Drug Rehab and Alcohol Rehab

http://www.bbc.co.uk/news/health-11138535

Research is demonstrating that problem drinking is more prevelent in some parts of the country compared with others (see above link to BBC news article).   Recent research published by the North West Public Health Observatory has found some stark regional divisions, with two thirds of alcohol related harm occuring in the north. 

Health minister Lord Howe said the government was already taking action to stop the sale of alcohol below cost and to review alcohol taxation and price.  However he acknowledged that increasing the cost of alcohol alone will not tackle the huge amount of alcohol related health problems and crime our nation is experiencing:

“Supply and price are not the only factors fuelling misuse though, attitudes are crucial. We need to understand better the psychology behind why different groups of people drink too much. Legislation or initiatives will not work unless we have a better understanding of what drives people’s decisions.”

What are your thoughts?

http://www.bbc.co.uk/news/uk-10784060

‘24-hour drinking culture failed’.

Home Secretary Theresa May said: “The benefits promised by the 24-hour drinking ‘cafe culture’ have failed to materialise and in its place we have seen an increase in the number of alcohol related incidents and drink fuelled crime and disorder.”

This comes before an expected plan to overhaul licensing laws to tackle alcohol related violent crime, which has increased since the implementation of 24-hour drinking.

The new laws are intending to support local communities and to punish those venues that are deemed to facilitate violent crimes.

Does it come as a surprise to you that the 24-hour drinking laws in the UK have not produced any benefits, but rather caused more problems? Do you think the concerns about trying to encourage a cafe culture should have been considered more carefully before the laws were passed or is it only with hindsight we can see what a failure this concept has been?

Do you know how many units your usual pint contains or how many are in a high ABV% glass of wine?  How often do you drink more the recommended daily units?  Do you think you could accurately estimate how many units you drink in a week or would you be surprised by the real figure?…

Whilst different drinks vary in size and strength, below is a rough guide to how may units of alcohol are in what you are drinking:

Beer, Lager and Cider:

4% - 330ml Bottle = 1.3 units,  440ml Can = 1.8 units, 568ml Pint = 2.3 units

5% - 330ml Bottle = 1.7 units,  440ml Can = 2.2 units, 568ml Pint = 2.8 units

6% - 330ml Bottle - 2.0 uniits, 440ml Can = 2.6 units, 568ml Pint = 3.4 units

9% - 330ml Bottle - 3.0 units,  440ml Can = 4.0 units, 568ml Pint = 5.1 units

Spirits (40%):

25ml Small Measure - 1.0 units, 35ml Large Measure - 1.4 units (multiply by two for double measures)

Wine (red, wine, rose or sparkling):

10% - 125ml Small Glass = 1.25 units, 175ml Standard Glass = 1.75 units, 250ml Large Glass = 2.5 units

           Bottle = 7.5 units

11% - 125ml Small Glass = 1.4 units,   175ml Standard Glass = 1.9 units,   250ml Large Glass = 2.8 units

           Bottle = 8.3 units

12% - 125ml Small Glass = 1.5 units,   175ml Standard Glass = 2.1 units,   250ml Large Glass = 3.0 units

           Bottle = 9 units

13% - 125ml Small Glass = 1.6 units,   175ml Standard Glass = 2.3 units,   250ml Large Glass = 3.3 units

           Bottle = 9.8 units

14% - 125ml Small Glass = 1.75 units, 175ml Standard Glass = 2.5 units,   250ml Large Glass = 3.5 units

           Bottle = 10.5 units

(http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_084637.pdf)

http://news.bbc.co.uk/1/hi/health/10207827.stm

The link above refers to a story published this morning on the BBC website. The story advises that a health watchdog has now backed the call for a minimum price per unit of alcohol in the UK.

