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Open Access 01-12-2017 | Meeting report

Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA)

Authors: Joseph E. Glass, Sven Andréasson, Katharine A. Bradley, Sara Wallhed Finn, Emily C. Williams, Ann-Sofie Bakshi, Antoni Gual, Nick Heather, Marcela Tiburcio Sainz, Vivek Benegal, Richard Saitz

Published in: Addiction Science & Clinical Practice | Issue 1/2017

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Abstract

In 2016, the International Network on Brief Interventions for Alcohol & Other Drugs convened a meeting titled “Rethinking alcohol interventions in health care”. The aims of the meeting were to synthesize recent evidence about screening and brief intervention and to set directions for research, practice, and policy in light of this evidence. Screening and brief intervention is efficacious in reducing self-reported alcohol consumption for some with unhealthy alcohol use, but there are gaps in evidence for its effectiveness. Because screening and brief intervention is not known to be efficacious for individuals with more severe unhealthy alcohol use, recent data showing the lack of evidence for referral to treatment as part of screening and brief intervention are alarming. While screening and brief intervention was designed to be a population-based approach, its reach is limited. Implementation in real world care also remains a challenge. This report summarizes practice, research, and policy recommendations and key research developments from our meeting. In order to move the field forward, a research agenda was proposed to (1) address evidence gaps in screening, brief intervention, and referral to treatment, (2) develop innovations to address severe unhealthy alcohol use within primary care, (3) describe the stigma of unhealthy alcohol use, which obstructs progress in prevention and treatment, (4) reconsider existing conceptualizations of unhealthy alcohol use that may influence health care, and (5) identify efforts needed to improve the capacity for addressing unhealthy alcohol consumption in all world regions.
Literature
2.
go back to reference Babor TF, Ritson EB, Hodgson RJ. Alcohol-related problems in the primary health care setting: a review of early intervention strategies. Br J Addict. 1986;81:23–46.PubMedCrossRef Babor TF, Ritson EB, Hodgson RJ. Alcohol-related problems in the primary health care setting: a review of early intervention strategies. Br J Addict. 1986;81:23–46.PubMedCrossRef
3.
go back to reference Institute of Medicine. Broadening the base of treatment for alcohol problems. Washington: National Academy Press; 1990. Institute of Medicine. Broadening the base of treatment for alcohol problems. Washington: National Academy Press; 1990.
4.
go back to reference Saunders JB, Aasland OG. WHO collaborative project on the identification and treatment of persons with harmful alcohol consumption. Report on phase I: the development of a screening instrument. Geneva: World Health Organization; 1987. Saunders JB, Aasland OG. WHO collaborative project on the identification and treatment of persons with harmful alcohol consumption. Report on phase I: the development of a screening instrument. Geneva: World Health Organization; 1987.
5.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 2000 (text revised). American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 2000 (text revised).
6.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.CrossRef
8.
go back to reference Jonas DE, Garbutt JC, Amick HR, Brown JM, Brownley KA, Council CL, Viera AJ, Wilkins TM, Schwartz CJ, Richmond EM, et al. Behavioral counseling after screening for alcohol misuse in primary care: a systematic review and meta-analysis for the U.S. Preventive Services Task Force. Ann Intern Med. 2012;157:645–54.PubMedCrossRef Jonas DE, Garbutt JC, Amick HR, Brown JM, Brownley KA, Council CL, Viera AJ, Wilkins TM, Schwartz CJ, Richmond EM, et al. Behavioral counseling after screening for alcohol misuse in primary care: a systematic review and meta-analysis for the U.S. Preventive Services Task Force. Ann Intern Med. 2012;157:645–54.PubMedCrossRef
9.
go back to reference Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998;158:1789–95.PubMedCrossRef Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998;158:1789–95.PubMedCrossRef
10.
go back to reference Smith PC, Schmidt SM, Allensworth-Davies D, Saitz R. Primary care validation of a single-question alcohol screening test. J Gen Intern Med. 2009;24:783–8.PubMedPubMedCentralCrossRef Smith PC, Schmidt SM, Allensworth-Davies D, Saitz R. Primary care validation of a single-question alcohol screening test. J Gen Intern Med. 2009;24:783–8.PubMedPubMedCentralCrossRef
11.
go back to reference Moyer VA. U.S. Preventive Services Task Force: screening and behavioral counseling interventions in primary care to reduce alcohol misuse: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2013;159:210–8.PubMed Moyer VA. U.S. Preventive Services Task Force: screening and behavioral counseling interventions in primary care to reduce alcohol misuse: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2013;159:210–8.PubMed
12.
go back to reference Saitz R. Alcohol screening and brief intervention in primary care: absence of evidence for efficacy in people with dependence or very heavy drinking. Drug Alcohol Rev. 2010;29:631–40.PubMedPubMedCentralCrossRef Saitz R. Alcohol screening and brief intervention in primary care: absence of evidence for efficacy in people with dependence or very heavy drinking. Drug Alcohol Rev. 2010;29:631–40.PubMedPubMedCentralCrossRef
13.
go back to reference Brown RL, Saunders LA, Bobula JA, Mundt MP, Koch PE. Randomized-controlled trial of a telephone and mail intervention for alcohol use disorders: three-month drinking outcomes. Alcohol Clin Exp Res. 2007;31:1372–9.PubMedCrossRef Brown RL, Saunders LA, Bobula JA, Mundt MP, Koch PE. Randomized-controlled trial of a telephone and mail intervention for alcohol use disorders: three-month drinking outcomes. Alcohol Clin Exp Res. 2007;31:1372–9.PubMedCrossRef
14.
go back to reference Willenbring ML, Olson DH. A randomized trial of integrated outpatient treatment for medically ill alcoholic men. Arch Intern Med. 1999;159:1946–52.PubMedCrossRef Willenbring ML, Olson DH. A randomized trial of integrated outpatient treatment for medically ill alcoholic men. Arch Intern Med. 1999;159:1946–52.PubMedCrossRef
15.
go back to reference Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J. Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007;28:7–30.PubMedCrossRef Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J. Screening, Brief Intervention, and Referral to Treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007;28:7–30.PubMedCrossRef
16.
go back to reference Office of National Drug Control Policy, Substance Abuse and Mental Health Services Administration. Fact sheet: screening, brief intervention, and referral to treatment. White House; 2012. Office of National Drug Control Policy, Substance Abuse and Mental Health Services Administration. Fact sheet: screening, brief intervention, and referral to treatment. White House; 2012.
17.
go back to reference Dawson DA, Grant BF, Stinson FS, Chou PS, Huang B, Ruan WJ. Recovery from DSM-IV alcohol dependence: United States, 2001–2002. Addiction. 2005;100:281–92.PubMedCrossRef Dawson DA, Grant BF, Stinson FS, Chou PS, Huang B, Ruan WJ. Recovery from DSM-IV alcohol dependence: United States, 2001–2002. Addiction. 2005;100:281–92.PubMedCrossRef
18.
go back to reference Dawson DA, Grant BF, Stinson FS, Chou PS. Estimating the effect of help-seeking on achieving recovery from alcohol dependence. Addiction. 2006;101:824–34.PubMedCrossRef Dawson DA, Grant BF, Stinson FS, Chou PS. Estimating the effect of help-seeking on achieving recovery from alcohol dependence. Addiction. 2006;101:824–34.PubMedCrossRef
19.
go back to reference Ettner SL, Huang D, Evans E, Ash DR, Hardy M, Jourabchi M, Hser YI. Benefit-cost in the California treatment outcome project: does substance abuse treatment “pay for itself”? Health Serv Res. 2006;41:192–213.PubMedPubMedCentralCrossRef Ettner SL, Huang D, Evans E, Ash DR, Hardy M, Jourabchi M, Hser YI. Benefit-cost in the California treatment outcome project: does substance abuse treatment “pay for itself”? Health Serv Res. 2006;41:192–213.PubMedPubMedCentralCrossRef
20.
go back to reference Finney JW, Wilbourne PL, Moos RH. Psychosocial treatments for substance use disorders. In: Nathan PE, Gorman JM, editors. A guide to treatments that work. New York: Oxford University Press; 2007. p. 179–202. Finney JW, Wilbourne PL, Moos RH. Psychosocial treatments for substance use disorders. In: Nathan PE, Gorman JM, editors. A guide to treatments that work. New York: Oxford University Press; 2007. p. 179–202.
