State and National Resources: Alaska Center for Health Data and Statistics Alaska Health Education Library Project (AHELP) ANTHC Epidemiology Center County Health CalculatorCounty Health Rankings Healthy Communities Navigator HealthyPeople.gov National Public Health Improvement Initiative Improving Public Health in Alaska The Parran Report
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15. Reduce binge drinking in adults and adolescents
- Provide electronic screening and brief intervention (SBIRT) in certain healthcare settings throughout Alaska. SBIRT is an approach to identify and intervene early for substance misuse.
- Expand therapeutic courts that provide treatment programs in place of incarceration for certain alcohol-related offenses throughout Alaska.
- Fund Strategic Prevention Framework Grants that address local needs and reduce substance abuse problems.
- Provide the Prime for Life curriculum for alternative high school students, Job Corps participants, and youth caught with alcohol or any illegal substance.
- Conduct a positive community norms focused media campaign to promote attitude and behavior change around alcohol use among youth.
- Increase children’s social and emotional learning through adopting formal standards and curricula for schools in Alaska.
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Description: Coalition for Evidence-based Policy Interventions identified as Top Tier or Near Top Tier for substance abuse prevention and treatment
Specific Programs/Strategies: LifeSkills Training is a middle school substance abuse prevention program that teaches students social and self-management skills, including skills in resisting peer and media pressure to smoke, drink, or use drugs; and informs students of the immediate consequences of substance abuse. The program is delivered by regular classroom teachers who have received brief training from the LifeSkills Training organization. Key Findings: Roughly 20% reduction in smoking initiation and 10-15% reduction in drunkenness, at 12th grade follow-up (i.e., 5-6 years after random assignment). Strong evidence of effectiveness applies to rural or suburban public schools with a mostly white population. Program cost is low.
Community Guide Recommendations on Preventing Excessive Alcohol Consumption
Description: Dram Shop Liability allows the owner or server of a retail alcohol establishment where a customer recently consumed alcoholic beverages to be held legally responsible for the harms inflicted by that customer.
Specific Programs/Strategies: Examples of liability for harms may include death, injury or other damages as a result of an alcohol-related car crash. Historically, the term dram shop referred to any establishment where alcohol was sold; a dram was a measure of alcohol. Some states impose restrictions on dram shop liability by capping the amount of compensation allowed in suits, by increasing the evidence required to demonstrate responsibility, or by imposing statutes of limitations.
Increasing Alcohol Taxes
Description: Community Guide Recommendations on Preventing Excessive Alcohol Consumption: Increasing Alcohol Taxes. Alcohol excise taxes affect the price of alcohol, and are intended to reduce alcohol-related harms, raise revenue, or both.
Specific Programs/Strategies: Alcohol taxes are implemented at the state and federal level, and are beverage-specific (i.e., they differ for beer, wine and spirits). These taxes are usually based on the amount of beverage purchased (not on the sales price), so their effects can erode over time due to inflation if they are not adjusted regularly
Maintaining Limits on Days of Sale
Description: Community Guide Recommendations on Preventing Excessive Alcohol Consumption: Maintaining Limits on Days of Sale. Limiting the days when alcohol can be sold is intended to prevent excessive alcohol consumption and related harms by regulating access to alcohol.
Specific Programs/Strategies: Most policies limiting days of sale target weekend days (usually Sundays). They may apply to alcohol outlets in which alcohol may be legally sold for the buyer to drink at the place of purchase (on-premises outlets, such as bars or restaurants) or elsewhere (off-premises outlets, such as liquor stores). In the United States, policies may be made at the state level and, where not prohibited by state pre-emption laws, at local levels.
Maintaining Limits on Hours of Sale
Description: Community Guide Recommendations on Preventing Excessive Alcohol Consumption: Maintaining Limits on Hours of Sale.
Specific Programs/Strategies: Approaches may include: Maintaining existing limits in response to efforts to expand hours of sale; Expanding current limits on hours of sale; Policies limiting hours of sale may apply to outlets that sell alcohol for consumption at the place of purchase (on-premises outlets, such as bars or restaurants) or elsewhere (off-premises outlets, such as liquor stores). In the United States, policies may be made at the state level and, where not prohibited, by state pre-emption laws at local levels.
Regulation of Alcohol Outlet Density
Description: Community Guide Recommendations on Preventing Excessive Alcohol Consumption: Regulation of Alcohol Outlet Density. Alcohol outlet density regulation is defined as applying regulatory authority to reduce alcoholic beverage outlet density or to limit the increase of alcoholic beverage outlet density.
Specific Programs/Strategies: Regulation is often implemented through licensing or zoning processes. An alcohol outlet is a place where alcohol may be legally sold for the buyer to drink there (on-premises outlets, such as bars or restaurants) or elsewhere (off-premises outlets, such as liquor stores). Density refers to the number of alcohol outlets in a given area.
Electronic Screening and Brief Intervention (e-SBI)
Description: Community Guide Recommendations on Preventing Excessive Alcohol Consumption: Electronic Screening and Brief Intervention (e-SBI). Traditional screening and brief intervention (SBI) to reduce excessive alcohol consumption consists of assessing patients' drinking patterns, followed by providing those who screen positive for excessive drinking with face-to-face feedback about its risks, and a short conversation about changing their drinking patterns, including referral to treatment if appropriate. Electronic screening and brief intervention (e-SBI) uses electronic devices (e.g., computers, telephones, or mobile devices) to facilitate the delivery of key elements of traditional SBI.
Specific Programs/Strategies: Delivery of personalized feedback can range from being fully automated (e.g., computer-based) to interactive (e.g., provided by a person over the telephone). At least one part of the brief intervention must be delivered by an electronic device. The brief intervention may also include other common elements of SBI, such as motivational interviewing techniques (e.g., assessment of readiness to change, and emphasis on personal freedom to choose one's drinking patterns); or comparing an individual's own alcohol consumption with that of others (e.g., college students in the same school). In addition, e-SBI can be delivered in various settings, such as in health care systems, universities, or communities.
- Target Audience: Adults and Adolescents
- Setting: Policy
- Recommendation: Recommended
- Review Agency: Community Guide
- Related Topics: Alcohol related mortality LHI #14
- Website: Electronic Screening and Brief Intervention (e-SBI)