Nadużywanie alkoholu
Zapobieganie i profilaktyka
Nadużywanie alkoholu stanowi istotny problem zdrowia publicznego, dotykający około 7% dorosłej populacji USA (około 10 milionów osób) i generujący rocznie około 88 000 zgonów w tym kraju. Definiowane jest jako spożywanie alkoholu w sposób szkodliwy lub prowadzący do uzależnienia. Profilaktyka nadużywania alkoholu wymaga wielopoziomowego podejścia, obejmującego profilaktykę pierwotną (zapobieganie inicjacji), wtórną (wczesna interwencja) oraz trzeciorzędową (leczenie i zapobieganie nawrotom). Zalecane jest utrzymanie spożycia alkoholu na poziomie nieprzekraczającym 14 jednostek tygodniowo dla kobiet i mężczyzn. Skuteczne strategie obejmują edukację indywidualną, rodzinną (np. monitorowanie przez rodziców, programy „Rodzice, którzy goszczą, tracą najwięcej”), szkolną (treningi umiejętności odmawiania, interaktywne metody nauczania) oraz społeczną (ograniczenie dostępności alkoholu, podnoszenie cen, kampanie społeczne). W profilaktyce szczególną uwagę należy zwrócić na grupy wysokiego ryzyka, takie jak młodzież, kobiety w ciąży oraz pracownicy.
- Nadużywanie alkoholu – definicja i skala problemu
- Strategie profilaktyki nadużywania alkoholu
- Podejście kompleksowe w profilaktyce
- Strategie indywidualne
- Strategie rodzinne
- Strategie edukacyjne i szkolne
- Strategie społecznościowe
- Strategie polityki publicznej
- Specyficzne grupy docelowe w profilaktyce nadużywania alkoholu
- Profilaktyka wśród młodzieży i młodych dorosłych
- Profilaktyka wśród kobiet w ciąży
- Profilaktyka w miejscu pracy
- Skuteczne programy i interwencje profilaktyczne
- Krótkie interwencje
- Programy leczenia farmakologicznego
- Programy i interwencje cyfrowe
- Grupy wsparcia i programy samopomocowe
- Ocena skuteczności programów profilaktycznych
- Kluczowe organizacje i zasoby w profilaktyce nadużywania alkoholu
- Wnioski i przyszłe kierunki profilaktyki
Nadużywanie alkoholu – definicja i skala problemu
Nadużywanie alkoholu to poważny problem zdrowia publicznego, który dotyka miliony osób na całym świecie. Szacuje się, że około 10 milionów dorosłych w Stanach Zjednoczonych, czyli około 7% populacji, to osoby z problemem alkoholowym lub alkoholicy1. W Polsce problem ten również jest powszechny. Nadużywanie alkoholu definiuje się jako picie w sposób, który jest szkodliwy dla zdrowia, lub gdy występuje zależność od alkoholu1.
Alkohol pozostaje jedną z najbardziej niebezpiecznych i najczęściej nadużywanych substancji, przyczyniając się do około 88 000 zgonów rocznie w samych Stanach Zjednoczonych1. Problemy związane z alkoholem, które wynikają z picia zbyt dużo, zbyt szybko lub zbyt często, stanowią jedne z najważniejszych kwestii zdrowia publicznego1. Koszty ekonomiczne związane z nadużywaniem alkoholu są ogromne i obejmują utratę produktywności, wydatki na opiekę medyczną i pomoc publiczną, koszty policji i sądów oraz wypadki drogowe i inne, szacowane na ponad 249 miliardów dolarów rocznie12.
Strategie profilaktyki nadużywania alkoholu
Podejście kompleksowe w profilaktyce
Skuteczna profilaktyka nadużywania alkoholu wymaga kompleksowego podejścia, które obejmuje różne poziomy interwencji. Narodowy Instytut ds. Nadużywania Alkoholu i Alkoholizmu (NIAAA) zachęca do tworzenia, oceny i wdrażania strategii indywidualnych, rodzinnych, szkolnych, społecznościowych i opartych na polityce, mających na celu zapobieganie nadużywaniu alkoholu i związanym z nim konsekwencjom1.
Strategie profilaktyczne można podzielić na trzy główne poziomy1:
- Profilaktyka pierwotna – ma na celu zmniejszenie prawdopodobieństwa nadużywania alkoholu przed jego wystąpieniem
- Profilaktyka wtórna – próbuje zatrzymać lub przerwać zachowania związane z nadużywaniem alkoholu poprzez interwencję u osób wykazujących wczesne oznaki nadużywania
- Profilaktyka trzeciorzędowa – skupia się na skutecznym leczeniu zaburzeń związanych z używaniem alkoholu i zapobieganiu ich ponownemu wystąpieniu
Strategie indywidualne
Na poziomie indywidualnym, skuteczna profilaktyka nadużywania alkoholu obejmuje kilka kluczowych elementów12:
- Utrzymywanie umiarkowanego spożycia alkoholu zgodnie z zaleceniami zdrowotnymi (nie więcej niż 14 jednostek alkoholu tygodniowo dla kobiet i mężczyzn)
- Zrozumienie, w jaki sposób rozwija się nadużywanie substancji i rozpoznawanie wczesnych sygnałów ostrzegawczych
- Unikanie pokusy i presji rówieśniczej poprzez rozwijanie zdrowych przyjaźni i relacji
- Szukanie pomocy w przypadku problemów ze zdrowiem psychicznym, które często współwystępują z nadużywaniem alkoholu
- Analiza czynników ryzyka, w tym rodzinnej historii choroby i uzależnienia
- Utrzymywanie zrównoważonego stylu życia, ponieważ ludzie często sięgają po alkohol, gdy czegoś im brakuje
Dodatkowo, dla osób, które już konsumują alkohol, pomocne mogą być następujące strategie ograniczania ryzyka12:
- Picie szklanki wody między każdym drinkiem alkoholowym – utrzymuje to nawodnienie i spowalnia tempo picia
- Decydowanie z góry, ile alkoholu zamierza się wypić i przestrzeganie tego limitu
- Spożywanie posiłku przed piciem alkoholu
- Unikanie gier alkoholowych, które prowadzą do szybkiego spożycia dużych ilości alkoholu
- Unikanie mieszania alkoholu z kofeiną
- Wyznaczenie trzeźwego kierowcy lub korzystanie z alternatywnych środków transportu
- Podejmowanie decyzji dotyczących wieczoru przed rozpoczęciem picia
- Pilnowanie swojego napoju przez cały czas
Strategie rodzinne
Rodzina odgrywa kluczową rolę w profilaktyce nadużywania alkoholu, szczególnie wśród młodzieży. Badania zidentyfikowały ważne rodzinne predyktory używania alkoholu i na ich podstawie opracowano skuteczne programy profilaktyczne1.
Skuteczne strategie rodzinne obejmują12:
- Edukowanie rodziców na temat bezpiecznego przechowywania alkoholu i nieudostępniania go młodzieży
- Wdrażanie programów takich jak „Rodzice, którzy goszczą, tracą najwięcej” lub „Nie w moim domu”, które przeciwdziałają dostarczaniu alkoholu młodzieży
- Podkreślanie znaczenia monitorowania przez rodziców działań dzieci i młodzieży
- Oferowanie edukacji rodzinnej i usług wsparcia wolnych od stygmatyzacji dla oczekujących matek i rodzin na temat używania alkoholu i jego wpływu na niemowlęta i dom
- Prowadzenie otwartej i szczerej komunikacji na temat alkoholu – nie czekanie na „tę jedną rozmowę”, ale uczynienie dyskusji o alkoholu częścią codziennej konwersacji
- Dawanie dobrego przykładu poprzez własne nawyki i podejście do alkoholu
Strategie edukacyjne i szkolne
Programy edukacyjne i szkolne stanowią ważny element profilaktyki nadużywania alkoholu, szczególnie wśród dzieci i młodzieży. Badania prowadzone od 1980 roku wykazały potencjał różnych interwencji edukacyjnych i społecznościowych w zmniejszaniu inicjacji używania alkoholu i jego nadużywania wśród nieletnich1.
Skuteczne programy szkolne w zakresie profilaktyki alkoholowej obejmują12:
- Treningi umiejętności odmawiania – uczenie młodzieży, jak skutecznie odmawiać alkoholu w sytuacjach presji rówieśniczej
- Przekazywanie wiedzy o bezpośrednich skutkach używania alkoholu i ryzyka związanego z jego nadużywaniem
- Rozpoznawanie presji społecznej, która prowadzi do nadużywania alkoholu
- Ustanawianie norm dotyczących nieużywania alkoholu
- Interaktywne metody nauczania, które angażują uczniów
- Integracja z szerszymi inicjatywami społecznościowymi i rodzinnymi
Przykładem kompleksowego programu profilaktycznego jest Projekt Northland, który łączy elementy szkolne z interwencjami rodzinnymi i społecznościowymi. Badania sugerują, że interwencje, które koncentrują się na kształtowaniu norm, są dostarczane w sposób interaktywny i są zintegrowane z szerszymi podejściami, mają znaczący potencjał w zmniejszaniu inicjacji używania alkoholu i jego nadużywania wśród nieletnich1.
