Alcohol Screening, Brief Intervention and Referral: A Clinical Tool

Size: px
Start display at page:

Download "Alcohol Screening, Brief Intervention and Referral: A Clinical Tool"

Transcription

1 Alcohol Screening, Brief Intervention and Referral: A Clinical Tool Dr. Ryan Sommers Family Physician Medical Officer of Health, NSHA Dalhousie Family Medicine Refresher Nov 27 th 2015

2 Disclosures None

3 Presenter Info Family Doctor Medical Officer of Health NS CFPC Alcohol Screening, Brief Intervention and Referral Champion

4 Objectives Describe the Burden of Alcohol Use Review the Low Risk Drinking Guidelines Review the CFPC/ CCSA Alcohol Screening., Brief Intervention and Referral Clinical Guide

5 Important Resources CFPC and CCSA Clinic Guide Canada s Low Risk Drinking Guidelines

6 Alcohol Impacts and Society Witnessed the impacts of alcohol use Socially acceptable, culturally connected Important Public Health and Health Care System Issue

7 Health Impacts 2 nd most common cause of disease mortality (after cancer) Almost half of all EtOH related deaths are due to MI; 25% from stroke RF for over 200 diseases and conditions (WHO, 2014) World Health Organization. Global Status Report on Alcohol and Health, 2014 [internet]. Geneva: World Health Organization; 2014 [cited 2015 Dec 4]. Available from:

8 Government of New Brunswick. New Brunswick Health Indicators -Alcohol and health [Internet]. New Brunswick: Government of New Brunswick; 2015 May [cited 2015 Dec 4]. Available from:

9 It s not because we drink, but how we drink.

10 Nova Scotia Department of Health and Wellness (NSDHW). Alcohol indicators report Halifax: NSDHW; 2011 [cited 2015 Dec 4]. Available from:

11 High Rates of Heavy Drinking 5 + drinks in one sitting Correlated with health and social problems 38.9% of males and 17.5% of females engaged in heavy monthly drinking

12 Nova Scotia Department of Health and Wellness (NSDHW). Alcohol indicators report Halifax: NSDHW; 2011 [cited 2015 Dec 4]. Available from: pdf

13 Heavy Drinking in NS Youth

14 Youth: Starting to Drink Earlier Boys: 12.7 years Girls 13.1 years Poulin C, Elliott D. Student drug use survey in the Atlantic provinces 2007: Atlantic technical report [Internet]. Halifax: Dalhousie University; 2007 [cited 2015 Dec 4]. Available from:

15 Ave. age of first drink by generation Canadian Centre on Substance Abuse. Canadian Addiction Survey (CAS): A national survey of Canadians use of alcohol and other drugs. Detailed report. Ottawa: Canadian Centre on Substance Abuse; 2005 [cited 2015 Dec 4]. Available from:

16 Northern NS Students 52.7% report any alcohol consumption (highest in NS) 30.8% reported consuming 5 or more drinks at a sitting (highest in NS) 28.5% reported they had gotten drunk at least once in the previous 30 days (highest in NS) Asbridge M, Langille D Nova Scotia student drug use survey: Technical report. Halifax: Dalhousie University; 2013 [cited 2015 Dec 4]. Available from: Drug-Use-Survey-Report.pdf

17 Nova Scotia Department of Health and Wellness (NSDHW). Alcohol indicators report Halifax: NSDHW; 2011 [cited 2015 Dec 4]. Available from:

18 Government of New Brunswick. New Brunswick Health Indicators -Alcohol and health [Internet]. New Brunswick: Government of New Brunswick; 2015 May [cited 2015 Dec 4]. Available from:

19 Benefits and Costs of Alcohol in NS Nova Scotia Department of Health and Wellness (NSDHW). Alcohol indicators report Halifax: NSDHW; 2011 [cited 2015 Dec 4]. Available from:

20 Government of New Brunswick. New Brunswick Health Indicators -Alcohol and health [Internet]. New Brunswick: Government of New Brunswick; 2015 May [cited 2015 Dec 4]. Available from:

21 Time to Intervene Need to alter the drinking context, promote a culture of moderation We all have a role to play; especially physicians Number of approaches are needed

22 Canada s National Alcohol Strategy Low Risk Drinking Guidelines Screening Brief Intervention and Referral (SBIR)

23 Low Risk Drinking Guidelines One set of national guidelines, consistent information Support from all, F/P/T governments, # of Medical Organizations and Industry Promote a culture of moderation; Supports healthy lifestyles

24 Standard Drink 12 oz. beer 5% 5 oz. of wine of 10 12% 3 oz. of fortified wine 16 18% 1.5 oz. (40% alc)

25 Guideline #1: Know Your Limitis Reduce long-term health risks by drinking no more than: Women: 10 drinks / wk, with no more than 2 drinks a day most days Men: 15 drinks / wk, with no more than 3 drinks a day most days Plan non-drinking days weekly

26 Guideline #2: Once In Awhile Reduce risk of injury and harm by drinking no more than: 3 drinks (for women) on any single occasion 4 drinks (for men) on any single occasion Also Drink in a safe environment Stay within the weekly limits

27 Guideline #3: When the Limit is Zero Do not drink when you are: Driving a vehicle or using machinery and tools Taking Medicine or other drugs that interact with alcohol Doing any kind of dangerous physical activity Living with mental or physical health problems Living with alcohol dependence Pregnant or planning to be pregnant Responsible for the safety of others Making important decisions

28 Guideline #4 If you are pregnant, planning to become pregnant, or before breastfeeding, the safest choice is to drink no alcohol at all

