Alcohol use disorders, health and treatment interventions
|
|
- Eileen Norton
- 8 years ago
- Views:
Transcription
1 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 Health, University of Toronto (UofT), Canada Dept. of Psychiatry, Faculty of Medicine, UofT, Canada PAHO/WHO Collaborating Centre for Mental Health & Addiction Epidemiological Research Unit, Technische Universität Dresden, Klinische Psychologie & Psychotherapie, Dresden, Germany
2 Prevalence of substance use disorders PREVALENCE
3 Alcohol use disorders 2012 (WHO Global status report 2014)
4 Distribution of AUD around the world (GSRAH) 0.0% 2.0% 4.6% 7.4% 11.4% 18.9% 30.1%
5 Burden of AUD as disease and risk factor BURDEN
6 Alcohol use disorders DALYs per 100,000 people, Age standardized, Both sexes, 2010 < >525.6 ATG VCT BRB COM W Africa DMA Caribbean LCA GRD TTO MDV TLS MUS SYC MHL KIR SLB FSM VUT WSM FJI TON E Med. MLT Persian Gulf SGP Balkan Peninsula
7
8 Global burden of disease in DALYs 2013 by level 2 risk factors
9 Burden is relatively stable since 1990 For alcohol use disorders (defined as alcohol dependence in GBD), the trend from 1990 to 2010 has been stable.
10 Percentage of deaths How many deaths are attributable to alcohol dependence? Alcohol-attributable Alcohol-attributable (net) Heavy drinking Alcohol dependence Men 16,1% 13,9% 11,1% 10,7% Women 8,5% 7,7% 5,3% 3,7% Total 13,6% 11,8% Men Women Total 9,2% 8,4% Rehm et al Eur Neuropsychopharm 2013
11 While burden is high, treatment rates are low TREATMENT
12 Treatment of mental disorders globally Kohn et al., 2004
13 Treatment in Europe ESEMED study Alonso et al., 2004
14 Newer data Europe: 22.3% of people with alcohol dependence are treated Rehm et al., 2015, BMC Family Practice
15 And what would happen if we started to treat..
16 Simulations: what burden could be prevented by increasing treatment rates in the EU? Most conservative estimate: mortality burden! Approach bottom up: estimates for each country and then aggregated Approach was selected as current treatment rates are lowest for all mental disorders: under 10% in the EU! Effectiveness of treatment was based on Cochrane reviews Five scenarios selected Rehm et al., 2012 Alcohol consumption, alcohol dependence, and attributable burden of disease
17 Number of deaths avoided over one year in men by treatment for AD in the EU in 2004 by five different treatment modalities (up to 13% of all alcohol-attributable deaths) Rehm et al., 2012 Alcohol consumption, alcohol dependence, and attributable burden of disease
18 Number of deaths avoided over one year in women by treatment for AD in the EU in 2004 by five different treatment modalities (up to 9% of all alcohol-attributable deaths) Rehm et al., 2012 Alcohol consumption, alcohol dependence, and attributable burden of disease
19 The link to heavy drinking Rehm et al., 2014 Alc Alc (rejoinder)
20 Another model But does it reflect reality? Roerecke et al., 2013, J. Clin. Psychiatry
21 Relative risk for mortality Relative risk for mortality How could alcohol dependence treatment be successful? It reduces level of consumption either to abstinence or by sizable reduction of heavy drinking Typical risk curve for alcohol (e.g., liver cirrhosis mortality) Relative gain in risk for mortality of reducing by three drinks/day for different levels of drinking Drinks per day Roerecke & Rehm, 2013 Alc.Alc Drinks per day
22 Reduced drinking including abstinence to continued heavy drinking (RR: 0.41 after 8.8 years on average) Risk of heavy drinkers in red
23 Other results of the meta-analyses Reduction of drinking without abstinence was also significantly better than continued heavy drinking Abstinence was associated with the lowest mortality rate Conclusion: reducing drinking helps in any case, the more you reduce, the better
24 How could treatment be increased? Primary health care is key! Primary care physicians identify people with AUD, but make no interventions. Why? Lack of education, lack of financial incentives, fear to loose patients, not within leading paradigm Currently, primary health care is limited to SBIRT (screening, brief intervention, referral to specialized treatment) -> no treatment! If treatment is brought back to primary health care physicians, low coverage and stigmatization my change!
