Tuesday, November 11, 2008

[IWS] RAND: REDUCING ALCOHOL HARM: INTERNATIONAL BENCHMARK [10 November 2008]

IWS Documented News Service
_______________________________
Institute for Workplace Studies----------------- Professor Samuel B. Bacharach
School of Industrial & Labor Relations
-------- Director, Institute for Workplace Studies
Cornell University
16 East 34th Street, 4th floor
---------------------- Stuart Basefsky
New York, NY 10016
-------------------------------Director, IWS News Bureau
________________________________________________________________________

RAND (for UK)

Reducing alcohol harm: International benchmark [10 November 2008]
By: Lila Rabinovich, Jan Tiessen, Barbara Janta, Annalijn Conklin, Joachim Krapels, Christian van Stolk
http://www.rand.org/pubs/technical_reports/TR592/
or
http://www.rand.org/pubs/technical_reports/2008/RAND_TR592.pdf
[full-text, 94 pages]

Summary
http://www.rand.org/pubs/technical_reports/2008/RAND_TR592.sum.pdf


The National Audit Office (NAO) is undertaking a value for money (VfM) study to examine alcohol-harm prevention and treatment services that are supported by the Department of Health and the NHS in England, focusing specifically on NHS services for alcohol misusers. To supplement the evidence from England, the NAO has commissioned an international benchmark with the aim of providing lessons from international policy and practice which may be transferrable to England. Five countries, broadly comparable to England in terms of alcohol trends and other socioeconomic indicators, have been examined for this project: Australia, Canada, Germany, the Netherlands and the United States.

Contents
Preface........................................................................................................................ iii
Table of Figures........................................................................................................ xiii
Table of Tables...........................................................................................................xv
Executive summary....................................................................................................xix
Acknowledgments.................................................................................................... xxxi
CHAPTER 1 Introduction ....................................................................................1
1.1 Context and objectives of the study ................................................................... 1
1.2 Structure of the report..................................................................................... 12
CHAPTER 2 International comparative data on alcohol consumption and
harm .......................................................................................................13
2.1 Introduction.................................................................................................... 13
2.2 Alcohol consumption ...................................................................................... 15
2.3 Heavy and binge drinking ............................................................................... 21
2.4 Morbidity and mortality.................................................................................. 44
2.5 Social and economic cost of alcohol harm........................................................ 58
2.6 Conclusions..................................................................................................... 66
CHAPTER 3 Healthcare systems and national alcohol strategies ........................69
3.1 Introduction.................................................................................................... 69
3.2 Healthcare systems .......................................................................................... 70
3.3 National strategies ........................................................................................... 75
3.4 The provision of services to reduce alcohol harm............................................. 89
3.5 Funding interventions to reduce alcohol harm............................................... 120
CHAPTER 4 Prevention and treatment of alcohol problems in healthcare
systems .....................................................................................................137
4.1 Introduction.................................................................................................. 137
4.2 Screening....................................................................................................... 140
4.3 Brief interventions......................................................................................... 145
4.4 Specialist services for the treatment of alcohol problems ................................ 157
4.5 Education and awareness campaigns.............................................................. 172
4.6 Other relevant initiatives ............................................................................... 176
Reducing Alcohol Harms – International Benchmark RAND Europe
vi
CHAPTER 5 Non-health interventions to prevent and reduce alcohol
harms .................................................................................................... 181
5.1 Pricing and taxation....................................................................................... 183
5.2 Regulating physical availability of alcohol ...................................................... 188
5.3 Minimum legal drinking age.......................................................................... 193
5.4 Drink-driving counter-measures .................................................................... 201
5.5 School-based interventions ............................................................................ 210
5.6 Advertising bans and counter-advertising....................................................... 215
CHAPTER 6 Comparative analysis – Lessons for alcohol policy from
international evidence........................................................................................ 221
REFERENCES........................................................................................................ 237
Reference list............................................................................................................ 239
AppendiCes ............................................................................................................ 263
Appendix A: Methodology ...................................................................................... 264
Appendix B: Data extraction template .................................................................... 271

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Stuart Basefsky                   
Director, IWS News Bureau                
Institute for Workplace Studies 
Cornell/ILR School                        
16 E. 34th Street, 4th Floor             
New York, NY 10016                        
                                   
Telephone: (607) 255-2703                
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