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NAT 6/08 - THL

NAT 6/08 - THL

Implementing brief

Implementing brief interventions for alcohol problems in the public health system in the region of Ribeirão Preto, Brazil: evaluation of the PAI-PAD training model PAI-PAD program has a budget equivalent to five liver transplants). In conclusion, the training model and the concurrent supervision and support for implementation seem to be fairly effective in contributing to the implementation of SBIRT in the routine of health professionals in primary health care. Currently this program has been extended to two other health administrative regions of the State of São Paulo (Franca and Taubaté – with resources from the São Paulo State Research Foundation), and to other Brazilian States (Paraná, Minas Gerais – both with resources of the Brazilian Ministry of Health, and Amazon). This model shows promise as a way to implement alcohol screening and brief intervention as a standard practice in primary health care in large population REFERENCES Aalto, M. & Pekuri, P. & Seppa, K. (2003): Obstacles to carrying out brief intervention for heavy drinkers in primary health care: a focus group study. Drug Alcohol 22: 169–73 Babor, T.F. & Higgins-Biddle, J.C. & Saunders, J.B. & Monteiro, M.G. (2003a): AUDIT: teste para identificação de problemas relacionados ao uso de álcool: roteiro para uso em atenção primária (AUDIT. The Alcohol Use Disorders Identification Test. Guidelines for use in primary care). Portuguese translation by Corradi- Webster C. Ribeirão Preto: PAI- PAD (Publisher) Babor, T.F. & Higgins-Biddle, J.C. (2003b): Intervenções breves para uso de risco e uso nocivo de álcool: manual para uso em atenção primária (Brief Intervention for Harzardous and Harmful Drinking. A Manual for use in primary care). Portuguese translation by Corradi-Webster. Ribeirão Preto: PAI-PAD (Publisher) Babor, T. F. & Higgins-Biddle, J. & Dauser, D. & Higgins, P. & Burleson, J. (2005): Alcohol 550 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 5. 2 0 0 8 . 6 areas of Brazil. It has been indicated by the Pan American Health Organization as a possible model for other Latin-American countries. Erikson Felipe Furtado, professor university of são paulo, school of Medicine of ribeirão preto, department of neurology, psychiatry and Medical psychology 14.049-900 ribeirão preto, sp – brazil Email: efurtado@fmrp.usp.br Clarissa Mendonça Corradi-Webster university of são paulo, College of nursing of ribeirão preto dep. of psychiatric nursing and Human sciences ribeirão preto, brazil Milton Roberto Laprega university of são paulo, school of Medicine of ribeirão preto department of social Medicine ribeirão preto, brazil screening and brief intervention in primary care settings: Implementation models and predictors. Journal of Studies on Alcohol 66 (3): 361–369 Domingos, J. & Pillon, S. (2007): O uso de álcool entre motoristas no interior de São Paulo. (Drivers’ use of alcohol in the interior of São Paulo) Revista Enfermagem (UERJ) 15: 393–399 Fabbri, C. & Furtado, E. & Laprega, M. (2007): Consumo de álcool na gestação: desempenho da versão brasileira do questionário T-ACE. (The consumption of alcohol during pregnancy: the Brazilian T-ACE questionnaire) Revista de Saúde Pública/ Journal of Public Health (41): 979–984 Furtado, E. (1998): Dependência química e psiquiatria infanto juvenil: um desafio atual. In: Associação Brasileira de Psiquiatria. (Juvenile chemical and psychological dependency: a challenge) (Org.): Cidadania e direito à saúde mental. São Paulo: Editora Frôntis

