Aims

To support the free and open dissemination of research findings and information on alcoholism and alcohol-related problems. To encourage open access to peer-reviewed articles free for all to view.

For full versions of posted research articles readers are encouraged to email requests for "electronic reprints" (text file, PDF files, FAX copies) to the corresponding or lead author, who is highlighted in the posting.

___________________________________________

Saturday, February 24, 2007

News Release - February 22, 2007 -


Juvenile Probation Officers Call for New Responses to Teen Drug and Alcohol Use

A report by Reclaiming Futures probation recommends a ground-breaking approach to help teens in trouble with drugs and alcohol and crime

FOR IMMEDIATE RELEASE
February 22, 2007
Contact: Mac Prichard
macp@pdx.edu;
503-725-8921

Portland, OR (February 22, 2007) – A national group of probation officers is recommending that juvenile justice leaders take 10 steps to break the cycle of teen drug use and crime. The officers, part of the Reclaiming Futures program funded by The Robert Wood Johnson Foundation and housed at Portland State University, issued their call to action in a new report, Juvenile Probation Officers Call for New Responses to Teen Drug and Alcohol Use and Dependency.

“We know teen alcohol and drug use is linked to juvenile crime. Yet, few alcohol-and-drug-involved teens in the system get the help they need,” said Laura Nissen, Reclaiming Futures national program director and associate professor at Portland State University Graduate School of Social Work. “Reclaiming Futures offers these young people more treatment, better treatment designed for their age group, and greater access to services beyond treatment such as mentors and jobs that will help them flourish in the community and stay out of trouble.”

The report, written by a group of juvenile probation officers with extensive experience in juvenile justice, outlines practical steps for other officers to follow in order to make changes in their own juvenile justice systems. The findings are based on the Reclaiming Futures model tested in 10 communities during the past five years. The ground-breaking approach screens each teen that enters the juvenile justice system for drug and alcohol problems, assesses the severity of their drug and alcohol use, and provides prompt access to a treatment plan coordinated by a service team. Reclaiming Futures also connects teens with employers, mentors, and volunteer service projects.

“This report is written by juvenile probation officers for other officers, treatment providers, family service agencies, policy makers and community leaders who work with teens in trouble with the law,” said Jeff Bidmon, a juvenile justice fellow for Reclaiming Futures and probation officer in Santa Cruz County Probation Department. “It draws on our success with Reclaiming Futures and is chock full of practical ideas and steps any community can use.”

The report offers 10 recommendations for juvenile justice practitioners who want to adopt the Reclaiming Futures approach, such as: collaborating with mental health providers, alcohol and drug treatment professionals, school administrators and community partners; knowing which services are available and appropriate for drug-involved youth; tailoring interventions based on the teen’s strengths, risk and needs; supporting staff to continue to learn about effective substance abuse treatment; promoting funding for family advocacy, wrap-around services and mentoring; and collecting and sharing data to help all agencies involved in this effort.

Juvenile Probation Officers Call for New Responses to Teen Drug and Alcohol Use and Dependency can be read in its entirety at www.reclaimingfutures.org.

About Reclaiming Futures
Reclaiming Futures is a $21 million initiative of the Robert Wood Johnson Foundation located in Anchorage, Alaska.; Santa Cruz, Calif.; Chicago, Ill.; four counties in Southeastern Kentucky; Marquette, Mich.; the state of New Hampshire; the Sovereign Tribal Nation of Sicangu Lakota in Rosebud, South Dakota; Dayton, Ohio; Portland, Ore.; and Seattle, Wash. In its fifth year, an evaluation conducted by the Urban Institute and the University of Chicago indicates the program has significantly improved the quality of juvenile justice and substance abuse treatment services across the 10 communities. Reclaiming Futures is housed in the Graduate School of Social Work at Portland State University. To learn more, visit www.reclaimingfutures.org.

About the Robert Wood Johnson Foundation
The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 30 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. For more information, visit www.rwjf.org.

###

News Release - February 20, 2007 -


Robert Wood Johnson Foundation Expands Reclaiming Futures

RWJF approves $6.5 million for future support of 10 Reclaiming Futures pilot sites and to help new sites implement the model.


FOR IMMEDIATE RELEASE
Feb. 20, 2007
Contact: Mac Prichard
macp@pdx.edu;
503-725-8921

Robert Wood Johnson Foundation expands Reclaiming Futures, citing success in helping teens break the cycle of drugs, alcohol and crime

Interested communities encouraged to apply to implement Reclaiming Futures model.

Portland, OR (February 20, 2007) -- The Robert Wood Johnson Foundation (RWJF) today announced a national expansion of its Reclaiming Futures initiative, housed at Portland State University, citing the program’s success in getting more services to teens in the justice system who are struggling with drugs and alcohol.

The 10 communities that have piloted Reclaiming Futures over the past five years reported significant improvements in the quality of juvenile justice and substance abuse treatment services, according to research conducted by the Urban Institute and the University of Chicago’s Chapin Hall Center for Children.

The RWJF board approved $6.5 million to support the 10 pilot sites for two more years and to help additional new sites implement the Reclaiming Futures model over the next four years. The expanded effort also will create a national resource center to provide data, case studies and other information to even more communities seeking to improve drug and alcohol services for justice-involved youth.

“By spreading Reclaiming Futures across the country, we are creating a national movement that can make a vital difference in the health of youth and their families,” said Kristin Schubert, RWJF program officer for Reclaiming Futures. “These pilot communities are leading the way.”

The Reclaiming Futures model combines system reform, treatment improvement and community engagement to help teens in the justice system get off drugs and alcohol. Teens who enter the justice system with serious drug and alcohol problems rarely receive treatment, even though research shows that young people who use drugs and alcohol are more likely to end up in trouble with the law, behave violently, or drop out of school.

Key elements of the Reclaiming Futures model include screening and assessing teens for drug and alcohol problems; assembling a team to develop a personal care plan; training drug and alcohol treatment providers in evidence-based practices that work with teens; providing family support; and involving community members as mentors and role models to provide the support teens need.

Beginning in 2002, 10 communities helped create and test the Reclaiming Futures model: Anchorage, Alaska.; Santa Cruz, Calif.; Chicago, Ill.; four counties in Southeastern Kentucky; Marquette, Mich.; the state of New Hampshire; the Sovereign Tribal Nation of Sicangu Lakota in Rosebud, South Dakota; Dayton, Ohio; Portland, Ore.; and Seattle, Wash.

