Making licensed venues safer for patrons: what environmental factors should be the focus of interventions?
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(T&F) CDAR230104 Drug and Alcohol Review (March 2004), 23, 19 – 29 SPECIAL SECTION: PREVENTION Making licensed venues safer for patrons: what environmental factors should be the focus of interventions? ROSS HOMEL1, RUSSELL CARVOLTH2, MARGE HAURITZ3 GILLIAN MCILWAIN1 & ROSIE TEAGUE4 1 School of Criminology and Criminal Justice and Key Centre for Ethics, Law, Justice and Governance, Griffith University, 2 Policy and Projects, Alcohol, Tobacco and Other Drug Services, Queensland Health, 3Mt Gravatt East and 4School of Applied Psychology, Griffith University, Australia Abstract The Queensland Safety Action Projects operationalized a problem-focused responsive regulatory model in order to make nightclubs and other venues safer. A problem-focused approach requires a careful analysis of the total environment of licensed venues, including drinking and its controls but also the social and physical environments, patron mix and management practices. We present new analyses of observational data collected in 1994 and 1996 in the north Queensland cities of Cairns, Townsville and Mackay. Major reductions in aggression and violence were observed, as well as improvements in many aspects of the venue environment and management practices. We do not argue in this paper that the interventions caused the environmental and management changes, although we believe this to be true. Rather, our assumption is that whatever caused them, some of the environmental and management changes were critical to the reductions in aggression. Regression techniques were used to identify those factors that best explained the declines in aggression. For reduced physical violence four key predictors were identified: improved comfort, availability of public transport, less overt sexual activity and fewer highly drunk men. For reduced non- physical aggression, four key predictors were: fewer Pacific Islander patrons, less male swearing, fewer intoxicated patrons requiring that management be called and more chairs with armrests. The analyses are consistent with the argument that the control of drinking is necessary but not sufficient to reduce aggression and violence. [Homel R, Carvolth R, Hauritz M, McIlwain G, Teague R. Making licensed venues safer for patrons: what environmental factors should be the focus of interventions? Drug Alcohol Rev 2004;23:19 – 29] Key words: alcohol, licensed venues, nightclubs, regulation violence, safety. Introduction community-based interventions to answer the question: what were the key observable changes within licensed The focus of this paper is the regulation of public environments most closely related to the large declines drinking places, which provide the settings for between in violence and aggression that were recorded between one quarter and three quarters of all alcohol consump- two waves of observations in 1994 and 1996. tion, depending on the country and the statistical The point of addressing this question is to sharpen measures used ([1], Table 3.2). More exactly, our focus the focus of interventions designed to make licensed is licensed venues, in particular nightclubs in city centre venues safer. The logic of the analyses is that only entertainment areas in the Australian state of Queens- environmental and management factors that changed land. We aim to use a reanalysis of the evaluation data between 1994 and 1996 were likely to be causally we collected as part of a series of carefully designed related to the declines in aggression or violence Ross Homel PhD, Professor and Head, School of Criminology and Criminal Justice and Deputy Director, Key Centre for Ethics, Law, Justice and Governance, Griffith University, Australia; Russell Carvolth OAM, BA Hons, Manager, Policy and Projects, Alcohol, Tobacco and Other Drug Services, Queensland Health; Marge Hauritz PhD, Consultant, Mt Gravatt East; Gillian McIlwain BA (Hons), PhD student, School of Criminology and Criminal Justice, Griffith University; Rosie Teague BA (Hons), PhD student, School of Applied Psychology, Griffith University, Australia. Correspondence to Ross Homel, Professor and Head, School of Criminology and Criminal Justice and Deputy Director, Key Centre for Ethics, Law, Justice and Governance, Griffith University, Australia. E-mail: R.Homel@griffith.edu.au Received 1 August 2003; accepted for publication 27 October 2003. ISSN 0959-5236 print/ISSN 1465-3362 online/04/010019–11 # Australian Professional Society on Alcohol and Other Drugs DOI: 10.1080/09595230410001645529
20 Ross Homel et al. (whatever other non-observed changes might also have commonly the implicit understanding that venues will had a causal impact), and that knowledge of such be left alone by police and liquor licensing officials if factors provides a better basis for prevention planning there is no trouble serious enough to attract media or than a smorgasbord of risk factors derived from political attention. We would now add as part of the correlational analyses of cross-sectional data [2]. ‘not directly observable’ a range of community and Whether it was the interventions or other processes political influences, and the effects of regulatory and extraneous to the project that caused the extensive market reform (including national competition policy) environmental changes does not need to be adjudicated [4,5]. for the purposes of this paper: it is sufficient to establish Regulation, if it is to be any use, therefore requires an that change in both the environment and in rates of understanding of the actual problem in all its aspects, violence occurred. and the formulation of effective tools for its solution. Our starting point is not simply that alcohol is a This paper focuses on the part of the problem that is commodity [1], it is that the settings in which it is directly observable: the social and physical environment consumed are also part of an intensely competitive of nightclubs. The less easily observed aspects, such as market. Nightclubs and bars do not sell only liquor; community influences, are discussed in detail else- they sell food, entertainment, excitement and perhaps where, in combination with analysis of effective drugs and they provide—at a cost—spaces for stren- countermeasures that incorporate community pro- uous physical activity, for meeting others, for sexual cesses and formal regulation (see especially [6 – 8]). liaisons and generally for behaving outrageously with In the next section we describe briefly the Safety relative impunity. In short, nightclubs are businesses, Action Projects in north Queensland and the processes and their business is pleasure. Unfortunately, God of data collection, summarising the pre- and post- being a Puritan, pleasure has its price. We know well intervention changes in aggression and violence that that drinking is a sin and what the wages are, but the were observed in clubs, as well as the numerous divine economy does not stop there. Popping pills and changes that occurred in their physical and social becoming thirsty, competing for women (or men), environments and in management practices. These being offside with an aggressive bouncer, being data have not been published previously, except in a chronically uncomfortable after standing for a long limited circulation report [9]. These changes form the period, being crushed in a crowd, becoming deafened basis for a more detailed statistical investigation of by loud music, or growing just simply hungry or tired environmental and management factors that appear to can also have negative effects on individual health, be linked intimately with the reductions in aggression standards of group behaviour and public order. It is not and violence. We conclude with some reflections on necessary to be drunk—no one in the place has to be critical factors for violence reduction, and on how we drunk—to encounter danger on the dance floor or might move closer to the ideal of a problem-focused, bullies at the bar. responsive regulatory model. The point we are making is not simply a light-hearted observation on Nightclubs We Have Known. Licensed The North Queensland Safety Action projects venues are multi-faceted places that make a great deal of money for the people that own them. Making them The Safety Action approach was piloted at Surfers safer is therefore a challenge with many faces, doubly Paradise in an evaluated implementation during 9 difficult if economic interests are at stake. Any months of 1994 [10,11]. The North Queensland approach to regulating licensed venues must therefore projects were replications of the Surfers Paradise Safety be based on a realistic analysis of the actual problem. Action model in Cairns, Townsville and Mackay Putting this another way, we have always been of the between 1994 and 1996 [6]. Aggression and violence view that the preoccupation of some alcohol researchers were targeted by addressing the three levels of regula- with host responsibility, server training programmes tion manipulated in the Safety Action model: support- and so on does not so much miss the point as reflect an ing improvements in formal state regulation; providing incomplete understanding of the problem. The pro- a mechanism for community support of the formal blem, as we saw it when we began this line of research a regulation; and facilitating self- and peer-regulatory decade ago [3], is the ‘total environment’, which compliance. This ‘tripartism’ is a feature of a form of includes drinking and the other kinds of observable regulation that is responsive to industry context and factors referred to above, but also includes what is not structure, regulatory culture and history, and which directly observable. What we originally had in mind also incorporates ‘tit-for-tat’ strategies that combine concerning the ‘not directly observable’ was mainly the punishment and persuasion in an optimum mix, and hidden deals that are so characteristic of this industry— ‘enforced self-regulation’, in which private sets of rules in the worst cases, the agreements by police to back off written by business (such as Codes of Practice) are certain premises if the price is right, but more ratified publicly and, when there is a failure of private
Making licensed venues safer for patrons 21 regulation, are enforced publicly [12]. The interven- 20.5% late, while in 1996 the figures were, respectively, tions focused on: representation to authorities regard- 45.7%, 34.0% and 20.3% (w2(2) = 0.08). Nearly all ing critical regulatory change and refinement; the visits in both years took place on Thursday, Friday and building of community level monitoring and informal Saturday nights, with almost identical distributions in processes to improve the quality of operations of each year. venues; the development of a network of co-operation A structured, systematic observation technique was and pressure for better practice among formerly employed, based on an observation schedule of 20 isolated and mistrustful venue operators; and the pages consisting of hundreds of items. A draft of the enhancement of external safety through improved original observation schedule was prepared, based on attention by authorities to such issues as observability, the qualitative open coding scheme devised for a 1989 lighting and adequacy of public transport. study [3] and on the study by Graham and colleagues [13]. This was then tested and refined in a series of pilot visits. Data collection Students recruited from local universities and col- A key evaluation strategy was unobtrusive observation leges observed in mixed-sex groups of three or four to of aggression and violence, drinking and serving ensure their safety when leaving in the early hours of the practices and numerous characteristics of patrons and morning. Those recruited tended to be ‘street smart’ of the physical and social environments in licensed and had a general familiarity with licensed venues. At venues pre- and post-intervention. Only the features of least three students of Aboriginal or Islander descent the data collection methods that bear most directly on were employed in each city, and these students were the interpretation of the environmental changes are used in venues where non-Indigenous students would reported here. These features have to do mainly with have felt particularly out of place. Students were told in assessing the reliability of the data and whether the data a general way about the aims of the research, but care from the 2 years can be compared validly. was taken in training in 1996 to avoid setting up an Activities in all the nightclubs and hotels in the expectancy that violence levels would be lower than in central entertainment areas of Cairns, Townsville and 1994. Almost none of the observers in 1996 had Mackay were observed by teams of students during performed the 1994 observations, and in any case it September 