Commentary
The implementation and development of complex alcohol control policies in indigenous communities in Queensland (Australia)

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Abstract

Very high rates of injury and death during the 1990s were linked with increased alcohol availability and misuse in discrete Indigenous communities in rural and remote Queensland (Australia). To address widespread concerns about a public health crisis, from 2002, the Queensland Government implemented alcohol control strategies known as ‘Alcohol Management Plans’ (AMPs) in 19 of these communities. Although resources for prevention and treatment were promised, AMPs became increasingly focused on local prohibition, restricted access to alcohol and punitive measures for breaching restrictions. An examination of legislation, regulations, explanatory notes, and published documents indicates this focus evolved across four phases since 2002. The first phase, from 2002 to 2004, saw ‘restricted areas’ with alcohol ‘carriage limits’ introduced, restricting the amounts and types of liquor permitted within some communities. The second phase (2002–2007) featured evaluations and reviews by the Queensland Government bringing recommendations for more stringent controls. Additionally, beyond the ‘restricted areas’, licenced premises situated within the ‘catchments’ of the targeted communities, mainly located in the nearby regional towns, became subject to ‘minimising harm’ provisions. These more stringent controls were implemented widely in the third phase (2008–2011) when: the operations of seven community-managed liquor outlets were terminated; the trading arrangements of two others were modified; Police powers to search and seize were increased; and ‘attempting’ to take liquor into a ‘restricted area’ also became an offence. Some communities have seen a reduction in alcohol-related harms that have been attributed to these alcohol control strategies. This commentary maps the recent regulatory history of Queensland's alcohol controls targeting discrete Indigenous communities highlighting their increasing focus on punitive measures to reduce access to alcohol. With AMPs in Queensland currently under Government review, and with community resolve for change rising, the limits to Government controls and punitive measures may have been reached.

Introduction

Alcohol Management Plans (AMPs) were first implemented in Queensland in 2002 under the policy banner of Meeting Challenges, Making Choices [MCMC]. From the outset, AMPs featured controls on the quantity and type of alcohol that could be legitimately possessed in most of the 19 discrete Indigenous (Aboriginal and Torres Strait Islander) communities located in rural and remote areas of northern and eastern Queensland (Fig. 1) (Fitzgerald, 2001, Indigenous, 2002, Queensland Government, 2002). In particular, the Queensland Government (the “Government”) aimed to break the reliance of Local Government Councils (“Councils”) on selling alcohol in Council-managed ‘canteens’ or taverns. Following reviews and evaluations conducted from within Government in 2005 and again in 2007, these controls were further tightened in 2008 under a new policy banner; Alcohol Reform Project, the stated purpose of which was to assist communities to “go as dry as possible” (p. 57) (QGovt, 2009). By early 2009 alcohol had become restricted in 12 of these communities and, with the closing of ‘canteens’, completely prohibited in seven communities (Fig. 2) (Part 3 Aboriginal and Torres Strait Islander Communities (Justice, Land and Other Matters) and Other Acts Amendment Act 2008). Legislative changes made it an offence not only to possess liquor other than of a prescribed quantity and type, but also to attempt to take prohibited liquor into an AMP community. Alongside these more stringent place-based controls, across a wide area, ‘minimising harm’ strategies were brought into play designed to limit alcohol sales from the 162 ‘catchment’ licenced premises located, for the most part, in non-Indigenous service centres and towns situated near the 19 communities (Fig. 1) (QGovt, 2012).

The State election in March, 2012, brought a change of Government in Queensland. The newly-elected Government had already promised during the election campaign to review AMPs, and it recently announced its review process (Liberal National Party of Queensland, unknown). However, at this important turning point in the controversial history of alcohol controls targeting Queensland's Indigenous communities, the regulatory mechanisms and policy processes used to implement AMPs have not been systematically documented. To begin to address this lack, and to inform policy makers and community leaders, this commentary maps the regulatory and legislative structures, instruments and processes which have underpinned Queensland's AMPs since 2002 (Fig. 2). Their scope and complexity and their increased focus on enforcement and punitive measures to control access to alcohol are highlighted.

Section snippets

Approach and methods

This commentary is not a systematic critical appraisal of Queensland's alcohol management policies for Indigenous communities. A full evaluation of their impacts and community responses will be the subject of further, more-detailed policy analyses. To provide a basis for such analyses, the available Queensland legislation, regulations, amendments, explanatory notes and published documents were examined. No single electronic compilation of relevant documents is available. To identify relevant

Prelude to 2002

Successive Governments over more than 40 years have attempted to address alcohol-related violence and injury in Queensland's Indigenous communities. In the early 1970s, the Government attempted to provide legislated powers for locally-elected community organisations to control alcohol. The Aborigines Act 1971 gave Queensland's Governor in Council the power to establish Aboriginal Councils on Aboriginal reserves and the Director of Aboriginal and Island Affairs could establish premises

Conclusion

Queensland's strategies to control alcohol in Indigenous communities have featured ever-more-intense and complex techniques to restrict alcohol availability, but appear to be coming full circle with community resolve for change rising. Phase 1 featured controls on access to alcohol in a number of communities. Phase 2 saw the expansion of these controls to all targeted communities. Phase 3 brought the beginnings of attempts to control access to alcohol across a much wider region with controls on

Acknowledgements

The research conducted for this commentary was supported by the National Health and Medical Research Council of Australia (NHMRC, Project Grant APP1042532). The Collaborating Investigators on this project grant are: Professor Steven Margolis, Associate Professor Reinhold Muller, Professor Adrian Miller, Associate Professor Anthony Shakeshaft, Professor Chris Doran, Laureate Professor Rob Sanson-Fisher, Professor Robyn McDermott, Dr. Valmae Ypinazar and Mr. Simon Towle. Associate Professor

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