Training and tailored outreach support to improve alcohol screening and brief intervention in Aboriginal Community Controlled Health Services

Clifford, Anton, Shakeshaft, Anthony and Deans, Catherine (2013) Training and tailored outreach support to improve alcohol screening and brief intervention in Aboriginal Community Controlled Health Services. Drug and Alcohol Review, 32 1: 72-79. doi:10.1111/j.1465-3362.2012.00488.x


Author Clifford, Anton
Shakeshaft, Anthony
Deans, Catherine
Title Training and tailored outreach support to improve alcohol screening and brief intervention in Aboriginal Community Controlled Health Services
Journal name Drug and Alcohol Review   Check publisher's open access policy
ISSN 0959-5236
1465-3362
Publication date 2013-01
Year available 2012
Sub-type Article (original research)
DOI 10.1111/j.1465-3362.2012.00488.x
Volume 32
Issue 1
Start page 72
End page 79
Total pages 8
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Collection year 2013
Language eng
Formatted abstract
Introduction and Aims: Aboriginal Community Controlled Health Services (ACCHSs) are often the primary point of contact for Indigenous Australians experiencing alcohol-related harms. Screening and brief intervention (SBI) is a cost-effective treatment for reducing these harms. Factors influencing evidence-based alcohol SBI delivery in ACCHSs have been identified. Evaluations of strategies targeting these factors are required. The aim of this paper is to quantify the effect of training and tailored outreach support on the delivery of alcohol SBI in four Aboriginal Community Controlled Health Services (ACCHSs).

Design and Methods: A pre- post- assessment of alcohol information recorded in computerised patient information systems of four ACCHSs. Results: For ACCHSs combined there was a statistically significant increase in the proportion of eligible clients with an electronic record of any alcohol information (3.2% to 7.5%, P<0.0001) and a valid alcohol screen (1.6% to 6.5%, P<0.0001), and brief intervention (25.75% to 47.7%, P<0.0001). All four ACCHSs achieved statistically significant increases in the proportion of clients with a complete alcohol screen (10.3%; 7.4%; 2%, P<0.0001 and 1.3%, P<0.05), and two in the proportion with a heavy drinking screen (7% and 3.1%, P<0.0001).

Discussion and Conclusions: Implementing evidence-based alcohol SBI in ACCHSs is likely to require multiple strategies tailored to the characteristics of specific services. Outreach support provided by local drug and alcohol practitioners and a one item heavy drinking screen offer considerable promise for increasing routine alcohol SBI delivery in ACCHSs. Training and outreach support appear to be effective for achieving modest improvements in alcohol SBI delivery in ACCHSs.
Keyword Indigenous health services
Alcohol
Screening
Brief intervention
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 10 July 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Public Health Publications
 
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Created: Wed, 09 Jan 2013, 15:53:59 EST by Geraldine Fitzgerald on behalf of School of Public Health