“During the past five years, we have created a new national standard of care in juvenile justice,” said Laura Nissen, Reclaiming Futures national program director and associate professor at Portland State University Graduate School of Social Work. “With this new grant, our 10 original pilot projects can refine the model they created, new sites can help test ways to implement this approach, and eventually dozens of other communities can use what we learn to change the way juvenile courts work with teens with drug and alcohol problems.”

Nissen said Reclaiming Futures will invite applications from communities interested in participating as one of the new pilot sites. Successful applicants will be selected in the summer of 2007 and will receive technical assistance, on-site coaching, educational materials and invitations to national conferences and workshops. Application forms will be posted on the Reclaiming Futures Web site in late spring.

About Reclaiming Futures
Reclaiming Futures is an initiative of the Robert Wood Johnson Foundation that offers a new approach to helping teenagers caught in the cycle of drugs, alcohol and crime. Reclaiming Futures is housed in the Graduate School of Social Work at the Regional Research Institute at Portland State University. To learn more, visit www.reclaimingfutures.org.

About the Robert Wood Johnson Foundation
The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 30 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. When it comes to helping Americans lead healthier lives and get the care they need, the Foundation expects to make a difference in your lifetime. For more information, visit www.rwjf.org.

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Contributor: Don Phillips
News Release - February 22, 2007
Minorities More Likely to Receive Alcohol Counseling


Release Date: February 22, 2007, 4:00 PM US Eastern time

Minorities More Likely to Receive Alcohol Counseling
By Valerie DeBenedette, Contributing Writer
Health Behavior News Service


A study has found that African-American and Hispanic adults have twice the odds of reporting receiving counseling about alcohol use from a physician, compared with white adults. What causes this disparity in counseling is not known, but this may be a rare instance of minority populations receiving better and more appropriate health care than the majority.

However, the finding may also mean that physicians are more likely to assume that African-Americans and Hispanics have alcohol issues. “Yet blacks are less likely to be binge drinkers than whites,” said study author Kenneth Mukamal, M.D., an associate professor at Harvard Medical School and an internist at Beth Israel Deaconess Medical Center in Boston.

The study evaluated data from an extensive national telephone survey performed in 1999. More than 15,000 people took part in the survey. Participants were asked about their alcohol use, among other topics, and about what preventive counseling services they received.

Compared with non-Hispanic whites, the odds of being counseled about alcohol use were 1.83 for non-Hispanic blacks and 2.17 for Hispanics — roughly twofold higher.

The study appears in the March issue of the journal Alcoholism: Clinical and Experimental Research.

When Mukamal analyzed survey results for diet counseling, he found no substantial difference in the odds of receiving such counseling based on race or ethnicity, suggesting that the disparity in counseling about alcohol use did not extend to other preventive health counseling issues.

According to Mukamal, a difference in who gets alcohol counseling can lead to false excess reporting of alcohol abuse among blacks and Hispanics and may mean that problems with alcohol use are being missed among whites. “This will lead to perpetuation of stereotypes,” he said.

“Everyone visiting the doctor should have this conversation, especially those with chronic conditions, regardless of their race or ethnicity,” said Luisa N. Borrell, Ph.D., assistant professor of epidemiology with Columbia University’s Mailman School of Public Health. “In contrast, it is interesting that the study also reports that there was no racial or ethnic difference in receiving diet counseling when the prevalence of overweight or obesity is higher among minorities.”

It would be naive to disregard the possibility of racial bias or stereotype toward blacks and Hispanics in medical settings and assume that the difference in who gets counseling about alcohol use is coincidental, Borrell said.

Doctors should be asking about alcohol use, but should be asking about it across the board, Mukamal said.

# # #

FOR MORE INFORMATION
Health Behavior News Service: Lisa Esposito at (202) 387-2829 or hbns-editor@cfah.org

Alcoholism: Clinical and Experimental Research: Contact Mary Newcomb at (317) 375-0819 or mnewcomb-acer@earthlink.net or visit www.alcoholism-cer.com

Mukamal KJ. Impact of race and ethnicity on counseling for alcohol consumption: a population-based, cross-sectional survey. Alcohol Clin Exp Res 31(3), 2007.

FOR MORE INFORMATION:
Health Behavior News Service: (202) 387-2829 or www.hbns.org.

Center for the Advancement of Health
Health Behavior News Service
Contact: Lisa Esposito, Editor
202.387.2829
hbns-editor@cfah.org

Contributor: Don Phillips

ICAA Jubilee Conference
Stockholm 2007 10-15 June 2007


Stockholm
Programme

The conference will be an ideal platform to critically review the progress made in different fields of addiction practice and research over the past century and to share expectations, recommendations and projections for coming decades . Don't miss this great opportunity for dialogue and exchange with practitioners, scientists, policy makers and politicians from a broad variety of professional backgrounds from around the world.

Elements

Monday, Tuesday, Wednesday and Thursday morning will each see two consecutive plenary sessions , where researchers and practitioners will review the state of the art of different subjects, discuss their implementation and give an outlook on possible future directions. The early afternoon will offer a range of selected “contributed papers” that discuss specific issues related to the themes of the plenaries or present practical examples. During the rest of the afternoon several parallel session of the ICAA Sections will host other contributed papers.

Friday is devoted to study visits at prevention, research and treatment centres.

Plenary Sessions

The plenary sessions cover several important themes. The major goal off the plenary presentations is to give a review of the state of the art, but also to look forward at implications as well as future directions. We are very proud over our long list of excellent plenary speakers.

Download Plenary Sessions (PDF File) »

Major Sessions


The first parts of the afternoons will highlight some essential themes in Major sessions. This will give a unique possibility to learn more about these themes and to exchange knowledge with experienced presenters.

Download Major Sessions (PDF File) »


ICAA Sections


ICAA Section meetings in the second part of the afternoon will host any other reviewed contributed paper accepted for oral presentation.

