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Www.ccsa.ca www.cclt.ca Canadian Alcohol Control Policy International Seminar on Promoting Healthy Living: Multi-sectoral Efforts in the Americas Gerald.

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Presentation on theme: "Www.ccsa.ca www.cclt.ca Canadian Alcohol Control Policy International Seminar on Promoting Healthy Living: Multi-sectoral Efforts in the Americas Gerald."— Presentation transcript:

1 www.ccsa.ca www.cclt.ca Canadian Alcohol Control Policy International Seminar on Promoting Healthy Living: Multi-sectoral Efforts in the Americas Gerald Thomas November, 2013

2 Agenda About the Canadian Centre on Substance Abuse Levels and patterns of alcohol use in Canada Structure of alcohol control policy Examples of multi-sectoral collaboration: –National Alcohol Strategy Working Group –National Alcohol Strategy (2007) –National Alcohol Strategy Advisory Committee (NASAC) –A national research collaboration Opportunities and challenges of multi-sectoral collaboration www.ccsa.ca www.cclt.ca2

3 About CCSA Vision: All Canadians should live in a healthy society, free of alcohol and drugs-related harm Mandate and mission: Legislated mandate from the Government of Canada to provide national leadership and evidence-informed analysis and advice to mobilize collaborative efforts to reduce alcohol- and other drug- related harm Pan-Canadian and international role www.ccsa.ca www.cclt.ca3

4 Strategic focus Shared responsibility and accountability 500 partners, 2100+ stakeholders Community outreach Partnerships Foster a knowledge translation environment Knowledge exchange framework Knowledge Exchange Monitoring and surveillance Research in the substance abuse field Policy development International alcohol and drug policy activities Research and Policy Performance measurement and evaluation Communications best practices Organizational Excellence and Innovation 4

5 Context of CCSA’s work Working with all levels of government, and the non-profit and private sectors, CCSA and Health Canada led development of the first pan-Canadian framework on substance abuse in 2005. Includes 13 priority areas including reducing alcohol-related harm and costs. www.ccsa.ca www.cclt.ca5

6 National substance abuse resources The National Framework has generated several national strategies and guidelines all developed through multi-sectoral, collaborative processes : –a national alcohol strategy –a national treatment strategy –a national youth drug prevention strategy –national workforce competencies –a national prescription drug misuse strategy www.ccsa.ca www.cclt.ca6

7 About Canada Population: 35M (3M less than California!) Land Area: 9.98M km 2 (second largest in world overall with the world’s longest coastline ) Life expectancy: 81 years Languages: English - 56.9% French - 21.3% Other - 21.8% GDP/capita : $52,219 (US) www.ccsa.ca www.cclt.ca7

8 8 Levels & patterns of alcohol use Source: World Health Organization Global Status Report on Alcohol, 2011. Note: 9.77 litres of ethyl alcohol equals 573 Canadian standard drinks per person age 15+ per year.

9 www.ccsa.ca www.cclt.ca9 Levels & patterns (cont.) Source: World Health Organization Global Status Report on Alcohol, 2011.

10 www.ccsa.ca www.cclt.ca10 Levels & patterns (cont.) Source: World Health Organization Global Status Report on Alcohol, 2011.

11 www.ccsa.ca www.cclt.ca11 Levels & patterns (cont.) Source: World Health Organization Global Status Report on Alcohol, 2011.

12 www.ccsa.ca www.cclt.ca12 Levels & patterns (cont.) Source: World Health Organization Global Status Report on Alcohol, 2011.

13 www.ccsa.ca www.cclt.ca13 Recent trends in alcohol use Sales increased 13% since 1997. Beer is the dominant beverage although wine is increasing in popularity over time. Source: Statistics Canada, Table 183-0019, Volume of sales of alcoholic beverages in litres of absolute alcohol and per capita 15 years and over, fiscal years ended March 31.

14 www.ccsa.ca www.cclt.ca14 Trends (cont.) Source: Statistics Canada, Canadian Community Health Survey (CCHS).

15 www.ccsa.ca www.cclt.ca15 Structure of alcohol control policy Authority for alcohol control policies is mainly located at the provincial and territorial level (exceptions: federal excise taxes and criminal drinking and driving laws). All provinces and territories maintain government control of wholesale alcohol sales, and in all but Alberta government liquor authorities are the dominant retailers through government owned and operated liquor stores.

