Hugh Greaves & Marie Lawless - Ballymun Research Preliminary Findings
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CELEBRATING ACHIEVEMENT NATIONAL COMMUNITY ACTION ON
ALCOHOL PILOT PROJECT 2015 CAAP©
BALLYMUN ALCOHOL STRATEGYA CASE STUDY
PRELIMINARY FINDINGSHUGH GREAVES CO-ORDINATOR
MARIE LAWLESS POLICY AND RESEARCH OFFICER
BALLYMUN LOCAL DRUG & ALCOHOL TASK FORCE
Ballymun’s Road to Change How FAR travelled?
Overview of Preliminary Findings 2011-2015
• In 2009 BLDATF and Safer Ballymun (community policing forum) brought local statutory, community and voluntary service providers together to discuss alcohol related harm in the area at our first ‘Roundtable’ event.
• Agreement to collectively address alcohol related harm in Ballymun
• A wide range of community, statutory, voluntary agencies and public representatives agreed to become part of a collective response to address alcohol related harm/issues (community mobilisation)
• It was agreed to do so in a ‘community-systemic way’, addressing the full context in which alcohol harm occurs (Harold Holder) and learning from effective, evidence based responses elsewhere
Background
Roundtable discussion on alcohol related harm in Ballymun
Approach and Key Principles
STRATEGY APPROACH• A Strategy that is community wide • A Strategy informed by a public health approach• A Strategy that seeks to bring about community level system change by mobilizing the community• A Strategy that recognises that alcohol is “no ordinary commodity” • A Strategy that endeavours to reduce alcohol related harm by reducing overall consumption levels. KEY PRINCIPLES• community development, • partnership,• co-ordination, • information sharing and;• monitoring/review
So what are we trying to do?
We are trying to reduce alcohol related harm by
• Increasing awareness of alcohol as a community issue – by local people, local public reps, statutory and voluntary services/agencies and therefore alter the community’s role in determining the local alcohol environment (from passive to proactive)
• Influencing the attitudes and norms of the local population towards a change in its behaviour around alcohol
• Changing the local environmental systems which foster and promote a harmful drinking culture
Theory of Change…….
• ………. harms will reduce if consumption goes down, which in turn will occur if there are changes in the economic, physical and social environment (i.e. affordability, availability and knowledge and attitudes) in which alcohol is sold and consumed, and if there are sufficient services in place to support a large enough proportion of individuals at risk from their drinking.
Policy & Research
Supply Reduction, Availability & Enforcement
Community Awareness
Treatment & Rehabilitation
Prevention & Education
Harm Reduction
43 Actions
Household Study on Alcohol Behaviour & Attitudes
Marie Lawless
Policy & Research Officer Ballymun Local Drugs and Alcohol Task Force
Key Question
• How and to what extent has implementing the package of measures (taken together) contained in the Ballymun Alcohol Strategy contributed to reducing alcohol-related harms?
Use Behaviours
Harms Community Safety
Context Attitudes
Methodology• Baseline study Aug-Sept 2011; 355 interviews, 15 + • Follow-up study Aug-Sept 2015; 359 interviews, 15 + • DED’s A-F , representative sample• Two stage approach to sampling:
– Stratified random selection of geographical points;– Selection of respondents within geographical points.
• Fieldwork & Analysis undertaken by Ipsos MORI (2011 & 2015)
• Further analysis by Dr. Ann Hope (2011 & 2015)
Consumption
Alcohol use in Ballymun
Ballymun 2011 Comparator Ballymun 2015
Overall Overall
Base: (355) (359)Lifetime 92% 84%*
Last year 83% 77%*
Last month 66% 61%
Abstainers 17% 23%
Drinkers 6+SD typicacl occ Harm to drinker 1+
Problems RAPS1+ abuse (RAPS2+) dependency (RAPS3+
Harm to others 1+
83
51
32
40
24
11
47
77
45
20
28
17
8
25
Changes in drinking pattern and harms
2011 2015pe
rcen
t
Prob
lem
s
Abus
e
Dep
ende
ncy
Prob
lem
s
Abus
e
Dep
ende
ncy
15-34yrs 35+yrs
54
37
1518
83
31
15
6
19
11
2
Screening using RAPS: Women
20112015
perc
ent
Prob
lem
s
Abus
e
Dep
ende
ncy
Prob
lem
s
Abus
e
Dep
ende
ncy
15-34yrs 35+yrs
61
38
17
31
16
9
50
37
2119
97
Screening using RAPS: Men
20112015
perc
ent
Where alcohol is mainly consumed
Base: all who have consumed alcohol in the last 12 months (293, 2011: 276, 2015)
At a pub or bar in your local
area
At home In the home of family/ friends
At a pub or bar outwith your
local area
In a restaurant In the street/ park
28
41
10
16
31
40
29
1412
30
Q6a. Where did you mainly drink alcohol in the past 12 months?