29 Impact of LRDG If all Canadians were drinking alcohol within the proposed guidelines, estimated that alcohol related death would be reduced by 4600 per year Butt P, Beirness D, Stockwell T. Alcohol and health in Canada. A summary of evidence and guidelines for lowrisk drinking. Ottawa: Canadian Centre on Substance Abuse; 2011 [cited 2015 Dec 4]. Available from: Risk%20Drinking-en.pdf

30 Assessing Alcohol Consumption Screening important part of a comprehensive alcohol strategy Screening is suboptimal 1 Study: 88% of the physicians reported asking new patients about alcohol use, Only 13 percent routinely used formal alcohol screening questionnaires Friedmann PD, McCullough D, Chin MH, Saitz R. Screening and intervention for alcohol problems. A national survey of primary care physicians and psychiatrists. J Gen Intern Med Feb; 15(2):

31 Screening Tools CAGE Questionnaire Single Question Screening Alcohol Use Disorder Identification Test (AUDIT); AUDIT C Youth: CRAFFT

32 Alcohol Screening, Brief Intervention and Referral: Clinical Guide CFPC and CCSA (www.sbir-diba.ca) Addresses challenges of screening in busy practices Incorporates: stages of change, motivational interviewing techniques that are evidence based

33 What is SBIR? Tools that ID those at risk of developing alcohol use disorders Brief counseling, motivations interviewing Referral for treatment Recent CMAJ Review March 2015

34 Alcohol Screening, Brief Intervention and Referral: Clinical Guide Ask and Assess Brief Interventions Follow up and Support

35 Ask about Alcohol Use Do you drink? How many days per week? How many drinks do you consume?

36 Determine Level of Risk Elevated Risk (ER) Alcohol Abuse (AA) Alcohol Dependence (AD)

37 Stage of change Criteria Patient may say Precontemplation Do not intend to change their drinking behaviour in the near future My drinking is not a problem. I do not want to quit or cut down. Contemplation Patients intend to change in the next six months. They are aware of the negative impacts of their drinking. My drinking is a problem. I want to quit. Preparation Patients intend or are intending to take action in the immediate future and have a plan of action. I will quit drinking on (names date within a month or so). Action Maintenance Patients have changed their behaviour. I quit drinking last week. Patients are having infrequent relapses and are more confident in their abilities to avoid relapses in the future. I only drank on one really stressful day last month. Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997; 12(1): 38 48

38 Implementation Barriers Time Complexity Remuneration Documentation F/U Facilitators Multidisciplinary teams EMRs

39 Other SBIR Work DHW Project SBIR and Pregnancy

40 Summary Physicians: essential role in assessing and educating patients and communities about safe, moderate alcohol use Resources are available CFPC/CCSA Tool: one framework

41 Questions?

42 Extra Slides Other Strategies Other SBIR Guides Patient information Communication Tools

43 Strategies Comprehensive, population and individual approaches 1 Pricing and Taxation Physical Availability of Alcohol Marketing, Advertising and Sponsorship Control systems (limit privatization) Drinking and Driving Countermeasures Minimum age Altering the drinking context Education and persuasion Screening, Brief Interventions and Referrals CPHA: Alcohol Policy Position Statement Giesbrecht N, Stockwell T, Kendall P, Strang R, Thomas G. Alcohol in Canada: reducing the toll through focused interventions and public health policies. CMAJ Mar 8; 183(4):

44 Health Benefits Moderate beneficial impact on heart disease and stroke mortality and morbidity (>45 yo) Protective effects controversial over a wide range of intakes (from <4 drinks/week to 5-6 drinks/day); Controversy over J-curve vs. U- curve effect (ie. are regular small amounts more harmful then moderate drinking?) BUT risk for heart disease does NOT diminish with increased intake and risk of other health problems increase with intake WHO concludes more harm could be done by encouraging drinking

45 Alcohol and Cancer Causal RF: Oral cavity, pharynx, larynx (strongest associations) Esophagus Colorectal in men Breast in women Liver cancer Mechanism: Reactive metabolites of alcohol is acetaldehyde, which is a probable carcinogen. Increases free-radical production, and alter cellular growth and division cycles, all which may predispose people to cancer

46 Alcohol and Driving Nova Scotia Department of Health and Wellness (NSDHW). Alcohol indicators report Halifax: NSDHW; 2011 [cited 2015 Dec 4]. Available from:

47 Costs of Alcohol in Canada Costs of substance use to Canadian society (2002) $ 40 B Canadian costs attributed to alcohol related harms $15 B Cost per Canadian/yr $463 $8 B Illegal drugs $15 B Alcohol $17 B Tobacco Rehm J, Baliunas D, Brochu S, Fischer B, Gnam W, Patra, J, et al. The costs of substance abuse in Canada 2002 [Internet]. Ottawa: Canadian Centre on Substance Abuse; 2002 [cited 2015 Dec 4]. Available from:

LOW-RISK DRINKING GUIDELINES A GUIDE FOR PHYSICIANS AND HEALTH CARE PROFESSIONALS

LOW-RISK DRINKING GUIDELINES A GUIDE FOR PHYSICIANS AND HEALTH CARE PROFESSIONALS LOW-RISK DRINKING GUIDELINES A GUIDE FOR PHYSICIANS AND HEALTH CARE PROFESSIONALS 7 INTRODUCTION This guide is intended for physicians and health care professionals to help them explain the low-risk drinking

More information

CAGE. AUDIT-C and the Full AUDIT

CAGE. AUDIT-C and the Full AUDIT CAGE In the past have you ever: C tried to Cut down or Change your pattern of drinking or drug use? A been Annoyed or Angry because of others concern about your drinking or drug use? G felt Guilty about

More information

Alcohol and Opiates Disorders

Alcohol and Opiates Disorders BRIEF SCREENING, INTERVENTION, AND REFERRAL The Problem According to the National Institute on Alcohol Abuse and Alcoholism 3 in 10 adults drink at levels that elevate their risk of physical, mental health,