ICAA Sections regroup researchers and practitioners who share particular fields of interest in the following areas:
Addiction, HIV and AIDS
Alcohol and Drug Treatment
Alcohol, Drugs and the Justice System
Alcohol Education
Alcohol Policy
Alcohol and Drug Problems in Business and Industry
Drug Prevention
Epidemiological Research on Drug and Alcohol Related Issues
Ethnic Dimensions of Addiction
Focus on Women and Gender Issues
Gambling Addiction
Information and Dissemination
Primary Health Care Providers
Psychology
Social Work
Therapeutic Communities and Tobacco Dependence

If there are several papers related to other themes we may create more sections at an ad hoc base.

Social Events

All social events are included in the conference fee.


Norra Latin Conference CentreSunday
Opening Session and Reception at the Norra Latin City Conference Centre

The City HallTuesday
Reception at the City Hall of Stockholm hosted by the City of Stockholm and the Stockholm County Council

Nobel DinnerWednesday
ICAA Jubilee & Awards Dinner

Friday, February 23, 2007

GENACIS
Gender, Alcohol and Culture: an International Study

Management of substance abuse

Publications

Alcohol, Gender and Drinking Problems: Perspectives from Low and Middle Income Countries

This book is a product of the multinational collaborative project on "Gender, Alcohol and Culture: an International Study" (GENACIS). It addresses significant issues on gender and alcohol and presents data from eight low and middle income countries.

PREFACE
This book presents data and addresses significant issues on gender and
alcohol in eight low and middle income countries where such data are often
not available. The book is a product of the multinational collaborative
project on "Gender, Alcohol and Culture: an International Study"
(GENACIS). GENACIS was funded by the European Commission, the U.S.
National Institute on Alcoholism and Alcohol Abuse (NIAAA), the Swiss
Office of Education and Science, the German Federal Ministry of Public
Health, the World Health Organization, government agencies and other
sources in individual countries.

The study was conceived by the International Research Group on
Gender and Alcohol (IRGGA), a group of researchers affiliated with the
Kettil Bruun Society for Social and Epidemiological Research on Alcohol
(KBS). Beginning with a few countries in 1999, GENACIS grew to include
projects in more than thirty countries and 50 researchers, all united by a
common interest in seeking greater understanding of gender and alcohol
issues.

GENACIS uses a centralized data analysis and standardized measures
to assess the differences between men and women within and across
cultures in the following areas:
• patterns and contexts of drinking;
• prevalence of alcohol problems;
• the experience of drinking-related violence in close relationships;
• how social inequalities and social roles influence drinking and
heavy alcohol consumption;
• the relationship of societal-level factors (e.g., gender equality,
drinking culture norms) to drinking and alcohol-related problems.
The study grew out of earlier projects in Europe and the U.S. and seeks
to clarify further the factors associated with men's and women's drinking
and alcohol-related problems.

GENACIS is truly an international project; participating countries are
drawn from all parts of the world, especially from countries where harmful
use of alcohol poses a threat to public health and social welfare. Funding
provided to WHO by the Government of Valencia, Spain, made it possible
for countries in low and middle income countries to participate in the
project. These countries are Argentina, Costa Rica, India, Kazakhstan,
Nigeria, Sri Lanka and Uganda. There are also ongoing WHO-funded
projects in three countries in the region of the Americas.

The papers published in this book report data from six of these
countries and from two other countries (Brazil and Mexico) participating
in GENACIS. Each paper addresses a particular issue of relevance to the
country and provides a general overview of drinking and alcohol problems.

All papers evolved through a series of revisions after consultations with
and reviews by a team of experts associated with the project. These experts
and lead authors participated in group discussions held in Berlin, Krakow,
and Helsinki during GENACIS steering committee meetings or the annual
conference of the Kettil Bruun Society.

GENACIS is one of several projects on alcohol by the Department of
Mental Health and Substance Abuse that are designed to enhance our
understanding of alcohol problems and provide the basis for effective
interventions. This product from the GENACIS project will serve as a
valuable resource to researchers, service providers, policy-makers,
students and all those engaged in work on alcohol and public health, and
contribute to shaping a global response to the harmful consequences of
alcohol.

Dr Benedetto Saraceno
Director
Department of Mental Health and Substance Abuse

- Download [pdf 2.73Mb]




Does matching matter? Examining matches and mismatches between patient attributes and therapy techniques in alcoholism treatment

Addiction (OnlineEarly Articles).
Published article online: 19 Feb 2007

RESEARCH REPORT

  • 1Integrated Substance Abuse Programs, University of California, Los Angeles, CA, USA and 2Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USA
Mitchell P. Karno, Integrated Substance Abuse Programs, UCLA-ISAP, 11075 Santa Monica Blvd, Suite 200, Los Angeles, CA 90025, USA. E-mail: karno@ucla.edu

ABSTRACT

Aims This study assessed the predictive validity of the level of matching and mismatching between patients' personal attributes and aspects of outpatient psychotherapy they received.

Design and participants On the basis of patient-by-treatment interactions observed for this sample in previous research, patients with alcohol abuse or dependence (n = 137) were designated retrospectively as being matched, unmatched or mismatched on each of four patient and treatment variable pairings. These pairings included (1) patient depressive symptoms and therapy emotion focus, (2) patient trait anger and therapy confrontation, (3) patient interpersonal reactance and therapy confrontation and (4) patient interpersonal reactance and therapy structure.

Measurements Analyses of variance and logistic regression were used to assess the individual and additive effects of being matched and mismatched on the percentage of abstinent days (PDA) and recovery status in the year after treatment.

Findings Being mismatched on any of the four patient–treatment pairings was a significant predictor of more frequent alcohol use post-treatment. Being matched on only two pairings predicted less frequent alcohol use, namely matches on therapy emotion focus with patient depressive symptoms and therapy structure with patient reactance. Matches appeared to optimize otherwise good outcomes, while mismatches had larger effect sizes and tended to predict relatively poor outcomes. The data supported the presence of an additive effect for mismatches on post-treatment PDA. The group with the most mismatches fared considerably worse than a group with fewer mismatches. Several matches and mismatches also predicted recovery status, with some support found for additive effects.

Conclusions Mismatches between patient attributes and treatment appear to have serious consequences, and this effect is magnified with multiple mismatches. Matches, on the other hand, while beneficial, may not be necessary to achieve good outcomes.


