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Training and tailored outreach support to improve alcohol screening and brief intervention in A boriginal C ommunity C ontrolled H ealth S ervices
Author(s) -
Clifford Anton,
Shakeshaft Anthony,
Deans Catherine
Publication year - 2013
Publication title -
drug and alcohol review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.018
H-Index - 74
eISSN - 1465-3362
pISSN - 0959-5236
DOI - 10.1111/j.1465-3362.2012.00488.x
Subject(s) - outreach , medicine , alcohol , intervention (counseling) , brief intervention , family medicine , indigenous , gerontology , nursing , ecology , biochemistry , chemistry , political science , law , biology
Abstract Introduction and Aims Aboriginal C ommunity C ontrolled H ealth S ervices ( 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 A boriginal C ommunity C ontrolled H ealth S ervices ( 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 .