Alcohol Screening and Brief Intervention in Police Custody Suites: Pilot Cluster Randomised Controlled Trial (AcCePT)

Addison, Michelle; McGovern, Ruth; Angus, Colin; Becker, Frauke; Brennan, Alan; Brown, Heather; Coulton, Simon; Crowe, Lisa; Gilvarry, Éilish; Hickman, Matthew; Howel, Denise; McColl, Elaine; Muirhead, Colin R.; Newbury‐Birch, Dorothy; Waqas, Muhammad; Kaner, Eileen

doi:10.1093/alcalc/agy039

Cited by 13 publications

(15 citation statements)

References 32 publications

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“…Whilst it is evident that the custody suite is a complex and busy environment (Wooff & Skinns, 2017), the findings of the linked feasibility trial demonstrate that arrestees rarely attend alcohol interventions that are offered on a subsequent occasion. This suggests that for intervention to occur, it must be provided opportunistically whilst the arrestee is in the custody suite (Addison et al, 2018). This has been found in other studies of alcohol intervention within primary care (Kaner et al, 2013), emergency care and elsewhere in the criminal justice system (Newbury-Birch et al, 2014).…”

Section: Discussionmentioning

confidence: 83%

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Containment and care? A qualitative interview study exploring police custody staff views about delivering brief alcohol interventions to heavy drinking arrestees

McGovern

Crowe

Addison

et al. 2020

Drugs: Education, Prevention and Policy

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Heavy alcohol use and associated needs are prevalent amongst arrestees. The custody suite offers an opportunity to identify and intervene with this population. However, it is unclear whether functions of care can be effectively delivered within an environment of containment. This study aimed to examine custody staff experiences of screening and delivering brief alcohol interventions to heavy drinking arrestees. Qualitative interviews were conducted with 25 custody staff (detention officers and assessment, intervention and referral staff), involved in a pilot feasibility trial of alcohol screening and brief interventions in the police custody suite. We examined the tension between containment and care using concepts of role security and therapeutic commitment to guide our analysis. Our findings show that custody staff considered brief interventions to be legitimate in the custody suite setting, although there were differing views relating to which staff are best placed to deliver them. Detention officers reported vacillating therapeutic commitment to intervening with heavy drinking arrestees, compounded by some arrestees being perceived to be 'undeserving' of care. Tensions inherent in the need for 'containment' as well as 'care' must be addressed if brief alcohol interventions are to be implemented within the custody suite. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 83%

“…There is no standardised training required for this role, although AIRS workers typically have health and social care experience and/or qualifications. Further details of the trial are reported in the published protocol and within a linked paper reporting upon the findings of the feasibility trial (Addison et al, 2018).…”

Section: Samplementioning

confidence: 99%

Containment and care? A qualitative interview study exploring police custody staff views about delivering brief alcohol interventions to heavy drinking arrestees

McGovern

Crowe

Addison

et al. 2020

Drugs: Education, Prevention and Policy

Self Cite

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“…Nine studies were found relating to the police custody suite setting ( 23 – 31 ). Six studies were classified as low risk ( 23 – 25 , 30 , 31 ), two as medium risk ( 28 , 29 ) and one as high risk ( 26 ). Eight were conducted in England and one in Sweden ( 25 ) and included 12,897 participants (range 12–4,739) and the majority of participants were male ( Table 1 ).…”

Section: Results—prevelance—adultsmentioning

confidence: 99%

“…In total, 13 studies were included ( Tables 2 , 3 ). Seven studies were from the UK ( 26 , 28 – 30 , 32 , 34 , 37 ) and six from the USA ( 42 , 56 , 58 – 61 ).…”

Section: Results—interventionsmentioning

confidence: 99%

A Rapid Systematic Review of Worldwide Alcohol Use Disorders and Brief Alcohol Interventions in the Criminal Justice System

et al. 2022

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Although the relationship is complex, there is an association between alcohol use and offending behavior with an interplay between the amount drank, the pattern of drinking and individual and contextual factors. Alcohol brief interventions have been shown to be effective in primary healthcare, however there is currently a lack of compelling evidence in the criminal justice system. We carried out a rapid systematic review of the literature, which updated our review conducted in 2016. Following systematic searches, we included 36 papers on prevalence and 13 papers on effectiveness. Between 26 and 88% of individuals in the policy custody setting scored positive for an alcohol use disorder. In the magistrates court this was 95%; 31–86% in the probation setting and between 19 and 86% in the prison system. In relation to probable dependence, between 21 and 38% of individuals were shown to have probable alcohol dependence in the police custody suite setting; 39 per cent in the magistrate court system; 17–36% in the probation setting and between 18 and 48% in the prison system. This compares to 6% in the general population. We included 13 studies of effectiveness with differing outcome measures and outcomes. We conclude more studies are needed in the field to develop the current evidence base.

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“…While the ability of healthcare providers to prevent or modify such behaviors has not been proven, it might be possible to direct medical effort to the prevention of alcohol and drug-associated problems and, by that, prevent injury, violence, and medical complications of drug abuse 86 . Early detection and interventions that have proven effective for addictions include brief counselling, referral to ambulatory and inpatient treatment programs, community organizations, and appropriate medication use for substance use withdrawal 87 – 89 . Likewise, screening for exposure to relationship violence (i.e., adult and child abuse and sexual assault) and developing long-term plans and referrals to appropriate community and governmental agencies may prevent assault related TBIs 90 .…”

Section: Discussionmentioning

confidence: 99%

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Mollayeva

Tran

Chan

et al. 2022

Sci Rep

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For centuries, the study of traumatic brain injury (TBI) has been centred on historical observation and analyses of personal, social, and environmental processes, which have been examined separately. Today, computation implementation and vast patient data repositories can enable a concurrent analysis of personal, social, and environmental processes, providing insight into changes in health status transitions over time. We applied computational and data visualization techniques to categorize decade-long health records of 235,003 patients with TBI in Canada, from preceding injury to the injury event itself. Our results highlighted that health status transition patterns in TBI emerged along with the projection of comorbidity where many disorders, social and environmental adversities preceding injury are reflected in external causes of injury and injury severity. The strongest associations between health status preceding TBI and health status at the injury event were between multiple body system pathology and advanced age-related brain pathology networks. The interwoven aspects of health status on a time continuum can influence post-injury trajectories and should be considered in TBI risk analysis to improve prevention, diagnosis, and care.

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Alcohol Screening and Brief Intervention in Police Custody Suites: Pilot Cluster Randomised Controlled Trial (AcCePT)

Cited by 13 publications

References 32 publications

Containment and care? A qualitative interview study exploring police custody staff views about delivering brief alcohol interventions to heavy drinking arrestees

Containment and care? A qualitative interview study exploring police custody staff views about delivering brief alcohol interventions to heavy drinking arrestees

A Rapid Systematic Review of Worldwide Alcohol Use Disorders and Brief Alcohol Interventions in the Criminal Justice System

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

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