Delay discounting and the alcohol Stroop in heavy drinking adolescents

Addiction (OnlineEarly Articles). 19 Feb 2007

RESEARCH REPORT

  • Matt Field ,
  • Paul Christiansen ,
  • Jon Cole &
  • Andrew Goudie
  • School of Psychology, University of Liverpool, Liverpool, UK
Matt Field, School of Psychology, University of Liverpool, Eleanor Rathbone Building, Bedford Street South, Liverpool L69 7ZA, UK. E-mail: mfield@liverpool.ac.uk

ABSTRACT

Aims To investigate whether adolescent heavy drinkers exhibit biased cognitive processing of alcohol-related cues and impulsive decision making.

Design A between-subjects design was employed.

Setting Classrooms in a single sixth-form college in Merseyside, UK.

Participants Ninety adolescent students (mean age 16.83 years), of whom 38% were identified as heavy drinkers and 36% were identified as light drinkers, based on a tertile split of their weekly alcohol consumption.

Measurements Participants provided information about alcohol consumption before completing measures of alcohol craving, delay discounting and an 'alcohol Stroop' in which they were required to name the colour in which alcohol-related and matched control words were printed.

Findings Compared to light drinkers, heavy drinkers showed more pronounced discounting of delayed hypothetical monetary and alcohol rewards, which is indicative of a more short-term focus in decision making in heavy drinkers. Heavy drinkers were also slower to colour-name alcohol-related words, which indicates an attentional bias for alcohol-related cues. In all participants, measures of delay discounting and attentional bias were correlated moderately with each other, and also with the level of alcohol consumption and with alcohol craving.

Conclusions In adolescents, heavy alcohol use is associated with biased attentional processing of alcohol-related cues and a shorter-term focus in decision making.

Discrepancies in estimates of prevalence and correlates of substance use and disorders between two national surveys


RESEARCH REPORT


  • 1Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA and 2Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Rockville, MD, USA
Richard A. Grucza, Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Box 8134, St Louis, Missouri 63110, USA. E-mail: rick@tci.wustl.edu

ABSTRACT

Aim To assess the degree to which methodological differences might influence estimates of prevalence and correlates of substance use and disorders by comparing results from two recent surveys administered to nationally representative US samples.

Methods Post-hoc comparison of data from the 2002 National Survey on Drug Use and Health (NSDUH) with data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) administered in 2001–02.

Results Prevalence estimates for all substance use outcomes were higher in the NSDUH than in the NESARC; ratios of NSDUH to NESARC prevalences ranged from 2.1 to 5.7 for illegal drug use outcomes. In the NSDUH, past-year substance use disorder (SUD) prevalence estimates were higher for cocaine and heroin, but were similar to NESARC estimates for alcohol, marijuana and hallucinogens. However, prevalence estimates for past-year SUD conditional on past-year use were substantially lower in the NSDUH for marijuana, hallucinogens and cocaine. Associations among drug and SUD outcomes were substantially higher in the NESARC. Total SUD prevalence did not differ between surveys, but estimates for blacks and Hispanics were higher in the NSDUH.

Conclusion A number of methodological variables might have contributed to such discrepancies; among plausible candidates are factors related to privacy and anonymity, which may have resulted in higher use estimates in the NSDUH, and differences in SUD diagnostic instrumentation, which may have resulted in higher SUD prevalence among past-year substance users in the NESARC.

Ehlers Group to Participate in New Underage Drinking Prevention Research


The Scripps Research group of Associate Professor Cindy Ehlers will help design, implement, and evaluate a new program recently funded by a three-year, $1.5 million grant from the National Institutes of Health (NIH). The grant was awarded to a team from: The Prevention Research Center in Berkeley, The Scripps Research Institute in La Jolla, and the Indian Health Council in Pauma Valley, California. The Indian Health Council is the primary provider of medical services to Native Americans in nine North County reservations. The aim of the grant is to build a program of primary care services and community action to prevent underage drinking in Native American young people.

Underage drinking is a major problem nationally as well as in some rural Native American communities. Dr. Ehlers' recently published studies have demonstrated that youth who begin drinking before the age of 13 may have as much as an 85% chance of developing alcohol dependence in their lifetime. It appears that the older a young person is when they start drinking the less likely they are to develop alcohol dependence.

Young people between the ages of 8 and 21 as well as parents, community members, schools, law enforcement, and healthcare systems in Pauma Valley and Santa Ysabel, California, will participate in designing and testing the program to prevent underage drinking. The program will involve assessing drinking and its negative consequences, treatment for alcohol problems, and a community-wide program to limit access to alcohol by youth living on the nine north county reservations and surrounding rural areas.

The research is funded by the NIH's National Institute on Alcohol Abuse and Alcoholism (NIAAA) and National Center on Minority Health and Health Disparities. Findings may ultimately have wider application not only to rural Native American communities but also to other rural communities as well.

Legislation a good start to curb teens' alcohol use

Opinion

Mercury News Editorial

Most Californians know alcohol abuse by teenagers is a problem. But they don't understand its scope.

Underage drinking remains -- by far -- the No. 1 health and safety risk for young people, greater than drug abuse and teen pregnancy combined. Underage drinking is not only the top contributor to teen deaths, but studies show that it also costs Californians an estimated $7.3 billion a year, or roughly $2,000 for every youth in the state.

Newly elected San Jose Assemblyman Jim Beall, who worked on the issue as a Santa Clara County supervisor, is advocating for the state to implement a comprehensive, coordinated plan to attack teen drinking. But it will take years to develop. So the Democrat is starting the effort in a small way, by introducing legislation to restrict the sale and marketing of so-called fruit-flavored ``alcopops'' that are popular with teenagers, especially girls.

The Legislature should pass Beall's bill. It would ensure that businesses separate alcopops from non-alcoholic beverages on their store shelves and make it clear that these products -- which carry cutesy names such as Hooper's Hooch and Mike's Hard Lemonade -- have labels that clearly identify their contents, including the amount of alcohol. And the Legislature should also pass Assemblywoman Lori Saldana's companion bill that would tax these drinks at the same level as distilled spirits, which would further discourage sales to teens and provide about $50 million a year to launch an expanded campaign to discourage underage drinking. Currently they are taxed like beer, which drops the price for a six pack by about $1.50.

The beverages are not taxed as distilled spirits because they are brewed like beer. Then manufacturers add distilled alcohol, sweeteners and food coloring to make them appeal to new, younger drinkers. Regardless of the formula, they should be taxed at the higher rate to help discourage use by raising the price.

