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Alcohol and Vulnerable Groups (The youth, women and the community). Pubudu Sumanasekara Executive Director Alcohol and Drug Information centre (ADIC) Sri Lanka 16.07.2009-SDN,Thailand. Prevention activities . CAN LEAD TO REDUCED USE CAN LEAD TO NO CHANGE CAN INCREASE USE.

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alcohol and vulnerable groups the youth women and the community

Alcohol and Vulnerable Groups(The youth, women and the community)

Pubudu Sumanasekara

Executive Director

Alcohol and Drug Information centre (ADIC)

Sri Lanka

16.07.2009-SDN,Thailand

prevention activities
Prevention activities

CAN LEAD TO REDUCED USE

CAN LEAD TO NO CHANGE

CAN INCREASE USE

efforts to reduce drug injecting
EFFORTS TO REDUCE DRUG INJECTING ..

CAN LEAD TO REDUCED INJECTING

CAN LEAD TO NO CHANGE

CAN INCREASE INJECTING

efforts to reduce hiv transmission
EFFORTS TO REDUCE HIV TRANSMISSION

CAN LEAD TO REDUCED SPREAD

CAN LEAD TO NO CHANGE

CAN INCREASE SPREAD OF HIV

paradoxical results
‘PARADOXICAL RESULTS’

EXAMPLES ARE AVAILABLE FROM OTHER AREAS TOO (e.g., some preventive actions for):

  • SUICIDE

- REDUCING STIGMA FOR MENTAL ILLNESS

let s work out some things
LET’S WORK OUT SOME THINGS

TRY AND FIGURE OUT FEATURES OF A ‘DRUG PREVENTION INTERVENTION’ THAT

  • Helps reduce use
  • Is ineffective
  • Makes things worse
a comparison
A COMPARISON

School A

School B

Students are not sure about the law

The school is rather relaxed about discipline

Drug use is not taught as part of the curriculum

Students do not think drugs cause great pleasure or joy

Students see drug users as weak or insecure

  • Students know the law on drugs
  • There are strong punishments for drug use
  • Harm of drug use is part of the curriculum
  • Students believe drugs give great pleasure and joy
  • Students see drug users as tough or daring
which factors are likely to encourage or discourage use
Which factors are likely to encourage or discourage use?
  • Students know little or much about the law
  • The school is strong on discipline or not
  • Drug related harm is in the curriculum
  • See drugs as highly pleasurable or not so
  • See drug users as tough or weak

Reasons for the answer?

preventing drug use among youth
PREVENTING DRUG USE AMONG YOUTH

THINGS FOUND NOT TO BE EFFECTIVE

  • One-off activities
  • Didactic, or one-way lectures
  • Providing factual information about danger
  • ‘Drug user testimony’
  • Teaching students to “Just say no” to drugs
factors promoting drug use among youth some examples
Factors promoting drug use among youth (some examples)

Direct promotion

Advertisements(print media, electronic media)

Sponsorships ( cultural activities, sports, musical shows, other events etc)

Indirect promotions

Product placements

Films, soap operas

slide12
Number of scenes promoting alcohol and tobacco in films continue to rise following advertising restrictions.
c hildren believe what they see
Children believe what they see …!
  • Only 40% parents are aware that their children imitate the heroes they see on TV.
preventing drug use among youth1
PREVENTING DRUG USE AMONG YOUTH

Examples of required changes -

  • Attractiveness of image of drug use
  • Expectations of drug effects
  • Image of users and non-users
  • Symbolic meanings attached to use
  • Seen as the norm or expected behaviour in the group
  • Privileges or penalties attached to use
example reducing the attractiveness
Example: ‘Reducing the attractiveness’

How can drug use be made less and less attractive? 

  • Help students understand how a positive image of these is built up.
  • Help them see who contributes to this image and why.
  • Teach them how to reverse or counteract these
  • Help them to measure the progress achieved
possible strategies
POSSIBLE STRATEGIES

FORMAL

Discussions /assignments on:

- How drug use is made to look attractive, special, pleasurable or ‘the norm’

- How the drug trade works

- Who are students most likely to start use

INFORMAL

All these findings need to be applied to ‘informal’ or everyday life

possible strategies1
POSSIBLE STRATEGIES..

MOST DISCUSSION SO FAR WAS ABOUT ‘CONTENT’

WE SHOULD LOOK AT “METHODOLOGY ” TOO

how should required content be delivered methodology
How should required content be delivered? (METHODOLOGY)
  • Our interventions must be able to engage students
  • Not boring compared to how promotion is done
  • Should become part of student culture and not be a ‘academic topic’
  • Should be interesting or challenging
actions we can start now
ACTIONS WE CAN START NOW

SEE WHAT WE CAN DO IN DAILY LIFE

(Be the change you want to see in this world)

  • our own ideas about alcohol
  • what we see media building up

SEE WHETHER WE CAN CHANGE A SELECTED SMALL GROUP

- a group of youth that you know

  • ...............
community change
COMMUNITY CHANGE
  • GENERATING COMMUNITY ACTION THROUGH OUR OWN EXPERIENCES
  • MEASURING THE PROGRESS WITH COMMUNITY PARTICIPATION
how can we proceed
HOW CAN WE PROCEED?

CREATE POOL OF HIGHER LEVEL TECHNICAL EXPERTISE

GENERATE CORE OF ‘MASTER TRAINERS’

CONTINUE TO IMPROVE OUR OWN UNDERSTANDING

what is our plan of action
WHAT IS OUR PLAN OF ACTION?
  • FOR NATIONAL RESPONSE
  • FOR LOCAL EXPERIMENTATION
  • FOR EACH OF US PERSONALLY
common obstacles
COMMON OBSTACLES
  • ATTACHMENT TO THE FAMILIAR
  • FEAR OF LEARNING NEW SKILLS
improving skills
IMPROVING SKILLS
  • MAIN SHORTCOMINGS TO BE FILLED
  • TRAINING AND FEEDBACK
  • CREATING USEFUL MATERIALS
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