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Tuesday, September 15, 2009

How to Deal with Underage Drinking: Tips for Parents

Restricting your teen's access to alcohol is one of the most important things you can do for them as a parent. There are highly-publicized risks of fatal alcohol poisonings and devastating motor vehicle crashes due to drinking and driving, for example. But there are other, less-publicized risks that could be equally destructive to your teen's health and well-being, such as increased risk of sexually transmitted diseases and unintended pregnancy, violence and rape, and suicide.

Of course, underage alcohol use has consequences other than legal ramifications:

  • Early alcohol use, independent of other risk factors, strongly predicts the development of alcohol dependence. Of all people who ever meet the diagnostic criteria for alcohol dependence in their lifetime, nearly half do so by age 21 and two-thirds by age 25.

  • Due to differences between the adult brain and the brain of the maturing adolescent, many young drinkers:

    • Are able to consume much larger amounts of alcohol than adults before experiencing the negative consequences of drinking, such as drowsiness, lack of coordination, and withdrawal/hangover effects.
    • Are particularly sensitive to the positive effects of drinking, such as feeling more at ease in social situations; young people may drink more than adults because of these positive social experiences (NIAAA, 2009).

  • Recent evidence suggests adolescent drinking can inflict permanent damage on the developing brain (National Research Council and Institute of Medicine, 2004).


To help your teen avoid the use of alcohol and its attendant problems, maintain an ongoing, open dialogue about underage drinking and the risks involved. Make sure she understands that underage drinking is never acceptable. The fact that she is at a party or it is a special occasion or that some parents might "look the other way" when their teenage children drink alcohol does not change the fact that underage drinking is illegal and very dangerous. If your teen is attending a party at a friend's house, make sure her friends' parents don't intend to provide alcohol; this is illegal in every state. You might be surprised to discover that other parents plan to provide their teens and their friends with alcohol in a "safe" manner and location. Make sure your teen understands that other adults can't give her permission to drink alcohol. An alternative is to talk to your teen about organizing a get-together at your own home.

If you and your teen decide to host a party, make a guest list with your teen. Limit the number of teens so you can be sure of adequate chaperonage. Be sure you have contact information on each teen's parent. Make sure guests and their parents understand that if a teen leaves the party, he won't be allowed to return and parents will be called. Make sure parents who won't be chaperoning know the start and end times of the party and will prearrange transportation. Collect all keys so you can keep track of who is arriving and leaving. Keep coats and purses in an area that can be monitored. Speak to each person before he leaves; check for warning signs of impairment. If a guest arrives at the party already under the influence of alcohol or other drugs, keep him there while you call a parent to pick him up. If he leaves and someone is hurt or injured, you could be held responsible.

When your teen spends the night at a friend's house or goes to a party, call the hosting parent to find out the details. Make sure the hosting parent shares your concerns about the availability of alcohol and that none will be permitted. Ask how much supervision will be provided. Volunteer to chaperone and provide transportation. Let your teen know that you will not approve any outing without sufficient notice so you can speak to the hosting parent first. If your teen will be riding anywhere, at any time, with a friend, make sure it is with someone whose parents do not permit the use of alcohol. Teens are at great risk when riding with other teens, even under the best of circumstances. Talk to your teen about a back-up plan in case something goes wrong.

When your teen is going out for a special event, have her make a record of the planned itinerary for the evening and make sure she agrees to inform you of any changes. Be alert to spontaneous changes in plans on the night of the event; your teen won't have as much control over the situation if it takes place in an unfamiliar location and/or with people she doesn't know well. In the excitement of the evening, she could end up in a risky situation before she realizes what is happening.

Create a code with your teen so he can signal for help without attracting the attention of friends. If you don't know how to text, ask your teen to give you a few lessons; texting is a much easier way for you to communicate than via phone. When you arrive to pick up your teen, he can blame you for having to leave or you can give the excuse of a "family emergency." Make an agreement that if you do have to pick him up, a discussion about the reason can be tabled until the next morning, when you and your teen are both calm and safe. Otherwise, your teen may avoid calling you for help because he doesn't want you to know about the circumstances that required the ride home.

And, last but certainly not least, realize that your teen is vulnerable to making poor choices every day. Don't let your guard down. Finding a balance between being too controlling and allowing too much freedom will require constant effort, but it is a worthwhile endeavor. Your teen's health and happiness may depend on it.

