Author: Nick Heather (Northumbria University)

In this article, conditions that would allow a population-level effect of SBI to occur are reviewed, including their political acceptability. It is tentatively concluded that widespread dissemination of SBI, without the implementation of
alcohol control measures, might have indirect influences on levels of consumption and harm but would be unlikely on its own to result in public health benefits. However, if and when alcohol control measures were introduced, SBI would still have an important role in the battle against alcohol-related harm.

Author: Bray JW, Zarkin GA, Hinde JM, Mills MJ.

This article summarizes the literature on the implementation costs of alcohol screening and brief intervention (SBI) in medical settings.

Authors: Field CA, Klimas J, Barry J, Bury G, Keenan E, Lyons S, Smyth BP, Cullen W.

Problem alcohol use is common among problem drug users (PDU) and associated with adverse health outcomes. Primary care has an important role in the overall stepped approach to alcohol treatment, especially screening and brief intervention (SBI). This study shows that although SBI improves health outcomes associated with problem alcohol use in the general population, further research is needed among high-risk patient groups, especially PDUs.

Authors: Lesley Graham, Tessa Parkes, Andrew McAuley and Lawrence Doi (WHO - Regional Office for Europe)

Alcohol is linked with crime, especially violent crime. Many people are incarcerated because of alcohol-related crime. Alcohol is not permitted in prisons except in a very few cases, and illicit use of alcohol in prison is not a major problem. Nevertheless, imprisonment gives an opportunity to tackle alcohol problems in prisoners, with the potential for positive effects on their families and friends and a reduction in the risk of re-offending, the costs to society and health inequalities.

This publication describes an integrated model of care for alcohol problems in prisoners, with elements for best practice. The model starts with assessment of the seriousness of prisoners’ alcohol problems, using a validated screening tool, the WHO Alcohol Use Disorders Identification Test (AUDIT), and calls for interventions tailored to prisoners’ specific needs.

Authors: Noemi Robles, Silvia Matrai, Vanesa Carral Bielsa, Joan Colom, Antoni Gual

Europe presents the highest rates of alcohol consumption per inhabitant, with an impact exceeding 6% of the DALYs lost. However, European researchers claim that most of the research in the alcohol field is conducted outside Europe. In order to assess this claim, a review of international indexed publications on alcohol marketing and availability, two cornerstones of alcohol public health policy, was performed.