25 Stigmatization and thresholds continuous concepts may reduce stigmatization The problem of groups (Nominal Group Theory Tajfel) It is harder to stigmatize against a continuum where we are all part of The key is to stress the continuum and de-emphasize the thresholds!
26 AUD are prevalent, cause a lot of burden which could be reduced, if treatment is initiated which reduces consumption CONCLUSION
How To Cost Effectively Treat Alcohol Dependence
Jürgen Rehm Centre for Addiction and Mental Health, University of Toronto, TU Dresden International organizations: WHO HQ, WHO EU, EMCDDA National funders: CIHR, NIAAA Governments: Canada (federal, provincial),
More informationRisk 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 informationADMISSION TO THE PSYCHIATRIC EMERGENCY SERVICES OF PATIENTS WITH ALCOHOL-RELATED MENTAL DISORDER
Bulletin of the Transilvania University of Braşov Series VI: Medical Sciences Vol. 4 (53) No. 2-2011 ADMISSION TO THE PSYCHIATRIC EMERGENCY SERVICES OF PATIENTS WITH ALCOHOL-RELATED MENTAL DISORDER P.
More informationhttp://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 informationAlcohol Screening, Brief Intervention and Referral: A Clinical Tool
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 Disclosures None
More informationInterventions for alcohol dependence in Europe:
Interventions for alcohol dependence in Europe: a missed opportunity to improve public health Based on the book Alcohol consumption, alcohol dependence and attributable burden of disease in Europe: potential
More informationAlcohol 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 informationBrief 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 information2. Local Data to reduce Alcohol Related Harm and Comparison Groups
Alcohol Treatment Needs Assessment 2012-2013 1. Introduction Using the JSNA Support pack for alcohol prevention, treatment & recovery, which presents data from the Local Alcohol Profiles for England (LAPE),
More informationOptimal 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 informationDeterminants, 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 informationAlcoholism and Aging
Alcoholism and Aging (See also: Prescription Drugs and Mental Health) The abuse of alcohol by older adults may be less prevalent than other age groups but according to most researchers it is more difficult
More informationTreatment 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 informationAZERBAIJAN. Lower-middle Income Data source: United Nations, data range 1999-2006
AZERBAIJAN SOCIOECONOMIC CONTEXT Total population 8,406,000 Annual population growth rate 0.6% Population 15+ years 76% Adult literacy rate 98.8% Population in urban areas 52% Income group (World bank)
More informationTAJIKISTAN. Recorded adult (15+) alcohol consumption by type of alcoholic beverage (in % of pure alcohol), 2005
TAJIKISTAN SOCIOECONOMIC CONTEXT Total population 6,640,000 Annual population growth rate 1.3% Population 15+ years 61% Adult literacy rate 99.5% Population in urban areas 25% Income group (World bank)
More informationAlcohol 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 informationScreening 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 informationPEPFAR Alcohol and HIV Webinar April 29, 2013 8:00am-10:00am EDT
PEPFAR Alcohol and HIV Webinar April 29, 2013 8:00am-10:00am EDT Agenda 8:00 Overview and Introduction Dr. Nina Hasen Senior HIV Prevention Advisor 8:10 The Burden of Disease of Alcohol with Special Emphasis
More informationA Population Based Risk Algorithm for the Development of Type 2 Diabetes: in the United States
A Population Based Risk Algorithm for the Development of Type 2 Diabetes: Validation of the Diabetes Population Risk Tool (DPoRT) in the United States Christopher Tait PhD Student Canadian Society for
More informationAlcohol 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 informationAlcohol 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 informationHow To Improve Your Health Through Treatment Of Alcohol Dependence
Alcohol consumption, alcohol dependence and attributable burden of disease in Europe Potential gains from effective interventions for alcohol dependence jürgen rehm kevin d. shield Maximilien X. Rehm Gerrit
More informationAlcohol Use and Dependency Among Senior Women ~ The Hidden Epidemic
Alcohol Use and Dependency Among Senior Women ~ The Hidden Epidemic Frederic C. Blow, Ph.D. Professor of Psychiatry University of Michigan Medical School Ann Arbor, Michigan USA Disclosure Dr. Blow receives
More informationCAGE. 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 informationSubstance Misuse. See the Data Factsheets for more data and analysis: http://www.rbkc.gov.uk/voluntaryandpartnerships/jsna/2010datafactsheets.
