3 rd most deprived area Registered population 240,000 Young population Growth of 30,000 in next 5 years Highest increase will be in working age 34%
|
|
- Coral Pierce
- 8 years ago
- Views:
Transcription
1 THCAT
2 3 rd most deprived area Registered population 240,000 Young population Growth of 30,000 in next 5 years Highest increase will be in working age 34% Bangladeshi (much higher in under 20s) Recent data shows 3.9% Eastern European 2.8% Somali
3 Hospital Episode Statistics for 2007/08 report that 399 males and 128 females were admitted for conditions specifically caused by alcohol use While the number of alcohol related admissions to hospital in Tower Hamlets remain fewer than those observed for either City and Hackney or Newham, numbers nonetheless continue to steadily rise NI39: alcohol related admissions to hospital 2007/ alcohol related hospital admissions.
4 Ready availability of alcohol Bangladeshi and Somali young people consuming alcohol in contrast to their abstinent parents Approximately 50% abstain from alcohol consumption Lower overall consumption but relatively high levels of associated health and social harms Higher rates of alcohol abuse and dependency among A10 migrants coupled with issues prohibiting access to statutory services and a reliance on emergency services
5 Region Hospital admission for alcoholrelated harm. All persons DSR per 100,000 population Lower 95% CI Upper 95% CI Number of hospital admissions due to alcohol related harm Tower Hamlets City and Hackney Newham London England
6 From Healthy Lifestyles Survey (2009) Percentage of potential hazardous and harmful drinkers
7 3rd most deprived area Highest child poverty High unemployment Low education outcomes Poor housing quality High crime rate Social isolation High risk factors - Smoking - Lower physical activity - Poorer diet
8 PEER PRESSURE DEPRESSION BEREAVMENT UNEMPLOYMENT SOCIALISING STRESS SOCIAL ISOLATION SERIOUS MENTAL ILLNESS (Co-morbidity)
9 A UK 'unit' is 10ml of pure alcohol. Why this amount? It's all to do with how our bodies deal with alcohol. On average, healthy adult bodies can break down 10ml of alcohol in an hour. So, if you drink 10ml of alcohol, 60 minutes later there shouldn't be any left in your bloodstream. Where does the alcohol go? The liver breaks down most of it, though a small amount escapes through the skin, on the breath and in our urine.
10 What does 'ABV' mean? ABV stands for Alcohol By Volume. All pre-packaged alcoholic drinks must state how strong they are. Strength is shown as a percentage, with the letters ABV after the number. For example, most popular wines today are around 13% ABV, beers around 3.8% ABV. However super strength beers can be as much as 9.0 ABV. And they are becoming the norm with many drinkers Some wines are 9% ABV but the most popular ones average around 13%.
11 To find out how many units are in a drink, you need to know its volume in millilitres its %ABV strength Most packaged drinks state their volume in millilitres (ml). However, bottles of spirits and wine often state their volume in centilitres (cl). To get from centilitres to millilitres, simply stick another zero on the end. So, 75cl = 750ml. To find out how many units of alcohol are in a drink: Multiply the volume (in millilitres) by %ABV then divide the result by Units = (volume (ml) x % ABV) /1000
12 Government guidelines on alcohol units The Government's guidelines say that a male should not regularly drink more than 3-4 alcohol units a day and a female should not regularly exceed 2-3 units a day. An excellent guide to this can be found at
13 Alcohol and liver disease Alcohol induced liver disease accounts for over half of all the liver disease in the UK. Source: British Liver Trust Alcohol and weight gain By drinking 12 rums and coke a week you will consume 2880 empty calories. Alcohol and cancer After smoking, drinking alcohol is the biggest risk factor for cancers of the mouth and throat. The risk of breast cancer in women increases by about 7% for each additional drink taken every day. Source: Cancer Research UK
14 Stage 1 A social lubricant? After one or two drinks (1-3 units), we're more talkative and our heart rate speeds up a little, giving us an 'up' feeling. This is the effect that people refer to when they say alcohol makes them feel more sociable. The 'warm feeling', or flushes, is caused by alcohol in the blood making small blood vessels in the skin expand, allowing more blood to flow closer to the surface and lowering blood pressure at the same time.
