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MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell D1: Organisational functioning; Screening and brief intervention
Seminal and key studies on how organisational functioning affects screening and brief intervention. Highlights a striking illustration of the importance of organisational context emerging from the unprecedented implementation drive at the US health care system for ex-military personnel. See the rest of row 1 of the matrix for more on screening and brief interventions.
Comprehensive calculations from Australia offer clues to what in countries like the UK would make the biggest dent in alcohol-related harm at the lowest cost; top of the list were alcohol tax rises, advertising bans, licensing controls, and random breath testing.
DOCUMENT 2010 HTM file
Alcohol in our lives: curbing the harm
Extensive policy report from New Zealand accepts evidence that alcohol-related harm is best reduced by population level measures, including raising prices, licensing reform with harm reduction as its prime objective, and restricting the availability of alcohol through reduced opening hours, age limits and curbs on promotion.
REVIEW 2015 HTM file
Prevention of addictive behaviours
Based largely on existing reviews, this report for the German Federal Centre for Health Education comprehensively assesses substance use prevention approaches. Among its many conclusions are that approaches based solely on information provision are ineffective, in contrast to the more positive evidence for lifeskills and multi-component community programmes.
An ambitious attempt to use research to understand the most effective and cost-effective set of policies for reducing alcohol-related harm in the English context, from taxation and price regulation to managing the drinking environment.
In these UK national prevention guidelines, experts prioritised population-wide changes like price rises and outlet restrictions which affect everyone, independent of the choices they make. But in England government prefers to target what they see as the troublesome minority, not the responsible majority.
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.
STUDY 1999 PDF file 209Kb
Advice and referral curb drinking in alcohol dependent hospital patients
In New York the serendipitous misapplication of a brief intervention to alcohol-dependent general hospital patients raised the possibility that they benefit as much from this as from referral to full-blown treatment.
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 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.
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