Screening Behavioral Counseling And Referral In Primary Care To Reduce Alcohol Misuse
DOWNLOAD
Download Screening Behavioral Counseling And Referral In Primary Care To Reduce Alcohol Misuse PDF/ePub or read online books in Mobi eBooks. Click Download or Read Online button to get Screening Behavioral Counseling And Referral In Primary Care To Reduce Alcohol Misuse book now. This website allows unlimited access to, at the time of writing, more than 1.5 million titles, including hundreds of thousands of titles in various foreign languages. If the content not found or just blank you must refresh this page
Screening Behavioral Counseling And Referral In Primary Care To Reduce Alcohol Misuse
DOWNLOAD
Author :
language : en
Publisher:
Release Date : 2012
Screening Behavioral Counseling And Referral In Primary Care To Reduce Alcohol Misuse written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with categories.
Screening Behavioral Counseling And Referral In Primary Care To Reduce Alcohol Misuse
DOWNLOAD
Author : U. S. Department of Health and Human Services
language : en
Publisher: CreateSpace
Release Date : 2013-03-28
Screening Behavioral Counseling And Referral In Primary Care To Reduce Alcohol Misuse written by U. S. Department of Health and Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-28 with Medical categories.
Alcohol misuse, which includes the full spectrum from drinking above recommended limits (i.e., risky/hazardous drinking) to alcohol dependence, is associated with numerous health and social problems and more than 85,000 deaths per year in the United States and an estimated annual cost to society of more than $220 billion. Alcohol misuse is estimated to be the third leading cause of preventable mortality in the United States following tobacco use and being overweight. Alcohol misuse contributes to a variety of conditions, including hypertension, cirrhosis, gastritis and gastric ulcers, pancreatitis, breast cancer, neuropathy, cardiomyopathy, anemia, osteoporosis, cognitive impairment, depression, insomnia, anxiety, and suicide. Excessive alcohol consumption is a major factor in injury and violence. Definitions of the spectrum of alcohol misuse (i.e., unhealthy alcohol use) continue to evolve. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has proposed epidemiologically based alcohol-use guidelines to limit risks for drinking-related consequences by establishing age- and sex-specific recommended consumption thresholds. This report's main objective is to conduct a systematic review of the effectiveness of screening followed by behavioral counseling, with or without referral, for alcohol misuse in primary care settings, addressing seven questions. This new review differs from the report on which the USPSTF 2004 recommendations were based in the following ways: We allowed inclusion of screening and behavioral interventions for the full spectrum of alcohol misuse, as long as subjects were identified by screening in a primary care or primary care-like setting; we added referral as an intervention of interest and changed the title to reflect this; we expanded the eligible settings from traditional primary care to also include settings with primary care-like relationships (e.g., infectious disease clinics for people with HIV); and we added additional outcomes of interest to our inclusion/exclusion criteria and analytic framework. Key Questions addressed by this review include: KQ 1: What is the direct evidence that screening for alcohol misuse followed by a behavioral counseling intervention, with or without referral, leads to reduced morbidity, reduced mortality, or changes in other long-term (6 months or longer) outcomes (e.g., health care utilization, sick days, costs, legal issues, employment stability)? KQ 2: How do specific screening modalities compare with one another for detecting alcohol misuse? KQ 3: What adverse effects are associated with screening for alcohol misuse and screening-related assessment? KQ 4a: How do behavioral counseling interventions, with or without referral, compare with usual care for improving intermediate outcomes for people with alcohol misuse as identified by screening? KQ 4b: How do specific behavioral counseling approaches, with or without referral, compare with one another for improving intermediate outcomes for people with alcohol misuse as identified by screening? KQ 5: What adverse effects are associated with behavioral counseling interventions, with or without referral, for people with alcohol misuse as identified by screening? KQ 6: How do behavioral counseling interventions, with or without referral, compare with one another and with usual care for reducing morbidity, reducing mortality, or changing other long-term (6 months or longer) outcomes (e.g., health care utilization, sick days, costs, legal issues, employment stability) for people with alcohol misuse as identified by screening? KQ 7: To what extent do health care system influences promote or hinder effective screening and interventions for alcohol misuse?
Behavioral Counseling Interventions In Primary Care To Reduce Risky Harmful Alcohol Use
DOWNLOAD
Author : Evelyn P. Whitlock
language : en
Publisher:
Release Date : 2004
Behavioral Counseling Interventions In Primary Care To Reduce Risky Harmful Alcohol Use written by Evelyn P. Whitlock and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with categories.
