Global Actions: Commitments to Reduce Harmful Drinking.

GLOBAL ACTIONS IN FOCUS

PERNOD RICARD: RESPONSIB’ALL DAY 2013

The Global Actions newsletter will periodically feature best practices shared by our readers, including companies that are signatories of the Beer, Wine and Spirits Producers’ Commitments to Reduce Harmful Drinking. In this issue, we focus on Pernod Ricard and its work in one of the five key areas addressed by the Commitments: providing consumer information. We look forward to highlighting more examples from Commitments stakeholders over the course of 2013 and beyond.


In 2011, Pernod Ricard launched Responsib’All Day, a one-day event that promotes the sharing of good practices by utilizing company employees as ambassadors. Responsib’All Day focuses on highlighting yearlong Pernod Ricard initiatives and raises awareness about responsible drinking. Before Responsib’All Day was launched, Pernod Ricard conducted internal training seminars on specific issues, such as drink driving and consumption by youth. Since the start of this influential campaign, employees spread key messages about responsible drinking to communities by engaging local populations in schools, bars, and other public places.

Responsib’All Day 2013 took place on June 5, 2013, where 18,800 employees rallied to promote responsible drinking and informed consumers about the possible consequences of excessive alcohol consumption. This year, Pernod Ricard Argentina celebrated its third Responsib’All Day by tailoring their message to beverage alcohol retailers. Pernod Ricard employees trained 100 client representatives on how to prevent the sale of alcohol to underage youth. In its first Responsib’All Day, Pernod Ricard Nigeria discussed the consequences of drink driving with public transport drivers and passengers in Lagos. Employees also handed out flyers on responsible consumption of alcohol beverages to locals at a nearby mall.

During the worldwide event, Vice-Chairman of the Board of Directors and Chief Executive Officer Pierre Pringuet announced that Pernod Ricard will add a logo to the back label of all bottles produced by Pernod Ricard that recommends pregnant women abstain from consuming beverage alcohol. In 2006, Pernod Ricard became the first wine and spirits group to apply the logo to bottles distributed throughout Europe, yet Pernod Ricard’s goal is to expand this program to unambiguously inform pregnant women worldwide to abstain from consuming alcohol throughout their pregnancy.

KEY RECENT MILESTONES· Colombia: On May 29, 2013, Yumbo Mayor Fernando Murgueitio and Global Actions signed an agreement to begin the Project Patrullero initiative in the city. The signing took place ahead of seminars held May 30 and 31, 2013, where 163 participants, which included municipal officials, police officers, and owners of licensed alcohol venues, received training on alcohol basics, Colombian drink driving laws, road traffic crash statistics, and sobriety checkpoint best practices.

WHAT'S HAPPENING NEXT· Mexico: ICAP Senior Vice President Brett Bivans will be meeting with Signatory Companies in Mexico from June 24 to 26, 2013 to discuss drink driving initiatives. Companies will also evaluate the programs currently in place and indentify how these programs can be sustained by local communities

Focos de oportunidad para implementar el modelo SBIRT.

En México, sólo un proporción pequeña de la población dependiente al alcohol asiste a tratamiento. Se propone brindar ayuda a dicha población desde los contextos que frecuentan debido al consumo y a sus consecuencias. Se señalan focos de oportunidad.

Click en la imágen o en la liga inferior para ver la presentación

http://prezi.com/got-7bwu-0f7/focos-de-oportunidad-para-implementar-el-modelo-sbirt-sansol/

Mariguana, 2da droga más consumida en México; recorte presupuestal en la CONADIC

Mariguana, segunda droga más consumida en México

TENDENCIAS • 18 JUNIO 2013 - 9:02PM — BLANCA VALADEZ

La Comisión Nacional contra las Adicciones reconoció que esta droga va en aumento entre los jóvenes, y que el primer lugar lo ocupa el alcohol.

