Alcohol Service Pathway - Adult and Young People Leeds

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1. Background Information / Scope of Pathway

Quick info:
The Primary Care Alcohol Pathway has been developed to create a local integrated care pathway for delivering alcohol identification and treatment. The aim of the pathway is to create a practical resource that enables users to navigate round the alcohol treatment system and where necessary provide brief advice or refer on to appropriate specialist treatment services.

The pathway describes the interventions and specific treatment options that could be recommended for people affected by alcohol misuse in order that they receive the correct care package; information on sensible drinking; simple brief interventions to reduce alcohol-related harm or referral of those with alcohol dependence or harm for more intensive interventions.

Young People (aged 10-16): The threshold for referral and intervention should be lowered for young people aged 10-16 years because of the more harmful effects of a given level of alcohol consumption in this population.

The findings of SIPS junior by the Institute of Psychiatry, King’s College London, has found that a score of 3+ on Audit C should warrant a brief intervention and information about specialist alcohol services.

If the young person scores 6+ on AUDIT C a formal referral to a specialist substance misuse service for a comprehensive assessment should be made.

Pregnancy: Clients who are pregnant AND self-refer because of concerns regarding alcohol need to be referred to Forward Leeds if AUDIT 5 or above. The rationale is that self referring with concerns regarding alcohol is an indicator of increased risk that outweighs a ’low risk’ AUDIT score if the client is pregnant.

If a client is pregnant and during consultation with primary care is found to have an AUDIT score of 1-7. the the first approach would be a brief intervention delivered by the identifying health care practitioner, as the standard advice for pregnant women is to abstain from alcohol; only if drinking persisted would they require onward referral to Forward Leeds for more extended intervention.

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2. Information Leaflets for Patients I Carers

Quick info:
Brief Advice:
Brief Advice Info
Step-by-Step IBA

Patient Information:
Brief Intervention Tool (Unit Calculator)
Guide to Reducing Alcohol Consumption

Forward Leeds:
Poster
Information Leaflet

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3. Referral Information

Quick info: Forward
Leeds:
Telephone: 0113 887 2477
Email: info@forwardleeds.co.uk
Fax: 0113 2639810

Opening times:
Monday and Friday 9am-5pm
Tuesday, Wednesday, Thursday 9am-7pm
(an answerphone service will operate outside these hours)
Forward Leeds will operate from 4 main centres in the city:

  • Irford House, Seacroft Crescent, LS14 6PA
  • Armley Park Court, 9 Stanningley Road, LS12 2AE
  • 74 Kirkgate, LS2 7DJ
  • The Young Person’s Centre @ The Market Place, 8-18 New Market Street, LS1 6DG

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5. Patients Eligible for Practice Screening Programme

Quick info:
For example:

  • New patient registrations
  • NHS Health Check

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6. Patients with Indicators of Alcohol Misuse or Self Identifying as Problem Drinker

Quick info:
Indicators of Alcohol Misuse:
Smells of Alcohol
Talking about Alcohol
Alcohol Withdrawal Symptoms
Gastritis
Peptic Ulcer
Hepatic Disorders
Poor Nutrition
Poor Self Care
Social Dysfunction
Family Dysfunction
Alcohol Related Offending
Regular absenteeism from work
Memory Loss I Chronic Confusion (Could this be Korsakoff’s?)
Mental Health Problems
Regularly Experience Accidents or Minor Traumas I Assault I A&E attendances
Regularly attend GUM clinics or repeatedly seeking emergency contraception

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7. Complete AUDIT C

Quick info:
Questions 1 - 3 to be completed.
AUDIT C Alcohol Screening Tool

Young People (aged 10-16): The threshold for referral and intervention should be lowered for young people aged 10-16 years because of the more harmful effects of a given level of alcohol consumption in this population.

The findings of SIPS junior by the Institute of Psychiatry, King’s College London, has found that a score of 3+ on Audit C should warrant a brief intervention and information about specialist alcohol services.

If the young person scores 6+ on AUDIT C a formal referral to a specialist substance misuse service for a comprehensive assessment should be made.

Pregnancy: If a client is pregnant and self-refers because of concerns regarding alcohol, they will need to be referred to Forward Leeds if they score 5 or above on AUDIT C. The rationale is that self referring with concerns regarding alcohol is an indicator of increased risk that outweighs a ’low risk’ AUDIT score if the client is pregnant.

If a client is pregnant and during consultation with primary care is found to have an AUDIT score of 1-7. the the first approach would be a brief intervention delivered by the identifying health care practitioner, as the standard advice for pregnant women is to abstain from alcohol; only if drinking persisted would they require onward referral to Forward Leeds for more extended intervention.

