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STUDY 2009 HTM file
Does implementation of clinical practice guidelines change nurses' screening for alcohol and other substance use?
Hospital nurses in Sydney in Australia were trained to implement a new screening and intervention policy aiming to upgrade the identification of hazardous drinkers and other substance users among medical and surgical inpatients. Disappointing results highlight the need to do more than inform and exhort if practice is to change.
STUDY 2010 HTM file
A comparison of two single-item screeners for hazardous drinking and alcohol use disorder
Can you get away with asking just a single question to identify risky drinkers and even dependent drinkers? When the thresholds are suitably adjusted, asking either about frequency of heavy drinking or maximum single-occasion consumption worked remarkably well in the US general population.
STUDY 2012 HTM file
Screening for alcohol use in criminal justice settings: an exploratory study
At English prisons, police stations and probation offices, offenders and arrestees in this study usually scored as at least hazardous drinkers and over half as problematic on a drink problem survey; nearly all would have been identified by a much briefer screening method usually requiring just a single question.
HOT TOPIC 2016 HTM file
What do the patients want?
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Focus is the apparently iconoclastic finding from a Scottish national treatment study that abstinence is the sole drug-focused goal for most patients in drug treatment: “At best these extrapolations were sloppy, at worst, deliberately misleading.”
STUDY 2011 HTM file
Quality concerns with routine alcohol screening in VA clinical settings
In the US health care service for ex-military personnel, 61% of patients who screened positive when sent a postal survey did not do so when the same questions were asked by their clinics, casting doubt on the validity of the test in routine practice in a service where the emphasis was more on the quantity than the quality of screening.
DOCUMENT 2014 HTM file
Should dependent drinkers always try for abstinence?
For many alcohol treatment services in the past and now, the only acceptable and feasible drinking goal for alcoholics is abstinence. That mould was decisively cracked when in 1973 researchers showed that even physically dependent drinkers could learn to drink in moderation. Controversy was fierce, reaching to the US Congress, TV networks and the courts.
REVIEW 2012 HTM file
Clinical recognition and recording of alcohol disorders by clinicians in primary and secondary care: meta-analysis
The policy emphasis on systematic screening to identify risky drinkers seems justified by this review, which found that without this GPs and other non-specialist doctors and nurses missed about half the risky drinkers they saw. However, that is better than in many screening programmes, prompting the reviewers to query whether these really do improve on clinical judgement.
STUDY 2013 HTM file
The assessment of recovery capital: properties and psychometrics of a measure of addiction recovery strengths
Testing in the UK suggested that a questionnaire assessing the ‘recovery capital’ resources which help overcome addiction might underpin more recovery-oriented assessments of services and of client progress and needs – but only a study which followed up patients could confirm this, and do some of the questions assess ability to recover, or recovery itself?
STUDY 2009 HTM file
Consultation-liaison psychiatry in general hospitals: improvement in physicians’ detection rates of alcohol use disorders
When an addiction psychiatrist modelled good alcohol assessment practice while accompanying doctors once a week during their ward rounds, the result was steeply increased rates of correct diagnosis of drink problems and of referral to treatment, offering an alternative to possibly unwelcome training or direction of clinical staff.
REVIEW 2010 HTM file
Brief screening questionnaires to identify problem drinking during pregnancy: a systematic review
Heavy drinking by mothers-to-be threatens their unborn child – but for that very reason, stigma may mean women shy away from admitting their problem. This review found several brief screening questionnaires showed promise in identifying mothers who might need to cut back, while others seemed unsuitable for the antenatal care context.
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