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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)