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

This study by Fredrik Spak and Per Blanck examines the efficacy of educating young people as a means to tackle alcohol-related issues within 49 municipalities in Australia. It explores various strategies including community cooperation, policy enforcement, and treatment for high-risk groups. Despite broad efforts to enhance competencies and implement preventive measures, the research highlights significant gaps in sustainability and engagement from health care sectors. The findings underscore the need for more effective resource allocation and policy acceptance to foster lasting change in public health regarding alcohol consumption.

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 Policy programs • 39 municipalities, • But 27 of these ”outdated” • policy never accepted • policy not known • old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