Health professionals working in general hospital environments have regular contact with individuals who abuse alcohol. Research suggests that a high number of patients who attend general hospitals experience alcohol related problems, often unrelated to the conditions with which they attend for treatment (Saunders 1999; Watson 2000). Traditionally interventions were offered only when individuals were diagnosed as alcohol dependent, though recent evidence has suggested possible benefits from intervening earlier using screening and brief interventions (Nilsen 2008b; Wilk 1997). For health care professionals there is now much more expectation for them to identify and provide interventions when alcohol consumption exceeds recommended limits, where there is increased risk of physical, psychological and social harm (Nilsen 2008a). Opportunities exist for health care professionals to routinely ask about alcohol consumption levels as part of their assessment, and offer brief interventions to those exceeding safe levels of alcohol consumption. An important element of brief interventions are that they can be delivered by non-specialist staff. Due to the minimal time taken to deliver a brief intervention and the simple training required to up skill health professionals in this area brief interventions are not resource intensive with admission to hospital cited as a potentially opportune time for intervention for those whose alcohol consumption exceeds safe recommended limits (Williams 2010). A brief intervention generally consists of between one and four short 5-20 minute counselling sessions with a trained health care worker for example a nurse, occupational therapist, physician, psychologist or social worker.
Brief interventions are targeted at non-treatment seeking, non-alcohol dependent hazardous and harmful drinkers and are intended as an early intervention (Nilsen 2010). Brief interventions consist of more than just advice on reducing alcohol consumption and focus more personally on the individual drawing on theories from person centred counselling and social psychology being motivational in nature through focusing on the benefits and drawbacks of behaviour change (McQueen 2006). They involve a time limited intervention and can range from five to ten minutes of information and advice to two or more sessions of motivational interviewing or counselling (Alcohol Concern 2001). Previous work has evaluated a range of interventions categorised as brief interventions, with six key elements of brief interventions being widely summarised under the acronym FRAMES: feedback, responsibility, advice, menu of strategies, empathy and self efficacy originally described by (Bien 1993; Miller 1994).
Brief interventions are important for non-dependent heavy alcohol users in primary care where they have been shown to reduce total alcohol consumption, and binge drinking in hazardous drinkers for up to one year SIGN 2003. This is particularly important in limiting the progression of alcohol related pathologies such as alcohol dependence and limiting the damage that prolonged heavy drinking has to physical and mental health.
Health professionals working in general hospital environments have regular contact with individuals who abuse alcohol. Research suggests that a high number of patients who attend general hospitals experience alcohol related problems, often unrelated to the conditions with which they attend for treatment (Saunders 1999; Watson 2000). Traditionally interventions were offered only when individuals were diagnosed as alcohol dependent, though recent evidence has suggested possible benefits from intervening earlier using screening and brief interventions (Nilsen 2008b; Wilk 1997). For health care professionals there is now much more expectation for them to identify and provide interventions when alcohol consumption exceeds recommended limits, where there is increased risk of physical, psychological and social harm (Nilsen 2008a). Opportunities exist for health care professionals to routinely ask about alcohol consumption levels as part of their assessment, and offer brief interventions to those exceeding safe levels of alcohol consumption. An important element of brief interventions are that they can be delivered by non-specialist staff. Due to the minimal time taken to deliver a brief intervention and the simple training required to up skill health professionals in this area brief interventions are not resource intensive with admission to hospital cited as a potentially opportune time for intervention for those whose alcohol consumption exceeds safe recommended limits (Williams 2010). A brief intervention generally consists of between one and four short 5-20 minute counselling sessions with a trained health care worker for example a nurse, occupational therapist, physician, psychologist or social worker.Brief interventions are targeted at non-treatment seeking, non-alcohol dependent hazardous and harmful drinkers and are intended as an early intervention (Nilsen 2010). Brief interventions consist of more than just advice on reducing alcohol consumption and focus more personally on the individual drawing on theories from person centred counselling and social psychology being motivational in nature through focusing on the benefits and drawbacks of behaviour change (McQueen 2006). They involve a time limited intervention and can range from five to ten minutes of information and advice to two or more sessions of motivational interviewing or counselling (Alcohol Concern 2001). Previous work has evaluated a range of interventions categorised as brief interventions, with six key elements of brief interventions being widely summarised under the acronym FRAMES: feedback, responsibility, advice, menu of strategies, empathy and self efficacy originally described by (Bien 1993; Miller 1994).Brief interventions are important for non-dependent heavy alcohol users in primary care where they have been shown to reduce total alcohol consumption, and binge drinking in hazardous drinkers for up to one year SIGN 2003. This is particularly important in limiting the progression of alcohol related pathologies such as alcohol dependence and limiting the damage that prolonged heavy drinking has to physical and mental health.
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