University Report: Problematic Alcohol Use in Australian Adolescents

This report provides a comprehensive overview of problematic alcohol use in Australia, focusing on adolescents aged 14-17. It examines the rising trend of alcohol consumption and its association with mental health issues, including depression and anxiety. The report delves into various risk factors such as lack of legislation, parental supply, exposure in schools, and peer pressure. It also highlights protective factors like community, family, school, and individual influences. The Alcohol and Drug Information Services (ADIS) program is explored as an evidence-based intervention, detailing its services, target audience, and goals. Finally, the report discusses the role of nursing in combating problematic alcohol use, emphasizing the importance of early intervention and support for affected individuals. The report references several studies and provides valuable insights into the complexities of alcohol abuse in Australia.

Running head: PROBLEMATIC ALCOHOL USE 1
Problematic Alcohol Use
Student’s Name
University Affiliation

PROBLEMATIC ALCOHOL USE 2
Table of Contents
Introduction......................................................................................................................................3
Problematic alcohol consumption in Australia................................................................................3
Risk factors......................................................................................................................................5
Lack of legislation........................................................................................................................5
Parental supply............................................................................................................................5
Exposure to alcohol in school......................................................................................................6
Peer pressure...............................................................................................................................6
Protective factors.............................................................................................................................7
Community protective factors......................................................................................................7
Family protective factors.............................................................................................................7
School protective factors..............................................................................................................8
Individual protective factors........................................................................................................8
Program that addresses alcohol use.................................................................................................8
Details of the program.................................................................................................................9
Target audience..........................................................................................................................10
Goals of the program.................................................................................................................10
Role of nursing in combating problematic alcohol use.................................................................10
Conclusion.....................................................................................................................................12

PROBLEMATIC ALCOHOL USE 3
References......................................................................................................................................13
Problematic Alcohol Use
Introduction
The trend of alcohol consumption in Australia is rising specifically among the young
adults. Problematic alcohol use is a major cause of mental illnesses such as depression, anxiety,
autism, mood disorder and psychotic disorders. In most cases, these mental disorders develop
due to the consumption of excess alcohol for a long time. However, some mental disorders occur
in the short-term. Even though there are several programs designed to address the problematic
alcohol consumption, some youths do not have access to these programs. This scholarly paper
aims to explore the problem of alcohol use in the population aged between 14 and 17 years. The
study will also evaluate the risk factors and protective factors for alcohol consumption. The
paper will elucidate the Alcohol and Drug Information Services (ADIS) which is an evidence-
based program for addressing problematic alcohol use in Australia. In the last part, it will
examine the role of nursing in combating problematic alcohol use.
Problematic alcohol consumption in Australia
Alcohol abuse is a significant problem in among adolescents in Australia. The population
aged between 14 and 17 years is greatly affected by alcohol use. One study conducted in 2011
found that 74 percent of Australians aged 14 years old have used alcohol in the past. The study
further found that 90.9 percent of those aged 17 years have consumed alcohol at one particular
time in their life. Individuals aged 14 and 17 years were found to have consumed about four
drinks on a single day in the last seven days. The most consumed alcoholic drinks are spirits,
pre-mixed spirits, ordinary beer and alcoholic sodas (Kelly, et al., 2016). Males comprise the
highest number of drinkers in this population. Even in the entire population in Australia, men