Substance Misuse See the Data Factsheets for more data and analysis: http://www.rbkc.gov.uk/voluntaryandpartnerships/jsna/2010datafactsheets.aspx Problematic drug use Kensington and Chelsea has a similar
More informationIntroduction to Substance Abuse Issues in Canada: Pathways, Health Implications and Interventions
Introduction to Substance Abuse Issues in Canada: Pathways, Health Implications and Interventions Maritt Kirst, PhD Centre for Research on Inner City Health, St. Michael s Hospital OTC Summer Institute
More informationPolicy Brief. Tackling Harmful Alcohol Use Economics and Public Health Policy. Directorate for Employment, Labour and Social Affairs.
Policy Brief Tackling Harmful Alcohol Use Economics and Public Health Policy May 2015 Directorate for Employment, Labour and Social Affairs OECD s new flagship report examines the economic and public health
More informationThe Economic Benefits of Risk Factor Reduction in Canada
The Economic Benefits of Risk Factor Reduction in Canada Tobacco Smoking, Excess Weight, Physical Inactivity and Alcohol Use Public Health 2015 May 26, 2015 Risk Factors in High-Income North America Ranked
More informationEffectiveness of Brief Alcohol Intervention strategies. Eileen Kaner
Effectiveness of Brief Alcohol Intervention strategies Eileen Kaner Professor of Public Health and Primary Care Research eileen.kaner@newcastle.ac.uk Introduction Scope of alcohol harm Preventive paradox
More informationTreatment Delivery Systems as a Public Health Approach to the Population Management of Substance Use Disorders
Treatment Delivery Systems as a Public Health Approach to the Population Management of Substance Use Disorders Thomas F. Babor, Ph.D., MPH Dept of Community Medicine & Health Care University of Connecticut
More informationSMOKING 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 informationNalan Ward,MD Director MGH Outpatient Addiction Services
Nalan Ward,MD Director MGH Outpatient Addiction Services National Survey Results (2012) (52.1 percent) of Americans aged 12 or older reported being current drinkers of alcohol Nearly one quarter (23.0
More informationCounting all the costs: the economic costs of comorbidities
Counting all the costs: the economic costs of comorbidities David McDaid and A-La Park LSE Health & Social Care, London School of Economics and Political Science E-mail: d.mcdaid@lse.ac.uk European Parliament
More informationScreening 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 informationNETHERLANDS (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 informationTHE NATURAL HISTORY OF ADDICTION
THE NATURAL HISTORY OF ADDICTION George E. Vaillant, M.D. Gvaillant@partners.org Brigham & Women s Hospital Harvard Medical School KNOWN RX % FOLLOWED BY EXPOSURES 1 YR ABSTINENCE 100 HEROIN ADDICTS HOSPITAL
More informationAlcohol abuse and smoking
Alcohol abuse and smoking Important risk factors for TB? 18 th Swiss Symposium on tuberculosis Swiss Lung Association 26 Mach 2009 Knut Lönnroth Stop TB Department WHO, Geneva Full implementation of Global
More informationevaluation 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 informationResources for the Prevention and Treatment of Substance Use Disorders
Resources for the Prevention and Treatment of Substance Use Disorders Table of Contents Age-standardized DALYs, alcohol and drug use disorders, per 100 000 Age-standardized death rates, alcohol and drug
More informationDiversification versus Polarization: Role of industrial policy in Asia and the Pacific
TOWARDS A RETURN OF INDUSTRIAL POLICY? ARTNeT SYMPOSIUM 25-26 JULY 211 ESCAP, BANGKOK Diversification versus Polarization: Role of industrial policy in Asia and the Pacific Sudip Ranjan Basu* International
More informationImplementation 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 informationBetty Jung, Registered Nurse (RN) ACC, AHA Update Guidelines for Treatment of High Cholesterol
ACC, AHA Update Guidelines for Treatment of High Cholesterol Awarded 0.50 contact hour(s) of continuing nursing education for RNs and APNs; 0.50 contact hours are in the area of pharmacology. Date Completed:
More informationAlcohol screening and brief intervention in primary care: no evidence of efficacy for dependence
Systematic review: Alcohol screening and brief intervention in primary care: no evidence of efficacy for dependence Richard Saitz MD, MPH, FACP, FASAM Professor of Medicine & Epidemiology Boston University
