Category Archives: Social

#alcoholfreekids

This was released by Alcohol Focus Scotland earlier this month.   In the report leading academics and health experts outline how the Scottish Government can reduce the unacceptably high levels of alcohol marketing that children and young people are exposed to. (#alcoholfreekids)

Removing alcohol adverts from streets and public transport, and phasing out alcohol sponsorship in sport are among the steps that should be taken to prevent alcohol companies reaching our children.

Children are very familiar with and influenced by alcohol brands and advertising campaigns, despite codes of practice which are supposed to protect them. There is clear evidence that exposure to alcohol marketing leads children to start drinking at a younger age and to drink more if they are already drinking.

Alcohol Focus Scotland was asked by Ministers to facilitate an international expert group on alcohol marketing to advise on the most effective policy options available and how they might be implemented in Scotland.

The group’s recommendations include:

  • removing alcohol marketing from public spaces such as streets, parks, sports grounds and on public transport
  • ending alcohol sponsorship of sports, music and cultural events
  • pressing the UK Government to introduce restrictions on TV alcohol advertising between 6am and 11pm, and to restrict cinema alcohol advertising to 18-certificate films
  • limiting alcohol advertising in newspapers and magazines to publications aimed at adults
  • restricting alcohol marketing on social networking sites

The report also recommends setting up an independent task force on alcohol marketing to remove the regulatory role of the alcohol industry.

More than 30 organisations, including Children 1st, the Scottish Cancer Prevention Network and the medical Royal Colleges, as well as the majority of MSPs (72), have pledged their support to end alcohol marketing in childhood. This report now outlines specific actions which could be taken to achieve that.

Professor Gerard Hastings, one of the group members and internationally renowned expert on social marketing, said:

“Self-regulation does not work; it will not control dishonest banks, over-claiming MPs – or profit-driven multinational drinks companies. And yet we continue to rely on it to protect our children from alcohol marketing. It is no surprise that study after study has shown that, as a result, children are being put in harm’s way – and that parents want policy makers to be more courageous. Scotland now has a chance to grasp this nettle and show how independent statutory regulation of marketing can provide our young people the protection they deserve. The international community is trusting us to take the same public health lead we took on smoke-free public places and minimum unit pricing; let us show them that we will.”

Alison Douglas, Chief Executive of Alcohol Focus Scotland, said:

“An alcohol-free childhood is the healthiest and best option, yet we allow alcohol companies to reach our children from a young age. They are seeing and hearing positive messages about alcohol when waiting for the school bus, watching the football, at the cinema or using social media. We need to create environments that foster positive choices and support children’s healthy development. We hope Ministers will respond to this report and the groundswell of support for effective alcohol marketing restrictions in Scotland.”

Tam Baillie, Children and Young People’s Commissioner Scotland said:

“I strongly support this report which provides clear evidence on the nature and reach of alcohol marketing and makes welcome and sensible proposals to safeguard our children. All children and young people have the right to good health and that must include the right to grow up free from commercial pressures to drink alcohol. The extent of the actions we take now are a good measure of the value we place on our children for the future.”

Summary (pdf) and full Report (pdf)

A retrospective on 2016 (Friday sober jukebox: some riot)

So as I have pared down my blog activity and news sources the one I repeatedly return to is Alcohol Policy UK.  They wrote an excellent retrospective piece about 2016 which you can read here:

 

Alcohol policy in 2016 & what’s in store for 2017?

But what really struck me about this blog were the images featured at the end entitled: Selected alcohol slides from the ‘most interesting things about drugs and alcohol in 2016’ from Andrew Brown:

The top image was the first which highlighted how over half (54%) of strong ciders sold in the off-trade in England and Wales in 2015 were sold at below 20p a unit  <pauses to let that sink in for a minute>  so for less than the cost of a pint of milk! 🙁

Below I share the other three because visual images can be so much more impactful than words.  They all tell a compelling story which as yet is not being addressed by our govt sufficiently to change the trajectory of the graphs.

Association between the experience of physical and sexual abuse in the lives of women and dependence to drugs and alcohol …..

 

 

The number of offences committed pre and post treatment for alcohol use disorders ……

 

 

 

Graphic confirmation that those with the most problems with alcohol are more likely to use the NHS …..

 

 

 

I’ll finish with a haunting performance from Elbow and the BBC Concert Orchestra of Guy Garvey’s ode to a friend lost to alcohol addiction  – some riot.

The impact of alcohol is all too plain to see and hear to those who have eyes and ears.  Shame our govt is looking the other way with its collective fingers in its ears (except perhaps Liam Byrne) …..

