Organizer Service d’alcoologie Département universitaire de médecine et santé communautaires (DUMSC) Centre hospitalier universitaire vaudois (CHUV) Canton de Vaud

Supported by

Service d’alcoologie

INEBRIA 13th Congress

Lausanne University Hospital Switzerland Index

Maps CHUV 2 Auditoriums 3 PMU conference hall 4

Welcome to the 2016 INEBRIA conference! 5

A word of the President 6

Program summary Wednesday 21 September 7 Thursday 22 September 8 Friday 23 September 9

Organizing committee 10

Scientific committee 11

INEBRIA coordinating committee 12

Program details Wednesday 21 September 13 Thursday 22 September 15 Friday 23 September 34

Posters 54

Social Event 60

Gala Dinner 61

Next conference 62

Declared funding and conflicts of interest 63

Addiction Science and Clinical Practice – Special Issue 69

Notes 70 CHUV Auditoriums

Lausanne University Hospital PARKING Rue du Bugnon 46

FROM 1. Alexandre Yersin METRO M2 THE MAIN 2. Auguste Tissot “CHUV” station ENTRANCE 3. Charlotte Olivier 4. Mathias Mayor 5. César Roux 1 SEMINAR ROOM 16 Rue du Bugnon 21

2

5

3

AUDITORIUMS

MAIN BUILDING 4

PMU CONFERENCE HALL MAIN ENTRANCE

2 3 PMU conference hall Welcome to the 2016 INEBRIA conference! TO THE MAIN BUILDING On behalf of the organizing committee, I am very pleased to welcome you in Lausanne.

Alcohol and other drugs are an important public health problem asso- ciated with major health and social problems worldwide. For more than 10 years, the INEBRIA network has been working to address the difficult question of screening and brief interventions for unhealthy alcohol and more recently for drug use. The INEBRIA annual conference has become a very important gathering for researchers, clinicians and policy makers interested in screening and brief interventions to share experiences, knowledge, research findings, and sustain international collaborations. It is an important event to promote and encourage the best practices in the dissemination and implementation of brief interventions for alcohol and other drugs, as one of the measures to prevent and reduce substance- related harm. The annual meeting offers a stimulating environment for its participants with ample opportunities for networking, presenting original work and discovering the latest developments in the field.

A few words about Lausanne, the fourth largest city in Switzerland, and the reasons why I am particularly pleased to welcome you here for the 2016 meeting. Lausanne is located in the French speaking part of Switzerland, between two important wine-growing regions, Lavaux (to the east) and La Côte (to the west). Therefore, alcohol has been an important part of the ROOM ANDROS local culture. Substance-related harms have also been at the forefront of the concerns of health care professionals in Switzerland for a long time, with the development, in the early 90s, of a national drug policy based on four “pillars”: prevention, therapy, harm reduction, and law JEQUIER-DOGE enforcement. Locally, the Lausanne University Hospital was the first Swiss AUDITORIUM University Hospital to create a professorial position in alcohol studies in 2008. It is therefore a perfect home for a meeting on early identification of substance-related harm.

I hope that you will not only enjoy the meeting, but also the cultural oppor- tunities of our city, its museums, its cathedral (don’t miss the opportunity to visit it on Thursday night before the gala dinner), the lake shore and the magnificent view of the Alps.

Nicolas Bertholet Associate physician Privat Docent, Senior lecturer

Chairman 2016 INEBRIA conference

4 5 A word of the President Program summary 2016

It gives me great pleasure to welcome you to Lausanne for INEBRIA’s Wednesday 21 September yearly conference 2016. INEBRIA is a network consisting of several hun- dred researchers, practitioners and policy makers around the world. ­The common denominator is an interest in early identification and brief Preconference 1 Practical one-day workshop: intervention to reduce the damage caused by alcohol and other drugs in Brief motivational interventions in health care health care and other venues. The network aims to provide global lead- 09:00 – 17:00 ership in this area. INEBRIA developed from a group of researchers who Trainer in the 1980s and 1990s, with the support of WHO, developed methods Hôtel de la Paix Stephen Rollnick – PhD for early detection of alcohol problems and brief counseling. Av Benjamin-Constant 5 Honorary Distinguished Professor in the Cochrane Institute of Primary Care and Public Health INEBRIA has since its inception had its secretariat in Barcelona, where Welcome and registration School of Medicine, Cardiff University the Catalan Ministry of Health has provided premises and officials who 08:00 – 09:00 Cardiff, UK assist the organization. The business consists mainly of arranging annual research meetings. These are conducted in collaboration with research Co-trainers institutions in different countries. Last year, 2015, it was held in Atlanta, Cristiana Fortini and Jean-Bernard Daeppen USA; 2014 in Warsaw. During these conferences the annual meetings of Alcohol Treatment Center the organization are also held. Lausanne University Hospital Lausanne, Switzerland This year’s meeting is held at a time when early identification and brief intervention, EIBI, has gained considerable momentum in a number of countries, where governments and health authorities have been convinced by the research and invested serious money into this field. At the same time a number of concerns have emerged, where the evidence base has Preconference 2 2-hour workshop for researchers: gradually demonstrated important failures to deliver expected outcomes. Studying brief interventions mechanisms. This calls for renewed efforts for researchers and practitioners to explore 15:00 – 17:00 Moderation, mediation, and moderated new solutions. mediation analyses Seminar room 16 With this in mind, this year’s conference theme “The challenge of Rue du Bugnon 21 Trainer complexity: updating models and practice” is indeed quite timely and 6th floor Jacques Gaume – PhD provides excellent opportunities to examine our models and discuss Alcohol Treatment Center alternate ways forward. Lausanne University Hospital Lausanne, Switzerland I want to thank Nicolas Bertholet, Ruth Borloz and Jean-Bernard Daeppen for working hard the past year to arrange two excellent conference days, as well as their institution Alcohol Treatment Center, Department of Com- munity Medicine and Health, Lausanne University Hospital. Big thanks also Meetings to the scientific committee for their contributions to the program. And not least to our invited eminent speakers who have agreed to come and PMU Conference hall present their work. I’m sure this will be another great INEBRIA conference! Room Andros

Sven Andreasson Professor 15:00 – 17:00 Meeting of the INEBRIA coordinating committee Department of Public Health Sciences, Karolinska Institutet and INEBRIA 2017 conference organizing committee Stockholm, Sweden

President of INEBRIA 17:00 – 19:00 WHO – INEBRIA meeting

6 7 Thursday 22 September Friday 23 September

Main Alexandre Charlotte Mathias Auguste Seminar Main Alexandre Charlotte Mathias Auguste Jéquier Seminar hall Yersin Olivier Mayor Tissot Room 4 hall Yersin Olivier Mayor Tissot Doge room 4

Plenary session 08:15 - 9:00 Welcome coffee 09:00 - 10:00 John Cunningham

Meet and greet Plenary session 09:00 - 9:45 10:00 - 11:00 Introductary remarks Gail D’Onofrio

Plenary session 09:45 - 10:45 11:00 - 11:30 Coffee break Eileen Kaner

10:45 - 11:15 Coffee break 11:30 - 11:50 Best poster award

Annual general Plenary session 11:15 - 12:15 11:50 - 13:00 meeting of Stephen Rollnick INEBRIA Special 12:15 - 13:00 Best abstracts plenary 13:00 - 14:00 Lunch interest group

13:00 - 14:00 Lunch 14:00 - 15:30 Group sessions

14:00 - 15:30 Group sessions 15:30 - 16:00 Coffee break

Poster session 15:30 - 16:30 16:00 - 17:30 Group sessions Coffee break

16:30 - 18:00 Group sessions 17:30 - 18:00 Closing remarks

18:30 – 19:30 Guided visit of the Lausanne Cathedral Meeting point: 18:20 in front of the cathedral’s main entrance Participation is free, but registration is mandatory

19:15 onwards Gala dinner Restaurant Tribeca Place de la Riponne 4, Lausanne Registration mandatory

8 9 Organizing committee Scientific committee

Nicolas Bertholet – MD, MSc Angéline Adam – MD Véronique Grazioli – PhD Chair Alcohol Treatment Center Alcohol Treatment Center Alcohol Treatment Center Lausanne University Hospital Lausanne University Hospital Lausanne University Hospital Lausanne, Switzerland Lausanne, Switzerland

Jean-Bernard Daeppen – MD Sven Andreasson – MD Antoni Gual – MD Head of the Alcohol Treatment Center Department of Public Health Sciences Addictions Unit, Lausanne University Hospital Karolinska Institutet Clinic Hospital of Barcelona Stockholm, Sweden Barcelona, Spain Ruth Borloz – MA Coordination Preben Bendtsen – MD Jim McCambridge – PhD, MSc Alcohol Treatment Center Department of Medical and Health Sciences Department of Health Sciences Lausanne University Hospital Linköping University University of York Linköping, Sweden York, UK Lausanne, Switzerland Nicolas Bertholet – MD, MSc, Chair Jennifer McNeely – MD, MS Alcohol Treatment Center Department of Population Health Lausanne University Hospital New York University School of Medicine Lausanne, Switzerland New York, USA

Barbara Broers – MD Richard Saitz – MD, MPH Dependencies Unit, Boston University Schools of Medicine Geneva University Hospitals and Public Health Geneva, Switzerland Boston, USA

John A. Cunningham – BSc, MA, PhD J. Paul Seale – MD Center for Addiction and Mental Health Mercer University School of Medicine Toronto, Canada Medical Center Navicent Health Macon, USA Jean-Bernard Daeppen – MD Alcohol Treatment Center Emily C. Williams – PhD Lausanne University Hospital Department of Health Sciences Lausanne, Switzerland University of Washington Washington, USA Jacques Gaume – PhD Alcohol Treatment Center Lausanne University Hospital Lausanne, Switzerland

