an intervention in one setting helps to assist with follow-up for
survey purposes. Entry into secondary school also represents a milestone in the maturity
of students; however, the prevalence of the behaviour of interest should be a stronger
guide to the placement of an intervention.
drug education
should be taught in the context of a developmentally appropriate curriculum, have a
sound curriculum basis, be placed alongside other related health issues and have the
flexibility to target drug issues as they become pertinent to students. Programs conducted
in isolation, or ad hoc programs, have limited scope to create change and can potentially
have a negative effect on student drug use behaviour.
Booster sessions over time: in the past the research literature suggested that 30 to 40 hours
of classroom lessons were required to impact on students health behaviours. More
recent research suggests that booster sessions over a number of years, which develop
and reinforce knowledge and skills at a developmentally appropriate time, can also lead
to behaviour change. This means that less classroom time is required to have an impact
on behaviour; however, the lessons need to incorporate the following content and
teaching methodology components to be effective.
12
Adopts a harm minimisation approach rather than being based solely on non-use goals: This
issue is particularly relevant for alcohol where initiation of use occurs at a young age,
where large amounts of alcohol are consumed during drinking occasions, and where
social rewards are gained from drinking. Risks and harms associated with the use of
alcohol can be linked to the students own use or other peoples use of alcohol. A goal of
harm minimisation provides both drinkers and non drinkers with strategies for reducing
the chances of harm occurring, and the potential impact of harm after the event, as well
as incorporating important non-use and delayed use strategies.
Programs should be skills and activities based: Skills based teaching that involves students
in practical activities increases students interest and learning. Teaching methods that
allow students to practice behaviours that are relevant to their experience in a low risk
situation, using realistic scenarios, provide young people with important practice that
they can take with them to real life situations. Programs that are interactive and provide
a high level of activity in proportion to other aspects, such as lecture-style teaching, are
more effective in gaining students interest and promoting student learning.
Programs should incorporate utility knowledge: Past studies provide strong evidence
that knowledge and attitude based programs have little effect on behaviour change.
Nevertheless, the delivery of knowledge as part of a skills-training approach is an
important aspect of a program. The type of knowledge provided, however, needs to be
relevant to the students, needs to be applicable to their life experiences and needs to be
of immediate practical use to them.
13
Teacher training
Teachers should be trained to teach drug education:
Research issues
Although less important in the context of classroom teaching, the following research
considerations were adopted as part of the SHAHRP research studies: fidelity of
implementation (how well and how much of the program was taught) was measured and
incorporated into analysis and understanding of change; measures of program success
were based on realistic student experiences; the research was conducted over a long time
period to allow for delays in behaviour change; and analysis incorporated stratification for
previous use.
References for this section and research papers about SHAHRP are available on the
SHAHRP website at ndri.curtin.edu.au/shahrp.
14
DOES:
Assume that the majority of students will drink alcohol at some time in their lives.
Acknowledge that many young people spend time with peers or adults who are
drinkers.
Aim to reduce the adverse health, social, cultural and economic consequences of
alcohol use by minimising the harm for both the community and the individual.
Aim to equip students to make informed choices about whether to drink or not,
and if so, how much, with whom, and in what circumstances.
Aim to promote responsible choices about alcohol use within the context of a
healthy lifestyle.
Fit within the National and Western Australian Health and Physical Education
learning area outcomes.
Fit within the National and Western Australian Health Curriculum Framework.
15
16
Phase One
The following section contains eight lessons:
Lessons 1 8
17
Harm minimisation
Harm minimisation is
a goal which includes
a number of strategies
including abstinence
and non-use. These
strategies aim to
minimise the harmful
effects of drinking to
the drinker, to their
friends, family, local
community and to
society. It is relevant
to both drinkers and
non-drinkers, as
drinking affects others
besides the drinker.
Lesson 1
The Big Picture
Intention
It is intended that students will:
Be introduced to the unit and the harm minimisation
approach.
Be clear about rules and expectations in the classroom.
Consider a number of commonly held myths about
alcohol and debunk these myths with some facts and
information.
Consider some statistics about the use of alcohol and
the range of harms linked to alcohol use.
Become aware of the normative patterns of alcohol use
for young people.
Approach
Resources
Student reflections
booklet
The student
reflections booklet is
an important part of
this unit and provides
a place for students
to record information,
reflect on ideas and
plan some individual
strategies. Tell
students that they will
need their booklet for
each lesson and any
other purposes that
you are planning, such
as evaluation.
18
Introduction
Introduce the alcohol unit to students and tell them about
some of the issues you will be covering. This could include
some lesson topics and types of classroom teaching
strategies you will be using (eg interactive teaching style).
Tell students that a lot of young people were consulted in
developing this program. Students from several alcohol
projects and focus groups have identified the sorts of
decisions and harms young people face in relation to
alcohol use.
Explain that you will be using a harm minimisation
approach, as students may be expecting you to use an
abstinence approach, where you tell them not to drink.
