Alcohol and drug use
Alcohol and drug use, in the UW PHI model of health, is within the category Health Promotion and Harm Reduction. Health promotion and harm reduction are prevention and intervention services and activities. They foster health-promoting behaviors and reduce the negative impact of behaviors, such as alcohol and drug use, physical inactivity and risky sexual activity. They include regulating systems, advocating for policies, conducting health education, monitoring wellness and disease, and connecting individuals and communities to services for prevention, treatment and recovery.
Reviewed alcohol and drug use strategies are listed below. Click on column headings to sort by strategy, approach, evidence rating, or short description. Click on the strategy name for more information.
37 results (37 unique strategies)
| Strategy ↑↓ | Health Topic ↑↓ | Approach ↑↓ | Evidence Rating ↑↓ | Short Description ↑↓ |
|---|---|---|---|---|
| Social norms campaigns on alcohol misuse among college students | Alcohol and drug use | Implement broad initiatives to reduce alcohol and drug use | Some Evidence | Provide objective, normative information to reduce college students’ misperceptions about alcohol use and, ultimately, change their drinking behavior |
| Universal school-based alcohol prevention programs | Alcohol and drug use | Implement broad initiatives to reduce alcohol and drug use | Some Evidence | Provide all students with the information and skills to prevent alcohol use; programs can be delivered via a specific curriculum or as a component of classroom behavior management |
| Adult drug courts | Alcohol and drug use | Improve access to substance use counseling and treatment | Scientifically Supported | Use specialized courts to offer adults who are charged with an offense and have substance use disorders an alternative to adjudication or incarceration |
| Alcohol brief interventions | Alcohol and drug use | Improve access to substance use counseling and treatment | Scientifically Supported | Provide information and increase motivation to change or prevent problematic alcohol consumption in a short session; also called alcohol screening & brief intervention |
| Family treatment drug courts | Alcohol and drug use | Improve access to substance use counseling and treatment | Scientifically Supported | Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance use; also called family treatment courts, family dependency treatment courts, or family drug courts |
| Medication-assisted treatment access enhancement initiatives | Alcohol and drug use | Improve access to substance use counseling and treatment | Expert Opinion | Provide medications such as methadone to individuals diagnosed with opioid use disorder in outpatient, residential, and hospital settings, usually with counseling and behavioral therapies; often called MAT |
| Alcohol taxes | Alcohol and drug use | Raise the price of alcohol | Scientifically Supported | Increase the price of alcohol via taxes levied for beer, wine, and liquor purchases |
| Drink special restrictions | Alcohol and drug use | Raise the price of alcohol | Some Evidence | Limit or ban alcohol establishments from serving alcohol at a reduced price as part of promotions; also called happy hour restrictions |
| Administrative license suspension/revocation laws | Alcohol and drug use | Reduce alcohol-impaired driving | Scientifically Supported | Enable law enforcement to immediately take the license of a driver who fails or refuses to take a chemical test for alcohol |
| Blood alcohol concentration laws | Alcohol and drug use | Reduce alcohol-impaired driving | Scientifically Supported | Set legal limits for drivers’ blood alcohol concentrations (BACs) |
| Breath testing checkpoints | Alcohol and drug use | Reduce alcohol-impaired driving | Scientifically Supported | Implement checkpoints where law enforcement officers can stop drivers suspected of drinking and driving and assess their level of alcohol impairment |
| Ignition interlock devices | Alcohol and drug use | Reduce alcohol-impaired driving | Scientifically Supported | Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration |
| Media campaigns against alcohol-impaired driving | Alcohol and drug use | Reduce alcohol-impaired driving | Some Evidence | Use mass and digital media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving |
| Designated driver promotion programs | Alcohol and drug use | Reduce alcohol-impaired driving | Insufficient Evidence | Encourage use of designated drivers via population-based mass media campaigns, incentive programs based in drinking establishments, and other efforts |
| Alcohol outlet density restrictions | Alcohol and drug use | Reduce availability of alcohol and other drugs | Scientifically Supported | Limit increases in the number and concentration of alcohol outlets by area or by population through licensing or zoning regulations |
| Alcohol days of sale restrictions | Alcohol and drug use | Reduce availability of alcohol and other drugs | Some Evidence | Limit when alcohol can be sold in bars, restaurants, and/or liquor and convenience stores; limits may apply to days or times of sale |