10 11 Program details INEBRIA coordinating committee

Sven Andreasson, President WEDNESDAY 21 Practical one-day workshop: Antoni Gual, Vice-President Preconference 1 Joan Colom, Treasurer Brief motivational interventions Lidia Segura, Secretary 09:00 – 17:00 Dag Rekve in health care Maristela Monteiro Hôtel de la Paix Richard Saitz Av Benjamin-Constant 5 Niamh Fitzgerald Trainer Jean-Bernard Daeppen Welcome and registration Stephen Rollnick – PhD Gallus Bischof 08:00 – 09:00 Honorary Distinguished Professor Emily Williams Cochrane Institute of Primary Care and Public Health School of Medicine, Cardiff University Cardiff, UK Additional Co-trainers Conference Local Organizers Cristiana Fortini and Jean-Bernard Daeppen Nicolas Bertholet Alcohol Treatment Center Lausanne University Hospital Inebria Latina Lausanne, Switzerland Marcela A. Tiburcio Sainz

12 13 WEDNESDAY 21 THURSDAY 22 Preconference 2 Meet and greet

15:00 – 17:00 09:00

Seminar room 16 Alexandre Yersin Rue du Bugnon 21 auditorium 6th floor 2-hour workshop for researchers: Meet and greet Studying brief ­interventions Introductory remarks ­mechanisms. Moderation, Professor Fred Paccaud ­mediation, and moderated Head of the Institute of Social and Preventive Medicine Head of the Department of Community Medicine and Health ­mediation analyses Lausanne University Hospital Lausanne, Switzerland

Trainer Vladimir Poznyak – PhD Jacques Gaume – PhD World Health Organization (WHO) Alcohol Treatment Center Department of Mental Health and Substance Abuse Lausanne University Hospital Geneva, Switzerland Lausanne, Switzerland Professor Sven Andreasson Department of Public Health Sciences Karolinska Institutet Stockholm, Sweden President of INEBRIA

Meeting Nicolas Bertholet Chair INEBRIA 2016 15:00 – 17:00 Lausanne, Switzerland

Room Andros Meeting of the INEBRIA coordinating committee and ­INEBRIA 2017 conference ­organizing committee

Meeting

17:00 – 19:00

Room Andros WHO – INEBRIA meeting

14 15 THURSDAY 22 Plenary 1

09:45

Alexandre Yersin auditorium

Screening and brief alcohol intervention in primary care – a perfect fit or a round peg in a square hole

Introduction Presenter Professor Bernard Burnand Professor Eileen Kaner Institute of Social and Chair of Public Health & Primary Care Research Preventive Medicine Institute of Health & Society Lausanne University Hospital Newcastle University Lausanne, Switzerland Newcastle upon Tyne, UK

Background For over thirty years, evidence on the effectiveness of brief alcohol (mean difference: -20, 95%CI: -28 to -12 grams/week). There was sub- interventions has been accumulating. Previous systematic reviews and stantial heterogeneity between trials (I2 = 73%). Little evidence was found meta-analyses have reported that brief interventions delivered by prac- for an impact on frequency or intensity of consumption. More recent titioners in primary care are consistently effective at reducing alcohol trials showed less impact of brief interventions on alcohol consumption at consumption, albeit with small effect sizes that seem to have decreased 12 months (mean difference:­ -9, 95%CI: -16 to -3 grams/week) compared over time. This talk will update the evidence synthesis of a previous with older trials (-40, 95%CI: -57 to -23 grams/week). Meta-regression Cochrane Collaboration systematic review focused on face-to-face showed little evidence of a greater reduction in alcohol consumption with delivery of brief interventions and consider the impact of this evidence longer intervention exposure. Extended intervention was associated with on practice and alongside some new developments in the alcohol field. a non-significantly greater reduction in alcohol consumption compared to control groups (mean difference: -15, 95%CI: -39 to 8 grams/week, Methods I2 = 41%) but little difference compared to brief intervention groups (mean Using established Cochrane Collaboration methodology, we searched difference = 2, 95%CI: -42 to 45 grams/week). the Cochrane Drug and Alcohol Group specialised register (May 2012), electronic databases such as MEDLINE and PsychINFO (from 1966 to 2015) Conclusion and carried out hand searching and reference list cross checks of included The literature has expanded steadily since 2007. Overall, brief interventions studies. The review sought randomised controlled trials (RCTs) focused on lowered alcohol consumption at one year following intervention - but patients presenting to primary care not specifically for alcohol treatment effect sizes were relatively small. This may be, in part, due to lower levels and brief intervention of up to five sessions. Two authors independently of drinking in patients at enrolment in recent trials and increased control abstracted data and assessed trial quality. Random effects meta-analyses, group content. Longer duration of counselling has little additional effect sub-group, sensitivity analyses, and meta-regression were conducted. over shorter simpler forms of input. The final part of the talk will reflect on what these findings mean for clinical practice. Results The review included 69 trials which randomised a total of 33,642 Short bio participants. Most of the trials recruited adults in general practice-based Eileen Kaner is a behavioural scientist and her research programme aims primary care; a minority of trials took place in emergency departments to improve health by promoting the use of evidence-based interventions (n = 27). Three trials focused on adolescents or young adults and four to reduce lifestyle risk. A key strand of work is the development, evalua- focused on older adults. Mean baseline alcohol consumption was 236 tion and implementation of screening and brief alcohol interventions in grams/week (29.5 standard UK units) across those trials that reported it. a wide range of health and social care settings. Eileen Kaner is a founding Thirty four trials (15,197 participants) contributed data to the primary member of Fuse – a UKCRC centre of excellence in translational public meta-analysis, which showed that participants receiving a brief inter- health research and a lead investigator in the NIHR School of Public Health vention consumed less alcohol than controls after follow-up of one year Research and the NIHR School of Primary Care Research.

16 17 THURSDAY 22 Plenary 2 Plenary 3

11:15 12:15

Alexandre Yersin Alexandre Yersin auditorium auditorium

The Nick Heather Lecture Best abstract presentation

Brief Advice: Demonstration, Two abstracts have been selected for plenary presentations: one best abstract and one runner-up. reflection & discussion

The two awardees will present their abstract in a plenary session. Introduction Presenter Professor Sven Andreasson Professor Stephen Rollnick Department of Public Health Sciences Honorary Distinguished Professor Karolinska Institutet Cochrane Institute of Primary Care & Public Health Stockholm, Sweden School of Medicine Cardiff University Cardiff, UK

Summary Stephen Rollnick will honour the work of Nick Heather with this reflective lecture and demonstration, designed to answer questions like, “What does skillful advice-giving about drinking look like?”, “Can this be replicated, studied and taught to practitioners?”, “How close is this to motivational interviewing?”

A video of unskillful advice-giving will be used as a backdrop for a live, unrehearsed demonstration of advice-giving, as skillful as possible, with an actor, using a brief provided beforehand and revealed live to Rolllnick by INEBRIA colleagues. After debriefing interviews, Dr. Rollnick will share the framework he used for conducting the consultation. Colleagues in the audience will be invited to share their assessment & reflections, and con- sider the implication for brief intervention theory, research and practice.

Short bio Stephen Rollnick is Honorary Distinguished Professor in the Cochrane Institute of Primary Care and Public Health, School of Medicine, Cardiff University. He was a practicing psychologist in the UK National Health Service for 16 years, and then became a teacher and researcher in primary care on the subject of communication. He has written books on Motivational Interviewing and Health Behaviour Change and has a special interest in challenging consultations in hospital and primary care settings. He has published widely in scientific journals and has taught practitioners in many countries and continents.

18 19 THURSDAY 22 Workshop 1 Workshop 2

14:00 14:00

Alexandre Yersin Charlotte Olivier auditorium auditorium

Facilitated access to web-based Combating the US prescription tools for hazardous / harmful opiate epidemic: Applying alcohol consumption and alcohol principles of SBIRT to the dependence. From evidence prescribers of controlled drugs to future study directions Presenter Aim Theodore Parran A novel application of SBIRT principals to the PRESCRIBERS of con- Presenter Aim Case Western Reserve University trolled drugs, using the new technologies of automated Prescription Hugo López-Pelayo The workshop will be aimed at contextualizing what web based tools, School Of Medicine Monitoring Programs (PMPs) launched in each of the United States. Fundació Clínic per la Recerca Biomèdica and more concretely those with facilitated access component, bring to Internal Medicine Workshop format involving brief didactic presentations interspersed with Red de Trastornos Adictivos the reduction of the alcohol prevention and treatment gap, sharing the Cleveland, USA large group brainstorming, small group problem solving exercises, and large Grup de Recerca en Addiccions Clínic existing efficacy and effectiveness evidence and the results from the EFAR group discussions. Theoretical/practical/ethical/and evaluation aspects Barcelona, Spain research studies undertaken to date (UK, Italy and Spain), specially the will be addressed. professionals’ perception, training participants on the skills and practical issues related with its implementation and finally discussing future research Question(s) to be addressed directions having into account planned studies in UK and Sweden. • Can Substance Abuse Treatment Providers reverse the usual process of SBIRT, but apply the same principals to alter Question(s) to be addressed controlled drug prescribing to high risk patient populations? • Are web based tools efficacious and effective • Can prescribers of controlled drugs be categorized similarly in reducing alcohol consumption and alcohol problems? to substance using patients, i.e. low risk, risky, and harmful • What does the EFAR studies show us? prescribing patterns? • Are health professionals ready to facilitate access • Can a system of screening for, and briefly intervening to alcohol web based tools? on clinicians who prescribe controlled drugs to substance • Where does research go in that area? abusing patients be implemented?