More information

Brief Screening, Intervention, and Referral for Alcohol and Opiate Disorders. An Effective Three-Step Process. Provider Guidelines

Brief Screening, Intervention, and Referral for Alcohol and Opiate Disorders. An Effective Three-Step Process. Provider Guidelines Brief Screening, Intervention, and Referral for Alcohol and Opiate Disorders An Effective Three-Step Process Provider Guidelines The Problem According to the National Institute on Alcohol Abuse and Alcoholism,

More information

Facts About Alcohol. Addiction Prevention & Treatment Services

Facts About Alcohol. Addiction Prevention & Treatment Services Facts About Alcohol Addiction Prevention & Treatment Services Table of Contents Facts about alcohol: What is harmful involvement with alcohol?... 2 What is alcohol dependence?... 3 What Is BAC?... 4 What

More information

http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx

http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx http://nurse practitioners and physician assistants.advanceweb.com/features/articles/alcohol Abuse.aspx Alcohol Abuse By Neva K.Gulsby, PA-C, and Bonnie A. Dadig, EdD, PA-C Posted on: April 18, 2013 Excessive

More information

Alcohol Screening and Brief Interventions of Women

Alcohol Screening and Brief Interventions of Women Alcohol Screening and Brief Interventions of Women Competency #2 Midwest Regional Fetal Alcohol Syndrome Training Center Competency 2: Screening and Brief Interventions This competency addresses preventing

More information

Screening Patients for Substance Use in Your Practice Setting

Screening Patients for Substance Use in Your Practice Setting Screening Patients for Substance Use in Your Practice Setting Learning Objectives By the end of this session, participants will Understand the rationale for universal screening. Identify potential health

More information

Implementation of SBIRT onto Electronic Health Records: From Documentation to Data

Implementation of SBIRT onto Electronic Health Records: From Documentation to Data Implementation of SBIRT onto Electronic Health Records: From Documentation to Data John R. McAteer, LCSW-R New York City Department of Health and Mental Hygiene Bureau of Alcohol and Drug Use Prevention,

More information

The Immediate and Long -Term Economic Benefits of Mental Health and Addiction Treatment for Canadians and Canada.

The Immediate and Long -Term Economic Benefits of Mental Health and Addiction Treatment for Canadians and Canada. The Immediate and Long -Term Economic Benefits of Mental Health and Addiction Treatment for Canadians and Canada. On behalf of the, Stan Parke, the Board Chair wishes to appear in person before the Standing

More information

Alcohol Quick Facts. New Zealand s drinking patterns. Health impacts. Crime and violence. Drink driving. Social costs

Alcohol Quick Facts. New Zealand s drinking patterns. Health impacts. Crime and violence. Drink driving. Social costs Alcohol Quick Facts New Zealand s drinking patterns 85% of New Zealanders aged 1664 had an alcoholic drink in the past year (Ministry of Health 2009). Three in five (61.6%) past-year drinkers consumed

More information

Do you drink or use other drugs? You could be harming more than just your health.

Do you drink or use other drugs? You could be harming more than just your health. Do you drink or use other drugs? You could be harming more than just your health. Simple questions. Straight answers about the risks of alcohol and drugs for women. 1 Why is my health care provider asking

More information

JAMAICA. Recorded adult per capita consumption (age 15+) Last year abstainers

JAMAICA. Recorded adult per capita consumption (age 15+) Last year abstainers JAMAICA Recorded adult per capita consumption (age 15+) 6 5 Litres of pure alcohol 4 3 2 Beer Spirits Wine 1 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 21 Sources: FAO (Food and Agriculture Organization

More information

How to keep health risks from drinking alcohol to a low level: public consultation on proposed new guidelines

How to keep health risks from drinking alcohol to a low level: public consultation on proposed new guidelines How to keep health risks from drinking alcohol to a low level: public consultation on proposed new guidelines January 2016 2 How to keep health risks from drinking alcohol to a low level: public consultation

More information

Second-hand drinking: Public health s response to harm caused to others from alcohol

Second-hand drinking: Public health s response to harm caused to others from alcohol Second-hand drinking: Public health s response to harm caused to others from alcohol Ashley Wettlaufer and Norman Giesbrecht Centre for Addiction and Mental Health Public Health Ontario Webinar, April

More information

Alcohol Quick Facts ALCOHOL FACTS. New Zealand s drinking patterns. Crime and violence. Health impacts. Drink driving.

Alcohol Quick Facts ALCOHOL FACTS. New Zealand s drinking patterns. Crime and violence. Health impacts. Drink driving. Alcohol Quick Facts ALCOHOL FACTS New Zealand s drinking patterns The proportion of New Zealanders aged 15 years or more who drank alcohol in the past year dropped from 84% in 2006/07 to 80% in 2011/12

More information

Changing the Culture of Alcohol Use

Changing the Culture of Alcohol Use Changing the Culture of Alcohol Use in Nova Scotia An Alcohol Strategy to Prevent and Reduce the Burden of Alcohol-Related Harm in Nova Scotia Changing the Culture of Alcohol Use in Nova Scotia An Alcohol

More information

Overview of Colorado SBIRT

Overview of Colorado SBIRT Integrating Mental Health and Substance Use Services with HIV/AIDS Prevention Overview of Colorado SBIRT U.S. Conference on AIDS Orlando, Florida September 13, 2010 Presenter: Leigh Fischer, Program Manager

More information

Alcohol Units. A brief guide

Alcohol Units. A brief guide Alcohol Units A brief guide 1 2 Alcohol Units A brief guide Units of alcohol explained As typical glass sizes have grown and popular drinks have increased in strength over the years, the old rule of thumb

More information

If you re with child, be without alcohol. No amount of alcohol is safe to drink during pregnancy.

