TABLE 1. Adaptation of Haddon's model of 10 countermeasures to reduce or prevent alcohol-related injury, the practical application of the countermeasure, and the associated alcohol policy domain(s) and subdomain(s)a.
Haddon countermeasure | Practical application of the countermeasure | Associated alcohol policy domain(s) | |
---|---|---|---|
1 | Prevent injuries related to alcohol | Eliminate alcohol | Physical availability |
2 | Reduce the amount of alcohol-related injury brought into being | Limit the number of drinks served in public contexts | Physical availability; pricing |
3 | Prevent release of the alcohol-related injury | Ban alcohol sales at sporting events | Physical availability |
4 | Modify the rate of the release of the alcohol-related injury from its source | Lower the content of alcohol in beverages | Physical availability; pricing; advertising |
5 | Separate alcohol-related injury from that which is to be protected by time and space | Place restrictions on the hours of sales of alcohol | Drinking context; server liability; motor vehicles |
6 | Separate the alcohol-related injury from that which is to be protected by a physical barrier | Implement mandatory passive alcohol sensors in vehicles | Vehicular |
7 | Modify relevant basic qualities of the alcohol-related injury | Increase the price of higher alcohol content beverages | Physical availability; pricing |
8 | Make what is to be protected more resistant to damage from alcohol-related injury | Create greater access to 12-step meetings and free assistance | Screening, brief intervention, and referral to treatment (SBIRT) |
9 | Begin counter damage done by the alcohol-related injury | Set up SBIRT in primary care settings | Treatment; SBIRT |
10 | Stabilize, repair, and rehabilitate the object of alcohol-related injury | Provide health care and treatment | Community programs; treatment |
Source: Authors adapted data from Runyan (22).
Haddon's countermeasures use the generic term “hazard,” which we have replaced with “alcohol-related injury,” in order to emphasize the hazard in question.