Tilda Goldberg Centre for Social Work and Social Carehttp://hdl.handle.net/10547/1322182024-03-27T16:46:09Z2024-03-27T16:46:09ZIdentifying and responding to alcohol misuse in memory clinics: current practice, barriers and facilitatorsThake, AnnaWadd, SarahEdwards, KimRandall-James, Jameshttp://hdl.handle.net/10547/6011352020-04-23T07:37:31Z2015-05-18T00:00:00ZIdentifying and responding to alcohol misuse in memory clinics: current practice, barriers and facilitators
Thake, Anna; Wadd, Sarah; Edwards, Kim; Randall-James, James
Purpose – The purpose of this paper is to explore current practice, barriers and facilitators to identifying and responding to alcohol problems in memory clinics. Design/methodology/approach – A questionnaire sent to professionals in 55 memory clinics in England, Wales and the Isle of Wight and two focus groups with professionals from three memory clinics in England. Findings – Only 1/35 clinics that responded to the questionnaire was using a standardised alcohol screening tool but all attempted to gain some information about alcohol use. Without screening tools, practitioners found it difficult to determine whether alcohol use was problematic. Barriers to identification/intervention included cognitive impairment, service-user being “on guard” during assessment, presence of family members/carers, time constraints and a perception that brief interventions were not within the remit of memory clinics. Facilitators were obtaining visual clues of problem drinking during home visits and collateral information from family members/carers. Research limitations/implications – Focus group participants were recruited through convenience sampling and a small number of professionals took part. This means that the findings may be subject to selection bias and limits the generalisability of the findings. Practical implications – Memory clinics should provide guidance and training for practitioners on how to intervene and respond to alcohol misuse. Further research is required to determine the most effective way to identify alcohol problems in people with cognitive impairment and how to deliver brief alcohol interventions that take account of cognitive deficits. Originality/value – This is the first study to examine alcohol screening and interventions in memory clinics and identifies a need for guidance, training and further research.
2015-05-18T00:00:00ZAlcohol screening in people with cognitive impairment: an exploratory studyRandall-James, JamesWadd, SarahEdwards, KimThake, Annahttp://hdl.handle.net/10547/6011182020-04-23T07:37:32Z2014-12-01T00:00:00ZAlcohol screening in people with cognitive impairment: an exploratory study
Randall-James, James; Wadd, Sarah; Edwards, Kim; Thake, Anna
Objective: Alcohol misuse can coexist with and/or contribute to the development of cognitive impairment in the older adult population but continues to be underestimated and undetected in older people. This study aimed to examine the feasibility and acceptability of routine screening for alcohol misuse in a small sample of older people with cognitive impairment receiving services in memory clinics. Methods: This study employed a qualitative and exploratory design, using a convenience sample of individuals attending a memory clinic in England. Ten service users older than 65 with a diagnosis of cognitive impairment (i.e., mild cognitive impairment or dementia) took part in the study. Individuals who met inclusion criteria were invited to take part in an hour-long interview, which included the interviewer administering the alcohol screening tools. Interview transcripts were analyzed using thematic analysis. Results: Participants were able to engage with the screening tools and could, with assistance, complete them in a collaborative and timely manner without distress. All participants reported that these tools were acceptable as part of the clinic assessment. Administering the screening tools was not time-consuming or difficult, making their use feasible within the memory clinic setting. While there were some challenges (e.g., arithmetic, recall, language problems), these challenges could be overcome with the aid of the person administering the screening tool using standardized techniques for assessment administration. Conclusions: Routine screening for alcohol misuse in older people with cognitive impairment receiving services in memory clinics is feasible and acceptable. The process of completing alcohol screening tools with older adults receiving services at memory clinics may increase awareness of the potential impact of alcohol on cognitive functioning and provide practitioners with an opportunity to educate service users about the ways that their drinking is affecting their memory. Several techniques to facilitate completion of screening tools were identified. Future research should evaluate the reliability and validity of alcohol screening tools with older people through corroborating screening results with other assessment methods.
2014-12-01T00:00:00ZWomen Against Fundamentalism: stories of dissent and solidarityDhaliwal, SukhwantYuval-Davis, Nirahttp://hdl.handle.net/10547/6010902017-03-03T16:45:09Z2015-01-01T00:00:00ZWomen Against Fundamentalism: stories of dissent and solidarity
Dhaliwal, Sukhwant; Yuval-Davis, Nira
2015-01-01T00:00:00ZTravellers and home education: safe spaces and inequalityD'Arcy, Katehttp://hdl.handle.net/10547/6009142019-10-14T14:42:29Z2014-06-01T00:00:00ZTravellers and home education: safe spaces and inequality
D'Arcy, Kate
2014-06-01T00:00:00Z