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Date: April 29, 2024 Mon
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Results for alcohol treatment programs
19 results foundAuthor: McSweeney, Tim Title: Evidence-Based Practice? The National Probation Service's Work with Alcohol-Misusing Offenders Summary: Research summary This process study by the Institute for Criminal Policy Research (ICPR), King's College London, examined the National Probation Service's work with alcohol-misusing offenders by describing and critically appraising: - the procedures in place for identifying and intervening with offenders who have alcohol problems; - the extent to which this work complied with the principles set out in Models of care for alcohol misusers (MoCAM); and - arrangements for the commissioning and delivery of alcohol treatment requirements. Approach The study had a number of components and made use of a range of primary and secondary quantitative and qualitative data sources. These included data derived from: - a telephone survey completed with the policy lead responsible for substance misuse, or the specialist responsible for co-ordination and delivery of services in 41 (of 42) probation areas in England and Wales; - analysis of all ATR activity data for England and Wales during 2007/08; - analysis of Offender Assessment System (OASys) data for six purposively1 sampled case study sites; - 185 random offender case file reviews in these six sites; and - 64 in-depth interviews with various stakeholders and professionals from across these areas. Results and implications Probation work nationally with alcohol-misusing offenders English and Welsh probation areas were, at the time of fieldwork, offering a broad range of alcohol-related interventions. At a national level, however, it seemed that efforts to ensure more effective commissioning and delivery had been hampered by a lack of: - resources and dedicated funding for the provision of alcohol interventions and treatment; - guidance and protocols to inform the targeting of available interventions; - appropriate and accessible alcohol treatment provision; - probation staff confidence, skills and knowledge around alcohol-related issues; and - success engaging and influencing local commissioners to afford greater priority and resources to work with alcohol-misusing offenders. Being able to effectively deliver, manage and direct alcohol-related interventions should be considered a core offender management skill. However, while there are high levels of alcoholrelated need within NPS caseloads, analysis of OASys data in six case study areas revealed that over 40% of all alcohol-related interventions had yet to start four to six months after a period of supervision had commenced2 - A similar picture emerged at a national level with a sample of OASys-identified 'dependent'3 drinkers under probation supervision. A key priority for policy should be to increase the use of evidence-based alcohol interventions and treatment with offenders whose criminal behaviour is related to their use of alcohol. That priority should be addressed, in the short term, by sharing and disseminating emerging best practice and identifying effective strategies for ensuring more offenders commence and complete those programmes that are available. The longer term emphasis should be on developing the evidence base and then disseminating empirically informed advice and guidance about the appropriate targeting of interventions. Finally, it will be necessary and important to increase further the range, capacity and funding of the NPS's alcohol-related work. Levels of compliance with Models of care for alcohol misusers (MoCAM) Data from both the national survey and in-depth interviews in six case study areas point towards a number of issues which policy makers and senior probation managers will need to address with regards to ensuring greater compliance with MoCAM. These include developing ways to facilitate improvements to: - the quality, accuracy, consistency and timing of alcohol screening and specialist assessment processes; the accessibility of specialist alcohol treatment services to which offenders can be referred (both located within probation settings and externally); the scale and quality of training offered to offender managers to better equip them to more effectively deliver brief interventions to alcohol-misusing offenders; and monitoring of the extent to which probation staff involved in delivering, managing or directing alcohol interventions are trained and competent to the minimum relevant Drugs and Alcohol National Occupational Standards (DANOS). The commissioning and delivery of alcohol treatment requirements (ATRs) Demand for ATRs outstripped supply by some considerable margin. Only 8% of drinkers defined as 'dependent' using an OASys sample of offenders commencing community sentences during 2007/08 were estimated to have received an ATR (Moore, 2008)4 - Despite some important caveats associated with using OASys to identify 'dependent' drinkers, this was consistent with stakeholder perspectives which indicated that there was significant scope for expanding ATR provision in order to meet existing levels of need. For example, ensuring treatment coverage for at least one in seven (15%) dependent drinkers is regarded as optimal by Alcohol Concern. Resolving the impasse around ATR funding should be a priority for policy makers and senior managers. However, given that the finances of most English Primary Care Trusts (PCTs) are in deficit and probation budgets are expected to face some substantial cuts in the short term, all reasonable options should be explored as a matter of urgency (e.g. expanding the remit of local Pooled Treatment Budgets to include alcohol treatment). There was considerable variability in how the treatment component of an ATR was being delivered. Only one in four of the areas reporting to the national survey that they were delivering ATRs were doing so in a manner consistent with existing guidance. The new NOMS Alcohol Interventions Guidance due for publication in September 2009 will need to add further clarity on this important issue. This will be a