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Alcohol‐related violence is a social phenomenon and a serious public health issue that features regularly in the headlines. This article describes a cognitive behavioural treatment programme designed to help angry, impulsive drinkers, typically young white men, to control their violence, and outlines research undertaken to assess the programme's effectiveness.

Concerns about the alcohol – violence correlation are increasing and impacting on social policy in the UK and throughout the world. It is not certain, however, how much, or if at all, violence is linked to alcohol consumption. The purpose of this paper is to contest often widely held notions and accepted views about alcohol-related violence and to highlight a belief that the link between the two is much more complex than it is sometimes portrayed.

Review and analysis of the recent literature.

Many studies throughout the literature claim to evidence a biological or pharmacological explanation for the relationship between alcohol and violence in terms of the effect alcohol has on the central nervous system and ensuing behaviour. Other authors who focused on the fact that the relationship may be mediated by all kinds of other personal, social, environmental and cultural factors argue that the effects of alcohol depend upon the social context in which the drinking occurs. From this analysis, four main perspectives and subsequent theories emerge which appear to define the concept.

By challenging what is often seen by some as a mechanistic causal link between alcohol and violence, clinicians and other professionals working with those individuals affected by alcohol dependence can suggest interventions that help perpetrators of violence work towards addressing their aggression that are not necessarily dependent upon how successful they are in reducing their alcohol consumption.

The purpose of this paper was to investigate the prevalence and impact of alcohol‐related incidents on police resources in a major Australasian region.

The paper shows that participants in the current study were first response operational police officers who completed a modified activity log over a five‐week period, identifying the type, time spent on, and the number of alcohol‐related incidents that were attended (n=31090).

The findings in this paper indicate that a substantial proportion of current police work involves attendance at alcohol‐related incidents i.e. 25 percent. The most common incidents police attended were vehicle and/or traffic matters, disturbances and offences against property, which were also the most likely to involve alcohol. These events are most likely to occur in the early hours of the morning on the weekends, and importantly, usually take longer to complete than non‐alcohol related incidents.

The findings in the paper highlight the pervasive nature of alcohol across a range of offences and provides a current perspective regarding the considerable impact that alcohol‐related crime has on policing resources.

Significant alcohol use increases the risk of injuries and violence in young people. The purpose of this paper is to examine factors associated with receiving street service care for alcohol intoxication, alcohol-related injury or violence among young people in a night-time economy (NTE).

Participants included 217 young adults, 135 of whom required street service care on a Friday or Saturday evening in an Australian entertainment district. The remaining 88 young adults were a matched control sample. Participants were surveyed and provided a breathalyser sample. A multinomial logistic regression was conducted to examine the relationship between blood alcohol content (BAC) level, subjective intoxication, gender, illicit drug use, age, preloading, total drinks consumed, and the receipt of care for intoxication, injury, or violence.

Of those who received care, 70.4 per cent received it for intoxication, 19.3 per cent for injury, and 10.3 per cent following a violent incident. Male gender and high BAC level were associated with receiving support following a violent incident. High-subjective intoxication and female gender were associated with receiving support for injury.

Results demonstrate the factors associated with receiving street service care for young people in the NTE experiencing non-emergent health needs. Further research is required to examine the impact of such a service on crime, injuries, and frontline service resources.

This is the first study to examine factors associated with receiving street service care for alcohol intoxication, injury, or violence in a NTE. Results inform policy and practice relating to the provision of street service care in the NTE for non-emergent health problems, and how this interrelates with other frontline services.

Although studies suggest alcohol abuse is not the major problem among offenders and others with intellectual disabilities (ID), it is still a significant problem. There are also suggestions that alcohol may have a more serious effect on those with ID. The purpose of this paper is to describe a treatment for alcohol-related difficulties designed for people with ID.

A programme for alcohol-related problems is described and four case studies are presented to illustrate the sessions and review the way in which people with ID have responded to the methods. The cases have a mixture of alcohol-related problems including anger, anxiety, social withdrawal and depression. The alcohol programme is coordinated with a range of person centred interventions for specific difficulties.

All cases responded to the programme positively. Two cases showed reductions in anger, two reported reductions in anxiety and one reported reductions in depression. All cases increased their alcohol knowledge considerably.