Use some of the following points in your explanation
of harm minimisation and the nature of the unit to your
students:
Different families,
different rules
Point out that
there will be a
range of family
rules, expectations
and beliefs in this
class, community,
country and in the
world. Families and
individuals will make
decisions about what
is right and wrong
for them. In class you
wont make right/
wrong judgements,
but will look at harms,
risks, pressures,
strategies and
decisions.
19
Privacy
Set up and manage
classroom rules to
protect privacy. Every
teller of a story must
take responsibility for
protecting the privacy
of those in the story.
The classroom isnt
a place for gossip so
we wont tell tales on
others.
Activity 3: Mythbusters
(15 minutes)
Myths
Highlight that a myth
is a collective belief
created over time.
Rather than being
based on fact it can
be based on wishful
thinking. Sometimes
myths become so well
known, people believe
them to be true. The
danger in some of
these myths is that
they can lead to harm.
20
(15 minutes)
AA Work in pairs.
Instructions
Year 8s who say they are non-drinkers:
Coaching points
Debunking myths
and facts is the key
function of Serious
Pursuit.
Literacy
Modify the activities
to suit the literacy
level of your class.
For example, put key
words on the board,
give reading tasks to
stronger readers, work
through examples
with the class.
Latest statistics
The latest SHAHRP
statistics can be
viewed at ndri.curtin.
edu.au/shahrp
If you are from a
country other than
Australia, please
access your local
alcohol organisations
to ensure prevalence
data is accurate. You
may need to modify
the answers to Activity
4 and 5 based on any
differences.
Encourage
Encourage students to
attempt an answer or
at least have a guess.
Tell them that some
answers are a bit
difficult. Stress that
the correct answers
must be read out in
full because some
cards have additional
information.
21
Prevalence data
Check local prevalence
data and/or SHAHRP
website ndri.curtin.
edu.au/shahrp to
ensure information is
up to date.
Statistics in brief
While many Year 8s
have tasted alcohol
or have had a drink,
only 2 in 10 consider
themselves to be
drinkers. Many adults
in Australia use
alcohol regularly.
Saturday is the
day when the most
alcohol is consumed,
followed by Friday.
This would indicate
that alcohol is used
as part of recreation
and socialising on the
weekend.
Young men are over
represented in deaths
on the road as a result
of alcohol. Both young
men and women
say the main type of
alcohol they normally
consume is pre-mixed
spirits.
22
Debrief
Ask students to compare pictures one (year 8 non-drinkers),
six (yr 8 heavy drinkers) and eight (experimentation).
Teacher homework
1. Organise glasses, jugs, food dye and measuring devices to
be ready for Lesson 3.
2. Organise a room swap for this lesson to a wet area (eg
science or home economics room). Keep these resources in
a well labeled box so that they are available and ready for
use in the future.
Question:
Question:
Answer:
Most Year 8 students say they
are non-drinkers. Around 16 out
of 20 (or 80%) of them say they
are non-drinkers.
Question:
Question:
Answer:
Heavy use of alcohol over a long
time has been linked to: cancer
of the lips, mouth, pancreas,
breast and colon; stroke and
damage to the liver and brain.
Answer:
Answer:
About 7 out of 10 (or 70%) of
alcohol related deaths for young
men were due to drink driving.
23
Question:
Question:
Answer:
Answer:
Question:
Question:
Answer:
About 15 out of 20 (or 75%) of
Year 8s have ever tried alcohol.
Answer:
Most drug-related deaths for
young Australians are due to
alcohol. The risk of alcoholrelated death for young males
aged 15-25 is 72%, the risk of
alcohol related-death for young
females 15-25 years is 54%.
24
Lesson 2
Why People Use Alcohol
Intention
It is intended that students will:
Identify some of the reasons why people choose to drink
or not to drink alcohol.
Predict which reasons are most likely to lead to harmful
outcomes.
Explore some of the factors which may affect a choice
about whether to use alcohol or not.
Resources
Student Reflections booklet 1: pages 5-8
White/black board
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Brainstorming
A way of collecting
as many ideas or
responses as possible.
Do not judge or
evaluate offerings
during the brainstorm.
Return to the list later
to complete these
other tasks.
Reporting back
A group shares
their thinking with
the whole class. An
activity to promote
peer led learning.
25
Protective interrupting
This is a teaching
strategy designed to
protect:
(30 minutes)
The reputation of
the person telling
the story.
The class
members from
distress at hearing
a disclosure
or from covert
pressure to be
engaged in social
activities or high
status risky
behaviours.
The two reasons that may have the most influence over
a young persons decision to drink alcohol are _________
________________________________
Mandatory reporting
Under mandatory
reporting laws, the
teacher is obliged to
report an ongoing
situation which places
a student at serious
risk. Be aware of
the procedures for
reporting and referral
used at your school.
26
Teacher homework
1. Organise glasses, jugs, food dye and measuring devices to
be ready for Lesson 3. Ideally use a variety (size and shape)
of glasses so students can see that a standard drink of
alcohol looks different in different containers. If this is not
possible use generic plastic cups which can be purchased
from your local supermarket.