PROBLEMATIC ALCOHOL USE 4
drink more alcohol compared to women (Wilsnack, Wilsnack, Kristjanson, Vogeltanz-Holm, &
Gmel, 2009). Most adolescents who make this population are students. Hence, a large percentage
consumes alcohol in school with friends while others access alcohol in their homes. There are
however some adolescents who purchase alcohol from bottle shops, liquor stores and
supermarkets.
The selected population has high chances of consuming hazardous levels of alcohol. A
recent study indicates that despite public education on the adverse impacts of alcohol
consumption, the trend of drinking remained constant between 2001 and 2007. In fact, it was
reported that about 10 percent of the population consume high amounts of alcohol, which can
result in long-term harm. For instance, in Western Australia, 39 percent of the individuals who
are aged 14 years and above drink a lot of alcohol that has a chance of causing harm in the short-
term. 11 percent of this population drinks alcohol levels that have a chance of causing harm in
the long-term. Wholesalers of alcohol continue to record high returns since per capita alcohol
drinking is rising in Australia (Pereira, Wood, Foster, & Haggar, 2013). This analysis indicates
that the population aged between 14 and 17 years has higher chances of suffering from mental
disorders than the rest of the population.
Empirical studies show that consumption of alcohol is a key risk factor for disease burden
in Australia. Based on a study conducted in 2013, 26 percent of the population aged 14 years in
Australia had experienced an alcohol-related harm. Mental disorders are the most common
harms that adolescents experienced as a result of excessive drinking (Ward, Kippen, Buykx,
Munro, McBride, & Wiggers, 2016). Besides, excessive consumption of alcohol is associated
with suicidal behaviour. Suicidal behaviour occurs due to impaired judgment and disinhibition.
Some individuals who consume alcohol might use suicide as a way of reducing stress (Pompili,

PROBLEMATIC ALCOHOL USE 5
et al., 2010). Drinking alcohol has significant adverse impacts on students. Students who
consume high amounts of alcohol have 1.2 higher chances of experiencing psychological distress
compared to students who drink low levels of alcohol. Additionally, students who take excessive
alcohol are more likely to miss classes, exhibit low concentration in class and fail to handle
assignments (Tembo, Burns, & Kalembo, 2017). The population under study in this paper
comprises of students who might suffer these mental disorders.
Risk factors
Various risk factors influence the consumption of alcohol among adolescents. Adolescent
development experiences, as well as social settings, expose youths to alcohol consumption.
Some of the environments that expose young people to alcohol abuse are sporting and
recreational settings. As youth socialise, they have higher chances of being introduced to alcohol
abuse (Toumbourou, Evans-Whipp, Smith, Hemphill, Herrenkohl, & Catalano, 2014).
Lack of legislation
Another risk factor for the consumption of excess alcohol is the lack of legislation on the
minimum age for alcohol drinking. Australia has embraced the system of most western nations
that restrict the sale of alcohol based on age, club licenses and the consumption of alcohol in
licensed places. Alcohol is not sold to those aged under 18 years (Howard, Gordon, & Jones,
2014). Since the adolescents are not restricted from drinking alcohol, they can obtain alcohol
from different sources.
Parental supply
The prevalence of alcohol abuse among the youths indicates that they obtain alcohol from
peers and parents (Kaynak, Winters, Cacciola, Kirby, & Arria, 2014). In 2009, 388 parents from
Australia were involved in a survey aimed to determine whether parents supply alcohol to their

PROBLEMATIC ALCOHOL USE 6
children. The survey found that 37 percent of the parents had supplied their children with alcohol
in the past 3 months (Ward & Snow, 2011). The study concluded that most adolescents obtain
alcohol from their parents. Studies show that parents are increasingly lowering the supply of
alcohol to minors. In 2004, 21.3 percent of parents asserted that they supplied alcohol to their
children. This number dropped to 11.7 percent in 2013 (Kelly, et al., 2016). Parents who supply
alcohol to their children claim that they are protecting the children from harm. Longitudinal and
cross-sectional studies found that there is no evidence of protection when parents supply alcohol
to their children. Instead, the parents are continuously cultivating the habit of drinking in the
adolescents (Kaynak, Winters, Cacciola, Kirby, & Arria, 2014). The abuse of alcohol is high
when the adolescents are unsupervised. Parental supervision can lower the incidences of
excessive consumption of alcohol among the young adults.
Exposure to alcohol in school
Another risk factor for the consumption of alcohol is the exposure drinking habits in
schools. Learning institutions play a vital role controlling the consumption of alcohol among
students through practices and regulations. Alcohol abuse in the presence of learners indicates
approval for drinking and might encourage students to adopt drinking habits (Ward, Buykx,
Munro, Hausdorf, & Wiggers, 2014). Recent reports indicate that the habit of drinking alcohol in
the presence of children in Australia is on the rise. Most adults drink alcohol during school
events.
Peer pressure
Peer pressure is another risk factor for the problematic alcohol use in Australia.
Adolescents tend to influence and initiate each other into alcoholism. There is an important part
of peer-relations in the emergence of adolescent drinking behaviour (Han, Grogan-Kaylor,

