{"id":269874,"date":"2020-09-25T08:00:42","date_gmt":"2020-09-25T12:00:42","guid":{"rendered":"https:\/\/canadianinquirer.net\/v1\/?p=269874"},"modified":"2020-09-25T08:00:42","modified_gmt":"2020-09-25T12:00:42","slug":"the-designated-driver-role-gets-a-modern-update-covering-dangers-from-covid-19-to-social-media","status":"publish","type":"post","link":"https:\/\/canadianinquirer.net\/v1\/2020\/09\/25\/the-designated-driver-role-gets-a-modern-update-covering-dangers-from-covid-19-to-social-media\/","title":{"rendered":"The designated driver role gets a modern update, covering dangers from COVID-19 to social media"},"content":{"rendered":"<figure><img decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/357828\/original\/file-20200914-20-1s1sx0i.jpg?ixlib=rb-1.1.0&amp;rect=332%2C0%2C5658%2C3997&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" \/><figcaption>The concept of Buddy Circles expands the designated driver role to include broader substance use and other risks.<br \/>\n<span class=\"attribution\"><span class=\"source\">(Pexels\/Martin Lopez)<\/span><\/span><\/figcaption><\/figure>\n<p>The designated driver (DD) is a successful public health strategy dating back to the late 1980s. To better reflect the realities of today\u2019s society, now is a good time to evolve the initiative to help mitigate the harms tied to broader substance use and beyond drinking and driving.<\/p>\n<p>The promotion of \u201cbuddy circles,\u201d as an expanded harm reduction strategy, is one possible way to achieve these ends. Similar to the DD, the aim of the proposed buddy circle initiative is to challenge norms and promote behaviour change in order to reduce harm.<\/p>\n<p>The buddy circle concept, however, expands on that of the designated driver, taking into account other substances and risks \u2014 including COVID-19 and social media \u2014 in order to build a more comprehensive harm mitigation strategy for the 21st century.<\/p>\n<h2>The designated driver and beyond<\/h2>\n<p>In North America the concept of designated driving began in 1988 as part of <a href=\"http:\/\/www.designateddriving.net\/historyofdesignateddriving.html\">Harvard University\u2019s School of Public Health\u2019s Alcohol Project<\/a>. The project involved a partnership with major television networks and Hollywood studios. Over the past 30 years this program <a href=\"https:\/\/www.hsph.harvard.edu\/news\/features\/harvard-center-helped-to-popularize-solution-to-a-national-problem\/\">has achieved its goals<\/a>, integrating the DD into our language and culture.<\/p>\n<figure class=\"align-right \"><img decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/357822\/original\/file-20200914-14-1rjb652.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=237&amp;fit=clip\" alt=\"A martini glass and a key in a circle with a red line through it.\" \/><figcaption><span class=\"caption\">Over the past 30+ years, the concept of the designated driver has become integrated into our language and culture.<\/span><br \/>\n<span class=\"attribution\"><span class=\"source\">(Pixabay)<\/span><\/span><\/figcaption><\/figure>\n<p>According to <a href=\"https:\/\/www.hsph.harvard.edu\/news\/features\/harvard-center-helped-to-popularize-solution-to-a-national-problem\/\">Jay Winsten<\/a>, founding director of the Center for Health Communication at the Harvard T.H. Chan School of Public Health, there were two crucial elements involved in the successful promotion of the DD to the public. The first was that it was framed as a positive message, one that \u201clent social legitimacy to the option of refraining from drinking and created social pressure to conform.\u201d The second was that the DD \u201cneeded to be viewed as an integral part of the evening\u2019s fun and not as a bystander.\u201d<\/p>\n<p>Since its inception, the DD has been associated with alcohol consumption. That original focus still dominates our popular understanding of the program (for example see the <a href=\"https:\/\/www.dictionary.com\/browse\/designated-driver?s=t\">online dictionary definition<\/a> of DD).