Post on 08-Jan-2018
description
Evidence based prevention -The Icelandic ModelJÓN SIGFÚSSON
ICSRA
©ICSRA 2015
42
32
26 26 25
1814
75
23
16 1412 12 10
73 3
17
12 129 9 7
9 6
0
10
20
30
40
50
1998 2000 2002 2004 2006 2008 2010 2012 2015
%
Drunk last 30 days Daily smokingCannabis once or more
Substance use decrease amongst 15-16 year old adolescents
Substance Use Amongst European Youth (ESPAD, 2011)
Youth in Europe until 2015
The role of research
Indicators for 15 – 16 year oldHealth status indicators, anxiety, depressive symptoms, physical health status, lifestyle and leisure time activities, local community networks, negative life events and strain, parents and family, peer group economic and psychological issues, studies and school, substance use, values and attitudes, violence and delinquency, and more…
The twofold use of research 1. Scientific
2. Practical
The scientific role of research1. In depth analysis of the data2. Over 70 peer reviewed publications3. Science forms the platform for practice
The practical role of research1. Data collections on substance use regularly through schools2. Practical descriptive reports immediately to the municipalities3. Local information INTO all levels of prevention work is KEY
Prevention approach background
Upward trend 1992 - 1998
15,1
20,722,8
7,29,6
17,4
0
5
10
15
20
25
30
1992 1993 1994 1995 1996 1997 1998
%
Smoke daily Have tried hashish
1998 At this point of time research had already showed us that certain circumstances and behaviour in the lives of adolescents were strongly connected with use
We tried to establish the risk and protective factors
The main risk and protective factors
Extracurricularactivities, sports
And analysing deeper
Extracurricularactivities, sports
Time spent with parents SupportMonitoringControl
Positive and negative effects.How we as parents approach the peer groupStaying outside lateHanging out in malls
Inside and outside of school, at home, bullying e.t.c.
Organized activitiesvs.
unorganized
1998 Drug-free Iceland Based on these findings a research based action plan was initiated by the government with the aim to try out a totally new methodology in substance use prevention
Obviously, what we had been doing before, was not working.
Police – frighten – ugly advertising campaigns – try to make children be responsible for their own well being
Aim of Drug-free Iceland• To change the actual behaviour of youth and not only their attitudes• Change the life-style environment of our children so that they would be in lesser risk of substance use
The methodology
Our focus is primary prevention• Primary prevention, preventing the development of substance use before it starts.• Secondary prevention, that refers to measures that detect substance use• Tertiary prevention efforts that focus on people already abusing substances
Main actions: Based on research findings
Examples of local actions1. Research as a basis for policy and actions2. Strengthen parent organizations and co-operation with schools3. Support extracurricular activities / sports4. Support active NGOs’5. Support young people at risk inside schools6. Anti smoking / drinking campaigns7. Strengthen social capital
Examples of national actions1. Legal age of adulthood raised from 16 to 18 years2. Age limits to buy tobacco and alcohol (18 and 20)3. Strict regulations for sellers of tobacco and alcohol4. Advertising ban of tobacco and alcohol5. Restricted access to buying alcohol and tobacco6. Rules on outside hours for adolescents7. Visibility ban of tobacco and alcohol
Tobacco and chewing gum
Peanuts and Gin
The scientific isolation needed to be broken
The researchers “guru” approach
Focus on close community• An average figure on alcohol use in Lithuania does not help prevention workers in Kaunas for example.• “Average” doesn´t tell all the story!• Local information is a key element in primary prevention.• Importance of schools in data collections
School importance in local context In order for prevention workers to be able to work locally:• Important that as many schools as possible take part• Without good cooperation with schools – local work is hard• Makes it possible to address local issues• Pupils who attend different schools can be very different
The way we work now
What is gained?Less health problemsLess crime / imprisonmentsLess social benefits costLess unemploymentLess rehabilitation costLess broken families etc., etc.
In general for the past 15 years• Regular monitoring in cooperation with schools• Strengthened the protective factors• Weakened the risk factors
…and substance use is going down
42
32
26 26 25
1814
7
5
23
16 1412 12 10
73 3
17
12 129 9
7
96
0
10
20
30
40
50
1998 2000 2002 2004 2006 2008 2010 2012 2015
%
Drunk last 30 days Daily smoking Cannabis once or more
Thank you 2015