PROBLEMATIC ALCOHOL USE 7
Delva, & Castillo, 2012). Youths who are introduced into drinking by their peers might be worse
addicts compared to those who are introduced by their parents.
Protective factors
Regardless of the rampant alcohol abuse in the population aged 14 to 17 years, there are
some protective factors. The protective factors can be classified as community, family,
individual and school protective factors.
Community protective factors
Some aspects of the community act as protective factors against drinking alcohol. The
primary community protective factor is getting a reward for prosocial engagement (Hemphill,
Heerde, Herrenkohl, Patton, Toumbourou, & Catalano, 2011). It is notable that some individuals
in the community reward good behaviour in the youths. In other instances, the youths might be
rewarded for doing something noble for the community. The activities that are rewarded in the
community are getting involved in community groups and involvement in community building.
Engagement in community sports is another community protective element.
Family protective factors
The family setting acts as an important protective factor. As discussed in previous
paragraphs, the parents play a fundamental role in shaping the alcohol behaviour of a child. The
main family protective factor is being close to the parents. A study conducted in Australia
revealed that some youths were attached to their fathers while others were attached to their
mothers (Hemphill, Heerde, Herrenkohl, Patton, Toumbourou, & Catalano, 2011). The level of
attachment determines whether the adolescents are in the position to share their thoughts and
feelings openly. It is notable that youths who share with their parents have fewer chances of
being initiated into alcohol abuse. Youths who spend a lot of time with their family doing

PROBLEMATIC ALCOHOL USE 8
positive things have higher chances of disclosing their whereabouts to the parents. Also, they
have higher chances of adhering to parental discipline.
School protective factors
The school can model the behaviour of the students either positively or negatively.
School games and avenues for socialisation are some of the protective factors in school.
Commitment to school activities helps students to avoid dangerous behaviours such as alcohol
abuse. Rewards for outstanding behaviour motivate the students to uphold ethics as well as avoid
engaging in activities that may result in harm.
Individual protective factors
Personal values and behaviours are important protective factors against the consumption
of alcohol. Various individual protective factors impend the youths from engaging in alcohol
abuse. The religiosity of an individual is an important personal protective factor (Hemphill,
Heerde, Herrenkohl, Patton, Toumbourou, & Catalano, 2011). The inclination to religious
gatherings, activities and services defines the religiosity of an individual. Another personal
protective factor is the belief in the moral order. The moral order includes factors such as being
honest, just and trustworthy. Self-efficacy and academic performance act as protective factors
against alcohol abuse when expressed at high levels. Lastly, social variables including peer
pressure and antisocial behaviour are positively associated with low alcohol drinking if they
occur in low values.
Program that addresses alcohol use
The program that addresses alcohol use in Australia is Alcohol and Drug Information
Services (ADIS). ADIS is designed to deal with the problematic alcohol use at the state and
territory levels.

PROBLEMATIC ALCOHOL USE 9
Details of the program
ADIS is a telephone-based counselling service that is offered by trained counsellors who
have a background in the alcohol field. The program is provided by the Drug and Alcohol
Services across Australia. The program is offered 24 hours a day, which means it can be
accessed at any time of the day. Various telephone numbers have been made available for the
public to call in case they require specialised help. Even though ADIS is open to the public, it is
a confidential program (Tzelepis, et al., 2015). Vast information is available for people who use
the ADIS program. The professionals can inquire what is happening to the caller specifically
about alcohol use. Besides, they offer emotional support to individuals who are addicted to
alcohol. Emotion-regulation techniques mainly the capacity to control adverse emotions is a vital
target in managing alcohol dependence (AD) (Berking, Margraf, Ebert, Wupperman, Hofmann,
& Junghannsb, 2012).
The counsellors further advise the clients about treatment options. Cognitive-behavioral
therapy is among the most effective interventions for alcohol abuse. The professionals have
extensive knowledge of the available treatments for problematic alcohol use. The final
intervention for alcohol addicts is referring clients to local services. Clients are referred to the
suitable local service based on their condition or level of alcohol addiction. General practitioners
also get help from the counsellors. The counselling is often customized to the client’s needs.
Help is offered about both short-term and long-term impacts of alcohol abuse. A significant part
of the program offers information about the side effects of alcohol and symptoms of intoxication
(Tzelepis, et al., 2015).