21.
go back to reference Miller WR, Wilbourne PL. Mesa Grande: a methodological analysis of clinical trials of treatments for alcohol use disorders. Addiction. 2002;97:265–77.PubMedCrossRef Miller WR, Wilbourne PL. Mesa Grande: a methodological analysis of clinical trials of treatments for alcohol use disorders. Addiction. 2002;97:265–77.PubMedCrossRef
22.
23.
go back to reference Zarkin GA, Bray JW, Aldridge A, Mills M, Cisler RA, Couper D, McKay JR, O’Malley S. The effect of alcohol treatment on social costs of alcohol dependence: results from the COMBINE study. Med Care Res Rev. 2010;48:396–401. Zarkin GA, Bray JW, Aldridge A, Mills M, Cisler RA, Couper D, McKay JR, O’Malley S. The effect of alcohol treatment on social costs of alcohol dependence: results from the COMBINE study. Med Care Res Rev. 2010;48:396–401.
24.
go back to reference Substance Abuse and Mental Health Services Administration. Screening, brief intervention, and referral to treatment (SBIRT). Rockville, MD: Substance Abuse and Mental Health Services Administration; 2016. Substance Abuse and Mental Health Services Administration. Screening, brief intervention, and referral to treatment (SBIRT). Rockville, MD: Substance Abuse and Mental Health Services Administration; 2016.
26.
go back to reference Department of Health and Human Services, Centers for Medicare Medicaid Services. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse. Report # MM7633. In: Medical Learning Network (MLN) Matters; 2011. Department of Health and Human Services, Centers for Medicare Medicaid Services. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse. Report # MM7633. In: Medical Learning Network (MLN) Matters; 2011.
27.
go back to reference O’Donnell A, Anderson P, Newbury-Birch D, Schulte B, Schmidt C, Reimer J, Kaner E. The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol Alcohol. 2014;49:66–78.PubMedCrossRef O’Donnell A, Anderson P, Newbury-Birch D, Schulte B, Schmidt C, Reimer J, Kaner E. The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol Alcohol. 2014;49:66–78.PubMedCrossRef
28.
go back to reference Glass JE, Hamilton AM, Powell BJ, Perron BE, Brown RT, Ilgen MA. Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials. Addiction. 2015;110:1404–15.PubMedPubMedCentralCrossRef Glass JE, Hamilton AM, Powell BJ, Perron BE, Brown RT, Ilgen MA. Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials. Addiction. 2015;110:1404–15.PubMedPubMedCentralCrossRef
29.
go back to reference Bradley KA, Lapham GT, Hawkins EJ, Achtmeyer CE, Williams EC, Thomas RM, Kivlahan DR. Quality concerns with routine alcohol screening in VA clinical settings. J Gen Intern Med. 2011;26:299–306.PubMedCrossRef Bradley KA, Lapham GT, Hawkins EJ, Achtmeyer CE, Williams EC, Thomas RM, Kivlahan DR. Quality concerns with routine alcohol screening in VA clinical settings. J Gen Intern Med. 2011;26:299–306.PubMedCrossRef
30.
go back to reference Williams EC, Achtmeyer CE, Thomas RM, Grossbard JR, Lapham GT, Chavez LJ, Ludman EJ, Berger D, Bradley KA. Factors underlying quality problems with alcohol screening prompted by a clinical reminder in primary care: a multi-site qualitative study. J Gen Intern Med. 2015;30:1125–32.PubMedPubMedCentralCrossRef Williams EC, Achtmeyer CE, Thomas RM, Grossbard JR, Lapham GT, Chavez LJ, Ludman EJ, Berger D, Bradley KA. Factors underlying quality problems with alcohol screening prompted by a clinical reminder in primary care: a multi-site qualitative study. J Gen Intern Med. 2015;30:1125–32.PubMedPubMedCentralCrossRef
31.
go back to reference Williams EC, Achtmeyer CE, Young JP, Rittmueller SE, Ludman EJ, Lapham GT, Lee AK, Chavez LJ, Berger D, Bradley KA. Local implementation of alcohol screening and brief intervention at five Veterans Health Administration primary care clinics: perspectives of clinical and administrative staff. J Subst Abuse Treat. 2016;60:27–35.PubMedCrossRef Williams EC, Achtmeyer CE, Young JP, Rittmueller SE, Ludman EJ, Lapham GT, Lee AK, Chavez LJ, Berger D, Bradley KA. Local implementation of alcohol screening and brief intervention at five Veterans Health Administration primary care clinics: perspectives of clinical and administrative staff. J Subst Abuse Treat. 2016;60:27–35.PubMedCrossRef
32.
go back to reference Williams EC, Johnson ML, Lapham GT, Caldeiro RM, Chew L, Fletcher GS, McCormick KA, Weppner WG, Bradley KA. Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review. Psychol Addict Behav J Soc Psychol Addict Behav. 2011;25:206–14.CrossRef Williams EC, Johnson ML, Lapham GT, Caldeiro RM, Chew L, Fletcher GS, McCormick KA, Weppner WG, Bradley KA. Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature review. Psychol Addict Behav J Soc Psychol Addict Behav. 2011;25:206–14.CrossRef
33.
go back to reference van Beurden I, Anderson P, Akkermans RP, Grol RP, Wensing M, Laurant MG. Involvement of general practitioners in managing alcohol problems: a randomized controlled trial of a tailored improvement programme. Addiction. 2012;107:1601–11.PubMedCrossRef van Beurden I, Anderson P, Akkermans RP, Grol RP, Wensing M, Laurant MG. Involvement of general practitioners in managing alcohol problems: a randomized controlled trial of a tailored improvement programme. Addiction. 2012;107:1601–11.PubMedCrossRef
34.
go back to reference Glass JE, Bohnert KM, Brown RL. Alcohol screening and intervention among United States adults who attend ambulatory healthcare. J Gen Intern Med. 2016;31:739–45.PubMedCrossRef Glass JE, Bohnert KM, Brown RL. Alcohol screening and intervention among United States adults who attend ambulatory healthcare. J Gen Intern Med. 2016;31:739–45.PubMedCrossRef
35.
go back to reference Wilson GB, Lock CA, Heather N, Cassidy P, Christie MM, Kaner EF. Intervention against excessive alcohol consumption in primary health care: a survey of GPs’ attitudes and practices in England 10 years on. Alcohol Alcohol. 2011;46:570–7.PubMedPubMedCentralCrossRef Wilson GB, Lock CA, Heather N, Cassidy P, Christie MM, Kaner EF. Intervention against excessive alcohol consumption in primary health care: a survey of GPs’ attitudes and practices in England 10 years on. Alcohol Alcohol. 2011;46:570–7.PubMedPubMedCentralCrossRef
36.
go back to reference Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2197–223.PubMedCrossRef Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2197–223.PubMedCrossRef
37.
go back to reference Kristenson H, Ohlin H, Hulten-Nosslin MB, Trell E, Hood B. Identification and intervention of heavy drinking in middle-aged men: results and follow-up of 24–60 months of long-term study with randomized controls. Alcohol Clin Exp Res. 1983;7:203–9.PubMedCrossRef Kristenson H, Ohlin H, Hulten-Nosslin MB, Trell E, Hood B. Identification and intervention of heavy drinking in middle-aged men: results and follow-up of 24–60 months of long-term study with randomized controls. Alcohol Clin Exp Res. 1983;7:203–9.PubMedCrossRef
38.
go back to reference Fleming MF, Mundt MP, French MT, Manwell LB, Stauffacher EA, Barry KL. Brief physician advice for problem drinkers: long-term efficacy and benefit-cost analysis. Alcohol Clin Exp Res. 2002;26:36–43.PubMedCrossRef Fleming MF, Mundt MP, French MT, Manwell LB, Stauffacher EA, Barry KL. Brief physician advice for problem drinkers: long-term efficacy and benefit-cost analysis. Alcohol Clin Exp Res. 2002;26:36–43.PubMedCrossRef
39.
