Open AccessIntegration of alcohol use disorders identification and management in the tuberculosis programme in Tomsk Oblast, Russia
Author(s) -
T. A. Mathew,
Sergei Yanov,
Rais Mazitov,
Sergey P. Mishustin,
А. К. Стрелис,
G. V. Yanova,
V. T. Golubchikova,
Dmitriy Taran,
A. Golubkov,
A. L. Shields,
Shelly F. Greenfield,
Sonya Shin,
on behalf of the Tomsk Tuberculosis Alcohol Working Group
Publication year - 2008
Publication title -
european journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 91
eISSN - 1464-360X
pISSN - 1101-1262
DOI - 10.1093/eurpub/ckn093
Subject(s) - alcohol use disorders identification test , audit , multidisciplinary approach , medicine , tuberculosis , identification (biology) , addiction , environmental health , psychiatry , business , poison control , injury prevention , biology , botany , social science , pathology , sociology , accounting
Alcohol use disorders (AUDs) among tuberculosis (TB) patients are associated with nonadherence and poor treatment outcomes. We developed a multidisciplinary model to manage AUDs among TB patients in Tomsk, Russia. First, we assessed current standards of care through stakeholder meetings and ethnographic work. The Alcohol Use Disorders Identification Test (AUDIT) was incorporated into routine assessment of all patients starting TB treatment. We established treatment algorithms based on AUDIT scores. We then hired specialists and addressed licensing requirements to provide on-site addictions care. Our experience offers a successful model in the management of co-occurring AUDs among patients with chronic medical problems.
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