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Alcohol And Primary Health Care
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Book Synopsis Addressing Unhealthy Alcohol Use in Primary Care by : Richard Saitz
Download or read book Addressing Unhealthy Alcohol Use in Primary Care written by Richard Saitz and published by Springer Science & Business Media. This book was released on 2012-12-22 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: While there is a wealth of published information on addiction medicine, the psychological aspects of alcohol abuse, and behavioral medicine with regard to addiction, virtually none of these resources were written with the primary care provider in mind. Addressing Unhealthy Alcohol Use in Primary Care is a resource for primary care clinicians who are confronted by patients with these problems daily, and who wish to successfully address these issues in their practice. It would focus on the literature and science relevant to primary care practice and cover the range of interventions appropriate for this setting. Topics include assessment, brief counseling interventions, pharmacotherapy, referrals to both specialty care and Alcoholics Anonymous (and other self-help programs), psychiatric co-morbidity and other drug use, and other information specific to the needs of the primary care provider.
Book Synopsis Alcohol and Primary Health Care by : Peter Anderson
Download or read book Alcohol and Primary Health Care written by Peter Anderson and published by WHO Regional Office Europe. This book was released on 1996 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book goes some way to answering the questions of how the harm done by alcohol use can be prevented and managed in primary health care. It discusses strategies and approaches that can be adopted by primary health care providers in their everyday work with individuals and families, and outlines the possibilities for them to participate in community action and to advocate for healthy public policy on alcohol.
Book Synopsis A Guide to Substance Abuse Services for Primary Care Clinicians by : Eleanor J. Sullivan
Download or read book A Guide to Substance Abuse Services for Primary Care Clinicians written by Eleanor J. Sullivan and published by . This book was released on 1997 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: EXECUTIVE SUMMARY AND RECOMMENDATIONS: The goal of this TIP is to recommend guidelines for primary care clinicians to follow in caring for patients with alcohol and other drug use disorders. These guidelines were developed by a Consensus Panel of clinicians, researchers, and educators who work on the prevention and treatment of substance use disorders. Protocols are based partly on research evidence, partly on Panel members' clinical experience. The algorithm to the left follows a patient with substance use problems who presents in a primary care setting. The chart will serve as a guide or road map through screening, brief assessment, brief intervention, assessment, referral, specialized treatment, and followup care as they are detailed in the TIP. Since substance use disorders are often chronic conditions that progress slowly over time, primary care clinicians, through their regular, long-term contact with patients, are in an ideal position to screen for alcohol and drug problems and monitor each patient's status. Futhermore, studies have found that primary care clinicians can actually help many patients decrease alcohol consumption and its harmful consequences through office-based interventions that take only 10 to 15 minutes (Kahan et al., 1995; Wallace et al., 1988). This potential, however, is largely untapped: Saitz and colleagues found that of a sample of patients seeking substance abuse treatment, 45 percent reported that their primary care physician was unaware of their substance abuse (Saitz et al., in press). Yet even though screening and limited treatment of substance use disorders do not require a large time investment, the Consensus Panel that developed this TIP recognized that many primary care clinicians are already overwhelmed by the demands imposed by expanded gatekeeper functions. The Panel realized that a practical approach to addressing patients' substance abuse problems was needed: one that recognized the time and resource limitations inherent in primary care practice and offered a series of graduates approaches that could be incorporated into a normal clinic or office routine. Biological, medical, and genetic factors as well as psychological, social, familial, cultural, and other environmental features all bear on substance abuse. Addressing the condition effectively requires a team effort, especially when it has progressed beyond the early stage. For this reason, in addition to screening and intervention treatment options, these guidelines include information about viable referral for assessment and treatment, as well as followup. Readers will notice that the TIP contains more information on alcohol use and abuse than on use of illicit drugs. This reflects both the scope of the problems and the