difficult task, however, given the limited availability of alcohol treatment services in some areas. ATRs appeared to facilitate engagement with alcohol treatment services and contributed towards reducing alcohol-related needs (based on findings from the random review of case files). However, there also appeared to be scope for further refinement to the process of targeting ATRs and offering more timely interventions through increased treatment capacity. The evidence base and emerging best practice The dearth of British research evidence means there is currently limited scope for developing empirically informed guidance to instruct senior probation managers and practitioners about the effective targeting of interventions within a criminal justice context, or to identify which ones are likely to be most effective for whom (e.g. different offender management tiers and offenders presenting with hazardous, harmful or dependent drinking patterns). These and many other themes and issues (including assessing the impact of ATRs) should be given greater priority in any future research programme. Given the lack of empirical research available to inform work with alcohol-misusing offenders, initiatives of the sort currently being developed by NOMS to provide support and funding (in the region of $250,000 to date to 15 projects) in an effort to help identify, develop and disseminate the numerous examples of emerging best practice should be commended, endorsed and encouraged. Details: London: Ministry of Justice, 2009. 86p. Source: Ministry of Justice Research Series; no. 13/09: Accessed April 17, 2018 at: http://lx.iriss.org.uk/sites/default/files/resources/Evidence-based%20practice.pdf Year: 2009 Country: United Kingdom URL: http://lx.iriss.org.uk/sites/default/files/resources/Evidence-based%20practice.pdf Shelf Number: 117148 Keywords: Alcohol Related Crimes (U.K.)Alcohol Treatment ProgramsAlcohol-Related Crime, DisorderOffender Treatment Programs |
Author: Derby Community Safety Partnership Title: Derbyshire's Alcohol Diversion Scheme Evaluation: Tackling the Binge Drinking Culture, March 2010 - April 2011 Summary: The Alcohol Diversion Scheme was created to deliver an effective brief intervention within a prevention model achieving behaviour and attitude change towards alcohol consumption with binge drinkers. The primary target group is young people 18-25. Derbyshire Constabulary have to be congratulated on their vision in developing a multi layered approach to their alcohol strategy. This scheme has demonstrated significant success in engaging this group. Arrest referral in Derbyshire predominantly delivers brief interventions to no-chronic drinkers. Only 180 of the 1500 clients they see are referred to treatment. The ADS achieves success in engaging the young binge drinking population. The success is built on the premise that binge drinkers are able to exercise relative control over their consumption and believe harm is related only to chronic drinking problems. Where this scheme demonstrates success it further evidences innovative thinking, complex integrated working practices with Derbyshire Constabulary result in a simple route to engage binge drinkers with an educational programme achieving behaviour and attitude change. The scheme is unique with its engagement technique; individuals issued with a fixed penalty notice £80 are enticed onto an educational programme for half the price £40. Their motivation for engagement is to save £40; it has nothing to do with seeking advice or information on alcohol use, however once engaged the educational programme built on a cognitive behaviour therapy (CBT) foundation achieves the aims and objectives. Behaviour and attitude change has repeatedly been proven. Where this scheme again demonstrates innovation is the financing. The scheme requires only set up costs. Once established Druglink assertively market the scheme to all individuals issued with a PND, their attendance finances the cost of embedding the intervention. The scheme is not dependent on an annual grant. Druglink manage the data transfer, marketing ,booking and delivery, it has a robust performance management and quality assessment framework. It is this internal driving mechanism which pre dates the Government’s current thinking around social engagement and payment on success; in this case the offender is paying, not the Public Purse, success provides a self sustainable intervention accessing a significant population at high levels of risk associated with health and offending. The cost of alcohol misuse to the Public purse is damaging , NHS is in excess of £2.5 billion, crime and public disorder £7.3 billion, £6.4 billion in the workplace and an unquantifiable amount to social and family networks. The Derbyshire Alcohol Diversion scheme was launched in March 2010, during the past year 97 individuals completed 13 courses, 82% were male, 55% were under 25 of which 37% were aged 18-21. 78% had been a victim of alcohol related violence, 88% had been involved in an alcohol related physical altercation. One of the learning outcomes of the course is the significance of receiving an alcohol related PND and potential consequences. Following the course 98% believed they would receive a conviction possibly resulting in a custodial sentence for a subsequent alcohol related offence. Prior to attending the course they viewed their PND as inconsequential as a parking ticket. 96% stated they now understood the link between alcohol and their offending, 39% reported they had previously knowingly driven a car whilst under the influence of alcohol; post course no such incidents were reported. Other learning outcomes include the physical and psychological harms of alcohol—98% reported the course had significantly increased their knowledge of the harms and dangers associated with binge drinking. Experimentation with alcohol occurred most commonly 59% between 13-15 years old with 53% of this age group experiencing alcohol intoxication for the first time. The average alcohol consumption pre course was 36 units per week, this was reduced to 15 post course, well within the Government’s safe drinking guidelines (21 units weekly for a man and 14 units weekly for a woman). Frequency of drinking pre course was 4 days a week; this was halved post course to two days a week. There was a total of 84 alcohol related admissions to A&E pre course; post course there were zero admissions. 