County Health Rankings & Roadmaps, A Healthier Nation, County by County

The County Health Rankings models and measures

Our Approach

The County Health Rankings model of population health

What can I do?

Action Center

Explore guides and tools for improving health.

What Works for Health

Explore programs and policies that work!

What can I learn from others?

Reports

Key findings from the last four years of County Health Rankings and other national reports.

County-by-County Blog

Project updates, commentaries, events and news about health across the nation from the County Health Rankings & Roadmaps team.

Policies & Programs, filtered by "Alcohol and Drug Use"

Policies and programs that can improve health

37 results

Administrative license suspension/revocation laws

Scientifically Supported

Enable law enforcement officials to take an individual’s drivers license when that individual refuses or fails a chemical test such as a breathalyzer

Alcohol and Drug Use

Alcohol access restrictions in public places

Expert Opinion

Restrict alcohol availability and use at sporting events, other public events (e.g., concerts and street fairs) and in public spaces such as parks and beaches

Alcohol and Drug Use

Alcohol advertising restrictions

Some Evidence

Restrict the content and placement of alcohol advertisements via local ordinances, state laws, or industry self-regulation

Alcohol and Drug Use

Alcohol brief interventions

Scientifically Supported

Provide information and increase motivation to change or prevent problematic alcohol consumption in a short session; also called alcohol screening & brief intervention

Alcohol and Drug Use

Alcohol days of sale restrictions

Some Evidence

Limit the days alcohol can be sold in on-premise settings such as bars and restaurants or in off-premise outlets such as liquor and convenience stores; sometimes with limits to times of sale

Alcohol and Drug Use

Alcohol outlet density restrictions

Scientifically Supported

Use regulatory authority to reduce density of alcohol beverage outlets (i.e., places that sell alcohol) or limit increases in the density of such outlets

Alcohol and Drug Use

Alcohol taxes

Scientifically Supported

Increase the price of alcohol via regular adjustments to taxes levied for beer, wine, and liquor purchases

Alcohol and Drug Use

Blood alcohol concentration laws

Scientifically Supported

Set legal limits for drivers’ blood alcohol concentrations (BACs)

Alcohol and Drug Use

Breath testing checkpoints

Scientifically Supported

Implement checkpoints where law enforcement officers can stop drivers suspected of drinking and driving and assess their level of alcohol impairment; also called sobriety checkpoints

Alcohol and Drug Use

Campus alcohol bans

Insufficient Evidence

Restrict alcohol consumption anywhere on a college or university campus or ban alcohol only in specific areas (e.g., residence halls)

Alcohol and Drug Use

Designated driver promotion programs

Insufficient Evidence

Encourage use of designated drivers via population-based mass media campaigns, incentive programs based in drinking establishments, and other efforts

Alcohol and Drug Use

Dram shop liability laws

Scientifically Supported

Allow owners or servers at retail establishments where a customer recently consumed alcohol to be held legally responsible for harms inflicted by that customer

Alcohol and Drug Use

Drink special restrictions

Some Evidence

Limit or ban promotional events and unlimited beverages at a fixed price for a fixed period of time (e.g., happy hours, ladies’ nights, all-you-can-drink specials, etc.)

Alcohol and Drug Use

Drug courts

Scientifically Supported

Use specialized courts to offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration

Community Safety  ·  Alcohol and Drug Use

Enhanced enforcement of laws prohibiting alcohol sales to minors

Scientifically Supported

Initiate or increase retailer compliance checks for laws that prohibit alcohol sales to minors, often as part of a multi-faceted effort

Alcohol and Drug Use

Family treatment drug courts

Scientifically Supported

Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance abuse

Community Safety  ·  Alcohol and Drug Use

Good Samaritan drug overdose laws

Expert Opinion

Provide immunity from arrest, charge, or prosecution for drug possession or paraphernalia when individuals experiencing or witnessing drug overdose summon emergency services

Alcohol and Drug Use

Ignition interlock devices

Scientifically Supported

Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration

Alcohol and Drug Use

Keg registration laws

Insufficient Evidence

Require unique identifiable markers (e.g., purchaser’s name and address, date of birth, etc.) on returnable kegs of beer sold for private use

Alcohol and Drug Use

Mass media campaigns against alcohol-impaired driving

Scientifically Supported

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on fear of arrest or injury to self, others, or property

Alcohol and Drug Use

Mass media campaigns against underage & binge drinking

Expert Opinion

Use television, radio, print, and social media efforts to increase adult awareness of underage drinking and its consequences

Alcohol and Drug Use

Medical marijuana legalization

Mixed Evidence

Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs)

Alcohol and Drug Use

Medication-assisted treatment access enhancement initiatives

Expert Opinion

Provide medications such as methadone to individuals diagnosed with opioid use disorder in outpatient, residential, and hospital settings, usually with counseling and behavioral therapies; often called MAT

Alcohol and Drug Use

Mentoring programs: delinquency

Scientifically Supported

Enlist mentors to develop relationships and spend time individually with at-risk mentees for an extended period; mentors have greater knowledge, skills, etc. than mentees

Alcohol and Drug Use  ·  Community Safety

Minimum drinking age laws

Scientifically Supported

Maintain the current age below which the purchase or public consumption of alcoholic beverages is illegal; currently 21 in all states

Alcohol and Drug Use

Multi-component community interventions against alcohol-impaired driving

Scientifically Supported

Work to reduce alcohol-impaired driving via sobriety checkpoints, responsible beverage service training, education and awareness activities, and other efforts

Alcohol and Drug Use

Naloxone education & distribution programs

Some Evidence

Support community members who are likely to encounter individuals who might overdose with education and training to administer naloxone and ensure all first responders are trained and authorized to administer naloxone

Alcohol and Drug Use

Prescription drug monitoring programs (PDMPs)

Some Evidence

Use databases, housed in state agencies, to track prescribing and dispensing of Schedule II, III, IV, and V drugs and other controlled substances

Alcohol and Drug Use

Proper drug disposal programs

Expert Opinion

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

Alcohol and Drug Use  ·  Air and Water Quality

Recreational marijuana legalization

Insufficient Evidence

Allow adults to possess a limited amount of marijuana for personal, non-medical use

Alcohol and Drug Use  ·  Community Safety

Responsible beverage server training (RBS/RBST)

Some Evidence

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons

Alcohol and Drug Use

Retail alcohol sale privatization

Evidence of Ineffectiveness

Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages

Alcohol and Drug Use

Sales to intoxicated persons (SIP) law enforcement

Insufficient Evidence

Increase enforcement of laws that prohibit alcoholic beverage service to intoxicated customers, usually with fines, imprisonment, or revocation of a license

Alcohol and Drug Use

School-based social norming: alcohol consumption

Mixed Evidence

Provide objective, normative information to reduce students’ misperceptions about alcohol use and, ultimately, change their alcohol consumption

Alcohol and Drug Use

Seller & server minimum age

Insufficient Evidence

Require a minimum age for sellers in off-premise locations that sell alcohol and servers and bartenders in on-premise locations

Alcohol and Drug Use

Social host laws

Expert Opinion

Adopt laws that hold private property owners who provide alcohol to minors or obviously intoxicated individuals on their property liable if someone is killed or injured as a result

Alcohol and Drug Use

Universal school-based programs: alcohol misuse & impaired driving

Some Evidence

Provide all students with the information and skills to prevent alcohol use; programs can be delivered via a specific curriculum or as a component of classroom behavior management

Alcohol and Drug Use