go back to reference Cuijpers P, Riper H, Lemmers L. The effects on mortality of brief interventions for problem drinking: a meta-analysis. Addiction. 2004;99:839–45.PubMedCrossRef Cuijpers P, Riper H, Lemmers L. The effects on mortality of brief interventions for problem drinking: a meta-analysis. Addiction. 2004;99:839–45.PubMedCrossRef
40.
go back to reference Angus C, Latimer N, Preston L, Li J, Purshouse R. What are the implications for policy makers? A systematic review of the cost-effectiveness of screening and brief interventions for alcohol misuse in primary care. Front Psychiatry. 2014;5:114.PubMedPubMedCentralCrossRef Angus C, Latimer N, Preston L, Li J, Purshouse R. What are the implications for policy makers? A systematic review of the cost-effectiveness of screening and brief interventions for alcohol misuse in primary care. Front Psychiatry. 2014;5:114.PubMedPubMedCentralCrossRef
41.
go back to reference Beich A, Thorsen T, Rollnick S. Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis. BMJ. 2003;327:536–42.PubMedPubMedCentralCrossRef Beich A, Thorsen T, Rollnick S. Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis. BMJ. 2003;327:536–42.PubMedPubMedCentralCrossRef
42.
go back to reference Kaner EF, Beyer F, Dickinson HO, Pienaar E, Campbell F, Schlesinger C, Heather N, Saunders J, Burnand B. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev. 2007:CD004148. Kaner EF, Beyer F, Dickinson HO, Pienaar E, Campbell F, Schlesinger C, Heather N, Saunders J, Burnand B. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev. 2007:CD004148.
43.
go back to reference Ballesteros J, Duffy JC, Querejeta I, Arino J, Gonzalez-Pinto A. Efficacy of brief interventions for hazardous drinkers in primary care: systematic review and meta-analyses. Alcohol Clin Exp Res. 2004;28:608–18.PubMedCrossRef Ballesteros J, Duffy JC, Querejeta I, Arino J, Gonzalez-Pinto A. Efficacy of brief interventions for hazardous drinkers in primary care: systematic review and meta-analyses. Alcohol Clin Exp Res. 2004;28:608–18.PubMedCrossRef
44.
45.
go back to reference Hilbink M, Voerman G, van Beurden I, Penninx B, Laurant M. A randomized controlled trial of a tailored primary care program to reverse excessive alcohol consumption. J Am Board Fam Med. 2012;25:712–22.PubMedCrossRef Hilbink M, Voerman G, van Beurden I, Penninx B, Laurant M. A randomized controlled trial of a tailored primary care program to reverse excessive alcohol consumption. J Am Board Fam Med. 2012;25:712–22.PubMedCrossRef
46.
go back to reference Williams EC, Rubinsky AD, Chavez LJ, Lapham GT, Rittmueller SE, Achtmeyer CE, Bradley KA. An early evaluation of implementation of brief intervention for unhealthy alcohol use in the US Veterans Health Administration. Addiction. 2014;109:1472–81.PubMedPubMedCentralCrossRef Williams EC, Rubinsky AD, Chavez LJ, Lapham GT, Rittmueller SE, Achtmeyer CE, Bradley KA. An early evaluation of implementation of brief intervention for unhealthy alcohol use in the US Veterans Health Administration. Addiction. 2014;109:1472–81.PubMedPubMedCentralCrossRef
47.
go back to reference Mertens JR, Chi FW, Weisner CM, Satre DD, Ross TB, Allen S, Pating D, Campbell CI, Lu YW, Sterling SA. Physician versus non-physician delivery of alcohol screening, brief intervention and referral to treatment in adult primary care: the ADVISe cluster randomized controlled implementation trial. Addict Sci Clin Pract. 2015;10:26.PubMedPubMedCentralCrossRef Mertens JR, Chi FW, Weisner CM, Satre DD, Ross TB, Allen S, Pating D, Campbell CI, Lu YW, Sterling SA. Physician versus non-physician delivery of alcohol screening, brief intervention and referral to treatment in adult primary care: the ADVISe cluster randomized controlled implementation trial. Addict Sci Clin Pract. 2015;10:26.PubMedPubMedCentralCrossRef
48.
go back to reference Donoghue K, Patton R, Phillips T, Deluca P, Drummond C. The effectiveness of electronic screening and brief intervention for reducing levels of alcohol consumption: a systematic review and meta-analysis. J Med Internet Res. 2014;16:e142.PubMedPubMedCentralCrossRef Donoghue K, Patton R, Phillips T, Deluca P, Drummond C. The effectiveness of electronic screening and brief intervention for reducing levels of alcohol consumption: a systematic review and meta-analysis. J Med Internet Res. 2014;16:e142.PubMedPubMedCentralCrossRef
49.
go back to reference Dedert EA, McDuffie JR, Stein R, McNiel JM, Kosinski AS, Freiermuth CE, Hemminger A, Williams JW Jr. Electronic Interventions for alcohol misuse and alcohol use disorders: a systematic review. Ann Intern Med. 2015;163:205–14.PubMedPubMedCentralCrossRef Dedert EA, McDuffie JR, Stein R, McNiel JM, Kosinski AS, Freiermuth CE, Hemminger A, Williams JW Jr. Electronic Interventions for alcohol misuse and alcohol use disorders: a systematic review. Ann Intern Med. 2015;163:205–14.PubMedPubMedCentralCrossRef
50.
go back to reference National Institute on Alcohol Abuse and Alcoholism. Helping patients who drink too much: a clinician’s guide. Bethesda: National Institutes of Health, U.S. Department of Health and Human Services; 2005. National Institute on Alcohol Abuse and Alcoholism. Helping patients who drink too much: a clinician’s guide. Bethesda: National Institutes of Health, U.S. Department of Health and Human Services; 2005.
51.
go back to reference National Institute on Alcohol Abuse and Alcoholism. Helping Patients who drink too much: a clinician’s guide (updated 2005 edition). Bethesda: National Institutes of Health, U.S. Department of Health and Human Services; 2007. National Institute on Alcohol Abuse and Alcoholism. Helping Patients who drink too much: a clinician’s guide (updated 2005 edition). Bethesda: National Institutes of Health, U.S. Department of Health and Human Services; 2007.
52.
go back to reference Mowbray O, Glass JE, Grinnell-Davis CL. Latent class analysis of alcohol treatment utilization patterns and 3-year alcohol related outcomes. J Subst Abuse Treat. 2015;54:21–8.PubMedCrossRef Mowbray O, Glass JE, Grinnell-Davis CL. Latent class analysis of alcohol treatment utilization patterns and 3-year alcohol related outcomes. J Subst Abuse Treat. 2015;54:21–8.PubMedCrossRef
53.
go back to reference Edlund MJ, Booth BM, Feldman ZL. Perceived need for treatment for alcohol use disorders: results from two national surveys. Psychiatr Serv. 2009;60:1618–28.PubMedPubMedCentralCrossRef Edlund MJ, Booth BM, Feldman ZL. Perceived need for treatment for alcohol use disorders: results from two national surveys. Psychiatr Serv. 2009;60:1618–28.PubMedPubMedCentralCrossRef
54.
go back to reference Glass JE, Grant JD, Yoon HY, Bucholz KK. Alcohol problem recognition and help seeking in adolescents and young adults at varying genetic and environmental risk. Drug Alcohol Depend. 2015;153:250–7.PubMedPubMedCentralCrossRef Glass JE, Grant JD, Yoon HY, Bucholz KK. Alcohol problem recognition and help seeking in adolescents and young adults at varying genetic and environmental risk. Drug Alcohol Depend. 2015;153:250–7.PubMedPubMedCentralCrossRef
55.
go back to reference Williams EC, Kivlahan DR, Saitz R, Merrill JO, Achtmeyer CE, McCormick KA, Bradley KA. Readiness to change in primary care patients who screened positive for alcohol misuse. Ann Fam Med. 2006;4:213–20.PubMedPubMedCentralCrossRef Williams EC, Kivlahan DR, Saitz R, Merrill JO, Achtmeyer CE, McCormick KA, Bradley KA. Readiness to change in primary care patients who screened positive for alcohol misuse. Ann Fam Med. 2006;4:213–20.PubMedPubMedCentralCrossRef
56.
