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Nottinghamshire Primary Care Alcohol Misuse Guidelines
Nottinghamshire Primary Care Alcohol Dependence Guidelines V5.2 Last reviewed: April Review date: August 2021 2022 Title Nottinghamshire Primary Care Alcohol Dependence Guidelines Version 5.2 Lead - Dr Stephen Willott, GP Windmill Practice, Nottingham; Clinical Lead for alcohol misuse, Nottingham Recovery Network and Public Health Department, Nottingham City Council Author / Tanya Behrendt, Senior Pharmacist (Nottingham City Locality), NHS Nottingham and Nottinghamshire CCG Nominated Apollos Clifton-Brown, Operational Manager, Nottingham Recovery Network Dr David Rhinds, Consultant Addictions Psychiatrist, Nottinghamshire Healthcare NHS Foundation Trust Lead Dr Kaanthan Jawahar, ST6 Old Age Psychiatry, Derbyshire Healthcare NHS Foundation Trust Hannah Godden, Mental Health Interface and Efficiencies Pharmacist, Nottinghamshire Healthcare NHS Foundation Trust/ NHS Nottingham and Nottinghamshire CCG Jill Theobald, Interface Efficiencies Pharmacist, NHS Nottingham and Nottinghamshire CCG Approval Date August 2019 Review Date August 2022 Section Contents Page Number i. Summary 2 1. Introduction 4 2. Scope 5 3. Aims of Community Detoxification 5 4. Identifying suitable patients 5 5. Medical risks of community detoxification 6 6. Risk reduction 6 7. Record keeping 7 8. Equipment 7 9. Preparation for home detoxification 7 10. Medication 8 11. Relapse prevention/Follow up 8 12. Reducing alcohol consumption in people with alcohol dependence 9 13. Potentially difficult situations 10 14. References and version control 10 Appendix A Diagnostic Criteria -
Designing Alcohol and Other Drug Prevention Programs in Higher Education BRINGING THEORY INTO PRACTICE
Designing Alcohol and Other Drug Prevention Programs in Higher Education BRINGING THEORY INTO PRACTICE U.S. Department of Education Designing Alcohol and Other Drug Prevention Programs in Higher Education BRINGING THEORY INTO PRACTICE U.S. Department of Education Additional copies of this book can be obtained from: The Higher Education Center for Alcohol and Other Drug Prevention Education Development Center, Inc. 55 Chapel Street Newton, Massachusetts 02158-1060 http://www.edc.org/hec/ 800-676-1730 Fax: 617-928-1537 Production Team: Kay Baker, Judith Maas, Anne McAuliffe, Suzi Wojdyslawski, Karen Zweig Published 1997 This publication was produced under contract no. SS95013001. Views expressed are those of the authors. No official support or endorsement by the U.S. Department of Education is intended or should be inferred. ■ Contents A Social Role Negotiation Approach to Campus Prevention of Alcohol and Other Drug Problems by Thomas W. Blume • 1 The Web of Caring: An Approach to Accountability in Alcohol Policy by William David Burns and Margaret Klawunn • 49 An Integrated Theoretical Framework for Individual Responsibility and Institutional Leadership in Preventing Alcohol and Drug Abuse on the College Campus by Gerardo M. Gonzalez • 125 A Social Ecology Theory of Alcohol and Drug Use Prevention among College and University Students by William B. Hansen • 155 College Student Misperceptions of Alcohol and Other Drug Norms among Peers: Exploring Causes, Consequences, and Implications for Prevention Programs by H. Wesley Perkins •177 Institutional Factors Influencing the Success of Drug Abuse Education and Prevention Programs by Philip Salem and M. Lee Williams • 207 ■ Preface From Fiscal Year 1988 through Fiscal Year 1991 the Fund for the Improvement of Postsecondary Education (FIPSE) of the U.S. -
Global Status Report on Alcohol and Health 2018 Global Status Report on Alcohol and Health 2018 ISBN 978-92-4-156563-9
GLOBAL STATUS REPORT ON ALCOHOL AND HEALTH REPORT GLOBAL STATUS Global status report on alcohol and health 2018 Global status report on alcohol and health 2018 Global status report on alcohol and health 2018 ISBN 978-92-4-156563-9 © World Health Organization 2018 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC- SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specic organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation. Global status report on alcohol and health 2018. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. -
Alcohol and Drug Abuse in Medical Education. INSTITUTION State Univ
Doman RESUME ED 192 216 CG 014 672 AUTHOR Galanter, Marc. Ed. TITLE Alcohol and Drug Abuse in Medical Education. INSTITUTION State univ. of New York, Brooklyn., Downstate Medical Center.: Yeshiva univ.. Bronx, N.Y. Albert Einstein Coll. of Medicine. PONS AGENCY National Inst. on Drug Abuse (DBZW/PHS), Rockville, Md. REPORT NO ADM-79 -891 PUP EATS SO GRANT TO1-DA-00083: T01-CA-00197 NOTE 128p. AVAILABLE Pint superintendent of Documents, O.S. Government Printing Office, Washington, DC 20402 EDES PRICE mF01/FC06 Plus Postage. DESCRIPTORS *Alcohol Education: *Drug Abuse: *Drug Education: Higher Education: *Medical Education: medical School Faculty; Medical Services; *Physician Patient Relationship: Physicians: *social Responsibility: State cf the Art Reviews ABSTRACT This book presents the state of the art of American