Implementation Protocol To Increase Problematic Alcohol Use Screening and Brief Intervention in Brazil’s National Health System

Background and objectives: Problematic alcohol-use affect the physical and mental well-being of hospitalised individuals and may receive screening and brief-intervention during treatment. Non-psychiatric doctors and nurses might respond inadequately due to negative attitudes and beliefs. This study aimed to examine these attitudes of non-psychiatric workers in the medical and surgical wards. Methods: A total of 457 doctors and 1643 nurses were recruited from the medical, surgical and orthopaedic disciplines over a period of 4 months. Three questionnaires were administered: demographics, Alcohol & Alcohol-Problems Perceptions Questionnaire (AAPPQ) and Staff Perception of Alcohol Treatment Resources. Results: About 128 doctors and 785 nurses responded. Around 75.5% doctors and 51.9% nurses endorsed role-legitimacy in the AAPPQ. Both the doctor (86.7%) and nurse (77.6%) groups agreed on the importance to initiate intervention for patients with problematic alcohol-use in daily work. Both groups were sceptical and negative towards these patients endorsing low-level role-adequacy (41.2%), role-support (36.9%), motivation (36.5%), task-specific self-esteem (25.1) as well as work satisfaction (20.5%). Conclusion/discussion: Doctors and nurses demonstrated low levels of therapeutic commitments towards patients with problematic alcohol-use thereby necessitating the introduction of in-house programmes to educate, empower and emphasise the importance of therapeutic contact with patients for alcohol intervention. Scientific significance: The prompt identification and treatment of patients with alcohol problems are contingent on the workers’ attitudes towards them. This study’s results should spark a nation-wide interest to improve the training and recognition of such patients and providing adequate educational resources.

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Screening and Brief Intervention for Alcohol use in a Custody Suite: The Shape of Things to Come?

Social Policy and Society ◽

10.1017/s1474746409990042 ◽

2009 ◽

Vol 8 (4) ◽

pp. 463-473 ◽

Cited By ~ 2

Author(s):

Adrian Barton ◽

Greta Squire ◽

Mark Patterson

Keyword(s):

Alcohol Use ◽

Brief Intervention ◽

Central Government ◽

Community Safety ◽

Screening And Brief Intervention ◽

Department Of Health ◽

Excessive Consumption ◽

To Come ◽

Alcohol Harm Reduction ◽

Problematic Alcohol Use

Irresponsible and excessive consumption of alcohol and the associated problems it carries in its wake have become one of the key concerns for central government both in terms of community safety and public health. In response to the Alcohol Harm Reduction Strategy for England (DoH, 2007), the Department of Health (DoH) have announced a series of measures, one of which is to pilot screening and intervention for alcohol use programmes in a variety of locations, of which one is within a probation setting. This paper reports on the findings of a project that pre-empts the DoH initiatives, thus providing the opening comments in what is sure to be a debate about a new strategic and evidence-based approach to dealing with problematic alcohol use. The paper provides data and discussions on the Screening and Brief Intervention (SBI) project that screened 3,900 detainees in the Charles Cross custody suite in Plymouth, England during the period March 2007 to March 2008.

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Screening, brief intervention, and referral to treatment for adolescent alcohol use in Canadian pediatric emergency departments: a national survey of pediatric emergency physicians

CJEM ◽

10.1017/cem.2018.390 ◽

2018 ◽

Vol 21 (1) ◽

pp. 97-102 ◽

Cited By ~ 1

Author(s):

Shelly Jun ◽

Amy C Plint ◽

Sarah Curtis ◽

Amanda S. Newton

Keyword(s):

Alcohol Use ◽

Brief Intervention ◽

Pediatric Emergency ◽

Alcohol Problems ◽

Social Consequences ◽

Emergency Physicians ◽

Adolescent Alcohol Use ◽

Adolescent Alcohol ◽

Problematic Alcohol ◽

Problematic Alcohol Use

AbstractBackgroundProblematic alcohol use is associated with detrimental cognitive, physiological and social consequences. In the emergency department (ED), Screening, Brief Intervention, and Referral to Treatment (SBIRT) is the recommended approach to identify and treat adolescent alcohol-related concerns, but is underused by physicians.ObjectiveThis study examined pediatric emergency physicians’ perceptions of adolescent drinking and treatment, and their current self-reported SBIRT practices.MethodPhysicians in the Pediatric Emergency Research Canada database (n=245) received a 35-item questionnaire that was administered through a web-based platform and paper-based mail-outs. Recruitment followed a modified Dillman four-contact approach.ResultsFrom October 2016 to January 2017, 166 pediatric emergency physicians (46.4% males; mean age=43.6 years) completed the questionnaire. The response rate was 67.8%. Physicians recognized the need (65%) and responsibility (86%) to address adolescent alcohol problems. However, confidence in knowledge and abilities for SBIRT execution was low. Twenty-five percent of physicians reported never having practiced all, or part of, SBIRT while 1.3% reported consistent SBIRT delivery for adolescents with alcohol-related visits. More alcohol education and counselling experience was associated with higher SBIRT use; however, physicians generally reported to have received minimal alcohol training. SBIRT practices were also associated with physician perceptions of problematic alcohol use and its treatability.ConclusionsPediatric emergency physicians acknowledge the need to address problematic adolescent alcohol use, but routine SBIRT use is lacking. Strategies to educate physicians about SBIRT and enhance perceived self-competency may improve SBIRT use. Effectiveness trials to establish SBIRT impact on patient outcomes are also needed.

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Target-Population Specific Screening and Brief Intervention Addressing College Student Alcohol Use

PsycEXTRA Dataset ◽

10.1037/e560622014-001 ◽

2014 ◽

Author(s):

M. Dolores Cimini ◽

Karen L. Sokolowski ◽

Joseph M. Monserrat ◽

Joyce Y. Dewitt-Parker ◽

Estela M. Rivero ◽

...

Keyword(s):

College Student ◽

Alcohol Use ◽

Brief Intervention ◽

Target Population ◽

Screening And Brief Intervention

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Supplemental Material for Predicting Problematic Alcohol Use With the DSM–5 Alternative Model of Personality Pathology

Personality Disorders Theory Research and Treatment ◽

10.1037/per0000131.supp ◽

2015 ◽

Keyword(s):

Alcohol Use ◽

Alternative Model ◽

Personality Pathology ◽

Dsm 5 ◽

Problematic Alcohol ◽

Problematic Alcohol Use

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A Developmental Perspective on the Genetic Basis of Alcohol Use Disorder

10.1093/oso/9780190676001.003.0004 ◽

2018 ◽

Author(s):

Elisa M. Trucco ◽

Gabriel L. Schlomer ◽

Brian M. Hicks

Keyword(s):

Alcohol Use ◽

Alcohol Use Disorder ◽

Developmental Perspective ◽

Relative Contribution ◽

Intermediate Phenotypes ◽

Problematic Alcohol ◽

Age Related ◽

Genetic And Environmental Factors ◽

Problematic Alcohol Use

Approximately 48–66% of the variation in alcohol use disorders is heritable. This chapter provides an overview of the genetic influences that contribute to alcohol use disorder within a developmental perspective. Namely, risk for problematic alcohol use is framed as a function of age-related changes in the relative contribution of genetic and environmental factors and an end state of developmental processes. This chapter discusses the role of development in the association between genes and the environment on risk for alcohol use disorder. Designs used to identify genetic factors relevant to problematic alcohol use are discussed. Studies examining developmental pathways to alcohol use disorder with a focus on endophenotypes and intermediate phenotypes are reviewed. Finally, areas for further investigation are offered.

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