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For additional information regarding underage drinking prevention, please visit http://www.stopalcoholabuse.gov.

Reach Out Now: Talk With Your Fifth Graders About Underage Alcohol Use

PDF version

Dear Teachers,

Taking action against underage alcohol use isn’t easy, but knowledge is the first step. School
is a great place to open a dialogue about alcohol with students. As you know, fifth grade isn’t
too early to start this kind of discussion. After all, research shows that underage alcohol
users number 10.8 million youth ages 12–20.1 This publication, targeted specifically to you—
the fifth-grade teacher—will help you and your students, with their parents or guardians as
partners, get the conversation started. Please incorporate the information on these pages
into your teaching curriculum, and remember to send the Family Resource Guide home with
your students.

The benefits of classroom and at-home activities and discussions on this subject can last a
lifetime and make a lifetime last.

Terry L. Cline, Ph.D., SAMHSA Administrator
U.S. Department of Health and Human Services

Your Students Are at a Critical Age
Sometimes, young people start thinking about drinking years before they actually try it.2

Facts for Teachers

The Good News:
Most children and youths do not drink alcohol. In fact, nearly 60 percent of youths ages 12-17 have never had a drink.8

Delaying Onset Is Key:
Those who start drinking alcohol before age 15 are five times more likely to have alcohol problems later in life than those who begin drinking at age 21 or older.9

Easy Access to Alcohol:
In a recent national survey, a little more than 60 percent of eighth graders said alcohol was "fairly easy" or "very easy" to get.10 In one study, 9.6 percent of 12-year-olds reported using alcohol at least once in their lifetimes. By age 13 the percentage doubles, and by age 15 it is over 50 percent.11

CONTENTS

Lessons
Understanding the Effects of Alcohol
Making Healthy Decisions

Reproducibles
Understanding the Effects of Alcohol
Making Healthy Decisions
The earlier a child starts drinking alcohol, the more likely he or she is to develop alcohol dependency problems at some point in life.3 It may take less alcohol to affect a young brain than a mature one, and the effects may be different.4 The goal of the REACH OUT NOW: Talk with Your Fifth Graders About Underage Alcohol Use program is to prevent underage alcohol use.

You Can Make a Difference
As a fifth-grade teacher talking with 10- and 11-year-olds every day, you have opportunities to influence their understanding of underage alcohol use. These Teacher Pages focus on three key actions you, as a teacher, can take:

  • Provide your students with factual information about the effects of underage alcohol use.
  • Encourage your students to use critical-thinking skills to make healthy decisions and to express themselves effectively.
  • Build students’ confidence in their decision-making skills by providing them with opportunities to share their new knowledge with others.

Your Students’ Families Can Help Meet This Challenge
Families and caregivers also have the power to prevent underage alcohol use. Research shows that parents are one of the most powerful influences on their children’s behavior.5 Parents’ disapproval of underage alcohol use has been identified as one of the key reasons youths choose not to drink.6 The REACH OUT NOW Family Resource Guide identifies the six actions parents and caregivers can take to help children make wise decisions about alcohol use. The six actions are7:

  • Establish and maintain good communication with your child.
  • Get involved, and stay involved, in your child’s life.
  • Make clear rules and enforce them with consistency andappropriate consequences.
  • Be a positive role model.
  • Teach your child to choose friends wisely.
  • Monitor your child’s activities.

Lessons

Use these two lessons in sequence. Build on students’ understanding of the negative effects of alcohol to encourage them to make and articulate healthy decisions for themselves. Then help them build communication skills to share this knowledge with others.


Lesson 1

Understanding the Effects of Alcohol
National Research Council, National Science Education Standards 5-8.6 Science in Personal and Social Perspectives-Personal Health, Risks and Benefits

Joint Committee for National School Health Education Standards Standards 1, 3, 4

Key Action: Provide your students with facts about the effects of drinking alcohol.

Curriculum Connections: Life Science, Health

What Students Will Learn: Students will understand the effects of underage alcohol use on their bodies.

Rationale: By fifth grade, most students have studied life science and the human body, and they are at a cognitive level to understand cause and effect and to think critically about information they are given. Knowledge of alcohol's effects can help them understand the importance of making healthy decisions about alcohol.

Materials Needed: Copies of Understanding the Effects of Alcohol Reproducible 1

Procedure: Discuss how the media portrays drinkers and the effects of drinking. Distribute the reproducible. Read aloud the description of alcohol's effects, defining unfamiliar words and correcting students' misconceptions. Students should understand that drinking alcohol can result in a loss of control and can make drinkers do things they do not want to do. They should understand that alcohol affects different people in different ways and that even one drink can have negative consequences. List any questions students have on the board and assign teams of students to research the answers in reference books.

Follow-Up: Ask students to complete the at-home activity Alcohol: A True/False Quiz (on the Family Resource Guide) with their families. Have them bring the quiz into class and review the answers together. Invite students to take the Understanding the Effects of Alcohol reproducible home to share with their parents and caregivers.

Lesson 2

Making Healthy Decisions
National Council of Teachers of English, International Reading Association Standards for the English Language Arts-5, 12

Joint Committee for National School Health Education Standards, Standards 3, 5, 6

National Research Council, National Science Education Standards 5-8.6

Science in Personal and Social Perspectives-Personal Health, Risks and Benefits

Key Action: Encourage your students to use critical-thinking skills to make healthy decisions and express themselves effectively.