66% had an alcohol related sexual encounter one night stand, 38% had accessed the GUM clinic and 13% has been treated for an STI. Post course there were no reported one night stands. The scheme compliments local alcohol strategies, effectively engaging binge drinkers and delivering meaningful behaviour and attitude change, resulting in significant health and offending improvements. Currently this is the only effective model for engaging young binge drinkers that evidences reduction on consumption and frequency in consumption it provides an innovative technique employing sophisticated learning tools. During the last decade we are seeing chronic drinkers in their thirties and late twenties , a decade previous they were in their forties. If we are to redress this deeply concerning trend we must engage young binge drinkers with a prevention model. The Alcohol Diversion Scheme achieves this objective. The scheme appears simple on the surface, however there are sophisticated monitoring and data transfer processes which maintain the consistency of the learning process ensuring careful management of PNDs within the CJS. Details: Hemel Hempstead, Herts, UK: Druglink, 2011. 25p. Source: Internet Resource: Accessed September 12, 2011 at: http://www.druglink.co.uk/Uploads/Editor/Shared%20Folders/file/Download%20PDF%20Evaluation%20of%20Derbyshire%20Alcohol%20Diversion%20Scheme.pdf Year: 2011 Country: United Kingdom URL: http://www.druglink.co.uk/Uploads/Editor/Shared%20Folders/file/Download%20PDF%20Evaluation%20of%20Derbyshire%20Alcohol%20Diversion%20Scheme.pdf Shelf Number: 122723 Keywords: Alcohol AbuseAlcohol Related Crime, Disorder (U.K.)Alcohol Treatment ProgramsBinge Drinking |
Author: Orr, Kate Skellington Title: Delivering Alcohol Brief Interventions in the Community Justice Setting: Evaluation of a Pilot Project Summary: This report presents the findings of an independent evaluation of the feasibility and potential effectiveness of using Alcohol Brief Interventions (ABIs) in the community justice setting. It describes the set up and operation of a pilot of ABIs introduced into three Local Authority areas in Scotland, which was operational between January 2010 and April 2011. The pilot was set in the context of an increasing policy and research focus on the relationship between alcohol, offending and health inequalities in Scotland and the UK. It arose from a commitment set out in the Scottish Government’s framework for tackling Scotland’s alcohol misuse problems, ‘Changing Scotland's Relationship with Alcohol: A Framework for Action’, to fund research on the delivery of ABIs in settings outwith the NHS, such as in criminal justice. This report is the third of three projects that were funded as part of the Alcohol and Offenders Criminal Justice Research programme (2009-2011) led by NHS Health Scotland on behalf of the Scottish Government. Although ABIs have been widely researched in primary health care settings, there is little evidence to date of their effectiveness in the community justice setting. The purpose of the study, therefore, was to contribute to the evidence base for ABIs through assessing the feasibility, barriers and potential implications of using the ABI model in day-to-day practice in community justice for recently convicted offenders. Details: Edinburgh: National Health Service Scotland, 2011. 118p. Source: Internet Resource: Accessed October 18, 2011 at: http://www.healthscotland.com/uploads/documents/16981-alcoholBriefInterventionsCriminalJusticeSystem.pdf Year: 2011 Country: United Kingdom URL: http://www.healthscotland.com/uploads/documents/16981-alcoholBriefInterventionsCriminalJusticeSystem.pdf Shelf Number: 123040 Keywords: Alcohol Abuse (Scotland)Alcohol Related Crime, DisorderAlcohol Treatment Programs |
Author: Belfast Drug and Alcohol Working Group Title: Scoping Report on Drugs and Alcohol Services in Belfast Summary: This report presents a substantial insight into the current situation in relation to drugs and alcohol use and more importantly, it gives an overview of service provision currently in place to tackle substance misuse in the Belfast area. The drive behind this scoping report began in late 2009 when a number of community and statutory sector individuals came together to voice their concerns, especially in a North Belfast context, around drug and alcohol issues impacting on local communities and the need for a more Belfast-focussed co-ordinated approach. This small group felt it was timely to take an innovative Belfast-wide approach to this area of work. Initial meetings were held with John McGeown, Assistant Director of Mental Health Services in the Belfast Health and Social Care Trust; Billy Hutchinson of Mount Vernon Community Development Association; Frances Black and Brian Allen of the RISE Foundation and Mary Black, Assistant Director of Public Health, Health and Social Wellbeing Improvement in the Public Health Agency along with Irene Sherry from the Bridge of Hope in order to consider the issues facing agencies in Belfast. However, it soon became clear that more stakeholders should be invited to participate in order to ensure a fully inclusive collective approach was adopted. Throughout 2010 representatives from a number of key statutory organisations and community/ voluntary providers met to undertake an initial scoping exercise. From this initial analysis, it was clear that there was a lot of work being funded or commissioned but that awareness of services and, more importantly, linking up of service provision was not always in place or as effective as it needed to be. With this in mind the group agreed that it would be worthwhile to spend some time looking at the gaps and issues locally and analyse the situation with a view to creating an overview report with recommendations for consideration, primarily by the Public Health Agency and the Eastern Drugs and Alcohol Coordination Team, but also by other