1994 (before the interventions) and October would have been very difficult for observers to have 1996 (after the interventions). Cafeterias and restau- remembered what levels of violence obtained in 1994. rants were excluded. All observation sessions were of The use of different observers in the 2 years reduced the about 2 hours’ duration and were unobtrusive. In 1994, likelihood of conscious or unconscious exaggerations in 83 visits were made to 28 venues, while in 1996 116 post-intervention ratings. visits were made to 47 venues. More venues were Several training sessions were conducted to ensure visited in 1996 than in 1994, especially in Cairns, that students were thoroughly familiar with the observa- because many new venues had been established in that tion schedule. It was emphasized during training that period, and it was considered important to include all observers were there for scientific purposes, and that operating premises in the area. The growth in the although they should act as normal patrons their job was number of venues reflected an influx of tourism not to have a good time but to observe as comprehen- investors and an upsurge in the number of tourist and sively and as accurately as possible, and to especially entertainment premises generally across the three cities, record details of all incidents of aggression or physical particularly in Cairns. Some refurbishment and up- violence of which they became aware. A limit of one grading was also noted over this period. The original alcoholic drink per hour was imposed for each observer. aim was to visit each establishment three times, once Observers’ responses to items in the observation early in the evening (commencing between 10 p.m. and schedule were calibrated for consistency within and midnight), once in the mid-period (commencing across groups. Each observer completed the survey form between midnight and 2 a.m.) and once late (commen- in isolation as soon as possible after the visit, and then at cing after 2 a.m.). This was almost achieved in 1994, a subsequent meeting inconsistencies between obser- but the greater number of venues in 1996 meant that vers were checked and agreement established. Inter- the mean number of visits per venue was only 2.5. rater agreement levels exceeded 85%, reflecting the fact Premises visited less than three times were mainly those that unreliable items were modified or eliminated in the that closed early (before 3 a.m., often earlier). original development of the instrument in Sydney in Because aggression and violence tend to occur more 1991, using large numbers of students [3]. frequently toward closing time, it is important that the Graham and her colleagues [13] noted especially that distribution of visits across time periods be equivalent the decision whether a particular incident should be in 1994 and 1996. This was achieved thus: in 1994 the deemed aggression is one of the major problems of data distribution was 44.6% early, 34.9% mid-period and collection. In their study, to obtain some consistency
22 Ross Homel et al. operational guidelines were adopted which stipulated spacing and comfort of tables and chairs, ventilation, that an incident would be classified as aggression if it the cleanliness of female toilets, and the availability of involved ‘personal violation (verbal insult, unwanted taxis and public transport. The biggest changes were to physical contact), behaviour that was offensive according do with seating style, arrangements and comfort to the norms of the place, or a dispute in which the (improvements in style and spacing but some reduc- participants had personal investment’ (p. 281). The same tions in comfort), increases in crowding (with larger guidelines were adopted for the present study (and in our numbers of patrons), cleaner female toilets and better previous research), which means that as in the Vancouver availability of taxis and public transport. research there was some variation from establishment to establishment in the precise operationalization of what was physical or non-physical aggression. Venue security. The total number of security personnel did not increase, and police were most conspicuous by their absence, at least in uniform. This is consistent with Observed changes the observations of Homel, Tomsen & Thommeny [3] in Aggression and violence (Fig. 1). Very extensive changes their research in Sydney. The main changes were to do across virtually every domain were observed in the with bouncer interactions with patrons and the nature of north Queensland replications, matching or exceeding their patrolling. Generally there was more friendly the changes observed in Surfers Paradise. Arguments interaction, and a trend towards a more cheerful, relaxed declined by 28.2%, verbal abuse by 60.4% and and pleasant demeanour (from 48.3% to 62.1% of visits). challenges/threats by 40.5% at a time when all these Perhaps the most important change in security arrange- forms of aggression were increasing in Surfers Paradise ments was a trend away from aimless roaming within [14]. Trends in physical violence in the north and in venues to a more ‘problem focused’ approach that Surfers are shown in Fig. 1 (assault rates declined by directed staff resources to possible points of friction, 81.2% between 1994 and 1996 in the north). such as aisles and bars (from 13.6% to 31.9% of visits). There was also more stationary patrolling, reducing the risks of unnecessary confrontations with patrons while The physical environment (Table 1). Apart from a general affording the opportunity to keep most of the establish- increase in the total number of venues, the basic ment under surveillance. In keeping with the Codes of physical infrastructure of venues did not change much Practice, these strategies were combined with more between 1994 and 1996. Thus features such as seating rigorous ID checks at the door. design, degree of renovation, general appearance and upkeep, and ‘theme’ did not change. However, many specific elements of the physical environment, espe- The social environment (Table 2). Comfort levels moved cially those most influenced by day-to-day management toward a ‘medium’ rating, with fewer visits being rated practices, did change, sometimes markedly, and mainly at the extremes of ‘very comfortable’ or ‘uncomforta- in the ‘right’ direction. Lighting improved, as did the ble’. A possible explanation for this trend is that venue Figure 1. Observed rates of assault; n = 183 due to missing values.