Strategie społecznościowe
Społeczności odgrywają kluczową rolę w promocji norm dotyczących używania alkoholu oraz w ograniczaniu jego dostępności. Skuteczne strategie społecznościowe w zakresie profilaktyki nadużywania alkoholu obejmują12:
- Ustanawianie lub zmienianie pisanych i niepisanych standardów, kodeksów i postaw społeczności, wpływających na częstość występowania problemów związanych z używaniem alkoholu
- Wdrażanie praw ograniczających dostępność i dostęp do alkoholu
- Zwiększanie cen alkoholu
- Organizowanie działań społecznych na dużą skalę
- Wspieranie konstruktywnych i zdrowych aktywności, które wykluczają używanie alkoholu przez młodzież
- Wczesna identyfikacja, edukacja i poradnictwo dla młodzieży, która spożywała alkohol w sposób nieodpowiedni dla wieku
- Zwiększanie zdolności społeczności do świadczenia usług profilaktycznych i leczniczych
Strategie polityki publicznej
Polityki publiczne odgrywają kluczową rolę w kształtowaniu środowiska, które wspiera ograniczanie używania alkoholu. Światowa Organizacja Zdrowia (WHO) zidentyfikowała najbardziej efektywne kosztowo działania w celu zmniejszenia szkodliwego używania alkoholu1:
- Zwiększanie podatków na napoje alkoholowe
- Egzekwowanie ograniczeń dotyczących ekspozycji na reklamy alkoholu
- Ograniczenia fizycznej dostępności alkoholu w sprzedaży detalicznej
Inne skuteczne strategie polityki obejmują1:
- Prawa ograniczające liczbę i odległość między miejscami sprzedaży alkoholu
- Wspieranie kampanii i programów edukacyjnych na poziomie krajowym i lokalnym
- Wdrażanie globalnego planu działania WHO na lata 2022-2030, mającego na celu ograniczenie szkodliwego używania alkoholu
- Finansowanie badań nad skutecznymi strategiami zapobiegania problemom alkoholowym
- Szczególna uwaga dla populacji o wysokim ryzyku, takich jak młodzież, kobiety w ciąży i karmiące piersią
Specyficzne grupy docelowe w profilaktyce nadużywania alkoholu
Profilaktyka wśród młodzieży i młodych dorosłych
Młodzież i młodzi dorośli stanowią szczególnie ważną grupę docelową dla działań profilaktycznych, ponieważ im wcześniej w życiu osoba zaczyna używać i nadużywać alkoholu, tym większe prawdopodobieństwo, że rozwinie znaczące problemy alkoholowe w przyszłości1.
Strategie profilaktyczne dla młodzieży i młodych dorosłych powinny uwzględniać1:
- Opóźnianie inicjacji używania alkoholu przez młodzież w wieku 9-20 lat
- Zmniejszanie dostępu do alkoholu i upijania się młodzieży w wieku 9-20 lat
- Zmniejszanie upijania się i intensywnego picia wśród osób w wieku 18-25 lat
- Wdrażanie kampanii medialnych, takich jak „Party Smarter”, zwiększających świadomość bezpośrednich negatywnych konsekwencji intensywnego picia
- Wykorzystanie strategii opartych na dowodach naukowych, takich jak Badanie Zapobiegania Nadużywaniu Alkoholu (AMPS)
Szczególnie obiecujące są programy profilaktyczne dla młodzieży studenckiej, takie jak12:
- AlcoholEdu – internetowy program edukacyjny, który pomaga zmniejszyć ryzykowne picie i szkody związane z alkoholem wśród studentów, motywując do zmiany zachowań poprzez resetowanie nierealistycznych oczekiwań co do efektów alkoholu
- Krótka Interwencja i Badania Przesiewowe dla Studentów Koledżu (BASICS) – program oparty na dowodach naukowych, oferowany na zasadzie skierowania dla studentów, którzy naruszyli politykę alkoholową lub samodzielnie zgłosili się z wątpliwościami dotyczącymi wzorców używania alkoholu
- Świadomość Alkoholowa – program dostarczający informacji o środowisku spożywania alkoholu na kampusie, fizjologicznych efektach nadmiernego spożycia oraz prowadzeniu pojazdów pod wpływem alkoholu
Profilaktyka wśród kobiet w ciąży
Kobiety w ciąży stanowią szczególnie ważną grupę docelową dla działań profilaktycznych, ponieważ spożywanie alkoholu w okresie ciąży może prowadzić do płodowego zespołu alkoholowego (FAS) i innych zaburzeń związanych z alkoholem1.
Strategie profilaktyczne dla kobiet w ciąży obejmują1:
- Promowanie świadomości na temat płodowego zespołu alkoholowego (FAS)
- Adopcja strategii profilaktycznych skierowanych specjalnie do kobiet w wieku rozrodczym
- Ocena polityk, które również zmniejszają stygmatyzację związaną z poszukiwaniem leczenia
- Jasne zalecenia zdrowotne – Departament Zdrowia i Opieki Społecznej zaleca, aby kobiety w ciąży i kobiety starające się o dziecko całkowicie unikały spożywania alkoholu
- Edukacja na temat ryzyka związanego z używaniem substancji podczas ciąży, np. kurs „Young Women and Substance Use” wyjaśniający, jak używanie substancji takich jak marihuana, alkohol, opioidy i tytoń podczas ciąży lub karmienia piersią może wpłynąć na rozwijające się dziecko
Profilaktyka w miejscu pracy
Miejsca pracy stanowią ważne środowisko dla wdrażania programów profilaktyki nadużywania alkoholu. Skuteczne strategie profilaktyczne w miejscu pracy obejmują1:
- Rozwój i zachęcanie do tworzenia skutecznych programów profilaktyki i leczenia zawodowego w ramach instytucji rządowych i we współpracy z sektorem prywatnym
- Szkolenia dla pracowników na temat zarządzania stresem, wspierania zdrowych relacji i rozumienia ryzyka związanego z nadużywaniem alkoholu
- Programy pomocy pracownikom (EAP), oferujące ogólne informacje na temat programów pomocy w przypadku nadużywania narkotyków, indywidualne poradnictwo i skierowania, a także okresowe programy edukacyjne na temat zagrożeń związanych z nadużywaniem narkotyków i zarządzania problemami związanymi z narkotykami
- Promowanie środowiska pracy wolnego od substancji – jednoznaczne przepisy zakazujące używania alkoholu w godzinach pracy
Skuteczne programy i interwencje profilaktyczne
Krótkie interwencje
Krótkie interwencje są skutecznym narzędziem profilaktyki nadużywania alkoholu, szczególnie dla osób, które martwią się swoim piciem lub miały wypadek lub uraz związany z alkoholem1.
Kluczowe elementy skutecznych krótkich interwencji obejmują1:
- Badania przesiewowe i krótkie interwencje behawioralne dla osób angażujących się w ryzykowne lub niebezpieczne zachowania związane z piciem
- Personalizowane informacje zwrotne na temat wzorców picia i związanych z nimi ryzyk
- Doradztwo motywacyjne mające na celu wzmocnienie motywacji do zmiany
- Ustanowienie konkretnych celów związanych ze zmniejszeniem spożycia alkoholu
- Opracowanie strategii radzenia sobie z sytuacjami wysokiego ryzyka
Krótkie interwencje mogą być szczególnie skuteczne w określonych kontekstach, takich jak1:
- Podstawowa opieka zdrowotna
- Oddziały szpitalne
- Kampusy uniwersyteckie
- Cyfrowe interwencje personalizowane dla populacji społeczności
Programy leczenia farmakologicznego
Farmakoterapia stanowi ważny element zapobiegania nawrotom i wspierania abstynencji u osób z zaburzeniami związanymi z używaniem alkoholu. Obecnie w Polsce i na świecie stosowanych jest kilka leków w leczeniu uzależnienia od alkoholu12.
- Akamprozat (nazwa handlowa Campral) – stosowany w celu zapobiegania nawrotom u osób, które z powodzeniem osiągnęły abstynencję od alkoholu. Pomaga utrzymać abstynencję, ale ma mniejszy wpływ na nawrót intensywnego picia po wznowieniu spożycia alkoholu.
- Disulfiram (nazwa handlowa Antabuse) – może być stosowany, jeśli próbujesz osiągnąć abstynencję, ale obawiasz się nawrotu lub miałeś wcześniejsze nawroty. Działa poprzez wywoływanie nieprzyjemnych objawów po spożyciu alkoholu.
- Naltrekson (formy doustne lub o przedłużonym uwalnianiu) – może być stosowany w celu zapobiegania nawrotom lub ograniczenia ilości spożywanego alkoholu. Jest skuteczny w zapobieganiu nawrotom intensywnego picia, ale mniej skuteczny w utrzymaniu abstynencji.
- Nalmefene (nazwa handlowa Selincro) – może być stosowany w celu zapobiegania nawrotom lub ograniczenia ilości spożywanego alkoholu.
Oprócz tych głównych leków, istnieją również inne potencjalne opcje terapeutyczne1:
- Niektóre leki przeciwdrgawkowe mogą pomóc pacjentom z zaburzeniami związanymi z używaniem alkoholu w zmniejszeniu spożycia alkoholu, choć dane są ograniczone
- Ondansetron (Zofran) może zmniejszyć spożycie alkoholu u pacjentów z zaburzeniami związanymi z używaniem alkoholu
Warto podkreślić, że farmakoterapia powinna być stosowana jako część kompleksowego podejścia do leczenia, które obejmuje również interwencje behawioralne i wsparcie społeczne1.
Programy i interwencje cyfrowe
Cyfrowe interwencje stają się coraz ważniejszym narzędziem w profilaktyce nadużywania alkoholu. Mogą one docierać do szerszej publiczności i oferować zindywidualizowane podejście1.
Przykłady skutecznych interwencji cyfrowych obejmują12:
- Internetowy program edukacyjny oparty na badaniach, pomagający zidentyfikować wzorce użycia i ryzyka alkoholu oraz dostarczający pomocnych zasobów
- Interwencje „just-in-time” promujące bezpieczniejsze picie wśród studentów
- Cyfrowe interwencje oparte na terapii poznawczo-behawioralnej mające na celu zmniejszenie ryzykownego używania alkoholu
- Interwencje oparte na wiadomościach tekstowych w przypadku niezdrowego używania alkoholu
- Zasoby internetowe oparte na terapii poznawczo-behawioralnej i psychologii pozytywnej mające na celu przeciwdziałanie stresowi, negatywnym nastrojom i problematycznemu używaniu alkoholu
- Aplikacje mHealth do powszechnych badań przesiewowych w kierunku alkoholu, używania substancji, depresji i lęku
- Interwencje oparte na smartfonach ukierunkowane na normy i postrzeganie ryzyka wśród studentów uniwersytetów z niezdrowym używaniem alkoholu
Cyfrowe interwencje mają potencjał do uzupełnienia tradycyjnych podejść do profilaktyki, oferując łatwy dostęp, prywatność i możliwość dostosowania do indywidualnych potrzeb1.