statutory agencies with a responsibility for, or interest in, addressing drugs and alcohol misuse. Our recommendations focus on longer term planning and more cohesive partnership working as well as simplifying access to and participation in existing service provision. It is acknowledged that whilst many agencies are delivering services in this area, there is a lack of awareness of provision both within the health and social care sector itself and outside in the wider community/voluntary sector. Our recommendations focus on longer term planning and more cohesive partnership working as well as simplifying access to and participation in existing service provision. It is acknowledged that whilst many agencies are delivering services in this area, there is a lack of awareness of provision both within the health and social care sector itself and outside in the wider community/voluntary sector. Details: Belfast: Public Health Agency, 2011. 96p. Source: Internet Resource: Accessed October 29, 2011 at: http://www.drugsandalcohol.ie/16010/1/Scoping_Belfast.pdf Year: 2011 Country: United Kingdom URL: http://www.drugsandalcohol.ie/16010/1/Scoping_Belfast.pdf Shelf Number: 123172 Keywords: Alcohol Abuse (Belfast)Alcohol Related Crime, DisorderAlcohol Treatment ProgramsDrug AbuseDrug TreatmentHealth Care |
Author: Prendergast, Michael Title: Final Report on the UCLA-ISAP Evaluation of the 1,000 Bed Expansion of Therapeutic Community Treatment Programs for Prisoners Summary: This report summarizes the quantitative results of UCLA Integration Substance Abuse Programs 5-year process evaluation of the California Department of Corrections (CDC) 1,000-bed expansion of therapeutic community (TC) Programs for prisoners. The process evaluation was conducted over the full 5-year term of the evaluation study and involved the collection and analysis of both quantitative and qualitative data. This report only presents quantitative process findings related to client characteristics, treatment participation (in-prison and aftercare) and return-to-custody rates. Details: Los Angeles: UCLA Integrated Substance Abuse Programs (ISAP), 2003. 33p. Source: Report Available at the Don M. Gottfredson Library of Criminal Justice, Rutgers University Year: 2003 Country: United States URL: Shelf Number: 123239 Keywords: Alcohol Treatment ProgramsCorrectional ProgramsDrug Abuse and CrimeDrug OffendersRecidivismSubstance Abuse Treatment (California) |
Author: Baldwin, Helen Title: Evaluation of the Alcohol Treatment Requirement in Five Sites Across the Lancashire Probation Area Summary: An Alcohol Treatment Requirement can be mandated by Courts as part of a community sentence. It requires offenders to attend structured alcohol treatment for a set number of hours a week over a fixed period of time (in this case 6 months). This paper outlines the findings from an evaluation of the delivery and effectiveness of the Alcohol Treatment Requirement in Lancashire. Delivery of the partnership working between Probation and alcohol treatment services was generally excellent and was underpinned by good quality communication. There were positive outcomes for offenders including reductions in alcohol consumption and improved health and relationships Details: Liverpool: Centre for Public Health, Liverpool John Moores University, 2010. 52p. Source: Internet Resource: Accessed November 8, 2011 at: http://www.cph.org.uk/showPublication.aspx?pubid=712 Year: 2010 Country: United Kingdom URL: http://www.cph.org.uk/showPublication.aspx?pubid=712 Shelf Number: 123265 Keywords: Alcohol Treatment ProgramsAlcoholism (U.K.)Probationers |
Author: Senior, Kate Title: Moving Beyond the Restrictions: The Evaluation of the Alice Springs ALcohol Management Plan Summary: As part of the Northern Territory Government's Alcohol Framework, an Alcohol Management Plan (AMP) was developed in 2006 for the regional outback town of Alice Springs. The Plan had the three key strategies of reducing supply, reducing harm, and reducing demand. In 2008 the Menzies School of Health Research was commissioned to evaluate what strategies had been implemented in Alice Springs, and whether these were effective. This is the report of the evaluation, and features sections on: The Alice Springs context; Best Practice in addressing alcohol related problems; Recommendations from previous evaluations in Alice Springs; Implementation; Alcohol services and their coordination; Measuring impact; Community perspectives and responses; Community readiness; Liquor industry responses; Developing community involvement; and Developing evaluation framework and a minimum data set. The authors note that like previous evaluations from the 1970s onwards, any strategies require an investment in community change, for both Indigenous and non-Indigenous members of the community, with a fundamentally different way to address alcohol issues and extensive community consultation. Details: Casuarina, N.T.: Menzies School of Health Research, 2009?. 197. Source: Internet Resource: Accessed February 21, 2012 at http://www.nt.gov.au/justice/licenreg/documents/liquor/reports/MSHR%20Evaluation%20of%20the%20Alice%20Springs%20Alcohol%20Restrictions.pdf Year: 2009 Country: Australia URL: http://www.nt.gov.au/justice/licenreg/documents/liquor/reports/MSHR%20Evaluation%20of%20the%20Alice%20Springs%20Alcohol%20Restrictions.pdf Shelf Number: 124226 Keywords: Alcohol Abuse (Australia)Alcohol Treatment ProgramsEvaluative StudiesIndigenous Peoples |