The alcohol industry is fighting the legislation, arguing that overall teen drinking numbers are in decline, as are overall sales of what it prefers to call flavored malt beverages.

But even in ``decline,'' the American Medical Association reports in a 2004 study that one out of every three young girls has tried alcopops, and that one out of every six teen girls had been sexually active after drinking.

And, even if teen girls exaggerated the level of their experimentation in the survey, the impact of teen drinking on California and Santa Clara County is indisputable.

The county can afford to treat only one out of every 14 youths with an alcohol abuse problem. Yet teen drinkers are more than twice as likely to abuse alcohol than those who begin drinking at age 21, resulting in hundreds of millions of dollars in social costs. Babies with fetal alcohol syndrome born to teen mothers, for example, cost California more than $150 million every year.

Robert Garner, director of the Santa Clara County Department of Alcohol and Drug Services, calls the level of teen drinking one of the greatest outrages in the state. If the non-treatment level was for any other disease, the outcry would be enormous.

Beall and Saldana's bills won't solve the larger problem, but they're a good first step toward keeping alcohol out of the hands of underage drinkers.

Contributor: Peggy Seo Oba


Store signage to teach women about fetal alcohol Syndrome


Boise, Idaho -- State lawmakers heard arguments concerning a bill that would force anyone who sells liquor to post signs that warn about fetal alcohol syndrome. Officials say kids who have been affected cost the Department of Health and Welfare about $5 million, but at the top of their list of issues is the damage that alcohol is doing to unborn children.

"In the United States, alcohol consumption during pregnancy is the number one preventable cause of birth defects," said Rep. Sharon Block (R-Twin Falls).

Block spoke to the House Health and Welfare Committee, discussing a bill she co-wrote which would force businesses like restaurants, grocery stores, and liquor stores to post signage -- spelling out the dangers of drinking when pregnant.

"Alcohol produces the most serious neuro-behavioral effects when compared to other drugs, including heroine, cocaine, and marijuana," said Block.

Block says in her career as a teacher, she saw these problems far to often, even among kids in her class.

"Poor coordination, hyperactive behavior, learning disabilities, developmental disabilities, mental retardation, or low I.Q.s," Block said.

Many in attendance said they generally favored the idea of educating pregnant mothers about fetal alcohol syndrome, even members of the Idaho Retailers Association.

The only concern was the idea of additional signage.

"Pretty soon the whole store will just be labels everywhere," said Pam Eaton, president of the Idaho Retailers Association.

As a pregnant mother herself, Eaton believes most women are already well aware of the dangers. They're warned about it and other issues like drinking caffeine and eating fish every time they visit the doctor.

She's afraid this is just one more thing that will really only affect the stores that the signs will be forced upon.

"And we already have so many regulations, and we're being asked to lock things up behind counters and get ID's for various things," Eaton explained.

But according to Block, the signage is at least a good place to start in hopes of turning at least a few pregnant women away from taking that next drink.

"These beautiful children suffered various forms of mental and behavioral impairment. And committee members, this could have been completely prevented," Block said.

Should the bill eventually become law, you could begin seeing signs above beer coolers, as shelf tags in wine sections, and even in the restrooms of some of your favorite restaurants.

Contributor: Peggy Seo Oba
NIDA Unveils its First Consumer Publication to Explain the Science of Addiction

February 22, 2007

“Drugs, Brains, and Behavior: The Science of Addiction” was unveiled last week by the National Institute on Drug Abuse (NIDA). The 30-page full-color booklet explains in layman's terms how science has revolutionized the understanding of drug addiction as a brain disease that affects behavior and was released in conjunction with HBO´s ADDICTION documentary. NIDA hopes this new publication will help reduce stigma against addictive disorders.

“Thanks to science, our views and our responses to drug abuse have changed dramatically, but many people today still do not understand why people become addicted to drugs or how drugs change the brain to foster compulsive drug abuse,” said NIDA Director Dr. Nora D. Volkow. “This booklet aims to fill that knowledge gap by providing scientific information about the disease of drug addiction in language that is easily understandable to the public.”

The “Science of Addiction” booklet discusses the reasons people take drugs, why some people become addicted while others do not, how drugs work in the brain, and how addiction can be prevented and treated. Like diabetes, asthma or heart disease, drug addiction is a chronic disease that can be managed successfully. Treatment helps to counteract addiction's powerful disruptive effects and helps people regain control of their lives. The new booklet points out that just as with other chronic diseases, relapses can happen. The publication further explains that relapse is not a signal of treatment failure - rather, it indicates that treatment should be reinstated or adjusted to help the addict fully recover.

The new publication was unveiled at a press briefing for the upcoming HBO documentary called Addiction, to air Thursday, March 15 from 9:00 to 10:30 p.m. ET/PT. The 90-minute program, produced in partnership with the Robert Wood Johnson Foundation, NIDA, and the National Institute on Alcohol Abuse and Alcoholism (NIAAA), is aimed at helping Americans understand addiction as a treatable brain disease, as well as spotlighting new medical advancements.

“The Science of Addiction” can be viewed and downloaded as a PDF file on NIDA’s Web site.

Contributor: Don Phillips



Mental Health Parity Bill Headed for Passage at Last



Bazelon Center Mental Health Policy Reporter

Volume VI, No. 1, February 22, 2007


Mental Health Parity Bill Headed for Passage at Last

The new Congress seems poised to finally address the disparity between surgical/medical and mental health/substance abuse coverage by private insurers. After many years of effort by the mental health community, a Senate committee has approved a bill for mental health parity in the private health insurance market. The Senate Health, Education, Labor and Pensions Committee approved, by an 18-3 vote, the “Mental Health Parity Act of 2007” (S. 558).

The bill, sponsored by Senators Edward Kennedy (D-MA) and Pete Domenici (R-NM), reflects a number of compromises made with groups representing employers and insurers that have in the past strongly opposed mental health parity.

S. 558 builds on the Mental Health Parity Act of 1996, which required parity in lifetime limits, to require parity between medical/surgical benefits and mental health/substance abuse benefits with respect to day and visit limits, co-payments, deductibles and other financial and treatment limitations. The bill applies to businesses with 50 or more employees, but would not require any employers to offer mental health or substance abuse coverage. However, if a plan does include a mental health/substance abuse benefit, then that benefit must be at parity.