research literature available about them. It is estimated that about 18 million people with alcohol use problems and 5 million users of illicit drugs need treatment. Although the Panel recognizes that tobacco is an addictive substance with a major public health impact, it is not included in this TIP because the topic falls outside CSAT's purview. Readers are referred to "Smoking Cessation: a Guide for Primary Care Clinicians," published by the Agency for Health Care Policy and Research (Agency for Health Care Policy and Research, 1996). The Consensus Panel's recommendations are based on a combination of clinical experience and research-based evidence. In the list below, the summary guidelines supported by the research literature are followed by (1); clinically based recommendations are marked (2). Citations supporting the former are referenced in the body of the document. Screening and assessment instruments mentioned below are reproduced and discussed in Chapters 2 and 4 and Appendix C. The guidelines are presented in more detail in Chapter 6.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309682681 Total Pages :123 pages Book Rating :4.3/5 (96 download)
Book Synopsis Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings by : National Academies of Sciences, Engineering, and Medicine
Download or read book Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2021-01-30 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Behavioral health conditions, which include mental health and substance use disorders, affect approximately 20 percent of Americans. Of those with a substance use disorder, approximately 60 percent also have a mental health disorder. As many as 80 percent of patients with behavioral health conditions seek treatment in emergency rooms and primary care clinics, and between 60 and 70 percent of them are discharged without receiving behavioral health care services. More than two-thirds of primary care providers report that they are unable to connect patients with behavioral health providers because of a shortage of mental health providers and health insurance barriers. Part of the explanation for the lack of access to care lies in a historical legacy of discrimination and stigma that makes people reluctant to seek help and also led to segregated and inhumane services for those facing mental health and substance use disorders. In an effort to understanding the challenges and opportunities of providing essential components of care for people with mental health and substance use disorders in primary care settings, the National Academies of Sciences, Engineering, and Medicine's Forum on Mental Health and Substance Use Disorders convened three webinars held on June 3, July 29, and August 26, 2020. The webinars addressed efforts to define essential components of care for people with mental health and substance use disorders in the primary care setting for depression, alcohol use disorders, and opioid use disorders; opportunities to build the health care workforce and delivery models that incorporate those essential components of care; and financial incentives and payment structures to support the implementation of those care models, including value-based payment strategies and practice-level incentives. This publication summarizes the presentations and discussion of the webinars.
Book Synopsis Alcohol, Drug, and Related Mental Health Problems by : National Center for Alcohol Education
Download or read book Alcohol, Drug, and Related Mental Health Problems written by National Center for Alcohol Education and published by . This book was released on 1980 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book ABC of Alcohol written by Anne McCune and published by John Wiley & Sons. This book was released on 2015-04-30 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: The misuse of alcohol presents both individual physical and psychological problems as well as wider social consequences. Alcohol misuse is a frequent cause of attendance in accident and emergency departments and an underlying factor in a range of long term and chronic conditions commonly treated and managed within primary care settings. This expanded fifth edition includes new chapters on alcohol and the young person, alcohol related liver disease, neurological problems, alcohol and the older person, alcohol and cancer, and the alcohol nurse specialist. There is also improved coverage of the role of alcohol health workers, and guidance on the availability of voluntary alcohol services more generally, and the concluding resources chapter provides further guidance on how to access appropriate services. It incorporates current NICE guidelines, the Government’s Alcohol Strategy 2012, as well as case study scenarios and examples of best practice throughout. From a new editor and a multidisciplinary contributor team, ABC of Alcohol is a practical guide for general practitioners, family physicians, practice nurses, primary healthcare professionals as well as for junior doctors, medical and nursing students. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand store.
