Diapositiva 1

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Recreational context diagnostic kit KEN-CAV
IREFREA EUROPEAN NETWORK Montse Juan
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Hegemonic Recreational Nightlife Model (HRNM)

• We believe that our societies are confronted with
  an hegemonic model of entertainment (HRNM).
• Its principal characteristics are
• Spreads very quickly.
• Its presence makes difficult the existence of
  other models of entertainment.
• A lot of different interest facilitates its
  existence, extension and consolidation.
• There are use alcohol and other illegal drugs
• There are risks for health and security (drugs
  use, sex, drive, violence)
• The context (physical and cultural) becomes
  extremely important

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Cream Events Around The World

• 350 events every year
• Attended by almost 3 million people in last 5
  years

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Extension and changes of use of Ecstasy (MDMA,
MDA, MDEA), 2004

• Source UNODC

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Extension and changes in abuse of cocaine, 2004

• Sources UNODC

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HRNMGlobalizes recreational model ?

• Many issues are facilitating the creation of a
  common model
• TV, specialized TV channels (MTV???)
• Cheaper communication, tourism,
• Alcohol and leisure industry
• New technologies (internet, MP3,)
• Youth magazines,..
• Specialized professionals

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HRNM. Extensión, globalización
FLY 544 SET A COURSE TO PARTY IN
PALMA MUNICH-PALMA 99 (ONE NIGHT)
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HRNM. Extensión, globalización

• Longer time
• Low prices
• Promotions
• Happy-hours
• Permissiveness
• Subversion of control system

Cooke et al (2004) Marketing of alcohol to young
people a comparison of the UK and Poland, Eur
Addict Res 10 Kuo (2003) The Marketing of Alcohol
to College Students. The Role of low Prices and
Special Promotion, Am J Prev Med 25
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HEALTHY SETTINGS

• Settings for health is a concept introduced by
  the WHO.
• Environments conditions of people are recognized
  as being just as, or more, important than
  provision of health care services.
• Populations health can be improved through
  improving these conditions

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• Thanks to previous research we now that
• Physical, social and cultural element are part of
  building of this recreational model (Calafat
  2004, )
• This model of recreational nightlife is a risk
  factor for health. (Forssyth 1997, Measham et al
  2001, Van Sassenbroeck 2003, EMCDDA 2003, Calafat
  et al, 2000, 2001, 2002, 2003)
• The model Spreads, and the risk too (Bellis and
  Hughes 2003)

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Diversión, drogas y riesgosejemplos del impacto
internacional
Ten hooligans were arrested in Majorca. They
fight with police

• The risks also expand, travel, interact in the
  new contexts
• There are a transfer of the risk behaviours
  towards other sociocultural contexts, with
  different limits, controls, possibilities

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Diversión, drogas y riesgosnivel internacional

• common news in the summer
• Two German girls and one from USA arrive to
  emergency service at the Ibiza hospital in coma.
  They were victims of intoxication of alcohol and
  other substances..
• http//www.elmundo-eldia.com/2005/09/21/illes_bale
  ars/1127253622.html -
• (el mundo, Miércoles, 21 de septiembre de 2005)
• Hospital Urgencies of Can Misses (IBIZA) have
  attended 240 patients because drugs intoxication
  these year. Four of five are foreigners.
• http//www.elmundo-eldia.com/2005/08/18/eivissa/11
  24229600.html
• (el Mundo Jueves, 18 de agosto de 2005)

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• In front to this very powerful, very supported,
  very fashionable and very amusing activities
  classical prevention has limited possibilities.
• Only Harm reduction activities (Crystal clear,
  transport facilities,) or other actions (closing
  time,) capable to interfere in the recreational
  context have some real possibilities to have
  some impact.
• But possibly we need a wider frame to understand
  the recreational activities than Harm reduction,
  and especially to propose prevention policies and
  programs.

