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NAT 6/08 - THL

NAT 6/08 - THL

Evaluation of a training

Evaluation of a training program to implement alcohol screening, brief intervention and referral to treatment in primary health care in Minas Gerais, Brazil Health Organization collaborative project on early identification and brief intervention in primary health care comes to an end. Addiction 102: 679–681 Humeniuk, R. & Ali, R. & Babor, T.F. & Farrell, M. & Formigoni, M.L.O.S. & JJittiwutikarn, J. & Lacerda, R.B. & Ling, W. & Marsden, J. & Monteiro, M. & Nhiwatiwa, S. & Pal, H. Poznyak, V. & Simon, S. (2008): Validation of the alcohol, smoking and substance involvement screening test (ASSIST) Addiction 103 (6): 1039–1047 doi: 10.1111/j.1360 –0443.2007.02114.x Kaner, E.F.S. & Beyer, F. & Dickinson, H.O. & Pienaar, E.& Campbell, F. & Schlesinger, C. & Heather, N. & Saunders, J. & Burnand, B. (2007): Effectiveness of brief interventions in primary care populations (Review). The Cochrane Library – The Cochrane Collaboration. Ronzani, T.M. & Ribeiro, M.S. & Amaral, M.B. & Souza-Formigoni, M.L.O. (2005): 538 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 5. 2 0 0 8 . 6 Hazardous alcohol use: screening and brief intervention as routine practice in primary care. Cad Saude Publica 21 (3): 852–861 Segura-García, L. & Gual, A. & Farran, J.C. (2005): Intervenciones efectivas en el tratamiento de los problemas de alcohol. [Effective interventions in treatment of alcohol problems] Terapéutica en APS – FMC 12 (10): 683–691 World Health Organization (2006): WHO Collaborative Project on Identification and Management of Alcohol-Related Problems in Primary Health Care. Development of Country-wide Strategies for Implementing Early Identification and Brief Intervention in Primary Health Care – Report to the World Health Organization on Phase IV. Web site] 2006. Available at: http://www. who.int/substance_abuse/publications/ identification_management_alcoholproblems_phaseiv.pdf. (Accessed: May 14, 2007).

Erikson FElipE Furtado Clarissa MEndonça Corradi-WEbstEr Milton robErto laprEga 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 Introduction The Brazilian Unified Health System (SUS – Sistema Único de Saúde), which is part of the nationwide public health system of Bra- zil, is the result of major health policy changes over the last 20 years. One of the major changes in the public health system has been the introduction of Family Medicine concepts as part of the overall Primary Health Care (PHC) reform that began in 2000. Today, almost six thousand municipalities in Brazil are provided with at least one Family Health Team per 2,500 inhabitants, reaching over half of the Brazilian population. Besides the Family Health Program there is an older system of primary health care widely distributed in the country. This system consists of PHC-Clinics that provide basic health care within limited geographical areas of about 20 thousand inhabitants. The clinics are staffed by a team of at least one physician and a variable number of nurse assistants, who are health professionals with secondary educational level certified to perform basic care, blood sampling, blood pressure monitoring, wound care, vaccina- A B S T R A C T E. F. Furtado & C. M. Corradi-Webster & M. R. Laprega: 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 INTRODUCTION This paper provides a comprehensive view of the implementation of alcohol screening, brief intervention, and referral to treatment (SBIRT) in the primary health care system of the region of Ribeirão Preto, in the State of São Paulo, Brazil, mostly concerning the evaluation of SBIRT training. METHODS The data were obtained from a community-based study of 774 public primary health care professionals enrolled in an SBIRT training and implementation program in the region of Ribeirão Preto, SP, Brazil, from 2003 to 2008. The majority of health professionals who attended the trainings were community health agents (59%) working in the Family Health Program. Physicians, psychologists and nurses also contributed. Data collection was performed using selfreport questionnaires, direct interviews, observational methods and focus groups. RESULTS There was a statistically significant decrease in health professionals’ positive beliefs about alcohol consumption in the post-training period and a significant increase in SBIRT knowledge. Among professional groups, physicians and nurses showed most improvement in NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 25. 2008 . 6 Research report 539

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