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Tuesday, August 04, 2009

How Active Participation Helps Teens Understand Safe Driving Concepts

Most adults understand that teens tend to tune out long lectures about safe driving (or anything else), but parents and teachers also know that they have important messages to pass on, and they are sometimes at a loss as to other methods of doing so. Creative thinking in terms of teaching methods, both in the home and at school, can mean the difference between messages that teens will ignore versus those they will integrate into their driving behavior. This is so important with driving; motor vehicle crashes are the leading cause of death for teens in the United States, according to the National Highway Traffic Safety Administration. Obviously, lectures aren't working.

Recently, First Coast News of Jacksonville, FL profiled four teenagers who had created a Public Service Announcement (PSA) to promote safe driving. The PSA shows a teen driving while listening to music, eating, and using a cell phone to talk and text; she eventually glances at the road just in time to see that it's too late to avoid a motor vehicle crash.

Reporters quizzed the teens on whether or not they'd ever performed any of these unsafe driving behaviors. The teens admitted to doing so but also said that making the PSA had heightened their awareness of how dangerous these behaviors are, which had caused them to curb the behavior. The teens said that creating the PSA had made the consequences of distracted driving, such as getting into a crash and being seriously injured, seem real. This is more of an accomplishment than one might think; teens' brains are not biologically developed enough for them to control impulses and understand the consequences of their behavior, which is why convincing them to drive safely is such an uphill battle.

Another benefit of this type of active participation is that these teens became positive role models for their peers, influencing them to drive more safely. Peer pressure is a reality that must not be ignored; many teens perform more (both in intensity and in number) risky driving behaviors when they are accompanied by teen passengers. Whether the teen driver is bowing to external pressure from friends or internal pressure to show off, the effect is the same. The key is not to try to convince teens to disregard peer pressure, an almost impossible task, but to convert the peer pressure into a positive influence.

Making the PSA also had the effect of helping these teens take responsibility for their driving behavior. Again, this is typically a difficult task. Teens have a variety of sources, legitimate and irrational, to blame for their poor choices; reaching maturity means accepting responsibility for their decisions and the attendant consequences, along with realizing that they are the ones who make the ultimate decision to be safe drivers.

Listening to a lecture is a passive process; making a PSA is an active process because it forces the teen to engage with and think about safe driving concepts. Of course, having every teen in America make a PSA about safe driving would be a logistical nightmare, and due to teens' short attention spans, the experience would soon wear thin. But the concept of having teens participate in an active learning process about safe driving could be utilized in every household and in every school.

Before assigning an active-participation project to teens, consider their interests. Most teens love music, popular television shows, being with friends, and talking about themselves. Most teens are self-conscious about their appearance and are interested in grooming, clothes, and accessories. Many teens also have a special hobby, such as gaming, art, computers, writing, or sports. Many are also interested in exploring new ideas - the perfect time to let them get creative with how to disseminate safe driving messages. Ideas include:
  • Designing a poster or series of posters
  • Writing a song, using computer software to write accompanying music
  • Writing an episode of their favorite television show
  • Performing a skit with friends
  • Giving their own "presidential address"
  • Designing a clothing/accessory line
  • Creating a video game
To avoid boredom, vary the topics assigned to the teen, but for maximum benefit, assign topics that relate to common teen driving mistakes, such as:
  • Drinking and driving
  • Drugs and driving (focus on common drugs of abuse for teens, such as cough medicine, prescription drugs, inhalants, and marijuana)
  • Wearing safety belts
  • Speeding
  • Reckless driving, such as weaving in and out of traffic
  • Aggressive driving, such as tailgating
  • Distracted driving, such as cell phone use
  • Driving with passengers
To further engage their critical thinking skills, have teens present their messages from other points of view. For example, teens who are interested in politics can give a presidential address about enacting laws to lower teen deaths in motor vehicle crashes; teens who are interested in sports can create an advertising campaign showing how drinking and drugs can impair athletic ability. Until the project is finished, try to provide encouragement and support without too much assistance; let teens follow the research and learning process to its logical conclusion.

Helping teens engage in an active learning process regarding safe driving behavior is a requirement for reducing the teen death rate on our nation's roadways.

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Wednesday, May 06, 2009

A Pre-Prom Plan for Avoiding Alcohol

Prom is an exciting event in the lives of many teens, who are preoccupied with buying dresses or renting tuxedos, selecting corsages and boutonnieres, choosing formal hairstyles, and making post-prom plans. But prom can also be a dangerous time for teens who choose to drink alcohol or ride with other teens who drink. You must plan ahead in order to ensure your own safety.