Summary of the anticipated presentation Summary of the anticipated presentation The workshop will be interactive and organized in 4 10-min presentation The development of US Prescription Monitoring Programs has brought and a final general discussion with participants. Individual presentations will about the clinical expectation that Substance Abuse Treatment Programs be structured responding to key questions. First, Paul Wallace will present (SATPs) will perform a PMP web-site search on all patients evaluated for the evidence to date, second Antoni Gual will discuss the results of the problematic substance use. This new technology now provides SATPs different EFAR studies, third Hugo Lopez-Pelayo will present on practical for the first time with large amounts of information about their patient’s issues and professionals’ perceptions, fourth Sven Andreasson will discuss sources of controlled drugs. What has not been common is a systematic on future research questions and directions. The workshop will be closed approach to using this new data from PMP profiles. We propose a system- promoting active interaction with the audience on the topics addressed. atic SBIRT based approach involving: 1) SCREENING via PMP reports for the prescribers, 2) providing brief interventions to the prescribers via faxed Conclusion notifications that are HIPPA compliant, 3) offering additional educational Web-based technologies are here to stay but there is still to do to embed re: prudent prescribing with substance abusing patients, and 4) referring them in PHC consultation. Professionals’ workload, targeted population the rare prescriber with very high risk patterns to their licensing agency. (age, rural versus urban) and customization of website are main factors impacting facilitated access. Professionals’ and population perception on Conclusions alcohol problems must be taking into account, being stigma of “excessive This workshop will explore through an interactive workshop format the drinking” a potential barrier. Future research must analyze the role of application of SBIRT principals in a novel way to controlled drug prescriber working alliance and the utility of digital technologies in the treatment of behavior, facilitated by the integration of the newly developed technology alcohol dependence. of PMP programs.

20 21 THURSDAY 22 Workshop 3 Workshop 4

16:30 16:30

Alexandre Yersin Charlotte Olivier auditorium auditorium

Using an implementation framework Implementing and studying to plan and guide screening, unhealthy alcohol and other brief intervention, and referral substance use prevention and to treatment implementation treatment in Emergency in healthcare settings Departments

Presenter Aim Presenter Aim Janice Pringle The goal of this workshop is to present a Systems Transformation Frame- Ryan McCormack Despite the high prevalence of substance use among Emergency University of Pittsburgh School of Pharmacy work based upon complex adaptive systems theory that can be used New York University School of Medicine Department (ED) patients and the associated wide-ranging consequences, Pharmacy and Therapeutics to help individuals assess their organizations’ capacity to implement Emergency Medicine treatment is rarely initiated in the ED. Research to develop and practically Pittsburgh, USA Screening, Brief Intervention, and Referral to Treatment (SBIRT) in a way New York, USA implement effective interventions is even less common. As the regular that will be effective and sustainable. Secondly, workshop attendees will source of care for many vulnerable individuals and the point of entry for learn how to use the Framework to assess any organization’s capacity to opioid overdoses and critical events, the ED should have a central role in the ­successfully implement and use this information to effectively guide SBIRT prevention, care, and treatment of substance use-related morbidity and implementation. mortality. We will share our experience with implementing substance use interventions in the ED, which will include guidance on treatment initiation Question(s) to be addressed and discussion of critical components of practical and sustainable programs. • What is complex adaptive systems theory and why is it important to apply when implementing new practices within Question(s) to be addressed a healthcare system? • How do we translate efficacious interventions • What is the Systems Transformation Framework for substance use to models that are feasible, acceptable, and how can it be used assess organizational health? and effective in the ED? What is organizational health and why is it important • What are practical means of initiating pharmacological when implementing innovations like SBIRT? and psychosocial treatment? • How can I use the Framework to assess my organization’s health, • Summary of the anticipated presentation: We will examine existing and guide SBIRT implementation? and emerging interventions and the state of practice pertaining • What are some of the outcomes? to the care of ED patients who have substance use problems that span the spectrum of severity, including: Summary of the anticipated presentation - Brief intervention and psychosocial interventions An example of how the Framework was used to implement an emergency - Opioid education and naloxone distribution department (ED) SBIRT program that involved no additional funding or - Pharmacological treatment initiation resources to the ED, resulted in over 26,000 patients being screened - Novel, multi-modal interventions for frequent users of the ED yearly, significantly reduced downstream healthcare costs (21%), and with severe dependence and co-occurring complex ­significantly reduced readmission rates will be presented. Examples of bio-psychosocial morbidity the program vision, organizational health assessments, performance meas- urement process, leadership development activities, quality improvement Summary of the anticipated presentation processes, and training used to support this program will be presented. We will share our experience with programs that range from multidiscipli- nary quality improvement pilots to large government funded multi-center Conclusions clinical trials. We will address barriers, personnel selection and training, Workshop attendees will be able to critically identify how they can adopt screening and intervention fidelity, and the strategies to tailor intervention some or all of the strategies based upon the Framework in their own work to patients’ interests, needs, and illness severity. when implementing SBIRT now or in the future. Conclusions To change ED culture and take advantage of these missed opportunities will require that we translate efficacious treatment approaches to interven- tions that are feasible, effective, and sustainable in the ED setting, as we’ve done with other chronic illnesses. Further, we advocate for the importance of initiating treatment in the ED in addition to providing referral.

22 23 THURSDAY 22 Symposium 1

16:30

Mathias Mayor auditorium

The role of digital approaches to alcohol screening and brief intervention

Chair Description To provide a forum for focused consideration of the role of digital S1.1 The effects of extended internet based Reid Hester approaches to SBI and to discuss the key areas for future research and interventions designed to reduce alcohol problems – Checkup & Choices, LLC development. The symposium will be introduced by the two chairs, Reid a systematic review Research Division Hester and Paul Wallace, and will include a series of presentations on Albuquerque, USA studies relating to the role of digital approaches to alcohol screening Presenter: Magnus Johansson and brief intervention. The symposium will end with a panel discus- Karolinska Institute Paul Wallace sion chaired by John Cunningham and a Q&A session for all present. Public Health Sciences University College London Stockholm, Sweden Primary Care and Population Health London, UK S1.2 Digital approaches in primary care: Early findings from the implementation Discussant of www.checkupandchoices.com web app John A. Cunningham Center for Addiction and Mental Health Presenter: Reid Hester Toronto, Canada Checkup & Choices, LLC Research Division Albuquerque, USA

S1.3 Digital approaches for people with alcohol problems

Presenter: Maria Lucia Oliveira Souza Formigoni Universidade Federal de Sao Paulo Escola Paulista de Medicina Sao Paulo, Brazil

S1.4 Guided and unguided internet-based cognitive behavioral therapy for problematic alcohol use

Presenter: Anne Berman Karolinska Institutet Clinical Neurosciences Stockholm, Sweden

24 25 THURSDAY 22 Abstract Sessions

14:00

Mathias Mayor auditorium

Information technology and SBI

A1 Innovative support for the patient with alcohol A4 Development of a web-based dependence (SIDEAL): Pilot study of a mobile app deviance regulation intervention for alcohol dependence to increase protective behavioral strategies during spring break Presenter: Pablo Barrio Hospital Clínic Presenter: Robert Dvorak Clinical Institute of Neuroscience University of Central Florida Barcelona, Spain Department of Psychology Orlando, USA

A2 Smartphone application for unhealthy alcohol use: A pilot study A5 Making electronic interventions engaging: Development of a smartphone app targeting Presenter: Nicolas Bertholet harmful drinking in young adults Lausanne University Hospital Alcohol Treatment Center Presenter: Joanna Milward Lausanne, Switzerland Institute of Psychiatry Addictions Department London, UK A3 Drowning in data: 7,500 responses to a text message intervention A6 Alcohol use problem severity moderates Presenter: Iain Crombie the efficacy of in-person versus computer-based University of Dundee brief alcohol intervention at general hospitals Division of Population Health Sciences Dundee, UK Presenter: Sophie Baumann University Medicine Greifswald Institute of Social Medicine and Prevention Greifswald, Germany German Centre for Cardiovascular Research Site Greifswald Greifswald, Germany

26 27 THURSDAY 22 Abstract Sessions

14:00

Auguste Tissot auditorium

Adolescents and young adults

A7 Efficacy of a web - and text messaging-based A10 A systematic review of alcohol screening intervention to reduce problem drinking in adolescents and assessment measures for young people

Presenter: Severin Haug Presenter: Paul Toner University of Zurich University of York Swiss Research Institute for Public Health and Addiction Department of Health Sciences Zurich, Switzerland York, UK

A8 Adolescent SBIRT in pediatric primary care: A11 Motivational interviewing for alcohol Patient outcomes from a randomized trial and other drug use prevention among in an integrated healthcare system young adults in the Ukraine: An international randomized control trial Presenter: Stacy Sterling Kaiser Permanente Northern California Presenter: Svitlana Polshkova Division of Research Ukrainian Scientific Research Institute of Social Oakland, USA and Forensic Psychiatry and Drug Abuse Psychosomatic Medicine and Psychotherapy Kiev, Ukraine A9 Reliability and validity of past-12-month use frequency items as opening questions for the CRAFFT adolescent substance abuse screening system A12 Application of system dynamics to inform a model of adolescent SBIRT Presenter: Sion Harris implementation in primary care settings Harvard Medical School Pediatrics Presenter: Shannon Mitchell Boston, USA Friends Research Institute Baltimore, USA