Grupy wsparcia i programy samopomocowe
Grupy wsparcia i programy samopomocowe odgrywają ważną rolę w profilaktyce nawrotów i wspieraniu abstynencji lub kontrolowanego picia. Badania sugerują, że bezpłatna i elastyczna pomoc zapewniana przez grupy wsparcia wzajemnego może pomóc ludziom dokonać i utrzymać korzystne zmiany, a tym samym promować powrót do zdrowia1.
Popularne grupy wsparcia i programy samopomocowe obejmują1:
- Anonimowi Alkoholicy (AA) – program 12 kroków, który pomaga osobom uzależnionym od alkoholu osiągnąć i utrzymać trzeźwość poprzez regularne spotkania grupowe i wsparcie mentora
- SMART Recovery – alternatywa dla AA, która opiera się na metodach opartych na dowodach naukowych i samopomocy
- Społeczności terapeutyczne – środowiska terapeutyczne, w których pacjenci mieszkają razem i wspierają się nawzajem w trzeźwieniu
- Grupy wsparcia rodzinnego – takie jak Al-Anon, które pomagają członkom rodziny zrozumieć i radzić sobie z problemami związanymi z alkoholem u bliskiej osoby
Udział w grupach wsparcia może być szczególnie pomocny dla osób na wczesnych etapach powrotu do zdrowia lub po nawrocie. Aktywne zaangażowanie w programy pomocy wzajemnej może być promowane poprzez systematyczne podejście, takie jak wsparcie rówieśnicze, wsparcie sieciowe lub facylitacja 12 kroków1.
Ocena skuteczności programów profilaktycznych
Ocena skuteczności programów profilaktyki nadużywania alkoholu jest kluczowa dla zrozumienia, które interwencje działają, a które wymagają dostosowania. Badania nad różnymi podejściami profilaktycznymi dostarczają cennych informacji na temat ich skuteczności1.
Na przykład, program STAMPP (Steps Towards Alcohol Misuse Prevention Programme), który łączył zmodyfikowany kulturowo program nauczania z krótką interwencją dla rodziców, wykazał skuteczność w zmniejszaniu częstości intensywnego epizodycznego picia wśród młodzieży. Badanie z randomizacją klastrową wykazało, że program STAMPP zmniejszył samodzielnie zgłaszane intensywne epizodyczne picie w ciągu ostatnich 30 dni po 33 miesiącach od rozpoczęcia, w porównaniu z grupą kontrolną. Jednak nie zaobserwowano znaczącego zmniejszenia szkód związanych z alkoholem, choć autorzy sugerują, że efekty w zakresie szkód mogą pojawić się później12.
Z drugiej strony, nie wszystkie programy profilaktyczne są skuteczne. Na przykład, Badanie Zapobiegania Nadużywaniu Alkoholu (AMPS), program nauczania dla osób w wieku 10-18 lat, który kładł nacisk na trening odporności, wiedzę o bezpośrednich skutkach używania alkoholu, identyfikację ryzyka związanego z nadużywaniem alkoholu i rozpoznawanie presji społecznej prowadzącej do nadużywania alkoholu, został oceniony jako nieskuteczny. Nie stwierdzono statystycznie istotnych efektów w zakresie używania alkoholu, nadużywania alkoholu, poważnych wykroczeń ani umiejętności odmawiania1.
Badania sugerują, że najbardziej skuteczne programy profilaktyczne mają następujące cechy1:
- Są wielokomponentowe i zintegrowane – łączą różne podejścia, takie jak edukacja szkolna, zaangażowanie rodziny i działania społeczności
- Ustanawiają normy nieużywania – jasno komunikują, że nieużywanie alkoholu przez młodzież jest oczekiwaną normą
- Podkreślają monitorowanie przez rodziców – uczą rodziców, jak skutecznie monitorować działania swoich dzieci
- Ograniczają dostęp do alkoholu – wdrażają środki mające na celu utrudnienie dostępu młodzieży do alkoholu
Kluczowe organizacje i zasoby w profilaktyce nadużywania alkoholu
Na całym świecie istnieje wiele organizacji i zasobów dedykowanych profilaktyce nadużywania alkoholu. W Polsce również funkcjonują instytucje zajmujące się tym problemem. Oto przegląd kluczowych organizacji i zasobów12:
- Państwowa Agencja Rozwiązywania Problemów Alkoholowych (PARPA) – polska instytucja odpowiedzialna za profilaktykę i rozwiązywanie problemów alkoholowych
- Narodowy Instytut ds. Nadużywania Alkoholu i Alkoholizmu (NIAAA) – wiodąca amerykańska agencja badawcza zajmująca się alkoholem i zdrowiem
- Centra Kontroli i Zapobiegania Chorobom (CDC) – oferują zasoby, które stany i społeczności mogą wykorzystać do zrozumienia i zapobiegania nadmiernemu spożyciu alkoholu
- Światowa Organizacja Zdrowia (WHO) – pracuje z państwami członkowskimi i partnerami, aby zapobiegać i zmniejszać szkodliwe używanie alkoholu jako priorytet zdrowia publicznego
- Administracja Usług Zdrowia Psychicznego i Uzależnień (SAMHSA) – amerykańska agencja rządowa, która prowadzi działania mające na celu zmniejszenie wpływu używania substancji w amerykańskich społecznościach
- Prevention First – wiodąca organizacja non-profit zajmująca się promowaniem zdrowych zachowań i zapobieganiem nadużywaniu narkotyków i alkoholu
Te organizacje oferują szereg zasobów i programów, takich jak1:
- Kampania „Talk. They Hear You.” – mająca na celu zmniejszenie spożycia alkoholu przez nieletnich i używania substancji wśród młodzieży poniżej 21 roku życia
- Communities Talk – inicjatywa ogólnokrajowa zapewniająca organizacjom społecznym zasoby i stypendia planistyczne
- Publikacje na temat profilaktyki używania substancji
- Dotacje na usługi profilaktyki, leczenia i powrotu do zdrowia
Ponadto, istnieje wiele zasobów online i narzędzi dla osób poszukujących pomocy lub informacji, takich jak lokalizatory placówek leczniczych, materiały edukacyjne i wytyczne dla pracowników służby zdrowia1.
Wnioski i przyszłe kierunki profilaktyki
Profilaktyka nadużywania alkoholu jest dynamicznym obszarem, który stale się rozwija w odpowiedzi na nowe badania i zmieniające się potrzeby społeczeństwa. Chociaż nadużywanie alkoholu pozostaje poważnym problemem zdrowia publicznego, istnieją obiecujące strategie i interwencje, które mogą pomóc w jego przeciwdziałaniu1.
Kluczowe wnioski i przyszłe kierunki profilaktyki obejmują12:
- Kompleksowe podejście – najskuteczniejsze strategie profilaktyczne łączą różne podejścia, w tym edukację, interwencje behawioralne, farmakoterapię i wsparcie społeczne
- Wczesna interwencja – wczesne wykrywanie i interwencja są kluczowe dla zapobiegania rozwojowi poważnych problemów alkoholowych
- Zindywidualizowane podejście – nie ma uniwersalnego rozwiązania, a to, co działa dla jednej osoby, może nie być dobrym rozwiązaniem dla kogoś innego
- Redukcja stygmatyzacji – zmniejszenie stygmatyzacji związanej z poszukiwaniem pomocy może zwiększyć liczbę osób korzystających z leczenia
- Integracja z innymi usługami – integracja profilaktyki w różnych środowiskach zdrowotnych, społecznych i wymiaru sprawiedliwości może zwiększyć jej zasięg wśród niedostatecznie obsługiwanych populacji
- Ciągłe badania – potrzebne są dalsze badania nad skutecznością różnych strategii profilaktycznych oraz poszukiwanie nowych podejść
Warto podkreślić, że badania pokazują, że większość osób, które mają problemy z alkoholem, jest w stanie zmniejszyć swoje picie lub całkowicie przestać pić. Zrozumienie dostępnych opcji leczenia – od terapii behawioralnych i leków po grupy wsparcia wzajemnego – jest pierwszym krokiem. Najważniejsze jest pozostanie zaangażowanym w wybraną metodę1.
Podsumowując, profilaktyka nadużywania alkoholu wymaga skoordynowanego wysiłku na poziomie indywidualnym, rodzinnym, społecznościowym i politycznym. Dzięki wykorzystaniu opartych na dowodach naukowych strategii i ciągłemu doskonaleniu programów profilaktycznych, możliwe jest zmniejszenie nadużywania alkoholu i związanych z nim szkód, poprawiając tym samym zdrowie i jakość życia jednostek oraz społeczeństwa jako całości1.
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 42 USC Ch. 60: COMPREHENSIVE ALCOHOL ABUSE AND ALCOHOLISM PREVENTION, TREATMENT, AND REHABILITATION PROGRAMhttps://uscode.house.gov/view.xhtml?path=/prelim@title42/chapter60&edition=prelim
4541. Congressional findings and declaration of purpose […] (a) The Congress finds that […] (1) alcohol is one of the most dangerous drugs and the drug most frequently abused in the United States; […] (2) approximately ten million, or 7 percent, of the adults in the United States are alcoholics or problem drinkers; […] (3) it is estimated that alcoholism and other alcohol related problems cost the United States over $43,000,000,000 annually in lost production, medical and public assistance expenditures, police and court costs, and motor vehicle and other accidents; […] (4) alcohol abuse is found with increasing frequency among persons who are multiple-drug abusers and among former heroin users who are being treated in methadone maintenance programs; […] (5) alcohol abuse is being discovered among growing numbers of youth;
- #1https://www.nhs.uk/conditions/alcohol-misuse/
Alcohol misuse is when you drink in a way that’s harmful, or when you’re dependent on alcohol. To keep health risks from alcohol to a low level, both men and women are advised not to regularly drink more than 14 units a week. […] To keep your risk of alcohol-related harm low: men and women are advised not to drink more than 14 units of alcohol a week on a regular basis […] if you’re pregnant or trying to become pregnant, the safest approach is to not drink alcohol at all to keep risks to your baby to a minimum. […] The Department of Health and Social Care recommends pregnant women and women trying to conceive should avoid drinking alcohol. […] The Chief Medical Officers for the UK recommend that if you’re pregnant or planning to become pregnant, the safest approach is not to drink alcohol at all to keep the risk to your baby to a minimum.