Book Synopsis Alcohol-related Problems for Primary Health Care Workers by : Peter Schioeler
Download or read book Alcohol-related Problems for Primary Health Care Workers written by Peter Schioeler and published by . This book was released on 1991 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Brief Interventions for Risky Drinkers by : Antoni Gual
Download or read book Brief Interventions for Risky Drinkers written by Antoni Gual and published by Frontiers Media SA. This book was released on 2016-06-29 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: Alcohol is the sixth leading risk factor for disability and premature death all over the world, and one of the leading causes of premature mortality in western societies; it is a leading risk factor for death in young and middle-age males. Heavy drinking accounts for about two thirds of the burden of disease attributable to alcohol. In the early 1980s, screening and brief interventions (SBI) in primary health care settings were proposed as effective strategies to identify risky drinkers and to help them reduce their drinking. Since then, a growing body of evidence, including several meta-analysis and Cochrane reviews, has shown the efficacy and effectiveness of SBI in primary health settings. However, demonstrating the effectiveness of SBI has not been insufficient to facilitate its general implementation in the routines of primary health care physicians, and in fact the dissemination of SBI has proven to be a difficult business. Qualitative and quantitative research has identified most of the facilitators and barriers for its implementation, and publicly funded research has been earmarked to address the dissemination problems worldwide. Some examples are the World Health Organization Phase III and Phase IV studies on the identification and management of alcohol-related problems in primary care, EU funded projects (PHEPA, AMPHORA, ODHIN, BISTAIRS), the UK SIPS trials and the SBIRT developments sponsored by the Substance Abuse & Mental Health Services Administration (SAMHSA) in the USA. The efficacy and effectiveness of SBI in primary health is now well established, but there are still some questions that remain unsolved: which practitioners should deliver them; what length should they be; is there a need for booster sessions; is there added value of a motivational approach? These questions, together with other relevant aspects of SBI, need ongoing research. In recent years, SBIs have been tested in settings other than primary health care, including hospitals, accident and emergency rooms, criminal justice, colleges and universities, social services and pharmacies. In some of those areas, the evidence is scarce (for example, pharmacies) while in others it is very promising (for example, students and hospitals). New technologies have also offered the possibility of online tools, and, in the last few years, different digital-based applications have been tested successfully as new ways to deliver effective SBIs to larger amounts of people. Brief interventions have also spread to drugs other than alcohol. This book aims to be an update of the state-of-the art of brief advice. It is a compilation of articles published by some of the most relevant researchers in the field in Frontiers in Psychiatry between 2014 and 2016.
Book Synopsis Physician and Nurse-Led Brief Intervention for Alcohol Drinking in the Primary Care Setting by : Ching-Han Helen Chan
Download or read book Physician and Nurse-Led Brief Intervention for Alcohol Drinking in the Primary Care Setting written by Ching-Han Helen Chan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Physician and Nurse-led Brief Intervention for Alcohol Drinking in the Primary Care Setting: a Systematic Review" by Ching-han, Helen, Chan, 陳靜嫻, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background: With the increasing public health concern over the alcohol related health burden and mortality globally, the World Health Organization (WHO) has listed alcohol use as the top three risk factors in Non-Communicable Disease (NCD) and the alcohol related mortality and morbidity could be avoided through early intervention and prevention. The Department of Health (DH) of Hong Kong Special Administration Region (HKSAR) has declared the alcohol epidemic was alarming with the increasing in prevalence of alcohol use and binge drinking especially among young people with the westernization of Hong Kong society. In combating local alcohol use epidemic, DH has put priority to reform health care sector system and to ensure that the local health care system is responsive to the local alcohol use problem. Brief intervention (BI) was found to be effective in dealing with at-risk alcohol use especially in primary health care settings in the various past systematic reviews. However, most reviews mainly focus on physician-led BI while the role of nurse in BI delivery in alcohol drinking had not been under great attention. The effectiveness of nurse-led BI to at-risk drinking has not been fully examined as compared with physician-led interventions in the past reviews. Evaluation of treatment components in terms of intensity, treatment components and service settings may also shed light to public health policy makers in development of local model of BI in dealing with drinking problem in the Chinese population. Objective: To investigate the effectiveness of physician-led or nurse-led BI on quantity of alcohol consumption, number of drinking days, number of binge drinking episode and health care utilization. The potentially effective treatment intensity, treatments