CONTEXT: Excessive alcohol consumption increases risks for numerous chronic diseases, injuries, disabilities, mortality, and for a host of social and interpersonal problems. Many drinkers who do not meet diagnostic criteria for alcohol use disorders nonetheless consume alcohol at levels or in patterns that increase the risks of negative health and social consequences. Primary health care visits offer opportunities to identify and briefly intervene with these drinkers to reduce their consumption below at-risk levels and patterns. OBJECTIVE: To systematically review evidence for the efficacy of brief behavioral counseling interventions conducted in primary care settings to reduce risky/harmful alcohol consumption or patterns, and to link this evidence to results from other systematic reviews of alcohol screening in primary care populations. DATA SOURCES: We searched the Cochrane Database of Systematic Reviews and Database of Research Effectiveness (DARE) (2001, issues 2 and 3; 2002 issue 1), using an inclusive search strategy (alcohol* or drink*) to identify recent, high-quality, English-language systematic reviews of primary care interventions to reduce risky/harmful alcohol use. We searched MEDLINE, Cochrane Controlled Clinical Trials, PsychInfo, HealthSTAR, and CINAHL databases from 1994 through April 2002, using a similarly inclusive search strategy. We also retrieved all recent systematic reviews of screening for alcohol disorders in primary care and all relevant screening and intervention literature reviewed in the 1996 Guide to Clinical Preventive Services or included in other systematic reviews of brief alcohol interventions for risky/harmful use. STUDY SELECTION: We identified 12 controlled alcohol intervention trials conducted with general adult patients, 3 with pregnant women, and 1 with adolescents that took place in primary care settings and were of good or fair internal validity according to US Preventive Services Task Force (USPSTF) criteria. DATA EXTRACTION: Data elements were abstracted on standardized forms and included information about the setting, study design, participant inclusion and exclusion criteria, randomization process (if applicable), size and composition of study groups, intervention components (rationale, behavioral techniques, length and number of sessions, provider), follow-up period(s), loss to followup, and alcohol consumption and other outcomes. DATA SYNTHESIS: Good evidence supports the efficacy of brief, multi-contact primary care interventions for risky/harmful alcohol use in primary care patients identified through screening and screening-related assessment of at-risk drinking and alcohol use disorders. Patients in these trials underwent screening to identify those possibly in need of alcohol misuse intervention in primary care or elsewhere, followed by screening-related clinical assessment to qualify patients appropriate for primary care-based intervention or for referral to specialty treatment of abuse/dependence. Patients were screened generally using standardized self-report instruments alone (e.g., AUDIT), or in combination, (e.g., CAGE with standardized quantity and frequency questions) that have been found to be valid in primary care populations. After primary care brief, multi-contact interventions, patients reduced average drinks per week by 13%-34% and increased the proportion drinking at moderate or safe levels by 10%-19% compared with controls. Similar population-level reductions in average alcohol consumption have been projected to reduce the prevalence of alcohol abuse/dependence by 3%, while use of alcohol within safe/recommended levels has been epidemiologically related to reduced short-term (e.g., injuries, alcohol-related problems) and long-term (e.g., cirrhosis, total mortality) health risks. CONCLUSIONS: Brief, multi-contact behavioral counseling interventions among adult primary care patients are feasible and potentially highly effective components of an overall public health approach to reducing alcohol misuse. Future research should focus on developing implementation strategies that facilitate the adoption of these practices as a regular part of routine health care. Additional research is needed to develop effective interventions among sub-populations such as pregnant women, ethnic minorities, and adolescents.
Addressing Unhealthy Alcohol Use In Primary Care
DOWNLOAD
Author : Richard Saitz
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-22
Addressing Unhealthy Alcohol Use In Primary Care written by Richard Saitz and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-22 with Medical categories.
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.
Screening And Prevention In Primary Care An Issue Of Primary Care Clinics In Office Practice
DOWNLOAD
Author : Mack T. Ruffin IV
language : en
Publisher: Elsevier Health Sciences
Release Date : 2014-06-28
Screening And Prevention In Primary Care An Issue Of Primary Care Clinics In Office Practice written by Mack T. Ruffin IV and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-06-28 with Medical categories.
This issue of Primary Care: Clinics in Office Practice, edited by Mack T. Ruffin IV, MD, MPH and Cameron G. Shultz PhD, MSW, is devoted to Preventive Medicine. Articles in this issue include Risk Assessment Approach Screening; Substance Use and Tobacco Screening; Sexually Transmitted Infections; Planned Pregnancy; Violence Screening; Breast Cancer Screening; Lung Cancer Screening; Colorectal Cancer Screening; Prostate Cancer Screening; Heart Disease Screening; Screening for Depression; and Use of Genetic Markers.
A Guide To Substance Abuse Services For Primary Care Clinicians
DOWNLOAD
Author : Eleanor J. Sullivan
language : en
Publisher:
Release Date : 1997
A Guide To Substance Abuse Services For Primary Care Clinicians written by Eleanor J. Sullivan and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Primary care (Medicine) categories.
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.
Handbook Of Psychological Assessment In Primary Care Settings
DOWNLOAD
Author : Mark E. Maruish
language : en
Publisher: Routledge
Release Date : 2017-04-21
Handbook Of Psychological Assessment In Primary Care Settings written by Mark E. Maruish and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-04-21 with Psychology categories.