go back to reference Grant BF. Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample. J Stud Alcohol. 1997;58:365–71.PubMedCrossRef Grant BF. Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample. J Stud Alcohol. 1997;58:365–71.PubMedCrossRef
57.
go back to reference Perron BE, Mowbray OP, Glass JE, Delva J, Vaughn MG, Howard MO. Differences in service utilization and barriers among Blacks, Hispanics, and Whites with drug use disorders. Subst Abus Treat Prev Policy. 2009;4:3.CrossRef Perron BE, Mowbray OP, Glass JE, Delva J, Vaughn MG, Howard MO. Differences in service utilization and barriers among Blacks, Hispanics, and Whites with drug use disorders. Subst Abus Treat Prev Policy. 2009;4:3.CrossRef
58.
go back to reference Cohen E, Feinn R, Arias A, Kranzler HR. Alcohol treatment utilization: findings from the National Epidemiologic Survey on Alcohol and Related Conditions. Drug Alcohol Depend. 2007;86:214–21.PubMedCrossRef Cohen E, Feinn R, Arias A, Kranzler HR. Alcohol treatment utilization: findings from the National Epidemiologic Survey on Alcohol and Related Conditions. Drug Alcohol Depend. 2007;86:214–21.PubMedCrossRef
59.
go back to reference Chafetz ME. A procedure for establishing therapeutic contact with the alcoholic. Q J Stud Alcohol. 1961;22:325–8.PubMed Chafetz ME. A procedure for establishing therapeutic contact with the alcoholic. Q J Stud Alcohol. 1961;22:325–8.PubMed
60.
go back to reference Chafetz ME, Blane HT, Abram HS, Golner J, Lacy E, Mc CW, Clark E, Meyers W. Establishing treatment relations with alcoholics. J Nerv Ment Dis. 1962;134:395–409.PubMedCrossRef Chafetz ME, Blane HT, Abram HS, Golner J, Lacy E, Mc CW, Clark E, Meyers W. Establishing treatment relations with alcoholics. J Nerv Ment Dis. 1962;134:395–409.PubMedCrossRef
61.
go back to reference Bernstein E, Bernstein J, Levenson S. Project ASSERT: an ED-based intervention to increase access to primary care, preventive services, and the substance abuse treatment system. Ann Emerg Med. 1997;30:181–9.PubMedCrossRef Bernstein E, Bernstein J, Levenson S. Project ASSERT: an ED-based intervention to increase access to primary care, preventive services, and the substance abuse treatment system. Ann Emerg Med. 1997;30:181–9.PubMedCrossRef
62.
go back to reference D’Onofrio G, Bernstein E, Bernstein J, Woolard RH, Brewer PA, Craig SA, Zink BJ. Patients with alcohol problems in the emergency department, part 2: intervention and referral. SAEM Substance Abuse Task Force. Society for Academic Emergency Medicine. Acad Emerg Med. 1998;5:1210–7.PubMedCrossRef D’Onofrio G, Bernstein E, Bernstein J, Woolard RH, Brewer PA, Craig SA, Zink BJ. Patients with alcohol problems in the emergency department, part 2: intervention and referral. SAEM Substance Abuse Task Force. Society for Academic Emergency Medicine. Acad Emerg Med. 1998;5:1210–7.PubMedCrossRef
63.
go back to reference Dunn CW, Ries R. Linking substance abuse services with general medical care: integrated, brief interventions with hospitalized patients. Am J Drug Alcohol Abuse. 1997;23:1–13.PubMedCrossRef Dunn CW, Ries R. Linking substance abuse services with general medical care: integrated, brief interventions with hospitalized patients. Am J Drug Alcohol Abuse. 1997;23:1–13.PubMedCrossRef
64.
go back to reference Elvy GA, Wells JE, Baird KA. Attempted referral as intervention for problem drinking in the general hospital. Br J Addict. 1988;83:83–9.PubMedCrossRef Elvy GA, Wells JE, Baird KA. Attempted referral as intervention for problem drinking in the general hospital. Br J Addict. 1988;83:83–9.PubMedCrossRef
65.
go back to reference Hillman A, McCann B, Walker NP. Specialist alcohol liaison services in general hospitals improve engagement in alcohol rehabilitation and treatment outcome. Health Bull. 2001;59:420–3. Hillman A, McCann B, Walker NP. Specialist alcohol liaison services in general hospitals improve engagement in alcohol rehabilitation and treatment outcome. Health Bull. 2001;59:420–3.
67.
go back to reference Glass JE, Hamilton AM, Powell BJ, Perron BE, Brown RT, Ilgen MA. Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta-analytical results still point to no efficacy in increasing the use of substance use disorder services. Addiction. 2016;111:181–3.PubMedCrossRef Glass JE, Hamilton AM, Powell BJ, Perron BE, Brown RT, Ilgen MA. Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta-analytical results still point to no efficacy in increasing the use of substance use disorder services. Addiction. 2016;111:181–3.PubMedCrossRef
68.
go back to reference Liu SI, Wu SI, Chen SC, Huang HC, Sun FJ, Fang CK, Hsu CC, Huang CR, Yeh HM, Shih SC. Randomized controlled trial of a brief intervention for unhealthy alcohol use in hospitalized Taiwanese men. Addiction. 2011;106:928–40.PubMedCrossRef Liu SI, Wu SI, Chen SC, Huang HC, Sun FJ, Fang CK, Hsu CC, Huang CR, Yeh HM, Shih SC. Randomized controlled trial of a brief intervention for unhealthy alcohol use in hospitalized Taiwanese men. Addiction. 2011;106:928–40.PubMedCrossRef
70.
go back to reference Cucciare M, Timko C. Bridging the gap between medical settings and specialty addiction treatment. Addiction. 2015;110:1417–9.PubMedCrossRef Cucciare M, Timko C. Bridging the gap between medical settings and specialty addiction treatment. Addiction. 2015;110:1417–9.PubMedCrossRef
71.
go back to reference Glass JE. Challenges ahead in developing and testing referral to treatment interventions. Addiction. 2015;110:1419–20.PubMedCrossRef Glass JE. Challenges ahead in developing and testing referral to treatment interventions. Addiction. 2015;110:1419–20.PubMedCrossRef
72.
go back to reference Wallhed Finn S, Bakshi AS, Andreasson S. Alcohol consumption, dependence, and treatment barriers: perceptions among nontreatment seekers with alcohol dependence. Subst Use Misuse. 2014;49:762–9.PubMedCrossRef Wallhed Finn S, Bakshi AS, Andreasson S. Alcohol consumption, dependence, and treatment barriers: perceptions among nontreatment seekers with alcohol dependence. Subst Use Misuse. 2014;49:762–9.PubMedCrossRef
73.
go back to reference Glass JE, Kristjansson SD, Bucholz KK. Perceived alcohol stigma: factor structure and construct validation. Alcohol Clin Exp Res. 2013;37(Suppl 1):E237–46.PubMedCrossRef Glass JE, Kristjansson SD, Bucholz KK. Perceived alcohol stigma: factor structure and construct validation. Alcohol Clin Exp Res. 2013;37(Suppl 1):E237–46.PubMedCrossRef
74.
go back to reference Fortney J, Mukherjee S, Curran G, Fortney S, Han X, Booth BM. Factors associated with perceived stigma for alcohol use and treatment among at-risk drinkers. J Behav Health Serv Res. 2004;31:418–29.PubMedCrossRef Fortney J, Mukherjee S, Curran G, Fortney S, Han X, Booth BM. Factors associated with perceived stigma for alcohol use and treatment among at-risk drinkers. J Behav Health Serv Res. 2004;31:418–29.PubMedCrossRef
75.
go back to reference Glass JE, Mowbray OP, Link BG, Kristjansson SD, Bucholz KK. Alcohol stigma and persistence of alcohol and other psychiatric disorders: a modified labeling theory approach. Drug Alcohol Depend. 2013;133:685–92.PubMedPubMedCentralCrossRef Glass JE, Mowbray OP, Link BG, Kristjansson SD, Bucholz KK. Alcohol stigma and persistence of alcohol and other psychiatric disorders: a modified labeling theory approach. Drug Alcohol Depend. 2013;133:685–92.PubMedPubMedCentralCrossRef
76.
go back to reference Institute of Medicine. Improving the Quality of health care for mental and substance-use conditions. Washington: National Academy Press; 2006. Institute of Medicine. Improving the Quality of health care for mental and substance-use conditions. Washington: National Academy Press; 2006.
