A consensus process to develop a model of care for patients with alcohol use disorder in the general medical setting

Sinclair, J.M.A.; Uhm, S.; King, M.; Foote, G.; Kalk, N.; Canvin, K.; Case, P.; Philipps, T.

Abstract

Background and aim

The rise in alcohol-related harm is reflected in increased hospital admissions in non-treatment-seeking people. There is a limited evidence base for what might constitute effective, high-quality care in general medical settings. The aim of this study was to identify and agree upon essential components for the effective identification and management of alcohol use disorder (AUD) and alcohol-related harm within a general hospital setting.

Methods

The process integrated a number of evidence strands (scoping review of the international literature, survey data of alcohol care teams across the United Kingdom, stakeholder engagement and evidence synthesis). A structured consensus development process generated an over-inclusive list of possible components prior to bringing all stakeholders together for the consensus meeting. Following the consensus meeting further iterations of the model continued online until consensus was reached.

Results

We identified a model of care based on the emerging evidence, which included nine domains and 15 components that accounted for the severity of AUD experiences, level of complexity and stage of alcohol use managed within general medical settings.

Conclusion

We have conceptualised a robust model of care for the identification and management of AUD in a general hospital setting. This will be pivotal to building the evidence base in this area to improve outcomes for patients with AUD in non-specialist settings.

Citation

Sinclair, J., Uhm, S., King, M., Foote, G., Kalk, N., Canvin, K., Case, P., & Philipps, T. (2024, November). A consensus process to develop a model of care for patients with alcohol use disorder in the general medical setting. Presented at SSA Annual Conference, Newcastle upon Tyne, UK

• Presentation Conference Type: Conference Abstract
• Conference Name: SSA Annual Conference
• Start Date: Nov 14, 2024
• End Date: Nov 15, 2024
• Acceptance Date: Nov 30, 2024
• Publication Date: 2024-12
• Deposit Date: Apr 23, 2025
• Print ISSN: 0965-2140
• Electronic ISSN: 1360-0443
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 119
• Issue: S1
• Pages: 9-10
• Public URL: https://keele-repository.worktribe.com/output/1199009
• Publisher URL: https://onlinelibrary.wiley.com/doi/10.1111/add.16709