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Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions

OBJECTIVE: Alcohol-related admissions are increasing. A significant number of these admissions are attributable to a small number of complex patients with other comorbidities who do not engage well with mainstream services. Assertive outreach teams have been used in the field of psychiatry to engage...

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Autores principales: Hughes, Neill R, Houghton, Natalie, Nadeem, Haitham, Bell, Jackie, Mcdonald, Suzanne, Glynn, Noel, Scarfe, Christopher, Mackay, Bev, Rogers, Anthony, Walters, Melanie, Smith, Martin, Mcdonald, Andrew, Dalton, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3595141/
https://www.ncbi.nlm.nih.gov/pubmed/23502815
http://dx.doi.org/10.1136/flgastro-2012-100260
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author Hughes, Neill R
Houghton, Natalie
Nadeem, Haitham
Bell, Jackie
Mcdonald, Suzanne
Glynn, Noel
Scarfe, Christopher
Mackay, Bev
Rogers, Anthony
Walters, Melanie
Smith, Martin
Mcdonald, Andrew
Dalton, David
author_facet Hughes, Neill R
Houghton, Natalie
Nadeem, Haitham
Bell, Jackie
Mcdonald, Suzanne
Glynn, Noel
Scarfe, Christopher
Mackay, Bev
Rogers, Anthony
Walters, Melanie
Smith, Martin
Mcdonald, Andrew
Dalton, David
author_sort Hughes, Neill R
collection PubMed
description OBJECTIVE: Alcohol-related admissions are increasing. A significant number of these admissions are attributable to a small number of complex patients with other comorbidities who do not engage well with mainstream services. Assertive outreach teams have been used in the field of psychiatry to engage patients who are poorly compliant. This study examines whether an alcohol assertive outreach team (AAOT) can engage with this group and reduce hospital admissions. DESIGN: The AAOT is a multidisciplinary team with medical, psychiatric, substance misuse, psychology, nursing and social work specialists. The team worked with patients with the highest number of alcohol-related admissions and case managed in a community setting for 6 months. The admission and emergency department attendances of the cohort were compared for the 3-month period before and after the intervention. Christo inventory for substance misuse services (CISS) scores were determined pre and post the intervention period. RESULTS: 54 patients were case managed. The total number of admissions in 3 months fell from 151 prior to the intervention period to 50 following the intervention. Emergency department attendances also fell from 360 in 3 months to 146 following the intervention period. CISS scores fell from 11 preintervention to eight postintervention. CONCLUSIONS: An AAOT model appears to reduce hospital admissions and emergency department attendances in a complex group of patients that display high alcohol-related admissions.
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spelling pubmed-35951412013-03-14 Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions Hughes, Neill R Houghton, Natalie Nadeem, Haitham Bell, Jackie Mcdonald, Suzanne Glynn, Noel Scarfe, Christopher Mackay, Bev Rogers, Anthony Walters, Melanie Smith, Martin Mcdonald, Andrew Dalton, David Frontline Gastroenterol Liver OBJECTIVE: Alcohol-related admissions are increasing. A significant number of these admissions are attributable to a small number of complex patients with other comorbidities who do not engage well with mainstream services. Assertive outreach teams have been used in the field of psychiatry to engage patients who are poorly compliant. This study examines whether an alcohol assertive outreach team (AAOT) can engage with this group and reduce hospital admissions. DESIGN: The AAOT is a multidisciplinary team with medical, psychiatric, substance misuse, psychology, nursing and social work specialists. The team worked with patients with the highest number of alcohol-related admissions and case managed in a community setting for 6 months. The admission and emergency department attendances of the cohort were compared for the 3-month period before and after the intervention. Christo inventory for substance misuse services (CISS) scores were determined pre and post the intervention period. RESULTS: 54 patients were case managed. The total number of admissions in 3 months fell from 151 prior to the intervention period to 50 following the intervention. Emergency department attendances also fell from 360 in 3 months to 146 following the intervention period. CISS scores fell from 11 preintervention to eight postintervention. CONCLUSIONS: An AAOT model appears to reduce hospital admissions and emergency department attendances in a complex group of patients that display high alcohol-related admissions. BMJ Publishing Group 2013-04 2013-01-23 /pmc/articles/PMC3595141/ /pubmed/23502815 http://dx.doi.org/10.1136/flgastro-2012-100260 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode
spellingShingle Liver
Hughes, Neill R
Houghton, Natalie
Nadeem, Haitham
Bell, Jackie
Mcdonald, Suzanne
Glynn, Noel
Scarfe, Christopher
Mackay, Bev
Rogers, Anthony
Walters, Melanie
Smith, Martin
Mcdonald, Andrew
Dalton, David
Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions
title Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions
title_full Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions
title_fullStr Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions
title_full_unstemmed Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions
title_short Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions
title_sort salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions
topic Liver
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3595141/
https://www.ncbi.nlm.nih.gov/pubmed/23502815
http://dx.doi.org/10.1136/flgastro-2012-100260
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