Risk-drinking

1
Risk-drinking

• The use of alcohol that is, or may become
  harmful, but where no addiction is present.

2
Effects

• Risky drinking has large impact on many of the
  common diagnoses in family medicine, such as
  hypertension, cardiac arythmia, depression,
  anxiety, insomnia etc.

3

• The risk-drinking patients usually have no
  problem to cut back alcohol consumption,
• once they realize the connection to their health
  problems.

4
GPs agree that it is important that patients with
a risk-drinking profile are identified and get
advice on changing habits

• BUT
• 50 ask patients about use of alcohol
• 75 think they cannot influence how much their
  patients drink
• 97,1 wish to get more education in the field

5
The Risk-drinking Project

• How to teach GPs an effective approach to achieve
  changes in their patients habits of alcohol
  consumption

6
Three main points of strategy

• Forceful economic support by the government both
  to a national knowledge centre and to all of the
  countrys health care regions
• Use professional organisations
• Focus on education and networks

7
Goal
Issues about alcohol habits shall be a natural
element in daily health care in such a way that
it reflects the importance alcohol has as a
source of injuries and illnesses
8
HOW ?

• PATIENT-CENTRED approach is it in the interest
  of the patient ?
• EMPOWERMENT to summon the powers within the
  patient.
• MI

9
Culture competence

• Methodology suited to the daily practices of
  doctors and nurses

10
Cave! commando training
11
The risk-drinking workshop

• An educational model, using the experiences of
  the practitioner to overcome obstacles and fears
  when dealing with the risk-drinking patient
• Barriers
• Facts/experiences
• Methods of Consultation /MI

12
Methodology

• Combining the risk drinking workshop with
  training in motivational interviewing has proven
  to be successful.

13
OPPORTUNITY 1

• Has the patient noticed that his /her problem has
  a connection to alcohol ?

14
OPPORTUNITY 2

• Offer information in connection to the patients
  diagnosis

15
OPPORTUNITY 3

• Provide information on treatment .

16
OPPORTUNITY 4

• Introduce the idea of different sensibility.

17
OPPORTUNITY 5

• Test if there is a connection

18
OPPORTUNITY 6

• Lab tests
• NB To talk with the patient has a much higher
  sensitivity and specificity than most labresults

19
How to reach us

• www.fhi.se / riskbruksprojektet
• English version available at the site
• E-mail asa(.)wetterqvist_at_fhi.se

20
Seven sub-projects

• Motivational Interviewing - MI
• General practitioners
• Specialist trainee doctors (ST-doctors)
• District nurses
• Maternity health care
• Child health care
• Occupational health