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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.

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 2008 HTM file
Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later

This huge US study set out to test whether widespread screening and brief intervention for illegal drug use (not just heavy drinking) could be implemented in a variety of general medical settings and whether it was effective. Both tests seem to have been passed, but with some important caveats.

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.

SERIES OF ARTICLES 2002 PDF file 2075Kb
Investing in alcohol treatment

Two-part series extracted from an impressive Australian review. First, how to identify a drinking problem; second, whether brief talks with heavy drinkers identified by screening work, and how staff can be encouraged to implement them.

REVIEW 2002 PDF file 1279Kb
Investing in alcohol treatment: brief interventions

Second instalment of the comprehensive review funded by Australia's health department examines brief talks to heavy drinkers identified at hospitals or in primary care. Do they work, and how can staff be encouraged to implement them?

STUDY 2001 PDF file 187Kb
Emergency patients benefit from minimal alcohol intervention

Patients screened for alcohol problems in a Swedish emergency surgical ward responded well to a simple brief intervention delivered by ward staff; outcomes were not further improved by professional counselling.

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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