Making licensed venues safer for patrons 23 Table 1. Statistically significant changes in the physical environment of venues in the three cities combined, 1994 and 1996 (p 5 0.05) 1994 (n = 83) % 1996 (n = 116) % Gamma or Variable or meana or meana pb effect sizec Seating comfort 0.04 0.31 Adequate 67.6 52.2 Too few 32.4 47.8 Spaced comfortable tables and chairs 0.045 0.50 Yes 60.2 74.1 No 39.8 25.9 Chairs with armrests 0.04 0.35 Yes 37.5 55.3 No 62.5 44.7 Standing room only 0.001 0.58 Yes 33.3 56.2 No 66.7 34.8 Female toilets 0.03 0.32 Clean 50.7 66.7 Dirty 49.3 33.3 Availability of taxis 0.001 0.44 Available 48.6 71.2 Limited 17.6 16.2 None 33.8 12.6 Availability of public transport 0.0001 0.85 Available 1.4 21.7 Limited 7.2 34.0 None 91.3 44.3 a For some variables, missing values reduce the sample size. Percentages are reported for ordinal variables, and mean values (usually mean percentages) are presented for numerical variables. The transitions from percentages to means are shown at various points in the tables. b The test of statistical significance is Pearson’s w2 for ordinal data, and the Mann – Whitney test for numerical data. c Gamma is presented for ordinal variables, and the effect size (difference between means divided by the pooled standard deviation) for numerical variables. Both statistics measure the magnitude of the change in the variable. managers responded to the project by improving out’ or ‘chatting up’ activities by men (and to a lesser facilities, but these measures were overwhelmed to extent women) increased in frequency [terms such as some extent by the increase in patronage. Despite the ‘heavy necking’ or ‘flagrant fondling by females’ were greater numbers, there appeared to be more ‘wandering coined by the students who developed the original about’ and ‘table-hopping’ by patrons, but without any observation schedule in the Sydney research. They increase in bumping or shoving. There were few have stood the test of time as reliable ways of changes in entertainment and recreation. Generally assessing patron sexual activity in diverse settings, food was more available—an important change in the and are not meant to be pejorative or reflect value context of a move to responsible serving practices—but judgements]. Sexual competition also declined, redu- it was still only visible in two-thirds of visits in 1996. cing the intensity of one possible factor in aggressive Most patrons appeared to be ‘regulars’ or were ‘out and violent incidents [2]. Consistent with a less for a big night’, and there was an increase in these permissive environment was the trend to lower levels categories in 1996. Individual ‘cheerfulness’ and of rowdiness, swearing and ‘group territoriality’ ‘friendliness’ were also rated as mainly medium or among both men and women. high in both years for men and women, although it seems that women especially were enjoying them- selves more in 1996. The ‘decorum expectations of Patron characteristics. There were few changes, despite management’ increased markedly, with improvements increases in numbers and in crowding. ID checks particularly apparent in sexual activities and in reduced patrons of high school age, but for some reason negative interchanges between patrons. The most Pacific Islanders also reduced in number (from 4.3% to overt sexual behaviours (such as ‘heavy necking’ and 1.9% of patrons). There were declines in both small ‘flagrant fondling’—by males or females) became and large crowds, but an increase in patrons on their much less common, but the more flirtatious ‘checking own.