PS Yesterday was day 1250!

Improve services to address addiction related unemployment (this is not a love song)

So maybe not the sexiest post-Valentine subject matter but important none the less – and an excuse to feature a Banksy which is always a bonus! 😉  This was a report on service provision to address addiction related unemployment featured by Alcohol Policy UK in December.

Over to Alcohol Policy UK:

Dame Carol Black’s review into the effects on employment outcomes of drug or alcohol addiction and obesity has been released by the Department for Work and Pensions.

The review sets out a series of recommendations to improve options and support for those with drug and alcohol dependence, and does not endorse restricting benefits as was speculated in 2015.

Whilst the scope of the report covers also the role of obesity on employment outcomes, it states the issue is ‘different’ to substance addiction and ‘is treated seperately’. Specifically on alcohol, the report states:

‘Alcohol misuse may also be a cause or a consequence of unemployment. It is certainly a predictor both of unemployment and of future job loss, but evidence also suggests that increased alcohol consumption may follow job loss. Unlike dependence on heroin and crack cocaine, alcohol dependence is not strongly associated with lower socioeconomic status although the resultant health harms are. Nevertheless, the employment rate for those who develop problematic dependence is less than half that of the rest of the population’.

Overall the review describes the importance of employment in supporting addiction ‘recovery’, but neither drug and alcohol or job support services are sufficiently meeting the needs of service users. As such it recommends ‘practical interventions, including changes in services, practices, behaviour and attitudes.’

Three main areas where action is needed in relation to drugs, alcohol and employment are identified:

  • Addiction treatment does not, in itself, ensure employment, though it brings other social gains. Work has not hitherto been an integral part of treatment, and it needs to be if progress is to be made.
  • The benefits system, which has a central role in helping people enter or return to work, requires significant change. The system is hampered by a severe lack of information on health conditions, poor incentives for staff to tackle difficult or long-term cases, and a patchy offer of support for those who are reached.
  • Employers are the gatekeepers to employment and, without their co-operation employment for our cohorts is impossible. Employers are understandably reluctant to hire people with addiction and/or criminal records. They have told us that they need Government, quite simply, to de-risk these recruitment decisions for them.

Specific challenges are also identified, including ‘fractured commissioning responsibilities and lines of accountability’ that undermine efforts to develop co-ordinated responses. Whilst recognising low waiting times for alcohol treatment, stakeholders reported that alcohol services were ‘still inadequate to meet need in a number of areas’. The Government’s 2010 Drug Strategy, which listed a series of recovery-focused aims, ‘has yet to be realised’, in part owing to the ‘failure of the benefits systems to identify addiction (and indeed other relevant health conditions)’.

A series of recommendations include ‘the introduction of an expanded recovery measure that includes work and meaningful activity (including volunteering)’ as part of the outcomes monitoring for drug and alcohol treatment. It also proposes to trial discussions with a healthcare professional for welfare claimants to discuss ‘the impact of their health condition on their ability to work’. Initiatives to support employers in actively recruiting those in recovery will need to ‘de-risk’ companies from doing so, as explored in an FT blog.

David Best, Professor of Criminology, commented:

“How to read policy reviews? It correctly identifies a gap in supporting the employment needs of alcohol and drug users in employment, and also identifies two key issues – DBS checks and the ‘benefit trap’. The Black Review correctly identifies gaps in provision and joined up working and makes some interesting suggestions around including employment and volunteering in outcome measurement; suggests the use of peer mentors; and has some interesting ideas about collocating workers. But it all feels a bit tame and safe. There is no real drivers for the inter-agency working and pathway modelling that would be required of each workforce and the idea of partnership seems optimistic. There is also little adequate differentiation of the needs of problem drinkers who will typically have a different work history from problem drug users. Individual examples of good practice and innovation are all very well but what is lacking in the review is suggested mechanisms for making these more than beacons of hope in the darkness. So the review is encouraging in as far as it goes… but that is not very far”

A Collective Voice post said the report was a ‘real opportunity for the alcohol and drug treatment sector which we must seize’. According to LocalGov, the Local Government Association (LGA) welcomed the report but warned it was not ‘radical’ enough. See also reports in the Telegraph and Guardian.

Earlier this year the BMA released an updated briefing for medical and other professionals on addressing alcohol and drug use in the workplace, including guidance on supporting or recruiting employees with histories of substance misuse.