15 Stage 2 Giddy up! After a couple more drinks (4-6 units) we feel light headed and our co-ordination and reaction times are impaired. Our ability to make decisions is also slowed down. All of these effects are cased by alcohol acting on nerve cells all around the body and making them work more slowly. Driving will be illegal (and dangerous) and operating machinery a bad idea.
16 Stage 3 I'm perfickly shober! Another few drinks (7-9 units) and most people will show definite outward signs of alcohol's effects. Reaction times are much slower, vision becomes blurry and speech is slurred. Drinking more than eight units at a time seriously overloads the liver. If we take care of ourselves in the days to come, it should repair itself but for tomorrow a hangover is pretty much guaranteed.
17 Stage 4 Nobody's friend... Drinking more than 10 units has most people staggering about the place. Accidents are commonplace as are fights caused by bumping into people who're easily upset by such things. This amount of alcohol will be affecting cells all over the body. In an effort to rid itself of the poison, the body tries to pass the alcohol out mixed with water in our urine. This is why alcohol makes us go to the loo a lot and is the cause of the dehydration that gives us morning-after headaches. Alcohol also attacks the gut, causing stomach upsets, heartburn, sickness and diarrhoea.
18 Drinking more than 30 units (that's about twelve pints of strong lager) is enough to knock most people out. From there, it's a short step to heart failure and breathing slowing to a stop. Even when people are already unconscious, alcohol in the stomach can continue to be absorbed and can reach lethal levels. People can also be sick and suffocate on their vomit. For these reasons, it's crucial never to leave very drunk people on their own.
19 CULTURAL SENSITIVITY NON-JUDGEMENTALISM ROLLING WITH RESISTANCE REALISTIC GOAL SETTING
20 Provision of widespread screening for alcohol consumption (new patients and at risk groups) Recording of alcohol consumption in the borough, 36 GP practices! Assessment and treatment (brief intervention and/or referral on to appropriate treatment) Wide range of GP practice staff trained and skilled to support people to change behaviour Brief intervention in primary care setting
21 Increase recording of alcohol Identify levels of harmful/hazardous drinking Provide community detoxification with appropriate support Skilled workforce in delivering range of health change interventions, widely applicable to other areas of health intervention Support general practice in working with other providers, specifically Community Alcohol Service
22 Level A screening and brief advice, units consumed, Audit C, provided by trained practice staff Level C (supported community detoxification) partnership with local alcohol provider and GP
23 Clients can be referred by any agency (with the clients consent), clients can also self refer Client is assessed by the practice nurse for suitability A request is made for the GP to arrange the clients bloods and Liver Function (LFT s) If suitability is met the nurse will contact the GP and request the detoxification medication Detoxification can be of 5 or 8 day duration depending on the level of weekly unit consumption
24 Physical Dependency on Alcohol Physical dependency = people drinking between units per week Age range A supportive person (partner, family member, friend or neighbour) who can be available during detox period. And a suitable home environment. If on assessment, the client does not meet the criteria refer for in-patient detoxification
25 A desire or sense of compulsion to drink Needing a drink first thing to offset withdrawals (Eye opener) Difficulty controlling use or unsuccessful efforts to cut down or control alcohol use physiological withdrawal when attempts at reduction or abstinence are made evidence of tolerance, such that increased amounts of alcohol is required to achieve intoxification or desired affect Salience of alcohol use. A great deal of time is spent in activities necessary to obtain alcohol, drink alcohol, or recover from the effects. Alternative pleasures are neglected. Continued drinking in the face of persistent or recurring social, Psychological or physical harm.
26 Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA- Ar) NAUSEA AND VOMITING TREMOR PAROXYSMAL SWEATS ANXIETY AGITATION TACTILE DISTURBANCES AUDITORY DISTURBANCES VISUAL DISTURBANCES HEADACHE, FULLNESS IN HEAD ORIENTATION AND CLOUDING OF SENSORIUM
27 People who have severe physical problems Those with history of fits/epilepsy and Delirium Tremens Heavy poly substance users Those developing/with signs of Wernicke-Korsakov symptoms People who have a history of suicide attempts or are actively suicidal Pregnant users These people should be referred to the community alcohol team for assessment for in - patient detox.
