Volume 10 Supplement 2

INEBRIA 12th Congress,

Open Access

Challenges and opportunities in alcohol screening and brief interventions in new settings: A Narrative Review of Implementation Initiatives

Addiction Science & Clinical Practice201510(Suppl 2):O39

DOI: 10.1186/1940-0640-10-S2-O39

Published: 24 September 2015

Background

Alcohol screening and brief interventions (SBI) have a history and good evidence of efficacy in primary care settings [1]. Efficacy evidence is variable across other settings and much is unknown including mechanisms of action, and optimal screening or implementation approaches[2, 3]. Despite this, implementation outside of primary care has had much attention including in non-health settings, particularly in the UK [46].

This study aimed to discuss, and present for debate, challenges and opportunities relating to alcohol SBI in new settings from published and previously unpublished studies of recent SBI implementation in Scotland and England.

Material and methods

A narrative review was conducted of evidence from diverse studies including research into training and implementation of alcohol SBI outside of primary care (accident and emergency; antenatal; social care; community/mental health; homelessness and multidisciplinary teams).

Results

The challenges and opportunities can be conceptualised in terms of questions that should be asked before considering implementation of alcohol brief interventions in a new setting: (1) Is there a need for SBI delivery in this service? (2) How are practitioners currently addressing alcohol use - how when, where does SBI fit in? (3) Will SBI work/do harm in this setting? (4) Will SBI be perceived as legitimate by practitioners and acceptable to service-users? (5) Will practitioners have the ability to deliver SBI? (6) What support will be needed? (7) What will support routine implementation of SBI in this setting?

Conclusion

Careful consideration should be given to every aspect of the design, purpose, context and evaluation of alcohol SBI in any given setting preferably by robust stepwise research prior to widespread implementation. Avoiding assumptions, including about screening methods and intervention goals, is likely to be important for effectiveness, implementation and avoiding unintended harms.

Declarations

Acknowledgements

This paper is based on material first presented to an expert seminar organised by Middlesex University which was funded by Alcohol Research UK.

Authors’ Affiliations

(1)
Institute for Social Marketing, UK Centre for Tobacco and Alcohol Studies, School of Health Sciences, University of Stirling

References

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Copyright

© Fitzgerald 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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