Plan for Action on alcohol problems

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Plan for Action on alcohol problems national
perspective
Dr Andrew Fraser Deputy Chief Medical Officer
Lanarkshire January 2003
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Plan for Action on alcohol problems
We have a problem ..
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Plan for Action on alcohol problems

• Focussed within the powers and competence of
  the
• Scottish Executive
• Looked outside its own area - agenda-setting
  and
• advocacy
• Now 1 year on

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• .Plan for Action on alcohol problems
• Main Aims
• to reduce binge drinking
• to reduce harmful drinking by children and
  young people
• ...because of the harm, the risks
• ...alcohol problems

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• Plan for Action on alcohol problems
• Culture Change
• Prevention and education
• Providing support and treatment services
• Protection and control for individuals and
  the wider
• community
• Delivery

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Culture Change Communications strategy -
'How much is too much ?' evaluation and next
phase at every level - Drinkwise, local
programmes Questioning, redrawing, redefining
Individual, group and family, community levels
Context of drinking The drinking 'career'
...but starting with life as we know it.
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• Prevention and education
• focus on drink-driving, occupational health,
  school-based
• education
• higher education, health professions, all
  professions and
• lay people, servers
• making the link

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• Providing support and treatment services
• 4 tier model
• specific groups
• every stage of the drinking 'career'
• lessons so far
• the scale of the problem
• low expectations
• use the evidence
• the whole person in their life

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Protection and controls for individuals and the
wider community - 1 community safety
making the links - redefining what's acceptable
enforcement - on- and off-sales
advertising and promotions UK and Europe, FSA
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Protection and controls for individuals and the
wider community - 2 Current Review of
Legislation survey results due out - 1.
look out for the public agenda, self-delusion
and projecting the problem elsewhere 2. what
works - complex picture (price and
availability) training, enforcement, server
practice
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. Plan for Action on alcohol problems Delivery
Lanarkshire plan - target April 2003
Continuing SE led work SACAM Making the Links
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Plan for Action on alcohol problems Making the
Links Alcohol, Behaviour and Culture
Alcohol.... and fun, leisure, friends,
anaesthesia and more alcohol
and drugs, sex, dance culture
and driving, sport ?
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Plan for Action on alcohol problems Making the
Links Alcohol and the Consequences health and
social good, economic good (better than drugs,
say the grown-ups) Alcohol ... and violent
crime and serious injury -
getting home, once home and
others - damaged relationships, people
- unwanted pregnancy,
forgettable sex
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Plan for Action on alcohol problems Making the
Links Coping with the consequences
intervention at any time, that includes law
enforcement, management of leisure
venues social - family break-up, child abuse
health care - AE, front line staff.... HTBS
work end-stage problems - all manifestations
employers and employees recognising
the voluntary sector contribution look at
the whole person raise expectations and
awareness of services by other services
information strategy
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Plan for Action on alcohol problems Making the
Links Strategically speaking... fruitful
partnerships challenge the public, the
culture we live in seeing results
implementation performance measuring,
monitoring, management where are young
people in all this ?
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Plan for Action on alcohol problems Making the
Links The Scottish Executive is .
developing the communications strategy
pushing ahead with workplace policies
telephone helpline ?, research programme,
information strategy, training needs of
all professions, SIGN practice guidelines, p.w.
brain damage, with SACDM, p.w.drug, alcohol,
mental health problems HM Government
is . . All too aware of what we're doing,
consulting on its own strategy, dealing with
labelling, advertising and promotions with EU

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Plan for Action on alcohol problems Making the
Links Alcohol in context - hoping, coping,
earning,
enjoying, recovering, part of a better life
Results - Scotland 1 Rest of the World__ ?
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Plan for Action on alcohol problems national
perspective
Dr Andrew Fraser Deputy Chief Medical Officer
Lanarkshire January 2003