Attitudes of New Zealand general practitioners to alcohol-related problems.

Casswell, Sally; McPherson, M

doi:10.15288/jsa.1983.44.342

Cited by 19 publications

(13 citation statements)

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“…Examples of these 'ad hoc' measures included: attitudinal statements scored on a Likert scale [51]; dichotomous yes/no questions [52]; and requiring respondents to check and rank items that they agreed with [53]. Examples of these 'ad hoc' measures included: attitudinal statements scored on a Likert scale [51]; dichotomous yes/no questions [52]; and requiring respondents to check and rank items that they agreed with [53].…”

Section: General Findingsmentioning

confidence: 99%

“…Treatment providers who supported the disease model of alcoholism were: (i) more likely to have abstinence as a treatment goal [52]; (ii) less likely to consider controlled drinking as an appropriate goal [48]; (iii) more likely to mention referral to AA as an appropriate course of action [51]; and, (iv) more likely to impose their own treatment goals, rather than incorporate those of the client [48]. Treatment providers who supported the disease model of alcoholism were: (i) more likely to have abstinence as a treatment goal [52]; (ii) less likely to consider controlled drinking as an appropriate goal [48]; (iii) more likely to mention referral to AA as an appropriate course of action [51]; and, (iv) more likely to impose their own treatment goals, rather than incorporate those of the client [48].…”

Section: General Findingsmentioning

confidence: 99%

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Drug and alcohol treatment providers’ views about the disease model of addiction and its impact on clinical practice: A systematic review

Barnett

Hall

Fry

et al. 2017

Drug and Alcohol Review

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The review suggests treatment providers may endorse disease and other models while strategically deploying the DMA for presumed therapeutic benefits. Varying DMA support across workforces indicated service users may experience multiple and potentially contradictory explanations of addiction. Future policy development will benefit by considering how treatment providers adopt disease concepts in practice.

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Section: General Findingsmentioning

confidence: 99%

Section: General Findingsmentioning

confidence: 99%

Drug and alcohol treatment providers’ views about the disease model of addiction and its impact on clinical practice: A systematic review

Barnett

Hall

Fry

et al. 2017

Drug and Alcohol Review

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“…This is in spite of the fact that one of the most active areas of research in recent years has been on the effectiveness of brief interventions in general practice settings (22,27,29,30). GPs' views about safe consumption levels have been found to be cautious (83)(84)(85)(86), although subject to substantial variability. In Australia (86), doctors' estimates of safe consumption levels were found to be no better than the general public's (87); more than a third overestimated safe consumption levels and were particularly inaccurate regarding safe consumption levels for women.…”

Section: Lack Of Knowledge and Trainingmentioning

confidence: 99%

Increasing Primary Care Providers’ Willingness to Intervene in Alcohol- and Drug-Related Problems: A Review¹

Roche

1996

Substance Abuse

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Over the past decade increased attention has focused on the role of primary care physicians in the treatnient of dnig atid alcohol problems. Compelling aigiments have been proffered in their slipport iiicliiding high prevalence levels witliin coniniiinity poprilatioiis and frequency of presentation in primary care settings. In addition, ready access, !lie notistigmatizing setting, and proven efficacy of physician-delivered early intervention add further weight to primary care provider involvement. However, a complex relationship exists between treatnient providers and potential recipients-and greater involvement is hampered by niinieroiis factors. For instance, substantial evidence suggests that primary care providers are less than entliusiastic, are inadequately infomed, and perfomi poorly with regard to identification and treatment of dnig and alcohol problems. These deficits are examined from several perspectives. Doctors' willingness to intervene (IWI) is discussed in relation to a recently developed model ivliicli encompasses fortr key components: the doctor factor, the patient factoG the context factor, and the doctor-patient interaction factor. Some components of this model are disciissed in relation to barriers fo wider involvement by primary care physicians. The extent to, wliicli poor knowledge levels may impact ripon provision of treatment is examined and discussed in light of recent Aiistralian and Canadian siirveys of primary care pliysicians' knowledge and attitudes, Finally, consideration is given to a novel application of Skog's (1) social contagion theory, to tlie effect that when patients are siiccessfiilly coiinseled to reduce their alcohol consumption, they influence their social contacts to do likewise. Such an effect would multiply the benefits to the community arising from the provider5 siiccessfii I detection and management of an individiial patient's alcohol or other dnig-related problems. A n experimental protocol to test this theory is described.KEY WORDS: primary care; intervention; substance use; drug and alcohol problems; treatment.'Based on a paper presented at

