Alcohol Payment by Results - The Alcohol Academy - …：由酒精学院结果支付酒精—….pptVIP

下载本文档

3
0
约6.05千字
约 13页
2018-06-24 发布于四川
举报
版权申诉

Alcohol Payment by Results - The Alcohol Academy - …：由酒精学院结果支付酒精—….ppt

1、有哪些信誉好的足球投注网站（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Alcohol Payment by Results - The Alcohol Academy - …：由酒精学院结果支付酒精—…

Alcohol Payment by Results/Improvement in alcohol treatment delivery Best Packages of Care Implementing NICE guidelines Clustering Four clusters identified, can be loosely correlated with mental health clusters Harmful Mild Dependence Moderate Dependence Severe Dependence Moderate Severe + Complex Need Treatment Interventions Care Clusters Care Cluster 3: Severe dependence (without complex needs) Assessment / Engagement / Motivational enhancement: Use AUDIT, SADQ/LDQ and units per day to determine level of dependence followed by history taking and discussion about current circumstance to determine level of risk and the presence of co-existing problems recorded by use of HONOS/SARN. Comprehensive assessment (including medical/psychiatric assessment) will be necessary. Deliver motivational enhancement as part of the assessment stage to promote engagement and retention in treatment. Care Planning / Care co-ordination and Case management: These individuals should receive at least monthly follow-up for at least 12 months, usually more frequent in first 3 months. Withdrawal management: Most likely, withdrawal management will require inpatient care. Post withdrawal assessment of mental health issues and cognitive function should be carried out. Psychosocial interventions: A package of 12 weeks of CBT based treatment in the context of a day treatment programme lasting 8-12 weeks should be offered. Residential rehabilitation of up to 12 weeks may be required for those who do not benefit from outpatient treatments. Pharmacotherapy: For relapse prevention, acamprosate or naltrexone (or disulfiram if indicated) should be offered for up to one year. This should be delivered in conjunction with psychosocial interventions in a comprehensive package of care Aftercare / Reintegration / Recovery: Encouragement should be given to engage in self-help groups such as AA or SMART Recovery. Referral to employment services, assistance with housing and benefits may be req