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Identifying and responding to alcohol misuse in memory clinics: current practice, barriers and facilitators

Anna Thake (Department of Psychology, University of Hertfordshire, Hatfield, UK)
Sarah Wadd (Tilda Goldberg Centre, University of Bedfordshire, Luton, UK)
Kim Edwards (Clinical Psychology Department, Bedford CMHT for Older People, South Essex Partnership NHS Foundation Trust, Bedford, UK)
James Randall-James (Clinical Psychology Department, Bedford CMHT for Older People, South Essex Partnership NHS Foundation Trust, Bedford, UK)

Advances in Dual Diagnosis

ISSN: 1757-0972

Article publication date: 18 May 2015

214

Abstract

Purpose

The purpose of this paper is to explore current practice, barriers and facilitators to identifying and responding to alcohol problems in memory clinics.

Design/methodology/approach

A questionnaire sent to professionals in 55 memory clinics in England, Wales and the Isle of Wight and two focus groups with professionals from three memory clinics in England.

Findings

Only 1/35 clinics that responded to the questionnaire was using a standardised alcohol screening tool but all attempted to gain some information about alcohol use. Without screening tools, practitioners found it difficult to determine whether alcohol use was problematic. Barriers to identification/intervention included cognitive impairment, service-user being “on guard” during assessment, presence of family members/carers, time constraints and a perception that brief interventions were not within the remit of memory clinics. Facilitators were obtaining visual clues of problem drinking during home visits and collateral information from family members/carers.

Research limitations/implications

Focus group participants were recruited through convenience sampling and a small number of professionals took part. This means that the findings may be subject to selection bias and limits the generalisability of the findings.

Practical implications

Memory clinics should provide guidance and training for practitioners on how to intervene and respond to alcohol misuse. Further research is required to determine the most effective way to identify alcohol problems in people with cognitive impairment and how to deliver brief alcohol interventions that take account of cognitive deficits.

Originality/value

This is the first study to examine alcohol screening and interventions in memory clinics and identifies a need for guidance, training and further research.

Keywords

Acknowledgements

This research was supported by Alcohol Research UK who awarded funding as a result of an open competitive process. This organisation had no input into the research processes and/or submission.

Citation

Thake, A., Wadd, S., Edwards, K. and Randall-James, J. (2015), "Identifying and responding to alcohol misuse in memory clinics: current practice, barriers and facilitators", Advances in Dual Diagnosis, Vol. 8 No. 2, pp. 65-77. https://doi.org/10.1108/ADD-09-2014-0031

Publisher

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Emerald Group Publishing Limited

Copyright © 2015, Emerald Group Publishing Limited

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