Transcript Quick Tips - National Drug Strategy

WHAT WORKS TO REDUCE ALCOHOLRELATED VIOLENCE
A/Prof Peter Miller
Co-Director, Violence Prevention Group, Deakin University
Deakin University CRICOS Provider Code: 00113B
CONTENTS
• What definitely works
• What probably works
• What probably doesn't work
• What definitely doesn't work
Deakin University CRICOS Provider Code: 00113B
A RESPONSE FRAMEWORK
• A national strategic approach
• ALL forms of violence
• Across the life-course
• Across levels of prevention
Deakin University CRICOS Provider Code: 00113B
A RESPONSE FRAMEWORK
Primary
Ante-natal
Childhood
Adolescence
Reduce maternal substance use
Reduce maternal substance use
Reduce alcohol/drug supply
• A response framework
Primary
Adulthood
Enforcement
Education regarding the impacts of substance use
Comprehensive education and
Comprehensive education and labelling
Comprehensive education and labelling
labelling campaigns
campaigns
campaigns
Education should be a curriculum
Education should be a curriculum item
Education should be a curriculum item
item
Reduce alcohol advertising
Reduce alcohol advertising
Parenting interventions aimed at wholeof-family
Parenting interventions aimed at
Strengthening Families
Strengthening Families
Therapeutic interventions
Community nursing visits
Peer Mentoring
Social and Emotional Competence
Comprehensive education and labelling campaigns
Education should be a curriculum item
Reduce alcohol advertising
Reduce alcohol advertising
Primary
Parenting interventions aimed at
whole-of-family
whole-of-family
Parenting interventions aimed at whole-of-family
Pre-natal support for vulnerable
Secondary
parents
Community nursing visits
Pre-natal support for vulnerable
Secondary
parents
Community nursing visits
Tertiary
Tertiary
Family Drug Court /Mandated
Family Drug Court /Mandated Treatment
Treatment
Psychological interventions
Child protection (including
Child protection (including abstinence
Social and Emotional Competence
abstinence conditions)
conditions)
Training
Deakin University CRICOS Provider Code: 00113B
Situational interventions
-restricting trading hours
Swift and Certain Justice Offender rehabilitation
-SADV
WHAT WORKS?
PRIMARY PREVENTION
1. Developmental prevention interventions
2. Pricing measures
3. Minimum Purchase Age
4. Restricted trading hours
Deakin University CRICOS Provider Code: 00113B
WHAT WORKS?
• Price
• 10% increase on average MINIMUM PRICE:
–19.5% ⇓ in alc-related traffic offences
–18.5% ⇓ in property crimes
–10.4% ⇓ violent crimes
• 1% PRICE INCREASE
–3.1 – 3.5% reduction in ‘wife abuse’.
Deakin University CRICOS Provider Code: 00113B
WHAT WORKS?
SECONDARY PREVENTION
1. Violent venues register: Liquor Act 2007 NSW
2. Emergency department/Police ‘last drinks’ data collection
3. Community Nurse visits
4. Strengthening Families
Deakin University CRICOS Provider Code: 00113B
WHAT WORKS
Violent venues register
Source: BOCSAR
Deakin University CRICOS Provider Code: 00113B
WHAT WORKS?
TERTIARY PREVENTION
1. Police Interventions- Targeted
2. Swift and certain Justice (monitoring/sanctions)
3. Safer Bars
4. Consequence Policing
5. Family Drug Court
6. Substance Abuse Domestic Violence treatment
Deakin University CRICOS Provider Code: 00113B
WHAT WORKS
Electronic monitoring/immediate sanctions
• 24/7 Sobriety (alcohol)
• Breath tests 7am, 7pm daily
• Immediate incarceration
– 8-24hrs
• 99% tests passed
– 66% never failed one, 9% failed
twice
Deakin University CRICOS Provider Code: 00113B
OUTCOMES
– Drunk diving 78%
• Assaults decline by 12%
• Domestic assaults decline by 16%.
• Statewide reports of FDV declined 10%
WHAT PROBABLY WORKS
1. Risk-based licensing
2. Reducing Alcohol outlet density
3. Limiting sales to low alcohol beverages
Deakin University CRICOS Provider Code: 00113B
WHAT PROBABLY WORKS
Small effect sizes
1. Alcohol-free or ‘dry’ zones
a) or in specific locations
2. ID Scanners – mandatory
3. Random Police interventions
4. Supervised taxi ranks
5. Night-time buses and trains
6. Patron banning notices
a) For AOD-related violent offenders
Deakin University CRICOS Provider Code: 00113B
WHAT PROBABLY WORKS
Limiting sales to low alcohol beverages
1. Halls Creek: ⇓ in assaults & Emergency Dept visits
2. Fitzroy Crossing: ⇓ in assaults & Emergency Dept visits
3. Gunnedah after midnight – 35% ⇓ in assaults
Deakin University CRICOS Provider Code: 00113B
WHAT PROBABLY DOESN’T WORK
1.
2.
3.
4.
5.
6.
7.
8.
RSA training
Liquor accords
CCTV
Lock-outs (one-way doors)
Drink Safe precincts
People Management by strategically placing
food outlets
School-based anti-violence education only
campaigns
Red cards from bouncers
Deakin University CRICOS Provider Code: 00113B
WHAT DEFINITELY DOESN’T WORK
1. Psycho-educational campaigns e.g.
Just Think
2. Drinkwise ‘get the facts’
Deakin University CRICOS Provider Code: 00113B
CONCLUSION
• A wide range of effective interventions exist
• A holistic approach is most desirable
–a National Strategy to Prevent Violence
• Enforcement of existing laws: effective, but expensive!
• Limiting alcohol supply reduces all forms of violence
–at NO cost to the community
• Evidence-based interventions must be prioritised
Deakin University CRICOS Provider Code: 00113B
THANK YOU
• Margaret Chan, Director of the WHO
• “the alcohol industry has no
role in the formulation of
alcohol policies, which must
be protected from distortion
by commercial or vested
interests” (BMJ, 2013).
Our team:
Nic Droste, Darren Palmer, Ashlee Curtis, Lucy Zinkiewicz, Florentine Martino, Arlene
Walker, Elise Cox, Kerri Coomber, Beth Costa, Shannon Hyder, Steven Litherland,
Anders Sonderlund, Molly Bickerton, Eric Koukounas, Emma McFarlane, Andrew Day,
John Toumbourou.
Deakin University CRICOS Provider Code: 00113B