Screening for Alcohol Use in Criminal Justice Settings: An Exploratory Study

被引：38

作者：

Coulton, Simon ^{[1
]}

Newbury-Birch, Dorothy ^{[2
]}

Cassidy, Paul

Dale, Veronica ^{[3
]}

Deluca, Paolo ^{[4
]}

Gilvarry, Eilish ^{[5
]}

Godfrey, Christine ^{[3
]}

Heather, Nick ^{[6
]}

Kaner, Eileen ^{[2
]}

Oyefeso, Adenekan ^{[7
]}

Parrott, Steve ^{[3
]}

Phillips, Tom ^{[4
,8
]}

Shepherd, Jonathan ^{[9
]}

Drummond, Colin ^{[4
]}

机构：

[1] Univ Kent, Ctr Hlth Serv Studies, Canterbury, Kent, England

[2] Newcastle Univ, Inst Hlth & Soc, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England

[3] Univ York, Dept Hlth Sci, York YO10 5DD, N Yorkshire, England

[4] Kings Coll London, Inst Psychiat, Addict Dept, London WC2R 2LS, England

[5] No Reg Drug & Alcohol Serv, Newcastle Upon Tyne, Tyne & Wear, England

[6] Northumbria Univ, Sch Life Sci, Newcastle Upon Tyne, Tyne & Wear, England

[7] Univ London, Div Mental Hlth, London, England

[8] Humber NHS Fdn Trust, Willerby, East Riding Yor, England

[9] Cardiff Univ, Violence Res Grp, Cardiff, S Glam, Wales

来源：

ALCOHOL AND ALCOHOLISM | 2012年 / 47卷 / 04期

基金：

美国国家卫生研究院;

关键词：

BRIEF INTERVENTIONS; PRIMARY-CARE; USE DISORDERS; AUDIT; CONSUMPTION; VALIDATION; DRINKERS; EFFICACY;

D O I：

10.1093/alcalc/ags048

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

Aims: To examine the feasibility and acceptability of alcohol screening and delivery of brief interventions within criminal justice settings. Methods: A quantitative survey of those aged 18 or over in English criminal justice settings (three custody suites within police stations, three prisons and three probation offices). Measurements: The Fast Alcohol Screening Test (FAST) and a modified version of the Single Alcohol Screening Question (M-SASQ) were compared with the Alcohol Use Disorders Identification Test (AUDIT) as the 'gold standard'. Participants completed a health status questionnaire (EQ5D), questions on service utilization and the Readiness to Change Questionnaire. Questions relating to the acceptability and feasibility of delivering brief interventions and about perception of coercion were included. Findings: Five hundred and ninety-two individuals were approached and 251 were eligible. Of these, 205 (82%) consented to take part in the study. The mean AUDIT score was 19.9 (SD 13.5) and 73% scored 8 or more on AUDIT. A higher percentage of those approached in the probation setting consented to take part (81%: prison 36%, police setting 10%). Those scoring AUDIT positive were more likely to be involved in violent offences (36.5 vs 9.4%; P < 0.001) and less likely to be involved in offences involving property (27.7 vs 45.3%; P = 0.03). Three quarters of the sample (74%) reported that they would not feel coerced to engage in an intervention about their alcohol use. FAST and M-SASQ had acceptable screening properties when compared with AUDIT with area under the curves of 0.97 and 0.92, respectively. Conclusions: The results confirm that there is a major problem with alcohol use in the criminal justice system and this impacts on health and criminal behaviour. Of the three criminal justice settings, probation was found to be the most suitable for screening. Participants were positive about receiving interventions for their alcohol use in probation settings.

引用

页码：423 / 427

页数：5

共 38 条

[1] THE EFFICACY OF TREATMENTS IN REDUCING ALCOHOL-CONSUMPTION - A METAANALYSIS [J].