Alcohol Treatment within Payment by Results for Mental Health Overview and journey to date.
Microsoft PowerPoint (Alcohol results presentation)
Transcript of Microsoft PowerPoint (Alcohol results presentation)
Objective
Obtain reliable prevalence rates on:– Frequency and volume of drinking– Harmful drinking patterns– Harm from own drinking– Harm from others’ drinking
Methodology
• Representative sample 4,843 respondents aged 18-64 years
• Fieldwork Oct 2010 – June 2011
• Response rate – 60%
• Demographics – gender, age, education, marital status and social class
Frequency of drinking
• 87% (89% males, 85% females) were current drinkers– Highest among females aged 18-24 years (94%) – Lowest among females aged 50-64 years (79%)
• 31% of men and 21% of women consumed alcohol at least twice weekly
Volume of drinking
• 24% consumed 1-2 standard drinks/drinking occasion – Most common among adults aged 50-64 years (34%)
• 27% consumed 7+ standard drinks/drinking occasion– Highest among males 18-24 years (60%) and 25-34 years (48%)
Harmful drinking patterns
• Risky Single Occasion Drinking (binge drinking)
• AUDIT-C screening tool
• RAPS – used to screen for dependence
Risky Single Occasion Drinking (RSOD)
• 45% of adults aged 18-64 engaged in RSOD at least once per month in the year prior to the survey
• This corresponds to 52% of drinkers – 64% of male drinkers– 39% of female drinkers
• RSOD was most common among 18-24-year-olds (72%)
AUDIT-C screening tool
• 50% of adults aged 18-64 scored positive for harmful drinking using the AUDIT-C screening tool
• This corresponds to 58% of drinkers– 71% of male drinkers – 44% of female drinkers
AUDIT-C: gender and age
18–24 25–34 35–49 50–640
10
20
30
40
50
60
70
80
90
75
62
5448
8276
67 6568
4840
29
All
Males
Females
Age group
%
RAPS screening tool
• 23% reported feelings of guilt or remorse • 24% reported that friends/family told them about things
they said/did that they did not remember • 12% reported that they failed to do what was normally
expected • 2% reported that they needed a first drink in the morning
• Two or more positive scores (18%)– 23% males, 14% females
• Three or more positive scores (7%)
RAPS screening tool: gender and age
18–24 25–34 35–49 50–6405
101520253035404550
43
23
117
47
31
1511
40
16
83
All
Males
Females
Age group
%
Alcohol consumption by demographics
• Education and social class did not predict harmful drinking patterns
• Single drinkers were more likely to drink in a harmful manner than married drinkers of the same age – 75% of single drinkers aged 18-34 years had a positive AUDIT-C
score compared with 54% of married/cohabiting drinkers of the same age
Harm from own drinking
Six harms – harm to health, home life, work, friendships, being involved in an accident or fight
• 20% experienced at least one of these harms as a result of their drinking– 26% males, 14% females
• 13% reported harm to health – Most common among those aged 18-24 years (24%)
• Males aged 18-24 years were most likely to have been in a fight (24%) or an accident (11%)
Harm from others’ drinking
Five harms – family and money problems, being assaulted, being a passenger with a drunk driver, property vandalised
• 27% experienced harm as a result of someone else’s drinking
• 14% reported family problems– Most common among females aged 25-34 years (19%) and males
and females aged 18-24 years (18%)
Summary
• Most adults aged 18-64 years consumed alcohol with older females most likely to abstain from alcohol
• According to the AUDIT-C screening tool the majority of drinkers consumed alcohol in a harmful manner, which is consistent with previous research
• Harmful drinking patterns were most common among those aged 18-24 years
• Males were most likely to experience alcohol-related harm from their and others’ drinking