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

By Harold D. Holder

An individual's selection to exploit 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 in addition an issue of customized and social habit, and is inspired via entry and fiscal elements together with degrees of disposable source of revenue and price of alcoholic drinks. till 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 versions utilized in alcohol challenge prevention and demonstrates an ecological viewpoint of the neighborhood as a fancy adaptive procedure composed of interacting subsystems. this crucial quantity represents a brand new and brilliant method of the prevention of alcohol dependence and alcohol-related difficulties.

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3) In the US and Canada, consumption is likely to decrease among men in their early twenties. (4) Mean consumption typically is lower among women than among men throughout the life course; men's per-occasion consumption is highest in the late teens and early twenties. (5) Among US women, the stability of consumption per typical drinking occasion increases with age; the older the woman, the more likely her consumption during a typical occasion will remain the same over intervals ranging from 1 to 21 years.

Computer modeling is a research and policy evaluation technique that has been used for at least three decades to investigate problems and changes in problem indicators as a result of system-level shifts in conditions. For further discussion of the principles and methods of systems dynamics, see Forrester, 1969, and Pugh, 1973. For a more general discussion of computer simulation, see Law & Kelton, 1982, Payne, 1982, and Hamilton et al, 1969. Causal models can play an especially important role in the social sciences, where controlled experiments are not appropriate or possible.

This subsystem also responds to the demand for social and health services related to drinking, and permits a community to track increases (or decreases) in provision of health and social services related to drinking. This aspect of the subsystem is concerned with such information as number of patients, treatment facilities and costs, waiting-list sizes, and average time in treatment. Subsystem interactions By reviewing the characteristics and internal dynamics of each of these subsystems, we develop a perspective of the community system.

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