Substance Abuse & Mental Health Services Administration

The Substance Abuse and Mental Health Services Administration (SAMHSA)

Marshfield Clinic Research Foundation: Marshfield C.A.R.E.S. (Community Alcohol Resources for Establishments and Servers) Program

Marshfield C.A.R.E.S. has two primary goals: to reduce underage access to alcohol through retail outlets and to promote healthy drinking habits among adults. Each year, the program invites the 63 class A and class B liquor license establishments (e.g., bars, convenience stores, grocery stores, restaurants) in Marshfield, Wisconsin to participate in the program and adopt a range of policies and practices designed to reduce youth access to alcohol and deter problem drinking among adults. Specifically, all participating establishments agree to require proof-of-identification at the point-of-purchase, adopt policies related to sales and service, establish regular meetings to ensure staff development related to sales and service, refuse sales to alcohol-impaired customers, prohibit sales to anyone under the age of 21, and enroll employees in Responsible Beverage Server training. Class A liquor license holders (off-sale establishments, such as grocery and convenience stores) must comply with at least three additional policies and class B liquor license holders (bars and restaurants) must comply with at least six additional policies.

Checking a Photo ID at a Liquor Store

To help establishments adopt and implement these policies and procedures, Marshfield C.A.R.E.S. provides education, training, technical assistance, consultations, and other resources. The program engages retailers as partners—as opposed to adversaries—to reduce problematic alcohol use. Through these efforts, Marshfield C.A.R.E.S. seeks to achieve the following outcomes:

  1. Increase the rate of retailers’ compliance with laws prohibiting sale of alcohol to minors, as reflected in law enforcement data.
  2. Increase the number of alcohol establishments participating in Marshfield C.A.R.E.S.
  3. Increase the number of staff meetings among participating establishments, as reported through the Marshfield C.A.R.E.S. Establishment Survey.
  4. Increase the number of false identification cards confiscated by employees who attend the Responsible Beverage Server training.
  5. Decrease the rate of current youth alcohol use, as reported on the Marshfield Youth Risk Behavior Survey (YRBS).
  6. Decrease the rate of youth access to alcohol from retailers, as reported on the Marshfield YRBS.
  7. Decrease the number of citations issued for Operating While Intoxicated, as reflected in law enforcement data

In partnership with the Marshfield Clinic Research Foundation Biomedical Informatics Research Center and Marshfield Epidemiology Research Center, Marshfield C.A.R.E.S. program staff will use funding from SAMHSA’s Service to Science Subcontract to Build Evaluation Capacity of Evidence-Based Interventions to conduct the following evaluation enhancements:

  • Finalize the program’s logic model, focusing on the program’s strategies, activities, process objectives, and outcomes
  • Develop and administer appropriate tools and procedures for measuring increases in the number of false identification cards confiscated by employees who attend the Responsible Beverage Server training.
  • Revise the Marshfield C.A.R.E.S. Establishment Survey and conduct individual interviews with participating and nonparticipating establishment owners, managers, and employees.

Marshfield C.A.R.E.S. is an initiative of the Marshfield Area Coalition for Youth whose mission is to unite and educate diverse community organizations and members in order to prevent youth substance use and foster healthy, resilient youth and families. The Coalition’s work is supported by the Marshfield Clinic Center for Community Outreach.

Contact

Danielle Luther
Prevention Specialist
Marshfield Clinic Center for Community Outreach
1000 North Oak Avenue (F1C)
Marshfield, Wisconsin 54449
Phone: 715-221-8413
Email: luther.danielle@marshfieldclinic.org