28 Chlordiazepoxide is a Benzodiazepine that controls the symptoms of acute alcohol withdrawal, including agitation, tremor, anxiety, autonomic over-activity and seizures. Chlordiazepoxide prevents established alcohol withdrawal symptoms progressing into pre delirium tremens, or delirium tremens The dosing of Chlordiazepoxide for alcohol detoxification is best supported by assessment of withdrawal using CIWA-Ar as given in Guideline above and this approach is encouraged in inpatient settings. This also has a potential role in community settings As long acting benzodiazepines, there is a risk of accumulation, toxicity and respiratory depression. CAUTION: Additional care needs to be taken for individuals with: 1. Poor motivation to abstain from alcohol 2. Liver disease. There is a risk of accumulation in those with liver failure. 3. Risk of respiratory depression 4. Aged more than 70 years. There is a risk of accumulation in elderly patients. 5. Risk of dependence if prescribed over an extended period. 6. May exacerbate obsessional phobic and chronic psychotic states if prescribed over extended period.
29 Acamprosate Acamprosate is a synthetic analogue used in the treatment of alcohol cravings. It is designed to provide additional pharmacological support for individuals who want to maintain abstinence from alcohol immediately following detoxification Disulfiram ( Antibuse) Disulfiram is an enzyme inhibitor. Which interferes with the metabolism of alcohol, leading to accumulation of acetaldehyde in the blood. This reaction occurs within 10 minutes of drinking alcohol and may lead to violent flushing, nausea and vomiting over a period of several hours. Prescription of Disulfiram is used as a 6mth abstinence/ maintenance program of alcohol Vitamins 300mgs oral Thiamine daily during the detoxification process. High risk heavy drinkers who are malnourished-thiamine 250mgs daily as Pabrinex intra muscular IM 3-5 days (only as In-patient) For individuals with incipient or established Wernicke s Encephalopathy, the use of Pabrinex IM as above, or 500mgs daily for 3-5 days is advised
30 GP s Statutory Drug Services Self/Relative A&E/General Hospitals Social Services Voluntary Organisations Arrest Referral/DIP Team/Outreach Team Probation CARAT/Prison Teams Housing Children's Services Hostels
31 Assessment Community Detox Residential Detox Counselling up to 12 weeks Pathways into Residential treatment 1:1 key work sessions Brief interventions Structured groups Drop in sessions Peer support AA group FAM ANON Group Acupuncture Women s Group Carers support
32 You can refer to THCAT using our referral form by fax, , post or telephone Clients can self refer by telephone or attend at any of our drop in sessions There is also a dedicated free-phone number for clients to call Details can be found on our website
Alcohol. Problems with drinking alcohol
Alcohol Alcoholism is a word which many people use to mean alcohol dependence (alcohol addiction). Some people are problem drinkers without being dependent on alcohol. If you are alcohol- dependent then
More informationA 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 informationAlcoholism and Problem Drinking
Page 1 of 5 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 informationAlcohol Liaison Service. Alcohol Withdrawal. Information
Alcohol Liaison Service Alcohol Withdrawal Information Alcohol withdrawal If you are dependent on alcohol and suddenly stop drinking, there are a series of symptoms that you may experience. These include:
More informationAlcoholism and Problem Drinking
Page 1 of 5 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 informationSPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE
SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT OF ALCOHOL MISUSE Date: March 2015 1 1. Introduction Alcohol misuse is a major public health problem in Camden with high rates of hospital
More informationTHE BASICS. Community Based Medically Assisted Alcohol Withdrawal. World Health Organisation 2011. The Issues 5/18/2011. RCGP Conference May 2011
RCGP Conference May 2011 Community Based Medically Assisted Alcohol Withdrawal THE BASICS An option for consideration World Health Organisation 2011 Alcohol is the world s third largest risk factor for
More informationSupported Alcohol Withdrawal Treatment Information
Supported Alcohol Withdrawal Treatment Information Alcohol Liaison Service What is Alcohol Withdrawal Syndrome? If you are dependent on alcohol and suddenly stop drinking or you are admitted to hospital
More informationAlcohol Addiction. Introduction. Overview and Facts. Symptoms
Alcohol Addiction Alcohol Addiction Introduction Alcohol is a drug. It is classed as a depressant, meaning that it slows down vital functions -resulting in slurred speech, unsteady movement, disturbed
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 informationAlcohol Dependence and Motivational Interviewing
Alcohol Dependence and Motivational Interviewing Assessment of Alcohol Misuse Checklist Establish rapport patients are often resistant Longitudinal history of alcohol use Assess additional drug use Establish
More informationReintegration. Recovery. Medication-Assisted Treatment for Alcohol Dependence. Reintegration. Resilience
Reintegration Recovery Medication-Assisted Treatment for Alcohol Dependence Reintegration Resilience 02 How do you free yourself from the stress and risks of alcohol dependence? Most people cannot do it
More informationDoes This Hospital Serve Cocktails? Alcohol Withdrawal: A Nursing Perspective. Written and presented by: Susan Laffan, RN, CCHP-RN, CCHP-A
Does This Hospital Serve Cocktails? Alcohol Withdrawal: A Nursing Perspective Written and presented by: Susan Laffan, RN, CCHP-RN, CCHP-A Disclaimer: This speaker has no financial disclaimers to report.
