A systematic review of emergency care brief alcohol interventions for injury patients

Adapting a blended motivational interviewing and problem-solving intervention to address risky substance use amongst South Africans

“…Although many studies have found that brief MI interventions to address substance use in primary care facilities have positive outcomes in the short-term (Kaner et al, 2009;Moyer, Finney, Swearingen, & Vergun, 2002;Vasilaki, Hosier, & Cox, 2006), these findings have not been replicated in a South African setting Pengpid, Peltzer, Skaal, & Van der Heever, 2013), possibly due to the difficulties in training non-speciality staff to conduct MI. Further, where these positive effects have been found, the magnitude of these effects diminishes over time (Havard, Shakeshaft, & Sanson-Fisher, 2008;Nilsen et al, 2008). This is probably because MI does not directly address the cognitive-behavioural factors that often lead to continued substance use or relapse to substance use, such as poor problem-solving ability (D'Zurilla et al, 2002).…”

Pacientes con trastorno por uso de alcohol: resultados iniciales de un registro multicéntrico en la Red de Trastornos Adictivos-RTA. Estudio CohRTA

“…El perfil de los pacientes que solicitan tratamiento del trastorno es el de adultos de mediana edad, mayoritariamente hombres y que pueden ser consumidores de cocaína y de cannabis. Este perfil es similar al descrito en pacientes con trastorno por uso de alcohol o consumo de alcohol de riesgo a los que se les realiza una intervención breve en salas de urgencias, atención primaria u hospitalizados por otras causas (Heather, 2014;Mdege et al, 2013;Nilsen et al, 2008). Los resultados que se muestran en este estudio revelan la severidad del trastorno en aquellos que solicitan tratamiento por primera vez y confirman que éste se produce, en promedio, casi 30 años después de iniciar el consumo de alcohol.…”

Open wide! Dental settings are an untapped resource for substance misuse screening and brief intervention

“…As a public health initiative, the aim of SBI is to improve community health by reducing the prevalence of adverse consequences of substance use through the organization and coordination of early intervention services [1]. Evidence for the effectiveness of SBI in medical settings has been summarized in several integrative reviews and metaanalyses [1][2][3][4]; however, much less attention has focused on other promising service delivery venues [1,5]. The success of SBI in medical settings suggests that oral health providers are an untapped resource for giving advice and brief counseling to smokers, at-risk drinkers and drug users.…”

“…Although there is good evidence for the efficacy of brief interventions for tobacco cessation [12,15], data regarding alcohol-or other drug-focused interventions are very limited [5]. As documented in the medical literature, emergency settings provide a higher yield of at-risk patients; however, there is less evidence for SBI effectiveness in emergency versus primary care settings [2,3]. Type of visit, frequency of patient contact and patient characteristics have been shown to affect SBI effectiveness in medical settings [2][3][4]16], but moderators of patient outcomes have yet to be examined in dental settings.…”

“…As documented in the medical literature, emergency settings provide a higher yield of at-risk patients; however, there is less evidence for SBI effectiveness in emergency versus primary care settings [2,3]. Type of visit, frequency of patient contact and patient characteristics have been shown to affect SBI effectiveness in medical settings [2][3][4]16], but moderators of patient outcomes have yet to be examined in dental settings. Further, most SBI research has focused on single substances (tobacco or alcohol), although use of these substances tends to co-occur [1,6], and the negative effects on oral health are synergistic [10].…”