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Innovative approaches to intervention for problem drinking

Kypri, Kyprosa; Sitharthan, Thiagarajanb; Cunningham, John Ac; Kavanagh, David Jd; Dean, Johanna Ie

Current Opinion in Psychiatry:
Addictive disorders
Abstract

Purpose of review: To critique the recent literature on telephone, correspondence-based, and computerized interventions for alcohol problems, which enhance or substitute for practitioner-delivered treatments.

Recent findings: There is an unmet need for screening, assessment and intervention for alcohol problems, in part because of the difficulty in accessing such treatment within the current health care system. Research on the efficacy of correspondence or electronic (for example Internet-based) interventions is beginning to emerge. In the period 2003–2004 we identified nine acceptability or feasibility studies of these approaches and seven efficacy trials covering a wide range of settings. These modes of intervention are acceptable to patients and the public, and with careful planning, can be implemented in a variety of settings. Treatment trials demonstrate the efficacy of these interventions in reducing hazardous drinking by university students, in delaying initiation of heavy drinking in children and adolescents, and, intriguingly, in addressing insomnia among recovering alcoholics.

Summary: There is strong support among potential users for alcohol interventions that employ telephone assistance, written correspondence, and the Internet. These new technologies offer the prospect of increasing the reach of interventions for problem drinking and being cost-effective alternatives or supplements to face-to-face health service delivery.

Author Information

aSchool of Medical Practice and Population Health, University of Newcastle, Australia

bDepartment of Psychological Medicine, University of Sydney, Australia

cCentre for Addiction and Mental Health, Ontario, Canada

dDepartment of Psychiatry, University of Queensland, Australia

eResearch Psychologist, Newcastle, Australia

Correspondence to Kyp Kypri PhD, School of Medical Practice and Population Health, University of Newcastle, Locked Bag 10, Wallsend, NSW 2287, Australia Tel: 61 2 4927 5957; fax: 61 2 4924 6208; e-mail: kypri@tpg.com.au

© 2005 Lippincott Williams & Wilkins, Inc.