Author: Templeton, Lorna Title: Think Family Safely: Enhancing the Response of Alcohol Services to Domestic Abuse and Families Summary: Alcohol misuse and domestic violence are strongly correlated, but significant gaps remain in effective working between the alcohol and domestic violence sectors. Funded by the Big Lottery Fund, the three year Embrace Project (2008-2011) was set up to develop and evaluate a new model of good practice for alcohol services, to raise awareness of these overlapping issues at a national level, and to develop resources and learning which can be disseminated across the alcohol, domestic abuse and family sectors. This is the final evaluation report for the Embrace Project. The external evaluation offers a broad, independent evaluation of work of the Embrace Team, the work at the nine pilot sites, and the extent to which the Embrace project achieved a wider dissemination of the Embrace model. This final report covers the full period of the project and is based on a range of data collected during that time. This includes documentary evidence, qualitative data collected by the Embrace Team, 31 interviews conducted for the external evaluation, case studies submitted by the pilot sites, and evaluation data collected by the Embrace Team from the Can of Worms training events. Details: London: Alcohol Concern, 2011. 45p. Source: Internet Resource: Accessed March 2, 2012 at: http://www.alcoholconcern.org.uk/assets/files/Embrace/Yr%203%20Eval%20report.pdf Year: 2011 Country: United Kingdom URL: http://www.alcoholconcern.org.uk/assets/files/Embrace/Yr%203%20Eval%20report.pdf Shelf Number: 124350 Keywords: Alcohol Abuse (U.K.)Alcohol Treatment ProgramsAlcoholismDomestic Violence |
Author: Baldwin, Helen Title: Evaluation of Liverpool's Criminal Justice Alcohol Treatment Pilot: Final Report Summary: The Centre for Public Health at Liverpool John Moores University undertook an evaluation of Liverpool's Criminal Justice Alcohol Treatment Pilot, commissioned by Liverpool DAAT. The pilot encompassed the Alcohol Treatment Requirement (ATR), a court mandated requirement to attend alcohol treatment for a six-month period and the Alcohol Treatment Programme (ATP), a voluntary programme for offenders contacted through arrest referral or on non-ATR Probation supervision. The Lighthouse Project was responsible for the provision of alcohol treatment to offenders who accessed the scheme via these two referral pathways. The pilot aimed to engage offenders who had committed an alcohol-related offence, and who were identified as alcohol dependent, in treatment specifically designed to tackle their alcohol misuse and in turn reduce the likelihood of them re-offending. Measures of clients' drinking, offending, health and related behaviours were recorded at initial assessment, at three-month review and upon completion at six months. Comparison of measures between these stages revealed desirable outcomes for the client group, including a statistically significant reduction in AUDIT scores. Improvements were largely attributable to the relationships built between clients and their alcohol treatment workers and in many cases, their Probation offender managers. One-to-one discussions were fundamental in promoting positive changes in clients' attitudes and behaviours. The consistency and dependability of workers were also important factors. A stakeholder consultation gave insight into the processes and running of the scheme. Communication between Probation and Lighthouse staff was effective although role boundaries appeared to overlap. While clients were confident and optimistic about their ability to tackle their alcohol problems beyond the treatment period, a formal framework for aftercare needed to be established in order to ensure continued support was available to those who required it, to minimise risks of relapse and further conviction. The short time period for the pilot limited numbers and therefore made conclusions around the potential success of the scheme on a wider scale difficult to draw. Assessment of re-conviction over a substantially larger period would be necessary in order to form any concrete conclusions on the schemes effectiveness in tackling offending. Details: Liverpool: Centre for Health and Applied Social Sciences, Centre for Public Health, Research Directorate: Liverpool John Moores University, 2009. 64p. Source: Internet Resource: Accessed May 1, 2012 at: http://www.cph.org.uk/showPublication.aspx?pubid=637 Year: 2009 Country: United Kingdom URL: http://www.cph.org.uk/showPublication.aspx?pubid=637 Shelf Number: 125112 Keywords: Alcohol AbuseAlcohol Related Crime, Disorder (Liverpool)Alcohol Treatment Programs |
Author: Nicholas, Roger Title: Breaking the Silence: Addressing Family and Domestic Violence Problems in Alcohol and Other Drug Treatment Practice in Australia Summary: This literature review examines the relationships between alcohol and other drug (AOD) use and “family and domestic violence” (FDV) in the context of AOD treatment settings. It focuses on strategies that may be developed to enhance the responses of alcohol and other drug (AOD) treatment providers to FDV issues affecting clients and their children. Details: Adelaide, South Australia: National Centre for Education and Training on Addiction (NCETA), Flinders University, 2012. 36p. Source: Internet Resource: Accessed November 24, 2012 at: http://nceta.flinders.edu.au/files/6513/5285/7437/EN469_Nicholas_2012.pdf Year: 2012 Country: Australia URL: http://nceta.flinders.edu.au/files/6513/5285/7437/EN469_Nicholas_2012.pdf Shelf Number: 126989 Keywords: Alcohol AbuseAlcohol Treatment ProgramsChild Abuse and NeglectDomestic ViolenceDrug Abuse and AddictionDrug TreatmentFamily Violence (Australia) |
Author: Graham, Lesley Title: Alcohol Problems in the Criminal Justice System: An Opportunity for Intervention Summary: Alcohol is linked with crime, especially violent crime. Many people are incarcerated because of alcohol-related crime. Alcohol is not permitted in prisons except in a very few cases, and illicit use of alcohol in prison is not a major problem. Nevertheless, imprisonment gives an opportunity to tackle alcohol problems in prisoners, with the potential for positive effects on their families and friends and a reduction in the risk of re-offending, the costs to society and health inequalities. This publication describes an integrated model of care for alcohol problems in prisoners, with elements for best practice. The model starts with assessment of the seriousness of prisoners’ alcohol problems, using a validated screening tool, the WHO Alcohol Use Disorders Identification Test (AUDIT), and calls for interventions tailored to prisoners’ specific needs. Details: Copenhagen: World Health Organization for Europe, 2012. 28p. Source: Internet Resource: http://www.euro.who.int/__data/assets/pdf_file/0006/181068/e96751-ver-2.pdf Year: 2012 Country: International URL: http://www.euro.who.int/__data/assets/pdf_file/0006/181068/e96751-ver-2.pdf Shelf Number: 127361 Keywords: Alcohol AbuseAlcohol Related Crime, DisorderAlcohol Treatment ProgramsPrisoners |
