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UK: Protect children from alcohol misuse

htm — Fri, 16 Dec 2011 14:17:20 +0000

The health and social care provider Turning Point has said alcohol misuse within families is an escalating concern in its new report “Bottling it up: the next generation”. It says early screening and identification of families is needed urgently to prevent the ‘inter-generational cycle’ of alcohol misuse which blights the lives of children and undermines their life chances.

Up to 2.6 million children live with parents who drink at “hazardous” levels and around 700,000 children are thought to live with dependent drinkers. As picked up in the Daily Express, pressure put on women to be “supermums” was felt to be increasing alcohol use as a coping mechanism. Turning Point said more than 5,000 people who used their alcohol treatment services last year were parents.

The report says children of parents who misuse alcohol are more at risk of depression, anxiety and increased anger. Turning Point also highlighted JRF research which found that children who see their parents drunk are twice as likely to get drunk themselves. Children living with drinking parents are also more likely to experiment at an early age with alcohol and drugs, increasing the risk of their own later life substance problems.

In the report Turning Point call on the Government to place a duty on Local Authorities to develop strategies that take into account the harms to family life and children’s development. They also advocate the development of services which are more family focused and home-based, better liaison between adult and children’s services, and more information available to help affected children. … (Source: Alcohol Policy UK, 12/15/11)

Why the New Definition of Addiction, as ‘Brain Disease,’ Falls Short

htm — Sat, 20 Aug 2011 14:48:01 +0000

In 1956, the American Medical Association declared alcoholism a “disease.” More than half a century later, the American Society of Addiction Medicine (ASAM) has proclaimed addiction, including alcoholism and “process” addictions like gambling, to be the same.
According to the ASAM’s definition, published on the group’s website on Monday, addiction is a “primary, chronic disease of brain reward, motivation, memory and related circuitry.” This clarification, which was based on consultations with more than 80 experts, is aimed in part at de-stigmatizing addictive disorders.
That’s an admirable goal. The scientific evidence shows that addiction is rooted in distinct brain changes, just like other mental illnesses such as depression (though in both instances, the same changes are not found in all people with the conditions). The research does clearly show that evidence-based treatment is far more effective at resolving drug abuse problems than law enforcement efforts like incarceration. There’s no justification for treating people with addiction any differently than other patients. (Source: Join Together, 08/18/11) healthland.time.com, 08/16/11

A Literature Review of Cost-Benefit Analyses for the Treatment of Alcohol Dependence

htm — Wed, 17 Aug 2011 09:01:35 +0000

The purpose of this study was to conduct a literature review of cost-benefit studies on pharmacotherapy and psychotherapy treatments of alcohol dependence (AD).
A literature search was performed in multiple electronic bibliographic databases. The search identified seven psychotherapy studies from the USA and two pharmacotherapy studies from Europe. … (Source: Alcohol Reports, 08/16/11)

Latency Periods Between Alcohol-Related Traffic Violations: Implications for Recidivism

htm — Sun, 14 Aug 2011 16:06:54 +0000

Before October 1, 2002, Maryland’s regulations for relicensing drivers with 2 recorded alcohol-related traffic violations distinguished between offenders with 5 or more years between their first and second violations and those with less than 5 years.
Our research examined whether this policy was supported by differential probabilities of recidivism and violation-free survival. … (Source: Alcohol Reports, 08/11/11)

USA: New Parent Helpline Provides Support, Resources For Teen Substance Abuse

htm — Sun, 31 Jul 2011 17:18:06 +0000

When parents find out their teen is abusing drugs or alcohol, the family’s immediate focus is generally on getting help for the teen. But parents are often in great need of help themselves. They may need advice on what to say to their teen, how to evaluate whether he or she needs professional treatment and where to find the appropriate substance abuse treatment program if one is needed. A new toll-free telephone helpline is providing that assistance.
The Parents Toll-Free Helpline, 1-855-DRUGFREE (1-855-378-4373), is staffed by clinical social workers with practical experience in substance abuse prevention and treatment. … (Source: Join Together, 07/29/11)

UK: Behavioural interventions most effective for higher risk drinkers

htm — Tue, 26 Jul 2011 15:42:56 +0000

A report from the North West Public Health Observatory (NWPHO) demonstrates brief interventions for alcohol are the most cost effective, followed by interventions for smoking, sexual health and physical activity.
Changing Health Choices – A review of the cost-effectiveness of individual level behaviour change interventions
Key findings include: The cost-effectiveness of brief interventions is strongest for interventions among high risk drinkers. … (Source: Alcohol Reports, 07/25/11)

Alcohol: A Major Public Health Problem-South Asian Perspective

htm — Sat, 02 Jul 2011 15:28:20 +0000

Over the years, use of alcohol, excessive and prolonged, has been associated with various health hazards.
With increasing clinical experience and research in the area, the association has become stronger and progressively more alarming. The evidence from different treatment settings viz. the outpatient department, inpatient setup, emergency department, and the consultation liaison services has linked the use of alcohol with a wide array of hazards to the physical and the psychological health of the users. The impact on psychological health extends beyond the users of alcohol to involve caregivers and other family members of users.
Alcohol consumption is the leading risk factor for disease burden in low-mortality developing countries and the third largest risk factor in developed countries. … (Source: Alcohol Reports, 06/30/11)

UK: The Risks And Benefits Of Alcohol Drinking In The Elderly

htm — Thu, 30 Jun 2011 12:24:55 +0000

The Royal College of Psychiatrists of London has published a report related primarily to problems of unrecognized alcohol misuse among the elderly. The report provides guidelines for psychiatrists and family physicians on how to find and how to treat elderly people with misuse of alcohol and drugs. Forum members consider it very important to identify abusive drinking among the elderly and this report provides specific and very reasonable recommendations to assist practitioners in both the identification and treatment of such problems. … (Source: Medical News Today, 06/28/11)

Alcoholism Drug Shows Promise in Three Danish Studies

htm — Fri, 17 Jun 2011 08:55:11 +0000

An experimental drug to treat alcohol dependence has shown promising results in three clinical trials in Denmark. The company is now submitting the drug for approval in Europe, The Wall Street Journal reports.
The drug, nalmefene, was tested for its effectiveness in reducing a person’s craving for alcohol. Unlike current drug treatments for alcoholism, nalmefene can be taken with alcohol. Nalmefene blocks a craving mechanism that is regulated by the brain’s opioid receptors, according to the article. Other currently available drugs that treat alcoholism discourage drinking by causing unpleasant side effects when a person drinks even a little bit of alcohol. … (Source: Join Together, 06/16/11)

On the Margins. Nordic Alcohol and Drug Treatment 1885-2007

htm — Mon, 13 Jun 2011 08:01:19 +0000

During the last ten years a number of doctoral dissertations and other thorough studies of alcohol and drug treatment organisations, ideas and innovations have been published in the Nordic countries. They have been produced within historical or social science frameworks, covering various periods of the last 120 years and both alcohol and drug treatment. Most of them are written in the Scandinavian languages or Finnish and as a consequence are not accessible to an international audience. This fact was the first reason behind this book: there was a body of new Nordic research on the history of treatment that has produced new knowledge about the system and that could merit an international audience. … (Source: Alcohol Reports, 06/11/11)