Alcohol dependency/ community alcohol services Mental and Behavioural Disorders Mental and behavioural disorders due to use of alcohol
Conditions
Interventions
Current interventions as of 15/03/2010:
Participants will be individually randomised to the following two arms (randomisation ration 2:1).
Arm 1: Control condition, standard treatment comprising:
1.
Sponsors
King's College London (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 15/03/2010: 1. Both males and females, adult patients (greater than or equal to 18 years) 2. One or more previous episodes of treatment for alcohol dependence in the last 5 years in community drug and alcohol services 3. Alcohol dependent (as determined by Composite International Diagnostic Interview- Short Form [CIDI-SF]) Initial information at time of registration: 1. Both males and females, adult patients (greater than or equal to 18 years) 2. Severe alcohol dependence (Diagnostic and Statistical Manual of Mental Disorders, fourth edition [DSM-IV] and Severity of Alcohol Dependence Questionnaire Score greater than or equal to 30) 3. History of premature disengagement from alcohol services (one or more previous episodes of non-completion of treatment) 4. Patients with potentially more complex needs (e.g., lack of social support, unstable housing, physical illness, depression, legal problems)
Exclusion criteria
Exclusion criteria: Current exclusion criteria as of 15/03/2010: 1. Attended a professional service for alcohol dependence in the last 6 months 2. Street homeless 3. Diagnosed with a psychotic disorder 4. Is in receipt of assertive outreach services, or has Community Mental Health Team (CMHT) input greater than or equal to once a month 5. Has a severe cognitive impairment 6. Has a history of violence to treatment staff and/or Multi-Agency Public Protection Arrangements (MAPPA) registered Initial information at time of registration: 1. Patients with concurrent severe mental illness 2. Patients with severe cognitive impairment 3. Patients already in receipt of assertive treatment services
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Alcohol consumption assessed using the Time Follow Back Interview (Form 90) to provide a measure of mean drinks per drinking day and percent days abstinent. This will be assessed at baseline (receipt of referral by community alcohol team), at 6 months and 12 months follow up. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Severity of Alcohol Dependence Questionnaire, assessed at baseline (receipt of referral by community alcohol team), 6 months and 12 months follow up 2. Alcohol Problems Questionnaire, assessed at baseline (receipt of referral by community alcohol team), 6 months and 12 months follow up 3. Motivation, assessed by the Readiness to Change Questionnaire, assessed at baseline (receipt of referral by community alcohol team), 6 months and 12 months follow up 4. Social Network Involvement, assessed by the Important People and Activities Inventory, assessed at baseline (receipt of referral by community alcohol team), 6 months and 12 months follow up 5. Psychiatric symptoms, assessed by the SF-12® Health Survey, assessed at baseline (receipt of referral by community alcohol team), 6 months and 12 months follow up 6. Quality of Life, assessed by Euroqol EQ-5D, assessed at baseline (receipt of referral by community alcohol team), 6 months and 12 months follow up 7. Therapeutic relationships, assessed by the Scale To Assess Relationships in community mental health care (STAR), assessed during the 6 month and 12 month follow up interviews 8. Service User Questionnaire, assessed at baseline (receipt of referral by community alcohol team), 6 months and 12 months follow up 9. Treatment engagement, including completion of assessment, detoxification and aftercare, assessed during the 6 month and 12 month follow up interviews | — |
Countries
United Kingdom
Outcome results
None listed