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Are alcohol problems best solved by educating young people – an implementation study

Are alcohol problems best solved by educating young people – an implementation study. Fredrik Spak, Per Blanck University of Gothenburg Mandurah West Australia, March 2004. National Action Plan for Alcohol and Drug Prevention, areas that concern local municipalities, 2001.

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Are alcohol problems best solved by educating young people – an implementation study

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  1. Are alcohol problems best solved by educating young people – an implementation study Fredrik Spak, Per Blanck University of Gothenburg Mandurah West Australia, March 2004

  2. National Action Plan for Alcohol and Drug Prevention, areas that concern local municipalities, 2001 • Support to risk groups and individuals with risk behaviours • Treatment efforts • Influence the public opinion • Restricted accessibility to alcohol beverages • Competence enhancement • Monitoring trends

  3. 49 municipalities 1.9 million inh. Range: 475 000 – 5 000 61 % < 20 000 Base-line interview Follow process 4 municipalities studied more closely Comming up: Follow-up interview Method

  4. Substance coordinators • In 34 of 49 municipalities,else public health officer • Tasks • Monitor substance use • Develop or enforce policy programs • Promote preventive efforts • Unclear expectations, low sustainability

  5. Organization • Broad co-operation, but • Consultative • Non-financial • Health care and police not represented • Minimal economical resources for activities

  6. Policy programs • 39 municipalities, • But 27 of these ”outdated” • policy never accepted • policy not known • old

  7. Information to teenage parents • Lecture series • Study circles • few But: lacks sustainability

  8. Education • Efforts in all municipalities • wide variety • usually grade 7-9 • Often a part of ”Health promoting schools” • undocumented • No well documented program

  9. Sales restrictions • Controlling (low alcohol) beer sales • regulation adherence = 50% • Restuarant and bar license increase (per 10.000 inh.) 1998: 9.8 2003: 12.4

  10. Secondary prevention in health care/primary health care • New parents Yes • Early secondary intervention No

  11. Activities in the traffic area • Swedish police active, activities increasing • No community cooperation

  12. + strong state support large freedom considerable efforts on many arenas broad solutions where co-operation is a key topic – conflict between public health interests – other pressures groups? lack of knowledge-competence co-operation non-financial resources shattered on too many fronts Conclusions

  13. Imbalance between expectations and results Few activity resources Health care hardly involved Responsible alcohol serving: very large efforts are needed How to convince? Low sustainability Conclusions,further shortcomings

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