Author: Robinson, Emma Title: The Alcohol Treatment Requirement: A more responsive way of working with alcohol-misusing offenders Summary: The overarching aim of the evaluation was to give some early indications of the success of the Alcohol Treatment Requirement in West Yorkshire, in terms of offender compliance and completion levels, changes in alcohol dependency and whether the ATR better meets the needs of alcohol misusing offenders. With this in mind there were three main research strands: a case file-read of offenders on the ATR to investigate levels of compliance; a pre and post programme offender questionnaire designed to capture feedback on levels of alcohol consumption; and interviews with offenders and treatment provider staff to ascertain feedback on the ATR in terms of meeting offender needs and partnership working. The file-read analysis revealed that compliance to ATR appointments was lower than the compliance rate of the comparison group (of offenders with an alcohol need in OASys prior to the introduction of the ATR). However, the ATR group did not have a high level if ‘unacceptable’ (and therefore enforceable) absences for appointments with the treatment provider. Indeed the number of ‘unacceptable’ absences for actual ATR appointments (n=29) was lower than that for probation appointments in both the ATR group (n=43) and the comparison group (n=41). The comparison group also had a much higher number of acceptable absences which may reflect the chaotic nature of offenders with alcohol misuse problems and therefore confirms the need for a dedicated programme of treatment and support for this group. The file-read analysis appears to suggest that it is compliance to probation appointments, and in particular a high number of ‘acceptable’ absences for these appointments, that is bringing the compliance level down amongst the ATR sample. It may be that the ATR appointments are afforded some priority amongst this group, since they are specifically ‘aimed at ‘treating’ their alcohol misuse. Greater efforts might be made to attend these appointments over other probation appointments which are perhaps less likely to meet offender’s immediate needs in terms of addressing entrenched patterns of alcohol abuse. The number of successful completions for the ATR sample was 8 (27%), compared to a total of 19 (63%) in the comparison group. However, this was not a straightforward like-for-like comparison as within the ATR group, there were 7 cases that still had an order ongoing at the time of data analysis. A total of 12 offenders (40%) completed their ATR requirement and went on to successfully complete their order. Therefore the conversion rate from ATR completion to order completion is actually 8 from 12 (67%) for this sample. Details: Wakefield, UK: West Yorkshire Probation Services, 2010. 54p. Source: Internet Resource: Accessed April 5, 2013 at: http://www.westyorksprobation.org.uk/documentlist.php?type=1&year=2010 Year: 2010 Country: United Kingdom URL: http://www.westyorksprobation.org.uk/documentlist.php?type=1&year=2010 Shelf Number: 128269 Keywords: Alcohol Misusing OffendersAlcohol Treatment ProgramsAlcoholism (U.K.)Probationers |
Author: New South Wales. Audit Office Title: Cost of Alcohol Abuse to the NSW Government: Performance Audit Summary: While most people consume alcohol responsibly, there is a large group that consumes it at levels that present a risk of harm. Excessive alcohol consumption can cause physical, emotional and social problems. These include violence, liver disease, brain injury, and family and relationship problems. Government agencies devote much time and effort to reduce the harm caused by alcohol abuse. This ranges from proactive policing of alcohol hotspots to alcohol treatment services. The government has recently introduced specific initiatives to reduce the impact of alcohol abuse on the community. These include: - a new intoxicated and disorderly offence - 'three-strikes' laws for licensees or managers of licensed premises convicted of serious offences under the Liquor Act 2007 - management plans for problem areas like Kings Cross - a trial of sobering up centres. These activities and initiatives come at a considerable cost to the State. This audit assessed whether the NSW Government knows the costs incurred by State agencies as a result of alcohol abuse. We asked whether: - the NSW Government effectively monitors the cost of alcohol abuse so it can resource public services to address it - the NSW Government publicly reports the cost of alcohol abuse to inform the community of its impact on public services. For the purposes of this audit, 'alcohol abuse' means: - drinking at levels that are likely to cause significant injury or ill health, and - where drinking has led to a government intervention or response. A range of key performance indicators show that, in general, alcohol-related incidents are declining. For example, alcohol-related assaults have decreased 23 per cent since 2008. This is a good result which may be due to proactive policing, changes to licensing laws, public education campaigns, and a range of other government initiatives. Nevertheless, alcohol abuse remains a significant burden to both society and government. To design an effective response the government must know the extent of the problem and what it is costing to limit its harm. Therefore it is important for government to have good data on alcohol abuse including the cost to its services and to society. The community also has a right to know this information so it can inform public debate on drunkenness and the best ways to combat it. Details: Sydney: Audit Office of New South Wales, 2013. 32p. Source: Internet Resource: Accessed November 11, 2013 at: https://www.audit.nsw.gov.au/ArticleDocuments/281/01_Cost_of_alcohol_abuse_NSW_Government_Full_Report.pdf.aspx?Embed=Y Year: 2013 Country: Australia URL: https://www.audit.nsw.gov.au/ArticleDocuments/281/01_Cost_of_alcohol_abuse_NSW_Government_Full_Report.pdf.aspx?Embed=Y Shelf Number: 131630 Keywords: Alcohol AbuseAlcohol EnforcementAlcohol Related Crime, DisorderAlcohol Treatment ProgramsCosts of CrimeDrunk and Disorderly |