Agree with all of the above and know that Focus12 is supportive of these recommendations both in theory and in practice – says she who was a volunteer for them to help my own recovery 🙂

It feels only right to follow this blog up with this sober jukebox tune 😉

Manifesto for Children of Alcoholics – Launched Today

Another email from Liam Byrne today launching the children of alcoholics – manifesto for change yesterday, so on Valentine’s Day no less ….

Dear Friend

Today the All-Party Group launches the first ever manifesto for children of alcoholics.

Thank you for all your help in putting this together!

The hard-hitting manifesto, published to coincide with International Children of Alcoholics Week, sets out a 10-point plan to help Britain’s 2.6 million innocent victims of drink – the children of hard-drinking parents.

It is co-written by children of alcoholics, policy makers and experts from charities, interest groups and medicine.

You can read it here:

Children of Alcoholics – A Manifesto for Change
 
I’ve also launched a petition calling on the Government to back the manifesto. Please consider adding your signature and sharing with your friends and family.

(Click on the image below to access the petition)

I welcome any feedback

Very best


Liam Byrne MP

I’ve signed the petition and hope you will too 🙂

Edited to add: picked up by The Guardian too!

MPs and peers launch manifesto in support of children of alcoholic parents

Group behind initiative reveal feelings of shame and fear of own childhoods and call on ministers to tackle UK’s ‘secret scandal’

A third Labour MP has spoken of the “secrecy, shame and fear” of living with an alcoholic parent, as she urged more government action to help the children of people with alcohol problems.

Byrne, whose late father, Dermot, had alcohol problem, said the issue was “the biggest, dirtiest secret in Britain”, adding: “The challenge for the children of alcoholics is they fall through the cracks.

“They are on the cusp of these three different systems. Their parents are covered by the adult social care system, they themselves are covered by the children’s social care system, then there is the public health system.”

The manifesto was produced by the all-party parliamentary group on children of alcoholics, supported by the archbishop of Canterbury. It found an absence of strategies to deal with the issue and a lack of funding in many areas.

It also issued 10 demands for government action, including better education for children and professionals, better support or families and action on availability and promotion of alcohol.

Alcohol marketing rules failing to protect our youth

Too much news not enough blog posts!  I’m already writing posts for May so time to squeak in some extra one’s with important news stories.  Thank you marketing week for the image 😉

The top story from the Institute of Alcohol Studies for January was the headline grabbing blog post title that alcohol marketing rules are failing to to protect our youth.  To which I cynically want to respond: no shit sherlock!

Greater exposure raises likelihood of earlier and heavier drinking (10 January)

Young people across the world are over-exposed to extensive alcohol marketing practices, claim leading public health experts, who want governments to renew their efforts to address the problem by strengthening the rules governing alcohol marketing with more effective independent statutory regulations.

Their call coincides with the publication of a series of reports in a special edition of the scientific journal Addiction that presents the latest evidence on alcohol marketing and its impact on children. Key findings from the collection of peer-reviewed manuscripts include:

  • Exposure to alcohol marketing is associated with youth alcohol consumption
  • Analysis of alcohol promotion during the 2014 FIFA World Cup indicates alcohol marketing practices frequently appeared to breach industry voluntary codes of practice’
  • Alcohol industry self-regulatory codes do not sufficiently protect children and adolescents from exposure to alcohol promotions, especially through social media.

The Addiction supplement comprises 14 papers, with research presented from around the world.

Alcohol is the leading cause of death and disability for young males aged 15–24 in nearly every region of the world, and young females of the same age in the wealthy countries and the Americas.

The new systematic review – which identified 12 additional studies – found an association between level of marketing exposure and youth drinking behaviour, and found that exposure to ads was even more strongly associated with progression to binge drinking than with initiation of alcohol use.

“This latest review of the scientific literature adds stronger evidence to the claim that exposure to alcohol marketing among youth is linked to more underage youth drinking and, in particular, binge drinking,” said study leader David Jernigan, PhD, the director of CAMY and an associate professor in the Department of Health, Behavior and Society at the Bloomberg School.

The supplement’s lead editor, Professor Thomas Babor of the University of Connecticut said: “Governments are responsible for the health of their citizens. No other legal product with such potential for harm is as widely promoted and advertised in the world as alcohol. These papers provide a wealth of information to support governments in their efforts to protect children and other vulnerable populations from exposure to alcohol marketing.”