2. Organise a room swap for this lesson to a wet area (eg
science or home economics room).
3. Start collecting a variety of bottles and cans (include some
premixed drinks/alcopops) for Lesson 4. Make sure they
have standard drinks information on the label.
27
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Drinking glasses
Use a variety (size and
shape) of glasses so
students can see that
a standard drink of
alcohol looks different
in different containers.
Brain development
Please refer to
SHAHRP website for
the latest information
on alcohol and brain
development ndri.
curtin.edu.au/shahrp.
Lesson 3
Alcohol and the Body
Intention
It is intended that students will:
Define what alcohol is and how it affects the body.
Identify how sobering up occurs and be able to
recognise common myths about sobering up.
Identify what comprises a standard drink.
Be able to pour a standard drink of spirits, wine and
beer.
Resources
Sobering up
Point out that actors in
movies act drunk, then
sober. The black coffee
you see them drink
makes no difference.
The liver breaks down
alcohol at a rate of
7-10 grams of alcohol
(approximately one
standard drink) an
hour, depending on
the person.
AA Ask students:
Set out the clear two (2) litre juice containers filled with
coloured water. Use a common colour to represent a
generic range of drinks eg spirits/blue, wine/red, full
strength beer/orange, pre-mixed spirits/green, light beer/
yellow etc. Write this up on the board.
Logistics
If you are still setting
up at the start of the
lesson, get students
to read through page
9 of their Reflections
booklet.
Energy drinks
Some people mix
energy drinks with
alcohol to feel
in control, alert
and less drunk.
However, consuming
a stimulant along
with alcohol only
reduces the feeling
of being drunk; the
physical and mental
impairments that
alcohol causes remain
the same. Masking the
depressant effect of
alcohol may lead to
increased risk-taking
and greater potential
harms (such as drink
driving).
Standard drink
A standard drink is
one which contains 10
grams of alcohol.
29
Measurement
Use science measures
or beakers from home
economics to assist
in the measurement
of standard drinks.
Collect a range of
different shaped
glasses or disposable
beakers and compare.
Sip sizes
It is important to
discuss sip sizes
if students are too
embarrassed to
have their sip sizes
measured, as this is
the way some young
people drink alcohol,
especially at parties.
What do you notice about what the same drink looks like
when poured into different sorts of glasses?
Teacher homework
1. Prepare can and bottle collection for Lesson 4.
30
Lesson 4
Whats in a Drink?
Intention
It is intended that students will:
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Bottle collection
Keep your collection
of bottles and cans in
a well-labelled carton.
WHATS IN A
DRINK ACTIVITY
DO NOT DISPOSE
Resources
Collection of empty bottles and cans representing a
wide range of alcoholic beverages.
Student Reflections booklet 1: pages 10, 13-14, 17, 19-20.
AA Ask students:
31
Adults
The 2009 Australian
Alcohol Guidelines
advise that healthy
adults should
consume no more
than two standard
drinks on any day to
reduce the lifetime
health risk from
alcohol. However,
if this is exceeded,
consuming no
more than four
standard drinks on
any one occasion
will reduce the risk
of injury during and
immediately after
consuming the drinks.
Adults
Young people
Pregnant women
Young people
The NHMRC
guidelines (2009)
state that the safest
option for children and
young people under
18 years of age is not
to drink any alcohol
and recommends
delaying the initiation
of drinking for as long
as possible.
Labels
It is preferable to
have a large range
of different sorts of
empty alcoholic drink
containers for the
students to look at.
Get them to locate the
number of standard
drinks on the label.
Note the different
alcoholic content of
the drinks.
32
Name of drink
Type of drink
% of alcoholic content
Point out that one drink may not equal one standard
drink; it may actually equal 2 or 3 standard drinks
depending on the strength of the alcohol and how much
is poured.
Why was the effect different? Point out that the effect of
alcohol depends not only on the strength of the alcohol
but also on the individual characteristics of the person.
BAC
Blood alcohol content
is the amount of
alcohol in your
bloodstream. It is
measured according
to the number of
grams of alcohol per
100 ml of blood.
Pregnant women
Pregnant women are
advised to abstain
from alcohol as
it impacts on the
developing brain of
the fetus.
Teacher homework
1. Tape or download three or four advertisements to use in
Lesson 6.
2. Select a variety of advertisement types. These
advertisements do not have to involve alcohol, but can be
for any product or service. It is an advantage to have at least
one alcohol advertisement.
3. Organise large sheets of white paper and thick writing
pens.
33
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Lesson 5
Identifying Harms and Strategies
Intention
It is intended that students will:
Identify harms that can occur to young people as a
result of their own or others alcohol use.
Predict and describe situations in which these harms are
most likely to occur.
Recognise the varying effects of alcohol in relation to
levels of use.
Resources
Student Reflections booklet 1: pages 11-12, 21-22, 24
Brainstorm sheets (butchers paper)
Is best organised
around clear tasks (eg
list 5 or more harms).
