Introduction and Aims. Primary care physicians need a brief screening instrument to detect risky drinkers. In previous studies, the three first questions of the Alcohol Use Disorders Identification Test-C (AUDIT-C) and the third question on heavy episodic drinking alone (AUDIT-3) have been shown to be almost as effective as the whole AUDIT. Also, AUDIT-QF (the first two questions of AUDIT) can be a potential screening instrument. However, the validity of these short questionnaires has not been studied among the occupational health-care patients. Design and Methods. Patients visiting their doctor in six occupational health clinics were asked to fill in a health questionnaire containing AUDIT.All together 759 patients participated in the study. Risky drinking was defined as having scored of Ն10 for men or Ն8 or more for women in the AUDIT questionnaire.Validity of AUDIT-C, AUDIT-3 and AUDIT-QF were compared against the whole AUDIT. Results. Based on the whole AUDIT, 92 (24%) of the men and 33 (9%) of the women were risky drinkers. For men and women, area under the curve was relatively high for all tested questionnaires. For AUDIT-C, the best combination of sensitivity and specificity was yielded at cut-off point of 6 for men and 4 for women. Discussion and Conclusion. Short questionnaires perform almost as well as the whole AUDIT screening risky drinking among men and women.This is why they can be recommended for clinical use in busy settings.The cut-off points, however, have to be tailored for gender and culture. [Kaarne T, Aalto M, Kuokkanen M, Seppä K. AUDIT-C, AUDIT-3 and AUDIT-QF in screening risky drinking among Finnish occupational health-care patients. Drug Alcohol Rev 2010;29;563-567]
handikappades sysselsattningsstatus efter rehabiliteringsundersokning. Nord Psykiatr Tidsskr 1989 ;43:131-134. Oslo. ISSN 0029-1455.Rehabilitation evaluation is an important part of the rehabilitation process of those disabled for work. Its aim is to assess a client's working capacity and/or hidher potential to benefit from rehabilitation. At the Rehabilitation Foundation in Helsinki, Finland, more than 800 rehabilitation evaluation clients are examined yearly. In a third of them mental problems are associated with the disability. The Foundation has started a follow-up study for the purpose of evaluating the rehabilitation process of clients with mental problems. A questionnaire with 49 questions was mailed to 779 clients with mental disability examined in 1981-83. The follow-up period lasted approximately 2 years. A total of 78% of former clients responded. The evaluations resulted in recommendations for "direct employment", "vocational rehabilitation", or "pension". Altogether 44% of the group recommended for direct employment were employed at the time of the follow-up. There were no differences in employment between different groups of mental disorders (psychotics, those with personality disorders, neurotics). 0 Mental disability, Psychiatric rehabilitation, Rehabilitation evaluation. Martti Kuokkanen, Tammerfors universitet, PB 607, SF-33101 Tammerfors, Finland; Akseptdato: 12.01.1989. IntroduktionRehabiliteringsundersokning kan vara ett viktigt skede i rehabiliteringen av en handikappad individ (1). En sarskild undersokning av detta slag behovs nar individen har speciella rehabiliteringssvirigheter. Syftet ar d i att utreda individens arbetsformiga och andra resursser , samt bedoma rehabiliteringsmotivatiorr och -mojligheter (2).Vid Stiftelsen for rehabilitering i Helsingfors undersoks irligen over 800 klienter. For en tredjedel ar psykiska svirigheter det huvudsakliga problemet. Klienterna kommer till Stiftelsen frin hela landet och frdn alla rehabiliteringsmyndigheter. Silunda representerar de samtliga problematiska rehabiliteringsfall i landet (3).Klienterna intervjuas och undersoks av en arbetsgrupp som bestir av en Iakare, en socialkurator, en psykolog och en sjukskoterska. Undersokningstiden ar ca. 2 veckor. Rehabiliteringsundersokningens produkt ar en rehabiliteringsplan som i samarbete med klienten och olika myndigheter.Stiftelsen for rehabilitering har borjat en uppfoljningsundersokning for att utreda rehabiliteringsprocessen och rehabiliteringsresultaten nar det galler klienterna. I denna artikel presenteras nigra uppfoljningsresultat for klienter med mentala rubbningar som framsta problem. Material och metoderEn frigeblankett med 49 frhgor sandes till 779 rehabiliteringsundersokningsklienter med huvudsakligen psykiska problem som hade undersokts vid Stiftelsen 1981-83. Uppfoljningstiden var ca tvi i r . Det ansigs allmant vara en tillrackligt ling tid for att man skulle kunna evaluera rehabiliteringsresultaten (4). 78% av klienterna Gtersande blanketten. Av dessa 606 fore detta klienter utgjorde 5...
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