16 Policy structure (cont.) Provincial liquor authorities report mainly to ministries of finance: www.ccsa.ca www.cclt.ca16 BCABSKMBON Ministry of Justice Ministry of Finance Independent crown corporation Ministry of Finance QCNBNSPEINL Ministry of Finance Ministry of Innovation & Advanced Learning Ministry of Finance

17 Policy structure (cont.) Most P/T jurisdictions use a “mixed model” for retail distribution of alcohol www.ccsa.ca www.cclt.ca17 BCABSKMBON Mixed public private system Wholly privatized Mixed public private system QCNBNSPEINL Mixed public private system Exclusive government monopoly Mixed public private system Exclusive government monopoly Mixed public private system

18 Policy structure (cont.) In most jurisdictions, direct alcohol-related costs exceeded direct revenue from alcohol in 2002. Per capita alcohol-related deficit (red) /surplus (blue) www.ccsa.ca www.cclt.ca18 BCABSKMBON $17.83$48.97$20.40$12.86$37.82 QCNBNSPEINL $53.15$55.57$18.53$26.99$17.63

19 Examples of multi-sectoral collaboration National Alcohol Strategy Working Group (NASWG, 2005-2007) and the National Alcohol Strategy (NAS, 2007) National Alcohol Strategy Advisory Committee (NASAC, 2007 – present) Pan-Canadian research collaboration (2013): –Strategies to Reduce Alcohol-Related Harms and Costs in Canada: A Comparison of Provincial Policies www.ccsa.ca www.cclt.ca19

20 NASWG & the NAS Chaired by CCSA (NGO), Alberta Alcohol and Drug Abuse Commission (AADAC), and Health Canada (federal gov’t). Included representatives from liquor authorities, public health, academics, hospitality industry, NGO’s, alcohol industry (beer, wine and spirits), federal government, provincial governments. Commissioned five original research papers on several topics including alcohol & chronic disease, and brief interventions. Major output: Reducing Alcohol-related Harm in Canada: Creating a Culture of Moderation; Recommendations for a National Alcohol Strategy (2007) www.ccsa.ca www.cclt.ca20

21 www.ccsa.ca www.cclt.ca Canada’s National Alcohol Strategy (NAS) 41 recommendations Canada’s Low-Risk Alcohol Drinking Guidelines (national consensus) Alcohol price policy reports on CCSA website: http://www.ccsa.ca/Eng/Priorities/Alc ohol/Alcohol-pricing-in- Canada/Pages/default.aspxhttp://www.ccsa.ca/Eng/Priorities/Alc ohol/Alcohol-pricing-in- Canada/Pages/default.aspx Screening, Brief Intervention and Referral protocol (online tool) 21

22 National Alcohol Strategy Advisory Committee (NASAC) Created in 2007 to oversee the implementation of the National Alcohol Strategy. Chaired by CCSA, the Nova Scotia Department of Health and Wellness and MADD Canada. Members include representatives from federal government (PHAC, HC), provincial governments, provincial liquor authorities, alcohol industry, academic researchers, NGO’s, university administrators, etc. Meet annually for progress reports, priority setting, and project planning. www.ccsa.ca www.cclt.ca22

23 NASAC (cont.) On the horizon for the NASAC: –Standard drink labelling –Campus alcohol policies –Municipal alcohol policies –Server training and enforcement www.ccsa.ca www.cclt.ca23

24 Collaborative alcohol policy research Project funded by the Canadian Institutes for Health Research (CIHR) Project team included researchers from CAMH (Toronto), several Canadian universities, one US university, and “knowledge users” from MADD Canada and two provincial governments Involved close and on-going collaboration with provincial governments including retail liquor authorities and liquor regulators www.ccsa.ca www.cclt.ca24

25 Results of CIHR project Ten provinces rated on 10 evidence-based policy domains: www.ccsa.ca www.cclt.ca25

26 Challenges & opportunities of multi- sectoral collaboration on alcohol Differing perspective and viewpoints can at times make consensus challenging to achieve Some topics (e.g., alcohol pricing) are more controversial than others Cross-sectoral consensus decision making leads naturally to “win-win” policies (e.g., minimum social reference pricing) Once recommendations are agreed to, then all are theoretically “on board” and can be held to the decisions www.ccsa.ca www.cclt.ca26

27 Opportunities & challenges (cont.) Consensus recommendations are now informing provincial level policymaking with items that have been through the multi-sectoral “sausage grinder” Identifying and securing resources for implementation of recommendations and projects is an ongoing challenge www.ccsa.ca www.cclt.ca27

28 Contact information www.ccsa.ca www.cclt.ca Gerald Thomas Canadian Centre on Substance Abuse 75 Albert Street, Suite 500 Ottawa, ON K1P 5E7, Canada Tel.: 613-235-4048 Cell: 250-317-2615 info@ccsa.ca gthomas@ccsa.ca @CCSAcanada @CCLTcanada 28

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