<\/p>\n<p>Today, as an increasing number of countries explore relaxing their drug polices in response to and\/or as a result of greater awareness of drug using behaviours and the <a href=\"https:\/\/www.cato.org\/publications\/commentary\/hidden-costs-drug-prohibition\">harms associated with prohibitionist policies<\/a> and practices, including Canada where recreational <a href=\"https:\/\/laws-lois.justice.gc.ca\/eng\/acts\/C-24.5\/\">cannabis was legalized<\/a> in 2018 and there is increasing pressure to <a href=\"https:\/\/www.huffingtonpost.ca\/entry\/canada-decriminalize-drugs_ca_5f3ec307c5b6763e5dc08913\">decriminalize possession of all drugs<\/a> \u2014 similar to <a href=\"https:\/\/www.theguardian.com\/news\/2017\/dec\/05\/portugals-radical-drugs-policy-is-working-why-hasnt-the-world-copied-it\">Portugal<\/a>, a broader approach to substance use behaviour and its associated risks is needed.<\/p>\n<h2>Program expansion<\/h2>\n<p>There are a variety of potential risks or harms that a buddy circle initiative may address. Four are highlighted here:<\/p>\n<ul>\n<li>overconsumption of substances<\/li>\n<li>unintended or non-consensual consumption of substances<\/li>\n<li>social media exposure<\/li>\n<li>COVID-19<\/li>\n<\/ul>\n<p>The harms associated with over-consumption of substances include overdosing, passing out, vomiting, choking on vomit, sexual or physical assault or engaging in dangerous and\/or embarrassing behaviour.<\/p>\n<p>There is also a danger of unintended consumption, such as having a drink or other substance <a href=\"https:\/\/edmonton.citynews.ca\/2020\/02\/07\/spiked-drinks\/\">spiked by a more potent drug<\/a> (for example, fentanyl-laced heroin) or via \u201cdate-rape\u201d drugs (e.g., GHB and rohypnol).<\/p>\n<figure class=\"align-right \"><img decoding=\"async\" src=\"https:\/\/images.theconversation.com\/files\/357826\/original\/file-20200914-24-m0l76i.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=237&amp;fit=clip\" alt=\"A smartphone in the foreground filming as a man in a costume pours liquor into a young woman's mouth\" \/><figcaption><span class=\"caption\">Images taken while people are impaired can have negative consequences if posted to social media.<\/span><br \/>\n<span class=\"attribution\"><span class=\"source\">(Pexels\/Hygor Sakai)<\/span><\/span><\/figcaption><\/figure>\n<p>Another area of risk in the 21st century is associated with smart phones and social media. Taking and posting photographs of oneself and one\u2019s friends is an everyday occurrence. These include photos of intoxicated individuals, that can be (and often are) posted to social media sites by friends or by strangers.<\/p>\n<p>Despite <a href=\"https:\/\/mcmillan.ca\/Files\/152270_social%20media%20background%20checks.pdf\">laws protecting privacy rights<\/a>, such posts can have severe negative consequences for individuals. Elements of one\u2019s social media behaviour that are viewed as evidence of questionable \u201c<a href=\"https:\/\/www.usnews.com\/news\/national-news\/articles\/2017-06-05\/harvard-pulls-student-admission-offers-after-explicit-facebook-posts\">honesty, maturity or moral character<\/a>\u201d can result in loss of <a href=\"https:\/\/online.maryville.edu\/blog\/student-guide-to-social-media\/\">jobs or job offers<\/a>, loss of scholarships, <a href=\"https:\/\/www.cbc.ca\/news\/world\/there-is-a-huge-consequence-a-foolish-social-media-post-can-dash-your-post-secondary-dreams-1.4148705\">rescinding of offers for school admission<\/a> or other lost opportunities.