If you re with child, be without alcohol. No amount of alcohol is safe to drink during pregnancy. Alcohol & Pregnancy If you re with child, be without alcohol. No amount of alcohol is safe to drink during pregnancy. www.withchildwithoutalcohol.com 3 Introduction Many things we hear about pregnancy

More information

Brantford Native Housing Residential Support/ Addiction Treatment Program

Brantford Native Housing Residential Support/ Addiction Treatment Program Brantford Native Housing Residential Support/ Addiction Treatment Program Application Package Ojistoh House or Karahkwa House 318 Colborne Street East Brantford, ON N3S 3M9 (519) 753-5408 x 235 T (519)

More information

Alcohol Facts and Statistics

Alcohol Facts and Statistics Alcohol Facts and Statistics Alcohol Use in the United States: Prevalence of Drinking: In 2012, 87.6 percent of people ages 18 or older reported that they drank alcohol at some point in their lifetime;

More information

FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS W O R KING TO BUILD A HE A LTHY AUSTRALIA FREQUENTLY ASKED QUESTIONS www.nhmrc.gov.au National Health and Medical Research Council AUSTRALIAN GUIDELINES TO REDUCE HEALTH RISKS FROM DRINKING ALCOHOL Australian

More information

California Society of Addiction Medicine (CSAM) Consumer Q&As

California Society of Addiction Medicine (CSAM) Consumer Q&As C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is

More information

UCLA Screening and Brief Intervention Training

UCLA Screening and Brief Intervention Training UCLA Screening and Brief Intervention Training For Alcohol Reduction or Cessation Client Centered Care Western Regional Training Center on Fetal Alcohol Spectrum Disorders Materials provided through funding

More information

Optimal levels of alcohol consumption for men and women at different ages, and the all-cause mortality attributable to drinking

Optimal levels of alcohol consumption for men and women at different ages, and the all-cause mortality attributable to drinking Optimal levels of alcohol consumption for men and women at different ages, and the all-cause mortality attributable to drinking Ian R. White, Dan R. Altmann and Kiran Nanchahal 1 1. Summary Background

More information

A L C O H O L A N D H E A LT H LOW-RISK DRINKING: 2 3 4 0

A L C O H O L A N D H E A LT H LOW-RISK DRINKING: 2 3 4 0 TABLE OF CONTENTS ISBN 978-2-923548-23-4 Legal deposit 2007 Introduction 1 Low-risk drinking 2 Drinking guidelines in Quebec 3 Recommended number of drinks 4 Individual vulnerability 6 Circumstantial vulnerability

More information

Alcohol Risk Assessment

Alcohol Risk Assessment Alcohol Risk Assessment NHS Health Check Challenges Don Lavoie Alcohol Programme Manager What I hope to cover Why Alcohol - what is the problem? What can Health Check do about it? How do you do it? What

More information

The concept of National guidelines for treatment of alcohol and drug problems/ dependence in Sweden 2007

The concept of National guidelines for treatment of alcohol and drug problems/ dependence in Sweden 2007 The concept of National guidelines for treatment of alcohol and drug problems/ dependence in Sweden 2007 Ulf Malmström coordinator, PhD National Board of Health and Welfare Cyprus May 2009 Why establish

More information

evaluation of cancer hazards Robert A Baan PhD The IARC MONOGRAPHS International Agency for Research on Cancer Lyon, France

evaluation of cancer hazards Robert A Baan PhD The IARC MONOGRAPHS International Agency for Research on Cancer Lyon, France Consumption of alcoholic beverages; evaluation of cancer hazards Robert A Baan PhD The IARC MONOGRAPHS International Agency for Research on Cancer Lyon, France The IARC Monographs The IARC Monographs are

More information

Tom Freese, PhD Sherry Larkins, PhD Clayton Chau, MD (Planner) - Medical Director Behavioral Services; L.A. Care Health Plan

Tom Freese, PhD Sherry Larkins, PhD Clayton Chau, MD (Planner) - Medical Director Behavioral Services; L.A. Care Health Plan Tom Freese, PhD Sherry Larkins, PhD Clayton Chau, MD (Planner) - Medical Director Behavioral Services; L.A. Care Health Plan UCLA Integrated Substance Abuse Programs UCLA David Geffen School of Medicine,

More information

MVP/PREFERRED CARE GUIDELINE

MVP/PREFERRED CARE GUIDELINE MVP/PREFERRED CARE GUIDELINE MVP/Preferred Care Clinical Guideline Overview Screening Adolescents for Alcohol and Substance Abuse in Primary Care MVP Health Care/ Preferred Care, as part of its continuing

More information

Risk of alcohol. Peter Anderson MD, MPH, PhD, FRCP Professor, Alcohol and Health, Maastricht University Netherlands. Zurich, 4 May 2011

Risk of alcohol. Peter Anderson MD, MPH, PhD, FRCP Professor, Alcohol and Health, Maastricht University Netherlands. Zurich, 4 May 2011 Risk of alcohol Peter Anderson MD, MPH, PhD, FRCP Professor, Alcohol and Health, Maastricht University Netherlands Zurich, 4 May 2011 Lifetime risk of an alcoholrelated death (1/100) 16.0 14.0 12.0 10.0

More information

UK Chief Medical Officers Alcohol Guidelines Review Summary of the proposed new guidelines

UK Chief Medical Officers Alcohol Guidelines Review Summary of the proposed new guidelines UK Chief Medical Officers Alcohol Guidelines Review Summary of the proposed new guidelines January 2016 2 UK Chief Medical Officers Alcohol Guidelines Review Summary of the proposed new guidelines 1. This

