identification and brief advice tools and techniques
Download
Skip this Video
Download Presentation
Identification and Brief Advice Tools and Techniques

Loading in 2 Seconds...

play fullscreen
1 / 27

Identification and Brief Advice Tools and Techniques - PowerPoint PPT Presentation


  • 55 Views
  • Uploaded on

Identification and Brief Advice Tools and Techniques. Alcohol in England. 85% of adults drink alcohol DH lower-risk guidelines Men: should not regularly exceed 3-4 units/day Women: should not regularly exceed 2-3 units/day

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Identification and Brief Advice Tools and Techniques' - graceland


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
alcohol in england
Alcohol in England
  • 85% of adults drink alcohol
  • DH lower-risk guidelines
    • Men: should not regularly exceed 3-4 units/day
    • Women: should not regularly exceed 2-3 units/day
  • 26% (around 10 million) of adults in England drink more than the Government\'s lower-risk guidelines
  • Almost 2.6 million adults drink at higher-risk
    • 1.6 million men drink 50+ units/week
    • 1 million women drink more 35+ units/week.
support to primary care
Support to primary care
  • DES – New registrations
  • Primary Care Service Framework
    • Background knowledge and implementation details
    • Examples of practice
  • Identification tools
  • Brief advice scripts
  • Care pathway
  • e-Learning module
  • Read codes
  • Templates for GP computer systems
point of clarification
Point of Clarification
  • Opportunistic alcohol case Identification and the delivery of Brief Advice (IBA)

is the same as

  • Screening and Brief Interventions for alcohol misuse (SBI)
questions
Questions
  • How many Units do you drink a week?
  • Common questionnaires
    • MAST – Michigan Alcohol Screening Test
    • CAGE
      • Have you ever tried to Cut down on your drinking?
      • Have you ever felt Angered by someone talking about your drinking?
      • Have you ever felt Guilty about your drinking?
      • Have you ever had to have an “Eye opener” drink in the morning?
  • World Health Organisation (WHO) developed AUDIT
    • Alcohol Use Disorder Identification Test (AUDIT)
    • Measures both consumption and consequences
slide8

Primary Care - Alcohol Care Pathway

Adults 16-64 visiting GP

Requesting help with alcohol problem

New Registration

Other health complaint

Initial Screening Tools

SASQ

FAST

AUDIT - C

AUDIT - PC

PositiveResult

NegativeResult

Full Screen

AUDIT

No action

AUDIT Score

20+

Possible Dependence

AUDIT Score

16-19

Higher-risk

AUDIT Score

8-15

Increasing-risk

AUDIT Score

0-7

Lower-risk

Consider Referral to

Specialist Services

Extended

Brief Advice

Brief Advice

Full Assessment

slide13

Primary Care - Alcohol Care Pathway

Adults 16-64 visiting GP

Requesting help with alcohol problem

New Registration

Other health complaint

Initial Screening Tools

SASQ

FAST

AUDIT - C

AUDIT - PC

PositiveResult

NegativeResult

Full Screen

AUDIT

No action

AUDIT Score

20+

Possible Dependence

AUDIT Score

16-19

Higher-risk

AUDIT Score

8-15

Increasing-risk

AUDIT Score

0-7

Lower-risk

Consider Referral to

Specialist Services

Extended

Brief Advice

Brief Advice

Full Assessment

slide15

Primary Care - Alcohol Care Pathway

Adults 16-64 visiting GP

Requesting help with alcohol problem

New Registration

Other health complaint

Initial Screening Tools

SASQ

FAST

AUDIT - C

AUDIT - PC

PositiveResult

NegativeResult

Full Screen

AUDIT

No action

AUDIT Score

20+

Possible Dependence

AUDIT Score

16-19

Higher-risk

AUDIT Score

8-15

Increasing-risk

AUDIT Score

0-7

Lower-risk

Consider Referral to

Specialist Services

Extended

Brief Advice

Brief Advice

Full Assessment

brief advice
Brief Advice
  • Understanding units
  • Understanding risk levels
  • Knowing where they sit on the risk scale
  • Benefits of cutting down
  • Tips for cutting down
benefits of cutting down
Physical

Reduced risk of injury

Reduced risk of high blood pressure

Reduced risk of cancer

Reduced risks of liver disease

Reduced risks of brain damage

Sleep better

More energy

Lose weight

No hangovers

Improved memory

Better physical shape

Psychological/Social/Financial

Improved mood

Improved relationships

Reduced risks of drink driving

Save money

Benefits of cutting down
tips for cutting down
Tips for cutting down
  • Have an alcohol-free day once or twice a week
  • Plan activities and tasks at those times you usually drink
  • When bored or stressed have a workout instead of drinking
  • Explore other interests such as cinema, exercise, etc.
  • Avoid going to the pub after work
  • Have your first drink after starting to eat
  • Quench your thirst with non-alcohol drinks before alcohol
  • Avoid drinking in rounds or in large groups
  • Switch to low alcohol beer/lager
  • Avoid or limit the time spent with “heavy” drinking friends
interactive exchange
Interactive exchange
  • How important is it for you to reduce your drinking?
  • If you decided to reduce your drinking, how confident are you that you would succeed?
  • What might be the not so good things about reducing your drinking?
  • What might be the good things about reducing your drinking?
six step plan
Six-step plan
  • Identify good reasons for changing: Can you think of 2-3 good reasons?
  • Set yourself a goal to achieve change: Is this achievable?
  • Recognise difficult times or situations: When might be the hardest times?
  • Prepare for difficult times/ situations: Think of a way of dealing with hard times?
  • Find Someone to support you: Is there a family member/ friend who might help?
  • Stick to your goals – but remember, nobody’s perfect! If at first you don’t succeed, try again.
useful links
Useful Links
  • IBA e-Learning module & Alcohol Learning Centre

http://www.alcohollearningcentre.org.uk/

  • Primary Care Framework

http://www.primarycarecontracting.nhs.uk/204.php

  • SIPS Research Programme

http://www.sips.iop.kcl.ac.uk/index.php

  • Materials, Units Calculator and Drink Check http://www.alcoholstakeholders.nhs.uk/
ad