Managing Alcohol-Related Attendances in Emergency Care: Can Diversion to Bespoke Services Lessen the Burden?

Abstract

Acute alcohol intoxication (AAI) has a long history of burdening emergency care services. Healthcare systems around the world have explored a variety of different services that divert AAI away from EDs to better manage their condition. Little formal evaluation has been undertaken, particularly in the UK where alcohol misuse is one of the highest in the world. In this article, we outline a brief history of diversionary services, introduce the concept of Alcohol Intoxication Management Services (AIMS) and describe examples of AIMS in the UK. We then describe Evaluating the Diversion of Alcohol-Related Attendances, a natural experiment including six cities with AIMS compared with six cities without, that involves an ethnographic study, records patient experiences in both AIMS and EDs, assesses impact on key performance indicators in healthcare and evaluates the cost-effectiveness of AIMS.

Jose Luis Vazquez Martinez

En enero de 2017, Isaac Whitman y un grupo de investigadores reportaron que, en el estudio que hicieron con más de 14 millones de personas, el consumo problemático de alcohol es un factor de riesgo evitable para

Jose Luis Vazquez Martinez

Date: February 13, 2019

Time: 12:30-1:30 PM (Washington, DC time - EST)

Dr. Pamela Trangenstein, Fellow at the Alcohol Research Group, will present the report published on December 2018.

More information on registration will be available soon!

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webinar United States
Jose Luis Vazquez Martinez

 

Animated version of NIDA's "Drugs: SHATTER THE MYTHS" booklet, which answers teens’ most frequently asked questions about drugs and abuse with scientific facts and engaging images.

Jose Luis Vazquez Martinez

En México, Baeza Torres y un equipo de investigadores de la UNAM llevaron a cabo la Validación del Inventario Situacional de Consumo de Alcohol (ISCA) en personas que buscan tratamiento, con una muestra de 592 personas que solicitaron atención psicológica en un centro de atención para las adiccio

Jose Luis Vazquez Martinez

Nowadays there is some evidence available that points out that physical activity/exercise can be beneficial in the treatment of alcohol use disorders (AUD) and its comorbidities, like anxiety and depression.

Fact Sheet: Alcohol and Cancer

Drinking alcohol is a risk factor contributing to seven types of cancer.

The more alcohol you drink, the greater the risk of developing cancer.

This fact sheet, developed by Alcohol Change UK, explains how high these risks are, which types of cancer are more likely, how alcohol causes cancer, and gives you guidelines on how to keep your risk low.

World Health Organization SAFER Alcohol Control Initiative

The WHO Global Status Report on Alcohol and Health claims that alcohol consumption contributes to more than 3 million deaths globally every year and is the seventh leading risk factor for premature death and disability.

The World Health Organization has released a new initiative and package called SAFER, which outlines five strategies that can help governments to reduce the harmful use of alcohol and relieve the associated health, social and economic burden. 

The SAFER initiative has been developed with support from multiple partners, civil society organisations and governments. The information contained within the package is scientifically sound and provides clear advice to governments on how to tackle this issue and save lives. 

SAFER stands for:

  • Strengthen restrictions on alcohol availability.
  • Advance and enforce drink-driving countermeasures.
  • Facilitate access to screening, brief interventions, and treatment.
  • Enforce bans or comprehensive restrictions on alcohol advertising, sponsorship, and promotion.
  • Raise prices on alcohol through excise taxes and pricing policies.

Dr Tedros Adhanom Ghebreyesus, Director General of the World Health Organization describes SAFER as, “a package of proven interventions to reduce the harms caused by alcohol, and a new partnership to catalyse global action”.

Edie O'Dowd

Dying for a Drink

Scottish Health Action on Alcohol Problems (SHAAP) has published its latest report, ‘Dying for a drink’

Scottish people tend to consume more alcohol than people in England and Wales. Alcohol is a harmful substance and, consumed in excess, can result in serious social, physical and mental health problems. Rates of alcohol related deaths in Scotland have been steadily decreasing since 2000 however the downward trend is levelling off. 

The purpose of the document is to gather information that will help develop the understanding of the particular risk factors associated with alcohol-related deaths, and to provide suggestions of evidenced interventions that can prevent and treat alcohol-related harm.

The publication presents a literature review of the latest research on factors contributing to alcohol deaths, as well as interview responses from people living in Scotland, whose lives have been negatively impacted by excessive alcohol consumption.

The hope is, that by gathering information from both an academic standpoint and the perspective of everyday people telling their story, a broad and in depth analysis of the situation on different levels can be gained. This can then help inform practical responses that are more likely to be efficient and effective at reducing alcohol related harm and death in Scotland.

Alcohol Occasionals: Seminars 2013–2018

Almost a fifth more alcohol is sold per adult in Scotland than in England and Wales. It is believed 1 in 4 people drink at hazardous or harmful levels and in 2016 alone there were over 1,200 alcohol-related deaths in Scotland. 

Scottish Health Action on Alcohol Problems (SHAAP) and the Scottish Alcohol Research Network (SARN) have published a collection of discussions from a series of ‘Alcohol Occasionals’ seminars, running from 2013- 2018.

The seminars provided an opportunity for all individuals interested in alcohol-related research to participate in discussions and think critically about the subject.

The topics covered include:

  • Alcohol and Young People 
  • Alcohol and Mental Health 
  • Alcohol, Europe and the World 
  • Alcohol and Health Inequalities 
  • Alcohol and Social Justice 

The ‘Alcohol Occasionals’ seminar series continues, with the upcoming theme for 2018-19 being ‘Alcohol and Recovery’.

It is essential to understand the trends and risk factors associated with alcohol consumption in Scotland, as well as use the latest research to develop strategies and activities to reduce harm.

Tobias Sikuku Nauruki


 

Jose Luis Vazquez Martinez

有害使用酒精2 对公共卫生具有严重后果,被视为导致全球健康状况不佳的主要风 险因素之一。在本战略中,有害使用酒精的概念3 是宽泛的,既包括可能给饮酒者, 饮酒者身边的人以及整个社会造成有害健康和社会后果的饮酒行为,也包括可能使有 害健康后果风险增加的饮酒模式。它危及到个人与社会的发展,可能毁掉个人生活、 破坏家庭并损害社区结构。

Jose Luis Vazquez Martinez

L’usage nocif de l’alcool a de graves répercussions sur la santé publique et il est considéré comme l’un des principaux facteurs de risque de morbidité dans le monde.

Jose Luis Vazquez Martinez

The harmful use of alcohol is a serious health burden, and it affects virtually all individuals on an international scale.