medical education in alcohol and drug abuse,and is the culmination of a four-year collaborative effort among the medicalschool faculty, of the Career Teacher Program in Alcohol and DrugAbuse. The first part contains reports, curricula, andsurvey data prepared for the medical education community, focusingon drug abuse and alcoholism teaching in medical/osteopathic schools, icourse on alcoholism for physicians, the Career Teacher Program andResource Handbook, and the role of substance abuse attitudes in_treatment.The second part is-- the proceedings of the NationalConference on Medical Education and Drug Abuse, November 1977. The conference sessionsaddress issues such as: (1) the physician's role in substance abuse treatment;(2) physicians' use of drugs and alcohol:(3) drug abuse questions on the National Board Examinations: and (4)an overview of the Career Teacher Program activities. (Author/HLM) * *s * * * * * * * * * * * * * * ** ***************** * * * * ** * * * * * * * * * * * * * * * * * * * * * * * *0 Reproductions supplied by EDRS are the best thatcan be made from the original document. -
Alcohol and Health
TABLE OF CONTENTS Alcohol and Health: Current Evidence ALCOHOL AND HEALTH MARCH-APRIL 2005 OUTCOMES Does Alcohol Consumption Increase the Risk of Ischemic ALCOHOL AND HEALTH OUTCOMES Stroke?, 1 Alcohol May Increase Oral Mu- Does Alcohol Consumption Increase the Risk of Ischemic Stroke? cosal Transmission of HIV, 1 Prior studies of the association between alco- beverage types did not significantly Alcohol Intake, Survival, and hol consumption and ischemic stroke have affect risk. Quality of Life, 2 produced inconsistent results and have limita- • The risk of ischemic stroke was low- tions. To address these issues, researchers est, though not statistically significant, Does Alcohol Consumption assessed alcohol intake and prevalence of inci- in people who consumed 1–2 drinks Decrease the Risk of Coronary dent ischemic stroke (412 cases identified) in on 3–4 days each week (RR 0.7 com- Artery Calcification?, 2 38,156 male health professionals, aged 40–75 pared with those who abstained). years, over a 14-year period. Comments: Although this study reported • In analyses adjusted for potential con- some benefit from red wine use, its clearest founders, the risk of ischemic stroke finding was the increase in risk of ischemic INTERVENTIONS among drinkers versus that of nondrinkers stroke with increasing alcohol consumption, increased as alcohol consumption in- starting at 1–2 drinks per day. The com- Disulfiram or Naltrexone for creased (relative risk [RR] 1.0 for <1 drink plexities associated with beverage type and Alcohol Dependence?, 3 per day, RR 1.3 for 1–2 drinks per day, pattern of use, as indicated in these findings, and RR 1.4 for >2 drinks per day, P=0.01 highlight the challenge in making recom- Talking About Alcohol in Pri- for trend). -
Alcohol Effects on People; 00 Social Responsibility for the Control of the Use of Beverage; and (5) the Social Responsibility for the Treatment of Individuals
DOC- NT RESUME ED 140 180 CG 011 461 TITLE Alcohol Education: Curriculum Guide for Grades 7-12. INSTITUTION New York State Education Dept., Albany. Bureau of Drug Education. PUB DATE 76 NOTE 144p.; For relat d document, see CG 011 462 EERS PRICE MF-$0.83 BC-$7.35 Plus Postage. DESCRIPTORS *Alcohol Education; *Alcoholic Beverages; Class Activities; Curriculum Guides; *Drinking; Drug Education; Health Education; *Learning Activities; Recreational Activities; *Secondary Education; Socially Deviant Behavior; Teaching Guides AB TRACT This curriculum guide is designed as an interdisciplinary resource on alcohol education for teachers of Grades 7-12. tevelopmental traits are discussed, and objectives and learning experiences are presented. The following topics are covered: ro the nature of alcohci;(2) factors influencing the use of alcoholic beverages; (3) alcohol effects on people; 00 social responsibility for the control of the use of beverage; and (5) the social responsibility for the treatment of individuals. A division is made between Grades 7-9 and 10-12, with each set of three grades considered separately. (Author/OLL)' Documents acquired by ERIC include many informal unpublished materials not available from other sources. ERIC makes every effort * * to obtain the best copy available. Nevertheless, items of marginal * * reproducibility are often encountered and this affects the quality * * of the microfiche and hardcopy reproductions ERIC makes available * via the ERIC Document Reproduction Service (EDRS). EDRS is not * responsible for -
E63694.Pdf (5.127Mb)
