Addiction Recovery

Alcohol and the Community: A Systems Approach to Prevention by Harold D. Holder

By Harold D. Holder

An individual's selection to take advantage of alcohol and the frequency, volume, and occasions of use are the results of a mix of organic and social components. ingesting is not just a private selection, but additionally an issue of customized and social habit, and is stimulated via entry and monetary components together with degrees of disposable source of revenue and value of alcoholic drinks. until eventually prevention efforts stop to concentration narrowly at the person and start to undertake broader group views on alcohol difficulties and methods to minimize them, those efforts will fail. the writer demanding situations the present implicit types utilized in alcohol challenge prevention and demonstrates an ecological viewpoint of the group as a fancy adaptive procedure composed of interacting subsystems. this significant quantity represents a brand new and good method of the prevention of alcohol dependence and alcohol-related difficulties.

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Example text

Consumption is the source of demand for alcohol in the Retail Sales Subsystem. In turn, the demand for alcohol is affected by retail sales practices, as described in Chapter 3. The Consumption Subsystem also is influenced by the community's social values or norms related to drinking, including the levels of consumption considered socially acceptable. In general, where drinking is more acceptable, it is more widespread, and average consumption is higher. In turn, the prevailing level of alcohol consumption in the community reinforces the norms for acceptable levels of drinking.

It seeks to provide a conceptual model of the overall community system and to assist those interested and responsible for alcohol problem prevention to recognize: (1) The total system. (2) Those forces that affect prevention but cannot be influenced by prevention strategies. (3) Those factors that can be influenced in order to reduce problems. 28 Community system of alcohol use and problems Chapters 2 to 7 describe the six major subsystems of the community system, and explain how each subsystem influences alcohol use and alcohol-involved problems as it interacts with other subsystems.

The consumption of alcohol creates demand for alcohol as a retail product and thus stimulates the Retail Sales Subsystem. In turn, the Retail Sales Subsystem creates the opportunity for marketing and purchase of alcohol, thus stimulating consumption. Patterns of drinking influence patterns of drinking and driving, thus providing input to the Legal Sanctions Subsystem. Injuries and death caused by drinking and driving, together with other alcohol-involved chronic and acute health and safety problems in the community, provide input to the Social, Economic, and Health Consequences Subsystem, such as demand for emergency and inpatient hospital treatment and health services.

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