When a plan includes a mental health/substance abuse out-of-network benefit, that benefit must also be at parity (however, the health plan may limit coverage to in-network services and need not include any out-of-network benefits). The mental health benefit may also be subject to separate reimbursement or provider-payment rates and service delivery systems and can be managed in order to ensure the medical necessity of the service.

The bill includes language allowing an exemption for plans that experience significant increases in costs due to implementation of this parity benefit. In such a case, if a plan’s total costs increase by 2 percent or more, the parity requirements would not apply to the plan for one plan year. Following that initial year, if the parity rules increases total costs by 1 percent in any later year, the plan would again be exempt for one plan year.

In addition to creating this uniform parity requirement across all plans, S. 558 would override some aspects of state parity laws. Pre-empted would be aspects of state parity laws that address day and visit limits, payment rates, medical necessity/managed care issues and cost-exemption provisions.

However, the bill would not pre-empt other aspects of state law, particularly laws that mandate mental health coverage. Plans that are required by state law to have a mental health benefit would not only have to continue to meet that requirement but would also have to meet the requirements of S. 558 with respect to day/visit limits, co-payments, deductibles, and other financial and treatment limitations. The rules in S558 regarding payment rates, service delivery systems and managed care would also apply to those benefits in those states.

S. 558 does not address a politically difficult issue, the definition of mental health and substance abuse benefits. Instead, it allows these terms to be defined in each plan. Where these terms are defined in state law, this bill does not pre-empt them.

In the House, Representatives Patrick Kennedy (D-RI) and Jim Ramstad (R-MN) continue to champion mental health parity and are expected to re-introduce their parallel legislation, The Paul Wellstone Mental Health Parity Act.

Contributor: Don Phillips

Twice as many Scots die from drink than in rest of the UK



LYNDSAY MOSS HEALTH CORRESPONDENT
  • Executive publishes updated alcohol action plan
  • Ministers stress role of personal responsibility in combatting ill-health
  • 15 of 20 highest alcohol-related death areas of UK are in Scotland

Key quote
"As the chief medical officer said in his most recent annual report, alcohol-related harm is one of the top public health concerns in Scotland. Everyone has a role to play in changing our drinking culture." - ANDY KERR, HEALTH MINISTER

Story in full SCOTS are twice as likely to suffer an alcohol-related death as people in the rest of the United Kingdom, research revealed yesterday.


As the Scottish Executive outlined its latest efforts to tackle the nation's deadly relationship with drink, official figures showed the extent of the battle they face.

Fifteen of the 20 local authority areas with the highest alcohol-related male death rates were in Scotland, with Glasgow top of the league with 83.7 deaths per 100,000.

The figures also revealed wide variations across Scotland, with Aberdeenshire reporting a death rate only a sixth of that in Glasgow.

Scotland's poor record on alcohol-related ill-health has been long known, but critics have attacked what they see as political inaction over the issue.

In response, ministers have stressed the part that personal responsibility must play in combating alcohol abuse, while promising improved education and schemes to improve awareness of sensible drinking.

Previously published figures showed there were 2,372 alcohol-related deaths in Scotland in 2005, an increase of 72 per cent since 1995.

The Office for National Statistics analysed geographical variations in drink-related death rates in the UK between 1998 and 2004, revealing wide differences between Scotland and the rest of the UK.

In 2002-4, there were 39.1 alcohol-related deaths per 100,000 men in Scotland, compared with a UK figure of 17.4. Among Scots women, the rate was 15.7 per 100,000, compared with 8.1 for the UK.

Fourteen of the worst areas in the UK for women's alcohol- related deaths were in Scotland, with Glasgow again leading the way on 30.9 per 100,000, followed by Dundee on 22.2.

The lowest rate for women in Scotland was in East Renfrewshire, at seven per 100,000.

Jack Law, the chief executive of Alcohol Focus Scotland, said: "We need to ask what is so different about Scotland's drinking culture, compared with the rest of the UK. Forty-five Scots are now dying because of drink every single week.

"Much more work needs to be done to reach people in the most deprived social groups, because they are most likely to die from alcohol abuse."

Professor Peter Brunt, vice president of the Royal College of Physicians of Edinburgh, said the figures should provide a stark warning.

"It is evident that Scotland has a significantly higher level of alcohol-related deaths across all age groups, in males and females, and regardless of where we live.

"We cannot afford to remain complacent and believe that alcohol-related health problems are the preserve of 'alcoholics' or binge drinkers. Alcohol can adversely affect us all."

The British Medical Association said that the low cost of alcohol needed to be addressed to cut deaths and ill-health.

"Doctors want to see an end to the ridiculous pricing of alcohol for off-sales." Peter Terry, the chairman of BMA Scotland, said. "When alcohol is cheaper than bottled water, we have to worry about what message we are sending our children."

Shona Robison, the health spokeswoman for the SNP, said: "These figures make highly disturbing reading for us all.

"It's a national tragedy that Scotland's record of alcohol- related deaths is now twice as bad as anywhere else in the UK, and that the situation is worsening, not improving."

Nanette Milne, the Scottish Conservatives' health spokeswoman, said more action was needed to address alcohol abuse. "Every six hours, someone in Scotland dies from alcohol abuse," she said.

"These stark statistics are the most visible consequence of the damage that excessive drinking can create - but behind the figures are real lives that have been destroyed and grieving families devastated."

Andy Kerr, the health minister, admitted yesterday there was "no silver bullet" to solve Scotland's alcohol woes as he published the updated alcohol action plan.

A spokesman for the Scottish Executive said the problems were well recognised.

"As the chief medical officer said in his most recent annual report, alcohol-related harm is one of the top public health concerns in Scotland.

"Everyone has a role to play in changing our drinking culture," he said.

Fresh action plan 'not enough' despite launch of helpline

A PHONE service to help problem drinkers, and more awareness campaigns, were announced yesterday in a bid to combat alcohol abuse.

Andy Kerr, the health minister, published the long-awaited update to Scotland's alcohol action plan of 2002. But he faced criticism that the new plan had changed little, and had failed to address issues such as the low cost of alcohol.

A new telephone line will be tested to support people with a possible alcohol problem.