28 29 THURSDAY 22 Abstract Sessions

14:00

Seminar Room 4

SBI in diverse settings

A13 Service evaluation of alcohol identification and brief A16 Screening, brief intervention and referral (SBIR) for advice (IBA) direct to the public in a novel setting distress, alcohol and tobacco in an oncology surgical unit: Qualitative analysis of implementation process Presenter: Rod Watson and acceptability for patients over one year Health Innovation Network London, UK Presenter: Marion Barrault-Couchouron Regional Cancer Center Institut Bergonié Humanities and Social Sciences Group A14 Scoping review to develop a community pharmacy-based Bordeaux, France screening and brief intervention for unhealthy alcohol use in the UK A17 Approaches to alcohol screening and brief interventions Presenter: Noreen Mdege in antenatal care: The conversation matters University of York Health Sciences Presenter: Niamh Fitzgerald York, UK University of Stirling Institute for Social Marketing, School of Health Sciences UK Centre for Tobacco and Alcohol Studies A15 Documented brief intervention not associated with Stirling, UK resolution of unhealthy alcohol use at follow-up screening among VA Patients with HIV A18 What do we know about alcohol use disorders Presenter: Emily Williams and alcohol brief interventions (ABIs) Department of Veterans Affairs and University of Washington in the criminal justice system? Health Services Research & Development Seattle, USA Presenter: Dorothy Newbury-Birch Teesside University Health & Social Care Institute Middlesbrough, UK

30 31 THURSDAY 22 Abstract Sessions

16:30

Auguste Tissot auditorium

Harm reduction and specific patient populations

A19 Qualitative evaluation of a brief harm-reduction A22 Reducing alcohol consumption in obese men: intervention among socially marginalized substance A priority for action users attending a drop-in center Presenter: Iain Crombie Presenter: Sophie Paroz University of Dundee Lausanne University Hospital Population Health Sciences Alcohol Treatment Center Dundee, UK Lausanne, Switzerland

A23 Telling a story to change behavior: A20 Socially marginalized substance users attending Evaluation of a narrative based intervention a drop-in center allowing alcohol consumption and receiving a harm-reduction brief intervention onsite: Presenter: Linda Irvine Six-month substance use outcomes University of Dundee Population Health Sciences Presenter: Véronique Grazioli Dundee, UK Lausanne University Hospital Alcohol Treatment Center Lausanne, Switzerland A24 Preliminary test of a brief intervention in promoting treatment initiation in middle-aged and older adults with markedly elevated AUDIT scores A21 Access to harm-reduction interventions tailored to socially marginalized individuals with a history Presenter: Kenneth Conner of substance use in a drop-in center University of Rochester Medical Center Emergency Medicine Presenter: Caroline Graap Rochester, USA Lausanne University Hospital Alcohol Treatment Center Lausanne, Switzerland

32 33 FRIDAY 23 Plenary 1 Plenary 2

09:00 10:00

Alexandre Yersin Alexandre Yersin auditorium auditorium

Electronic brief interventions Innovations in ED intervention for hazardous alcohol consumption for substance use disorders: Saving lives Introduction Presenter Nicolas Bertholet Professor John Cunningham Privat Docent, Senior lecturer Center for Addiction and Mental Health Introduction Presenter Alcohol Treatment Center Toronto, Canada Professor Bertrand Yersin Professor Gail D’Onofrio Head of the Emergency Department Chair of the Department of Emergency Medicine at Yale University Lausanne University Hospital Lausanne University Hospital and Physician-in Chief of the Emergency Department Lausanne, Switzerland Summary Lausanne, Switzerland at Yale-New Haven Hospital From their initial development nearly twenty years ago, electronic brief New Haven, USA interventions (EBIs) have transformed from a novel curiosity into a main- stream component of the online and smartphone environment. The presenter’s own research in this area will be summarized and used as Summary means to discuss the limitations of the current evidence base, common This session will focus on the ED setting as an opportunity for closing the challenges for conducting research in this area, and to outline potential gap between treatment need and services for patients with substance use future directions for exploration. The talk will aim to promote the discus- and substance use disorders. Evidenced-based ED interventions for alco- sion of opportunities to integrate EBIs within the larger health care system. hol use and tobacco and opioid use disorders will be highlighted. Screen- ing, ED-initiated treatment and referral for ongoing medical management Short bio represents a new paradigm that is consistent with current ED-initiated Professor John Cunningham works in the intersection between clini- treatments for other chronic diseases such as hypertension and hyperg- cal and population health. His research is driven by the question, “how lycemia. Methodological challenges and limitations of previous published do people change from addictive behaviors?” To answer this question, negative intervention trials in ambulatory settings will be reviewed. Future John has combined population research methods with clinical and other directions for research will be discussed, emphasizing the need to focus research traditions. The findings from these studies have been translated on specific substances and patient phenotypes as opposed to a one into a series of brief interventions for people with hazardous alcohol strategy fits all approach. use, or other addictions concerns, that can be applied in treatment or ­community settings. Short bio Gail D’Onofrio, MD, MS is Professor and Chair of the Department of Emer- gency Medicine at Yale University and Physician-in Chief of the Emergency Department at Yale-New Haven Hospital. She has extensive experience as a leader, researcher, mentor and educator. She is internationally known for her work in alcohol and drug research and mentoring physician scientists in developing independent research careers. For the past 25 years she has developed and tested empirically interventions for alcohol and other drug abuse and dependence. She has served as PI on two RO1s from NIAAA and one from NIDA, all clinical trials for problem drinkers and/or opioid dependent ED patients, known as Project ED Health. Additionally, Dr. D’On- ofrio was the PI and primary mentor on a large SAMHSA (UO1) training grant for screening, brief intervention and referral to treatment that involves junior investigators in all ambulatory specialties: Medicine, Primary Care, Pediatrics, OB/GYN, Psychiatry and Emergency Medicine, as well as training residents in these specialties at Yale New Haven Hospital. These programs have been integrate and are sustainable in all specialties. She was awarded a second SAMHSA U01 to train medical professional students in SBIRT this year, which includes, medical, nursing, social work and psychology students. In addition to her own research portfolio, Dr. D’Onofrio has a

34 35 FRIDAY 23 Plenary 3

11:30

Alexandre Yersin auditorium

Best poster award

The author of INEBRIA 2016 best poster will be awarded.

long track record of mentoring junior and senior faculty members inside and outside of Yale on several K awards and other federally funded grants. She currently serves as a formal NIH mentor (K awards) to EM physicians at the University of North Carolina and New York University. At Yale she is the PI of a NIDA K12 with Dr. Patrick O’Connor in Medicine establishing the Yale Drug Abuse, Addiction and HIV Research Scholars (Yale-DAHRS) program, a three-year post-doctoral, interdisciplinary, Mentored Career Development Program with focused training in prevention and treatment of drug abuse, addiction, and HIV in general medical settings. She has scholars in the disciplines of Medicine, Emergency Medicine, Pediatrics and Obstetrics and Gynecology. She is a founding Board member of the Board of Addiction Medicine which she as help to obtain formal ABMS recognition expected this coming academic year. Dr. D’Onofrio was also a senior investigator on an NHLBI funded grant studying sex differences in young patients with acute myocardial infarction. Through her leadership as the founding chair of Emergency Medicine, the department has grown substantially with experts in all areas, and become international known for its scholarship, education and clinical practice.

36 37 FRIDAY 23 Workshop 5

14:00

Charlotte Olivier auditorium

Embedding quality into screening and brief intervention (SBI) services

Presenter Aim Rod Watson To explore factors related to the quality of commissioned SBI and discuss These interfaces affect how the SBI pathway is enacted and the Health Innovation Network how these can be embedded into service design and system delivery. ­outcomes that are achieved. A simple framework on the connections London, UK between these components of the SBI process will be presented. This Question(s) to be addressed will be followed by teaching on core principles of a human factors • How can commissioners and providers of SBI services ensure approach and group discussion to explore how quality factors and a continuous high quality service? measures can be integrated to change the effectiveness of SBI. • In which SBI delivery settings can the quality factors be adopted? • What are some examples of quality indicators to assure Small group exercises will be used to encourage sharing of knowledge and improve commissioning and delivery of SBI? and experiences among participants about how indicators and measures • What are some examples of measures that can be used could be further incorporated into SBI services. to monitor quality indicators? Conclusions Summary of the anticipated presentation The approach and learning is anticipated to have resonance in most Facilitators will present information on issues related to the quality settings within which SBI is commissioned and delivered. A link to an ­planning, quality control and quality improvement of SBI. An approach online resource containing a chapter on the workshop material, includ- to embedding this trio of quality factors will be discussed in relation to ing examples of indicators and measures of SBI quality, will be provided SBI delivery across a variety of settings. to all participants upon completion of the workshop.

