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Galway Healthy Cities Project How best to address alcohol problems in Galway City?


Title: Young People and Alcohol: Are we making progress? Author: Ann Last modified by: Ext_CK Created Date: 10/1/2011 3:51:30 PM Document presentation format – PowerPoint PPT presentation

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Title: Galway Healthy Cities Project How best to address alcohol problems in Galway City?

Galway Healthy Cities ProjectHow best to
address alcohol problems in Galway City?
  • Dr. Ann Hope
  • Department of Public Health and Primary Care,
  • Trinity College, Dublin
  • 18th September, 2012

Outline of Presentation
  • Strategies that increase harm
  • Evidence of effectiveness to reduce harm
  • Turning Science into Action
  • Community Action a road map
  • Key Ingredients for Success

Strategies that work to increase alcohol use
  • Price
  • Availability
  • Marketing

Free alcohol
  • Most common location street fliers

Cheap Prices
  • One in every four alcohol marketing practices
    involved a price promotion

Policy measures that work to reduce harm
  • Alcohol taxes
  • Affordability
  • Regulating availability
  • Minimum legal purchase age
  • Restrictions on hours /days of sale,
  • Outlet density restrictions
  • Drink driving countermeasures
  • Random breath testing
  • Lowered BAC
  • License suspension
  • Graduated licensing for novice drivers

Source Babor et al 2010
. . Policy measures that work
  • Modifying drinking environment
  • Enforcement of laws and legal requirements
  • Server liability
  • Staff training with enforcement
  • Restrictions on marketing
  • Legal restrictions on exposure
  • Community action with multiple components
  • Treatment and early intervention
  • Brief advice with at risk drinkers
  • Mutual help/Self-help attendance
  • Medical detoxification
  • Talk therapies

Source Babor et al 2010
. . . Policy Measures that DONT work to reduce
  • Voluntary code of bar practice
  • Alcohol education in schools
  • Advertising content regulations
  • Alcohol industrys self regulation codes
  • Warning labels
  • Alcohol-free activities
  • Mass media campaigns

Source Babor et al 2010
SummaryEffective Measures to reduce harm
  • All measures are NOT equal.
  • Measures that influence the environment are more
    effective than targeting the individual drinker.
  • Measures targeting young people only, are doomed
    to failure
  • Education is a supporting rather than a lead

Evidence of Community Action success
  • Underage drinking
  • Intoxicated patrons
  • Drunk driving
  • Alcohol related violence

WHO, Regional Office for Europe 2012
Community Action success. .
  • Increased community awareness
  • Wider acceptance of public health material
  • Sharing of local institutions to promote healthy
  • Increased support for public health approach
  • Reduced underage drinking
  • Changed attitudes toward alcohol sales to minors
  • Reduced alcohol sales to minors
  • Delayed onset age of drinking

. . . . Community Action success
  • Reduced alcohol consumption
  • Reduced heavy drinking
  • Reduced drunkenness
  • Reduce intoxicated patrons
  • Reduced drunk driving
  • Reduced alcohol related violence

Community Mobilisation is when a
community comes together when an issue is too
big for one sector to tackle alone
Community Action
  • Community action seeks to change collective
    rather than individual behaviour

WHO, 2009
Community Alcohol Action Plan
  • an
  • integrated set of actions
  • that tackle the community
  • environmental factors
  • (social, cultural, policy practices)

A roadmap for community action to prevent and
reduce alcohol harm
  • Community Norms
  • High risk drinking encouraged/discouraged ?
  • Access and Availability
  • Alcohol thats cheap and easy to get is linked to
  • Media Messages
  • Advertising etc glamorizes excessive drinking
  • Policy and enforcement
  • Shapes how alcohol is promoted, sold and consumed

Community action roadmap- Options
  • 1. Community norms
  • Promote general community programmes
  • Recreational/Lifestyle programmes
  • Alcohol/Drug-free environments
  • Safe space for youth to hang out
  • 2. Access and Availibility
  • Shape planning laws to limit density of outlets
  • Use powers to influence late openings
  • Limit drinking in public places
  • Discourage high risk promotions

Community action roadmap options
  • 3. Media messages
  • Reduce exposure of children to alcohol marketing
  • Ask local radio to avoid alcohol ads before 9pm
  • Avoid alcohol ads in public places
  • First step, no ads near child facilities,
    schools, youth centres, on school buses etc.
  • Cut link between alcohol and sport
  • Promote local festivals events free from
    alcohol sponsorship
  • Influence attitude of parents to underage drinking

Community action roadmap options
  • 4. Policy and Enforcement
  • Increase enforcement of alcohol laws
  • Minimum age
  • Server liability
  • Stop supply of alcohol to youth (direct
  • Test purchase checks
  • Stop supply to intoxicated persons
  • Last drink survey to identify hot spots
  • Develop specific programmes for vulnerable
    sub-populations (Youth / Young Adults)

Community Action roadmap - Options
  • . . . 4. Policy and Enforcement
  • Put in place alcohol screening in relevant
    health/social services.
  • Provide brief advice for those involved in
    hazardous use of alcohol.
  • Develop treatment pathways for those with alcohol
    problems and those who are addicted.
  • Provide support services for those affected by
    other peoples drinking

Community Action - Process
  • Set up a local network of stakeholders
  • Undertake assessment
  • drinking culture
  • Negative consequences
  • Major influencing factors/triggers
  • Have a clear common goal
  • Develop key outcome indicators

Key Ingredients for Success . .
  • All relevant stakeholders working together
    towards a common goal
  • Clear assignment of responsibility
  • A community action plan should be
  • guided by evidence,
  • planned in response to local needs,
  • have measures to tackle environmental and
    individual factors.
  • Include training provision

. . . Ingredients for Success
  • 4. Advocacy role central to
  • raising public awareness of the extent of alcohol
    related problems,
  • benefits of reducing alcohol harm
  • gaining public acceptance of the alcohol action
    plan and
  • communicating implementation of the action plan.
  • Community action to reduce alcohol problems takes
    time. Five year Action Plan
  • Integrate community action into local structures

High Risk groups
  • Young Adults
  • Young people (u18)

Protecting Children from harm
PROTECT against pressures to drink 3. Limit
marketing 4. Act as role model
REDUCE supply 1.Stop access to alcohol 2.
Server/seller liability
5. PROMOTE communities to act in best interest of
7. SUPPORT children at high risk
6. SUPPORT families
Are we making progress?