Alcohol screening and brief intervention among drug users in primary care: a discussion paper
- 254 Downloads
Problem alcohol use is common among problem drug users (PDU) and associated with adverse health outcomes. Primary care has an important role in the overall stepped approach to alcohol treatment, especially screening and brief intervention (SBI).
To discuss three themes that emerged from an exploration of the literature on SBI for problem alcohol use in drug users attending primary care.
Material for this discussion paper was gathered from three biomedical databases (PubMed, PsycINFO and Cochrane library), conference proceedings and online resources of professional organisations or national health agencies.
Themes discussed in this paper are: (a) the potential of primary care for delivery of alcohol SBIs to PDUs, (b) screening methods and (c) application of brief interventions to PDUs.
Although SBI improves health outcomes associated with problem alcohol use in the general population, further research is needed among high-risk patient groups, especially PDUs.
KeywordsProblem alcohol use Primary care Screening and brief intervention Problem drug use
Authors wish to thank colleagues from University College Dublin: Davina Swan, Sarah Finnegan, Brendan Rooney, Aisling O’ Dwyer-O’ Brien, Louise Dolphin, Carly Cheevers, Lynn McKeague and Eilis Hennessy, for their insightful comments and feedback. This discussion paper has been prepared as part of a research project funded by Health Research Board Ireland (2009-12): ‘Towards optimum care of problematic alcohol use among patients with opiate dependency: a qualitative study from two perspectives.’
Conflict of interest
The authors acknowledge that they have no conflict of interests regarding this study.
- 11.Babor T, Higgins-Biddle J (2001) Brief intervention for hazardous and harmful drinking. A manual for use in primary care. WHO, GenevaGoogle Scholar
- 12.Smith LA, Foxcroft D, Holloway A et al (2010) Brief alcohol questionnaires for identifying hazardous, harmful and dependent alcohol use in primary care. Cochrane database of systematic reviews. Wiley, ChichesterGoogle Scholar
- 16.Babor TF, Campbell R, Room R et al (eds) 1994 Lexicon of alcohol and drug terms. WHO, GenevaGoogle Scholar
- 17.WHO (ed) (1993) The ICD-10 classification of mental andbehavioural disorders: diagnostic criteria for research. WHO, GenevaGoogle Scholar
- 20.Raistrick D, Heather N, Godfrey C (2006) Review of the effectiveness of treatment for alcohol problems. National Treatment Agency for Substance Misuse, LondonGoogle Scholar
- 21.Helander A (2001) Biological markers of alcohol use and abuse in theory and practice. In: Agarwal DP, Seitz HK (eds) Alcohol in health and disease. Marcel Dekker Inc., New York, pp 177–206Google Scholar
- 22.Berglund M, Thelander S, Jonsson E (eds) (2003) Treating alcohol and drug abuse: an evidence-based review. Wiley-VCH, WeinheimGoogle Scholar
- 24.Heather N, Peters TJ, Stockwell T (eds) (2001) International handbook of alcohol dependence and problems. Wiley, ChichesterGoogle Scholar
- 27.Shand F, Gates J, Fawcett J et al (2003) The treatment of alcohol problems: a review of the evidence. Canberra Commonwealth Department of Health and AgeingGoogle Scholar
- 30.Yang MW, Skinner HA (2004) Assessment for brief intervention and treatment. In: Heather N, Stockwell S (eds) Essential handbook of treatment and prevention of alcohol problems. Wiley, Chichester, pp 21–34Google Scholar
- 31.Talley NJ, O’Connor S (2001) Clinical examination: a systematic guide to physical diagnosis, 4th edn. MacLennan and Petty, SydneyGoogle Scholar
- 33.Darker C, Sweeney B, El Hassan H et al (2010) Brief interventions are effective in reducing alcohol consumption in opiate dependent methadone maintained patients: results from an Irish cohort. 9–10 Sep 2010, Gothenburg (Sweden)Google Scholar
- 41.Anderson RJ, Collins C, Dalton Y et al (2006) Alcohol aware practice service initiative. Final report-August 2006. Irish College of General Practitioners, DublinGoogle Scholar
- 43.Gual A, Anderson P, Segura L et al (2005) Alcohol and primary health care: training programme on identification and brief interventions. Health Department of the Government of Catalonia, BarcelonaGoogle Scholar
- 44.Anderson P, Gual A, Colom J et al (2005) Alcohol and primary health care: clinical guidelines on identification and brief interventions. Health Department of the Government of Catalonia, BarcelonaGoogle Scholar
- 45.EMCDDA (2010) Annual report 2010: the state of the drugs problem in Europe. European Monitoring Centre for Drugs and Drug Addiction, LisbonGoogle Scholar
- 47.Heather N, Raistrick D, Godfrey C (2006) Review of the effectiveness of treatment for alcohol problems. National Treatment Agency for Substance Misuse, LondonGoogle Scholar
- 50.Bush K, Kivlahan DR, McDonell MB et al (1998) The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med 158(16):1789–1795PubMedCrossRefGoogle Scholar