This could mean that if a doctor or nurse finds out that someone in A&E has been injured as a result of alcohol, the patient could be referred for help before it gets worse.

Mr Kerr also revealed plans to roll-out a test purchasing scheme to crack down on retailers selling to under-18s, following a successful pilot in Fife. Youths aged under 18 are sent into shops to see if they can buy alcohol. If they can, a shop could lose its licence.

The Executive also published a partnership agreement signed by brewers such as Tennent Caledonian promising to look at ways to tackle alcohol misuse.

But Jack Law, chief executive of the Alcohol Focus Scotland, said the agreement was "rather vague" and repeated initiatives already under way.

The plan also came under fire from the Scottish Grocers' Federation, which said it failed to deliver on previous promises for a national proof-of-age scheme.

Big rise in number of young people killed by heavy drinking



By Jeremy Laurance, Health Editor

Published: 23 February 2007

The alcopops generation are drinking themselves to death, latest figures show.

Drink-related deaths among 15 to 34-year-olds have increased by almost 60 per cent since 1991. The Office for National Statistics (ONS), which published the figures yesterday, said 198 men and 89 women in this age group died from alcohol poisoning or cirrhosis of the liver in 2004.

Overall, deaths from drinking have doubled in the past 13 years to 8,221 in 2004. These do not include road accidents and other injuries caused by alcohol.

At all ages the death rate among men is twice that for women and the gap between the sexes is widening. Scotland is the worst affected region with a death rate twice that for the rest of the UK.

The Institute of Alcohol Studies said the figures underlined the need to discourage young people from drinking. Director Andrew McNeill said: "Alcohol consumption is going up in Britain, and going down in countries such as France and Italy, because alcohol is cheaper and available at more outlets in this country than ever before. We live in the age of 24-hour licensing and the booze cruise. The consequence is that younger and younger people are appearing in hospital with alcohol-related illnesses."

Jack Law, chief executive of Alcohol Focus Scotland, said: "Forty five Scots are now dying because of drink every single week. We need to ask what is so different about Scotland's drinking culture, compared with the rest of the UK."

The figures came as the Scottish Executive unveiled its Alcohol Action Plan to target binge-drinking. Scotland's health minister, Andy Kerr, announced that a crackdown on owners of licensed premises selling alcohol to under-age drinkers would be rolled out across Scotland.

Alcohol-related death rates were five times higher among men in the most deprived areas and three times higher among women. Mr Law said: "Much more work needs to be done to reach people in the most deprived social groups because they are most likely to die from alcohol abuse."

Glasgow had the highest alcohol-related death rate among both men and women. Fifteen of the 20 local areas with the highest death rates were in Scotland, with three in England and two in Northern Ireland. Wales was the only country to have no local areas with a very high death rate.

Surveys have shown little change in the number of men reporting drinking more than 21 units a week or women drinking more than 14 units. The ONS says it is possible that the rise in deaths is related to binge drinking or changes in the type of alcohol consumed, especially by the young.

The Government changed its guidelines on sensible drinking in 1995 from weekly to daily benchmarks - three or four units a day for men and two or three for women - to tackle binge drinking. Surveys since have shown no change in the number of binge drinkers, but researchers say they are unreliable because heavy drinkers tend to underestimate how much they drink.

22 February 2007

Alcohol-related death rate highest in Scotland


Health Statistics Quarterly Spring 2007

In Scotland, the alcohol-related death rates for males and females
were around double the rates for the UK as a whole in 2002-
2004, according to new analysis published today by the Office for
National Statistics in Health Statistics Quarterly 33 (Spring 2007).

Across the UK as a whole, the alcohol-related death rate for
males was double the rate for females, and the gap between the
sexes has widened since 1991.

These are among the conclusions of a study of the geographical
variation in alcohol-related death rates in the UK between 1991
and 2004.

In 2004 there were 8,221 alcohol-related deaths in the UK, almost
double the total of 4,144 in 1991.

Among both men and women, the alcohol-related death rate rose
most rapidly among those aged 35 – 54 between 1991 and 2004,
though the death rate for both sexes was highest in the 55 – 74
age group.

At a local level, Glasgow City had the highest alcohol-related
death rate among both men and women in 1998-2004. Fifteen of
the 20 UK local areas with the highest male alcohol-related death
rates were in Scotland, with three in England and two in Northern
Ireland. Merthyr Tydfil, the highest-ranked local area in Wales,
was 50th in the UK.

For women, 14 of the top 20 local areas were in Scotland, with
four in England and two in Northern Ireland. Denbighshire was
the highest-ranking Welsh local area, at 26th in the UK.


Issued by
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Press Office 020 7533 5702
Public Enquiries 0845 6013034
Internet
www.statistics.gov.uk/releases
Next publication date
May 2007

Thursday, February 22, 2007



Forging the Link Between Alcohol Advertising and Underage Drinking








By: Rebecca L. Collins,

Phyllis L. Ellickson,

Daniel F. McCaffrey,

Katrin Hambarsoomians


This research brief shows that alcohol advertising appears to promote adolescent drinking and suggests that school drug prevention programs can blunt the impact of alcohol ads on youth.

Key findings:
  • Alcohol advertising appears to promote adolescent drinking.
  • Different kinds of ads have different effects depending on a youngster’s prior alcohol use.
  • Children recognize certain alcohol advertisements at an early age.
  • School drug prevention programs can blunt the impact of alcohol ads on youth.

Links to online versions of this document are available below.

