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DOCUMENT 2015 HTM file
Alcohol-use disorders

Online flowcharts from the UK National Institute for Health and Clinical Excellence guide planners and practitioners dealing with alcohol use disorders through choices of strategies and interventions on prevention, brief interventions, alcohol treatment, and treatment of associated medical conditions.

STUDY 2013 HTM file
Modeling the impact of alcohol dependence on mortality burden and the effect of available treatment interventions in the European Union

Simulation exercise estimates that had either the main anti-relapse medications or brief interventions on hospital wards reached 40% of the heaviest and dependent drinkers, in 2004 they would have prevented nearly 12,000 deaths across the European Union.

STUDY 2009 HTM file
Consultation-liaison psychiatry in general hospitals: improvement in physicians’ detection rates of alcohol use disorders

When an addiction psychiatrist modelled good alcohol assessment practice while accompanying doctors once a week during their ward rounds, the result was steeply increased rates of correct diagnosis of drink problems and of referral to treatment, offering an alternative to possibly unwelcome training or direction of clinical staff.

STUDY 2014 HTM file
The effectiveness of alcohol screening and brief intervention in emergency departments: a multicentre pragmatic cluster randomized controlled trial

‘Do just the minimum’ seems the message of the emergency department arm of the largest alcohol screening and brief intervention study yet conducted in Britain; the proportion of risky drinkers fell no less after a brief warning than after more sophisticated and longer interventions.

STUDY 2012 HTM file
Alcohol screening and brief intervention in emergency departments

The emergency department 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.

REVIEW 2010 HTM file
Brief screening questionnaires to identify problem drinking during pregnancy: a systematic review

Heavy drinking by mothers-to-be threatens their unborn child – but for that very reason, stigma may mean women shy away from admitting their problem. This review found several brief screening questionnaires showed promise in identifying mothers who might need to cut back, while others seemed unsuitable for the antenatal care context.

REVIEW 2011 HTM file
A systematic review and meta-analysis of health care utilization outcomes in alcohol screening and brief intervention trials

Screening for risky drinking and offering brief advice slightly reduces later emergency department visits was the main finding of this review, suggesting these programmes can help ease pressure on overloaded departments. Adding to their attraction, some of the evidence comes from studies in the services set to benefit.

STUDY 2011 HTM file
Randomized controlled trial of a brief intervention for unhealthy alcohol use in hospitalized Taiwanese men

Even dependent drinkers among Taiwanese hospital patients substantially cut back their drinking after being identified and offered brief advice, findings from a study which provides one of the most convincing demonstrations yet that brief intervention can work in this setting.

STUDY 1970 HTM file
Frontiers of alcoholism

Later to become founding director of the US National Institute on Alcohol Abuse and Alcoholism, in the late 1950s Dr Morris Chafetz of the Massachusetts General Hospital conducted a remarkable series of studies which proved that an alcohol clinic's intake and performance can be transformed by the simple application of empathy and organisation.

STUDY 2012 HTM file
Text-message-based drinking assessments and brief interventions for young adults discharged from the emergency department

For the first time this US study tried mobile phone text messaging as a way to moderate the hazardous drinking of young adults screened at emergency departments. Compared to merely monitoring, text-based advice did cut drinking – but why did the monitoring-only patients actually start to drink more?

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