Author: Rabinovich, Lila Title: Reducing Alcohol Harm: International Benchmark Summary: The National Audit Office (NAO) of the United Kingdom commissioned RAND Europe to examine the structure and effectiveness of healthcare interventions aimed at preventing and reducing alcohol harm in a selected number of countries. The countries selected were Australia, Canada, Germany, the Netherlands and the United States. The objective of the research is to inform the work of the NAO in the area of the prevention and reduction of alcohol harm in healthcare interventions in England. Through this research, the NAO aims to understand the effectiveness of the interventions used in England and identify interesting and effective practices in other countries that could be transferable to the English context and inform the country's alcohol strategy. This report contains four main sections. In Chapter 2, this report sets out the main international statistics on alcohol harm, including comparative data on alcohol consumption, the prevalence of heavy and binge drinking, and data on alcohol-related mortality and morbidity. In Chapter 3, the study describes the main features of the healthcare systems and strategies of the selected countries. In Chapters 4 and 5, the report describes international evidence of the effectiveness of healthcare and non-healthcare interventions aimed at alcohol harm, respectively. In order to come to the conclusions in this report, we used a document review of the available information on the organization of the healthcare system and interventions aimed at alcohol harm in the selected countries; analysed the data on alcohol harm; and reviewed the international evidence on the effectiveness of interventions aimed at preventing alcohol harm. We also undertook telephone interviews and e-mail exchanges with a variety of experts in the area of alcohol harm in the selected countries. This report is likely to be of interest to other Supreme Audit Institutions (SAI), public health officials, and officials and academics involved in alcohol policy and strategy. Details: Cambridge, MA: RAND Europe, 2008. 94p. Source: Internet Resource: Accessed March 17, 2014 at: http://www.rand.org/content/dam/rand/pubs/technical_reports/2008/RAND_TR592.pdf Year: 2008 Country: International URL: http://www.rand.org/content/dam/rand/pubs/technical_reports/2008/RAND_TR592.pdf Shelf Number: 131941 Keywords: Alcohol AbuseAlcohol Related Crime, DisorderAlcohol Treatment ProgramsDrunk and DisorderlyHealth CareInterventions |
Author: Jordan, Paul Title: Tackling Alcohol Misuse Through Screening and Brief Interventions: A Knowledge Transfer Partnership Summary: This report sets out the work undertaken through a Knowledge Transfer Partnership (KTP) between Cardiff University and the Welsh Government (WG) in collaboration with Public Health Wales to develop and deliver an alcohol screening and brief intervention (ABI) programme in Wales. The recommendations in this report are for the WG, Public Health Wales, Cardiff University and other universities, and for other groups outside Wales wishing to establish a screening and ABI programme. They are based on a review of this partnership and formal evaluation of the programme delivered. The burden of alcohol misuse in Wales Alcohol misuse is a major preventable threat to public health. In Wales in 2009 there were nearly 13,000 alcohol-related hospital admissions and one in 30 deaths was alcohol attributable. Alcohol misuse cost the NHS in Wales $85 million in 2009. Details: Cardiff, Wales: Public Health Wales; Cardiff University, 2013. 55p. Source: Internet Resource: Accessed July 25, 2014 at: http://www.vrg.cf.ac.uk/Files/20140107_KTP_finalreport.pdf Year: 2013 Country: United Kingdom URL: http://www.vrg.cf.ac.uk/Files/20140107_KTP_finalreport.pdf Shelf Number: 132769 Keywords: Alcohol AbuseAlcohol Related Crime, DisorderAlcohol Treatment Programs |
Author: Parkes, Tessa Title: An Evaluation to Assess the Implementation of NHS Delivered Alcohol Brief Interventions: Final Report Summary: Alcohol Brief Interventions (ABIs) have been identified as an effective strategy for treating people whose alcohol consumption is posing a risk to their health. As part of its Alcohol Strategy the Scottish Government established a health improvement target for NHS health boards, supported by additional funding. This required NHS Health Scotland to deliver 149,449 ABIs across three priority settings of primary care, Accident & Emergency (A&E) and antenatal care, between April 2008 and March 2011. A subsequent one year extension target was introduced. The evaluation aimed to assess the process of implementation of ABIs using both quantitative and qualitative methods. The focus was mainly on primary care but also includes some findings relating to A&E and antenatal settings. The evaluation found a considerable degree of variation across Scotland in organisational structures and models of delivery. However, a number of common features were also identified. Those which appeared to support implementation included: the availability of funding; nationally co-ordinated and locally supported training opportunities; and national, health board and setting level 'leaders' able to support and encourage implementation. Perceived barriers included: the lack of 'lead in' time to set up organisational structures; competing priorities; an initial lack of adequately trained staff and difficulties maintaining trained staff levels; and problems associated with the mechanisms for recording delivery. These within-setting and across-board differences and difficulties in recording ABI delivery made it difficult to accurately determine or compare who the programme was reaching. Nonetheless, by March 2011 most boards had met, if not exceeded, the three-year target. Details: Edinburgh: NHS Health Scotland, 2011. 62p. Source: Internet Resource: Accessed July 28, 2014 at: http://www.healthscotland.com/uploads/documents/16707-ABI%20Implementation%20Evaluation%20Report%20Sept11.pdf Year: 2011 Country: United Kingdom URL: http://www.healthscotland.com/uploads/documents/16707-ABI%20Implementation%20Evaluation%20Report%20Sept11.pdf Shelf Number: 132782 Keywords: Alcohol AbuseAlcohol Treatment Programs |
