Identifying and responding to alcohol misuse in memory clinics: current practice, barriers and facilitators
Affiliation
University of HertfordshireUniversity of Bedfordshire
South Essex Partnership NHS Foundation Trust
Bedford CMHT for Older People
Issue Date
2015-05-18
Metadata
Show full item recordAbstract
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) pp65-77Publisher
EmeraldJournal
Advances in Dual DiagnosisAdditional Links
http://www.emeraldinsight.com/doi/abs/10.1108/ADD-09-2014-0031Type
ArticleLanguage
enISSN
1757-0972ae974a485f413a2113503eed53cd6c53
10.1108/ADD-09-2014-0031