Curriculum Connections: Health, Life Skills, Language Arts

What Students Will Learn: Students will analyze how they make decisions, practice refusal strategies, and discuss the consequences of saying "No" to a friend.

Rationale: Students at school are surrounded by peers for hours every day. Teachers can help students cope with peer selection and peer influence.

Materials Needed: Copies of Making Healthy Decisions Reproducible 2

Procedure: Explain to students that this roleplaying lesson will help them:
1. Identify situations in which the decisions they make can affect their health.
2. Answer the question: What is the worst thing that can happen when you say "No"?
3. Develop refusal strategies that work.
Distribute the reproducible. As you read through the page with students, share some of the steps that you follow when making a decision, such as getting the facts, considering options, telling others your decision, and accepting their responses. Allow students time to complete the writing assignment on the reproducible page. Then review student answers and select pairs of students to act out one of their dialogues. Discuss what might be the worst thing that can happen when you say "No." Make sure students understand that saying "No" to a friend can have more than one outcome and that taking a stand about one's health can be more important than friendship.

Follow-Up: Have students take the reproducible home and talk with their parents or guardians about the ways in which their family makes decisions.

Understanding the Effects of Alcohol

Introduction:

You have probably seen people drinking alcohol in real life, on television, in videos, or in the movies. The alcohol might have been beer, wine, or a cocktail. It may have been served in a glass, in a bottle, or in a can. On TV, in videos, and in the movies, people drinking alcohol may seem to be happy, rich, and famous. Some may seem silly. Some may appear sad, angry, or even violent. In real life, you may have seen people act like this when they have been drinking. Or maybe not. The truth is that alcohol affects different people in different ways. But one thing is sure. Alcohol is very dangerous for a young person like you, and it is illegal, too.

Learn How Alcohol Affects the Body:12

  • A single drink of alcohol can affect you.
  • Alcohol passes through the lining of the stomach into the bloodstream. It irritates the stomach lining, which can make a person feel sick. If drinking continues, the person may vomit.
  • Alcohol moves through the bloodstream to every organ in the body, including the brain.
  • Once alcohol enters the brain, it can change the way a person behaves. Alcohol can make people do things they do not want to do.
  • As a person drinks more alcohol, the ability to make decisions is affected. The drinker also may lose balance and be unable to see or speak clearly. The more alcohol a person drinks, the worse the   effects can be.
  • Alcohol can have lasting effects on the brain, impairing how a person learns, thinks, and remembers.
  • Alcohol can kill. When a person drinks too much alcohol in a very short period, alcohol poisoning can occur. Breathing gets difficult. A person can vomit, pass out, or even die.
  • Some people become addicted to alcohol. They drink more and more as they get used to the alcohol. But they can stop and recover.

The List of "No's"

Here are some of the many ways to say "No."

Repeat: "No, I don't want to." "No, thanks." "No, I can't."

Justify: "I can't. I have to _______." (Make an excuse.)

Substitute: "No, let's ______." (Substitute another activity.)

Walk Away: "No. I have to go."

Your teacher will ask you to pair up and read your dialogue with a classmate.

Remember to make eye contact, speak clearly, and be confident.

Which way of saying "No" worked best, in your opinion? Why was it effective?

Remember: Just one drink can have negative consequences.
Your age, weight, height, and gender will affect how you react to alcohol. For young people, whose bodies are still developing, the effects of even a little alcohol can be worse than they are for older people.

Making Healthy Decisions

Activities:
1. With other students in your class, choose one of the following health-threatening situations or think of another situation that could be harmful to your health.

An older friend dares you to:
• ride a bike without a helmet
• run across a multilane highway
• hitchhike
• drink a beer

2. Write your answers to the questions below on the back of this page.

How would you decide whether to do what your friend is asking?
What would be the healthiest decision in each case?
What might happen if you said “Yes”?
What are the best and worst things that might happen if you said “No”?

3. Pick a strategy from the list of “No’s” in the box to the right. Then finish this dialogue:

Friend: So, do you want to ______________________?
(Write in the situation you chose.)

You: No. Are you ________? My parents would lock me up.

Friend: You are such a baby. Come on. They won’t find out.

You: _____________________________________

Friend: __________________________________

You: _____________________________________

1, 8, 9, 11. Substance Abuse and Mental Health Services Administration (SAMHSA), 2005 National Survey on Drug Use and Health, 2006. 2, 3, 12. National Institute on Alcohol Abuse and Alcoholism (NIAAA), “Alcohol and Development in Youth: A Multidisciplinary Overview,” Alcohol Research & Health, vol. 28, no. 3, 2004/2005. 4. White, A.M., and Swartzwelder, H.S., “Age-related Effects of Alcohol on Memory and Memory-related Brain Function in Adolescents and Adults,” Recent Developments in Alcoholism, vol. 17: 161–176, 2005. 5, 6. NIAAA, Make a Difference: Talk to Your Child About Alcohol, revised 2006. 7. Center for Substance Abuse Prevention (SAMHSA/CSAP), Keeping Youth Drug Free, 2004. 10. Reporting on Monitoring the Future 2006 survey results: Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E., Teen drug use continues down in 2006, particularly among older teens; but use of prescription-type drugs remains high, University of Michigan News and Information Services, Ann Arbor, MI. Available: http://www.monitoringthefuture.org.

Last Updated on 3/22/2007

SAMHSA Web site