Have each group
appoint a scribe and a
reporter.
(20 minutes)
Circle
When you sit the class
in a circle, a powerful
message is sent
about who are the key
players in the session
and in the discussion everyone!
34
Paired sharing
(10 minutes)
A technique
of maximising
involvement and
participation. Paired
work is completed
prior to a whole class
discussion so students
have had time to think
and speak before
talking in front of the
whole class.
2-4 grouping
Have one pair join
with another to
compare responses
or findings arising
in a paired sharing
prior to reporting to
the class. Groups of
four can join to make
eights to broaden
the comparison of
sharing. A useful
strategy when you
suspect not everyone
will contribute if going
straight into a large
group.
35
Teacher homework
1. Collect (tape or download) three or four advertisements to
use in Lesson 6. Select a variety of advertisement types.
These advertisements do not have to involve alcohol, but
can be for any product or service. It is an advantage to have
at least one alcohol advertisement.
2. Arrange to buy or borrow dice and counters from Maths
Faculty for Party Pressure game in Lesson 7.
3. Photocopy the Decider cards, Info cards, and
Strategies cards required for Lesson 7. Organise for a
pair of students to cut them out for you - a time-consuming
task!
36
Lesson 6
Mastering Media Messages
Intention
It is intended that students will:
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Media campaigns
Alcohol regulation
Resources
Student Reflections booklet 1: pages 25-26
Taped advertisements
Magazines
37
Options
You may prefer
student to develop
concepts for ads in
pairs using large
pieces of white
paper or to extend
the timeline to allow
development of art
works for display.
Media tactics
Remind students to
consider the tactics
used to sell messages,
such as image, wealth,
beauty and success.
Which ones will
they use to sell their
harm minimisation
message?
(30 minutes)
Respect yourself
Teacher homework
1. Arrange to borrow dice and counters from Maths Faculty for
Party Pressure game in next lesson.
2. Photocopy and cut up the Decider cards, Info cards and
Strategies cards required for Lesson 7.
38
Lesson 7
Decisions
Intention
It is intended that students will:
Recap
To maintain continuity,
remind students about
what was covered in
the previous lesson.
Sum up key intentions
of the session at the
end of class.
Resources
Student Reflections booklet 1: pages 15-16, 27-28
Decider cards
Info and Strategy cards photocopied from Teaching
Manual for use with Board Game
Counters for each player
Dice - one for each group playing the game
Explaining
(30 minutes)
Language
Avoid value-laden
language. Talk about
what is common
rather than what is
normal. Explore and
enquire rather than
judge. Write new or
difficult words on the
board, for example,
intoxicated.
39
Decider game
Rotate students
through all three roles
where possible.
PLAY IT
40
EE After dividing the class into threes and allocating cards, set
all the groups to have a go at winning their argument.
Process as above.
Each group will also need a set of Info cards and a set
of Strategy cards to place on the board. (The board is
on pages 15-16 of Student Reflections booklet 1).
41
Developing safe
strategies
There are countless
possible strategies.
The guiding principle
is getting students
to choose the safest
(but realistic) possible
strategy. Dont be
afraid to explore.
If silly options are
raised, come back
to the safest option,
asking the class
Is that the safest
option? If they find
the safe option, there
is no need to explore
any further.
Teacher homework
1. Photocopy Harm Buster Scenario cards and Student SelfEvaluation sheets for next lesson.
2. Get access to the internet or get copies of local telephone
directories.
3. Access pamphlets from local health services.
42
Between alcoholic
drinks have a nonalcoholic drink (Have
non-alcoholic options
available!)
Look out for your
friends who you think
may take risks that
they wouldnt normally
take if they were sober.
Dont binge!
Keep emergency
numbers and a first aid
kit handy.
DECIDER
DECIDER
DECIDER
DECIDER
DECIDER
DECIDER
43
DECIDER
DECIDER
DECIDER
DECIDER
DECIDER
DECIDER
DECIDER
DECIDER
DECIDER
Your friends want to take alcohol to a
party but need someone to buy it for
them. They think you should ask your
older brother/sister if they can buy it for
you.
Will you ask?
45
INFO
Which is stronger, spirits or beer?
Answer - Spirits
INFO
Is there anything you can do to
make someone sober up faster?
Answer - No
INFO
Is alcohol a drug?
Answer - Yes
INFO
Can alcohol harm an unborn
child?
Answer - Yes
INFO
About how long does it take for
the body to break down one
standard drink?
Answer - About 1 hour
INFO
What is the legal blood alcohol
limit for fully licensed drivers?
Answer - .05
INFO
Is it legal for a person under 18 to
buy alcohol?
Answer - No
46
INFO
Are the guidelines for safe
drinking the same for adults and
young people (under 18s)?
Answer - No
INFO
Will coffee help to sober you up?
Answer - No
INFO
Can you fit more than one
standard drink into a glass?
Answer - Yes
INFO
INFO
Answer - True
Answer - Beer
INFO
Is it illegal for a person under
the age of 18 to be in possession
of alcohol outside of private
premises?