Foto: Archivo

EL CONADIC SE OPONE, DE MANERA CONTUNDENTE, A CUALQUIER PROPUESTA DE LEGALIZACIÓN A LA MARIGUANA

México • La Comisión Nacional contra las Adicciones reconoció que la mariguana entre los jóvenes ha ido en aumento, al grado de que en los últimos cinco años, se ubicó en la segunda droga más consumida en el país, después del alcohol, reconoció su titular Fernando Cano Valle, tras comentar que la dependencia ha sufrido un recorte de 25 por ciento de su presupuesto de operación.

“El problema de las adicciones es grave, va en aumento en el consumo de alcohol y de tabaco, sobre todo, en las mujeres jóvenes que empiezan a fumar a los 10 y 12 años de edad".

“El uso de mariguana es el más frecuente después del alcohol y después del tabaco. Y, por supuesto, nadie usa una sola droga nada más. Tampoco podemos decir que la cocaína va en descenso como en otros países, por el contrario va en ascenso. Quizás los opiaceos son más frecuentes en la zona norte de la República. Pero el gran problema son la anfetaminas en toda la costa del Pacífico, desde Colima hasta Tijuana, precursores químicos, que destruyen el cerebro sin que haya capacidad de recuperación”, agregó Cano Valle.

Y aunque no se refirió de manera directa a la propuesta del ex presidente Vicente Fox ni de algunos diputados de legalizar la mariguana, el titular del Conadic refirió que los sectores más vulnerables para los distribuidores de droga son los menores de edad que se enganchan con ese tipo de drogas y luego pasan a otras más fuertes de diseño.

“Fumar tabaco y fumar mariguana es en cuanto a principio activo lo mismo. La mariguana es tan nociva y no podemos decir que tengamos control sobre el consumo de tabaco. Está descontrolado. Hay leyes, hay reglamentos, limitaciones y restricciones, y eso no ha impedido que las niñas de 10 años fumen. Se ha incrementado el triple en los últimos cinco año, del 1.5 al 4.5 entre la población”.

Por ello, dijo, el Conadic se opone, de manera contundente, a cualquier propuesta de legalización a la mariguana ya que se ha demostrado no sólo los daños a la salud sino también su vínculo con el incremento de la violencia, de la deserción escolar, suicidio y homicidio.

“La Conadic fue creada para lucha y combatir las drogas. No puede estar a favor de la despenalización de ninguna de las drogas. Nuestra vocación es dar educación, generar investigación y formar conocimiento para que la sociedad tome sus propias decisiones”.

Luego de la presentación de la obra de teatro “El amor en tiempos del SIDA”, Cano Valle reconoció que el Conadic sufrió un recorte presupuestal, por lo que sólo cuenta con 700 millones de pesos para todo el país y centros de atención contra las adicciones.

“Este año contamos con un presupuesto recortado del 25 por ciento. Sin embargo, cuando hay proyectos como El amor en tiempos del SIDA el recurso viene.

“La obra –que se presentó en el teatro “Julio Prieto”, Xola 809- requiere de apoyos y es una forma sencilla, muy contundente, de llevar un mensaje. “Se espera que la iniciativa privada participe y por lo menos se lleven a cabo 100 representaciones, se requiere de 400 mil a 500 mil pesos”.

http://www.milenio.com/cdb/doc/noticias2011/0dd1c5edd5b3f2897a01225010994086

Organizational Attributes and Screening and Brief Intervention in Primary Care

Overconsumption of alcohol is well known to lead to numerous health and social problems. Prevalence studies of United States adults found that 20% of patients meet criteria for an alcohol use disorder. Routine screening for alcohol use is recommended in primary care settings, yet little is known about the organizational factors that are related to successful implementation of screening, brief intervention (SBI) and treatment in these settings. 

The purpose of this study was to evaluate organizational attributes in primary care practices that participated in a practice-based research network trial to implement alcohol SBI. 

