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Glasgow City Centre Community Prevention Trial Stevie Lydon Strategy Co-ordinator Alcohol Action Team. Alcohol deaths in the UK: Men. Glasgow 83.7 Inverclyde 77.8
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Glasgow City CentreCommunity Prevention TrialStevie LydonStrategy Co-ordinatorAlcohol Action Team
Alcohol deaths in the UK: Men • Glasgow 83.7 • Inverclyde 77.8 • West Dunbartonshire 56.2 • Renfrewshire 55.1 • Dundee 45.0 10. Western Isles 37.5 20. Aberdeen 30.7
Alcohol deaths in the UK: Women • Glasgow 30.9 • Dundee 22.2 3. North Lanarkshire 18.5 1998 -2004 Office for National Statistics Rate per 100,000
New Government • Policy Update: The Scottish Government have made a clear commitment to a long term strategy on alcohol and have identified alcohol misuse as the largest public health issue in Scotland. They have also highlighted the fact that this is not just a young person/ binge drinking problem but one for the whole of Scottish society to address.
City Centre Alcohol Action Group • Safer City Centre Initiative • Alcohol Action Team • NHS Greater Glasgow & Clyde • Strathclyde Police • Glasgow City Council (Community Services, Environmental Health, Licensing Department, Community Safety) • Glasgow Council on Alcohol • Licensed Trade • Procurator Fiscal
City Centre Action on Alcohol • Environmental Design • Nite Zone • Night Time Transport • Taxi Wardens • Bus Wardens • Safer Licensed Premises • Best Bar None • Server Training • Communications and Media Partnership • Play safe in Glasgow campaign • Advertorials • Outlet Density
The Theory Behind It Holder Model - Community Prevention is most effective when a mix of complementary evidence based prevention strategies are implemented at a local level in order to reduce one or more alcohol related problems. Evaluation indicators should be • at a population level • directly related to the problem • gathered at baseline and over the course of the intervention
Evaluation • Direct outcome measures • A&E • Ambulance • Police • Indirect outcomes • Media monitoring • Public perception • Activity Evaluation
Ideal Dataset • City Centre area only • By 2 hour time slot within study period 10pm-4am • By day of week averaged for each month • By gender and age group • Alcohol related presentations / incidents only
What were able to get – A&E • By sex and 10 year age bands • By 2 hour time slots (10pm-4am) • By day of week averaged by month • All attendances at Glasgow Royal Infirmary (not city centre only) (not alcohol related only) + supplemented by A&E snapshot study
Initial Findings A&E • 36% of the total number of attendances took place on Friday and Saturday nights • 16-29 year olds accounted for 38% of all attendances between 10pm and 4am.
What were able to get – Ambulance Service • Attendances to defined city centre area • By 1 hour time slots (24hours) • By day of week averaged by month • All calls (not only alcohol related) • No age or gender breakdown
Initial Findings Ambulance • Highest number of incidents on Friday and Saturday nights • Variation in monthly average • Peaks in incidents at around midnight and around 3am (Frid & Sat)
What were able to get – Police (1) Violent Crime and Breach of the Peace • Crime in defined city centre area • By 2 hour time slots (10pm-4am) • By day of week averaged by month • By sex and age group of victims • All crimes reported (not only alcohol related)
What were able to get – Police (2) Incidents • Alcohol related incidents identified • Incidents in defined city centre area • By 2 hour time slots (10pm-4am) • By day of week averaged by month • No age and gender breakdown
Initial Findings Police • About half of all alcohol related incidents occurred on Fridays and Saturdays • Over half violent crime & breach of the peace occurred on Fridays and Saturdays • Males between 18 and 29 accounted for 45% of crime victims
Some Challenges • Data • availability • format • supply • analysis
Learning • Collection and quality of basic data sets • Cost • Ownership • Keeping the big picture at the forefront • Asking for what was needed but being prepared to compromise • Remembering it’s all about relationships • Keeping the communication clear • Speaking directly to people • Identifying the ‘important people’ and keeping them on side • Meeting needs of AERC research • Commissioning evaluations and research