Answer - Yes
STRATEGIES
An intoxicated friend is about to
vomit. What can you do?
List 3 strategies
STRATEGIES
The adult friend of your parent
who was to drive you home
seems quite tipsy. What can you
do?
List 3 strategies
47
STRATEGIES
A sleazy guy/girl who has been
drinking wont leave you alone.
What can you do?
List 3 strategies
STRATEGIES
A friend had unplanned and
unprotected sex while drunk now she is very upset. What can
you do?
List 3 strategies
STRATEGIES
A friend gets into fights after he
has been drinking. What can you
do?
List 3 strategies
STRATEGIES
STRATEGIES
List 3 strategies
STRATEGIES
A friend asks your advice. He/she felt
they got too drunk at the last party and
doesnt want to do anything stupid at
this one. They have decided to drink,
but want to stay within safe limits.
List 3 strategies
48
STRATEGIES
List 3 strategies
STRATEGIES
A fight has started at the party in
your house. What can you do?
List 3 strategies
STRATEGIES
A friend of yours is drunk and
is about to go out the back with
someone she has only just met.
No one else is out there. What
can you do?
STRATEGIES
A friend wants you to take alcohol
from your parents cupboard.
What can you do?
List 3 strategies
List 3 strategies
STRATEGIES
STRATEGIES
List 3 strategies
List 3 strategies
STRATEGIES
STRATEGIES
STRATEGIES
STRATEGIES
49
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Lesson 8
Harm Busters
Intention
It is intended that students will:
Devise and articulate strategies to avoid, reduce or
minimise harm in a range of situations involving alcohol
use.
Apply a number of different perspectives in developing
these strategies.
Identify means by which they could call for assistance,
arrange to leave a party safely or refer a friend in need
to adults who can help.
Engage in a self-assessment of the unit of work.
Resources
Roles:
50
Guide questions
Photocopy the
harm busters panel
guide questions and
distribute to each
group as a guide.
At the end of each panel ask the class if they have any
other advice to add.
51
52
Ambulance
Health centre
Counsellor
Kids helpline
School personnel
Special youth
services
(5 minutes)
Self assessment
Student homework
53
54
Who could get upset, into trouble or into an argument in this situation?
Will this situation affect anyones study, work, sport or family commitments?
How could someone escape this situation by applying some creative thinking,
trickery or smart planning?
55
SELF ASSESSMENT
NAME______________________________________
Using the following code, place the letter most closely matching your skills in the
space next to each question: H = High M = Medium L = Low N = Not at all
SKILLS
In rating my skills in making real life decisions in situations involving
alcohol I can:
______ Make decisions that are right for me
______ Understand that the more you drink the drunker you get
______ List times or places which would make drinking more dangerous
______ Give a number of reasons why people choose NOT to drink
______ List a number of harms that can be caused by drinking
______ Match up harms to the amount of alcohol drunk
______ Give a number of reasons why people do choose to drink
______ Plan for safe travel to or from a party or gathering
______ Work out where to get help if I need it
______ Plan not to drink or work out a low risk level of drinking
______ Carry out decisions I make to keep myself safe
______ Think of pressures that could affect a persons choice about whether to drink
______ Plan ways to help look after a friend in situations involving alcohol
______ Plan ways to stay safe in situations where other people are drinking
KNOWLEDGE
I can work out what a standard drink looks like for the following drinks:
______ Beer
______ Low alcohol beer
______ Wine
______ Alcoholic soda or lemonade
______ Cider
______ Spirits
______ Champagne
56
KNOWLEDGE (continued)
I can:
______ Say what the legal blood alcohol limit is for driving
______ Find the standard drinks information on the bottle or can
______ Understand that some drinks are a lot stronger than others
______ List some of the factors that affect blood alcohol content (BAC)
______ Understand that sobering up cant be speeded up
______ Understand that the liver can only break down around 1 standard drink/hour
______ Work out how long sobering up might take, depending on the person
TO THE TEACHER
What I liked about this topic was:
_________________________________________________________________
_________________________________________________________________
What I disliked about this topic was:
_________________________________________________________________
_________________________________________________________________
I recommend that the next time you teach this topic:
_________________________________________________________________
_________________________________________________________________
57
58
Phase Two
The following section contains seven lessons:
Lessons 9 15
59
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Lesson 9
Standard Drinks
Intention
It is intended that students will:
Revise pouring of standard drinks.
Student reflections
booklet 2
Lessons 9-15 use
student reflections
booklet 2 (the thinner
workbook). It may
be useful to collect
booklets at the end of
each lesson so that all
students have their
booklet in class.
Resources
(40 minutes)
AA Recap
BB Pouring competition
60
CC Play it
DD Scoring
Activity 2: Guidelines
Adult guidelines
(10 minutes)
Female guidelines
Females generally have
less body mass than
males; their bodies have
less water and more
fatty tissue. The alcohol
in their system is more
concentrated and therefore
alcohol affects them more
quickly than males. Males
make more of a protective
enzyme that breaks
down alcohol. Females
may metabolise alcohol
more slowly closer to
menstruation. The use of
the contraceptive pill may
slow the metabolic rate.