More informationWorld Health Organization
myths and facts for policy makers responsible for substance dependence prevention, treatment and support programs World Health Organization Myth 1. Drug dependence is simply a failure of will or of strength
More informationEconomic recession and alcoholrelated
Economic recession and alcoholrelated harm Peter Anderson Barcelona, 15 June 2010. On the one hand, as incomes reduce, you might expect alcohol consumption to go down But, on the one hand, as dislocation
More informationJAMAICA. 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 informationAlcohol 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 informationFact sheet: Brief interventions and treatments for alcohol use disorders across Europe
Fact sheet: Brief interventions and treatments for alcohol use disorders across Europe December 2012 Health systems and treatment for alcohol use disorders (AUD) The provision of screening and brief interventions
More informationFear of flying: Policy stances in a troubled world economy
Fear of flying: Policy stances in a troubled world economy UNCTAD G-24 Technical Meeting Luxor, 10-11 March 2014 Session 1 Global Economy A weakening economic performance reflects inability to address
More informationKarla 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 informationDoc Dial-in Discussion Series
Doc 2 Doc Dial-in Discussion Series Session 3: Universal Screening for Unhealthy Alcohol and Other Drug (AOD) Use Learning Objectives: (1) Understand the concept of universal screening (2) Learn how to
More informationTestimony of. Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment
Testimony of Daliah Heller, PhD, MPH Assistant Commissioner Bureau of Alcohol and Drug Use Prevention, Care and Treatment New York City Department of Health and Mental Hygiene before the New York City
More informationNaltrexone and Alcoholism Treatment Test
Naltrexone and Alcoholism Treatment Test Following your reading of the course material found in TIP No. 28. Please read the following statements and indicate the correct answer on the answer sheet. A score
More informationToday s tips for the Country Buy Report
High level outline Today s tips for the Country Buy Report Stephen Malpezzi Introduction Overview of the country and economy Basic indicators (GDP, employment, etc.) Key institutions, the setting How does
More informationNaltrexone for Opioid & Alcohol Use Disorders
Naltrexone for Opioid & Alcohol Use Disorders Reid K. Hester, Ph.D. Director, Research Division Behavior Therapy Associates, LLC Senior Science Advisor Checkup and Choices, LLC 505.345.6100 reidkhester@gmail.com
More informationRegional Status Report on Alcohol and Health in the Americas
Regional Status Report on Alcohol and Health in the Americas Regional Status Report on Alcohol and Health in the Americas Noncommunicable Diseases and Mental Health Washington, D.C. 2015 PAHO HQ Library
More informationBarriers 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 informationNHS Swindon and Swindon Borough Council. Executive Summary: Adult Alcohol Needs Assessment
NHS Swindon and Swindon Borough Council Executive Summary: Adult Alcohol Needs Assessment Aim and scope The aim of this needs assessment is to identify, through analysis and the involvement of key stakeholders,
More informationStrengthening Policies on the Harmful Use of Alcohol, Gender-Based Violence and Infectious Disease
Strengthening Policies on the Harmful Use of Alcohol, Gender-Based Violence and Infectious Disease A joint UNDP, WHO, IOGT, & FORUT initiative Dudley Tarlton dudley.tarlton@undp.org SVRI Forum, September
More informationDrugs and Alcohol in Primary Care Steve Brinksman Clinical Lead SMMGP
Drugs and Alcohol in Primary Care Steve Brinksman Clinical Lead SMMGP Habit is habit, and not to be flung out of the window by any man, but coaxed down-stairs one step at a time. Samuel Langhorne Clemens
More informationH-SOAP STUDY. Hospital-based Services for Opioid- and Alcohol-addicted Patients
H-SOAP STUDY Hospital-based Services for Opioid- and Alcohol-addicted Patients Meldon Kahan, Anita Srivastava, Kate Hardy, Sarah Clarke Canadian Society of Addiction Medicine 2014 October 17, 2014 1 Few
More informationAlcohol data: JSNA support pack
