Report by Tamyko Ysa Figueras and Adrià Albareda Sanz on the outcomes of the third and final wave of the ALICE RAP Network Evaluation Survey, conducted in November 2015, as part of WP20 (Communication and Integration) on project integration. Comparisons with the previous wave reports (Wave 2; Wave 1) are available.

This report focuses on the development of models concerned with the transition from use or no use to risky substance use and gambling. It also and includes the transition probabilities between no use-risky-harmful-cessation stages for alcohol.

The reduction of harmful substance use and gambling does not refer only to cessation, but also changes in patterns of use and the environment of use that result in a reduction in harmful outcomes to the individual, friends and family, and wider society. Within this work we have examined the determinants of such changes with a focus towards non-formal treatment.

This report also presents methodologically updated transition probabilities and hazard ratios for the transitions between different stages of alcohol use, calculted with reference to the different covariates age, gender and socioeconomic status.

Following D6.1, which documented the social costs attributable to the use of alcohol, tobacco and illegal drugs in three EU countries with different policies with respect to illegal drugs (Poland, Portugal and Catalonia (Spain)), this report estimates which part of these costs are avoidable with decreased levels of alcohol, tobacco and illicit drug consumption, resulting in lower mortality rates and therefore benefits in productivity. It also analyzes the relationships between policies and costs in these countries, especially for costs occurring in the criminal sector, and estimates the avoidable costs associated with a potential introduction of a key policy, alcohol minimum unit price, in Poland.

As part of the ALICE RAP communication and dissemination strategy, the project convened and organised a series of Decision Makers’ Dialogues, aimed at policy makers and influencers of addiction governance for jurisdictions of different levels and sizes. This report gives brief accounts of the 6 decision makers’ dialogues held over three jurisdictional levels, and attempts made by the coordinating team to initiate still wider international dialogues linking to the UNGASS on drugs 2016.