More informationAlcohol and Sensible Drinking
Page 1 of 5 Alcohol and Sensible Drinking See your doctor or practice nurse if you are drinking above the safe limits and are finding it difficult to cut down. What are the recommended safe limits of alcohol
More informationChapter 7. Screening and Assessment
Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions
More informationHow To Understand The Laws Of The United States
Glossary Specialized terms used in this workbook and their meanings: Absorption: The way alcohol enters the bloodstream. Alcohol is absorbed into the blood through the stomach and small intestine. Addiction:
More informationAlcohol 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 informationGlasgow Assessment and Management of Alcohol
Glasgow Assessment and Management of Alcohol If you would like further information or advice on the alcohol screening and withdrawal management guideline(gmaws) please contact your local acute addiction
More informationAlcohol and Dependence
The facts about... Alcohol and Dependence Five key things you need to know A glass of wine with dinner, a beer after work, a cocktail in the sunshine on holiday. Alcohol makes an appearance in so many
More informationAlcohol Awareness: An Orientation. Serving Durham, Wake, Cumberland and Johnston Counties
Alcohol Awareness: An Orientation Alcohol Facts The most commonly used addictive substance in the United States o 17.6 million people (1 in 12 adults) suffer from alcohol abuse or dependence o Millions
More informationAlcohol 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 informationCoping With Alcohol Withdrawal
Coping With Alcohol Withdrawal Central and North West London NHS Foundation Trust Addictions Services Alcohol withdrawal When a person is dependent on alcohol and suddenly stops drinking there are certain
More informationARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR
ARTICLE #1 PLEASE RETURN AT THE END OF THE HOUR Alcoholism By Mayo Clinic staff Original Article: http://www.mayoclinic.com/health/alcoholism/ds00340 Definition Alcoholism is a chronic and often progressive
More informationAlcohol Withdrawal Syndrome & CIWA Assessment
Alcohol Withdrawal Syndrome & CIWA Assessment Alcohol Withdrawal Syndrome is a set of symptoms that can occur when an individual reduces or stops alcoholic consumption after long periods of use. Prolonged
More informationRekindling House Dual Diagnosis Specialist
Rekindling House Dual Diagnosis Specialist Tel: 01582 456 556 APPLICATION FOR TREATMENT Application Form / Comprehensive Assessment Form Please provide as much detail as you can it will help us process
More informationAlcohol, 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 informationAlcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence
Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence Issued: February 2011 guidance.nice.org.uk/cg115 NICE has accredited the process used by the Centre
More informationAlcohol. Do You Know... What is it? Where does alcohol come from?
Do You Know... See also Do You Know... Alcohol, Other Drugs and Driving Alcohol What is it? Alcohol is a depressant drug. That means it slows down the parts of your brain that affect your thinking and
More informationAlcohol and stroke. How can drinking alcohol increase my risk of stroke? Stroke Helpline: 0303 3033 100 Website: stroke.org.uk
Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Alcohol and stroke Regularly drinking large amounts of alcohol greatly increases your risk of stroke. This factsheet explains how alcohol can increase
More informationBLOOD ALCOHOL CONCENTRATION
BLOOD ALCOHOL CONCENTRATION Blood Alcohol Concentration (BAC) is the amount of alcohol in the bloodstream. It is measured in percentages. For instance, having a BAC of 0.10 percent means that a person
More informationAlcohol. 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 informationALCOHOLISM, ALCOHOL DEPENDENCE AND THE EFFECTS ON YOUR HEALTH.
