5 years ago

NAT 6/08 - THL

NAT 6/08 - THL

Nordisk alkohol- &

Nordisk alkohol- & narkotikatidskrift V o l . _ 2 5, _ 2 0 0 8_ ( _6_) , _ H e l s i n g f o r s_ Nordic Studies on Alcohol and Drugs by STAKES, the National Research and Development Centre for Welfare and Health (Finland), in co-operation with the Nordic Center for Alcohol and Drug Research (NAD). The Journal is supported by the National Institute for Alcohol and Drug Research, (SIRUS), (Norway), the Swedish Ministry of Health and Social Affairs, Alkoholpolitisk Kontaktudvalg (the Ministry of Health) (Denmark), and Alko Inc. (Finland). Editorial board M.Pol.Sc Thomas Karlsson (chair), The Alcohol and Drug Research Group, Stakes, Finland Dr.Pol.Sc Anne Line Bretteville-Jensen, SIRUS, Oslo, Norway Dr.Pol.Sc Hildigunnur Ólafsdóttir, Reykjavík Academy, Reykjavík, Iceland Professor Philip Lalander, Växjö University, Sweden M.Pol.Sc. Pia Rosenqvist, NAD, Helsinki, Finland Professor Morten Grønbæk, National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark Scientific board Salme Ahlström Franca Beccaria Anders Bergmark Thoroddur Bjarnason Kim Bloomfield Jan Blomqvist Fanny Duckert Sidsel Eriksen Norman Giesbrecht Pekka Hakkarainen Harold Holder Marja Holmila Ann Hope øyvind Horverak Guest editor Per Nilsen Editor-in-chef Editors Kerstin Stenius Matilda Wrede-Jäntti Johan Sandelin tel: +358 - (0)9 - 3967 2197 tel: +358 - (0)9 - 3967 2198 tel: +358 - (0)9 - 3967 2198 Assistant editors Dorte Hecksher, Denmark Elin Bye, Norway English language revision Mark Phillips Håkan Jenner Lennart Johansson Margaretha Järvinen Anja Koski-Jännes Mikko Lagerspetz Jacek Moscalewicz Pia Mäkelä Sturla Nordlund Thor Norström Börje Olsson Lars Oscarsson Hilde Pape Mads Uffe Pedersen Martin Stafström, Sweden Rafn M. Jónsson, Island Editorial office STAKES, P.O.Box 30, FIN-00271 Helsinki, Finland Telefax E-mail www-pages +358 - (0)9 - 3967 2052 Graphic design Anders Carpelan Subscription price: 26 EUR (200–250 DKK, NOK or SEK) 6 issues. Free copies of the English Supplement may be ordered from the editorial office, ISSN 1455-0725 Vammalan Kirjapaino oy 2008 450 NORDIC STUDIES ON ALCOHOL AND DRUGS VOL. 25. 2008 . 6 Nordic Studies on Alcohol and Drugs V o l . _ 2 5, _ 2 0 0 8_ ( _6_ ) , _ H e l s i n k i_ Matti Peltonen Mats Ramstedt Edle Ravndal Jostein Rise Anders Romelsjö Robin Room Ingeborg Rossow Ingrid Sahlin Astrid Skretting Pekka Sulkunen Christoffer Tigerstedt Jukka Törrönen Esa Österberg

Kerstin stenius Brief intervention: a multifaceted milestone in public health NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 25. 2008 . 6 Editorial in May 2008, the nordic centre for Alcohol and Drug Research (NAD) arranged a seminar on Nordic experiences with the implementation of brief intervention programs. In the call for papers, the organizer noted that ”the question of how to prevent risky alcohol consumption and reduce the negative effects of alcohol consumption has become socially more important with increasing consumption levels in most, even if not all, Nordic countries and with diminishing possibilities of using effective policy means.” In the light of this, interest in brief intervention has been growing. “However, in the early 2000s it seemed that even if brief intervention measures were effective there were many obstacles to implementing them in practice in the health and welfare services.” A comparison of Nordic experiences might shed more light on the nature of these obstacles and how they can be tackled. At about the same time, an evaluation of WHO-sponsored projects to implement brief intervention in South Africa and Brazil was ready to be reported. It seemed a worthwhile idea to expand the comparative scope and gather experiences from the South and the North into one journal issue, which you now hold in your hands. In at least two aspects these remote parts of the world seem similar: alcohol consumption is connected with a large burden of disease in these regions and they are not part of the Anglo-American world that dominates so much of the research on this topic. The reports from Denmark, Finland, Norway, Sweden, Brazil and South Africa are complemented by an article describing the history of brief intervention (Olaf Aasland et al.), and another article reviewing research on efficacy, effectiveness and dissimenation of screening and brief intervention programs in health care and other settings (Per Nilsen et al.). To conclude, there follow reflections on the social meaning of brief intervention in a historical and comparative perspective (Thomas Babor). 451

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