Index
Technical
Report Documentation Page
Executive
Summary
Background
Methods
and Outcomes
Conclusions
References
Appendix
|
Appendices
OBJECTIVES:
-
Know
the prevalence of alcohol problems and how you could
become involved
-
Know
the outcome literature on Brief Interventions
-
Learn
screening, assessment, and brief intervention skills
for your setting
|
What
is a
"BRIEF INTERVENTION"?
-
A
carefully crafted effort
-
Sometimes
only a few sentences by a provider
-
Designed
to raise the chances that a patient/client will make
a change
|
Terms, Terms, Terms:
|
Low-Risk
Drinker:
Men:
3-4/day max & 15/wk. max
Women:
2-3/day max & 10/wk. max
"1 drink"
|
= 12-oz beer |
|
= 5-oz wine |
|
= single mixed drink |
|
Alcohol
Abuse
(meets > 1 in past year)
-
Recurrent
use causes failed role obligations
-
Recurrent
use in hazardous situations
(e.g. driving)
-
Recurrent
legal problems related to use
-
Continues
use despite having problems caused/exacerbated by use
|
ALCOHOL
DEPENDENCE
(meets > 3 of 7 within past year:)
-
W
ithdrawal symptoms
-
I
nvolved, too much time spent
-
T
olerance to drug's effects
-
H
ampered activities, responsibilities
-
D
esires to quit but has not done so
-
R
epeats use despite knowing of problem
-
L
arger amounts than intended
|
RED
FLAGS
for Problem Drinking:
|
STAGES
OF CHANGE
Precontemplation
Contemplation
Preparation
Action
Maintenance
|
Prochaska
& DiClemente
|
|
BRIEF INTERVENTION
|
SIX
COMMON ELEMENTS of
BRIEF INTERVENTIONS:
-
Feedback
-
Responsibility
-
Advice
-
Menu
of Options
-
Empathy
-
Self-Confidence
|
BRIEF
INTERVENTION
Men: |
>
3-4 drinks per occasion
> 15 drinks per week |
Women:
|
>
2-3 drinks per occasion
> 10 drinks per week |
or
> 2 Yes on CAGE questions
|
|
Information
to Teach Patients
on ETOH:
-
Abnormal
labs (GGT, MCV) may be from etoh
-
Tolerance
bad, means "alarm not going off"
-
Link
between presenting problems & etoh
-
How
much alcohol is in one standard drink
-
BAC
charts for male/female X body weight
|
ADVISE
a Plan of Action
for At-Risk Drinkers:
-
Recommend
a consumption limit based on health risks
-
Ask
the patient to set a low-risk drinking goal
-
Provide
patient education materials
|
KNOW YOUR PERSONAL
LIMIT:
ONE DRINK
|
= One bottle of beer
(12 oz.) |
|
= One glass of wine (6
oz.) |
|
= One "single"
drink (1¼ oz. of liquor)
|
NUMBER
of DRINKS PER HOURS |
100
lbs |
120
lbs |
140
lbs |
160
lbs |
180
lbs |
200
lbs |
220
lbs |
240
lbs |
M
/ F |
M
/ F |
M
/ F |
M
/ F |
M
/ F |
M
/ F |
M
/ F |
M
/ F |
1 drink in 1 hour |
.02/.03 |
.02/.02 |
.01/.02 |
.01/.01 |
.00/.01 |
.00/.01 |
.00/.00 |
.00/.00 |
1 drink in 2 hours |
.01/.02 |
.00/.01 |
.00/.00 |
.00/.00 |
.00/.00 |
.00/.00 |
.00/.00 |
.00/.00 |
1 drink in 3 hours |
.00/.01 |
.00/.00 |
.00/.00 |
.00/.00 |
.00/.00 |
.00/.00 |
.00/.00 |
.00/.00 |
2 drinks in 2 hours |
.03/.04 |
.03/.04 |
.02/.03 |
.01/.02 |
.01/.02 |
.00/.01 |
.00/.00 |
.00/.00 |
2 drinks in 3 hours |
.02/.03 |
.01/.03 |
.00/.01 |
.00/.01 |
.00/.00 |
.00/.00 |
.00/.00 |
.00/.00 |
2 drinks in 1 hour |
.06/.07 |
.05/.06 |
.04/.05 |
.03/.04 |
.03/.03 |
.02/.03 |
.02/.02 |
.02/.02 |
3 drinks in 3 hours |
.06/.09 |
.05/.06 |
.03/.05 |
.02/.03 |
.01/.03 |
.01/.02 |
.00/.01 |
.00/.01 |
3 drinks in 2 hours |
.08/.10 |
.07/.09 |
.05/.06 |
.04/.05 |
.03/.04 |
.02/.03 |
.02/.03 |
.01/.02 |
4 drinks in 4 hours |
.09/.11 |
.06/.08 |
.04/.06 |
.03/.05 |
.02/.03 |
.01/.02 |
.00/.02 |
.00/.01 |
4 drinks in 3 hours |
.10/.13 |
.08/.10 |
.06/.08 |
.05/.06 |
.03/.05 |
.03/.04 |
.02/.03 |
.01/.03 |
5 drinks in 5 hours |
.11/.14 |
.08/.11 |
.05/.08 |
.04/.06 |
.02/.04 |
.01/.03 |
.00/.02 |
.00/.00 |
3 drinks in 1 hours |
.10/.12 |
.08/.10 |
.07/.08 |
.06/.07 |
.05/.06 |
.04/.05 |
.04/.05 |
.03/.04 |
5 drinks in 4 hours |
.13/.16 |
.09/.12 |
.09/.10 |
.05/.07 |
.04/.06 |
.03/.05 |
.02/.04 |
.01/.03 |
4 drinks in 2 hours |
.12/.15 |
.09/.12 |
.08/.10 |
.06/.08 |
.05/.07 |
.04/.06 |
.04/.05 |
.03/.04 |
5 drinks in 3 hours |
.14/.18 |
.11/.14 |
.09/.11 |
.07/.09 |
.06/.08 |
.05/.06 |
.04/.05 |
.03/.04 |
5 drink in 2 hours |
.16/.19 |
.13/.16 |
.10/.13 |
.09/.11 |
.07/.09 |
.06/.08 |
.05/.07 |
.05/.06 |
LOW RISK DRINKING GUIDELINES:
Men: 3 drinks
per day, max, and 14 drinks per week,
max.
Women: 2 drinks per day, max, and
9 drinks per week, max.
|
NO AMOUNT OF ALCOHOL IS SAFE IF YOU ARE DRIVING.
YOUR RISK OF CRASHING GOES UP, EVEN WITH VERY SMALL AMOUNTS.
NO AMOUNT IS SAFE IF YOU ARE PREGNANT
OR TRYING TO GET PREGNANT
|
RECOMMENDED
LIMITS
for At Risk Drinkers*
Men: |
3-4
drinks/day and
14 drinks/week |
Women: |
2-3
drinks/day and
10 drinks/week
|
*Sanchez-Craig,
Wilkinson, Phil, Davila (1995): AJPH, 85 (6) 823-828
|
|
RECOMMENDING
ABSTINENCE:
Advise
to abstain if:
-
Pregnant
or trying to get pregnant
-
Taking
meds that interact with alcohol
-
Contraindicated
by medical conditions
-
Alcohol
dependent
-
Want
to find out if dependent
|
|