77.
go back to reference U.S. Department of Health and Human Services (HHS). Facing addiction in America: The surgeon general’s report on alcohol, drugs, and health. In: Office of the Surgeon General, editors. Washington DC: HHS; 2016. U.S. Department of Health and Human Services (HHS). Facing addiction in America: The surgeon general’s report on alcohol, drugs, and health. In: Office of the Surgeon General, editors. Washington DC: HHS; 2016.
78.
go back to reference Press MJ, Howe R, Schoenbaum M, Cavanaugh S, Marshall A, Baldwin L, Conway PH. Medicare payment for behavioral health integration. N Engl J Med. 2017;376:405–7.PubMedCrossRef Press MJ, Howe R, Schoenbaum M, Cavanaugh S, Marshall A, Baldwin L, Conway PH. Medicare payment for behavioral health integration. N Engl J Med. 2017;376:405–7.PubMedCrossRef
79.
go back to reference Saitz R, Cheng DM, Winter M, Kim TW, Meli SM, Allensworth-Davies D, Lloyd-Travaglini CA, Samet JH. Chronic care management for dependence on alcohol and other drugs: the AHEAD randomized trial. JAMA. 2013;310:1156.PubMedPubMedCentralCrossRef Saitz R, Cheng DM, Winter M, Kim TW, Meli SM, Allensworth-Davies D, Lloyd-Travaglini CA, Samet JH. Chronic care management for dependence on alcohol and other drugs: the AHEAD randomized trial. JAMA. 2013;310:1156.PubMedPubMedCentralCrossRef
80.
go back to reference Oslin DW, Lynch KG, Maisto SA, Lantinga LJ, McKay JR, Possemato K, Ingram E, Wierzbicki M. A randomized clinical trial of alcohol care management delivered in Department of Veterans Affairs primary care clinics versus specialty addiction treatment. J Gen Intern Med. 2014;29:162–8.PubMedCrossRef Oslin DW, Lynch KG, Maisto SA, Lantinga LJ, McKay JR, Possemato K, Ingram E, Wierzbicki M. A randomized clinical trial of alcohol care management delivered in Department of Veterans Affairs primary care clinics versus specialty addiction treatment. J Gen Intern Med. 2014;29:162–8.PubMedCrossRef
82.
go back to reference Center for Substance Abuse Treatment. Comprehensive case management for substance abuse treatment. Rockville: Substance Abuse and Mental Health Services Administration (US); 1998. Center for Substance Abuse Treatment. Comprehensive case management for substance abuse treatment. Rockville: Substance Abuse and Mental Health Services Administration (US); 1998.
83.
go back to reference Kelly JF, Westerhoff CM. Does it matter how we refer to individuals with substance-related conditions? A randomized study of two commonly used terms. Int J Drug Policy. 2010;21:202–7.PubMedCrossRef Kelly JF, Westerhoff CM. Does it matter how we refer to individuals with substance-related conditions? A randomized study of two commonly used terms. Int J Drug Policy. 2010;21:202–7.PubMedCrossRef
84.
go back to reference Grant BF, Goldstein RB, Saha TD, Chou SP, Jung J, Zhang H, Pickering RP, Ruan WJ, Smith SM, Huang B, Hasin DS. Epidemiology of DSM-5 alcohol use disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions III. JAMA Psychiatry. 2015;72:757–66.PubMedPubMedCentralCrossRef Grant BF, Goldstein RB, Saha TD, Chou SP, Jung J, Zhang H, Pickering RP, Ruan WJ, Smith SM, Huang B, Hasin DS. Epidemiology of DSM-5 alcohol use disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions III. JAMA Psychiatry. 2015;72:757–66.PubMedPubMedCentralCrossRef
85.
go back to reference Blomqvist J, Cunningham JA, Wallander L, Collin L. Att förbättra sina dryckesvanor—om olika mönster för förändring och om vad vården betyder. En rapport från projektet “Lösningar på alkoholproblem [Improving drinking habits—different patterns of change and the importance of treatment]. Stockholm University, Centre for Social Research on Alcoholand Drugs (SoRAD); 2007, vol 7, pp 1–147. Blomqvist J, Cunningham JA, Wallander L, Collin L. Att förbättra sina dryckesvanor—om olika mönster för förändring och om vad vården betyder. En rapport från projektet “Lösningar på alkoholproblem [Improving drinking habits—different patterns of change and the importance of treatment]. Stockholm University, Centre for Social Research on Alcoholand Drugs (SoRAD); 2007, vol 7, pp 1–147.
86.
go back to reference Mojtabai R, Crum RM. Perceived unmet need for alcohol and drug use treatments and future use of services: results from a longitudinal study. Drug Alcohol Depend. 2013;127:59–64.PubMedCrossRef Mojtabai R, Crum RM. Perceived unmet need for alcohol and drug use treatments and future use of services: results from a longitudinal study. Drug Alcohol Depend. 2013;127:59–64.PubMedCrossRef
87.
go back to reference Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, Peterson D, Rutter CM, McGregor M, McCulloch D. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363:2611–20.PubMedPubMedCentralCrossRef Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, Peterson D, Rutter CM, McGregor M, McCulloch D. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363:2611–20.PubMedPubMedCentralCrossRef
88.
go back to reference Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the chronic care model in the new millennium. Health Aff (Millwood). 2009;28:75–85.CrossRef Coleman K, Austin BT, Brach C, Wagner EH. Evidence on the chronic care model in the new millennium. Health Aff (Millwood). 2009;28:75–85.CrossRef
89.
go back to reference Barry MJ, Edgman-Levitan S. Shared decision making—pinnacle of patient-centered care. N Engl J Med. 2012;366:780–1.PubMedCrossRef Barry MJ, Edgman-Levitan S. Shared decision making—pinnacle of patient-centered care. N Engl J Med. 2012;366:780–1.PubMedCrossRef
90.
go back to reference Orford J, Hodgson R, Copello A, John B, Smith M, Black R, Fryer K, Handforth L, Alwyn T, Kerr C, et al. The clients’ perspective on change during treatment for an alcohol problem: qualitative analysis of follow-up interviews in the UK Alcohol Treatment Trial. Addiction. 2006;101:60–8.PubMedCrossRef Orford J, Hodgson R, Copello A, John B, Smith M, Black R, Fryer K, Handforth L, Alwyn T, Kerr C, et al. The clients’ perspective on change during treatment for an alcohol problem: qualitative analysis of follow-up interviews in the UK Alcohol Treatment Trial. Addiction. 2006;101:60–8.PubMedCrossRef
91.
go back to reference Orford J, Hodgson R, Copello A, Wilton S, Slegg G, Team UR. To what factors do clients attribute change? Content analysis of follow-up interviews with clients of the UK Alcohol Treatment Trial. J Subst Abuse Treat. 2009;36:49–58.PubMedCrossRef Orford J, Hodgson R, Copello A, Wilton S, Slegg G, Team UR. To what factors do clients attribute change? Content analysis of follow-up interviews with clients of the UK Alcohol Treatment Trial. J Subst Abuse Treat. 2009;36:49–58.PubMedCrossRef
92.
go back to reference Andreasson S, Danielsson AK, Hallgren M. Severity of alcohol dependence in the Swedish adult population: association with consumption and social factors. Alcohol. 2013;47:21–5.PubMedCrossRef Andreasson S, Danielsson AK, Hallgren M. Severity of alcohol dependence in the Swedish adult population: association with consumption and social factors. Alcohol. 2013;47:21–5.PubMedCrossRef
93.
