Abstract
Introduction and AimsFew studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff from a variety of such teams.Design and MethodsFifteen semi-structured telephone interviews were carried out with trained practitioners and with managers to explore the use of, perceived need for and approaches to ABI delivery and recording with clients, and compatibility of ABIs with current practice. Interviews were analysed thematically using an inductive approach.ResultsVery few practitioners reported delivery of any ABIs following training primarily because they felt ABIs to be inappropriate for their clients. According to practitioners, this was either because they drank too much or too little to benefit. Practitioners reported a range of current activities relating to alcohol, and some felt that their knowledge and confidence were improved following training. One practitioner reported ABI delivery and was considered a training success, while expectations of ABIs did not fit with current practice including assessment procedures for the remainder.Discussion and ConclusionsIdentified barriers to ABI delivery included issues relating to individual practitioners, their teams, current practice and the ABI model. They are likely to be best addressed by strategic team- and setting-specific approaches to implementation, of which training is only one part. [Fitzgerald N, Molloy H, MacDonald F, McCambridge J. Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study. Drug Alcohol Rev 2015;34:185–93]
Highlights
Introduction and AimsFew studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams
Emerging themes fell into three overarching categories: ABI delivery; perception of need for ABIs and appropriateness of ABIs for clients; and fit with current practice
The main explanations given by practitioners for this was that they had not encountered clients for whom delivery would have been appropriate and/or that ABI delivery did not fit with their current practice or role
Summary
Few studies of the implementation of alcohol brief interventions (ABI) have been conducted in community settings such as mental health, social work and criminal justice teams. This qualitative interview study sought to explore the impact of training on ABI delivery by staff from a variety of such teams. Identified barriers to ABI delivery included issues relating to individual practitioners, their teams, current practice and the ABI model They are likely to be best addressed by strategic team- and setting-specific approaches to implementation, of which training is only one part. Alcohol brief interventions practice following training for multidisciplinary health and social care teams: A qualitative interview study. A systematic review [7] found that the evidence of brief intervention effects in patients with substance use and severe mental health problems was unconvincing
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