| Why do some people substance misuse | Pleasure
Entertainment
Enhance creativity
Peer influence
Relieve boredom
Relieve anxiety, depression, stress, pain |
| What is the recommended allowance of amount of alochol per week | 14 units |
| What questionnaire can be used to identify for alcohol misuse and what score is needed | CAGE questionnaire
Have you ever felt you should Cut down on your drinking? (Yes/No)
Have people Annoyed you by criticising your drinking? (Yes/No)
Have you ever felt bad or Guilty about your drinking? (Yes/No)
Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye opener)? (Yes/No)
A total score of 2 or greater |
| What is AUDIT-C | If the score is 3 or more, continue with the remaining six questions. A score of 8 or more is considered to indicate hazardous or harmful alcohol use, with risk increasing up to possible dependence when scores are above 20 |
| What is some management of substance misuse | Alcohol detoxification --> treating patients with withdrawl symptoms
Supportive treatment --> nutritional supplements
Relapse prevention --> medication to prevent relapse
Psychosocial intervention --> Motivation interviewing , social support, alcohol annoymous |
| As a doctor what can you do | Making some kind of assessment.
Motivating: getting client to consider change (remember
motivational interviewing).
Offering basic advice if appropriate.
Knowing what different treatments do and applying any that are
within your remit.
Sign posting: where to go for what.
Supporting people: into, through and after treatment. |
| What are the 4 main principles of Motivational Interviewing | Empathy
Support Self efficacy
Roll with Resistance
Develop Discrepancy |
| What is the FAST questionnaire | FAST questionnaire |
| What FAST score is needed to be FAST positive | An overall score of 3 or more is FAST positive |
| Difference between harmful and hazardous drinking | Hazardous drinking - People who are drinking over the sensible drinking limits, either in terms of regular excessive consumption or less frequent sessions of heavy drinking --> have avoided significant alcohol problems
Harmful drinking - Drinking at levels above those recommended for sensible drinking, typically at higher levels than most ‘hazardous drinkers
Unlike hazardous drinkers, they show clear evidence of some alcohol related harm |
