Adult Cognitive Assessment Service, Stein Centre, St Catherine’s Hospital, Birkenhead, UK.
Alcohol Alcohol. 2012 May-Jun;47(3):304-11. doi: 10.1093/alcalc/agr167. Epub 2012 Jan 25.
To describe the clinical presentation, course and psycho-social outcome of patients with alcohol-related brain damage (ARBD) referred from acute general hospital inpatient settings to a newly commissioned community team.
A follow-up study of a consecutive series of 41 patients subjected to a developing, phased rehabilitation programme in community settings.
Patients were followed for an average of 25 months. Thirty-two patients were either abstinent or categorized as 'controlled drinkers' and were placed in appropriate community settings. Acute hospital admissions were reduced by 85%. The various domains of a neuropsychiatric assessment tool, the health of the nation outcome scale-acquired brain damage, improved with the exception of concomitant mental illness and self-directed harmful behaviour.
A community team with experience in working with younger people with cognitive impairment can provide a service for people with ARBD. Such a service is not dependent on pre-designated specialist institutions but relies on person-centred care planning, close follow-up and collaborative work with a variety of community agencies. A structured rehabilitation programme provides a framework for intervention.
描述从急性综合医院住院患者转介到新成立的社区团队的酒精相关脑损伤（ARBD）患者的临床表现、病程和心理社会结局。
对 41 例连续系列患者进行后续研究，这些患者在社区环境中接受了正在发展的分阶段康复计划。
患者平均随访 25 个月。32 例患者处于戒酒或“控制饮酒”状态，并被安置在适当的社区环境中。急性住院治疗减少了 85%。除并发精神疾病和自我伤害行为外，国家卫生研究院认知损伤后结局量表的神经精神评估工具的各个领域都有所改善。
具有认知障碍年轻人工作经验的社区团队可为 ARBD 患者提供服务。此类服务不依赖于指定的专门机构，而是依赖于以人为本的护理计划、密切随访以及与各种社区机构的合作。结构化康复计划为干预提供了框架。