20112015
Q7. How often do you have alcohol delivered to your home via one of the services such as ‘Dial a Can’?
Use of alcohol delivery services
90
3 4 4
% All Ballymun Residents
Never used alcohol de-livery services
Used once or twice
Used once a year or more
Don't know/ refused/ not stated
2015
Base: all adults (359)
18%82%
Never
2011
Age at which first consumed alcohol
Base: all who have drank alcohol in the last year (272)
Overall 2011
Overall 2015
Male Female DED A-D DED E-F1 2 3 4 4 1
7 5 37 3 11
6 104
15
912
2929
23
33
2925
31 30
36
23
3029
23 2329
1823
22
3 2 4 1 3Q2. At what age did you first drink alcohol ‘beyond sips or tastes’?
Under 13
13 - 15
16 - 17
18 - 20
21 - 24
25+
Don't Know
57 55
Attitudes towards regular drinking (2011 – 2015)
11
17
17
13
42
2015
Agree strongly Agree a littleNeither agree nor disagree Disagree a littleDisagree strongly
Base: all adults (355, 2011; 359, 2015)
28
55
22
22
814
35
2011
Agree strongly Agree a littleNeither agree nor disagree Disagree a littleDisagree strongly
44
48
Q. 11 Do you feel it is acceptable or not for parents/relations/family friend to ……..
Attitudes towards children and alcohol (2011 – 2015)
Buy alcohol for a child aged 16 or 17 (2011)
Buy alcohol for a child aged 16 or 17 (2015)
Buy alcohol for a child aged 15 (2011)
Buy alcohol for a child aged 15 (2015)
Let a child aged 16 or 17 drink alcohol in the child’s home (2011)
Let a child aged 16 or 17 drink alcohol in the child’s home (2015)
Let a child aged 15 drink alcohol in the child’s home (2011)
Let a child aged 15 drink alcohol in the child’s home (2015)
4
1
6
2
2
1
15
18
6
2
45
36
21
14
81
81
94
97
49
62
77
85
1
Yes any occasion Yes, special occassions No, never Don't know / refused
Base: all adults (255, 2011; 359, 2015)
Alcohol related problems in Ballymun (2011 – 2015)
Base: all adults (355, 2011; 359, 2015)
Drink driving (2011)
Drink driving (2015)
Adults drinking alcohol in public places (2011)
Adults drinking alcohol in public places (2015)
Alcohol related violence (fights/ assaults) (2011)
Alcohol related violence (fights/ assaults) (2015)
Teenagers drinking on the streets or in parks (2011)
Teenagers drinking on the streets or in parks (2015)
Underage drinking (2011)
Underage drinking (2015)
27
18
25
19
44
30
46
35
53
39
13
10
20
18
17
16
21
22
20
20
20
31
24
34
17
29
15
25
10
20
18
28
27
27
17
23
12
16
12
16
22
13
3
2
5
3
5
2
5
4
Very big problem Fairly big problem Not very big problem Not problem at all Don't know
60
57
73
67
45
61
37
46
28
41
37
41
52
61
59
22
28
34
51
37
Q.13 To what extent do you agree with these statements about what the Gardaí are doing in relation to alcohol
Response to alcohol issues locally (2011 - 2015)
The Gardaí are doing a good job in relation to preventing the sale of alcohol to under 18s (2011)
The Gardaí are doing a good job in relation to preventing the sale of alcohol to under 18s (2015)
The Gardaí are doing a good job in relation to enforcing laws on drinking alcohol in public places (2011)
The Gardaí are doing a good job in relation to enforcing laws on drinking alcohol in public places (2015)
20
18
23
21
17
18
19
24
20
30
14
22
10
14
13
14
33
21
31
19
Agree strongly Agree little Neither Disagree little Disagree strongly
Base: all adults (355, 2011; 359, 2015)
44
44
35
37
34
44
34
44
The supervision by local adults/ parents in relation to young peoples’ drinking behaviour