Throughout the commissioning, delivery and evaluation of SBI services, there are many interactions between providers and • funders • clients • the tools used for screening • data reporting mechanisms

38 39 FRIDAY 23 Workshop 6 Workshop 7

16:00 16:00

Alexandre Yersin Charlotte Olivier auditorium auditorium

A complex model combining alcohol Defining brief interventions screening and brief counseling Presenter Aim intervention and peer support Jim McCambridge This workshop is designed to examine whether we need a new approach University of York to defining brief interventions for alcohol and drugs. Existing definitions for trauma survivors Health Sciences tend to place limits on time, content or number of sessions, and per- York, UK haps unwittingly convey that brief interventions are a particular type of intervention, notwithstanding longstanding recognition by key thinkers Presenter Aim of their heterogeneity. Elizabeth White The aim of this presentation is to introduce outcomes associated with an Wake Forest Baptist Health innovative model combining alcohol screening and brief counseling inter- Question(s) to be addressed Surgery-Trauma vention (ASBCI) with a U.S.-based model of peer support with survivors A different approach might be taken that is more readily conducive to the Winston-Salem, USA of acute physical trauma - Trauma Survivors Network (TSN). identification of important content distinctions. This could be particularly useful as awareness of the limitations of the effectiveness of simple advice Question(s) to be addressed grows, and also as the internet allows extensive intervention exposure. It This presentation will address questions surrounding the peer programs is proposed that we should discuss redefining “brief intervention” as a included in the TSN support model, what is included in an ASBCI, and new guiding principle that interventions should be as brief as is necessary how this combined model is being implemented at a U.S. Level I Hospital to help someone avoid or reduce problems, rather than being defined Trauma Center. by content, time, or number of sessions. This is arguably congruent with the development of research to address the full spectrum of unhealthy Summary of the anticipated presentation drinking or other drug use, including the targeting of dependence and the This presentation will describe how the Trauma Survivors Network (TSN), use of pharmacological as well as psychosocial content. part of the American Trauma Society (ATS), is a U.S. nation-wide commu- nity of survivors (patients and families) of serious physical injury. Based in Summary of the anticipated presentation over 50 trauma centers across the U.S., TSN coordinators provide both The workshop will be highly interactive and attractive to both early career ­inpatient and outpatient support programs for this community. The and more experienced researchers. All participants are requested to come strength of these programs is in rapport building and providing connec- to the workshop having thought about this issue and to bring questions tion with other survivors. The presentation will also explain outcomes or material that they would like to see discussed. This is not a workshop when this population of trauma survivors has also received ASBCI for for simply listening to others talk and all will be encouraged to be active alcohol-related injuries. in small and whole group discussions.

Participants will describe the benefits of combining TSN with ASBCI, impli- Conclusions cations, and current outcomes of these interventions. They will also be able A concluding discussion will consider whether and how to take forward to cite benefits and challenges of this combination model. Powerpoint, the issues raised in this session in INEBRIA. handouts, live demonstration, and small group discussion will be used to achieve these objectives.

Conclusions The benefit of the patient-provider relationship in the hospital and after hospital discharge allows a TSN coordinator and ASBCI counseling team a number of opportunities to begin and continue to provide ASBCI through different stages of physical and psychological recovery.

Preliminary outcome data at a U.S. Level 1 Hospital Trauma Center that provides both TSN support and ASBCI services suggest that providing one or both services for patients that screen appropriate for ASBCI reduces the recidivism of hospital and emergency department admissions.

40 41 FRIDAY 23 Symposium 2

14:00

Alexandre Yersin auditorium

Standardizing outcomes of brief interventions: The INEBRIA research measures standardization group

Introduction Description Nick Heather Following the 2014 INEBRIA conference in Warsaw, the INEBRIA Coor- S2.1 Measuring change in alcohol brief intervention trials: Emeritus Professor of dinating Committee approved the formation of a special interest group How are consensus core outcome sets developed? Alcohol & Other Drug Studies to standardize the measurement and reporting of outcomes in brief Department of Psychology ­intervention research. Presenter: Gillian Shorter Northumbria University Trinity College Dublin Newcastle upon Tyne, UK This group, called the INEBRIA Research Measures Standardization Group The University of Dublin (IRMSG), will use the methodology established by the Core Outcome Meas- Trinity Centre for Practice and Healthcare Innovation ures in Effectiveness Trials (COMET) Initiative to develop a core outcome Dublin, UK Chair set for brief intervention research. To facilitate this work, the IRMSG is Jeremy Bray seeking funding from Alcohol Research UK. This symposium will update The University of North Carolina INEBRIA members on the progress of the IRMSG and solicit their input S2.2 Using the AUDIT, AUDIT-C and TLFB as outcome measures at Greensboro on key issues regarding the standardization of outcome measures in brief in intervention trials: A discussion of current challenges Economics intervention research. and benefits Greensboro, USA The first presentation will provide an introduction to the IRMSG history, Presenter: Anne Berman structure, and objectives, and inform INEBRIA members on how they can Karolinska Institutet contribute to the IRMSG. Clinical Neurosciences Stockholm, Sweden The second presentation will provide an overview of the methodology the IRMSG proposes to use to develop a core outcome set. The remain- ing three presentations will describe measures and reporting for three S2.3 Non-alcohol outcomes: What are the most relevant specific outcome domains: alcohol outcomes; non-alcohol outcomes in the context of alcohol brief intervention trials? such as health and social functioning; and economic outcomes. Presenter: Aisha Holloway The University of Edinburgh School of Health in Social Science Edinburgh, UK

S2.4 Measuring economic outcomes in alcohol screening and brief intervention studies

Presenter: Jeremy Bray The University of North Carolina at Greensboro Economics Greensboro, USA

42 43 FRIDAY 23 Symposium 3

14:00

Mathias Mayor auditorium

Brief (and extended) interventions among HIV+ patients in the US

Chair Description Emily Williams Unhealthy alcohol use is common among and particularly risky for patients S3.1 Among VA patients with unhealthy alcohol use, VA Puget Sound Health Care System and with HIV due to its associations with reduced engagement across the HIV those with HIV are less likely than those without University of Washington Health Services treatment cascade as well as its potential to further complicate common to receive brief intervention Research and Development (HSR&D) at VA comorbid conditions. Although clinical guidelines recommend provision of Department of Health Services at UW brief intervention for patients with unhealthy alcohol use, as well as referral Presenter: Emily Williams Seattle, USA to specialty addictions treatment for those with alcohol use disorders,­ VA Puget Sound Health Care System and University of Washington the extent to which patients with HIV receive this care relative to HIV- Health Services Research and Development (HSR&D) at VA patients is unknown. Moreover, while brief intervention is efficacious for and Department of Health Services at UW Discussants reducing drinking among primary care patients with unhealthy alcohol Seattle, USA use identified by population-based screening, brief interventions tested Richard Saitz among patients with HIV have largely not been associated with sustained Boston University Schools of Medicine decreases in drinking. S3.2 Initiation, engagement, and retention in substance and Public Health use disorder treatment in HIV infected Boston, USA Due to multiple overlapping vulnerabilities, patients with HIV are a and uninfected patients ­particularly complex patient population with whom to intervene. The Matthias Cavassini proposed symposium includes four studies of HIV+ patients in the U.S. Presenter: Kevin L. Kraemer Infectious Diseases The first two describe and compare receipt of brief intervention and University of Pittsburgh, Medicine Lausanne University Hospital engagement in specialty addictions treatment across HIV status in the U.S. Pittsburgh, USA Lausanne, Switzerland Veterans Health Administration (VA)—the largest provider of HIV care in the U.S. and the only large health care system to date to have implemented screening and brief intervention. The second two studies describe popu- S3.3 Alcohol use among HIV-positive patients in primary care: lation characteristics, including HIV RNA levels, psychiatric symptoms and Psychiatric symptoms and other substance use other substance use (e.g., tobacco and cannabis) and their relationship associated with hazardous drinking to drinking, of HIV+ patients enrolled in two randomized clinical trials evaluating innovative interventions, which include brief interventions. Presenter: Derek D. Satre University of California Together these four studies indicate that improvement in the provision San Francisco, USA of recommended, evidence-based alcohol-related care for patients with HIV, who are particularly vulnerable to the adverse effects of ­alcohol use, is needed. Further, these studies indicate that this popu- S3.4 Integrated stepped care for unhealthy lation is complex and may require intensive multi-faceted interventions. alcohol use in HIV clinics

Presenter: E. Jennifer Edelman Yale University of Medicine Internal Medicine New Haven, USA

44 45 FRIDAY 23 Symposium 4

16:00

Mathias Mayor auditorium

Brief interventions for adolescents in the emergency department – Recent findings and future perspectives

Chair Description Peter M. Monti Underage drinking is associated with a number of acute and long term S4.1 Screening for alcohol consumption. Findings from the Brown University health and developmental risks and early interventions for at-risk youth are SIPS jr programme on early onset drinking and health- Center for Alcohol and Addition Studies often called for. The emergency department (ED) is a setting where at-risk related consequences in adolescents Providence, USA alcohol consuming adolescents can be reached with a brief interven- tion (BI). However, recent reviews have yielded an inconclusive evidence Presenter: Paolo Deluca base for this approach (Newton et al., 2013; Yuma-Guerrero et al., 2012; Kings College Diestelkamp et al., 2016). The goal of this symposium is to gather recent Institute of Psychiatry, Psychology & Neuroscience findings in this field of research and to discuss their implications for a Addictions possible improvement of BIs for this specific target population. London, UK

Findings from a study on underage drinking and health-related conse- quences in a sample of 5500 adolescent ED patients will provide new S4.2 Moderators of brief motivation – Enhancing treatments data on the prevalence of alcohol use and harmful consequences in this for alcohol – positive adolescents presenting to the ED target population. Furthermore, moderation analyses of two randomized- controlled trials testing BI effectiveness for adolescent ED patients treated Presenter: Lynn Hernandez for an alcohol-related event and for acute alcohol intoxication, respec- Brown University tively, will be presented with the aim to identify factors which influence BI Center for Alcohol and Addition Studies effectiveness in this setting. Finally, a review of mechanisms of action in Providence, USA BIs for adolescent ED patients will provide further data toward improving brief alcohol interventions for adolescent ED patients. S4.3 Moderators of effectiveness in a brief motivational intervention for alcohol intoxicated adolescent ED patients

Presenter: Silke Diestelkamp University Clinic Hamburg Eppendorf German Center for Addiction Research in Childhood and Adolescence Hamburg, Germany

S4.4 A review of active ingredients and a qualitative design to develop a brief alcohol intervention for young adults intoxicated in the ED

Presenter: Jacques Gaume Lausanne University Hospital Alcohol Treatment Center Lausanne, Switzerland

46 47 FRIDAY 23 Abstract Sessions

14:00

Auguste Tissot auditorium

SBI and emergency departments – Attitudes towards substance use related problems and SBI

