The Annual Societal Cost of Alcohol Misuse in Scotland

Varney, Susan; Guest, Julian F.

doi:10.2165/00019053-200220130-00003

Cited by 42 publications

(36 citation statements)

References 18 publications

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“…In the USA, the problems related to such conditions have resulted in a social cost of USD 184.6 billion in 1998 [18] . In Scotland, this social cost was estimated to be GBP 1,071 a year [19] . In England and Wales, the cost involving alcohol abusers in terms of social and health care, loss of productivity, and criminal activities was of GBP 18 million in 2000 [20] .…”

Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness of Home Visits in the Outpatient Treatment of Patients with Alcohol Dependence

Moraes

Campos²,

Figlie³

et al. 2009

Eur Addict Res

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The purpose of this study was to compare the cost-effectiveness of conventional outpatient treatment for alcoholic patients (CT) with this same conventional treatment plus home visits (HV), a new proposal for intervention within the Brazilian outpatient treatment system. A cost-effectiveness evaluation alongside a 12-week randomized clinical trial was performed. We identified the resources utilized by each intervention, as well as the cost according to National Health System (SUS), Brazilian Medical Association (AMB) tables of fees, and others based on 2005 data. The incremental cost-effectiveness ratio (ICER) was estimated as the main outcome measure – abstinent cases at the end of treatment. There were 51.8% abstinent cases for HV and 43.1% for CT, a clinically relevant finding. Other outcome measures, such as quality of life, also showed significant improvements that favored HV. The baseline scenario presented an ICER of USD 1,852. Sensitivity analysis showed an ICER of USD 689 (scenario favoring HV) and USD 2,334 (scenario favoring CT). The HV treatment was found to be cost-effective according to the WHO Commission on Macroeconomics and Health.

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Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness of Home Visits in the Outpatient Treatment of Patients with Alcohol Dependence

Moraes

Campos²,

Figlie³

et al. 2009

Eur Addict Res

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show abstract

“…Young people's use and misuse of substances is a common problem in many societies [24], and it has serious consequences for their mental health [25], physical health [26] and social relationships [27]. Therefore, it is not surprising that current public policies in many countries highlight the requirement for services that target this population.…”

Section: Use and Misuse Of Substances By Young Peoplementioning

confidence: 99%

“…Our experience is that similar tiered approaches to strategy, stepped models of care, service design and commissioning [53,27] work well. Drawing on that experience, we think that care pathways for young people who use or misuse substances require a strategic framework.…”

Section: Care Pathways In the Context Of Services For Young People Anmentioning

confidence: 99%

Care pathways for young people who misuse substances: using the evidence to design services

oz-Solomando

Williams²

2007

Current Opinion in Psychiatry

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The literature argues for using care pathways to manage better services for intervening with young people who use or misuse substances and recommends their contents. We conclude that care pathways should be based on strategic models of care; however, there remain areas of uncertainty, including those about the balance of services that should be delivered, adoption of prevention programmes, and development of audit tools to monitor the impacts and effectiveness of care pathways. This review provides our recommended list of contents for models of care on which we recommend that associated care pathways should be based.

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“…The cost of alcohol misuse through lost productivity in England was estimated to be £6.4B (Cabinet Office, 2004). In Scotland it was conservatively estimated that over 1 million sick days are lost from the workplace as a result of alcohol dependence (Varney & Guest, 2002). The cost of alcohol misuse to the Scottish taxpayers could be around £3.56 billion per year (Scottish Government Social Research, 2010).…”

Section: Introductionmentioning

confidence: 99%

Screening and brief intervention delivery in the workplace to reduce alcohol-related harm: A pilot randomized controlled trial

Watson

Godfrey

McFadyen

et al. 2015

International Journal of Nursing Studies

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Aims: To explore the feasibility and cost effectiveness of screening and delivery of a brief intervention for hazardous drinking employees.Methods: A pilot randomised controlled trial of a brief intervention delivered by an Occupational Health nurse versus no delivery of brief intervention (control group) conducted in a Local Authority Council (LCA) in the United Kingdom. Changes in quality of life and economic indicators were measured by the EQ-5D.Results: 627 employees were screened of whom 163 (26.01%) fulfilled the inclusion criteria with a total of 57 (35%) agreeing to participate. No significant differences were found between the groups for baseline demographics or levels/patterns of alcohol consumption. A statistically significant effect was found in the mean AUDIT scores over time (F = 8.96, p = 0.004) but not for group (F = 0.017, p = 0.896), and no significant interaction was found (F = 0.148, p = 0.702). The cost of each intervention was calculated at £12.48, the difference in service costs was calculated at £344.50 per person; that is there was a net saving of health and other care costs in the intervention group compared to the control group. The QALYs fell in both intervention and control groups, the difference -0.002 -(-0.010) yields a net advantage of the intervention of 0.008 QALYs. Conclusion:The main results from this pilot study suggest that alcohol brief interventions delivered in the workplace may offer the potential to reduce alcohol-related harm and save public sector resources. A fully powered multi-centre trial is warranted to contribute to the current evidence base and explore further the potential of alcohol brief interventions in the workplace. In a full trial the recruitment method may need to be re-considered.2

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The Annual Societal Cost of Alcohol Misuse in Scotland

Cited by 42 publications

References 18 publications

Cost-Effectiveness of Home Visits in the Outpatient Treatment of Patients with Alcohol Dependence

Cost-Effectiveness of Home Visits in the Outpatient Treatment of Patients with Alcohol Dependence

Care pathways for young people who misuse substances: using the evidence to design services

Screening and brief intervention delivery in the workplace to reduce alcohol-related harm: A pilot randomized controlled trial

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