Screening

1
Screening Intervention Programme for Sensible
Drinking (SIPS)

• Dr Judith Myles
• St Georges
• University of London

2
Alcohol Screening and Brief Intervention Research
Programmenational brief intervention research
consortium
AE St. Marys


'Scientia Vincit Timorem'
3

• This research has been made possible
• By bringing together a national research
  consortium with expertise in screening and brief
  interventions in the alcohol field
• Is taking place across three different settings
  and three different regions of England as
  different tools may be necessary in different
  settings
• Funded by DH 3.2 million,
• this being an action under the Alcohol Harm
  Reduction Strategy for England (2004)

4
Research Project Group

• St Georges
• Prof C Drummond (CI)
• Dr J Myles
• Dr A Oyefeso
• Dr P Deluca
• Mr T Phillips
• Ms K Perryman
• York
• Prof M Bland
• Mr S Coulton
• Prof C Godfrey
• Mr S Parrott

• Newcastle
• Dr E Kaner (DCI)
• Prof C Day
• Dr E Gilvarry
• Dr P Cassidy
• Dr D Newbury-Birch
• Imperial College and St Marys Hospital
• Dr M Crawford
• Prof R Touquet
• Alcohol Concern
• Mr D Shenker

5
Research Project Group (cont.)

• Consultants
• Prof J Shepherd
• Prof N Heather
• Prof T Babor
• Dr P Anderson
• Dr M Stark
• Mr P Turnbull

6
Research ConsortiumProject Steering Group

• To include representatives from
• Alcohol
• Primary care
• AED/Hospital/Mental Health
• Criminal justice
• Statistics
• Commissioning
• Service Users
• DH and NTA

7
Aims

• To identify
• the best screening methods for AUD
• brief intervention techniques for AUD
• methods of implementation
• those most appropriate
• most acceptable
• most cost-effective
• across 3 health and social care settings
• Primary Health Care (PHC)
• Accident Emergency Departments (AED)
• Criminal Justice Services (CJS)

8
Research Programme Design

• Three settings
• PHC
• AED
• CJS
• Three cluster randomised clinical trials
• Each with a purpose-designed project to assess
• Identification of the most effective screening
  approach
• Identification of the most effective and
  cost-effective intervention approach
• Barriers and facilitators to implementation
• 6 month follow-up

9
Research Programme Design (cont.)

• To recruit patients from 24 PHC practices
• 9 AEDs
• 24 CJS
• Across North East Region, London and South East
  Region
• Aim to recruit over 2,600 patients across the
  three projects
• All health and CJS staff to receive training and
  support from research team
• Staff attitudes to be assessed to identify
  acceptability of implementing screening and brief
  interventions
• Programme duration 2 years

10
Final proposal submitted, 25/7/05
11
How will we assess implementation?

• Number screened, positives, received intervention
• Factors supporting implementation
• Factors impeding implementation
• Impact individual, service, costs and benefits
• Acceptability patient, practitioner,
  commissioner
• Sustainability

12
How will we assess effectiveness?

• Effectiveness of implementation
• Extent of screening and intervention activity
• Attitudes to SBI implementation
• Patient outcome measures
• Alcohol consumption
• Alcohol related problems
• Health related quality of life
• Health related and wider societal costs

13
Toolkit

• Screening toolkit and practical guidance for each
  setting based on optimal tool/method
  (targeted/universal)/setting combination
• Intervention tools and implementation guidance
  based on findings tailored to each setting
• Training package for professionals in each
  setting
• PIL/CIL for each setting
• Guide for commissioners of ASBI services
• Resource website for providers

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Rollout of findings

• The results of this programme of research will be
  disseminated via
• Formal reporting process to DH
• Peer reviewed publications both nationally and
  internationally
• Regional and local provider/commissioning fora

15
Key Stakeholders/Partners

• Government Offices (DH, HO, NOMs etc.)
• PCTs
• DAATs
• General Hospitals
• General Practitioners
• Courts, Prisons, Probation

16
Gains for Stakeholders

• Toolkit to enhance practice and inform
  commissioning
• Train staff
• Incentives for participation
• Accurate information on cost-efficacy and
  acceptability of brief interventions across
  settings

17
Interested in becoming a partner organisation?

• Contact
• Professor Colin Drummond, Chief Investigator
• SIPS Research Programme
• Section of Addictive Behaviour, Division of
  Mental Health
• St Georges University of London
• 4th Floor, Hunter Wing
• Cranmer Terrace
• London SW17 0RE
• Tel. [phone]
• Fax. [phone]
• E-mail sips_at_sgul.ac.uk
• Web www.sips.sgul.ac.uk