components and setting of intervention were also investigated. Methods: All the studies published from 1990 to 2012 in MEDLINE, would be evaluated on the effectiveness of BI delivered by physicians and/or nurses to adult at-risk drinkers in primary health care settings, were searched and identified using a combination of keywords. Results: A total of 13 randomized controlled trials out of 134 articles from MEDLINE were included in this systematic review. The included studies used different outcome measurements to compare the effectiveness of BI by physicians and/or nurses in treating at-risk drinking. Similar demographics and clinical characteristics of the subjects between the intervention and control groups were reported. The studies were from 5 countries. The age range of subjects was from 14 to 75 years old. Majority of subjects drank beyond the recommended limits defined by Alcohol Abuse and Alcoholism (NIAA), United State (US). Through there were discrepancies among the results generated in the included studies on the effectiveness of physician-led and/ or nurse-led BI, the benefits of nurse-led BI in treatment of at-risk drinking cannot be dispelled and could be considered as an alternative or supplement to the physician-led BI in busy primary health care setting today. BI with at least two 5-15 minute sessions was found to be more effective than very BI with one 5-minute session only. High quality BI with all five essential treatment components (information giving, advice, goal setting, assistance and follow up) were found to be more effective than partially i
Book Synopsis Het beklag van de Amsterdamsche zwendelaars, over het arremoedig verteere van haar geld by de Lydenaars. Vois: het is wat raars by :
Download or read book Het beklag van de Amsterdamsche zwendelaars, over het arremoedig verteere van haar geld by de Lydenaars. Vois: het is wat raars written by and published by . This book was released on 1775 with total page 2 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Alcohol and Primary Health Care by : P. Anderson
Download or read book Alcohol and Primary Health Care written by P. Anderson and published by . This book was released on 1996 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis WHO Collaborative Project on Identification and Management of Alcohol-related Problems in Primary Health Care by : Nick Heather
Download or read book WHO Collaborative Project on Identification and Management of Alcohol-related Problems in Primary Health Care written by Nick Heather and published by . This book was released on 2006 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Alcohol-Related Harm and Primary Health Care in British Columbia, Canada by : Amanda Kathleen Slaunwhite
Download or read book Alcohol-Related Harm and Primary Health Care in British Columbia, Canada written by Amanda Kathleen Slaunwhite and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years there has been a renewed focus on reducing the harms of addictive substances such as alcohol while at the same time restraining or reducing health care costs. To address these issues, and many of the existing limitations in the literature, the purpose of this dissertation was to improve our understanding of the geography of alcohol-related harm, and use of primary health care services for alcohol-attributed diseases in British Columbia (BC). To achieve this purpose, there were three research objectives that guided the research that comprises this dissertation: Objective 1: Measure regional variations and trends in primary health care utilization in BC for alcohol-attributed diseases across time (2001-2011) and space (Health Service Delivery Areas) (Studies A & D); Objective 2: Describe primary health care physician experiences treating persons with alcohol-attributed diseases in rural communities that are isolated and sparsely populated with minimal access to secondary or tertiary level services (Study B), and Objective 3: Develop a methodology to describe the geography of alcohol-related harm in BC to identify regions that have populations who may have elevated risk for the development of alcohol-attributed diseases (Study C).
Book Synopsis The National Treatment Improvement Evaluation Study, NTIES. by :
Download or read book The National Treatment Improvement Evaluation Study, NTIES. written by and published by . This book was released on 1997 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Improving the Quality of Health Care for Mental and Substance-Use Conditions by : Institute of Medicine
Download or read book Improving the Quality of Health Care for Mental and Substance-Use Conditions written by Institute of Medicine and published by National Academies Press. This book was released on 2006-03-29 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
Book Synopsis Alcohol and primary health care by : Peter Anderson
Download or read book Alcohol and primary health care written by Peter Anderson and published by . This book was released on 2005 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Alcohol: No Ordinary Commodity by : Thomas F. Babor
Download or read book Alcohol: No Ordinary Commodity written by Thomas F. Babor and published by Oxford University Press. This book was released on 2010-02-25 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: From a public health perspective, alcohol is a major contributor to morbidity and mortality, and impacts on many aspects of social life. This text describes advances in alcohol research with direct relevance to the development of effective policies at local, national and international level.
