Alcohol Policy UK

Findings bulletins: residential treatment reviewed, brief intervention implementation, domestic violence & more

Recent bulletins from the Findings drug and alcohol bank: 

Glass half full for residential/inpatient treatment of drinking problems in England

For the small cohort of people with severe and chronic drinking problems, this study found that residential and inpatient treatments were effective over half the time based on the important public health indicator of not just completing treatment successfully, but also not returning to treatment within six months. Ground-breaking and important as this is, the findings refer only to people who accessed treatment. What does this mean for those whose vulnerabilities make them eligible for intensive support but go hand-in-hand with significant barriers to treatment?

Can the disappointing roll-out of brief alcohol interventions be cost-effectively turned around?

'No safe level' for stroke - an end for moderate drinking 'health benefits'?

A new study challenging the much debated health benefits claimed for moderate drinking has been published in the Lancet, adding to the evidence that positive health outcomes amongst low level drinkers are less likely to be due to a direct effect of alcohol.

The research, indicating no protective effect of moderate consumption against stroke, follows a large scale study published last year indicating there was no overall beneficial effect of moderate drinking on mortality risk when considering all conditions, despite lower levels of cardiovascular disease among those drinking at low levels. It states 'the apparently protective effects of moderate alcohol intake against stroke are largely non-causal', and that alcohol consumption 'uniformly increases blood pressure and stroke risk'.

Drinking in pregnancy: lasting effects of low-level alcohol use?

In this guest post, Kayleigh Easey (@KayEasey), a PhD student and member of the Tobacco and Alcohol Research Group (@BristolTARG) at the School of Psychological Science at the University of Bristol, takes a look at a recent systematic review investigating effects of parental alcohol use and offspring mental health.

It’s generally well known that drinking large amounts of alcohol during pregnancy is linked to Foetal Alcohol Syndrome (FAS), and negative outcomes such as premature birth and an increase in the risk of miscarriage. However, less is known about the effects of low to moderate alcohol use during pregnancy on offspring outcomes after birth, and even less for mental health outcomes in the child, particularly internalising disorders such as depression. Despite government guidelines being updated by the Department of Health in January 2016, advising pregnant women that the safest approach is to abstain from drinking alcohol altogether through their pregnancy, there remains uncertainty amongst the public as to whether a ‘drink or two’ is harmful or not.

'Count 14' NHS Scotland campaign & debate on the future of alcohol guidelines

NHS Scotland has launched a new campaign to promote awareness of the recommended guidelines, whilst the journal Addiction has published a set of open access commentaries debating how drinking guidelines should be developed and communicated.

The new 'count 14' campaign follows several years of regular debate about alcohol health risks and their communication since the revised guidelines of 14 units per week, spread over three days or more, were announced by the Chief Medical Officer in 2016. Whilst based on epidemiological evidence indicating drinking at around the guideline level broadly reflects a 1% increased risk of dying from an alcohol-related condition over a lifetime, issues raised range from the interpretation of the available evidence itself through to how such messages should form policy or behaviour change approaches.

Findings bulletins: education evidence, Scottish drug & alcohol strategy, treatment & recovery lessons

Recent bulletins from the Findings drug and alcohol bank: 

Alcohol harm reduction education gains credibility in UK

Trialled in schools in Northern Ireland and Scotland, an alcohol harm reduction curriculum for secondary schools plus a parental component led to fewer pupils drinking heavily at a single sitting. Bolstered by this study, school programmes aiming to reduce harm rather than prevent drinking per se now have a limited but relatively good research record in the UK.

A new strategy for Scotland: ‘rights, respect and recovery’

Already credited with being the most closely aligned of UK nations with evidence-based recommendations, Scotland’s new strategy on alcohol and other drugs isn’t afraid to stray into value-driven territory. Eschewing messages about ‘personal responsibility’ in favour of respect and dignity, the Scottish Government frames substance use as an urgent human rights and public health issue.

Alcohol Change UK launched as new national charity to reduce alcohol harm

The new charity formed as a merger of Alcohol Concern and Alcohol Research UK has ben announced as Alcohol Change UK. The charity says its vision is 'a world free from serious alcohol harm' and launches its new profile as Alcohol Awareness Week 2018 kicks off.

As part of the launch, the charity has released the Alcohol Change Report, which makes the case for 'change being not only needed, but possible'. The report sets out the charities approach to 'alcohol harm and how we will work with government, public bodies, organisations, charities and individuals to reduce it', and states it has three core values in doing so: 'Truthful: we seek and tell the truth', 'Compassionate: we care deeply about everyone seriously harmed by alcohol, whoever they are', and 'Ambitious: we are optimistic and determined'. Setting out how change happens, the report covers a number of key areas including:

Findings bulletins: IBA in primary care update, MUP impact on low income groups, licensing outcomes, sexual minority harms

Recent bulletins from the Findings drug and alcohol bank: 

Review finds that brief alcohol advice in relatively normal primary care practice reduces drinking

Update of a key document forming the basis of claims that brief interventions work in ‘real-world’ settings. Combined findings from randomised trials confirm that brief advice in primary care can reduce drinking; now the issue is whether in normal practice those benefits will be realised on a grand enough scale to create public health gains.

Could low income areas experience the greatest health benefits of a minimum pricing policy?

Youth drinking in decline: who, why & where next?

A new report examining the decline in youth drinking since the turn of the century has been released as part of a new four-year study which aims to examine the patterns and causes of the decline in youth drinking.

Whilst based on previously released data, it brings together the Smoking Drinking and Drug Use amongst Young People in England surveys (SDD) and Health Surveys for England (HSE) findings 'to present the most comprehensive picture to date of the downturn in alcohol use among young people aged 8 to 24'.

PHE, Drinkaware & public policy: reaction and debate continues

In the weeks since Public Health England (PHE) announced its partnership with Drinkaware for the 'drink free days' campaign, it has faced widespread criticism. The extent of the concern may have taken some, including PHE, by surprise. However, the fact it has raised the profile of debates about industry-Government partnerships may be seen by critics as an important repercussion.

An open letter expressing concern about the partnership has now been released, calling on UK public health scientists to sign and support its calls for PHE to “work with your Alcohol Leadership Board to formulate and publish guidelines for engagement with the alcohol industry and its associated organisations”. The letter argues the decision has led to significant “reputational risk to PHE’s status as a provider of impartial, evidence-based advice” and its authors are “alarmed by public statements from PHE” in response to concerns raised.

Major study re-ignites 'no safe level' drinking debate

The question of moderate drinking and health returned to the headlines with a vengeance following the publications of a major study in the Lancet using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016.

The review, which used 592 studies including 28 million people worldwide to study the health risks associated with alcohol, concludes that any possible protective effects of moderate drinking are outweighed by its adverse effects on other aspects of health, particularly cancers.