2Substance use decrease amongst 15-16 year old adolescents
3How has this been achieved? Research as a basis for policy and actions on the local and national levelPrevention work has been focused on risk and preventive factors in the lives of youthManaged to create and keep a constant dialogue between all those who are responsible for prevention in the close community of the children
6ICSRASpecialize in systematic data collections amongst 10 to 20 year old individualsEmphasis on:Swift practical outputs and disseminationScientific peer reviewed publicationsTwenty two data collections amongst year old pupils since 1992Substance use follows birth cohorts so we found that it was important to map the situation in the youngest age groups.
7IndicatorsHealth status indicators, anxiety, depressive symptoms, physical health status, lifestyle and leisure time activities, local community networks, negative life events and strain, parents and family, peer group economic and psychological issues, studies and school, substance use, values and attitudes, violence and delinquency, and more…
9The scientific role of research In depth analysis of the data70 peer reviewed papers past 7 yearsPublications in journals in Europe and USAScience forms the platform for practice
10The practical role of research Yearly data collections on substance usePractical descriptive reports within 2-3 months of each data collectionLocal information into all levels of prevention work is a key issue
131998 We tried to establish the risk and protective factors. At this point of time research already showed us that certain circumstances and behavior in the lives of adolescents was strongly connected with use.We tried to establish the risk and protective factors.
14The four main risk and protective factors FamilyfactorsPeer group effectGeneral well beingExtracurricularactivities, sports
15And analyzing deeper Time spent with parents Family Support factors MonitoringControlFamilyfactorsPeer groupGeneral well beingOrganized activitiesvs.unorganizedPositive and negative effects.How we as parents approach the peer groupStaying outside lateExtracurricularactivitiesNot enough to know this on a country level.Close community information is necessary.Inside and outside of school, at home, bullying e.t.c.
16What could we tell policymakers and practicioners?
17Focus on strengthening the protective factors FamilyfactorsPeer group effectGeneral well beingExtracurricularactivities, sports
181998 Drug-free IcelandBased on these findings a research based action plan was initiated by the government with the aim to try out a totally new methodology in substance use prevention.Obviously, what had been done before, was not working.
19Aim of Drug free Iceland To change the actual behavior of youth and not only their attitudesChange the life-style environment of our children so that they would be in lesser risk of substance use
20Our focus is primary prevention Primary prevention, preventing the development of substance use before it startsSecondary prevention, that refers to measures that detect substance useTertiary prevention efforts that focus on people already abusing substancesOf course all these exist but...
21Local actions – examples: Research as a basis in policymaking and actionsStrengthen parent organizations and cooperationSupport extra – curricular activities / sportsSupport active NGOs´Support Young people at risk inside schoolsForm co-operative work groups against drugsAnti smoking/drinking campainsStrengthen social capitalLong list.
22National actions – examples: Legal age of adulthood raised from 16 to 18 yearsAge limits to buy tobacco and alcohol (18 and 20)Strict regulations for sellers of tobaccoA total advertising ban of tobacco and alcoholRestricted access to buying alcohol and tobaccoTotal visibility ban of tobacco and alcoholRules on outside hours for adolecentsOne municipality does not sell tobacco or alcohol
24We needed to focus on close community How could an average figure on alcohol use in Austria help prevention workers in Salzburg?“Average” is the biggest liar!Local information within 2-3 months of data collection each year
25Local information fuels dialogue Dialogue between key stakeholdersPoliticians, municipalities and local authoritiesParental groups and family plannersSchool authorities and school workersHealth educators, health and social servicesLeisure time workers, prevention workersSports and youth institutionsMost municipalities in Iceland have now formed groups of people working in these fields.Only talking about what can be done better...
27This is no magicYou need a simple mechanism to collect data on a local level:Monitor substance use frequentlyFind risk and preventive factorsIssue descriptive reports to field workers within weeks after data collection for immediate useRepeatMost municipalities in Iceland have now formed groups of people working in these fields.Only talking about what can be done better...
28Percentage of students in 9th grade that participate in sports in a sports club four times per week or moreIncreased organized sports participation
29Percentage of students in 9th and 10th grade who spend time (often/almost always) with their parents during weekdaysTime spent with parents
30Proportion of students in 9th and 10th grade who have been out after 10 pm (3 times or more) in the past week
31My parents know where I am in the evenings (applies very or rather well to me) 9th and 10th grade