Herring Rachel, Thom Betsy, Bayley Mariana, Tchilingirian Jordan
Drug and Alcohol Research Centre, Department of Mental Health, Social Work and Integrative Medicine, School of Health and Education, Middlesex University, The Burroughs, Hendon, London UK.
Drugs (Abingdon Engl). 2016 Sep 2;23(5):365-373. doi: 10.1080/09687637.2016.1176992. Epub 2016 May 16.
Within the UK, there is a drive to encourage the delivery of alcohol screening (or identification) and brief advice (IBA) in a range of contexts beyond primary care and hospitals where the evidence is strongest. However, the evidence base for effectiveness in non-health contexts is not currently established. This paper considers the case of housing provided by social landlords, drawing on two research studies which were conducted concurrently. One study examined the feasibility of delivering alcohol IBA in housing settings and the other the role of training in delivering IBA in non-health contexts including housing. This paper draws mainly on the qualitative data collected for both studies to examine the appropriateness and feasibility of delivering IBA in a range of social housing settings by the housing workforce. Findings suggest that while it is feasible to deliver IBA in housing settings, there are similar challenges and barriers to those already identified in relation to primary care. These include issues around role inadequacy, role legitimacy and the lack of support to work with people with alcohol problems. Results indicate that the potential may lie in focusing training efforts on specific roles to deliver IBA rather than it being expected of all staff.
在英国，人们正在努力鼓励在除初级保健和医院之外的一系列环境中开展酒精筛查（或识别）和简短干预（IBA），在这些环境中证据最为充分。然而，目前尚未确立非健康环境下有效性的证据基础。本文结合两项同时开展的研究，探讨社会房东提供住房的情况。一项研究考察了在住房环境中开展酒精简短干预的可行性，另一项研究则考察了培训在包括住房在内的非健康环境中开展简短干预所起的作用。本文主要借鉴两项研究收集的定性数据，以考察住房工作人员在一系列社会住房环境中开展简短干预的适当性和可行性。研究结果表明，虽然在住房环境中开展简短干预是可行的，但与初级保健方面已经发现的情况类似，存在一些挑战和障碍。这些问题包括角色不足、角色合法性以及在与有酒精问题的人合作方面缺乏支持。结果表明，潜在的解决办法可能在于将培训重点放在特定角色上以开展简短干预，而不是期望所有工作人员都这样做。