A25 Alcohol interventions: A randomized study examining A28 Social workers’ and their clients’ attitudes toward two brief counseling interventions alcohol-related problems

Presenter: Laura Veach Presenter: Elina Renko Wake Forest School of Medicine University of Helsinki General Surgery Department of Social Sciences Winston-Salem, USA Helsinki, Finland

A26 Integrating opioid overdose prevention A29 PHC professionals’ knowledge and attitudes towards in the emergency department EIBI on drugs. Results from a survey in Catalonia

Presenter: Ryan McCormack Presenter: Lidia Segura Bellevue Hospital & NYU School of Medicine Program of Substance Abuse Emergency Medicine Public Health Agency of Catalonia New York, USA Barcelona, Spain

A27 Pilot unit for patients admitted with alcohol A30 Do brief alcohol interventions improve self-reported intoxication in a tertiary hospital: health and mental well-being among general hospital An opportunity to deliver brief intervention inpatients? 2-year results from the randomized controlled trial PECO Presenter: Marianthi Deligianni Lausanne University Hospital Presenter: Jennis Freyer-Adam Alcohol Treatment Center University Medicine Greifswald Lausanne, Switzerland Institute of Social Medicine and Prevention Greifswald, Germany

48 49 FRIDAY 23 Abstract Sessions

14:00

Jequier Doge auditorium

Primary care

A31 Treatment of alcohol dependence: a randomised A34 ASSIST feasibility study in primary heath care in Catalonia controlled trial comparing treatment in primary care with specialized addiction treatment Presenter: Joan Colom Farran Program of Substance Abuse Presenter: Sara Wallhed Finn Public Health Agency of Catalonia Karolinska Institutet Health Department, Government of Catalonia Public Health Sciences Barcelona, Spain Stockholm, Sweden

A35 Does documented brief intervention predict decreases A32 The role of primary care screening in ongoing care in drinking among patients with risky drinking in routine management of alcohol and drug problems primary care?

Presenter: Constance Weisner Presenter: Kimberly Hepner University of California RAND Corporation San Francisco, USA Santa Monica, USA

A33 What predicts treatment entry in proactively recruited A36 Validation of the tobacco, alcohol, prescription individuals with DSM-5 Alcohol Use Disorder? medication, and other substance use (TAPS) tool for identification of problem use and substance Presenter: Gallus Bischof use disorders in U.S. primary care patients University of Luebeck Psychiatry Presenter: Jennifer McNeely Luebeck, Germany NYU School of Medicine Population Health New York, USA

50 51 FRIDAY 23 Abstract Sessions

16:00

Auguste Tissot auditorium

Varia: Processes, economics, education

A37 Transitions to and from at-risk alcohol use A40 An economic and health assessment of a brief in adults in the United States intervention for adolescents with problematic substance use: 10 year outcomes Presenter: Richard Saitz Boston University Presenter: Robert Tait Schools of Public Health and Medicine Curtin University Boston, USA National Drug Research Institute Perth, Australia

A38 Screening for alcohol use disorder: The problem of subthreshold problem drinkers in DSM-5 A41 Integrating substance use-related screening, brief intervention and referral to treatment Presenter: Stéphanie Baggio in prelicensure nursing curricula University of Lausanne Lausanne, Switzerland Presenter: Deborah Finnell Johns Hopkins University School of Nursing A39 Motivation-based and skill-based: A framework for Baltimore, USA characterizing common factor processes in brief interventions for behavior change A42 Reported training in alcohol brief intervention trials: Presenter: Molly Magill A systematic narrative synthesis Brown University Center for Alcohol and Addiction Studies Presenter: Niamh Fitzgerald Providence, USA University of Stirling Institute for Social Marketing, School of Health Sciences UK Centre for Tobacco and Alcohol Studies Stirling, UK

52 53 THURSDAY 22 Posters

15:30

Main hall

01 Development, implementation and evaluation 05 Barriers to alcohol treatment in medical intensive care of a training intervention for primary care providers unit survivors with alcohol misuse: A qualitative study on brief behaviour change counselling, and assessment of the provider’s competency in delivering this Presenter: Brendan J. Clark counselling intervention University of Colorado Division of Pulmonary Sciences and Critical Care Medicine Presenter: Malan Zelra Aurora, USA Stellenbosch University Division of Family Medicine and Primary Care Stellenbosch, South Africa 06 Efficacy of group SBI for alcohol use disorders versus individual SBI

02 The interactive effects of personality traits and peer Presenter: Vanessa Luna influence on alcohol use: Which young men might benefit National University Of Mexico most from interventions targeting peer-influence? School of Psychology Mexico City, Mexico Presenter: Véronique Grazioli Lausanne University Hospital Alcohol Treatment Center 07 Typology of accidents and episodes of violence related Lausanne, Switzerland to the alcohol consumption: Emergency department of the Central Hospital of Sao Tome and Principe

03 Perceptions and attitudes to prenatal alcohol Presenter: Teresa Barroso consumption and their influence on screening Nursing School Coimbra and brief interventions Mental Health Coimbra, Portugal Presenter: Lawrence Doi University of Edinburgh Centre for Population Health Sciences 08 Substance use interventions in inpatient psychiatric Edinburgh, UK settings: An opportunity missed?

Presenter: Duncan Stewart 04 SBIRT as a vital sign for behavioral health identification, University of York diagnosis, and referral in community health care Health Sciences York, UK Presenter: Ronald Dwinnells Ohio North East Health Systems, Inc. Youngstown, USA

54 55 THURSDAY 22 Posters

15:30

Main hall

09 Primary care-based facilitated access to a web based 14 Establishing a standard joint unit brief intervention to reduce alcohol consumption (EFAR – Spain): First data of the recruitment and the follow-up Presenter: Cristina Casajuana Hospital Clínic of Barcelona Presenter: Hugo López-Pelayo Addiction Unit Fundació Clínic per la Recerca Biomèdica Barcelona, Spain Hospital Clínic de Barcelona Red de Trastornos Adictivos Grup de Recerca en Adiccions Clínic 15 Primary care intervention to reduce recurrence of binge Barcelona, Spain drinking in young people admitted to the emergency department for acute alcohol intoxication (FM-IB): A pilot study 10 Brief intervention for alcohol, tobacco and other drugs among users of primary care Presenter: Dagmar M. Haller University of Geneva and Geneva University Hospitals Presenter: Angela Maria Mendes Abreu Primary Care Unit, Faculty of Medicine & Adolescent and Young Adult Universidade federal do Rio de Janeiro Program, DEA & DMCPRU Departamento de Saúde Publica Geneva, Switzerland Rio de Janeiro, Brazil

16 Acceptability of a SBI approach to reduce alcohol/drug 11 Alcohol and drug risk patterns of patients screened by use and risky sex during pregnancy advanced practice registered nursing (APRN) students Presenter: Golfo Tzilos Presenter : J. Paul Seale University of Michigan Mercer University School of Medicine Family Medicine Family Medicine Ann Arbor, USA Macon, USA

17 Alcohol and hypertension in primary health care 12 Effects of alcohol screening and brief intervention on drug users in treatment: Pre experimental study Presenter: Pol Bruguera Hospital ClÍnic de Barcelona Presenter: Teresa Barroso Psychiatry Nursing School Coimbra Barcelona, Spain Mental Health Coimbra, Portugal 18 Developing an alcohol brief intervention (ABI) for male remand prisoners in the United Kingdom (PRISM-A): 13 Problematic and pathological Internet use - A case study of access, feasibility, ethics and recruitment Development of a short screening questionnaire Presenter: Aisha Holloway Presenter: Anja Bischof The University of Edinburgh University of Luebeck School of Health in Social Science Department of Psychiatry and Psychotherapy Edinburgh, UK Luebeck, Germany

56 57 THURSDAY 22 Posters

15:30

Main hall

19 A multi-centre individual-randomized controlled trial 24 Brief intervention in reducing the risk of consumer of ASBI to prevent risky drinking in young people pattern and harmful alcohol use among employees/ aged 14-15 in a high school setting (SIPS JR-HIGH) workers of a university

Presenter: Dorothy Newbury-Birch Presenter: Riany Brites Teesside University Federal University of Rio de Janeiro Health & Social Care Institute Rio de Janeiro, Brazil Middlesbrough, UK

25 Alcohol and tobacco internet interventions 20 Brief interventions and health inequalities: for cancer survivors Socioeconomic variations in delivery of brief interventions for smoking and excessive alcohol Presenter: Matthijs Blankers consumption in primary care in England University of Amsterdam Academic Medical Centre Presenter: Colin Angus Trimbos, Netherlands Institute of Mental Health and Addiction University of Sheffield Arkin Mental Healthcare School of Health and Related Research Amsterdam, The Netherlands Sheffield, UK

26 Validation of an internet-based AUDIT-C 21 Could the computer-assisted brief intervention in adults seeking help with their drinking online be an alternative to face-to-face approach? Presenter: Zarnie Khadjesari Presenter: Hana Sovinova University College London National Institute of Public Health Department of Primary Care and Population Health Coordination, Monitoring and Research on Alcohol and Tobacco London, UK Prague, Czech Republic

27 Use of financial incentives to implement alcohol 22 The complexity of innovative alcohol screening and brief consumption recording in primary health care among interventions with violently injured trauma patients adults with schizophrenia and other psychoses: A cross-sectional and retrospective cohort study Presenter: Leigh Dongre Wake Forest School of Medicine Presenter: Zarnie Khadjesari General Surgery University College London Winston-Salem, USA Department of Primary Care and Population Health London, UK

