1. Tackling the Harms and Costs of Alcohol Misuse
ALCOHOL HEALTH WORK
A&E liaison via PAT
Includes CDU, Douglas & Joseph Toynbee ward
Ward referrals can be made directly
Alcohol withdrawal management
St Mary’s alcohol guidelines being reviewed
Advice & support for ward staff
Psychiatric liaison
Where dual diagnosis is an issue
Brief assessment of substance misuse
Referral to community alcohol services
Thursday 23rd August 2007

2. Tackling the Harms and Costs of Alcohol Misuse
PAT pathway
Thursday 23rd August 2007

3. Tackling the Harms and Costs of Alcohol Misuse
Referral & Reduction
For every two (hazardous/harmful drinking) patients referred for AHW
there will be one less re-attendance
within the next 12 months.
Crawford MJ et al, Lancet,
2004;364:
NB Inclusion criteria from the REDUCE Study:
Men consuming 8 or more units (I UK Unit=10ml=8gms alcohol), and women consuming 6 or more units, on at least one occasion per week.
Any patient who declares their visit to ED related to alcohol consumption – Question 4, PAT.
18 yrs and over, Alert & orientated, Speak sufficient English, Resident within London orbital M25, Accept offer of help
Verbal consent & accept written info.
Exclusion Criteria:
Requested help at outset, i.e. treatment-seeking, Already in contact with alcohol services, Refused consent.
Thursday 23rd August 2007

4. ST. MARY’S HOSPITAL: IMPACT OF ALCOHOL HEALTH WORK
Tackling the Harms and Costs of Alcohol Misuse
ST. MARY’S HOSPITAL: IMPACT OF ALCOHOL HEALTH WORK
2004/ patients accepted referral, and attended their AHW appointment (22% of referrals).
2005/ patients accepted referral, and attended their AHW appointment (46% of referrals).
2005/ patients accepted referral, and attended their AHW appointment (55% of referrals).
Thursday 23rd August 2007