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27 Contemp. Drug Probs. 593 (2000)
Preventive Interventions for On-Premise Drinking: A Promising but Underresearched Area of Prevention

handle is hein.journals/condp27 and id is 619 raw text is: Contemporary Drug Problems 27/Fall 2000

Preventive interventions for
on-premise drinking: a
promising but underresearched
area of prevention
BY KATHRYN GRAHAM
Evidence is reviewed regarding the effectiveness of eight different
approaches to the prevention of drinking driving, aggression,
and other problems associated with drinking in licensed premises.
Some evidence of positive effects was found for Responsible
Beverage Service training (including mandatory training), laws
holding servers liable for negative consequences due to intoxicated
patrons, increased enforcement, ride services, and, to a lesser
extent, designated-driver programs and community interventions
broadly focused on on-premise drinking. House policies, risk
assessments, and proactive policing showed promise but remain
unproved in terms of direct effects on the prevention of problems.
Codes of practice and patron education appear unlikely to be
effective unless combined with enforcement or other interventions.
Overall there has been an abundance of local and more extensive
interventions to reduce problems in bars, but few have been
rigorously evaluated. There is a need in future evaluations for
strategically targeting and combining interventions according to a
systematic analysis of the nature of the problem and hypothesized
contributing factors.
AUTHOR'S NOTE: This is a background paper commissioned for the sec-
ond edition of Alcohol Policy and the Public Good. I am grateful to Harold
Holder, Ingeborg Rossow and Robin Room for comments and suggestions,
to Bob Mann for his help in identifying relevant references, and to Sue
Steinback for her contributions to typing and formatting.

Q 2000 by Federal Legal Publications, Inc.

593

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