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Date: April 29, 2024 Mon
Time: 10:43 pm
Time: 10:43 pm
Results for alcohol interventions
3 results foundAuthor: Butler, Nadia Title: Liverpool's Drink Less Enjoy More Intervention: Progress monitoring report Summary: In the UK it is an offence to knowingly sell alcohol to, or purchase alcohol for, intoxicated individuals and flouting these laws can result in fines being imposed on the person (e.g. bar staff) selling the alcohol, the holder of the premises license, the premises supervisor or the person who purchases alcohol on behalf of an intoxicated individual (CPS, 2005). Despite this, public awareness, bar server compliance and police enforcement of this legislation is typically low (HC Deb, 2014; Hughes & Anderson, 2008; Hughes et al., 2014). Nightlife settings across the UK are characterised by high levels of intoxication and alcohol-related harms (Bellis et al., 2011; Quigg et al., 2015). Further, research suggests that many nightlife users arrive in nightlife environments already intoxicated, having consumed a substantial amount of alcohol at home before going on a night out (i.e. preloading; Anderson et al., 2007; Quigg et al., 2015; Quigg et al., 2016a; Quigg et al., 2016b). Excessive alcohol consumption not only damages the public's health, but also places a large burden on police, local authorities and health services who must manage nightlife drunkenness and associated problems such as anti-social behaviour, violence and alcohol-related injuries (Anderson et al., 2007; Drummond et al., 2005). To reduce such harms an extensive range of policies and interventions have been implemented at both local and national level including high profile policing, changes to licensing laws and environmental measures to improve safety (Bellis et al., 2011; HM Government, 2012). Whilst there is some evidence to indicate that such measures can contain and manage alcohol-related harms, they do little to reduce levels of intoxication or address harmful and pervasive cultures of nightlife drunkenness (Bellis et al., 2011; Quigg et al., 2015; Quigg et al., 2016b). In 2013, the first UK study of bar servers' propensity to serve alcohol to drunks was undertaken in Liverpool City Centre and found that 84% of purchase attempts by pseudointoxicated actors resulted in the sale of alcohol (Hughes et al., 2014). Studies conducted elsewhere have suggested that reductions in the service of alcohol to drunks can be achieved through multi-agency interventions that incorporate community mobilisation, enforcement of the law around the service of alcohol to drunks and responsible bar server training (Andreasson et al., 2000; Lenk et al., 2006; Wallin et al., 2005). Following the presentation of these findings to local partners across Liverpool, the multi-component Say No to Drunks pilot intervention was developed and implemented. The intervention aimed to: increase awareness of the legislation preventing sales of alcohol to drunks; support bar staff compliance with the law; provide a strong deterrence to selling alcohol to drunks; and promote responsible drinking amongst nightlife users. Findings from the evaluation of this first pilot study were positive and suggested improved public awareness of the legislation on sales of alcohol to drunks and increased bar server confidence in refusing such sales. While wider impacts were not observed, it represented the first step in a continued body of work to address sales of alcohol to drunks and creating safer nightlife environments in Liverpool (Quigg et al., 2015; Quigg et al., 2016b). Thus, in 2015 the intervention was further refined and rebranded as Drink Less Enjoy More (DLEM) and was subsequently implemented as a second phase. Phase two built on key elements of the pilot intervention and was comprised f: a social marketing and public awareness campaign; bar staff training; and police enforcement. Further, it covered a wider geographical area and also targeted nightlife users prior to entering the night-time economy. Findings from the evaluation of DLEM were positive, crucially showing that the service of alcohol to pseudo-intoxicated actors had reduced substantially from 84% in 2013 to 26% in 2015 (Hughes et al., 2014; Quigg et al., 2016b). The evaluation suggested that learning from the pilot phase and subsequent amendments to the intervention, and a greater commitment to implementing all aspects of the intervention, served to strengthen the intervention's impact (Quigg et al., 2016b). Although wider impacts on addressing the culture of drunkenness in Liverpool's