- #1https://jkodirect.jten.mil/Atlas2/page/coi/externalCourseAccess.jsf?v=1614477328602&course_prefix=JS&course_number=-US011
Substance abuse is a serious public health problem that affects almost every community and family in some way. […] Alcohol misuse contributes to 88,000 deaths in the United States each year. […] Alcohol misuse and alcohol use disorders alone account for $249 billion in costs related to crime, lost work productivity, and health care.
- #1 Treatment for Alcohol Problems: Finding and Getting Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA)https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help
Alcohol-related problems which result from drinking too much, too fast, or too often are among the most significant public health issues in the United States. […] Millions of adults in the United States have alcohol use disorder (AUD), and approximately 1 in 10 children live in a home with a parent who has AUD. […] The good news is that no matter how severe the problem may seem, most people with AUD can benefit from some form of treatment. Many others substantially reduce their drinking and report fewer alcohol-related problems. […] Evidence-based AUD treatment is available, change is possible, and most people who have AUD recover or markedly improve. […] If you have any of these symptoms, alcohol may already be a cause for concern. The more symptoms you have, the more urgent the need for change. A health care provider can look at the number, pattern, and severity of symptoms to see whether AUD is present and help you decide the best course of action.
- #1 Goal 3: Prevent and Reduce Alcohol Misuse, Alcohol Use Disorder, and Associated Consequences | National Institute on Alcohol Abuse and Alcoholism (NIAAA)https://www.niaaa.nih.gov/about-niaaa/strategic-plan-fiscal-years-2024-2028/research-goals/goal-3-prevent-and-reduce-alcohol-misuse-alcohol-use-disorder-and-associated-consequences
NIAAA encourages the development, evaluation, and implementation of individual, family, school, community, and policy-based strategies to prevent alcohol misuse, alcohol use disorder, and related consequences. […] Evidence-based strategies to prevent and reduce alcohol misuse and the associated consequences are critical for lessening the resulting individual, social, and public health impact. […] Prevention strategies that seek to delay and prevent alcohol use among adolescents are a major focus of the NIAAA research portfolio. […] Integration of prevention across a variety of health, community, justice, and social service settings can increase the reach among underserved populations. […] Additionally, promoting awareness of fetal alcohol spectrum disorders (FASD), adopting prevention strategies, and evaluating policies that also reduce stigma around seeking treatment can support efforts to prevent alcohol use and reduce consequences among women who are or may become pregnant.
- #1 Alcohol and Other Drug Prevention : Student Wellness Centerhttps://swc.osu.edu/wellness-education-and-resources/alcohol-and-other-drug-prevention
Alcohol, Tobacco, and Other Drug (ATOD) prevention is the application of Public Health sciences and theories which focus on the development of evidence-based strategies that reduce risk factors and enhance protective factors to improve the health and wellbeing of individuals, families, and communities regarding substance use. […] ATOD prevention encompasses a range of programs, policies, and practices aimed at reducing the incidence and prevalence of substance misuse for individuals, families, and communities. […] Primary Prevention attempts to reduce the likelihood of substance misuse and/or abuse from occurring. […] Secondary Prevention attempts to halt or interrupt substance misuse behaviors through intervention in individuals already demonstrating early signs or symptoms of misuse. […] Tertiary Prevention focuses on effectively treating substance use disorders and preventing their reoccurrence.
- #1 Alcohol Use Disorder: What It Is, Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/3909-alcoholism
How can I prevent alcohol use disorder? To prevent alcohol use disorder, avoid high-risk drinking: […] If you drink more alcohol than that, consider cutting back or quitting. Talk to your healthcare provider about proven strategies.
- #1 Tips for Preventing Substance Abuse – Student Affairshttps://www.pvamu.edu/sa/drug-and-alcohol-abuse-prevention-program-daapp/tips-for-preventing-substance-abuse/
While there is no one way or guaranteed way to prevent someone from abusing drugs and alcohol, there are things that everyone can do to prevent substance abuse. […] Here are the top five ways to prevent substance abuse: […] 1. Understand how substance abuse develops. Substance abuse starts by: […] 2. Avoid Temptation and Peer Pressure. Develop healthy friendships and relationships by avoiding friends or family members who pressure you to use substances. […] 3. Seek help for mental illness. Mental illness and substance abuse often go hand in hand. […] 4. Examine the risk factors. Look at your family history of mental illness and addiction, several studies have shown that this disease tends to run in the family, but can be prevented. […] 5. Keep a well-balanced life. People often turn to drugs and alcohol when something in their life is missing or not working. […] Share these tips for avoiding and preventing substance abuse with your friends and family and help promote a healthier lifestyle free from addiction.
- #1 Alcohol | Alcohol & Substance Misuse Prevention – Student Life | Texas A&M Universityhttps://studentlife.tamu.edu/education/alcohol/
Alcohol can have a significant impact on your decision making, health, relationships, and the community. Here are some suggestions to keep you healthier, safer, and smarter: […] Healthy Choices […] Drink a glass of water between each drink of alcohol; this will keep you hydrated and will slow down your drinking rate, keeping your BAC from getting too high. […] Decide how much you will drink before you drink and stick with it. […] Eat a meal before drinking. […] Steer clear of drinking games – keep your drinking rate slow. […] Avoid mixing alcohol with caffeine. […] Safer Choices […] Designate a sober driver or use CARPOOL. […] Make decisions about your night before you start drinking (how you will get home, who you go home with, etc.) […] Know the people youâre with, watch out for yourself and your friends.
- #1 6 Alcohol Use and Misuse: Prevention Strategies with Minors–William Hansen and Linda Dusenbury | Reducing Underage Drinking: A Collective Responsibility | The National Academies Presshttps://nap.nationalacademies.org/read/10729/chapter/27
The school components of Project Northland were integrated with family and community interventions. This research implies that interventions that focus on norm setting, that are delivered in an interactive manner, and that are integrated with broad-based approaches have significant potential to reduce the onset of alcohol use and misuse among minors. […] Research has identified important family predictors of alcohol use. […] A number of family-based prevention programs have been developed. […] Five family-based prevention projects that have had an alcohol-specific focus have been completed. […] Communities play an important role in supporting norms for alcohol use, as well as restricting alcohol availability. […] A variety of prevention efforts have included multiple components involving schools, families, communities, and media.
- #1 Alcohol Misuse Prevention in Maine | MeCDC | DHHShttps://www.maine.gov/dhhs/mecdc/population-health/prevention/alcohol.shtml
Alcohol is the most widely misused substance in Maine by youth and adults. It remains one of our priorities to educate caregivers with the reasons not to provide alcohol to youth, to teach youth healthy alternatives for socialization and stress management, and to help the community understand how and why youth access to alcohol should be limited. […] Increasing community understanding of the effects and risks of substance use with educational outreach by our coalitions, statewide media campaigns. […] Reducing youth access to alcohol by: […] Educating parents on safe storage of alcohol and using programs like Parents Who Host Lose the Most or Not in My House to address not providing alcohol to youth. […] Implementing media campaigns like Party Smarter to increase awareness of the immediate negative consequences of binge drinking and how to create a plan to stay safe.
- #1 Tips for Prevention and Warning Signs of Substance Abuse |https://www.lonestar.edu/21249.htm
The use of tobacco, alcohol, and other drugs is one of the biggest problems facing people today. […] Use the following tips to help guide thoughts and behaviors about drugs: […] Talk honestly. Don’t wait to have „the drug talk” with someone. Make discussions about tobacco, alcohol, and other drugs part of your daily conversation. […] Be a good example. Your own habits and thoughts about tobacco, alcohol, and other drugs make an impression. Your actions speak louder than words. […] Know what to do if someone you love has a drug problem. Realize that no one is immune to drugs. Learn the signs of drug use. […] Some common behavior changes you may notice if someone you know is abusing drugs and alcohol are: Sudden or extreme change in friends, eating habits, sleeping patterns, physical appearance, coordination or school performance.
- #1 6 Alcohol Use and Misuse: Prevention Strategies with Minors–William Hansen and Linda Dusenbury | Reducing Underage Drinking: A Collective Responsibility | The National Academies Presshttps://nap.nationalacademies.org/read/10729/chapter/27
Research since 1980 demonstrates the potential for a variety of education and community interventions that target individuals or groups of individuals to reduce the onset of alcohol use and misuse among minors. This chapter reviews approaches that involve schools, families, and communities and recommends strategies for achieving a broad-based effort for reducing alcohol use among youth. […] Extensive research has been completed during the past two decades on school-based approaches to alcohol prevention. […] Three prevention projects that have had an alcohol-specific focus have been completed. These include: (1) the Alcohol Misuse Prevention Trial (AMPS); (2) the Adolescent Alcohol Prevention Trial (AAPT); and (3) Project Northland. […] The AMPS program was designed to prevent the misuse of alcohol among students enrolled in their last year of elementary school.
- #1 Program Profile: Alcohol Misuse Prevention Study (AMPS) | CrimeSolutions, National Institute of Justicehttps://crimesolutions.ojp.gov/ratedprograms/alcohol-misuse-prevention-study-amps
This is a prevention curriculum for 10-18 year-olds that emphasized resistance training, knowledge of the immediate effects of alcohol use, identification of the risks of alcohol misuse, and recognition of social pressures that lead to alcohol misuse. […] This is an alcohol misuse prevention curriculum for 10- to 18-year-olds that emphasized resistance training, knowledge of the immediate effects of alcohol use, identification of the risks of alcohol misuse, and recognition of social pressures that lead to alcohol misuse. The program is rated Ineffectuve. There were no statistically significant effects found on alcohol use, alcohol misuse, serious offenses, or refusal skills. […] An Ineffective rating implies that implementing the program is unlikely to result in the intended outcome(s).