The Survey of Organizational Attributes in Primary Care (SOAPC) has reliably measured four factors: communication, decision-making, stress/chaos and history of change. This 21-item instrument was administered to 178 practice members at the baseline of this trial, to evaluate for relationship of organizational attributes to implementation of alcohol SBI and treatment. 

No significant relationships were found correlating alcohol screening, identification of high-risk drinkers and brief intervention, to the factors measured in the SOAPC instrument.

These results highlight the challenges related to the use of organizational survey instruments in explaining or predicting variations in clinical improvement. Comprehensive mixed methods approaches may be more effective in evaluations of implementation of SBI and treatment.

Abstract

Brief Physician Advice for Heavy Drinking College Students: A Randomized Controlled Trial in College Health Clinics

Brief Physician Advice for Heavy Drinking College Students: A Randomized Controlled Trial in College Health Clinics

Journal of Studies on Alcohol and Drugs: 2010, 71, p. 23–31.

Michael F. Fleming, Stacey L. Balousek, Paul M. Grossberg, Marlon P. Mundt, David Brown, Jennifer R. Wiegel, Larissa I. Zakletskaia, Elizabeth M. Saewyc

Objective: The aim of this study was to test the efficacy of brief physician advice in reducing alcohol use and related harm in college students. 

Method: The College Health Intervention Projects (CHIPs) is a randomized, controlled clinical trial with 12-month follow-up conducted in five college health clinics in Wisconsin; Washington state; and Vancouver, Canada. Of the 12,900 students screened for high-risk drinking, 484 men and 502 women met inclusion criteria and were randomized into a control (n = 493) or intervention (n = 493) group. Ninety-six percent of students participated in the follow-up procedures. The intervention consisted of two 15-minute counseling visits and two follow-up phone calls, and used motivational interviewing, contracting, diary cards, and take-home exercises. 

Results: No significant differences were found between groups at baseline on alcohol use, age, socioeconomic or smoking status, rates of depression, or measures of alcohol-related harm. At 12 months, the experimental subjects reduced their 28-day drinking totals by 27.2%, and the control group reduced their totals by 21%. A mixed effects repeated measures model found a statistical difference in favor of the brief-intervention group (β = 4.7, SE = 2.0, p = .018) in 28-day drinking totals. The total Rutgers Alcohol Problem Index score was also significantly different during the 12-month follow-up period (β = 0.8, SE = 0.4, p = .033). There was no difference on the other outcome measures of interest, such as frequency of excessive heavy drinking, health care utilization, injuries, drunk driving, depression, or tobacco use. 

Conclusions: The study supports resource allocation and implementation of alcohol screening and brief physician advice in primary care-based college health clinics. (J. Stud. Alcohol Drugs, 71, 23-31, 2010)

http://www.jsad.com/jsad/article/Brief_Physician_Advice_for_Heavy_Drinking_College_Students_A_Randomized_Co/4410.html

The Swedish six-community alcohol and drug prevention trial: Effects on youth drinking

Local communities are increasingly targeted for alcohol and drug prevention campaigns. This study describes some of the key findings from the Swedish six-community alcohol and drug prevention trial (2003–2007) and lessons learned following an evaluation of the trial's effectiveness. The paper focuses mainly on changes in youth drinking and related harms.

This was a pre- to post-intervention effect study comparing six trial communities that received added training and technical support with six control communities where regular prevention efforts were supported by national alcohol and drug action plans. A repeated, cross-sectional survey of 8092 youths aged 15–19 years assessed changes in alcohol consumption, binge drinking, perceived alcohol availability, access to alcohol via parents and adult attitudes towards the supply of alcohol to youths. National registry data were used to assess changes in hospital admissions due to alcohol intoxication.

Overall, there were few significant improvements in the six trial communities compared with the control communities.

