Author: Publisher:
ISBN:
Category : Alcoholism
Languages : en
Pages : 22
Book Description
The Physicians' Guide to Helping Patients with Alcohol Problems
Alcohol Use Screening and Brief Intervention in Primary Care Settings
Author: Rebecca SamadPublisher:
ISBN:
Category :
Languages : en
Pages : 22
Book Description
The purpose of this study was to collect and evaluate the literature on alcohol use screening and brief intervention in primary care settings. Systematic searches were conducted using six databases (PsycINFO, Google Scholar, Google, MEDLINE, CSUN Oviatt Library, and CINAHL). Alcohol use screening instruments CAGE, MAST, and AUDIT were researched. Each has advantages and disadvantages, which limits the versatility of any individual screening test in its applicability to a variety of situations and populations. Further research is necessary to develop tests that are more inclusive of detecting all levels of alcohol use risk, while are also not complicated for primary care practitioners to use. Future steps are required to improve the consistency in screening for alcohol misuse in primary care settings, and subsequently applying brief interventions for populations of low-to-medium risk levels.
Alcohol Screening and Brief Intervention in the Medical Setting
Author: Brief Interventions for Risky Drinkers
Author: Antoni GualPublisher: Frontiers Media SA
ISBN: 2889198871
Category : Medicine (General)
Languages : en
Pages : 85
Book Description
Alcohol is the sixth leading risk factor for disability and premature death all over the world, and one of the leading causes of premature mortality in western societies; it is a leading risk factor for death in young and middle-age males. Heavy drinking accounts for about two thirds of the burden of disease attributable to alcohol. In the early 1980s, screening and brief interventions (SBI) in primary health care settings were proposed as effective strategies to identify risky drinkers and to help them reduce their drinking. Since then, a growing body of evidence, including several meta-analysis and Cochrane reviews, has shown the efficacy and effectiveness of SBI in primary health settings. However, demonstrating the effectiveness of SBI has not been insufficient to facilitate its general implementation in the routines of primary health care physicians, and in fact the dissemination of SBI has proven to be a difficult business. Qualitative and quantitative research has identified most of the facilitators and barriers for its implementation, and publicly funded research has been earmarked to address the dissemination problems worldwide. Some examples are the World Health Organization Phase III and Phase IV studies on the identification and management of alcohol-related problems in primary care, EU funded projects (PHEPA, AMPHORA, ODHIN, BISTAIRS), the UK SIPS trials and the SBIRT developments sponsored by the Substance Abuse & Mental Health Services Administration (SAMHSA) in the USA. The efficacy and effectiveness of SBI in primary health is now well established, but there are still some questions that remain unsolved: which practitioners should deliver them; what length should they be; is there a need for booster sessions; is there added value of a motivational approach? These questions, together with other relevant aspects of SBI, need ongoing research. In recent years, SBIs have been tested in settings other than primary health care, including hospitals, accident and emergency rooms, criminal justice, colleges and universities, social services and pharmacies. In some of those areas, the evidence is scarce (for example, pharmacies) while in others it is very promising (for example, students and hospitals). New technologies have also offered the possibility of online tools, and, in the last few years, different digital-based applications have been tested successfully as new ways to deliver effective SBIs to larger amounts of people. Brief interventions have also spread to drugs other than alcohol. This book aims to be an update of the state-of-the art of brief advice. It is a compilation of articles published by some of the most relevant researchers in the field in Frontiers in Psychiatry between 2014 and 2016.
Alcohol/drug Screening and Brief Intervention
Author: Richard SaitzPublisher:
ISBN: 9781003420309
Category : MEDICAL
Languages : en
Pages : 0
Book Description
Get a better understanding of what is known and what is not known in this widespread practice Screening and brief intervention (SBI) has been around for over 40 years and is a widely recognized practice. Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice provides a valuable exploration of the present literature, the effectiveness and cost-effectiveness of screening and brief intervention, and methodological challenges in studying these practices. Respected leaders in the field discuss ways to measure the use of screening and brief intervention in practice, the multiple risk factor context in which unhealthy alcohol use occurs, clinician training issues, effective strategies to screen adolescents, which patients are most likely to change from SBI, and what research is needed in the future. Screening and brief intervention are presently being used in numerous settings such as hospitals, primary care settings, trauma centers, and college health services. Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice examines in detail original research and cutting edge research issues in these settings to provide an important review of what is known and what is not known about the practice. Methodological issues are extensively discussed. This valuable book provides crucial information on the detection of small effects, standards of analysis, reporting, interpretation, the risks of bias, and the need to ensure that results have the potential to be applied in practice. Health professionals and addiction specialists get an important critical re-evaluation of the growing practice and are provided direction for future research. Other topics in Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice include: results of research on screening, brief intervention, and referral to treatment (SBIRT) exploration of data assessing the effectiveness of screening and brief alcohol intervention evaluation of clinical alcohol screening with the AUDIT-C cost-effectiveness and cost-benefit of SBI in medical settings research into SBIRT for Emergency Departments data on primary care patients with multiple risk factors research on feasibility and efficacy of "no-contact" interventions and more! Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice is essential reading for alcohol and drug researchers, screening and brief intervention program practitioners, physicians, nurses, health promotion advocates, Public Health Practitioners, and the State Departments of Public Health.