Although on average,
women reach a
given blood alcohol
concentration faster than
men, men on average
take more risks than
women at a given level of
drinking (most emergency
department presentations
for alcohol-related
injuries involve men). For
this reason the NHMRC
guidelines (2009) have set
the same limits for men
and women.
61
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Lesson 10
The Party
Intention
It is intended that students will:
Identify short term harms that can arise and accidents
that can occur to young people while drinking or in the
company of drinkers.
Plan strategies for reducing or avoiding harm to
themselves or to others in social situations involving
alcohol use.
Resources
DVD/TV or computers to access web version of the
SHAHRP Trigger visual
The SHAHRP Trigger visual (Part A: The party)
Sheets of white paper for brainstorming
White/black board
Student Reflections booklet 2: pages 1, 3
Potential harms
Remind students
to include social,
emotional and
relationship harms
as well as physical or
property harms.
(40 minutes)
Put the characters on the board and play the video telling
the students to try to identify the following characters:
BB Replay
CC Brainstorm
62
DD Reporting
EE Coding
FF Reducing harm
GG Reporting
Activity 2: Recording
(10 minutes)
Advice
Ask class:
63
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Lesson 11
Vulnerability
Intention
It is intended that students will:
Revise the concept of standard drinks and estimate and
measure spirit based drinks.
Identify the ways in which young people are vulnerable
to sexual harm while drunk or in the company of
drunken people.
Identify other alcohol related harms young people might
experience.
Identify strategies to reduce further harms from
occurring after alcohol related incidents.
Create a conversation about alcohol related harm and
strategies to prevent further harm.
Resources
DVD/TV or computers to access web version of the
SHAHRP Trigger visual
The SHAHRP Trigger visual
White/black board/large sheets of white paper
Water, glasses and a measuring jug
Student Reflections booklet 2: pages 2, 4, 5, 6
Sobering up
(20 minutes)
AA Focus students
BB In pairs
64
CC Standard drinks
Think about the girl drinking spirits from the bottle how many sips might it take to add up to a standard
drink?
Standard drinks
Have a volunteer
measure sip size
and calculate its
proportion of a
standard drink.
Have someone pour
a similar drink to the
coke/spirits drink and
work out how many
standard drinks would
have been in the
glass.
Group tasks
Each group will need
a recorder to write
down the ideas on the
sheet of paper and a
reporter to report back
to the whole class on
behalf of the group.
(Alternatively,
students can use
pages 5 or 6 of
Student Reflections
booklet 2.)
AA Focus students
65
Reaching realistic
strategies
Make sure you allow
enough time for
groups to think up
and explore as many
harm minimisation
strategies as
they have harms.
Strategies which are
peer generated may
be more credible than
teacher suggestions
and will certainly be
more relevant and
useful for young
people.
66
Bring the class back together and ask the reporter from
each group to tell the class about two of the possible
harms or outcomes and two harm reduction strategies
they identified for their character(s).
EE Creating a conversation
Ask the friend how the character was now feeling about
what had happened.
Teacher homework
You will need two sets of Harm Discussion cards for lesson 12.
67
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Harms
Alcohol accounts
for 13 percent of
all deaths among
1417-year-old
Australians it has
been estimated
that one Australian
teenager dies and
more than 60 are
hospitalised each
week from alcoholrelated causes.
Inter-related nature of
health issues
Allow and encourage
any discussion about
sexuality, reputation,
relationships,
friendships, and
conflict which may
occur. There is an
overlap between the
topics of alcohol,
relationships,
sexuality, self-esteem
and mental health.
68
Lesson 12
Dealing With Harms
Intention
It is intended that students will:
Outline strategies to minimise the harms that could
occur to themselves or to others.
Identify ways of maintaining personal beliefs and
standards when amongst others with different beliefs
and standards.
Resources
Two sets of the Harm Discussion cards
White/black board/large white sheets of paper
Student Reflections booklet 2: page 7
Activity 1: Harms
(40 minutes)
Activity 2: Recording
(10 minutes)
Teacher homework
You will need a set of Ranking the Risk cards for Lesson 13.
Cyber safety
The consequences
of uploading
compromising photos
and videos online can
be devastating and
include damage to
reputation, emotional
stress, legal outcomes
(eg from posting
provocative or sexual
photos), bullying
and even suicide.
There may also be
serious consequences
regarding
employment
opportunities.
guys and they have been drinking for a couple of hours. Elle has had a
couple of drinks and is feeling a bit tipsy. Joe, one of the older guys, has
been talking to Elle for a while and suggests they go outside where it is
quieter. Elle is quite flattered by the attention. Elles friends are concerned
because they dont know Joe and feel he may take advantage of the
situation. What can they do to prevent any harm coming to Elle?
couple of beers but are not drunk. They go outside where some guys have
been drinking heavily. Alex accidentally bumps into a guy and the guy
drops his drink. It smashes. The guy is angry and is threatening to hit Alex.