Adults/ parents awareness of their role in showing good example around drinking behaviour
The monitoring of local public places in Ballymun in relation to drinking behaviour
Young people’s (under 18’s) awareness of alcohol and drinking behaviour
16
18
21
12
67
66
59
62
15
15
20
26
Got better Stayed same Got worse
Alcohol & the Community
Alcohol Awareness
Seeking help in relation to problems with alcohol
Base: all adults (359)
Other answers
A drug alcohol service outside the area
Would not get help
A helpline
A social worker
A drug alcohol service in the area
Talk to them myself
A counselor/ other kind of therapist
A friend/ someone in their family
A support group such as AA
Doctor/ GP
4
2
3
3
5
6
9
10
28
35
5
4
4
17
6
17
6
33
27
49
55
Q19a. Go for help (Total Awareness)
% Spontaneous mentions % Total mentions
2011
55
66
41
37
34
N/A
15
18
3
14
4
Q.10 To what extent do you agree/disagree with these statements about alcohol pricing and advertising?
Pricing and advertising of alcohol (2011 – 2015)
There should be a minimum price for alcohol below which it cannot be sold (2011)
There should be a minimum price for alcohol below which it cannot be sold (2015)
Price promotions in pubs, bars and clubs that encourage excessive drinking should be banned (2011)
Price promotions in pubs, bars and clubs that encourage excessive drinking should be banned (2015)
Alcohol advertising that appeals to young people should be banned (2011)
Alcohol advertising that appeals to young people should be banned (2015)
Advertising of alcohol on TV and radio should be confined to after 9pm to protect children (2011)
Advertising of alcohol on TV and radio should be confined to after 9pm to protect children (2015)
47
38
46
38
77
60
84
68
16
20
12
17
6
16
7
16
6
13
9
13
8
12
4
8
8
13
10
17
4
8
3
6
23
16
22
14
5
3
3
2
Agree strongly Agree little Neither Disagree little Disagree strongly
Base: all adults (355, 2011; 359, 2015)
84
90
77
58
55
84
58
63
29
31
11
8
30
32
9
6
Preliminary Results
Reductions in consumption, heavy episodic drinking, problems, abuse, dependency; however varies by age and gender
Change in place of drinking -Pub/bar now most popular place to drink alcohol Alcohol deliveries – significant decrease in ever having used “dial a can” services Decreases in residents reporting community safety problems associated with alcohol use Changes in attitudes around children and alcohol – decrease in those who believe it is
acceptable to let a child aged 15 or less drink alcohol in home/or buy them alcohol Reductions in family or relationship difficulties due to someone else’s drinking 1 in 2 residents believe that Ballymun has become more alcohol aware Doctor/GP most cited source of help if required. Continued high community support for evidence based measures; MUP, alcohol
advertising restrictions, promotions etc.
Summary
• Evidence of positive change - highlights potential of model to effect change
• Attribution of these changes to the CAS inputs is difficult
• Limitations: One method of measurement, sustainability
• Compare against national data • Explore extent of implementation outcomes• Explore evidence based positive elements which have
greatest impact locally.
CELEBRATING ACHIEVEMENT NATIONAL COMMUNITY ACTION ON
ALCOHOL PILOT PROJECT 2015 CAAP©
THE COMMUNITY ACTION ON ALCOHOL PROJECT WAS DESIGNED, DEVELOPED AND DELIVERED BY
ANNE TIMONY MEEHAN, ALCOHOL FORUM
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