alcohol policy in catalonia joan colom antoni gual lidia segura 29-30 march 2007, pécs, baranya (h)
TRANSCRIPT
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Alcohol policy in Catalonia
Joan Colom
Antoni Gual
Lidia Segura
29-30 March 2007, Pécs, Baranya (H)
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INDEX
□The consumption of alcohol in my region. □The prevention of alcohol in my region!□The biggest challenge in my region
concerning alcohol? □One concrete example from my region on
alcohol prevention.□My expectations of the work in the AER
on prevention of Alcohol related harm.
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The alcohol consumption in CataloniaRisky drinking prevalence
6789
1011121314
1999 2001 2003
15-29 years 15-65 years
Source: Household Survey on Drugs. Program on Substance Abuse
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The alcohol consequences in Catalonia Alcohol & Health: Global balance
□ 10-15% hospital emergencies□ 4% hospitalizations□ 41,5% treatment demand XAD□ 19.900 deaths (>6% annual mortality)□ 30-50% in fatal car injuries□ 15-35% in severe car injuries□ 17% in occupational injuries □ 4.200 deaths by cirrhosis □ 10,1 l. of alcohol consumption per capita
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The prevention strategy in CataloniaLinking alcohol policy to public health policy
• Launch the Catalan Public Health Agency, in charge of• the design and implementation of programs incorporating
effective strategies of health promotion & protection, and disease prevention, with the support of epidemiology, monitoring and research.
• providing support to policy formulation and planning• monitoring changes in key determinants and outcome
indicators
• Development of a regional strategy on alcohol prevention in the framework of a global reorganisation of the public health policies and resources.
• Complement the medical approach with population-based public health interventions to address the broad dimensions of alcohol problems at the community level.
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The prevention strategy in CataloniaGuidelines of the program on substance abuse
□Addictions are diseases and must be treated within the Health System
□The Drugs Plan must deal with all drugs, including alcohol and tobacco
□Drug and alcohol related problems must be viewed from a Public Health perspective
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□Legislative activities□Prevention activities□Treatment of addictions. Creation of a
network of specialized centers (XAD)□Harm reduction activities□Introduction of alcohol related issues in
Primary Health Care.□Strategy to introduce programs of Drugs at
Work
The prevention strategy in Catalonia
Guidelines of the program on substance abuse
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The prevention strategy in Catalonia Guidelines of the program on substance abuse
1. Health Education at school2. Leisure3. Specific groups4. Community5. Workplace
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The prevention strategy in Catalonia Guidelines of the program on substance abuse
1. Health Education at school2. Leisure3. Specific groups4. Community5. Workplace
![Page 10: Alcohol policy in Catalonia Joan Colom Antoni Gual Lidia Segura 29-30 March 2007, Pécs, Baranya (H)](https://reader036.vdocument.in/reader036/viewer/2022062518/56649eb35503460f94bba5fe/html5/thumbnails/10.jpg)
The biggest challenge in my region concerning alcohol?
General targets for health until 2010:
□Reduce accidents related to alcohol
□Reduce morbidity related to alcohol
□Reduce prevalence of excessive alcohol consumption among general population and specially among young people
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One concrete example from Catalonia on alcohol prevention
The implementation of EIBI in Catalonia The “beveu menys” program
□ In 1995, we joined the Phase III Of the World Health Organisation Collaborative Project and Primary Health Care
□ In the framework of the Phase IV of the WHO Project we started in 2002 the dissemination of the “Beveu Menys” in all the Primary Health Centres
□We have entered the iteration/implementation phase in december 2005
□ International collaboration provided an important support at the beginning
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Customization of the training manual
Customization of the intervention package
Training the trainers (n=84)
DISSEMINATION
347 PHC Centres7915 PHC professionals
Creation XaROH
ITERATION
Customization of the training manual
Training the trainers (n=66)
Customization of the intervention package
2002
-200
520
05-2
008
One concrete example from Catalonia on alcohol prevention
THE “BEVEU MENYS” PROGRAM
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December 2005: □84 trainers□340 trainings□98 % PHC centres□7915 professionals□900.000 € spent□Training packages:
8687 PHC 109 trainers (XAD)
□Bulletins: 21100%
90.2%
98.6%
100%
100%96.5%
100%
100%
WHAT HAVE WE DONE?
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WHAT HAVE WE LEARNT FROM THE EXPERIENCE?
□Alcohol poses a difficult challenge to the Health System.
□The change will not appear dramatically. Slow changes are to be expected if continuous work is done. The first movement in PHC appears with the most severe cases.
□ Implementation should be reinforced through contractual incentives
□Future developments should enhance the nurses role, and promote a more active implication of PHC workers
□More resources should be allocated to the whole system.
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FRAMING EIBI IN A WIDER ALCOHOL POLICY
□ Full integration of the alcohol policy in the Public Health and in the Mental Health Strategy
□ Improving the epidemiological surveillance on alcohol consumption and alcohol problems
□ Better monitoring of the accomplishment of the regulations on alcohol specially those related with promotion and advertising
□ Continuation of the dissemination of EIBI in primary health care and spreading the initiative to other health settings (hospitals, emergencies, etc.) and non-health settings (Health and School Program)
□ Development and promotion of workplace based prevention programs in the framework of the national strategy on drug prevention.
□ Reduce alcohol-related traffic casualties
□ Working towards the development of a national, multisectorial and comprehensive alcohol policy
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Our expectations of the work in the AER on prevention of Alcohol related
harm.
□The regional level to be included by the European Communities in the development and implementation of regulations, recommendations and programs
□Sharing and learning from other regions’ experiences
□ Improving the epidemiological surveillance on alcohol consumption and alcohol problems at regional level
□Better monitoring at regional level of the accomplishment of the regulations on alcohol specially those related with promotion and advertising
□Working towards the development of a regional, multisectorial and comprehensive alcohol policy (model)