nightlife were not observed, local partners recognise that the intervention is a crucial step in preventing the sales of alcohol to intoxicated patrons in Liverpool. Subsequently, the DLEM intervention continues to be a key work stream to prevent alcohol-related harms in the city's nightlife during peak periods (e.g. UEFA European Championship; Student Fresher's week; Halloween). As part of an ongoing monitoring and development process of DLEM, the Public Health Institute (PHI), Liverpool John Moores University was commissioned to implement a research study to monitor progress of key elements of the intervention. Specifically the study aimed to: - Explore bar server awareness of legislation around the sale of alcohol to drunks; perceptions of the intervention; and their propensity to serve alcohol to drunks (i.e. pseudo-intoxicated actors); and, - Assess nightlife user: knowledge of the laws around the sale of alcohol to, and purchasing of alcohol for intoxicated individuals; perceptions and attitudes relating to drunkenness in nightlife; patterns of alcohol consumption and use of the night-time economy; and awareness and perceptions of the intervention. Details: Liverpool: Public Health Institute, Liverpool John Moores University, 2017. Source: Internet Resource: Accessed October 7, 2017 at: http://www.cph.org.uk/wp-content/uploads/2017/09/Liverpools-Drink-Less-Enjoy-More-intervention-progress-monitoring-report-FINAL.pdf Year: 2017 Country: United Kingdom URL: http://www.cph.org.uk/wp-content/uploads/2017/09/Liverpools-Drink-Less-Enjoy-More-intervention-progress-monitoring-report-FINAL.pdf Shelf Number: 147609 Keywords: Alcohol InterventionsAlcohol Related Crime, DisorderAlcoholismDisorderly ConductDrunk and DisorderlyNight-Time Economy |
Author: Quigg, Zara Title: Evaluation of the Liverpool Drink Less Enjoy More Intervention Summary: In the UK it is an offence to knowingly sell alcohol to, or purchase alcohol for, a drunk person (Regulated under Section 141 and 142 of the Licensing Act 2003). However, until recent times public awareness, bar server compliance and police enforcement of this legislation has appeared to be low. Critically, UK nightlife environments are often characterised by high levels of intoxication and alcohol-related harms. Excessive alcohol use damages the public's health, while managing nightlife drunkenness and associated problems such as anti-social behaviour and violence places huge demands on police, local authorities and health services. To reduce such harms an extensive range of policies and interventions have been implemented at local and national levels including high profile policing, changes to licensing laws and environmental measures to improve safety. Whilst there is some evidence to indicate that these measures may contain and manage alcohol-related harms, they do little to reduce levels of intoxication or address harmful and pervasive cultures of nightlife drunkenness. A study conducted in Liverpool in 2013 found that 84% of alcohol purchase attempts by pseudo-intoxicated actors in pubs, bars and nightclubs were successful (i.e. alcohol was sold to the actor; Hughes et al., 2014). Studies conducted elsewhere have suggested that reductions in the service of alcohol to drunks, and associated harms, in nightlife settings can be achieved through the implementation of multi-component interventions that incorporate community mobilisation, enforcement of the laws around the service of alcohol to drunks and responsible bar server training. Thus to address the sale of alcohol to drunks in the city's nightlife, local partners developed and implemented the multi-component Say No To Drunks pilot intervention. The intervention aimed to: increase awareness of legislation preventing sales of alcohol to drunks; support bar staff compliance with the law; provide a strong deterrence to selling alcohol to drunks; and promote responsible drinking amongst nightlife users. Following an evaluation of Say No To Drunks, the intervention was further refined, broadened and implemented as a second phase in 2015 - rebranded to Drink Less Enjoy More. To inform the continued development of the intervention, the Centre for Public Health at Liverpool John Moores University was commissioned to evaluate the intervention, comparing the results to previous work. Details: Liverpool: Centre for Public health, Liverpool John Moores University, 2016. 48p. Source: Internet Resource: Accessed October 7, 2017 at: http://www.cph.org.uk/wp-content/uploads/2016/03/Liverpool-Drink-Less-Enjoy-More-intervention-evaluation-report-March-2016.pdf Year: 2016 Country: United Kingdom URL: http://www.cph.org.uk/wp-content/uploads/2016/03/Liverpool-Drink-Less-Enjoy-More-intervention-evaluation-report-March-2016.pdf Shelf Number: 147610 Keywords: Alcohol InterventionsAlcohol Related Crime, Disorder Alcoholism Antisocial BehaviorDrunk and DisorderlyNight-Time Economy |
