Hugh Greaves & Marie Lawless - Ballymun Research Preliminary Findings

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