The second edition Handbook of Psychological Assessment in Primary Care Settings offers an overview of the application of psychological screening and assessment instruments in primary care settings. This indispensable reference addresses current psychological assessment needs and practices in primary care settings to inform psychologists, behavioral health clinicians, and primary care providers the clinical benefits that can result from utilizing psychological assessment and other behavioral health care services in primary care settings.
Integrating Behavioral Health And Primary Care
DOWNLOAD
Author : Robert E. Feinstein
language : en
Publisher: Oxford University Press
Release Date : 2017
Integrating Behavioral Health And Primary Care written by Robert E. Feinstein and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Medical categories.
Integrated care incorporates behavioral and physical health services into primary care and specialty medical environments. Integrated care models are patient-centered; delivered by teams of medical professionals, utilize care coordination, and a population-based approach. This book is practical, office-based, and comfortably accessible to students, residents, faculty, and all mental health professionals, primary care and medical specialists. We examine and recommend applying collaborative care and other existing models of integrated care based on existing literature. When there is no literature supporting a specific approach, our experts offer their ideas and take an aspirational approach about how to manage and treat specific behavioral disorder or problems We assume the use of integrated team staffing including a primary care or specialist provider(s), front desk staff, medical assistant(s), nurse(s), nurse practitioners, behavioral health specialist(s), health coaches, consulting psychiatrist, and care coordinator(s)/manager(s).
The American Psychiatric Association Practice Guideline For The Pharmacological Treatment Of Patients With Alcohol Use Disorder
DOWNLOAD
Author : American Psychiatric Association
language : en
Publisher: American Psychiatric Pub
Release Date : 2018-01-11
The American Psychiatric Association Practice Guideline For The Pharmacological Treatment Of Patients With Alcohol Use Disorder written by American Psychiatric Association and has been published by American Psychiatric Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-01-11 with Medical categories.
The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD.
Reducing Alcohol Exposed Pregnancies
DOWNLOAD
Author : U. S. Department of Health and Human Services
language : en
Publisher: CreateSpace
Release Date : 2012-07-09
Reducing Alcohol Exposed Pregnancies written by U. S. Department of Health and Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-07-09 with Medical categories.
Alcohol misuse is a serious, worldwide public health issue that can result in a wide range of physical, psychological, and social problems affecting the individual, the family, and the community. Drinking alcohol during pregnancy increases a woman's risk of having a baby with birth defects and developmental disabilities. Alcohol consumption during pregnancy is recognized as the cause of fetal alcohol spectrum disorders (FASDs). FASD is a term used to define the spectrum of physical, mental, behavioral, and/ or learning disabilities that can result from prenatal alcohol exposure. Fetal alcohol syndrome (FAS) is one of the most severe outcomes of drinking alcohol during pregnancy and is characterized by facial malformations, growth deficits, and neurodevelopmental problems. Efforts have been underway for several decades to develop strategies to prevent alcohol-exposed pregnancies (AEPs) and reduce the risk of FASDs. In 2002, the National Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effect (NTFFASFAE), a federal advisory committee, released its first recommendations. Among these recommendations were several items focused on prevention, including recommending the reissuance of the U.S. Surgeon General's advisory on drinking during pregnancy [4] and the development of a report to review the evidence for effective prevention and treatment strategies for women at risk for or engaging in prenatal alcohol use. In 2004, after deliberations on and publication of Fetal Alcohol Syndrome: Guidelines for Referral and Diagnosis [5], the NTFFASFAE decided to focus its attention on FASD prevention. The Task Force Prevention Working Group (PWG) was established to guide the development of a report describing evidence-based prevention strategies to reduce AEPs and outline recommendations to further promote the implementation of such strategies. To accomplish this, the staff of the Centers for Disease Control and Prevention's (CDC) National Center on Birth Defects and Developmental Disabilities engaged the Community Guide Branch at CDC's National Center for Health Marketing and Research Triangle Institute International (RTI) to assist the PWG in this work. RTI conducted a systematic search of the literature to identify community-level FASD interventions and policies that can prevent alcohol-exposed pregnancies and reduce the prevalence of physical, mental, behavioral, and learning disabilities due to prenatal alcohol exposure. The review focused on community-level interventions and policies because other systematic reviews either have been completed or are currently under way to explore both clinical interventions and population-based strategies addressing alcohol misuse. For example, in 2004, the U.S. Preventive Services Task Force engaged in a systematic review that resulted in clinical recommendations on screening and behavioral counseling interventions in primary care settings to reduce alcohol misuse [6]. Also, the Task Force on Community Preventive Services, coordinated by CDC, is actively engaged in systematic reviews to assess the effectiveness of population-based alcohol prevention strategies that affect people in the general population, including women of childbearing age. This report reviews the current evidence on prevention strategies to reduce AEPs, provides recommendations on promoting and improving these strategies, and offers future research directions in the field of FASD prevention. This document also serves as a guide for those in the research and practice fields interested in selecting and implementing effective, scientifically tested interventions for women at risk for an AEP. In addition, the report also highlights the importance of continued collaboration across federal, state, and local agencies; academia; medical and social service delivery systems; and families to integrate scientific findings into public health prevention strategies.