Alcohol misuse – recourses

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					Quality: MK

Alcohol misuse – resources

Contents: Policy Documents/ toolkits/ best practice/ guidelines Websites New evidence alerting services Statistics

Policy Documents/ toolkits/ best practice/ guidelines
2008 Alcohol services in primary care NHS Primary Care Contracting has published a framework for alcohol services in primary care. This document provides examples of good practice around alcohol services in primary care and can be adapted and used as a basis for an enhanced service via a schedule within a local primary care contract or Service Level Agreement. This will hopefully avoid duplication of effort and speed up the commissioning process. It would be appropriate to adapt or include local information in the relevant sections. Legal advice or support for local contractual arrangements may need to be considered. This „enhanced service‟ framework should be read in conjunction with the supportive statements for commissioning on the Primary Care Contracting website at
Click here to download the primary care service framework, Alcohol

Alcohol Concern: Toolkit for General Practice - The role of general practice staff

Safe, Sensible, Social: Alcohol strategy local implementation toolkit (HTML format) Home Office Guidance This toolkit is a resource to help local teams develop strategies to address alcohol-related crime, ill health and other harm.


User-led commissioning toolkit: how to involve alcohol service users in commissioning 2008 A toolkit that will guide commissioners of alcohol treatment services in determing how best to develop service user involvement in the local commissioning process. A separate document "Guidance for user-led commissioning: how to involve alcohol service users in commissioning" can be downloaded for free from this website: Multi-component programmes An approach to prevent and reduce alcohol-related harm 2007 Betsy Thom and Mariana Bayley This report reviews international experience of community--based prevention programmes to address alcohol-related harms at local level. Joseph Rowntree Foundation , 2007

Quality: MK Models of care for alcohol misusers (MoCAM) Department of Health, June 2006 Best practice guidance for local health organisations and their partners in delivering a planned and integrated local treatment system for adult alcohol misusers. Full report Review of the effectiveness of treatment for alcohol problems. Duncan Raistrick, Nick Heather and Christine Godfrey The National Treatment Agency for Substance Misuse, November 2006 A critical appraisal of the international evidence of the effectiveness of treatments and interventions for alcohol problems Full text 2006 Health interventions for problem drinkers: integrating health promotion interventions for problem drinkers into primary health care This document contains a strategy aimed at promoting the widespread, routine and enduring implementation of alcohol screening and brief intervention (SBI) in England and was developed by a team of experts representing major organisational interests in alcohol SBI. The strategy was submitted to Primary Health European Project on Alcohol [PHEPA] aims to develop and apply countrywide strategies for implementing screening and brief intervention (SBI) co-ordinating centre and then presented to the Department of Health. London: Alcohol Concern, 2006. 39p Executive Summary Click here to view the full document Effectiveness of strategies to implement brief alcohol intervention in primary health care: a systematic review. NILSEN Per; et al; Scandinavian Journal of Primary Health Care, 24(1), 2006, pp.5-15 This review of eleven studies from a range of countries (including the UK ) suggests that the more intensive the strategy to implement brief intervention (BI) with alcohol users in primary health care settings, the greater the impact on BI activity. However, overall effectiveness seems only modest, and the methodological shortcomings of the studies make it impossible to come to definitive conclusions. Extended abstract at Alcohol Misuse Interventions: Guidance on developing a local programme of improvement, 2005 This document sets out evidence of associated alcohol harm to NHS aspirations, individuals, families and communities and presents good economic arguments for action, identifies practical steps for those implementing local programmes to reduce alcohol related harm and 2005 2006 2006 2006

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encourage sensible drinking and introduces new, nationally developed tools that can be used by local organisations. Alcohol Misuse Interventions: Guidance on developing a local programme of improvement (Available in MK Staff Library WM 274) Alcohol Harm Reduction Strategy For England Prime Minister‟s Strategy Unit (2004) The Alcohol Harm Reduction Strategy for England puts joint action at the heart of a series of measures which aim to:  tackle alcohol-related disorder in town and city centres  improve treatment and support for people with alcohol problems  clamp down on irresponsible promotions by the industry  provide better information to consumers about the dangers of alcohol misuse. 2004

Marketing Strategy for Screening and Brief Intervention in Primary Health Care [summary] The aim of the strategy is to promote an understanding of the concept of 'risky' drinking, (i.e., drinking above medically recommended levels), the problems associated with drinking above those levels and the effectiveness of screening and brief interventions in addressing this agenda. The full strategy is available from alcohol concern bookshop - priced £5.00. Map of Medicine – Clinical Pathway on supervised withdrawal of alcohol NHS Choices drinking assessment tool A new interactive tool developed to help people assess their drinking behaviour and understand the government‟s daily allowance alcohol limits is now available from the NHS Choices website at the above link. The tool calculates if an individual is drinking too much alcohol and provides clinically approved guidance on how to cut down or seek advice. The drinking assessment tool follows the recent launch of a BMI calculator and diabetes symptom checker on the website. See more:


New evidence alerting services
INEBRIA - a collection of articles on Brief interventions at:

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Drug and Alcohol Findings produces a free web-based service called the Effectiveness Bank through which you can keep up to date with the most important new research and its implications for drug and alcohol interventions.