ALCOHOLISM, ALCOHOL DEPENDENCE AND THE EFFECTS ON YOUR HEALTH. Alcoholism also known as alcohol dependence is a disabling ADDICTIVE DISORDER. It is characterized by compulsive and uncontrolled consumption
More informationALCOHOL DETOXIFICATION (IN-PATIENTS) PRESCRIBING GUIDELINE
ALCOHOL DETOXIFICATION (IN-PATIENTS) PRESCRIBING GUIDELINE Authors Sponsor Responsible committee Ratified by Consultant Psychiatrist; Pharmacist Team Manager Medical Director Medicines Management Group
More informationShare the important information in this Medication Guide with members of your household.
MEDICATION GUIDE BUPRENORPHINE (BUE-pre-NOR-feen) Sublingual Tablets, CIII IMPORTANT: Keep buprenorphine sublingual tablets in a secure place away from children. Accidental use by a child is a medical
More informationAlcohol Consumption and Misuse: Factsheet
Alcohol Consumption and Misuse: Factsheet Tower Hamlets Joint Strategic Needs Assessment 2010-2011 Executive Summary This factsheet covers alcohol misuse among adults (aged 18 years and over) along a continuum
More informationDrug Abuse and Addiction
Drug Abuse and Addiction Introduction A drug is a chemical substance that can change how your body and mind work. People may abuse drugs to get high or change how they feel. Addiction is when a drug user
More informationLuton 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 informationALCOHOLISM. getting the facts
ALCOHOLISM getting the facts U.S. Department of Health and Human Services National Institutes of Health National Institute on Alcohol Abuse and Alcoholism ALCOHOLISM getting the facts For many people,
More informationHow To Treat A Drug Addiction
1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside
More informationAlcohol-use disorders: alcohol dependence. Costing report. Implementing NICE guidance
Alcohol-use disorders: alcohol dependence Costing report Implementing NICE guidance February 2011 (February 2011) 1 of 37 NICE clinical guideline 115 This costing report accompanies the clinical guideline:
More informationPatterns of Alcohol Consumption Debating Paper
HEALTH SCRUTINY PANEL 8 TH FEBRUARY 2011 Patterns of Alcohol Consumption Debating Paper The Health Scrutiny Panel agreed the following terms of reference for the review into patterns of alcohol consumption:
More informationAlcohol and Pancreatitis
The facts about... Alcohol and Pancreatitis Five key things you need to know You probably don t pay much attention to your pancreas. But that small, tadpoleshaped organ behind your stomach and below your
More informationMedicines To Treat Alcohol Use Disorder A Review of the Research for Adults
Medicines To Treat Alcohol Use Disorder A Review of the Research for Adults Is This Information Right for Me? Yes, this information is right for you if: Your doctor* said you have alcohol use disorder
More informationAlcohol 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 informationGUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE
GUIDELINES FOR COMMUNITY ALCOHOL DETOXIFICATION IN SHARED CARE Dr Millicent Chikoore MBBS MRCPsych Dr O Lagundoye MBBS MRCPsych Community based alcohol detoxification is a safe and effective option for
More informationHow To Diagnose And Treat An Alcoholic Problem
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 informationSubstance Use Learning Event Nov 3, 2015 Bill Bullock MD, CCFP
Substance Use Learning Event Nov 3, 2015 Bill Bullock MD, CCFP Medical assessment of patient with Alcohol Use Disorder Identification patients suitable for home detox Process for referral to inpatient
More informationNew York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery
New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery USING THE 48 HOUR OBSERVATION BED USING THE 48 HOUR OBSERVATION BED Detoxification
More informationAlcohol-use disorders
Issue date: February 2011 Alcohol-use disorders Diagnosis, assessment and management of harmful drinking and alcohol dependence Alcohol dependence: NICE guideline FINAL DRAFT (February 2011) 1 NICE clinical
More informationAlcohol and the Liver
The facts about... Alcohol and the Liver Five key things you need to know This is a part of your body that regularly works overtime. The liver is our largest organ and it has 500 different roles. One of
More informationAlcohol Withdrawal Recognition and Treatment
Alcohol Withdrawal Recognition and Treatment Thomas Meyer BS EMS, MICP SREMSC Page 1 Purpose As EMTs a mantle of responsibility is placed upon you to ensure the safety and well-being of those in your charge
More informationAlcohol information. A standard drink contains about 10g of alcohol takes a healthy liver about 1 hour to remove alcohol from the body.
