iCAAD London 2018

iCAAD London 2018

Dr Christos Kouimtsidis and GaIA Healthcare will be present at the iCAAD London 2018 event.

Christos will give a talk on “Alcohol misuse in special populations”, on Wednesday 9th of May at 11:30am.
Please see the abstract below.

For information about the event please visit: https://www.icaadevents.com/icaad-london-may-2018-hc95

iCAAD London 2018

Alcohol misuse in special populations; learning disabilities and people with traumatic brain injury

There is little and conflicting evidence on the prevalence of alcohol misuse and treatment available for people with Intellectual Disabilities (also referred as Learning Disabilities). It is hypothesised though that similarly to other vulnerable populations, following the closure of long-stay hospitals, adults with ID have increasingly lived more independently in the community. This has increased their exposure to environmental stressors, substance misuse and alcohol misuse. Prevalence of alcohol misuse is reported to be from as low as 0.5 -2.5% to as high as 22.5% against a prevalence rate of 25% and 15% in men and women respectively in the general population. Research suggests that alcohol misuse is experienced by nearly 50% of adults with ID who are drinkers and that this negatively impacts on their functioning, relationships, physical and mental health, and safety.

Overall, the limited literature that is available suggests that motivational interviewing and education on the effects of excessive drinking using accessible materials are key elements in treatment programmes for adults with ID. In general, interventions that are effective in other population groups may also be delivered to adults with ID, but adaptations in terms of session duration, treatment content, carer participation and therapist delivery are necessary.

The presentation is based on the experience gained from the first in the UK feasibility study on this topic.

Traumatic Brain Injury (TBI) is the commonest cause of disability in younger adults. Yet the community care for patients with TBI varies hugely in the UK and those with TBI often fall through the gaps of clinical mental health and neurological services. Each year an estimated 1 million people attend hospital emergency departments in the UK following TBI, and chronic psychiatric, behavioural and cognitive difficulties are common. There is a well-established link between TBI and alcohol misuse, with both TBI leading to increased levels of alcohol misuse and alcohol misuse contributing to risk of TBIs. The effects of neuronal damage have been shown to increase after TBI accompanied by alcohol intoxication, making this a pressing and timely topic for discussion. The presentation draws from the experience of setting up and running the first ever pilot of a combined TBI and alcohol brief intervention service in London.