PROBLEMATIC ALCOHOL USE 10
Target audience
ADIS targets a wide client base in the community. The main target for the program is
individuals and families. Australians who are experiencing problematic alcohol use can enrol in
the program because it is free. The design of ADIS makes it cost-effective and practical for
families and individual clients.
Goals of the program
ADIS has multiple goals that are meant to enhance the quality of life (QOL) of people
experiencing problematic alcohol use. The overall intention of the program is to help people
reduce or stop alcohol use. Additionally, it has an objective of offering ready information about
alcohol abuse. Australians struggling with alcohol abuse, pharmacies and prescribers get readily
available information. It aims to educate alcohol addicts on the mental health issues associated
with alcohol abuse. When youths are informed of the possible mental illnesses linked to
substance abuse, there are high chances of withdrawal. The program cultivates healthy stress-
management initiatives among the general population. People who experience mental health
illnesses linked to alcohol abuse tend to develop stress.
Role of nursing in combating problematic alcohol use
Nurses’ offer enhanced service for problematic alcohol use in primary care. The
enhanced services act as the first type of intervention for people seeking to address alcohol
abuse. The nursing role in primary care should start with the screening of the population aged
between 14 and 17 years. Different alcohol screening tools have been developed for use in
primary care. The most effective tools that nurses should use are the Fast Alcohol Screening Test
(FAST) and Alcohol Use Disorder Identification Test (AUDIT) (Meneses-Gaya, et al., 2010).
AUDIT is effective for all genders and races (Frank, DeBenedetti, Volk, Williams, Kivlahan, &

PROBLEMATIC ALCOHOL USE 11
Bradley, 2008). Conversely, FAST is sensitive and sensitive (GROVES, et al., 2010). All the
participants who test positive for these tests should be offered intervention to lower the risk of
developing alcohol-based illnesses. The process of screening entails asking the participants
questions that will reveal whether they are experiencing alcohol dependency. Empirical evidence
asserts that after the screening, intervention should be offered as fast as possible to reduce the
impact (Kaner, et al., 2013). In most cases, intervention should be initiated on the same day after
the screening.
Nurses in primary care can offer treatment in different ways. The best methods that have
been proposed in this report are detailed lifestyle counselling, enhanced patient information and
person-tailored counselling. Patient information can be provided through leaflets after the
screening process. Apart from the leaflets, the individuals should be offered more information
about their drinking levels. The information should be accompanied with techniques on how to
minimise alcohol levels. The next type of intervention should be lifestyle counselling. However,
the lifestyle counselling should be conducted after an appointment (Hamilton & Baker, 2013).
An appointment is fundamental because the provider should first understand the lifestyle of
individual, drinking habit and willingness to adhere to treatment plans.
Although there three interventions are important for problematic alcohol use, feedback
and detailed information are the most suitable interventions to minimise excessive alcohol
consumption. The types of interventions discussed in the above paragraphs are effective, yet they
require minimal training. The structure of the enhanced service in primary care is a key factor for
success. Community-based intervention is the most effective approach. The primary care will be
offered at Local Government Area (LGA) levels. Youths aged between 14 and 17 years will be

PROBLEMATIC ALCOHOL USE 12
recruited into the program if they exhibit the willingness to reduce, stop or manage alcohol
abuse.
Conclusion
As evident in this paper, alcohol use is a significant problem in Australia. The study is
specifically focused on the population aged between 14 and 17 years. The selected population
engages in alcohol abuse due to various risk factors. Parental supply, exposure to alcohol in
school, peer pressure and lack of firm legislation are among of the main risk factors for alcohol
use among the chosen population. Protective factors are rewards for exemplary behaviour,
parental supervision, sporting activities and involvement in community activities. The program
that has been developed to address the problem of alcohol use in Australia is ADIS, and it aims
to help people reduce, manage and stop alcohol abuse. Nurses have a role in screening and
introducing interventions to address problematic alcohol use.
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PROBLEMATIC ALCOHOL USE 13
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