23 Developing and testing a brief intervention to reduce suicide risk

Presenter: Mark Ilgen University of Michigan Psychiatry Ann Arbor, USA

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r z h A C d a s nt u e V C ose a C A e a Prilly l s r a G d h . v l t e l v e h . F a d The “Cathédrale Notre Dame” is a beautiful example of early Gothic archi- f y B e l C R e . . C P h - a a e u e e e B s d d A h a u C e o r d C n i y r l l d e n n e i e R u l v C . l

e t e mme te e e e o o a r è u . n y G C - n e ern enue de l h. du m nte t e P s tecture (12th – 13th century). Built on the hill of the city, it offers a nice m r S e i ro h e a e Arriving from the north (i.e. CHUV) v S a C g o d . r e im Rue d l s L de c e u r n de l C h le p . e B e o d a B t e

C a e A l r l t o r d d t i o d h C oc A y . e i l l S n h C h n n y l h n h R h. v va l é - s a -

. C r C a a C V . e e C B v n F d u e x d e view over the town and Lake Léman. Walk out of the station, carry on a few meters G e a t e h

M o r r s e i y g u . u e d d i e R e B i rê g d e Ch. des d d s am u a i l- B eau- t . m c u n iers e e t n a e S P mb r ois u n a e h R s e i ollè Union S n n e m l p u d A éa P C O e i ve ou a v Ramiers a lor - ’ - te A ’A i t C . p l F éné e

. de x d e - l s and you will see the restaurant on your left. e d l r G d h o i - d l u e t r y o te e e enue r e n C tin Av o eu h. Ch a esse C ar i h. m n d d P M C C e C e d o o r h . n r d . du m V C C gue J . r P i s - e O e n e é h. h h u P . R ’ d

t f Renens e s A in - h s L d v The interior holds the attention by its simple, clean lines,v the harmonious a e l G g L ’ a l . i cham O e l u u l at . . a e C i te o Rue v h. du d a F t a l e an a s a A n s ly r d d d C r r r r g R i r d i u G e B V e e P r a o la t S s A an e e g P è o te C v u e la e o C V ol e u n d n h l m r d s . d a u r R h.

o d A . e u a e y R proportions and the serenity that prevails. The visitor will find there one es an u Arriving from the south (i.e. Ouchy) e o v a V e C u s l e en h e u ie S u e i C e r

n nt C n A u llomb d o i t u x x r a s -T d C e r r d e s i u l

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ll of the most important examples of polychromy. Somet medieval paintwork Take the exit “Rue de la Madeleine”, walk down the street l a y e l t n h r d h. r v e li G h

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s a - 63 is still visible in the Chapel of the Virgin, andh. du also onR the statues in the d a few meters and take the first small street on your right. u p o e M a -Ron

l C G R x R m es B ol A éma u C s a C e d V l e c e d a n P o v n o h A C B ns i o F . n u a h d E d R d L P u C o - a . h l ’ i F c C l qu r ém e e d e e e . i hamp i v l e t l se . o g s C inle e e L d d n a L v v l i e o A . . t

s u r m e . l n h ’ A ls a A u - h. s d a e h c c E te d Painted Portal (Apostles Dorway, south portal).Ch. In the south transept is h d a V R r d s A Ch. de la Roche r a S u o e l d u

d d h h e . c - i o e la D - te d é C

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Rue d B d n - Rue de e du a s e R s te e u e u C s m - nu o s . i e r e e n C h v édé C l s . a C d F A v s d h A G a z T o te a e v - u F h - u a e c l in l a the- beautiful rose window with 105uqu epanels of 13th-century stained glass, i Here you are! . Rue du . e t D h e n - d l t l . C r e s du d R u n n A h b e C r e n e h a s s e R . h e m i B R umu C n u u a o l - C R t A s v s e ut n i h T è ou i d . d - d d al R d A u u C s è d L n A . n n r H e v p . e e a e e h g p l La u exceptionalo e for its polychromy and formal complexity. s l r s v i ne u y o e am - C l h

d de y te de e u . l go S s l S R v R C a se a z e z g d r usann r es a a o p d é n

i u d e r Va l u e a e V g l è o e ei u d lo c A B a h. d llo a l er m v h e B u l d V C u C V . A e d d l é d s

u C u C u b e o e . For those participating in the guided visit of the Cathedral, v n r d d s a a o l h . P v r s O r h i e ’ h n t e C é u Oche C C A rill e e s d d c S t e enue de t v R n . u o u d i e s C h v e enue a C h. r A s . s e u . e d e des a v y e v u a a d o h l e . x l y v d l e ayoresses Chavannes- e i The new organs installeda in 2003 are the only ones of their kind in the s M it will be a five-minute (accompanied) walk.

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V C h t â a e Tribunal s . l di C h e r (classical and French symphonic, baroque and romantic German), and by i i a ne a an C t c n u a e llo P e ên Rue de e h s ts h i e que h d r i n v . ud u e a t s e a le n e S

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s do C r t v h A e o C L n e in e e a C e . e or d a - d d u o t a l B R d ongem i s d . u t u t e e r nnet e c ass y V v a u C J d a n 67 ou e s n

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© Ville de Lausanne, service du cadastre 2 1 N N St-Gingolph, Bouveret 1 2 3 4 5 6 7 8 9 1010 1111 1212 1313 1414 1515 1616 1717 Next Conference Declared funding and conflicts of interest

2017 International Network on Brief Interventions Authors were asked to report conflict of interests and funding received for Alcohol & Other Drugs (INEBRIA) conference – to conduct research projects. Reported funding and conflict of interest Screening and brief intervention at the intersection are listed below for each workshop/symposium/abstract/poster of research, policy and practice: Advancing knowledge and meeting new challenges W1. Hugo López-Pelayo W4. Ryan McCormack Instituto de Salud Carlos III y FEDER National Institute on Alcohol Abuse New York City Hugo López-Pelayo has received travel funds and Alcoholism. September 14-15, 2017 from Lundbeck, Janssen, Otsuka and Pfizer National Institute on Drug Abuse. Antoni Gual has received honoraria, research Alkermes, Inc - I have an investigator initiative www.med.nyu.edu/cme/Inebria grants and travel grants from Lundbeck trial contract in which they provided Janssen, Pfizer, Lilly, Abbvie D&A Pharma, medication for a study at no cost. Hosted by New York University School of Medicine and Servier. No funding is received. Department of Population Health Sven Andreasson has received research grants from Systembolaget’s (the Swedish state Contact for more information: [email protected] alcohol retail monopoly) Research Council S1. Paul Wallace for Alcohol Research. I am the Chief Medical Advisor for Drinkaware, Paul Wallace is Chief Medical Advisor for the UK independent charity which benefits Drinkaware, a UK independent charity which from funds donated by the alcohol industry benefits from funds donated by the alcohol (www.drinkaware.co.uk). industry (www.drinkaware.co.uk). I have I have received no financial awards from received no financial awards from an an organization that represents an interest organization that represents an interest which may in any way be affected financially which may in any way be affected financially from the kinds of research described. from the kinds of research described. I hold no stocks or shares in an organization I have not been paid to serve as an expert that may in any way be affected financially witness on the subject of the presentation. from the kinds of research described Piero Struzzo has intellectual property or the topic of the presentations. of the EFAR-Italy. I have not been paid to serve as an expert Sven Andreasson has served as a member witness on the subject of the presentation. of the board of Systembolaget 2007-2014.

S1.2. Reid Hester W3. Janice Pringle Internal funding. Substance Abuse and Mental Health Services Reid Hester is a co-founder of Checkup & Administration grant number 5U79T1020263. Choices, LLC and William Campbell holds Jewish Healthcare Foundation. equity in the company that is disseminating Staunton Farm Foundation. www.checkupandchoices.com.

S1.3. Maria Lucia Oliveira Souza Formigoni Associacao Fundo de Incentivo a Pesquisa (AFIP), World Health Organization.

