Prevention of alcohol related problems by Yapa Wijeratne
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Prevention of alcohol related problems by Yapa Wijeratne

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This was presented as a student presentation on the Seminar on Alcoholism for 2nd year medical students.

This was presented as a student presentation on the Seminar on Alcoholism for 2nd year medical students.

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Prevention of alcohol related problems by Yapa Wijeratne Prevention of alcohol related problems by Yapa Wijeratne Presentation Transcript

  • Yapa Wijeratne
    Faculty of Medicine
    University of Peradeniya
    Sri Lanka
    Prevention of alcohol related problems
  • Problems in brief …..
    Psychological
    Mental illness- alcohol dependency
    Psychiatric disorders to develop and an increased risk of suicide
    Emotional & physical abuse of children
    Severe cognitive problems
    Social
    Domestic violence
    Conflicting with neighbours
    Break up of the family units
    Social isolation
    Poverty
    Effects on children education
  • Physical
    Cirrhosis
    Pancreatitis
    Epilepsy
    Polyneuropathy
    Alcoholic dementia
    Heart disease
    Nutritional deficiencies
    Sexual dysfunction
    Increased risk of developing cardiovascular disease,
    Malabsorption
    Cancer
    Damage to the central nervous system and peripheral nervous system can occur fromsustained alcohol consumption.
  • Prevention of
    Psychological problems
    Physical problems
    Social problems
  • Available sources of alcohol
  • The supply or availability of alcohol can be reduced by:
    Controls of production and trade
    Controls on distribution and sales (regulating the number of licensed outlets and their hours of opening; drinking age laws)
    Not issuing any liquor license to open new liquor shops.
    All possible measures to stop the production of illicit liquor.
    Increasing the price of alcoholic drink by taxation.
    Decrease the amount of liquor being imported.
    Banning or restricting advertising of alcohol.
  • Measures to reduce the demand for alcohol include:-
    Health Education-MOST IMPORTANT
    Promotion of alternatives to alcoholic drinks
    Provision of alternatives to drinking as a leisure-time occupation
    Reducing incentives to drinking by controls on advertising and promotion of alcohol.
  • Guidelines for parents to prevent alcohol abuse amongst adolescents-Parental attention on their children
    Helping young people with mental health problems.
  • What are the effective alcoholprevention strategies?
    Demystification.
    Demonstrating no advantages in alcohol use.
    Changing social reality/social milieu.
    Deglamorize the alcohol use.
  • DEMYSTIFICATION
    Programmes should focus on people and their reasons for alcohol use, rather than the psycho pharmercological actions of alcohol.
    Some people say that they use alcohol to forget problems, to relax, for enjoyment, as an appetizer, to enhance creativity and for many other reasons.
    But none of this is a pharmercological or chemical effect of ethyl alcohol.
    Therefore, it is important to discuss how people falsely identify that alcohol is beneficial and then break those falsely held social beliefs.
  • DEMONSTRATING NO ADVANTAGES IN ALCOHOL USE
    Alcohol industry tries to illustrate a positive side of alcohol use. The alcohol users, along with a large fraction of the society however think that a moderate use of alcohol is beneficial.
    Some scientists who are in the alcohol industry payroll make statements that are biased towards to wards the industry to promote alcohol.
    There is no good scientific evidence to support the idea that moderate use of alcohol is beneficial.
    Alcohol prevention programmes should demonstrate that there are no advantages what so ever in alcoholuse.
  • CHANGING THE SOCIAL REALITY
    Since the creation of the positive image of alcohol is a social phenomenon, its reversal too has to be through social change.
    Programmes should examine and identify the rituals, symbolic meanings and other social learning influences which make alcohol experience positive and change these social attitudes.
    Alcohol promoting influences may differ form culture to culture.
    Therefore when planning a prevention strategy it is necessary that the alcohol promoting culture to be clearly identified.
  • DEGLAMORIZE THE ALCOHOL USE
    Prevention programmes should be aimed at creating a social milieu which ridicules the alcohol use and recognizes it as,
    • boring and uninteresting,
    • unpleasant even at an optimum level
    • a little silly and stupid.
  • ALCOHOL PREVENTION PROGRAMMES
    Alcohol prevention programmesshould be based on group learning process. This is slow, but allows people to discover things for themselves, hence, it is a more effective approach to change the behaviour.
    The whole programme would be designed to demystify and deglamorize alcohol use.
    The programme should take a low key profile and where possible give a positive message.
    This way advantage can be taken by the “sleeper” effect, which has been shown to produce a higher degree of behaviour molding than other more concerned arousing methods.
  • So if ultimately the total prevention of alcoholism is never realistically going to be achieved
    Manage alcoholics
    In order to prevent the problems to the society & to him.
  • Management
    Medications
    A variety of medications may be prescribed as part of treatment for alcoholism.
    E.g.Antabuse (disulfiram),Temposil (calcium carbimide),Naltrexone,Campral
    Detoxification
    Alcohol detoxification or 'detox' for alcoholics is an abrupt stop of alcohol drinking coupled with the substitution of drugs, such as benzodiazepines, that have similar effects to prevent alcohol withdrawal.
    Group therapy and psychotherapy
  • Thank you.
  • Note:
    This was done as a student presentation using photographs & content from various web sites & textbooks on the assumption of fair usage for studying & is for NON-COMMERCIAL purposes.