An understanding that patterns of drinking are important predictors of outcomes has led to a growing realization that alcohol policies and prevention strategies need to focus on excessive or irresponsible drinking. As a result, there has been a shift towards interventions that address the targeted reduction of harm. These approaches recognize socio-cultural differences and avoid trying to impose a one-size-fits-all solution. In this context, multi-stakeholder partnerships offer an excellent opportunity to promote the complex mix of measures required by each society. Shared responsibilities lead to shared solutions.