First, you need to understand that underage drinking is never acceptable. The fact that prom is a special occasion or that some parents might "look the other way" when their teenage children drink alcohol does not change the fact that underage drinking is illegal and very dangerous. If you are attending a party at a friend's house, make sure your friends' parents don't intend to provide alcohol; if they do, tell your parents. This is illegal in every state. An alternative is to talk to your parents about organizing an after-prom party of your own.

If you will be riding with a friend, make sure it is someone whose parents do not permit the use of alcohol. You'll still need to have a back-up plan in case something goes wrong. Create a code with your parents so you can signal for help without attracting your friends' attention. If your parents don't text, give them a few lessons before prom night; texting is a much easier way for you to communicate than via phone. If you need a ride, you can text a code that means "Please come get me!", such as "Dinner was great!" When your parent arrives to pick you up, tell your friends you have a family emergency. Talk to your parents ahead of time about being able to call for a ride with no questions asked until the next morning, when you are calm and safe. However, if anyone at the event you are leaving is in danger of hurting themselves or others, you'll need to tell your parent right away.

Make a record of your planned itinerary for the evening, and agree to inform your parents of any changes. Be alert to spontaneous changes in plans on the night of the prom; you won't have as much control over the situation if it takes place in an unfamiliar location and/or with people you don't know well. In the excitement of the evening, you could end up in a risky situation before you realize what is happening. This is why it's especially important not to drink any alcohol at all, even a little; because even a small amount of alcohol reduces inhibitions and impairs judgment, you may react emotionally while under the influence without considering the consequences of your behavior.

Remember that the use of alcohol by teens increases the risk of activities that may result in serious long-term consequences, including:
-Use of other drugs (alcohol is a gateway drug because its use compromises judgment and reduces inhibitions)
-Driving under the influence
-Alcohol poisoning from binge drinking (teens often binge drink to relax and may participate in drinking games that result in ingestion of large quantities of alcohol in a short period of time)
-Increased sexual activity and multiple sexual partners due to lowered inhibitions, which increases the risk of pregnancy and/or sexually transmitted diseases
-Exacerbation of underlying, perhaps undiagnosed, mental illness
-Violence and rape (whether the victim is under the influence or not)
-Suicide

Planning for an alcohol-free prom may be a challenge, but doing so will help you have a safe, happy prom night.

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Wednesday, April 22, 2009

Prepping for a Safe Prom: Talking to Teens

Prom season is fast approaching and many parents are busy helping their teens buy dresses or rent tuxedos, select corsages and boutonnieres, and choose formal hairstyles. But prom preparation should also include frequent, specific, and frank discussions with teens about how to stay safe and avoid alcohol on prom night. Here are some tips on what to discuss:

- First, talk to other parents; then, talk to your teen about their friends' parents. Being part of your social group is no guarantee that other parents espouse a zero-tolerance policy for alcohol. You might be surprised to discover that other parents plan to provide their teens and their friends with alcohol in a "safe" manner and location. Though this is illegal in every state, it is a relatively common occurrence. If any of your teen's friends' parents plan to provide alcohol or "look the other way," reinforce your own house rules about alcohol with your teen. Make sure they understand that underage drinking is never acceptable, no matter what any other parent says or does, even for a special occasion. Make sure your teen will be riding with friends whose parents do not permit the use of alcohol. Try to organize an after-prom party for your teen with other teens' parents who have a zero-tolerance policy for alcohol and are willing to help chaperone.

- Next, create a code. Your teen must be able to signal for help without risking the ridicule of friends. If you haven't started texting with your teen, this is a good time to practice. Texting is an easy, unobtrusive way for your teen to check in with you frequently throughout the evening. Your teen might say or text, "Dinner was awesome!" as a code for "Please come get me." When you arrive to pick up your teen, she or he can blame you for having to leave or you can give the excuse of a "family emergency." Make an agreement with your teen that if you do have to pick the teen up, a discussion about the reason can be tabled until the next morning, when you and your teen are both calm and safe. Otherwise, teens may avoid calling parents for help because they don't want their parents to know about the circumstances that required the ride home.

- Make a record of your teen's planned itinerary for the evening, and require your teen to inform you of any changes. Be alert to spontaneous changes in plans on the night of the prom; your teen won't have as much control over the situation if it takes place in an unfamiliar location and/or with people she or he doesn't know well. In the excitement of the evening, your teen might not anticipate difficulties and could end up in a risky situation before she or he realizes what is happening. You'll need to check in more frequently in case your teen needs extra guidance.

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