Screening and referral for brief intervention of alcohol-misusing patients in an emergency department: a pragmatic randomised controlled trial

Crawford, Mike; Patton, Robert; Touquet, Robin; Drummond, Colin; Byford, Sarah; Barrett, Barbara; Reece, Ben; Brown, Adrian; Henry, John A.

doi:10.1016/s0140-6736(04)17190-0

Cited by 241 publications

(269 citation statements)

References 23 publications

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“…The role of an immediate aftercare component to enforce a health promotion message has been identified as effective in acute settings (Crawford et al, 2004) and for recently released 19 prisoners (Thomas et al, 2014). A role for probation services and the privatised Community Rehabilitation Companies may offer a conduit for the delivery of ABIs in the community.…”

Section: Discussionmentioning

confidence: 99%

Exploration of delivering brief interventions in a prison setting: A qualitative study in one English region

Sondhi¹,

Birch

Lynch

et al. 2016

Drugs: Education, Prevention and Policy

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Aims: There is evidence that alcohol is strongly correlated with offending. This qualitative study explored the views of staff on the efficacy of alcohol brief interventions within a prison setting. The perceptions of prisoners in relation to non-dependent drinking were also examined.Methods: Nine prisons in one English region took part in this research. Five focus groups with 25 prisoners were undertaken with prisoners alongside focus group discussions with 30 professionals. Discussions were recorded using shorthand notation and the main themes were thematically mapped using visual mapping techniques. Findings:The use of the Alcohol Use Disorder Identification Test (AUDIT) was perceived as problematic. Prisoner drinking norms differed widely from community consumption patterns. There were also operational issues that reduced the salience of a brief intervention for prisoners. Conclusions:The delivery of screening and brief interventions within a prison setting is highly nuanced and fraught with inconsistencies. Despite these challenges, there are opportunities to develop coherent and tailored brief interventions for a custodial environment that should focus on developing three key areas around: (a) interventions for the point of release; (b) enhanced content around family impact and offending; and (c) forward-looking goal-setting as motivational tools to facilitate change. Keywords:Alcohol -Screening and Brief Intervention -Prison

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Section: Discussionmentioning

confidence: 99%

Exploration of delivering brief interventions in a prison setting: A qualitative study in one English region

Sondhi¹,

Birch

Lynch

et al. 2016

Drugs: Education, Prevention and Policy

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“…Because of the severe nature of the problems prompting patients to seek emergency psychiatry services, the emergency department visit itself has been referred to as a teachable moment in which patients may be more receptive to advice or referral for additional services. Brief substance abuse counseling interventions delivered in emergency departments [19,20] have proven effective, and there is evidence that motivational interviewing can effectively be used as brief interventions in these settings [21], even when implemented by staff not specializing in addictions treatment. Barrett and colleagues (2006) used a randomized controlled trial to demonstrate the effectiveness of having an alcohol health worker (AHW) deliver a brief intervention to patients with hazardous drinking patterns [22].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Predictors of Substance-Related Emergency Psychiatry Admissions

Young¹,

Moore²

2016

Dual Diagn Open Acc

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“…17,18 There is some evidence to suggest that simply asking questions about consumption can change behaviour, 19 and that accepting an appointment with an alcohol health worker is as effective as actually attending one. 20 Recent reviews of the evidence suggest that male AUD patients benefit more from brief interventions than females in both primary care and emergency department settings. 21,22 Given that AUDs are more common among men, it is not surprising that single gender studies have been undertaken, again with positive findings indicating that screening and brief intervention are effective at reducing consumption and harm.…”

Section: Effective Interventionmentioning

confidence: 99%