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Screening for alcohol use in criminal justice settings: an exploratory study
Simon Coulton1, Dorothy Newbury-Birch, Paul Cassidy
1Centre for Health Service Studies, University of Kent, Canterbury, UK. s.coulton@kent.ac.uk
Alcohol screening is feasible in criminal justice settings, particularly probation, with participants receptive to interventions. This study highlights a significant alcohol use problem impacting health and criminal behavior.
Area of Science:
- Public Health
- Criminology
- Addiction Medicine
Background:
- Problematic alcohol use is prevalent within criminal justice populations.
- This impacts both individual health and criminal behavior patterns.
- Screening and intervention are crucial for addressing this issue.
Purpose of the Study:
- To assess the feasibility and acceptability of alcohol screening and brief interventions in criminal justice settings.
- To compare the effectiveness of different screening tools.
- To identify the most suitable criminal justice setting for such interventions.
Main Methods:
- Quantitative survey conducted in English police custody suites, prisons, and probation offices.
- Comparison of the Fast Alcohol Screening Test (FAST) and modified Single Alcohol Screening Question (M-SASQ) against the Alcohol Use Disorders Identification Test (AUDIT).
- Inclusion of health status, service utilization, readiness to change, acceptability, feasibility, and coercion perception questionnaires.
Main Results:
- High prevalence of alcohol use disorders (73% scored 8+ on AUDIT).
- Probation settings showed higher consent rates (81%) for screening.
- Alcohol-positive individuals were more likely to have violent offenses.
- FAST and M-SASQ demonstrated acceptable screening properties against AUDIT.
Conclusions:
- Significant alcohol use problem exists within the criminal justice system, affecting health and criminal behavior.
- Probation settings are most suitable for alcohol screening and intervention delivery.
- Participants expressed willingness to engage in alcohol interventions within probation settings.
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