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11. Complete Full AUDIT (AUDIT C + AUDIT)

Quick info:
Questions 1-3 (AUDIT C) and 4-10 (AUDIT) to be completed
AUDIT Alcohol Screening Tool

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16. Pregnancy Issues

Quick info:

Pregnancy: If a client is pregnant and self-refers because of concerns regarding alcohol, they will need to be referred to Forward Leeds if they score 5 or above on AUDIT C. The rationale is that self referring with concerns regarding alcohol is an indicator of increased risk that outweighs a ’low risk’ AUDIT score if the client is pregnant.

If a client is pregnant and during consultation with primary care is found to have an AUDIT score of 1-7. the the first approach would be a brief intervention delivered by the identifying health care practitioner, as the standard advice for pregnant women is to abstain from alcohol; only if drinking persisted would they require onward referral to Forward Leeds for more extended intervention.

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19. Refer Forward Leeds

Quick info:
Forward Leeds helps people choose not to misuse alcohol and drugs, and reduce risk taking behaviours through dedicated prevention and early intervention support.

Forward Leeds also supports more people to help them achieve recovery from alcohol and drug misuse through a range of treatment and support interventions.

Forward Leeds supports sustained recovery and enables individuals to make positive progress with their lives, delivered primarily through the Building Recovery in Communities (BRiC) programme.

The specialised Young People’s service provides age/maturity specific interventions that are responsive to the needs of young people whilst ensuring the welfare of the young person remains paramount.

Referrals:
Telephone: 0113 887 2477
Email: info@forwardleeds.co.uk
Fax: 0113 2639810

Opening times:
Monday and Friday 9am-5pm
Tuesday, Wednesday, Thursday 9am-7pm
(an answerphone service will operate outside these hours)

Forward Leeds will operate from 4 main centres in the city:

  • Irford House, Seacroft Crescent, LS14 6PA
  • Armley Park Court, 9 Stanningley Road, LS12 2AE
  • 74 Kirkgate, LS2 7DJ
  • The Young Person’s Centre @ The Market Place, 8-18 New Market Street, LS1 6DG

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20. Positive Encouragement and Reinforce Benefits of Lower Risk Drinking

Quick info:
Cutting back on alcohol helps with general well-being. You will probably notice the benefits quite quickly
Feeling better in the mornings
Having more energy and feeling less tired during the day
Skin may start to look better

May start to feel in better shape
May stop gaining weight or lose a few pounds

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21. Refer Forward Leeds

Quick info:
Forward Leeds helps people choose not to misuse alcohol and drugs, and reduce risk taking behaviours through dedicated prevention and early intervention support.

Forward Leeds also supports more people to help them achieve recovery from alcohol and drug misuse through a range of treatment and support interventions.

Forward Leeds supports sustained recovery and enables individuals to make positive progress with their lives, delivered primarily through the Building Recovery in Communities (BRiC) programme.

The specialised Young People’s service provides age/maturity specific interventions that are responsive to the needs of young people whilst ensuring the welfare of the young person remains paramount.

Referrals:
Telephone: 0113 887 2477
Email: info@forwardleeds.co.uk
Fax: 0113 2639810

Opening times:
Monday and Friday 9am-5pm
Tuesday, Wednesday, Thursday 9am-7pm
(an answerphone service will operate outside these hours)

Forward Leeds will operate from 4 main centres in the city:

  • Irford House, Seacroft Crescent, LS14 6PA
  • Armley Park Court, 9 Stanningley Road, LS12 2AE
  • 74 Kirkgate, LS2 7DJ
  • The Young Person’s Centre @ The Market Place, 8-18 New Market Street, LS1 6DG

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22. Deliver Brief Advice

Quick info:
Brief Advice:
Brief Advice Information (IBA)
Step-by-Step IBA

Patient Information:
Brief Intervention Tool (Unit Calculator)
Guide to Reducing Alcohol Consumption

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23. Refer Forward Leeds

Quick info:
Forward Leeds helps people choose not to misuse alcohol and drugs, and reduce risk taking behaviours through dedicated prevention and early intervention support.

Forward Leeds also supports more people to help them achieve recovery from alcohol and drug misuse through a range of treatment and support interventions.

Forward Leeds supports sustained recovery and enables individuals to make positive progress with their lives, delivered primarily through the Building Recovery in Communities (BRiC) programme.

The specialised Young People’s service provides age/maturity specific interventions that are responsive to the needs of young people whilst ensuring the welfare of the young person remains paramount.

Referrals:
Telephone: 0113 887 2477
Email: info@forwardleeds.co.uk
Fax: 0113 2639810

Opening times:
Monday and Friday 9am-5pm
Tuesday, Wednesday, Thursday 9am-7pm
(an answerphone service will operate outside these hours)

Forward Leeds will operate from 4 main centres in the city:

  • Irford House, Seacroft Crescent, LS14 6PA
  • Armley Park Court, 9 Stanningley Road, LS12 2AE
  • 74 Kirkgate, LS2 7DJ
  • The Young Person’s Centre @ The Market Place, 8-18 New Market Street, LS1 6DG

Key Dates
Published: 09-Oct-2015, by Leeds
Valid until: 31-Aug-2017

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