Brief interventions for patients with alcohol-related trauma.
Patients who have sustained alcohol-related injuries are frequently treated in departments of oral and maxillofacial surgery. Often, an alcohol intervention will not be possible in accident and emergency departments due to intoxication but, when attending out-patient clinics for follow-up, patients are usually sober. This presents a unique opportunity for encouraging patients to review their alcohol consumption at a time when their facial injury may make them more receptive to advice. This article reviews the convincing evidence of the effectiveness of advice and brief interventions designed to be incorporated into standard out-patient consultations and describes practical screening of patients for harmful drinking, the Stages of Change Model of behaviour change and motivational interviewing for facilitating behavioural change.
Smith
A J
AJ
Department of Oral Surgery, Medicine and Pathology, University Dental Hospital, University of Wales College of Medicine, Cardiff, UK.
Shepherd
J P
JP
Hodgson
R J
RJ
D000428:Alcohol Drinking / Q000009:adverse effects / Q000517:prevention & control; D000435:Alcoholic Intoxication / Q000150:complications / Q000517:prevention & control*; D000437:Alcoholism / Q000150:complications / Q000517:prevention & control; D000553:Ambulatory Care; D001521:Behavior Therapy; D003376:Counseling; D003796:Dental Service, Hospital; D003812:Dentist-Patient Relations; D004636:Emergency Service, Hospital; D000431:Ethanol / Q000506:poisoning; D005151:Facial Injuries / Q000209:etiology*; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological; D008403:Mass Screening; D009042:Motivation; D010044:Outpatient Clinics, Hospital; D012017:Referral and Consultation
D000431:Ethanol