ALCOHOL Tackling and preventinganti-social behaviour
What’s Sensible? Unit Guidelines • Sensible limits • Men = 3-4 units per day < 21 per week • Women = 2-3 units per day < 14 units per week • Hazardous Drinking • Men = 22 – 50 units per week • Women = 15 – 35 units per week • Harmful Drinking (rough figures) • Men = >50 units per week • Women = >35 units per week • Binge Drinking • Half weekly limit in one session During pregnancy, it is recommended to completely abstain from alcohol as it is not clear how much alcohol can be considered ‘safe. Even small amounts of alcohol can be damaging to an unborn foetus
What to look for! There are indicators to spot different levels of drinkers but are not absolute! • The Hazardous Drinker – Possible jeopardy to health • Drinks around once or twice a week • When drinking, typically has around 6 “standard” drinks; or • At least monthly drinks more than 6 “standard” drinks on one occasion • The Harmful Drinker – physical or psychological harm noticeable • Often feels guilty or regretful after drinking • Cannot always remember what happened when drinking • Been injured through drinking • The Dependent Drinker • Frequently unable to stop drinking (monthly minimum) • Find need to drink in the morning • Often fail to do ‘what’s expected of them’
What is a Unit? British Calculation: % ABV X Volume (cl) % ABV X Volume (ml) _________________ _________________ 100 1000
Potency Exercise In groups have a go at completing the ‘potency exercise’ on your tables. Place the drinks in order of how strong you think they are, starting with the lowest % ABV. If you have time, have a go at guessing the % for each drink. There may be a few surprises!
Portsmouth’s Drinking Levels(National Perspective) In the recent SEPHO report, Portsmouth was highlighted as one of the areas most effected by problems related to alcohol • 2nd highest rate of alcohol related deaths amongst men • Highest rate of hospital related admissions • Highest rate of alcohol related crime • Highest rate of alcohol related violent crime • Highest rate of alcohol related sexual offences
Portsmouth’s Drinking Levels(Local Evidence) • 1 in 20 adults could be alcohol dependent (nationally 1 in 25) • 26% regularly binge drink • Up to 50% drink above recommended guidelines • Probation reports suggest 68% have problems with alcohol
Brief Interventions What? • Alcohol Concern (2001): Brief interventions can range from 5-10 minutes of information and advice given to an excessive drinker, to 2-3 sessions of motivational interviewing or counselling. Who? • Brief interventions are targeted at people who may be drinking excessively, but are not yet experiencing major problems with their consumption.
Brief Interventions How Effective? • Alcohol brief interventions are shown to be effective in reducing alcohol consumption • For every £1 spent on brief interventions, £4 is saved in health costs in later treatment/reduction in chronic illnesses (Heather & Kaner, 2001) • Evidence of their effectiveness is illustrated by projects that have implemented brief interventions in order to address issues relating to alcohol consumption
Brief Interventions Projects using them in Portsmouth: • Alcohol Arrest Referral • Alcohol Interventions Team – Primary Care setting (GP’s Surgeries, Walk-in Clinic, GU Medicine) & Probation setting Projects using them in other areas: • North Tyneside – GP’s Surgeries • Dudley - Probation
What you could do? There are a number of ways you can help someone depending on their level of drinking – all are forms of Brief Intervention • Advice Highlighting to someone what sensible limits are and discussing the issues • Education Using tools to highlight drinking levels and motivation to change • Signposting To specialist services Just by talking you can help! In general, Brief Interventions work for 1 in 8 people
Group Exercise In small groups discuss: • What scope is there for Brief Intervention work within your agency? • What scope is there for Brief Intervention work within your role? • What needs to be done in order to achieve this? • Who will implement and take the lead on these actions? • Do you have any outstanding training needs?
Training Professionals As well as offering services, we are also training professionals on using Brief Interventions • 2 day course – adaptable for services • Day 1 covers • Potency • Calculating units • Screening • Effective interventions • Awareness raising • Risk reduction • Models of change • Day 2 covers • Health effects • Motivational interviewing • Solution focused therapy
Contacts/Services in Portsmouth E’s Up – 02392 825140 • For young people under the age of 18 having problems with Drugs, Alcohol or Solvent misuse. Mon-Fri 9am – 5pm. Confidential answer phone out of hours. www.es-up.org.uk ANA First Step – 02392 373433 • Regular and confidential support group for those who are close to someone who misuses drugs/alcohol and who are themselves struggling with the impact this has on their lives.Info@anatreatmentcentres.com PORTAS – 02392 751617 • Reaching out to people with drug/alcohol problems in their own homes and locations. Advocating on your behalf and offering confidential and non-judgemental services.
Contacts/Services in Portsmouth Alcohol Counselling Service – 02392 735836 • Offering free confidential counselling sessions. Mon – Fri 6pm – 9pm Alcohol Interventions Team – 02392 841753 • Offering free sessions to anyone concerned about their levels of drinking. Targeting those at hazardous and harmful levels and using brief interventions and therapy to prevent dependency. Also contactable onAIT@portsmouthcc.gov.uk
Contacts/Services Nationally Drinkline – 0800 917 8282 • Information and advice for anyone with concerns about their own or someone else’s drinking.www.drinkaware.co.uk Alcoholics Anonymous – 0845 769 7555 • A fellowship of men and women who share their experience, strength and hope with each other so that they may solve their common problem and help others to recover from alcoholism.www.alcoholics-anonymous.org.uk Families Anonymous – 0845 1200 660 • Offer self-help groups that welcome those affected by drug/substance abuse of a relative or friend. Independent, non-professional and anonymous.www.famanon.org.uk