By Robin Room, Professor at the Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia and the Centre for Alcohol Policy Research, Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.

Scotland has made progress in reducing harm from alcohol and an important part of that approach has been attention to regulating the price, availability and marketing of alcohol, known as the World Health Organization's ‘Best Buys’. However, the Scottish off-trade alcohol market remains lightly regulated in comparison to many countries. Here, Robin Room discusses international examples of alcohol monopolies.

By Dr David McCartney (@DocDavidM), Addiction Medicine Specialist, Clinical Lead of LEAP (NHS Lothian) and Chair of the Scottish Government’s Residential Rehabilitation Working Group

“Rehab? What’s the point of it? There’s no evidence that it works. I don’t refer anyone to rehab. Do you?”

The addiction worker was talking to a colleague – another practitioner working in the field. What he didn’t know was that his workmate was in long term recovery from addiction and felt he owed his recovery, at least in part, to his three months in rehab several years before.

When I heard this, my initial response was a tight smile at the irony of the situation. But as the clinical lead of an NHS residential rehabilitation service (LEAP), I also felt frustration at our colleague’s contempt for the option of rehab as a treatment intervention. In practice, his own beliefs would be a barrier to his clients accessing rehab. Our own attitudes can profoundly affect those we have pledged to help.

By Dr Steph Grohmann, Leverhulme Early Career Fellow at the Centre for Homelessness and Inclusion Health (CHIH), University of Edinburgh

“If somebody has no hope for tomorrow it becomes unbearable, yeah. If he’s been waiting for years and no answer, no decision, no nothing, you don’t know what it’s for and about what, that is a bad situation. It’s a mental torture at one point, so that can cause somebody to switch on something which is wrong” Former UK asylum seeker

In 2019, more than 70 million people globally were forcibly displaced by armed conflict or natural disasters. As a signatory to the 1951 Convention on Refugees, the UK is legally obliged to admit any persons seeking asylum at its borders, currently roughly 35.000 persons a year. Most of those claiming asylum in the UK have already gone through traumatic experiences in their countries of origin or on the journey. Once arrived, they find that despite their hopes of finally having reached safety, they are only at the start of a years-long process of waiting and hoping for a positive asylum decision. Despite these many stressors, however, very little data exists on what role, if any, harmful alcohol use plays in this population.

By Jackie MacDiarmid, SHAAP Research and Projects Officer

I began working with SHAAP at the end of 2018, just after completing my Masters in Public Health at the University of Edinburgh. 

I was excited but slightly nervous. I had never worked in the public health field before, having originally pursued a degree in Political Science and worked in government in my home country of Canada before deciding to change tack. While I had enjoyed this previous work, it had all felt miles away from the “real world”. I had walked down the halls of Parliament I’d seen on TV, welcomed suits into the office, shook hands, sent tweets – but l felt as though I was considering the world’s most pressing problems from a great and comfortable height rather than pitching in to help solve them.

In contrast, this new job felt like a chance to work with an organisation effecting real change.

By Dr Peter Rice, Steering Group Chair, SHAAP

In the third week of March 2020 I went to the supermarket at the height of the pasta, paracetamol and toilet paper rush.

In front of me were a couple of men in their early 30s. They seemed unfamiliar with the checkout routine. They had a trolley of what looked like a big family shop. The checkout operator took back two of the four boxes of muesli explaining there was a limit of two items per customer. The customers pointed to their six or so bottles of wine and said “But cereal is healthy, wine is not.” The operator agreed it was illogical, but those were the rules and alcohol wasn’t part of the restriction. They shrugged and got on with their day. The man behind me in the queue was buying several litres of vodka (and nothing else).

By Dr Arianna Andreangeli, Senior Lecturer in Competition Law, Edinburgh Law School, University of Edinburgh

Remote monitoring is a phenomenon we are very familiar with. In a way, we are all being monitored remotely, whether via public or private CCTV systems. However, some individuals are subject to individual monitoring by way of judicial or administrative decisions. Offenders, for instance, can be subjected, in specific cases and upon their consent, to electronic tagging, often together with other restrictive measures such as night curfew, instead of imprisonment. Individuals seeking asylum can also be tagged in certain circumstances - for instance, after their application for refugee status is turned down and before repatriation.