Alcohol misuse DH Webpage of DH and affiliated bodies relating to alcohol misuse Includes links to  Safe. Sensible. Social. The next steps in the National Alcohol Strategy,  Alcohol Harm Reduction Strategy for England,  Alcohol misuse general information,  Models of care for alcohol misusers (MoCAM),  Review of the effectiveness of treatment for alcohol problems,  Alcohol Misuse Interventions: Guidance on developing a local programme of improvement, Alcohol Needs Assessment Research Project (ANARP) Alcohol_misuse BMJ Health Intelligence Public health topic: Alcohol_misuse Includes Introduction; policies, strategies and guidelines; evidence; data; local projects; Return on Investment tables. Not updated after April 2008 Alcohol Reports An international website dedicated to providing current information on news, reports, publications,and peer-reviewed research articles concerning alcoholism and alcohol-related problems throughout the world. Postings are provided by international contributors who monitor news, publications and research findings in their country, geographical region or program area of interest. All postings are entered without editorial or contributor opinion or comment. East Midlands Public Health Observatory information resource on alcohol This resource brings together a collection of sources of information on alcohol; its use and misuse and the impact it has on health and well-being. Information is included on national, regional and local policies, the prevalence of alcohol use/misuse, the cost of alcohol related harms through health, crime and social impacts, and the need for services, service provision and indicators/outcome measurement. Work on this resource is ongoing and the information will be updated as new material becomes available. Alcohol Harm Reduction This collection of 50 documents (published before February 2008) aims to provide information and

Quality: MK best practice on a range of alcohol harm reduction interventions and policies – including those that focus on particular risk behaviours (such as campaigns against drinking and driving, or sobering-up shelters for heavily intoxicated individuals), particular risk groups (such as shelters for homeless drinkers, or brief interventions and advice for problematic drinkers, pregnant women or young people) and particular drinking contexts (such as server training and risk assessments in bars and serving alcohol in shatter-proof glass to prevent injuries). INEBRIA International Network on Brief Interventions for Alcohol Problems “A group of researchers have got together to form an international network of people interested in promoting alcohol screening and brief interventions across the world” Includes a collection of articles on Brief interventions at: Drug and Alcohol Findings bridges the divide between research on the effectiveness of responses to drug and alcohol problems and the practitioners who provide those interventions, with a focus on UKrelevant research. The project aims to encapsulate the studies' findings, set them in context and to explore the implications for practice. From 1999 to 2006 its main output was the Drug and Alcohol Findings magazine. This has now been replaced by a free web-based service called the Effectiveness Bank through which you can keep up to date with the most important new research and its implications for drug and alcohol interventions. The National Library for Public Health The new National Library for Public Heath is a constantly developing resource and information will be updated frequently. The library is being developed to provide high quality evidence e-based information on all aspects of public health. It is designed for those working in the field of public health by providing a single source of access to web based evidence on public health. NLPH_Alcohol_resources

Office for National Statistics: Alcohol misuse Alcohol-related death rate Figures published by the Office for National Statistics show that the alcohol-related death rate in the UK continued to increase in 2006, rising from 12.9 deaths per 100,000 population in 2005 to 13.4 in 2006. Rates almost doubled from 6.9 per 100,000 in 1991. The number of alcohol-related deaths more than doubled from 4,144 in 1991 to 8,758 in 2006. In 2006 the male death rate (18.3 deaths per 100,000 population) was more than twice the rate for females (8.8 deaths per 100,000) and males accounted for two thirds of the total number of deaths.

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Latest Estimating alcohol consumption from survey data, 2007 The Office for National statistics has published 'Estimating alcohol consumption from survey data: updated method of converting volumes to units'. This report describes improvements in the method used for converting the information provided by survey respondents into standard alcohol units, updating estimates of average alcoholic strength for different types of drink, and taking better account of volumes drunk. It has been agreed that these changes will be introduced on all government surveys where appropriate. Estimating alcohol consumption from survey data, 2007 Alcohol misuse: How much does it cost? 2003 Alcohol has significant costs not only for the individual but also for the whole economy. This paper estimates the costs of alcohol misuse in terms of health care, loss of productivity in the workplace, crime and human suffering. Alcohol misuse: How much does it cost? Local Alcohol Profiles for England, produced by NWPHO 2007 These are local area profiles of alcohol-related harms. They combine twenty-two different measures relating to health, crime, mortality and binge drinking to show the overall impact that alcohol is having on 354 local communities across England. The profiles, contain for the first time measures of numbers of people drinking at hazardous levels and harmful levels for every Local Authority in England. Summary spine charts, bar graphs and indicator data are available for all areas. Maps showing geographical inequalities in alcohol harms are also available. Local Alcohol Profiles for England

File created by: Anne Gray

Updated 25 June 2008