More information

Alcohol Indicators Report

Alcohol Indicators Report Alcohol Indicators Report A framework of alcohol indicators describing the consumption of use, patterns of use, and alcohol-related harms in Nova Scotia NOVEMBER 2005 Nova Scotia Health Promotion Addiction

More information

SBIRT: Behavioral Health Screenings & Patient- Centered Care. Presented By: Zoe O Neill July 24, 2013

SBIRT: Behavioral Health Screenings & Patient- Centered Care. Presented By: Zoe O Neill July 24, 2013 SBIRT: Behavioral Health Screenings & Patient- Centered Care Presented By: Zoe O Neill July 24, 2013 Welcome! Type questions into the Questions Pane Patient-Centered Primary Care Institute History and

More information

SMOKING TOBACCO: SMOKING

SMOKING TOBACCO: SMOKING TOBACCO: SMOKING One in 4 adults in Guam is a smoker. Among youth, 1 in 5 smokes. Guam s smoking rate is higher than most US States and Territories; this has remained unchanged since 2001. T O B A C C

More information

FAQ' s on Alcohol Abuse and Alcoholism

FAQ' s on Alcohol Abuse and Alcoholism FAQ' s on Alcohol Abuse and Alcoholism It is important to understand that these answers are not meant to provide specific medical advice, but to provide information to better understand the health consequences

More information

guideline for identification and treatment of alcohol abuse/dependence in primary care

guideline for identification and treatment of alcohol abuse/dependence in primary care guideline for identification and treatment of alcohol abuse/dependence in primary care This guideline is informational in nature and is not intended to be a substitute for professional clinical judgment.

More information

This brochure explains how alcohol:

This brochure explains how alcohol: When you are HIV positive, you have to work hard to stay healthy. Drinking less alcohol or not drinking at all can help you fight HIV disease and improve your health. Quitting drinking or cutting down

More information

Alcohol Abuse Screening and Brief Interventions for use in Primary Care Settings

Alcohol Abuse Screening and Brief Interventions for use in Primary Care Settings Alcohol Abuse Screening and Brief Interventions for use in Primary Care Settings Dr. Christine Harsell DNP, ANP BC Dr. Maridee Shogren DNP, CNM Objectives Upon completion of this session, participants

More information

What Health Professionals Know and Do About Alcohol and Other Drug Use During Pregnancy

What Health Professionals Know and Do About Alcohol and Other Drug Use During Pregnancy What Health Professionals Know and Do About Alcohol and Other Drug Use During Pregnancy Trecia Wouldes, PhD Department of Psychological Medicine A Research Report in Collaboration with Executive Summary

More information

Substance Use Education for Nurses Screening, Brief Intervention and Referral to Treatment (SBIRT) SBIRT: An Effective Approach

Substance Use Education for Nurses Screening, Brief Intervention and Referral to Treatment (SBIRT) SBIRT: An Effective Approach Substance Use Education for Nurses Screening, Brief Intervention and Referral to Treatment (SBIRT) University of Pittsburgh The ATN-SBIRT Program is a partnership with the University of Pittsburgh and

More information

Screening, Brief Intervention and Referral to Treatment (SBIRT) for Substance Use: A Public Health Approach. Joan Dilonardo, Ph.D., R.

Screening, Brief Intervention and Referral to Treatment (SBIRT) for Substance Use: A Public Health Approach. Joan Dilonardo, Ph.D., R. Screening, Brief Intervention and Referral to Treatment (SBIRT) for Substance Use: A Public Health Approach Joan Dilonardo, Ph.D., R.N What is SBIRT? Some definitions Screening: a preliminary systematic

More information

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center 1 in 4 Americans will have an alcohol or drug problems at some point in their lives. The number of alcohol abusers and addicts

More information

Referral To Treatment for Drug & Alcohol Part I

Referral To Treatment for Drug & Alcohol Part I Referral To Treatment for Drug & Alcohol Part I Geneva Sanford, MSW, LSW, LICDC Substance Abuse Coordinator Grant Medical Center 111 S. Grant Ave, 2nd FL. Columbus, Ohio 43213 (614) 566-9863 gsanford@ohiohealth.com

More information

Alcohol Awareness. When Does Alcohol Abuse Become Alcoholism?

Alcohol Awareness. When Does Alcohol Abuse Become Alcoholism? Alcohol Awareness When Does Alcohol Abuse Become Alcoholism? Heavy drinkers may appear to function day to day yet still be putting themselves and others at risk. Learn how to recognize problem drinking.

More information

NETHERLANDS (THE) Recorded adult per capita consumption (age 15+) Last year abstainers

NETHERLANDS (THE) Recorded adult per capita consumption (age 15+) Last year abstainers NETHERLANDS (THE) Recorded adult per capita consumption (age 15+) 14 12 Litres of pure alcohol 1 8 6 4 Beer Spirits Wine 2 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 21 Year Sources: FAO (Food and

More information

Your Health and Alcohol

Your Health and Alcohol Your Health and Alcohol Alcohol is widely used and enjoyed by many Australians as part of our culture, tradition and celebrations. For some veterans, it was part of their military experience. For most

More information

The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures

The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures The Clinical Content of Preconception Care: Alcohol, Tobacco, and Illicit Drug Exposures by R. Louise Floyd, DSN, RN; Brian W. Jack, MD; Robert Cefalo, MD, PhD; Hani Atrash, MD, MPH; Jeanne Mahoney, BSN,

More information

Alcohol Overuse and Abuse

Alcohol Overuse and Abuse Alcohol Overuse and Abuse ACLI Medical Section CME Meeting February 23, 2015 Daniel Z. Lieberman, MD Professor and Vice Chair Department of Psychiatry George Washington University Alcohol OVERVIEW Definitions

