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Alcohol and Vulnerable Groups(The youth, women and the
community)
Pubudu Sumanasekara
Executive Director
Alcohol and Drug Information centre (ADIC)
Sri Lanka
16.07.2009-SDN,Thailand
Prevention activities
CAN LEAD TO REDUCED USE
CAN LEAD TO NO CHANGE
CAN INCREASE USE
EFFORTS TO REDUCE DRUG INJECTING ..
CAN LEAD TO REDUCED INJECTING
CAN LEAD TO NO CHANGE
CAN INCREASE INJECTING
EFFORTS TO REDUCE HIV TRANSMISSION
CAN LEAD TO REDUCED SPREAD
CAN LEAD TO NO CHANGE
CAN INCREASE SPREAD OF HIV
‘PARADOXICAL RESULTS’
EXAMPLES ARE AVAILABLE FROM OTHER AREAS TOO (e.g., some preventive actions for):
- SUICIDE
- REDUCING STIGMA FOR MENTAL ILLNESS
LET’S WORK OUT SOME THINGS
TRY AND FIGURE OUT FEATURES OF A ‘DRUG PREVENTION INTERVENTION’ THAT
a. Helps reduce use
b.Is ineffective
c. Makes things worse
A COMPARISONSchool A
1. Students know the law on drugs
2. There are strong punishments for drug use
3. Harm of drug use is part of the curriculum
4. Students believe drugs give great pleasure and joy
5. Students see drug users as tough or daring
School B
1. Students are not sure about the law
2. The school is rather relaxed about discipline
3. Drug use is not taught as part of the curriculum
4. Students do not think drugs cause great pleasure or joy
5. Students see drug users as weak or insecure
Which factors are likely to encourage or discourage use?
• Students know little or much about the law
• The school is strong on discipline or not
• Drug related harm is in the curriculum
• See drugs as highly pleasurable or not so
• See drug users as tough or weak
Reasons for the answer?
PREVENTING DRUG USE AMONG YOUTH
THINGS FOUND NOT TO BE EFFECTIVE
• One-off activities
• Didactic, or one-way lectures
• Providing factual information about danger
• ‘Drug user testimony’
• Teaching students to “Just say no” to drugs
Factors promoting drug use among youth (some examples)Direct promotion
Advertisements(print media, electronic media)
Sponsorships ( cultural activities, sports, musical shows, other events etc)
Indirect promotionsProduct placements
Films, soap operas
Motor Racing – Marlboro, Rothmans
Number of scenes promoting alcohol and tobacco in films continue to rise following advertising
restrictions.
Children believe what they see …!
• Only 40% parents are aware that their children imitate the heroes they see on TV.
PREVENTING DRUG USE AMONG YOUTH
Examples of required changes -
• Attractiveness of image of drug use
• Expectations of drug effects
• Image of users and non-users
• Symbolic meanings attached to use
• Seen as the norm or expected behaviour in the group
• Privileges or penalties attached to use
Example: ‘Reducing the attractiveness’
How can drug use be made less and less attractive? • Help students understand how a positive image of
these is built up.• Help them see who contributes to this image and
why.• Teach them how to reverse or counteract these• Help them to measure the progress achieved
POSSIBLE STRATEGIES
FORMAL
Discussions /assignments on:
- How drug use is made to look attractive, special, pleasurable or ‘the norm’
- How the drug trade works
- Who are students most likely to start use
INFORMAL
All these findings need to be applied to ‘informal’ or everyday life
POSSIBLE STRATEGIES..
MOST DISCUSSION SO FAR WAS ABOUT ‘CONTENT’
WE SHOULD LOOK AT “METHODOLOGY ” TOO
How should required content be delivered?
(METHODOLOGY) Our interventions must be able to engage
students Not boring compared to how promotion is
done Should become part of student culture and
not be a ‘academic topic’ Should be interesting or challenging
ACTIONS WE CAN START NOW
SEE WHAT WE CAN DO IN DAILY LIFE
(Be the change you want to see in this world)
- our own ideas about alcohol
- what we see media building up
SEE WHETHER WE CAN CHANGE A SELECTED SMALL GROUP
- a group of youth that you know
- ...............
COMMUNITY CHANGE
• GENERATING COMMUNITY ACTION THROUGH OUR OWN EXPERIENCES
• MEASURING THE PROGRESS WITH COMMUNITY PARTICIPATION
HOW CAN WE PROCEED?
CREATE POOL OF HIGHER LEVEL TECHNICAL EXPERTISE
GENERATE CORE OF ‘MASTER TRAINERS’
CONTINUE TO IMPROVE OUR OWN UNDERSTANDING
WHAT IS OUR PLAN OF ACTION?
• FOR NATIONAL RESPONSE
• FOR LOCAL EXPERIMENTATION
• FOR EACH OF US PERSONALLY
COMMON OBSTACLES
• ATTACHMENT TO THE FAMILIAR
• FEAR OF LEARNING NEW SKILLS
IMPROVING SKILLS
• MAIN SHORTCOMINGS TO BE FILLED
• TRAINING AND FEEDBACK
• CREATING USEFUL MATERIALS
THANK YOU
For more information: www.adicsrilanka.orgEmail:[email protected]