The absence of program effects was largely attributable to the selection of strategies (in particular, school and parental programs) lacking evidence of effectiveness in reducing alcohol consumption at the aggregate level. Prevention programs based on efficacy studies need to be tested in community-based effectiveness trials before being disseminated.
Read Full Abstract

Report to Congress on the Prevention and Reduction of Underage Drinking 2012

Reports on the prevalence and nature of underage drinking and the national efforts and best practices to address the problem. Also reports on state policies, enforcement activities, and prevention programs underway to address underage drinking.

Download Digital Version

• Full Report (PDF, 11 MB)
• Message from Secretary and Foreword (PDF, 184 KB)
• Executive Summary (PDF, 588 KB)
• Chapter 1: Overview of UA Drinking (PDF, 755 KB)
• Chapter 2: Nature and Extent of UA Drinking (PDF, 849 KB)
• Chapter 3: Coordinated Federal Approach (PDF, 638 KB)
• Chapter 4: State Programs and Policies (PDF, 3 MB)
• Chapter 4: Detail (HTML)
• State Reports: Alabama - Montana (PDF, 3 MB)
• State Reports: Nebraska - Wyoming (PDF, 2 MB)
• Appendices (HTML)

A Review of SAMHSA Strategic Initiative #8, Public Awareness and Support, as it Applies to SBIRT

Wednesday, June 26, 2013
1:00 PM - 4:00 PM Eastern
A Review of SAMHSA Strategic Initiative #8, Public Awareness and Support, as it Applies to SBIRT

http://ireta.org/webinars

Just as Americans are aware of the connection between hypertension, stroke, and heart disease, they should be aware of the connection between mental health/substance use disorders and many physical and social problems. Awareness is the first step in taking action to prevent and treat these problems.

Opportunities for preventing or intervening early to reduce the death and illness associated with substance use disorders are often missed. One such opportunity is the use of Screening, Brief Intervention and Referral to Treatment (SBIRT). This evidenced-based intervention is proven to impact substance use, abuse and dependence.

Preventing and delaying initiation of substance abuse can reduce the potential need for treatment later in life. For example, among the 14 million adults aged 21 and older who were classified in the past year with alcohol dependence or abuse, more than 13 million (95 percent) had started drinking alcohol before age 21. We will apply the SBIRT model to multiple sectors of society and a variety of settings such as healthcare, the workplace, education, behavioral health settings, military settings, faith based organization and others.

LEARNING OBJECTIVES:
At the end of this training, participants should:
• Have an increased understanding of how SBIRT can be an integral part of general services which can occur in multiple sectors of society and a variety of settings
• Be able to examine multiple ways to implement SBIRT in a variety of settings
• Be able to select tools and resources that are available for SBIRT implementation

Presenters: Holly Hagle, PhD is the Director of the National SBIRT Addiction Technology Transfer Center. She has been actively working with providers since joining IRETA in 2003. Dr. Hagle has overseen the curriculum development and project coordination for three Heath Resources and Services Admin.(HRSA)-funded SBIRT projects with the University of Pittsburgh School of Nursing since 2006. She is an Adjunct Assistant Professor of Health and Community Systems, University of Pittsburgh, School of Nursing and has a BS in Psychology, MA in Education, Curriculum and Instruction and PhD in Education, Instructional Management and Leadership.

James L. Aiello, MA, MEd, joined the staff of the IRETA in August, 2008, as the Director of the Northeast Addiction Technology Center. He is currently a Senior Consultant for IRETA. Before joining IRETA, for 12 years he served as Executive Vice President of Treatment Programs for Gateway Rehabilitation Center, one of the oldest and largest providers of drug and alcohol rehabilitation services in western Pennsylvania. In this capacity, he had responsibility for the administration, planning and coordination of Gateway’s services, delivered at 19 locations in Pennsylvania.

COST: FREE!

CEUs: 3 CEUs approved for PA CADC, NAADAC, and Social Work.
Registrants who attend will receive link to the CEU certificate order form.