More information

Cincinnati Christian University Drug Abuse Prevention Program

Cincinnati Christian University Drug Abuse Prevention Program Cincinnati Christian University Drug Abuse Prevention Program Cincinnati Christian University maintains that our bodies are created by God and should be used to glorify Him. The misuse or abuse of alcohol

More information

Understanding and Managing Addiction in the Workplace

Understanding and Managing Addiction in the Workplace Presents Understanding and Managing Addiction in the Workplace October 8 th, 2013 Mani Alcaide, RN, CPMHN(c) Manager of Intake & Assessment Services Bellwood Health Services Inc. These materials may not

More information

Screening and brief intervention for alcohol use in general practice and the potential role of digital technologies in optimising delivery

Screening and brief intervention for alcohol use in general practice and the potential role of digital technologies in optimising delivery Presentation to Imperial College London Wednesday 10 th December 2014 Screening and brief intervention for alcohol use in general practice and the potential role of digital technologies in optimising delivery

More information

Vermont PRAMS Data Brief

Vermont PRAMS Data Brief Prenatal Counseling part 3 Alcohol, Tobacco & Drugs This is a report on the Pregnancy Risk Assessment Monitoring System (PRAMS), a survey conducted on a sample of Vermont women with live births since 2001.

More information

Alcohol Guidelines Review Report from the Guidelines development group to the UK Chief Medical Officers

Alcohol Guidelines Review Report from the Guidelines development group to the UK Chief Medical Officers Alcohol Guidelines Review Report from the Guidelines development group to the UK Chief Medical Officers January 2016 2 Alcohol Guidelines Review Report from the Guidelines development group to the UK Chief

More information

Pregnancy. U.S. Department of Health and Human Services. National Institutes of Health. In cooperation with

Pregnancy. U.S. Department of Health and Human Services. National Institutes of Health. In cooperation with Drinking and Your Pregnancy U.S. Department of Health and Human Services National Institutes of Health National Institute on Alcohol Abuse and Alcoholism In cooperation with The National Organization on

More information

Ass Professor Frances Kay-Lambkin. NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW

Ass Professor Frances Kay-Lambkin. NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW Ass Professor Frances Kay-Lambkin NHMRC Research Fellow, National Drug and Alcohol Research Centre UNSW Frances Kay-Lambkin PhD National Health and Medical Research Council Research Fellow Substance Use

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

Luton Alcohol Strategy 2012-2015

Luton Alcohol Strategy 2012-2015 Luton Drug & Alcohol Partnership Luton Alcohol Strategy 2012-2015 The Luton alcohol strategy for 2012 2015 reflects the increasing emphasis on working in partnership to reduce alcohol related harm to young

More information

What You Don t Know Can Harm You

What You Don t Know Can Harm You A L C OHOL What You Don t Know Can Harm You National Institute on Alcohol Abuse and Alcoholism National Institutes of Health U.S. Department of Health and Human Services If you are like many Americans,

More information

Alcohol use disorders, health and treatment interventions

Alcohol use disorders, health and treatment interventions Alcohol use disorders, health and treatment interventions J. Rehm Social and Epidemiological Research (SER) Department, Centre for Addiction and Mental Health, Toronto, Canada Dalla Lana School of Public

More information

Alcohol Identification and Brief Advice

Alcohol Identification and Brief Advice Alcohol Identification and Brief Advice Alcohol Identification and Brief Advice (IBA) is an evidence based brief intervention directed at people drinking at increasing and higher risk levels who are not

More information

Alcohol. And Your Health. Psychological Medicine

Alcohol. And Your Health. Psychological Medicine Alcohol And Your Health Psychological Medicine Introduction Alcohol, when used in moderation and as part of a healthy lifestyle, can have beneficial effects for some people, particularly in the prevention

More information

Give Your Baby a Healthy Start

Give Your Baby a Healthy Start The dangers of smoking, drinking, and taking drugs Give Your Baby a Healthy Start Tips for Pregnant Women and New Mothers What you do today can stay with your baby forever Your baby needs your love and

More information

ThinkTwice! Treating Alcohol Dependence with Topiramate: A Critical Appraisal Learning Activity JOURNAL ARTICLE TEI PLAIN LANGUAGE ANTHOLOGY

ThinkTwice! Treating Alcohol Dependence with Topiramate: A Critical Appraisal Learning Activity JOURNAL ARTICLE TEI PLAIN LANGUAGE ANTHOLOGY JOURNAL ARTICLE Transformed into part of a plain language anthology Treating Alcohol Dependence with Topiramate: A Critical Appraisal Learning Activity Abstract: This study set out to test a drug, topiramate,

More information

AUDIT. The Alcohol Use Disorders Identification Test: Interview Version

AUDIT. The Alcohol Use Disorders Identification Test: Interview Version AUDIT The Alcohol Use Disorders Identification Test: Interview Version Read questions as written and record answers carefully. Begin the AUDIT by saying Now I am going to ask you some questions about your

More information

Alcohol and drugs prevention, treatment and recovery: why invest?

