Should the Client or the Therapist Set Goals in Alcohol Counseling?

2011 ◽  
Author(s):  
B. E. Lozano ◽  
R. S. Stephens
Keyword(s):  
Alcohol Counseling

Discordance Between Perinatal Alcohol Use Among Women and Provider Counseling for Alcohol Use: An Assessment of the Pregnancy Risk Assessment Monitoring System

2021 ◽  
pp. 003335492098414
Author(s):  
Erika L. Thompson ◽  
Tracey E. Barnett ◽  
Dana M. Litt ◽  
Erica C. Spears ◽  
Melissa A. Lewis
Keyword(s):  
Black Women ◽  
Alcohol Use ◽  
Universal Screening ◽  
White Women ◽  
Hispanic Women ◽  
Pregnancy Risk ◽  
Health Insurance Status ◽  
Prenatal Alcohol Use ◽  
Prenatal Alcohol ◽  
Alcohol Counseling

Objective In the United States, guidelines indicate all pregnant women should be screened for and counseled on alcohol use to prevent adverse perinatal outcomes due to alcohol consumption. The objective of this study was to describe sociodemographic factors associated with receipt of prenatal alcohol counseling and perinatal alcohol use among US women. Methods State health departments collected data for the Pregnancy Risk Assessment Monitoring System Phase 7 during 2012-2015, and we restricted the sample to a complete case analysis (N = 135 111). The 3 dichotomous outcomes were preconception alcohol use (3 months before pregnancy), prenatal alcohol use (during last 3 months of pregnancy), and prenatal alcohol counseling. Predictor variables were age, race, Hispanic ethnicity, education, marital status, health insurance status, and previous live births. We estimated survey-weighted logistic regression models for each outcome. Results Half (56.0%) of pregnant women reported preconception alcohol use, 70.5% received prenatal alcohol counseling, and 7.7% reported prenatal alcohol use during the last 3 months of pregnancy. Black women were significantly less likely than White women (odds ratio [OR] = 0.49; 95% CI, 0.46-0.52) and Hispanic women were significantly less likely than non-Hispanic women (OR = 0.62; 95% CI, 0.58-0.66) to report preconception alcohol use. We found similar patterns for prenatal alcohol use among Black women. Black women were significantly more likely than White women (OR = 1.66; 95% CI, 1.55-1.77) and Hispanic women were significantly more likely than non-Hispanic women (OR = 1.51; 95% CI, 1.40-1.61) to receive prenatal alcohol counseling. We found similar patterns for age, education, and health insurance status. Conclusion Disparities in alcohol counseling occurred despite the national recommendation for universal screening and counseling prenatally. Continued integration of universal screening for alcohol use during pregnancy is needed.

scholarly journals Evaluating Alternative Designs of a Multilevel HIV Intervention in Maharashtra, India: The Impact of Stakeholder Constraints

2018 ◽  
Vol 3 (2) ◽  
pp. 238146831880394
Author(s):  
Anik R. Patel ◽  
Kelly V. Ruggles ◽  
Kimberly Nucifora ◽  
Qinlian Zhou ◽  
Stephen Schensul ◽  
...  
Keyword(s):  
Risk Aversion ◽  
Group Counseling ◽  
Annual Cost ◽  
Text Message ◽  
Individual Counseling ◽  
Hiv Intervention ◽  
Sex Risk ◽  
Adherence Support ◽  
Alcohol Counseling ◽  
The Impact

Background. Multilevel interventions combine individual component interventions, and their design can be informed by decision analysis. Our objective was to identify the optimal combination of interventions for alcohol-using HIV+ individuals on antiretroviral drug therapy in Maharashtra, India, explicitly considering stakeholder constraints. Methods. Using an HIV simulation, we evaluated the expected net monetary benefit (ENMB), the probability of lying on the efficiency frontier (PEF), and annual program costs of 5,836 unique combinations of 15 single-focused HIV risk-reduction interventions. We evaluated scenarios of 1) no constraints (i.e., maximize expected value), 2) short-term budget constraints (limits on annual programmatic costs of US$200,000 and $400,000), and 3) a constraint stemming from risk aversion (requiring that the strategy has >50% PEF). Results. With no constraints, the combination including long individual alcohol counseling, text-message adherence support, long group counseling for sex-risk, and long individual counseling for sex-risk (annual cost = $428,886; PEF ∼27%) maximized ENMB and would be the optimal design. With a cost constraint of $400,000, the combination including long individual alcohol counseling, text-message adherence support, brief group counseling for sex-risk, and long individual counseling for sex-risk (annual cost = $374,745; PEF ∼4%) maximized ENMB. With a cost constraint of $200,000, the combination including long individual alcohol counseling, text-message adherence support, and brief group counseling for sex-risk (annual cost = $187,335; PEF ∼54%) maximized ENMB. With the risk aversion constraint, the same configuration ( long individual alcohol counseling, text-message support, and brief group counseling for sex-risk) maximized health benefit. Conclusion. Evaluating the costs, risks, and projected benefits of alternatives supports informed decision making prior to initiating study; however, stakeholder constraints should be explicitly included and discussed when using decision analyses to guide study design.

scholarly journals Alcohol counseling

1998 ◽  
Vol 13 (10) ◽  
pp. 692-698 ◽  
Author(s):  
Abigail Adams ◽  
Judith K. Ockene ◽  
Elizabeth V. Wheeler ◽  
Thomas G. Hurley
Keyword(s):  
Alcohol Counseling

scholarly journals "Rate My Therapist": Automated Detection of Empathy in Drug and Alcohol Counseling via Speech and Language Processing

PLoS ONE ◽  
2015 ◽  
Vol 10 (12) ◽  
pp. e0143055 ◽  
Author(s):  
Bo Xiao ◽  
Zac E. Imel ◽  
Panayiotis G. Georgiou ◽  
David C. Atkins ◽  
Shrikanth S. Narayanan
Keyword(s):  
Language Processing ◽  
Automated Detection ◽  
Speech And Language ◽  
Alcohol Counseling ◽  
Speech And Language Processing ◽  
Drug And Alcohol

Alcohol Counseling in Hospital Trauma: Examining Two Brief Interventions

2018 ◽  
Vol 96 (3) ◽  
pp. 243-253 ◽  
Author(s):  
Laura J. Veach ◽  
Regina R. Moro ◽  
Preston Miller ◽  
Beth A. Reboussin ◽  
Nathaniel N. Ivers ◽  
...  
Keyword(s):  
Brief Interventions ◽  
Alcohol Counseling

scholarly journals Use of an Electronic Clinical Reminder for Brief Alcohol Counseling is Associated with Resolution of Unhealthy Alcohol Use at Follow-Up Screening

2010 ◽  
Vol 25 (S1) ◽  
pp. 11-17 ◽  
Author(s):  
Emily C. Williams ◽  
Gwen Lapham ◽  
Carol E. Achtmeyer ◽  
Bryan Volpp ◽  
Daniel R. Kivlahan ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Unhealthy Alcohol Use ◽  
Unhealthy Alcohol ◽  
Clinical Reminder ◽  
Alcohol Counseling

scholarly journals Evaluation of an Electronic Clinical Reminder to Facilitate Brief Alcohol-Counseling Interventions in Primary Care*

2010 ◽  
Vol 71 (5) ◽  
pp. 720-725 ◽  
Author(s):  
Emily C. Williams ◽  
Carol E. Achtmeyer ◽  
Daniel R. Kivlahan ◽  
Diane Greenberg ◽  
Joseph O. Merrill ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Reminder ◽  
Counseling Interventions ◽  
Alcohol Counseling
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