Alcohol information Facts about alcohol use Alcohol (grog) is the most widely used recreational drug in Australia NT drinks 70% more and WA 25% more than the rest of Australia Alcohol related deaths for
More informationAlcohol use or abuse. Lesson 2
Leaps and Lesson 2 Alcohol use or abuse SPECIFIC OUTCOMES W-6.1 Evaluate the need for balance and variety in daily activities that promote personal health W-6.7 Identify and communicate values and beliefs
More informationSUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D]
SUBSTANCE USE DISORDER SOCIAL DETOXIFICATION SERVICES [ASAM LEVEL III.2-D] I. Definitions: Detoxification is the process of interrupting the momentum of compulsive drug and/or alcohol use in an individual
More informationV under age drinking
V under age drinking rating the risk An Interactive Research Activity About Alcohol for Years 7 & 8 Designed by: Bob Bellhouse for Victorian Department of Education! Before you start, click here for the
More informationAcute alcohol withdrawal
A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive and designed to be used online. This pdf
More informationINTOXICATED PATIENTS AND DETOXIFICATION
VAMC Detoxification Decision Tree Updated May 2006 INTOXICATED PATIENTS AND DETOXIFICATION Patients often present for evaluation of substance use and possible detoxification. There are certain decisions
More informationAlcohol Use. Alcohol Use
Lesson 5.2 By Carone Fitness Alcohol is a drug found in many different types of beverages, including beer, wine, and liquor. At first the drinker may experience a buzz, but then the true nature of the
More informationBARKING & DAGENHAM COMMUNITY ALCOHOL TEAM
CRI Barking & Dagenham Community Alcohol Service St Luke s Centre Dagenham Road Dagenham RM10 7UP Tel 0208 595 1375 Fax 0208 595 1445 BARKING & DAGENHAM COMMUNITY ALCOHOL TEAM ALCOHOL DETOXIFICATION ON
More informationHow To Detox At Respite House
Respite House Alcohol Detox Client Information Sheet Cambridgeshire Community Services NHS Trust: delivering excellence in drug services across Luton as part of the ResoLUTiONs Pathway Respite House client
More informationAlcohol detoxification
Alcohol detoxification A guide to alcohol detoxification for service users and families. Stockton Treatment Alcohol and Recovery Service Alcohol dependence If you are dependent on alcohol then you will
More informationDANGERS OF. f HEROIN. ALERT s alert
AKA > Smack, H, hammer, skag, horse, dope, rocks... WHAT IS HEROIN? Heroin comes from the opium poppy. 1 Heroin is sold as white granules, pieces of rock or powder with a bitter taste and no smell. It
More informationTitle: How to manage risky drinkers in Primary Health Care. Authors: Acknowledgements:
Title: How to manage risky drinkers in Primary Health Care Authors: Acknowledgements: This guide has been writen in accordance with the criteria of the PHEPA Training Programme on identification and brief
More informationAlcohol-use disorders
Issue date: February 2011 Alcohol-use disorders Diagnosis, assessment and management of harmful drinking and alcohol dependence Alcohol dependence: NICE guideline FINAL DRAFT (February 2011) 1 NICE clinical
More informationLike cocaine, heroin is a drug that is illegal in some areas of the world. Heroin is highly addictive.
Heroin Introduction Heroin is a powerful drug that affects the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants to.
More information. Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland
. Alcohol Focus Scotland. Response to Tackling poverty, Inequality and deprivation in Scotland Introduction Problem drinking and social groupings. Alcohol prob.lems affect people from all social groups.
