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EFFECTIVE AND COST-EFFECTIVE MEASURES TO REDUCE ALCOHOL MISUSE IN SCOTLAND: AN UPDATE TO THE LITERATURE REVIEW

Anne Ludbrook
Health Economics Research Unit, University of Aberdeen
May 2004

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Contents

EXECUTIVE SUMMARY
Aim of the study
Methods
Effectiveness review - Main findings
Cost-effectiveness review - Main findings
Conclusions
Recommendations
SECTION ONE: Introduction
Summary
Background
Aims
Structure of the report
SECTION TWO: Methods
Summary
Introduction
Methods
SECTION THREE: Policy and legislation
Summary
Introduction
Fiscal policy
Drink drive legislation
Evidence of cost-effectiveness
Licensing
Advertising controls
Quality and relevance of evidence
Further research
SECTION FOUR: Enforcement
Summary
Introduction
Legal drinking age
Cost-effectiveness
Server training
Further research
SECTION FIVE: Prevention
Summary
Introduction
School-based interventions
Other health promotion interventions
Cost-effectiveness
Further research
SECTION SIX: Screening and detection
Summary
Introduction
Screening questionnaires
Cost-effectiveness
Further research
SECTION SEVEN: Brief interventions
Summary
Introduction
Effectiveness of brief interventions
Cost-Effectiveness
Further research
SECTION EIGHT: Detoxification
Summary
Introduction
Cost-effectiveness
Further research
SECTION NINE: Relapse prevention
Summary
Introduction
Effectiveness of relapse prevention
Cost-effectiveness
Modelling of results for Scotland
Further research
SECTION TEN: Other issues
Summary
Introduction
Effectiveness studies
SECTION ELEVEN: Conclusions and recommendations
Introduction
Review conclusions
Implementation issues
Recommendations
REFERENCES

Acknowledgements and disclaimer. This research was funded by the Scottish Executive Health Department. HERU receives core funding from the Chief Scientist Office, Scottish Executive Health Department. The views expressed here are those of the author and should not be attributed to any of the funding bodies.

Scottish Executive note: this update of the literature review follows the publication of the original report, 'Effective and cost-effective measures to reduce alcohol misuse in Scotland: a literature review' (2001). This report is available at the following web address: http://www.scotland.gov.uk/health/alcoholproblems/docs/lire-00.asp

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