alcohol prevention in halton. northwest - 39 regions local authority under 18’s alcohol specific...
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Alcohol Prevention in
Halton
Northwest - 39 regions
Local Authority
Under 18’s alcohol specific hospital admissions
Over 18’s alcohol attributable hospital admissions
Halton 6th highest 9th highest
Local Authority
Under 18’s alcohol specific hospital admissions
Over 18’s alcohol attributable hospital admissions
Halton 8th highest 15th highest
England - 326 regions
NICE Guidance on Alcohol Education
• Encouraging children not to drink
• Delaying the age at which young
people start drinking
• Reducing the harm it can cause
among those who do drink
nice.org.uk/PH7
Chief Medical Officers December 2009
• An alcohol-free childhood is the healthiest and best option
• The importance of parental influences should be communicated to
parents / carers and professionals
• Parents / carers need advice on how to respond to alcohol use and
misuse by children
• Support services must be available for children and
young people who have alcohol-related problems
and their parents
• Alcohol training is available for teaching staff
• Healthy Schools – health information / support offered
• Healthitude programme
The Alcohol aspect of the programme includes information such as:
• What do you know about alcohol
• The harm alcohol causes
• Recovery position
• Alcohol and the law
Alcohol Prevention in Halton
Children and Young People
Alcohol Prevention Alcohol Identification and Brief Advice (IBA) Training
What is Identification and Brief Advice (IBA)?
IBA is the terminology used for targeted screening and the provision of brief advice session, which should be delivered opportunistically
It takes 3 minutes
(Commissioning training for behaviour change interventions guidelines for best practice)
How effective are they?
•Brief advice given to someone drinking at above the lower risk limits will result in 1 in 8 reducing their alcohol consumption
• Drinkers may reduce consumption by as much as 20% as a result of brief intervention
• Heavy drinkers are twice as likely to cut down after receiving brief advice compared to no intervention
• For every £1 spent on alcohol services it is estimated that £5 will be saved across health and wider public services
Who do we train in IBA in Halton?
The training suitable for any one who has the opportunity to give brief alcohol advice
Key Groups for 2013/14;
•GPs and Practice Staff•Police, Community Safety & PCSOs•Midwives•School Nurses•Teams working with adult services•Teams working with CYP services
What is included in the training? The training is bespoke to the target group but generally includes:
• Units of alcohol and the different strengths
• Foetal Alcohol Spectrum Disorder (FASD)
• Individual level of alcohol risk:
(lower risk, increasing risk, higher risk and dependency)
• The long and short term effects of alcohol
• Alcohol and the law
• Screening for levels of alcohol use using an AUDIT screening tool
• How to use a Patient Information leaflet to give brief advice
• Care pathway following IBA & referral into local alcohol services
Screening tools – AUDIT C
Questions
Scoring systemYour score0 1 2 3 4
How often do you have a drink containing alcohol? NeverMonthlyor less
2 - 4 times per
month
2 - 3 times per
week
4+ times per
week
How many units of alcohol do you drink on a typical day when you are drinking?
1 -2 3 - 4 5 - 6 7 - 8 10+
How often have you had 6 or more units if female, or 8 or more if male, on a single occasion in the last year?
NeverLess than
monthlyMonthly Weekly
Daily or
almost daily
Scoring:
A total of 5+ indicates increasing or higher risk drinking.
An overall total score of 5 or above is AUDIT-C positive.
SCORE
Remaining AUDIT questions
Questions
Scoring systemYour score0 1 2 3 4
How often during the last year have you found that you were not able to stop drinking once you had started?
NeverLess than monthly
Monthly WeeklyDaily or almost daily
How often during the last year have you failed to do what was normally expected from you because of your drinking?
NeverLess than monthly
Monthly WeeklyDaily or almost daily
How often during the last year have you needed an alcoholic drink in the morning to get yourself going after a heavy drinking session?
NeverLess than monthly
Monthly WeeklyDaily or almost daily
How often during the last year have you had a feeling of guilt or remorse after drinking?
NeverLess than monthly
Monthly WeeklyDaily or almost daily
How often during the last year have you been unable to remember what happened the night before because you had been drinking?
NeverLess than monthly
Monthly WeeklyDaily or almost daily
Have you or somebody else been injured as a result of your drinking?
NoYes, but
not in the last year
Yes, during the last
year
Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut down?
NoYes, but
not in the last year
Yes, during the last
year
TOTALScoring: 0 – 7 Lower risk, 8 – 15 Increasing risk, 16 – 19 Higher risk, 20+ Possible dependence
SCOREScore from AUDIT- C (other side)
AUDIT- C Screening Tool & Alcohol Information
Leaflet
Patient/Client who is drinking within the lower risk guidelines of 2-3 units a day (Women) 3-4 units a day (Men)or
(Scores 0-7 on the AUDIT screening tool)
These patients don’t need
intervention. They are a Lower Risk drinker and should be congratulated for drinking within the recommended guidelines, which will support them to maintain this behaviour.
Patient/Client who is drinkingMore than 35 Units per week (Women)More than 50 Units per week (Men)Or
(Scores 16-19 on the AUDIT screening tool)
These patients are at an increased risk of health problems because of
their Increasing Risk level of drinking and should be given, simple, structured brief advice.
These patients are very likely to be experiencing problems that
are related to their Higher Risk drinking and they require an extended brief intervention/referral
Patient /client who is drinking at higher levels and displaying possible signs of dependencyOr
(Scores 20+ on the AUDIT screening tool)
Patient/Client who is drinking15-35 units per week (Women)22-50 Units per week (Men)Or
(Scores 8-15 on the AUDIT screening tool)
These patients will need a full assessment of their drinking and you should consider referral to a specialist alcohol service.
Extended brief intervention could be offered by yourself or patient client can attend Ashley House.
If the patient is under 19 then referral should be made to Young Addaction
Patient/client can attend Ashley House. If the patient is under 19 then referral should be made to young Addaction.
Useful Contacts
Health Improvement Team 01928 593005
Ashley House, Halton Integrated Recovery Service (CRI)Tel: 0845 601 1500/0151 422 1401No referral required patient/client to present:Mon-Fri 9.00am-4.30pmLate night Tuesday until 7.00pmwww.ashleyhousehalton.co.uk
Young AddactionTel: 01928 580242www.youngaddaction.org.uk
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