Alcohol and drugs prevention, treatment and recovery: why invest? Alcohol and drugs prevention, treatment and recovery: why invest? 1 Alcohol problems are widespread 9 million adults drink at levels that increase the risk of harm to their health 1.6 million adults show

More information

ACCORDING TO THE WORLD HEALTH ORGANIZATION, THE U.S.-BASED CENTERS FOR DISEASE CONTROL

ACCORDING TO THE WORLD HEALTH ORGANIZATION, THE U.S.-BASED CENTERS FOR DISEASE CONTROL ACCORDING TO THE WORLD HEALTH ORGANIZATION, THE U.S.-BASED CENTERS FOR DISEASE CONTROL AND PREVENTION, AND THE CANCER QUALITY COUNCIL OF ONTARIO, ALCOHOL CONSUMPTION IN EXCESS OF LOW-RISK GUIDELINES IS

More information

Never Quit Quitting Training Healthcare Providers to Integrate Cessation Counseling and Referral into Office Practice Lisa Krugman, MPH, MSW Washtenaw County Public Health Washtenaw County Smokers (HIP

More information

Trauma Center Alcohol Screening. Michael Mello, MD, MPH Injury Prevention Center at Rhode Island Hospital /Hasbro Children s Hospital

Trauma Center Alcohol Screening. Michael Mello, MD, MPH Injury Prevention Center at Rhode Island Hospital /Hasbro Children s Hospital Trauma Center Alcohol Screening and Intervention Michael Mello, MD, MPH Injury Prevention Center at Rhode Island Hospital /Hasbro Children s Hospital Disclosures I have no affiliations, sponsorship, financial

More information

Underage Drinking. Underage Drinking Statistics

Underage Drinking. Underage Drinking Statistics Underage Drinking Underage drinking is a serious public health problem in the United States. Alcohol is the most widely used substance of abuse among America s youth, and drinking by young people poses

More information

The use of alcohol and drugs and HIV treatment compliance in Brazil

The use of alcohol and drugs and HIV treatment compliance in Brazil The use of alcohol and drugs and HIV treatment compliance in Brazil André Malbergier, MD, PhD Hospital das Clínicas Medical School University of São Paulo Brasil The Casa da AIDS offers specialized integral

More information

ARGENTINA. Recorded adult per capita consumption (age 15+) Last year abstainers in Buenos Aires

ARGENTINA. Recorded adult per capita consumption (age 15+) Last year abstainers in Buenos Aires ARGENTINA Recorded adult per capita consumption (age 15+) 2 18 16 Litres of pure alcohol 14 12 1 8 6 4 2 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 21 Beer Spirits Wine Sources: FAO (Food and Agriculture

More information

S - Screening. BI Brief Intervention. RT Referral to Treatment

S - Screening. BI Brief Intervention. RT Referral to Treatment S - Screening BI Brief Intervention RT Referral to Treatment Continuum of Substance Use Severity ABSTAINERS and LOW-RISK USERS (70%) MODERATE TO HIGHER RISK 25% SEVERE and DEPENDENT (5%) Universal prevention

More information

Alcohol Awareness Month October 2013. Chad Asplund, MD, FACSM Medical Director, Student Health Georgia Regents University

Alcohol Awareness Month October 2013. Chad Asplund, MD, FACSM Medical Director, Student Health Georgia Regents University Alcohol Awareness Month October 2013 Chad Asplund, MD, FACSM Medical Director, Student Health Georgia Regents University Alcohol Statistics According to the Office of Juvenile Justice and Delinquency

More information

Important facts to remember

Important facts to remember Important facts to remember If you re pregnant or trying to get pregnant, or if you know someone who is, there are several important points to remember: See a healthcare professional regularly. Get plenty

More information

Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry

Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry Steve Martino, Ph.D. The SBIRT Training in Yale Residency Programs (SAMHSA 1U79Ti020253-01; PI: Gail D Onofrio, M.D.) At Issue

More information

A Guide to Alcoholism and Problem Drinking

A Guide to Alcoholism and Problem Drinking A Guide to Alcoholism and Problem Drinking Alcoholism is a word which many people use to mean alcohol dependence (alcohol addiction). Some people are problem drinkers without being dependent on alcohol.

More information

Determinants, Key Players and Possible Interventions

Determinants, Key Players and Possible Interventions Major in Human Health, Nutrition and Environment, FS 2010 Public Health Concepts Determinants, Key Players and Possible Interventions David Fäh Aims Have an idea about which parameters can influence health

More information

echat: Screening & intervening for mental health & lifestyle issues

echat: Screening & intervening for mental health & lifestyle issues echat: Screening & intervening for mental health & lifestyle issues Felicity Goodyear-Smith Professor & Academic Head Dept of General Practice & Primary Health Care Faculty of Medicine & Health Science

More information

PATIENT INFORMATION: PATIENT CONTACT PHONE NUMBERS: PHYSICIAN INFORMATION: HEALTH INSURANCE INFORMATION:

PATIENT INFORMATION: PATIENT CONTACT PHONE NUMBERS: PHYSICIAN INFORMATION: HEALTH INSURANCE INFORMATION: PATIENT INFORMATION: TODAY S DATE: HOW DID YOU HEAR ABOUT US?: LAST NAME: FIRST NAME: STREET CITY: STATE: ZIP: EMAIL MARTIAL STATUS: SINGLE MARRIED DIVORCED WIDOWED SEPARATED BIRTHDATE: AGE: SEX: MALE

More information

Impact of drugs and alcohol on individuals and the community

Impact of drugs and alcohol on individuals and the community Impact of drugs and alcohol on individuals and the community Introduction and overview Lynn Wilson Consultant in Public Health Overview and purpose Alcohol: The Problem Alcohol and Drug Service Review

More information

Barriers to treatment for alcohol dependence. Sven Andréasson INEBRIA, Rome, Sep 19, 2013

Barriers to treatment for alcohol dependence. Sven Andréasson INEBRIA, Rome, Sep 19, 2013 Barriers to treatment for alcohol dependence Sven Andréasson INEBRIA, Rome, Sep 19, 2013 Epidemiology: Alcohol problems in Sweden DSM IV based questions 5 7 dependence criteria 1,2 % 3 4 dependence criteria

More information

Alcohol Facts and Statistics

Alcohol Facts and Statistics Alcohol Facts and Statistics Alcohol Use in the United States:» Prevalence of Drinking: In 2014, 87.6 percent of people ages 18 or older reported that they drank alcohol at some point in their lifetime;

More information

Prevention Status Report 2013

Prevention Status Report 2013 The Prevention Status Reports (PSRs) highlight for all 50 states and the District of Columbia the status of public health policies and practices designed to prevent or reduce important health problems.