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Relationship Between D2 Receptors SPECT and the Apomorphine Test in Patients With OH Dependence (ALC-DRD2-APO)

This study is currently recruiting patients.
Verified by Hospital University Vall d'Hebron February 2007

Sponsored by: Hospital University Vall d'Hebron
Information provided by: Hospital University Vall d'Hebron
ClinicalTrials.gov Identifier: NCT00437177

Purpose

OH dependence is associated with DA receptor changes. Both, the apomorphine test and the D2Rec SPECt are usefull for monitoring DA receptor status. We aimed at studying whether DA receptor hypofunction, assessed by means of the apomorphine test and the D2Rec SPECT, is a marker of relapse in detoxified OH dependents patients.
Condition Intervention Phase
Alcoholism
Drug: apomorphine
Drug: [(123)I] iodobenzamide
Phase II

MedlinePlus related topics: Alcoholism

Study Type: Interventional
Study Design: Non-Randomized, Open Label, Uncontrolled, Single Group Assignment

Official Title: Relationship Between D2 Receptors SPECT and the Apomorphine Test in Patients With OH Dependence: Predictive Value for Relapse

Further study details as provided by Hospital University Vall d'Hebron:

Expected Total Enrollment: 50

Study start: January 2007
Last follow-up: January 2007

Eligibility

Ages Eligible for Study: 25 Years - 60 Years, Genders Eligible for Study: Male
Criteria

Inclusion Criteria:

  • alcohol dependence
  • alcohol dependence length at least 8 years.
  • male
  • age 25 - 60 years

Exclusion Criteria:

  • other drug dependence (except nicotine dependence)
  • another major axis I psychiatric diagnosis
  • comorbid neurological disorder
  • comorbid cardiovascular disorder
  • comorbid metabolic disorder
  • brain injury
  • apomorphine allergy
  • iode allergy
  • diazepam allergy

Location and Contact Information

Please refer to this study by ClinicalTrials.gov identifier NCT00437177
Xavier Castells, MD xcc@icf.uab.cat
Miquel Casas, Prof mcasas@vhebron.net

Spain, Catalonia
Psychiatry Service, Hospital Universitari Vall d'Hebron, Barcelona, Catalonia, 08036, Spain; Recruiting
Xavier Castells, MD xcc@icf.uab.cat
Miquel Casas mcasas@vhebron.net
Miquel Casas, Prof, Principal Investigator

Study chairs or principal investigators

Miquel Casas, Prof, Principal Investigator, Psychiatry Service, Hospital Universitari Vall d'Hebron

More Information

Study ID Numbers: OH SPECT APO; EudraCT: 2004-001893-24
Last Updated: February 17, 2007
Record first received: February 16, 2007
ClinicalTrials.gov Identifier: NCT00437177
Health Authority: Spain: Spanish Agency of Medicines
ClinicalTrials.gov processed this record on 2007-02-22
Substance Abuse Pre-Treatment Screening Study


This study is currently recruiting patients.
Verified by National Institute on Drug Abuse (NIDA) February 2007

Sponsored by: National Institute on Drug Abuse (NIDA)
Information provided by: National Institute on Drug Abuse (NIDA)
ClinicalTrials.gov Identifier: NCT00439049

Purpose

The overarching goal of this project is to have a consolidated consent and evaluation procedure that will lead potential subjects to the most appropriate clinical trial or human laboratory study (and its consent process) for their presenting concerns or interests. A second purpose is to have a consolidated intake data base on which secondary analyses can be conducted.
Condition
Cocaine Abuse
Cocaine Dependence
Opiate Dependence
Alcohol Dependence
Substance Abuse

MedlinePlus related topics: Alcoholism; Cocaine; Drug Abuse

Study Type: Observational
Study Design: Screening, Cross-Sectional, Defined Population, Prospective Study

Official Title: General Evaluation of Eligibility for Substance Abuse/Dependence Research

Further study details as provided by National Institute on Drug Abuse (NIDA):

Expected Total Enrollment: 7500

Study start: October 2005

Approximately 1500 candidates per year will respond to advertisements and will complete preliminary telephone screening without identifiers. Appropriate candidates will be given appointment times and on arrival will undergo the consent process for evaluation. A complete medical, social, psychiatric, and drug use history will be obtained. Subjects fulfilling general health inclusion requirements will then be offered an appropriate study for which the specific consent will be obtained. The evaluation period will be no more than one day with all results evaluated within the two following days. Acceptable candidates will then be invited to complete the study specific consent.

Eligibility

Ages Eligible for Study: 18 Years - 60 Years, Genders Eligible for Study: Both

Accepts Healthy Volunteers

Criteria

Inclusion Criteria:

  • Willing and able to participate in 3- to 6-month treatment program.
  • At least 18 years of age.
  • Seeking treatment for substances of abuse including (cocaine, opiates, and alcohol).
  • Generally physically healthy.

Exclusion Criteria:

  • Pregnant or breastfeeding.
  • Mandated by the courts/parole officers to attend treatment.
  • Not seeking treatment for substances of abuse.
  • Plans to move from the Houston area within the 3- to 6-month treatment period.
  • Seeking treatment for a substance for which the TRC has no current trial.

Location and Contact Information

Please refer to this study by ClinicalTrials.gov identifier NCT00439049
Shelly L Sayre, MPH 713-500-2820 Shelly.L.Sayre@uth.tmc.edu
Ann D. Garcia, MA, RN 713-500-2804 Ann.D.Garcia@uth.tmc.edu

United States, Texas
University of Texas Medical School- Houston, Dept. of Psychiatry Mental Sciences Institute, Houston, Texas, 77030, United States; Recruiting
Shelly L Sayre, MPH 713-500-2820 Shelly.L.Sayre@uth.tmc.edu
Mary A Dhir 713-500-2874 Mary.A.Dhir@uth.tmc.edu
John Grabowski, PhD, Principal Investigator

Study chairs or principal investigators

John Grabowski, PhD, Principal Investigator, University of Texas-Houston
Joy M. Schmitz, PhD, Principal Investigator, University of Texas-Houston
Frederick G Moeller, MD, Principal Investigator, University of Texas-Houston
Angela L Stotts, PhD, Principal Investigator, University of Texas-Houston

More Information

Study ID Numbers: NIDA-09262-13; P50-09262-13
Last Updated: February 21, 2007
Record first received: February 21, 2007
ClinicalTrials.gov Identifier: NCT00439049
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2007-02-22
Alcohol & Drugs in history of Latin America (CFP)


The Social History of Alcohol and Drugs: An Interdisciplinary Journal is planning a special issue on alcohol and drugs in the history of Latin America.

We encourage paper submissions in any aspect of this broad theme.

Deadline for submissions will be July 31, 2007.

Please see submission information in the website listed below, or contact me.

Dan Malleck, PhD
Brock University, St. Catharines, Ontario, Canada.
Editor-in-chief, Social History of Alcohol and Drugs: An Interdisciplinary Journal
dan.malleck@BROCKU.CA
http://historyofalcoholanddrugs.typepad.com

Posted by David Fahey on February 22, 2007 Alcohol and Drug History Society