Author: Tonigan, Alexandra Toscova Title: Bernalillo County Department of Substance Abuse: Public Inebriate Intervention Program Summary: The purpose of the Bernalillo County Department of Substance Abuse Program's (DSAP) Public Inebriate Intervention Program (PIIP) in Bernalillo County, including Albuquerque, New Mexico is to relieve congestion in UNM Hospital's Emergency Department and Psychiatric Emergency Services, as well as other hospital emergency rooms in Bernalillo County (Presbyterian and Lovelace) and to reduce the number of bookings at the Metropolitan Detention Center (MDC). To do this, the Department of Substance Abuse Program (DSAP) has partnered with the Albuquerque Fire Department (AFD) and the Albuquerque Police Department (APD) to "identify inebriates in the community and offer voluntary transportation to the Bernalillo County Metropolitan Assessment Treatment Services (MATS) facility," where individuals have the opportunity to stay up to 12 hours in a stable and safe environment until they sober up (Board of County Commissioners, DSAP). In doing so, the inebriated individuals receive the appropriate treatment and care, crowding within jails and hospitals is alleviated, and a substantial amount of money can be saved. The program is located at the Bernalillo County Metropolitan Assessment Treatment Services (MATS) facility. This program houses a number of programs including detoxification services, a medical observation and treatment unit, supportive aftercare, residential services, and a hospital for adult/adolescent medical detoxification and rehabilitation. The information presented in this report originates from forms maintained by MATS on individuals who were served by PIIP in April, May and October of 2014. Details: Albuquerque: University of New Mexico, Institute for Social Research, 2015. 13p. Source: Internet Resource: Accessed September 18, 2015 at: http://isr.unm.edu/reports/2015/bernalillo-county-department-of-substance-abuse-public-inebriate-intervention-program.pdf Year: 2015 Country: United States URL: http://isr.unm.edu/reports/2015/bernalillo-county-department-of-substance-abuse-public-inebriate-intervention-program.pdf Shelf Number: 136820 Keywords: Alcohol Related Crime, DisorderAlcohol Treatment ProgramsAlcoholismDisorderly Conduct |
Author: Alcohol Concern Title: Domestic Abuse and Change Resistant Drinkers: Preventing and Reducing the Harm Summary: The relationship between alcohol and violence is well researched, although less so in the more complex context of domestic abuse. Whilst there is evidence that alcohol use by perpetrators, and to a lesser extent by victims, increases the frequency of violence and the seriousness of the outcomes , this does not mean that alcohol use causes domestic abuse. It is neither an excuse nor an explanation. Both Alcohol Concern's Embrace Project and AVA's Stella Project have previously produced guidance on how to address domestic abuse and alcohol use. This guidance builds on the existing literature and uses the learning from reviewing domestic homicide review (DHR) reports to further our understanding of how to deal with cases of alcohol related domestic abuse, particularly more complex cases that involve change resistant drinkers. The aim of this guidance is to create a baseline of good practice for those supporting clients that have been understood to be change resistant drinkers and who are perpetrating or experiencing domestic violence. Details: London: Alcohol Concern, 2016. 65p. Source: Internet Resource: Accessed September 23, 2016 at: http://www.domesticabuseservices.org.uk/professionals/news/news-file/Domestic%20abuse%20and%20change%20resistant%20drinkers%20-%20learning%20lessons%20from%20domestic%20homicide%20reviews.pdf Year: 2016 Country: United Kingdom URL: http://www.domesticabuseservices.org.uk/professionals/news/news-file/Domestic%20abuse%20and%20change%20resistant%20drinkers%20-%20learning%20lessons%20from%20domestic%20homicide%20reviews.pdf Shelf Number: 146115 Keywords: Alcohol AbuseAlcohol Treatment ProgramsAlcoholismDomestic Violence |
Author: Great Britain. Ministry of Justice Title: The Impact of Community-Based Drug and Alcohol treatment on Re-Offending: Joint experimental statistical report from the Ministry of Justice and Public Health England. Summary: This experimental statistical report contains initial findings from a project that has linked data from the National Drug Treatment Monitoring System (NDTMS) held by Public Health England (PHE) with data on offenders held by the Ministry of Justice (MoJ). The aim of this report is to improve the evidence base of the links between community-based treatment for substance misuse and changes in re-offending. This ad-hoc release includes key sections on: - Characteristics associated with offending in the two-years before and after starting treatment (sections 3 and 7); - The offending profile both before and after starting treatment (section 4 and 5); - Change in offending (section 6); - Offending during prison or treatment (section 8). This report contains initial findings from analysing the final matched dataset to support policy development and is intended to demonstrate the potential utility in linking treatment and offending data. Future publications may follow as our investigations into the links between substance misuse, treatment and re-offending are expanded. Details: London: Ministry of Justice, 2017. 33p. Source: Internet Resource: Accessed February 14, 2018 at: http://www.drugsandalcohol.ie/28059/1/PHE-Community_based_drug_and_alcohol_treatment.pdf Year: 2017 Country: United Kingdom URL: http://www.drugsandalcohol.ie/28059/1/PHE-Community_based_drug_and_alcohol_treatment.pdf Shelf Number: 149139 Keywords: Alcohol Treatment Programs Community-Based ProgramsDrug Offender TreatmentDrug Treatment Programs Recidivism Substance Abuse Treatment |