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    Identifying and responding to alcohol misuse in memory clinics: current practice, barriers and facilitators

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    Authors
    Thake, Anna
    Wadd, Sarah
    Edwards, Kim
    Randall-James, James
    Affiliation
    University of Hertfordshire
    University of Bedfordshire
    South Essex Partnership NHS Foundation Trust
    Bedford CMHT for Older People
    Issue Date
    2015-05-18
    Subjects
    alcohol
    assessment
    memory
    cognitive impairment
    screening
    L510 Health & Welfare
    alcohol misuse
    
    Metadata
    Show full item record
    Abstract
    Purpose – The purpose of this paper is to explore current practice, barriers and facilitators to identifying and responding to alcohol problems in memory clinics. Design/methodology/approach – A questionnaire sent to professionals in 55 memory clinics in England, Wales and the Isle of Wight and two focus groups with professionals from three memory clinics in England. Findings – Only 1/35 clinics that responded to the questionnaire was using a standardised alcohol screening tool but all attempted to gain some information about alcohol use. Without screening tools, practitioners found it difficult to determine whether alcohol use was problematic. Barriers to identification/intervention included cognitive impairment, service-user being “on guard” during assessment, presence of family members/carers, time constraints and a perception that brief interventions were not within the remit of memory clinics. Facilitators were obtaining visual clues of problem drinking during home visits and collateral information from family members/carers. Research limitations/implications – Focus group participants were recruited through convenience sampling and a small number of professionals took part. This means that the findings may be subject to selection bias and limits the generalisability of the findings. Practical implications – Memory clinics should provide guidance and training for practitioners on how to intervene and respond to alcohol misuse. Further research is required to determine the most effective way to identify alcohol problems in people with cognitive impairment and how to deliver brief alcohol interventions that take account of cognitive deficits. Originality/value – This is the first study to examine alcohol screening and interventions in memory clinics and identifies a need for guidance, training and further research.
    Citation
    Thake, A., Wadd, S., Edwards, K., Randall-James, J (2015) 'Identifying and responding to alcohol misuse in memory clinics: current practice, barriers and facilitators'. Advances in Dual Diagnosis 8 (2) pp65-77
    Publisher
    Emerald
    Journal
    Advances in Dual Diagnosis
    URI
    http://hdl.handle.net/10547/601135
    DOI
    10.1108/ADD-09-2014-0031
    Additional Links
    http://www.emeraldinsight.com/doi/abs/10.1108/ADD-09-2014-0031
    Type
    Article
    Language
    en
    ISSN
    1757-0972
    ae974a485f413a2113503eed53cd6c53
    10.1108/ADD-09-2014-0031
    Scopus Count
    Collections
    Tilda Goldberg Centre for Social Work and Social Care

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