Alcohol prevention in hands of local communities. Polish system for solving alcohol related problems.

Transcription

1 Alcohol prevention in hands of local communities. Polish system for solving alcohol related problems. Krzysztof Brzózka, Marta Zin Sędek, Katarzyna Okulicz Kozaryn State Agency for Prevention of Alcohol Related Problems, EUSPR, Lisbon,

2 Polish system for solving alcoholrelated problems (since 1997) Act on upbringing in sobriety and counteracting alcoholism (1982) National Program for Prevention and Solving Alcohol related problems Binding in years Voivodeship programs for prevention and solving alcohol related problems Programs for prevention and solving alcohol related problems in boroughs 2

3 Financing of the system Administration level Expenses in 2010 Local governments in communities (fees for using permits for retail sales of alcohol) Country districts (own resources) Local governments in voivodships (fees for using permits for wholesale trading) State budget TOTAL: ,24 PLN 95,0% 131 mln EUR ,89 PLN 0,2% ,69 PLN 3,9% 5,3 mln EUR PLN 1,0% 1,5 mln EUR PLN / EUR 3

4 What tasks are the money of local governments in communities spent on? prevention supporting sobriety associations increasing availability of therapeutic help counteracting family violence helping families with alcoholrelated problems 4

5 ACTIVITIES TAKEN UP (FUNDED) BY LOCAL GOVERNMENTS IN COMMUNITIES 5

6 Increasing availability of therapeutic and remedial help for alcohol addicts 35,000,000 zł 30,000,000 zł 25,000,000 zł 20,000,000 zł 15,000,000 zł 10,000,000 zł 5,000,000 zł 0 zł expenses on medical treatment expenses on nonmedical treatment other expenses NFZ (National Health Fund) funds short term therapy. Other therapeutic and remedial activities are funded from community budgets. 6

7 Helping families with alcohol related problems 8, ,000,000 zł 7,000 6,000 5,000 common rooms consultative points 140,000,000 zł 120,000,000 zł 100,000,000 zł 4,000 3,000 expenditures ,000,000 zł 60,000,000 zł 2, ,000,000 zł 1, ,804 2, ,052 2, ,000,000 zł 0 zł This help is traditionally based on functioning of: Consultative points (diagnosing problems of the whole family and planning help for all its members) Common rooms (day care of children) 7

8 Protecting families against family violence institutions working against family violence help groups for victims of family violence In the course of time the number of actions taken up to counteract family violence and the number of their forms have increased. There have also been introduced new legal solutions giving better protection against violence. 8

9 Preventive programs ,500, ,000, ,500,000 2,000,000 number of young people participating ,500,000 1,000,000 expenditures ,

10 Forms of preventive actions Sports events; Contests; Other preventive programs; Recommended preventive programs; Outdoor parties; Preventive theater plays; Lectures ;

11 Public Education 1750 zł14,000,000 12,626,760 zł 1700 zł12,000,000 10,507,810 zł 10,444,671 zł ,484,028 zł 9,644,708 zł 9,335,946 zł zł10,000,000 8,835,170 zł 8,598,127 zł ,220,325 zł zł8,000, zł6,000, zł4,000, number of communities which realised public education activities expenditures on educational activities 1400 zł2,000, zł0 Alcohol, forbidden access for minors Pregnancy with no alcohol Check if your drinking is safe 11

12 Counteracting drink driving Education about road safety Cooperation with Police in sobriety actions Re educational programs for drivers detained for drink driving Additional lessons about alcohol in driving schools Number of communities

13 Sobriety associations Number of associations Teetotal Clubs Al Anon Groups Al Ateen Groups ACA Groups (Adult Children of Alcoholics) AA Groups 13

14 POSITIVE RESULTS OF FUNCTIONING OF THE SYSTEM? 14

15 Limiting the issuing of permits for selling alcohol Number of permits 200,000 HORECA 127,240 77, ,803 96, , , , , , , ,338 99,895 88,283 89,859 47,334 32,706 36,787 39,090 40,101 41,968 46,152 42,540 41,204 38,900 36,189 37,660 37,276 36, , , , , ,000 80,000 shops 60,000 40,000 20,

16 Consumption of 100% alcohol per one resident (in liters) decreasing excise tax increasing excise tax

17 Reducing mortality caused by alcohol 4,000 9,000 3,500 3,000 2,500 6,093 5,815 5,555 5,494 5,507 6,110 6,596 6, ,000 7,000 6,000 Number of deaths caused by alcohol poisoning 2,000 1,500 1,000 1,508 1,294 1,339 1,260 1,267 1,333 1,235 1,384 1,277 1,289 1,573 1,351 1,553 1,724 1,808 1, ,000 4,000 3,000 2,000 Number of deaths caused by mental disorders connected with using alcohol 500 1,000 Number of deaths caused by liver disease

18 Reducing the number of accidents caused by intoxicated Insobriety on the roads number of intoxicated 10,9% of all accidents 9,8% of accidents caused by drivers 10,2% of all accidents 8,9% of accidents caused by drivers 10,1% of all accidents 9,2% of accidents caused by drivers 9,4% of all accidents 8,6% of accidents caused by drivers 8,9% of all accidents 8% of accidents caused by drivers road accidents caused by drunk participants of traffic road accidents caused by drunk drivers 18

19 The downward tendency for rates of binge drinking is visible in all age 90 groups ESPAD research % y.o. rate ever in life y.o. rate within last 12 months before research y.o. rate within last 30days before research y.o. rate ever in life y.o rate within last 12 months before research y.o. rate within last 30days before research 19

20 SUMMARY DISCUSSION 20

21 1. Passing the tasks connected with solving alcohol related problems to local governments, together with funds for their realisation: It supports therapeutic and re medial help for alcohol addicts funded by NFZ It enabled development of the support system for families with alcohol related problems and experiencing violence It ensures that about 80% of children and teenagers take part in prevention activities It stimulates development of public education, especially towards counteracting drink driving 2. Since introducing the system in Poland, we have observed positive changes in the scope of reducing: issuing permits for selling alcohol alcohol consumption youth binge drinking number of road accidents connected with alcohol number of deaths caused by using alcohol 21

22 1. What should be improved in the system? Share of evidence based programs among preventive programs Qualifications of persons responsible for prevention in local communities Supervising the quality of help offered to children from families with alcohol related problems 2. What other factors can the observed changes be associated with? Legal changes (level of excise tax) World trends (e.g. fashion for healthy lifestyle) 3. What are the opportunities for this system? Opportunity introducing the system of recommendations for preventive program Opportunity research development 4. What are the threats for this system? Pressure towards introducing legal changes which are harmful from the perspective of health policy Involvement of alcohol industry in preventive actions Spending money on actions which efficiency has not been proven 22