- #1 6 Alcohol Use and Misuse: Prevention Strategies with Minors–William Hansen and Linda Dusenbury | Reducing Underage Drinking: A Collective Responsibility | The National Academies Presshttps://nap.nationalacademies.org/read/10729/chapter/27
The original goal of AMPS was to reduce the prevalence of alcohol use among middle school students through an intervention that focused on resistance skills training. […] Because this evaluation of AMPS found that effects were not maintained over time, an enhanced AMPS curriculum was developed, which included more sessions, role playing, and norm-setting activities within the program. […] The goal of AAPT was to test the importance of normative education versus building skills for resisting peer pressure as program components for preventing alcohol, tobacco, and marijuana use. […] Project Northland is a communitywide alcohol use prevention program for young adolescents that builds on research of the past two decades in primary prevention of alcohol, tobacco, and other drug use with young adolescents.
- #1 Alcohol and Drug Abuse Division | prevention-strategyhttps://health.hawaii.gov/substance-abuse/prevention-treatment/prevention/prevention-strategy/
Prevention strategies targeting youth have evolved over the past 20 years as evaluation research reveals more about what works. Several strategies are used effectively, especially in combination: […] This strategy provides awareness and knowledge of the nature and extent of alcohol, tobacco, and other drug use, abuse, and addiction and their effects on individuals, families, and communities, as well as information to increase perceptions of risk. It also provides knowledge and awareness of prevention policies, programs, and services. It helps set and reinforce norms (for example, underage drinking and drug dealers will not be tolerated in this neighborhood). […] This strategy aims to affect critical life and social skills, including decision making, refusal skills, critical analysis (for example, of media messages), and systematic and judgmental abilities.
- #1https://www.who.int/health-topics/alcohol
WHO works with Member States and partners to prevent and reduce the harmful use of alcohol as a public health priority. […] WHO has identified that the most cost-effective actions to reduce the harmful use of alcohol include increasing taxes on alcoholic beverages, enforcing restrictions on exposure to alcohol advertising, and restrictions on the physical availability of retailed alcohol. […] WHOs work provides special attention to reducing harm to people other than the drinker and to populations that are at particular risk from harmful use of alcohol, such as children, adolescents, women of child-bearing age, pregnant and breastfeeding women, indigenous people and other minority groups or groups with low socioeconomic status. […] The global alcohol action plan 2022-2030, endorsed by WHO Member States, aims to reduce the harmful use of alcohol through effective, evidence-based strategies.
- #1 CDC Alcohol Program | Alcohol Use | CDChttps://www.cdc.gov/alcohol/program/index.html
Communities can also help people drink less by designing supportive environments through the use of effective alcohol policies that make it easier for people to choose to drink less. […] Laws can discourage excessive alcohol use by helping to set limits on the number and distance between places that sell alcohol. […] The CDC Alcohol Program supports the Alcohol-Related Disease Impact (ARDI) application to estimate U.S. deaths from excessive alcohol use. […] Conducts research on and shares resources and tools about effective strategies for creating healthier environments that support people in drinking less. […] Implements a campaign to encourage individuals to drink less to improve their quality of life, relationships, and health. […] Works with partners to apply strategies that prevent excessive alcohol use in communities. […] CDC-funded organizations work to lower rates of excessive alcohol use and its harms across their states by starting or expanding state alcohol programs. […] Partnering with community coalitions to share data that can be used for public health action.
- #1 Goal 3: Prevent and Reduce Alcohol Misuse, Alcohol Use Disorder, and Associated Consequences | National Institute on Alcohol Abuse and Alcoholism (NIAAA)https://www.niaaa.nih.gov/about-niaaa/strategic-plan-fiscal-years-2024-2028/research-goals/goal-3-prevent-and-reduce-alcohol-misuse-alcohol-use-disorder-and-associated-consequences
NIAAA encourages research to promote improvements in alcohol SBI, including increased utilization and a better understanding of outcomes. […] Patterns of alcohol use and misuse vary over the life course. […] The earlier in life a person begins to use and misuse alcohol, the greater the likelihood they will go on to develop significant problems with alcohol. […] Social and environmental factors contribute to decisions about alcohol use throughout life and offer opportunities for prevention. […] Each of these factors provides opportunities for prevention efforts tailored to connect in meaningful ways with young people who have varied experiences, beliefs, and access to resources. […] NIAAA encourages ongoing and new efforts to determine the impact of policies on alcohol misuse and harms.
- #1 Alcohol & Substance Abuse Prevention Project (ASAPP) | Georgia Department of Behavioral Health and Developmental Disabilitieshttps://dbhdd.georgia.gov/alcohol-substance-abuse-prevention-project-asapp
Georgias Alcohol Substance Abuse Prevention Project uses the Strategic Prevention Framework (SPF) and a public health approach to tackle Georgias leading substances of abuse and misuse issues. […] The APP used the SPF process and evidence based prevention strategies to successfully decrease alcohol misuse and abuse in Georgia. […] Currently Georgia is addressing early onset of alcohol use and abuse and binge drinking as major public health issues. […] The following are the 2017 OBHP State Substance Abuse Prevention Primary goals: 1) Reduce the early onset of alcohol use among 9-20 year olds 2) Reduce access to alcohol and binge drinking among 9-20 year olds 3) Reduce binge drinking and heavy drinking among 18-25 year olds. […] OBHP believes this approach will continue to result in and center on communities developing and implementing successful and sustainable outcome-based prevention strategies.
- #1 Re-Imagining Alcohol Misuse Prevention with AlcoholEdu – Vector Solutionshttps://www.vectorsolutions.com/resources/blogs/re-imagining-alcohol-misuse-prevention-vectors-alcoholedu/
Re-Imagining Alcohol Misuse Prevention with Vectorâs Updated AlcoholEdu® for College […] Higher education institutions strive to provide a safe environment that supports studentsâ well-being and helps them thrive academically and socially. Prevention programming is critical to this goal. Historically, one of the most significant safety and well-being challenges on college campuses is alcohol misuse. […] Alcohol misuse can have significant consequences, including causing students to have lower performance on tests and increasing the likelihood that they will skip class, according to the National Institute on Alcohol Abuse and Alcoholism. […] Vector Solutions has been a leader in prevention programming for decades, and more than 11 million first-year college students have taken AlcoholEdu® for College since its launch in 2000. This digital prevention and education program provides students with a baseline of knowledge about the risks of consuming alcohol and helps them make informed decisions about alcohol use once they start college. […] Effective prevention programming during this time period is critical to affecting mindsets and discouraging incoming students from adopting higher-risk drinking behaviors once they arrive on campus. AlcoholEdu® for College helps colleges and universities meet this challenge head-on.
- #1 42 USC Ch. 60: COMPREHENSIVE ALCOHOL ABUSE AND ALCOHOLISM PREVENTION, TREATMENT, AND REHABILITATION PROGRAMhttps://uscode.house.gov/view.xhtml?path=/prelim@title42/chapter60&edition=prelim
(1) comprehensive Federal, State, and local planning for, and effective use of, Federal assistance to States, and direct Federal assistance to community-based programs to meet the urgent needs of special populations, in coordination with all other governmental and nongovernmental sources of assistance; […] (2) the development of methods for diverting problem drinkers from criminal justice systems into prevention and treatment programs; […] (3) the development and encouragement of prevention programs designed to combat the spread of alcoholism, alcohol abuse, and abuse of other legal and illegal drugs; […] (4) the development and encouragement of effective occupational prevention and treatment programs within government and in cooperation with the private sector; and […] (5) increased Federal commitment to research into the behavioral and biomedical etiology of, the treatment of, and the mental and physical health and social and economic consequences of, alcohol abuse and alcoholism.
- #1https://www.nhs.uk/conditions/alcohol-misuse/treatment/
The treatment options for alcohol misuse depend on the extent of your drinking and whether you’re trying to drink less (moderation) or give up drinking completely (abstinence). […] If you are worried about your drinking or have had an alcohol-related accident or injury, you may be offered a short counselling session known as a brief intervention. […] Cutting alcohol out completely will have a greater health benefit. However, moderation is often a more realistic goal, or at least a first step on the way to abstinence. […] Ultimately, the choice is yours, but there are circumstances where abstinence is strongly recommended, including if you: have liver damage, such as liver disease or cirrhosis. […] Abstinence may also be recommended if you’ve previously been unsuccessful with moderation.
- #1 Medications for Alcohol Use Disorder | AAFPhttps://www.aafp.org/pubs/afp/issues/2016/0315/p457.html
The U.S. Preventive Services Task Force recommends that clinicians screen adults for alcohol misuse and provide persons engaged in risky or hazardous drinking behaviors with brief behavioral counseling to reduce alcohol misuse. […] Individuals who engage in high-risk drinking should be counseled to decrease their alcohol use, and patients diagnosed with AUD should be offered treatment, such as brief behavioral interventions, support programs such as Alcoholics Anonymous, individual and group therapy, and medications. […] A Substance Abuse and Mental Health Services Administration/National Institute on Alcohol Abuse and Alcoholism Consensus Panel recommends pharmacotherapy along with behavioral interventions for AUD. […] The Department of Veterans Affairs recommends the consideration of naltrexone (Revia, Vivitrol) and/or acamprosate (Campral) for AUD treatment, along with counseling.
- #1 Drug and Alcohol Use â Evidence-Based Resources – Healthy People 2030 | odphp.health.govhttps://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use/evidence-based-resources
Substance Misuse Prevention for Young Adults […] Universal School-Based Prevention Programs for Alcohol Misuse in Young People […] Motivational Interviewing for the Prevention of Alcohol Misuse in Young Adults […] Universal Multi-Component Prevention Programs for Alcohol Misuse in Young People […] Universal Family-Based Prevention Programs for Alcohol Misuse in Young People […] Psychosocial Interventions to Reduce Alcohol Consumption in Concurrent Problem Alcohol and Illicit Drug Users […] Social Norms Information for Alcohol Misuse in University and College Students […] Brief Interventions for Heavy Alcohol Users Admitted to General Hospital Wards […] Personalised Digital Interventions for Reducing Hazardous and Harmful Alcohol Consumption In Community-Dwelling Populations […] Alcohol Screening and Brief Intervention for Youth: A Practitioner’s Guide.