24 Ross Homel et al. Table 2. Selected statistically significant changes in the social environment of venues in the three cities combined, 1994 and 1996 (p 5 0.05) 1994 (n = 83) % 1996 (n = 116) % Gamma or Variable or meana or meana pb effect sizec Overall comfort 0.009 0.03 High (very comfortable) 25.7 14.8 Medium (moderate comfort) 51.4 69.6 Low (little comfort) 14.9 14.8 None (uncomfortable) 8.1 0.9 Bar crowding 0.01 0.09 High 21.6 21.7 Medium 28.4 42.6 Low 40.5 20.0 None 9.5 15.7 Table-hopping 0.04 0.34 Yes 20.7 34.5 No 79.3 65.5 Band as entertainment/recreation 0.01 0.38 Yes 24.1 41.4 No 75.9 58.6 Heavy metal music present 0.004 0.64 Yes 4.8 19.0 No 95.2 81.0 Food—small snacks 0.00009 0.54 Yes 24.1 51.7 No 75.9 48.3 Food—hot snacks 0.04 0.48 Yes 6.0 15.5 No 94.0 84.5 Decorum expectations of management 0.00004 0.53 High 6.8 56.5 Moderate 35.6 56.5 Permissive 38.4 22.6 Very permissive 19.2 3.5 No sexual activity by males 0.02 0.45 Yes 10.8 24.1 No 89.2 75.9 Checking out behaviour by males 0.009 0.38 Yes 55.4 73.3 No 44.6 26.7 Heavy necking, touching by males 0.004 0.44 Yes 36.1 18.1 No 63.9 81.9 No sexual activity by females 0.0005 0.56 Yes 13.3 35.3 No 86.7 64.7 Heavy necking, touching by females 0.0008 0.52 Yes 34.9 14.7 No 65.1 85.3 Flagrant fondling by females 0.003 0.60 Yes 18.1 5.2 No 81.9 94.8 Individual ‘cheerfulness’ of females 0.03 0.36 High 28.4 48.2 Medium 55.4 43.0 Low 14.9 7.0 None 1.4 1.8 Social ‘friendliness’ of females 0.007 0.39 High 16.2 40.2 Medium 62.2 44.7 Low 18.9 13.2 None 2.7 1.8 (continued overleaf )
Making licensed venues safer for patrons 25 Table 2. (continued ) 1994 (n = 83) % 1996 (n = 116) % Gamma or Variable or meana or meana pb effect sizec Swearing females 0.02 0.38 High 12.2 3.5 Medium 16.2 8.8 Low 29.7 28.9 None 41.9 58.8 Swearing males 0.008 0.35 High 17.6 5.3 Medium 27.0 17.5 Low 27.0 34.2 None 28.4 43.0 a For some variables, missing values reduce the sample size. Percentages are reported for ordinal variables, and mean values (usually mean percentages) are presented for numerical variables. The transitions from percentages to means are shown at various points in the tables. b The test of statistical significance is Pearson’s w2 for ordinal data, and the Mann – Whitney test for numerical data. c Gamma is presented for ordinal variables, and the effect size (difference between means divided by the pooled standard deviation) for numerical variables. Both statistics measure the magnitude of the change in the variable. Bar staff. Bar staff became much friendlier (‘friendly’ noted in about a quarter of all visits, with only a small rating: 44.6 – 67.2%; ‘hostile and rude’ rating: 6.8 – reduction between 1994 and 1996. 0.9%), they were better matched with patrons in terms of gender ratios, and were more likely to be dressed in the house uniform (43.2 – 61.9%). Identi- Host responsibility (Table 3). Methods for dealing with fication with explicit house policies and the Code of intoxicated people improved, with intervention by staff Practice, symbolized by the use of uniforms, may in at least some cases rising from 30.4% to 53.3%. have assisted in the move to less permissive practices Techniques that showed statistically significant changes with respect to deviant patron behaviour, although included delaying service, offering alternatives, denying the need to deal with such behaviour apparently service and calling management. Publicity to patrons reduced in 1996. However, the need to deal with improved, with an increase in the use of underage aggressive behaviour apparently did not change, drinking warnings, Patron Care signs and other forms being observed in about 19% of visits in both years, of publicity. Promotion of consumption also declined: and nor did the rated abilities of bar staff in this topping up or filling empty glasses was not observed at respect. all in 1996; ‘happy hours’ nearly halved in frequency; promotion of specific drinks and the use of gimmicks halved. Interventions with intoxicated patrons included Alcohol and drug consumption (Table 3). Neither male refusal of service and asking for age identification (both nor female drinking rates appeared to decline, and nor up from 1.8% to 20.0% of relevant incidents), but did female drunkenness decline significantly, but the several other possible strategies, such as offering non- incidence of male drunkenness—particularly at ‘high’ alcoholic drinks, food or alternative transport were not levels—reduced sharply. The percentage of visits with used at all in either year, suggesting that there was still high levels of male drunkenness declined from 40.2% considerable room for improvement. to 13.8%, while the percentage with low or no male drunkenness increased from 26.8% to 42.2%. These New analyses of the north Queensland Safety Action data results imply that staff intervened in a firm way when serving men, in order to prevent intoxication. Because Regression techniques were used to identify factors that of this intervention, high drinking rates were less likely best explained the declines in aggression and violence to lead to visible intoxication. Neither cover charges nor in north Queensland (Fig. 1). The visit was the unit of the cost of drinks appeared to change. Given the analysis (n = 199, 83 in 1994 and 116 in 1996). Results evidence for moderate increases in patronage between from the three sites were similar and were combined. 1994 and 1996, this suggests that the introduction of The focus was on physical violence (observed in eight the Code of Practices did not make the establishments visits in 1994 and two in 1996; p = 0.012) and all forms any less profitable. Evidence of drug consumption was of non-physical aggression (23 visits in 1994 and 22 in