Alcohol data: JSNA support pack Technical definitions for the data to support planning for effective alcohol prevention, treatment and recovery in 2016-17 THE TECHNICAL DEFINITIONS The data in the JSNA
More informationEducating Patients on the Effects of Substance Use, Its Impact on Their Health and Linkages to Treatment
Educating Patients on the Effects of Substance Use, Its Impact on Their Health and Linkages to Treatment LaTanya N. Townsend, LCSW-C SBIRT Program Manager Mercy Medical Center Substance Abuse a National
More information8 th Annual Addiction Day Conference & Networking Fair Scientific Program
8 th Annual Addiction Day Conference & Networking Fair Scientific Program Thank you for your interest in 8 th Annual Addiction Day & XXVI CSAM Scientific Conference. Please find an overview and learning
More informationBarriers to Healthcare Services for People with Mental Disorders. Cardiovascular disorders and diabetes in people with severe mental illness
Barriers to Healthcare Services for People with Mental Disorders Cardiovascular disorders and diabetes in people with severe mental illness Dr. med. J. Cordes LVR- Klinikum Düsseldorf Kliniken der Heinrich-Heine-Universität
More informationAN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, PREVENTION AND INTERVENTION EXPANSION; MAKING APPROPRIATIONS; DECLARING AN EMERGENCY. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
More informationAlcohol and Global Health 1 Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders
D-09-00563R1 S0140-6736(09)60746-7 Alcohol and Global Health 1 Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders Jürgen Rehm, Colin Mathers, Svetlana
More informationAmerican Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,
More informationFacts 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 informationSubstance abuse and the nurse practitioner role: the client, the care, & the cost. Bonnie A. Franckowiak, DNP, FNP, CARN-AP NPAM / 2014
Substance abuse and the nurse practitioner role: the client, the care, & the cost Bonnie A. Franckowiak, DNP, FNP, CARN-AP NPAM / 2014 Objectives: After completion of this session, the learner will: 1.
More informationGrassroots Efforts to Advance SBI Training in Nursing/Social Work: U.S. Consortium Efforts
Grassroots Efforts to Advance SBI Training in Nursing/Social Work: U.S. Consortium Efforts D. S. Finnell, DNS, PMHNP-BC, CARN-AP, FAAN International Network on Brief Interventions for Alcohol and other
More informationAlcohol Disorders in Older Adults: Common but Unrecognised. Amanda Quealy Chief Executive Officer The Hobart Clinic Association
Alcohol Disorders in Older Adults: Common but Unrecognised Amanda Quealy Chief Executive Officer The Hobart Clinic Association The Hobart Clinic Association Not-for-profit private Mental Health Service
More informationAlcohol 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 informationWorld Population Growth
3 World Population Growth Why is world population growing faster than ever before? Population dynamics are one of the key factors to consider when thinking about development. In the past years the world
More informationProblem Drinking Part 2 - Brief Intervention
Problem Drinking Part 2 - Brief Intervention Effective Date: April 1, 2011 Revised Date: April 1, 2013 Scope This guideline provides practitioners with practical information on how to conduct brief intervention
More informationProvider payment approaches and incentives to implement screening
Provider payment approaches and incentives to implement screening Constance Horgan Maureen Stewart, Mary Brolin, Deborah Garnick, Dominic Hodgkin, Sharon Reif, Amity Quinn Symposium: Integrating Implementation
More informationARGENTINA. 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 informationAlcohol 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 informationSubstance Abuse in the Elderly
Substance Abuse in the Elderly Roseann Mulligan DDS, MS Definitions: Abuse: to use wrongly, badly, excessively; to misuse Misuse: to use incorrectly or improperly; to abuse Types of Substances Implicated
More informationImpact 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 informationAn Integrated Substance Abuse Treatment Needs Assessment for Alaska EXECUTIVE SUMMARY FROM FINAL REPORT. Prepared by
