presented by graeme dixon service manager 23 rd september 2013
TRANSCRIPT
The Alcohol Harm Reduction Service
• Started March 2010• Serves those with a GP in Postcodes HU1-9• Service delivered across the City• Work with Employers as well as Individuals• Provide Identification and Brief Advice (IBA)• Provide Extended Identification and Brief
Advice (EIBA)
Working with Others• We work closely with other organisations in the city
including:– GP Practices– HRI– Castle Hill Hospital– The Women and Childrens Hospital– Humberside Police– Humberside Fire and Rescue Service– Humberside Probation Trust– The Together Women’s Project– Community Healthcare Partnership– Adult Social Care
Working with Others• Businesses and Events:
– Arco– In Training– Remploy– Jacksons Bakery– CityWorks– Arco– Greencore– Centrica– University of Hull– Veterans Weekend– Hull Pride– Hull Business Week
Why Alcohol Brief Advice?
• It works– evidence shows that, of people who receive alcohol advice, 1 in 8 will change their behaviour
• 1 in 20 who receive advice on smoking will stop smoking
What is Brief Advice• Brief Advice is a short, targeted piece of
information, aimed at helping an individual improve their lifestyle.
• It is not normally a prolonged discussion or counselling session. It should aid the individual in deciding how to implement changes in their lifestyle that will improve their health
AUDIT
One in four people drink excessively compared to one in twenty who are dependent drinkers. We use a Gold Standard questionnaire which is a WHO tool called the AUDIT and is used internationally. It is 92% sensitive and 94% specific. It helps to pick problems up at an early stage and deal with them often without the need of specialist treatment.
• Scoring: A total of 5+ indicates increasing or higher risk drinking.
ScreeningAUDIT – C
For people aged 16 years and over
What is Extended Brief Advice
This is motivationally-based and can take the form of:
• motivational-enhancement therapy or motivational interviewing. The aim is to motivate people to change their behaviour by exploring with them why they behave the way they do and identifying positive reasons for making change.’
• These sessions normally last 20-30 minutes, most clients attend 4-6 sessions.
FRAMES
• FRAMES is an acronym summarising the components of a brief intervention.
• Feedback (on the client’s risk of having alcohol problems)
• Responsibility (change is the client’s responsibility)• Advice (provision of clear advice when requested)• Menu (what are the options for change?)• Empathy (an approach that is warm, reflective and
understanding) • Self-efficacy (optimism about the behaviour change).
Location Address Day Time Notes
Alexandra Health Centre Alexandra Road Hull Friday 11.30 -
6.30pm Please Call 01482 321594 for an Appointment
Bransholme Health Centre Goodhart Road Hull Friday 10am - 1pm
1.30pm - 4pm
Appointments bookable by telephoning action for change or on a walk in basis if available ,see action for change staff at the information stand in reception area in the health centre.
Diadem Medical Centre Diadem Grove Hull Friday 9am - 12pm Please Call 01482 321594 for an
AppointmentGipsyville Multi-Purpose Centre Hessle Road Hull Thursday 9.30am -
12pmPlease Call 01482 321594 for an Appointment
Health East Craven Park Preston Road Hull Tuesday 12pm - 4pm Please Call 01482 321594 for an
Appointment
Kingston Medical Centre Beverley Road Hull Tuesday 1pm - 4pm Please Call 01482 321594 for an
Appointment
Park Medical Centre Holderness Road Hull Thursday 09.30 - 12pm Starts 13/06/13. Open access. Please
visit the reception area.
Riverside Medical Centre Walker Street Hull Thursday 3pm - 7pm Please Call 01482 321594 for an Appointment
Springhead Medical Centre Willerby Road Hull Wednesday 4pm - 7pm Please Call 01482 321594 for an Appointment
TWP George Street Hull Wednesday 10am - 12.30pm
Please Call 01482 321594 for an Appointment
Wilberforce Centre Story Street Hull Thursday 9am - 4pm Please Call 01482 321594 for an Appointment
Wilberforce Centre Story Street Hull Wednesday 1 - 4pmOpen Access. Starts 19/06/13. Then every other week. Visit the ground floor reception area.
Action for Change Sessions
Contact DetailsAction for Change1st Floor Commerce House62 Paragon StreetHullHU1 3PWTel: 01482 321594Fax: 01482 320154email: [email protected] Address: www.action-for-change.org