What can Alex and his friends do to prevent this situation from ending in a
fight? NB THERE MUST BE NO PHYSICAL VIOLENCE.
and nearly always get drunk by mixing alcohol with an energy drink.
Sometimes they throw up, other times they cant remember what they did.
Their friends are concerned about their drinking, especially about what
may happen in the future if they continue to drink heavily all the time.
Create a realistic conversation with Chloe and Jake about their concerns.
70
Lesson 13
Risk Ranking
Intention
It is intended that students will:
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Laminating
If you have
downloaded this
resource from the
internet, you may
wish to photocopy
the Ranking the Risk
cards onto coloured
board, laminate and
cut out so you can use
them again.
Resources
Set of Ranking the Risk cards
Student Reflections booklet 2: page 8
Alternative activity
This activity can be
done in small groups
if class size is difficult
to manage. Give
each group a set of
risk card to rank
consensus decision of
placement of cards.
Then the teacher
chooses some cards
and asks the questions
in section D.
71
Debate
Encourage debate,
counter-argument and
thinking of new ideas.
Information
Use this as an
opportunity to top up
or remind students of
certain information,
particularly myth
busting. For example,
you can die of
drinking a large
amount of alcohol
in one episode,
drinking can harm the
unborn child, a large
percentage of teenage
drowning occurs
in connection with
alcohol use.
Activity 2: Recording
(10 minutes)
Teacher homework
Photocopy and cut out Key Questions and advice sheets (one
per group or partnership).
72
RISK CARDS
RISK CARDS
RISK CARDS
Drinking in a car
Having a glass of champagne
at a wedding
Drinking a whole bottle of whisky
Drinking plus using other drugs
Drinking to get drunk
Drinking a lot every day
Binge drinking
Getting into a car with a drunk driver
75
RISK CARDS
RISK CARDS
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Lesson 14
Getting It Said
Intention
It is intended that students will:
Rehearse assertive and protective behaviours.
Anticipate and plan for conflict resolution, negotiation
and peer support.
Resources
Key questions
Advice sheets, one per group or partnership
Scenario cards for role-play
Whistle for use during role-play
Student Reflections booklet 2: pages 9, 10
(Key questions and advice sheets are provided in the
SHAHRP package, or can be downloaded from the
SHAHRP website ndri.curtin.edu.au/shahrp)
Keep realistic
Activity 1: Advice
(20 minutes)
AA Introduction
BB Reporting
78
AA Introduction
You will be telling them WHO they are and WHAT the
scene is about.
BB Organisation
Time
Let each scene run
for a maximum of 30
seconds. Blow the
whistle to start and
stop.
Noise
This activity will be
noisy and you will
need a whistle to
direct students. You
may need to consider
a room change or
warn the teachers in
the class next you
prior to the lesson.
INSTRUCTIONS
ROUND 1
A: You are sitting down and you are the friend of B. You
vomited in Bs dads car on the way home from the party
last night. Here comes B to talk about this with you.
A: Just respond the way you think you would - with one
rule - no violence.
A: Again just respond the way you think you would remembering the no violence rule.
79
Remember
Let each scene run
for a maximum of 30
seconds. Blow the
whistle to stop.
Ask students:
ROUND 2
A: You are the guy/girl who has missed the last few
games due to hangovers. Here comes B who plays in
your team and is a friend.
Ask students:
ROUND 3:
80
ROUND 4:
A: You think its time to call for medical help. Your friend
has been unconscious for an hour since hitting his
head. People keep telling you he drank too much and is
sleeping it off, but you arent sure.
Ask students:
ROUND 5:
Ask students:
Activity 3: Recording
(10 minutes)
81
82
KEY QUESTIONS
83
ADVICE TO A TEENAGER
Key Question: _____________________________________________________
_________________________________________________________________
_________________________________________________________________
DO
DONT
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
ADVICE TO A TEENAGER
Key Question: _____________________________________________________
_________________________________________________________________
_________________________________________________________________
84
DO
DONT
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
Lesson 15
Helping A Friend
Intention
It is intended that students will:
Recap
Set this lesson within
the context of what
has come before.
Let students know
about the aims of this
lesson.
Resources
Set of Helping a Friend scenarios.
A class set of Student Self-Assessment forms
photocopied from the Teaching Manual.
Access some what to do or self help information
business cards from your local alcohol authority to hand
out to students at the end of the class.
Get an online copy of the St John Ambulance DRSABCD
Action Plan / Resuscitation.
AA Introduction
85
First Aid
If you are unsure
about the correct first
aid procedures refer to
the St Johns booklet.
DRSABCD
Danger
Response
Send for help
Airway
Breathing
CPR
Defibrillation
See DRSABCD Action
Plan / Resuscitation,
St John Ambulance,
Australia.