26 Ross Homel et al. Table 3. Selected statistically significant changes in alcohol consumption and host responsibility in venues in the three cities combined, 1994 and 1996 (p 5 0.05) 1994 (n = 83) % 1996 (n = 116) % Gamma or Variable or meana or meana pb effect sizec Drunkenness: males 0.0004 0.38 High 40.2 13.8 Medium 32.9 44.0 Low 18.3 31.0 None 8.5 11.2 Types of drinks consumed: males % Beer mean = 54.9 mean = 47.4 0.05 0.30 % Light beer 1.0 4.8 0.0007 0.54 % Soft drinks 0.5 3.0 0.0009 0.46 % Water 0.4 2.9 0.0008 0.39 Publicity to clientele 0.001 0.45 Under-age drinking warning Yes 28.9 51.7 No 71.1 48.3 Publicity to clientele 0.02 0.37 House policy notice Yes 32.5 18.1 No 67.5 81.9 Promotion of 0.003 1.0 consumption Top up/replace or fill empty glasses Yes 7.2 0 No 92.8 100 Promotion of 0.02 0.38 consumption Gimmicks Yes 27.7 14.7 No 72.3 85.3 Staff intervention with 0.0001 0.27 highly intoxicated patrons In every case 1.2 5.6 Sometimes 19.3 16.7 No intervention 47.0 19.4 No highly intoxicated 32.5 58.3 patrons Nature of intervention Refusal of service 0.002 0.86 Yes 1.8 20.0 No 98.2 80.0 Response to intoxicated and ordering Patrons Appropriate service 0.01 0.43 Yes 47.4 72.1 Sometimes 17.1 8.8 No 35.5 19.1 Service delay 0.0001 0.71 Yes 5.6 16.7 Sometimes 2.8 22.7 No 91.7 60.6 Offer of an alternative 0.02 1.0 Yes 0.0 6.7 Sometimes 0.0 3.3 No 100.0 90.0 (continued overleaf )
Making licensed venues safer for patrons 27 Table 3. (continued ) 1994 (n = 83) % 1996 (n = 116) % Gamma or Variable or meana or meana pb effect sizec Service denied 0.0002 0.90 Yes 1.4 7.5 Sometimes 0.0 16.4 No 98.6 76.1 Management called 0.04 .65 Yes 2.7 4.8 Sometimes 0.0 7.9 No 97.3 87.3 a For some variables, missing values reduce the sample size. Percentages are reported for ordinal variables, and mean values (usually mean percentages) are presented for numerical variables. The transitions from percentages to means are shown at various points in the tables. b The test of statistical significance is Pearson’s w2 for ordinal data, and the Mann – Whitney test for numerical data. c Gamma is presented for ordinal variables, and the effect size (difference between means divided by the pooled standard deviation) for numerical variables. Both statistics measure the magnitude of the change in the variable. 1996; p = 0.048). Logistic regressions were used for the variables is shown in Table 4, although virtually any physical violence data and ordinary least squares for subset of at least two variables would suffice to ‘explain’ non-physical aggression (total incidents per visit of the year effect. It is also necessary to keep in mind that arguments, challenges or threats and verbal abuse). with only 10 visits in which physical violence was Repeated-measures techniques were not appropriate, as recorded, fitting a model with six predictors entails a many venues changed radically through refurbishments high degree of statistical instability, so that relatively or extensions in the 2-year period, a few closed down little weight should be placed on specific p-values or and many others opened up. regression coefficients. The first step was to test, one by one, all environ- For reduced aggression, 25 key predictors at the first mental factors that changed over time for their capacity stage were identified, many more than for assaults, to make the year effect for violence or aggression non- reflecting the more frequent occurrence of non-physical significant. Thus each factor that showed a statistically aggression. Forward stepwise regression was used to significant change was fitted as a covariate, followed by identify the subset most strongly related to aggression, year. The dependent variable was either violence and these were then fitted as covariates, with year (1 = one or more incidents; 0 = no incidents) or added. Results are shown in Table 5. aggression (ranging from 0 to 6 incidents per visit). A How should the ‘calling management with intoxi- large number of tests were conducted in this stage, cated and ordering patrons’ be interpreted? Other especially because many variables had missing values analyses suggest that the predictive power of this and various recodings were tried to maintain a sample variable reflects having to deal with intoxicated patrons size close to 199 (including the creation of nominal as opposed to having few drunks on the premises, but scales with a missing values category). The second step none of the measures of actual intoxication worked as involved putting the surprisingly small number of well as calling management. In other words, the candidates from the first step together in a regression variable is a surrogate for the number of intoxicated model (with year), in order to arrive at a minimal subset patrons. The lack of chairs with armrests seems to be of factors that thoroughly explained (in a statistical serving as an indicator of the importance of