go back to reference Storbjörk J, Room R. The two worlds of alcohol problems: who is in treatment and who is not? Addict Res Theory. 2008;16:67–84.CrossRef Storbjörk J, Room R. The two worlds of alcohol problems: who is in treatment and who is not? Addict Res Theory. 2008;16:67–84.CrossRef
94.
go back to reference Drummond DC, Thom B, Brown C, Edwards G, Mullan MJ. Specialist versus general practitioner treatment of problem drinkers. Lancet. 1990;336:915–8.PubMedCrossRef Drummond DC, Thom B, Brown C, Edwards G, Mullan MJ. Specialist versus general practitioner treatment of problem drinkers. Lancet. 1990;336:915–8.PubMedCrossRef
95.
go back to reference Lieberman DZ, Cioletti A, Massey SH, Collantes RS, Moore BB. Treatment preferences among problem drinkers in primary care. Int J Psychiatry Med. 2014;47:231–40.PubMedCrossRef Lieberman DZ, Cioletti A, Massey SH, Collantes RS, Moore BB. Treatment preferences among problem drinkers in primary care. Int J Psychiatry Med. 2014;47:231–40.PubMedCrossRef
96.
go back to reference Sobell MB, Sobell LC. Stepped care as a heuristic approach to the treatment of alcohol problems. J Consult Clin Psychol. 2000;68:573–9.PubMedCrossRef Sobell MB, Sobell LC. Stepped care as a heuristic approach to the treatment of alcohol problems. J Consult Clin Psychol. 2000;68:573–9.PubMedCrossRef
97.
go back to reference Reinert DF, Allen JP. The alcohol use disorders identification test: an update of research findings. Alcohol Clin Exp Res. 2007;31:185–99.PubMedCrossRef Reinert DF, Allen JP. The alcohol use disorders identification test: an update of research findings. Alcohol Clin Exp Res. 2007;31:185–99.PubMedCrossRef
98.
go back to reference Miller W, Sovereign R, Krege B. Motivational interviewing with problem drinkers: II. The drinker’s check-up as a preventive intervention. Behav Psychother. 1988;16:251–68.CrossRef Miller W, Sovereign R, Krege B. Motivational interviewing with problem drinkers: II. The drinker’s check-up as a preventive intervention. Behav Psychother. 1988;16:251–68.CrossRef
99.
go back to reference Sobell MB, Sobell LC. Problem drinkers: guided self-change treatment. New York: Guilford Press; 1996. Sobell MB, Sobell LC. Problem drinkers: guided self-change treatment. New York: Guilford Press; 1996.
100.
go back to reference Andreasson S, Hansagi H, Osterlund B. Short-term treatment for alcohol-related problems: four-session guided self-change versus one session of advice—a randomized, controlled trial. Alcohol. 2002;28:57–62.PubMedCrossRef Andreasson S, Hansagi H, Osterlund B. Short-term treatment for alcohol-related problems: four-session guided self-change versus one session of advice—a randomized, controlled trial. Alcohol. 2002;28:57–62.PubMedCrossRef
101.
go back to reference Link BG, Phelan JC, Bresnahan M, Stueve A, Pescosolido BA. Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health. 1999;89:1328–33.PubMedPubMedCentralCrossRef Link BG, Phelan JC, Bresnahan M, Stueve A, Pescosolido BA. Public conceptions of mental illness: labels, causes, dangerousness, and social distance. Am J Public Health. 1999;89:1328–33.PubMedPubMedCentralCrossRef
102.
go back to reference Schomerus G, Lucht M, Holzinger A, Matschinger H, Carta MG, Angermeyer MC. The stigma of alcohol dependence compared with other mental disorders: a review of population studies. Alcohol Alcohol. 2010;46:105–12.PubMedCrossRef Schomerus G, Lucht M, Holzinger A, Matschinger H, Carta MG, Angermeyer MC. The stigma of alcohol dependence compared with other mental disorders: a review of population studies. Alcohol Alcohol. 2010;46:105–12.PubMedCrossRef
103.
go back to reference Quinn DM, Williams MK, Quintana F, Gaskins JL, Overstreet NM, Pishori A, Earnshaw VA, Perez G, Chaudoir SR. Examining effects of anticipated stigma, centrality, salience, internalization, and outness on psychological distress for people with concealable stigmatized identities. PLoS ONE. 2014;9:e96977.PubMedPubMedCentralCrossRef Quinn DM, Williams MK, Quintana F, Gaskins JL, Overstreet NM, Pishori A, Earnshaw VA, Perez G, Chaudoir SR. Examining effects of anticipated stigma, centrality, salience, internalization, and outness on psychological distress for people with concealable stigmatized identities. PLoS ONE. 2014;9:e96977.PubMedPubMedCentralCrossRef
104.
go back to reference Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ. Stigmatisation of people with mental illnesses. Br J Psychiatry. 2000;177:4–7.PubMedCrossRef Crisp AH, Gelder MG, Rix S, Meltzer HI, Rowlands OJ. Stigmatisation of people with mental illnesses. Br J Psychiatry. 2000;177:4–7.PubMedCrossRef
105.
go back to reference van Boekel LC, Brouwers EP, van Weeghel J, Garretsen HF. Healthcare professionals’ regard towards working with patients with substance use disorders: comparison of primary care, general psychiatry and specialist addiction services. Drug Alcohol Depend. 2014;134:92–8.PubMedCrossRef van Boekel LC, Brouwers EP, van Weeghel J, Garretsen HF. Healthcare professionals’ regard towards working with patients with substance use disorders: comparison of primary care, general psychiatry and specialist addiction services. Drug Alcohol Depend. 2014;134:92–8.PubMedCrossRef
106.
go back to reference van Boekel LC, Brouwers EP, van Weeghel J, Garretsen HF. Comparing stigmatising attitudes towards people with substance use disorders between the general public, GPs, mental health and addiction specialists and clients. Int J Soc Psychiatry. 2015;61:539–49.PubMedCrossRef van Boekel LC, Brouwers EP, van Weeghel J, Garretsen HF. Comparing stigmatising attitudes towards people with substance use disorders between the general public, GPs, mental health and addiction specialists and clients. Int J Soc Psychiatry. 2015;61:539–49.PubMedCrossRef
107.
go back to reference van Boekel LC, Brouwers EPM, van Weeghel J, Garretsen HFL. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend. 2013;131:23–35.PubMedCrossRef van Boekel LC, Brouwers EPM, van Weeghel J, Garretsen HFL. Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend. 2013;131:23–35.PubMedCrossRef
108.
go back to reference Curtis J, Harrison L. Beneath the surface: collaboration in alcohol and other drug treatment. An analysis using Foucault’s three modes of objectification. J Adv Nurs. 2001;34:737–44.PubMedCrossRef Curtis J, Harrison L. Beneath the surface: collaboration in alcohol and other drug treatment. An analysis using Foucault’s three modes of objectification. J Adv Nurs. 2001;34:737–44.PubMedCrossRef
109.
go back to reference Peckover S, Chidlaw RG. Too frightened to care? Accounts by district nurses working with clients who misuse substances. Health Soc Care Community. 2007;15:238–45.PubMedCrossRef Peckover S, Chidlaw RG. Too frightened to care? Accounts by district nurses working with clients who misuse substances. Health Soc Care Community. 2007;15:238–45.PubMedCrossRef
110.
go back to reference Keyes KM, Hatzenbuehler ML, McLaughlin KA, Link BG, Olfson M, Grant BF, Hasin DS. Stigma and treatment for alcohol disorders in the United States. Am J Epidemiol. 2010;172:1364–72.PubMedPubMedCentralCrossRef Keyes KM, Hatzenbuehler ML, McLaughlin KA, Link BG, Olfson M, Grant BF, Hasin DS. Stigma and treatment for alcohol disorders in the United States. Am J Epidemiol. 2010;172:1364–72.PubMedPubMedCentralCrossRef
111.
go back to reference Smith LR, Earnshaw VA, Copenhaver MM, Cunningham CO. Substance use stigma: reliability and validity of a theory-based scale for substance-using populations. Drug Alcohol Depend. 2016;162:34–43.PubMedPubMedCentralCrossRef Smith LR, Earnshaw VA, Copenhaver MM, Cunningham CO. Substance use stigma: reliability and validity of a theory-based scale for substance-using populations. Drug Alcohol Depend. 2016;162:34–43.PubMedPubMedCentralCrossRef
112.
go back to reference Earnshaw V, Smith L, Copenhaver M. Drug addiction stigma in the context of methadone maintenance therapy: an investigation into understudied sources of stigma. Int J Ment Health Addict. 2013;11:110–22.PubMedCrossRef Earnshaw V, Smith L, Copenhaver M. Drug addiction stigma in the context of methadone maintenance therapy: an investigation into understudied sources of stigma. Int J Ment Health Addict. 2013;11:110–22.PubMedCrossRef
113.
go back to reference Earnshaw VA, Quinn DM. The impact of stigma in healthcare on people living with chronic illnesses. J Health Psychol. 2012;17:157–68.PubMedCrossRef Earnshaw VA, Quinn DM. The impact of stigma in healthcare on people living with chronic illnesses. J Health Psychol. 2012;17:157–68.PubMedCrossRef
114.
go back to reference Goffman E. Stigma: notes on the management of spoiled identity. Englewood Cliffs: Prentice-Hall; 1963. Goffman E. Stigma: notes on the management of spoiled identity. Englewood Cliffs: Prentice-Hall; 1963.
