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Presented by Graeme Dixon Service Manager 23 rd September 2013

Presented by Graeme Dixon Service Manager 23 rd September 2013. 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)

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Presented by Graeme Dixon Service Manager 23 rd September 2013

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  1. Presented by Graeme Dixon Service Manager 23rd September 2013

  2. 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)

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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. 

  8. Screening AUDIT – CFor people aged 16 years and over • Scoring:A total of 5+ indicates increasing or higher risk drinking.

  9. 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.

  10. 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).

  11. Action for Change Sessions

  12. Contact Details Action for Change 1st Floor Commerce House 62 Paragon Street Hull HU1 3PW Tel: 01482 321594 Fax: 01482 320154 email: graeme.dixon@action-for-change.org Web Address: www.action-for-change.org

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