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

CJEM ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 97-102 ◽  
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.

scholarly journals Examining the Attitudes of Non-Psychiatric Practicing Healthcare Workers Towards Patients With Alcohol Problems in General Hospital Setting

2022 ◽  
Vol 16 ◽  
pp. 117822182110657
Author(s):  
Ho Teck Tan ◽  
Yit Shiang Lui ◽  
Lai Huat Peh ◽  
Rasaiah Munidasa Winslow ◽  
Song Guo
Keyword(s):  
Alcohol Use ◽  
Hospital Setting ◽  
Well Being ◽  
Alcohol Problems ◽  
Alcohol Intervention ◽  
Screening And Brief Intervention ◽  
Daily Work ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
Doctors And Nurses

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.

scholarly journals An mHealth Approach to Extend a Brief Intervention for Adolescent Alcohol Use and Suicidal Behavior: Qualitative Analyses of Adolescent and Parent Feedback

2019 ◽  
Vol 37 (4) ◽  
pp. 255-285 ◽  
Author(s):  
Kimberly H. McManama O’Brien ◽  
Adeline Wyman Battalen ◽  
Christina M. Sellers ◽  
Anthony Spirito ◽  
Shirley Yen ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Brief Intervention ◽  
Suicidal Behavior ◽  
Adolescent Alcohol Use ◽  
Adolescent Alcohol ◽  
Parent Feedback ◽  
Qualitative Analyses

scholarly journals Association of Problematic Alcohol Use and Food Insecurity among Homeless Men and Women

2020 ◽  
Vol 17 (10) ◽  
pp. 3631 ◽  
Author(s):  
Lorraine R. Reitzel ◽  
Surya Chinamuthevi ◽  
Sajeevika S. Daundasekara ◽  
Daphne C. Hernandez ◽  
Tzu-An Chen ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Dependence ◽  
Food Insecurity ◽  
Short Form ◽  
Heavy Drinking ◽  
Alcohol Problems ◽  
Future Research ◽  
Homeless Adults ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use

Food insecurity results from unreliable access to affordable and nutritious food. Homeless adults are particularly vulnerable to both food insecurity and problematic alcohol use. The current study examined the link between problematic alcohol use and food insecurity among homeless adults. Participants (N = 528; 62.7% men; Mage = 43.6 ± 12.2) were recruited from homeless-serving agencies in Oklahoma City. Problematic alcohol use was measured using the Alcohol Quantity and Frequency Questionnaire and the Patient Health Questionnaire. The latter used DSM-IV diagnostic criteria to assess probable alcohol use dependence/abuse. Heavy drinking was considered >7 drinks (women) and >14 drinks (men) per week. Food insecurity was measured with the USDA Food Security Scale-Short Form. The link between alcohol problems and food insecurity was examined with logistic regression analyses controlling for sex, age, education, income, and months homeless. Overall, 28.4% of the sample had probable alcohol dependence, 25% were heavy drinkers, and 78.4% were food insecure. Probable alcohol dependence and heavy drinking were correlated at 0.53 (p < 0.001). Results indicated that heavy drinking (OR = 2.12, CI.95 = 1.21, 3.73) and probable alcohol dependence/abuse (OR = 2.72, CI.95 = 1.55, 4.77) were each associated with increased odds of food insecurity. Food insecurity and problematic alcohol use are major issues among homeless populations; this study suggests they are associated. Future research is needed to shed light on potential causal mechanisms and on whether alcohol may take precedence over eating or food purchases.

Adolescent Alcohol Use

2016 ◽  
pp. 130-168
Author(s):  
Tammy Chung ◽  
Kristina M. Jackson
Keyword(s):  
Alcohol Use ◽  
Externalizing Behavior ◽  
Childhood And Adolescence ◽  
Genetic Liability ◽  
Adolescent Alcohol Use ◽  
Adolescent Alcohol ◽  
Biological Substrates ◽  
Problematic Alcohol Use ◽  
Alcohol Related Problems ◽  
Internalizing And Externalizing

Alcohol is the substance most commonly used by youth. Problematic alcohol use can be considered a developmental disorder, which typically has its origins in an individual’s genetic liability, temperament, and experiences in childhood and adolescence. To provide a context for the emergence of alcohol use in adolescence, this chapter briefly reviews biological substrates of risk that include genetic liability and processes of developmental maturation (e.g., puberty, brain development). The chapter then addresses the prevalence of alcohol use and alcohol-related problems in adolescence, trajectories of youth alcohol use, and internalizing and externalizing behavior pathways associated with adolescent alcohol use. Risk and protective factors influencing adolescent alcohol use are discussed as targets to guide developmentally informed prevention and intervention.

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