An Integrated Substance Abuse Treatment Needs Assessment for Alaska EXECUTIVE SUMMARY FROM FINAL REPORT Prepared by William McAuliffe, Ph.D. Ryan P. Dunn, B. A. Caroline Zhang, M.A. North Charles Research
More informationBACKGROUND MEDIA INFORMATION Fast facts about liver disease
BACKGROUND MEDIA INFORMATION Fast facts about liver disease Liver, or hepatic, disease comprises a wide range of complex conditions that affect the liver. Liver diseases are extremely costly in terms of
More informationThe Effects of Shame and Stigma in Women's Alcohol Recovery
Addressing shame and stigma: creative help in women s alcohol recovery Patsy Staddon, PhD Visiting Fellow, University of Plymouth Chair, Women s Independent Alcohol Support Recovered alcoholic Some facts
More informationA conversation with CDC s Alcohol Program, September 5, 2014
A conversation with CDC s Alcohol Program, September 5, 2014 Participants Robert Brewer, MD, MSPH Epidemiologist; Lead, Excessive Alcohol Use Prevention Team (Alcohol Program), Division of Population Health
More informationHow To Screen For Alcohol Dependence
Commonwealth of Massachusetts Board of Registration in Medicine Quality and Patient Safety Division Advisory Alcohol Screening and Management Protocols July 2013 Background The Quality and Patient Safety
More informationLinks between driving a motor vehicle and operating a boat under the influence of alcohol: an overview
Links between driving a motor vehicle and operating a boat under the influence of alcohol: an overview This summary was prepared in 2009 at the request of the Attorney General of Ontario by Dr. Jürgen
More informationPHEPA II INTERIM COUNTRY REPORT - SLOVENIA
PHEPA II INTERIM COUNTRY REPORT - SLOVENIA Istanbul, 8. 9. October 2007 Dr. Marko Kolšek Department of Family Medicine Medical faculty University of Ljubljana, Slovenia Current policies and activities:
More informationAlcohol 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 informationREDUCTION OF THE HARMFUL USE OF ALCOHOL: A STRATEGY FOR THE WHO AFRICAN REGION. Report of the Regional Director. Executive summary
15 June 2010 REGIONAL COMMITTEE FOR AFRICA Sixtieth session Malabo, Equatorial Guinea, 30 August 3 September 2010 ORIGINAL: ENGLISH Provisional agenda item 7.2 REDUCTION OF THE HARMFUL USE OF ALCOHOL:
More informationYear. Sources: FAO (Food and Agriculture Organization of the United Nations), World Drink Trends 2003. Male 36.4%
ITALY Recorded adult per capita consumption (age 15+) 25 Litres of pure alcohol 2 15 1 Beer Spirits Wine 5 1961 1965 1969 1973 1977 1981 1985 1989 1993 1997 21 Year Sources: FAO (Food and Agriculture Organization
More informationEvidence based Prevention & Treatment Options for Emerging Heroin Use in a Public Health Framework
Evidence based Prevention & Treatment Options for Emerging Heroin Use in a Public Health Framework Benedikt Fischer, PhD Professor, CIHR/PHAC Chair in Applied Public Health & MSFHR Senior Scholar Faculty
More informationINTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAL CARE SETTINGS ORIENTATION TO THE NEW MEXICO SBIRT PROGRAM
1 INTEGRATING BEHAVIORAL HEALTH SERVICES INTO MEDICAL CARE SETTINGS ORIENTATION TO THE NEW MEXICO SBIRT PROGRAM NM Legislative Health and Human Services Committee October 20, 2014 2 ti NM SBIRT 2013-20182018
More informationTREATMENT MODALITIES. May, 2013
TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.
More informationScreening, 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 informationIII. World Population Growth
III. World Population Growth Population dynamics are one of the key factors to consider when thinking about development. In the past 50 years the world has experienced an unprecedented increase in population
More informationAlcohol 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 informationBinge Drinking Estimated population who have binge drunk in the previous seven days (2003-05)
Binge Drinking Estimated population who have binge drunk in the previous seven days (2003-05) Percentage of residents who have binge drunk in the previous seven days, (2003-05) 14.8-22.7% 13.2-14.8% 12.0-13.2%
More informationAccess to Care / Care Utilization for Nebraska s Women
Access to Care / Care Utilization for Nebraska s Women According to the Current Population Survey (CPS), in 2013, 84.6% of Nebraska women ages 18-44 had health insurance coverage, however only 58.2% of
More information