More informationClick to edit Master text styles Second level Third level Fourth level Fifth level
Click to edit Talking about Master alcohol title quiz style How much do you know? www.talkaboutalcohol.com 1 Question 1: Why does alcohol affect men and women differently? a) The liver breaks down alcohol
More information75-09.1-08-02. Program criteria. A social detoxi cation program must provide:
CHAPTER 75-09.1-08 SOCIAL DETOXIFICATION ASAM LEVEL III.2-D Section 75-09.1-08-01 De nitions 75-09.1-08-02 Program Criteria 75-09.1-08-03 Provider Criteria 75-09.1-08-04 Admission and Continued Stay Criteria
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 information1 GUIDE TO ALCOHOLISM
1 GUIDE TO ALCOHOLISM Understanding Alcoholism While a glass of wine with dinner or a couple of beers while watching the big game may seem like a harmless way to unwind, for 14 million Americans, it is
More informationat www.bucksdaat.co.uk
If you require any further information on any drug or alcohol issues, please contact: Buckinghamshire Drug & Alcohol Action Team (DAAT) Tel: 01296 387034 Email: bucksdaat@buckscc.gov.uk Web: www.bucksdaat.co.uk
More informationVersion 2 This guideline describes how to manage patients who are showing signs and symptoms of alcohol withdrawal and Wernicke s Encephalopathy.
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Directorate & Speciality A Guideline for the Management of Acute Alcohol Withdrawal
More informationDRUG AND ALCOHOL DETOXIFICATION: A GUIDE TO OUR SERVICES
01736 850006 www.bosencefarm.co.uk DRUG AND ALCOHOL DETOXIFICATION: A GUIDE TO OUR SERVICES An environment for change Boswyns provides medically-led drug and alcohol assessment, detoxification and stabilisation.
More informationAlcohol management York Service Alcohol management - medically assisted alcohol withdrawal and supported reduction
Alcohol management York Service Alcohol management - medically assisted alcohol withdrawal and supported reduction Version 4 JT January 2014 page 1 Alcohol Management York Service assessment of alcohol
More informationWhat are some of the signs that alcohol is a problem?
Problems with Alcohol How can I tell if alcohol is a problem for me? Alcohol is a problem if it affects any part of your life, including your health, your work and your life at home. You may have a problem
More informationMENTAL HEALTH ALCOHOL AND SUBSTANCE ABUSE
MENTAL HEALTH ALCOHOL AND SUBSTANCE ABUSE Currently, nearly 14 million Americans 1 in every 13 adults abuse alcohol or are alcoholic. Several million more adults engage in risky drinking patterns that
More informationRelapse prevention clinic
Relapse prevention clinic Doncaster drug and alcohol services RDaSH Substance Misuse Services Relapse Prevention Clinic Sinclair House 29-31 Thorne Road Doncaster DN1 2EZ Tel: 01302 303900 Treatment, support
More informationAlcohol Screening and Brief Intervention
Updatedì A POCKET GUIDE FOR Alcohol Screening and Brief Intervention Updated 2005 Edition This pocket guide is condensed from the 34-page NIAAA guide, Helping Patients Who Drink Too Much: A Clinician s
More informationThe Impact of Alcohol
Alcohol and Tobacco Smoking cigarettes and drinking alcohol are behaviors that often begin in adolescence. Although tobacco companies are prohibited from advertising, promoting, or marketing their products
More informationAlcohol and Young people
The facts about... Alcohol and Young people Five key things you need to know There s good news. And there s bad. Despite what the headlines often lead us to believe, the number of teenagers who are drinking
More informationGuidance for the Detoxification of Alcohol Dependent Patients in Community or Outpatient Settings
Title: Identifier: Replaces: Guidance for the Detoxification of Alcohol Dependent Patients in Community or Outpatient Settings NHSG/Guid/Detox_ADP/MGPG663 N/A - New document Across NHS Boards Organisation
More informationPrescription Drug Abuse
Prescription Drug Abuse Introduction Most people take medicines only for the reasons their health care providers prescribe them. But millions of people around the world have used prescription drugs for
More informationFAQ' 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 informationDavid Meshorer, Ph.D. Psychological Health Roanoke
