title: Prevention of Alcohol-Related Crime and Trauma (PACT): brief interventions in routine care pathway - a study protocol.
abstract: BACKGROUND
  Globally, alcohol-related injuries cause millions of deaths and huge economic loss each year . The incidence of facial (jawbone) fractures in the Northern Territory of Australia is second only to Greenland, due to a strong involvement of alcohol in its aetiology, and high levels of alcohol consumption. The highest incidences of alcohol-related trauma in the Territory are observed amongst patients in the Maxillofacial Surgery Unit of the Royal Darwin Hospital. Accordingly, this project aims to introduce screening and brief interventions into this unit, with the aims of changing health service provider practice, improving access to care, and improving patient outcomes.
  
  
  METHODS
  Establishment of Project Governance: The project governance team includes a project manager, project leader, an Indigenous Reference Group (IRG) and an Expert Reference Group (ERG).Development of a best practice pathway: PACT project researchers collaborate with clinical staff to develop a best practice pathway suited to the setting of the surgical unit. The pathway provides clear guidelines for screening, assessment, intervention and referral.
  
  
  METHODS
  The developed pathway is introduced to the unit through staff training workshops and associate resources and adapted in response to staff feedback.
  
  
  RESULTS
  File audits, post workshop questionnaires and semi-structured interviews are administered.
  
  
  CONCLUSIONS
  This project allows direct transfer of research findings into clinical practice and can inform future hospital-based injury prevention strategies.
authors: Wellbeing and Preventable Chronic Diseases Division, Menzies School of Health Research and School of Psychological and Clinical Sciences and Charles Darwin University, Darwin, Northern Territory, Australia. Rama.Jayaraj@cdu.edu.au
authors: Rama
authors: R
authors: Jayaraj
authors: Megan
authors: M
authors: Whitty
authors: Mahiban
authors: M
authors: Thomas
authors: David
authors: D
authors: Kavangh
authors: Didier
authors: D
authors: Palmer
authors: Valerie
authors: V
authors: Thomson
authors: Carolyn
authors: C
authors: Griffin
authors: Luke
authors: L
authors: Mayo
authors: Peter
authors: P
authors: D'Abbs
authors: Tricia
authors: T
authors: Nagel
mesh_terms: D000063:Accidents, Traffic; D000428:Alcohol Drinking / Q000517:prevention & control*; D000435:Alcoholic Intoxication / Q000175:diagnosis / Q000517:prevention & control*; D019985:Benchmarking / Q000379:methods*; D054869:Clinical Audit; D054976:Clinical Governance; D002985:Clinical Protocols; D003415:Crime / Q000706:statistics & numerical data*; D019091:Critical Pathways; D006801:Humans; D007324:Institutional Management Teams; D008403:Mass Screening / Q000592:standards; D015876:Northern Territory; D010865:Pilot Projects; D013192:Staff Development / Q000379:methods; D013503:Surgery Department, Hospital; D000078329:Workforce; D014947:Wounds and Injuries / Q000175:diagnosis / Q000517:prevention & control*