1. The Alcohol Brief Intervention Programme –an Overview
Josef Prygodzicz
Public Health Wales
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2. Why Bother? Alcohol -everybody’s problem?
Estimated to be the 3rd highest risk factor for ill health in the EU, after tobacco and hypertension
Causal relationship with > 60 medical conditions, including liver disease, cancers, cardiovascular diseases, gastrointestinal diseases
Unintentional and intentional injuries, accidents, injuries,
falls
Family Problems- conflict, erratic child discipline, social isolation

3. What are the Risks?-A Profile of Alcohol in Wales
Responsible for 1000 deaths in Wales annually
Only smoking and raised blood pressure are higher health risk factors
Linked to over 60 disease conditions, from mouth cancers to liver disease
Estimated cost to the NHS in Wales is £70-85 million annually
Welsh Health Survey may only represent 50-60% of actual consumption
1 bottle of wine ‘missing’ per week for every Welsh drinker

5. Alcohol in Wales-the alcohol continuum
Non Drinker
Hazardous Drinking
Harmful Drinking
Percentage of Welsh Population (approx)
12% 8%
44%
36%
Sensible Drinking
Potentially
Addicted / Dependant

6. Alcohol in Cardiff and Vale of Glamorgan

7. Alcohol in Cardiff and Vale of Glamorgan

8. Alcohol in Cardiff and Vale of Glamorgan

9. ABI –National Training Programme
Co-ordinated by Public Health Wales Fully evidence based Accredited by AGORED Cymru Certified by RCN Award winning 2 Hour Session Deliver at trainees location Groups of about 6-20
ABI

10. What is an Alcohol Brief Intervention?
“A short, evidence-based, structured conversation about alcohol consumption with a client to motivate and support the individual to think about and/or plan a change in their drinking behaviour in order to reduce their consumption”
NHS Scotland (2009)

11. ABI: a Dual Function Intervention
Significantly reduce the alcohol drinking levels of people who have been identified as drinking Hazardous and Harmful amounts
Provide a valuable framework to facilitate referral of cases of alcohol dependence to specialised services

12. How much impact can ABI really have?
The Numbers Needed to Treat (NNT) for Alcohol Brief Interventions = 8
The average reduction in alcohol consumption (per week) is 38 grams, which equates to 4-5 units. or or
Kaner et al (2009) Effectiveness of brief alcohol interventions in primary care populations (Review)
Raistrick et al (2006) Review of the effectiveness of treatment for alcohol problems

13. Alcohol Brief Intervention (ABI) Pathway
Raise the issue or look/ listen for ‘Triggers’
Screen and give feedback
Listen for readiness to change
Use a suitable approach
Exit strategy – remember that you or the client can stop the conversation at any time
Close the conversation but keep an ‘open door’ and sign post or refer onto further support
Build Confidence
Motivate
Coping Strategies
Info and advice
Menu of Options

14. What can Support Me?
Have A Word training
Have a Word web site
E-Bulletins to delegates
Unit Beakers and Wheels
Post Its and Scratch Cards
One Drink, One Click
Phone App
Material in Welsh
Train the Trainers

15. Alcohol Awareness Week 2014 runs from 17-23 November 2014
Raising the Awareness- Alcohol Concern’s Campaigns
Alcohol Awareness Week 2014 runs from November 2014

16. Raising the Awareness- Think About Your Drink Scratch Card

17. Who Can Help? Drop us an email
Suzie Becquer-moreno
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18. Thank You Any Questions?
Alcohol Awareness Week 2014 runs from November 2014