| Alcohol access restrictions in public places | Alcohol and drug use | Reduce availability of alcohol and other drugs | Expert Opinion | Restrict alcohol availability and use at sporting events, other public events (e.g., concerts and street fairs) and in public spaces such as parks and beaches |
| Proper drug disposal programs | Alcohol and drug use | Reduce availability of alcohol and other drugs | Expert Opinion | Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly |
| Campus alcohol bans | Alcohol and drug use | Reduce availability of alcohol and other drugs | Insufficient Evidence | Restrict alcohol consumption anywhere on a college or university campus or only in specific areas (e.g., residence halls) |
| Naloxone education & distribution programs | Alcohol and drug use | Reduce substance use harms | Scientifically Supported | Distribute Naloxone to trained community members and first responders to reverse opioid overdoses |
| Syringe services programs | Alcohol and drug use | Reduce substance use harms | Scientifically Supported | Provide sterile injection equipment and often other treatment and referral services to people who inject drugs; also called needle or syringe exchange programs and needle syringe programs |
| Fentanyl test strip distribution programs | Alcohol and drug use | Reduce substance use harms | Some Evidence | Provide free fentanyl test strips to detect the presence of fentanyl in different kinds of drugs and drug forms |
| Good Samaritan drug overdose laws | Alcohol and drug use | Reduce substance use harms | Expert Opinion | Provide immunity from arrest, charges, or prosecution for drug possession or paraphernalia when individuals experiencing or witnessing drug overdose summon emergency services |
| Dram shop liability laws | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Scientifically Supported | Hold alcohol retailers legally responsible for injuries or damage caused by providing alcohol to intoxicated or underage customers; also called commercial host liability laws |
| Enhanced enforcement of laws prohibiting alcohol sales to minors | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Scientifically Supported | Initiate or increase retailer compliance checks, shoulder tap operations, parking lot observation outside alcohol establishments for laws that prohibit alcohol sales to minors |
| Minimum drinking age laws | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Scientifically Supported | Maintain the current legal age when an individual can purchase alcoholic beverages; currently 21 years in all states |
| Alcohol advertising restrictions | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Some Evidence | Restrict the content and placement of alcohol advertisements on broadcasts, outdoor displays, internet marketing, etc. via state laws, local ordinances, industry self-regulation, or a combination of efforts |
| Prescription drug monitoring programs (PDMPs) | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Some Evidence | Use databases, housed in state agencies, to track prescribing and dispensing of Schedule II, III, IV, and V drugs and other controlled substances |
| Responsible beverage server training (RBS/RBST) | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Some Evidence | Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons |
| Social host laws | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Expert Opinion | Adopt laws that hold private property owners who provide alcohol to minors or obviously intoxicated individuals on their property liable if someone is killed or injured as a result |
| Keg registration laws | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Insufficient Evidence | Require wholesalers or retailers to record an identification number for beer kegs and a purchaser’s information (e.g., name and address, date of birth, etc.) at the time of purchase |
| Media campaigns against underage drinking | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Insufficient Evidence | Use mass media and digital media efforts to increase awareness of underage drinking and its harmful consequences |
| Sales to intoxicated persons (SIP) law enforcement | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Insufficient Evidence | Increase enforcement of laws that prohibit alcoholic beverage service to intoxicated customers, usually with fines, imprisonment, or revocation of a license |
| Seller & server minimum age | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Insufficient Evidence | Require a minimum age for sellers in off-premise locations that sell alcohol and servers and bartenders in on-premise locations |
| Retail alcohol sale privatization | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Evidence of Ineffectiveness | Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages |
| Medical marijuana legalization | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Mixed Evidence | Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs) |
| Recreational marijuana legalization | Alcohol and drug use | Support responsible marketing and provision of alcohol and other legal drugs | Mixed Evidence | Allow adults to possess a limited amount of marijuana for personal, non-medical use; often called recreational marijuana laws (RMLs) |