The Impact of Alcohol Use on Drop-out and Psychological Treatment Outcomes in Improving Access to Psychological Therapies Services: an Audit

Behavioural and Cognitive Psychotherapy
J E J BuckmanS Pilling

Abstract

The impact of alcohol use disorders (AUD) on psychological treatments for depression or anxiety in primary care psychological treatment services is unknown. To establish levels of alcohol misuse in an Improving Access to Psychological Therapies (IAPT) service, examine the impact of higher risk drinking on IAPT treatment outcomes and drop-out, and to inform good practice in working with alcohol misuse in IAPT services. 3643 patients completed a brief questionnaire on alcohol use pre-treatment in addition to measures of depression, anxiety and functioning. Symptom and functioning measures were re-administered at all treatment sessions. Severity of alcohol misuse was not associated with treatment outcomes, although those scoring eight or more on the AUDIT-C were more likely to drop out from treatment. IAPT services may be well placed to offer psychological therapies to patients with common mental disorders and comorbid AUD. Patients with AUD can have equivalent treatment outcomes to those without AUD, but some higher risk drinkers may find accessing IAPT treatment more difficult as they are more likely to drop out. Alcohol misuse on its own should not be used as an exclusion criterion from IAPT services. Recommendations are given ...Continue Reading

References

Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
May 2, 2002·The British Journal of Psychiatry : the Journal of Mental Science·James C MundtJohn H Greist
May 11, 2002·Behaviour Research and Therapy·A van MinnenG P J Keijsers
Oct 2, 2003·The British Journal of Psychiatry : the Journal of Mental Science·T WeaverUNKNOWN Comorbidity of Substance Misuse and Mental Illness Collaborative study team
May 24, 2006·Archives of Internal Medicine·Robert L SpitzerBernd Löwe
Oct 16, 2007·Addiction·Nicola T FearSimon Wessely
Jun 24, 2010·Journal of Affective Disorders·Dean McMillanDavid Richards
Feb 11, 2012·The British Journal of Psychiatry : the Journal of Mental Science·Lynn BoschlooBrenda W J H Penninx
Feb 28, 2013·European Journal of Public Health·Sadie Boniface, Nicola Shelton
Jul 23, 2013·Behaviour Research and Therapy·Alex GyaniDavid M Clark
Jan 5, 2017·Addiction Science & Clinical Practice·Zarnie KhadjesariElizabeth Murray

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AUDIT

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