Problem alcohol use among problem drug users: development and content of clinical guidelines for general practice

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• 作者：J. Klimas (1) (2)
  W. Cullen (1) (2)
  C.-A. Field (2)
  
• 关键词：Clinical guidelines ; Brief interventions ; Poly ; drug use ; Alcohol and other drug use ; Primary care ; Methadone maintenance
• 刊名：Irish Journal of Medical Science
• 出版年：2014
• 出版时间：March 2014
• 年：2014
• 卷：183
• 期：1
• 页码：89-101
• 全文大小：410 KB
• 作者单位：J. Klimas (1) (2)
  W. Cullen (1) (2)
  C.-A. Field (2)
  
  1. Graduate Entry Medical School, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland
  2. UCD School of Medicine and Medical Science, Coombe Healthcare Centre, Dolphins Barn, Dublin 8, Ireland
  
• ISSN：1863-4362

文摘

Background Problem alcohol use is common and associated with considerable adverse outcomes among patients who attend primary care in Ireland and other European countries for opiate substitution treatment. Aims This paper aims to describe the development and content of clinical guidelines for the management of problem alcohol use among this population. Methods The guidelines were developed in three stages: (1) identification of key stakeholders, (2) development of evidence-based draft guidelines, and (3) determination of a modified ‘Delphi-facilitated-consensus among the group members. Results The guidelines incorporate advice for physicians on all aspects of care, including (1) definition of problem alcohol use among problem drug users, (2) alcohol screening, (3) brief intervention, and (4) subsequent management of patients with alcohol dependence. Conclusions Primary care has an important role to play in the care of problem alcohol use among problem drug users, especially opiate substitution patients. Further research on strategies to inform the implementation of these guidelines is a priority.