Methods

The researchers relied upon four different medical and scientific databases to identify articles for possible inclusion in the review. Studies were included in the final review if they met a number of criteria, including whether they used original data and included measures of marketing exposure and alcohol consumption for at least 500 underage youth. Studies were included only if they used self-reported and observed actual alcohol use such as binge drinking, as opposed to just measures of intentions to consume alcohol in the future. The studies were conducted in seven countries and involved more than 35,000 participants.

Several of the included studies found that levels of marketing exposure appear to be as high or nearly as high among younger adolescents as they are among older adolescents and young adults, suggesting that current voluntary alcohol industry marketing codes are not protecting kids as young as 10 years old.

Reaction

Alcohol NGOs and health experts welcomed the findings as further evidence of self-regulation’s failure to curb alcohol marketing to young people. Chris Brookes of the UK Health Forum noted that: “Governments have previously approved self-regulatory measures on alcohol advertising; however, we can no longer say that they might work to protect our young people – they don’t. In a literature review of more than 100 studies, none was identified that supported the effectiveness of industry self-regulation programmes.”

However, the advertising industry regulator has criticised the research, claiming that the UK’s regulatory framework has had a positive impact on recent official figures showing under-age drinking at a record low and a decline in binge drinking.

“Alcohol policy is clearly on the right track and alcohol advertising – which protects children and respects adults – is an important part of that,” says Ian Barber, the AA’s director of communications.

In the UK, advertising for alcoholic drinks follows a code enforced by the Advertising Standards Authority, while the packaging and branding of the products is subject to self-regulation. And according to the Guardian, AB Inbev and Diageo, two of the world’s biggest alcoholic drinks makers, have reported ploughing as much of 15% of their annual global sales back into marketing, amounting to £5.75bn and £1.6bn respectively.

Ian Hamilton, lecturer in the Department of Health Sciences at the University of York, whose interests include substance use addiction, told the newspaper the AA’s claim that the UK’s alcohol advertising rules are among the strictest in the world, major operators had nevertheless found ways to evade marketing legislation the UK.

“Some of the messages are quite subtle, but they are persistent,” he said. “So this idea that alcohol is necessary for social success, or is both a stimulant as well as a sedative, that it removes sexual inhibition, that it improves – bizarrely – your sporting and mental abilities.

“Of course, the way they do it is they don’t say go and buy Carlsberg, but they’ll do endorsed interviews with celebrities or they’ll offer free music downloads or notices of events, so they do it in quite subtle and clever ways.”

Solutions

The papers offer guidelines to developing more effective alcohol marketing regulations:

  • The most effective response to alcohol marketing is likely to be a comprehensive ban on alcohol advertising, promotion and sponsorship, in accordance with each country’s constitution or constitutional principles
  • Regulations should be statutory, and enforced by an appropriate public health agency of the local or national government, not by the alcohol industry
  • Regulations should be independent of the alcohol industry, whose primary interest lies in growing its markets and maximising profits
  • A global agreement on the marketing of alcoholic beverages would support country efforts to move towards a comprehensive ban on alcohol advertising, promotion and sponsorship
  • Collaboration with other population-level efforts to restrict marketing of potentially harmful products, such as ultra-processed food, sugary beverages, tobacco, and breast-milk substitutes, should be encouraged and supported.

“It is clear that self-regulation is not working and we welcome calls for greater action from governments to protect children from exposure to alcohol marketing,” said Prof Sir Ian Gilmore, chair of the Alcohol Health Alliance (AHA), an umbrella group of more than 40 UK health NGOs, including the Academy of Medical Royal Colleges.

Hamilton also warned that a blanket ban on alcohol advertising could be seen as “taking a sledgehammer to crack a nut”, with the danger that such a policy could give drinking a kind of outlaw prestige that might increase its appeal to some. But he admitted that a similar policy on tobacco advertising had apparently proved successful in diminishing the appeal of smoking. “I think the state does have some kind of responsibility,” Hamilton said. “We can’t have do-it-yourself regulation by industry whose prime motive is to find the next generation of consumers.”

The Addiction supplement, ‘Alcohol marketing regulation: From research to public policy’, is freely accessible from the Wiley Online Library. You can also listen to David Jernigan talk about the supplement’s findings in greater depth in our Alcohol Alert podcast.

The latest Institute of Alcohol Studies (IAS) Alcohol Alert: January 2017 in its entirety is now available (here for PDF version).

Alcohol Policy UK picked up on the special issue of Addiction also which you can read here.

And Liam Byrne interviews Alaistair Campbell about this very thing!

