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Engaging problem drinkers in a general hospital setting

Published online by Cambridge University Press:  13 June 2014

Catherine McDonnell
Affiliation:
Tyrone and Fermanagh Hospital, Omagh, Co. Tyrone
Diana G Patterson
Affiliation:
Tyrone and Fermanagh Hospital, Omagh, Co. Tyrone
Ann Marie Hughes
Affiliation:
Tyrone and Fermanagh Hospital, Omagh, Co. Tyrone

Abstract

Objective: To determine the level of engagement as defined by return for out-patient appointment in patients referred for alcohol counselling in a general hospital. Method: The hospital was offered a service with counselling within 24 hours for patients who were identified by ward staff as having alcohol related problems. Referred patients were interviewed on the ward by a nurse who specialised in alcohol counselling. Follow-up appointments were offered. Results: 60% of those given counselling returned for further counselling as out-patients. 83% of women counselled were engaged compared with 42% of men (p<0.05). The mean SADD (a measure of alcohol dependency) score was 23.9 in those subjects who were engaged and 18.6 in those not engaged (p<0.05), indicating greater dependency in the former group. Conclusions: Although these patients had not actively sought help with their drinking 60% returned for counselling as out-patients. Women and those with high levels of alcohol dependency were more likely to seek further counselling.

Type
Clinical & Brief Reports
Copyright
Copyright © Cambridge University Press 1992

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References

1.Babor, TF, Ritson, EB, Hodgson, RJ. Alcohol related problems in the primary health care setting: a review of early intervention strategies. Br J Addict 1986; 81: 2346.CrossRefGoogle ScholarPubMed
2.Bell, J, The, E, Patel, A, Lewis, J, Batey, R. The detection of at risk drinking in a teaching hospital. Med J Aust 1988; 149: 351355.CrossRefGoogle ScholarPubMed
3.Price, J. Alcohol screening and early intervention: an achievable advance in management. Med J Aust 1988; 149: 345346.CrossRefGoogle ScholarPubMed
4.Brown, P, Mackay, IR. Social correlates of advanced alcoholism and effect of counselling. Med J Aust 1985; 142: 296298.CrossRefGoogle ScholarPubMed
5.Cooper, SE. Survey of studies on alcoholism. Int J Addict 1983; 18: 971985.CrossRefGoogle ScholarPubMed
6.Raistrick, D, Dunbar, G, Davidson, R. Development of a questionnaire to measure alcohol dependence. Br J Addict 1983; 78: 8995.CrossRefGoogle ScholarPubMed
7.Tolley, K, Rowland, N. Identification of alcohol-related problems in a general hospital setting: a cost-effectiveness evaluation. Br J Addict 1991; 86: 429438.CrossRefGoogle Scholar
8.Sherin, KM, Piotrowski, ZH, Panek, SM, Doot, MC. Screening for alcoholism in a community hospital. J Fam Pract 1982; 15 (6): 10911095.Google Scholar
9.Holt, S. Identification and intervention for alcohol abuse. JSC Med Assoc 1989; 85(12): 554–9.Google ScholarPubMed
10.Mendelson, EF. Alcohol-related psychiatric emergencies: their characteristics and care at a walk-in clinic. Br J Psychiatry 1987; 150: 121124.CrossRefGoogle Scholar
11.Sutherland, G, Stockwell, T, Edwards, G. The impact of a research interview on clinical re-attendance: a happy finding. Br J Addict 1985; 80: 221–212.CrossRefGoogle ScholarPubMed
12.Rees, DW, Farmer, R. Health beliefs and attendance for specialist alcoholism treatment. Br J Psychiatry 1985; 147: 317319.CrossRefGoogle ScholarPubMed
13.Heather, N. Psychology and brief interventions. Br J Addict 1989; 84: 357370.CrossRefGoogle ScholarPubMed
14.Elvy, GA, Wells, JE, Baird, KA. Attempted referral as intervention for problem drinking in the general hospital. Br J Addict 1988; 83: 8389.CrossRefGoogle ScholarPubMed
15.Antti-Poika, I, Karaharju, E, Roine, R, Salaspuro, M. Intervention of heavy drinking – a prospective and controlled study of 438 consecutive injured male patients. Alcohol Alcohol 1988; 23 (2): 115121.Google ScholarPubMed
16.Gentilello, LM, Duggan, P, Drummond, D, Tonnesen, A, Degner, E E, Fischer, RP, Reed, RL. Major injury as a unique opportunity to initiate treatment in the alcoholic. Am J Surg 1988; 156 (6): 558–61.CrossRefGoogle ScholarPubMed
17.Jernigan, DH, Mosher, JF, Reed, DF. Alcohol-related problems in public hospitals: defining a new role in prevention. J Public Health Policy 1989; 10 (3): 324352.CrossRefGoogle ScholarPubMed
18.Glaser, FB. Alcohol and drug problems: a challenge to consultation liaison psychiatry. Can J Psychiatry 1988; 33 (4): 259263.CrossRefGoogle ScholarPubMed
19.Prochaska, JO, Di Clemente, CC. Towards a comprehensive model of change. In: Miller, WR, Heather, NH, editors. Treating addictive behaviours; process of change. New York: Plenum Press, 1986.Google Scholar