Do you agree with opinion such as that of Dr Robin Purshouse of Sheffield University that raising the  cvminimum price per unit of alcohol will result in fewer alcohol related deaths and hospital admissions and alcohol related crime OR do you agree with opinions such as that of Simon Litherland of Diageo GB: “Minimum pricing, self evidently, is not going to address alcohol misuse by heavy drinkers because people logic alone tells you that people who have a problem are going to go to any end to actually obtain alcohol.”

http://news.bbc.co.uk/1/hi/health/8599878.stm

The above link is to a BBC news story written in regard to hospital staff providing sensible drinking advice to patients coming back for follow up appointments after treatment for an alcohol related injury.  The Royal College of Surgeons of England suggest that outpatient clinic visits offer an opportunity for nurses to motivate people to drink sensibly and to offer advice about alcohol services should their patients require additional support.

“Janet Davies, from the Royal College of Nursing, said that it had recently accredited a training course to help nurses intervene at the right moment.   She said: “The time nurses spend with patients during follow-up appointments provides a valuable window of opportunity to encourage people to think about whether they might be drinking too much and to signpost them to further information and advice.”

Do you think that this step will help reduce the number of alcohol related A&E hospital admissions?

http://www.telegraph.co.uk/news/newstopics/politics/scotland/6262963/Two-thirds-of-Scottish-ambulance-weekend-call-outs-linked-to-alcohol.html

The above link refers to an article published in the Telegraph regarding the number of Scottish ambulance weekend calls out that are related to alcohol. The article discusses the statistics that suggest that two thirds of weekend ambulance call outs are directly related to alcohol.

The Scottish Ambulance Service complained that these cases were delaying medics’ response times to real emergencies and gave it’s backing to ‘any initiative’ that would see the numbers drop.

“SNP ministers hailed the figures as support for their controversial plan to introduce a minimum price for alcohol, mooted at 40p per unit”.

“This would increase the price of cheap lager and cider brought in shops and supermarkets, but most beverages purchased in pubs and clubs already cost more than this threshold”.

“Cathy Jamieson, the Scottish party’s health spokesman, said: “This situation cannot be allowed to continue because if ambulance crews are attending to drunks they may not be available for a genuine emergency.”

Over the last few weeks numerous reports regarding ‘freshers week’ drinking have been aired on the television, heard on the radio and read about on the internet. Some stories have focused on the fact that first year university students can go out on a pub crawl expecting to buy a pint for a £1 and a shot for as little as 20p. Other broadcasts have looked at the ‘chaperone’ service that pub crawl leaders (older students) are offering, I.e. having fun and drinking responsibility, and whether it is actually possible with low drink prices and inexperienced teenagers. Whilst others argue that going to 10 pubs at a pound a pint is not drinking responsibly. Some news reports have touched on the facts that some of the older student population drink as irresponsibly as those in their first few weeks despite having more experience of drinking and university life.

The problem with generalising about freshers week is that whilst there appears to be a general trend in 18 year old students getting heavily intoxicated, this is not limited to freshers week and nor does it extend to all new students. The mentally of 18 years old moving into halls having never been away from home before and never experienced drinking alcohol before can perhaps mean that they are not equipped to cope with the inevitable (?) binge drinking that is likely to ensue, but surely that applies to everyone, regardless of whether they go to uni or not? Do you think that first week university binge drinking is a major problem, or like some of the students (new and old) that have been answering blogs all over the UK – is it just a right of passage? And if so, are you agreeing that the beneficial consequences (sociality, experience….) outweigh the negative consequences (alcohol poisoning, hospital admissions, accidents…)

http://news.bbc.co.uk/1/hi/health/8225029.stm

“English holidaymakers are turning to drink on their breaks with the average adult consuming eight alcoholic drinks a day, a survey suggests. That equates to 80 drinks over the course of an average holiday, to well over 200 units of alcohol. More than a quarter said they ended up drinking three times more than normal. But 70% of the 3,500 adults questioned by the Department of Health said they plan to make September the ‘new January’ by cutting back.”

