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A national survey of assertive outreach treatment services for people who frequently attend hospital due to alcohol related reasons in England

Fincham-Campbell, Stephanie, Kimergård, Andreas, Wolstenholme, Amy, Blackwood, Ros, Patton, Robert, Dunne, Jacklyn, Deluca, Paolo and Drummond, Colin (2017) A national survey of assertive outreach treatment services for people who frequently attend hospital due to alcohol related reasons in England Alcohol and Alcoholism.

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Abstract

Aims: To characterise England’s alcohol assertive outreach treatment (AAOT) services for people who frequently attend hospital due to alcohol related reasons according to their concordance with six core AAOT components.

Methods: A cross-sectional national survey using structured telephone interviews with health professionals examining 6 essential AAOT components. High-level AAOT services were those that delivered 5 or more components, mid-level 3 to 4 components, low-level AAOT services 2 or less.

Results: The analysis included 37 services that were classified according to their concordance with the 6 AAOT components. Six were identified as high-level AAOT services, 13 as mid-level AAOT services and 18 as low-level services. Extended support covering housing, mental and physical health over and above alcohol consumption was the most commonly delivered AAOT component provided. Having a multidisciplinary team was the least observed component, delivered in 33% high-level AAOT services and in 15% mid-level AAOT services. None of the low-level AAOT services had a multidisciplinary team.

Conclusions: Access to AAOT services developed to support high-cost and high- needs frequent hospital attenders varies across the nation. Further research, service evaluation and AAOT implementation should focus on essential AAOT components rather than self-defined labels of AAOT.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
NameEmailORCID
Fincham-Campbell, StephanieUNSPECIFIEDUNSPECIFIED
Kimergård, AndreasUNSPECIFIEDUNSPECIFIED
Wolstenholme, AmyUNSPECIFIEDUNSPECIFIED
Blackwood, RosUNSPECIFIEDUNSPECIFIED
Patton, Robertr.patton@surrey.ac.ukUNSPECIFIED
Dunne, JacklynUNSPECIFIEDUNSPECIFIED
Deluca, PaoloUNSPECIFIEDUNSPECIFIED
Drummond, ColinUNSPECIFIEDUNSPECIFIED
Date : 2017
Copyright Disclaimer : © The Author 2017. Medical Council on Alcohol and Oxford University Press. All rights reserved.
Uncontrolled Keywords : Alcohol; Emergency departments; Frequent-attenders; Assertive outreach treatment
Depositing User : Clive Harris
Date Deposited : 30 Oct 2017 16:18
Last Modified : 30 Oct 2017 16:18
URI: http://epubs.surrey.ac.uk/id/eprint/844687

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