FIRST SECTION Experiences of the Lahti project Marja Holmila Introduction The Lahti Project is a multi component community action programme aimed at the prevention of alcohol related harms. The project site is the city of Lahti in Finland. The project relies to a great extent on the work of local professionals. It includes work in developing local alcohol policy discussion, education and information, health care intervention for heavy drinkers, youth work, support for family members and server training. Formative, process and outcome evaluation research are being conducted in order to assess the impact of the project (Holmila 1992; 1995). The programme is an experimental one, and its purpose is to obtain information about the feasibility and possibilities of local prevention. For that reason research has an important role in the project. The programme started during the autumn of 1992, and was mostly finished by the end of 1994, even if some parts are still being continued. The final report is currently being written, and will contain description of the processes, research results of the community's life- styles, responses to alcohol use and evaluation of the project (Holmila 1996). This paper will not be a comprehensive presentation of the Lahti project. The paper gives a short summary of the project’s main features, and discusses in more detail some issues related to the process of working and the relations between research and action. Starting the project The initiative to start Lahti project came from several sources simultaneously. When the wish to start such action had developed independently both in the city of Lahti, among alcohol educators and among researchers, the project began without difficulties. -
Alcohol Use Disorder
Section: A B C D E Resources References Alcohol Use Disorder (AUD) Tool This tool is designed to support primary care providers (family physicians and primary care nurse practitioners) in screening, diagnosing and implementing pharmacotherapy treatments for adult patients (>18 years) with Alcohol Use Disorder (AUD). Primary care providers should routinely offer medication for moderate and severe AUD. Pharmacotherapy alone to treat AUD is better than no therapy at all.1 Pharmacotherapy is most effective when combined with non-pharmacotherapy, including behavioural therapy, community reinforcement, motivational enhancement, counselling and/or support groups. 2,3 TABLE OF CONTENTS pg. 1 Section A: Screening for AUD pg. 7 Section D: Non-Pharmacotherapy Options pg. 4 Section B: Diagnosing AUD pg. 8 Section E: Alcohol Withdrawal pg. 5 Section C: Pharmacotherapy Options pg. 9 Resources SECTION A: Screening for AUD All patients should be screened routinely (e.g. annually or when indicators are observed) with a recommended tool like the AUDIT. 2,3 It is important to screen all patients and not just patients eliciting an index of suspicion for AUD, since most persons with AUD are not recognized. 4 Consider screening for AUD when any of the following indicators are observed: • After a recent motor vehicle accident • High blood pressure • Liver disease • Frequent work avoidance (off work slips) • Cardiac arrhythmia • Chronic pain • Rosacea • Insomnia • Social problems • Rhinophyma • Exacerbation of sleep apnea • Legal problems Special Patient Populations A few studies have reviewed AUD in specific patient populations, including youth, older adults and pregnant or breastfeeding patients. The AUDIT screening tool considered these populations in determining the sensitivity of the tool. -
Spread' Community Toolkit Campaign Assets and Resources for You to Use in Your Community and Workplace
Alcohol and Health 'Spread' Community toolkit Campaign assets and resources for you to use in your community and workplace. October 2020 The resources and materials within this toolkit are designed for the purpose of supporting local alcohol and other drug prevention and health promotion activities in Western Australia. These materials should not be used in such a way or associated with a brand, service or organisation that may reduce the effectiveness and/or integrity of the materials; may damage the reputation of the Alcohol.Think Again brand, or supports, promotes or utilises sponsorship by companies that produce or promote alcohol beverage products or brands. Contact your Community Support and Development Program team member for assistance interpreting the appropriate use of these materials. Contents CAMPAIGN 04 BACKGROUND KEY MEDIA 05 MESSAGES STATEWIDE CAMPAIGN 06 SCHEDULE TELEVISION DL BROCHURE CAMPAIGN MATERIALS & SOCIAL MEDIA VIDEOS FACTSHEETS RESOURCES TO USE LOCALLY SOCIAL MEDIA POSTS EMAIL SIGNATURES 07 RESOURCES TO USE LOCALLY WEBSITE MATERIALS DIGITAL MATERIALS A3 POSTER INFOGRAPHIC EXTENDING THE CAMPAIGN 13 IN YOUR LOCAL COMMUNITY USEFUL 14 CONTACTS ALCOHOL.THINK AGAIN | COMMUNITY KIT 3 Alcohol and Health 'Spread' campaign ABOUT THIS TOOLKIT ABOUT THIS CAMPAIGN This toolkit provides information, campaign materials and ideas The Alcohol.Think Again public education program aims Key messages of strategies for professional and community groups to assist in to reduce alcohol-related harm in the Western Australian • Alcohol causes cancer. decreasing risky drinking in Western Australia. community by using a mass reach social marketing strategy to • Reduce your drinking to reduce your risk. provide information about health risks from drinking alcohol, These resources have been developed to assist you to extend consistent with the National Health and Medical Research Council. -
Management of Alcohol Use Disorders: a Pocket Reference for Primary Care Providers
