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Risk of Alcohol Abuse related to Income, Education, and Employment

Risk of Alcohol Abuse related to Income, Education, and Employment. By Holly Hinds RN, Angie Robl RN, Dana Rochon RN, Mary Sparks RN. County Comparison. Factors Related to Alcohol Use. Problem Statement.

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Risk of Alcohol Abuse related to Income, Education, and Employment

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  1. Risk of Alcohol Abuse related to Income, Education, and Employment By Holly Hinds RN, Angie Robl RN, Dana Rochon RN, Mary Sparks RN

  2. County Comparison

  3. Factors Related to Alcohol Use

  4. Problem Statement • Risk for alcohol abuse related hospitalizations among the female population in Kent County, secondary to low income and insufficient education; demonstrated by the correlation between high alcohol abuse rates and the amount of the female population living below poverty levels. This in turn can be directly contributed to sub-standard education.

  5. Intervention: Drinker's Checkup • Computer Based Intervention • Targets individuals on the continuum of problem drinking • Brief Motivational Interview • Sensitive to individual’s readiness to change

  6. Drinker’s Checkup: Tools of Assessment • AUDIT (Alcohol Use Disorders Identification Test) • BDP (Brief Drinker Profile) • SADQ-C Dependence • Socrates (Stages of Change Readiness and Treatment Eagerness Scale)

  7. Drinker’s Checkup • Feedback is personalized • Responsibility for changing is left to the individual • Options for behavior change presented • Self-efficacy is emphasized

  8. Review of Evidence • Using technical innovation in clinical practice: the Drinker’s Check-Up software program

  9. Factors that will contribute to success • Public Transportation • Willingness of participants • Readiness for dissemination • Local support groups

  10. Change Model • Socrates = Stages of Change Readiness and Treatment Eagerness Scale

  11. Outcome • Reduction in alcohol use • Decline in alcohol related consequences • Lessoning of symptoms of alcohol dependence • Increased motivation for change • Decrease of hospitalization related to alcohol use • Growth of employment options

  12. Measurements of Change:Reviewed at three, six, nine, and twelve months • Decrease in hospital admission rates. • Employment status and sustainability. • Initiation or completion of GED/ adult education classes.

  13. References • Michigan Department of Community Health. (2011). Bureau of substance abuse and addictionservices 2009-2012 strategic plan. Retrieved from (http://www.michigan.gov/ documents/mdch/BSAAS_Strategic_Plan_2009-12_face_page_314793_7.pdf • Hester, R. K., Squires, D. D., & Delaney, H. D. (2005). The Drinker's Check-up: 12-month outcomes of a controlled clinical trial of a stand-alone software program for problem drinkers. Journal of Substance Abuse Treatment, 28(2), 159-169. 

  14. References • Miller, W.R. & Tonigan, J.S. (1996). Assessing drinkers’ motivation for change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 10(2), 81-89. • Squires, D. D., & Hester, R. K. (2004). Using technical innovations in clinical practice: The Drinker's Check-Up software program. Journal of Clinical Psychology, 60(2), 159-169.

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