Substance Abuse In The Elderly David Meshorer, Ph.D. Psychological Health Roanoke The Invisible Epidemic Substance abuse in the elderly is one of the fastest growing health problems facing the county Even
More informationAlcohol Screening and Brief Intervention
Updatedì A POCKET GUIDE FOR Alcohol Screening and Brief Intervention Updated 2005 Edition This pocket guide is condensed from the 34-page NIAAA guide, Helping Patients Who Drink Too Much: A Clinician s
More information10 9 8 7 10 9 8 6 Too s f 7 6 5 4 3 2 1 or 5 4 Change 3 2 1
10 9 8 7 6 5 4 3 2 1 10 9 8 7 Too s for Change 6 5 4 3 2 1 Adapted by Ed Sipler, Health Development Specialist and Pauline Murnin, Dual Diagnosis Practitioner in the South Eastern HSC Trust. This workbook
More informationOVERVIEW WHAT IS POLyDRUG USE? Different examples of polydrug use
Petrol, paint and other Polydrug inhalants use 237 11 Polydrug use Overview What is polydrug use? Reasons for polydrug use What are the harms of polydrug use? How to assess a person who uses several drugs
More informationAssisted alcohol withdrawal
A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive and designed to be used online. This pdf
More informationAlcohol Abuse and Addiction Management Protocol
Alcohol Abuse and Addiction Management Protocol All Team Members: Patient Self-Management Education and Support Alcohol is the most commonly abused drug in the United States. About 18 million people in
More informationSUBSTANCE ABUSE. Key Concepts. Types of Drugs
SUBSTANCE ABUSE You have to choose who you want to be in life. This happens by making lots of decisions every day. Using substances is a choice. This is a big choice, because substances have a very real
More informationCocaine. Like heroin, cocaine is a drug that is illegal in some areas of the world. Cocaine is a commonly abused drug.
Cocaine Introduction Cocaine is a powerful drug that stimulates the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants
More informationSUBSTANCE ABUSE - ALCOHOL
NORTH CAROLINA FARMWORKER HEALTH PROGRAM Office of Research, Demonstrations, and Rural Health Development Department of Health and Human Services 2009 Mail Service Center Raleigh, NC 27699-2009 June 2006
More informationAlcohol use disorders: sample chlordiazepoxide dosing regimens for use in managing alcohol withdrawal
Alcohol use disorders: sample chlordiazepoxide dosing regimens for use in managing alcohol withdrawal February 2010 NICE clinical guidelines 100 and 115 1 These sample chlordiazepoxide dosing regimens
More informationTeen Misuse and Abuse of Alcohol and Prescription Drugs. Information for Parents
Teen Misuse and Abuse of Alcohol and Prescription Drugs Information for Parents Terminology Misuse: Using a drug in a way in which it was not intended Example: Using a higher dose of medication than was
More informationSection 15.3 Long-Term Risks of Alcohol
Objectives Identify five serious physical effects of longterm alcohol abuse. Describe the three stages of alcoholism. List in order three steps taken during recovery from alcoholism. Slide 1 of 25 Myth
More informationTAMESIDE & GLOSSOP NATIONAL ENHANCED SERVICE FOR ALCOHOL MISUSERS
TAMESIDE & GLOSSOP NATIONAL ENHANCED SERVICE FOR ALCOHOL MISUSERS THE NEW G.P. CONTRACT The new GP contract Provision of specialist services Minor surgery; depression; drug dependency Payments Accreditation
More informationHow To Prevent Alcohol And Drug Abuse At Stanford
STANFORD UNIVERSITY Office for Campus Relations Stanford Help Center Alcohol and Drug Abuse Prevention at Stanford Information for Faculty and Staff Phone: 650-723-4577 or Email: helpcenter@lists.stanford.edu
More informationLESS IS MORE. Less alcohol...more money, more energy, more control
Thinking of cutting down? Need some help? This booklet is for you. LESS IS MORE Less alcohol...more money, more energy, more control CONTENTS Page Less alcohol, more...? 2 Earmark what you need to change
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 informationmethadonefact.qxd 8/11/01 2:05 PM Page 1 INFORMATION Advantages of methadone treatment DEPRESSANT Methadone maintenance Pregnancy METHADONE
methadonefact.qxd 8/11/01 2:05 PM Page 1 INFORMATION Advantages of methadone treatment 10 DEPRESSANT Methadone maintenance Pregnancy METHADONE methadonefact.qxd 8/11/01 2:05 PM Page 2 WHAT IS METHADONE
More information