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4. Providing appropriate treatment and care to people with alcohol problems: a summary for key specific populations

Author

Day, CA, Bonomo, Y, Burns, L, Assan, R, Curry, K, Mooney--Somers, J, Demirkol, A, Monds, L, Reid, S, Norman, A, Hutchinson, Delyse, Zheng, C, Iese, Y, Black, N, Memedovic, S, Draper, BM, Ridley, N, White, N, Pastor, A, Wilson, S, Freeburn, B, Boffa, JD, Purcell-Khodr, G, Doyle, M, Jaworski, AL, Lea, T, Roxburgh, A, Logge, W, Withall, A, Conigrave, KM, Day, CA, Bonomo, Y, Burns, L, Assan, R, Curry, K, Mooney--Somers, J, Demirkol, A, Monds, L, Reid, S, Norman, A, Hutchinson, Delyse, Zheng, C, Iese, Y, Black, N, Memedovic, S, Draper, BM, Ridley, N, White, N, Pastor, A, Wilson, S, Freeburn, B, Boffa, JD, Purcell-Khodr, G, Doyle, M, Jaworski, AL, Lea, T, Roxburgh, A, Logge, W, Withall, A, and Conigrave, KM

Published
2021

5. New Australian guidelines for the treatment of alcohol problems: an overview of recommendations

Author

Haber, PS, Riordan, BC, Winter, DT, Barrett, L, Saunders, J, Hides, L, Gullo, M, Manning, V, Day, CA, Bonomo, Y, Burns, L, Assan, R, Curry, K, Mooney-Somers, J, Demirkol, A, Monds, L, McDonough, M, Baillie, AJ, Clark, P, Ritter, A, Quinn, C, Cunningham, J, Lintzeris, N, Rombouts, S, Savic, M, Norman, A, Reid, S, Hutchinson, D, Zheng, C, Iese, Y, Black, N, Draper, B, Ridley, N, Gowing, L, Stapinski, L, Taye, B, Lancaster, K, Stjepanović, D, Kay-Lambkin, F, Jamshidi, N, Lubman, D, Pastor, A, White, N, Wilson, S, Jaworski, AL, Memedovic, S, Logge, W, Mills, K, Seear, K, Freeburn, B, Lea, T, Withall, A, Marel, C, Boffa, J, Roxburgh, A, Purcell-Khodr, G, Doyle, M, Conigrave, K, Teesson, M, Butler, K, Connor, J, Morley, KC, Haber, PS, Riordan, BC, Winter, DT, Barrett, L, Saunders, J, Hides, L, Gullo, M, Manning, V, Day, CA, Bonomo, Y, Burns, L, Assan, R, Curry, K, Mooney-Somers, J, Demirkol, A, Monds, L, McDonough, M, Baillie, AJ, Clark, P, Ritter, A, Quinn, C, Cunningham, J, Lintzeris, N, Rombouts, S, Savic, M, Norman, A, Reid, S, Hutchinson, D, Zheng, C, Iese, Y, Black, N, Draper, B, Ridley, N, Gowing, L, Stapinski, L, Taye, B, Lancaster, K, Stjepanović, D, Kay-Lambkin, F, Jamshidi, N, Lubman, D, Pastor, A, White, N, Wilson, S, Jaworski, AL, Memedovic, S, Logge, W, Mills, K, Seear, K, Freeburn, B, Lea, T, Withall, A, Marel, C, Boffa, J, Roxburgh, A, Purcell-Khodr, G, Doyle, M, Conigrave, K, Teesson, M, Butler, K, Connor, J, and Morley, KC

Abstract

Summary of recommendations and levels of evidence: Chapter 2: Screening and assessment for unhealthy alcohol use Screening Screening for unhealthy alcohol use and appropriate interventions should be implemented in general practice (Level A), hospitals (Level B), emergency departments and community health and welfare settings (Level C). Quantity–frequency measures can detect consumption that exceeds levels in the current Australian guidelines (Level B). The Alcohol Use Disorders Identification Test (AUDIT) is the most effective screening tool and is recommended for use in primary care and hospital settings. For screening in the general community, the AUDIT-C is a suitable alternative (Level A). Indirect biological markers should be used as an adjunct to screening (Level A), and direct measures of alcohol in breath and/or blood can be useful markers of recent use (Level B). Assessment Assessment should include evaluation of alcohol use and its effects, physical examination, clinical investigations and collateral history taking (Level C). Assessment for alcohol-related physical problems, mental health problems and social support should be undertaken routinely (GPP). Where there are concerns regarding the safety of the patient or others, specialist consultation is recommended (Level C). Assessment should lead to a clear, mutually acceptable treatment plan which specifies interventions to meet the patient’s needs (Level D). Sustained abstinence is the optimal outcome for most patients with alcohol dependence (Level C). Chapter 3: Caring for and managing patients with alcohol problems: interventions, treatments, relapse prevention, aftercare, and long term follow-up Brief interventions Brief motivational interviewing interventions are more effective than no treatment for people who consume alcohol at risky levels (Level A). Their effectiveness compared with standard care or alternative psychosocial interventions varies by treatment setting. They are most effective in prim

Published
2021

10. Contributor contact details

Author

Giuliano, G., primary, Ridley, N., additional, Abu-Farha, F., additional, Curtis, R., additional, Bernhart, G., additional, Lours, P., additional, Cutard, T., additional, Velay, V., additional, Nazaret, F., additional, Friedman, P.A., additional, Luckey, S.G., additional, Wu, G.Q., additional, Luo, G.X., additional, Bonet, J., additional, Gil, A.J., additional, Lin, J., additional, Zhu, T., additional, Zhan, L., additional, Leen, S.B., additional, Jackson, M., additional, Grimes, R., additional, Krajewski, P.E., additional, Schroth, J.G., additional, Furushima, T., additional, and Manabe, K., additional

Published
2011
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