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Addiction. 2011 Nov;106(11):1997-2004. doi: 10.1111/j.1360-0443.2011.03573.x.

Long-term effects of a community-based intervention: 5-year follow-up of 'Clubs against Drugs'.

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1
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. johanna.abdon@sll.se

Abstract

AIMS:

To evaluate long-term effects of a multi-component community-based club drug prevention programme.

DESIGN:

A pre- (2003) and post-intervention study (2004 and 2008) design.

SETTING:

High-risk licensed premises in central Stockholm, Sweden.

PARTICIPANTS:

The intervention programme, 'Clubs against Drugs', included community mobilization, drug-training for doormen and other staff, policy work, increased enforcement, environmental changes and media advocacy and public relations work.

MEASUREMENT:

The indicator chosen for this study was the frequency of doormen intervention towards obviously drug-intoxicated guests at licensed premises. Professional male actors (i.e. pseudopatrons) were trained to act impaired by cocaine/amphetamines while trying to enter licensed premises with doormen. An expert panel standardized the scene of drug intoxication. Each attempt was monitored by two male observers.

FINDINGS:

At the follow-up study in 2008 the doormen intervened in 65.5% of the attempts (n=55), a significant improvement compared to 27.0% (n=48) at the first follow-up in 2004 and to 7.5% (n=40) at baseline in 2003.

CONCLUSION:

The 'Clubs against Drugs' community-based intervention programme, a systems approach to prevention, appears to increase the frequency and effectiveness of club doormen's interventions regarding obviously drug-intoxicated guests.

[Indexed for MEDLINE]

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