Alcohol screening and brief intervention in criminal justice settings: the UK SIPS trials

Newbury-Birch, D. and Bland, M. and Cassidy, P. and Coulton, Simon and Deluca, P. and Drummond, C. and Gilvarry, E. and Godfrey, C. and Heather, N. and Kaner, E. and Myles, J. and Oyefeso, A. and Parrott, S. and Perryman, K. and Phillips, T. (2010) Alcohol screening and brief intervention in criminal justice settings: the UK SIPS trials. In: 33rd Annual Meeting of the Research-Society-on-Alcoholism, JUN 26-30, 2010, San Antonio, TX. (doi:https://doi.org/10.1111/j.1530-0277.2010.01210.x) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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Official URL
http://dx.doi.org/10.1111/j.1530-0277.2010.01210.x

Abstract

Purpose: The annual cost of alcohol related harm in the UK is estimated to be between £17.7 and £25.1 billion with the costs of alcohol fuelled crime and disorder accounting for £7.3 billion each year. Although there have been many trials of screening and brief alcohol intervention in primary care and most have reported positive effects of brief intervention, in terms of reduced alcohol consumption in excessive drinkers there is a lack of evidence within the criminal justice arena. The SIPS trial aimed to evaluate the effectiveness and cost-effectiveness of different models of screening to identify hazardous and harmful drinkers and different intensities of brief intervention to reduce excessive drinking in routine criminal justice services (probation). Methods: Offender Managers across the North East, London and South East of England were recruited. Offender Managers were randomly allocated to one of three intervention conditions: (i) a leaflet-only control group; (ii) brief structured advice and (iii) brief lifestyle counseling. Each Offender Manager was asked to recruit at least 5 hazardous or harmful drinkers who received a short baseline assessment followed by brief intervention. Offender Managers were also randomized to use either the FAST or M-SASQ alcohol screening tools. Results: Initial results indicate a high prevalence of alcohol use disorders in this population (68%). A total of 976 offenders were approached. Of these 854 were eligible and were screened with 573 screening positive. The main reasons for ineligibility were that offenders were currently seeking help for alcohol use (51%) and mental health issues (24%). The mean age of those randomized was 31.4 (CI 30.7–32.2); 85% were male and 67% classified their ethnicity as White. Nearly three quarters were current smokers (74%) and just under half carried on their education after the age of 16 (46%) and 16% indicated that they were educated to degree level. Discussion: The presentation will examine the characteristics of patients identified by each screening strategy and the relative efficiency of the screening tools in the criminal justice system.

Item Type: Conference or workshop item (Paper)
Subjects: H Social Sciences > HV Social pathology. Social and public welfare > HV5800 Drug use and miuse
K Law > KD England and Wales
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 26 Aug 2014 15:17 UTC
Last Modified: 26 Aug 2014 15:17 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/42694 (The current URI for this page, for reference purposes)
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