PS New follower on Twitter:

Looking for volunteers for research studies in alcohol addiction, sobriety, weight loss and weight gain. QMUL Led by

If you’d like to volunteer tweet him 🙂

Breakthrough in campaign for children of alcoholics

An update from Liam Byrne following today’s House of Commons debate about alcohol harm and the need for a plan from Government to support Britain’s 2.5 million children of parents who drink too much.

Liam Byrne today welcomed a breakthrough in the campaign for Britain’s children of alcoholics after a new commitment was made by Government to sit down with campaigning MPs to develop the first ever national strategy for children of alcoholics.

The commitment came from the Public Health Minister in a Westminster Hall debate in the House of Commons on alcohol policy called by Liam Byrne, Fiona Bruce and Bill Esterson.

In a powerful and moving speech, Labour’s Shadow Health Secretary Jon Ashworth told his personal story as the child of an alcoholic and made a bold offer to work across political divides to develop a strategy to help Britain’s 2.5 million children of hard-drinking parents.

Responding, the Public Health Minister Nicola Blackwood was moved to tears as she urged MPs to carry on their work.

Liam Byrne MP, founder and chair of the All-Party Parliamentary Group on Children of Alcoholics, said:

“This is a breakthrough. For over a year we’ve tried to make sure that the voices of children of alcoholics are heard in Parliament. Now the Government has listened. The Government has agreed to sit down and hammer out a plan. Crucially, Ministers have agreed with our number one goal: no child of an alcoholic should ever feel alone”.

The response of the Public Health Minister reduced me to tears …..

Do I Drink Too Much?

So it’s the last day of January and to those of you taking part in Dry January congratulations if you made it this far.  Have you been reflecting on whether you drink too much as part of that month off?  Perhaps on your last night of sipping sparkling water you might want to watch this documentary which aired in December on BBC Wales.  Thanks to my friend Libby for bringing it to my attention!

Lib featured it as part of her News and Update round-up for December on Alcohol Policy UK and if you wish to read all of it you can find it here:

News & updates December 2016: middle-age health, drink-driving, the rise of alcohol-free & the return of benchgirl

Ask your MP to join the alcohol harm debate this Thursday

I’ve just received this email from Liam Byrne and I’m sharing it here in case you would like to write to your MP to urge them to join the debate too.

I feel I don’t have much of a voice on this issue but my MP is my representative so I will be writing to them.

Dear Friend,

Please ask your MP to join the alcohol harm debate this Thursday.

This Thursday we finally bring to the floor of the House of Commons a debate about alcohol harm and the need for a plan from Government to support Britain’s 2.5 million children of parents who drink too much.
Please write to your MP and ask them to join in.
This is a chance for us to make sure the voice and experience of children of alcoholics is heard on the national stage. I’ll be talking about some of the ideas contained in the first ever manifesto for children of alcoholics which we aim to launch the week beginning 13 February – International Children of Alcoholics Week.
If you aren’t sure who represents your local area, visit  They Work for You and ask your MP to join us.

The more who speak, the more we break the silence – and break the cycle of this terrible disease.

Very Best


Liam Byrne MP

Public Health England publish review of evidence on alcohol

Public Health EnglandThis summary report was published by Alcohol Research UK in December.  It looked at Public Health England’s new published review of evidence on alcohol.

Public Health England has published a review of international evidence on alcohol policy and harm reduction.  The new report, based on almost two years of research and analysis, addresses a number of key policy areas.

These include:

  • The price of alcohol and its effect on consumption
  • The impact of both the number of alcohol outlets in a given area, and the times at which they operate, on a range of potential harms
  • The effectiveness of existing controls on marketing, sponsorship and promotion
  • The role of ‘brief interventions’ in preventing harmful drinking
  • The effectiveness of schools-based education programmes
  • The evidence on alcohol treatment in tackling harmful and dependent drinking

We welcome this important contribution to the literature on alcohol harm prevention. It provides both a resource for identifying key evidence and an evaluation of the relative effectiveness of policy interventions based on an extensive process of reflection and review.

Today’s report also provides a new analysis of drinking trends and their economic effects. It confirms that average consumption has been falling in the UK for over ten years, especially among young people. However, it also shows that trends vary between social groups, reminding us that average consumption provides only a rough guide to where harms are concentrated, and that harms can rise even when overall consumption falls.

Importantly, the report confirms previous studies showing that around one third of all the alcohol consumed is drunk by the heaviest drinking 5% of the population.  This demonstrates not only how heavy drinking is concentrated, but the very high proportion of alcohol that is sold to people with serious drinking problems.