A Guide to Substance Abuse Services for Primary Care Clinicians
Author: Eleanor J. SullivanPublisher:
ISBN:
Category : Primary care (Medicine)
Languages : en
Pages : 194
Book Description
EXECUTIVE SUMMARY AND RECOMMENDATIONS: The goal of this TIP is to recommend guidelines for primary care clinicians to follow in caring for patients with alcohol and other drug use disorders. These guidelines were developed by a Consensus Panel of clinicians, researchers, and educators who work on the prevention and treatment of substance use disorders. Protocols are based partly on research evidence, partly on Panel members' clinical experience. The algorithm to the left follows a patient with substance use problems who presents in a primary care setting. The chart will serve as a guide or road map through screening, brief assessment, brief intervention, assessment, referral, specialized treatment, and followup care as they are detailed in the TIP. Since substance use disorders are often chronic conditions that progress slowly over time, primary care clinicians, through their regular, long-term contact with patients, are in an ideal position to screen for alcohol and drug problems and monitor each patient's status. Futhermore, studies have found that primary care clinicians can actually help many patients decrease alcohol consumption and its harmful consequences through office-based interventions that take only 10 to 15 minutes (Kahan et al., 1995; Wallace et al., 1988). This potential, however, is largely untapped: Saitz and colleagues found that of a sample of patients seeking substance abuse treatment, 45 percent reported that their primary care physician was unaware of their substance abuse (Saitz et al., in press). Yet even though screening and limited treatment of substance use disorders do not require a large time investment, the Consensus Panel that developed this TIP recognized that many primary care clinicians are already overwhelmed by the demands imposed by expanded gatekeeper functions. The Panel realized that a practical approach to addressing patients' substance abuse problems was needed: one that recognized the time and resource limitations inherent in primary care practice and offered a series of graduates approaches that could be incorporated into a normal clinic or office routine. Biological, medical, and genetic factors as well as psychological, social, familial, cultural, and other environmental features all bear on substance abuse. Addressing the condition effectively requires a team effort, especially when it has progressed beyond the early stage. For this reason, in addition to screening and intervention treatment options, these guidelines include information about viable referral for assessment and treatment, as well as followup. Readers will notice that the TIP contains more information on alcohol use and abuse than on use of illicit drugs. This reflects both the scope of the problems and the research literature available about them. It is estimated that about 18 million people with alcohol use problems and 5 million users of illicit drugs need treatment. Although the Panel recognizes that tobacco is an addictive substance with a major public health impact, it is not included in this TIP because the topic falls outside CSAT's purview. Readers are referred to "Smoking Cessation: a Guide for Primary Care Clinicians," published by the Agency for Health Care Policy and Research (Agency for Health Care Policy and Research, 1996). The Consensus Panel's recommendations are based on a combination of clinical experience and research-based evidence. In the list below, the summary guidelines supported by the research literature are followed by (1); clinically based recommendations are marked (2). Citations supporting the former are referenced in the body of the document. Screening and assessment instruments mentioned below are reproduced and discussed in Chapters 2 and 4 and Appendix C. The guidelines are presented in more detail in Chapter 6.
Alcohol/Drug Screening and Brief Intervention
Author: Mark GalanterPublisher: CRC Press
ISBN: 1000939774
Category : Medical
Languages : en
Pages : 174
Book Description
Get a better understanding of what is known and what is not known in this widespread practice Screening and brief intervention (SBI) has been around for over 40 years and is a widely recognized practice. Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice provides a valuable exploration of the present literature, the effectiveness and cost-effectiveness of screening and brief intervention, and methodological challenges in studying these practices. Respected leaders in the field discuss ways to measure the use of screening and brief intervention in practice, the multiple risk factor context in which unhealthy alcohol use occurs, clinician training issues, effective strategies to screen adolescents, which patients are most likely to change from SBI, and what research is needed in the future. Screening and brief intervention are presently being used in numerous settings such as hospitals, primary care settings, trauma centers, and college health services. Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice examines in detail original research and cutting edge research issues in these settings to provide an important review of what is known and what is not known about the practice. Methodological issues are extensively discussed. This valuable book provides crucial information on the detection of small effects, standards of analysis, reporting, interpretation, the risks of bias, and the need to ensure that results have the potential to be applied in practice. Health professionals and addiction specialists get an important critical re-evaluation of the growing practice and are provided direction for future research. Other topics in Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice include: results of research on screening, brief intervention, and referral to treatment (SBIRT) exploration of data assessing the effectiveness of screening and brief alcohol intervention evaluation of clinical alcohol screening with the AUDIT-C cost-effectiveness and cost-benefit of SBI in medical settings research into SBIRT for Emergency Departments data on primary care patients with multiple risk factors research on feasibility and efficacy of no-contact interventions and more! Alcohol/Drug Screening and Brief Intervention: Advances in Evidence-Based Practice is essential reading for alcohol and drug researchers, screening and brief intervention program practitioners, physicians, nurses, health promotion advocates, Public Health Practitioners, and the State Departments of Public Health.
Special Report to the U.S. Congress on Alcohol & Health
Author: Addressing Unhealthy Alcohol Use in Primary Care
Author: Richard SaitzPublisher: Springer Science & Business Media
ISBN: 1461447798
Category : Medical
Languages : en
Pages : 251
Book Description
While there is a wealth of published information on addiction medicine, the psychological aspects of alcohol abuse, and behavioral medicine with regard to addiction, virtually none of these resources were written with the primary care provider in mind. Addressing Unhealthy Alcohol Use in Primary Care is a resource for primary care clinicians who are confronted by patients with these problems daily, and who wish to successfully address these issues in their practice. It would focus on the literature and science relevant to primary care practice and cover the range of interventions appropriate for this setting. Topics include assessment, brief counseling interventions, pharmacotherapy, referrals to both specialty care and Alcoholics Anonymous (and other self-help programs), psychiatric co-morbidity and other drug use, and other information specific to the needs of the primary care provider.
Interventions For Addiction
Author: Catherine A. HaightonPublisher: Elsevier Inc. Chapters
ISBN: 0128065575
Category : Psychology
Languages : en
Pages : 35
Book Description