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REVIEW 2008 HTM file
Systematic review and meta-analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries
Combining results from the few available evaluations of emergency department-based alcohol interventions suggests these substantially reduce alcohol-related injuries, but the estimate may not be applicable outside the USA or to all emergency patients.
Rare attempt at screening and brief intervention for actual or potential problems arising from illegal drug use among primary care patients suggests that screening itself reduces use levels and that further intervention might be worthwhile among high-risk populations.
STUDY 2008 HTM file
Evaluation of a telephone-based stepped care intervention for alcohol-related disorders: a randomized controlled trial
This German study saved valuable counselling time by only offering further advice to primary care patients who had not yet responded to brief computerised feedback on their risky drinking.
STUDY 2007 HTM file
The impact of screening, brief intervention, and referral for treatment on emergency department patients' alcohol use
Just a few minutes with specially hired screening and intervention staff can make a difference to emergency patients' drinking, but in the real world the hospital's own staff will usually do this work. A US study tested this real-world scenario and still found (modest) drinking reductions.
STUDY 2005 PDF file 145Kb
Screening and motivational interviews work with heroin and cocaine users
Substantial minorities of heroin and cocaine users identified while visiting a US hospital for medical care cut back after assessment and brief motivational counselling, extending the potential of this approach beyond heavy drinkers.
STUDY 2004 PDF file 196Kb
Student drug users respond well to one-to-one motivational sessions
London study suggests that individual brief motivational sessions from non-teaching staff could fulfill a college's responsibilities to prevent drug-related harm more effectively than media campaigns or health education lectures.
STUDY 2003 PDF file 172Kb
Injury rate cut in heavy drinking accident and emergency patients
One of the few studies to have tried alcohol interventions in the emergency department rather than after admission was also the first to find a significant reduction in later injuries, but only if the initial approach had been reinforced with a booster.
STUDY 2003 PDF file 134Kb
Motivational interviews as a standalone or treatment-entry response to stimulant use
US and Australian findings suggest that short motivational interventions can both reinforce stimulant-specific treatment and usefully address stimulant use in settings such as needle exchanges and methadone programmes.
STUDY 2003 PDF file 188Kb
Nurses help prevent hazardous drinking while caring for injured drinkers
This British study found that young men injured after binge drinking respond well to a brief intervention mounted in a hospital clinic dealing with injuries of the kind often related to drinking.
STUDY 2000 PDF file 115Kb
Brief intervention leaves teenage drinkers less likely to revisit accident and emergency
A brief intervention intended to reducing harmful/risky drinking and tested on teenagers attending a US emergency unit after an alcohol-related incident substantially cut the number of alcohol-related injuries over the next six months.
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