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Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence

Probably the major ultimate use of outcome management is program improvement. The data provide the starting point for identifying problems, such as the information broken out by key client and service characteristics. The analysis can identify which particular client groups, which particular offices, or which particular caseworkers or clinicians are doing well, or not well. This starts off the dialogue about where problems exist, or about major accomplishments achieved. | NHS National Institute for Health and Clinical Excellence Alcohol-use disorders diagnosis assessment and management of harmful drinking and alcohol dependence Issued February 2011 NICE clinical guideline 115 guidance.nice.org.uk cg115 NICE has accredited the process used by the Centre for Clinical Practice at NICE to produce guidelines. Accreditation is valid for 5 years from September 2009 and applies to guidelines produced since April 2007 using the processes described in NICE s The guidelines manual 2007 updated 2009 . More information on accreditation can be viewed at www.nice.org.uk accreditation NICE 2011 NHS Evidence accredited provider NHS Evidence - provided by NICE www.eviderKe.nhs.uk Alcohol-use disorders diagnosis assessment and management of harmful drinking and alcohol dependence NICE clinical guideline 115 Contents Introduction. 4 Person-centred care. 7 Key priorities for implementation. 8 1 Guidance.12 1.1 Principles of care.12 1.2 Identification and assessment.14 1.3 Interventions for alcohol misuse.18 2 Notes on the scope of the guidance.35 3 Implementation .36 4 Research recommendations.37 4.1 Is contingency management effective in reducing alcohol consumption in people who misuse alcohol compared with standard care . 37 4.2 What methods are most effective for assessing and diagnosing the presence and severity of alcohol misuse in children and young people . 38 4.3 Is acupuncture effective in reducing alcohol consumption compared with standard care .39 4.4 For which service users who are moderately and severely dependent on alcohol is an assertive community treatment model a clinically and cost-effective intervention compared with standard care 39 4.5 For people with moderate and severe alcohol dependence who have significant comorbid problems is an intensive residential rehabilitation programme clinically and cost effective when compared with intensive community-based care .40 4.6 For people with alcohol dependence which medication is most .