Management of alcohol use disorders: A pocket reference for primary care providers Meldon Kahan, MD Edited by Kate Hardy, MSW and Sarah Clarke, PhD Acknowledgments Mentoring, Education, and Clinical Tools for Addiction: Primary Care–Hospital Integration (META:PHI) is an ongoing initiative to improve the experience of addiction care for both patients and providers. The purpose of this initiative is to set up and implement care pathways for addiction, foster mentoring relationships between addiction physicians and other health care providers, and create and disseminate educational materials for addiction care. This pocket guide is excerpted from Safe prescribing practices for addictive medications and management of substance use disorders in primary care: A pocket reference for primary care providers, a quick-reference tool for primary care providers to assist them in implementing best practices for prescribing potentially addictive medications and managing substance use disorders in primary care, endorsed by the College of Family Physicians of Canada. This excerpt is a guide to talking to patients about their alcohol use and managing at-risk drinking and alcohol use disorders. We thank those who have given feedback on this document: Dr. Mark Ben-Aron, Dr. Peter Butt, Dr. Delmar Donald, Dr. Mike Franklyn, Dr. Melissa Holowaty, Dr. Anita Srivastava, and three anonymous CFPC reviewers. We gratefully acknowledge funding and support from the following organizations: Adopting Research to Improve Care (Health Quality Ontario & Council of Academic Hospitals of Ontario) The College of Family Physicians of Canada Toronto Central Local Health Integration Network Women’s College Hospital Version date: December 19, 2017 © 2017 Women’s College Hospital All rights reserved. -
Alcohol Withdrawal Syndrome (AWS) in the Acute Care Setting
Visionary Leadership for Psychiatric-Mental Health Nurses Around the World I N T E R N A T I O N A L S O C I E T Y O F P S Y C H I A T R I C - M E N T A L H E A L T H N U R S E S Position Paper, October 2000 Assessment and Identification Management of Alcohol Withdrawal Syndrome (AWS) in the Acute Care Setting Background Alcoholism is a chronic, neurobiological disorder that leads to a variety of healthcare problems often leading to acute care hospitalization. It is not surprising that alcohol withdrawal syndrome (AWS), is a common occurrence in acute care patients. AWS is a potentially life threatening condition, often coupled with co-morbidities that can adversely affect the outcome of treatment. The focus of this position paper is to address the acute care patient who is at risk for or has developed AWS. Therefore, the recommendations are directed to the patient with alcohol withdrawal. However, many acute care patients are suffering from polysubstance abuse and a strong denial system (patient and family) which often produces either a complex or unexpected withdrawal syndrome presentation. Those patients require immediate referral to addiction or psychiatric nurse/physician specialists in the medical center due to the complex nature of their addiction and possible withdrawal state. The goals of this ISPN position statement are to: promote nursing and medical care that is evidence-based, promote an environment that addresses early identification and aggressive treatment of AWS that is effective and safe, and decrease the use of automatic chemical or mechanical restraints in the treatment of patients with AWS. -
Alcohol and Health
DRINK AND DRUGS NEWS – WIDER HEALTH SERIES ALCOHOL AND HEALTH e all know that alcohol is linked to health problems; important messages from this supplement is to get people to check in however, the range and scale of those harms is far wider with their GP. However, knowing what some of the symptoms look like, than many of us think. In particular, drinking very heavily and having a sense of what kinds of questions to ask, is invaluable. As with brings with it a number of serious physical risks. This all things, early intervention is essential to preventing potentially tragic Wspecial supplement, which Alcohol Research UK is proud to be sponsoring, consequences down the line. Therefore, the advice contained here will be provides a clear and detailed overview of those risks, as well as advice for of enormous help to anyone working with individuals facing health risks people likely to encounter such problems in their day-to-day work. from their drinking and, of course, to those individuals themselves. As this supplement shows, heavy drinking can cause more than Dr James Nicholls, director of research and policy development, Alcohol liver damage. Its impact on mental health, hypertension, and cancer Research UK risk are only now becoming widely recognised. The revised ‘low risk’ guidelines of 14 units per week for men and women reflect this growing Supported by awareness and are based on a comprehensive analysis of the full range of conditions associated with alcohol consumption. Of course, many people reading this supplement will be dealing with individuals drinking at far higher levels than those set out in the guidelines, and here the risks become very significant.