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“…Concern about alienating patients has been cited as a barrier to screening for alcohol use (Friedmann et al, 2000), but there is evidence that few patients are perturbed when their physicians ask about substance use problems (Zimmerman et al, 1994(Zimmerman et al, , 1996. Stigma or prejudice against individuals with addictions may also be a barrier (Anderson, 1985;Casswell and McPherson, 1984;Clement, 1986), but it has been suggested that alcohol education and supervised clinical experience in screening and intervention practices, rather than attitudes and beliefs, is the primary factor contributing to the likelihood that patients with alcohol abuse problems will be treated or referred (Warburg et al, 1987). Initiatives to increase physician confidence in managing these problems, improve their familiarity with expert recommendations, promote more positive attitudes toward patients with alcohol use disorders, and dispel concerns about patient sensitivity around substance issues will go far in facilitating the implementation of SBI in a variety of clinical and community-based sites (Friedmann et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

Interprofessional training on brief intervention for older adults

Coogle

Owens

2015

The Journal of Mental Health Training, Education and Practice

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -In recent years, Screening and Brief Intervention (SBI) has become increasingly available to older adults who engage in at-risk drinking behaviors. The results of SBI training sessions that targeted hospital-based healthcare providers, as well as mental health service providers in community-based clinics, are reported. The paper aims to discuss these issues. Design/methodology/approach -In total, 93 participants attended SBI active learning training sessions. The responses of physicians/physicians in training about their intentions to apply the information in professional practice and their willingness to recommend the training to others in their profession were compared to practitioners in other professions. Findings -Although there were no differences in terms of commitment to apply the information or level of comfort using the techniques, physicians/physicians in training were less interested in promoting the SBI training among their colleagues.Research limitations/implications -The results are limited with respect to the number of training participants engaged and the geography entailed, yet implications for addressing barriers to widespread implementation and training challenges are explored. Practical implications -Although it may be more difficult to promote SBI training in locations that do not primarily provide mental health services, hospitals, and other primary care settings are precisely where training may be most useful. Social implications -The importance of training approaches to SBI that are disseminated within the context of a public health model of clinical preventive services is highlighted. Originality/value -Original research is presented to highlight the need to improve training receptivity and facilitate the translation into practice.

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Attitudes of New Zealand general practitioners to alcohol-related problems.

Cited by 19 publications

References 0 publications

Drug and alcohol treatment providers’ views about the disease model of addiction and its impact on clinical practice: A systematic review

Drug and alcohol treatment providers’ views about the disease model of addiction and its impact on clinical practice: A systematic review

Increasing Primary Care Providers’ Willingness to Intervene in Alcohol- and Drug-Related Problems: A Review¹

Interprofessional training on brief intervention for older adults

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Attitudes of New Zealand general practitioners to alcohol-related problems.

Cited by 19 publications

References 0 publications

Drug and alcohol treatment providers’ views about the disease model of addiction and its impact on clinical practice: A systematic review

Drug and alcohol treatment providers’ views about the disease model of addiction and its impact on clinical practice: A systematic review

Increasing Primary Care Providers’ Willingness to Intervene in Alcohol- and Drug-Related Problems: A Review1

Interprofessional training on brief intervention for older adults

Contact Info

Product

Resources

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Increasing Primary Care Providers’ Willingness to Intervene in Alcohol- and Drug-Related Problems: A Review¹