risk-drinking the use of alcohol that is, or may become harmful, but where no addiction is present
TRANSCRIPT
Risk-drinking
• The use of alcohol that is, or may become harmful, but where no addiction is present.
Effects
• Risky drinking has large impact on many of the common diagnoses in family medicine, such as hypertension, cardiac arythmia, depression, anxiety, insomnia etc.
The risk-drinking patients usually have no problem
to cut back alcohol consumption,
once they realize the connection to their health
problems.
GPs agree that it is important that patients with a risk-drinking profile are identified and get
advice on changing habits
BUT :
• 50% ask patients about use of alcohol
• 75% think they cannot influence how much their patients drink
• 97,1% wish to get more education in the field
The Risk-drinking Project
How to teach GPs an effective approach to achieve changes in their patients habits of
alcohol consumption
Three main points of strategy
• Forceful economic support by the government both to a national knowledge centre and to all of the country’s health care regions
• Use professional organisations
• Focus on education and networks
Issues about alcohol habits shall be a natural element in daily
health care in such a way that it reflects the importance alcohol has as a source of injuries and
illnesses
Goal
HOW ?
• PATIENT-CENTRED approach – is it in the interest of the patient ?
• EMPOWERMENT – to summon the powers within the patient.
• MI
Culture competence
• Methodology suited to the daily practices of doctors and nurses
Cave!”commando
training”
The risk-drinking workshop
• An educational model, using the experiences of the practitioner to overcome obstacles and fears when dealing with the risk-drinking patient:
BarriersFacts/experiencesMethods of Consultation /MI
Methodology
Combining the risk drinking workshop with training in motivational interviewing has proven to be successful.
OPPORTUNITY 1
• Has the patient noticed that his /her problem has a connection to alcohol ?
OPPORTUNITY 2
• Offer information in connection to the patients diagnosis
OPPORTUNITY 3
• Provide information on treatment .
OPPORTUNITY 4
• Introduce the idea of different sensibility.
OPPORTUNITY 5
• Test if there is a connection
OPPORTUNITY 6
• Lab tests
• NB To talk with the patient has a much higher sensitivity and specificity than most labresults
How to reach us
• www.fhi.se / riskbruksprojektet
• English version available at the site
• E-mail: asa(.)[email protected]
Seven sub-projects
• Motivational Interviewing - MI
• General practitioners
• Specialist trainee doctors (ST-doctors)
• District nurses
• Maternity health care
• Child health care
• Occupational health