comfortable sense) the declines in aggression and violence. places to sit, so taps into the general dimension of For reduced physical violence, four key predictors at comfort. The most critical thing to note is that year the first stage were identified. These were overall became clearly non-significant when the four patron comfort (p = 0.050 for year, adjusted); availability of and environmental factors were fitted first. As with public transport (p = 0.058 for year, adjusted); ‘flagrant assaults, two or more of these factors was sufficient to fondling by females’ (p = 0.065 for year, adjusted); and statistically explain the year effect. It is also important level of male drunkenness (p = 0.058 for year, ad- to note that, not surprisingly, aggression was a strong justed). Interestingly, none of these factors was predictor of assaults (r = 0.53), and that if aggression is individually decisive. However, various combinations fitted as a covariate with assaults as dependent variable, of these four variables clearly ‘washed out’ the year the p-value for year drops to 0.071. This suggests that effect in the second stage. The model with all four assaults could be reduced by directly focusing on the
28 Ross Homel et al. predictors in Table 4, or indirectly by focusing on the calling management is necessary. Thus the analysis predictors in Table 5. helps to sharpen the focus of programmes designed to modify alcohol consumption: whatever controls are desired on overall levels of consumption, it is essential Discussion that the number of very drunk and troublesome males Although very many features of the social and physical be kept to a minimum. environments of licensed venues changed after the The civilizing impact of physical comfort is consis- intervention, the regression analyses suggest that a tent with the early qualitative research conducted in relatively small number of factors operating across Sydney [3]. However, not all indicators of comfort disparate domains might be critical to reductions in the moved in a consistent direction (see Tables 1 and 2), rates of aggression and violence. These factors include with evidence of deterioration in some respects. This the serving and consumption of alcohol, physical perhaps reflected a conflict between increased patron- comfort, the degree of overall ‘permissiveness’ in the age and venue comfort. Nevertheless, the importance of establishment, the availability of public transport, and comfortable seating being available was clear, a aspects of ‘the ethnic mix’ of patrons. It is noteworthy conclusion that will come as no surprise to those who that these factors are similar to those identified as have spent many hours in clubs and hotels. correlates of aggression in previous studies over a 20- Patron behaviour, in the form of overt expressions of year period in Canada and Australia [2,10,11,13]. This sexual activity and high levels of swearing by men, seem suggests that the findings are not restricted in their to reflect a generally permissive environment. The link relevance to one place or time period. between permissiveness and violence makes a lot of The regression analyses are consistent with our intuitive sense, since if management have an ‘anything hypothesis that if one concentrated only on the control goes’ attitude it is not surprising that violence and of drinking, reductions in aggression and violence aggression occur. It is noteworthy that venues improved would not be as great as could be achieved if a more greatly in these respects after the intervention, and that holistic approach were adopted. Key aspects of drinking casual, non-offensive sexual activity increased substan- patterns seem to be high levels of male drunkenness tially, together with overall levels of friendliness and and intoxicated patrons causing so much trouble that cheerfulness, especially as expressed by women. Venues Table 4. Logistic regression model of critical environmental factors explaining the year effect for physical violence Standard Variable B error df p Comfort 2 0.054 Very, moderately comfortable (relative to missing value)a 7 2.51 1.12 1 0.025 Little or no comfort (relative to missing value)a 7 1.23 1.23 1 0.320 Male drunkenness (1 = high; 2 = medium; 3 = low; 4 = none) 7 0.85 0.55 1 0.429 Flagrant female fondling (1 = yes; 2 = no) 7 1.95 0.92 1 0.033 Public transport available (1 = yes; 2 = no) 1.36 1.10 1 0.215 Year (1 = 1994; 2 = 1996) 7 0.10 0.49 1 0.839 Constant 197.40 971.74 1 0.839 a These variables were dummy coded. Table 5. Ordinary least squares regression model of critical environmental factors explaining the year effect for non-physical aggression Variable B t Beta p Percentage of Pacific Islander patrons (0 – 30%) 4.94 3.72 0.26 0.000 Male swearing (1 = high; 2 = medium; 3 = low; 4 = none) 7 0.21 7 3.15 7 0.22 0.002 Call management with intoxicated and ordering patrons 7 0.43 7 2.34 7 0.16 0.020 (1 = yes; 2 = sometimes; 3 = no/missing) Chairs with armrests (1 = yes; 2 = no/missing) 0.30 2.21 0.15 0.029 Year (1 = 1994; 2 = 1996) 7 0.02 7 0.28 7 0.02 0.784 Constant 39.59 0.29 0.775