115.
go back to reference Pescosolido BA, Martin JK, Long JS, Medina TR, Phelan JC, Link BG. “A disease like any other”? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Am J Psychiatry. 2010:appi.ajp.2010.09121743. Pescosolido BA, Martin JK, Long JS, Medina TR, Phelan JC, Link BG. “A disease like any other”? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. Am J Psychiatry. 2010:appi.ajp.2010.09121743.
117.
go back to reference Barbour RS, Kitzinger J. Developing focus group research. Politics, theory and practice. London: SAGE Publications; 1999.CrossRef Barbour RS, Kitzinger J. Developing focus group research. Politics, theory and practice. London: SAGE Publications; 1999.CrossRef
118.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef
119.
120.
go back to reference Schomerus G, Angermeyer MC. Stigma and its impact on help-seeking for mental disorders: what do we know? Epidemiologia e Psichiatria Sociale. 2008;17:31–7.PubMedCrossRef Schomerus G, Angermeyer MC. Stigma and its impact on help-seeking for mental disorders: what do we know? Epidemiologia e Psichiatria Sociale. 2008;17:31–7.PubMedCrossRef
121.
go back to reference Copeland J. A qualitative study of barriers to formal treatment among women who self-managed change in addictive behaviours. J Subst Abuse Treat. 1997;14:183–90.PubMedCrossRef Copeland J. A qualitative study of barriers to formal treatment among women who self-managed change in addictive behaviours. J Subst Abuse Treat. 1997;14:183–90.PubMedCrossRef
123.
124.
go back to reference Rehm J, Marmet S, Anderson P, Gual A, Kraus L, Nutt DJ, Room R, Samokhvalov AV, Scafato E, Trapencieris M, et al. Defining substance use disorders: do we really need more than heavy use? Alcohol Alcohol. 2013;48:633–40.PubMedCrossRef Rehm J, Marmet S, Anderson P, Gual A, Kraus L, Nutt DJ, Room R, Samokhvalov AV, Scafato E, Trapencieris M, et al. Defining substance use disorders: do we really need more than heavy use? Alcohol Alcohol. 2013;48:633–40.PubMedCrossRef
125.
go back to reference Rehm J, Anderson P, Gual A, Kraus L, Marmet S, Nutt DJ, Room R, Samokhvalov AV, Scafato E, Shield KD, et al. The tangible common denominator of substance use disorders: a reply to commentaries to Rehm et al. (2013a). Alcohol Alcohol. 2014;49:118–22.PubMedCrossRef Rehm J, Anderson P, Gual A, Kraus L, Marmet S, Nutt DJ, Room R, Samokhvalov AV, Scafato E, Shield KD, et al. The tangible common denominator of substance use disorders: a reply to commentaries to Rehm et al. (2013a). Alcohol Alcohol. 2014;49:118–22.PubMedCrossRef
126.
go back to reference Heather N. A radical but flawed proposal: comments on Rehm et al. ‘Defining substance use disorders: do we really need more than heavy use?’. Alcohol Alcohol. 2013;48:646–7.PubMedCrossRef Heather N. A radical but flawed proposal: comments on Rehm et al. ‘Defining substance use disorders: do we really need more than heavy use?’. Alcohol Alcohol. 2013;48:646–7.PubMedCrossRef
127.
go back to reference Anderson P, Bennison J, Orford J, Royal College of Physicians, et al. Alcohol—a balanced view. London: Royal College of General Practitioners; 1986. Anderson P, Bennison J, Orford J, Royal College of Physicians, et al. Alcohol—a balanced view. London: Royal College of General Practitioners; 1986.
128.
go back to reference Heather N. On defining addiction. In: Healther N, Segal G, editors. Addiction and choice: rethinking the relationship. Oxford: Oxford University Press; 2017. p. 3–25. Heather N. On defining addiction. In: Healther N, Segal G, editors. Addiction and choice: rethinking the relationship. Oxford: Oxford University Press; 2017. p. 3–25.
129.
go back to reference Borland R. Understanding hard to maintain behavior change: a dual process approach. Chicester: Wiley; 2014. Borland R. Understanding hard to maintain behavior change: a dual process approach. Chicester: Wiley; 2014.
130.
go back to reference Kwasnicka D, Dombrowski SU, White M, Sniehotta F. Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev. 2016;10:277–96.PubMedPubMedCentralCrossRef Kwasnicka D, Dombrowski SU, White M, Sniehotta F. Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev. 2016;10:277–96.PubMedPubMedCentralCrossRef
131.
go back to reference Aparicio V, Rodriguez J. Logros y pendientes de la reforma psiquiátrica en Panamá y Centroamérica de habla hispana. Medwave. 2012;12:e5544.CrossRef Aparicio V, Rodriguez J. Logros y pendientes de la reforma psiquiátrica en Panamá y Centroamérica de habla hispana. Medwave. 2012;12:e5544.CrossRef
132.
go back to reference Monteiro M. Alcohol y salud pública en América Latina ¿cómo impedir un desastre sanitario? Addicciones. 2013;14:99–105.CrossRef Monteiro M. Alcohol y salud pública en América Latina ¿cómo impedir un desastre sanitario? Addicciones. 2013;14:99–105.CrossRef
133.
go back to reference Ministerio de Salud. Estrategia Nacional de Drogas y Alcohol, 2011–2014. Consejo nacional para el Control de Estupefacientes. Santiago: Ministerio del Interior y Seguridad Pública, Gobierno de Chile; 2011. p. 54. Ministerio de Salud. Estrategia Nacional de Drogas y Alcohol, 2011–2014. Consejo nacional para el Control de Estupefacientes. Santiago: Ministerio del Interior y Seguridad Pública, Gobierno de Chile; 2011. p. 54.
134.
go back to reference Ministerio de Salud. Orientaciones administrativas para la implementación del programa “Vida sana”: Componente alcohol. Fase de Implementación 2014. Santiago: Departamento de Salud Mental, División de Prevención y Control de Enfermedades, Subsecretaría de Salud Pública, Ministerio de Salud, Gobierno de Chile; 2014. p. 29. Ministerio de Salud. Orientaciones administrativas para la implementación del programa “Vida sana”: Componente alcohol. Fase de Implementación 2014. Santiago: Departamento de Salud Mental, División de Prevención y Control de Enfermedades, Subsecretaría de Salud Pública, Ministerio de Salud, Gobierno de Chile; 2014. p. 29.
135.
go back to reference Ministerio de la Protección Social. Manual para la detección e intervención temprana del consumo de sustancias psicoactivas y problemas de salud mental en los servicios de salud amigables para adolescentes y jóvenes. Bogota: Ministerio de la Protección Social; 2011. p. 95. Ministerio de la Protección Social. Manual para la detección e intervención temprana del consumo de sustancias psicoactivas y problemas de salud mental en los servicios de salud amigables para adolescentes y jóvenes. Bogota: Ministerio de la Protección Social; 2011. p. 95.