<\/p>\n<p>Now in 2020, COVID-19 adds an additional layer to evolving substance-use harm-mitigation strategies. As communities lift COVID-19 restrictions, we see young people in particular participating in social gatherings <a href=\"https:\/\/www.msn.com\/en-ca\/news\/canada\/just-offensive-large-vancouver-beach-party-draws-outrage-amid-covid-19\/ar-BB174aln\">on beaches<\/a>, at <a href=\"https:\/\/minnesota.cbslocal.com\/2020\/08\/20\/17-st-olaf-college-students-suspended-50-in-quarantine-after-covid-19-exposure-at-off-campus-party\/\">house parties<\/a>, <a href=\"https:\/\/wnyt.com\/news\/college-party-with-over-400-people-shut-down-in-north-carolina-coronavirus-pandemic-east-carolina-university-\/5826711\/\">on and<\/a> <a href=\"https:\/\/minnesota.cbslocal.com\/2020\/08\/20\/17-st-olaf-college-students-suspended-50-in-quarantine-after-covid-19-exposure-at-off-campus-party\/\">off college campuses<\/a>, and <a href=\"https:\/\/www.theglobeandmail.com\/canada\/article-montreal-urging-all-bar-patrons-employees-to-get-covid-19-test-after\/\">at bars<\/a>, typically engaging in substance consumption and related behaviours that can increase the risk of COVID-19 transmission.<\/p>\n<h2>Buddy circles<\/h2>\n<p>The promotion of buddy circles as a harm reduction strategy can address these concerns. The idea builds on the successes of the DD, re-imagining how lessons learned can be applied to enhance the norms tied to socially responsible substance use behaviour. It also incorporates familiar elements from the more recent COVID-19 \u201c<a href=\"https:\/\/www.cbc.ca\/news\/canada\/toronto\/covid-social-bubbles-1.5727136\">social circle<\/a>\u201d campaigns, such as limiting our exposure to others to reduce risk.<\/p>\n<p>Buddy circles are small groups of individuals who get together socially and look out for each others\u2019 well-being. Buddy circles can work whether the group is staying in or going out, attending parties (small or large, indoors or outdoors), or going to bars or other indoor public venues.<\/p>\n<p>On successive social occasions, members of the circle take turns playing the integral role of \u201cbuddy guard\u201d (similar to the DD) \u2014 abstaining from substance use and taking the lead in encouraging the group to watch out for each other in order to mitigate harm. This can include reminding members to: stay together, maintain social distance, wear masks, clean their hands and avoid taking and sharing inappropriate photos of members. The buddy guard can also get help when needed and make sure that everyone arrives home safely at the end of the night, whatever the mode of transportation.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img loading=\"lazy\" decoding=\"async\" style=\"border: none !important;margin: 0 !important;max-height: 1px !important;max-width: 1px !important;min-height: 1px !important;min-width: 1px !important;padding: 0 !important\" src=\"https:\/\/counter.theconversation.com\/content\/144672\/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/jacqueline-lewis-1121350\">Jacqueline Lewis<\/a>, Associate Professor, Sociology, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-windsor-3044\">University of Windsor<\/a><\/em><\/p>\n<p><em>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/the-designated-driver-role-gets-a-modern-update-covering-dangers-from-covid-19-to-social-media-144672\">original article<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The concept of Buddy Circles expands the designated driver role to include broader substance use and other risks. (Pexels\/Martin Lopez) &hellip;<\/p>\n","protected":false},"author":44,"featured_media":269876,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-269874","post","type-post","status-publish","format-standard","has-post-thumbnail","category-lifestyle","mauthors-jacqueline-lewis-university-of-windsor","mauthors-the-conversation"],"_links":{"self":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/269874","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/comments?post=269874"}],"version-history":[{"count":1,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/269874\/revisions"}],"predecessor-version":[{"id":269877,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/posts\/269874\/revisions\/269877"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/media\/269876"}],"wp:attachment":[{"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/media?parent=269874"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/categories?post=269874"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/canadianinquirer.net\/v1\/wp-json\/wp\/v2\/tags?post=269874"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}