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Related Experiment Videos

Implementing an effective intervention for problem drinkers on medical wards.

S Mcmanus1, J Hipkins, P Haddad

  • 1School of Psychiatry and Behavioral Sciences, M13 9PL, Manchester, UK.

General Hospital Psychiatry
|September 16, 2003
PubMed
Summary

Brief alcohol counselling for medical inpatients is feasible and effective. Trained nurses can screen and counsel patients, significantly reducing alcohol consumption within six months post-discharge.

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Area of Science:

  • Internal Medicine
  • Addiction Medicine
  • Public Health

Background:

  • Alcohol-related problems are prevalent among medical inpatients.
  • Evidence for the feasibility of brief interventions in this population is limited.

Purpose of the Study:

  • To assess the feasibility and efficacy of a brief alcohol intervention delivered by trained nurses on general medical wards.
  • To evaluate the impact of one or two counselling sessions on patient alcohol consumption.

Main Methods:

  • An alcohol counsellor trained nurses on five general medical wards to screen and counsel patients.
  • Intervention involved one or two counselling sessions.
  • Efficacy was assessed via interviews six months post-admission.

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Main Results:

  • 19.6% of males and 4.8% of females exceeded recommended alcohol limits.
  • Counselling reduced median weekly alcohol intake from 74 units to 26 units.
  • A second counselling session offered no additional benefit over a single session.

Conclusions:

  • Brief alcohol counselling delivered by trained nurses is a feasible and effective intervention for medical inpatients.
  • Adequate support and training for nursing staff are crucial for successful implementation.
  • A single counselling session during hospitalization is sufficient to achieve significant reductions in alcohol consumption.