Register

Global Actions: Commitments to Reduce Harmful Drinking.

GLOBAL ACTIONS IN FOCUS 

ICAP TRANSLATED MATERIALS

The Beer, Wine and Spirits Producers’ Commitments to Reduce Harmful Drinking are available for readers to view in six languages: English, Chinese, French, Spanish, Japanese, and Russian, at both www.global-actions.org and commitments.global-actions.org. In addition to the Commitments, several ICAP publications are available online and have been translated into numerous languages.

ICAP Issues Briefings are excellent tools that provide background information on specific topics relevant to alcohol policy and the Commitments. Alcohol Marketing and Young People, for example, is available to read in four languages:French, Portuguese, Russian, and Spanish. Alcohol-impaired Driving andHealth Warning Labels are available in Spanish. Social Marketing and Alcohol has been translated in French, Portuguese, and Spanish.

ICAP recommends that the Issues Briefings be used in conjunction with ICAP's other Policy Tools, including the ICAP Blue Bookand ICAP Policy Guides. ICAP Issues Briefings are updated on an ongoing basis. Visit the website regularly as more translated materials become available.

In addition to the ICAP Issues Briefings, the Toolkit for Working Together is available in French, German, and Spanish, and provides tools to facilitate cooperation between alcohol industry members and other stakeholders to reduce harmful drinking.

KEY RECENT MILESTONES

· Worldwide: The Global Actions Twitter gained 33 new followers in April and May, while the Global Actions Facebookpage had 11,300 impressions and the ICAP Facebook page had 9,600 impressions during the same time frame.

WHAT'S HAPPENING NEXT

Nigeria: A Baseline Survey will be conducted by the Federal Road Safety Corps (FRSC) and researchers from the University of Lagos during the week of June 24, 2013. Questionnaires and breath alcohol tests will be administered to approximately 500 petroleum tanker drivers in Lagos.

Alcohol consumption, alcohol dependence, and related mortality in Italy in 2004: effects of treatment-based interventions on alcohol dependence

 

The tradition of consuming alcohol has long been a part of Italian culture and is responsible for a large health burden. This burden may be reduced with effective interventions, one of the more important of which is treatment for Alcohol Dependence (AD). The aim of this article is to estimate the burden of disease in Italy attributable to alcohol consumption, heavy alcohol consumption, and AD. An additional aim of this paper is to examine the effects of increasing the coverage of treatment for AD on the alcohol-attributable burden of disease.

 

Alcohol-attributable deaths and the effects of treatments for AD were estimated using alcohol-attributable fractions and simulations. Deaths, potential years of life lost, years lived with disability, and disability adjusted life years lost were obtained for 2004 for Italy and for the European Union from the Global Burden of Disease study. Alcohol consumption data were obtained from the Global Information System on Alcohol and Health. The prevalences of current drinkers, former drinkers, and lifetime abstainers were obtained from the GENder Alcohol and Culture International Study. The prevalence of AD was obtained from the World Mental Health Survey. Alcohol relative risks were obtained from various meta-analyses.
 

5,320 deaths (1,530 female deaths; 3,790 male deaths) or 5.9% of all deaths (4.9% of all female deaths; 6.3% of all male deaths) of people 15 to 64 years of age were estimated to be alcohol-attributable. Of these deaths, 74.5% (61.3% for females; 79.8% for males) were attributable to heavy drinking, and 26.9% (25.6% for females; 27.5% for males) were attributable to AD. Increasing pharmacological AD treatment coverage to 40% would result in an estimated reduction of 3.3% (50 deaths/year) of all female and 7.6% (287 deaths/year) of all male alcohol-attributable deaths
 

Alcohol was responsible for a large proportion of the burden of disease in Italy in 2004. Increasing treatment coverage for AD in Italy could reduce that country's alcohol-attributable burden of disease.

Read Full Article     (PDF)