86
BB Role play
Teacher Talk
Scenario 2: Lin
First Aid:
DRSABCD
Seek medical aid if:
Parents cannot be contacted
In doubt
Headache gets worse
Patient becomes drowsy
Patient begins to vomit
Patient loses consciousness (urgent medical aid)
Scenario 3: Sarah
First Aid:
DRSABCD
Contact parents
Rest and reassure patient
Seek medical aid if:
Parents cannot be contacted
In doubt
Patient experiences difficulty breathing (gasping for
air)
Rnoticeable change in the make-up of the vomit
(blood)
Patient becomes drowsy
Patient loses consciousness (urgent medical aid)
Scenario 4: Alex
First Aid:
DRSABCD (If in shallow water drag the patient onto the
beach. If in deep water and you are intoxicated and/
or have no life saving experience it is not advisable to
attempt a rescue because you could be putting your
own life in danger. In this situation, seek help eg try to
wave down a car. If possible ring 000 and advise of the
situation.
Seek urgent medical aid (tell someone to locate a phone
and call an ambulance).
If breathing but unconscious place in the coma position
and observe airway, breathing and circulation.
If not breathing begin CPR.
If unsure
Stress that for all
situations if the
student is scared
or in doubt about
what to do, call
triple zero (000) for
an ambulance and
advice.
Contacting parents
If parents cannot
be contacted or
the students feel
uncomfortable about
contacting them this
will, in most cases, be
done by the attending
medical doctor for
patients under the
age of 16. Ambulance
paramedics treat the
victim on the scene
and transport them
to hospital; they do
not contact parents
and are not obliged to
involve the police.
Scenario 5: Jenny
First Aid:
DRSABCD
Seek urgent medical aid/contact parents
If breathing, place patient in the coma position and
observe airway, breathing and circulation. (If unsure
how to do this inform ambulance contact on phone and
they will advise you)
If not breathing begin CPR (if unsure how to do this
inform ambulance contact on phone and they will advise
you).
87
Scenario 6: Sam
First Aid:
DRSABCD
Contact parents
In doubt
88
Helping a Friend
Scenario 1
Helping a Friend
Scenario 2
Helping a Friend
Scenario 3
Helping a Friend
Scenario 4
Helping a Friend
Scenario 5
Helping a Friend
Scenario 6
89
SELF ASSESSMENT
NAME______________________________________
Using the following code, place the letter most closely matching your skills in the
space next to each question: H = High M = Medium L = Low N = Not at all
SKILLS
In rating my skills in making real life decisions in situations involving
alcohol I can:
______ Make decisions that are right for me
______ Understand that the more you drink the drunker you get
______ Give a number of reasons why people choose NOT to drink
______ Match up harms to the amount of alcohol drunk
______ Plan for safe travel to or from a party or gathering
______ Plan not to drink or work out a low risk level of drinking
______ Think of pressures that could affect a persons choice about whether to drink
______ Plan ways to help look after a friend in situations involving alcohol
______ Plan ways to stay safe in situations where other people are drinking
______ Understand that drinking does not equal drunk
______ List a number of harms that can be caused by drinking
______ List a number of harms that can occur in social situations involving alcohol
______ Give a number of reasons why people DO choose to drink
______ List times or places which would make drinking more dangerous
______ List times or places which would make drinking less dangerous
______ Work out where to get help if I need it
______ Carry out decisions I make to keep myself safe
______ Plan how to help someone with an alcohol related injury
______ Plan how to maintain personal standards and beliefs when in situations
involving alcohol
______ Think of ways to deal with pressure from others in social situations
involving alcohol
90
KNOWLEDGE
I can work out what a standard drink looks like for the following drinks:
______ Beer
______ Cider
______ Spirits
______ Wine
______ Champagne
I can:
______ Say what the legal blood alcohol limit is for driving
______ Understand that some drinks are a lot stronger than others
______ Understand the liver can only break down around 1 standard drink per hour
______ Work out how long sobering up might take, depending on the person
______ Find the standard drinks information on the bottle or can
______ List some of the factors that affect blood alcohol content (BAC)
______ Understand that sobering up cant be speeded up
______ List the correct first aid procedures for some injuries involving alcohol
TO THE TEACHER
What I liked about this topic was:
_________________________________________________________________
_________________________________________________________________
What I disliked about this topic was:
_________________________________________________________________
_________________________________________________________________
I recommend that the next time you teach this topic:
_________________________________________________________________
_________________________________________________________________
91
Congratulations!
If you have taught the SHAHRP program as it is documented
in this manual it is likely that you have helped your students
reduce the alcohol related harm that they experience.
The evidence based findings of the SHAHRP longitudinal
study showed that students who participate in SHAHRP have
significantly:
Less alcohol consumption
Safer patterns of alcohol consumption (less binge drinking)
Less harm associated with their own use of alcohol
More alcohol related knowledge
Safer alcohol related attitudes
Visit the SHAHRP website for further details on the behavioural
impact of the program ndri.curtin.edu.au/shahrp.
92
ndri.curtin.edu.au/shahrp