Long-term effects of a community-based intervention: 5-year follow-up of 'Clubs against Drugs'

Addiction. 2011 Nov;106(11):1997-2004. doi: 10.1111/j.1360-0443.2011.03573.x.


Aims: To evaluate long-term effects of a multi-component community-based club drug prevention programme.

Design: A pre- (2003) and post-intervention study (2004 and 2008) design.

Setting: High-risk licensed premises in central Stockholm, Sweden.

Participants: The intervention programme, 'Clubs against Drugs', included community mobilization, drug-training for doormen and other staff, policy work, increased enforcement, environmental changes and media advocacy and public relations work.

Measurement: The indicator chosen for this study was the frequency of doormen intervention towards obviously drug-intoxicated guests at licensed premises. Professional male actors (i.e. pseudopatrons) were trained to act impaired by cocaine/amphetamines while trying to enter licensed premises with doormen. An expert panel standardized the scene of drug intoxication. Each attempt was monitored by two male observers.

Findings: At the follow-up study in 2008 the doormen intervened in 65.5% of the attempts (n=55), a significant improvement compared to 27.0% (n=48) at the first follow-up in 2004 and to 7.5% (n=40) at baseline in 2003.

Conclusion: The 'Clubs against Drugs' community-based intervention programme, a systems approach to prevention, appears to increase the frequency and effectiveness of club doormen's interventions regarding obviously drug-intoxicated guests.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Community Participation / methods*
  • Drug Users / education
  • Follow-Up Studies
  • Humans
  • Illicit Drugs / adverse effects
  • Illicit Drugs / legislation & jurisprudence*
  • Inservice Training / methods
  • Law Enforcement / methods*
  • Licensure
  • Logistic Models
  • Male
  • Organizational Policy
  • Program Evaluation / methods
  • Public Policy
  • Restaurants
  • Role Playing
  • Social Control, Informal / methods
  • Social Environment
  • Substance-Related Disorders / prevention & control*
  • Sweden
  • Violence / prevention & control
  • Young Adult


  • Illicit Drugs