- #1 Treatment for Alcohol Problems: Finding and Getting Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA)https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help
Ultimately, there is no one-size-fits-all solution, and what may work for one person may not be a good fit for someone else. Simply understanding the different options can be an important first step. […] Behavioral treatments are aimed at changing drinking behavior through counseling. They are led by health care providers and supported by studies showing that these treatments can be beneficial. […] Three medications are currently approved in the United States to help people stop or reduce their drinking and prevent a return to drinking. These medications are prescribed by a primary care provider or other health care provider and may be used alone or in combination with counseling. […] The evidence suggests that the free and flexible assistance provided by mutual-support groups can help people make and sustain beneficial changes and, thus, promote recovery.
- #1https://www.nhs.uk/conditions/alcohol-misuse/treatment/
If you’re dependent on alcohol to function, it’s recommended you seek medical advice to manage your withdrawal. […] Withdrawal from alcohol is an important first step to overcoming your alcohol-related problems. However, withdrawal isn’t an effective treatment by itself. You’ll need further treatment and support to help you in the long term. […] A number of medications are recommended by the National Institute for Health and Care Excellence (NICE) to treat alcohol misuse. […] Acamprosate (brand name Campral) is used to help prevent a relapse in people who have successfully achieved abstinence from alcohol. […] Disulfiram (brand name Antabuse) can be used if you’re trying to achieve abstinence but are concerned you may relapse, or if you’ve had previous relapses. […] Naltrexone can be used to prevent a relapse or limit the amount of alcohol someone drinks.
- #1 Medications for Alcohol Use Disorder | AAFPhttps://www.aafp.org/pubs/afp/issues/2016/0315/p457.html
No medications are approved for the treatment of AUD in adolescents younger than 18 years; therefore, these patients should be referred for subspecialist treatment. […] There are several anticonvulsants that may help patients with AUD decrease alcohol consumption, but data are limited. […] Ondansetron (Zofran) may decrease alcohol consumption in patients with AUD.
- #1 Treatment for Alcohol Misuse | Health.milhttps://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/PHCoE-Clinician-Resources/Alcohol-Misuse/Treatment-for-Alcohol-Misuse
Further, providers should consult the evidence-based treatment recommendations in the VA/DOD substance use disorder clinical practice guideline along with individual patient needs and characteristics, to include patient preferences and provider competencies, when making treatment decisions. […] For patients with AUD in early recovery or following relapse, providers should promote active involvement in group mutual help programs using a systematic approach such as peer linkage, network support or 12-step facilitation. […] Psychosocial interventions and pharmacotherapy treatment options are recommended for patients with alcohol use disorders. […] The following psychosocial interventions are recommended per the VA/DOD substance use disorders clinical practice guideline. […] For patients with moderate to severe alcohol use disorder, there are several pharmacotherapy treatments recommended, to include the following medications: Acamprosate, Disulfiram, Naltrexone oral or extended release, Topiramate.
- #1 Alcohol Abuse, Alcoholism Prevention and Recoveryhttps://mental.jmir.org/themes/233-alcohol-abuse-alcoholism-prevention-and-recovery
Evaluating the Acceptability of a Brief Web-Based Alcohol Misuse Prevention Program Among US Military Cadets: Mixed Methods Formative Evaluation […] A Novel Just-in-Time Intervention for Promoting Safer Drinking Among College Students: App Testing Across 2 Independent Pre-Post Trials […] A Brief Cognitive Behavioral TherapyBased Digital Intervention for Reducing Hazardous Alcohol Use in South Korea: Development and Prospective Pilot Study […] Text Messaging Interventions for Unhealthy Alcohol Use in Emergency Departments: Mixed Methods Assessment of Implementation Barriers and Facilitators […] A Web-Based Resource Informed by Cognitive Behavioral Therapy and Positive Psychology to Address Stress, Negative Affect, and Problematic Alcohol Use: A Usability and Descriptive Study […] Women Empowered to Connect With Addiction Resources and Engage in Evidence-Based Treatment (WE-CARE)an mHealth Application for the Universal Screening of Alcohol, Substance Use, Depression, and Anxiety: Usability and Feasibility Study
- #1https://www.sdccd.edu/daapp/
Students are subject to charges of misconduct concerning, but not limited to, the following acts when committed on District-owned or controlled property or at District-sponsored activities. […] Use, possession, distribution, or sale of alcoholic beverages on campus except as permitted by law. […] Alcohol affects every organ in the drinker’s body and can damage a developing fetus. Intoxication can impair brain function and motor skills; heavy use can increase risk of certain cancers, stroke, and liver disease. Alcoholism or alcohol dependence is a diagnosable disease characterized by a strong craving for alcohol, and/or continued use despite harm or personal injury. Alcohol abuse, which can lead to alcoholism, is a pattern of drinking that result in harm to one’s health, interpersonal relationships, or ability to work. […] Students are encouraged to complete the research-based online training called eCheckup To Go that helps students identify use and risk patterns and provide helpful resources at San Diego City, Mesa and Miramar Colleges and Continuing Education.
- #1https://www.nhs.uk/conditions/alcohol-misuse/treatment/
Nalmefene (brand name Selincro) may be used to prevent a relapse or limit the amount of alcohol someone drinks. […] Many people who have alcohol dependency problems find it useful to attend self-help groups, such as Alcoholics Anonymous (AA) or SMART Recovery. […] Alcohol dependence doesn’t just impact on an individual it can also affect a whole family. Family therapy provides family members with the opportunity to learn about the nature of alcohol dependence.
- #1 Steps Towards Alcohol Misuse Prevention Programme (STAMPP): a school-based and community-based cluster randomised controlled trial | BMJ Openhttps://bmjopen.bmj.com/content/8/3/e019722
Objectives To assess the effectiveness of a combined classroom curriculum and parental intervention (the Steps Towards Alcohol Misuse Prevention Programme (STAMPP)), compared with alcohol education as normal (EAN), in reducing self-reported heavy episodic drinking (HED) and alcohol-related harms (ARHs) in adolescents. […] Results suggest that STAMPP could be an effective programme to reduce HED prevalence. While there was no significant reduction in ARH, it is plausible that effects on harms would manifest later. […] The Steps Towards Alcohol Misuse Prevention Programme (STAMPP) intervention combined a culturally adapted intervention based on the School Health and Alcohol Harm Reduction Project (SHAHRP) curriculum with a researcher-developed brief parental intervention based on the Swedish rebro Prevention Program.
- #1 6 Alcohol Use and Misuse: Prevention Strategies with Minors–William Hansen and Linda Dusenbury | Reducing Underage Drinking: A Collective Responsibility | The National Academies Presshttps://nap.nationalacademies.org/read/10729/chapter/27
From these studies, we conclude that there are several important lessons to be learned about what key elements are important for preventing the use and misuse of alcohol among minors. […] Interventions should be multicomponent and integrated. […] Programs need to establish nonuse norms. […] Parental monitoring should be stressed. […] Interventions should limit access to alcohol.
- #1 Alcohol Use | Alcohol Use | CDChttps://www.cdc.gov/alcohol/index.html
Preventing Alcohol-Related Harms Learn how proven strategies reduce excessive alcohol use and related harms. […] These proven strategies have been shown to reduce excessive alcohol use and related harms. […] You can protect yourself and others from alcohol-related harms with these prevention tips. […] Resources that states and communities can use to understand and prevent excessive drinking. […] Excessive alcohol use can harm people who drink and those around them. You and your community can take steps to improve everyone’s health and quality of life.
- #1 Prevention of Substance Use | SAMHSALockhttps://www.samhsa.gov/substance-use/prevention/substance-use-disorders
Talk. They Hear You. CampaignâAims to reduce underage drinking and substance use among youths under the age of 21 by providing parents and caregivers with resources to discuss substance use with their children. […] Communities Talk to Prevent Alcohol and Other Drug MisuseâThis nationwide initiative provides community-based organizations, institutions of higher education, and statewide or state-based organizations resources and planning stipends to organize activities that raise awareness and educate youth, families, and communities about the potentially harmful consequences of alcohol and other drug misuse among youth and young adults 12 to 25 years old. […] SAMHSA Publications on Substance Use Prevention. […] Substance Use Prevention, Treatment, and Recovery Services Block GrantâProvides funding to states, territories, and tribal entities for efforts in prevention and treatment of substance misuse.
- #1 Alcohol Prevention | North Central Texas Collegehttps://www.nctc.edu/awareness/alcohol-prevention
For information on the causes, consequences, prevention, and treatment of alcohol-related problems from the lead U.S. research agency on alcohol and health. […] Your regular doctor Primary care and mental health practitioners can provide effective treatment for alcohol use disorder by combining new medications with a series of brief counseling visits. […] For specialists in alcohol-related treatment, contact your doctor, health insurance company, local health department, or employee assistance program, or the Treatment Facility Locator, (1-800-662-4357).
- #1 Prevention of Alcohol Abuse | SpringerLinkhttps://link.springer.com/book/10.1007/978-1-4613-2657-1
The abuse of alcohol presents a major health problem throughout the world. […] With the growing number of problem drinkers entering treatment, the need for a better understanding of the prevention of alcohol abuse has become increasingly evident. […] Although still in its infancy, the field of alcoholism prevention is growing at a rapid rate. […] Policy planners, school administrators, military agencies, community groups, state and local alcoholism agencies, and industries are initiating alcohol abuse prevention programs with fervor. […] Legislators at all levels of government are also developing a keen interest in legislation aimed at reducing the extent of problem drinking. […] This book represents one of the first systematic attempts to compile a comprehensive text on the prevention of alcohol abuse. […] By providing a critical review of the current knowledge about prevention, the text will serve to stimulate and lay the groundwork for further prevention efforts.
- #1 Treatment for Alcohol Problems: Finding and Getting Help | National Institute on Alcohol Abuse and Alcoholism (NIAAA)https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help
Research shows that most people who have alcohol problems are able to reduce their drinking or quit entirely. […] Understanding the available treatment optionsâfrom behavioral therapies and medications to mutual-support groupsâis the first step. The important thing is to remain engaged in whatever method you choose. […] Ultimately, receiving treatment can improve your chances of success.
