Imperial College London
Portrait Picture

ProfessorThomasBarnes

Faculty of Medicine, Department of Brain Sciences

Emeritus Professor of Clinical Psychiatry
 
 
 
//

Contact

 

t.r.barnes

 
 
//

Location

 

Commonwealth BuildingHammersmith Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Sinclair:2023:10.1192/bjo.2023.45,
author = {Sinclair, J and Barnes, TRE and Lingford-Hughes, A and Drummond, C and Loubser, I and Rendora, O and Paton, C},
doi = {10.1192/bjo.2023.45},
journal = {BJPsych Open},
pages = {1--8},
title = {Management of medically assisted withdrawal from alcohol in acute adult mental health and specialist addictions in-patient services: UK clinical audit findings},
url = {http://dx.doi.org/10.1192/bjo.2023.45},
volume = {9},
year = {2023}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundMedically assisted alcohol withdrawal (MAAW) is increasingly undertaken on acute adult psychiatric wards.AimsComparison of the quality of MAAW between acute adult wards and specialist addictions units in mental health services.MethodClinical audit conducted by the Prescribing Observatory for Mental Health (POMH). Information on MAAW was collected from clinical records using a bespoke data collection tool.ResultsForty-five National Health Service (NHS) mental health trusts/healthcare organisations submitted data relating to the treatment of 908 patients undergoing MAAW on an acute adult ward or psychiatric intensive care unit (PICU) and 347 admitted to a specialist NHS addictions unit. MAAW had been overseen by an addiction specialist in 33 (4%) of the patients on an acute adult ward/PICU. A comprehensive alcohol history, measurement of breath alcohol, full screening for Wernicke's encephalopathy, use of parenteral thiamine, prescription of medications for relapse prevention (such as acamprosate) and referral for specialist continuing care of alcohol-related problems following discharge were all more commonly documented when care was provided on a specialist unit or when there was specialist addictions management on an acute ward.ConclusionsThe findings suggest that the quality of care provided for medically assisted withdrawal from alcohol, including the use of evidence-based interventions, is better when clinicians with specialist addictions training are involved. This has implications for future quality improvement in the provision of MAAW in acute adult mental health settings.
AU  - Sinclair,J
AU  - Barnes,TRE
AU  - Lingford-Hughes,A
AU  - Drummond,C
AU  - Loubser,I
AU  - Rendora,O
AU  - Paton,C
DO  - 10.1192/bjo.2023.45
EP  - 8
PY  - 2023///
SN  - 2056-4724
SP  - 1
TI  - Management of medically assisted withdrawal from alcohol in acute adult mental health and specialist addictions in-patient services: UK clinical audit findings
T2  - BJPsych Open
UR  - http://dx.doi.org/10.1192/bjo.2023.45
UR  - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000968883200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
UR  - https://www.cambridge.org/core/journals/bjpsych-open/article/management-of-medically-assisted-withdrawal-from-alcohol-in-acute-adult-mental-health-and-specialist-addictions-inpatient-services-uk-clinical-audit-findings/181716B7FA323CD74E61BBD500672411
UR  - http://hdl.handle.net/10044/1/104046
VL  - 9
ER  -
Download