136.
go back to reference Ministerio de Salud y Proteccion. Guía de práctica clínica para la detección temprana, diagnóstico y tratamiento de la fase aguda de intoxicación de pacientes con abuso o dependencia del alcohol. Bogota: Ministerio de Salud y Proteccion; 2013. p. 48. Ministerio de Salud y Proteccion. Guía de práctica clínica para la detección temprana, diagnóstico y tratamiento de la fase aguda de intoxicación de pacientes con abuso o dependencia del alcohol. Bogota: Ministerio de Salud y Proteccion; 2013. p. 48.
137.
go back to reference Ministerio de Salud. Avances, seguimiento a los acuerdos de la XXIX RESSCAD. Panamá. In: XXX reunión del Sector Salud de Centroamérica y República Dominicana. 2014 Ministerio de Salud. Avances, seguimiento a los acuerdos de la XXIX RESSCAD. Panamá. In: XXX reunión del Sector Salud de Centroamérica y República Dominicana. 2014
138.
go back to reference Ronzani TM, Ribeiro M, Amaral M, Formigoni M. Implantação de rotinas de rastreamento do uso de risco de álcool e de uma intervenção breve na atenção primária à saúde: dificuldades a serem superadas. Cad Saúde Pública. 2005;21:852–61.PubMedCrossRef Ronzani TM, Ribeiro M, Amaral M, Formigoni M. Implantação de rotinas de rastreamento do uso de risco de álcool e de uma intervenção breve na atenção primária à saúde: dificuldades a serem superadas. Cad Saúde Pública. 2005;21:852–61.PubMedCrossRef
139.
go back to reference Ronzani TM, Mota D, de Souze T. Prevenção do uso de álcool na atenção primária em municípios do estado de Minas Gerais. Revista de Saúde Pública. 2009;43:51–61.PubMedCrossRef Ronzani TM, Mota D, de Souze T. Prevenção do uso de álcool na atenção primária em municípios do estado de Minas Gerais. Revista de Saúde Pública. 2009;43:51–61.PubMedCrossRef
140.
go back to reference Carneiro A, De Micheli D, Maino M, Galduroz J, Moura Y, Duarte P, Formigoni M. Impact of distance-learning training on substance use screening and brief intervention among health professionals and on their beliefs and attitudes toward drug use. Addict Sci Clin Pract. 2012;7:A87.PubMedCentral Carneiro A, De Micheli D, Maino M, Galduroz J, Moura Y, Duarte P, Formigoni M. Impact of distance-learning training on substance use screening and brief intervention among health professionals and on their beliefs and attitudes toward drug use. Addict Sci Clin Pract. 2012;7:A87.PubMedCentral
141.
go back to reference Carneiro A, Formigoni M, Ramos M, Moura Y, Duarte P. Alcohol screening and brief intervention (SBI) applied by health professionals/social workers trained by a distance learning course: does it work? Alcohol Clin Exp Res. 2013;37:193A. Carneiro A, Formigoni M, Ramos M, Moura Y, Duarte P. Alcohol screening and brief intervention (SBI) applied by health professionals/social workers trained by a distance learning course: does it work? Alcohol Clin Exp Res. 2013;37:193A.
143.
go back to reference Lichtenberger A, Lopez M, Cremonte M. Intervención breve para promover la abstinencia de consumo de alcohol en mujeres gestantes. Una reflexión crítica. PSIENCIA Revista Latinoamericana de Ciencia Psicológica. 2015. p. 7. Lichtenberger A, Lopez M, Cremonte M. Intervención breve para promover la abstinencia de consumo de alcohol en mujeres gestantes. Una reflexión crítica. PSIENCIA Revista Latinoamericana de Ciencia Psicológica. 2015. p. 7.
144.
go back to reference Berenzon S, Saavedra N, Medina Mora ME, Aparicio V, Galvan JL. Evaluación del sistema de salud mental en México: ¿hacia dónde encaminar la atención? Revista Panamericana de Salud Pública. 2013;33:252–8.CrossRef Berenzon S, Saavedra N, Medina Mora ME, Aparicio V, Galvan JL. Evaluación del sistema de salud mental en México: ¿hacia dónde encaminar la atención? Revista Panamericana de Salud Pública. 2013;33:252–8.CrossRef
145.
go back to reference Sassi F. Tackling harmful alcohol use: economics and public health policy. The impact of alcohol consumption on global health. Paris: Organization for Economic Cooperation and Development; 2015. Sassi F. Tackling harmful alcohol use: economics and public health policy. The impact of alcohol consumption on global health. Paris: Organization for Economic Cooperation and Development; 2015.
146.
go back to reference National Crime Records Bureau. Accidental deaths and suicides in India. New Delhi: Ministry of Home Affairs, Government of India; 2013. National Crime Records Bureau. Accidental deaths and suicides in India. New Delhi: Ministry of Home Affairs, Government of India; 2013.
147.
go back to reference Benegal V. Alcohol and injuries: India. In: Cherpitel CJ, Borges G, Giesbrecht N, Hungerford DW, Peden M, Poznyak V, Room R, Stockwell T, editors. Alcohol and injuries: emergency department studies in an international perspective. Geneva: World Health Organization; 2009. p. 237–44. Benegal V. Alcohol and injuries: India. In: Cherpitel CJ, Borges G, Giesbrecht N, Hungerford DW, Peden M, Poznyak V, Room R, Stockwell T, editors. Alcohol and injuries: emergency department studies in an international perspective. Geneva: World Health Organization; 2009. p. 237–44.
149.
go back to reference Tekchand. Liquor menace in India. New Dehli: Gandhi Peace Foundation; 1972. Tekchand. Liquor menace in India. New Dehli: Gandhi Peace Foundation; 1972.
151.
go back to reference Gururaj G, Murthy P, Girish N, Benegal V. Alcohol related harm: implications for public health and policy in India. Bangalore: NIMHANS; 2011. Gururaj G, Murthy P, Girish N, Benegal V. Alcohol related harm: implications for public health and policy in India. Bangalore: NIMHANS; 2011.
152.
go back to reference Joseph J, Das K, Sharma S, Basu D. ASSIST-linked alcohol screening and brief intervention in indian work-place setting: result of a 4 month Follow-up. Indian J Soc Psychiatry. 2014;30:80–6. Joseph J, Das K, Sharma S, Basu D. ASSIST-linked alcohol screening and brief intervention in indian work-place setting: result of a 4 month Follow-up. Indian J Soc Psychiatry. 2014;30:80–6.
153.
go back to reference Pal HR, Yadav D, Mehta S, Mohan I. A comparison of brief intervention versus simple advice for alcohol use disorders in a North India community-based sample followed for 3 months. Alcohol Alcohol. 2007;42:328–32.PubMedCrossRef Pal HR, Yadav D, Mehta S, Mohan I. A comparison of brief intervention versus simple advice for alcohol use disorders in a North India community-based sample followed for 3 months. Alcohol Alcohol. 2007;42:328–32.PubMedCrossRef
154.
go back to reference Narvekar V. A study to assess effects of brief intervention in the reduction of hazardous drinking. National Institute of Mental Health and Neurosciences, Dissertation for Diploma in Psychiatric Nursing; 2003. Narvekar V. A study to assess effects of brief intervention in the reduction of hazardous drinking. National Institute of Mental Health and Neurosciences, Dissertation for Diploma in Psychiatric Nursing; 2003.
155.
go back to reference McCambridge J, Saitz R. Rethinking brief interventions for alcohol in general practice. BMJ. 2017;356:j116.PubMedCrossRef McCambridge J, Saitz R. Rethinking brief interventions for alcohol in general practice. BMJ. 2017;356:j116.PubMedCrossRef
Metadata
Title
Rethinking alcohol interventions in health care: a thematic meeting of the International Network on Brief Interventions for Alcohol & Other Drugs (INEBRIA)
Authors
Joseph E. Glass
Sven Andréasson
Katharine A. Bradley
Sara Wallhed Finn
Emily C. Williams
Ann-Sofie Bakshi
Antoni Gual
Nick Heather
Marcela Tiburcio Sainz
Vivek Benegal
Richard Saitz
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2017
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/s13722-017-0079-8