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• We need..
• Standard models capable to evaluation and
  impact. (Nacional Drug Intelligent centre 2001,
  www.clubhealth.org.uk)
• To create and to generate consensus on
  instruments to describe and analyze the
  recreational reality
• To orient the prevention towards the context, to
  consider the interaction between multy- contexts,
  the diversity of forms in which the HNRM is
  expressed, the capacity of adaptation to
  different cultures, the norm (formal and
  informal) in which it is legitimized,

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proyecto Recreational-prev Recreational
Cultures as a tool to prevent risk behavior (nº
2004319 )marzo 2005-marzo 2008

EUROPEAN COMMISSION Health and Consumer
Protection SANCO C1 - Financial Cell - JMO
C5/102 rue Alcide de Gasperi, L-2920 Luxembourg
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Proyecto Recreational Prev

• Teams, cities, countries in the project

European dimension
Austria (Vienna) Czech Rep. (Brno) UK
(Liverpool) Germany (Berlín) Greece
(Athens) Italy (Venice-Mestre) Portugal
(Lisbon) Slovenia (Ljubljana) Spain (Palma)
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Some main Objective

• To create standard criteria (achieved a
  consensus) for the analysis of problems and
  preventive initiatives.
• To create comparative analysis on multi-contexts
  dimensions (9 cities, 9 areas and 18 venues).
• To respond to the question what is happening? In
  relation to the recreational context, drug
  consumption, others risks, at the European level
  (common trends and differences).

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Instruments-TOOLSof diagnosis

• KEN-CAV
• Tool for diagnosis of context.
• Capacity to meta-analysis between European
  context.
• Multi-sites Comparability (from local to global).

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KEN-CAV Ecological modelfrom city to individual
1. city, community
2. Recreational areas
l
3. venues (discotecas, bares)
4. Young peoples network
individual
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Ken-CAV European dimension
LI
2. Áreas recreativas
V
B
BR
L
V
L
P
A
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KEN-CAV protocol 1 CITIES
C1. location and city demographic data C2.
Recreational nightlife as main element in
defining the identity of city C3. main
sociological aspects of town that could effect
recreational life C4. Time dimension C5. Space
dimension (Centre-peripheral-multidonal) C6.
Cultural dimension C7. Description of the
population in night life C8. Normative related
night-live formal and informal C9. Drug use of
young people in the city C10. Main problems of
young people in the town C11. Special risk
behaviours at night life C12. prevention dimension
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KEN-CAV protocol 2 Recreational Areas
A1. Area description A2. nightlife in this
area A3. Changes in this area due to
nightlife A4. Transport and driving in the
area A5. Main problems in this area from the
point of view of neighbourhood A6. Sex in the
area A7. Positive elements (protective
factors) A8. Preventive programmes implemented in
the area
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KEN-CAV protocol 3 VENUES (DISCO, CLUBS, PUB,
AFTER, STREET, RAVES, PRIVAT PARTIES, )
V1. Basic information about venues V2. Control on
access V3. Staff, training and ability V4.
Cultural elements, Clients, identity, V5.
Alcohol use and strategies to manage a
healthy-drink V6. Drug use and control of
drug-selling inside and surrounding venues V7.
transport and facilities to public transport V8.
Noise V9. Prevention actions in the venues
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RESULTS

• We have already partial results
• The instruments have been tested in 9 cities (Nov
  05- Sep 06)
• Step 1. Field work in city, area, venues in order
  to answer the questions (Nov 05- march 06)
• Step 2. Global Report in national language
  (Feb-Jun 06)
• Step 3. Summary for comparative analysis
  (August-Sep 06)

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Difficulties/possibilities to manage methodology
on Multi-context research

• We have tried to generalize results from
  qualitative data (even thought difficulties)
• We have get key-topics (or major storylines)
• We have worked on standard indicators to find
  comparable data
• Examples
• How to measure the awareness of the city about
  the risks that emerge from recreational context
• How to label' types of the venues
  mainstream', risk', subculture,

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Some Result from First analysis

• Common
• Emerge diversity of physical and cultural
  elements from the context that promote risks
  behaviours. in all the cities.
• Wide marked of substances in the nightlife
  context
• Contradictions between the formal norm (no drugs)
  and informal norms (promotions drug use) oriented
  to young people in some recreational contexts.
• Psychedelic atmospheres in most mainstream
  discos.

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• Diversity
• System in which the cities are organized to
  manage the recreational life (geography, time,
  kind of venues, control,)
• Central/outskirts of the recreational nightlife
  in the city
• High/low awareness by the risks from nightlife
• Responsibility of recreational industry
• Consumption of alcohol and tobacco in minors
• The roll of the violence in the space of the
  diversion
• To manage licenses where to give alcohol
• Implications on prevention actions

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How to get Ken-cav instruments

• we thanks a lot your comments!!
• You can ask them by e-mail to IREFREA
• irefrea_at_correo.cop.es
• In some weeks you can find the last version in
  the web page
• www. Irefrea.org

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From IREFREA We try to contribute to achieve a
creative and healthy recreational nightlife
model. It is necessary to find ways to get over
traps of a current nightlife model
Web page www.irefrea.org