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Evidence into Action (and Action into Evidence)

Evidence into Action (and Action into Evidence). Dr Lesley Graham ISD. UK consumption 1900-2006. Alcohol Problems in Scotland. Enough alcohol is sold in Scotland for every adult over 18 to exceed male weekly limits [Health Scotland 2010]

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Evidence into Action (and Action into Evidence)

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  1. Evidence into Action (and Action into Evidence) Dr Lesley Graham ISD

  2. UK consumption 1900-2006

  3. Alcohol Problems in Scotland • Enough alcohol is sold in Scotland for every adult over 18 to exceed male weekly limits[Health Scotland 2010] • Excess consumption is across all age and socio-economic groups[Scottish Health survey 2009] • 1 in 20 deaths attributable to alcohol[Grant, Springbett and Graham 2009] • Those from the most deprived areas in Scotland are 5 times more likely to die an alcohol related death[Alcohol Statistics Scotland 2009]

  4. Chronic Liver Disease mortality rates per 100,000 population 1950-2006updated from Leon and McCambridge, Lancet 367 (2006)

  5. Alcohol and Crime • Half (50%) of prisoners in Scotland reported being drunk at the time of their offence, rising to three quarters (77%) of young offenders[Scottish Prison Survey 2009] • Rise in proportion of young offenders who consider alcohol has contributed to their offending (48% in 1979; 58% in 1996 to 80% in 2007)[McKinlay et al 2009] • 1 in 6 deaths on British roads are caused by drink driving[Road Casualties in Great Britain 2007] • Alcohol related crime is estimated to cost Scotland over £700 million per year[Societal Cost for Alcohol Misuse in Scotland in 2007 University of York 2010]

  6. Alcohol and Violent Crime • Where known, alcohol is a factor in more than two thirds (69%) of those accused of homicide[Homicide in Scotland 2008/9] • 70% of assaults in A&E may be alcohol related[QIS 2006] • In 62% of violent crime, victims said the offenders were under the influence of alcohol[Scottish Crime and Justice Survey 2010]

  7. Effectiveness of Interventions

  8. Intermediate outcomes Long term outcomes Children in need receive timely and appropriate support A culture in which low alcohol consumption is valued and accepted as the norm Model 2: Less absenteeism + presenteeism in educational establishments Increased educational attainment Safer drinking + wider environments Model 3: Fewer children affected by parental drinking Reduced acceptability of hazardous drinking and drunkenness Increased workplace productivity Less absenteeism + presenteeism the workplace. Less alcohol related incapacity National outcomes Reduce significant inequalities Model 4: Safer & happier families and communities Increased knowledge and changed attitudes to alcohol + drinking Reduction in Individual and population consumption Changed patterns of consumption Less alcohol related violence/abuse, offences and ASB Model 5: Reduced availability of alcohol Reduced health, social care, justice costs Reduced alcohol related injuries, physical and psychological morbidity + mortality Model 6: Reduced affordability of alcohol Healthier individuals and populations Fewer brain-damaged children Individuals in need receive timely, sensitive & appropriate support Model 7:

  9. Key Events in alcohol in Scotland 2003: ISD alcohol team set up 2005 Alcohol Statistics Scotland published 2007: Scottish Health Action for Alcohol Problems established and publish Price, Policy and Public Health 2007: Health Scotland develop alcohol logic models 2007: SNP government 2009: Alcohol Framework 2010: Alcohol Bill 2011: alcohol and offender conference and publication of reports 2011: MESAS baseline report

  10. What are the key elements for success?

  11. Contact Dr Lesley Graham Public Health Lead for Substance Misuse ISD, NHS National Services Scotland Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB lesley.graham@nhs.net

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