Evidence-Based Care for Alcohol Use Disorders is Affordable (original) (raw)

2004, Centre for Health Research; Faculty of Health

This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined alcohol detoxification and relapse prevention by "optimal care", as advocated in the literature, and current care. Current care was defined as self-reported contact with any health professional (e.g. general practitioner, psychiatrist, psychologist, social worker, nurse, community mental health worker, drug and alcohol counsellor, or any other counsellor). Two levels of alcohol-use disorders were identified in the study. These were harmful use and alcohol dependency. Under current use, harmful use was defined as having two or more contacts with the same type of health professional and being treated with either cognitive behavioural therapy or counselling, while alcohol dependency additionally required medication. Type of intervention Secondary prevention. Economic study type Cost-utility analysis. Study population The target population comprised a hypothetical cohort of residents in the Australian community who met the criteria for an alcohol-use disorder and who identified it as their main principal complaint. They also suffered from mental problems such as stress, anxiety, depression, or dependence on drugs or alcohol. Setting The setting was secondary and primary care. The study was conducted in Australia.

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