62 63 S1.4. Anne Berman He is an author and editor for Springer, S4.1. Paolo Deluca A6. Sophie Baumann Swedish Research Council, UpToDate, the American Society of Addiction Funded by NIHR Programme Grant The study was funded by the German Cancer grant number K2012-61X-22132-01-6. Medicine, the BMJ, and the Massachusetts for Applied Research. Aid (108376, 109737, 110676, 110543, 111346). AFA Insurance, grant number 110248. Medical Society (royalties and honoraria). Sophie Baumann was supported by the Alfried He has been paid to serve as an expert Krupp von Bohlen and Halbach Foundation. witness in malpractice cases related to S4.2. Lynn Hernandez Katja Haberecht was supported S2.2. Anne Berman the management of alcohol and other Original data collection was supported by the Mecklenburg-Vorpommern State I am co-owner of a company, TeleCoach AB, drug disorders. He is employed by Boston by AA013385 (PI: Spirito) from the National Graduate Funding. for disseminating e-health interventions for University School of Public Health. Institute on Alcohol Abuse and Alcoholism. alcohol problems; however, so far there has been no income to the company. A7. Severin Haug S3.1. Emily Williams S4.3. Silke Diestelkamp Swiss National Science Foundation SNF. This study was funded by National Institute This study was prepared as part of the S2.4. Jeremy Bray on Alcohol Abuse and Alcoholism research project Health network ‘alcohol None, although funding is being sought from (R21AA022866-01). abuse in adolescence’: A8. Stacy Sterling Alcohol Research UK. Dr. Williams is supported by a Career Improved access-to-care for children and National Institute on Alcohol Abuse Development Award from VA Health Services adolescents with at-risk alcohol use which and Alcoholism R01AA016204. Research & Development (CDA 12-276). constitutes a sub-project of psychenet – S3. Richard Saitz the Hamburg Network for Mental Health. UpTo Date- Royalties and editing fees; The project psychenet was funded by the A9. Sion Harris Springer- Royalties for book; BMJ Consulting S3.2. Kevin L. Kraemer German Federal Ministry of Education and U.S. National Institute of Alcohol Abuse fee as editor; American Society of Addiction Funding sources include the following: Research (BMBF) [grant number 01KQ1002B]. and Alcoholism 1R01AA021904. Medicine- Consulting fee as editor. NIH UL1RR024153; HRSA T32HP22248; The BMBF had no role in study design, We hold the copyright on the CRAFFT Personal fees from UpTo Date, personal NIH/NCI R01CA141596; data collection, analysis or interpretation screener. fees from Springer, personal fees from BMJ, NIH/NIAAA R01AA022886; of data. The BMBF has no connection personal fees from American Society of NIH/NIDA R01DA026410. with the alcohol industry. Addiction Medicine. There is not external A10. Paul Toner support for this current work. Dr. Saitz is The work is funded by a Society for the and has been principal investigator of grants S3.3. Derek Satre S4.4. Jacques Gaume Study of Addiction (SSA) Academic Fellowship. awarded to Boston Medical Center and National Institute on Alcohol Abuse Swiss National Science Foundation, The SSA is a registered charity promoting Boston University from the National Institutes and Alcoholism (NIAAA U01AA021997. Grant number 105319 – 163123. the scientific understanding of addiction of Health (including NIAAA and NIDA, and has no links to the alcohol industry. and the Substance Abuse and Mental Health Services Administration) to study management S3.4. E. Jennifer Edelman A1. Pablo Barrio of unhealthy substance use, including to test This work was generously supported The development of the app was funded A11. Svitlana Polshkova the accuracy of screening and efficacy by funding from the National Institute by Lundbeck. This research was supported by grant number of screening, brief intervention and referral on Alcohol Abuse and Alcoholism Pablo Barrio and Toni Gual have received 0107U001633 from Ukrainian State program, to treatment. He has been paid to speak (1U01AA020795). honoraria from Lundbeck, not related NIH/Fogarty grant number D43 TW009310 or had travel reimbursed to speak EJ Edelman was supported as a Yale-Drug to the present work. and by NIAAA grant number 018122. at numerous professional and scientific Abuse, HIV, and Addiction Research Scholar organizations, all non-profit organizations (National Institute on Drug Abuse for a decade, such as the American Society (K12DA033312-02) during this time. A2. Nicolas Bertholet A12. Shannon Mitchell of Addiction Medicine, the Research Society The study was funded by the Swiss Foundation National Institute on Drug Abuse, on Alcoholism, The BMJ the Institute for for Alcohol Research. Grant number 1R01DA034258-04. Research and Training in the Addictions, S4 Peter Monti International Conference on Treatment National Institute of Alcohol Abuse of Addictive Behaviors, and the International and Alcoholism, USA. Network on Brief Intervention for Alcohol and other Drugs (INEBRIA).

64 65 A15. Emily Williams A24. Kenneth Conner A32. Constance Weisner A42. Niamh Fitzgerald This study was funded by a grant from National Institute on Alcohol Abuse National Institute on Drug Abuse. Alcohol Research UK Small Grant. the National Institute on Alcohol Abuse and Alcoholism. and Alcoholism (R21AA022866-01; Williams/ Bradley PIs). A35. Kimberly Hepner P2. Véronique Grazioli Dr. Williams is supported by a Career A25. Laura Veach National Institute on Alcohol Abuse This study was funded by the Swiss National Development Award from VA Health Services This study was funded, in part, by a grant and Alcoholism (NIAAA). Science Foundation (FN 33CSC0-122679 Research & Development (CDA 12-276). from the Robert Wood Johnson Foundation Receive research funding from various NIH and FN 33CS30-139467). Substance Abuse Policy Research Program. institutes and the US Department of Defense. RWJF is not affiliated with the alcohol Deliver provider training in cognitive A16. Marion Barrault-Couchouron industry. It is a United States philanthropy behavioral therapy as Adjunct Faculty P5. Brendan Clark French National League Against Cancer. dedicated solely to health. RWJF supports of the Beck Institute. NIH K23 AA 021814. Regional Cancer Center Institut Bergonié. research and programs focused on health issues, such as substance abuse. A36. Jennifer McNeely P8. Duncan Stewart A17. Niamh Fitzgerald This research was supported by the following This research was funded by East London London Borough of Islington A26. Ryan McCormack National Institute on Drug Abuse cooperative Foundation NHS Trust. (local government). National Institute on Alcohol Abuse grant awards: UG1DA013034; U10DA013727 and Alcholism. and UG1DA040317; UG1DA013035. P9. Hugo López-Pelayo A19. Sophie Paroz Instituto de Salud Carlos III and FEDER Commission de promotion de la santé A30. Jennis Freyer-Adam A38. Stéphanie Baggio Antoni Gual has received honoraria, et de lutte contre les addictions (CPSLA), This work was supported by grants from Swiss National Science Foundation, research grants and travel grants from State of Vaud, Switzerland. the German Cancer Aid to Jennis Freyer-Adam, Grant number FN 33CS30_139467. Lundbeck Janssen, Pfizer, Lilly, Abbvie D&A Beate Gaertner and Ulrich John (108376, Pharma, and Servier. 109737, 110676, 110543, 111346). Hugo López-Pelayo has received travel grants A22. Iain Crombie Sophie Baumann was supported by the Alfried A39. Molly Magill from Lundbeck, Otsuka, Lilly, Janssen, Pfizer, This project was funded by the National Krupp von Bohlen and Halbach Foundation National Institutes of Health. Rovi and Esteve and honoraria from Lundbeck Institute for Health Research Health for a 12-month research stay at the Research and Janssen. Technology Assessment (NIHR HTA) Centre for Prevention and Health Lidia Segura has received travel grants programme (project number 12/139/12). in Glostrup, Denmark. A40. Robert Tait from Lundbeck. Visit the HTA programme website for Katja Haberecht was supported Paul Wallace has intellectual property rights more information. by the Mecklenburg-Vorpommern The current research was funded by the for www.downyourdrink.org.uk, is Principal The views and opinions expressed therein are State Graduate Funding. State Health Research Advisory Council Investigator in the EFAR and ODHIN studies, those of the authors and do not necessarily via a Targeted Research Fund Grant. is Chief Medical Advisor to the UK charity reflect those of the HTA programme, NIHR, The original study was funded by a grant Drinkaware and has provided private NHS or the Department of Health. A31. Sara Wallhed-Finn from Heathway, the West Australian Health consultancy on the topic of screening The study is funded by the Swedish Council Promotion Foundation. and brief interventions to Lundbeck for Working Life and Social Research (FAS) Robert Tait is is supported by a Curtin and other agencies. A23. Linda Irvine (2012-0567) and by the regional agreement University Research Fellowship. Other authors have no conflicts of interest. This project was funded by the National on medical training and clinical research (ALF) Institute for Health Research Public Health between Stockholm County Council and Research (NIHR PHR) programme (project Karolinska Institutet (20120273). A41. Deborah Finnell P11. Paul Seale number 11/3050/30). Visit the PHR Sven Andreasson has received research Substance Abuse and Mental Health Services Substance Abuse and Mental Health Services­ programme website for more information. grants from Systembolaget’s (the Swedish Administration [SAMHSA] (1H79T1025964-01): Administration. The views and opinions expressed therein are state alcohol retail monopoly) Research Finnell. those of the authors and do not necessarily Council for Alcohol Research. reflect those of the PHR programme, NIHR, Sven Andreasson has served as a member NHS or the Department of Health. of the board of Systembolaget 2007-2014.

66 67 P13. Anja Bischof P16. Golfo Tzilos Addiction Science and Clinical Practice – The study was funded by the German Ministry The current study is supported by R21 of Health. HD075658-01. Special issue

P14. Cristina Casajuana P18. Aisha Holloway Original abstracts are available in a supplement Ministerio de Sanidad y Consumo This work is currently funded by the Medical of Addiction Science and Clinical Practice (volume 11, suppl. 1). (PNSD 2013I082). Research Council (MRC) Public Health Hugo López-Pelayo has received travel grants Intervention Development (PHIND) grant. http://ascpjournal.biomedcentral.com/articles/supplements/volume-11-supplement-1 from the laboratories Lundbeck, Lilly, Pfizer, Rovi, Esteve and honoraria and travel grants from Janssen and Lundbeck. P22. Hana Sovinova Laia Miquel and María Mercedes Balcells Research has been financially supported have received honoraria from Lundbeck. by an EU grant number 2011 12 04 BISTAIRS ADDICTION SCIENCE & Antoni Gual has received honoraria, research and received institutional support of the CLINICAL PRACTICE grants, and travel grants from Lundbeck, Czech Ministry of Health. Janssen, Pfizer, Lilly, Abbvie D&A Pharma, and Servier. All other authors declare no potential P24. Mark Ilgen conflict of interest. This research is supported by the US Department of Veterans Affairs Health Services Research and Development (HSR&D) P15. Dagmar Haller service: IIR 14-103-2: Facilitating use of the None at this stage. Response pending Veterans Crisis Line in high-risk patients. for a support by the Bangerter-Rhyner Foundation for health services research. P26. Matthijs Blankers Dutch Cancer Society, Grant number TBOS 2014-7169 (2015-2019.)

68 69 Notes Notes

70 71 SAM – CHUV | 2016 | 19538 Organizer Service d’alcoologie Département universitaire de médecine et santé communautaires (DUMSC) Centre hospitalier universitaire vaudois (CHUV) Canton de Vaud

Supported by

Service d’alcoologie

INEBRIA 13th Congress

Lausanne University Hospital Switzerland