Alcohol Matrix cell D1: Organisational functioning; Screening and brief intervention
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Alcohol Treatment Matrix cell D1

Organisational functioning; Screening and brief intervention

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The most important seminal and key studies on how organisational functioning affects screening and brief intervention. One of 25 cells in the alcohol matrix. Also highlights the most useful reviews and practice guidelines and offers a customised one-click search for more on the Effectiveness Bank database.

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S London emergency department pioneers systematic screening and brief advice (1996). At St Mary’s in Paddington, the initiatives which led to a 10-fold increase in advice rates included developing and making available a very quick screening test tailored to the setting, allowing doctors to screen only patient groups among whom heavy drinking was most likely, and employing a specialist alcohol worker to take most of the load. Free version of full article available.

K ‘Advise this patient’ reminders little use without organisational backing (2010). Contrasting this study with another from the same US primary care system for ex-military personnel shows that screening/intervention rates can hinge on how the organisation handles implementation procedures in general. More in this bite’s Highlighted study section.

K Implementation at US primary care clinics ranges from zero to near universal (2005). Implementation rates at clinics offered training and support depended on complex provider and organisational characteristics, and these differed for the screening and intervention phases of the programme. These variations contributed the 0%–95% range in implementation rates. More in this bite’s Issues section under the heading, “Is what it takes to successfully implement screening the same for brief advice?”

K Positive organisational climate fosters widespread screening and brief intervention (2013). From Brazilian primary care clinics comes a rare confirmation that a positive organisational climate is associated with overcoming barriers to widely implementing screening and brief intervention programmes.

R Strategies to implement alcohol screening and brief intervention in primary care (2011). Provides a useful map of a large and complex territory enabling you to identify which implementation levers you are already pulling and which you might also turn your hand to. More in the bite’s Where should I start? section.

R Barriers and facilitators to implementing alcohol screening and brief intervention (2011). UK-focused review for Britain’s National Institute for Health and Care Excellence.

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