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STUDY 2010 HTM file
A brief image-based prevention intervention for adolescents
Across the sample, a brief face-to-face consultation highlighting how substance use might stop them becoming the sort of young adults they wanted to be generally did not prevent substance use among US high school pupils, but those already using substances were significantly more responsive, suggesting a selective if not a universal prevention role.
Though drinking problems were widespread, Scottish probation and community service staff were unconvinced of the appropriateness of screening their offender clients for risky drinking and (if indicated) offering brief advice. Not a priority, was the common feeling.
Risky drinking was widespread among the disorder and assault suspects screened for alcohol problems and (as indicated) offered brief advice by civilian staff at a police station in north east England, but they constituted just a quarter of the arrestees intended to have been screened.
STUDY 2012 HTM file
Alcohol screening and brief intervention in primary health care
The primary health arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of risky drinkers fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer (but still brief) alternatives.
STUDY 2012 HTM file
Alcohol screening and brief intervention in probation
The probation arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of offenders drinking at risky levels fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer (but still brief) alternatives.
Spending just ten minutes each on a drinking feedback and advice web site is leading over 2000 heavy drinking Dutch men a year to reduce to safer levels was the implication of this randomised trial from the Netherlands.
UK government-funded pilot schemes found no crime reduction benefits from brief alcohol counselling for arrestees under the influence of drink, disappointing hopes that arrest referral would help quell late-night alcohol-related disorder. The schemes did however uncover many dependent drinkers.
In the north of England just a few (and often just one) counselling sessions by a specialist nurse had a remarkable impact on dependent drinkers seeking medical care at an accident and emergency department.
Not just for adults, but teenagers and young adults too, with this analysis motivational interviewing seems confirmed as the leading evidence-based approach to reducing possibly or actually risky substance use among non-clinical populations not seeking treatment.
The first European trial of an emergency department brief alcohol intervention being implemented nationally in the USA found no significant impacts either short term or a year later, but in Britain and elsewhere, different types of interventions have worked.
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