More information

Alcohol and drugs Be proactive

Alcohol and drugs Be proactive Alcohol and drugs Be proactive PREGNANCY: a critical time to take care of yourself and your future baby Pregnant women must often change certain daily habits and are bombarded with recommendations from

More information

Alcohol, drugs and older people

Alcohol, drugs and older people Alcohol, drugs and older people This leaflet is for older people (defined as those aged 55 or over) who are worried about their use of alcohol, illegal drugs and/or prescribed/over-the-counter medications.

More information

Key Questions to Consider when Seeking Substance Abuse Treatment

Key Questions to Consider when Seeking Substance Abuse Treatment www.ccsa.ca www.cclt.ca Frequently Asked Questions Key Questions to Consider when Seeking Substance Abuse Treatment The Canadian Centre on Substance Abuse (CCSA) has developed this document to address

More information

Reducing alcohol-related deaths on Canada s roads.

Reducing alcohol-related deaths on Canada s roads. Centre for Addiction and Mental Health 1001 Queen St. West Toronto, Ontario Canada M6J 1H4 Tel: 416.535.8501 Centre de toxicomanie et de santé mentale 1001, rue Queen Ouest Toronto, Ontario Canada M6J

More information

My Choice. A workbook for making changes

My Choice. A workbook for making changes My Choice A workbook for making changes Table of Contents Introduction...1 Is drinking a problem for me?... 2 AUDIT (Alcohol Use Disorders Identification Test) Exercise...3 Am I ready?...5 Alcohol: Stages

More information

Collaborative Care for Pregnant Women with Substance Use Disorders

Collaborative Care for Pregnant Women with Substance Use Disorders Collaborative Care for Pregnant Women with Substance Use Disorders Alane O Connor DNP Maine Dartmouth Family Medicine Residency MaineGeneral Medical Center Dartmouth Medical School Vanderbilt University

More information

ALCO H O L AN D H EALTH THE EFFECTS OF MODERATE, REGULAR ALCOHOL CONSUMPTION

ALCO H O L AN D H EALTH THE EFFECTS OF MODERATE, REGULAR ALCOHOL CONSUMPTION ALCO H O L AN D H EALTH THE EFFECTS OF MODERATE, REGULAR ALCOHOL CONSUMPTION ISBN 2-9807330-6-7 Legal deposit 2005 A l c o h o l a n d H e a l t h THE HEALTH BENEFITS OF MODERATE AND REGULAR ALCOHOL CONSUMPTION

More information

October 31, 2014. The effect of price on youth alcohol. consumption in Canada. Stephenson Strobel & Evelyn Forget. Introduction. Data and Methodology

October 31, 2014. The effect of price on youth alcohol. consumption in Canada. Stephenson Strobel & Evelyn Forget. Introduction. Data and Methodology October 31, 2014 Why should we care? Deaths 0 500 1000 1500 2000 2500 2000 2002 2004 2006 2008 2010 2012 Year Accidents (unintentional injuries) Intentional self-harm (suicide) Other causes of death Assault

More information

A PRELIMINARY EVALUATION OF SBIRT IMPLEMENTATION IN THE COLORADO STATE EMPLOYEE ASSISTANCE PROGRAM

A PRELIMINARY EVALUATION OF SBIRT IMPLEMENTATION IN THE COLORADO STATE EMPLOYEE ASSISTANCE PROGRAM A PRELIMINARY EVALUATION OF SBIRT IMPLEMENTATION IN THE COLORADO STATE EMPLOYEE ASSISTANCE PROGRAM DECEMBER, 2010 FOR FURTHER INFORMATION, PLEASE CONTACT: MELISSA RICHMOND, PH.D. OMNI INSTITUTE 899 LOGAN

More information

THE COSTS OF SUBSTANCE ABUSE IN CANADA 2002

THE COSTS OF SUBSTANCE ABUSE IN CANADA 2002 THE COSTS OF SUBSTANCE ABUSE IN CANADA 2002 HIGHLIGHTS J. Rehm, D. Baliunas, S. Brochu, B. Fischer, W. Gnam, J. Patra, S. Popova, A. Sarnocinska-Hart, B. Taylor In collaboration with E. Adlaf, M. Recel,

More information

Alcohol and drug prevention - national policies and possibilities in communities

Alcohol and drug prevention - national policies and possibilities in communities Alcohol and drug prevention - national policies and possibilities in communities Zaza Tsereteli, MD, MPH International Technical Advisor Alcohol and Substance Abuse Expert Group (ASA EG) NDPHS Recorded

More information

Health Profile for St. Louis City

Health Profile for St. Louis City Health Profile for St. Louis City The health indicators of St. Louis City show that the city has many health problems. To highlight a few, the city s rates of sexually transmitted diseases (i.e., HIV/AIDS,

More information

Travis Baggett, MD, MPH Jessie M. Gaeta, MD Jennifer Brody, MD, MPH Boston Health Care for the Homeless Program

Travis Baggett, MD, MPH Jessie M. Gaeta, MD Jennifer Brody, MD, MPH Boston Health Care for the Homeless Program Travis Baggett, MD, MPH Jessie M. Gaeta, MD Jennifer Brody, MD, MPH Boston Health Care for the Homeless Program Substance- attributable mortality Presentation of the data Implications for our model of

More information