- #2 42 USC Ch. 60: COMPREHENSIVE ALCOHOL ABUSE AND ALCOHOLISM PREVENTION, TREATMENT, AND REHABILITATION PROGRAMhttps://uscode.house.gov/view.xhtml?path=/prelim@title42/chapter60&edition=prelim
4541. Congressional findings and declaration of purpose […] (a) The Congress finds that […] (1) alcohol is one of the most dangerous drugs and the drug most frequently abused in the United States; […] (2) approximately ten million, or 7 percent, of the adults in the United States are alcoholics or problem drinkers; […] (3) it is estimated that alcoholism and other alcohol related problems cost the United States over $43,000,000,000 annually in lost production, medical and public assistance expenditures, police and court costs, and motor vehicle and other accidents; […] (4) alcohol abuse is found with increasing frequency among persons who are multiple-drug abusers and among former heroin users who are being treated in methadone maintenance programs; […] (5) alcohol abuse is being discovered among growing numbers of youth;
- #2 Tips for Preventing Substance Abuse – Student Affairshttps://www.pvamu.edu/sa/drug-and-alcohol-abuse-prevention-program-daapp/tips-for-preventing-substance-abuse/
While there is no one way or guaranteed way to prevent someone from abusing drugs and alcohol, there are things that everyone can do to prevent substance abuse. […] Here are the top five ways to prevent substance abuse: […] 1. Understand how substance abuse develops. Substance abuse starts by: […] 2. Avoid Temptation and Peer Pressure. Develop healthy friendships and relationships by avoiding friends or family members who pressure you to use substances. […] 3. Seek help for mental illness. Mental illness and substance abuse often go hand in hand. […] 4. Examine the risk factors. Look at your family history of mental illness and addiction, several studies have shown that this disease tends to run in the family, but can be prevented. […] 5. Keep a well-balanced life. People often turn to drugs and alcohol when something in their life is missing or not working. […] Share these tips for avoiding and preventing substance abuse with your friends and family and help promote a healthier lifestyle free from addiction.
- #2 Alcohol | Alcohol & Substance Misuse Prevention – Student Life | Texas A&M Universityhttps://studentlife.tamu.edu/education/alcohol/
Watch your drink at all times. […] Smart Choices […] Plan your party ahead of time. […] Only take cash to the bars – starting a tab can lead to over spending. […] Know the laws and university policies. […] Avoid drunk texting and drunk dialing. […] Do not post pictures or videos of your drinking online – employers, parents and university officials may see these. […] Signs of Alcohol Poisoning […] If someone exhibits ANY of these signs, call 911 immediately! […] Texas has a 911 Lifeline Law that provides medical amnesty from alcohol possession and consumption charges against minors if they: […] Request medical assistance for a minor due to alcohol consumption […] Remain at the scene […] Cooperate with medical and law enforcement personnel.
- #2 Military Drug Prevention Program Basics | Military OneSourcehttps://www.militaryonesource.mil/health-wellness/prevention-care/military-policy-and-treatment-for-substance-use/
The primary objectives of the Alcohol and Drug Abuse Prevention and Treatment program are to: Promote readiness, health and wellness through the prevention and treatment of substance misuse and abuse. […] The military offers robust support for service members and families facing addiction: […] Educational campaigns and resources: The DOD promotes healthy choices and substance abuse prevention through campaigns like: Own Your Limits: Focuses on reducing alcohol misuse and offering healthy alternatives. […] Support from family, friends and military programs is vital to maintaining motivation and achieving long-term recovery. […] Commanding officers and medical professionals are required to refer service members for an assessment if they suspect substance misuse. […] Recovery from addiction often involves a combination of treatments tailored to individual needs. Effective programs provide intensive, structured support to help rebuild brain connections altered by substance use. […] Participation in self-help groups like Alcoholics Anonymous or Narcotics Anonymous, which follow a structured 12-step model.
- #2 CDC Promising Practices :: Promising Practices :: Alcohol Misuse Prevention Studyhttps://cdc.thehcn.net/promisepractice/index/view?pid=868
The Alcohol Misuse and Prevention program is a curriculum for youth aged 10 to 18 years. The curriculum, based on social learning theory, emphasizes resistance training, knowledge of immediate effects of alcohol, identification of risks of alcohol misuse, and recognition of social pressures to misuse alcohol. […] The goal of this program is to reduce alcohol misuse among adolescents. […] Middle school students who receive the curriculum have increased knowledge about alcohol misuse when compared to a control group. Students who received programming in the 10th grade had significantly increased alcohol misuse prevention knowledge, decreased alcohol misuse, and increased refusal skills. […] Improved post-test scores indicate that middle school students who receive the curriculum have increased knowledge about alcohol misuse when compared to a control group. […] Students who received programming in the 10th grade had significantly increased alcohol misuse prevention knowledge (p 0.001), decreased alcohol misuse (p 0.02), and increased refusal skills (p 0.09).
- #2 6 Alcohol Use and Misuse: Prevention Strategies with Minors–William Hansen and Linda Dusenbury | Reducing Underage Drinking: A Collective Responsibility | The National Academies Presshttps://nap.nationalacademies.org/read/10729/chapter/27
From these studies, we conclude that there are several important lessons to be learned about what key elements are important for preventing the use and misuse of alcohol among minors. […] Interventions should be multicomponent and integrated. […] Programs need to establish nonuse norms. […] Parental monitoring should be stressed. […] Interventions should limit access to alcohol.
- #2 Alcohol and Drug Abuse Division | prevention-strategyhttps://health.hawaii.gov/substance-abuse/prevention-treatment/prevention/prevention-strategy/
This strategy sets up or changes written and unwritten community standards, code, and attitudes influencing incidence and prevalence of alcohol, tobacco, and other drug use problems in the general population. Included are laws to restrict availability and access, price increases, and community-wide actions.
- #2 Alcohol and Drug Abuse Division | prevention-strategyhttps://health.hawaii.gov/substance-abuse/prevention-treatment/prevention/prevention-strategy/
This strategy provides for the participation of targeted populations in activities that exclude alcohol, tobacco, and other drug use by youth. Constructive and healthy activities offset the attraction to, or otherwise meet the needs usually filled by, alcohol, tobacco, and other drug use. […] This strategy calls for identification, education, and counseling for those youth who have indulged in age-inappropriate use of tobacco products or alcohol, or who have indulged in the first use of illicit drugs. Activities under this strategy would include screening for tendencies toward substance abuse and referral for preventive treatment for curbing such tendencies. […] This strategy aims to enhance the ability of the community to provide prevention and treatment services to alcohol, tobacco, and other drug use disorders more effectively. Activities include organizing, planning, enhancing efficiency and effectiveness of services implementation, interagency collaboration, coalition building, and networking. Building healthy communities encourages healthy lifestyle choices.
- #2https://www.who.int/health-topics/alcohol
WHO works with Member States and partners to prevent and reduce the harmful use of alcohol as a public health priority. […] WHO has identified that the most cost-effective actions to reduce the harmful use of alcohol include increasing taxes on alcoholic beverages, enforcing restrictions on exposure to alcohol advertising, and restrictions on the physical availability of retailed alcohol. […] WHOs work provides special attention to reducing harm to people other than the drinker and to populations that are at particular risk from harmful use of alcohol, such as children, adolescents, women of child-bearing age, pregnant and breastfeeding women, indigenous people and other minority groups or groups with low socioeconomic status. […] The global alcohol action plan 2022-2030, endorsed by WHO Member States, aims to reduce the harmful use of alcohol through effective, evidence-based strategies.
- #2 Alcohol Misuse Prevention in Maine | MeCDC | DHHShttps://www.maine.gov/dhhs/mecdc/population-health/prevention/alcohol.shtml
Alcohol is the most widely misused substance in Maine by youth and adults. It remains one of our priorities to educate caregivers with the reasons not to provide alcohol to youth, to teach youth healthy alternatives for socialization and stress management, and to help the community understand how and why youth access to alcohol should be limited. […] Increasing community understanding of the effects and risks of substance use with educational outreach by our coalitions, statewide media campaigns. […] Reducing youth access to alcohol by: […] Educating parents on safe storage of alcohol and using programs like Parents Who Host Lose the Most or Not in My House to address not providing alcohol to youth. […] Implementing media campaigns like Party Smarter to increase awareness of the immediate negative consequences of binge drinking and how to create a plan to stay safe.
- #2 Substance Abuse Prevention and Help – Policehttps://police.unc.edu/about/drug-and-alcohol-prevention-program-report/substance-abuse-prevention-help/
This program provides information on understanding the physiological effects of overconsumption, impaired driving and also provides students with the opportunity to explore the social norms that drive alcohol consumption in a college environment. […] Student Wellness provides Brief Alcohol Screening and Intervention for College Students (BASICS) on a referral basis for students who violate the student alcohol policy or on a self-referral basis, for any student who may be questioning their alcohol use patterns. […] Additionally, Student Wellness provides clinical support for students questioning or concerned about their or anothers substance use, including referral and case management assistance to students and their families seeking substance abuse counselors, Intensive Outpatient Programs (IOPs) and Inpatient Treatment Programs. […] Student Wellness also offers mentorship and social support for students in recovery from substance abuse through the Carolina Recovery Community.
- #2 Substance Abuse Prevention and Help – Policehttps://police.unc.edu/about/drug-and-alcohol-prevention-program-report/substance-abuse-prevention-help/
For students, the University offers a full continuum of education, skill building and intervention supports, along with regular alcohol and drug free programming to encourage students to have fun safely. […] All incoming new students are expected to complete Part 1 of EverFis AlcoholEdu online module prior to arriving on campus. […] Once on campus, students can participate in Alcohol 101, a workshop designed to educate student organizations on the risks to self, others and community that are associated with alcohol use as well as effective harm reduction strategies if students choose to use alcohol. […] UNC Police partners with the Department of Housing and Residential Education to offer Alcohol Awareness. This program brings information to students about the environment of alcohol consumption on a college campus.
