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WG3. Early idenification and referral

WG3. Early idenification and referral. Importance. Evidence on impact on reduction of drinking level Cost – effective measure Seen more as supportive and not only punitive and disciplinary. General ideas. Embedded in a broader health perspective

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WG3. Early idenification and referral

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  1. WG3. Earlyidenification and referral

  2. Importance • Evidenceonimpactonreduction of drinkinglevel • Cost –effectivemeasure • Seen more as supportive and notonlypunitive and disciplinary

  3. General ideas • Embedded in a broaderhealthperspective • Healthapproach and notpunitive (disciplinary) • If OHS isbestconditions • If no OHS the manager ortheowner are responsible • Difficult in smallcompanies, confidentiality and supportneeded • Part of employee’sassistanceprogrammes • Differencesamongcountries (legal issues)

  4. Elements • Selfassessmenttools (anonimous) - checkyourdrinking (stepbeyondraisingawareness) • On-line /leaflets /Postal questionnaires • Selfhelpelements (groups and on-line tools), companies and individualsproactiveonhealth • Identificationby a thirdperson (sensitive) – • Screening (AUDIT) only in regular healthchecks (doctor) • Violatestherights (exception of safety reasons) • Onlyifsuspicious – interview and ifthereis a healthproblem – addressitdirectly and offerhelpifcontinuingdrinkingdisciplinarymeasures • OH doctors, supervisors, managers, anyoneresponsible of personnel, healthresources, etc.

  5. Elements • Intervention (adaptedaccordingtolevel of problems) • Briefadviceforhazardous and harmful (managers, supervisors, etc) • Clinicalintervention (doctor) notforced (poor performance) for more severe cases • Employee’ssupportprogramme • Healthprofessionalsorcomissionedbyhealthservice • Voluntarybasis of employees

  6. Discussion elements • Self-helpassessmentisanelement of raisingawarenessor of earlyidentification • Earlyidentificationsigns of alcohol problemsispart of thetargeted training or of earlyidentificationelement

  7. Programmes • Mike – wigan’s • Stuart – Alcohollearningcentre.org.uk resourcesfor alcohol improvement inc. Identification & BriefAdvice (IBA) • Natascha – guidelinestranslatedintoEnglish • Peter – preventionstandards

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