Making licensed venues safer for patrons 29 seem to have become more civil and certainly more Police Service: National Campaign Against Drug female-friendly, with consequent benefits for safety. Abuse Law Enforcement Fund, and by the Criminol- Importantly, these processes do not simply reflect the ogy Research Council. effects of alcohol or drunkenness, as they had indepen- dent effects in explaining reductions in aggression. References The availability of public transport also makes a great deal of sense, given the number of incidents we have [1] Babor T, Caetano A, Casswell S et al. No ordinary commodity: alcohol and public policy. Oxford: Oxford witnessed in the streets and on taxi ranks involving University Press, 2003. patrons trying to find a way home in the early hours of [2] Graham K, Homel R. Creating safer bars. In: Plant M, the morning. In the north Queensland cities the ready Single E, Stockwell T, eds. Alcohol: minimizing the harm. availability of public transport leaped from 1.4% of London: Free Association Press, 1997:171 – 92. visits in 1994 to 21.7% in 1996 although transport [3] Homel R, Tomsen S, Thommeny J. Public drinking and violence: not just an alcohol problem. J Drug Issues provided by venues themselves did not improve at all, 1992;22:679 – 97. highlighting the importance of involving local autho- [4] Power M. The audit society: rituals of verification. Oxford: rities and communities in these interventions. Oxford University Press, 1997. A puzzling outcome of the regression analyses was [5] Stockwell T, ed. Alcohol misuse and violence: an examina- the finding that reducing the percentage of Pacific tion of the appropriateness and efficacy of liquor licensing laws across Australia. Report no. 5. Canberra: Common- Islander patrons was important in explaining the wealth of Australia, 1994. reduction in non-physical aggression. This issue is [6] Hauritz M, Homel R, McIlwain G, Burrows T, Townsley more fully discussed by Homel & Clarke [10] in an M. Reducing violence in licensed venues through commu- analysis of data from Sydney licensed venues where nity safety action projects: the Queensland experience. exactly the same relationship was observed. The Contemp Drug Problems 1998;25:511 – 51. [7] Homel R. Review of T. Stockwell, ed. An examination of phenomenon does appear to be real and may reflect the appropriateness and efficacy of liquor-licensing laws culturally approved behavioural strategies for dealing across Australia. Canberra: Australian Government Printing with conflict. This hypothesis requires more research. Service. Addiction 1996;91:1231 – 3. It would not be wise to use the results of these [8] Homel R, McIlwain G, Carvolth R. Creating safer drinking analyses as an infallible guide to regulatory practice. environments. In: Heather N, Peters TJ, Stockwell T, eds. International handbook of alcohol dependence and pro- Incidents of aggression and violence are (fortunately) blems. Chichester: John Wiley & Sons, 2001:721 – 40. relatively rare, and the statistical models must therefore [9] Hauritz M, Homel R, Townsley M, Burrows T, McIlwain work within a circumscribed predictive space. More- G. An evaluation of the Local Government Safety Action over, although the analysis of concomitant changes in Projects in Cairns, Townsville and Mackay: a report to the indicators of environmental and behavioural processes Queensland Department of Health, the Queensland Police Service and the Criminology Research Council. Brisbane: is an improvement on analyses of data collected at a Centre for Crime Policy and Public Safety, Griffith single time, such a strategy still falls short of experi- University, 1998. mental designs in probative value. Indeed, a sensible [10] Homel R, Clark J. The prediction and prevention of research strategy would be to now devise a series of violence in pubs and clubs. Crime Prevention Studies 3. experiments based on the findings of this paper, Monsey, NY: Criminal Justice Press, 1994:1 – 46. [11] Homel R, Hauritz M, Wortley R, McIlwain G, Carvolth R. probing the power of improved comfort, reduced Preventing alcohol-related crime through community ac- permissiveness and so on, to effect improvements in tion: the Surfers Paradise Safety Action project. In: Homel patron safety. R, ed. Policing for Prevention: Reducing Crime, Public Such experiments would require the active co- Intoxication, and Injury. Crime Prevention Studies 7. operation of licensees and perhaps of the regulatory Monsey, NY: Criminal Justice Press, 1997:35 – 90. [12] Ayres I, Braithwaite J. Responsive regulation: transcending authorities, but would be a useful tool for strengthening the deregulation debate. New York: Oxford University the ecological and systems approach that we and others Press, 1992. advocate (e.g. [15]). The trick is to mobilize resources [13] Graham K, LaRocque L, Yetman R, Ross TJ, Guistra E. at the three levels of the responsive regulatory model Aggression and barroom environments. J Stud Alcohol while maintaining a sharp focus on the problem as it 1980;41:277 – 92. [14] Lincoln R, Homel R. Alcohol and youthful rites of passage. actually is, not as we imagine it to be. In: Williams P, ed. Alcohol, young persons and violence. Canberra: Australian Institute of Criminology, 2001:47 – 60. [15] Holder HD. Alcohol and the Community: a Systems Acknowledgements Approach. Cambridge: Cambridge University Press, 1998. The research in this report was supported by the Queensland Department of Health and the Queensland
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