- #2 Drug and Alcohol Use – Healthy People 2030 | odphp.health.govhttps://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/drug-and-alcohol-use
Goal: Reduce misuse of drugs and alcohol. […] Healthy People 2030 focuses on preventing drug and alcohol misuse and helping people with substance use disorders get the treatment they need. […] Strategies to prevent substance use especially in adolescents and help people get treatment can reduce drug and alcohol misuse, related health problems, and deaths. […] Reduce the proportion of people who had alcohol use disorder in the past year SU13 Little or no detectable change. […] Increase abstinence from alcohol among pregnant women MICH09 Little or no detectable change.
- #2 Military Drug Prevention Program Basics | Military OneSourcehttps://www.militaryonesource.mil/health-wellness/prevention-care/military-policy-and-treatment-for-substance-use/
The military is committed to promoting health, mission readiness and discipline by preventing and addressing substance abuse. […] The Marine Corps Substance Abuse Program promotes health and readiness through evidence-based prevention, intervention and counseling services. […] Education: Training on managing stress, fostering healthy relationships, regulating emotions and understanding the risks of alcohol and drug misuse, including prescription and illicit substances. […] The Navy emphasizes a zero tolerance policy for drug use while supporting sailors facing alcohol-related challenges. […] Education and prevention strategies: Training helps sailors manage stress, develop healthy coping mechanisms and understand the risks of alcohol and drug misuse. […] The Air Force Alcohol and Drug Abuse Prevention and Treatment program promotes readiness, health and wellness through the prevention and treatment of substance misuse and abuse.
- #2https://www.nhs.uk/conditions/alcohol-misuse/treatment/
If you’re dependent on alcohol to function, it’s recommended you seek medical advice to manage your withdrawal. […] Withdrawal from alcohol is an important first step to overcoming your alcohol-related problems. However, withdrawal isn’t an effective treatment by itself. You’ll need further treatment and support to help you in the long term. […] A number of medications are recommended by the National Institute for Health and Care Excellence (NICE) to treat alcohol misuse. […] Acamprosate (brand name Campral) is used to help prevent a relapse in people who have successfully achieved abstinence from alcohol. […] Disulfiram (brand name Antabuse) can be used if you’re trying to achieve abstinence but are concerned you may relapse, or if you’ve had previous relapses. […] Naltrexone can be used to prevent a relapse or limit the amount of alcohol someone drinks.
- #2 Treatment for Alcohol Misuse | Health.milhttps://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Psychological-Health-Center-of-Excellence/PHCoE-Clinician-Resources/Alcohol-Misuse/Treatment-for-Alcohol-Misuse
Further, providers should consult the evidence-based treatment recommendations in the VA/DOD substance use disorder clinical practice guideline along with individual patient needs and characteristics, to include patient preferences and provider competencies, when making treatment decisions. […] For patients with AUD in early recovery or following relapse, providers should promote active involvement in group mutual help programs using a systematic approach such as peer linkage, network support or 12-step facilitation. […] Psychosocial interventions and pharmacotherapy treatment options are recommended for patients with alcohol use disorders. […] The following psychosocial interventions are recommended per the VA/DOD substance use disorders clinical practice guideline. […] For patients with moderate to severe alcohol use disorder, there are several pharmacotherapy treatments recommended, to include the following medications: Acamprosate, Disulfiram, Naltrexone oral or extended release, Topiramate.
- #2 Alcohol Abuse, Alcoholism Prevention and Recoveryhttps://mental.jmir.org/themes/233-alcohol-abuse-alcoholism-prevention-and-recovery
Smartphone-Based Intervention Targeting Norms and Risk Perception Among University Students with Unhealthy Alcohol Use: Secondary Mediation Analysis of a Randomized Controlled Trial […] Supplemental Intervention for Alcohol Use Disorder Treatment Patients With a Co-Occurring Anxiety Disorder: Technical Development and Functional Testing of an Autonomous Digital Program.
- #2 Steps Towards Alcohol Misuse Prevention Programme (STAMPP): a school-based and community-based cluster randomised controlled trial | BMJ Openhttps://bmjopen.bmj.com/content/8/3/e019722
It was hypothesised that fewer students in schools delivering STAMPP would self-report: (1) past 30-day heavy episodic drinking (HED) at final follow-up (33 months from baseline) and (2) fewer self-reported alcohol-related harms (ARHs) at final follow-up than those in schools delivering alcohol education as normal (EAN). […] The study had two primary outcomes at 33 months: (1) the prevalence of self-reported HED drinking in the previous 30 days (HED defined as the consumption of 6 units (males)/4.5 units (females) on one or more occasions) and (2) the number of self-reported harms (caused by own drinking) in the previous 6 months in students. […] In a large cRCT, we found that the STAMPP intervention reduced self-reported HED in the past 30 days at 33-month follow-up from baseline, compared with EAN, but not ARH associated with own drinking. […] The results of this large cRCT provide support for the effectiveness of a combined classroom and brief parental intervention for reducing HED, but not ARH, in young adolescents. Effects on ARH may manifest later, but further research would be required to clarify this.
- #2https://www.prevention.org/
Prevention First is a leading nonprofit organization focused on promoting healthy behaviors and preventing drug and alcohol misuse. […] Through a variety of evidence-based and collaborative approaches, including training, support, and public awareness, Prevention First advances efforts to promote healthy behaviors and prevent substance misuse.
- #2 Goal 3: Prevent and Reduce Alcohol Misuse, Alcohol Use Disorder, and Associated Consequences | National Institute on Alcohol Abuse and Alcoholism (NIAAA)https://www.niaaa.nih.gov/about-niaaa/strategic-plan-fiscal-years-2024-2028/research-goals/goal-3-prevent-and-reduce-alcohol-misuse-alcohol-use-disorder-and-associated-consequences
NIAAA encourages the development, evaluation, and implementation of individual, family, school, community, and policy-based strategies to prevent alcohol misuse, alcohol use disorder, and related consequences. […] Evidence-based strategies to prevent and reduce alcohol misuse and the associated consequences are critical for lessening the resulting individual, social, and public health impact. […] Prevention strategies that seek to delay and prevent alcohol use among adolescents are a major focus of the NIAAA research portfolio. […] Integration of prevention across a variety of health, community, justice, and social service settings can increase the reach among underserved populations. […] Additionally, promoting awareness of fetal alcohol spectrum disorders (FASD), adopting prevention strategies, and evaluating policies that also reduce stigma around seeking treatment can support efforts to prevent alcohol use and reduce consequences among women who are or may become pregnant.
- #3 Alcohol and Drug Abuse Division | prevention-strategyhttps://health.hawaii.gov/substance-abuse/prevention-treatment/prevention/prevention-strategy/
This strategy sets up or changes written and unwritten community standards, code, and attitudes influencing incidence and prevalence of alcohol, tobacco, and other drug use problems in the general population. Included are laws to restrict availability and access, price increases, and community-wide actions.
- #3 Substance Abuse Prevention and Help – Policehttps://police.unc.edu/about/drug-and-alcohol-prevention-program-report/substance-abuse-prevention-help/
This program provides information on understanding the physiological effects of overconsumption, impaired driving and also provides students with the opportunity to explore the social norms that drive alcohol consumption in a college environment. […] Student Wellness provides Brief Alcohol Screening and Intervention for College Students (BASICS) on a referral basis for students who violate the student alcohol policy or on a self-referral basis, for any student who may be questioning their alcohol use patterns. […] Additionally, Student Wellness provides clinical support for students questioning or concerned about their or anothers substance use, including referral and case management assistance to students and their families seeking substance abuse counselors, Intensive Outpatient Programs (IOPs) and Inpatient Treatment Programs. […] Student Wellness also offers mentorship and social support for students in recovery from substance abuse through the Carolina Recovery Community.
- #3 Substance Abuse Prevention | Georgia Department of Behavioral Health and Developmental Disabilitieshttps://dbhdd.georgia.gov/bh-prevention/substance-abuse-prevention
The Substance Abuse and Mental Health Service Administration (SAMHSA) is the primary funder of substance abuse prevention services in Georgia. […] The Alcohol Substance Abuse Prevention Project (ASAPP) funds state-wide efforts for alcohol and substance abuse prevention. Currently, Georgia is addressing the early onset of alcohol use and abuse and binge drinking among youth 9-25 years old as major public health issues. […] Through a statewide contract with Emory University, the MSACD Prevention Program is committed to raising awareness of the devastating effects of alcohol and other substances when used during pregnancy by providing a range of prevention services to agencies, communities, and families across the state of Georgia. […] The Young Women and Substance Use Course explains how using substances such as marijuana, alcohol, opioids, and tobacco during pregnancy or while breastfeeding can affect a developing baby. The goal is to raise awareness around substance use during pregnancy and reduce preventable maternal and infant health issues.
- #3 Drug & Alcohol Abuse Prevention Program | Campus Life | Wilkes Universityhttps://www.wilkes.edu/campus-life/drug-and-alcohol-prevention.aspx
Students who self-disclose to having a drug or alcohol problem are referred to a counselor in the Health and Wellness Office. […] Any student who violates the drug or alcohol policies more than once are required to get a professional assessment from an off-campus mental health professional. […] The required class is called CHOICES, and during this educative and interactive experience students learn about the physiological effects of alcohol, protective behaviors, and risk factors, and will discuss their own expectations about drinking as well as negative outcomes they would like to avoid in the future. […] The Employee Assistance Program offers general information on drug abuse assistance programs, individual counseling and referrals, and periodic educational programs on the dangers of drug abuse and managing drug related problems.
- #3 Prevention of Substance Use | SAMHSALockhttps://www.samhsa.gov/substance-use/prevention/substance-use-disorders
Prevention and early intervention strategies can reduce the impact of substance use in Americaâs communities. […] Prevention activities work to educate and support individuals and communities to prevent the use and misuse of drugs and the development of substance use disorders. […] Preventing mental or substance use disorders or co-occurring disorders and related problems is critical to behavioral and physical health. […] SAMHSAâs Center for Substance Abuse Prevention (CSAP) aims to develop comprehensive systems through providing national leadership in the development of policies, programs, and services to prevent the onset of substance misuse. […] SAMHSAâs Evidence-Based Practices Resource Center works to provide communities, clinicians, policymakers, and others in the field with the information they need to incorporate evidence-based practices in their communities for prevention, treatment, and recovery services.