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IN PRACTICE 2005 PDF file 813Kb
Wet day centres in Britain part 2: Care Control Challenge

Part 2 of our mini-series on wet day centres in Britain will ring bells not just for alcohol workers but also for drug workers in needle exchanges and drop-in services. Maureen Crane and Tony Warnes analyse what it takes to work productively in one of the most challenging of settings.

SERIES OF ARTICLES 2005 PDF file 1935Kb
Wet day centres in Britain

In drug and alcohol services, it doesn't get more difficult than this – offering street drinkers a place where they can start to reverse years of deterioration, without having first to stop drinking.

STUDY 2009 HTM file
Counselor skill influences outcomes of brief motivational interventions

Few studies can manage the painstaking analyses needed to identify what makes for successful counselling. This Swiss study broke new ground in dissecting why some brief interventionists had far better results than others with risky drinking A&E patients.

STUDY 2010 HTM file
The role of ethnic matching between patient and provider on the effectiveness of brief alcohol interventions with Hispanics

At a US emergency department, a brief conversation about the pros and cons of their risky drinking and offers of support for any efforts to reduce harm led to extra reductions in the drinking of Hispanic patients which were greatest when they were matched to a Hispanic and Spanish-speaking counsellor.

STUDY 2010 HTM file
What process research tells us about brief intervention efficacy

The disappointing finding of no impact in a Swiss study of a brief alcohol intervention with risky drinking A&E patients prompted painstaking analyses of why some patients did respond, and why some counsellors had far better results than others.

REVIEW 2011 HTM file
Barriers and facilitators to implementing screening and brief intervention for alcohol misuse: a systematic review of qualitative evidence

UK-focused review for Britain's National Institute for Health and Clinical Excellence of what impedes or promotes the implementation of brief alcohol interventions at the level of the organisation, the staff doing the work, and the patients targeted by the programme.

STUDY 2010 HTM file
Routine alcohol screening and brief interventions in general hospital in-patient wards: acceptability and barriers

At three London hospitals 4% of inpatients completed a brief alcohol intervention after being screened for hazardous drinking by ward staff. Staff were positive and on one ward nearly half the patients were screened and one in ten counselled, but the overall results are unlikely to dent the public health burden imposed by risky drinking.

REVIEW 2011 HTM file
Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review

Applying a systematic and comprehensive framework to map the strategies trialled in attempts to implement screening and counselling for risky drinking primary care patients gives some clues to what it has taken to achieve a high screening rate, the essential first step in the process.

STUDY 2013 HTM file
Modelling the cost-effectiveness of alcohol screening and brief interventions in primary care in England

Simulation study calculated health care cost savings and benefits for patients in England which make routine GP-based screening and brief advice for excessive drinking look an unmissable bargain, but the key assumptions derived from studies divorced from how interventions would routinely be implemented.

STUDY 2016 HTM file
Strategies in primary healthcare to implement early identification of risky alcohol consumption: why do they work or not? A qualitative evaluation of the ODHIN study

What do primary care clinicians think would help them bridge the ‘implementation gap’ in screening for risky drinking and brief advice, and extend the potential benefits to a greater proportion of the population? A European trial found the answer differed depending on distinctive national circumstances.

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