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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, 53 (3). pp. 277-281.

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To characterize 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.


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.


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.


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.

Short summary

The study investigated alcohol assertive outreach treatment (AAOT) services in England. The study found variability in service provision across AAOT services when measured against six essential AAOT components. Improvement of AAOT in England’s hospitals should focus on the implementation of essential AAOT components.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
Fincham-Campbell, Stephanie
Kimergård, Andreas
Wolstenholme, Amy
Blackwood, Ros
Dunne, Jacklyn
Deluca, Paolo
Drummond, Colin
Date : 22 November 2017
DOI : 10.1093/alcalc/agx095
Copyright Disclaimer : © The Author 2017. Medical Council on Alcohol and Oxford University Press. All rights reserved. This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (
Uncontrolled Keywords : Ethanol; Alcohol; Drinking; Health personnel; Housing; Patient care team; Telephone; Physical health; Interdisciplinary treatment approach; Outreach
Depositing User : Clive Harris
Date Deposited : 19 Feb 2018 08:39
Last Modified : 23 Nov 2018 02:08

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