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STUDY 2006 PDF file 264Kb
Ongoing support encourages GPs to advise heavy drinkers
Screening and brief intervention for risky drinking is a major plank in the English alcohol strategy. A WHO trial in six countries including England has shown that personal contact and ongoing support are needed to encourage even modest levels of intervention by GPs.
UN-commissioned guidance from international experts on how to mount prevention programmes based on family skills training involving parents and children in a joint effort to improve family dynamics and child development. Engaging parents seems the major barrier.
STUDY 2005 PDF file 156Kb
High-risk youngsters respond to coherent, consistent and interactive after-school activities
Analyses of 48 US government-funded after-school and youth work projects for 9–18-year-olds at high risk of drug problems found that only interactive, well structured projects with supported and engaged staff curbed progression to more frequent substance use.
One of the biggest strategic decisions facing prevention planners is whether to target high-risk groups or to prioritise universal programmes. This analysis won't decide the issue, but it does create an important new tool for comparing these strategies.
Brief interventions based on motivational interviewing typically incorporate feedback on the individual's risk and use level compared to the norm, but does this really help? A US college study found it did, the combination leading to greater drinking reductions than either on its own.
Synthesis of randomised trials finds worthwhile reductions in drinking after college students and others are simply very briefly informed how their drinking compares to population norms.
REVIEW 2008 HTM file
Alcohol misuse: tackling the UK epidemic
Report from Britain's trade union and professional association for doctors reviewing the extent and consequences of problem drinking in the UK and making recommendations for government action and evidence-based policies.
OFFCUT 2004 PDF file 104Kb
Positive Futures reconnects alienated British teenagers
The sports-based Positive Futures project aims to re-engage marginalised youngsters at risk of substance use problems in the most deprived or high-crime neighbourhoods in England and Wales. Early reports suggest this innovative Home Office initiative is working.
STUDY 2004 PDF file 181Kb
Family check-up builds on teachers' abilities to identify problem pupils
Using teachers' ratings to target the families of high-risk pupils, a US study has shown that a few hours spent improving parental monitoring and response to childrens' behaviour can lead two years later to reductions in substance use.
NASTY SURPRISES 2004 PDF file 211Kb
Confident kids ... like to party
Research challenging the presumption that because it is 'bad', then youth substance use must also be caused by and cause other 'bad' things. The nasty surprise is that by fostering socially skilled youngsters keen on sports, we can also be fostering substance use.
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