The report draws particular attention to the impact of alcohol on economic productivity: suggesting that drinking causes more years of life lost to the workforce than are caused by the top ten most common cancers combined. While the precise social costs of alcohol remain hard to quantify, this report shows clearly that heavy drinking creates an enormous burden for the wider economy.

The PHE report echoes previous evidence reviews in demonstrating that price is a key policy lever in shaping consumption. Its findings suggest that a combination of minimum pricing and more targeted taxation could reduce both harmful drinking and health inequalities (especially the so-called ‘alcohol harm paradox’). Clearly, this is a significant finding as the Scottish Government continues to deal with a prolonged legal challenge to MUP from the Scotch Whisky Association.

The report also argues that while evidence on factors such as outlet density is less compelling than is the case for price, nonetheless limiting hours of sales can reduce antisocial behaviour and drink-driving. While, in the UK, evidence on the relaxation of licensing hours since 2005 has not shown a clear effect in terms of crime, disorder or hospital admissions the authors point to international studies and reviews that show a stronger correlation.

The report also follows previous reviews in pointing to evidence that exposure to marketing can lead to earlier and higher levels of consumption among young people. It finds no robust evidence that existing marketing controls are effective in preventing youth exposure to marketing, and so will strengthen calls for a reassessment of the current regulatory framework.

It also finds no clear evidence that voluntary industry-led partnerships (including the recent ‘Responsibility Deal’) reduce alcohol harms. This is partly because there are insufficient independent and robust evaluations of such schemes to provide clear evidence of an effect, and also because it has been argued that many of the changes introduced under the Responsibility Deal would have happened anyway.

While the report confirms that, from a public health perspective, price, availability and marketing are key issues, it also addresses questions around treatment and interventions. This is especially important as the impact of austerity continues to be felt in widespread cuts to budgets for treatment services across the country.

The review finds considerable evidence that screening and brief interventions in primary care can help prevent harmful drinking. On a policy level, a key question now is how to support GPs in actually carrying out screening and delivering interventions effectively where there is a need. Currently, delivery of interventions in primary care remains low so work to better incentivise and train GPs is needed. The review, however, also notes that the evidence for the effectiveness of brief interventions in other settings (such as the workplace or local pharmacies) is much less robust..

In line with most previous reviews, the report finds that while education can play an important role in raising awareness and knowledge, the evidence for its effectiveness in changing behaviour is weak. This is not necessarily because schools-based prevention and education is wholly ineffective, but because its impact is inevitably limited (behaviours are driven by far more than simple knowledge of harms) and because the delivery of programmes is often highly inconsistent.

Finally, on drink-driving, the review finds strong evidence that reducing the blood alcohol limit is effective in reducing accidents. England and Wales currently have a BAC limit of 0.8 g/l – the highest in Europe, alongside Malta.

Overall, this report represents a key summary of the available evidence on alcohol. It confirms that there are policy levers available to Government that can have a measurable impact on alcohol harm reduction. Clearly, alcohol policy needs to balance a range of interests, but if the Government is serious about seeking to reduce the health impacts of alcohol then this evidence review is of critical importance.

The PHE report is based on a very wide-ranging analysis of available research and an extensive process of peer review. We hope that it forms a key element in the development of alcohol policies in future.

So 5% of the population equates to approximately 2.6 million people here in the UK …… (source).  And Alcohol Policy UK pose the prompted question which I’d like to know the answer to as well:

PHE evidence review 2016: will Government policy respond?

 

 

Christmas Day Blues

So I listened to this last Saturday night – after a day of District Nursing and before going to a wedding reception.  I wanted to listen to it as the image (see left) and brief description called to me.  The podcast description said:

Laura McKowen and Meadow DeVor discuss the not-so-pretty side of the holiday season, the ghost-ships of Christmas Past, how to honor what you’re really feeling, and why we must invite grief into our holiday traditions.

For me it felt like listening in on two sober friends sharing through tears their experience of grief and how difficult this day and time of year can be.  The grief that we might feel for a sense of family present, lost or never had.  The grief for the drinking that we can no longer engage in when we feel like all around us are.  The grief for the loss of the ability to check out from difficult things that alcohol offered us, temporarily at least.  So many things –  which boils down to the death of the ideal.  Pre-meditated expectations and resentments writ large in my case.  It was an important discussion and I wanted to share it here today in case you are feeling this way.  I wrote about grief here.  You are not alone.

Have compassion for yourself today of all days.

If you are really struggling please reach out to someone.  I used to volunteer for the Samaritans and they will be manning the phones, texts and emails today just like every other day.  I shared their contact details here.