Cristina Ribeiro, MD IDT,IP National Plan to Reduce Alcohol Related Problems A Call for Action 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

2 Pillars Background International National Intervention areas Goals and targets Some measures National Plan to Reduce Alcohol Related Problems 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

3 Pillars Background International National Intervention areas Goals and targets Some measures MC National Plan to Reduce Alcohol Related Problems 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

4 Pillars A Coordination Clear Targets A national network for treatment An Alcohol Forum MC National Plan to Reduce Alcohol Related Problems Brussels, June 2010

National Plan to Reduce Alcohol Related Problems Coordination 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

Coordination National Council Interministerial Council National Coordinator Technical Comission Comissão Técnica Sub Comissions CentralAdministration Municipalities Civil Society NGO’s Other organizations 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

National Plan to Reduce Alcohol Related Problems Coordination Clear Targets 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

8 Goals and targets To reduce the: Prevalence of drunkenness from 20,7% to 18 % ( ), on the population; Prevalence of drunkenness from 34,6% to 30 % ( ), on the young people between 15-24; Mortality rate from 18.8%000 to 14%000. National Plan to Reduce Alcohol Related Problems Brussels, June 2010

National Plan to Reduce Alcohol Related Problems Referral Network Coordination Clear Targets 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

National Fórum National Plan to Reduce Alcohol Related Problems Data Base Referral Network Coordination Clear Targets 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

11 Methodology Pillars Background International National Intervention areas Goals and targets Some measures National Plan to Reduce Alcohol Related Problems 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

12 Background - International EU strategy on reducing alcohol related harm. European Alcohol and Health Forum. Committee on National Alcohol Policy and Action “Global Strategy to reduce the harmful use of alcohol“ (WHO) 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

13 Alcohol consumption in Portugal Background - National Increase in consumption prevalence ( 2001–2007)  During live time (75,6% - 79,1%)  In the last year (65,9% - 70,6%)  In the last month (59,1% - 59,6%) For all age groups Souce:The consumption of psychoactive substances in general population - CEOS/IDT 2007 Brussels, June 2010

14 Alcohol consumption in Portugal Background - National Souce:The consumption of psychoactive substances in general population - CEOS/IDT ,7% of the population got drunk in the last year 7,8% of the population got drunk in the last month The binge drinking consumption occurs in 41, 6% of the population during life time Brussels, June 2010

15 Alcohol consumption in Portugal Background - National Souce:The consumption of psychoactive substances in general population - CEOS/IDT ,7% of the population got drunk in the last year  1,8% got drunk ten or more times  38,5% of people between 20 and 24 years old and 34,6% of young people between 15 and 19 years old got drunk in the last year  2,8% of people between 20 and 24 years old and 1,2% of young people between 15 and 19 years old got drunk ten or more times Brussels, June 2010

16 Alcohol related dead in Portugal Background - National Souce: ACS, people, under age of 65, died because of alcohol related diseases 305 people died in car accidents with more than 0,5 g/l Brussels, June 2010

17 Pillars Background International National Intervention areas Goals and targets Some measures National Plan to Reduce Alcohol Related Problems 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

18 Intervention areas Young people, children and the unborn child Drink and driving Adults and Workplace Prevention, education and communication Information Systems and data base Treatment Rehabilitation National Plan to Reduce Alcohol Related Problems Brussels, June 2010

19 Pillars Background International National Intervention areas Goals and targets Some measures National Plan to Reduce Alcohol Related Problems 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

20 Lower harmful consumption patterns Promote abstinence during pregnancy Higher level of protection for underaged Reduce alcohol consumption among the youth Reduce availability of alcohol Better regulation of alcohol advertising National Plan to Reduce Alcohol Related Problems 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

21 Pillars Background National International Goals and targets Intervention areas Some measures National Plan to Reduce Alcohol Related Problems 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

22 Some measures Increase from 16 to 18 the serving/sales age limit; Reduction of BAC for young and novice drivers usually more involved in alcohol-related road accidents; Significant Increase in number of controls/ breath testing on the roads; Tightening of fines and penalties for drunk- drivers causing accidents; National Plan to Reduce Alcohol Related Problems Brussels, June 2010

23 Some measures Introduction of educational school-family programmes involving young people and parents; Introduction of training programs for health care professionals to increase ability to treat hazardous, harmful and alcohol dependence. National Plan to Reduce Alcohol Related Problems Brussels, June 2010

24 The main goals of the referral network are: To develop and maintain a continuum of care To deliver services in the most effective and appropriate manner To provide a system of mutual case information exchange National Alcohol Referral Network 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

25 To coordinate and plan healthcare services referral and monitoring To reduce fragmentation and/or duplication of services To develop system-wide patient treatment plans To implement high quality and useful research National Alcohol Referral Network 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

26 Involving different actors: Institute on drugs and drug adiction Primary Health Care Mental Health Services Non Governmental Organizations Private health Sector National Alcohol Referral Network 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

27 So: If you are going to drive, please don’t drink; If you are pregnant, please don’t drink; If you are under 18 years old, don’t drink. And you all: Help us to keep the alcohol issue high on the Portuguese political agenda in the next years period – National Plan to Reduce Alcohol Related Problems 4th European Alcohol Policy Conference EUROCARE Brussels, June 2010

28 INSTITUTO DA DROGA E DA TOXICODEPENDÊNCIA, I.P. SERVIÇOS CENTRAIS Praça de Alvalade, nº 7 - 5º ao 13º Lisboa Telef / Fax: Brussels, June th European Alcohol Policy Conference EUROCARE