1. Environmental Prevention in Nightlife Settings
Johanna Gripenberg, Ph.D., Director at STAD
STAD (Stockholm prevents alcohol and drug problems)
Department of Clinical Neuroscience at the Karolinska Institutet, Stockholm, Sweden.
Nightlife : no risk no fun? Challenges for drug prevention and trendspotting, Lisbon Addiction, 26 okt 2017

2. Prevention StrategiesJ
Prevention Strategies
Responsible Beverage Service
Community mobilization
Training
Enforcement
“Clubs against Drugs”
Policy
Environmental changes
Media and PR work

3. Action Group/Steering Group
The County Council
The Municipality (Licensing Board)
The Police Authority
The County Administration
The organization for the hospitality industry
Leading nightclub owners
The Union for the hospitality industry staff 3

4. Results Responsible Beverage Service
Statistically significant improvement in refusal rate of alcohol service to intoxicated (5% to 77%) and underage (55% to 91%) guests
29% reduction in police-reported violence
A cost-effectiveness analysis showed that for every 1 euro spent 39 euros were saved 4 4

5. Results Clubs against Drugs
Significantly lower rates of self-reported drug use among staff and significantly lower rates of observed drug use among guests
Last year drug use (18-24 year olds) ↓ 41% to 29%
More conservative attitudes towards drugs
Significant increase in doormen intervention rates towards drug-intoxicated guests from 7% at baseline to 65% at follow-up 5

6. Dissemination
The RBS and CaD programs have been disseminated in Sweden
Alcohol prevention at sporting events
The RBS program is being disseminated in an EU-project ”STAD in Europe”
Czech Republic, Germany, The Netherlands, Slovenia, Spain, the United Kingdom and Sweden
4 settings: nightlife, festivals; public hot spots and home 6

7. Boosting factors Long term funding Multicomponent intervention
Great focus on community mobilization
Intense training (2-days)
Enforcement
Steering group (nightlife representatives)
Research and practice in close collaboration
Signed and written agreement
Institutionalized

8. Nightlife: no risk no fun?
STADs community-based interventions seem to have reduced alcohol and club drug related problems in the nightlife setting
The most likely explanation is a combination of intervention components such as community mobilization, training and enforcement
Promising potential for club drug prevention, however it takes time to develop and implement community-based interventions 8

9. stadineurope.eu 9

10. Refusal rates to intoxicated guests
Results
Refusal rates to intoxicated guests

11. Refusal rates to underaged guests
Results
Refusal rates to underaged guests

12. Reported violent Crimes Intervention group (l) and control group (ê)
Reduction of 29% in the intervention area
Intervention
Control