The programme seems promising in its approach to alcohol-related difficulties. It is noted that alcohol education alone is likely to improve participants’ wellbeing in the absence of coordinated intervention for other relevant personal difficulties. A controlled treatment trial for effectiveness is clearly required.

The paper describes a programme for alcohol-related problems and may be the first such programme that has contained pilot evaluation.

In 2004, HM Prison Service launched an alcohol strategy that promotes treatment of alcohol‐related problems in imprisoned offenders. In commissioning services for prisoners, the needs of any prison population must first be established. The purpose of this study was to establish the need for an alcohol intervention in a local prison and to explore whether there might be a need to address alcohol‐related violence, rather than simply looking at alcohol misuse. The research identified the extent of the need for alcohol interventions in a UK prison for men, concluding that in this sample those who had also committed violent index offences might require interventions that specifically target alcohol‐related violence.

The aim of this randomised intervention study was to test the use of two counselling styles in reducing alcohol consumption in offenders who were hazardous drinkers and who had been charged with alcohol‐related offences. An additional aim was to evaluate the research process itself before embarking on a larger trial. Participants were recruited from a police custody suite in the south east of England and randomised to receive either a motivational interviewing brief intervention (MIBI) or a standard brief intervention (BI). The Alcohol Use Disorder Identification Test (AUDIT) was used to screen offenders for hazardous drinking. Participants were asked to complete a second AUDIT 12 weeks later. Two hundred offenders with alcohol‐related offences were screened over a 10‐month period. Of these, 182 were alcohol dependent and were therefore excluded from the study. Of the 18 who were eligible to enter the study, six refused to participate. Five were randomised to the MIBI group and seven into the BI group (BI). The mean age of the MIBI group was 25 (SD±3.86) years and the mean age of the BI group was 32.4 (SD±7.9). Audit scores were significantly lower at time 2 compared to time 1 for both intervention groups (t(11) = 17.60; p < 0.05). There was no significant difference between the different intervention groups.

There is abundant evidence that excessive alcohol use can adversely affect physical and mental health. Prior to incarceration, heavy drinking is common among prisoners. In this study, AUDIT information was examined in a sample of 126 male prisoners. Hazardous drinking was identified in 81%, and half had severe alcohol problems. Perpetrators of alcohol‐related violence are the most problematic drinkers of all. Examination of lifetime alcohol‐related violence indicated that those who are violent when intoxicated had more frequently been the cause of concern to others. These results are discussed in relation to alcohol treatments in the Prison Service for England and Wales.

The annual cost of alcohol‐related harm in the UK is estimated to be between £17.7 and £25.1 billion with healthcare costs alone reaching £2.7 billion and the costs of alcohol‐fuelled crime and disorder accounting for £7.3 billion each year. The aim of the study was to examine the prevalence of alcohol use disorders (AUD) in prison and probation settings in the North East of England, and to compare the ability of the Alcohol Use Disorders Identification Test (AUDIT) and Offender Assessment System (OASys) at identifying alcohol‐related need in probation clients. A quantitative prevalence study was carried out using anonymous questionnaires with participants from four prisons and three probation offices in the North East who voluntarily completed the AUDIT questionnaire during a 1‐month period in 2006. Response outcomes on AUDIT were compared with OASys scores which identify alcohol‐related need in probation. At the time of the study OASys scores were not available for offenders in prison. Seven hundred and fifteen questionnaires were completed. Sixty‐three per cent of men and 57% of women were identified as having an AUD with over a third of all individuals scoring within the possibly dependant range (20+ on AUDIT). Around 40% of probation cases who were classified as either hazardous, harmful or possibly dependant drinkers on AUDIT were not identified by OASys. The results indicate that the prevalence of AUD in offenders is much higher than in the general population. In addition, current methods of identifying offenders with alcohol‐related need in probation are flawed and as many such people go undetected. Alcohol assessment procedures need to be improved in criminal justice setting order to correctly identify people with AUD.

A number of studies relating to the impact of the Licensing Act 2003 have been described as either inconclusive or lacking implementation detail. This study, five years after the introduction of the Act, adds to this body of research by assessing the implications for Preston, England's newest city. Through interviews with police officers, licence holders and paramedics, it concentrates on how the Act was implemented and outlines the changes that have occurred. In essence, it shows how consumers are more likely to ‘pre‐load’ prior to leaving home, how drinking and associated crime patterns have been extended into the early hours of the morning, and how incidents of alcohol‐related crime have reduced.