Nadkarni Abhijit
SANGATH, Goa, India.
Indian J Psychiatry. 2018 Feb;60(Suppl 4):S564-S570. doi: 10.4103/psychiatry.IndianJPsychiatry_25_18.
Alcohol use disorders (AUD) are a significant and growing public health problem in India. However, health services for AUD remain largely confined to large institutions and a significant proportion of people with AUD do not having access to help for their alcohol related problems. One way of changing this status quo is making evidence based psychosocial interventions available in communities and closer to people's homes. There is extensive evidence supporting the effectiveness of a range of psychosocial interventions for AUDs. This is further augmented by the growing evidence for the effectiveness of contextually appropriate psychosocial interventions, such as Counselling for Alcohol Problems (CAP) from India, that are designed to increase access to care through delivery by non-specialist health workers. The effective implementation of such interventions integrated into collaborative care models will go a long way in reducing the treatment gap for AUDs in India.
酒精使用障碍（AUD）在印度是一个严重且日益突出的公共卫生问题。然而，针对酒精使用障碍的卫生服务在很大程度上仍局限于大型机构，并且相当一部分患有酒精使用障碍的人无法获得针对其酒精相关问题的帮助。改变这种现状的一种方法是在社区中提供基于证据的心理社会干预措施，使其更贴近人们的家庭。有大量证据支持一系列针对酒精使用障碍的心理社会干预措施的有效性。越来越多的证据表明，诸如来自印度的酒精问题咨询（CAP）等因地制宜的心理社会干预措施有效，这些措施旨在通过非专业卫生工作者提供服务来增加获得护理的机会，这进一步增强了上述观点。将此类干预措施有效整合到协作护理模式中，将在很大程度上缩小印度酒精使用障碍的治疗差距。
