Good practice principles low rik drinking EU RARHA

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ConclusionsBased on work already implemented by different European projects (particularly ODHIN and BISTAIRS)a RARHA survey was carried out on the availability of national guidance and support for earlyidentification and brief intervention in EU countries [ 13 ]. This survey shows that in Europe the number oforganizations formally appointed to develop clinical guidelines for managing HHAC has increased overtime as well as the number of countries with multidisciplinary guidelines for managing HHAC. Thus, it isclear that the activities of the last 30 years supported by the WHO and European projects to enhancethe implementation of EIBI have started to give positive results. Nevertheless, the integration of EIBIinto routine clinical practice still needs to be actively supported. The present chapter summarizesbackground knowledge and instruments that can be used to activate national policies as well asnational and international funding programmes for this purpose. Concrete examples of initiatives toimplement and support EIBI are also provided by a tool kit of evidence-based good practices compiledin Joint Action RARHA [ 19 ].An expected outcome in the action plan to reduce HHAC in the WHO’s European Region in theyears 2012–2020 is a progressive reduction in the gap between the number of people who wouldbenefit from alcohol consumption advice to reduce or prevent harm and from engagement in socialrehabilitation programs or treatment for AUDs, and the number who actually receive such advice ortreatment [ 18 ].The health sector and, through its support, the social welfare, education and workplace sectorshave real opportunities to reap both health gains and financial savings through the widespreadimplementation of EIBI programmes, which have been shown to reduce ill health and premature deathdue to HHAC, and through the implementation of evidence-based treatment programmes for AUDs.To achieve the goals of the WHO’s global alcohol strategy and of the European action plan it willbe crucial to shift the emphasis from the treatment of severe alcohol-related problems includingalcohol dependence to the prevention, early identification and brief intervention for hazardous alcoholconsumption [ 3 , 18 ]. Currently, work supported by the European Commission and others is ongoingunder the leadership of the WHO to develop a training-for-trainers and brief interventions tool kit. Theaim is to equip EIBI trainers and practitioners with key tools to develop training and delivery systemswithin PHC networks and to support European countries to develop and expand their capacity todeliver EIBI in PHC settings. cReferences1Gual A and Anderson P. (2011) A new AMPHORA: an introduction to the project Alcohol Measures for PublicHealth Research Alliance. Addiction 106 (Suppl 1):1–3.2Babor T and Higgins-Biddle J. (2001) Brief intervention for hazardous and harmful drinking: a manual for use inprimary care. Geneva: World Health Organization.3World Health Organization. (2010) Global strategy to reduce the harmful use of alcohol. Geneva: World HealthOrganization.4World Health Organization. (2010) International Classification of Diseases (ICD). Geneva: World HealthOrganization .5Colom J et al. (2014) Brief interventions implementation on alcohol from the European health systemsperspective. Frontiers in Psychiatry 5 (161):1-12.6O’Donnell A et al. (2013) The impact of brief interventions in Primary Healthcare: a systematic review of reviews.Alcohol and Alcoholism 49 (1): 66-78.7O’Donnell A et al. (2014) From efficacy to effectiveness and beyond: what next for brief interventions in primarycare? Front Psychiatry 5 (113):1-8.chttp://www.euro.who.int/en/media-centre/events/events/2016/06/screening-and-brief-interventions-toolkitmeeting60Good practice principles for low risk drinking guidelines
8Heather N. (2006) WHO Collaborative Project on Identification and Management of Alcohol-Related Problems inPrimary Health Care: report on phase IV: development of country-wide strategies for implementing earlyidentification and brief intervention in primary health care. Geneva: World Health Organization.9Colom J and Segura L. (2009) PHEPA II final report. Disseminating brief interventions on alcohol problems Europewide.10Drummond C et al. (2013) Alcohol interventions and treatments in Europe. In: Anderson P et al. (Ed.) (2013)Alcohol policy in Europe: Evidence from AMPHORA.11Anderson P et al. (2014) Managing alcohol problems in general practice in Europe: results from the EuropeanODHIN survey of general practitioners. Alcohol and alcoholism 49 (5):531-9.12The BISTAIRS project. (2015) Brief interventions in the treatment of alcohol use disorders in relevant settings.Layman Version of the BISTAIRS final report.13Scafato E et al. (2014/2016) Drinking guidelines used in the context of early identification and brief interventionsin Europe: overview of RARHA survey results. Rome: Istituto Superiore di Sanità.14Gandin C and Scafato E. (2014) ODHIN assessment tool report. A description of the available services for themanagement of hazardous and harmful alcohol consumption.15Gandin C et al. (2015) The BISTAIRS expert opinion-based guidelines on the implementation of screening andbrief alcohol intervention approaches in different settings in the EU.16World Health Organization. (2013) Status report on alcohol and health in 35 European countries. Copenhagen:World Health Organization.17The PHEPA project. (2006) PHEPA assessment tool report. Hazardous and Harmful alcohol Consumption.18World Health Organization. (2012) European action plan to reduce the harmful use of alcohol 2012–2020.Copenhagen: World Health Organization.19Radoš-Krnel S et al. (2016) Public awareness, school-based and early interventions to reduce alcohol relatedharm. A tool kit for evidence based good practices. Ljubljana: National Institute of Public Health.61Good practice principles for low risk drinking guidelines
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Good practice principlesfor low ris
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Table of contentsExecutive summary
Page 7 and 8:
Executive summaryThe present public
Page 9 and 10: The Standard Drink concept and cons
Page 11 and 12: ForewordA recent flagship report by
Page 13 and 14: IntroductionThe present publication
Page 15 and 16: Chapter 1Joint Action on Reducing A
Page 17 and 18: Chapter 2Towards a common approach
Page 19 and 20: Graph 2. RARHA survey on low risk d
Page 21 and 22: replaced by daily guidelines in 199
Page 23 and 24: informed the UK 2016 review of drin
Page 25 and 26: Variability across population group
Page 27 and 28: the interpretation of low risk drin
Page 29 and 30: individual and public health, the r
Page 31 and 32: • Low risk drinking guidelines sh
Page 33 and 34: 35OECD (2015), Tackling Harmful Alc
Page 35 and 36: • A literature review into practi
Page 37 and 38: Graph 1. Uses of the Standard Drink
Page 39 and 40: link health messages to EU or natio
Page 41 and 42: warning in relation to consuming al
Page 43 and 44: in order to rduce risk of harm, the
Page 45 and 46: Chapter 4Guidance to reduce alcohol
Page 47 and 48: available in websites were mentione
Page 49 and 50: Restricting hours of sale and densi
Page 51 and 52: level of compliance with age limits
Page 53 and 54: Chapter 5Guidelines to support earl
Page 55 and 56: There is convincing evidence across
Page 57 and 58: standard routine health assessments
Page 59: Graph 3. Presence of multidisciplin
Page 63 and 64: ES Ministry of Health, Social Servi
Page 65 and 66: Annex 3Positive health effects of a
Page 67 and 68: Table 1. Changes in alcohol intake
Page 69 and 70: A quarter of a century of alcohol c
Page 71 and 72: The percentages vary depending on t
Page 73 and 74: Review of adult drinking guidelines
Page 75 and 76: the addendum to the expert group re
Page 77 and 78: Guidance on alcohol consumption in
Page 79 and 80: Development of drinking guidelines
Page 81 and 82: 7Maa- ja metsätalousministeriö. (
Page 83 and 84: 83Title Report
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