Above is a section of an article published on the BBC website. The article mainly discusses how the English population over indulge when they go on their summer holidays and plan to cut back in September (the ‘new January’).

The advice is:

“Cutting back on alcohol for September is a great place to start; if you find yourself drinking all or most days of the week, start by taking at least two days off each week.”

The basic notion of the article is to find a healthy balance – which in my mind, with all the recent reports about the dangers of binge drinking, does not equate to binging for the whole of your summer holiday and then take a few days off in September. This is a cynical and one dimensional interpretation of a generally good piece of advice, however I am wondering how this sort of information is interpreted by those who do drink 200 units (or more) during their summer break? The article advises that a quarter of the 3,500 involved in the survey stated that they consume three times as much alcohol when on holiday compared to when at home. Although statistics can be misleading, taking the figures from this article, that is suggesting that even when at home some people are drinking 67 (200/3) units per week, which is still way over what the NHS advise is good for us:

So, should we be more concerned about people who overindulged on holiday where booze is likely to be cheap and free flowing or the 10 million people who regularly exceed (and often quadruple) the recommended daily amount of alcohol from the comfort of their own homes?

http://news.bbc.co.uk/1/hi/scotland/north_east/8170813.stm

The above links refers to ‘Tokyo’: a 18.2% abv, £9.99 bottle of beer recently launched by the Scottish brewery, BrewDog. BrewDog says launching such drinks will help to reduce binge drinking:

Whilst Alcohol Focus Scotland chief Executive Jack Law has warned that high alcohol percentage beer could cause as much damage as drinking more lower percentage beers:

What do you think? Are drinks like ‘Tokyo’ adding to or solving a massive problem?

It is vitally important to take into consideration that whilst there are a number of people who can drink sensibly, there are also a large number of people in the UK who have alcohol addictions – an alcohol addiction is not defined by how much you drink or what you drink, but rather how your drinking impacts you life. Thus, one person could drink 3 cans of low percentage lager per night and experience problems attending work, maintaining relationships and develop health problems. Someone who drinks 3 large glasses of whiskey a night is no more of an alcoholic than the person who drinks lager because the abv % is higher in whisky – it all depends on how the alcohol affects your life. Which is why some people drink regularly and can stop and why others can’t stop, but drink in physically and psychologically damaging binge cycles.

http://www.guardian.co.uk/theguardian/2009/jul/25/gary-reinbach-alcoholic-madeline-hanshaw

Above is a link to an article published in The Guardian over the weekend that writes about Gary Reinbach, a 22 year old who died from liver failure last week. The article discusses his mothers experience of her son’s drinking and ultimately his death as well as more general issues, such as should an alcoholic be given a liver transplant if there is a chance they may start to drink again? Surely there is always a chance that an addict will return to drinking or using, but they deserve the opportunity to get into recovery and that requires specialist help.

As Gary’s mother discusses and reject, the population have attributed a far proportion of blame to her for Gary’s death, but it is also clear that if Gary was eligible for a transplant he may well still be alive, so who should decide if someone should or should not be given a second chance? A key point is that if more alcoholics were treated in suitable rehab clinics then there would not be so much demand for livers or indeed so many alcohol related deaths.

What is most shocking about this tragic story is that a man aged 22 years old could die from a condition that is widely associated with older people who have 40 years old alcohol abuse under their belts. Indeed, even Dr Nick Sheron, a liver specialist has been shocked by the number of liver failure cases he has seen in young people.

“What Luke and his mates have discovered the hard way is what liver specialists like Dr Nick Sheron, of Southampton General hospital, have been saying for some time: that young people who abuse alcohol heavily will suffer the same consequences that older people who’ve been abusing it for many years do; in other words, their livers will fail.

The lost of this young man’s life not only highlights the severity of alcohol abuse, but also emphasises the need for people who are experiencing problems with alcohol to seek help no matter how old they are.