STAD-project (Stockholm Prevents Alcohol and Drug Problems)
This research studied the effects of a community alcohol prevention program on violent crimes. Starting in 1996, a 10-year multicomponent program based on community mobilization, training in responsible beverage service for servers and stricter enforcement of existing alcohol laws has been conducted in Stockholm, Sweden. The project has been led by an action group consisting of members from the hospitality industry and the authorities.
- Community mobilization
- RBS training of servers
- Stricter enforcement
During the intervention period, violent crimes decreased significantly by 29% in the intervention area.
The intervention seems to have been successful in reducing violent crimes. This effect is most likely due to a combination of various policy changes initiated by the project. The findings support the notion that community action projects working on a local basis can be effective in decreasing alcohol-related problems at licensed premises.
Visitors of licensed premises
Hospiltality industries, authorieties and local politicians, doormen, servers, restaurant owners.
- Server training: effects on rating to serve intoxicated people, reduction in alcohol-related traffic crashes.
- Enforcement: effective in achieving a reduction in alcohol problems when they are measured as alcohol service intoxicated pseudopatrons.
- Multicomponent interventions: effect on alcohol-related traffic crashes and reduction in violent crimes.
- Combination: increases the potential to decrease alcohol problems at licensed premises.
Violent crimes decreased by 29% in the intervention area since the start of the program. In the control area there was a slight increase in reported crimes in the same period, which was also observed for national levels of crime.
The cost of the programme was estimated at Euro 796 000. The average cost of a violent crime was estimated at Euro 19 049, which implies overall savings of Euro 31.314 million related to the judicial system (78%), production losses (15%), health care issues (5%) and other damages (2%). Accordingly, the base case cost-saving ratio was 1 : 39. The average loss of health state weighting among the victims at 0.09 translates into 236 gained QALYs for society as a whole, which should be compared with the modest proportion of savings in the health sector.The most significant concern is the low response rate (35%), and caution needs to be exercised when interpreting our results. Yet, a reasonable conclusion is that the monetary and human benefits have been considerable.
Wallin, E., Normstrasson, S. (2003). Alcohol Prevention targeting licensed premises: a study of effects on violence. Journal of studies on Alcohol and drugs, 64, 270-277.
Mansdotter et al. (2007). A cost-effectiveness analysis of alcohol prevention targeting licensed premises. European Journal of Public Health, 17 (6), 618-623.
An abstract for this journal article can be found in the HNT literature section here.