Furtado, E. F. (2003): Implementação de estratégias de diagnóstico e intervenções breves para problemas relacionados ao álcool em serviços de atenção primária na região de Ribeirão Preto (Implementation of strategies for brief interventions for alcohol related problems among primary health care services in the region of Ribeirao Preto). Ribeirão Preto: PAI-PAD/FMRP- USP. Technical Report PAI-PAD/OMS-Brazil-rp-01/2003 Gouveia, P. & J. Ramalheira, C. & Robalo, M. & Borges, J.& Almeida, J. (1996): Inventário de expectativas e crenças pessoais acerca do álcool (IECPA). (An inventory of personal expectations and beliefs regarding alcohol) São Paulo: Casa do Psicólogo Heather, N. & Rollnick, S. (2000): Readiness to change questionnaire: User’s manual (revised version). Newcastle: Centre for Clinical Psychology and Healthcare Research, University of Northumbria Krueger, R. (1988): Focus Groups: a Practical Guide for Applied Research. Newbury Park: Sage Publications Laranjeira, R. & Pinsky, I. & Zaleski, M. & Caetano, R. (2007): I Levantamento Nacional sobre os Padrões de Consumo de Álcool na População Brasileira. (Patterns of alcohol consumption in the Brazilian population – A national survey) Uniad – Unidade de Pesquisa em Álcool e Drogas, Departamento de Psiquiatria da Universidade Federal de São Paulo, e Senad – Secretaria Nacional Antidrogas, Presidência da República, Gabinete de Segurança Nacional Macedo, L. & Corradi-Webster, C. & Furtado, E. (2002): Levantamento sobre Diagnósticos Relacionados ao Álcool em Pacientes Psiquiátricos Ambulatoriais. (A survey of diagnostics related to alcohol consumption among non-institutional psyhiatric patients) In: Anais XX Congresso Brasileiro de Psiquiatria Marques, A. C. P. R. & Furtado, E. F. (2004): Intervenções breves para problemas relacionados ao álcool. Rev Bras Psiquiatr 26 (Supl 1): 28–32 Martinis, B. & Martin, C. & De Paula, C. & Braga, A. & Moreira, H. (2006): Alcohol Implementing brief interventions for alcohol problems in the public health system in the region of Ribeirão Preto, Brazil: evaluation of the PAI-PAD training model distribution in postmortem body fluids. Human & Experimental Toxicology 25: 625–626 Ministério da Saúde (2004): Portaria n.2197/ GM 14. [Ref. 02.10.2008. Online: http:// dtr2001.saude.gov.br/sas/PORTARIAS/ Port2004/GM/GM-2197.htm] Pinto Golveia, J. & Ramalheira, C. & Robalo, M. & Borges, J. & Almeida, J. (1996): Inventário de expectativas e crenças pessoais acerca do álcool (IECPA) (Inventory of Alcohol Positive Beliefs and Expectancies – Manual). São Paulo: Casa do Psicólogo (Publisher) Rehm, J. & Monteiro, M. (2005): Alcohol consumption and burden of disease in the Americas-implications for alcohol policy. Pan American Journal of Public Health 18 (4–5): 241–248 Rosa, A. & Gonçalves, S. & Stefani, S. & Martins, S. & Rosa, D. & Hunsche, A. & Azeredo, R.& Schonell, L. & Ruschel, M. & De Barros, S. (1998): Perception on and registration of alcohol abuse and alcoholrelated diseases at a university general hospital. Revista da Associação Médica Brasileira 4 (44): 335–339 Rush, B. & Powell L. & Crowe, T. & Ellis, K. (1995): Early interventions for alcohol use: family physicians’ motivations and perceived barriers. CMAJ 152: 863–69 Santos W. A. dos & Silva B. M. & Passos E. D. & Zandonade E. & Falqueto A. (2003): Associação entre tabagismo e paracoccidioidomicose: um estudo de caso-controle no Estado do Espírito Santo, Brasil. (The relation of smoking and parascocciolidomiscose: a case-control study in the state of Espirito Santo, Brazil) Cad. Saúde Pública 19(1): 245–253 [serial on the Internet]. [cited 2008 Dec 15] SEADE/ Fundação Sistema Estadual de Análise de Dados (2004): Resenha de estatísticas vitais do Estado de São Paulo. (A review of essential statistics of the state of São Paulo). São Paulo Demográfico 9: 1–6 Sokol, R.J. & Martier, S.S. & Ager, J.W. (1989): The T-ACE questions: practical prenatal detection of risk-drinking. American Journal of Obstetrics and Gynecology 160 (4): 863–870. NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 25. 2008 . 6 551

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