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NAT 6/08 - THL

NAT 6/08 - THL

Reinert, D.F. & Allen,

Reinert, D.F. & Allen, J.P. (2007): The alcohol use disorders identification test: an update of research findings. Alcoholism Clinical and Experimental Research 31 (2): 185–199 Ronzani, T.M. & de Castro, P.M. & Formigoni, M.L.O.S. (2008): Avaliação de um processo de implementação de práticas de prevenção ao uso de risco de álcool entre agentes comunitários de saúde [Evaluation of a process of implementation of techniques of prevention of the harmful use of alcohol in communitarian health agents] HU Revista 34 (1) 39–48. [available in http://ojs.hurevista.ufjf.br/ojs/index.php/hurevista/article/view/66/71] Ronzani, T.M. & Ribeiro, M.S. & Amaral, M.B. & Formigoni, M.L.O.S. (2005): Implantação de rotinas de rastreamento do uso de risco de álcool e de uma intervenção breve na atenção primária à saúde: dificuldades a serem superadas. Cadernos de Saúde Pública 21 (3): 852–861 [availablein http:// www.scielo.br/scielo.php?script=sci_ abstract&pid=S0102-311X2005000300019& lng=en&nrm=iso&tlng=en] Sanchez-Craig, M. & Neumann, B. & Souza- Formigoni, M.L.O. & Rieck, L. (1991): Brief Treatment for alcohol dependence: level of dependence and treatment outcome. Alcohol & Alcoholism Suppl. 1: 515–518 564 NORDIC STUDIES ON ALCOHOL AND DRUGS VOL. 25. 2008 . 6 Saunders, J.B. & Aasland, O.G. & Babor, T.F. & de la Fuente, J.R. & Grant, M. (1993): Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction 88 (6): 791–804 Thompson, R. S. & Taplin, S.H. & McAfee, T.A. & Mandelson, M.T. & Smith, A.E. (1995): Primary and secondary prevention services in clinical practice: twenty years’ experience in development, implementation, and evaluation. Journal of the American Medical Association 273: 1130–1135 Vianna, V.P.T. (2008): Eficácia de uma sessão de intervenção breve na redução do uso de álcool e problemas relacionados. Doctoral thesis. Universidade Federal de Sao Paulo. [available in http://unifesp.phlnet.com. br/cgi-bin/wxis.exe?IsisScript=phl81/052. xis&cipar=phl81.cip&lang=por&pft=decora do&exp=TIT=019554] WHO ASSIST Working Group (2002): The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): development, reliability and feasibility. Addiction 97 (9): 1183–1194 World Health Organization (2002): Global Status Report on alcohol 2002. Geneva.

j. Paul seale Maristela G. Monteiro The dissemination of screening and brief intervention for alcohol problems in developing countries: lessons from Brazil and South Africa Introduction Alcohol screening and brief intervention (SBI) are efficacious in reducing alcohol consumption and alcohol-related consequences with at-risk drinkers, problem drinkers and individuals with alcohol abuse (Bien et al. 1993; Kahan et al. 1995; Ballesteros et al. 2004; Moyer et al. 2002; Whitlock et al. 2004). Major efforts to implement large scale screening and brief intervention programs in Europe and the USA are underway, including the European Union’s Primary Health Care European Project on Alcohol (PHEPA 2004) and the US Substance Abuse and Mental Health Services Administration’s Screening, Brief Intervention and Referral to Treatment (SBIRT) initiative (US Substance Abuse and Mental Health Services Administration 2007). This special thematic issue of NAT includes a description of new developments in the wide dissemination of SBI in South Africa and Brazil (Ronzani et al. 2008; Furtado et al. 2008a; Souza-Formigoni et al. 2008). Such ef- The preparation of this paper was supported in part by funds from the US National Institute on Alcohol Abuse and Alcoholism (R21 AA014635). A B S T R A C T J. P. Seale & M. G. Monteiro: The dissemination of screening and brief intervention for alcohol problems in developing countries: lessons from Brazil and South Africa INTRODUCTION Efforts at widespread implementation of alcohol screening and brief intervention (SBI) in developing countries are now underway. This paper reviews four such projects from Brazil and South Africa. METHODS Authors reviewed presentations from a 2008 International Society for Biomedical Research on Alcoholism symposium, written project summaries and previously-published journal articles and compared findings with similar reports from industrialized countries. RESULTS Projects trained healthcare teams from primary care facilities, then gathered qualitative feedback from trainees and quantitative data on SBI services provided. Most programs showed modest increases in alcohol screening rates. Some showed increases in referrals to alcohol specialty treatment. Non-physicians reported greater SBI activity than physicians. In Brazil, health administrators actively disseminated SBI services after seeing data on early SBI successes. Researchers worked with politicians and health officials to promote policies mandating SBI services and funding SBI training. Barriers included stigma regarding NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 25. 2008 . 6 Research report 565

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