Author: Quigg, Zara Title: Evaluation of the Cheshire and Merseyside Drink Less Enjoy More Intervention Summary: DLEM is a community-based intervention designed to prevent alcohol-related harms in nightlife settings through preventing sales of alcohol to intoxicated nightlife patrons in on-licensed premises (illegal in the UK); and discouraging, and reducing the acceptability of excessive drunkenness amongst nightlife patrons. DLEM is modelled on the evidence-based STAD programme, and involves the collective and coordinated implementation of three core components: community mobilisation, responsible bar staff training and strengthened police engagement. Nightlife settings can have major benefits for individuals' well-being, and for communities' economic prosperity. However, studies consistently suggest that UK nightlife settings are often characterised by high levels of drunkenness and associated harms (e.g. injury, violence. Across England and Wales, in 2015/16, 67% of all violent incidents occurring at the weekend were alcohol-related; a quarter of all violent incidents occurred around a pub or club and 91% of these were alcohol-related. Further, preloading (drinking at home prior to entering the night-time economy [NTE]), is a common drinking behaviour that has been associated with excessive alcohol consumption during a night out and experience of violence. Alcohol-related harms in nightlife have an impact on both individuals and wider communities, and efforts to prevent or minimise harms places heavy demands on public services. A study of attendances at Arrowe Park Accident and Emergency department (Wirral Local Authority) found that 47% of patients presenting with violent injury reported having consumed alcohol, while the majority (64%) attended the department at night and at weekends. Interventions targeting drunkenness in nightlife therefore have the potential to reduce harms to the drinker and to others affected by drunkenness, including surrounding communities and public services. Whilst the evidence base is limited, research suggests that multi-component community action programmes can be effective in reducing alcohol-related harms in nightlife settings. One of the most successful of these approaches is the STAD (Stockholm Prevents Alcohol and Drug Problems) programme. STAD combines responsible bar server (RBS) training with multi-agency planning, community mobilisation and strengthened law enforcement. Evaluation of STAD has shown significant reductions in the sale of alcohol to pseudo-intoxicated patrons and related harms in nightlife settings. Positive impacts were also observed across communities surrounding the nightlife setting (e.g. crime reduction). Further, through reductions in violent crime, estimates suggest that STAD saved L39 for every L1 invested [15]. In England and Wales, it is mandatory for statutory partners to collaborate locally to address crime and disorder. Through these partnerships, a broad range of strategies have been implemented to promote safer nightlife settings. Further, tackling drunkenness and sales to drunk individuals is increasingly being prioritised. In England and Wales it is illegal (Licensing Act 2003) to knowingly sell alcohol to, or purchase alcohol for, a person who is drunk. However, public awareness of the legislation is often lacking, there are few prosecutions for breaching the legislation, and bar staff do not always adhere to it. Ensuring the legislation is adhered to is essential; providing alcohol to already intoxicated people supports cultures of excessive nightlife alcohol intoxication. Details: Liverpool: Faculty of Education, Health and Community, Liverpool John Moores University, 2018. 52p. Source: Internet Resource: Accessed March 26, 2019 at: http://www.champspublichealth.com/sites/default/files/media_library/Cheshire%20and%20Merseyside%20DLEM%20evaluation%20report%20Oct%202018%20final.pdf Year: 2018 Country: United Kingdom URL: http://www.champspublichealth.com/sites/default/files/media_library/Cheshire%20and%20Merseyside%20DLEM%20evaluation%20report%20Oct%202018%20final.pdf Shelf Number: 155171 Keywords: Alcohol InterventionsAlcohol-Related ViolenceAntisocial BehaviorDisorderly ConductDrunk and DisorderlyDrunkennessIntoxicated PatronsNight-Time Economy |