Home > Problem alcohol use among problem drug users: development and content of clinical guidelines for general practice.

Klimas, Jan and Cullen, Walter and Field, Catherine-Anne (2014) Problem alcohol use among problem drug users: development and content of clinical guidelines for general practice. Irish Journal of Medical Science , 183 , (1) , pp. 89-101.

Background
Problem alcohol use is common and associated with considerable adverse outcomes among patients who attend primary care in Ireland and other European countries for opiate substitution treatment.

Aims
This paper aims to describe the development and content of clinical guidelines for the management of problem alcohol use among this population.

Methods
The guidelines were developed in three stages:
(1) identification of key stakeholders, (2) development of evidence-based draft guidelines, and (3) determination of a modified ‘Delphi-facilitated’ consensus among the group members.

Results
The guidelines incorporate advice for physicians on all aspects of care, including (1) definition of problem lcohol use among problem drug users, (2) alcohol screening, (3) brief intervention, and (4) subsequent management of patients with alcohol dependence.

Conclusions
Primary care has an important role to play in the care of problem alcohol use among problem drug users, especially opiate substitution patients. Further research on strategies to inform the implementation of these guidelines is a priority.

 

Item Type:Article
Date:2014
Page Range:pp. 89-101
Publisher:Springer
Volume:183
Number:1
EndNote:View
Accession Number:HRB (Available)
Related URLs:
Subjects:A Substance use, abuse, and dependence > Prevalence > Problem substance use
N Communication, information and education > Recommendations or guidelines > Practice / clinical guidelines
VA Geographic area > Europe > Ireland
B Substances > Alcohol
G Health and disease > Substance use disorder > Alcohol use
T Demographic characteristics > Doctor
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)

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